Inside Behavioral Health: Behavioral Health Terms You Should Know Part 2

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Inside Behavioral Health: Behavioral Health Terms You Should Know Part 2

Behavioral Health Terms and Definitions

We are continuing our series on behavioral health terms you should know! As mentioned in our first blog, this is by no means a comprehensive list of terms. Our hope is that this list of terms, along with Part 1 of the blog series, will develop a more common vocabulary between consumers and providers in the behavioral health world and beyond. 

Behavioral Health Definitions

Psychiatric Advanced Directives

Psychiatric advance directives specify how an individual would like to be treated if in the future they are unable to decide for themselves. These documents may describe the treatments they would prefer and/or to appoint a surrogate decision-maker through a power of attorney. Creating a psychiatric advance directive can improve therapeutic alliance with clinicians, enhance perceived autonomy, and improve treatment decision-making capacity among people with serious mental illnesses. The National Resource Center on Psychiatric Advanced Directives (NRC-PAD) provides a state by state guide to regulations and also includes appropriate PAD template forms for use in each state where PADs are legally accepted. 1

Peer Support

Peer support services, a primary component of a recovery-based model of care, are services in which individuals who have experienced mental illness aid others in their recovery. Peer support services are provided across a variety of settings and include a wide range of work activities, such as education, mentoring, case management, research support, and vocational support. 2

Psycho-social Rehabilitation (PSR)

Psycho-social rehabilitation helps people develop social, emotional and intellectual skills to live happily with the smallest amount of professional assistance they can manage. Psychosocial rehabilitation uses two strategies for intervention: learning coping skills so that they are more successful handling a stressful environment and developing resources that reduce future stressors. Treatments can include medication management, psychological support, family counseling, vocational and independent living training, housing, job coaching, educational aide and social support. 3

Integrated Care

Integrated Care combines primary healthcare and mental healthcare in one setting. Integrated Care blends the expertise of mental health, substance use, and primary care clinicians, with feedback from patients and caregivers. Coordinating primary care and mental health care can help address the physical health problems of people with serious mental illnesses. 4

Case Management

Case management helps people arrange for appropriate services and support. A case manager coordinates mental health, social work, educational, health, vocational, transportation, advocacy, respite care, and recreational services, as needed. 5

Screening, Brief Intervention and Referral to Treatment (SBIRT)

SBIRT is an approach to delivering early intervention and treatment to people with substance use disorders and those at risk of developing these disorders. Screening assesses the severity of substance use and identifies the appropriate level of treatment. Brief intervention increases insight and awareness regarding substance use and motivation toward behavioral change. Referral to treatment provides those identified as needing more extensive treatment with access to specialty care. 6

Value-Based Care

Value-based care is a payment model that rewards healthcare providers with incentive payments for providing quality care to patients. Under this approach, providers seek to achieve the triple aim of providing better care for patients and better health for populations at a lower cost. Value-based care is designed to move toward paying providers based on the quality of care they provide versus the quantity. 7

1 https://www.nrc-pad.org. https://smiadviser.org

2 https://smiadviser.org/knowledge_post/peer-support-psychiatric-services-editors-choice

3 https://www.nami.org/learn-more/treatment/psychosocial-treatments

4 https://www.nimh.nih.gov/health/topics/integrated-care/index.shtml

5 https://thestarr.org/treatment-terminology/

6 https://www.samhsa.gov/sbirt

7 https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/value-based-programs.html

Inside Behavioral Health: Behavioral Health Terms You Should Know Part 1

Behavioral Health Terms and Definitions

In the world of mental and behavioral health services, there are many terms that get used. Sometimes there is confusion around those words and how they are used. While this list is by no means comprehensive, it covers some behavioral health terms that can be confusing to both consumers and providers. In addition, because there are so many terms, we’ll provide several posts for your use. Defining frequently used behavioral health terms helps ensure a common framework for providing care. 

Behavioral Health Definitions

Mental Health

Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act. It also helps us determine how we handle stress, relate to others, and make healthy choices. It’s important to note that mental health and mental illness are not the same things. 1

Mental Illness

Mental illnesses are conditions that affect a person’s thinking, feeling, mood or behavior. These include depression, anxiety, bipolar disorder and schizophrenia. These conditions  affect someone’s ability to relate to others and function each day. 2

Serious Mental Illness (SMI)

Serious mental illness is a mental, behavioral, or emotional disorder resulting in serious functional impairment. This impairment substantially interferes with or limits major life activities. 3

Substance Use Disorder (SUD)

Substance use disorders occur when the recurrent use of alcohol and/or drugs causes clinically significant impairment. This impairment could include health problems or disability. Substance dependency is a more severe condition where one experiences physical withdrawal and has developed a tolerance to achieve the same high. People with substance use disorder often fail to meet major responsibilities at work, school, or home. 4, 5

Behavior Therapy

Behavior Therapy is a form of psychotherapy that involves reducing or eliminating behaviors that are destructive, unhealthy or undesirable and learning or increasing more appropriate behaviors. In traditional behavior therapy, maladaptive or abnormal behaviors are believed to be the result of defective learning. For example, people learn to be anxious, compulsive, or inattentive. Behavior therapy is intended to reduce or eliminate undesirable behaviors and increase acceptable behaviors. This is accomplished through the use of behavioral techniques and strategies such as systematic desensitization, modeling, reinforcement, and aversive conditioning. 6

Telepsychiatry

Telemedicine is the process of providing health care from a distance through technology, often using videoconferencing. Telepsychiatry allows providers to deliver services using videoconferencing. Services might include psychiatric evaluations, therapy (individual therapy, group therapy, family therapy), patient education and medication management. 7

Intellectual and Developmental Disabilities (IDD)

The term IDD covers a broad range of disorders and syndromes, many of which are misunderstood by the general public. An intellectual disability is characterized by limitations in intellectual functioning and difficulties in a variety of everyday social and practical skills. A developmental disability is attributed to a cognitive or physical impairment that results in limitations in areas such as self-care, language, and mobility. 8

Medication Assisted Treatment (MAT)

Medication-assisted treatment combines behavioral therapy and FDA-approved medications to treat substance use disorders. The intention is to provide a “whole-patient” approach to treating substance use disorders. Methadone, Naltrexone and Buprenorphine are the drugs commonly used to treat opioid use disorder. 9

Collaborative Care

Collaborative care is an evidence-based approach to managing mental health conditions. It is implemented across a clinic or provider organization. The collaborative care model was originally developed to manage common mental disorders in primary care settings. However, increasingly, it’s applied to more complex conditions, including serious mental illnesses. New billing codes have made it possible to bill for collaborative care services through Medicare and many private insurers. 10

Sources

1 https://www.cdc.gov/mentalhealth/learn/index.htm
2 https://www.cdc.gov/mentalhealth/learn/index.htm
3 https://www.nimh.nih.gov/health/statistics/mental-illness.shtml
4 https://www.samhsa.gov/find-help/disorders
5 https://www.addiction.com/a-z/addicted/
6 https://www.addiction.com/a-z/behavior-therapy-behavior-modification/
7 https://www.psychiatry.org/patients-families/what-is-telepsychiatry
8 https://aaidd.org/intellectual-disability/definition/faqs-on-intellectual-disability
9 https://www.samhsa.gov/medication-assisted-treatment
10 https://smiadviser.org/knowledge_post/what-is-collaborative-care-and-how-can-this-approach-be-used-for-people-with-serious-mental-illnesses