Other

Attachment A.8— 2017 N-MHSS Flyer with Online Questionnaire Access Instructions

2017 National Mental Health Services Survey
Sponsored by the:
Substance Abuse and Mental Health Services Administration
(SAMHSA)

We look forward to your participation in this Survey!

Make sure your facility is counted and accessible to those who need it!

To complete the survey via the Internet…
• Go to https://survey.nmhss.org
(This is a secure site.)
• Enter your User ID and Password:
o USER ID:
o PASSWORD:
• Fill out the survey
• Print a copy for your records
• Press “Submit”

OROR

Any questions?
Just call us (toll-free) and provide your User ID listed above.
Call: 1-866-778-9752

Attachment A.9— 2017 N-MHSS Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs)
2017 National Mental Health Services Survey
(N-MHSS)
What is SAMHSA?
The Substance Abuse and Mental Health Services Administration (SAMHSA) is a Federal agency within
the U.S. Department of Health and Human Services. Its mission is to reduce the impact of substance
abuse and mental illness on America’s communities by improving the quality and availability of
prevention, treatment, and rehabilitative services.
SAMHSA was established in 1992 and directed by Congress to target effective substance abuse and
mental health services to the people most in need, and to translate research in these areas more rapidly
and effectively into the general health care system.
SAMHSA provides information about mental health via a toll-free telephone number 877-SAMHSA-7
(877-726-4727), a website, and more than 200 publications. For more information about SAMHSA,
please go to its website at: https://www.samhsa.gov.
What is this survey about?
The N-MHSS is a national federal survey conducted by SAMHSA on an annual basis. It is designed to
collect data from all specialty mental health treatment facilities in the United States, the District of
Columbia, and the U.S. territories. The data collected include information about facility characteristics
and the types of services offered.
Data collected will provide mental health researchers, health care providers, and program decisionmakers with a current picture of what services are available, and where resources could be allocated to
meet the needs of persons with mental illness. Information collected will also be used to update
SAMHSA’s online Behavioral Health Treatment Services Locator which can be found at
https://findtreatment.samhsa.gov.
Who is conducting the survey for SAMHSA and who will be contacting me about the N-MHSS?
Mathematica, a social policy research firm located in Princeton, New Jersey, is the government
contractor responsible for conducting the 2017 N-MHSS for SAMHSA. As needed, one of their survey
interviewers will contact you about the survey.
How was this facility selected?
The goal of the N-MHSS is to contact all eligible facilities in the nation and U.S. territories that provide
mental health treatment services as their primary focus. Some of the facility contact information comes
from the previous N-MHSS conducted in 2016. Additional contact information may have been provided
by state agencies and national professional associations.
(over)

Prepared by Mathematica Policy Research

1

What was included in the 2017 N-MHSS package mailed to this facility?
The 2017 N-MHSS package included:
(1) a cover letter dated April 28, 2017, addressed to “Director of Mental Health Program(s),” from J.
Neil Russell, Ph.D., CBHSQ/SAMHSA.
(2) a bright green flyer with your facility’s unique User ID and Password to login to the secure
N-MHSS website at https://survey.nmhss.org. NOTE: The web survey allows you to complete
the survey questionnaire at your convenience and will automatically navigate you through the
survey ensuring you answer all the necessary questions. The web survey also allows you to stop,
if necessary, with the ability to log back into the survey where you left off and complete the survey
at a later date; and
(3) a Frequently Asked Questions (FAQs) enclosure.
This facility is managed by a parent company or organization that handles one or more mental
health treatment facilities. Do we have to respond to the survey?
The N-MHSS questionnaire is designed to collect information about a single facility at a single location,
that is, the facility whose name and address are indicated on the questionnaire. If your organization offers
treatment services at more than one location, each location will receive a letter and flyer for the survey,
and a questionnaire will need to be completed for each facility location.
We would like to participate, but we do not want our facility to be listed on SAMHSA’s online
Behavioral Health Treatment Services Locator. Is this possible?
Yes, you can still participate in the survey. Near the end of the survey questionnaire, there is a question
that asks whether or not you want the facility listed on the Locator.
The unique User ID and Password provided on the bright green flyer does not seem to work.
What should I do?
Please contact the N-MHSS helpline toll-free number at 1-866-778-9752 for assistance, and a staff
member will gladly assist you.
What time is it best to call to talk with someone about the N-MHSS?
Normal business hours for the N-MHSS helpline are Monday through Friday from 8:00 AM to 8:00 PM
(Eastern Time). The helpline number is: 1-866-778-9752. Voicemail is available on the helpline 24 hours
a day, 7 days per week. If you call after hours, or when all operators are busy, leave your name, your
facility’s name, and a telephone number where you can be reached, and a helpline operator will return
your call no later than the next business day.
What is the e-mail address where I can write to leave a message about the N-MHSS?
You can write to [email protected].
For additional information about the N-MHSS, please access the tabs on the
N-MHSS informational website at https://info.nmhss.org.

Prepared by Mathematica Policy Research

2

Attachment A.10— 2017 N-MHSS Definitions Packet

2017 National Mental Health Services Survey
(N-MHSS)

DEFINITIONS PACKET

Please call the N-MHSS helpline at 1-866-778-9752
if you need additional information

Question A1. Mental Health Services/Treatment Offered at Facility
A1.1

Mental health intake includes services designed to briefly assess the type and
degree of a person’s mental health condition to determine whether services are
needed and to link him or her to the most appropriate and available service.

A1.2

Mental health diagnostic evaluation includes 1) establishment of a psychiatric
diagnosis; or 2) collection of data sufficient to permit a case formulation; or 3)
development of an initial treatment plan with particular considerations of any
immediate interventions that may be needed to ensure the patient’s safety, or, if
the evaluation is a re-assessment of a person in long-term treatment, to revise the
plan of treatment in accord with new perspectives gained from the evaluation.
Services may include interviews, psychological testing, physical examinations
including speech/hearing, and lab studies.

A1.3

Mental health information and/or referral is provided by mental health
professionals who use their experience and understanding of the behavioral health
care system to provide in-person and telephone assistance to individuals looking
for information about mental health treatment options and the availability of
mental health services. Staff connect persons (on an emergency and nonemergency basis) to needed treatment and service resources (e.g., inpatient,
residential, or outpatient care; counseling; rehabilitation; psychoeducation;
housing; legal; peer support; and case management).

A1.4

Mental health treatment includes interventions such as therapy or psychotropic
medication that treat a person’s mental health problem or condition, reduce
symptoms, and improve behavioral functioning and outcomes.

A1.5

Substance abuse treatment includes the use of behavioral or other psychological
therapies, medications, or their combination to help persons end the misuse of
substances, or help addicted individuals stop compulsive substance seeking and
use. (www.drugabuse.gov)

A1.6

Administrative services include services related to the provision of
administrative and operational functions (e.g., workforce/staff management,
financial/billing management) of a mental health treatment facility or facilities.
Administrative services do not include the direct provision of mental health
treatment.

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Question A3. Service Setting Providing Mental Health Treatment at Facility
A3.1

24-hour hospital inpatient is a structured service setting or program that provides
overnight care delivered within a psychiatric hospital or in a designated and staffed
separate psychiatric service or unit of a general hospital/medical center, specifically
for the treatment of mental health patients.

A3.2

24-hour residential is a structured service setting or program that provides short- or
long-term overnight care delivered in a specialty mental health facility/hospital/
center/clinic, specifically for the treatment of mental health clients. It is an intensive
treatment setting or program distinct from a hospital inpatient setting or program, and
provides supervised living coupled with supportive mental health services.

A3.3

Partial hospitalization/day treatment is a structured service setting or program that
provides less than 24-hour ambulatory (not overnight) care delivered in a specialty
mental health facility/hospital/center/clinic, specifically for mental health clients.
Care is generally provided for more than 3 hours per day for more than 2 days per
week. It is an alternative to or distinct from a hospital inpatient or a residential
treatment setting or program. This setting or program is not custodial, and allows for
transition of the client to an outpatient level of care.

A3.4

Outpatient is a structured service setting or program that provides less than 24-hour
ambulatory (not overnight) care delivered in a specialty mental health
facility/hospital/ center/clinic, specifically for the treatment of mental health clients.
Care is generally provided for visits of 3 hours or less in duration and 1 or 2 days per
week.

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Question A4. Mental Health Facility Type

A4.1

Psychiatric hospital is a facility licensed and operated as a state/public psychiatric
hospital or as a private psychiatric hospital licensed by the state that primarily provides
24-hour inpatient care to persons with mental illness. It may also provide 24-hour
residential care and/or less than 24-hour care (e.g., outpatient, day treatment, partial
hospitalization), but these additional service settings are not requirements.

A4.2

Separate inpatient psychiatric unit of a general hospital is a licensed general hospital
(public or private) that provides inpatient mental health services in at least one separate
psychiatric living unit. This unit must have specifically allocated staff and space (beds)
for the treatment of persons with mental illness. The unit may be located in the hospital
itself or in a separate building, either adjacent or more remote, that is owned by the
hospital. It may also provide 24-hour residential care and/or less than 24-hour care (e.g.,
outpatient, day treatment, partial hospitalization), but these additional service settings
are not requirements.

A4.3

Residential treatment center for children is a facility not licensed as a psychiatric
hospital that primarily provides individually planned programs of mental health
treatment in a residential care setting for children and youth younger than 18. (Some
RTCs for children may accept persons through age 21.) This type of facility must have
a clinical program that is directed by a psychiatrist, psychologist, social worker, or
psychiatric nurse who has a master's or a doctoral degree. The primary reason for
admission of more than half of the clients is mental illness or emotional disturbance that
can be classified by DSM-III/DSM-III-R, DSM-IV/DSM-IV-TR, DSM-5, or ICD-9CM/ICD-10-CM codes, other than the codes for intellectual disability, developmental
disorders, and substance-related disorders, such as drug abuse and alcoholism.

A4.4

Residential treatment center for adults is a facility not licensed as a psychiatric
hospital, whose primary purpose is to provide individually planned programs of mental
health treatment services in a residential care setting for adults.

A4.5

Other type of residential treatment facility is a facility not licensed as a psychiatric
hospital, whose primary purpose is to provide individually planned programs of mental
health treatment services in a residential care setting and is not specifically for children
only or adults only.

A4.6

Veterans Administration medical center (VAMC) or other VA health care facility
is a facility operated by the U.S. Department of Veterans Affairs, including general
hospitals, and/or residential treatment programs, and/or psychiatric outpatient clinics.

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Question A4. Mental Health Facility Type (continued)

A4.7

Community mental health center (CMHC) is a facility that (1) provides outpatient
services, including specialized outpatient services for children, the elderly, individuals
who are chronically mentally ill, and residents of its mental health service area who
have been discharged from inpatient treatment at a mental health facility; (2) provides
24-hour emergency care services; (3) provides day treatment or other partial
hospitalization services, or psychosocial rehabilitation services; (4) provides screening
for patients being considered for admission to state mental health facilities to determine
the appropriateness of the admission; and (5) meets applicable licensing or certification
requirements for CMHCs in the state in which it is located. (http://CMS.gov)

A4.8

Partial hospitalization (PH) facility is a medically-supervised facility that offers
comprehensive, coordinated, and structured clinical services in a time-limited series of
structured, face-to-face therapeutic sessions organized at various levels of
intensity/frequency. Services are provided for diagnostic evaluation, active treatment
of a condition, or to prevent relapse, hospitalization, or incarceration. The PH facility
may be freestanding or part of a broader system that is distinct or a separately-organized
unit that is neither residential nor inpatient. PH is an alternative to inpatient care; is
transitional care following an inpatient stay in lieu of continued hospitalization; or is a
step-down from inpatient care. PH is less than 24-hour care available at least 5 days per
week and may be offered on a half-day, weekend, or evening hours basis.
Day treatment (DT) facility is a facility that offers culturally/linguistically
appropriate, comprehensive, and coordinated treatment services/activities in a
scheduled series of structured, face-to-face therapeutic sessions organized at various
levels of intensity/frequency to assist persons served in achieving goals identified in
person-centered plans. DT may prevent/minimize the need for a more intensive level
of treatment. DT functions as a step-down from inpatient care or partial hospitalization
or as transitional care following an inpatient or partial hospitalization stay to facilitate
return to the community. DT is less than 24-hour care that is typically available at least
4 days per week and may be offered on a half-day, weekend, or evening hours basis.

A4.9

Outpatient mental health facility is a facility that primarily provides ambulatory
clients/patients with less than 24-hour outpatient mental health services for generally
less than 3 hours at a single visit. Services are provided on an individual, group or family
basis, usually in a clinic or similar facility. A psychiatrist generally assumes the medical
responsibility for all clients/patients or direction of the mental health treatment.

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Question A4. Mental Health Facility Type (continued)
A4.10 Multi-setting mental health facility (non-hospital residential plus either
outpatient and/or partial hospitalization/day treatment) is a facility that provides
mental health services in two service settings (residential and outpatient setting) and is
not classified as a psychiatric hospital, general hospital, medical center, CMHC, or as
a residential treatment center. (The classification of psychiatric hospital, general
hospital, medical center, CMHC, or residential treatment center – offering two
service settings – takes precedence over a multi-setting classification.
A4.11 Other refers to any other type of hospital or mental health facility not defined in the
categories above. Please choose this category ONLY if you are sure that you cannot use
one of the above categories.

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Question A6. Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC) Designation
An entity may qualify as a FQHC if it:
•

Is receiving a grant under Section 330 of the Public Health Service (PHS) Act;

•

Is receiving funding from a grant under a contract with the recipient of a grant and
meets the requirements to receive a grant under Section 330 of the PHS Act;

•

Is not receiving a grant under Section 330 of the PHS Act, but is determined by the
Secretary of the Department of Health & Human Services (HHS) to meet the
requirements for receiving such a grant (i.e., qualifies as a FQHC look-alike) based
on the recommendation of the Health Resources and Services Administration
(HRSA);

•

Was treated by the Secretary of the Department of HHS for purposes of Medicare
Part B as a comprehensive Federally funded health center as of January 1, 1990; or

•

Is operating as an outpatient health program or facility of a tribe or tribal
organization under the Indian Self-Determination Act or as an urban Indian
organization receiving funds under Title V of the Indian Health Care Improvement
Act as of October 1, 1991.

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Question A10. Mental Health Treatment Approaches
A10.1

Individual psychotherapy focuses on a patient's current life and relationships
within the family, social, and work environments through one-on-one conversations
with a therapist. The goal is to identify and resolve problems with insight, as well as
build on strengths.

A10.2

Couples/family therapy are two similar approaches that use discussions and
problem-solving sessions, facilitated by a therapist, to help couples and family
members improve their understanding of, and the way they respond to, one another.
This type of therapy can resolve patterns of behavior that might lead to more severe
mental illness. Family therapy can help educate about the nature of mental disorders
and teach skills to better cope with the effects of having a family member with a
mental illness, such as how to deal with feelings of anger or guilt.

A10.3

Group therapy involves groups of usually 4 to 12 people who have similar problems
and who meet regularly with a therapist. The therapist uses the emotional interactions
of the group's members to (1) help them get relief from distress and (2) possibly
modify their behavior.

A10.4

Cognitive behavioral therapy is a combination of cognitive and behavioral
therapies, helps people change negative thought patterns, beliefs, and behaviors so
they can manage symptoms and enjoy more productive, less stressful lives.

A10.5

Dialectical behavior therapy (DBT) is a cognitive-behavioral treatment approach
with two key characteristics: a behavioral, problem-solving focus blended with
acceptance-based strategies, and an emphasis on dialectical processes. "Dialectical"
refers to the issues involved in treating patients with multiple disorders and to the
type of thought processes and behavioral styles used in the treatment strategies. DBT
has five components: (1) capability enhancement (skills training); (2) motivational
enhancement (individual behavioral treatment plans); (3) generalization (access to
therapist outside clinical setting, homework, and inclusion of family in treatment);
(4) structuring of the environment (programmatic emphasis on reinforcement of
adaptive behaviors); and (5) capability and motivational enhancement of therapists
(therapist team consultation group). DBT emphasizes balancing behavioral change,
problem-solving, and emotional regulation with validation, mindfulness, and
acceptance.

A10.6

Behavior modification applies learning and conditioning principles to modify overt
behaviors, which are those behaviors obvious to everyone, including the
client/patient.

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Question A10. Mental Health Treatment Approaches (continued)
A10.7

Integrated dual disorders treatment provides combined treatment for mental
illness and substance abuse from the same clinician or treatment team. Effective
integrated treatment programs view recovery as a long-term, community-based
process. The approach employs counseling designed especially for those with cooccurring disorders.

A10.8

Trauma therapy is an intervention that focuses on reducing or eliminating
symptoms, improving functioning, and reducing the long-term negative effects of
trauma in persons who have experienced a traumatic event such as physical abuse,
sexual abuse, emotional abuse, family tragedy, violence, war, or natural disaster.

A10.9

Activity therapy includes art, dance, music, recreational and occupational therapies,
and psychodrama.

A10.10

Electroconvulsive therapy, also known as ECT, uses low-voltage electrical
stimulation of the brain to treat some forms of major depression, acute mania, and
some forms of schizophrenia. This potentially life-saving technique is considered
only when other therapies have failed, when a person is seriously medically ill and/or
unable to take medication, or when a person is very likely to commit suicide.
Substantial improvements in the equipment, dosing guidelines, and anesthesia have
significantly reduced the side effects.

A10.11

Telemedicine therapy is the ability for healthcare providers, working from a
distance using telecommunications technology, to communicate with patients,
diagnose conditions, provide treatment, and discuss healthcare issues with other
providers to ensure quality healthcare services are provided.

A10.12

Psychotropic medication uses the prescription and administration of psychotropic
medications; assessment of drug effectiveness, efficacy, and risks versus benefits; as
well as monitoring and treating side effects.

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Question A11. Mental Health Services and Practices
A11.1

Assertive community treatment (ACT), a multi-disciplinary clinical team
approach, helps those with serious mental illness live in the community by
providing 24-hour intensive community services in the individual's natural setting.

A11.2

Intensive case management (ICM) is an intensive service that is a key part of
the continuum of mental health care and supports for persons with serious mental
illness. ICM is more than a brokerage function. It involves building a caring,
trusting relationship with the consumer, promoting consumer independence
through the coordination of appropriate services, and providing on-going, longterm support as needed by the consumer to function in the least restrictive, most
natural environment and achieve an improved quality of life. ICM evolved from
assertive community treatment (ACT) and case management (CM). ICM
emphasizes frequent contact, small caseloads (<20 cases) and high intensity of care
designed to improve planning for and responsiveness to the consumer’s multiple
service needs. The case manager coordinates required services from across the
mental health system as well as other service systems (e.g., criminal justice, social
services) as the consumer’s service needs change. Intensive case managers fulfill a
vital function for consumers by working with them to realize personal recovery
goals and providing the support and resources that the consumer needs to achieve
goals, stabilize his/her life and improve his/her quality of life.

A11.3

Case management (CM) helps people arrange for appropriate services and
supports through a case manager who monitors the needs of clients/patients and
their families and coordinates services, such as mental health, social work, health,
educational, vocational, recreational, transportation, advocacy, and respite care, as
needed.

A11.4

Court-ordered outpatient treatment is known by different terms in different
states, such as, “assisted outpatient treatment (AOT),” “involuntary outpatient
treatment,” or “mandatory outpatient treatment.” Forty-five states permit the use of
court-ordered outpatient treatment as a condition for persons with severe mental
illness, who are too ill to seek care voluntarily, to remain in their community. Each
state has its own civil commitment laws that establish criteria for determining when
court-ordered treatment is appropriate for these individuals.
(https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

A11.5

Chronic disease/illness management (CDM) is a systematic approach to
improving health care for people with chronic disease. Central to most CDM
approaches are patient self-management, physician education, and organizational
support. Among the variety of strategies employed are case management,
continuous quality improvement, disease management (DM) and the chronic care
model (CCM).

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Question A11. Mental Health Services and Practices (continued)
A11.6

Illness management and recovery (IMR) uses a standardized individual or group
format based on five evidence-based practices: 1) Psychoeducation, 2) Behavioral
tailoring, 3) Relapse prevention training, 4) Coping skills training, and 5) Social
skills training.

A11.7

Integrated primary care services address the general health care needs of
persons with mental health and substance use problems. These general health care
needs include the prevention and treatment of chronic illnesses (e.g., hypertension,
diabetes, obesity, and cardiovascular disease) that can be aggravated by poor health
habits such as inadequate physical activity, poor nutrition, and smoking. The
services include screening, coordinating care among behavioral health care staff
and medical staff; and providing linkages to ensure that all patient needs are met in
order to promote wellness and produce the best outcomes.

A11.8

Diet and exercise counseling provides guidance (information) and/or assistance
(skills training, resources) to persons that emphasizes the connection between
physical and mental health. Diet and exercise counseling helps a person learn to
make decisions about: (1) good nutrition and healthy eating practices and food
choices for health improvement and/or weight management; and (2) choosing
physical activities to increase overall health and fitness, with a focus on helping
persons reduce their risk for chronic disease and support their recovery.

A11.9

Family psychoeducation helps consumers and their families and supporters,
through relationship building, education, collaboration, and problem solving, to:
1) learn about mental illness; 2) master new ways of managing their mental
illness; 3) reduce tension and stress within the family; 4) provide social support
and encouragement to each other; 5) focus on the future; and 6) find ways for
families and supporters to help consumers in their recovery.

A11.10

Education services locate or provide educational services from basic literacy
through a general equivalency diploma and college courses, including special
education at the pre-primary, primary, secondary, and adult levels.

A11.11

Housing services are designed to assist individuals with finding and
maintaining appropriate housing arrangements.

A11.12

Supported housing is independent, normal housing with flexible, individualized
supportive services that allow individuals to maintain as much independence as
possible.

A11.13

Psychosocial rehabilitation services, offered individually or in groups, provide
therapeutic or intervention services such as daily and community-living skills, selfcare and skills training (grooming, bodily care, feeding, social skills training, and
basic language skills).

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Question A11. Mental Health Services and Practices (continued)
A11.14

Vocational rehabilitation services include job finding/development; assessment
and enhancement of work-related skills (such as writing a resume or taking part in
an interview), attitudes, and behaviors; as well as providing job experiences to
clients/patients. Transitional employment is also included.

A11.15

Supported employment services include assisting individuals with finding work;
assessing individuals' skills, attitudes, behaviors, and interest relevant to work;
providing vocational rehabilitation and/or other training; and providing work
opportunities.

A11.16

Therapeutic foster care provides treatment for children within the private homes
of trained families. The approach combines the normalizing influence of familybased care with specialized treatment interventions, thereby creating a therapeutic
environment in a nurturing family home.

A11.17

Legal advocacy refers to legal services provided to help protect and maintain a
client/patient's legal rights.

A11.18

Psychiatric emergency walk-in services have specifically trained staff to provide
psychiatric care, such as crisis intervention, in emergency situations on a walk-in
basis. They enable the individual, family members and friends to cope with the
emergency while helping the individual function as a member of the community to
the greatest extent possible.

A11.19

Suicide prevention services include identifying risk factors; educating staff on
identifying the signs of suicidal behavior and using methods to detect risk; and
the assessment, intervention, and management of suicidal patients including
treatment of an underlying mental or substance abuse disorder, and use of
psychotropic medication, supportive services, and education. Hotlines help
individuals to contact the nearest suicide prevention mental health provider.

A11.20

Consumer-run (peer support) services are provided by mental health
consumers and include mental health treatment or support services, such as
social clubs, peer-support groups, and other peer-organized or consumer-run
activities (e.g., consumer satisfaction evaluations of mental health treatment).

A11.21

Screening for tobacco use determines a client’s use of tobacco products, such as
cigarettes, cigars, pipe tobacco, or smokeless tobacco. It is generally recommended
that providers screen for tobacco use on a regular basis by asking clients, as they
are seen, about their current and past use of tobacco products and their exposure to
secondhand smoke or tobacco.

11

Question A11. Mental Health Services and Practices (continued)
A11.22

Smoking/tobacco cessation counseling includes interventions for persons who
use tobacco and want help with stopping, including behavioral support or
counseling in groups or individually.

A11.23

Nicotine replacement therapy administers nicotine to the body by means other
than tobacco, without other harmful chemicals found in tobacco. Common forms
of nicotine replacement therapy are nicotine patches, nicotine gum or lozenges,
nasal spray and inhaler. The goal of nicotine replacement is to prevent cravings in
a tobacco user, allowing the person to abstain from tobacco.

A11.24

Non-nicotine smoking/tobacco cessation medications (by prescription) are
medications that do not contain nicotine but act on the brain to reduce a person’s
craving for tobacco. Some common medications are Bupropion (Zyban,
Wellbutrin), and Nortriptyline (Pamelor). Medications are often prescribed in
conjunction with behavioral counseling or support groups to provide the best
chance for achieving long-term smoking abstinence. (http://www.mayoclinic.com)

A11.25

Other refers to any other type of mental health service or practice not defined in
the categories above. Please choose this category ONLY if you are sure that you
cannot use one of the above categories.

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Question A20. Client Payments, Insurance and Funding
A20.16

IHS/Tribal/Urban (ITU) funds: are direct funds from the Indian Health Service
(IHS); tribal funds through 638 contracts; and/or urban funds through congressional
Title 5 grants. These funds are considered part of the Indian Health Care System,
and can be used for programs that provide behavioral health services, as well as for
programs that provide other health-related services.
For additional information about the N-MHSS, please access the tabs
on the N-MHSS informational website at https://info.nmhss.org.

13