Mississippi Administrative Code
Title 24 - Mental Health
Part 2 - Operational Standards for Mental Health, Intellectual/Developmental Disabilities, and Substance Use Community Service Providers
Chapter 54 - Glossary

A. Agency Provider - the overall agency provider/entity. Agency provider does not refer to an individual employee or service location.

B. Basic bedroom furnishings - bed frame, mattress (at least 4 inches thick), box springs (if applicable to bed frame type), chest of drawers or dresser, lamp, nightstand, two (2) sets of bed linens.

C. Certified Peer Support Specialist Professional (CPSSP) - Certified Peer Support Specialist Professionals provide non-clinical activities with a rehabilitation and resiliency focus that allow people receiving mental health services and substance use services and their family members the opportunity to build skills for coping with and managing psychiatric symptoms, substance use issues and challenges associated with various disabilities while directing their own recovery. A Certified Peer Support Specialist Professional is a person with significant life-altering experience, and also referred to as lived experience peer support competencies-based training and testing.

A Certified Peer Support Specialist Professional - Adult (CPSSP-A) is an adult diagnosed with a metal illness and/or substance use who can demonstrate their own efforts at self-directed recovery and expertise including knowledge approaches to support others in recovery. This designation prepares people who are successfully engaged in recovery from mental health and/or substance use disorder to help other adults in his/her recovery journey.

A Certified Peer Support Specialist Professional - Parent/Caregiver (CPSSP-P) is a biological parent, adoptive parent, or relative caregiver with permanent legal custody who is raising or has raised a child/youth with an emotional, social, behavioral, and/or substance use disability; and, whose child/youth has received services from a children/youth mental health provider. The Certified Peer Support Specialist Professional- Parent/Caregiver provides support and guidance to parent(s)/caregiver(s) in navigating the child/youth serving systems and advocating with them to help their child/youth.

A Certified Peer Support Specialist Professional - Youth/Young Adult (CPSSP-Y) is a person between the ages of eighteen - twenty-six (18-26) with lived experience with a behavioral health diagnosis who can demonstrate his or her own efforts in self-directed recovery. A behavioral health diagnosis can include mental health and/or substance use. This designation prepares people who are successfully engaged in recovery from mental health and/or substance use to help others in their recovery journey.

A Certified Peer Support Specialist Professional - Recovery (CPSSP-R) is an adult diagnosed with a substance use disorder who provides Peer Support Services for people in recovery from substance use.

D. Chemical restraint - a medication used to control behavior or to restrict the person's freedom of movement and is not standard treatment of the person's medical or psychiatric condition.

E. Community-based - services and supports are located in or strongly linked to the community, in the least restrictive setting supportive of a person's safety and treatment needs. Services and supports should be delivered responsibly and seamlessly where the person lives, works, learns and interacts.

F. Controlled Setting - Components for a "controlled" setting for IDD Services is defined as an agency with a lease or agreement with a property owner and the property owner maintains control of the physical setting/environment.

G. Cultural Competency - the acceptance and respect for difference, continuing self-assessment regarding culture, attention to dynamics of difference, ongoing development of cultural knowledge and resources and flexibility within service models to work towards better meeting the needs of minority populations.

H. Days - calendar days.

I. De-escalation - includes verbal and non-verbal communication skills aimed at reducing another person's agitation and aggression. De-escalation reduces the intensity of the conflict or a potential violent situation.

J. Director - a person with overall responsibility for a service, service area(s) (such as Community Services Director, Director of Community Support Services, Director of ID/DD Waiver Support Coordination, Service Director for Adult and Children's Partial Hospitalization, Day Treatment, Therapeutic Foster Care) or multiple services provided at/from a single location. This person must have at least a Master's degree in mental health or intellectual/developmental disabilities, or a related field and either (1) a professional license or (2) a DMH Credential as a Mental Health Therapist or Intellectual/Developmental Disabilities Therapist (as appropriate to the service and population being served). A registered nurse may be employed as the Director for DMH/H Agency Providers that only serve as agency providers of In-Home Nursing Respite Services, In-Home Respite Services and Community Support Services.

K. DMH Credentials - a generic term referring to any or all levels of DMH professional certification/licensure; examples include (not an exhaustive list): DMH Certified Mental Health Therapist (CMHT), DMH Certified Intellectual and Developmental Disabilities Therapist (CIDDT), and DMH Certified Addictions Therapist (CAT).

L. Grievance - a written statement made by a person receiving services alleging a violation of rights or policy.

M. Immediate family members - spouse, parent, stepparent, sibling, child, or stepchild.

N. Legal representative - the legal guardian or conservator for a person as determined in a court of competent jurisdiction.

O. Mechanical restraint - the use of a mechanical device, material, or equipment attached or adjacent to the person's body that he or she cannot easily remove that restricts freedom of movement or normal access to one's body.

P. Medical Screening - components of medical screening include: patient's personal information, doctor's information (name, etc.), exam information - blood pressure, pulse, height, weight, current diagnosis, current medications, statement of freedom from communicable disease, physical and dietary limitations and allergies. Must be signed by a licensed physician/nurse practitioner.

Q. Peer - a self-identified person (or family member of a person) who has received mental health or substance use services.

R. Peer Support Service - Peer Support Services are non-clinical activities with a rehabilitation and resiliency/recovery focus that allow people receiving mental health services and substance use services and their family members the opportunity to build skills for coping with and managing psychiatric symptoms, substance use issues and challenges associated with various disabilities while directing their own recovery. Natural resources are utilized to enhance community living skills, community integration, rehabilitation, resiliency and recovery. Peer Support is a helping relationship between peers and/or family member(s) that is directed toward the achievement of specific goals defined by the person. Peer Support Services are provided by a Certified Peer Support Specialist Professional.

S. Peer Support Specialist Professional Supervisor - a person credentialed according to the standards and guidelines determined by DMH. Prior to, or immediately upon acceptance in a Peer Support Specialist Professional Supervisory position, this person is required to receive basic Peer Support Specialist training specifically developed for supervision within the Peer Support Specialist Program, as provided by DMH.

T. Person-Centered Planning - a best practice approach to planning for people who require life-long supports and services. Person-Centered Planning discovers and acts on what is important to a person. Person-Centered Thinking © principles are used to gather information with and from participants of the person's choosing. The person and his/her team develop individually tailored outcomes that are molded into activities to assist people in having meaningful days and in doing what they choose to do.

U. Person - Centered, Recovery Oriented System of Care - identification of the supports needed for individual recovery and resilience. Individualized and person-centered means that the combination of services and supports should respond to a person's needs, and should work with the strengths unique to each person's natural and community supports. Services and supports should be designed to help the person served identify and achieve his/her own recovery goals. The public mental health system must also recognize, respect and accommodate differences relating to culture/ethnicity/race, religion, gender identity and sexual orientation. However, an individualized/person-centered process must recognize the importance of the family and fact that supports and services impact the entire family.

V. Person-Centered Thinking - underlies and guides respectful listening which leads to actions, resulting in people who: have positive control over their life; are recognized and valued for their contributions (current and potential) to their communities; and, are supported in a web of relationships, both natural and paid, within their communities. © TLC-PCP.

W. Physical escort - the temporary holding of the hand, wrist, arm, shoulder, or back for the purpose of inducing a person who is acting out to walk to a safe location.

X. Physical intervention - procedures used in conditions where the safety of the person with challenging behaviors, or others is in imminent danger. An evidence-based physical intervention training focuses on de-escalation skills and strategies first, with physical intervention used only as last resort.

Y. Physical restraint - any manual method, physical or mechanical device, or equipment that immobilized or reduces the ability of a person to move his or her arms, legs, or head freely when used as a restriction to manage a person's behavior.

Z. Professional License - examples include Licensed Professional Counselor (LPC)/Provisional Licensed Professional Counselor (P-LPC), Licensed Psychologist, Licensed Master Social Worker, Licensed Certified Social Worker, Licensed Marriage and Family Therapist (LMFT), and Medical Doctor.

AA. Psychiatric Services - includes interventions of a medical nature provided by medically trained personnel to address medical conditions related to the person's mental illness or emotional disturbance. Medical services include medication evaluation and monitoring, nurse assessment, and medication injection.

BB. Recovery - a process of change through which individuals improve their health and wellness, live a self-directed life and strive to reach their full potential.

CC. Recovery-oriented services - services that are dedicated to and organized around actively helping people served to achieve full personal recovery in their real life and service environment.

DD. Relapse - a state of resuming any substance use, practices or behaviors detrimental to the individual's quality of life, or a deterioration of a previous level of improvement.

EE. Results-oriented - services and supports that lead to improved outcomes for the person served. People have as much responsibility and self-sufficiency as possible, taking into consideration their age, goals and personal circumstances.

FF. Seclusion - a behavior control technique involving locked isolation. Such term does not include a time-out.

GG. Service location - a DMH certified physical site (i.e. premises, building or facility) of which approved services and programs are provided by the provider to people with SMI, SED, SUD, and/or IDD that houses:

* Pertinent files for all staff and populations served,

* A site-based Safety Review Log of which the agency provider must conduct monthly, and

* Prominently posted OCS informational poster with instructions on filing a grievance with DMH.

HH. Supervisor - a person with predominantly supervisory and administrative responsibilities on-site in the day-to-day provision of services for such areas as Work Activity Services, Day Services-Adult, Psychosocial Rehabilitation Services, Day Support Services, etc. This person must have at least a Bachelor's degree in mental health, intellectual/developmental disabilities, or a related field, and be under the supervision of a person with a Master's degree in a mental health, intellectual/developmental disabilities, or a related field.

II. Time-Out - a behavior management technique which removes a person from social reinforcement into a non-locked room, for the purpose of calming. The time-out procedure must be part of an approved treatment service.