Others

Attachment A.8— 2020 N-MHSS Flyer with Online Questionnaire Access Instructions
Access Instructions

Complete the 2020 N-MHSS Online!
1st Option
Access the survey at:

https://survey.nmhss.org

Enter User ID and Password

USER ID:
PASSWORD:

2nd Option
Scan the QR Code

Open the camera application on your
smartphone and scan it over the QR
code to get to the survey and enter
your USER ID and PASSWORD.
STATE ID: [STATE ID]
[FAC NAME1]: [FAC NAME 2]
[LOCATION ADDRESS 1]
[LOCATION ADDRESS 2]
[CITY], [STATE] [ZIP]

Questions? Want to request a
paper questionnaire?
Telephone Helpline: 1-866-778-9752
(8 a.m. to 8 p.m. ET)
E-mail: [email protected]

Thank you in advance for your participation!

Attachment A.9— 2020 N-MHSS Frequently Asked Questions (FAQs)

Frequently Asked Questions (FAQs)
2020 National Mental Health Services Survey
(N-MHSS)
1. We do not provide mental health treatment services at this location. Do we still need to complete the
questionnaire? Yes, we still need to hear from you so we can update our records. However, the number of questions you
will be asked is minimal.
2. This facility is privately owned. We don’t get any Federal, State, or local funds. Should we participate in the
survey? Yes, it is very important to have information about all mental health treatment providers so that we can properly
describe our national mental health treatment network, including service availability.
3. Is it mandatory that I complete this survey? Your participation is very important. Because the N-MHSS is the most
comprehensive source of data on mental health treatment facilities in the nation, policymakers at local, State, and Federal
levels use information from the N-MHSS to determine the extent of services available and what new or expanded services
may be needed. Facilities that respond to the survey are listed in SAMHSA’s online Behavioral Health Treatment
Services Locator, which can be found at: https://findtreatment.samhsa.gov.
4. Another facility in our organization will report our information in their questionnaire. Do we need to do anything?
Yes, we do need to hear from you! Section A of the 2020 N-MHSS questionnaire is designed to collect information about
the services offered at each individual facility. Even if another facility is providing information on the number of clients
in treatment at this facility, every facility should answer Section A of the questionnaire for itself.
5. My facility’s information is the same as last year; why can’t you use that information? Here is some good news! If
you completed the 2019 N-MHSS, your responses to questions that typically do not change from year to year will be
prefilled in the online questionnaire. All you need to do for these questions is check them, correct if necessary, and click
the Submit button. Enclosed in the packet you received in the mail is a green flyer that provides the Internet address and
your facility’s unique user ID and password, which are required to access your facility’s questionnaire on the Internet.
6. 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.
7. My organization has multiple facilities that participate in the N-MHSS, can I complete multiple web surveys at
once? Yes! If you are responsible for completing the N-MHSS for more than one location, you can complete multiple
web surveys at the same time.
8. Will I be able to go back and change answers? Yes, you will see a button to update your answers and have the ability
to jump back and update previously-answered questions, even if you have left the session and logged off. You will be
able to go back in and make corrections until you click on the final submit button and receive your confirmation number.
9. Our facility offers telemedicine/telehealth to clients; how should this be reported and what modes of service does
this include? Telemedicine/telehealth programs are growing approaches to mental health treatment involving electronic
communication between facility and client. This “remote” technological approach includes the use of email, Internet,
Web, mobile, interactive video, patient portals and desktop programs. Although you may not consider
telemedicine/telehealth to be regular outpatient treatment, please count it as such for the purpose of the survey.
10. If I report client counts for multiple facilities, how do I report which facilities I am including? There are two ways
that you can report your additional facilities in the online survey: (1) you may enter each facility that you are reporting
for through the web survey, which involves entering or selecting the facility name, location address, and facility phone
number, or (2) you may request that Mathematica Policy Research call you for the list of additional facilities.
11. Where can I find more information about terms used in the N-MHSS? Definitions for some of the terms used in the
N-MHSS can be found at https://info.nmhss.org. You can also call the N-MHSS helpline at 1-866-778-9752.
12. How do I achieve the best online experience? Although all browsers are supported, Chrome, Firefox, and Safari offer
the best experience completing the online survey. When using a mobile device, it is recommended that you view the
screen horizontally (landscape orientation).

Attachment A.10— 2020 N-MHSS Definitions Packet

2020 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

Attachment A.10— 2020 N-MHSS Definitions Packet

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 non-emergency 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

Treatment for co-occurring mental illness/serious emotional disturbance
(SED) in children and substance use disorders refers to treatment services
intended to help their clients’ ability to function as a result of either or both
disorders. By definition, serious mental illness is someone over 18 having (within
the past year) a diagnosable mental, behavior, or emotional disorder that causes
serious functional impairment that substantially interferes with or limits one or
more major life activities. For people under the age of 18, the term “Serious
Emotional Disturbance” refers to a diagnosable mental, behavioral, or emotional
disorder in the past year, which resulted in functional impairment that substantially
interferes with or limits the child’s role or functioning in family, school, or
community activities.

2

Question A1. Mental Health Services/Treatment Offered at
Facility (continued)
A1.6

Substance use disorder treatment refers to a broad range of activities or services,
including identification of the problem (and engaging the individual in treatment);
brief interventions; assessment of substance abuse and related problems including
histories of various types of abuse; diagnosis of the problem(s); and treatment
planning, including counseling, medical services, psychiatric services,
psychological services, social services and follow-up for persons with alcohol or
other drug problems (Institute of Medicine, 1990).

A1.7

Administrative or operational 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.

3

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 clients.

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 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 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. This includes intensive
outpatient treatment (IOP).

4

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, and is
owned by the hospital. It may also provide 24-hour residential care and/or less than 24hour care (e.g., outpatient, day treatment, partial hospitalization), but these additional
service settings are not requirements.

A4.3

Residential treatment center for children (RTC) 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.

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.

5

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. (https://www.cms.gov/)

A4.8

Certified Community Behavioral Health Clinic (CCBHC) CCBHCs are responsible
for directly providing (or contracting with partner organizations to provide) nine types
of services, with an emphasis on the provision of 24-hour crisis care, utilization of
evidence-based practices, care coordination and integration with physical health care.
The demonstration program represents the largest investment in mental health and
addiction care in generations. (https://www.thenationalcouncil.org)

A4.9

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; and 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.

A4.10

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.

6

Question A4. Mental Health Facility Type (continued)
A4.11

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).

A4.12

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.

Question A5. Solo or Small Group Practice
A5.

A small group practice is usually considered as having 2-5 providers.

Question A6. Federally Qualified Health Center (FQHC)
A6.

Federally Qualified Health Center (FQHC) Designation
An entity may qualify as a FQHC if it meets one of these requirements (CMS, 2017):
•

Is receiving a grant under Section 330 of the Public Health Service (PHS) Act
or is receiving funding from such a grant and meets other requirements;

•

Is not receiving a grant under Section 330 of the PHS Act, but is determined by
the Secretary of the Department of Health and Human Services (HHS) to meet
the requirements for receiving such a grant (i.e., qualifies as a FQHC “lookalike”) 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;

•

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.

7

Question A12. Mental Health Treatment Modalities
A12.1

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.

A12.2

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.

A12.3

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.

A12.4

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.

A12.5

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.

A12.6

Cognitive remediation is a type of rehabilitation treatment offering exercises with
an aim at improving attention, memory, language and/or executive functions. The
expected result is an indirect positive impact on functional deficits affecting
everyday life. (http://www.cognitive-remediation.com/)

8

Question A12. Mental Health Treatment Modalities (continued)
A12.7

Integrated mental health and substance use treatment provides combined
treatment for mental illness and substance use 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 co-occurring disorders.

A12.8

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.

A12.9

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

A12.10

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.

A12.11

Transcranial Magnetic Stimulation (TMS)

A12.12

Ketamine Infusion Therapy (KIT)

A12.13

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a
unique, nontraditional form of psychotherapy designed to diminish negative
feelings
associated
with
memories
of
traumatic
events.
(https://www.psychologytoday.com)

A12.14

Telemedicine/telehealth 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. Other
names used for this treatment approach are: e-medicine, e-therapy, e-psychiatry,
and telepsychiatry.

A12.15

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

9

Question A14. Mental Health Services and Practices
A14.1

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.

A14.2

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.

A14.3

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.

A14.4

Court-ordered treatment is known by different terms in different states, such as,
“assisted outpatient treatment (AOT),” “involuntary outpatient treatment,” or
“mandatory outpatient treatment.” Forty-four 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)

A14.5

Assisted Outpatient Treatment (AOT)

A14.6

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).

10

Question A14. Mental Health Services and Practices (continued)
A14.7

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.

A14.8

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.

A14.9

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.

A14.10

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.

A14.11

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.

A14.12

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

A14.13

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

11

Question A14. Mental Health Services and Practices (continued)
A14.14

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).

A14.15

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.

A14.16

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.

A14.17

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.

A14.18

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

A14.19

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.

A14.20

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 use disorder, and use of
psychotropic medication, supportive services, and education. Hotlines help
individuals to contact the nearest suicide prevention mental health provider.

A14.21

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).

A14.22

Testing for Hepatitis B (HBV)

A14.23

Testing for Hepatitis C (HCV)
12

Question A14. Mental Health Services and Practices (continued)
A14.24

HIV testing

A14.25

STD testing

A14.26

TB screening

A14.27

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.

A14.28

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

A14.29

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.

A14.30

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)

A14.31

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.

Question A24. Standard Operating Procedures
A24.7

Clinical provider peer review (CPPR)

A24.8

Root cause analysis (RCA)

13

Question A30. Client Payments, Insurance and Funding
A30.17

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.

14