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S/A CWT/TR
Substance Abuse Compensated Work Therapy and Transitional Residence |
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SA
Special Assistance or Substance Abuse |
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SAC
Substance Abuse Counselor |
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SAD
Substance Abuse Disorder - child |
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Safety Net
The responsibility of the public mental health, developmental disability and substance abuse services system to serve, treat and support seriously ill people who, no matter how needy, would not otherwise receive services. |
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SAMHSA
Substance Abuse and Mental Health Administration (federal government agency) |
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SAPTBG
Substance Abuse Prevention and Treatment Block Grant |
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SBA
Spina Bifida Association |
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SBI
State Bureau of Investigation |
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Schizophrenia
Schizophrenia is a mental disorder characterized by positive and negative symptoms. Psychotic, or positive, symptoms include delusions, hallucinations, and disordered thinking (apparent from a person's fragmented, disconnected and sometimes nonsensical speech). Negative symptoms include social withdrawal, extreme apathy, diminished motivation, and blunted emotional expression. |
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School Based Services
School-based treatment and support interventions designed to identify emotional disturbances and/or assist parents, teachers, and counselors in developing comprehensive strategies for addressing these disturbances. School-based services also include counseling or other school-based programs for emotionally disturbed children, adolescents, and their families within the school, home and community environment. |
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Screening
An abbreviated assessment or series of questions intended to determine whether the person needs referral to a provider for additional services. A screening may be done face-to-face or by telephone, by a clinician or paraprofessional who has been specially trained to conduct screenings. Screening is a core or basic service available to anyone who needs it whether or not they meet criteria for target or priority populations. |
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SE
Supported Employment |
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Seamless
Treatment system without gaps or breaks in service, such that persons being served transition smoothly and with ease from one treatment component to another. |
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SED
Severely Emotionally Disturbed (18 or less who are at greatest risk for needing services) |
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Sedation
An induced state of quiet or sleep |
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Seizures
Episodes of uncontrolled electrical activity in the brain. These abnormal electrical disturbances may lead to involuntary jerking, spasms, or rhythmic contraction and relaxation of certain muscle groups and impaired control of involuntary functions such as breathing or bladder or bowel control. There may also be loss of consciousness or sensory or behavioral abnormalities. |
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Selected Prevention
See PREVENTION |
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Self-Determination
The right to and process of making decisions about one's own life. The best practice for persons with developmental disabilities. |
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Self-Help
Self-help generally refers to groups or meetings that: involve people who have similar needs; are facilitated by a consumer, survivor, or other layperson; assist people to deal with a life-disrupting event, such as a death, abuse, serious accident, addiction, or diagnosis of a physical, emotional, or mental disability, for oneself or a relative; are operated on an informal, free-of-charge, and nonprofit basis; provide support and education; and are voluntary, anonymous, and confidential. Many people with mental illnesses find that self-help groups are an invaluable resource for recovery and for empowerment. |
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Senior Care Organization (SCO)
A Federal program designed to assist the dually eligible population by providing a wide range of medical and social services. |
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Serious Emotional Disturbances
Diagnosable disorders in children and adolescents that severely disrupt their daily functioning in the home, school, or community. Serious emotional disturbances affect one in 10 young people. These disorders include depression, attention-deficit/hyperactivity, anxiety disorders, conduct disorder, and eating disorders. Pursuant to section 1912(c) of the Public Health Service Act children with a serious emotional disturbance are persons: (1) from birth up to age 18 and (2) who currently have, or at any time during the last year, had a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within DSM-III -R. Federal Register Volume 58 No. 96 published Thursday May 20, 1993 pages 29422 through 29425. |
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Serious Mental Illness
Pursuant to section 1912(c) of the Public Health Service Act, adults with serious mental illness SMI are persons: (1) age 18 and over and (2) who currently have, or at any time during the past year had a diagnosable mental behavioral or emotional disorder of sufficient duration to meet diagnostic criteria specified within DSM-Iv or their ICD-9-CM equivalent (and subsequent revisions) with the exception of DSM-IV V codes, substance use disorders, and developmental disorders, which are excluded, unless they co-occur with another diagnosable serious mental illness. (3) That has resulted in functional impairment, which substantially interferes with or limits one or more major life activities. Federal Register Volume 58 No. 96 published Thursday May 20, 1993 pages 29422 through 29425. |
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Seriously And Persistently Mentally Ill (SPMI)
Refers to people whose mental disorder is so severe and chronic that it prevents or erodes development of their functional capacities in primary aspects of daily life such as personal hygiene and self care, decision-making, interpersonal relationships, social transactions, learning and recreational activities. Same as SERIOUS, DISABLING MENTAL ILLNESS AND CHRONIC MENTAL ILLNESS. |
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Service
A fixed and defined arrangement, such as social work services or nursing services, which are delivered within a scope of professional practice. |
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Service Management
At the consumer level, this means a professional, with a great deal of knowledge of the services and programs supported by the public system, managing a set of services by advocating for access and linking the person to the services. At the system level, this means activities such as implementing and monitoring a set of standards for access to services, supports, treatment; making sure that people receive the appropriate level and intensity of services; management of state facilities' bed days, making sure that networks create consumer choice in service providers. |
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Severely Emotionally Disturbed (SED)
A designation for people under 18 years of age who, because of their diagnosis, the length of their disability and their level of functioning, are at the greatest risk for needing services. |
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Severely Mentally Ill (SMI)
Refers to adults with a mental illness or disorder that is described in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, that impairs or impedes functioning in one or more major areas of living and is unlikely to improve without treatment, services and/or supports. People with serious mental illness are a target or priority population for the public mental health system for adults. |
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SH
Supportive Housing |
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Side Effect
An effect of a drug that is not the main or intended effect. Side effects may be of no concern, or they may be bothersome or even dangerous, in which case they may limit the upper dose a patient can tolerate. Side effects are also called adverse effects. |
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SIL
State Independent Living Council |
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Single- Stream Funding
The consolidation of multiple sources of funding into a single stream. This is a key approach used in progressive mental health systems to ensure that funds follow consumers. |
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SIPU
Specialized Inpatient PTSD Unit |
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SIS
Supports Intensity Scale |
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SL
Supported Living |
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SL/P
Speech Language Pathologist |
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SMI
Severe Mental Illness / Seriously Mentally Ill |
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SOC
System of Care |
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Social Phobia
An intense anxiety of being judged by others and/or publicly behaving in a way tat could lead to embarrassment or ridicule; perhaps most common is fear of public speaking |
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Social Security Administration (SSA)
The federal income security agency that administers the Federal retirement, survivors and disability insurance programs, and the program of supplemental security income (SSI) for the aged, blind and disabled. It is the agency designated by the governor and the state government to coordinate state substance abuse services across government lines. |
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Social Security Disability Insurance (SSDI)
A Social Security program that pays disability benefits to blind or disabled workers, widow(er)s, or adults disabled since childhood, who are otherwise eligible. The amount of the monthly disability benefit is based on Social Security earnings record of the insured worker. |
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SOS
State Operated Services |
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Specialty Services
Services provided to people with disabilities that affect relatively few people. |
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Specific Phobia
An illogical but real and intense fear of an object, such as dogs or insects, or a situation, such as flying or closed spaces; also known as single phobia or simple phobia. |
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SPMI
Severe and Persistent Mental Illness |
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SRIS (Serotonin Reuptake Inhibitors)
A class of anti-depressants used to treat anxiety disorders; they are thought to work by boosting the amount of serotonin (a neurotransmitter linked to mood regulation) available to the brain; the most common side effect associated with SRIs is mild nausea that generally diminishes after a few weeks. Sexual dysfunction, primarily ejaculatory delay, also has been reported |
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SSA (Social Security Administration)
The agency designated by the governor and the state government to coordinate state substance abuse services across government lines. |
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SSBG
Social Services Block Grant |
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SSDI
Social Security Disability Insurance |
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SSI
Supplemental Security Income |
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Standard Of Care
A diagnostic and/or treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance. |
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Standards
Activities generally accepted to be the best method of practice. Also, the requirements of licensing, certifying, accrediting, or funding groups. |
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State Children's Health Insurance Plan (SCHIP)
Under Title XXI of the Balanced Budget Act of 1997, the availability of health insurance for children with no insurance or for children from low-income families was expanded by the creation of SCHIP. SCHIPs operate as part of a State's Medicaid program (Centers for Medicare and Medicaid Services, 2002). |
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State Consumer and Family Advisory Committee
The state mandated, state level volunteer committee composed of consumers and family members of consumers whose role is to advocate for the best interests of consumers across the state and advise the Secretary of the Division of Health and Human Services and the Director and management team of the Department of Mental Health, Developmental Disabilities and Substance Abuse Services. |
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State Coverage
The total unduplicated count of mental health patients/clients served through State programs, exclusive of Medicaid and Other Coverage. |
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State Hospital
A publicly funded inpatient facility for persons with mental illness. |
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State Medicaid Plan
Under Title XIX of the Social Security Act, no federal Medicaid funds are available to a state unless it has submitted to the Secretary of HHS, and the Secretary has approved, its state Medicaid plan (and all amendments to the state plan). The state Medicaid plan must meet over 60 federal statutory requirements. |
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State Mental Health Authority
The single state agency designated by each state's governor to be responsible for the administration of publicly funded mental health programs in the state. In North Carolina that agency is the Department of Health and Human Services. |
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State Mental Health, Developmental Disabilities And Substance Abuse Services Plan or State Plan
State Plan or State Mental Health, Developmental Disabilities and Substance Abuse Services Plan - first published in 2001 and each thereafter as a report to the NC legislature on the progress toward reforming the public system for delivering mental health, developmental disability and substance abuse services across the state. The State Plan forms the basis and framework for services provided across North Carolina. |
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State Or Local Consumer Advocate
The individual carrying out the duties of the state Local Consumer Advocacy Program Office |
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State Plan Amendment (SPA)
A state that wishes to change its Medicaid eligibility criteria or its covered benefits or its provider reimbursement rates must amend its state Medicaid plan to reflect the proposed change. Similarly, states must conform their state plans to changes in federal Medicaid law. In either case, the state must submit a state plan amendment (SPA) to HCFA for approval. |
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Stigma
In this case, negative attitudes towards people with mental illness, developmental disabilities or addiction disorders. |
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Substance Abuse
The DSM IV defines substance abuse as occurring if the person 1) uses drugs in a dangerous, self defeating, self destructive way and 2) has difficulty controlling his use even though it is sporadic, and 3) has impaired social and/or occupational functioning all within a one year period. |
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Substance Abuse And Mental Health Administration Of The Federal Government (SAMHSA)
SAMHSA is an agency of the U.S. Department of Health and Human Service. It is the federal umbrella agency of the Center for Substance Abuse Treatment, Center for Substance Abuse Prevention, and the Center for Mental Health Services. |
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Substance Abuse And Mental Health Services Administration (SAMHSA)
Under the U.S. Department of Health and Human Services, SAMHSA is responsible for improving the quality and availability of prevention, treatment and rehabilitation services for substance abuse and mental illnesses. |
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Substance Abuse Prevention and Treatment Block Grant (SAPTBG)
A federal program to provide funds to states to enable them to provide substance abuse services. |
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Substance Dependence
DSM IV defines substance dependence as requiring the presence of tolerance, withdrawal, and/or continuous, compulsive use over a 1year period. |
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Supplemental Security Income (SSI)
A Social Security program that pays disability benefits to adults or children who are disabled or blind, have limited income and resources, meet the living arrangement requirements, and are otherwise eligible. |
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Support Broker
A staff person who acts as an intermediary between the individual who needs supports and the agencies or programs that actually provide the supports. |
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Supported Employment
Supportive services that include assisting individuals in finding work; assessing individuals' skills, attitudes, behaviors, and interest relevant to work; providing vocational rehabilitation and/or other training; and providing work opportunities. Includes transitional and supported employment services. |
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Supported Housing
Services to assist individuals in finding and maintaining appropriate housing arrangements. |
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Supportive Residential Services
Moderately staffed housing arrangements for clients/patients. Includes supervised apartments, satellite facilities, group homes, halfway houses, mental health shelter-care facilities, and other facilities. |
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Supports
Any of a large number of flexible activities or material resources intended to assist people to gain and maintain meaningful lives as citizens of their communities. See NATURAL SUPPORTS, PAID SUPPORTS |
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SUPT
Substance Use PTSD Treatment Program |
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SYNAR Amendment
Section 1926 of the Public Health Service, is administered through the Substance Abuse Prevention and Treatment (SAPT) Block Grant and requires states to conduct specific activities to reduce youth access to tobacco products. The Secretary of the US Department of Health and Human Serrvices is required by statute to withold SAPT Block Grant Funds (40% penalty) from states that fail to comply with the SYNAR Amendment. |
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System Of Care Principles
The best practice principles for children's services: 1. Array of appropriate services that assist a whole child/family; 2. Individualized, integrated service plan; 3. Services are clinically appropriate, delivered in least restrictive and most normal environment; 4. The family fully participates in planning and delivery of services; 5.There is integration among all systems involved in child/family's life. such as schools and courts; case manager ensures this happens; 6. Early identification with positive outcome anticipation; 7. Smooth transition to adult service systems; 8. Rights protected and effective advocacy; 9. Receive services without regard to race, religion, national origin, sex, physical disability or other characteristics, and services should be sensitive and responsive to cultural differences and special needs.
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System Of Care Values
Children's services that are child centered, family focused, community based, culturally competent. |
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System Performance
The extent that a system achieves its goals. The goals of the state MH/DD/SA system are found in the DMH/DD/SAS mission, vision and guiding principles. |
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System Performance Measurement
The process of assessing progress toward achieving state MH/DD/SA system goals and whether or not its principles have been applied and upheld. |
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