"Action plan" means a written plan developed for discharge in
collaboration with the individual receiving crisis response services to
identify the problem, prevention strategies, and management tools for future
crises.
"Crisis assessment" means a face-to-face clinical interview
to ascertain an individual's current and previous level of functioning,
potential for dangerousness, physical health, and psychiatric and medical
condition. The crisis assessment becomes part of the individual's action
plan.
"Crisis incident" means an occurrence leading to physical
injury or death, or an occurrence resulting from a prescription medication
error, or an occurrence triggering a report of child or dependent adult
abuse.
"Crisis response services " means short-term individualized
crisis stabilization services which follow a crisis screening or assessment and
which are designed to restore the individual to a prior functional
level.
"Crisis response staff" means a person trained to provide
crisis response services in accordance with rule 441- 24.24(225C).
"Crisis screening" means a process to determine what crisis
response service is appropriate to effectively resolve the presenting
crisis.
"Crisis stabilization community-based services" or "CSCBS"
means short-term services designed to de-escalate a crisis situation and
stabilize an individual following a mental health crisis and provided where the
individual lives, works or recreates.
"Crisis stabilization residential services" or "CSRS" means a
short-term alternative living arrangement designed to de-escalate a crisis
situation and stabilize an individual following a mental health crisis and is
provided in organization-arranged settings of no more than 16 beds.
"Department" means the department of human services.
"Dispatch " means the function within crisis line operations
to coordinate access to crisis care.
"Face-to-face " means services provided in person or
utilizing telehealth in conformance with the federal Health Insurance
Portability and Accountability Act (HIPAA) privacy rules.
"Family support peer specialist" means the same as defined in
rule
441-25.1 (331).
"Informed consent" means the same as defined in rule
441-24.1 (225C).
"Mental health crisis " means a behavioral, emotional, or
psychiatric situation which results in a high level of stress or anxiety for
the individual or persons providing care for the individual and which cannot be
resolved without intervention.
"Mental health professional" means the same as defined in
Iowa Code section
228.1.
"Mobile response" means a mental health service which
provides on-site, face-to-face mental health crisis services for an individual
experiencing a mental health crisis. Crisis response staff providing mobile
response have the capacity to intervene wherever the crisis is occurring,
including but not limited to the individual's place of residence, an emergency
room, police station, outpatient mental health setting, school, recovery center
or any other location where the individual lives, works, attends school, or
socializes.
"Peer support services " means a service provided by a peer
support specialist, including but not limited to education and information,
individual advocacy, family support groups, crisis response, and respite to
assist individuals in achieving stability in the community.
"Peer support specialist" means the same as defined in rule
441-25.1 (331).
"Physical health " means any chronic or acute health factors
that need to be addressed during crisis delivery services.
" Qualified prescriber " means a practitioner or other staff
following the instruction of a practitioner as defined in Iowa Code section
155A.3 and a
physician assistant or advanced registered nurse practitioner operating under
the prescribing authority granted in Iowa Code section
147.107.
"Restraint" means the application of physical force or the
use of a chemical agent or mechanical device for the purpose of restraining the
free movement of an individual's body to protect the individual, or others,
from immediate harm.
"Rights restriction" means limitations not imposed on the
general public in the areas of communications, mobility, finances, medical or
mental health treatment, intimacy, privacy, type of work, religion, and place
of residence.
"Self-administered medication" means the process where a
trained staff member observes an individual inject, inhale, ingest or, by any
other means, take medication following the instructions of a qualified
prescriber.
"Stabilization plan " means a written short-term strategy
used to stabilize a crisis and developed by a mental health professional, in
collaboration with the crisis response staff and with the involvement and
consent of the individual or the individual's representative.
"Staff-administered medication " means the direct application
of a prescription drug, whether by injection, inhalation, ingestion, or any
other means, to the body of an individual by a qualified prescriber or
authorized staff following instructions of a qualified prescriber.
"Telehealth " is the use of electronic information and
telecommunications technologies to support long-distance clinical health care,
patient and professional health-related education, public health and health
administration. Technologies include videoconferencing, the Internet,
store-and-forward imaging, streaming media, and terrestrial and wireless
communications.
"Treatment summary " means a written summarization of the
treatment and action plan at the point of an individual's discharge or
transition to another service.
"Twenty-four-hour crisis line " means a crisis line providing
information and referral, counseling, crisis service coordination, and linkages
to crisis screening and mental health services 24 hours a day.
"Twenty-four-hour crisis response" means services are
available 24 hours a day, 365 days a year, providing access to crisis screening
and assessment and linkage to mental health services.
"Twenty-three-hour observation and holding " means a level of
care provided for up to 23 hours in a secure and protected, medically staffed,
psychiatrically supervised treatment environment.
"Warm line" means a telephone line staffed by individuals
with lived experience who provide nonjudgmental, nondirective support to an
individual who is experiencing a personal crisis.
