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DA
Division of Aging |
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Day Treatment Service
A medically monitored and structured non-residential treatment service provided by an interdisciplinary team for a scheduled number of sessions per day and week that usually includes counseling, case management, group or individual therapy, medical services and mental health services. |
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Day/Night Services
Services provided over 3 hours a day. (Differs from periodic services and 24-hour services.) |
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DCD
Division of Child Development |
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DD
Developmental Disabilities |
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DDA
Development Disabilities Adult (Residential) |
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DDTP
Drug Dependency Treatment Program |
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DDWG
Developmental Disabilities Work Group |
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De-Institutionalization
Release of people, especially mental health patients, from institutions to care, treatment and supports in communities. , De-institutionalization became national policy with the Community Mental Health Centers Act of 1963. The 1997 Supreme Court decision in OLMSTEAD V. LC has given new momentum to development of community based services for individuals who have remained in state hospitals and mental retardation centers because community services were not available. |
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DEC
Developmental Evaluation Center |
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Decompensation
A fairly rapid decline in the overall ability of a person to function. |
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Deductible
A specified amount of money a consumer must pay before insurance benefits begin. Usually expressed in terms of an annual amount. |
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Degenerative
Marked by or pertaining to deterioration; particularly, deterioration of the function or structure of tissue or changes from a higher to a lower or less functionally active form. |
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Delirium
A state of frenzied excitement or wild enthusiasm. |
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Delusions
Delusions are bizarre thoughts that have no basis in reality. |
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Dementia
Dementia is a problem in the brain that makes it hard for a person to remember, learn and communicate; eventually is becomes difficult for a person to take care of himself or herself. This disorder can also affect a person's mood and personality. |
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Department Of Health And Human Services (DHHS)
NC agency that oversees state government human services programs and activities. |
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Depression
A biologically-based psychological disorder marked by sadness, inactivity, difficulty with thinking and concentration, significant increase or decrease in appetite and sleep, feelings of dejection and hopelessness, and sometimes suicidal thoughts or actions. Depression is a mood disorder characterized by intense feelings of sadness that persist beyond a few weeks. Two neurotransmitters-natural substances that allow brain cells to communicate with one another are implicated in depression: serotonin and norepinephrine. |
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Detoxification (detox)
A medically supervised treatment program for alcohol or other drug addiction designed to purge the body of intoxicating or addictive substances. It is often used as a first step in overcoming physical or psychological addiction. |
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Developmental Disability
A severe, chronic disability of a person which: a) is attributable to a mental or physical impairment or combination of mental and physical impairments; b) is manifested before the person attains age 22, unless the disability is caused by a traumatic head injury and is manifested after age 22; c) is likely to continue indefinitely and, d) results in substantial functional limitations in three or more of the following areas of major life activity: self-care, receptive and expressive language, capacity for independent living, learning, mobility, self-direction and economic self-sufficiency; and e) reflects the person's need for a combination and sequence of special interdisciplinary, or generic care, treatment, or other services which are of a lifelong or extended duration and are individually planned and coordinated; or f) when applied to children from birth through four years of age, may be evidenced as a developmental delay. GS131D-2 |
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Developmentally Disabled Adult
Developmentally disabled adult means a person who has attained the age of 18 years and who has a developmental disability defined as a severe, chronic disability of a person which: a. Is attributed to a mental or physical impairment or combination of mental and physical impairments; b. Is manifested before the person attains age 22; c. Is likely to continue indefinitely; d. Results in substantial functional limitations in three or more of the following areas of major life activity: (i) self-care, (ii) receptive and expressive language, (iii) learning, (iv) mobility, (v) self-direction, (vi) capacity for independent living, and (vii) economic self-sufficiency; and e. Reflects the person's need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services which are of lifelong or extended duration and are individually planned and coordinated. |
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DFS
Division of Facility Service |
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DHHS
Department of Health and Human Services |
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Diagnostic And Statistical Manual (DSM IV)
A book, published by the American Psychiatric Association, of special codes that identify and describe MH/DD/SA disorders. |
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Diagnostic Evaluation
The aims of a general psychiatric evaluation are 1) to establish a psychiatric diagnosis, 2) to collect data sufficient to permit a case formulation, and 3) to develop an initial treatment plan, with particular consideration of any immediate interventions that may be needed to ensure the patient's safety, or, if the evaluation is a reassessment of a patient in long-term treatment, to revise the plan of treatment in accord with new perspectives gained from the evaluation. |
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Differential Diagnosis
Distinguishing between two or more diseases and conditions with similar symptoms by systematically comparing and contrasting their clinical findings, including physical signs, symptoms, as well as the results of laboratory tests and other appropriate diagnostic procedures. |
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Dimension
A term used in the ASAM (American Society of Addiction Medicine) patient placement criteria referring to one of six patient problem areas that must be assessed when making placement decisions. |
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Discharge
A discharge is the formal termination of service, generally when treatment has been completed or through administrative authority. |
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Discounted Fee For Service
A contracted payment rate that is discounted from the provider's customary fee. This agreement may be between the MCO and the provider or between the consumer and the provider |
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Dispensing Or Prescribing Limits
Restrictions on the number of prescriptions per month, or the amount of medication that may be prescribed in a given time frame (e.g., a 90-day limit at each pharmacy). |
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Disproportionate Share Hospital (DSH) Payments
Payments made by a state's Medicaid program to hospitals that the state designates as serving a disproportionate share of low income or uninsured patients. These payments are in addition to the regular payments such hospitals receive for providing inpatient care to Medicaid beneficiaries. States have some discretion in determining which hospitals qualify for DSH payments and how much they receive. The amount of federal matching funds that a state can use to make payments to DSH hospitals in any |
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Diuretics
Medications that promote the excretion of urine. Such medications are often prescribed to help reduce excess fluid levels in the body, such as associated with chronic heart failure, high blood pressure (hypertension), or certain kidney (renal) or liver (hepatic) disorders. Diuretics help to remove excess water from the body by increasing the amount that is excreted as urine. |
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Diversion
Choosing lower cost and/or less restrictive services and/or supports. For example, choosing a community program instead of sending a person to a state hospital. The term is also used when preventing arrest or imprisonment by placing the individual in treatment. See also, UTILIZATION REVIEW and PRE-AUTHORIZATION. |
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Diversion Programs
Programs designed to screen people out of the criminal justice system and into appropriate treatment services before they are imprisoned. In North Carolina diversion programs are in place in response to SB859 which prohibits admission of persons with mental retardation to public |
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Division Of Mental Health, Developmental Disabilities And Substance Abuse Services (DMH/DD/SAS)
A division of the State of North Carolina, Department of Health and Human Services responsible for administering and overseeing public mental health, developmental disabilities and substance abuse programs and services. |
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DJJDP
Division of Juvenile Justice and Delinquency Prevention |
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DMA
Division of Medical Assistance (Medicaid) |
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DMH
Division of Mental Health |
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DMH/DD/SAS
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services |
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DOC
Department of Correction |
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DOD
Department of Defense |
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DOM
Domiciliary |
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Domains
Major areas of concern to the NC public MH/DD/SA system and its mission, goals, and strategies and for which indicators and measures are developed. Examples include access to services and quality of care. The term may also refer to major areas of functioning in life, such as personal relationships, work, school and living arrangements. |
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Double-Blind Trial
A double-blind trial is a clinical experiment in which neither the patients nor the researchers are aware of which patients are receiving the active treatment and which are receiving placebo. |
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DPH
Division of Public Health |
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DPI
Department of Public Instruction |
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Drop-In Center
A social club offering peer support and flexible schedule of activities: may operate on evenings and/ weekends. |
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Drug Formulary
The list of prescription drugs for which a particular employer or State Medicaid program will pay. Formularies are either closed, including only certain drugs or open, including all drugs. Both types of formularies typically impose a cost scale requiring consumers to pay more for certain brands or types of drugs. |
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Drug Utilization Review (DUR)
Efforts to control drug utilization and costs by a facility or a health plan. Common methods include the use of a formulary (see above), substitution of generic products for more expensive name brands and encouraging use of drugs that will trigger rebates or discounts. |
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DS
Down Syndrome |
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DSB
Division of Services for the Blind |
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DSDHH
Division of Services for the Deaf and the Hard of Hearing |
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DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)
An official manual of mental health problems developed by the American Psychiatric Association. Psychiatrists, psychologists, social workers, and other health and mental health care providers use this reference book to understand and diagnose mental health problems. Insurance companies and health care providers also use the terms and explanations in this book when discussing mental health problems. |
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DSS
Department of Social Services |
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DTC
Day Treatment Center |
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Dual Diagnosis
Having more than one disorder or condition such as physical illness and mental illness, mental illness or developmental disability and substance abuse. Since the word dual implies two and it is possible for an individual to have many conditions or disorders, CO-OCCURRING DISORDERS is the more accurate term. |
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Dual Eligibles
A term used to describe an individual who is eligible both for Medicare and for full Medicaid coverage, including nursing home services and prescription drugs as well as payments of Medicare premiums, deductibles, and co-insurance. Some Medicare beneficiaries are eligible for Medicaid payments for some of all of the Medicare premiums, deductibles, and co-insurance requirements, but not for Medicaid nursing home or prescription drug benefits. |
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Dually Diagnosed
A person who has both an alcohol or drug problem and an emotional/psychiatric problem is said to have a dual diagnosis. |
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DVRS
Division of Vocational Rehabilitation Services |
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DYS
Division of Youth Services |
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Dysarthria
Disordered or impaired articulation of speech due to disturbances of muscular control, usually resulting from damage to the central or peripheral nervous system. Dysarthria is associated with certain neurodegenerative disorders, such as Parkinson's disease or Huntington's disease; cerebral palsy; brain tumors or stroke; or certain types of brain surgery. |
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Dyskinesias
Abnormal neuromuscular conditions characterized by disorganized or excessive movement (also known as hyperkinesia). Forms of dyskinesia include sudden, brief, shock-like muscle contractions (myoclonus); involuntary, rhythmic, oscillatory movements of a body part (tremor); rapid involuntary jerky movements (chorea); relatively slow writhing motions (athetosis); or abrupt, purposeless, simple or complex muscle movements or vocalizations (motor or vocal tics). |
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Dyskinesias While Awake (DWA)
Uncontrolled, sporadic movements of the legs and, in some cases, the arms. These movements may be very rapid (myoclonic) or quite slow and prolonged (dystonic); they usually disappear upon voluntary action. Some researchers suspect that these movements may represent a wakeful form of periodic limb movements in sleep (PLMS). |
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Dysphagia
Difficulty in swallowing. Dysphagia may be associated with esophageal obstruction as well as certain neurodegenerative or motor disorders involving the esophagus. |
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Dyspraxia
Partial loss of the ability to coordinate and perform certain purposeful movements and gestures in the absence of motor or sensory impairments. |
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Dystonia
A neurological movement disorder characterized by sustained muscle contractions, resulting in repetitive, involuntary, twisting or writhing movements and unusual postures or positioning. Dystonia may be limited to specific muscle groups (focal dystonia), such as dystonia affecting muscles of the neck (cervical dystonia or spasmodic torticollis) or the eyes, resulting in closure of the eyelids (blepharospasm). Dystonia is associated with certain underlying genetic disorders, such as dystonia musculorum deformans, dopa-responsive dystonia, and paroxysmal kinesigenic and paroxysmal non-kinesigenic dystonic choreoathetosis. The condition may result from the use of certain medications, lack of oxygen during or immediately after birth, or other causes of brain trauma. |
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