Chapter 7 – Comparative Health Information Management

bipolar disorder
a form of serious mental illness in which a person alternates between states of ecstatic mania and severe depression; also known as manic depression
Center for Mental Health Services
(CMHS)
the federal agency that oversees administration of demonstration and research grants and other initiatives at the federal level related to mental health issues; this and the Substance abuse and Mental Health Services (SAMHSA), were created within the US Department of Health and Human Services upon the reorganization of the National Institute of Mental Health (NIMH), which formerly carried these responsibilities
chemical restraint
the use of a drug or medication not part of a person’s usual medical regimen that is administered to control behavior or restrict freedom of movement
Child and Adolescent Service System Program
(CASSP)
an initiative begun by the National Institute of Mental Health to create a comprehensive network of services for emotionally disturbed children and adolescents through a series of demonstration grants.
clinical depression
a serious mental illness appearing as a deep feeling of melancholy and futility that is not situation in nature
community mental health centers
(CMHC)
publicly funded mental health organizations established in communities throughout the US by the Mental Health Act of 1965
continuity of care
a concept that refers to creation of a comprehensive system of care for persons with serious mental illness, with particular emphasis on smooth transition from inpatient to outpatient services
continuous quality improvement
(CQI)
a management concept that focuses on customer involvement in planning services and obtaining feedback as to satisfaction with service delivery; also known as total quality management (TQM)
Data Standards for Mental Health Decision Support System
(FN-10)
an early reference source for creation of a national mental health services database
delusion
a form of disordered thinking in which a person holds unrealistic beliefs
Diagnostic and Statistical Manual of Mental Disorders
(DSM-IV-TR)
classification system and nomenclature of mental disorders developed by the American Psychiatric Association (APA) with a stated purpose of providing ‘clear description of diagnostic categories in order to enable clinicians and investigators to diagnose, communicate about, study, and treat people with various mental disorders
dual diagnoses
most commonly refers to diagnoses in persons with mental illness and chemical or alcohol addiction, but may also refer to persons who are diagnosed as developmentally disabled and seriously mentally ill.
‘duty to warn’
legal concept that holds that it is the duty of mental health professional to warn a person whom a mentally ill client has threatened to harm, despite the usual protections of confidentiality in the client-professional relationship
episode of care
period during which a variety of services (inpatient and/or outpatient) are provided to an individual for a given episode of illness
hallucination
for of disordered thinking in which a person reports sensory experience that is not valid, such as seeing, hearing, smelling, or feeling things that are not real
inpatient psychiatric facility prospective payment system
(IPF PPS)
Medicare’s method of payment for both freestanding psychiatric hospitals and psychiatric units in acute care hospitals
involuntary commitment
legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to an inpatient facility even though they refuse or cannot consent to the treatment
Mental Health Statistics Improvement Program
(MHSIP)
an early initiative begun by the National Institute of Mental Health and continued by the Substance Abuse and Mental Health Services Administration to create a uniform data system nationwide for reporting of mental health statistics; work was largely done by a voluntary ad hoc group made up a local, state, and federal personnel
mental illness with chemical addiction
(MICA)
common acronym for programs for persons dually diagnosed with mental illness and chemical/alcohol addiction
outpatient commitment
judicial diversion, from inpatient to outpatient care, of a person who has been certified as in need of psychiatric care, with stipulations regarding behaviors such as taking medications, remaining sober and maintaining residence in a designated place…failure to abide by the stipulations generally results in involuntary commitment to an inpatient facility
physical restaint
mechanical or personal restriction that immobilizes or reduces the ability of an individual to move his or her arms, legs, or head freely, not including devices…for the purpose of the conducting routine physical examinations or tests or to protect the resident from falling out of bed or to permit the resident to participate in activities without the risk of physical harm to the resident
psychosis
state of extreme disordered thinking in which a person demonstrates such symptoms of serious mental illness as hallucinations and delusions
psychosocial rehabilitation
mode of treatment for serious mental illness that focuses on provision of an array of community support services for persons with mental illness, sufficient to allow them to live in the least restrictive environment possible outside an institution
psychotropic medication
a variety of medications designed to reduce psychotic symptoms by altering the chemical processes within the brain; also sometimes referred to as ‘neuroleptics’
schizophrenia
a psychosis represented by a state of extremely disordered thinking, manifesting as a break with reality
serious emotional disturbance
(SED)
a condition in which a young person has a diagnosable mental, behavioral, or emotional disorder resulting in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities
serious mental illness
(SMI)
a condition in which a person has a diagnosable mental, behavioral, or emotional disorder resulting in functional impairment that substantially interferes with or limits one or more major life activities
Social Security Disability Income
(SSDI)
federal benefits paid to persons with disability who have worked a sufficient length of time to qualify to receive Social Security benefits; a frequent source of income for persons with serious mental illness who are not able to work
Substance Abuse and Mental Health Services Administration