Fla. Admin. Code Ann. R. 65D-30.002 - Definitions
(1) "Abbreviated
Treatment Plan" means a shorter version of a treatment plan that is developed
immediately following placement in an addictions receiving facility or
detoxification component and is designed to expedite planning of services
typically provided to individuals placed in those components.
(2) "Accreditation" means the process by
which a provider satisfies specific nationally accepted administrative,
clinical, medical, and facility standards applied by an accrediting
organization that has been approved by the department.
(3) "Aftercare" means structured services
provided to individuals who have completed an episode of treatment in a
component and who are in need of continued observation and support to maintain
recovery.
(4) "Ancillary Services"
as defined in Section
397.311, F.S.
(5) "Assessment" means a process used to
determine the type and severity of an individual's substance use problem and
includes a psychosocial assessment and, depending upon the component, a
physical health assessment.
(6)
"Authorized Agent of the Department" as defined in Section
397.311, F.S.
(7) "Best Practice" means the combination of
specific treatments, related services, organizational and administrative
principles, core competencies, or social values designed to most effectively
benefit the individuals served. Best Practices also include evidence-based
practice, which is subject to scientific evaluation for effectiveness and
efficacy. Best Practice standards may be established by entities such as the
Substance Abuse and Mental Health Services Administration, national trade
associations, accrediting organizations recognized by the Department, or
comparable authorities in substance use treatment.
(8) "Business Day" means a day in which the
Department's Office of Substance Abuse and Mental Health is operating for
business Monday through Friday between 8:00 a.m. and 5:00 p.m. (Eastern
Standard Time).
(9) "Case
Management" means services provided to or on behalf of an individual in order
to assess his or her needs, plan or arrange services, coordinate service
providers, link the service system to an individual, monitor service delivery,
and evaluate the effect of the services received.
(10) "Certification" means a designation
earned by an individual or organization demonstrating core competency in a
practice area related to substance use prevention, treatment, or recovery
support, awarded by a Department-recognized credentialing entity.
(11) "Change or Transfer in Ownership" means,
in addition to Section
397.407(6),
F.S.;
(a) An event in which the licensee sells
or otherwise transfers its ownership to a different individual or entity as
evidenced by a change in federal employer identification number or taxpayer
identification number; or
(b) An
event in which greater than 50 percent or more of the ownership, shares,
membership, or controlling interest of a licensee is in any manner transferred
or otherwise assigned. This paragraph does not apply to a licensee that is
publicly traded on a recognized stock exchange.
(c) A change solely in the management company
or board of directors is not a change of ownership.
(12) "Clinical Record" means all parts of the
record required to be maintained that are provided to an individual and
includes all clinical records, assessments, financial and legal agreements and
consents, progress notes, charts, admission and discharge data, clinical
services, clinical summaries, individual therapy notes, group therapy notes,
family therapy notes, and other information recorded by the facility staff,
which pertains to the individual's treatment.
(13) "Clinical Services," for the purposes of
this rule chapter, means services such as screening, assessment, level of care
determination, treatment planning, and counseling.
(14) "Clinical Staff" means employees,
independent contractors, and volunteers of a provider who are responsible for
providing clinical services to individuals.
(15) "Clinical Summary," as used in the
context of these rules, means a written statement summarizing the results of
the psychosocial assessment relative to the perceived condition of the
individual and a further statement of possible service needs based on the
individual's condition.
(16)
"Clinical Supervisor" as defined in Section
397.311, F.S.
(17) "Competency and Ability of Applicant"
means a determination that an applicant for a license under Chapter 397, F.S.,
is able or unable to demonstrate, through a background check on education and
employment history, the capability of providing substance abuse services in
accordance with applicable laws and regulations.
(18) "Component" or "Service Component" as
defined in Section 397.311, F.S. Each service
component, except for Aftercare, is defined in Section
397.311(26),
F.S. Aftercare is defined above.
(19) "Co-occurring Disorder" means a
diagnosis of a substance use disorder and a concurrent diagnosis of a mental
health disorder.
(20) "Counseling"
means the process, conducted in a facility licensed under Chapter 397, F.S., of
engaging an individual and his/her support system (i.e., family, significant
other, etc.), as indicated, in a discussion of issues associated with the
individual's substance use and other co-occurring conditions in an effort to
work toward a constructive resolution of those problems and ultimately toward
recovery. For the purposes of this rule chapter, therapy is considered a type
of counseling.
(21) "Counselor"
means a member of the clinical staff, working in a facility licensed under
Chapter 397, F.S., whose duties primarily consist of conducting and documenting
services such as counseling, psycho-educational groups, psychosocial
assessment, and treatment planning.
(22) "Court Ordered" means the result of an
order issued by a court requiring an individual's participation in a licensed
component of a provider under the following authority:
(a) Civil involuntary as provided under
Sections 397.6811 and
397.693, F.S.;
(b) Treatment of individuals with substance
use disorders in licensed secure facilities as provided under Section
397.702, F.S.; and
(c) Offender referrals as provided under
Section 397.705,
F.S.
(23) "Credentialing
entity" as defined in Section
397.311, F.S.
(24) "Crisis Intervention" means emergency
psychological care aimed at assisting individuals in a crisis situation to
restore equilibrium to their biopsychosocial functioning and to minimize the
potential for psychological trauma. This includes the methods used to offer
immediate, short-term help to individuals who experience an event that produces
emotional, mental, physical, and behavioral distress or problems.
(25) "Detoxification Protocol" means a
detailed plan of the medical protocol for the detoxification treatment or
procedure. This includes the type of medication, dosage, administration, and
components of treatment other than medication.
(26) "Diagnostic Criteria" means prevailing
standards which are used to determine an individual's mental and physical
condition relative to their need for substance use services, such as those
which are described in the current Diagnostic and Statistical Manual of Mental
Disorders.
(27) "Diagnostic
Services" means services that are provided to individuals who have been
assessed as having special needs and that will assist in their recovery such as
educational tests, psychometric tests and evaluation, psychological and
psychiatric evaluation and testing, and specific medical tests.
(28) "Direct Care Staff" means employees,
independent contractors, and volunteers of a provider who provide direct
services to individuals.
(29)
"Direct Services" means services that are provided by employees or volunteers
who have contact or who interact with individuals receiving services.
(30) "Discharge Summary" means a written
narrative of the individual's treatment record describing the individual's
accomplishments and challenges during treatment, reasons for discharge, and
recommendations for further services.
(31) "Financial Ability" means a provider's
ability to secure and maintain the necessary financial resources to provide
services to individuals in compliance with required standards.
(32) "Indicated Prevention Services" has the
same meaning as provided for the same term in subsection
65E-14.021(4),
F.A.C.
(33) "Inmate Substance Abuse
Programs," include substance abuse services provided within facilities housing
only inmates and operated by or under contract with the Department of
Corrections.
(34) "Initial
Treatment Plan" means a preliminary, written plan of goals and objectives
intended to inform the individual of service expectations and to prepare the
individual for service provision.
(35) "Intervention Plan" means a written plan
of goals and objectives to be achieved by an individual who is involved in
intervention services.
(36)
"Licensed Bed Capacity" means the total bed capacity of addictions receiving
facilities, residential detoxification facilities, and residential
facilities.
(37) "Licensing Fee"
means revenue collected by the department from a provider required to be
licensed under Section
397.407, F.S.
(38) "Medical Consultant" means a physician
licensed under Chapter 458 or 459, F.S., or an advanced practice registered
nurse licensed under Chapter 464, F.S., or a physician assistant, who has an
agreement with a licensed provider to be available to consult on any medical
services required by individuals involved in those licensed
components.
(39) "Medical Director"
means a physician licensed under Chapter 458 or 459, F.S., who has been
designated to oversee all medical services of a provider and has been given the
authority and responsibility for medical care delivered by a
provider.
(40) "Medical History"
means information on the individual's past and present general physical health,
including the effect of substance use on the individual's health.
(41) "Medical Maintenance" means special
clinical protocols that permit extending the amount of consecutive take-home
methadone provided to individuals who are involved in medication-assisted
treatment for opioid addiction and who qualify through a special exemption from
the Department for participation under these protocols. Medical maintenance may
be either partial (13 consecutive take-home doses) or full (27 consecutive
take-home doses).
(42) "Medication
Observation Record" or "MOR" means the chart maintained for each individual
which records medication that is self-administered by an individual.
(43) "Methadone Medication-Assisted Treatment
Sponsor" means a representative of a methadone medication-assisted treatment
provider who is responsible for its operation and who assumes responsibility
for all its employees and volunteers, including all practitioners, agents, or
other persons providing services at the provider.
(44) "Nursing Physical Screen" means a
procedure for taking an individual's medical history and vital signs and
recording any general impressions of an individual's current physical
condition, general body functions, and current medical problems.
(45) "Nursing Support Staff" means persons
who assist Registered Nurses and Licensed Practical Nurses in carrying out
their duties, but who are not licensed nurses.
(46) "Operating Procedures" means written
policies and procedures governing the organization and operation of a provider
that include methods of implementation and accountability.
(47) "Organizational Capability" means a
provider's ability to implement written operating procedures in conformance
with required standards.
(48)
"Overlay" means a component operated within facilities not owned or operated by
a provider.
(49) "Owner" means the
owner of record of a licensed facility that has an enforceable claim or title
to an asset or property and is recognized as such by law.
(50) "Peer Specialist" as defined in Section
397.311, F.S.
(51) "Physical
Examination" means a medical evaluation of the individual's current physical
condition.
(52) "Physical Health
Assessment" means a series of services that are provided to evaluate an
individual's medical history and present physical condition and include a
medical history, a nursing physical screen, a physical examination, laboratory
tests, tests for contagious diseases, and other related diagnostic
tests.
(53) "Placement" means the
process used to determine individual admission to, continued stay in, and
transfer or discharge from a component in accordance with specific
criteria.
(54) "Prevention Plan"
means a plan of goals to be achieved by an individual or family involved in
structured indicated prevention activities on a regularly scheduled
basis.
(55) "Primary Counselor"
means the provider's staff who has primary responsibility for delivering and
coordinating clinical services for specific individuals in treatment.
(56) "Private Practice," as used in these
rules, means a sole proprietorship, an individual or individuals using shared
office space, or other business entity, required to be licensed under Chapter
397, F.S.
(57) "Privately Funded
Provider" means a provider which relies solely on private funding
sources.
(58) "Program Office"
means the specific office of the Department identified as the single state
authority for substance abuse.
(59)
"Progress Notes" means written entries made in the clinical record that specify
the intervention provided, and document progress or lack thereof toward meeting
treatment plan objectives, and which generally address the provision of
services, the individual's response to those services, and significant
events.
(60) "Protective Factors"
means those conditions that inhibit, reduce, or protect against the probability
of the occurrence of drug use or abuse.
(61) "Provider" or "Service Provider" as
defined in Section 397.311, F.S.
(62) "Psychosocial Assessment" means a series
of evaluative measures designed to identify the behavioral and social factors
involved in substance abuse and its symptoms, and is used in the determination
of placement and the development of the treatment plan.
(63) "Publicly Funded Provider" means a
provider that receives funds directly from the department, Medicaid, or another
public agency or is a state agency or local government agency.
(64) "Qualified Designee" or "Qualified
Medical Designee" means a licensed medical health professional practicing
within the scope of their training, education, and competence and identified by
the Medical Director and in the provider's written medical protocols for the
delegation of certain medical services, in accordance with Rule
65D-30.004, F.A.C.
(65) "Qualified Professional" as defined in
Section 397.311, F.S.
(66) "Quality Assurance" means a formal
method of evaluating the quality of care rendered by a provider and is used to
promote and maintain an efficient and effective service delivery system.
Quality assurance includes the use of a quality improvement process to prevent
problems from occurring so that corrective efforts are not required.
(67) "Recovery Residence" as defined in
Section 397.311, F.S.
(68) "Regional Substance Abuse and Mental
Health Office" or "Regional Office" means a local Substance Abuse and Mental
Health Program office of the Department.
(69) "Resident" means an individual receiving
treatment for a substance use disorder or co-occurring substance use and mental
health disorders within a structured, non-hospital, live-in
environment.
(70) "Restraint" as
defined in Section 394.455(42),
F.S.
(71) "Risk Factors" means
those conditions affecting a group, individual, or defined geographic area that
increase the likelihood of a substance use or substance abuse
problem.
(72) "Seclusion" as
defined in Section 394.455(43), F.S.
(73) "Selective Prevention Services" has the
same meaning as provided for the same term in subsection
65E-14.021(4),
F.A.C.
(74) "Services" means
assistance that is provided to individuals and their support system (i.e.,
family, significant other, etc.), as indicated, in their efforts to reduce or
eliminate substance use free, such as counseling, treatment planning,
vocational activities, educational training, and recreational
activities.
(75) "Stabilization" as
defined in Section 397.311, F.S.
(76) "Substantial Compliance" means an
applicant for a new license that is in the initial stages of developing
services, has demonstrated the ability to implement the requirements of these
rules through operating procedures, and is thereby eligible for a probationary
license.
(77) "Substantial
Noncompliance" means that a provider operating on a regular license has
significant violations, or a pattern of violations, which affects the health,
safety, or welfare of individuals and, because of those violations, is issued
an interim license or is subject to other sanctions as provided for in Section
397.415, F.S.
(78) "Summary Note" means a written record of
the progress made by individuals involved in intervention services and
indicated prevention services.
(79)
"Supportive Counseling" means a form of counseling that is primarily intended
to provide information and motivation to individuals.
(80) "Telehealth" as defined in Section
456.47(1)(a),
F.S.
(81) "Transfer Summary" means
a written justification of the circumstances of the transfer of an individual
from one (1) component to another or from one (1) provider to
another.
(82) "Treatment" or
"Clinical Treatment" as defined in Section
397.311, F.S.
(83) "Treatment Plan" as defined in Section
397.311, F.S.
(84) "Universal
Direct Prevention Services" has the same meaning as provided for the same term
in subsection 65E-14.021(4),
F.A.C.
(85) "Verbal De-escalation"
means approved non-physical techniques and procedures used to manage a
potentially aggressive situation and prevent it from escalating into physical
aggression.
(86) "Written
Communication" or "In Writing" means a form of either electronic or postal
communication.
Notes
Rulemaking Authority 397.321(5) FS. Law Implemented 397.311, 397.321(1), 397.410 FS.
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