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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.
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. Couples/family therapy
An approach that uses discussions and problem-solving sessions facilitated by a therapist to help couples and family members improve their understanding of and the way they respond to one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate about the nature of mental disorders and teach skills to better cope with the effects of having a family member with a mental illness, such as how to deal with feelings of anger or guilt.
3. 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.
4. 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.
5. 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.
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.
1. Smoking not permitted
Smoking is not allowed.
1. Outpatient
Describes patients who receive treatment services without an overnight stay at a treatment facility or hospital.
1. Local, county, or community government
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. State corrections or juvenile justice funds
10. State education agency funds
11. Other State funds
12. County or local government funds
13. Community Service Block Grants
Provides funds to alleviate the causes and conditions of poverty in communities.
14. 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.
15. U.S. Department of VA funds
16. IHS/Tribal/Urban (ITU) funds
Direct funds from the Indian Health Service. They consist of tribal funds through "638 contracts" (named after the public law under which they were authorized) and/or urban funds through federal Title 5 grants. These funds are considered part of the Indian healthcare system and can be used for programs that provide behavioral health services as well as for programs that provide other health-related services.
17. Federal Grants
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.
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. Sign language services for the deaf and hard of hearing
Service provided for persons who are deaf and hard of hearing.
2. Spanish
Staff counselors provide treatment in Spanish.
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. Criminal justice (other than DUI/DWI)/Forensic clients
Facility has a program or group specifically tailored for clients referred from the court/judicial system.
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.
1. 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.
2. 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)
3. 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.
4. 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.
5. 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.
6. 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.
1. Mentoring/peer support
2. Housing services
Are designed to assist individuals with finding and maintaining appropriate housing arrangements.
1. 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)
2. Chlorpromazine
3. Fluphenazine
4. Haloperidol
5. Loxapine
6. Perphenazine
7. Prochlorperazine
8. Thiothixene
9. Aripiprazole
10. Asenapine
11. Clozapine
12. Lurasidone
13. Olanzapine
14. Olanzapine/Fluoxetine combination
15. Paliperidone
16. Quetiapine
17. Risperidone
18. Ziprasidone
19. 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. Federally Qualified Health Center
An entity may qualify as a FQHC if it meets one of these requirements (CMS, 2017): Is receiving a grant under Section 330 of the Public Health Service (PHS) Act or is receiving funding from such a grant and meets other requirements; Is not receiving a grant under Section 330 of the PHS Act, but is determined by the Secretary of the Department of Health and Human Services (HHS) to meet the requirements for receiving such a grant (i.e., qualifies as a FQHC "look-alike") based on the recommendation of the Health Resources and Services Administration (HRSA); Was treated by the Secretary of the Department of HHS for purposes of Medicare Part B as a comprehensive Federally-funded health center as of January 1, 1990; Is operating as an outpatient health program or facility of a tribe or tribal organization under the Indian Self-Determination Act or as an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act as of October 1, 1991.
1. Vaping not permitted
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
