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1. Mental health treatment
Facility which provides services including therapy or psychotropic medication to treat a person’s mental health issue, reduce symptoms, and improve behavioral functioning and outcomes.
2. Substance use treatment
Refers to a range of services, including problem identification and diagnosis, brief interventions, assessment of substance use and related problems, treatment planning, counseling, medical services, psychiatric services, psychological services, social services, and follow-up for persons with alcohol or other drug problems (Institute of Medicine, 1990).
3. Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children
Refers to treatment services intended to help their clients’ ability to function as a result of substance use and/or mental disorders. By definition, serious mental illness is someone over 18 having (within the past year) a diagnosable mental, behavior, or emotional disorder that causes serious functional impairment that substantially interferes with or limits one or more major life activities. For people under the age of 18, the term ‟Serious Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional disorder in the past year, which resulted in functional impairment that substantially interferes with or limits the child’s role or functioning in family, school, or community activities.
1. Partial hospitalization/day treatment
A medically-supervised facility that offers comprehensive, coordinated, and structured clinical services in a time-limited series of structured, face-to-face therapeutic sessions organized at various levels of intensity/frequency. Services are provided for diagnostic evaluation, active treatment of a condition, or to prevent relapse, hospitalization, or incarceration. The PH facility may be freestanding or part of a broader system that is distinct or a separately-organized unit that is neither residential nor inpatient. PH is an alternative to inpatient care; is transitional care following an inpatient stay in lieu of continued hospitalization; and is a step-down from inpatient care. PH is less than 24-hour care available at least 5 days per week and may be offered on a half-day, weekend, or evening hours basis.
1. Individual psychotherapy
Focuses on a patient's current life and relationships within the family, social, and work environments through one-on-one conversations with a therapist. The goal is to identify and resolve problems with insight, as well as build on strengths.
2. Group therapy
Involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist. The therapist uses the emotional interactions of the group's members to (1) help them get relief from distress and (2) possibly modify their behavior.
3. Cognitive behavioral therapy
Involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.
4. Dialectical behavior therapy
Cognitive behavioral therapy approach with two key characteristics: a behavioral, problem-solving focus blended with acceptance-based strategies, and an emphasis on dialectical processes. "Dialectical" refers to the issues involved in treating patients with multiple disorders and to the type of thought processes and behavioral styles used in the treatment strategies. DBT emphasizes balancing behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.
5. Integrated Mental and Substance Use Disorder treatment
Provides combined treatment for mental illness and substance abuse from the same clinician or treatment team. Effective integrated treatment programs view recovery as a long-term, community-based process. The approach employs counseling designed especially for those with co-occurring disorders.
6. Activity therapy
Includes art, dance, music, recreational and occupational therapies, and psychodrama.
7. Telemedicine/telehealth therapy
The ability for healthcare providers, working remotely and using telecommunications technology, to communicate with patients, diagnose conditions, provide treatment, and discuss healthcare issues with other providers to ensure quality healthcare services are provided.
8. Abnormal involuntary movement scale
1. Smoking permitted in designated area
A designated area in which smoking is permitted.
1. Partial hospitalization/day treatment
Facility offers outpatient treatment services that may include group counseling, individual therapy, and access to medical care. These services are ideal for people who do not require 24-hour supervision, but who would still benefit from a high level of support.
2. Outpatient
Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
1. Cash or self-payment
Payment for treatment is made by the person directly, through cash or other means, rather than using health insurance.
2. Medicaid
A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.
3. Medicare
The federal health insurance program for people age 65 and older and people with disabilities.
4. State-financed health insurance plan other than Medicaid
5. Private health insurance
6. Federal military insurance (e.g., TRICARE)
7. State mental health agency (or equivalent) funds
Funds designed to finance the cost of treatment for mental health conditions.
8. State welfare or child and family services funds
9. County or local government funds
10. Community Mental Health Block Grants
Through individual block grant contracts with community mental health services programs, these resources are focused on development and maintenance of community based services.
1. Crisis intervention team
A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.
2. Psychiatric emergency walk-in services
Designed to provide accessible, professional, cost-effective services to individuals in psychiatric crisis, and strive to stabilize consumers on site and avoid psychiatric hospitalization whenever possible.
3. Psychiatric emergency onsite services
A self-initiated community partnership between local law enforcement, county health services, mental health advocates, and mental health consumers. It is designed to address the needs of mental health consumers who enter the judicial system during a crisis state.
1. Sliding fee scale (fee is based on income and other factors)
Variable prices for services based on a person’s ability to pay.
2. Payment assistance (check with facility for details)
A program which helps low-income, uninsured, or underinsured patients who need help paying for all or part of their medical bills.
1. Clients with co-occurring mental and substance use disorders
Facility has a program or group specifically tailored for persons with co-occurring mental and substance abuse disorders.
2. Lesbian, gay, bisexual, transgender, or queer/questioning (LGBTQ)
Facility has a program or group specifically tailored for LGBT clients.
3. Veterans
Facility has a program or group specifically tailored for Veterans.
4. Active duty military
Facility has a program or group specifically tailored for active duty military persons.
5. Members of military families
Facility has a program or group specifically tailored for Military families.
6. Criminal justice (other than DUI/DWI)/Forensic clients
Facility has a program or group specifically tailored for clients referred from the court/judicial system.
7. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
8. Clients with HIV or AIDS
Facility has a program or group specifically tailored for persons with HIV or AIDS.
9. Clients who have experienced trauma
Facility has a program or group specifically tailored for persons who have experienced trauma.
10. Persons 18 and older with serious mental illness (SMI)
Facility has a program or group specifically tailored for persons with serious mental illness.
11. Persons with Alzheimer's or dementia
Facility has a program or group specifically tailored for persons with Alzheimer's or dementia.
12. Persons with post-traumatic stress disorder (PTSD)
Facility has a program or group specifically tailored for persons with post-traumatic stress disorder.
13. Persons with eating disorders
Facility has a program or group specifically tailored for persons with eating disorders.
1. Intensive case management
A service that is a key part of the continuum of mental health care and support for persons with serious mental illness. ICM is more than a brokerage function. It involves building a caring, trusting relationship with the consumer, promoting consumer independence through the coordination of appropriate services, and providing on-going, long-term support as needed by the consumer to function in the least restrictive, most natural environment and achieve an improved quality of life. Intensive case managers fulfill a vital function for consumers by working with them to realize personal recovery goals and providing the support and resources that the consumer needs to achieve goals, stabilize his/her life and improve his/her quality of life.
2. Case management service
Helps people arrange for appropriate services and supports through a case manager who monitors the needs of clients/patients and their families and coordinates services, such as mental health, social work, health, educational, vocational, recreational, transportation, advocacy, and respite care, as needed.
3. Court-ordered outpatient treatment
Known by different terms in different states, such as, “assisted outpatient treatment (AOT),” “involuntary outpatient treatment,” or “mandatory outpatient treatment.” Forty-four states permit the use of court-ordered outpatient treatment as a condition for persons with severe mental illness, who are too ill to seek care voluntarily, to remain in their community. Each state has its own civil commitment laws that establish criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)
4. Diet and exercise counseling
Diet and exercise counseling helps a person learn to make decisions about: (1) good nutrition, healthy eating practices, and food choices for health improvement and/or weight management; and (2) choosing physical activities to increase overall health and fitness, with a focus on helping persons reduce their risk for chronic disease and support their recovery.
5. Education services
Locate or provide educational services from basic literacy through a general equivalency diploma and college courses including special education at the pre-primary, primary, secondary, and adult levels.
6. Family psychoeducation
Helps consumers and their families and supporters, through relationship building, education, collaboration, and problem solving to: 1) learn about mental illness; 2) master new ways of managing their mental illness; 3) reduce tension and stress within the family; 4) provide social support and encouragement to each other; 5) focus on the future; and 6) find ways for families and supporters to help consumers in their recovery.
7. Illness management and recovery
Uses a standardized individual or group format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social skills training.
8. Integrated primary care services
These services address the general health care needs of persons with mental and substance use disorders. These general health care needs include the prevention and treatment of chronic illnesses (e.g., hypertension, diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health habits such as inadequate physical activity, poor nutrition, and smoking. The services include screening, care coordination with staff, and providing linkages to ensure that all patient needs are met in order to promote wellness and produce the best outcomes.
9. Psychosocial rehabilitation services
This service is offered individually or in groups. It provides therapeutic or intervention services such as daily and community-living skills, self-care, and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).
10. Suicide prevention services
Services include identifying risk factors; educating staff on the signs of suicidal behavior and using methods to detect risk; and the assessment, intervention, and management of suicidal patients including treatment of an underlying mental or substance use disorder, and use of psychotropic medication, supportive services, and education. Hotlines help individuals to contact the nearest suicide prevention mental health provider.
11. Supported employment
Services include assisting individuals with finding work; assessing individuals' skills, attitudes, behaviors, and interest relevant to work; providing vocational rehabilitation and/or other training; and providing work opportunities.
12. Supported housing
Independent, normal housing with flexible, individualized supportive services that allow individuals to maintain as much independence as possible.
13. Vocational rehabilitation services
Services include job finding/development; assessment and enhancement of work-related skills (such as writing a resume or taking part in an interview), attitudes, and behaviors. Transitional employment is also included.
1. Mentoring/peer support
2. Housing services
Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
1. Nicotine replacement
Administers nicotine to the body by means other than tobacco, without other harmful chemicals found in tobacco. Common forms of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges, nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in a tobacco user, allowing the person to abstain from tobacco.
2. Non-nicotine smoking/tobacco cessation
Medications that do not contain nicotine but are designed to reduce a person's craving for tobacco. Some common examples are Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). Medications are often prescribed in conjunction with counseling or support groups to provide the best chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)
3. Antipsychotics used in treatment of SMI
Refers to medication intended to help clients’ ability to function as a result of serious mental illness (SMI). A mental illness that interferes with a person’s life and ability to function is called a serious mental illness (SMI) for ages 18 and over.
1. Screening for tobacco use
Determines a client's use of tobacco products, such as cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended that providers screen for tobacco use on a regular basis by asking clients, as they are seen, about their current and past use of tobacco products and their exposure to secondhand smoke or tobacco.
1. Smoking/vaping/tobacco cessation counseling
Includes interventions for persons who use tobacco and want help with stopping, including behavioral support or counseling in groups or individually.
1. Children/Adolescents
Facility accepts children/adolescents (17 or younger) for treatment.
2. Young Adults
Facility accepts young adults (18-25) for treatment.
3. Adults
Facility accepts adults (26-64) for treatment.
4. Seniors
Facility accepts seniors (65 or older) for treatment.
1. Private non-profit organization
A charitable organization that does not qualify as a public charity.
1. Metabolic syndrome monitoring
2. Laboratory testing
1. Vaping permitted in designated area
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
