904 Morven Road Wadesboro, NC 28170     (704) 269 – 6800

418 S. Eugene Court, Greensboro, NC 28401   (336) 365 – 8354

Mental Health terminology
Enhanced Behavioral Health Services
Enhanced Behavioral Health Services

Enhanced Behavioral Health Services

Enhanced Behavioral Health Services, as defined by the North Carolina Department of Health and Human Services (NC DHHS), encompass a range of state-funded mental health and substance use services designed to provide comprehensive and intensive support to individuals in need. These services are tailored to address various behavioral health challenges and include:

Services Offered

  • Intensive In-Home Services: Targeted support for children and adolescents with significant behavioral health needs, delivered within the home setting.
  • Multisystemic Therapy (MST): An intensive, family- and community-based treatment program that addresses the multiple determinants of serious antisocial behavior in juvenile offenders.
  • Psychosocial Rehabilitation: Services aimed at helping individuals with psychiatric disabilities to restore and enhance their personal, social, and vocational competencies.
  • Child and Adolescent Day Treatment: Structured treatment services provided to children and adolescents with mental health or substance use disorders, focusing on improving functional abilities.
  • Partial Hospitalization: A short-term, intensive treatment program that provides therapeutic services during the day, allowing individuals to return home in the evenings.
  • Professional Treatment Services in Facility-Based Crisis Programs: Immediate, short-term care provided in a non-hospital setting for individuals experiencing a behavioral health crisis.
  • Substance Abuse Intensive Outpatient Program (SAIOP): Structured individual and group addiction activities and services that are provided in an outpatient setting.
  • Substance Abuse Comprehensive Outpatient Treatment Program (SACOT): An intensive service designed to assist individuals in initiating recovery and maintaining abstinence from addictive chemicals.
  • Substance Abuse Residential Treatment: Residential services for individuals requiring a structured environment to support recovery from substance use disorders.

Intensive Behavioral Health Services
Intensive Behavioral Health Services

Intensive Behavioral Health Services

Intensive Behavioral Health Services, as defined by the North Carolina Department of Health and Human Services (NC DHHS), are specialized interventions designed to provide comprehensive and focused support for individuals with significant mental health and substance use challenges. These services aim to stabilize and improve the individual's condition, promoting recovery and enhancing quality of life.

Key Services

  • Assertive Community Treatment (ACT): A multidisciplinary team approach providing 24/7, community-based psychiatric treatment, rehabilitation, and support to individuals with severe and persistent mental illness. (NCDHHS.GOV)
  • Community Support Team (CST): Community-based mental health and substance use rehabilitation services delivered through a team approach to assist adults in achieving rehabilitative and recovery goals. (NCDHHS.GOV)
  • Integrated Dual Disorder Treatment (IDDT): An evidence-based practice that combines mental health and substance use services to improve the quality of life for individuals with co-occurring severe mental illness and substance use disorders. (NCDHHS.GOV)
  • Intensive In-Home Services: Structured, family-centered services provided in the home to children and adolescents with significant behavioral health needs, aiming to prevent out-of-home placements. (NCDHHS.GOV)
  • Multisystemic Therapy (MST): An intensive, family- and community-based treatment program addressing the multiple determinants of serious antisocial behavior in juvenile offenders. (NCDHHS.GOV)
  • Psychosocial Rehabilitation: Services aimed at helping individuals with psychiatric disabilities restore and enhance their personal, social, and vocational competencies. (NCDHHS.GOV)
  • Child and Adolescent Day Treatment: Structured treatment services provided to children and adolescents with mental health or substance use disorders, focusing on improving functional abilities. (NCDHHS.GOV)
  • Partial Hospitalization: A short-term, intensive treatment program that provides therapeutic services during the day, allowing individuals to return home in the evenings. (NCDHHS.GOV)
  • Professional Treatment Services in Facility-Based Crisis Programs: Immediate, short-term care provided in a non-hospital setting for individuals experiencing a behavioral health crisis. (NCDHHS.GOV)
  • Substance Abuse Intensive Outpatient Program (SAIOP): Structured individual and group addiction activities and services provided in an outpatient setting. (NCDHHS.GOV)
  • Substance Abuse Comprehensive Outpatient Treatment Program (SACOT): An intensive service designed to assist individuals in initiating recovery and maintaining abstinence from addictive substances. (NCDHHS.GOV)
  • Substance Abuse Residential Treatment: Residential services for individuals requiring a structured environment to support recovery from substance use disorders. (NCDHHS.GOV)
Integrated Behavioral Health (IBH)

What is Integrated Behavioral Health (IBH)?

Integrated Behavioral Health (IBH) refers to the systematic coordination of mental health care and primary care services. This approach aims to address physical and mental health needs in a more unified, collaborative manner to improve outcomes for patients.

Examples of IBH in Practice:

  • A primary care physician working alongside a therapist or counselor within the same clinic to manage a patient’s depression and diabetes simultaneously.
  • A behavioral health consultant providing brief interventions (such as stress management or coping skills) during a primary care visit.
  • Routine screenings for mental health conditions (e.g., depression or anxiety) conducted in a medical setting, followed by immediate referrals to on-site or affiliated mental health providers.
Collaborative Care Model (CoCM)

What is the Collaborative Care Model (CoCM)?

The Collaborative Care Model (CoCM) is a subset of Integrated Behavioral Health (IBH) that uses a team-based approach to deliver mental health care. This model involves a primary care provider, a behavioral health care manager, and a psychiatric consultant who work together to manage a patient’s mental health needs. CoCM places a heavy emphasis on the use of standardized tools, such as symptom scales, to track and measure progress.

Examples of CoCM in Practice:

  • A patient diagnosed with anxiety receives care from their primary care doctor, who works with a behavioral health manager to create a treatment plan and monitor progress using standardized assessments like the Generalized Anxiety Disorder-7 (GAD-7) scale.
  • A psychiatric consultant provides recommendations to the care team for adjusting medications or therapy strategies based on the patient’s symptoms and progress.
Outcomes and Goals

Outcomes and Goals

Remission

  • Reduction or disappearance of symptoms.

Recovery

  • Ability to live a fulfilling life despite mental health challenges.

Relapse

  • Return of symptoms after improvement.

Resilience

  • Adaptability in the face of stress or adversity.

Functional Improvement

  • Increased ability to perform daily activities.
  • Better interpersonal relationships.
  • Enhanced employment or educational participation.

Symptom Management

  • Reduction in frequency, duration, or severity of symptoms.
  • Improved coping strategies.

Quality of Life

  • Satisfaction with overall life circumstances and well-being.

Engagement in Care

  • Active participation in therapy or treatment plans.

Compliance/Adherence

  • Following prescribed treatment plans or medication schedules.

Stabilization

  • Achievement of a steady state, especially in acute or crisis situations.
Mental Health Services

Mental Health Services

Peer Support

Peer support involves emotional, social, or practical assistance provided by individuals who have personal experience with mental health challenges or recovery. Peer supporters use their lived experiences to offer understanding, validation, and encouragement to others facing similar struggles. This approach fosters hope and empowerment in a non-clinical setting.

Case Management

Case management is a coordinated approach to connecting individuals with appropriate mental health services and resources. Case managers assess a person’s needs, develop personalized care plans, and assist with accessing services like housing, healthcare, financial support, and therapy. The goal is to ensure comprehensive support and continuity of care.

Group Therapy

Group therapy is a form of psychotherapy where a small group of individuals with similar challenges meets under the guidance of a licensed therapist. Members share experiences, discuss challenges, and learn coping strategies in a supportive environment. Group therapy is effective for fostering connection, reducing isolation, and gaining diverse perspectives on personal issues.

Family Counseling

Family counseling, also known as family therapy, focuses on improving communication and resolving conflicts within a family unit. A licensed therapist works with families to address issues such as parenting challenges, relationship dynamics, or the impact of mental health disorders on family members. The goal is to enhance understanding, promote healthy interactions, and support the family’s overall well-being.

Medication Management

Medication management involves the supervision and review of a person’s use of prescribed psychotropic medications. This service, typically provided by a psychiatrist, psychiatric nurse practitioner, or other qualified healthcare provider, includes assessing the effectiveness of medications, adjusting dosages, managing side effects, and ensuring adherence to treatment plans. The goal is to optimize the benefits of medication while minimizing risks.