Glossary
General
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Independent Living Services Innovation Unserved or Underserved Populations
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Financial
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Proposed Budget per Member per Month
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General Terms 
Accessible Services: Services that are affordable, available and sensitive to individual needs and cultural values.
Best Practice: A body of knowledge that may include scientific, practical or anecdotal elements and that is perceived as an effective method of treatment.
Case Management: The total provision of services to a consumer that addresses the needs of the client to function at his or her best level in the community.
Community Service and Support: A general reference to community-based mental health services and support programs, which includes a variety of services, a wide range of intensities and purpose. This term often refers to a continuous ‘system of care’ model able to respond to a variety of user needs. See ‘Integrated Services’ and ‘System of Care’, below.
Consumer/Client: Any individual who does or could receive mental health, alcohol, drug and other care services to improve the quality of his or her life.
Consumer-Driven: A client-centered system of mental health care tailored to an individual’s needs, preferences, and timetables that views providers and family as partners, not controlling partners.
Cultural Competence/Multi-Culturalist: The practice of continuous self-assessment and community awareness on the part of service providers to assure a focus on the cultural, linguistic, socio-economic, educational and spiritual experiences of consumers and their families/support systems relative to their care.
Early Intervention: Usually joined in phrase with the term Prevention, it means providing services or treatment early on at the onset of an illness with the goal of reducing the duration of the disorder.
Evidence-Based Practice: An approach to managing mental health services that uses data which shows consistent evidence of improved outcomes to support decision-making.
Expand: Increase in the kind or amount of services offered or increase in the number of people served or increase in the capacity to provide extended or new services.
Family-Driven: A system of care that involves the family of a youth/consumer in the process of assessment, identifying treatment options and developing a treatment plan that is based on and adapted to the youth/consumer’s individual needs.
Family Member: An individual who is now or was in the past, either the primary caregiver or a concerned and involved person who provides a significant level of support to a person who is living with a mental illness.
Independent Living Services: Assistance, skills training and supportive services designed to maximize the client’s ability to function in the community.
Innovation: New and creative approaches and programs that increase access, quality of services and/or collaboration.
Integrated Services: The range of community and supportive services available to a consumer that are coordinated, integrated and reflect common values and focus on the delivery of services.
Outreach: The act of extending services or assistance to those in the community who may benefit from care but who have not, or have not been able to, come forth to seek it.
Prevention: Services using interventions that reduce the likelihood of an onset of a serious illness or disorder.
Recovery: A process where mental health clients learn how to self-direct their lives and mental health, regain hope and optimism and reclaim positive social experiences beyond the mental health system.
Resilience: The enduring ability of someone to recover from assaults to their person, whether physical, mental or emotional and, in the midst of that, maintain a sense of spirit and hope.
Stakeholder: (a) A person or group of people who impacts or is impacted by mental health services; (b) A person who represents others’ interests relative to mental health services.
System of Care: A multi-disciplinary, multi-agency delivery system of services that supports a consumer through a continuum of care and that uses a "person first” approach to build on the strengths of the person being served and his or her support system.
Transform: To wholly change the mental health services system in appearance, structure, nature or function.
Transition Age Youth: Young adults between the ages of 16 and 25 years who would benefit from mental health community services and support to maximize their life skills and independence.
Unserved or Underserved Populations: Individuals that have received no services or are receiving inadequate services to meet their needs.
Financial Terms
Budget: Estimate of proposed expenditures prior to actually incurring the expenditures. May or may not reflect actual expenditures. Should be developed using the best information available at the time the budget is developed.
Cost Report: An annual document prepared by each county that shows the actual costs of various services and programs using accepted accounting methods. The cost report is used as the basis for determining the amount of Medi-Cal funding to which a county is entitled. Also referred to as Short-Doyle/Medi-Cal cost report.
State Audit: A detailed review by the State Department of Mental Health of each county’s financial records. Audit primarily focuses on allowability of expenditures and allocation of costs between programs and accounting for revenue off-sets. Audit typically conducted four to five years after the end of the fiscal year.
Uniform Method of Determining Ability to Pay (UMDAP): Sliding fee scale used by counties* to calculate the amount charged to a client for services. Calculated as an annual amount based on a client’s income and assets.
Expenditure: An actual incurred cost.
Administration Costs: Cost of operating and managing the overall county* mental health program. These costs cannot be tied to the provision of specific services.
Direct Service Costs: Costs of providing services to clients.
Full-Time Equivalents (FTEs): The number of positions calculated assuming a full fiscal year (2,080 hours) after allowing for vacation time, sick leave, holidays, etc.
Proposed Budget per Member per Month: A calculation that shows the budgeted amount estimated to be spent on each participant per month based on the best information available at the time the budget was prepared. This does not represent a case rate, which is a pre-determined payment amount per client.
Planning Estimate: A calculated maximum amount of funding available to each county* for expanded mental health services under the MHSA.
Reserve: An amount set aside and not spent to ensure sufficient funding in years where there is a decline in MHSA revenues.
Pre-Implementation Funding: Funds available to counties* for continued planning efforts while their Community Services and Supports Program and Expenditure Plan is reviewed by the State.
Maintenance of Effort: A required contribution in order to receive funding. In the case of the MHSA, the maintenance of effort is based on a prior level of funding used for mental health services.
Supplant: Literally means to take the place of and serve as a substitute for. Thus, MHSA funds are not to take the place of and serve as a substitute for (or replace) existing state or county funds utilized to provide mental health services.
* The term ‘county’ icludes the City of Berkeley in these instances.
Last Updated: 04/18/2005
Copyright © 2008
Alameda County Behavioral Health Care Services
2000 Embarcadero Cove, Suite 400, Oakland, CA 94606