7 AAC 43.471. Severely emotionally disturbed children

(a) A severely emotionally disturbed child must meet the following criteria:

(1) the recipient's specific symptoms and maladaptive behavior are identified and documented in the clinical record through an intake assessment and functional assessment, and provide the basis for the recipient's diagnosis;

(2) the recipient has, as a result of the recipient's symptoms and maladaptive behavior, serious functional impairment in one or more areas of social functioning, including family, school, or community, as indicated by

(A) an Axis V Global Assessment of Functioning (GAF) rating at admission of 50 or less under the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, dated 2000 ( DSM-IV-TR ), adopted by reference; or

(B) the exhibition of specific mental, behavioral, or emotional disorders that place the recipient at imminent risk for out-of-home supervision or protective custody by state or local authorities;

(3) the clinical record confirms that the recipient's symptoms and maladaptive behavior have lasted at least six months, and the symptoms and maladaptive behavior require mental health rehabilitation services that are medically necessary, as determined in accordance with 7 AAC 43.486;

(4) the recipient's symptoms and maladaptive behavior are not a result of intellectual, physical, or sensory deficits;

(5) the recipient's treatment planning process requires active collaboration of the interdisciplinary team required under 7 AAC 43.470; and

(6) the recipient's clinical record documents that the interdisciplinary team required under 7 AAC 43.470 has recommended and approved, in accordance with that section, the mental health clinic services and rehabilitation services specified in the individualized treatment plan.

(b) In this section, "functional impairment" means a disorder that substantially interferes with or prevents a recipient from achieving or maintaining one or more developmentally appropriate social, behavioral, cognitive, communicative, or adaptive skills. "Functional impairment" includes disorders of episodic, recurrent, or continuous duration. "Functional impairment" does not include temporary, expected responses to stressful events in the recipient's environment.

History: Eff. 11/1/2000, Register 156; am 4/28/2005, Register 174

Authority: AS 47.05.010

AS 47.07.030

AS 47.07.040

Editor's note: The American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, dated 2000 and adopted by reference in 7 AAC 43.471, may be obtained from the American Medical Association at (800) 621-8335; from American Psychiatric Publishing, Inc., 1000 Wilson Boulevard, Suite 1825, Arlington, Virginia 22209-3901, telephone (703) 907-7322 or (800) 368-5777; or from the American Psychiatric Association at the following electronic mail address: appi@psych.org. This manual is also available for inspection at the Department of Health and Social Services, Division of Health Care Services, 4501 Business Park Boulevard, Suite 24, Anchorage, Alaska 99503-7167.

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