New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES
Subchapter 1 - GENERAL PROVISIONS
Section 10:37B-1.2 - Definitions

Universal Citation: NJ Admin Code 10:37B-1.2

Current through Register Vol. 56, No. 18, September 16, 2024

The following words and terms, when used in this chapter, shall have the following meanings, unless the context clearly indicates otherwise.

"Advance directive for mental health care" or "psychiatric advance directive" means a writing executed in accordance with the requirements of the New Jersey Advance Directives for Mental Health Care Act, N.J.S.A. 26:2H-107 et seq.

"Community support services" means mental health rehabilitation services and supports necessary to assist the consumer in achieving mental health rehabilitative and recovery goals as identified in an individualized rehabilitation plan; including achieving and maintaining valued life roles in the social, employment, educational, and housing domains; and assisting the consumer in restoring or developing his or her level of functioning to that which allows the consumer to achieve community integration, and to remain in an independent living setting of his or her choosing.

"Consumer" means a person diagnosed with a mental illness who is receiving mental health services.

"Consumer service agreement" means a written agreement between the PA and consumer that includes responsibilities of both the PA and the consumer and that meets the requirements of N.J.A.C. 10:37B-3.1.

"Crisis intervention" means face-to-face, short-term interventions with a consumer who is experiencing increased distress and/or an active state of crisis. Crisis intervention also includes developing and implementing the consumer's crisis contingency plan or implementing an advance directive for mental health care.

"Department" means the New Jersey Department of Human Services.

"Division" or "DMHAS" means the Division of Mental Health and Addiction Services in the Department, or a PA or other entity designated by the Division to perform administrative tasks. For example, an entity could be authorized to evaluate individuals for eligibility for rental subsidies, determine eligibility to receive rehabilitation services, or approve or review service plans to determine medical necessity.

"DOH" means the New Jersey Department of Health.

"Eligible consumer" means a person who meets the medical necessity standard for community support services by having severe mental health needs.

"Individualized rehabilitation plan" means a document that is developed in partnership with the consumer that sets forth goals and objectives that will lead to recovery and independence; identifies internal and external resources to support recovery and independence; and identifies concrete skills the consumer will develop and actions the consumer will take, with the assistance of and participation in programs, interventions, and supports offered by the PA, to meet those goals.

"Primary service provider" refers to a program that has assumed responsibility for providing a consumer's care when that consumer is discharged from an inpatient facility or when the consumer elects to participate in clinical or rehabilitation services in the community. A community support services program that is a primary service provider for a consumer must identify a primary service coordinator for each consumer it serves.

"Provider agency" or "PA" is an entity licensed by the DOH to provide mental health services that has a contract or affiliation agreement (if the requirement for a contract has been waived by the Division) with the Division to provide those services.

"Serious mental illness" shall include, but not be limited to, a diagnosis of, and a documented history of treatment of or evaluation for the following:

1. Schizophrenia;

2. Schizophreniform Disorder;

3. Schizoaffective Disorder;

4. Delusional Disorder;

5. Psychotic Disorder NOS;

6. Major Depressive Disorder Recurrent;

7. Bipolar I disorder;

8. Bipolar II Disorder;

9. Bipolar Disorder NOS;

10. Schizotypal Personality Disorder; or

11. Borderline Personality Disorder.

"Severe mental health needs" means an individual:

1. Has a current diagnosis of a serious mental illness;

2. Requires active rehabilitation and support services to achieve the restoration of functioning to promote the achievement of community integration and valued life roles in the social, employment, educational, or housing domains; and

3. Either:

i. Is currently functioning at a level, as assessed using an instrument approved by the Division, that puts the consumer at risk for hospitalization or other intensive treatment settings, such as 24-hour supervised congregate group or nursing home;

ii. Exhibits deterioration in functioning that will require that they be hospitalized or treated in another intensive treatment setting in the absence of community-based services and supports; or

iii. Does not have adequate resources and supports to live safely in the community.

"Valued life role" means an individually chosen adult role, desired by individuals and respected by society, such as worker, professional, employee, volunteer, student, spouse/partner, parent, or homemaker.

"Wellness and Recovery Action Plan (R) or WRAP (R)" (Copyright by Mary Ellen Copeland, PO Box 301, W. Dummerston, VT 05357 Phone: (802) 254-2092) is a document developed by a consumer to use in monitoring progress toward self-defined wellness and recovery and identifying interventions to use when recovery is blocked or stalled.

Disclaimer: These regulations may not be the most recent version. New Jersey may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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