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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. 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. 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.
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. Private health insurance
4. State mental health agency (or equivalent) funds
Funds designed to finance the cost of treatment for mental health conditions.
5. County or local government funds
6. 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 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.
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. Children/adolescents with serious emotional disturbance (SED)
Facility has a program or group specifically tailored for children/adolescents with serious emotional disturbance.
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. 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).
5. 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
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.
1. Metabolic syndrome monitoring
1. Certified Community Behavioral Health Clinic
Responsible for directly providing (or contracting with partner organizations to provide) nine types of services, with an emphasis on the provision of 24 hour crisis care, utilization of evidence-based practices, care coordination and integration with physical health care. (https://www.thenationalcouncil.org)
1. Chlorpromazine
2. Fluphenazine
3. Haloperidol
4. Loxapine
5. Perphenazine
6. Prochlorperazine
7. Thiothixene
8. Aripiprazole
9. Asenapine
10. Brexpiprazole
11. Cariprazine
12. Clozapine
13. IIoperidone
14. Lurasidone
15. Olanzapine
16. Olanzapine/Fluoxetine combination
17. Paliperidone
18. Quetiapine
19. Risperidone
20. Ziprasidone
21. 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 not permitted
Stories and articles of sobriety across the internet of people that successfully overcame their addiction through treatment
