Adolescent Psychiatric Inpatient Units

RM-3300.6600-050

Programs offered in special units of general acute care hospitals that provide diagnostic and treatment services for adolescents, usually age 12 or 13 through 17 who have acute psychiatric disorders, require hospitalization for maximum benefit, and who may 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.

Adolescent/Youth Counseling

RP-1400.8000-050

Programs that specialize in the treatment of adolescents, usually age 12 or 13 through 17, who have adjustment problems, behavior problems, emotional disturbance, a personality disorder or incipient mental illness. The programs may help youth troubled by low self-esteem, social isolation, peer pressure, bullying, school performance issues, truancy, anger management issues, family problems, grief and loss, sexual promiscuity, sexually transmitted disease, alcohol or drug addiction, eating disorders, oppositional and defiant behaviors, depression and anxiety, suicidal thoughts or other difficult issues.

Adult Residential Treatment Facilities

RM-7000.0500

Programs that provide a treatment-oriented living experience in a community-based facility for adults who have emotional disturbances and who, because of their disabilities, are unable to succeed in other placements, but who do not require inpatient psychiatric hospitalization. The service is geared to the specific needs of individual residents and their eventual return to the community as soon as their personal and social adjustment and development permit.

Anger Management

RP-1400.8000-070

Programs that provide educational and/or therapeutic opportunities for people who are interested in or who need to learn how to deal with their anger in a positive, functional way. Participants may include people who internalize their anger as well as those who act it out verbally or in behavior toward friends, family, children, employers or other people in their lives. Included are court-ordered and voluntary programs for people who are involved in domestic violence or child abuse as well as general workshops for people who are uncomfortable with the way they express their anger.

Career Counseling

ND-2000.1500-160

Programs that provide information and guidance for people who need to evaluate their aptitude, abilities and interests in order to choose a vocation or career and select the type of training that will enable them to obtain and progress in positions in the public or private sector that are productive and fulfilling.

Child Care Mental Health Consultation Programs

PH-2360.1500

Programs that provide problem-solving consultation and advice for parents and child care providers to support children who are experiencing behavioral or emotional challenges in their child care setting that put them at risk for losing access to their child care. The program aims to ensure the success of all children in child care and increase the number of families and child care providers who effectively nurture the social and emotional development of young children in licensed child care programs. Services include observation and assessment, home visits, child care site visits, behavior management strategies for the child care setting and the home, adaptations in the child care environment, team planning and community referrals, and staff training. The programs differ from community to community in a number of ways including the type of services provided (behavioral-oriented versus therapy-oriented), the credentials of professionals providing the service (licensed therapists, behaviorists, early childhood specialists/educators), and the degree to which they work individually with children and families. They are generally implemented within a collaborative relationship between local community mental health agencies and local/regional child care resource and referral association offices, though other organizations may also be involved.

Child Guidance

RP-1400.8000-155

Programs that specialize in the treatment of children from infancy to age 12 who have adjustment problems, behavior problems, emotional disturbances, a personality disorder or incipient mental illness.

Clinical Psychiatric Evaluation

RP-5000.1500

Programs that utilize a variety of means to evaluate the mental or emotional status or functioning of people who may be experiencing acute or chronic disturbances. Diagnostic techniques may include observation of the person's behavior, interviews with the individual and significant others, psychological testing as indicated, medical examination, assessment for psychotropic or other medication, and the formulation of an appropriate, ongoing treatment plan which may include voluntary or involuntary hospitalization.

Crisis Intervention

RP-1500

Programs that provide immediate assistance for people who are in acute emotional distress; who are or perceive themselves to be in life-threatening situations; who are a danger to themselves or to others; or who are hysterical, frightened or otherwise unable to cope with a problem that requires immediate action. The objective of crisis intervention is to defuse the critical nature of the situation, ensure the person's safety, and return the individual to a state of equilibrium in which he or she is capable of identifying and seeking solutions to the problem.

Domestic Violence Hotlines

RP-1500.1400-200

Programs that provide immediate assistance for women and men who have experienced domestic abuse which may include steps to ensure the person's safety; short-term emotional support; assistance with shelter; legal information and advocacy; referrals for medical treatment; ongoing counseling and/or group support; and other related services. Hotline staff are generally available via telephone, email, chat and/or text.

Early Intervention for Mental Illness

RR-1800

Programs that identify and provide treatment for individuals whose personal condition and social experiences could potentially produce mental, emotional or social dysfunctions with the objective of preventing their development; or which conduct general screening efforts to identify and treat children who have emerging problems to ensure the best possible prognosis.

Employment Preparation

ND-2000

Programs that provide assistance for people who need information, guidance and/or training in specific job-related skills to make appropriate occupational choices and secure and retain positions that effectively utilize their abilities.

Family Counseling

RF-2000

Programs that offer therapeutic sessions that focus on the system of relationships and communication patterns among family members and which attempt to modify those relationships and patterns to achieve greater harmony. The therapist focuses on the family as a unit rather than concentrating on one of the members who is singled out as the person in need of treatment.

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.

Group Counseling

RF-2500

Programs that offer therapist-facilitated collective treatment sessions in which unrelated groups of individuals, couples or families discuss their attitudes, feelings and problems and, with input from other members of the group, attempt to achieve greater self and interpersonal understanding and adjustment and explore solutions to their problems.

Individual Counseling

RF-3300

Programs that offer personal therapeutic sessions in which the therapist works on a one-to-one basis with clients to help them resolve their mental, emotional or social problems.

Infant and Early Childhood Mental Health

RP-6400.3300

Programs that specialize in providing preventive, diagnostic and treatment services that focus on strengthening the social and emotional development and well-being of infants and young children within the context of early primary relationships. Services may include emotional support, developmental guidance, early relationship assessment and support, infant-parent psychotherapy and advocacy. The objectives of the discipline are to help infants and young children develop close and secure relationships with others; experience, express and regulate a full range of both positive and negative emotions; and actively explore the environment and learn.

Job Training Formats

ND-2000.3500

Programs that offer apprenticeships, training through business practice firms, classroom training, internships, on-the-job training, work experience or other formats for training that prepares people for specific types of employment. The training may feature formal instruction in an institutional classroom setting, hands-on experience at a job site under varying arrangements or a combination of the two as the means by which trainees acquire the skills required to perform the job.

Juvenile Delinquency Diversion Counseling

RP-1400.8000-370

Programs that provide individual, conjoint, family and group counseling for people younger than age 18 who are at risk for or have committed delinquent acts and who are directed to participate in counseling for a period of time as an alternative to arrest, a hearing in a juvenile delinquency or youth court, or, in some cases, another court-ordered disposition. These programs are often provided by agencies which also offer other types of counseling for young people and their families, which coordinate with the referring agency concerning the client's responsible use of services and which involve the client's family in the counseling process as needed.

Marriage Counseling

RP-1400.8000-500

Programs that provide emotional support, problem solving assistance, and guidance for one or both married or cohabiting partners who are having problems with their relationship and need assistance to identify the root of their difficulty and explore alternative resolutions with the objective of enhancing the relationship for both partners. Counseling may be available in a variety of settings and may include individual or group counseling for one or both of the partners, conjoint counseling and encounter-type experiences for groups of couples who are experiencing marital problems and/or who want to enhance their marriages.

Mental Health Information/Education

RR-5150

Programs that provide information through a variety of channels that improves the public's understanding of mental health and mental illness; the nature, etiology, diagnosis and treatment or management of specific mental disorders; and strategies for reducing the incidence of problems where possible. Mental health education programs help people make informed decisions about matters that affect their personal mental health and that of others. They inform the public of the risk factors and signs of mental health problems, encourage people to take advantage of early detection programs, help people modify behaviors that compromise their own mental health and provide support for family members and friends who are coping with mental illness or other mental health issues that have affected a loved one.

Mental Health Intervention Programs

RR-5180

Programs staffed by trained intervention specialists who work with family members, friends and others who are concerned about a loved one's mental health problem. Interventions for adults typically focus on skills that enhance independent living including development of those that focus on communication, conflict resolution, daily living, problem-solving, social interaction and skills in the area of interpersonal relationships. The interventions sometimes include a meeting which is planned, rehearsed and carried out during which the person is confronted with how their mental illness may be affecting their career, family life or physical health with the objective of persuading them to seek treatment. Assistance during the intervention may include mediation, if required, and post-intervention support. The process can be used for many problem areas in life including anxiety, depression, bipolar disorder, substance use disorders, gambling or sexual addiction, eating disorders and compulsive spending/credit problems. Interventions for children and adolescents generally focus on skills in the areas of social interaction, cognitive flexibility, communication skills, conflict resolution, emotional regulation, interpersonal relationships and problem-solving. Family interventions exist to improve outcomes for the person with the disorder or illness by improving family engagement and effectiveness in handling the challenges associated with the problem as well as improving the well-being of the caregiver and reducing the stress and negative outcomes of caregiving.

Mental Health Self Management Programs

RR-5240

Mental health programs that provide education, training and support for people with severe mental illnesses such as depression, bi-polar disorder and schizophrenia that helps them manage their disorder, prevent relapses and re-hospitalizations and achieve personal recovery goals. Participants adopt a self-management care plan; actively share in decision-making with mental health professionals; monitor and manage signs and symptoms or their own condition; manage the impact of the condition on their physical, emotional, occupational and social functioning; and have access to and confidence in their ability to use support services.

Peer Counseling

RF-6500

Programs that offer individual therapeutic sessions which are facilitated or guided by an individual who is the same age as the client (an age-peer) or who has experienced and resolved the same type of problem as the client.

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 Medication Services

RP-6400.8000-650

Programs that prescribe antidepressants, antianxiety drugs, antimaniacs, sedatives and antipsychotic/neuroleptic medications to control symptoms such as delusions, extreme agitation, panic attacks, manic or depressive episodes, hallucinations or paranoia that are associated with specific forms of mental illness. Services may include a psychiatric evaluation to determine the need for medication; prescription of an appropriate drug; and periodic follow-up to monitor the effectiveness of the medication in modifying the individual's behavior, ensure that undesirable side effects are minimized and verify that medication is, in fact, being taken as prescribed.

Recreational Therapy

RP-8000.7400

Programs that help individuals with mental, physical or developmental disabilities, substance abuse disorders, chronic health conditions or other problems develop new interests, sharpen their social skills and gain a sense of self-achievement through a structured series of leisure-time activities which may include arts and crafts, dance, drama, music, sports, games, social gatherings and community outings. Therapy goals may differ for different populations, e.g., improved hand-eye coordination and fine motor skills may be desired outcomes for people with physical disabilities.

Suicide Prevention Hotlines

RP-1500.1400-800

Programs that provide immediate assistance for individuals who are having suicidal feelings with the objective of helping them explore alternatives to self-harm or self-destruction. Included are local, accredited hotlines, countywide and statewide programs, programs offered by local nonprofit organizations and the National Suicide Prevention Lifeline, a network of more than 180 local crisis centers. Suicide prevention workers establish and maintain contact with the individual while identifying and clarifying the focal problem, evaluate the suicidal potential, assess the individual's strengths and resources, and mobilize available resources including paramedic or police intervention and emergency psychiatric care as needed. These programs can also help individuals who are worried about the potentially suicidal behavior of another with the objective of helping them identify warning signs and provide options for seeking further help. Hotline staff are generally available via telephone, email, chat and/or text. The Federal Communications Commission (FCC) has designated 988 as the three digit dialing code that will replace or supplement the existing toll free number for the National Suicide Prevention Lifeline. The deadline for implementation by all voice service providers is set for July 16, 2022.

Suicide Prevention Programs

RR-5150.5000-800

Programs that attempt to reduce the incidence of suicide through a variety of educational interventions which have the objective of exploring alternatives to self-harm or self-destruction. Suicide prevention programs help people understand the nature of the problem; the risk factors and warning signs; and sources for treatment and support. Included are prevention programs that address specific target populations as well as those that are intended to reach the community at large. Delivery formats may include printed materials, videos or websites that address the subject and presentations in schools and agencies and to family groups.

Therapy Referrals

RR-8500

Programs that link people who are in need of counseling services with private therapists who are qualified in the desired area of specialization.

Veteran Reintegration Counseling

RP-1400.8000-900

Programs that provide emotional support, information and guidance for veterans who have emotional problems including post traumatic stress disorder relating to experiences in the service, or who are having other difficulties adjusting to their civilian status.

Vocational Rehabilitation

ND-9000

Programs that enable individuals with disabilities, people who abuse drugs or alcohol, or people who have emotional problems to obtain the training and employment experiences they need to achieve economic self-sufficiency. Services may include vocational evaluation, work adjustment, work experience, training in marketable skills and placement in competitive employment or a sheltered work environment.