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Glossary

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Glossary

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Managed Care Organization

A company or agency that is responsible for authorizing to pay for treatment provided, and determine the amount spent on that treatment.

Medicaid Waiver

A federal program that allows states to use Medicaid funds to provide home and community based services as an alternative to OCF/MR and Nursing Home care. Selected federal program and funding rules are waived by the federal government in turn for specific state assurances to protect individual health and safety and to assure quality and financial accountability.

Medical Necessity

The determination that a specific health care service is medically appropriate, based on the biopsychosocial severity of the client's situation and determined by a multidimensional assessment of the individual.

Medically Managed Inpatient Residential

An inpatient health care facility that provides a 24-hour medically directed evaluation, care, and treatment for addicted clients with coexisting biomedical and/or psychiatric/behavioral conditions which require frequent medical management. Such a service needs to have 24-hour access to physician care.

Medically Monitored Inpatient Detoxification

A residential facility that provides a 24-hour professionally directed evaluation and detoxification of addicted clients.

Medically Monitored Long Term Residential

A residential facility that provides 24-hour professionally directed evaluation, care, and treatment for addicted clients in chronic distress, whose addiction symptomatology is demonstrated by severe impairment of social, occupational, or school functioning. Habilitation is a treatment goal.

Medically Monitored Short Term Residential

A residential facility that provides 24-hour professionally directed evaluation, care, and treatment for addicted clients in acute distress, whose addiction symptomatology is demonstrated by moderate impairment of social, occupational, or school functioning. Rehabilitation is a treatment goal.

Member Services

Your link to care @ 1-888-545-2600. Member Services can also help to solve any problems you are having with your treatment.

Methadone

Medication used to achieve stabilization or prevent withdrawal symptoms. Slow withdrawal or outpatient detoxification of the person from the maintenance medication is part of this treatment process.

MHPA Involuntary Commitment

Allows for individuals to receive involuntary mental health treatment, "where the need is great and it's absence could result in serious harm." Initial 302 commitment may last for a period of up to 120 hours (5 days). Subsequent 303 commitment may be up to 20 days, 304 up to 90 days and 305 may last up to 180 days. The burden of proof is to prove to a level of "clear and convincing evidence" that: "within the past 30 days a person has: (1) inflicted or attempted to inflict serious bodily harm on another and that there is reasonable probability that such conduct will be repeated, or has made threats of harm and has committed acts in furtherance of the threat; (2) been unable to care for him/herself with a reasonable probability that death, serious bodily injury or serious physical debilitation would ensue within 30 days unless treatment is given; (3) attempted or threatened suicide and committed acts in furtherance of the threat; or (4) substantially mutilated or attempted to mutilate him/herself or threatened self-mutilation and committed acts in furtherance of the threat." (50 P. S. § 5100.84)

Mobile Emergency Team (MET)

A mobile service deployed by the mental health delegate to evaluate individuals in crisis. The team will go anywhere in the city of Phila, 24/7 to assess, evaluate and transport the person to a CRC, if they are willing to go. They will also assist in completing a 302 commitment, if the person meets the criteria for a commitment and they are unwilling to receive a voluntary evaluation.

Motivational Interviewing

This is a clinical approach to the therapeutic process that encourages change. It is an approach that is client-centered and semi-directive. The strategy seeks to motivate individuals to think differently about their behavior and ultimately to consider what might be gained through change.

 
 
 
 
 
 
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