(1) "Assessment" means an integrated examination of the client's strengths, status, aspirations, needs, and goals in the life domains of residence, health, vocation, education, community participation, leisure time, and economics.

(2) "Assistance in daily living" means the ongoing monitoring of how a client is coping with life on a day-to-day basis and the activities a case manager performs which support a client in daily life. Assistance with daily living skills includes, but is not limited to, assistance with shopping, monitoring symptoms related to medications, assistance with budgeting, teaching use of public transportation, monitoring and tutoring with regard to health maintenance, and monitoring contact with the family members.

(3) "Case planning" means the development of a written individualized case management plan by the case manager and the client.

(4) "Coordination, referral, and advocacy" means providing access to and mobilizing resources to meet the needs of a client. This may include but is not limited to:

(a) advocating on behalf of a client with a local human services system, the social security system, the disability determination unit, judges, etc.;

(b) making appropriate referrals, including to advocacy organizations and service providers, and insuring that needed services are provided; and

(c) intervening on behalf of a client who otherwise could not negotiate or access complex systems without assistance and support.

(5) "Crisis response" means immediate action by an intensive case manager or care coordination case manager for the purpose of supporting or assisting a client or other person in response to a client's mental health crisis. Crisis response must be made in a manner consistent with the least restrictive alternative measures or settings available for the client's condition. Crisis response may include contact with a client's family members if necessary and appropriate.

(6) "Episode of decompensation" means increased symptoms of psychosis, self-injury, suicidal or homicidal intent, or psychiatric hospitalization.

(7) "Severe disabling mental illness" means with respect to a person who is 18 or more years of age that the person meets the requirements of (7)(a), (b), or (c). The person must also meet the requirements of (7)(d). The person:

(a) has been involuntarily hospitalized for at least 30 consecutive days because of a mental disorder at Montana State Hospital (Warm Springs campus) at least once;

(b) has a DSM-IV diagnosis of:

(i) schizophrenic disorder (295);

(ii) other psychotic disorder (293.81, 293.82, 295.40, 295.70, 297.1, 297.3, 298.9);

(iii) mood disorder (293.83, 296.2x, 296.3x, 296.40, 296.4x, 296.5x, 296.6x, 296.7, 296.80, 296.89);

(iv) amnestic disorder (294.0, 294.8);

(v) disorder due to a general medical condition (310.1);

(vi) pervasive developmental disorder not otherwise specified (299.80) when not accompanied by mental retardation; or

(vii) anxiety disorder (300.01, 300.21, 300.3);

(c) has a DSM-IV diagnosis of personality disorder (301.00, 301.20, 301.22, 301.4, 301.50, 301.6, 301.81, 301.82, 301.83, or 301.90) which causes the person to be unable to work competitively on a full-time basis or to be unable to maintain a residence without assistance and support by family or a public agency for a period of at least six months or is obviously predictable to continue for a period of at least six months; and

(d) has ongoing functioning difficulties because of the mental illness for a period of at least six months or for an obviously predictable period over six months, as indicated by at least two of the following:

(i) a medical professional with prescriptive authority has determined that medication is necessary to control the symptoms of mental illness;

(ii) the person is unable to work in a full-time competitive situation because of mental illness;

(iii) the person has been determined to be disabled due to mental illness by the social security administration; or

(iv) the person maintains a living arrangement only with ongoing supervision, is homeless, or is at imminent risk of homelessness due to mental illness; or

(v) the person has had or will predictably have repeated episodes of decompensation.