Current through August 30, 2024
In this chapter, unless the context requires
otherwise.
(1) "active treatment"
means that the individual who renders the services actively engages the
recipient and provides pre-planned specific interventions, supports, or other
actions that assist the recipient in achieving the goals written in the
behavioral health treatment plan;
(2) "adult experiencing a serious mental
illness" means an individual described in
7 AAC 70.920;
(3) "behavioral health clinical associate"
means an individual
(A) who may have less than
a master's degree in psychology, social work, counseling, or a related field
with specialization or experience in providing rehabilitation services to
recipients with severe behavioral health conditions;
(B) whose responsibilities may include
provision of psychosocial evaluation, education related to a recipient's
behavioral health condition, encouraging and coaching, counseling, and teaching
of needed life skills; and
(C) who
works within the scope of the individual's training, experience, and
education;
(4)
"behavioral health clinic services" means the services provided to a recipient
under 7 AAC 135.010(b);
(5) "behavioral health rehabilitation
services" means the services provided to a recipient under
7 AAC 135.010(c);
(6) "behavioral health services" means the
outpatient evaluation or treatment of an individual's mental health or
substance use;
(7) "behavioral
health services provider" means
(A) a
community behavioral health services provider;
(B) a substance use disorder treatment
provider that, as described in
7 AAC 70.010(a) (2), is not receiving
money from the department;
(8) "breathalyzer" means a device for
estimating blood alcohol content from a breath sample;
(9) "case management" means assistance to the
recipient and the recipient's family in accessing and coordinating high-quality
needed services, including
(A) medical,
psychiatric, and mental health services;
(B) substance use disorder
treatment;
(C) educational,
vocational, and social supports; and
(D) community-based services, related
assessments, and post-discharge follow-up activities;
(10) "child experiencing a severe emotional
disturbance" means an individual described in
7 AAC 70.930;
(11) "community behavioral health services
provider" means a provider listed in
7 AAC 70.010(a)(1) that has obtained a
department approval under
7 AAC 70.030 to provide identified behavioral health
services and meets the requirements set out in
7 AAC 70.100 or
7 AAC 70.130;
(13) "co-occurring disorders" means a
diagnosable substance use disorder and a diagnosable mental health disorder
that the recipient experiences at the same time;
(14) "counseling" means an exchange of
information, opinions, and ideas between the recipient and the recipient's
provider about the recipient's life choices and behaviors for the purposes of
assisting the recipient to make positive changes in the recipient's
behavior;
(15) "crisis or relapse
prevention planning" means service activities designed to support the recovery
of the individual in order to reduce and prevent recurrence of harmful use of
alcohol or other drugs;
(16)
"department" means the Department of Health and Social Services;
(19) "discharge or transfer planning" means
the planning necessary for a recipient to make a smooth transition away from
active involvement with treatment services or from one level of care to another
level of care;
(20) "dual diagnosis
capable program" means a program
(A) that
addresses co-occurring disorders in its policies and procedures, assessment,
treatment planning, program content, and discharge planning;
(B) in which the program staff is able to
address the interaction between substance use and mental health disorders;
and
(C) that is not required to
operate under the direction of a physician and does not provide behavioral
health clinic services;
(21) "dual diagnosis enhanced program" means
a program that
(A) has a higher level of
integration of substance use and mental health treatment services than a dual
diagnosis capable program and is able to provide unified treatment of the
symptoms of the recipient's substance use and mental health disorders, in
addition to addressing the interactions between the co-occurring disorders;
and
(B) provides behavioral health
clinic services under the direction of a physician with individual services
supervised by a mental health professional clinician;
(22) "functional impairment"
(A) means a disorder that substantially
interferes with or prevents a recipient from achieving or maintaining one or
more developmentally appropriate social, behavioral, cognitive, communicative,
or adaptive skills;
(B) includes
disorders of episodic, recurrent, or continuous duration;
(C) does not include temporary, expected
responses to stressful events in the recipient's environment;
(23) "general acute care hospital"
has the meaning given in
7 AAC 12.990;
(24) "general direction" means, in a
community behavioral health services provider, a physician provides general
program and clinical consultative services when needed;
(25) "management of a recipient's chronic
disease" means using a community-wide, systematic, and structured
multidisciplinary approach to interventions designed to prevent or manage one
or more chronic conditions;
(26)
"medication administration services" means the administration, by medical
personnel, of injectable or oral medications to a recipient, documentation of
medication compliance, assessment and documentation of side effects, and
evaluation and documentation regarding the effectiveness of the medication; in
this paragraph, "medical personnel" means
(A)
a physician;
(B) a physician
assistant;
(C) an advanced practice
registered nurse;
(D) a registered
nurse supervised by a physician or advanced practice registered
nurse;
(E) a licensed practical
nurse supervised by a physician or advanced practice registered
nurse;
(27) "mental,
emotional, or behavioral disorder" means a disorder identified by a provider
listed in 7 AAC 135.030 and in accordance
with the
(A)
Diagnostic and
Statistical Manual of Mental Disorders, adopted by reference in
7 AAC 70.910;
(B)
International Classification of
Diseases, adopted by reference in
7 AAC 70.910; or
(C)
Diagnostic Classification of
Mental Health and Developmental Disorders of Infancy and Early Childhood:
Revised Edition (DC:0-3R), adopted by reference in
7 AAC 70.910;
(28) "mental health professional clinician"
means
(A) an individual who
(i) is working for a community behavioral
health services provider;
(ii) is
performing limited behavioral health services that are within that individual's
field of expertise;
(iii) is not
working in a capacity that requires the individual to be licensed under AS 08;
and
(iv) has a master's degree or
more advanced degree in psychology, counseling, child guidance, community
mental health, marriage and family therapy, social work, or nursing;
(B) a nurse who
(i) has a master's degree in
nursing;
(ii) has received special
training or experience in mental health;
(iii) has an active license to practice
nursing under AS 08.68; and
(iv) is
working in the individual's field of expertise;
(C) a marital and family therapist who
(i) has an active license to practice marital
and family therapy under AS 08.63; and
(ii) is working in the individual's field of
expertise;
(D) a
professional counselor who
(i) has an active
license to practice as a professional counselor under AS 08.29; and
(ii) is working in the individual's field of
expertise;
(E) a social
worker who
(i) has a master's degree in
social work;
(ii) has an active
license to practice as a social worker under AS 08.95; and
(iii) is working in the individual's field of
expertise; or
(F) a
psychologist or psychological associate who
(i) has an active license to practice as a
psychologist or psychological associate under AS 08.86; and
(ii) is working in the individual's field of
expertise;
(29) "service area" means the geographic area
described by an applicant and affirmed by the department as the area for which
services will be provided by a provider authorized under this
chapter;
(30) "short-term crisis"
means an acute episode of a mental, emotional, behavioral, or psychiatric
disorder;
(31) "substance use
disorder" means a disorder that is identified by a diagnostic code found in the
Diagnostic and Statistical Manual of Mental Disorders, adopted
by reference in
7 AAC 70.910, or the International
Classification of Diseases, adopted by reference in
7 AAC 70.910, and that is related to
(A) alcohol, amphetamine, or similar acting
sympathomimetics;
(B) cannabis,
cocaine, hallucinogens, inhalants, nicotine, or opioids;
(C) analogs of phencyclidine (PCP) or similar
arylcyclohexylamines; or
(D)
sedatives, hypnotics, or anxiolytics;
(32) "substance use disorder counselor" means
an individual who
(A) has completed a course
of study, training, or education, or who has documented evidence of experience,
that has resulted in demonstrated competency to assist with or to independently
conduct screening, assessment, treatment planning, case management, and
provision of rehabilitative services for the treatment of substance use
disorders; and who
(i) works within the scope
of the individual's education, training, and experience;
(ii) adheres to a code of professional
ethics; and
(iii) participates in
continuing education to enhance relevant knowledge, skills, abilities, and
professional characteristics; or
(B) holds any current, valid certificate from
the National Association for Alcoholism and Drug Abuse Counselors, the
International Certification and Reciprocity Consortium, the Alaska Commission
for Behavioral Health Certification, or the Alaska Native Tribal Health
Consortium Behavioral Health Aide Program;
(33) "substance use disorder treatment
provider" means a provider that is subject to the requirements of
AS
47.30.475,
47.30.520-47.30.620, or AS
47.37 and that operates an opioid disorder treatment program, alcohol and drug
withdrawal management services, residential substance use disorder treatment
facility, or outpatient substance use disorder treatment services to provide
treatment to recipients with substance use disorders;
(34) "urinalysis" means laboratory testing of
a recipient's urine performed by a laboratory accredited under 42 C.F.R. Part
493.
(35) "opioid use disorder
treatment program" means an individual or entity that
(A) administers or dispenses a narcotic drug
to a narcotic addict for withdrawal or maintenance treatment;
(B) provides to individuals when appropriate
or necessary a comprehensive range of medical and behavioral health clinical
and rehabilitative services; and
(C) is approved under this chapter.
(36) "autism services"
(A) means the
(i) design, implementation, and evaluation of
instructional and environmental modifications to produce socially significant
improvements in human behavior;
(ii) empirical identification of functional
relations between behavior and environmental factors, and the utilization of
contextual factors, motivating operations, antecedent stimuli, positive
reinforcement, and other consequences to help people develop new behaviors,
increase or decrease existing behaviors, and engage in behaviors under specific
environmental conditions; and
(iii)
application of adaptive behavior treatment by protocol, group adaptive behavior
treatment by protocol, adaptive behavior treatment by protocol modification, or
family adaptive treatment guidance;
(B) does not include
(i) psychological testing;
(ii) diagnosis of a mental or behavioral
disorder; or
(iii) the practice of
neuropsychology, psychotherapy, cognitive therapy, sex therapy, psychoanalysis,
hypnotherapy, or long-term counseling;
(37) "missing," with respect to
(A) a child, means absent for more than 10
hours without approval from a residential child care facility as defined in
AS
47.32.900;
(B) an adult recipient who currently receives
services from a behavioral health services provider, means absent for more than
72 hours without approval from a residential treatment facility, a housing
facility owned or operated by the provider, or an assisted living home where
services are delivered to the recipient by the provider; or
(C) an individual described in (A) or (B) of
this paragraph, means the subject of a missing person report that the provider
receives from a member of law enforcement or a family member;
(38) "withdrawal management" means
the process to safely and effectively provide the immediate physiological
stabilization and treatment of a recipient who is intoxicated, incapacitated,
or experiencing withdrawal from a specific psychoactive substance;
(39) "withdrawal management services" means
treatment in accordance with the ASAM Criteria: Treatment Criteria for
Addictive, Substance-Related, and Co-Occurring Conditions, adopted by
reference in
7 AAC 70.910, for the following levels of care:
(A) level 1 withdrawal management: ambulatory
withdrawal management services without extended on-site monitoring;
(B) level 2 withdrawal management: ambulatory
withdrawal management services with extended on-site monitoring provided under
7 AAC 70.110;
(C) level 3.2 withdrawal management:
clinically managed residential withdrawal management services provided under
7 AAC 70.110;
(D) level 3.7 withdrawal management:
medically monitored inpatient withdrawal management services provided under
7 AAC 70.110.
Authority:AS
47.05.010
AS
47.30.477
AS
47.30.530
AS
47.30.540
AS
47.30.570
AS
47.37.130
AS
47.37.140
