Ch 2 Systems of Care Flashcards
What is the Drug Abuse Prevention and Control Act?
A law that regulates the production and distribution of drugs and other substances. It’s also known as the Controlled Substances Act (CSA).
What does MHPAEA require regarding substance use disorder (SUD) treatment?
It requires that the financial requirements and treatment limitations imposed by health plans and insurers for SUD be no more restrictive than those for medical and surgical conditions.
What does the Affordable Care Act mandate for health plans regarding SUD?
It requires the majority of US health plans and insurers to offer prevention, screening, brief interventions, and other forms of treatment for SUD.
What is care coordination?
Deliberate organization of patient care activities between two or more participants involved in patient care to facilitate appropriate delivery of healthcare services.
What are CCBHCs?
Certified community behavioral health clinics designed to ensure access to coordinated comprehensive behavioral healthcare.
What is detoxification in the context of SUD treatment?
Often the initial step in treating SUD, crucial for safely managing withdrawal symptoms, usually takes a couple of days to half a month to complete.
What is ambulatory detox?
Allows clients to undergo withdrawal while living at home, suitable for less severe SUD with a stable living environment.
What is inpatient detoxification?
For individuals with significant physical or mental health issues or those without a supportive environment, serving as an initial step for further treatment.
What are Intensive Outpatient Programs (IOPs)?
Programs that offer a minimum of 9 hours of services per week in structured individual, group, or family counseling.
What do partial hospitalization programs offer?
A more intensive level of care than IOPs, providing treatment services during the day for several hours, 5-7 days a week.
What are opioid treatment programs?
Programs that provide medication-assisted treatment for people diagnosed with opioid use disorder (OUD).
What is outpatient opioid treatment?
Allows clients to receive treatment and support while continuing with daily activities, visiting a clinic a specific number of days a week.
What is inpatient/residential opioid treatment?
For people with unsupportive homes, offering intensive care, medical supervision for detox, psychological therapy, and support for recovery.
What is 42 CFR Part 2?
A federal regulation that protects the confidentiality of substance use disorder patient records, established in 1975.
What is residential treatment?
Takes place in community-based residential facilities outside of hospital settings, providing housing along with treatment services.
What is community-based residential treatment?
Non-hospital services that are short-term or long-term and/or detox-focused, providing 24-hour services in a structured living environment.
What are therapeutic communities?
Longer-term residential treatment models ranging from 6-12 months, where responsibility for recovery rests on both the individual and the community.
What is a mobile response team?
Widely available to address the needs of individuals experiencing a crisis.
What are crisis receiving and stabilization services?
Alternatives to emergency department care for people experiencing a substance use or mental health crisis.
What is telehealth?
Medical and behavioral health services provided remotely through computer and telecommunications networks.
What is synchronous telehealth?
Delivery of health services in real-time, allowing for direct provider-to-client communication.
What is asynchronous telehealth?
Transmission of data without synchronous interactions, supporting prevention, screening, treatment, recovery, and continuing care.
What is remote monitoring?
Various apps/platforms that can integrate data from health trackers to provide doctors with a comprehensive view of a person’s health status.
What is mobile health (mHealth)?
Uses mobile apps to provide a variety of supports, including medication reminders and treatment support diaries.
What is messaging in healthcare?
Email, chat, and electronic health record portals used to communicate between the client and provider.
What is CCHP?
Center for Connected Health Policy, a national resource to make telehealth policy accessible and track telehealth-related laws across all states.
What is a peer support worker?
Employed by healthcare organizations to support individuals, required to complete formal training.
What are mutual help sponsors?
Volunteers who guide others through 12-step programs without formal training.
What are 12-step programs?
Popular mutual-help groups based on principles of acceptance, surrendering to a higher power, and active involvement in meetings.
What are secular recovery groups?
Groups like SMART Recovery, SOS, Women for Sobriety, and LifeRing that focus on recovery without religious elements.
What is harm reduction?
An evidence-based, proactive approach designed to reduce the negative impacts of problematic substance use.
What are syringe services?
Programs that limit the sharing of syringes, decreasing HIV infection rates and overdose deaths.
What are safer injection practices?
Practices that include cleaning hands and skin before injection and using sterile equipment.
What is naloxone?
A medication that can rapidly reverse an opioid overdose, recommended for clients with OUD.
What is fentanyl?
A powerful synthetic opioid that is 50 times stronger than heroin and 100 times stronger than morphine.
What are fentanyl test strips?
Tools that can detect the presence of fentanyl within 5 minutes.
What are the three Es of trauma?
Events, the experience of those events, and the long-lasting adverse effects of the event.
What is acute trauma?
Referring to one incident of trauma that is relatively short in duration.
What is chronic trauma?
Repeated and prolonged trauma.
What is complex trauma?
Prolonged and repeated trauma that is invasive or interpersonal in nature.
What are adverse childhood experiences (ACEs)?
Traumatic events or chronic stressors that negatively impact a child’s health and are outside of their control.
What is intergenerational trauma?
Trauma that passes down from those who directly experience it to subsequent generations.
What is racial trauma?
Results from exposure to racism, racial bias, and discrimination.
What is trauma-informed care?
Grounded in an understanding of and responsiveness to the impact of trauma.
What are SAMHSA’s 6 key principles of trauma-informed care?
Safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment, voice, and choice, cultural, historical, and gender issues.
What are SAMHSA’s treatment guidelines for a trauma-informed approach?
Promote trauma awareness, recognize trauma-related symptoms, minimize risk of retraumatization, create a safe environment, and support control and choice.
What is secondary traumatic stress?
Emotional distress resulting from hearing about another person’s firsthand experiences, often manifesting in symptoms associated with PTSD.
What is compassion fatigue?
A less stigmatizing way to describe secondary traumatic stress.
What is vicarious trauma?
Cumulative effect on clinicians after consistent exposure to others’ traumatic experiences.
What is burnout?
Physical, mental, and emotional exhaustion caused by chronic work-related stress.
What are social determinants of health?
Conditions in environments affecting health, functioning, and quality of life outcomes.
What are the five domains of social determinants of health?
Healthcare access and quality, education access and quality, social and community context, economic stability, neighborhood and built environment.
What are health disparities?
Preventable differences in disease burden or opportunities to achieve optimal health experienced by socially disadvantaged populations.
What is health equity?
The process of ensuring that all individuals have optimal opportunities to attain the best health possible.
What is integratedness?
The degree to which programs are organized to deliver integrated physical and behavioral health services.
What is coordinated care?
Clinicians in different healthcare settings exchanging information about shared patients to facilitate care.
What is co-location?
Behavioral health specialists being physically located in primary care clinics.
What is integrated care?
A practice team that includes primary care and behavioral health professionals working together with patients.
What are collaborative care models?
Evidence-based approaches to integrate behavioral health services into primary care settings.
What are Federally Qualified Health Centers?
Community-based healthcare providers funded to provide primary and preventative healthcare on a sliding scale basis.
What are patient-centered medical homes?
Collaborative approaches where primary care providers and behavioral health professionals manage all aspects of client care.
What did the Affordable Care Act support?
The integration of behavioral health into primary care settings.
What did the Drug Addiction Treatment Act of 2000 change?
Marked a pivotal change towards a more medicalized and less centralized treatment model for opioid addiction.
What is the Crisis Intervention Team (CIT)?
A program that creates connections between law enforcement, behavioral health providers, and individuals with mental illness.
What is diversion in the criminal justice system?
The process of diverting individuals with SUD and mental health disorders from the criminal justice system into treatment.
What is the Sequential Intercept Model?
A model that identifies resources and gaps in services at each intercept point to divert people with SUD and mental health disorders.
What are drug courts?
Specialized court programs that combine treatment with incentives and sanctions for individuals with SUD.
What are mental health courts?
Courts that cater to offenders with mental health conditions, diverting them from criminal court to psychiatric treatment.
What are reentry programs?
Programs that help individuals transition from incarceration back to the community with various support services.
What are integrated treatment programs?
Programs providing comprehensive care for inmates with co-occurring substance use and mental health disorders.
What are community supervision alternatives?
Probation/parole services that incorporate treatment and support for individuals with substance use and mental health disorders.
How does parental substance use affect children?
It escalates the risk of children entering the child welfare system and negatively impacts their developmental trajectory.
What is the Child Abuse Prevention and Treatment Act (CAPTA)?
Federal legislation aimed at reducing child abuse and neglect, supporting state efforts to improve child protective services.
What is the Plan of Safe Care (POSC)?
A requirement for infants born affected by substance use, stipulating the development of a service plan for the infant and family.
What are prevention/early intervention programs?
Programs aimed at identifying and addressing SUD and mental health issues before they escalate.
What is the California Evidence-based Clearinghouse for Child Welfare?
An extensive searchable database for effective prevention and early intervention programs for parents and children.
What are collaborative care models in child welfare?
Systems change approaches that involve coordination between child welfare services, SUD treatment providers, and mental health professionals.
What is the Family Treatment Court?
A problem-solving court that handles cases of child maltreatment where parental substance use is a contributing factor.
What are collaborative care models?
Systems change approach that considers both systems-level policy efforts and practice-level strategies to improve family recovery, safety, stability, and well-being.
What is the goal of a family treatment court?
To ensure that children have safe, nurturing, and permanent homes, parents achieve stable recovery, and each family member receives the services and support they need.
What must states prioritize when using funding from the HHS Substance Abuse Prevention and Treatment Block Grant?
Pregnant women for SUD treatment services and provide access to treatment or interim services within 48 hours.
What is the Maternal Opioid Misuse (MOM) Model?
Focuses on pregnant and postpartum women with OUD; provides coordinated service delivery including MAT, case management, individual/group counseling, and recovery support.
What does the Parent-Child Assistance Program offer?
An evidence-informed program for parents with SUD and their children that offers case management, home visits, and support services.
What is the CHARM Collaborative?
A multidisciplinary group of service providers that work with pregnant and postpartum women with OUD to ensure access to treatment and related services.
What is TRICARE?
An insurance program designed for active duty service members, retirees, their families, and survivors; includes health plans, prescriptions, dental plans, and special programs tailored to military community needs.
What are Military Treatment Facilities (MTFs)?
Located on military bases, they are the primary point of care for active duty service members.
What is the role of the Defense Health Agency?
Responsible for the administration of health care services for the military.
What does the Veterans Health Administration (VHA) provide?
Care to veterans who are no longer serving and do not fall into the retiree category.
What is the Center for Deployment Psychology?
Trains military and civilian behavioral health professionals to provide high-quality, evidence-based behavioral health services to military personnel.
What are Mental Illness Research, Education, and Clinical Centers (MIRECCs)?
Dedicated to improving the understanding and treatment of mental health conditions in veterans and enhancing treatment outcomes through research, education, and clinical care.
What do Centers of Excellence do?
Work to ensure that veterans receive state-of-the-art care by promoting innovation and excellence in healthcare practices, research, and education.
What is the SMVF TA Center?
A federal center that works to bring federal, state, and community partners together to close military and civilian gaps and strengthen behavioral health services for military/veteran families.
