110 Cmr 2.00. Glossary

• Library: Code of Massachusetts Regulations
• Edition: 2023
• Currency: Current through Register 1511, December 22, 2023
• Year: 2023

Whenever used throughout 110 CMR, the following words shall have the following meanings, unless the context plainly requires otherwise.

Abuse means the non-accidental commission of any act by a caretaker upon a child under age 18 which causes, or creates a substantial risk of physical or emotional injury, or constitutes a sexual offense under the laws of the Commonwealth or any sexual contact between a caretaker and a child under the care of that individual. Abuse is not dependent upon location (i.e., abuse can occur while the child is in an out-of-home or in-home setting.)

Antipsychotic Drugs shall mean drugs which are considered neuroleptics, in that they are used to treat certain psychotic symptoms. Such antipsychotic drugs shall include, but shall not be limited to:

Generic Name	Trade Name
1 Acetophenazine	Tindal
2 Amoxapine	Asendin
3 Butaperazine	Repoise
4 Carphenazine	Proketazine
5 Chlorpromazine	Thorazine
6 Chlorprothizene	Taractan
7 Fluphenazine	Prolixin, Permitil
8 Haloperidol	Haldol
9 Loxapine	Loxitane
10 Mesoridazine	Serentil
11 Molindone	Moban
12 Perphenazine	Trilafon, Etrafon, Triavil
13 Pimozide	Orap
14 Piperacetezine	Quide
15 Prochlorperazine	Compazine
16 Promazine	Sparine
17 Reserpine	-
18 Thioridazine	Mellaril
19 Thiothixene	Navane
20 Trifluoperazine	Stelazine
21 Triflupromazine	Vesprin

Antipsychotic drugs include the above-listed drugs by whatever official name, common or usual name, chemical name, or brand name they may be designated. All isomers, esters, ethers, and salts of; and any combination of; drugs listed above are deemed to be antipsychotic drugs.

Area means one of the 29 geographic areas of the Department of Children and Families.

Area Director means the director of one of the Areas of the Department of Children and Families.

Caretaker means a child's:

(a) parent

(b) stepparent

(c) guardian

(d) any household member entrusted with the responsibility for a child's health or welfare

(e) any other person entrusted with the responsibility for a child's health or welfare whether in the child's home, a relative's home, a school setting, a day care setting (including babysitting), a foster home, a group care facility, or any other comparable setting. As such "caretaker" includes (but is not limited to) school teachers, babysitters, school bus drivers, camp counselors, etc. The "caretaker" definition is meant to be construed broadly and inclusively to encompass any person who is, at the time in question, entrusted with a degree of responsibility for the child. This specifically includes a caretaker who is him/herself a child (i.e. a babysitter under 18 years of age).

Central Registry means a subset of the Department's computerized system. Every area and regional office of the Department, as well as the Central Office of the Department, shall have access to the computerized system, via terminals and printers which shall be located in each such office. The computerized system shall have security procedures which protect the data contained therein against unauthorized users or access. The Department's Central Registry shall consist exclusively of data located within the designated subset of the Department's computerized system. No files, papers, index card systems, or any other form of document shall constitute a part of the Department's Central Registry.

Child means a person who has not reached his/her 18th birthday, but does not include unborn children.

Child in the Care of the Department means a child receiving services from the Department pursuant to a Voluntary Placement Agreement.

Child in the Custody of the Department means a child placed in the Department's custody through court order, including an order under a Child in Need of Services (CHINS) petition, or through adoption surrender.

Closed Referral means that a client may be referred to a provider only by the Department, i.e., the provider may only be reimbursed by the Department for delivering the service(s) if the client was so referred. Compare, "Open Referral".

Commissioner means the Commissioner of the Department of Children and Families.

Contract means any agreement between the Department and a provider, and shall specifically include Purchase of Service Agreements, Master Agreements, etc.

Day means calendar day, unless noted to the contrary (i.e. "working day").

Department means the Department of Children and Families.

Designee means any Department employee designated by means of a written memorandum, bearing the written approval of the Commissioner or Deputy Commissioner, and filed with the General Counsel of the Department.

Diseases Dangerous to the Public Health is defined under 105 CMR 105 CMRDiseases Reportable to Local Boards of Health300.100 and 105 CMR 310.020 and includes the following:

(a) Actinomycosis

(b) AIDS (Acquired Immune Deficiency Syndrome)

(c) Animal Bite

(d) Anthrax

(e) Brucellosis (Undulant Fever)

(f) Chickenpox (Varicella)

(g) Cholera

(h) Diarrhea of the Newborn

(i) Diphtheria

(j) Dysentery, Amebic

(k) Dysentery, Bacillary (Shigellosis)

(I) Encephalitis (specify if known)

(m) Food Poisoning by:

1. Botulism

2. Mushrooms and other poisonous vegetable and animal products

3. Mineral or organic poisons such as arsenic, lead, etc.

4. Staphylococcal

(n) German Measles (Rubella)

(o) Glanders

(p) Hepatitis, Viral (includes Infectious and Serum Hepatitis)

(q) Impetigo of the Newborn

(r) Leprosy

(s) Leptospirosis (including Weil's Disease)

(t) Lymphocytic Choriomeningitis

(u) Malaria

(v) Measles (Rubeola)

(w) Meningitis (B. Influenzal, meningococcal, pneumococcal, streptococcal and other forms)

(x) Mumps

(y) Ophthalmia Neonatorum

(z) Plague

(aa) Poliomyelitis

(bb) Psittacosis

(cc) Rabies - Human

(dd) Rickettsialpox

(ee) Rocky Mountain Spotted Fever

(ff) Salmonellosis (except Typhi and Paratyphi)

(gg) Salmonellosis: Typhi and Paratyphi (Typhoid and Paratyphoid Fevers)

(hh) Smallpox (Variola)

(ii) Smallpox Vaccination Reactions - Generalized Vaccinia, Eczema Vaccinatum

(jj) Streptococcal Infections (including Erysipelas Scarlet Fever, Streptococcal Sore Throat, etc)

(kk) Tetanus

(II) Trachoma

(mm) Trichinosis

(nn) Tuberculosis

(oo) Tularemia

(pp) Typhus Fever (including Brills' Disease)

(qq) Whooping Cough (pertussis)

(rr) Yellow Fever

Electroconvulsive Treatment or ECT means a process that passes a controlled electric current into the brain to induce a seizure.

Emergency means a situation where the failure to take immediate action would place a family and/or child at substantial risk of serious and imminent family disruption, or death, or serious emotional or physical injury.

Extraordinary Medical Treatment shall include No-code orders, sterilization, electroconvulsive treatment, antipsychotic medication, withholding or providing life-prolonging treatment (as defined in this Glossary), and any other treatment determined to be extraordinary by using the following analysis:

Recognizing that it is impossible to itemize every extraordinary medical treatment, the Department shall utilize the following factors to determine whether a medical treatment is extraordinary:

(a) Complexity, risk and novelty of the proposed treatment: The more complex the treatment, the greater the risk of death or serious complications, the more experimental the procedure, then the...