Serious Persistent Mental Illness (SPMI) definition
Serious Persistent Mental Illness (SPMI). As described in Section 1100c of the Michigan Mental Health Code, a serious mental illness that is a diagnosable mental, behavioral, or emotional disorder affecting an adult that exists or has existed within the past year for a period of time sufficient to meet diagnostic criteria specified in the most recent diagnostic and statistical manual of mental disorders published by the American Psychiatric Association and approved by the MDHHS, and that has resulted in functional impairment that substantially interferes with or limits one or more major life activities. Serious persistent mental illness includes dementia with delusions, dementia with depressed mood, and dementia with behavioral disturbances, but does not include any other dementia unless the dementia occurs in conjunction with another diagnosable serious mental illness. Service area means the county(ies) served by the PAYOR. Substance Use Disorders: Substance use disorders include Substance Dependence and Substance Abuse, according to selected specific diagnostic criteria given in the most current Diagnostic and Statistical Manual of Mental Disorders.