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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. Community mental health center
Facility that (1) provides outpatient services, including specialized services for children, the elderly, individuals who are chronically mentally ill, and residents of its mental health service area who have been discharged from inpatient treatment at a mental health facility; (2) provides 24-hour emergency care services; (3) provides day treatment, other partial hospitalization services, or psychosocial rehabilitation services; (4) provides screening for patients being considered for admission to state mental health facilities to determine the appropriateness of the admission; and (5) meets applicable licensing or certification requirements for Community Mental Health Centers (CMHCs) in the state in which it is located. (https://www.cms.gov/)
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. 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.
3. 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.
4. 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.
5. 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.
1. Smoking permitted in designated area
A designated area in which smoking is permitted.
1. Outpatient
Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
1. State government
Government of a state or country subdivision in a federal form of government, which shares political power with the federal government and must meet certain standards set by the federal government but are free to expand beyond what exists at the federal level and improve services, access, and protections for consumers, such as mental health and substance use services, in that state.
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.
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 mobile/off-site 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.
1. Sign language services for the deaf and hard of hearing
Service provided for persons who are deaf and hard of hearing.
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. Seniors or older adults
Facility has a program or group specifically tailored for Seniors or older adults.
4. Clients who have experienced trauma
Facility has a program or group specifically tailored for persons who have experienced trauma.
5. Clients who have experienced intimate partner violence, domestic violence
Facility has a program or group specifically tailored for persons who have experienced domestic violence or sexual abuse.
6. Children/adolescents with serious emotional disturbance (SED)
Facility has a program or group specifically tailored for children/adolescents with serious emotional disturbance.
7. Persons 18 and older with serious mental illness (SMI)
Facility has a program or group specifically tailored for persons with serious mental illness.
8. Persons with post-traumatic stress disorder (PTSD)
Facility has a program or group specifically tailored for persons with post-traumatic stress disorder.
9. Young adults
Facility has a program or group specifically tailored for Transitional age young adults.
10. Persons with eating disorders
Facility has a program or group specifically tailored for persons with eating disorders.
11. Persons experiencing first-episode psychosis
Facility has a program or group specifically tailored for persons with eating disorders.
1. Assertive community treatment
A multi-disciplinary clinical team approach, helps those with serious mental illness live in the community by providing 24-hour intensive community services in the individual's natural setting.
2. 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.
3. 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.
4. 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)
5. 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.
1. Mentoring/peer support
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. 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. Haloperidol
2. Aripiprazole
3. Brexpiprazole
4. Cariprazine
5. Clozapine
6. Olanzapine
7. Paliperidone
8. Quetiapine
9. Risperidone
10. 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. Vaping permitted in designated area
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
