Glossary and acronyms
This page includes acronyms and terms used throughout the toolkit. Click on terms to see the source for the definition. Is something missing? Let us know by submitting an acronym or term you would like to see included.
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401; 401 a b or c: refers to a section of the mental health code
A
anosognosia: a neurological condition in which the patient is unaware of their psychiatric condition.
AOT: Assisted Outpatient Treatment
assisted outpatient treatment: (excerpt of the mental health code) means the categories of outpatient services ordered by the court under section 468 or 469a. Assisted outpatient treatment may include a case management plan and case management services to provide care coordination under the supervision of a psychiatrist and developed in accordance with person-centered planning under section 712. Assisted outpatient treatment may also include 1 or more of the following categories of services: medication; periodic blood tests or urinalysis to determine compliance with prescribed medications; individual or group therapy; day or partial day programming activities; vocational, educational, or self-help training or activities; assertive community treatment team services; alcohol or substance use disorder treatment and counseling and periodic tests for the presence of alcohol or illegal drugs for an individual with a history of alcohol abuse or substance use disorder; supervision of living arrangements; and any other services within a local or unified services plan developed under this act that are prescribed to treat the individual's mental illness and to assist the individual in living and functioning in the community or to attempt to prevent a relapse or deterioration that may reasonably be predicted to result in suicide, the need for hospitalization, or serious violent behavior. The medical review and direction included in an assisted outpatient treatment plan shall be provided under the supervision of a psychiatrist.
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C
CCBHC: Certified Community Behavioral Health Clinic
clinical certificate: A legal court document that is filled out by either a psychiatrist, physician, or licensed psychologist who has personally examined an individual being petitioned for mental health treatment. The professional completing the form will indicate whether, in their opinion, the person being petitioned is or is not mentally ill, determines a diagnosis, gives reasons to back their determination up and also recommends a level of intervention for the individual if they have found that they require treatment. View the form here.
contraindication: A contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person. Relative contraindication means that caution should be used when two drugs or procedures are used together. (It is acceptable to do so if the benefits outweigh the risk.) Absolute contraindication means that event or substance could cause a life-threatening situation. A procedure or medicine that falls under this category must be avoided.
CRSP: Clinically responsible service provider. The Clinically Responsible Service Provider (CRSP) is a mental health provider who is either a part of, or contracted by the CMH, that provides outpatient services. They provide a wide range of services for the member receiving treatment, including the development and implementation of the Individualized Plan of Service (IPOS).
D
decompensation: the loss of one’s ability to overcome their mental health symptoms, resulting in their symptoms getting worse and challenging their ability to function.
deferral conference: A deferral conference is what happens when a currently hospitalized individual who is being petitioned for mental health treatment requests that their probate hearing be deferred for up to 60 days and agrees to voluntarily adhere to treatment during that time. The deferral creates an opportunity for the individual to take agency in their treatment and demonstrate their capacity without a court order. During this time, the petition stays active so that if the individual stops adhering to their treatment plan. The following people must be present at the deferral conference:
- the individual being petitioned.
- their appointed or elected attorney.
- CMH representative or CRSP.
- hospital representative (liaison, social worker, etc.).
E
(order for) examination/transport: An order issued by the court for an individual who has been petitioned for mental health treatment but will not voluntarily go to a screening site for an assessment. View the form here.
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K
Kevin's Law: Assisted outpatient treatment in Michigan law began as a package of bills called "Kevin's Law". Kevin Heisinger, a 24-year-old student at U of M, was killed in a Kalamazoo bus station by Brian Williams, an individual living with schizophrenia (paranoid type) in 2000. Prior to killing Kevin, Williams had repeated contact with law enforcement and numerous psychiatric hospitalizations due to his non-adherence with psychiatric treatment.
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M
mental health code: a compilation of Michigan laws governing the delivery of mental health services. State law defines the mental health code as: AN ACT to codify, revise, consolidate, and classify the laws relating to mental health; to prescribe the powers and duties of certain state and local agencies and officials and certain private agencies and individuals; to regulate certain agencies and facilities providing mental health or substance use disorder services; to provide for certain charges and fees; to establish civil admission procedures for individuals with mental illness, substance use disorder, or developmental disability; to establish guardianship procedures for individuals with developmental disability; to establish procedures regarding individuals with mental illness, substance use disorder, or developmental disability who are in the criminal justice system; to provide for penalties and remedies; and to repeal acts and parts of acts.
MHDC: Mental Health Diversion Council
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NAMI: National Alliance on Mental Illness
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P
pickup order: See order for examination/transport.
protective custody: refers to the time that an individual is with law enforcement, and allows law enforcement to take the necessary steps to get that person to a screening site. The person is not under arrest, but they are in custody of law enforcement and must comply.
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S
serious mental illness: a diagnosable mental, behavioral, or emotional disorder affecting an adult that exists or has existed within the past year for a period of time sufficient to meet diagnostic criteria specified in the most recent Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association and approved by the department and that has resulted in functional impairment that substantially interferes with or limits 1 or more major life activities.
SMI: Serious Mental Illness
stipulate: When an individual is being petitioned for AOT, they can choose to stipulate to the order, meaning they are choosing to accept treatment, and an AOT order without having a hearing. The judge grants the order, which then goes into effect, and it is up to the CMH to oversee and coordinate service delivery. Simply put, when an individual stipulates an order, they agree to participate in whatever treatment is ordered with oversight from the court.
subject: an individual regarding whom a petition has been filed with the Court asserting that the individual is or is not a person requiring treatment or for whom has an objection to involuntary mental health treatment.
T
transport order: see order for examination/transport.
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