AAA - Area Agency on Aging An agency that was set up to deal with
the specific problems and needs of senior citizens.
ABC
ACF Administration of Children & Families (Federal Agency)
ACS
Affiliated Computer
Services, Inc.
ADL Evaluation Activity of Daily Living Evaluation.
The ADL Evaluation assesses the ability to independently take care of
ones personal needs; to determine the patients present level of, and
potential for performing his daily life tasks which include dressing, nutrition,
homemaking, personal hygiene, communication, travel, and safety in the home.
ADLs Activities of Daily Living
ADS / ADT Adult Day Service / Adult Development
Training. A program which helps individuals with severe
and/or multiple disabilities to develop and improve personal and vocational
skill. Instructions areas may include
communication, socialization, cognitive education, motor development, daily
living skills and community education and recreation. This may also be known as Adult Development
Training.
AFCAR Automated Foster Care and Adoption Reporting
AFDC
Aid to Families with
Dependent Children
AIDS Acquired Immune Deficiency Syndrome. A fatal disease which attacks your immune
system.
AMI
AMR Agreement of Mutual Responsibility (goal oriented agreement
for TANF clients)
ARC Association for Retarded Citizens. A national agency with the
state and county chapters to advocate services to the mentally retarded.
ASFA Adoption & Safe Families Act
ATF Adult Training
Facility. A place where day supports are provided to adults who need
help in developing skills, with meeting personal needs, and with basic daily
activities.
ATOD Alcohol, Tobacco, & Other Drugs
Abatement A complete or partial cancellation by a
Drug & Alcohol program or MH/MR office of a clients financial liability
for treatment/services as calculated by the service provider.
Access
Card Medical Assistance
Identification Card
Accounts Receivable (Fiscal Term) Amounts due from a debtor
for goods and/or services delivered.
ACT 148 The State law establishing basic funding
for Children & Youth and the mandate for counties to operate CYS and
provide match.
ACTS Federal & State Public Laws affecting the mentally &
physically disabled.
Adjudicated Client that has had a formal court trial
& received a verdict of guilty or innocent.
Adult
Partial Hospitalization Licensed by the Office of Mental Health to provide
partial hospitalization service to individuals 15 years of age or older.
Adult
Survivor Refers to an adult who experienced sexual abuse as a child.
Aftercare
Services within each county to prevent unnecessary and prolonged
institutionalization. Aftercare services
make the return of people to their homes or communities easier, by helping them
develop self-care, self-support, self-sufficiency and social competence. Aftercare services are mandated by state law
as a county responsibility.
Aftercare
services consist of those services furnished to persons who have been inpatient
and may also entail appropriate community placement for those who have no homes
or for whom immediate return home is inadvisable.
Agency
Entity (program, facility, which receives and is responsible for the
Governors Council Funds) D&A
Agreement Non-specific term used to connote a
legally binding document.
Aid
to Education for all Handicapped Children Act (PL-94-142)
Federal Law which requires each State receiving funds under the Act to provide
free & appropriate education to all disabled children aged 3-21. Education must be provided in the least
restrictive setting that can meet the needs of the student. An Individualized Education Plan (IEP) must
be developed for each student.
Procedures are built into the Act so that parents & students can
challenge a schools program if it does not conform to the requirements of the
Act.
Allocation, (County) Amount of State drug &
alcohol funds to be distributed by the Governors Council to county
administrative units for operating D&A programs.
Ancillary Services Activities that complement the provision
of other services.
Audit/Financial An independent review by a Public
Accountant certifying that a facilitys financial reports reflect its financial
status.
BAC Blood Alcohol Content Amount of alcohol in a persons blood
stream upon imbibing alcoholic beverages.
BARJ Balanced and Restorative Justice
BC/BS Blue Cross/Blue Shield a private medical insurance program that
provides outpatient & inpatient medical benefits to subscribers.
BDAP Bureau of Drug & Alcohol Programs
Section of the PA Dept. of Health that oversees drug & alcohol treatment
programs.
BDD Bureau of Disability Determination
BH-MCO Behavioral
Health Managed Care Organization. Entity which manages the purchase and provision of behavioral
health services.
BSC Behavior Services Coordinator
BSU Base Service Unit A unit where intake into the MH/MR system
is completed and Supports Coordinator Services are provided. This unit is responsible for ensuring
continuity-of-care for each consumer & for maintaining a continuing
relationship with the consumer & with any facility or provider at any stage
of the consumers illness from intake to closure. This unit shall facilitate & coordinate
the consumers movement from service to services.
Refers to the tasks/staff procedures
involved in enrolling, tracking, & terminating consumers from agency
services.
BWMS
Balance Budget & Emergency Gramm-Rudman-Hollines Law (Deficit Control Act 1985)
Blue CHIP Childrens Health Insurance Program
Bollinger Enterprises, Inc. (BEI) Sheltered Workshop Subcontracts to
provide sheltered employment for the mentally disabled.
Breathalyzer Machine that measures blood alcohol
content.
CAAC Committee created to provide OMR with guidance on behalf of
the counties/joinders. Counties on the CAAC: Allegheny,
CAO
CAP
Child Abuse Prevention
Committee
CAPS Child
Accounting and Profile System. CYS
casework system.
CART Community Abuse Response Team
CASA
Court Appointed Special
Advocate
CASSP Child & Adolescent Service System Project CASSP
involves activities that are designed to promote interdepartmental cooperation
between agencies such as Children & Youth Services, Juvenile Court &
Education, and to encourage parental participation in systems advocacy for
childrens services. It is funded by
Mental Health & targets emotionally disturbed youngsters.
CBO Congressional Budget Office
CCAP
CCBHO Community Care Behavioral Health
Organization (MCO)
CCDBG Child Care & Development Block Grant (Welfare Reform
Consolidation)
CCR Consolidated Community Reports
CCYA County Children & Youth Agency (CAO term for CYS)
CDC Centers for Disease Control & Prevention (Federal Agency)
CHC -
CH/CLA Community Home/Community Living
Arrangement (Group Home). A home in the community in
which care and support services are provided to one or more individuals. Services in the home include assistance in
the activities of that daily living that support a persons personal and
intellectual development, physical and personal care, recreation and
socialization in the community.
CHI Community Housing for Individuals
(formerly CLA Community Living Arrangements) A house or apartment in
the community in which a small number of persons with mental retardation live. CHIs provide supervision, care & training. The goal of CHIs
is to give disabled persons an opportunity to be a part of the community &
live a normal life-style. The County
MH/MR Program provides a Core Team of Specialists to assist CHI staff in
meeting the needs of these residents.
There are also Adult Minimal Supervision CHIs
which are houses or apartments in which two or three mentally retarded adults
live. Supervision is on a drop-in basis
to assure the safety of the residents & to provide training and assistance
in independent living skills.
CHILDLINE State Child
Abuse Hotline
CHIP Childrens Health Insurance Program
CHIPP - Community/Hospital Integration Program Project - Funds are
used to take some individuals who are ready for discharge, out of
CMS
Center for Medicare and Medicaid Services (Formerly CHFA). The federal agency that administers the
Federal Medicaid Programs including the Medicaid Waiver.
COBRA
Consolidated Omnibus
Budget Reconciliation Act
COLA
Cost of Living
Adjustment
CPP
Child Permanency Plan
CPS
Child Protective Services
CPSL
Child Protective Services Law
CQI
Continuous Quality Improvement or I-Power
CRF
Community Residential Facility
CRR
Community Residential Rehabilitation (MH Residential) Residential
Program for mental health consumers similar to the MR/CLS Program.
CSP
Community Support
Program
CWLA
Child Welfare League of
CWT Child Welfare Training Program A collaborative effort of the PA Dept.
of Public Welfare,
CYAA
Children & Youth Adoption Assistance
CYS
Children & Youth Services Provides protection & supportive
services to abused, dependent, & deprived children and their families.
C&Y
Children & Youth Program
C&Y
Advisory Board Comprised of members
appointed by the County
Commissioners
Carryover
Program funds which have not been expended during the prior funding
period. Revenues (income) in excess of
expenditures which usually must be returned to the State or is deducted from
next years payment.
Case
Management A process designed to ensure: 1)
That the consumer and/or his/her needs are matched with appropriate services,
whether these services exist in the MH/MR system or 2) These services
exist in the community at large 3) Continuity of care ensures that when a shift
from one service to another occurs, the consumer and/or his/her needs are not
lost in this shift.
Child
Individual who: (1) is under 18 years of age (2) under 21 years of age
who committed an act of delinquency before reaching 18 years of age; OR (3) is under 21 years of age who was adjudicated
dependent before reaching 18 years of age and while engaged in a course of
instruction or treatment, request the court to retain jurisdiction until the
course is completed.
Childrens
Partial Hospitalization Licensed by the Office of Mental Health to provide partial
hospitalization & educational services to individuals under the age of 18.
Client
Liability That portion of the service cost that the consumer has an obligation to
pay.
Commitment
(201) Any person 14 years of age or over who believes that he is in need of
treatment & substantially understands the nature of voluntary [commitment] treatment may submit himself to
examination and treatment under this act provided that the decision to do so is
made voluntarily.
Commitment
(302) This is the involuntary emergency commitment which is basically a
two-step process: 1) The consumer is
brought for emergency examination involuntarily if specific criteria of clear
and present danger to self or others are met and/or 2) If, upon medical
examination, the consumer is felt to be a clear and present danger to self or
others, admission for up to 120 hours in a designated facility occurs.
Commitment
(303) This is a process in which a consumer can be maintained in an inpatient
facility for up to 20 days following an informal hearing before a Mental Health
Review Officer. It is the usual means
for extending inpatient hospitalization involuntarily. It may be invoked sequentially following a
302 commitment.
Commitment
(304) This is the means by which a consumer is maintained in involuntary
hospitalized status for an extended period of time up to 90 days. Often, this is the type of commitment used
when a consumer is sent to a state hospital.
Consultation
and Education This is one of the services mandated by the Mental
Health Act of 1966. This service is
designed to disseminate information on both consumer & program levels to
agencies and groups in the community (Also referred to as C&E or CS
Community Service).
Consumer
ODP client, or direct recipient of DP Services.
Contingent
Commitment (Fiscal Term) Commitment of monies which have not yet been allocated
& which is contingent upon future appropriations from the funding source.
Coordination Staffing A discussion/problem-solving process in which several staff from one
program or several programs discuss a specific consumer/family.
Co-Payment
Refers to a $.50 per service hour charge to consumers on Medical
Assistance, who receive mental health services.
Core
Indicators Survey Part of a national initiative among states to
capture common quality management metrics so that information can be shared
between the participating states.
Cyclical
Relating to the varying periods of mental illness in which an individual
may improve greatly, then cycles into another period of illness. Cycles are irregular & unpredictable.
D&A
Drug & Alcohol Program Warren County Human Services has adopted the
term Alcohol Tobacco & Other Drugs Program.
DAP
Disability Advocacy
Program
DARE
Drug Abuse Resistance Education
DATF
Drug Awareness Task Force
DDAN
Developmental Disabilities Advocacy Network
DDP
Division of Data Processing
DDPC
DEA Federal Drug Enforcement Administration Federal
agency responsible for enforcing the drug laws.
DHHS
The Federal Department of Health & Human Services
DIS
Department of Information Systems
DLP Disabilities Law Project
DPW
Department of Public Welfare A Pennsylvania state department
administers human service programs, distributes federal & state funds to
local agencies, & develops programs to respond to the human service needs
of the Commonwealths residents. (Except Drug & Alcohol Program).
DRO
Domestic Relations
Office
DSM-IV(R)
Diagnostic & Statistical Manual of Mental Disorders (4th
Edition) revised This is used by psychiatrists & psychologists to
standardize diagnoses of mental disabilities.
DUI
Driving Under the Influence
Dx Diagnosis
Deficit
The excess of expenses over revenues (income) during an accounting
period. Frequently the opposite of
carryover.
Detoxification
A treatment approach that provides services during the period of planned
withdrawal from substance abuse.
Diagnosis-Related
Groups (DRG) A classification system which groups clients with similar diagnoses
(diseases) based upon service characteristics through use of ICD-9 CM codes.
Disbursement
The outlay of cash only.
Domiciliary
Care Home A private home which provides room, board, & personal care for persons
who are mentally retarded, elderly, or physically disabled, or who may have
been mentally ill. Dom Care homes
usually accommodate three to four residents & are certified by the Area
Agency on Aging staff.
Drug Free A treatment approach that does not include
any chemical agent or medication as the primary part of the treatment. Temporary medication may be prescribed in a
drug free modality, i.e., short-term use of tranquilizers, but the primary
treatment method is not chemotherapy.
EAP
Employee Assistance Program A program provided through your employer
that offers personal work-life consultative services that address: work;
family; financial; personal wellness; healthy relationships; & legal
issues.
ECAP Early Childhood Accountability in
EEAP Emergency Energy Assistance Program
EI Early Intervention (ECD Early
Childhood Development Program; also known as Infant Stimulation) A program
which assists developmentally disabled infants & preschool children to
develop to their optimal potential.
EMSHS Eisenhower Middle/Senior High School
EOC Economic
EOE Equal Opportunity Employer
EPSDT Early Prevention, Screening, Detection & Treatment
ES Emotional Support
Education & Information The provision of activities & factual
data aimed at the development of decision-making skills, goal setting, values
awareness & clarification, personal motivation, meaning & purpose,
& development of communication and inter-personal skills and to increase
knowledge & understanding about drugs & alcohol and their effect.
Eligible Expenses Those expenses that are reimbursable by
the Office of Drug & Alcohol Program or the Department of Public Welfare as
defined in Eligibility Guidelines, Section III of the Fiscal Management
Guidelines of BDAP or Chapter 4300 MH/MR Fiscal Manual, Section 4300.41
Allowable Cost Standards, or the 3170 Regulations C&Y.
Emancipated Minor An individual under the age of 18 who has
been legally determined an adult in the eyes of the law.
Emergency Services A 24-hour day/ 7-days week coverage for
receiving & processing petitions for involuntary commitments & for
handling crisis/emergency calls for mental health and child abuse and neglect
calls for children and youth.
Everyday Lives Having a life which is typical of the
general population and includes: being part of the community; living among
family and friends but having the option of living alone; feeling safe and
secure; having choice in life decisions; having control over ones life; having
dignity and status; and being recognized for abilities and gifts.
Expenditures Cash disbursed for goods delivered or
services rendered.
Expenses Combined expenditures & encumbrances
incurred in the current fiscal period.
FBMH Family-Based Mental Health Program
FEMA Federal Emergency Management Agency
FFCA Foster Family Care Agency (including CYS Agencies)
FFP Federal Financial Participation When a public assistance,
medical assistance client payment is eligible for approximately 57% federal
funds & 43% State match.
FFS Fee-For-Service A method by which services may be
purchases. The relevant cost (and
ultimately, the fee which will be paid) is arrived at by negotiation between
the county office & the service provider.
FGDM Family Group Decision Making
FSA Family Support Act (1988)
FSP Family Service Plan
FSS Family Support Services Services available to families to
help them keep their mentally retarded family members at home in an independent
living arrangement. The services
provided include family aid, family education, respite care, recreation,
homemaker services, transportation & equipment. These state-funded services are provided by
the County MH/MR Program, through the Base Service Unit.
FWHS
FY Fiscal Year
Family Driven Model A way to provide FSS (Family Support
Services) by providing a stipend to the family with which they can then buy the
services they need.
Fee Rate The predetermined rate or unit cost by
which service providers are reimbursed for services rendered.
4300 Regulations Chapter 4300 County Mental Health &
Mental Retardation Fiscal Regulations.
Foster Care Program Residential placement of children with
families other than their own. A child
is placed in a foster home if his natural family is unable to care for
him. This is operated locally by the CY
Program.
GA General Assistance
GPS
General Protective
Services (CYS)
Grant An agreement between a governmental unit & another agency
whereby the governmental unit provides funds to carry out specified programs,
services, or activities.
HANDS Housing and Neighborhood
Development Service
HB House Bill
HCFA Health Care Financing Administration The Federal agency
within the Dept. of Health & Human Services (DHHS) that is responsible for
administering the Medicaid Program. Now
called the Center for Medicare & Medicaid Services.
HCQU Health Care Quality Units - A group of healthcare and
management professional who help county mental retardation programs monitor and
improve the overall health status of individuals receiving services in the
county programs. There are 8 HCQUs in
HCSIS Home & Community
Services Information System HCSIS is a web enabled information system that
services as the information system for DPW program offices that support the
Home and Community-Based Services Waivers (including ODP and OSP).
HHS US Department of Heath & Human Services
HIPAA Health Information Portability & Accountability Act A
federal law that has placed additional protections on individually identifiable
health records including medical & behavioral health (psychiatric,
psychological, substance abuse & mental retardation treatment) records.
HMO Health Maintenance Organization An affiliation of heath
care specialists providing health care for the price of a monthly insurance
premium.
HR
Human Resources
HRP Health Risk Profile An instrument utilized by HCSIS and designed
to screen he overall health of individuals that receive MR services.
HSDF Human Service Development Fund Originally funded by DPW and
now most recently via supplemental appropriations H.B 1480, monies under the
HSDF are for the development of innovative social service programs to meet
specific needs of the unemployed, elderly, disabled & special needs
children. It is a block grant and has
more flexibility to expend than other funds we receive.
HSRI Human Services Research Institute National organization
that performs demographic studies of health services.
HUD The Federal Department of Housing & Urban Development.
Habilitation
Development of skills & abilities through education & training.
Health
Choices Community Care
Behavioral Health Organization (CCBHO) (Managed Care for CAO Families)