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Glossary

Adjudication:
a court process designed to prove the facts alleged in a petition.

Child and Family Team (CFT) :
a family-selected group of people who work to develop and implement the Person-Centered Plan (PCP) of care.

Community Collaborative:
state-mandated body that supports and oversees the development of the local system of care. Activities include identifying service gaps; addressing barriers for the CFT; insuring inter-agency training; and approval of outofstate placements.

Community Support:
new service definition that includes traditional case management functions, as well as other services and supports necessary to assist the youth and their caregivers in achieving rehabilitative and recovery goals.

Child Protective Services (CPS):
legally mandated service to families whose primary role is to protect youth. CPS intervenes when youth are reported to be abused, neglected or dependent based upon the statutory definition or when youth are at imminent risk of maltreatment.

Crisis plan:
a plan intended to avoid crisis by anticipating problems and/or a plan for quickly addressing crises that allows youth to return to normal functioning as soon as possible.

Crisis stabilization:
short-term residential service to provide crisis intervention with the goal of preventing disruption of long term placement.

Criterion V:
is required for approval of continued stay for Medicaid recipients when they no longer meet Medicaid criteria for hospitalization, however there is no placement available and to remove them would put them in danger of relapse or regression.

Custody:
the right to care for and control a youth, and the duty to provide food, clothing and shelter, ordinary medical care, education and appropriate discipline.

Day Treatment:
day program that includes both treatment and educational services.

DD:
developmental disability.

Diagnostic Assessment:
the evaluation process to determine the presence of a mental health diagnosis and determine appropriate services; includes the service order necessary to begin services.

Disposition:
a process designed to determine what services should be put in place to resolve the case by addressing and correcting the presenting concerns. Refers to the outcome of a court case.

DJJDP:
Department of Juvenile Justice and Delinquency Prevention – more often known as the court counselors' office. This department deals with delinquency and undisciplined issues with youth.

DSS:
Department of Social Services

Flexible Funds:
a limited pool of funds to help provide services/resources for a consumer/family which are not covered by Medicaid or insurance; it is not to be used for treatment. Flex funds are limited, and are distributed on a first come first served basis, and subject to the approval of the Local Management Entity (LME).

Guardian Ad Litem (GAL):
court-appointed volunteer who represents juveniles in abuse and neglect proceedings. The GAL has no ties to any agency involved with the juvenile and is charged with protecting and promoting the best interest of the youth.

Inpatient services:
a service provided in a hospital setting on a 24-hour basis under the direction of a physician.

IOP:
intensive outpatient treatment provided in a group setting for up to 3 hours each session. Juvenile Sex Offender (JSO): a youth who has been adjudicated for inappropriate/criminal sexual behavior.

Least restrictive:
minimum level of services needed to appropriately address behavior and/or psychiatric issues.

Legal guardian:
the person who has final approval of services, able to give consent for treatment or services.

Local Management Entity (LME):
In Mecklenburg County this is the Area Mental Health (AMH) which is responsible for insuring the provision of mental health, developmental disability, and substance abuse services.

Managed Care:
system of monitoring mental health services and tracking youth and family progress.

Medicaid:
health insurance which entitles eligible low-income youth/families to receive medically necessary treatment.

Medically Necessary:
a determination that the requested service is needed to assist youth and without the service he/she will not progress or will regress in functioning.

MOU/A:
Memorandum of Understanding/Agreement between two agencies which outlines an agreement on how they will work together.

Multiple Response System (MRS):
Child Protective Services investigative response to abuse/neglect allegations that focuses upon the strengths of the family and involves the parents to help create solutions to family issues. There is no substantiation or naming of a perpetrator in these cases.

Natural Supports:
include family, neighbors, coworkers, and friends who are available to assist youth/families in reaching goals. They can also include informal resources such as churches, parks and recreation, or other community-based options. North Carolina Health Choice: a health insurance program for low-income youth and families who don't meet Medicaid eligibility criteria.

OP:
Outpatient treatment

Out-of-State Placement:
residential treatment that is outside of North Carolina. It is subject to the approval of the Care Review team and can happen only when all in-state options have been exhausted.

Parent Initiated Placement (PIP):
an evaluation and agreement between a parent and another caretaker whom the parent identifies to provide immediate safety for the youth.

Permanency Planning:
a social work practice philosophy that promotes a permanent living situation for every youth entering the foster care system; i.e., with an adult with whom the youth has a continuous reciprocal relationship.

Person Centered Plan:
a unified plan that serves as a road map for services and supports to be used in the youth's treatment.

Petition:
the legal action used as a basis to seek judicial involvement in a case. Partial Hospitalization (PH): A hospital-based service for clients needing structured day placement; it is a based on a medical model.

Psychiatric Residential Treatment Facility (PRTF):
provides care for youth who have a mental illness or substance abuse dependency and who need residential treatment but not hospitalization. Residential Services: an out-of-home placement, including therapeutic foster care, group homes and facility-based treatment.

Respite:
a short-term service to provide relief or rest for youth and/or family; can be home or facility based.

Reunification:
The planned process of reconnecting youth in out-of-home care with their families by means of a variety of services and supports.

Review hearing:
a hearing to review the progress made by the parents or others toward reunification and what recommendations should be made to achieve a safe permanent home at the earliest point in the case.

SA:
Substance Abuse Service Order: Medicaid required document, that must be signed by a doctor, authorizing a youth to receive service(s).

Team Decision Making (TDM):
a meeting format used by YFS to engage families and communities in making more informed decisions regarding the safety of the youth. The goal is helping youth to remain safely in their homes when at all possible, preventing out-of-home placements and supporting families through reunification.

Termination of Parental Rights (TPR):
permanent severance of all legal rights of the youth.

ValueOptions:
The managed care company that authorizes and reviews Medicaid services for youth and their families.

Youth and Family Services (YFS):
a division of the Department of Social Services whose focus is youth safety and service provision to families with youth.

 



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