Adult Residential Care Homes

BH-8400.6000-040

Residential homes or facilities that offer personal care and individual attention for older adults, people with disabilities and other populations whose limitations prevent them from living alone. Adult residential care homes (which are also known as board and care homes, residential board and care homes, personal care homes or residential care facilities for the elderly) generally provide a room (which may be shared), meals and supervision; and may specialize in populations with specific needs such as people with Alzheimer's disease or those with developmental disabilities. Services vary from facility to facility but may include dietary and housekeeping services, monitoring of prescription medication, social and recreational opportunities, incontinence care and assistance with toileting, bathing, grooming, dressing, mobility and other activities of daily living. Some homes provide secured surroundings for confused elderly adults who may wander while others are unable to accept individuals who are incontinent or who have severe problems with memory loss. There is considerable variation among these homes in terms of size, resident mix, daily charges and services. Most but not all adult residential care homes or facilities are licensed by the state in which they are located.

Case/Care Management

PH-1000

Programs that develop plans for the evaluation, treatment and/or care of individuals who, because of age, illness, disability or other difficulties, need assistance in planning and arranging for services; which assess the individual's needs; coordinate the delivery of needed services; ensure that services are obtained in accordance with the case plan; and follow up and monitor progress to ensure that services are having a beneficial impact on the individual. Case management is a collaborative process characterized by communication, advocacy and resource management to promote high quality, cost-effective interventions and outcomes.

Clubhouse Model Psychiatric Rehabilitation

RP-6400.8000-660.15

Voluntary, person-centered membership programs for people with a history of mental illness that offer social, recreational, prevocational and vocational rehabilitation services within the context of a supportive and structured environment where members can be involved in meaningful activities which help them regain a sense of self-worth, purpose and confidence and enhance their ability to sustain independent living. Members establish their own schedules within an ordered day, choose the activities they will regularly participate in, and are actively engaged and supported by staff and other members in the activities and tasks they have chosen. Services provided through the group experience of the ordered day include a wide array of skill development activities and training designed to assist the member to gain control of debilitative aspects of their illness, acquire personal and social competencies, and establish and navigate environmental support systems. Also included are clubhouse model programs for other populations such as people with brain injuries.

Community Mental Health Agencies

RM-6500.1500

Community-based outpatient facilities that offer individual, group, conjoint and family counseling, therapy groups, medication and other mental health services for community residents, especially those who are indigent, who have acute or chronic psychiatric disorders or who may be experiencing difficulty resolving personal or interpersonal conflicts or making personal adjustments to stressful life situations such as separation, divorce, loss of a spouse or a child, poor health, unemployment, family violence, delinquency or substance abuse. Included may be city and county-operated and nonprofit facilities.

Gambling Addiction Counseling

RP-1400.8000-250

Programs that provide emotional support, information and guidance for people who are having difficulty controlling their compulsion to gamble, and for their families. Some programs may include a financial counseling and/or management component which helps individuals deal with issues related to their spending and accumulated debt.

General Counseling Services

RP-1400.2500

Programs that provide emotional support, information and guidance to help people resolve whatever personal or interpersonal difficulties they are experiencing. The counselor can address any issue that is troubling the individual, but does not specialize in the treatment of any particular problem area.

Mental Health Crisis Lines

RP-1500.1400-500

Programs that provide immediate assistance for people experiencing a mental health crisis such as a psychotic episode with the objective of defusing the crisis, often working closely with mobile crisis teams on standby, and helping the person develop a plan to link with resources for ongoing assistance, if required. A mental health crisis is a non-life threatening situation in which an individual exhibits extreme emotional disturbance or behavioral distress, is considering harm to him or herself or others, is disoriented or out of touch with reality, has a compromised ability to function, or is otherwise agitated and unable to be calmed. Other common indicators include feelings of intense sadness or depression, sleeping or eating problems, anxiety, severe distress, grief, anger or aggression, scattered, unfocused thinking, self-doubt, loss of motivation, lack of patience or irritability and paranoia. The service is generally available via telephone, email, chat and/or text.

Mental Health Evaluation

RP-5000

Programs that provide screening, diagnostic and treatment planning services for people who are experiencing acute or chronic psychiatric problems. Included is a continuum of assessment services ranging from a comprehensive psychiatric or psychological evaluation to the administration of one or a combination of psychological tests to examine a particular personality variable. Services may be provided in a variety of settings including hospitals and community-based clinics.

Mental Health Related Support Groups

PN-8100.5000

Mutual support groups whose members are people who have specific social, emotional or other mental health problems. Families and friends may also be welcome. The groups meet in-person, by telephone or via the Internet; and provide an opportunity for participants to share information, practical tips for daily living and encouragement about issues related to the problem.

Psychiatric Day Treatment

RP-6400.8000-620

Programs that provide a therapeutic environment for individuals who have acute or chronic mental or emotional disturbances, who do not require full-time hospital care but who can benefit from a structured environment for some portion of the day or week. Services may include individual, group and/or family therapy; social and recreational activities; and a range of adjunctive therapies. Psychiatric day treatment programs may be offered by freestanding day treatment facilities, by psychiatric hospitals or by psychiatric units in general acute care hospitals.

Psychiatric Emergency Room Care

RP-1500.6750

Psychiatric and health care facilities that are capable of restraining and treating people who are in acute emotional distress on a 24-hour basis.

Psychiatric Inpatient Units

RM-3300.6600

Programs offered in special units of general acute care hospitals that provide diagnostic and treatment services for children, adolescents, adults and/or older adults who have acute or chronic mental or emotional disturbances, require hospitalization for maximum benefit, and who might be a threat to themselves, to their families or to others if left in the community or placed in a less restrictive treatment setting. Services may include a comprehensive evaluation; 24-hour care in a supportive, therapeutic environment; counseling for the patient and family; adjunctive therapies as needed; medication, if required; and an aftercare program following discharge.

Psychiatric Mobile Response Teams

RP-1500.3400-650

Mobile psychiatric emergency teams available in some communities composed of designated mental health workers (psychiatrists, RN's, MSW's, psychologists, psychiatric technicians) in any combination which intervene in situations where an individual's mental or emotional condition results in behavior which constitutes an imminent danger to him or herself. In other communities, crisis intervention teams do not guarantee in person crisis services. Depending on the local jurisdiction, mobile teams can operate in partnership with local police authorities and include specially trained police officers. Some can be reached following a call to 911 or directly through a local hospital or community mental health agency.

Specialized Counseling Services

RP-1400.8000

Programs that provide treatment services which may include emotional support, problem-solving assistance, information and guidance in a variety of counseling settings for individuals who are having difficulty in coping with a traumatic experience or a personal relationship or in making the adjustments that are required by their particular stage in life.

Therapeutic Camps

PL-6400.1500-850

Residential or day camp facilities that are appropriately staffed and equipped to provide an opportunity for children or adults who have developmental disabilities, emotional disturbances or health impairments, or who have other limitations or problems which require special facilities or programming, to enjoy a cooperative indoor and/or outdoor living experience.