The words and phrases in these rules shall mean the following:

1. (a) “Adult” means a person 18 years of age or older.
2. (b) “Applicant” means any person who requests state-funded services from a CMHP.
3. (c) “Area of origin” means the city or town in which a consumer resides or, if the consumer is in a state institution, the city or town in which the consumer resided immediately prior to entering the institution.
4. (d) “Bureau” means the bureau of behavioral health.
5. (e) “Case manager” means a person designated by a CMHP to monitor, advocate for, and facilitate the delivery of services to consumers.
6. (f) “Child” means a person who is less than 18 years of age.
7. (g) “Child and family service plan” means a written document developed for a child that specifies the services and supports that are needed for the family and child to attain their identified goals.
8. (h) “Clinician” means a person who has been authorized by a CMHP to render consumer services and who is qualified to provide such services pursuant to He-M 426.05 (e)-(j).
9. (i) “Community mental health program (CMHP)” means a community mental health program operated by the state or a city, town, county, or nonprofit corporation and approved pursuant to He-M 403 for the purposes of planning, establishing, and administering an array of mental health services.
10. (j) “Conference” means a meeting or series of meetings held to develop or revise an individual or family service plan pursuant to He-M 401.10 or He-M 401.11.
11. (k) “Consumer” means any person receiving state-funded services from a CMHP.

12. (l) “Crisis plan” means a written agreement between a consumer and a CMHP that:

    1. (1) Outlines the interventions to be utilized and/or considered during an impending or acute psychiatric crisis;
    2. (2) Promotes illness self-management;
    3. (3) Emphasizes a preventive approach through the identification of early warning signs of acute psychiatric episodes and specific treatment approaches to be used in the event of a psychiatric crisis;
    4. (4) Reflects a team effort among the consumer, CMHP staff, and others invited by the consumer; and
    5. (5) May include the use of peer supports.
13. (m) “Eligibility” means the determination that a person meets the criteria for one or more of the eligibility categories in He-M 401.05 through He-M 401.09.

14. (n) “Employment or education plan” means a written plan that is based on the consumer’s own job and career goal(s) and includes the following:

    1. (1) Identification of the skills, supports, and resources necessary to help the consumer achieve and maintain his or her job and educational goal; and
    2. (2) Determination of whether or not assistance in job acquisition or placement is needed and, if so, a plan describing such.
15. (o) “Guardian” means a guardian, or a temporary guardian, of the person appointed pursuant to RSA 464-A or the parent of a consumer under the age of l8 whose parental rights have not been terminated or limited by law.
16. (p) “Individual service plan (ISP)” means a written document that specifies the services and supports that a consumer, aged 18 or older, needs to attain his or her personal goals.

17. (q) “Interagency involvement” means the services provided to a child who:

    1. (1) Meets the criteria specified in He-M 401.09 (a) and has been identified by a school administrative unit as being educationally handicapped; or
    2. (2) Is referred to a CMHP and is under the legal jurisdiction of the division for children, youth and families (DCYF).
18. (r) “Master's level clinician” means a person who graduated from an accredited college or university program with a graduate degree in psychology or counseling and who is working under the supervision of a psychiatrist or psychologist as specified in He-M 401.04.

19. (s) “Mental illness” means the following psychiatric disorders classified in the Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition, Text Revision) (DSM-IV-TR, 2000), available as noted in Appendix A:

    1. (1) Schizophrenia and other psychotic disorders;
    2. (2) Mood disorders;
    3. (3) Borderline personality disorder;
    4. (4) Post traumatic stress disorder;
    5. (5) Obsessive compulsive disorder;
    6. (6) Eating disorders;

    7. (7) Dementia, where the psychiatric symptoms cause the functional impairments and one or more of the following co-morbid symptoms exist:

       1. a. Anxiety;
       2. b. Depression;
       3. c. Delusions;
       4. d. Hallucinations; or
       5. e. Paranoia; or
    8. (8) Panic disorder.
20. (t) “Region” means a geographic area identified in He-M 425.03 for the purpose of assigning primary responsibility for providing mental health services to the residents of certain communities.
21. (u) “Serious emotional disturbance” means severe mental disability in persons under the age of 18, and includes psychiatric disorders classified as axis I disorders or an axis II borderline personality disorder in the DSM-IV-TR with the exception of substance abuse disorders and V codes, which are conditions not attributable to a mental disorder.
22. (v) “Serious psychosocial dysfunction” means a significant disruption in functioning, due to a mental illness, in the areas of role performance, thinking, behavior toward self or others, and/or moods or emotions.
23. (w) “Severely functionally-impaired” means that as a result of a person's mental illness he or she requires intensive supervision or is in acute psychiatric crisis and cannot function in an autonomous or semi-autonomous fashion.
24. (x) “Severely mentally disabled” means “severely mentally disabled” as defined in RSA 135-C:2, XV, namely, “having a mental illness which is either so acute or of such duration as to cause a substantial impairment of a person’s ability to care for himself or herself or to function normally in society in accordance with rules authorized by RSA 135-C: 61.”
25. (y) “Suspension” means a time limited, specific withholding of any available service(s) from a consumer for well-defined and documented reasons and pursuant to He-M 401.14 (a)-(c).
26. (z) “Support” means informal assistance or resources provided by friends, family members, neighbors, or others to enable an individual to participate in community life.
27. (aa) “Termination” means the cessation for an indefinite period of all services to a consumer.

Source. (See Revision Note at part heading for He-M 401) #4194, eff 1-1-87; ss by #4197 Emergency, eff 12-31-86; ss by #4237, eff 2-27-87, EXPIRED: 2-27-93 New. #6644, eff 12-2-97; ss by #8155, eff 9-2-04, EXPIRED: 9-2-12 New. #10256, INTERIM, eff 1-24-13, EXPIRES: 7-23-13; ss by #10383, eff 7-23-13