ATTACHMENT I
CHAPTER 18
ALCOHOLISM/SUBSTANCE ABUSE PROGRAM
GLOSSARY OF TERMS
Term | Description |
---|---|
AA, Alanon, Alateen, Alatot | World-wide fellowship groups that
have evolved since the founding of Alcoholics Anonymous in 1935 for the
maintenance of sobriety and happy life-styles without the influence of
alcohol. |
Affiliation | A relationship established by the
governing authorities of two organizations and signified by an annual
written agreement. The terms specify services, space and/or personnel
provided to one organization by the other for the accomplishment of mutually
supported service goals. |
Aftercare Services | Care provided to clients who have
progressed through stages of development; e.g., emergency, inpatient,
intermediate and/or outpatient services, to the point in recovery where
benefits from a plan of continued community-based services will increase and
maintain the gains made to date in the treatment process. For those
being discharged from primary residential treatment programs, aftercare is
required and includes all services provided after discharge form PRT. |
Alcohol Intoxication | Criteria for alcohol intoxication
include:
|
Alcoholism | A state, psychological and/or
physical resulting from taking alcohol, characterized by behavioral and
other responses that always include a compulsion to take alcohol on a
continuous or periodic basis in order to experience its psychological
effects, and sometimes to avoid the discomfort of its absence; tolerance may
or may not be present. (Referred to as "Alcohol Dependency Syndrome"
in the International Classification of Diseases, WHO, 1977). |
Alcoholism/Substance Abuse Program | Any service program comprised of
any of one or more designated program components which may be affiliated,
internally and/or externally contractually related, and drawn from one or
more organizations responsible for providing continuity of service to, and
care of, people with problems associated with the use of alcohol and/or
other drugs. |
Alcohol Treatment Guidance System | A data system developed by IHS to
guide and monitor the provision of services to clients/patients receiving
treatment from IHS contract and direct care programs. |
Area Intervention Team | The Team is under the supervision
of the Area Alcoholism/Substance Abuse Coordinator. Consists of a
minimum of two qualified Area level staff members with expertise in the
field of alcoholism and substance abuse prevention and treatment. |
Assessment | That act or result of judging the
worth or value of something or someone. This term in synonymous with
evaluate. |
Client | A person who receives treatment
services. The term is synonymous with "patient" or "resident". |
Co-Alcoholic | A person, generally the spouse of
the alcoholic, who contributes at least implicitly through emotional support
toward maintenance and continuation of the primary alcoholic's dependency.
This is a condition requiring counseling. |
Community Education | The use of information, media
resources, and skills development groups to increase awareness in community
members and employees of institutions; i.e., tribal groups, courts,
religious organizations, social agencies, and schools. Problems of
alcoholism/substance abuse, the availability of prevention and treatment
resources, and techniques for motivating an individual into treatment are
stressed. |
Community Rehabilitation/Aftercare | The process of providing
nonresidential diagnostic and follow-up treatment services for individuals
who require therapeutic and supportive counseling and referral services
while living independently. |
Consultation | The act of providing information
and/or technical assistance to a particular group or individual seeking
resolution of a specific problem(s). |
Counselor | An individual who provides
professional or non-degreed professional therapeutic intervention services
or personal guidance. |
Detoxification | Care provided while the person is
in withdrawal from alcohol or other drugs. |
Diagnosis | Evaluation of a person through a
multi-disciplinary staffing process using procedures and/or criteria to
determine the nature and extent of a disease. Observations provide a
basis for planning a treatment program for the client. |
Documentation | Provision of written, dated, and
authenticated evidence to substantiate compliance with standards; e.g.,
minutes if meeting, memoranda, schedules, notices, announcements, progress
notes, treatment plans, ATSG, etc. |
Drop-In Center | A 40 hour per week, non-medical,
non-residential facility, where individuals under the influence of alcohol
and at risk of physical or emotional damage as a result of intoxication,
admit themselves for the purpose of receiving nourishment, temporary shelter
and first aid. In addition, the agency provides motivational
counseling, information and referral for detoxification, treatment
alternatives, or other needed community services. A Drop-In Center may
also serve individuals who are considered at high risk of becoming
alcoholism/substance abusers, by providing special emphasis as a diversion
from substance abuse activities. |
Emergency Care | A network of services that
provides all persons experiencing acute problems related to alcohol use and
abuse immediate diagnosis and care, as well as appropriate referral for
continuing care after emergency treatment. |
Follow-up | A required monitoring service by
the agency designed to assure continued successful adaptation to living
through periodic contact with individuals who have been in one or more
phases of treatment and are now living independently and practicing adaptive
skills for living. As problems are identified, referrals are made to
appropriate supportive services. |
Halfway House | A non-medical, residential
facility where individuals who have been detoxified and require a moderately
structured non-permanent living arrangement are admitted. Individuals
practice improved living skills acquired in primary residential care or
earlier life experiences while receiving feedback and emotional support from
fellow residents and alcoholism treatment specialists. |
Incident Report | Documentation of an event that is
likely to lead to adverse effects and/or that varies from established
policies and procedures pertaining to patient care. |
Inpatient | A patient who receives food and
lodging and supervised acre for a period of at least 24 hours.
Patients meet appropriate criteria for the various inpatient components. |
Medical Services | Services performed at the
direction of a physician or by physicians, nurses and other professional and
technical personnel. (See Medical Care). |
Intake | The administrative and assessment
process for admission to a program. |
Multi-Disciplinary Team | A group of clinical staff members
composed of representatives from different professions, disciplines, or
service areas. |
Non-Degreed Professional | A person who through experience
and/or study has attained a degree/certificate of expertise in one or more
of the areas related to the use of alcohol. |
Outpatient | A service delivery program which
provides individual, group and/or family treatment counseling as primary
modes of intervention to the alcoholism/substance abuse client. Other
forms of direct assistance may be utilized as supportive therapy, e.g.,
consultation and referral. |
Outreach | A service designed to reach into
the community and identify individuals and/or families presently in need of
intervention and treatment. Intervention in the early stages of
involvement is stresses, information about community resources is provided
and entry into treatment is facilitated through motivational counseling,
referral and transportation. |
Patient | A person who receives treatment
services. The term is synonymous with "client" or "resident". |
Prevention | Activities designed for health
promotion/disease prevention or measures undertaken to avoid the onset of a
predetermined disease or to reduce risk factors. Includes primary
prevention, which is group oriented and is primarily educational in nature,
and secondary prevention or intervention which includes activities to detect
and intervene in alcoholism/substance abuse in the early stages. The
term is applicable to any strategy that intentionally or unintentionally
reduces the incidence of any disorder. |
Primary Prevention | Encompasses activities directed
toward specifically identified vulnerable high risk groups (children of
alcoholic/substance abuse parents, students enrolled in schools with high
rates of substance abuse, etc.) for whom measures can be taken to avoid the
onset of a predetermined disorder. Primary prevention efforts are directed
toward promotive or proactive interventions focusing not on
the alleviation of pathology per se, but on the development of
positive, adaptive, and adjustive capacities and skills. Programs for
the promotion and/or disease prevention fall within the domain of primary
prevention and are primarily educational rather than clinical in conception
and operation; their ultimate goal is to increase people's capacities for
dealing with vulnerable situations and for taking steps to improve their own
lives. |
Primary Residential Treatment | A 24-hour, non medical,
residential treatment facility where individuals who have been detoxified
and require a closely supervised and sheltered living arrangement are
admitted for intensive treatment of problems associated with drinking and
other drug use. Individualized plans for treatment are negotiated and
implemented to facilitate the development of new life skills and abstention
from drinking and other self-destructive behaviors. |
Progress Notes | Written entries into a client's
chart about movement of the client toward defined goals made by the primary
counselor or other staff persons including information such as date and
time, status of the client at the last observation, behavior, attitude or
change observed, action(s) taken by the counselor, and the counselor's
signature and title. |
Quality Assurance | A process of review and monitoring
of services rendered to clients/patients of alcoholism/substance abuse
programs directed toward 1) the structure within which care is given; 2) the
process of providing the care; and 3) the outcome of the care given. Quality implies having the characteristics of excellence. The term assurance implies having a commitment beyond the measurement or evaluation of quality to undertake actions that will result in the correction of deficiencies and finding ways to improve care. A quality assurance program, therefore, follows the following five steps:
|
Recreation Technician | Assists the recreation therapist
in supervising individual and group activities, and applies individual plans
worked out by the recreation therapist. |
Recreation Therapist | Has a degree in recreation therapy
and can perform individualized client assessments, develop individual
treatment plans in decision-making, arts, crafts, games, and activities. |
Rehabilitation | The process by which a client
achieves self-reliance and mastery to become productive through personal and
skill redevelopment activities. |
Secondary Prevention | Focuses on the early detection and
the reduction of the severity of the disorder. Secondary efforts are
directed toward individuals and are instituted only after some initial
manifestation or disorder is identified. |
Tertiary Prevention (Acute Care/Rehabilitation) | Interventions occur once a disorder manifests clinically diagnosable signs and symptoms are, by definition, oriented toward treatment and rehabilitation. The goals of such activities are to minimize, insofar as possible, long-term after-effects and the recurrence of the disorder. |