Division of Behavioral Health Services

Definitions

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BHS Definitions ListPDF (revised 10/01/14)

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Click on a words below to see the definition.

D

Danger to Others (DTO)

The judgment of a person who has a mental disorder is so impaired that he is unable to understand his need for treatment and as a result of his mental disorder his continued behavior can reasonably be expected, on the basis of competent medical opinion, to result in serious physical harm to others.

Danger to Self (DTS)

Behavior which, as a result of the mental disorder:

  1. Constitutes a danger of inflicting serious physical harm upon oneself, including attempted suicide or the serious threat thereof, if the threat is such that, when considered in the light of its context and in light of the individual's previous acts, it is substantially supportive of an expectation that the threat will be carried out; or
  2. Will, without hospitalization, result in serious physical harm or serious illness to the person, except that this definition shall not include behavior which establishes only the condition of gravely disabled.

Dangerous

A condition that poses or posed a danger or the potential of danger to the health or safety of a person with Serious Mental Illness.

Day

A calendar day unless otherwise specified.

De-Identified Health Information

Health information that neither identifies nor provides a reasonable basis to identify an individual.

Demographics

The data set captured in the Demographic Data Set User Guide.

Denial

The decision to deny an initial request made by, or on behalf of, a behavioral health recipient for the authorization of a covered service.

Dependent Adult

A person eighteen years of age or older who is unable to protect the person's own interests or unable to adequately perform or obtain services necessary to meet essential human needs, as a result of a physical or mental condition which requires assistance from another, or as defined by department rule. (definition fro Iowa Human Services Dept)

Dental Services

The comprehensive oral health services that are preventive, therapeutic/restorative (medically necessary) and emergent services to treat and maintain dental health.

Dental Periodicity Schedule

A routine preventative dental visit schedule.

Depo-medications

Medications which require intramuscular administration.

Descriptive Characteristics

Information used to profile clients at intake and during treatment in the behavioral health system and includes the following areas:

  • Socio-demographic profile;
  • Treatment characteristics;
  • Participation status;
  • Medical condition;
  • Other agency involvement;
  • Special fund source identifier; and
  • Served by CFT.

Designated Child Psychiatric Provider

T/RBHA Child Medical Director or assigned licensed child and adolescent psychiatrist who is responsible for approving medication requests and maintaining clinical documentation for children birth to five years of age for a designated clinic(s) or geographic service area within the T/RBHA. The T/RBHA holds this individual responsible for compliance monitoring related to birth to five prescribing practices.

Designated T/RBHA

The T/RBHA responsible for the geographic service area where an eligible person has established his/her residence.

Designated Record Set

A group of records maintained by or for a covered entity that is: the medical and billing records about individuals maintained by or for a covered healthcare provider; the enrollment, payment claims adjudication, and case or medical management record systems maintained by or for a health plan; or used, in whole or in part, by or for the covered entity to make decisions about individuals. For purposes of this definition, record means any item, collection, or grouping of information that includes protected health information and is maintained, collected, used or disseminated by or for a covered entity. (45 C.F.R. § 164.501)

Detention

The temporary confinement of a juvenile who requires secure care in a physically restricting facility that is completely surrounded by a locked and physically secure barrier with restricted ingress and egress for the protection of the juvenile or the community pending court disposition or as a condition of probation (A.R.S. 8-201).

Direct service staff member

For purposes of this policy, includes a qualified Community Service Agency employee, contractor or volunteer providing behavioral health rehabilitation and/or support services to eligible and enrolled persons.

Disability

A physical or mental impairment which substantially limits one or more major life activities, or an individual who has a record of such impairment or is regarded as having an impairment (U.S.C. Title 42 Chapter 126 Section 12102 (2)).

Discharge Pending List

Is the list maintained by Arizona State Hospital, with the individual's name that meet the criteria specified at the Transition to Community Placement Setting section from the Policy and Procedures M.I 5.5 Arizona State Hospital.

Disease Management

An integrated approach to health care delivery that seeks to improve health outcomes and reduce health care costs by:

  • Identifying and proactively monitoring high-risk populations
  • Assisting members and providers in adhering to identified evidence-based guidelines
  • Promoting care coordination
  • Increasing and monitoring member self-management, and
  • Optimizing member safety.

Disenrollment

Applies only to NTXIX individuals. The HIPAA-compliant transmission, by a behavioral health provider to a T/RBHA and by a T/RBHA to ADHS, of information to terminate a client's enrollment in the ADHS/DBHS behavioral health service delivery.

Disposition Hearing

A hearing conducted after a juvenile is adjudicated or admits to the delinquent/incorrigible act, to determine the most appropriate placement of the juvenile. Other consequences may also be assigned at a disposition hearing. A disposition hearing is the juvenile counterpart to sentencing in an adult trial.

Disposition Report

A report developed by a Juvenile Probation Officer with insights from other involved parties (e.g., behavioral health system representatives) that includes recommendations for placement and ongoing behavioral health services subsequent to the Dispositional Hearing. The Disposition Report is presented to the judge at the Disposition Hearing.

Documents Incorporated by Reference

Documents incorporated by reference in RBHA contracts and TRBHA IGAs, and any subsequent amendments, modifications, and supplements adopted by or affecting ADHS or AHCCCS during the agreement period, which are incorporated by reference and made a part of the Contract or IGA by reference.

Domestication or Recognition of Tribal Court Order

The process in which the judicial orders and judgments of tribal courts within the state of Arizona, are recognized and have the same effect and are subject to the same procedures, defenses, and proceedings as judgments of any court of record in the state as indicated in A.R.S. 12-136.

Drug used as a Restraint, Sub-Acute Agency (PM, , but title in index does not include Sub-Acute Agency)

A pharmacological restraint as used in A.R.S. § 36-513 that is not standard treatment for a behavioral health recipient's medical condition or behavioral health issue and is administered:

  1. To manage a behavioral health recipient's behavior in a way that reduces the safety risk to the person or others; and
  2. To temporarily restrict the behavioral health recipient's freedom of movement.

(A.A.C. R9-20-101)

Dual eligible

Refers to a behavioral health recipient who is eligible for both Title XIX and Medicare services. There are two types of dual eligible behavioral health recipients: those eligible for Qualified Medicare Beneficiary (QMB) benefits (QMB dual), and Medicare beneficiaries that are not eligible for QMB benefits (Non-QMB dual).

Durable Medical Equipment (DME)

Sturdy, long lasting and reusable items and appliances used at home prescribed by a licensed physician or other authorized licensed medical professional such as physician assistant, nurse practitioner, clinical nurse specialist, necessary to address a medical or physical need, and must not ordinarily be used in the absence of a medical or physical condition.