Glossary of Terms
Families are often in situations where professionals are using terms or
abbreviations that are unfamiliar. When this occurs families should
always ask for an explanation of the terms or abbreviations. This is
important so that families understand exactly what is being recommended
for their child. The following glossary is a brief listing of commonly
used terms. Many of the terms refer to agencies and processes unique to
Maryland. The glossary is divided into three sections: Education,
Mental Health and Juvenile
Justice. We hope the glossary is helpful as you navigate systems of
care for your child.
Education
Assessment
The process of testing your child to determine his/her disability and
what kind of educational services he/she needs as a result of the
disability.
COMAR (Code of Maryland Regulations)
COMAR is the official compilation of all administrative regulations
issued by agencies of the state of Maryland.
DORS (Department of Rehabilitative Services)
A department of the Maryland State Department of Education that promotes
the employment, economic self-sufficiency and independence of
individuals with disabilities. A representative of DORS should be part
of the child's transition planning team as a child and family anticipate
the child graduating from high school to the world of work. DORS can
provide access to vocational training and supported employment after a
child leaves school.
Due Process Hearing
A formal way to resolve a dispute between you and your child's school
system about your child's special educational program. In Maryland the
hearing is run by an administrative law judge through the state Office
of Administrative Hearings. You can submit a request for a hearing by
submitting a written request to your child's school system. The Office
of Administrative Hearings must hold the hearing and issue a decision
within 45 calendar days.
ED (Emotional Disturbance)
An educational category for children with emotional or behavioral
disabilities. The term refers means a condition exhibiting one or more
of the following characteristics over a long period of time and to a
marked degree, which adversely affects educational performance:
- An inability to
learn which cannot be explained by intellectual, sensory or health
factors;
- An inability to
build or maintain satisfactory interpersonal relationships with
peers and teachers;
- Inappropriate
types of behavior or feelings under normal circumstances;
- A tendency to
develop physical symptoms or fears associated with personal or
school problems.
ESY (Extended
School Year Services)
Educational services provided beyond the regular school year for
children who may regress or need continued services to maintain skills
during the summer or during times when school is not in session.
FBA (Functional
Behavioral Assessment)
A problem-solving process for addressing disruptive or problem behavior.
The process looks beyond the behavior itself and tries to identify
specific social, emotional, environmental or cognitive factors that
cause the behavior and interventions to directly address the behavior.
After the FBA, a behavior management plan is developed address the
specific behaviors.
IDEA (Individuals with Disabilities Education Act)
The federal law that guarantees all children with disabilities the right
to a free and appropriate public education. To learn more about the law
and regulations click on http://www.ideapractices.org/idealaw.htm
IEE
(Independent Educational Evaluation)
Testing conducted by qualified personnel not employed by the school
system responsible for your child's education. Families have a right to
request an IEE at public expense if you disagree with the evaluation
conducted by the school system. On request the school system will
provide information about where to obtain an independent evaluation and
the agency criteria. The school system is not required to pay for an IEE
if they believe that the evaluation they conducted is appropriate. The
school system may initiate a due process hearing to show that its
evaluation is appropriate, or that the assessment you obtained did not
meet agency criteria. If the administrative law judge agrees that the
school system evaluation was appropriate, you will be required to pay
the entire cost of the independent educational evaluation.
IEP
(Individualized Education Program)
An individualized plan that is developed for each child in special
education. The IEP describes goals and the services that your child will
receive in order to achieve the goals. This document is legally binding.
Families have a right to participate in writing the IEP. Families do not
have to sign the IEP at the IEP meeting but can take it home to think
about it. If it is your child's first IEP and you do not sign it, the
school system can request a due process hearing to ask an administrative
law judge to order that the IEP be implemented. If it is not your
child's first IEP and you do not sign it, the school system must give
notice but can then implement the IEP anyway unless you request a due
process hearing or mediation. It is important to remember that the IEP
drives the placement. You can request an IEP meeting at any time and
more than once per year.
IEP Team
The multidisciplinary team of people who make special education
decisions about a child, including eligibility for special education,
recommendations for testing to be done, development of the IEP,
determination of placements and annual reviews. The parent is a member
of the IEP team. Parents may bring an advocate with them to the IEP
meeting as well as any other person, such as a therapist, who knows the
child and can speak on his/her behalf.
Inclusion or
Mainstreaming
Special services your child needs are provided in the regular classroom
to the maximum extent possible.
Infants and
Toddlers Program
A statewide program that requires services for children from birth
through 3 years of age including an individualized family plan (IFSP)
and case management. This program is mandated by federal law PL99-457.
In Maryland, the Infants and Toddlers Program operates under the
Maryland State Department of Education. Local jurisdictions may operate
the Infants and Toddlers Program from the Department of Education or
other agencies such as the Health Department.
LCC (Local
Coordinating Council)
A committee in each local jurisdiction in Maryland designated to review
cases for residential placement. If the LCC disapproves a residential
placement the committee must develop alternatives to residential
placement for children with special needs. These agencies that comprise
the LCC include: the local Department of Education, Department of Social
Services, Juvenile Justice, Mental Health and Developmental
Disabilities. Each jurisdiction determines whether the LCC will meet
weekly or monthly to review cases. The parent has the right to attend
the LCC meeting when their child's case is being discussed and the
parent may bring an advocate with them to the meeting.
LMB (Local
Management Board)
A committee in each county and Baltimore City responsible for planning
and developing services for children in their jurisdiction. The LMB also
receives money from the State and allocates the money to the needed
services.
IFSP
(Individualized Family Service Plan)
A plan that describes the services an infant or toddler with special
needs less than 3 years of age and his/her family will receive. The plan
is developed through the Infants and Toddlers Program in collaboration
with the family.
LRE (Least
Restrictive Environment)
The right to be educated in an environment that is least restrictive.
This means that a child can be in a regular school and classroom with
non-disabled peers. Supports and services must be provided to ensure
that the goals of the IEP can be achieved. This also means that the
child should be able to attend his/her neighborhood school unless the
IEP requires another arrangement. Services should be provided in
separate classes or schools only when the nature or severity of the
disability prevents achievement of a satisfactory education program in a
regular classroom.
Mediation
The process of having an impartial trained person, called a mediator,
help you and the school system reach an agreement about your child's
special education program and services. Either you or the school system
can request mediation. It is voluntary and both parties must agree to
it. If you and the school system both agree to mediation, a mediation
conference must be conducted within 20 days of your request.
MSDE (Maryland
State Department of Education)
The state agency responsible for monitoring local departments of
education and ensuring that local departments comply with federal and
state laws.
Out-of-State
Placement
Placement of a child with special needs in a residential facility
outside of the State of Maryland for which state funding is requested.
This includes: hospitals, residential treatment centers (RTCs) group
homes, alternative living units, wilderness programs and other
out-of-home settings. Approval for residential placement is through the
Local Coordinating Council in each local jurisdiction.
Records
Files maintained by the local education agency containing information
about your child including: academic performance, behavior, screening
and assessment results, program needs and other related services. You
have a right to examine your child's records and the information
contained in them.
Related
Services
Those services that must be provided to your child so that he/she can
benefit from special education instruction. These services may include
transportation, speech pathology, counseling, physical therapy,
psychological services, recreation, medical services and more.
SCC (State
Coordinating Council)
The State interagency committee that oversees the operation of the Local
Coordinating Councils (LCCs) and monitors the provision of residential
placement services to children with special needs.
Screening
The initial process of reviewing your child's situation to see if he/she
may be disabled and in need of special education services. You, a
teacher or health professional may refer your child for screening. The
request for screening should be in writing and submitted to the
principal of your child's school. If the screening shows
"deficits" or delays, the child will be referred for an
assessment.
Section 504
A federal law that requires "reasonable accommodation" of a
disability. Section 504 can be used to address special education issues
that may not be covered by the Special Education Law IDEA. For example,
accessibility of your child's school building or the length of your
child's school day.
Transition
Services
Transition services are those services provided by the local education
agency or other agencies such as Department of Rehabilative Services (DORS)
to prepare and support the child as they move from education into the
world of work and independent living. Beginning at age 16 the IEP for
each student with a disability must include a statement of needed
transition services for the child including instruction, related
services, employment and other post-school adult living objectives and
daily living skills and functional vocational evaluation.
Mental
Health
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Assessment
An assessment is a comprehensive evaluation of the child conducted by a
professional. The assessment should include a review of the child's
physical and mental health status, intelligence, school performance,
peer relations, social skills and family situation. An assessment may
include testing to evaluate some of these factors.
DSM-IV
(Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition)
A manual of mental health disorders developed by the American
Psychiatric Association used by professionals to understand and diagnose
mental health problems. Often a DSM-IV diagnosis is required in order
for a child to be eligible for mental health services.
EPSDT (Early
& Periodic Screening, Diagnosis & Treatment)
Federal law requires the state to provide screening, diagnosis and
"all medically necessary" treatment services, including mental
health services, to all Medicaid recipients under 21 years of age. EPSDT
is a way to obtain individualized wrap-around treatment and support
services necessary for children to remain at home and in their
community, or to return there after a hospitalization or other
out-of-home placement.
Gray Zone
Individuals
Individuals who by virtue of their income, family size, insurance and/or
severity of need have all or part of their mental health care costs paid
by the public mental health system based upon resources available in the
Mental Hygiene annual budget.
ICD-9
(International Classification of Diseases, 9th Revision)
An international manual that classifies related diseases and procedures
for the reporting of statistical information. Often an ICD-9 code or
DSM-IV diagnosis is required in order for a child to be eligible for
mental health services.
Managed Care
A system that manages the utilization of health care services by
requiring certain procedures such as:
- Preauthorization
for care
- Limits on
health care services
- Contracting
with selective providers
Maryland
Children's Health Program
A program in Maryland that provides health insurance coverage for
children and pregnant woman based on family income. Applications are
available at local Health Departments and other places like school
health centers. For additional information contact 1.800.735.2258
MEDICAID/Medical
Assistance
Medicaid is also called medical assistance. It is a state and federal
health insurance program for certain low-income and needy people.
Eligibility for Medicaid is determined by case managers at the local
Department of Social Services. Most children and families on Medicaid
are enrolled in HealthChoice, Maryland's managed care system for
Medicaid. Contact the local Department of Social Services for additional
information.
Mental Health
Mental health relates to how we think, feel and act. It affects:
- How one feels
about themselves, about their lives and about other people in their
lives
- How one views
and handles problems, stress and challenges
- How one relates
to others
- How one makes
decisions
- How one adapts
to new or changing situations.
Mental Health
Problems or Mental Health Disorders
Mental health problems are real and affect one's thoughts, feelings,
behavior and physical well-being. Children, adolescents and even infants
can experience mental health problems. They can be severe and interfere
with one's life and ability to function. Mental health problems are
called "disorders" and common disorders include: depression,
anxiety, phobias, attention-deficit disorder, post traumatic stress
disorder, eating disorders, attachment disorders, bi-polar disorders,
schizophrenia and more. There are many different causes of mental health
problems such as:
- Biological or
physical factors such as a chemical imbalance
- Environmental
factors such as extreme stress, violence or abuse
- Traumatic
experiences such as death of a loved one.
Mental Health
Provider
A licensed professional trained to provide mental health services.
Providers may include:
- Psychiatrists -
medical doctors who specialize in mental health treatment. Psychiatrists
are the only mental health professionals that can prescribe
medication.
- Psychologists -
a mental health professional with a doctoral degree in psychology.
- Social Worker -
a mental health professional with a Master's Degree in Social Work
and is licensed by the State Board of Social Work Examiners.
Maryland's
Mental Health System of Care
The Mental Health System in Maryland consists of several local and state
agencies responsible for different aspects of the system:
Department of
Health and Mental Hygiene (DHMH)
The agency in Maryland responsible for all public health and mental
health services.
Alcohol and
Drug Administration (ADAA)
The division of DHMH responsible for substance abuse evaluations and
treatment
Mental
Hygiene Administration (MHA)
The division of DHMH responsible for planning, funding and monitoring
mental health services throughout the state. The Mental Hygiene
Administration receives state and federal dollars for mental health
and allocates the funds to the local Core Service Agencies throughout
the state.
Maryland
Health Partners (MHP)
The Mental Hygiene Administration contracts with Maryland Health
Partners to administer the public mental health system in Maryland.
MHP determines eligibility, refers individuals to appropriate
providers and authorizes treatment.
Core
Service Agency (CSA)
Each jurisdiction is mandated by the state to designate or create a
Core Service Agency that serves as the local mental health authority
responsible for planning, coordinating, and evaluating mental health
services. CSAs receive funds from the state and contract for needed
services in the community. The Core Service Agency must have parent
participation in planning and evaluating services for children.
Psychological
Testing
A range of tests administered by a qualified professional as part of an
assessment for a child. Different types of tests are used to evaluate
different things. Types of tests include:
- Achievement
Tests - designed to assess current performance in academic areas
- Aptitude Tests
- generally used to predict future performance
- Intelligence
Tests - measure the capacity of an individual to learn
- Interest
Inventories - indicates personal preference among interests and is
used in career guidance
- Objective
Personality Tests - measure social and emotional adjustment
- Projective
Tests - responses to a series of words, questions or pictures
interpreted by professionals.
RTC
(Residential Treatment Centers)
A residential facility licensed by the state to provide intensive
therapeutic care, supervision and education for children 24 hours a
day/7 days a week. An RTC usually serves more than 12 children at a
time.
Respite Care
Services that provide temporary relief to the family or caregiver of a
child with mental health needs. Respite care can be provided in-home or
out of the home at a facility. Respite care services are intended to
help the family care for the child at home and prevent the child from
having to go to a residential program away from the family. Maryland has
seven specialized respite care programs for families with children who
have severe mental health needs.
Social Security
Supplemental Income (SSI)
SSI is a Federal in come supplement program funded by general tax
revenues not Social Security taxes. Children with "physical or
mental conditions which can be medically proven and which result in
marked and severe functional limitations and the condition(s) may be
eligible for SSI benefits." Children must be under age 18 or 18-22
and a student and the condition must have lasted or be expected to last
12 months or end in death. Contact your local Social Security office for
additional information.
Transition
Services
Services that support a child with mental health needs as they enter
adulthood and the adult service system. These services may include
independent living services, supported employment, vocational training
and mental health services. Maryland transition age youth service
programs in 11 jurisdictions.
Therapeutic
Group Home
A community home serving 5-10 children with mental health needs.
Wraparound
Services
An approach to helping children with mental health needs and their
families by developing individualized services that meet the child and
family needs such as respite care for the family, in-home aides to help
manage the child's behavior. Families with children on Medicaid are
entitled to these services through Early & Periodic Screening,
Diagnosis & Treatment (EPSDT.)
Juvenile
Justice
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Arbitration
A process where an impartial person will listen to both sides of a
dispute and make a judgement.
Adjudicatory
Hearing
A hearing before a juvenile judge or master to determine the truth of
allegations made against a youth. If the allegations are found to be
true, the youth is "adjudicated delinquent."
Aftercare
An individualized service plan developed for a youth who is discharged
from a residential program or hospital outlining the community services
to be provided when the child returns home. Services may include
mentoring, counseling, drug or alcohol treatment.
Capital Offense
A criminal offense punishable by death and in Maryland, a life sentence
without possibility of parole.
Commitment
Legal transfer of a youth's custody from a parent or legal guardian to a
State agency, Juvenile Justice, Department of Social Services,
Department of Mental Hygiene or Development Disabilities Administration
which is responsible for the child's placement for up to three years
Complaint
A charge that is made with a Department of Juvenile Justice intake
worker against a youth by the police, a parent, school official or
private citizen.
Community
Service
Work in the community without pay that may be ordered by a judge, master
or Juvenile Justice worker as restitution for an offense.
Competency to
Stand Trial
Ability of someone charged with a crime or delinquency offense to
understand the nature or object of the criminal or juvenile proceedings
and to assist in one's own defense.
CINS (Child in
Need of Supervision)
A case involving a child who commits a "status offense" that,
if committed by an adult would not be a crime such as truancy, runaway
or ungovernable behavior.
CINA (Child in
Need of Assistance)
A case involving a child who has been physically, sexually or
emotionally abused or neglected by a person responsible for the child's
care.
Citation
The written form issued by a police officer, which serves as the initial
pleading against the child.
Community
Detention/Electronic Monitoring
Community detention is an alternative to placement in a detention
center. Community detention allows youth to remain at home by providing
daily face-to-face and telephone contact. Youth are often required to
wear an ankle bracelet which electronically monitors the youths
location.
Delinquent
A youth who has been adjudicated for an act, which would be a crime if
committed by an adult and who requires guidance, treatment and
rehabilitation.
DJJ (Department
of Juvenile Justice)
The state agency in Maryland responsible for assisting the court and
local community in providing services to delinquent youth.
Detention
Center
A secure facility for individuals awaiting court action or review. For
adults detention centers are the jails for the local jurisdiction. For
juveniles there are designated State or private confinement facilities.
Detention
Hearing
A court hearing held following a youth's apprehension to determine
whether the youth will be released to a parent or guardian pending
further court action, or whether the youth will continue in detention
awaiting a trial.
Disposition
The action taken by the juvenile court that outlines the nature,
assistance, guidance, treatment or rehabilitation than an adjudicated
youth will receive. In adult court this is known as the
"sentence." The disposition hearing must take place within 30
days of the adjudicatory hearing.
Diversion
An alternative plan presented to the court in place of incarceration or
to prevent the youth from a court ordered placement.
Emancipated
Minor
Legal process releasing a child from parental or guardian control.
Forensic Services
Investigative services rendered in connection with a court proceeding to
determine competency, criminal responsibility, dangerousness,
disposition of the case or waiver to adult court. In mental health this
may include testing, interviews with the youth, review of records
(school records, mental health records), police reports and interviews
with others (witnesses, family, school personnel.)
Formalized Case
Results when charges against a youth are prepared and filed. This is a
formal request that court action be taken.
Informalized
Case
Diversion from the court based upon agreement by the youth, family,
victim and Juvenile Justice worker to resolve the case without court
involvement.
Intake or
Intake Hearing
A conference to determine how to proceed with the complaint. The Intake
worker or Officer determines whether the youth requires detention,
protective supervision or formal court action. The decision takes into
consideration public safety, and the needs of the youth.
Juvenile Court
The juvenile court system in Maryland is separate from the other state
courts. The distinct court system is intended to shield youth under 18
years of age from the "taint of criminality." In most
jurisdictions, Juvenile Court is located in the Circuit Court. In
Montgomery County the District Court acts as the Juvenile Court.
Master
A court officer authorized to hear juvenile cases and make
recommendations to the Juvenile Judge.
Petition
A formal written request asking the court to take action on a case in
the best interests of the public and/or the youth.
Probation
Court ordered supervision of a youth in the community; it can include
requirements to attend counseling or perform community service.
Recession of an
Order
Decision to end or terminate the court order.
Remand
When a child comes back to juvenile court after having been committed to
the Department of Juvenile Justice, Department of Social Services,
Department of Mental Hygiene or Developmental Disabilities
Administration and the court allows the involved agency to decide where
the youth is to be placed.
Respondent
Youth who is the subject of the hearing.
Restitution
Payment up to $10,000 per case that either the child or parent or both
can be ordered to pay to the victim for medical bills or expenses
related to damage or loss of the victims property.
Restorative
Justice
A philosophy that juvenile justice should be based on a system of
accountability, rehabilitation and competency development for offending
youth.
Show Cause
Hearing
Parent or guardian responsible for producing the child for a hearing and
who fails to appear in court after being served with notice to appear.
Parent or guardian must explain non-appearance to the court in a
separate hearing.
Stet
On a motion by the State's Attorney, the court indefinitely postpones a
trial with specific conditions to be satisfied. Should the individual
commit another crime within the next year or two, the state may proceed
with the prosecution of the charge.
Waiver Hearing
In delinquency cases when the juvenile has committed a serious crime, a
separate hearing is held to determine if the youth's case shall be heard
in juvenile court or "waived" to adult court.
Writ or Warrant
A court order that allows the law enforcement officers to apprehend and
bring an individual to court.
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