AIMS
Abnormal Involuntary Movement Scale - This standardized
instrument quantifies the degree to which clients have involuntary movements
as side effects to antipsychotic medication and is being used in our outcome
study of the newer antipsychotic medications.
BASN
Bay Area Services Network Project - Substance abuse treatment
to parolees of the California Department of Corrections (CDC), with funding
provided by CDC and co-administered with the Department of Alcohol and Drug
Programs and the nine Bay Area counties of Alameda, Contra Costa, Solano,
Sonoma, Napa, Marin, San Francisco, San Mateo and Santa Clara.
B U D G E T T E R M I N O L O G Y
- MOE Budget
Maintenance of Effort Budget - Budget submission that reflects
the cost of maintaining the departments' current effort. It includes any
known salary & benefit changes (such as annualized Cost of Living Allowances
(COLA's approved by the BOS for employees, eligible CBO's), reductions in
one-time costs or revenues, program or grant phase-downs & terminations,
etc.
- VBB Budget
Values Based Budget - Budget Submission that reflects departmental
reduction targets and adjustments that are consistent with service and fiscal
values adopted by the BOS through a public survey process.
- Final Budget
Final Budget - This is the form of the budget officially
adopted by the BOS that governs spending for the fiscal year.
CADPAAC
County Alcohol and Drug Program Administrators Association
- Statewide association of county AOD program directors.
CBO
Community Based Organization - generally refers to non-profit
community agencies and organizations with whom the county contracts for
the provision of a variety of services, e.g., alcohol and drug, mental health,
primary care, etc.
CDC
CALIFORNIA DEPARTMENT OF CORRECTIONS - The state agency
that funds and co-administers (with the Department of Alcohol and Drug Programs)
the substance abuse treatment to parolees (BASN).
CME
Continuing Medical Education: Physicians and other licensed
professionals are required to participate annually in educational activities
as a condition of licensure in order to keep their skills, and knowledge
current. The ultimate goal of CME is quality patient care.
CMHDA
California Mental Health Directors Association
COLA
Cost of Living Allowance
CYCT
Children and Youth Crisis Team - a county-staffed "mobile
crisis team for children and youth.
DADP
Department of Alcohol and Drug Programs for the state of
California
DAC
Disaster Assistance Centers - Multipurpose centers established
in disaster areas, funded, and staffed by the Federal Emergency Management
Agency to provide a variety of services.
DMH
Department of Mental Health for the State of California
DSH Funds
Disproportionate Share Hospital Funding - Augments revenue
generated by hospitals whose patients are overwhelmingly poor people.
DUIP
Driving Under the Influence Programs
Fee for Service MediCal or
FFS/MC
Federal Medicaid funding in California that permitted MediCal
recipients to use their MediCal benefits to secure and pay private providers
for mental health treatment. This source of funding has been treated as
an "entitlement , without "caps", with 50% of the funding
from Federal Financial Participation (FFP) & 50% from state general
funds.
FEMA
Federal Emergency Management Agency
FFP
Federal Financial Participation. This is share reimbursement
provided by the Federal Government for MediCal eligible services provided
to MediCal beneficiaries. This share can range from 49 - 51% of the total
service cost.
"Front Door"
Project
This project (through the use of consultants and key system
stakeholder) will develop a plan for re-organizing the psychiatric-emergency,
crisis, and information & referral services that serve as entry points
(or "Front-Doors") into BHCS. Its primary goal is to optimize
clinically and fiscally the design, administration, operation, and accountability
of the system of psychiatric emergency services.
GSA
General Services Agency - an agency of general government
, responsible for real property(locating property, negotiating leases, overseeing
build outs, occasionally maintenance, etc.).
HCFA
Health Care Finance Agency -- The Federal agency responsible
for administering the Medicaid (MediCal in California) program.
HCSA
Alameda County Health Care Services Agency
Health Plus
A health insurance for the working poor (also referred to
as the Medically Indigent Adult, or MIA) being proposed by the HCSA. Eligibility
criteria and a benefit package would be defined. People not meeting the
eligibility criteria could purchase coverage at a reasonable rate.
HRIIP
High Risk Infant Intervention Project
HCV
Hepatitis C - A form of Hepatitis associated with intravenous
drug use. Approximately 80 - 90 % of IV drug user are positive for HCV.
There is a strong co-association for co-infection with HIV.
ICPC
Interagency Children's Policy Council - The countywide policy
body composed of representatives from all departments who serve children,
two members of the BOS, and other stakeholder constituencies. Its mission
is to improve the quality of life for children and their families by decreasing
fragmentation in service delivery, and promoting coordination and collaboration
among the agencies serving them.
IMD
Institutes for Mental Disease - A term used by the Federal
Government in California to distinguish skilled nursing facilities (SNF)
that primarily care for people with psychiatric diagnoses, from those that
provide care for people with primarily medical illnesses. Any SNF with 51%
or more of its population with a psychiatric diagnosis is considered to
be an IMD.
IPMT
Interagency Placement and Management Team for the Children's
System of Care grant.
ITD
Alameda County INFORMATION TECHNOLOGY DEPT. - This department
(formerly known as Data Processing) within the county General Services Agency
(GSA) has countywide responsibility for all technology associated with computers,
i.e., hardware (PC's and mainframes), software, maintenance, service, purchasing,
etc.
LAO
Legislative Analyst's Office
MCO
Managed Care Organization
MIA
Medically Indigent Adult - uninsured adults who are not
covered by the MediCal program. Are also referred to as people covered by
Section 17000 of the W&I Code. The responsibility for their health care
is delegated to the County.
MrMIB
Managed Risk Medical Insurance Board - The state board responsible
for administering the Child Health Initiative in California, known as "Healthy
Families".
Murphy Conservatorships
A civil commitment for people previously found to be mentally
incompetent under Section 1370 of the Penal Code, who continue to be both
dangerous and incompetent to stand trial. A Murphy may be extended annually
for continued dangerousness and incompetence.
NAS
The Alameda Naval Air Station - being considered as an interim
site for the Alameda Community Support Center until a more permanent, more
suitable, upgraded location can be secured.
NIDA
National Institute of Drug Abuse
NIMBY-ism
NOT IN MY BACKYARD - Neighborhood and community attitudes
that want services for clients but refuse to permit them to be located in
their neighborhoods. Is a reflection of the stigma associated with mental
illness.
NTPs
Narcotic Treatment Programs
OBS
Organic Brain Syndrome - A class of disorders of mental
functioning and or behaviors, resulting from temporary dysfunction of the
brain or from permanent damage to the brain. These disorders are excluded
from coverage by the MediCal Consolidation Mental Health Plan.
P.A.T.H. Funding
Project for Assistance in Transition from Homelessness.
The Federal grant is for helping the homeless with mental illness obtain
mental health services.
PANSS
Positive and Negative Syndrome Scale - a standardized scale
that quantifies the degree to which certain symptoms are present (positive
such as delusions, hallucinations, etc., and negative such as social withdrawal,
blunted affect, etc.). This is one of the instruments being used to measure
outcome in the Antipsychotic Outcome Study.
This section of the Penal Code applies when a person is accused of a felony involving death, harm, or threat to another person, and is found to be mentally incompetent to stand trial due to:
- his or her inability to understand the nature and purpose of the proceedings
- and an inability to assist counsel in his or her own defense
The maximum sentence is 3 yrs, with a mandated competency evaluation at 18 months. The treating staff (usually at State hospital), may file for a Murphy Conservatorship at either of these intervals if they determine that the person remains incompetent, is unlikely to achieve competency, and remains a danger.
PERS
California Public Employees Retirement System
PES
Psychiatric Emergency Services (usually at the John George
Psychiatric Pavilion, unless otherwise specified)
Prop 10
Enacted in Nov. 1998. Created the California Children and
Families First Program that will fund early childhood development programs
from revenues generated by increases in the state excise taxes on cigarettes
and other tobacco products.
PTSD
Post Traumatic Stress Disorder - the development of characteristic
symptoms following exposure to extreme stress (usually involving actual
or threatened death or serious injury).
RFA
Request for Applications
SGF
State General Fund dollars - general-purpose revenues used
by the state to fund a variety of funding priorities. Competition for these
dollars is fierce, and plays itself out during the lengthy state budget
process each year. Behavioral Health Services never faired well when funded
from this source. Our services were considered "discretionary",
and thus subject to drastic cuts each year, after other "mandated"
programs had been appropriately funded.
Short/Doyle MediCal or SD/MC
Federal Medicaid funding in California used for the "public"
mental health treatment services. This source of funding has typically been
"capped", with 51% of the costs reimbursed from the Feds (referred
to as Federal Financial Participation or FFP) with a mandated 49 % match
from state allocations to county mental health.
S.T.A.G.E.S.
Strides Toward Acquiring Geriatric Empowerment and Success
- an intensive 24 hr/ 7day/week wrap around community program for older
adults similar to the successful STRIDES program for younger adults.
TAR
Treatment Authorization Request - A request submitted to
MediCal seeking authorization and payment for services that are medically
necessary, but that are either more extensive or different than are usually
covered by MediCal. E.g. Additional visits, new medication not yet on their
pharmaceutical formulary, etc.
UBH
United Behavioral Health - a private MCO with whom we contract
for various services including certain software packages, e.g. PSP (our
clinical tracking, MIS, and billing system), cCURA-3 (the Phase II MediCal
Consolidation software), provider primary source verification in our credentialing
process, etc.
Vida Nueva
The name approved by the BOS for the BHCHS County Detox. Facility on the
grounds of Fairmont Hospital. It means new life.
VLF
Vehicle License Fee - a major funding source for health
and mental health services. Approximately $ 2,000,000.00 of the BHCS budget
comes from this funding source.