Glossary of Accronyms

Too many letters! Too many letters! The following list is provided to help you understand what people are referring to when they use abbreviations like ACCR, CSP, DHS, etc. Also, definitions are included for terms that are commonly used in the behavioral health system. If you know of terms or abbreviations that should be on our list, contact us and be sure to include the full name or definition.
Choose the first letter of the word or acronym:

A   B   C   D   E   F   G   H   I   J   K   L   M   N   O   P   Q   R   S   T   U   V   W   X   Y   Z

AA ALCOHOLICS ANONYMOUS: Self-help group for individuals who have problems with alcohol.
ACCR The Allegheny County Coalition for Recovery
ACDHS ALLEGHENY COUNTY DEPARTMENT OF HUMAN SERVICES [DHS] is responsible for providing and administering human services to county residents. DHS services include programs serving the elderly, mental health services (includes 24-hour crisis counseling); drug and alcohol services; child protective services; at-risk child development and education; hunger services; emergency shelters and housing for the homeless; energy assistance; non-emergency medical transportation; job training and placement for youth and adults; and services for individuals with mental retardation and developmental disabilities. DHS consists of five program offices and three support offices.
Program Offices
AAA - Area Agency on Aging
OBH - Office of Behavioral Health
OCYF - Office of Children, Youth and Families
OCS - Office of Community Services
OMR/DD - Office of Mental Retardation/Developmental Disabilities
Support Offices
OA - Office of Administration
OCR - Office of Community Relations
OIM - Office of Information Management
ACOA ADULT CHILDREN OF ALCOHOLICS: Self-help group for adults whose parents have/had problems with alcohol.
ACT 152 Funding for assessment, treatment and case management services for Allegheny County Medical Assistance recipients in need of treatment for drug and/or alcohol dependence in a non-hospital residential detoxification, rehabilitation and/or halfway house program, who are not HealthChoices members. ACT 152 in not an entitlement and does not include partial hospital.
ADA AMERICANS WITH DISABILITIES ACT: Passed in 1990, grants equal employment opportunities to persons with disabilities.
ADDICTION ADDICTION is a term used to describe a habit that is very difficult to break. An addicted person misses the habit terribly, and also experiences disagreeable 'withdrawal symptoms,' which vary from habit to habit. Addictions include the habitual use of alcohol, food, sex, gambling, prescription and non-prescription drugs, tobacco, and other behaviors.
ADJUDICATED ADJUDICATED describes the disposition within the judicial system of an individual who has had a formal court trial and received a verdict of innocent or guilty. In the case of a minor, the Juvenile Court judge may make a disposition of dependency and /or delinquency.
ADL ACTIVITIES OF DAILY LIVING: an ADL Evaluation assesses the ability to independently take care of one's personal needs; to determine the individual's present level of, and potential for, performing daily life tasks which include dressing, nutrition, homemaking, personal hygiene.
AHCI ALLEGHENY HEALTH CHOICES, INC.: AHCI monitors and reports on the effectiveness and value of the management of behavioral health care programs in local communities. AHCI's mission is to assure value in behavioral health care while balancing community interests. "Value" encompasses quality of care, positive clinical outcomes, and cost-effectiveness in care.
AIDS ACQUIRED IMMUNE DEFICIENCY SYNDROME is a disease, often fatal, which attacks the immune system. Certain populations, including injecting drug users and their partners, are at especially high risk for infection by the virus, HIV, which causes AIDS.
Al-ANON AND ALATEEN Self-help support groups for family members and teens who have a family member/parent with alcohol problems.
ALTERNATIVE ACTIVITIES The provision of work-oriented, recreational, and other experiences to fill the physical, emotional, social and spiritual needs of the individual, family and community.
AMA AGAINST MEDICAL ADVICE: Describes discharges from an InPatient unit which are patient or family instituted, and are against the medical opinion of the physician in charge.
ARC ASSOCIATION FOR RETARDED CITIZENS: A national organization with state and county chapters to provide services to people with mentally retardation.
ARC-ALLEGHENY The local chapter of The ARC.
ASI ADDICTION SEVERITY INDEX: The ASI is a semi structured interview designed to address seven potential problem areas in substance abusing patients: medical status, employment and support, drug use, alcohol use, legal status, family/social status, and psychiatric status. In one hour, a skilled interviewer can gather information on recent (past 30 days) and lifetime problems in all of the problem areas. The ASI provides an overview of problems related to substance, rather than focusing on any single area.
AURD ADMISSION, UTILIZATION, REVIEW AND DISCHARGE: A joint meeting of agency staff, a consumer, guardian/parent and County Behavioral Health/MR representatives to assess the progress the consumer has made in a residential program over a six month period. Evaluations are made in regard to a consumer's strengths and weaknesses in numerous areas of daily living activity and recommendations for continued placement or discharge are discussed.
BAC BLOOD ALCOHOL CONTENT is the amount of alcohol in person's blood stream. See also BREATHALYZER.
BDAP BUREAU OF DRUG AND ALCOHOL PROGRAMS: Bureau of the PA Department of Health that oversees county Single County Authorities and Drug & Alcohol Service Providers.
BEHAVIOR SHAPING CLA PROGRAMS A specialized resource program within the CLA system and is available to all appropriate consumers for the purpose of preparing them for movement.
BIPOLAR DISORDER A disorder, sometimes called manic-depression, characterized by episodes of mania and severe depression, generally with periods of normal moods in between the two.
BREATHALYZER A machine that measures blood alcohol content.
BRIDGE HOUSING A residential alternative, which is a step up from the emergency shelter, providing residence for up to a year and affording a range of support services to enable individuals to "bridge" the transition from life on the streets to some form of independent or supportive living situations.
BRIDGE HOUSING SPECIALIZED RESIDENCES Activities dealing with specialized residences for the chronically mentally ill homeless individual.
BSC BEHAVIORAL STAFF CONSULTANT: Service available under the Psychosocial rehabilitation option of federal Medicaid , and is on the Pennsylvania Office of Medical Assistance Programs fee schedule.
CAP CONFERENCE OF ALLEGHENY CONTRACT PROVIDERS: Providers who contract with OBH to provide services.
CARE MANAGER Managed Care position, a staff person who is involved with membership, approvals, and so on.
CARF COUNCIL FOR ACCREDITATION OF REHABILITATION FACILITIES: Sets standards for and accredits rehabilitation facilities on a national basis.
CART CLIENT ACTION & RESPONSE TEAM: A project, funded by DHS and Community Care Behavioral Health Organization, whose purpose is to interview clients and their families about their satisfaction and dissatisfaction with the services they receive.
CASA COURT APPOINTED SPECIAL ADVOCATE: Court appointed advocates for children.
CASE MANAGEMENT A series of coordinated staff activities, in conjunction with the client, that determine what services are needed and how these services will be coordinated and provided in a timely manner.
CASSP CHILD AND ADOLESCENT SERVICE SYSTEM PROGRAM: Involves activities that are designed to promote inter-departmental cooperation between agencies such as Children and Youth Services, Juvenile Court, and Education; and to encourage parental participation in systems advocacy for children's programs. In 1984 Congress created the Child and Adolescent Service System Program (CASSP) in response to the mental health needs of children (Alcohol Abuse, Drug Abuse, and Mental Health Amendments of 1984). This program is administered by the National Institute of Mental Health and is modeled after the Community Support Program for the chronically mentally ill population. The program assists states through grants, technical assistance, and training in the development of community based, coordinated service systems to deal with the mental health needs of children and their families.
CATEGORICAL FUNDS This refers to funding which has a specific use and cannot be used for any other purpose.
CCBH COMMUNITY CARES BEHAVIORAL HEALTH: the managed care organization (HMO) for Allegheny County's Behavioral Health Program, HealthChoices, funded through Medicaid (Medical Assistance-Title XIX of the Social Security Act.)
CHIP OF PA CHILDREN'S HEALTH INSURANCE PROGRAM OF PA: is the state program to provide comprehensive healthcare for children up to 13 years old.
CHIPPs - (Unified Systems) COMMUNITY HOSPITAL INTEGRATION PROJECT PROGRAMS: Multi-year MH projects to rightsize or close state mental hospitals by moving consumers and funds to community programs.
CHRONICALLY MENTALLY ILL BRIDGE HOUSING The specialized residence for the chronically mentally ill will serve homeless individuals who have chronic and/or serious mental health problems. These individuals constitute an extremely fragile, non-compliant, services resistive group of homeless persons. Typically their behavior and inability for self care make them inappropriate for other residential programs, such as community residential rehabilitation or bridge housing. The target population must be 18 years of age or older. Participants can remain in CMI-BH for an indefinite period of time as long as they are compliant with the program expectations.
CJS CRIMINAL JUSTICE SYSTEM : The system which conducts the application of the criminal law of the land. At various levels, from the federal to the smallest municipal unit, there are functions and offices which administer the system. It includes the judiciary, the prosecutors, the lawyers, law enforcement, the penal system, probation and parole and others. Since a high percentage of persons in jails admit to D&A and/or MH problems, there are many places where these systems and criminal justices system touch - these are points at which cooperative programs are effective, such as DUI and TASC.
CLIENT Any individual who is the recipient of services from a drug and alcohol facility or provider is referred to as a client.
CMHS CENTER FOR MENTAL HEALTH SERVICES: A Federal program office in the Substance Abuse and Mental Health Services Administration (SAMHSA).
COMMITMENT (302) This is the involuntary emergency commitment which is basically a two-step process: 1.)The patient is brought for emergency examination involuntarily if specific criteria of clear and present danger to self or others are met, 2.) If, upon medical examination, the patient is felt to be a clear and present danger to self or others, admission for up to 120 hours in a designated facility occurs. COMMITMENT (303) - This is the means by which a patient is maintained in involuntary hospitalization status for a period not to exceed twenty (20) days. This type of extended involuntary emergency treatment must be certified by a judge or mental health review officer. COMMITMENT (304) - This is the means by which a patient is maintained in involuntary hospitalization status for an extended period of time up to 90 days. Often, this is the type of commitment used when a patient is sent to a state hospital.
COMMUNITY HOMES FOR INDIVIDUALS WITH MENTAL RETARDATION Also known as CLA's A house or apartment in the community in which live a small number of persons who are developmentally disabled. CLAs provide supervision, care and training. The goal is to give persons with MR disabilities an opportunity to be a part of the community and live a non-institutional life style. The County MR-DD Program monitors the CLAs in its region. CLAs are divided into categories based upon severity of disability and programmatic needs of particular clients. Some CLAs accept persons with sever medical and behavioral disabilities. The County MR-DD Program provides a Core Team of Specialists to assist CLA staff in meeting the needs of these residents. There are also Adult Minimal Supervision CLAs available to mentally retarded persons over the age of 18. The Minimal Supervision CLA is a house or apartment in which two or three mentally retarded adults live. Supervision is on a drop-in basis to assure the safety of the residents and to provide training and assistance in independent living skills.
COMPEER A program that matches a volunteer with a person with mental illness.
COMPLETION RATE The percentage of clients who, in the view of the treatment facility staff, successfully complete the prescribed treatment regimen in a drug treatment facility, and are not transferred or referred to another facility.
CONFIDENTIALITY The status accorded to information that is sensitive and therefore must be protected against theft or improper use, and is disseminated only to individuals or organizations authorized to have it. The obligation of an individual with knowledge about a consumer has to share that information only with others involved with that consumer when it is potentially helpful to consumer/family.
CONSUMER Anyone using or needing mental health, mental retardation, or drug and alcohol services.
CONTINUUM OF CARE A series of service elements which may include provision of the following: non-hospital (residential) services, hospital services, partial hospitalization services, outpatient services and transitional living services.
CORRECTIONAL FACILITIES Facilities operated by various levels of government for the purpose of either the detention of individuals accused of crimes but not yet adjudicated, or for the detention of individuals convicted of crimes and sentenced by the courts. Examples include: County Program for Female Offenders, Allegheny County Jail MH Special Housing Unit, State Correctional Institute of Pittsburgh, Federal Penitentiary at Allentown, PA
COST CENTER Budget term which refers to particular expenditure categories.
COUNTY MATCH Stipulated funds provided by one governmental unit to complement funds received from another governmental unit for a grant, etc. The objective of the match funds is the creation of a financial and operational interest in the funded program.
CRITICAL INCIDENT Any incident described below that involves a consumer receiving MH or MR services, and/or any staff person (including contract employees and volunteers) providing services to a consumer. The following MH incidents require both verbal notification to the County Office and a written report:
a. A Mental Health Consumer residing in a CRR, LTSR, or Enhanced Personal Care Home who is missing for more than 24 hours or who may be in immediate jeopardy if missing at all;
b. Any death of a known MH Consumer residing in a CRR, Personal Care Home, Enhanced Personal Care Home, Supportive Living ,or LTSR; or that occurs while a consumer is involved in a MH Program. The County coroner shall be notified of any sudden, violent or suspicious death;
c. Any fire at a CRR, LTSR or Enhance Personal Care Home requiring the evacuation of consumers;
d. A MH Consumer active in treatment is known to be arrested for a felony or for an incident which would be of concern to the general public; and
e. Any other incident involving a MH consumer in which an agency administrator determines that the "serious nature" of the incident requires immediate notification of the County Office.
CRITICAL INCIDENT POLICY To assure immediate management of any incident/problem situation, timely reporting of any incident to the necessary authorities and appropriate follow-up procedures, Allegheny County requires each provider to have an Incident Management Plan.
CRN COURT REPORTING NETWORK: This is a data system which affords the collection of standard information on all DUI offenders statewide. Recommended for preliminary evaluation of the extent of the drinking problems of a DUI consumer.
CRR COMMUNITY RESIDENTIAL REHABILITATION (MH Residential): Residential Program for mental health consumers similar to the MR/CLA Program. Residence with 24 hour
CSAP CENTER FOR SUBSTANCE ABUSE PREVENTION : A Federal program office in the Substance Abuse and Mental Health Services Administration (SAMHSA).
CSBG COMMUNITY SERVICES BLOCK GRANT: Federal money which is allocated through the State to Counties which can be used for: Service Management, Out-Patient, Residential, Partial, Community Service, ADT, Vocational Community, Vocational. Facility, Social Rehabilitation and FSS.
CSP COMMUNITY SUPPORT PROGRAM: A Community mental health service model which emphasizes consumer planning and empowerment involving consumers, families and community agencies.
CULTURALLY-FAIR (Non Discriminatory) EVALUATION CRISIS INTERVENTION Assessment of a consumer must be through procedures and with instruments that use the consumer's native language or mode of communication.
DAPC DRUG AND ALCOHOL PLANNING COUNCIL: The Drug and Alcohol Planning Council is comprised of fifteen voting and two exofficio members appointed by the County Executive to provide citizen input to assist the Director and the County. The composition of this body is defined by law. The PA Dept. of Health (Bureau of D&A Programs) is presently responsible for the oversight of the D&A Program.
DAY TREATMENT see "Partial Hospitalization."
DDAN DEVELOPMENTAL DISABILITIES ADVOCACY NETWORK: Pennsylvania's Protective and Advocacy system as mandated by the Developmentally Disabled Assistance and Bill of Rights Act of 1975. DDAN is an independent agency which advocates for the legal and human rights of developmentally disabled persons.
DDPC PENNSYLVANIA's DEVELOPMENTAL DISABILITIES PLANNING COUNCIL: The council works to coordinate and integrate services between state and private human services.
DEA DRUG ENFORCEMENT ADMINISTRATION: Federal agency responsible for enforcing the drug laws.
DETOXIFICATION DETOX: The process whereby a drug or alcohol intoxicated or dependent client is assisted through the period of time necessary to eliminate, by metabolic or other means, the presences of the intoxicating substance of dependency factors, while keeping the physiological or psychological risk to the client at a minimum.
DEVELOPMENTAL DELAY Being behind other children of the same age in achieving social, self-help, thinking, physical or speech and language skills. The Cause may be unknown and may be measured by test results.
DOE DEPARTMENT OF EDUCATION (PENNSYLVANIA): A department of the State that administers school laws and assists school districts in conducting their educational programs.
DOH DEPARTMENT OF HEALTH (PENNSYLVANIA): A department of the State with overall duty and power to protect the health of the people of the Commonwealth by employing the most efficient and effective means for prevention and suppression of diseased and injury. DOH is the single state agency for D&A.
DOM CARE DOMICILIARY CARE HOME: A (private) home which provides room, board and personal care for persons who are mentally retarded, mentally ill, elderly, or physically disabled. Dom. Care homes usually accommodate three to four residents and are certified by the Office of the Area Agency on Aging.
DPW DEPARTMENT OF PUBLIC WELFARE DEPARTMENT OF PUBLIC WELFARE (PENNSYLVANIA): A department of the state which administers human service programs, distributes federal and state funds to local agencies, and develops programs to respond to the human service needs of the Commonwealth's residents. Also contains Office of MH, Office of MR, Office of Medical Assistance.
DROP-IN CENTER The provision of information, referral and crisis intervention as well as the opportunity to discuss personal problems in an informal setting.
DRUG AND ALCOHOL COUNCIL The Drug and Alcohol Planning Council is comprised of fifteen voting and two ex-officio members appointed by the County Executive to provide citizen input to assist the Director and the County. The composition of this body is defined by law. The PA Dept. of Health (BDAP) is presently responsible for the oversight of the D&mpA Program.
DRUG AND ALCOHOL (D&A) SERVICES Include Prevention, Intervention, Case Management & Treatment.
DRUG AND ALCOHOL SERVICES INTERVENTION Aimed at assisting individuals through a specific crisis related to the abuse of drugs and alcohol. Services include evaluation, counseling and referral for more intensive treatment when appropriate. There are also special drop-in facilities for emergency crisis attention. One of the most widespread programs is directed toward individuals apprehended for driving while under the influence. In addition, programs have been created to offer Treatment Alternatives to Street Crime as well as other services designed in conjunction with local criminal justice systems.
DRUG COURT Designed specifically for those drug users involved in the criminal justice system. The intention is to place these individuals into an intensive drug treatment program as an alternative to incarceration to help them become drug free and return to a productive lifestyle.
DRUG DEPENDENT Any person that has a physiological and/or a psychological need to self administrate any controlled substance or any prescribed substance, beyond medical recommendation, to maintain a perceived state of normalcy.
DRUG-FREE The provision of guidance, advice and psychological treatment as a means to deal with the client's emotional structure and concurrent problems without the use of a maintenance substance. Temporary medication for treatment of physiological conditions or as an adjunct to psychosocial treatment may be utilized in this approach.
DRUG USE Use of a controlled substance the possession of which is unlawful. As defined in federal legislation, controlled substances include drugs or other substances which have a potential for abuse which would result in physical or psychological dependence. It does not mean the use of a controlled substance pursuant to a valid prescription or other uses authorized by law. The term "controlled substance" also does not include distilled spirits, wine, malt beverages, or tobacco.
DSM-IV DIAGNOSTIC & STATISTICAL MANUAL OF MENTAL DISORDERS: The method of coding mental disorders utilized by human service and medical professionals. The current standard is DSM-III-4, an alternative to ICD-9 (International Classification of Diseases).
DUALLY - DIAGNOSED An individual assessed by a clinician as having both a mental impairment (mental retardation or mental illness) and chemical dependency. (See MISA)
EAP EMPLOYEE ASSISTANCE PROGRAM: People with emotional and/or drug and alcohol abuse problems, impede productivity and cost the American economy billions of dollars. This service is intended to provide the opportunity for preserving the job of the emotionally and chemically disabled employee and returning that employee to the workforce. Specifically designed for each individual company requiring a high degree of cooperation between labor and management.
EARLY INTERVENTION MR funds used to provide services for children under the age of three (3) years. Children meet developmental eligibility criteria under PA Act 212. It is a program of stimulation and education for eligible children from birth to the third birthday.
eCAPS ELECTRONIC CLIENT AND PROVIDER SYSTEM: Allegheny County Department of Human Services management information system.
EEOC EQUAL EMPLOYMENT OPPORTUNITY COMMISSION: A federal body constituted to receive, hear, investigate and decide upon complaints regarding unlawful employment practices in federally assisted programs consistent with Executive Orders, Titles, Acts, Laws and Decisions. Address: EEOC, 1000 Liberty Avenue, Pittsburgh, PA 15222.
E & I EDUCATION AND INFORMATION: The provision of activities and factual data aimed at the development of decision making skills, goal setting, values awareness and clarification, personal motivation, meaning and purpose, and development of communication and inter-personal skills and to increase knowledge and understanding about drugs and alcohol and their effect.
EI EARLY INTERVENTION: Programs which assist developmentally disabled children and their families (infants and young children up to age six) to develop to their optimal potential. Allegheny County DHS is responsible for children up to three years old; Education is responsible for children from 3 through 5 years old (up to six years old).
ELIGIBLE EXPENSES Those expenses that are reimbursable by the Office of Drug & Alcohol Program or the Department of Public Welfare as defined in "Eligibility Guidelines, Section III of the Fiscal Management Guidelines" of ODAP or Chapter 4300 MH/MR Fiscal Manual, Section 4300.41 "Allowable Cost Standards".
EMANCIPATED MINOR Individual under the age of 18 who has been legally determined an adult in the eyes of the law.
EMERGENCY SERVICE (ER) This is one of the five MH mandated services. (See the Mental Health Act of 1966 for further legal base for mandated services.) Emergency Services offer in-person services. Other Emergency Services consists of phone Crisis Intervention and Information and Referral Services. The primary focus of Emergency Service is Crisis Intervention.
ENHANCED "MAC" Enhanced Medical Assistance Services for Children
FACILITY The physical location in which drug and alcohol services are delivered. A facility may provide more than one activity.
FAMILY BASED Activities dealing with Family Based Mental Health Cost Center.
FAMILY DRIVEN Refers to a method of providing services whereby the family and the person with mental retardation, rather than the service system, are given the responsibility for deciding which services will best address the family's specific needs. In a family driven model, family members also have a primary responsibility for planning, implementing , evaluating, and setting priorities for services to address their specific needs. Family driven models are: Informal Supports; Cash Payment; Voucher; Traditional Funding or Pre-approved Service Plan.
FEE RATE The predetermined rate or unit cost by which service providers are reimbursed for services rendered.
FEMA FEDERAL EMERGENCY MANAGEMENT AGENCY: An independent agency which receives funding directly from the US House and Senate Appropriations Committee. The funding is used for the delivery of food and shelter services by private nonprofit and public agencies.
FFS FEE-FOR-SERVICE: A method by which services may be purchased. The relevant costs (and ultimately, the fee which will be paid) is arrived at by negotiation between the County Office and the service provider. The FFS funding mechanism requires less detailed reporting on a monthly basis than the program funding mechanisms since costs have been examined in the negotiation phase.
FTE FULL TIME EQUIVALENT: Refers to an individual's employment status with an MH/MR/D&A/H&H agency. (Usually means 37.5 or 40 hour work week.).
FY FISCAL YEAR: A 12-month time period within which an agency or organization budgets, expends and bills for a negotiated sum of money. The Allegheny County Fiscal Year (FY) runs from January 1 to December 31. The Pennsylvania State FY, which dictates the reporting requirements for the MH/MR/D&A/H&H Program, runs from July 1 to June 30. The Federal FY runs from October 1 to September 30.
GA GAMBLERS ANONYMOUS: Self-help group for individuals who have problems with gambling.
HALFWAY HOUSE A community-based residential treatment and rehabilitation facility that provides services for chemically dependent persons in a supportive, chemical free environment.
HAP HOUSING ASSISTANCE PROGRAM: This program combines assessment of needs, housing assistance, voucher or vendor payments for rent, security deposits or utilities to individuals or families to prevent homelessness by intervening in cases where eviction is imminent or to end homelessness.
HARM-REDUCTION It is a term used to minimize the dangers present to individuals who are addicted to controlled substances. The Needle Exchange is an example of a harm-reduction program.
HH or H&H HOMELESS and HUNGER PROGRAM: Oversees the delivery of services to homeless and hungry citizens of Allegheny County.
HIV+ HUMAN IMMUNODEFICIENCY VIRUS: Carries the virus for AIDS but has not acquired AIDS.
HMO HEALTH MAINTENANCE ORGANIZATION: An affiliation of health care specialists providing health care for the price of monthly insurance premiums.
HOMELESS Represents the Homeless Assistance Programs (HAP). Includes the following programs:

BridgeHousing, PENNFREE Bridge Housing, Emergence Shelter, Case Management, and, Housing Assistance. Includes preparation of a Plan, quarterly reports, special reports, and so on.


EMERGENCY SHELTERS provide emergency, temporary shelter for persons who are homeless. Maximum length of stay per year is 60 days.
CASE MANAGEMENT PROGRAMS provide coordinated activities to assess consumer needs and provide services through the Case Management agency or other community resources. The services coverage is county-wide.
RENTAL ASSISTANCE PROGRAM assists individuals and families who are homeless or near homeless by providing rent and/or security deposits.
HOUSING ASSISTANCE PROGRAM provides payments for rent or utilities to individuals or families to prevent and/or end homelessness by maintaining persons in their own residence.
BRIDGE HOUSING PROGRAMS provide transitional housing and needed supportive services for a period of three months to one year to homeless persons and/or families.
SPECIALIZED RESIDENCES FOR CHRONICALLY MENTALLY ILL - are sites which service individuals whose behavior and ability for self-care make them inappropriate for other programs such as Community Residential Rehab. (CRR) Programs, Drug & Alcohol (D&A) Therapeutic Communities or other Bridge Housing Programs.
PENNFREE BRIDGE HOUSING PROGRAMS - provide transitional housing and needed supportive services for a period of three months to one year to homeless drug, alcohol or dual-diagnosed individuals and/or families.

HOST HOME/FOSTER HOME An alternative family care setting which provides for the child's basic needs, as well as his/her developmental, social, psychological and educational needs. Examples include: Center for Assessment and Treatment of Youth, CYS Foster Homes, Pressley Ridge Youth Development Extension.
HSDF HUMAN SERVICES DEVELOPMENT FUND: This program can be used to provide services under any of the State's established human service categories (i.e., Adult Services, Aging, Children and Youth, Drug and Alcohol, Mental Health, Mental Retardation or Homeless Assistance) or it can provide generic or specialized services. Generic services are existing, allowable services which are needed by consumers of two or more of the above mentioned categorical programs. Specialized services are services that do not currently exist under categorical funding, but this funding cannot support services or programs other than those for which a county is responsible. In Allegheny County, HSDF funding is currently targeted to support Adult Services, Aging, Children & Youth, Mental Health, Drug & Alcohol, and Homeless Assistance services and programs. Examples of funded HSDF services include the following:

ADULT SERVICES: Homemaker Services, Parenting, Life Skills Education Services and Counseling and Employment Services to Female Offenders.
AGING: Care Management for elderly crime victims, Health Promotion and Personal Care Home Volunteer Recruitment.
CHILDREN AND YOUTH: In-Home Counseling, Specialized Adoption Services and Community Based Services for juvenile offenders.
MENTAL HEALTH: Counseling, Case Management, Information & Referral.
DRUG AND ALCOHOL: Outpatient Services.
HOMELESS ASSISTANCE: Housing Relocation for large homeless Families, Mortgage Foreclosure Services and Nighttime Street Outreach.

HUNGER PROGRAMS The PA Dept. of Agriculture provides funding for two hunger / nutrition programs in Allegheny County:

THE STATE FOOD PURCHASE PROGRAM assists community emergency feeding organizations in preventing hunger and malnutrition by enabling counties to purchase, store and distribute food to food pantries, soup kitchens and shelters.
THE TEMPORARY EMERGENCY FOOD ASSISTANCE PROGRAM distributes commodities from the U.S. Department of Agriculture, including canned tomatoes, beans, corn, beef, pork, peanut butter, butter, cheese, rice, flour, corn meal and honey.

ICF/MR INTERMEDIATE CARE FACILITY FOR MENTALLY RETARDED: Facility providing residential living programs and medically related care which meets standards set by DHHS.
ICM (MH) INTENSIVE CASE MANAGEMENT: A program designed to ensure the continuous care and support of mentally ill consumers by assisting them in accessing appropriate mental health, social and education services in order to lead a more stable and health life in the community. ICM is characterized by a low consumer to staff ratio; usually fewer than 20 consumers to one staff person.
ID-9-CM INTERNATIONAL CLASSIFICATION OF DISEASES, 9TH REVISION, CLINICAL MODIFICATION: A statistical coding classification system, measures the incidence of disease, injury and illness.
IEP INDIVIDUALIZED EDUCATIONAL PLAN: In accordance with Pennsylvania Law 94-142 (Aid to Education for all Handicapped Children Act) and PL-95-602 (Developmentally Disabled Bill of Rights and Assistance Act), IEPs were developed for all students with disabilities to ensure that they are not discriminated against purely because of their disability. Applies to children beginning at age three (3).
INDEPENDENT SUPPORTS COORDINATION (or COORDINATOR) Formerly referred to as MR/DD Case Management, includes activities that include, but are not limited to outreach, intake, assessment, referral to services, development of and periodic review with the individual / family of an individualized plan, access to and provision of services between agencies. It is the practice of locating, coordinating, and monitoring supports and advocating for individuals with mental retardation. Performed by a MR/DD professional who is employed for these purposes by an agency other than MR/DD direct services providers. It is the responsibility of the Independent Supports Coordinator to assure effective and efficient delivery of services, therefore the agency providing Independent Supports Coordination will not provide services or other program supports to persons with mental retardation.
INPATIENT HOSPITAL The provision of medical and nursing services 24 hours a day in a hospital. The hospital shall be licensed by the Department of Health and accredited by the Joint Commission on the Accreditation of Hospitals as an acute care of general hospital or approved by the Department of Public Welfare as a psychiatric hospital. The client resides in the hospital setting.
INPATIENT NON-HOSPITAL The provision of services 24 hours a day. The client resides at the facility.
INTERMEDIATE CARE / SKILLED NURSING FACILITIES A facility that is licensed and certified to operate under Federal regulations pursuant to Title XIX of the Social Security Act. These facilities are required to provide 24 hour services including a wide range of programs geared toward enhancing residents' maximum independent living capabilities and their ultimate return to a less restrictive living arrangement. Examples include: Kane Regional Centers, Verland Foundation, Allegheny Valley School, Robinson Center.
INTENSIVE CASE MANAGEMENT A series of coordinated staff activities, in conjunction with the client, that determine what services are needed and how these services will be coordinated and provided in a timely manner.
INTENSIVE OUTPATIENT An organized non-residential treatment service in which the client resides outside the facility. It provides structured psychotherapy and client stability through increase periods of staff intervention. Services are provided according to a planned regimen consisting of regularly schedule treatment sessions at least 3 days per week, for a total time between 5-10 hours per week.
INTERVENTION (D&A) The provision of therapeutic intervention to persons experiencing crisis of a drug or alcohol related nature. No treatment regimen is adopted and referral is provided if the need for long term treatment is indicated. Activities include drop-in centers, hotline, driving while intoxicated, occupational program.
IOC INVOLUNTARY OUTPATIENT COMMITMENT: Commitment for outpatient services at a SCU.
IRETA INSTITUE FOR RESEARCH AND TRAINING IN ADDICTIONS: An organization that gathers information related to addiction research, health policy, prevention, intervention and treatment in the Commonwealth of Pennsylvania. IRETA disseminates information, provides training and education to professionals, conducts research and evaluation, and assists government in the formulation of policy.
IV INTRAVENOUS: Injection of a substance directly into a blood vessel (as in IV drug abuse).
JCAH JOINT COMMISSION ON ACCREDITATION OF HOSPITALS: This is a national group whose function it is to accredit health and mental health service facilities on a voluntary basis in order to improve the quality of health and mental health care services and the environment in which the care is provided.
LAAM Levo-alpha-acetylmethadol (also known as the Long Acting Methadone) is medication used for opioid maintenance therapy. It is long acting and requires that a client receive dosage every third day.
LOC LEVEL OF CARE: One of the four care settings, primarily differentiated by the intensity of service provided and the degree of client monitoring provided. Each level is subdivided into Types of Service.
LOS LENGTH OF STAY: the number of days and / or sessions attended by client in the course of primary treatment.
LTSR LONG TERM STRUCTURED RESIDENCE: A group home model which can house up to 16 adults in a highly-structured residential program. Unlike CRR, there is not an expectation that residents will necessarily move to another setting.
MA MEDICAL ASSISTANCE: The federal program which provides, within restriction, medical (and certain medically-supervised) care to certain needy persons; administered by the state DPW; a fee-for-service reimbursement program which pays prescribed fees for approved services to licensed/approved service providers. Note: MA is a Pennsylvania state program. Medicaid (Title XIX) is the federal program that provides to states for various medical services to disabled and indigent families.
MAINTENANCE The prescription of methadone or other approved substances in sufficient doses to achieve stabilization or prevent withdrawal symptoms. This approach differs from drug free in that a maintenance substance is utilized throughout the treatment regimen. Slow withdrawal or outpatient detoxification of the client from the maintenance substance is considered as part of maintenance. The ultimate goal of maintenance is to assist the client in permanently discontinuing the use of dependency producing substances.
MESSAGE CARRIERS Mobilizes, educates, offers peer to peer support services, and advocates eliminating the stigma and discrimination toward those affected by alcohol and other drug addiction in order to ensure hope health and justice for individuals, families and those in recovery.
METHADONE MAINTENANCE This D&A definition relates to treatment activities. A treatment approach which utilizes the prescription of methadone or 1-Alpha Acetyl Methadol (LAAM) to achieve stabilization. Detoxification from maintenance or slow methadone withdrawal is included in this category. It can also refer to any long-term medication regimen in MH/MR/D&A/H&H Program.
MH/MR ACT OF 1966 State law giving mentally retarded persons in Pennsylvania the right to adequate habilitation in the least restrictive setting. The Act requires the State and each County to create and maintain services to ensure this right. Individuals can bring an action to court to enforce rights guaranteed by the MH/MR Act of 1966.
MH/MR BOARD ALLEGHENY COUNTY MENTAL HEALTH/MENTAL RETARDATION/DEVELOPMENTAL DISABILITIES BOARD: Comprised of fifteen members appointed by the County Executive to provide citizen input and assist the Director. The composition of the board, terms of service, duties, etc. are defined by the MH/MR Act of 1966. The Department of Public Welfare (Office of Mental Health and Office of Mental Retardation) is the Commonwealth entity responsible for the oversight of the MH/MR component.
MHA MENTAL HEALTH ASSOCIATION: Advocates for mental health and addiction recovery through education, collaboration, and public policy reform in order to strengthen the community.
MIS MANAGEMENT INFORMATION SYSTEM: Allegheny County DHS management information system is known as eCAPS.
MISA MENTAL ILLNESS/SUBSTANCE ABUSE: Term used to indicate the existence of co-existing disorders of substance abuse and mental illness.
MODALITY Treatment method or activity such as detoxification, drug fee, etc.
NA NARCOTICS ANONYMOUS: Self-help group for individuals who have problems with drugs.
NAR-ANON Self-help support groups for family members and teens who have a family member/parent with drug problems.
NIAAA NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM: The unit within the U.S. Department of Health and Human Services which is responsible for overseeing Block Grant funding to States for the provision of alcohol abuse and alcoholism prevention and rehabilitation services. Since Block Grants moved programming responsibilities to the States, the Institute is primarily responsible for the research, development and dissemination of (new) knowledge in the field of alcohol abuse and alcoholism.
NIDA NATIONAL INSTITUTE ON DRUG ABUSE: A unit within the U.S. Department of Health and Human Services which is responsible for overseeing Block Grant funding to States for the provision of drug abuse prevention and rehabilitation services. Since Block Grants removed programming responsibilities from the States, the Institute is primarily responsible for the research, development and dissemination of (new) knowledge in the field of drug abuse.
NIMH NATIONAL INSTITUTE OF MENTAL HEALTH: The federal department within the U.S. Department of Health and Human Services (located in Rockville, MD) responsible for the research, development and dissemination of (new) knowledge in the study of mental illness.
OA OVEREATERS ANONYMOUS: Self-help group for individuals who have problems with overeating or controlling their weight.
OCCUPATIONAL PROGRAM The provision of consultation, education, training and referral services to industry to assist employees whose job performance is deteriorating due to substance abuse.
OCYF OFFICE OF CHILDREN, YOUTH AND FAMILIES: State agency within DPW which provides services aimed at assuring a healthy and safe living environment for children and youth.
OMA OFFICE OF MEDICAL ASSISTANCE: This state office administers the joint State/Federal Medicaid Program, under which Pennsylvania residents can receive the following services: inpatient hospital care, prescription drugs, home health care, nursing home care, outpatient psychiatric care, drug and alcohol clinic visits, dental, physician, and other medical services. Eligibility for the program is determined by the County Assistance Offices, and individuals found eligible can participate in HealthChoices for their physical and behavioral health care services.
OMHSAS OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE: State office within the PA Department of Public Welfare that administers and manages the mental health block grant program as well as the Behavioral Health programs covered by HealthChoices.
ONDCP OFFICE OF NATIONAL DRUG CONTROL POLICY: The White House Office of National Drug Control Policy (ONDCP), a component of the Executive Office of the President, was established by the Anti-Drug Abuse Act of 1988. ONDCP establishes policies, priorities, and objectives for the Nation's drug control program. The goals of the program are to reduce illicit drug use, manufacturing, and trafficking, drug-related crime and violence, and drug-related health consequences
OTHER CHEMOTHERAPY A Drug & Alcohol treatment approach that includes using a primary medication for other than detoxification purposes. Other chemotherapy implies continued doses of medication for temporary symptomatic relief.
OUTPATIENT The provision of counseling or psychotherapeutic services, generally of short duration on a regular and predetermined schedule. The client resides outside the facility.
OPIATES Includes heroin, morphine, opium, illegally obtained methadone and any similar narcotic substance derived from the opium poppy plant or manufactured by laboratory methods.
OVR OFFICE OF VOCATIONAL REHABILITATION: Under the state office of the Department of Labor and Industry. It administers the provision of rehabilitation services which are geared to promote the employability of certain disabled persons.
PACDAA PENNSYLVANIA ASSOCIATION OF COUNTY DRUG & ALCOHOL ADMINISTRATORS: An organization composed of Single County Authority Drug & Alcohol Providers in Pennsylvania who meet on a regular basis to discuss issues that pertain to the drug and alcohol service provider community and to the clients they serve. The organization provides a forum for providers to analyze and formulate opinions on major topics and issues disseminated from the State Office of Drug and Alcohol Programs.
PARTIAL HOSPITALIZATION The provision of psychiatric, psychological, social and other therapies on a planned and regularly scheduled basis. Designed for those clients who could benefit from more intensive services than are offered in outpatient treatment projects, but who do not require 24-hour inpatient care.
PCBH PERSONAL CARE BOARDING HOME: A personal care boarding home for adults means any premises operated for financial consideration where food, shelter, personal assistance or supervision are provided for a period exceeding 24 consecutive hours. It is for more than three adults who are not relatives of the operation and who require assistance or supervision in ADL's such as dressing, bathing, diet or medication prescribed for self-administration; but do not require hospitalization or care in skilled nursing or intermediate care facility. (The legal base for regulation is Article IX of the Public Welfare Code, Act of June 13, 1967, P.L. 31, No. 21, 62 P.S. subsection 901, et. seq., and subsection 1001, et. seq. as amended and Act 1980 - 105).
PCPC PENNSYLVANIA CLIENT PLACEMENT CRITERIA: D&A assessment tool that measures the type of placement and services required to meet the client's needs.
PEER SUPPORT SERVICES Services provided by consumers for consumers.
PENNFREE BRIDGE HOUSING PROGRAMS Provide transitional housing and needed supportive services for a period of three months to one year to homeless drug, alcohol or dual-diagnosed individuals and/or families.
PERSON CENTERED PLANNING (PCP) Services planning which assists a person to achieve his/her goals by emphasizing the individual's gifts, talents, skills and challenges. Person centered planning recognizes that individual needs and wants may change and the services and supports needed will also change. Services are viewed as vehicles to enhance each person's well-being, independence, productivity and capacity for appropriate social interaction.
PIN PARENTS INVOLVED NETWORK: A statewide group of parents with children who have mental health problems.
POTADA PARENTS OF TEENAGE ALCOHOL AND DRUG ABUSERS: A support group for parents and other adult relatives in the Pittsburgh, PA area who have children who are abusing drugs and alcohol. The only requirement for membership in POTADA is that there be a problem of chemical use by a child, regardless of age.
PREVENTION An alcohol and other drug abuse program component aimed at reducing the possibility of substance abuse, before it occurs, through the promotion of functional and positive intra/inter-personal skills, attitudes, alternatives and behaviors which impact upon the formulation of lifestyles likely to exclude substance dependency. Programs with these goals are developed with local input, and can be directed at individuals and significant others (parents, siblings, spouses, teachers and/or the social context of the individual). Prevention programs include Education/Information activities and seminars with groups in schools, clubs and industry on a wide variety of drug and alcohol related topics and alternatives to drug and alcohol use.
PRIMARY SUBSTANCE ABUSE The major addictive substance which has caused the most dysfunction.
PRO-A PENNSYLVANIA RECOVERY ORGANIZATIONS ALLIANCE, INC.: A grassroots advocacy initiative founded to promote the rights of - and ensure opportunities for - those still suffering from the disease of addiction, members of the recovery community, and their family members.
PSYCHIATRIC EVALUTION Diagnostic assessment completed by a physician specializing in the practice of psychiatry.
PSYCHOLOGICAL EVALUATION Standardized testing completed by a certified or licensed psychologist.
PSYCHOSOCIAL REHABILITATION Long term (MH) non-medical programs providing rehabilitation and/or support services to people with serious mental illness.
PD PUBLIC DEFENDER: Provides legal counsel to indigent defendants. When appointed by the Court, the PD must also furnish legal counsel to persons subject to commitment under the Mental Health and Mental Retardation Act of 1966.
QA QUALITY ASSURANCE: Monitor the quality and cost of consumer care and the use of available facilities in consumer care services. The objective is to provide a professional accountability system operating at all levels of service delivery.
RECOVERY Process by which an individual reclaims his/her life through engagement in treatment for his/her addictions. Successful recovery does not change the fact that the addiction has occurred, or that the effects of the disease may still be present; it does however mean that one finds ways to move on, to develop new dreams and make them come true.
RESPITE CARE Short term residential placement of a developmentally disabled person who is living with his/her family. The temporary placement outside the home allows the family some time away from the routine of caring for their disabled family member. Care takes place in a CLA or in a Respite Setting.
RFP REQUEST FOR PROPOSAL: Document requesting program and budgetary estimates for a particular project or service from an agency according to stated specifications.
SAP STUDENT ASSISTANCE PROGRAM: Mental Health and Drug & Alcohol funding from the State and Federal Government to provide prevention, education and treatment services to school-aged children within area school districts. This program involves the joint interaction of parents, school personnel, and community mental health and drug & alcohol specialists to enable students to receive the needed services with minimal disruption to their lives.
SBIRT SERVICE, BRIEF INTERVENTION, REFERRAL, AND TREATMENT: Pilot program funded by a BDAP grant that attempts to identify individuals who are in the early stages of alcohol or drug abuse by working with the person's primary care physician.
SCA SINGLE COUNTY AUTHORITY: The agency designated by the local authorities in a county or joinder to plan, fund and administer drug and alcohol activities in that county or joinder. The SCA consists of the planning council/executive commission, the specialist/executive director, and, in the case of the planning council option, the MH/MR administration. The local authorities are the final fiscal and management authority.
SCHIZOPHRENIA A group of disorders characterized by disturbances in language, communication and thought, including hallucinations; incorrectly called "split personality".
SED SERIOUSLY OR SEVERELY EMOTIONALLY DISTURBED: Term applied to children/adolescents with severe mental health problems.
SELF-HELP GROUPS Groups developed and led by individuals that support their recovery and that of their peers. Alcoholics Anonymous (AA) is an example of a self-help group.
SERVICE PROVIDER An individual or group of individuals who directly deliver drug and/or alcohol treatment and services to a client is called a service provider.
SHELTER The provision to the client of food, clothing, hygienic facilities, referral service and overnight facilities in a supportive atmosphere.
SMH STATE MENTAL HOSPITAL: Mayview State Hospital is an example.
SMI SERIOUSLY MENTALLY ILL: Sometimes referred to as S&PMI (Seriously and Persistently Mentally Ill). OMHSAS has established specific diagnostic levels of functioning and service-use criteria to define SMI for purposes of classification and eligibility for Intensive Case Management.
SNF SKILLED NURSING FACILITY: State-licensed private facility which provides 24-hour a day care and supervision. Nursing homes are equipped to provide medical care and may be an appropriate residential placement for mentally retarded persons with ongoing, complicated medical problems.
SSDI SOCIAL SECURITY DISABILITY INSURANCE: A federally-funded program that provides financial support for individuals with disabilities under 65 years of age who have a work history.
SSI SUPPLEMENTAL SECURITY INCOME: A federal program under Social Security Administration that provides financial assistance to eligible individuals who are needy and are aged, blind or persons with disabilities.
SUPPORTED EMPLOYMENT Combines placement of persons with severely disabilities in competitive jobs with on-the-job training and long term support services.
SUPPORTED HOUSING Programs that provide transitional and/or permanent housing along with needed supportive services for individuals (and in some cases their families) who are homeless, have drug or alcohol addictions, or are dually-diagnosed.
TAC THERAPEUTIC ACTIVITY CENTER: An (MR/DD) education and prevocational setting for adults with mentally retardation/developmental disabilities.
TANF TEMPORARY ASSISTANCE FOR NEEDY FAMILIES: A Block Grant from the federal government. Ends the Federal Aid to Families with Dependent Children (AFDC) entitlement program. In place of the AFDC, each state is provided a TANF Block Grant and the opportunity to design and operate its own program.
TARGET POPULATION The specific subset of a risk population designated as the real or potential program recipients.
TITLE XIX PROGRAM A federal program to fund consumers (whose only alternative would be institutionalization) in community settings.
TRANSITIONAL LIVING The provision of psychosocial rehabilitation and supportive services in a supervised residential setting. No formal counseling/psychotherapy is provided on site. Services include drug and alcohol education and specialized training designed to provide recovering chemically dependent persons with life coping skills necessary for substance free independent living. This is a live in/work out situation. Generally patients reside in the facility for one to six months.
TREATMENT Aimed at tending to the needs of those suffering from chronic abuse of drugs and alcohol. Primary consideration here is the physical stabilization of affected individuals, with follow-up efforts leading toward planned withdrawal from addictive substances. Services are available on both an inpatient and outpatient basis and include detoxification centers and long term rehabilitation homes. In addition, outpatient services provide a regular predetermined schedule of monitoring and counseling to aid in the process of recovery. Partial hospitalization is an intensive daily program that enables one to work and remain at home while in therapy. Medical services and hospitalization are available through local hospitals when needed.
TYPE OF SERVICE Services provided within the different levels of care. There are currently nine types of service.
UDCS UNIFORM DATA COLLECTION SYSTEM: Includes the client management facet, the fiscal management facet, and the program management facet set of forms developed and maintained by the Department of Health.
UR UTILIZATION REVIEW: The process of using predefined criteria to evaluate the necessity and appropriateness of allocated services and resources to assure that the provided services are necessary, cost efficient and effectively utilized.
VOUCHER A written document which evidences the propriety of a transaction and usually indicates the accounts in which they are to be recorded.
WET SHELTER A term used to describe the provision to the client of food, clothing, hygienic facilities, referral service and overnight facilities in a supportive atmosphere that does not require the client to be alcohol or drug-free to participate in the shelter services.
WRAP WELLNESS RECOVERY ACTION PLAN: A self-help tool which empowers the person to work on and maintain his/her own recovery. It is flexible, individualized, easy to learn, and easy to update. It includes sections on developing a wellness toolbox, identifying triggers and warning signs, averting a crisis, and developing a crisis plan.
WRAP-AROUND SERVICES Services developed and/or approved by an interdisciplinary service team which is community-based, centered on the strengths of the consumer and family, and includes the delivery of coordinated, highly individualized services in three or more life domain areas (such as home, school, or community).