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PA
Physician's Assistant |
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PACT
Program of Assertive Community Treatment (see ACTT) |
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PADs
Psychiatric advance directives (PADs) are relatively new legal instruments that may be used to document a competent person's specific instructions or preferences regarding future mental health treatment, in preparation for the possibility that the person may lose capacity to give or withhold informed consent to treatment during acute episodes of psychiatric illness. |
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Paid Supports
The people, places and things that are part of our lives because we purchase them in order to achieve specific outcomes. |
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Panic Disorder
A condition marked by episodes of immediate and intense anxiety at inappropriate times; sufferers may experience palpitations, feelings of faintness, chest pains, and a sensation that death is imminent, even when there is no apparent threat or danger; individuals who experience four or more unexplained attacks in a month, as well as individuals who have fewer attacks but live in constant fear of such an episode, may be suffering from the disorder |
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Paranoia And Paranoid Disorders
Symptoms of paranoia include feelings of persecution and an exaggerated sense of self-importance. The disorder is present in many mental disorders and it is rare as an isolated mental illness. A person with paranoia can usually work and function in everyday life since the delusions involve only one area. However, their lives can be isolated and limited. |
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Parity
A series of initiatives at the national and local levels for private and public health insurers to provide equitable coverage for treatment of mental disorders compared to physical illnesses. |
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Partial Hospitalization
Programs that provide care and treatment for individuals several hours per day but not overnight. More structured and therapeutic than the clubhouse model. |
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Participant-Driven
An approach to care in which the consumer, with assistance from family members, friends, and other persons when necessary, determines the services and supports that are needed to enhance his/her quality of life. |
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Pastoral Counseling
Pastoral counselors are counselors working within traditional faith communities to incorporate psychotherapy, and/or medication, with prayer and spirituality to effectively help some people with mental disorders. Some people prefer to seek help for mental health problems from their pastor, rabbi, or priest, rather than from therapists who are not affiliated with a religious community. |
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Patient Identifying Information
The name, address, social security number, fingerprints, photograph, or similar information by which the identity of a patient can be determined with reasonable accuracy and speed, either directly or by reference to other publicly available information. See division Web site. Patient identifying information* (42 C.F.R. 2.11). |
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Patient Placement Criteria (PPC)
Standards of, or guidelines for, alcohol, tobacco and other drug (ATOD) abuse treatment that describe specific conditions under which patients should be admitted to a particular level of care (admission criteria), under which they should continue to remain in that level of care (continued stay criteria), and under which they should be discharged or transferred to another level (discharge / transfer criteria). PPC generally describe the settings, staff, and services appropriate to each level of care and establish guidelines based on ATOD diagnosis and other specific areas of patient assessment. |
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Payer
The public or private organization that is responsible for payment for health care expenses. |
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PCG
Public Consulting Group |
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PCP
Person-centered plan |
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PDD
Pervasive Developmental disorder |
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Peer Review
The analysis of clinical care by a group of that clinician's professional colleagues. The provider's care is generally compared to applicable standards of care, and the group's analysis is used as a learning tool for the members of the group. |
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Peer Support
Services offered by mental health consumers, persons with addictions or others to provide support to one another. Peer support services can include drop-in centers, warm lines, peer respite care or support groups. Peer support services are often a part of rehabilitation and recovery programs. |
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PERC
Program Evaluation Resource Center |
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Performance Improvement
A Quality improvement process of measuring and improving system performance, especially regarding key domains of interest. |
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Performance Measures
Quantitative measures of the quality of care provided by a provider that consumers, payers, regulators and others can use to compare the care or provider to other care or providers. |
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Periodic Services
Short-term re-occurring visits over time. (Differs from day/night services and 24-hour services.) |
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Person-Centered Planning
A process concerned with learning about the individual's whole life, not just the issues related to the person's disability. The process involves assembling a group of supporters, on an as-needed basis, who are selected by the individual with the disability and who have the closest personal relationship with them and are committed to supporting the person in pursuit of real life dreams. The planning process is interested in learning who the person is as an individual and what he/she desires in life. The process is interested in identifying and gaining access to supports from a variety of community resources, one of which is the community MH/DD/SA system, that will assist the person in pursuit of the life he/she wants. Person-centered planning results in a written individual support plan. |
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Personal Care Services
Personal care services means any hands-on services allowed to be performed by In-Home Aides II or III as outlined in Department rules. |
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PH
Partial Hospitalization |
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Pharmaceutical Benefits Manager (PBM)
An entity that is responsible for managing prescription benefits. |
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Physiatrist
A physician specializing in physical medicine and rehabilitation. |
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Physical Dependence
A condition in which the brain cells have adapted as a result of repeated exposure to a drug and consequently require the drug in order to function. If the drug is suddenly made unavailable, the cells become hyperactive. The hyperactive cells produce the signs and symptoms of drug withdrawal. |
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Physician Assistant
A physician assistant is a trained professional who provides health care services under the supervision of a licensed physician. |
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PICU
Psychiatric Intensive Care Unit |
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PID
Personal Identification Number (unique to consumer) |
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PL
Public Law (federal law) |
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Plan Of Care
A treatment plan especially designed for each child and family, based on individual strengths and needs. The caregiver(s) develop(s) the plan with input from the family. The plan establishes goals and details appropriate treatment and services to meet the special needs of the child and family. |
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Play Therapy
Geared toward young children, play therapy uses a variety of activities-such as painting, puppets, and dioramas-to establish communication with the therapist and resolve problems. Play allows the child to express emotions and problems that would be too difficult to discuss with another person. |
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PMI
Psychiatric and Medically Infirm |
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POC
Plan of Care |
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POD
Partnership for Outreach & Development |
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Point-Of-Service (POS)
A health plan arrangement in which consumers may choose to receive a service from a participating or a non-participating provider or facility. Generally, the level of coverage is reduced, or the consumer pays more out-of-pocket, for services associated with the use of non-participating providers. |
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Posttraumatic Stress Disorder (PTSD)
Posttraumatic Stress Disorder is an anxiety disorder that develops as a result of witnessing or experiencing a traumatic occurrence, especially life threatening events. PTSD can cause can interfere with a person's ability to hold a job or to develop intimate relationships with others. |
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PPO
Preferred Provider Organization |
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Pre-Authorization
The process of approving use of certain resources in advance rather than after the service has been provided. Approval for admission to hospitals is one example. |
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Pre-Existing Condition
A medical condition that is excluded from coverage by an insurance company because the condition was believed to exist prior to the individual obtaining a policy from the insurance company. Many insurance companies now impose waiting periods for coverage of pre-existing conditions. Insurers will cover the condition after the waiting period (of no more than 12 months) has expired. (See also, HIPAA) |
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Preferred Provider Organization (PPO)
An organized network of healthcare providers, typically reimbursed on a discounted fee-for-service basis. Coverage may or may not be available outside of the network for a higher co-payment. |
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Prepaid Health Plan (PHP)
An entity that either contracts on a prepaid, capitated risk basis to provide services that are not risk-comprehensive services, or contracts on a non-risk basis. Additionally, some entities that meet the above definition of HMOs are treated as PHPs through special statutory exemptions. |
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Pressure Sore
Pressure sores are red areas on the skin; they are also called bed sores, pressure sores, and decubitus ulcers. They can occur over any bony part of the body, but for the wheelchair bound, the ischial tuberosities and sacrum are the major risk areas. There are four degrees of severity of pressure sores with the most severe causing tissue necrosis, or damage to muscle, bone or supporting structure. (wound care communications network) |
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Prevention
Activities aimed at teaching and empowering individuals and systems to meet the challenges of life events and transitions by creating and reinforcing healthy behaviors and lifestyles and by reducing risks contributing mental illness, developmental disabilities and substance abuse. Universal prevention programs reach the general population; selective prevention programs target groups at risk for mental illness, developmental disabilities and substance abuse; indicated prevention programs are designed for people who are already experiencing mental illness or addiction disorders. |
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Prevention Record
Documentation of prevention activities and strategies directed to targeted populations. |
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Primary Care Case Manager (PCCM)
PCCMs are physicians, physician groups, or entities having arrangements with physicians that contract with state Medicaid agencies to coordinate and monitor the use of covered primary care services by enrolled beneficiaries. State Medicaid contracts with PCCMs tend to be less comprehensive in their coverage of benefits and involve less financial risk than those with MCOs. |
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Primary Source Verification
A process through which an organization validates credentialing information from the organization that originally issued the credential to the practitioner. |
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Prior Authorization
A managed care process that approves the provision of services before they are delivered. |
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Priority Populations
Groups of people within target populations who are considered most in need of the services available within the system. |
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Privileging
Process for determining, usually through training and supervision that an individual provider has the necessary skills and knowledge to offer designated services. |
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Program
A fixed and defined arrangement of services most typically provided within a particular building or narrowly scoped model of practice. These include day programs and residential programs with entrance and exit criteria and a specified set of services. |
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Program For All-Inclusive Care For The Elderly (PACE)
A federally initiated program for elderly persons that is funded with both Medicaid and Medicare dollars. The program attempts to integrate the services that are traditionally divided between these two programs and is designed to assist elderly individuals who may qualify for nursing home placement, but who live in the community. |
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Program Of Assertive Community Treatment (PACT)
A highly structured, multidisciplinary program of intensive treatment, rehabilitation and support services to individuals in their homes, on the job, and in social settings. See also, ASSERTIVE COMMUNITY TREATMENT. |
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Prompt Services
Services provided when needed. For target or priority populations, routine appointments within 14 days, initial hospital discharge visits within 3 days, urgent visits within 2 days, emergent visits immediately and no later than 24 hours qualify as prompt. See also, TIMELY SERVICES. |
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Provider
A person or an agency that provides MH/DD/SA services, treatment, supports. |
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Provider Endorsement
All providers of enhanced Medicaid covered mh/dd/sa services must directly enroll in the Medicaid program through the Division of Medical Assistance. In order to ensure providers have the appropriate qualifications prior to enrollment, providers must apply to and be endorsed by the Area Program / Local Management Entity(LME) as a prerequisite to Medicaid enrollment. |
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Provider Profiling
The process of compiling data on individual provider patterns of practice and comparing those data with expected patterns based on national or local statistical norms. The data may include medication prescribed, hospital length of stay, size of caseload, and other services. |
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PRRTP
Psychosocial Residential Rehabilitation Treatment Program |
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PRTF
Psychiatric Residential Treatment Facilities |
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PRWG
Provider Relations Work Group |
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PSR
Psychosocial Rehabilitation |
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Psychiatric Emergency Walk-In
A planned program to provide psychiatric care in emergency situations with staff specifically assigned for this purpose. Includes crisis intervention, which enables the individual, family members and friends to cope with the emergency while maintaining the individual's status as a functioning community member to the greatest extent possible and is open for a patient to walk-in. |
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Psychiatrist
A psychiatrist is a professional who completed both medical school and training in psychiatry and is a specialist in diagnosing and treating mental illness. |
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Psychoanalysis
Psychoanalysis focuses on past conflicts as the underpinnings to current emotional and behavioral problems. In this long-term and intensive therapy, an individual meets with a psychoanalyst three to five times a week, using free association to explore unconscious motivations and earlier, unproductive patterns of resolving issues. |
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Psychosocial Rehabilitation
A variety of social, learning, vocational and community living skill-building programs. Programs that focus on principles of recovery often achieve very successful outcomes. |
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PT/OT/Speech
Physical therapy/Occupational Therapy |
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PTSD
Post Traumatic Stress Disorder |
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Public Mental Health, Developmental Disabilities And Substance Abuse Services System
The network of managing entities, service providers, government agencies, institutions, advocacy organizations, commissions and boards responsible for the provision of publicly funded services to consumers. |
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Public Services
Publicly funded mental health, developmental disabilities, and substance abuse services delivered by public and private providers. |
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