A child experiencing a severe emotional disturbance is an individual under 21 years of age who currently has or at any time during the past year has had a diagnosable mental, emotional, or behavioral disorder of sufficient duration to meet diagnostic criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, adopted by reference in 7 AAC 160.900, the International Classification of Diseases, adopted by reference in 7 AAC 160.900, or the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC:0-3R), adopted by reference in 7 AAC 160.900, and that
1. Has resulted in a severe functional impairment that significantly interferes with the child's ability to participate in one or more life domains at a developmentally appropriate level and within a culturally appropriate context; or
2. Has resulted in the individual exhibiting one or more of the following:
- Persistent symptoms of distress or diminished affect that do not readily respond to encouragement, reassurance, or instructional control;
- Impeded development or inappropriate attachment as a result of exposure to traumatic life events or impaired relationships;
- Pervasive behavior that is disruptive, aggressive, or risk-taking and that places the individual at serious risk of physical harm to self or to another person or results in serious property damage;
- Consistent inability to participate appropriately in a community setting, including family, school, work, or child care;
- Imminent risk for out-of-home placement;
- Imminent risk for being placed in the custody of the department under AS 47.12.120 or as a result of exposure to maltreatment;
3. The child is under the age of 21 or under the age of 22 if he/she has not completed their high school education or received a GED.
4. The recipient’s specific symptoms and maladaptive behavior are identified during the Behavioral Health assessment that provides the basis for the recipient’s diagnosis.
5. The recipient has, as a result of the symptoms and maladaptive behavior, serious functional impairment in two or more areas of social functioning, including family, school, or community.