Access to Recovery (ATR)
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Funds a voucher-based system of purchasing treatment and recovery supports |
| Addiction Severity Index (ASI) |
a standardized assessment tool used to conduct a comprehensive drug evaluation and to match offenders' drug problems with treatment approaches |
| Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) |
an instrument developed for the World Health Organization (WHO) by an international group of substance abuse researchers to detect and manage substance use and related problems in primary and general medical care settings.
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| Alcohol Use Disorders Identification Test (AUDIT) |
a screening tool developed by the World Health Organization to identify persons whose alcohol consumption has become hazardous or harmful to their health. It is a 10-item screening questionnaire with 3 questions on the amount and frequency of drinking, 3 questions on alcohol dependence, and 4 on problems caused by alcohol. All of the questions are scored using a 5-point Likert scale. |
| Anxiety Disorder |
an illness whose essential feature is excessive anxiety and worry. The individual with anxiety disorder finds it difficult to control the worry, and the anxiety and worry are accompanied by additional symptoms from a list that includes restlessness, being easily fatigued, difficulty concentrating, irritability, muscle tension, and disturbed sleep, among other signs and symptoms.
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| Assertive Community Treatment (ACT) |
a form of treatment that typically employs intensive outreach activities, continuous 24-hour responsibility for client's welfare, active and continued engagement with clients, a high intensity of services, as well as the provision of services by multidisciplinary teams. ACT emphasizes shared decision making with the client as essential to the client's engagement process.
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| Assessment |
a basic assessment consists of gathering key information and engaging in a process with the client that enables the counselor to understand the client's readiness for change, problem areas, the presence of mental illness or substance abuse disorders, disabilities, and strengths. An assessment typically involves a clinical examination of the functioning and well-being of the client and includes a number of tests and written and oral exercises. |
Behavioral Health Planning Council (BHPC)
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A body created to meet federal and state advisory council requirements and to provide input to the behavioral health service delivery system in New Mexico. |
| Behavioral Health Purchasing Collaborative |
created by Governor Richardson in 2004 to allow most state agencies and resources involved in behavioral health treatment and recovery to work as one in an effort to improve mental health and substance abuse services in New Mexico.
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| Behavioral Health Services Division (BHSD) |
the Behavioral Health Services Division, which oversees the federal block grants as well as mental health services for adults who are not eligible for Medicaid and all substance use treatment services brief intervention — a discussion aimed at raising an individual's awareness of their risky behavior and motivating them to change their behavior.
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Cognitive-Behavioral Therapy (CBT)
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a therapeTutic approach that seeks to modify negative or self-defeating thoughts and behavior. CBT is aimed at both thought and behavior change—that is, coping by thinking differently and coping by acting differently.
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| Comprehensive Continuous Integrated System of Care (CCISC) |
a theoretical method for bringing the mental health and substance abuse treatment systems (and other systems, potentially) into an integrated planning process to develop a comprehensive, integrated system of care. The CCISC is based on an awareness that co-occurring disorders are to be expected in clients throughout the service system.
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| Contingency Management (CM) |
an approach to treatment that maintains that the form or frequency of behavior can be altered through a planned and organized system of positive and negative consequences. CM assumes that neurobiological and environmental factors influence substance use behaviors and that the consistent application of reinforcing environmental consequences can change these behaviors.
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| Continuing Care |
care that supports a client's progress, monitors his or her condition, and can respond to a return to substance use or a return of symptoms of mental disorder. It is both a process of post-treatment monitoring and a form of treatment itself. Sometimes referred to as aftercare. |
| Co-Occurring Disorders (COD) |
refers to co-occurring substance use (abuse or dependence) and mental disorders. Clients said to have COD have one or more mental disorders as well as one or more disorders relating to the use of alcohol and/or other drugs. See dually disordered.
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| Cultural Competence |
the capacity of a service provider or an organization to understand and work effectively in accordance with the cultural beliefs and practices of persons from a given ethnic/racial group. Also includes an ability to examine and understand nuances and exercise full cultural empathy.
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| Culturally Competent Treatment |
biopsychosocial or other treatment that is adapted to suit the special cultural beliefs, practices, and needs of a client.
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| Community Mental Health Services Block Grant (CMHS) |
A renewable Federal block grant that funds mental health services and initiatives, including the BHPC.
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| Co-Occurring State Incentive Grant (CoSig) |
Funds development and enhancement of the NM service system infrastructure to increase its capacity to serve people with both mental health and substance use disorders.
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| Cross Agency Team (CAT) |
A workgroup consisting of staff from various Collaborative member agencies. |
| Comprehensive Community Support Services (CCSS) |
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Drug Abuse Screening Test (DAST)
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DAST was designed to provide a brief instrument to detect drug abuse or dependence disorders. The DAST provides a general measure of lifetime problem severity that can be used to guide further inquiry into drugrelated problems and to help determine treatment intensity. |
| DSM-IV |
Diagnostic and Statistical Manual, 4th edition, published by the American Psychiatric Association, a standard manual used to categorize psychological or psychiatric conditions.
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GPRA
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Government Performance and Results Act. |
Healthcare Common Procedure Coding System (HCPCS)
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the standard HIPAA code set for reporting health transactions. It is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology) and is used to report physician and other health care services. Because Medicaid, Medicare, and other insurers cover a variety of services that are not identified by CPT codes, level II HCPCS codes were established for submitting those claims.
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Housing, Supportive
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Supportive Housing transforms lives through access to affordable, subsidized rental housing coupled with support services that are tailored to the consumer’s needs. Decent and affordable housing linked to flexible client-driven, community-based support services is desired by consumers as an essential ingredient to support their journey towards recovery, resiliency and self-determination.
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Integrated Treatment
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any mechanism by which treatment interventions for cooccurring disorders are combined within the context of a primary treatment relationship or service setting. It recognizes the need for a unified treatment approach to meet the substance abuse, mental health, and related needs of a client, and is the preferred model of treatment.
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| Intensive Case Management (ICM) |
a thorough, long-term service to assist clients with serious mental illness (particularly those with psychiatric and functional disabilities and a history of not adhering to prescribed outpatient treatment) by establishing and maintaining linkages with community-based service providers. ICM typically provides referrals to treatment programs, maintains advocacy for clients, provides counseling and crisis intervention, and assists in a wide variety of other basic services.
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| Intervention |
the process of providing care to a patient or taking action to modify a symptom, an effect, or a behavior. Also the process of interacting after assessment with a patient who is substance addicted to present a diagnosis and recommend and negotiate a treatment plan. Also frequently used as a synonym for treatment . Types of intervention can include crisis intervention, brief intervention, and long-term intervention.
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Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
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one of several SAMHSA-approved accreditation organizations charged with ensuring that OTPs meet the standards set forth in Federal regulations and SAMHSA guidelines.
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Local Collaborative (LC)
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An advisory body, defined by either judicial district or tribal grouping and recognized by the Collaborative, that provides input on regional behavioral health issues to the Collaborative, primarily through its representatives on the BHPC.
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Management Information System (MIS)
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A computer system that assists in organizing information for the purposes of planning and maintaining a business or other organization. |
| Medically Supervised Withdrawal |
dispensing of a maintenance medication in gradually decreasing doses to alleviate adverse physical or psychological effects incident to withdrawal from the continuous or sustained use of opioid drugs. The purpose of medically supervised withdrawal is to bring a patient maintained on maintenance medication to a medication-free state within a target period.
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| Mental Health Program |
an organized array of services and interventions with a primary focus on treating mental health disorders, whether providing acute stabilization or ongoing treatment.
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| Mental Health Transformation State Infrastructure Grant (TSIG) |
Funds the development of a comprehensive NM mental health plan and improvement of the mental health services infrastructure. |
| Mental Health Treatment System |
a broad array of services and programs intended to treat a wide range of mental health disorders.
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| Mobile Treatment Services |
substance use treatment provided directly to patients from traveling units or vans, ranging from comprehensive maintenance services (with medication and counseling in one or several mobile units) to more limited care, usually medication maintenance therapy, in conjunction with a fixed-site program offering counseling and other psychosocial services.
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| Mood Disorders |
include the depressive disorders ("unipolar depression"), the bipolar disorders, and two disorders based on etiology mood disorder due to a general medical condition and substance-induced mood disorder.
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National Mental Health Association (NMHA)
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a policymaking and educational association that holds workshops and has an annual conference for clinicians working with persons with mental health problems, including persons with COD. The organization continues to develop resources, documents, publications, and a COD-designated section on its Web site.
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Outreach strategies
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approaches that actively seek out persons in a community who may have substance use disorders and engage them in substance abuse treatment paranoia — a type of delusion, or false idea, that is unchanged by reasoned argument or proof to the contrary. Clinical paranoia involves the delusion that people or events are in some way specially related to oneself. People who are paranoid may believe that others are talking about them, plotting devious plans about them, or planning to hurt them. Paranoia often occurs during episodes of high-dose chronic stimulant use and may occur during withdrawal from sedative-hypnotics such as alcohol.
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Practice Improvement Collaboratives
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community-based initiatives that link treatment providers, researchers, and policymakers in order to build a strong foundation to affect action. |
| Program |
currently, substance abuse treatment programs use the Service Delivery Unit (SDU) as their program definition for the National Survey of Substance Abuse Treatment Services. Mental health treatment programs use facility or organization in reporting for the Survey of Mental Health Organizations, General Hospital Mental Health Services, and Managed Behavioral Health Care Organization (SMHD)
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| Psychosis |
a mental disorder that is characterized by distinct distortions of a person's mental capacity, ability to recognize reality, and relationships to others to such a degree that it interferes with that person's ability to function in everyday life.
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| Psychosocial |
involving a person's psychological well-being, as well as housing, employment, family, and other social aspects of life circumstances.
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Request for Proposal
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| Region |
For purposes of SE service delivery and Local Collaborative organization, the State is divided into six regions: five geographic regions and one Native American region.
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| Referral |
a process for facilitating client/consumer access to specialized treatments and services through linkage with, or directing clients/consumers to, agencies that can meet their needs. For COD, referrals are frequently made for detoxification, assessment, special treatment, and medications.
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| Relapse |
a breakdown or setback in a person's attempt to change or modify any particular behavior. An unfolding process in which the resumption of substance abuse is the last event in a series of maladaptive responses to internal or external stressors or stimuli.
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| Relapse Prevention Therapy (RPT) |
a variety of interventions designed to teach individuals who are trying to maintain health behavior changes how to anticipate and cope with the problem of relapse. RPT strategies can be placed in five categories: Assessment Procedures, Insight/Awareness Raising Techniques, Coping Skills Training, Cognitive Strategies, and Lifestyle Modification.
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Strategic Prevention Framework State Incentive Grant (SPFSIG)
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Funding helps States and communities implement effective prevention program models
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| Screening, Brief Intervention, Referral, and Treatment Grant (SBIRT) |
Provides substance use screening, brief intervention and, when necessary, referral to treatment in non-traditional settings, such as primary care clinics and ERs.
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| Steering Committee |
The working group of the Collaborative, made up of senior management, the chairs of the CATs, and other related workgroups.
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| Substance Abuse Prevention and Treatment Block Grant (SAPT) |
A renewable Federal block grant that funds substance use prevention and some treatment for certain groups of people.
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| Statewide Entity (SE) |
The organization contracted to run the mental health and substance abuse treatment, prevention, and support programs funded by the Collaborative. |
| SAMHSA |
Substance Abuse and Mental Health Services Administration |
| Schizophrenia |
a type of psychosis. Persons diagnosed with schizophrenia are subject to hallucinations occurring in the absence of insight into their pathological nature, as well as disorganized speech and grossly disorganized or catatonic behavior. The disorder lasts for at least 6 months and includes at least 1 month of active-phase symptoms including two or more of the following: delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior, negative symptoms.
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| Screening |
a formal process of testing to determine whether a client warrants further attention at the current time for a particular disorder and, in this context, the possibility of a co-occurring substance or mental disorder. The screening process for co-occurring disorders seeks to answer a "yes" or "no" question: Does the substance abuse [or mental health] client being screened show signs of a possible mental health [or substance abuse] problem? Note that the screening process does not necessarily identify what kind of problem the person might have or how serious it might be but determines whether further assessment is warranted.
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| Service Integration |
no one set of treatment interventions constitutes integrated treatment. The term refers to the availability and delivery of a comprehensive array of appropriate mental health and substance abuse services and interventions that are identified within a single treatment plan, coordinated by a single treatment team, and both effective and responsive to the high degree of severity of both mental illness and substance abuse experienced by the client. Under the "no wrong door" approach, integrated services should be available, as necessary, through both mental health and substance abuse treatment systems. (See also collaboration and informal collaboration.) |
| Stigma |
a negative association attached to some activity or condition. A cause of shame or embarrassment.
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| Substance Abuse |
a maladaptive pattern of substance use manifested by recurrent and significant adverse consequences related to the repeated use of substances. Sometimes used interchangeably with the term substance dependence . substance abuse treatment program — an organized array of services and interventions with a primary focus on treating substance use disorders, providing both acute stabilization and ongoing treatment.
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| Substance Abuse Treatment System |
a broad array of services organized into programs intended to treat substance use disorders. It also includes services organized in accord with a particular treatment approach or philosophy (e.g., methadone treatment or therapeutic community.
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| Substance Dependence |
a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by a need for increasing amounts of the substance to achieve intoxication, markedly diminished effect of the substance with continued use, the need to continue to take the substance in order to avoid withdrawal symptoms, and other serious behavioral effects, occurring at any time in the same 12-month period.
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| Substance Use Disorders |
a class of substance-related disorders that includes both substance abuse and substance dependence .
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| Suicidality |
a measure or estimate of a person's likelihood of committing suicide. A high-risk behavior associated with COD, especially (although not limited to) serious mood disorders.
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| System |
an organization of a number of different treatment programs and related services in order to implement a specific mission and common goals.
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Therapeutic Community (TC)
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a consciously designed social environment or residential treatment setting in which the social and group process is harnessed with therapeutic intent. The TC promotes abstinence from alcohol and illicit drug use, and seeks to decrease antisocial behavior and to effect a global change in lifestyle, including attitudes and values. The TC employs the community itself as the agent of healing. The TC views drug abuse as a disorder of the whole person, reflecting problems in conduct, attitudes, moods, values, and emotional management. Treatment focuses on drug abstinence, coupled with social and psychological change that requires a multidimensional effort involving intensive mutual self-help typically in a residential setting.
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| Trauma |
violent mental or physical harm to a person, damage to an organ, etc. |
| Treatment |
substance abuse treatment is an organized array of services and interventions with a primary focus on treating substance abuse disorders. For the Treatment Episode Data Set, the Center for Substance Abuse Treatment defines treatment to include the following general categories: hospital, short- and long-term residential, and outpatient. Mental health treatment is an organized array of services and interventions with a primary focus on treating mental disorders, whether providing acute stabilization or ongoing treatment. These programs may exist in a variety of settings, such as traditional outpatient mental health centers (including outpatient clinics and psychosocial rehabilitation programs) or more intensive inpatient treatment units.
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Wraparound Services
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aspects of a treatment program that address difficult-to-treat problems, such as finding childcare while in treatment, arranging for proper housing, and finding employment.
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