King County MHP Definitions

A
Adjustment	A process whereby changes to provider payments are made as a result of policy and procedure.
Adult	A person 18 years of age or older but less than 60 years of age who is receiving services under any program other than a children’s program. Note: A person 18 through 20 years of age may be authorized to either a child tier benefit or an adult tier benefit.
Adult Crisis Aftercare Services	Specialized adult crisis services program for adults 18 or older who are not enrolled in KCMHP outpatient or residential services. The service provides next day appointments and follow-up care, both in and out of facility, until the crisis has stabilized.
Adult Family Home	A regular family abode in which a person or persons provide room and board, personal care and/or special care to more than one but not more than six adults who are not related by blood or marriage to the person(s) providing the services.
Advance Directive	A written instruction, such as a living will or durable power of attorney for health care, relating to the provision of health care (including mental health care) when the individual is incapacitated.
Agency	For purposes of the KCMHP, this refers to licensed community health centers credentialed to provide mental health services to Prepaid Health Plan clients and families; also called a provider.
Allied System Provider	An agency or person representing an allied system that provides direct services to clients and their families.
Allied System	An organization in close relationship to the mental health system responsible for the provision of services (that are not classified as mental health services) to clients and families.
B
Behavioral health crisis	Any crisis related to a mental disorder, substance use, or developmental disability.
Blended Funding Project	A program designed to provide a broad range of community services tailored to the specific needs of the individual child or family, achieved through cooperative agreements and pooled resources from multiple service systems.
C
Care Plan	See Individualized Service Plan.
Carveout Program	A carveout program is a program that provides mental health services outside of the outpatient tier benefit. An individual may receive services from a carveout program without being enrolled in a PHP tier benefit.
Case Management	Coordination and provision of treatment that assures access to needed services and continuity of care through the development of individualized treatment plans. This is one of the core services of the MHP.
Case Manager Locator System (CMLS)	Database maintained on the State DSHS computer system that allows authorized users to access information on a mental health client to determine his or her enrollment status in any county in the State of Washington.
Case Mix	The distribution of populations (persons receiving outpatient services) across the tier levels.
Case Rate	The established amount payable to a provider for an individual benefit, based on the individual's authorized tier benefit. The rate is defined for each tier benefit.
Catastrophic and Permanent	A catastrophic and permanent change refers to an unanticipated, substantial and irreversible medical or psychiatric change in the way a client meets medical necessity criteria, compelling the request for a new tier benefit for an already authorized client.
Child	A person receiving services under any children’s program.
Child/Adolescent	A person who is less than 21 years of age, and is receiving services under any children’s program. Note: A person 18 through 20 years of age may be authorized to either a child tier benefit or an adult tier benefit.
Child and Family Team	A group chosen by the child, youth, and/or family who will support them to meet their needs across life domains. The team is comprised of members to continue to support the family when professionals are no longer involved.
Children’s Crisis Response Services	Crisis outreach, stabilization, aftercare, and referral services for children and families in crisis.
Children’s Long Term Inpatient Program (CLIP)	The state appointed authority for policy and clinical decision-making regarding admission to and discharge from state-funded beds in the children’s long term inpatient programs (Child Study and Treatment Center, Pearl Street Center, McGraw Center, Tamarack Center and Martin Center). [State Contract definition]
Children's Global Assessment Scale (CGAS)	A level of functioning assessment scale for children 6 through 20 years of age, published in the Diagnostic and Statistical Manual for Psychiatric Disorders (DSM). The CGAS is one of the indicators used to establish medical necessity for outpatient tier services.
Client	An individual who is enrolled in the mental health system through a provider authorized to provide mental health services by the KCMHP.
Client Lookup System (CLS)	The MHCADSD IS application that allows authorized users to access information on individuals to determine if they are receiving services from KCMHP providers.
Client Services	A MHCADSD staff member who accepts calls and correspondence from clients, potential clients, and family members; answers questions regarding benefits, eligibility, access to care; and receives and attempts to resolve complaints and grievances.
Clinical Review	Review of services provided to a client in order to evaluate the quality of care, the impact the outcome of treatment and/or to verify medical necessity.
Collaborative/Coordinated Services	The services from one service provider are planned in concert with another agency. Care plans are complimentary between agencies. Ideally, there is one care plan per family that is shared amongst the providers serving the family.
Complaint	A verbal or written statement by a client or enrollee that expresses dissatisfaction with some aspect of client’s services, his provider, or the KCMHP.
Community Mental Health Agency (CMHA)	A licensed mental health center.
Concurrent Treatment Review	See Individualized Service Plan.
Confidentiality	The ethical principle bound by statute that a mental health professional may not reveal any information disclosed in the course of mental health treatment, including the fact of providing treatment.
Congregate Care Facility (CCF) (aka Supervised Living)	Licensed group boarding home that provides 24-hour supervision and domiciliary care but is generally prohibited from delivering medical services. CCFs are frequently in partnership with a community mental health center to encourage residents to participate in a case management program and to allow for medical monitoring by a psychiatrist.
Corrective Action Plan	A written plan specifying provider requirements to correct identified deficiencies, the plan may include a timeline for such action, and consequences of lack of action.
County Designated Mental Health Professional (CDMHP)	The only person legally authorized in Washington to file an official Involuntary Treatment Order for persons 13 or older. In King County, all CDMHPs are staff of MHCADSD.
Crisis Evaluation	Single face-to-face contact that involves clinical formulation of need for short-term services to address a specific crisis.
Crisis Triage Unit	Program designed to provide 24 hours, 7 days a week entry point for adults experiencing a behavioral health crisis. The program offers assessment, crisis stabilization, and linkages to appropriate inpatient and outpatient care.
Cultural Assessment	A holistic evaluation of the person that encompasses the cultural, sociological, economic, political, and religious contexts that may influence his/her perceptions and decisions. This evaluation is performed by a specialist as defined by WAC 388-865 and results in ongoing appropriate and relevant service planning.
Cultural Competence	Per WAC 388-865, a set of congruent behaviors, attitudes, and policies that come together in a system or agency and enable that system or agency to work effectively in cross-cultural situations. A culturally competent system of care acknowledges and incorporates at all levels the importance of language and culture, assessment of cross-cultural relations, knowledge and acceptance of dynamics of cultural differences, expansion of cultural knowledge and adaptation of services to meet culturally unique needs.
Cultural Differential	An adjustment in the case rate for each outpatient tier benefit to support services to clients who are ethnic minorities, sexual minorities, deaf or hard of hearing or non-facility-based medically compromised homebound individuals. The cultural differential payment rate is based on being a member of any one or more of these groups; the payment is not additive if the client belongs to more than one group.
Culture	An integrated pattern of human behavior, which includes and is not limited to: Thought, communication, languages, beliefs, values, practices, customs, courtesies, rituals, manners of interacting, roles, relationships and expected behaviors of a racial, ethnic, religious, social or political group; the ability to transmit the above to succeeding generations; dynamic in nature.
Current	An amount of time usually within the last 90 days, unless otherwise specified.
D
Deaf	A hearing impairment of such severity that the individual must depend primarily upon visual communication such as writing, lip reading, manual communication and gestures. In general, an individual with a loss exceeding 80 decibels in the conversational range is considered to be deaf.
Diagnostic Classification: 0-3	Diagnostic classifications of mental health and developmental disorders of infancy and early childhood from Zero to Three, published by the National Center for Clinical Infant Programs, Arlington, Virginia, 1994. These codes identify specific diagnoses for children under six years of age and may be used to establish medical necessity for outpatient benefits.
E
Emergent Care	Services provided for a person, that, if not provided, would likely result in the need for emergency crisis intervention or hospital evaluation due to concerns of potential danger to self, others, or grave disability according to RCW 71.05. [State Contract Definition]
Early Periodic Screening, Diagnosis and Treatment (EPSDT)	The federally mandated program for Medicaid children under age 21 which directs that all children at or below the poverty level be screened for health problems (including mental health) and provided with appropriate services to treat any identified medical issues.
Ethnic minority	For the purpose of qualifying for the cultural differential case rate, ethnic minority means a person who self identifies as any of the following: African American/Other Black; Asian American/Pacific Islander; Native American; Hispanic; or Other/Mixed Race.
Evaluation and Treatment Facility	Any facility certified by the State Department of Social and Health Services to provide short term involuntary inpatient mental health treatment.
F
Fair Hearing	A grievance hearing before the Washington State Office of Administrative Hearings.
Family	A group of individuals who support the client emotionally, physically, and/or financially. A family can include individuals of various ages who are biologically related, related by marriage, or not related at all.
Family Centered	The family voice is heard and integrated throughout policy, program development, and service delivery. Services have moved from family as client to family as partner. Services are "done with" the family, rather than "done to" the family.
Family Centered Practices	The needs and goals of the family are a priority of determining how and when services are rendered. Goals and desired outcomes are mutually defined, as are the resources needed to achieve them. Care planning utilizes existing and potential natural supports.
Family Friendly	Actions and environments that promote and welcome family members to actively participate in their care.
Family Partnership	Contributing to a joint venture with the child and family-usually sharing its risks and benefits. Requires joint decision making power and the shared distribution of power or losses.
Flag	An indicator that identifies client-centered circumstances or situations that have implications for utilization management or financial management. Flags could: (1) include indicators that trigger the payment of the cultural differential case rate; (2) identify individuals who are high users of inpatient or crisis services; or (3) identify individuals who have an unusual service pattern.
Frequent User	A non-Medicaid recipient with at least two uses of any single resource or two uses of any combination of resources within the year previous to the referral date.
G
Geriatric Regional Assessment Team (GRAT)	Crisis response for older adults who reside in King County but are not enrolled in the KCMHP and who are experiencing multiple physical, mental and social problems.
Global Assessment of Functioning (GAF) Scale	A level of functioning assessment scale for adults 18 years of age or over, published in the Diagnostic and Statistical Manual for Psychiatric Disorders (DSM). The GAF is one of the indicators used to establish medical necessity for outpatient tier services.
Grievance	A written request by a client or enrollee that a complaint be heard and adjudicated by the Mental Health Plan Grievance Committee, usually undertaken after attempted resolution of a complaint fails.
Guidelines	Accepted good practice which is recommended for use but not required.
H
Hard of hearing	A hearing impairment resulting in a functional loss, but not to the extent the individual must depend primarily upon visual or tactile communication. The hearing loss should be a significant factor in the symptoms of the mental illness (e.g. increasing anxiety, suspiciousness or isolation); in the person’s level of functioning; or in the provision of treatment.
High Utilizer	A person who has had three or more psychiatric hospitalizations in the previous twelve months.
Homeless Outreach, Stabilization and Transition (HOST) Project	A project that provides outreach and engagement, intensive stabilization, transition to ongoing services, and reengagement into services for persons who are mentally ill and homeless.
I
Individual Service Plan	Per WAC 388-865-0425, a plan developed by the provider in collaboration with the service recipient and others providing supports to the service recipient.
Inpatient Diversion Beds	A short stay crisis bed in a residential facility that provides 24-hour staff supervision. The goal is to avert immediate voluntary or involuntary hospitalization for those persons who need very short-term supervision during times of emotional crisis in order to ensure their safety or the safety of others.
Initial Crisis Outreach	A crisis service provided by the CDMHPs 7 days a week, 24 hours per day. These are one-time only contacts, provided face-to-face in community based settings for persons in crisis for whom a mental disorder cannot be ruled out. If the person in crisis does not need voluntary or involuntary hospitalization but does require further service, he/she is referred immediately to another mental health, health or social service provider for follow-up.
Inpatient	A person receiving publicly funded psychiatric services in an inpatient facility, including evaluation and treatment facilities.
Intake	That part of the assessment process during which initial information on the client is collected.
Interagency Staffing Team (IST)	Multi-system regional treatment teams designed to increase cross system understanding and coordination in order to reduce or eliminate barriers to service for the hardest to serve/multi-system involved children and families. See also IST child.
Interim Tier Benefit Change	A tier benefit change that is requested by the provider before the authorization change cutoff date.
Interpreter Services	The services of a DSHS or Court certified sign/oral staff member or interpreter in accordance with DSHS.
Involuntary Treatment/Commitment	Evaluation and action ordered by a CDMHP and/or a Superior Court Judge for persons with a mental disorder who have demonstrated behavior that is dangerous to self or others; or have substantially harmed someone else's property; or are so gravely disabled that they are unable to provide for basic needs and are not receiving essential care for health and safety.
IST Child	Any child who is receiving services coordinated through an Interagency Staffing Team.
ITA Detained Person	Any person seen face-to-face under the provision of the Involuntary Treatment Act, RCW 71.05 or 71.34, and subsequently detained for inpatient treatment.
J
K
KCMHP Client	A person receiving services under the KCMHP.
King County Mental Health , Chemical Abuse & Dependency Services Division (KCMHCADSD)	A division of the King County Department of Community and Human Services that is responsible for policy development and planning for the publicly funded mental health system in King County. MHCADSD oversees both the Regional Support Network and the Prepaid Health Plan. MHCADSD is also responsible for Chemical Dependency services in King County.
L
Levels of Care	The organization of KCMHP services into groups. The four levels of care are crisis services, inpatient services, outpatient services, and residential services.
Long Term Residential (LTR)	A 24-hour supervised care residential treatment program for adults who: 1) require 24-hour supervision; 2) do not require extensive medical care; 3) have a severe functional or behavioral impairment as a result of a psychiatric disorder; and/or 4) do not follow or do not have effective medications.
M
Managed Care	An integrated system managing access, intensity and duration of care through defined standards, expected outcomes, quality indicators and planned expenditures.
Medicaid Abuse	Provider practices that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost, or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards for health care. Abuse also includes beneficiary practices that result in unnecessary cost to the KCMHP. Medicaid Managed Care Abuse means practices in a capitated MCO, PCCM program, or other managed care setting that are inconsistent with sound fiscal, business, or medical practices, and result in an unnecessary cost to the Medicaid program, or in reimbursement for services that are not medically necessary or that fail to meet professionally recognized standards or contractual obligations for health care. The abuse can be committed by an MCO, contractor, subcontractor, provider, State employee, Medicaid beneficiary, or Medicaid managed care enrollee, among others. It also includes beneficiary practices in a capitated MCO, PCCM program, or other managed care setting that result in unnecessary cost to the Medicaid program, or MCO, contractor, subcontractor, or provider. A provider can be defined as any individual or entity that receives Medicaid funds in exchange for providing a service (MCO, contractor, or subcontractor). It should be noted that Medicaid funds paid to an MCO, then passing to subcontractors, are still Medicaid funds from a fraud and abuse perspective.
Medicaid Fraud	An intentional deception or misrepresentation made by a person with the knowledge that the deception could result in some unauthorized benefit to himself or some other person. Fraud includes any act that constitutes fraud under applicable Federal or State law. Medicaid Managed Care Fraud means any type of intentional deception or misrepresentation made by an entity or person in a capitated MCO, PCCM program, or other managed care setting with the knowledge that the deception could result in some unauthorized benefit to the entity, himself or some other person. A provider can be defined as any individual or entity that receives Medicaid funds in exchange for providing a service (MCO, contractor, or subcontractor).
Medicaid Recipient	An individual who is currently eligible for the Medicaid program, as shown on the medical identification card.
Medical Eligibility Lookup System (MELS)	Database that allows authorized users to obtain Medicaid eligibility information on a specific client.
Medical Necessity Criteria	Clinical criteria that determine level of care and specific outcomes for individual clients.
Medically Necessary/Medical Necessity	A term for describing a requested service which is reasonably calculated to prevent, diagnose, correct, cure, alleviate or prevent the worsening of conditions in the recipient that endanger life, or cause suffering or pain, or result in illness or infirmity, or threaten to cause or aggravate a handicap, or cause physical deformity or malfunction, and there is no other equally effective, more conservative or substantially less costly course of treatment available or suitable for the person requesting service. For the purpose of this section, "course of treatment" may include mere observation or, where appropriate, no treatment at all. (WAC 388-865-0150)
Mental Health Care Provider	The professional with primary responsibility for implementing the individualized service plan for outpatient mental health rehabilitation services and/or community psychiatric inpatient care to be provided to the service recipient.
Mental Health, Chemical Abuse & Dependency Services Division Information System (MHCADSD IS)	Contains client, staff and service information submitted by MHP providers, State CMHIS, HHIS, High Utilizer Reports, Medicaid data, Crisis and Commitment Services database, Client Lookup System (CLS).
Mental Health Court	A specialized court for misdemeanor defendants with mental illness. Defendants work with a team of specialists, including a judge, prosecutor, defender, court monitor, treatment provider and probation officer, to receive court ordered treatment as a diversion from prosecution or as a sentencing alternative.
Mental Health Information System (MHIS)	The total electronic information system and network used by the state, KCMHP and contracted providers to collect, store and disseminate information concerning client participation in mental health services. Includes the State Client Information System, the State CMLS, the MHCADSD Information System and the information systems of KCMHP providers.
Mentally Ill Offender Community Transition Program	A five-year pilot program to plan and provide coordinated pre-release discharge planning and post-release case management services to individuals with a mental illness being released from Department of Corrections custody. Services shall include intensive outreach and engagement, community treatment and residential supports.
Multi-System Involved	Any person who is receiving services from or is formally involved with more than one service systems. Typically individuals would be involved with the mental health system and at least one other system like the criminal justice system and/or the child welfare system.
N
Natural Supports	Any person or organization contributing to positive outcomes that is not a formal treatment or intervention service.
Non-facility-based Medically Compromised Homebound Client	A client who has a chronic medical, physical or psychiatric condition, and causes significant disability such that the individual is 1) unable to leave home, or 2) if leaving home is possible, this occurs infrequently, is usually for the purpose of receiving medical care, and requires considerable effort, supervision, or assistance. Because of this difficulty or inability to leave home, the medically compromised homebound individual is unable to utilize services if provided only in a clinic. The client does not reside in a residential facility or Nursing home type environment. This designates, when verified by the MHCADSD IS, triggers the cultural differential case rates add-on.
Non-Medicaid	Persons who do not hold a valid card showing they meet Medicaid eligibility requirements. Mental health services will be available to non-Medicaid persons as resources permit.
Notice of Action	A written statement sent to a Medicaid client and his/her requesting provider when: 1) covered mental health services have been requested on the client's behalf and the request has been denied by the KCMHP; 2) services previously authorized by the KCMHP have been suspended, reduced, or terminated; or 3) a provider is denied payment for services already given the client. The notice includes the KCMHP decision, the rationale for the decision, and the instruction on how the client may appeal the decision and the help available to the client in doing so.
O
Older Adult	A person 60 years of age or older who is receiving services from the KCMHP.
Older Adult Crisis Services	See Geriatric Regional Assessment Team.
Ombuds Service	An advocacy service for clients and family members primarily staffed by current or former clients or family members who provide assistance with questions, complaints and/or grievances with publicly funded mental health services. Development of the service is based upon Washington Administrative Code (WAC) requirements.
Outcome Measure(s)	Specific information that demonstrates what happens to individuals as a result of the mental health care they receive. Individual outcomes for mental health care under the MHP are specifically defined for each client depending on age and the level of care he/she will receive. [State Contract definition]
Outreach	Mental health services provided to KCMHP clients in their places of residence or in non-traditional settings. There are two basic approaches to outreach – mobile (going to them) and drop-in centers (shelters, clubhouses, kitchens, clothing banks, etc.).
P
PACE	Program for All-Incluse Care of the Elderly. An experimental Medicaid program that allows frail elderly people who would qualify medically for a nursing home placement to live in their communities. Once enrolled, a client is terminated from KCMHP services and PACE becomes the sole source of service for Medicaid and Medicare beneficiaries.
Parent - Infant Relationship Global Assessment Scale (PIR -GAS)	An assessment scale for children under the age of six. The PIR-GAS is one of the indicators used to establish medical necessity for outpatient tier services.
Prepaid Inpatient Health Plan (PIHP)	An entity, under contract with the state and funded by prepaid capitation payments, that provides, arranges for or otherwise has responsibility for the provision of any inpatient or institutional services for its enrollees and does not have a comprehensive (i.e. primary health care) contract.
Penetration Rate	The percentage of Medicaid individuals using publicly funded mental health services out of the total population of Medicaid eligibles.
Performance Indicator(s)	System level information about access, services provided, clinical characteristics, clinical outcomes, and finances.
Prevocational Services	Services based on individual need which prepare a person to seek work. Such services principally include improving skills in resume preparation, application writing, interviewing, and specific work-site related behaviors such as punctuality, employer-employee relations and hygiene.
Primary Care Provider (PCP), Primary Care Provider Mental Health (PCPMH)	See Mental Health Care Provider.
Provider	A term that indicates a contracted agency that provides mental health services within the RSN/MHP. May also refer to a facility or an individual.
Provider Profile	A compilation of information about a contracted provider of MHP outpatient tier services. The profile includes populations served clinical practice information and clinical outcomes.
Psychotherapy	The client centered treatment of emotional, behavioral, personality and psychiatric disorders based primarily upon verbal or non-verbal communication with the client in contrast to treatments utilizing chemical or physical measures.
Q
Quality Assurance	A focus on compliance to minimum standards (e.g., rules, regulations, contract terms) as well as reasonably expected levels of performance, quality and practice. [State Contract definition]
Quality Improvement	A focus on activities to improve performance above minimum standards reasonably expected levels of performance, quality and practice. [State Contract definition]
Quality Management	A system and/or process whereby quality assurance and quality improvement activities are incorporated and infused into all aspects of an organization’s or system’s operations. [State Contract definition]
Quality Review Team	An independent team per WAC 388-865 that works closely with clients and families to review provider, RSN and MHP performance.
R
Recovery	The process in which a client finds what has been lost from his/her life due to illness – the opportunity to make friends, use natural supports, make choices about care, and attend school or find and keep jobs – and to develop personal mechanisms for coping and for regaining independence.
Regional Support Network (RSN)	Created as a result of legislative action and responsible for establishment and coordination of a plan for mental health services (residential and community support) for clients/consumers on a regional level (county authority) through joint operating agreements with the State. The MHP is managed by the RSN.
Routine Care	Services intended to stabilize, sustain, and facilitate consumer recovery within his or her living situation. These services do not meet the definition of urgent or emergent care.
S
Screening	The process by which a provider evaluates persons who present for service and determines the appropriate referral.
Service Populations	See above for individual definitions of Child, Adult, and Older Adult.
Severely Emotionally Disturbed (SED)	An infant or child who has been determined to be experiencing a mental disorder as defined in chapter 71.34 RCW, including those mental disorders that result in a behavioral or conduct disorder, that is clearly interfering with the child’s functioning in family or school or with peers and who meets at least one of the following criteria: Has undergone inpatient treatment or placement outside of the home related to a mental disorder within the last two years; Has undergone involuntary treatment under chapter 71.34 RCW within the last two years; Is currently served by at least one of the following child serving systems: Juvenile justice, child-protection/welfare, special education or developmental disabilities; Is at risk of escalating maladjustment due to: Chronic family dysfunction involving a mentally ill or inadequate caretaker; Changes in custodial adult; Going to, residing in or returning from any placement outside of the home, for example, psychiatric hospital, short-term inpatient, residential treatment, group or foster home or a correctional facility.
Sexual Minority	A person who self-identifies as: being a lesbian; or being a gay male; or being bi-sexual; or being transgender; or questioning her/his sexual orientation and/or gender identity.
Supervised Living (SL)	Any residential service program including but not necessarily limited to an Adult Family Home or Congregate Care Facility (see separate definitions) in which staff provide 24-hour on-site supervision. Additional treatment services may be provided in this setting as part of the tier authorized benefit hours.
System of Care	A comprehensive spectrum of mental health and other necessary services which are organized into a coordinated network to meet the multiple and changing needs of children and their families.
T
Tier Benefit	The outpatient service benefit provided by the KCMHP. Each tier represents a different level of service need and therefore is reimbursed by a tier specific case rate.
TTY or TDD	Teletypewriter or Telecommunications Device for the Deaf. Both acronyms refer to a device that allows deaf individuals to make a telephone call directly, without the use of another person to interpret.
U
Urgent Care	Services provided to persons approaching a mental health crisis. If services are not received within 24 hours of the request, the person’s situation is likely to deteriorate to the point that emergent care is necessary.
Utilization Review (UR)	The process of evaluating the use of services, procedures, and facilities by comparison with pre-established criteria.
V
Vocational Services	Services based on individual need which support a person to gain and retain employment. Such services principally include vocational assessment, job development, job placement and job coaching. Vocational services may also include medical diagnostics, training, transportation and provision of tools, equipment and uniforms or work clothes.
W
Wait List	Any amount of time a non-Medicaid client is expected to wait for services beyond the established access standards.
Waiver	The document by which DSHS MHD requests sections of the Social Security Act be waived in order to operate a capitated managed care system to provide services to enrolled recipients.
Wraparound	A model of needs-driven and strengths-based planning through a facilitated team process. The client and family are supported by a team of people that includes natural/community supports and professionals, eventually evolving to a team of community supports.
X-Z
Youth	A person who is between ages of 13-20 years of age receiving services under any children's program.

Updated: July 21, 2005

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MENTAL HEALTH PLAN DEFINITIONS Approved for January 1, 2005

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MENTAL HEALTH PLAN DEFINITIONS
Approved for January 1, 2005