Posted By Lauren Brawley On October 25, 2019
Inside Behavioral Health: Behavioral Health Terms You Should Know Part 2
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/
