5299

5299.1

When used in this chapter, the following words shall have the meanings ascribed:

Assertive Community Treatment – an intensive, integrated, rehabilitative, crisis, treatment, and mental health community support provided by an interdisciplinary team to individuals eighteen (18) and over with serious and persistent mental illness.

Child-Parent Psychotherapy – a relationship based treatment intervention to address children’s exposure to trauma or maltreatment.

Clubhouse – See Psychosocial Rehabilitation Services.

Clinical Care Coordination – the coordination of care between the behavioral health clinician and the clinical personnel of an external provider (e.g., primary care, another behavioral health provider, or hospital).

Community Based Intervention – time-limited intensive mental health intervention services delivered to children, youth, and young adults, intended to prevent the utilization of an out-of-home therapeutic resource by the consumer (i.e., psychiatric hospital or residential treatment facility).

Community Support – rehabilitative, psychoeducational, and supportive services to assist the consumer in achieving rehabilitation and recovery goals that focus on mental health wellness.

Counseling/Therapy – comprised of a direct, interactive process conducted in individual, group, or family settings and focused on assisting a consumer who is manifesting a mental illness or emotional disturbance.

Crisis/Emergency Services – immediate face-to-face or telephonic responses to a mental health emergency that are available twenty-four (24) hours per day, seven (7) days per week.

DBH – District of Columbia, Department of Behavioral Health.

Department of Health Care Finance – the single state agency, within the District of Columbia Department of Health responsible for administering the District of Columbia Medicaid Program.

DHCF – the Department of Health Care Finance

Functional Family Therapy – a short-term, family-based therapeutic

intervention for youth ages eleven (11) to eighteen (18) who: have a documented history of moderate to serious behavioral problems; exhibit significant externalizing behavior which impairs functioning in at least one (1) area (e.g., school or home); or are at risk of a disruption in placement.

Individualized Plan of Care –the same meaning as set forth in Chapter 34 of 22 DCMR.

Individualized Recovery Plan –the same meaning as set forth in Chapter 34 of 22 DCMR.

Intensive Care Coordination – a comprehensive, holistic, youth and family-driven approach to case management for children and youth experiencing behavioral health challenges.

Intensive Day Treatment – a structured, intensive and coordinated acute treatment program which serves as an alternative to acute inpatient treatment or as a step-down service from inpatient care, and is rendered by an interdisciplinary team to provide stabilization of psychiatric impairments.

Medication/Somatic Treatment – medical services and interventions including: physical examinations; prescription, supervision, or administration of medications; monitoring and interpreting results of laboratory diagnostic procedures related to medications; and medical interventions needed for effective mental health treatment, provided as either an individual or group intervention. Medication/Somatic Treatment services include monitoring the side effects and interactions of medications and the adverse reactions a consumer may experience, and providing restorative information and direction for symptom and medication self-management. Group Medication/Somatic Treatment shall be therapeutic, educational, and interactive with a strong emphasis on group member selection and shall facilitate therapeutic peer interaction and support.

Psychosocial Rehabilitation Services – behavioral health, cognitive, or supportive interventions assisting individuals with the development of life skills. Also known as Clubhouse services.

Rehabilitation Day Services – a structured clinical program intended to develop skills and foster social role integration through a range of social, psychoeducational, behavioral, and cognitive mental health interventions.

Screening, Assessment and Diagnosis – screening, assessment, and diagnosis

services represent an initial evaluation and the ongoing collection of relevant information (using any assessment instruments specified by DBH) about an individual who may require MHRS and any needed referrals to other behavioral health services.

Trauma-Focused Cognitive Behavioral Health Therapy – a psychotherapeutic intervention for children, working with their parents or caregivers, to address significant emotional and behavioral disorders stemming from traumatic life events.

Trauma Recovery and Empowerment Services – a structured group therapy intervention for individuals who have survived trauma and have mental health conditions.

Trauma System Therapy (TST) – a comprehensive, phase-based program for treating traumatic stress in children and adolescents that adds to individually-based approaches by specifically addressing the child’s social environment and/or system of care.

SOURCE: Final Rulemaking published at 49 DCR 4860 (May 24, 2002); as amended by Final Rulemaking published at 69 DCR 012836 (October 21, 2022); as amended by Final Rulemaking published at 72 DCR 013719 (December 5, 2025).