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C&F
Child & Family |
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CA or C/A
Children and Adolescents |
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CAFAS
Child/ Adolescent Functional Assessment Scale |
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CALOC
Child & Adolescent Level of Care |
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CAP
Community Alternatives Program |
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CAP/MR-DD (Waiver)
Waiver of Medicaid regulations that allow one-to-one staff to consumer care for developmental disabilities |
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CAPAC
Child & Adolescent Policy Advisory Committee |
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Capitation
A method of paying for services based on a flat rate regardless of the number of people using that service. A fee paid per-member-per-month (pmpm) is an example. |
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Capitation Payment
A payment made by a state Medicaid agency under a risk contract, generally to a managed care organization (MCO). The payment is usually made on a monthly basis at a fixed amount on behalf of each Medicaid beneficiary enrolled in the MCO. In exchange for the capitation payment, the MCO agrees to provide (or arrange for the provision of) services covered under the contract with the state Medicaid agency to enrolled Medicaid beneficiaries. See Fee-For-Service, MCO. |
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Caregiver
A person who has special training to help people with mental health problems. Examples include social workers, teachers, psychologists, psychiatrists, and mentors. |
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CARF
Originally Council on Accreditation of Rehabilitation Facilities, International - now CARF; one of the agencies recognized by the Division of MHDDSA Services and the Division of Medical Assistance to accredit providers of mental health, developmental disability and substance abuse services and to accredit systems management functions of Local Management Entities (LMEs) |
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Case Management
The activities of a professional with a great deal of knowledge of the services and programs supported by the public MH/DD/SA system who assists individuals in accessing and coordinating services. |
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Case Manager
A clinician who works with consumers, providers and insurers to coordinate services. This term also is applied to MCO employees who conduct utilization review. (Alternate terms: service coordinator, advocate, and facilitator.) |
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Catchment Area
The geographic part of the state served by a specific area or county program. |
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Categorical Funding
Funds provided for specific purposes or for services to specific people. |
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Categorically Needy
A term that describes the group of individuals that states are generally required to cover under Medicaid in order to receive Federal funds. This group includes people who receive assistance through Temporary Aid for Needy Families (TANF) and Supplemental Security Income (SSI), as well as other Federally assisted income maintenance payments. |
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CBI
Client Behavior Intervention |
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CBS
Community Based Services |
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CC
Closed Captioned |
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CCD
Consortium of Citizens with Disabilities |
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CDC
Child Development Center |
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CDDC
Consortium of Developmental Disabilities Councils |
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CDS
Child Developmental Services |
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CDSA
Child Development Services Agency |
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CDW
Consumer Data Warehouse (required reporting of consumer data to the state) |
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CEC
Council for Exceptional Children |
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Center For Medicaid And State Options (CMSO)
The agency within the Centers for Medicare and Medicaid Services (CMS, formerly the Health Care Financing Administration, HCFA) responsible for administering Medicaid and the Children's Health Insurance Program (CHIP). |
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Center For Medicare And Medicaid Services (CMS)
The federal agency in the U.S. Department of Health and Human Services (HHS) responsible for the administration of Medicaid, Medicare, and CHIP (formerly the Health Care Financing Administration, HCFA. http://www.hcfa.gov). |
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Center For Substance Abuse Prevention (CSAP)
A federal organization that provides national leadership in development of policies, programs, and services to prevent the onset of illegal drug use, to prevent underage alcohol and tobacco use, and to reduce the negative consequences of using substances. CSAP is one of three Centers in the Substance Abuse and Mental Health Services Administration (SAMHSA) in the U.S. Department of Health and Human Services (HHS). |
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Center For Substance Abuse Treatment (CSAT)
CSAT of the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (DHHS), was created in October 1992 with a congressional mandate to expand the availability of effective treatment and recovery services for alcohol and drug problems. CSAT's initiatives and programs are based on research findings and the general consensus of experts in the addiction field that, for most individuals, treatment and recovery work best in a community-based, coordinated system of comprehensive services. Because no single treatment approach is effective for all persons, CSAT supports the nation's effort to provide multiple treatment modalities, evaluate treatment effectiveness, and use evaluation results to enhance treatment and recovery approaches. |
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Certification
A statement of approval granted by a certifying agency confirming that the program/service/agency has met the standards set by the certifying agency. CMS is an example of a certifying agency. See also ACCREDITATION. |
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CFAC
Consumer and Family Advisory Committee |
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CFR
Code of Federal Regulations |
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CFT
Child & Family Team |
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Child And Adolescent Functional Assessment Scale (CAFAS)
Measurement system to determine the level of functioning of a child or adolescent. |
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Child And Adolescent Level Of Care Utilization System (CA LOCUS)
System used to determine the appropriate level or intensity of services/supports for children and adolescents. |
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Child Protective Services
Designed to safeguard the child when abuse, neglect, or abandonment is suspected, or when there is no family to take care of the child. Examples of help delivered in the home include financial assistance, vocational training, homemaker services, and daycare. If in-home supports are insufficient, the child may be removed from the home on a temporary or permanent basis. Ideally, the goal is to keep the child with the family whenever possible. |
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Children And Adolescents At Risk For Mental Health Problems
Children are at greater risk for developing mental health problems when certain factors occur in their lives or environments. Factors include physical abuse, emotional abuse or neglect, harmful stress, discrimination, poverty, loss of a loved one, frequent relocation, alcohol and other drug use, trauma, and exposure to violence. |
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Children's Health Insurance Program (CHIP)
Enacted in the 1997 Balanced budget Act as title XXI of the Social Security Act, CHIP is a federal-state matching program of health care coverage for uninsured low-income children. In contrast to Medicaid, CHIP is a block grant to the states; eligible low-income children have no individual entitlement to a minimum package of health care benefits. Children who are eligible for Medicaid are not eligible for CHIP. States have the option of administering CHIP through their Medicaid programs or through a separate program (or a combination of both). The federal matching rate for CHIP services (on average, 70 percent) is higher than that for Medicaid (on average at least 57 percent), but the federal allotment to each state for CHIP services is capped at a specified amount each year. |
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CI
Community Inclusion |
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CIL
Center for Independent Living |
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Civil Rights Of Institutionalized Persons Act (CRIPA)
Federal law intended to assure that persons involuntarily detained in state psychiatric hospitals or mental retardation centers are treated safely, humanely and with adequate due process as required under the U.S. Constitution. CRIPA investigations are undertaken and litigated by the Department of Justice, Civil Rights Division. |
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Civilian Health And Medical Program Of The Uniformed Services, (CHAMPUS)
A program of medical benefits available to inactive military personnel, military spouses, dependents and beneficiaries through the Military Health Services System of the Department of Defense. |
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Claim
An itemized statement of services, performed by a provider network member or facility, which is submitted for payment. |
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Claims Management
The process of receiving, reviewing, adjudicating, paying, and otherwise processing service claims submitted by network and facility providers. |
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Client
An individual who is admitted to or receiving public services. Client includes the client's personal representative or designee. See also CONSUMER. |
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Client Outcomes Inventory (COI)
Department of MH/DD/SAS measurement system for assessing treatment/services outcomes of consumers with developmental disabilities. |
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Clinical Best Practice
Consumer-focused, evidenced-based interventions and/or clinical services that demonstrate the best outcomes for consumers. |
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Clinical Criteria
Criteria by which managed care organizations decide whether a specific treatment setting is the appropriate level of care for a given consumer. |
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Clinical Pathways
Multidisciplinary plans of best clinical practice for groups of people with a particular diagnosis. |
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Clinical Practice Guidelines
Utilization and quality management mechanisms designed to aid providers in making decisions about the most appropriate course of treatment for a specific clinical case. |
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Clinical Psychologist
A clinical psychologist is a professional with a doctoral degree in psychology who specializes in therapy. |
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Clinical Services
In MH/DD/SA services, this usually means activities of medical and related professionals. These professionals generally include psychiatrists, social workers, psychologists, nurses and counselors. |
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Clinical Social Worker (CSW)
Clinical social workers are health professionals trained in client-centered advocacy that assist clients with information, referral, and direct help in dealing with local, State, or Federal government agencies. As a result, they often serve as case managers to help people navigate the system. Clinical social workers cannot write prescriptions. |
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Clinical Status
A type of outcome measure that relates to improvement, control or suppression of the active symptoms of serious and persistent mental illness. |
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Clinical Supervision
Intermittent face to face contact between a clinical supervisor and treatment staff to ensure that each person being served has an individualized treatment plan and is receiving quality care. It also includes auditing patient files, review and discussion of active cases and direct observation of treatment. In substance abuse treatment, it also means applying supervisory responsibility over substance abuse counselors in regard to at least the following: counselor development, counselor skill assessment and performance evaluation, staff management and administration, and professional responsibility, problem identification and resolution, referral for screening, specialized education, alternative activities development, social policy development, environmental change, training and development of risk reduction skills. |
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Closed Panel
A managed healthcare arrangement in which covered persons are required to select providers only from the plan's participating providers. Also called an Exclusive Provider Organization (EPO). |
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CM
Case Management or Case Manager |
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CMA
Center for Medical Assistance (Federal Medicaid) |
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CMI
Chronically Mentally Ill |
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CNH
Community Nursing Home |
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CNR
Continued Need Review |
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Co-Morbidity
The state of having two or more disorders at one time. |
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Co-Occurring Disorders
The presence of two or more disorders at the same time (e.g. substance abuse and mental illness; developmental disability and mental illness; substance abuse and physical health conditions). See also, DUAL DIAGNOSIS. |
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Co-payment
The portion of the cost of services that is to be paid by the service consumer. |
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COA
Council on Accreditation; one of the agencies recognized by the Division of MHDDSAS and the Division of Medical Assistance to accredit providers of mental health, developmental disability and substance abuse services and to accredit systems management functions of Local Management Entities (LMEs).
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Cognition
Cognition involves thinking skills such as perception, memory, awareness, reasoning, judgment, intellect, and imagination. |
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Cognitive Therapy
Cognitive therapy aims to identify and correct distorted thinking patterns that can lead to feelings and behaviors that may be troublesome, self-defeating, or even self-destructive. The goal is to replace such thinking with a more balanced view that, in turn, leads to more fulfilling and productive behavior. |
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Cognitive/Behavioral Therapy
A combination of cognitive and behavioral therapies, this approach helps people change negative thought patterns, beliefs, and behaviors so they can manage symptoms and enjoy more productive, less stressful lives. |
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COI
Consumer Outcome Inventory (state required survey) |
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Collateral Services
Services that include contacts with significant others involved in the client's/patient's life for the purpose of discussing the client's/patient's emotional or behavioral problems or the collateral's relationship with the client/patient. |
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Community Mental Health Center (CMHC)
Community-based, mental healthcare centers that provide a variable range of services, including inpatient, outpatient, emergency, partial hospitalization, consultation, education, case management, drop-in centers and vocational rehabilitation programs. |
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Community Services
Services that are provided in a community setting. Community services refer to all services not provided in an inpatient setting. |
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Compensatory Agent
Compensatory agent means a spouse, relative, or other caretaker who lives with a resident and provides care to a resident. |
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Competence
The capacity to function effectively. Also a legal term (i.e. competency to stand trial or competency to make decisions in one's own best interest). An individual must be judged incompetent in a court of law or found dangerous to self or others before the person's civil rights may be restricted. |
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Complementary And Alternative Medicine
Complementary and alternative medicine, as defined by National Institutes of Health, is a group of diverse medical and health-care systems, practices, and products that are not presently considered to be part of conventional medicine |
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Composite Autonomic Scoring Scale
The Composite Autonomic Scoring Scale is a battery of validated, sensitive, and specific tests for the assessment of autonomic nervous systems, resulting in a 10-point composite score. |
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Computerized Tomography (CT) Imaging Or Scanning
An advanced diagnostic scanning technique during which cross-sectional images of tissues and organs are produced by passing x-rays through the body at various angles. In some cases, a contrast medium, which is opaque on x-rays, may be injected intravenously to produce enhanced images of certain tissues, organs, or blood vessels. |
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Conduct Disorders
Children with conduct disorder repeatedly violate the personal or property rights of others and the basic expectations of society. A diagnosis of conduct disorder is likely when these symptoms continue for 6 months or longer. Conduct disorder is known as a disruptive behavior disorder because of its impact on children and their families, neighbors, and schools. |
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Conflict Of Interest
A situation where self interest could negatively impact the best interests of the person being served or the system. |
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Congenital
Existing at birth. |
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Consensus
General agreement toward a group decision. It is not the same as total agreement. |
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Consent Decree
A contract between a state and the court, usually federal that contains a plan for improving conditions in state programs. See also SETTLEMENT AGREEMENT. |
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Consolidated Omnibus Budget Reconciliation Act (COBRA)
An act that allows workers and their families to continue their employer-sponsored health insurance for a certain amount of time after terminating employment. COBRA imposes different restrictions on individuals who leave their jobs voluntarily versus involuntarily. |
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Consultation
Information shared between or among peers or professionals to increase the ability to manage challenging circumstances. Psychiatric consultation to a cardiologist who is treating a depressed patient is an example. A social worker might consult with another on the best residential placement for an individual with severe and persistent mental illness. |
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Consumer
An individual who has been or is receiving publicly funded mental health, developmental disability or substance abuse services or supports. See also CLIENT. |
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Consumer and Family Advisory Committee
A state mandated advisory committee composed solely of consumers and family members of consumers whose role is to advocate for the interests of consumers by advising local Mental Health Boards, Local Managment Entities and the Division of Mental Health, Developmental Disabilities and Substance Abuse Services. |
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Consumer Outcomes
The extent to which individuals receiving services and supports that are designed to assist in the process of reaching their life goals. For example, an adult consumer is competitively employed or a child with severe emotional disturbance who attends school regularly. |
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Consumer Run Services
Mental health treatment or support services that are provided by current or former mental health consumers. Includes social clubs, peer-support groups, and other peer-organized or consumer-run activities. |
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Continuous Quality Improvement (CQI)
Programs and activities designed to constantly improve the safety and effectiveness of services. |
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Continuum Of Care
A term that implies a progression of services that a child moves through, usually one service at a time. More recently, it has come to mean comprehensive services. Also see system of care and wraparound services. |
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Contract Discounts
An economic incentive offered to consumers to encourage them to use providers belonging to a group or organization preferred by a health plan. Usually, the out-of-pocket expenses incurred by the patient are reduced. |
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Contractor
A person or entity that contracts to provide services. |
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Coordinated Services
Child-serving organizations talk with the family and agree upon a plan of care that meets the child's needs. These organizations can include mental health, education, juvenile justice, and child welfare. Case management is necessary to coordinate services. Also see family-centered services and wraparound services. |
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Core Services
Services such as screening, assessment, crisis or emergency services available to any person who needs them whether or not they are a member of a target or priority population. Also, universal services such as education, consultation and prevention activities intended to increase knowledge about mental illness, addiction disorders, or developmental disabilities, reduce stigma associated with them and/or prevent avoidable disorders. See also, BASIC SERVICES. |
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Cost Per Patient Day
An accounting method that determines the actual cost of providing care to individuals. |
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Cost-Sharing
A health insurance policy provision that requires the insured party to pay a portion of the costs of covered services. Deductibles, coinsurance, and co-payment are types of cost sharing. |
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Council on Accreditation
Council on Accreditation; one of the agencies recognized by the Division of MH/DD/SAS and the Division of Medical Assistance to accredit providers of mental health, developmental disability and substance abuse services and to accredit systems management functions of Local Management Entities (LMEs). |
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County Program
A single county or multi-county program that manages, oversees and sometimes directly provides mental health, developmental disabilities and substance abuse services in a specified geographic area. Under mental health reform, all county programs must become single county or multi-county LMEs. See also, AREA PROGRAM |
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Couples Counseling And Family Therapy
These two similar approaches to therapy involve discussions and problem-solving sessions facilitated by a therapist-sometimes with the couple or entire family group, sometimes with individuals. Such therapy can help couples and family members improve their understanding of, and the way they respond to, one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate the individuals about the nature of mental disorders and teach them skills to cope better with the effects of having a family member with a mental illness-such as how to deal with feelings of anger or guilt. |
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Covered Expenses
Hospital, medical and other healthcare expenses paid for under a health insurance policy. |
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CP
Cerebral Palsy |
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CPDMI
Coalition for Persons Disabled by Mental Illness |
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CPT
Current Procedural Terminology |
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CQI
Customer/Continuous Quality Improvement |
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CQL
Council on Quality and Leadership; one of the agencies recognized by the Division of MHDDSAS and the Division of Medical Assistance to accredit providers of mental health, develomental disabilites and substance abuse services.
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CRC
Community Residential Care |
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Credentialing
The process of approving providers for membership in a network to provide services to consumers. This term can also refer to a peer competency-based credential similar to a license for professionals. |
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Creditable Coverage
Any prior health insurance coverage that a person has received. Creditable coverage is used to decrease exclusion periods for pre-existing conditions when an individual switches insurance plans. Insurers cannot exclude coverage of pre-existing conditions, but may impose an exclusion period (no more than 12 months) before covering such conditions. (See also, Health Insurance Portability and Accountability Act) |
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Crisis
Response to internal stressers or stressful life events that may seriously interfere with or compromise a person's ability to manage his life. A crisis may be emotional, physical, or situational in nature. The crisis is the perception of and response to the situation, not the situation itself. |
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Crisis Intervention
Services and supports aimed at helping a person manage a crisis safely and return to his or her regular life. |
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Crisis Residential Treatment Services
Short-term, round-the-clock help provided in a non-hospital setting during a crisis. For example, when a child becomes aggressive and uncontrollable, despite in-home supports, a parent can temporarily place the child in a crisis residential treatment service. The purposes of this care are to avoid inpatient hospitalization, help stabilize the child, and determine the next appropriate step. |
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Crisis Response
Immediate response to assess for acute MH/DD/SA service needs, to assist with acute symptom reduction, and to ensure that the person in crisis safely transitions to appropriate crisis stabilization services. These services are available 24 hours per day, 365 days per year. |
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Crisis Stabilization
Services and supports following crisis response that are intended to assist the person in crisis to return to his/her regular life. |
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Cross Tolerance
Lower response to a drug that affects the mind because of previous use of another, similar type of drug. |
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CRP
Community Rehabilitation Program |
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CRPAC
Client Rights Policy Advisory Committee |
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CSAC
Certified Substance Abuse Counselor |
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CSAT
Center for Substance Abuse Treatment |
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CSC
Child Service Coordinator |
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CSDW
Client Services Data Warehouse |
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CTSP
Comprehensive Treatment Services Program (At-Risk Children/Adolescents) |
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Cultural
A group of learned behaviors that a certain group of people have in common, They include thoughts, communications, actions, customs, beliefs, values and institutions of different racial, ethnic, religious, age or social groups. |
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Cultural Competence
A process that promotes development of skills, beliefs, attitudes, habits, behaviors and policies which enable individuals and groups to interact appropriately, showing that we accept and value others even when we may disagree with them (University of San Diego). Caregivers are aware of the impact of culture and possess skills to help provide services that respond appropriately to a person's unique cultural differences, including race and ethnicity, national origin, religion, age, gender, sexual orientation, or physical disability. They also adapt their skills to fit a family's values and customs. |
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