Assertive Community Treatment Team (ACTT)
Assertive Community Treatment Team (ACTT) is a comprehensive service delivery model through which integrated, community-based rehabilitation, treatment, and supports are provided by an interdisciplinary team to persons who experience serious and persistent mental illness. The services are “assertive” as the ACTT actively seeks out the service recipient to provide services where he/she is in the natural environment.
Assessment and Referral Services (ARS)
Assessment and Referral Service standards are geared toward organizations providing a separate assessment service, independent from other behavioral health services that it may be providing. Assessment services gather information from or about service recipients of varying ages and populations who are requesting services or currently receiving services. In general, the goal is to assess the service recipient’s strengths, natural supports, risks and needs for treatment and services. Assessments are comprehensive and may include evaluations of physical health, mental health, substance abuse, intellectual/developmental disabilities, vocational, and/or educational functioning.
Behavioral Health Home (BHH)
A Behavioral Health Home is an integrated healthcare service delivery model that is recovery-oriented, service recipient and family centered and promises better service recipient experience and better outcomes than those achieved with traditional services. Providers must be able to use health information technology (HIT) to facilitate the health home’s work and establish quality improvement efforts to ensure that the work is effective at the individual and population level. Behavioral Health Home serves as a cost-effective, holistic approach to facilitate access to an inter-disciplinary array of behavioral health care, medical care, and community based social services and supports for both adults and children with chronic conditions.
Case Management (CMGT)
Case Management consists of actions which help service recipients of all ages and disabilities to gain access to needed medical, social, psychological, vocational, financial, educational, legal, and/or other community resources and services, so they may maintain a better quality of life and live with greater independence and functioning within their communities. It involves the coordination of services to assure continuity of care and accountability for service provision. The general functions of case management include assessment, plan development, referral, coordination and monitoring of recommended services and advocating on behalf of the service recipient, as needed for services. After hours emergency response may be part of the service.
Community Support (CS)
Community Support provides a wide array of services to recipients, based on their individual needs and disabilities. Services are designed to assist children through seniors challenged with mental health, intellectual/developmental and/or substance abuse disabilities, in achieving, regaining and maintaining their highest level of functioning, thereby allowing them to live more independently and participate in the community.
Crisis Response Services (CRS)
Crisis Response Services (CRS) provide immediate assessment, referral and/or access to necessary mental health, developmental disabilities, and/or substance abuse services. Crisis response may be provided in various ways, including Crisis Telephone Services, Mobile Crisis Management, and Facility-Based Crisis Center services. The services provide symptom relief, reduce the risk of service recipients harming themselves or others, and/or provide access to appropriate services. CRS provide temporary strategies to stop critical, emotional incidents from worsening for service recipients. CRS are not designed to solve or cure the problem that led to the crisis, but rather to ameliorate the current crisis event.
Day Treatment (DTX)
Day Treatment is a structured program that uses service recipients’ personal strengths to and addresses identified functional problems associated with the complex conditions of each service recipient and his/her family, as appropriate. Day Treatment provides mental health, developmental, and/or substance abuse interventions to seniors, adults, adolescents, or children in the context of a treatment milieu. The service can be used as step-down from more intensive treatments or as an alternative to more intensive treatments. Regardless, the symptoms of the service recipient should be generally stabilized at admission to the program. Day Treatment programs can be stand-alone facilities or integrated into other existing facilities, such as schools. After hours emergency response may be part of the service.
Foster Care Services (FCS)
Foster Care Services are 24 hour substitute living arrangements for children and adolescents who need a safe place to live outside of their natural home because their parents or relatives cannot care for them. Foster care settings include homes of non-relatives and homes of relatives. Care is delivered by specialty trained foster parents. The combination of family-based care with specialized treatment interventions creates a therapeutic environment in the context of a natural family home.
Integrated Care Service (ICS)
An outpatient service, Integrated Care Services (ICS) is the combination of behavioral health care and physical health care provided at a single site. There are three basic models of Integrated Care:
a. Co-locating a behavioral health qualified clinician within a primary care practice;
b. Co-locating a primary care qualified clinician within a behavioral health care setting; and
c. A fully integrated practice site, where physical health and behavioral health professionals share the same service site, have common systems, (e.g., scheduling, medical records management, billing, etc.), regular face-to-face meetings, mutual consultation, and integrated treatment plans.
Intensive In-Home (IIH)
Intensive In-Home services use a team approach to provide professional services to children and adolescents who have serious emotional and behavioral needs, are at risk of out-of-home placement, or are returning from an out-of-home placement. With the child and his/her family being the focus, the team works with the service recipient in his/her home and community to stabilize the living arrangement, support the integrity of the family, or prevent out-of-home alternative placements such as foster care, in-patient treatment, etc. After hours emergency response may be part of the service.
Intensive Outpatient Treatment (IOTX)
Intensive Outpatient Services (IOTX) provide structured, individual, group, and associated treatment services in an outpatient setting. IOTX’s are designed to assist adults and adolescents with a principal diagnosis of mental illness, substance abuse, or co-occurring disorders to begin recovery and learn skills for recovery maintenance. IOTX’s can be stand-alone facilities, integrated into hospital settings, community mental health/substance abuse centers, or offered in association with homeless shelters. After hours emergency response may be part of the service.
Outpatient Treatment (OTX)
Outpatient Treatment is a service provided to persons of all ages with a mental health or substance abuse need. Treatment services are provided by qualified behavioral health clinicians, utilizing an array of treatment modalities (e.g., individual, family, and/or group therapy) to assist service recipients in dealing with a diversity of issues. After hours emergency response may be part of the service.
Partial Hospitalization Services (PHS)
Partial Hospitalization is an intensive service designed to treat senior adults, adults, adolescents, or children experiencing emotional difficulties, mental illness and/or substance abuse problems, whose needs cannot be sufficiently addressed by traditional outpatient services. The service is provided to service recipients for a set timeframe. Service recipients remain in the community, usually living at home and commuting to the service site. The services are provided under the direction of a physician, although the program does not have to be hospital based. PHS can be provided in a stand alone facility, be part of an existing facility or clinic, or offered in a school setting. If School-based Partial Hospitalization is offered, treatment components must be clearly delineated from educational components (e.g., structure of daily activities).
The Partial Hospitalization program offers a variety of structured therapeutic activities designed to support a service recipient’s remaining in the community. The service offers support and structure to assist the individual with coping and functioning on a day-to-day basis to prevent hospitalization. PHS may also serve as a step down into a lower level of care from an inpatient or residential treatment setting. The program is not used for persons who are experiencing safety concerns, such as acute suicidal ideations or posing a danger to others. After hours emergency response may be part of the service.
Personal Support Service (PSS)
Personal Support Services provide assistance to service recipients of all ages and disabilities, who qualify for the service. PSS is designed to assist the service recipient with activities of daily living. Qualified support personnel help individuals to bathe, dress, eat, and navigate a range of other daily tasks. In essence, the personal care worker does tasks for the individual that they are unable to do for themselves independently because of disability due to disease, trauma, or the aging process. Personal care services can be delivered in either a private home or residential care setting. In addition to providing assistance with activities of daily living, personal care workers can assist with housekeeping chores, meal preparation, and reminders to take medication. After hours emergency response may be part of the service.
Psychosocial Rehabilitation (PSR)
Psychosocial Rehabilitation (PSR) services are based on the principles of recovery and provide a range of social, educational, occupational, behavioral, and cognitive intervention activities and services for service recipients with serious and persistent mental illness or primary mental illness with co-occurring intellectual/developmental disability or substance abuse disorder. A PSR service is designed to help adults with psychiatric disabilities better manage the day-to-day activities of life, through the acquisition of recovery skills that increase their functioning so that they can successfully re-integrate into communities, relationships and activities of their choosing, with reduced or no reliance on specialized interventions. A psychosocial program may be a drop in center, a club house or other day-type services. After hours emergency response may be part of the service.
Prevention Services (PVS)
Prevention Services are aimed at preventing the occurrence of an adverse health or safety event or to minimize its effect after it has occurred. This is accomplished through efforts such as identifying populations / groups that are at risk and engaging them in activities (e.g., screenings, education, wellness programs, partnering with other community resources, etc.) geared towards avoiding the risk event, or arresting and reducing its consequences once it is established.
Respite Care Service (RCS)
Respite Care Service is a short-term, time-limited period of care of a service recipient who is challenged with mental health and/or intellectual/developmental disabilities. The purpose of RCS is to provide relief to the service recipient's family or regular caregiver. Respite services are an essential part of the support that families or regular caregivers receive to maintain the service recipient in the home.
Residential Treatment (RTX)
Residential Treatment is a twenty-four hour specialized, facility-based, group living treatment service. The service is geared towards service recipients who are challenged with emotional, psychological, intellectual/developmental disorders, behavioral impairments, addictions and/or co-occurring disorders. The services are offered to children, adolescents, or adults in a safe, structured, therapeutic environment that is non-hospitalized based. It provides service recipients with opportunities for skill acquisition and development, leading to greater independence and improved functioning within the community. After hours emergency response may be part of the service.
Supervised Group Living (SGL)
Supervised Group Living is a congregate, residential service providing 24-hour supervision in a community-based, home-like setting. One or more service recipients may reside in the home, pursuant to state or local requirements.
Supported Employment Services (SES)
Supported Employment Services facilitate competitive employment in integrated work settings for service recipients challenged by mental illness, intellectual/developmental disabilities or substance abuse disabilities who have been unable to obtain and maintain competitive employment.