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.
401; 401 a b or c: refers to a section of the mental health code
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.
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
ER: Emergency Room
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.
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.
Protective custody: the temporary custody of an individual by a peace officer with or without the individual's consent for the purpose of protecting that individual's health and safety, or the health and safety of the public, and for the purpose of transporting the individual. Protective custody is civil in nature and is not an arrest.
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.
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.
SMI: Serious Mental Illness
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