Acute Care –
Short-term medical treatment, usually in a hospital, for patients having an acute illness or injury. Longer than 24 consecutive hours.
Adult Services –
Services geared toward the adult population. In Nebraska, individuals are considered an adult at 19 years of age and older.
Advanced Directives –
Advanced directives are documents written while a person is competent, specifying how decisions about treatment should be made if the person becomes incompetent.
Active support of a cause or course of action.
Alcoholics Anonymous (AA) –
Alcoholics Anonymous is a group of men and women who share their experience, strength, and hope with each other that they may solve their common problem of recovering from alcoholism and help others to achieve sobriety. The only requirement for AA membership is a desire to stop drinking. There are no dues or fees required to participate in AA.
Assertive Community Treatment (ACT) –
Assertive Community Treatment (ACT) is a team-based approach to the provision of treatment, rehabilitation, and support services. ACT models of treatment are built around a self-contained multidisciplinary team that serves as the fixed point of responsibility for all patient care for a fixed group of patients. In this approach the treatment team typically provides all patient services using a highly integrated approach to care.
A professional review of individual and family needs that is done when services are first sought from an individual or caregiver. The assessment of a child includes a review of physical and mental health, intelligence, school performance, family situation, and behavior in the community. The assessment identifies the strengths of the child and family. Together, the caregiver and family decide what kind of treatment and supports, if any, are needed.
Autism is the most common condition in a group of developmental disorders known as autism spectrum disorders (ASD). Autism is characterized by impaired social interaction, problems with verbal and nonverbal communication, and unusual, repetitive, or severely limited activities and interests. Other ASD’s include Asperger syndrome, Rett Syndrome, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (usually referred to as PDD-NOS). Experts estimate that three to six children out of every 1,000 will have autism. Males are four times more likely to have autism than females.
Axis I Diagnosis –
With the DSM-IV manual there is a 5 Axis system of diagnosis that is used. Axis I diagnosis refers to clinical disorders. (See DSM-IV)
Axis II Diagnosis –
With the DSM-IV Manual there is a 5 Axis system of diagnosis that is used. Axis II diagnosis refers to personality disorders and mental retardation. (See DSM-IV)
Behavioral Health –
Behavioral health is an encompassing term including assessment and treatment of mental and/or psychoactive substance abuse disorders.
Borderline Personality Disorder –
The symptoms of Borderline Personality Disorder can be summarized as instability in mood, thinking, behavior, personal relations, and self-image. Borderline Personality Disorder can affect anyone, but it is often diagnosed in adolescents and young adults. Women seem to develop it more often than men.
The child and adolescent psychiatric services unit at Bryan Mental Health in Lincoln, Nebraska.
Case Management –
Case management is a range of services provided to assist and support individuals in developing their skills to gain access to needed medical, behavioral health, housing, employment, social, educational, and other services essential to meeting basic human needs; linkages and training for individuals served in the use of basic community resources; and monitoring of overall service delivery. This service is generally provided by staff whose primary function is case management.
Coercion Free Nebraska (CFN) –
Coercion Free Nebraska (CFN) is a statewide initiative geared towards reducing the use of restraint and seclusion in health systems and facilities. For more information please visit www.cfnebraska.org.
Cognitive Therapy –
A relatively short-term form of psychotherapy based on the concept that the way we think about things affects how we feel emotionally. Cognitive therapy focuses on present thinking, behavior, and communication rather than on past experiences and is oriented toward problem solving.
Consumer is the term most frequently applied to a person who receives mental health services. The term is sometimes used more generically to refer to anyone who has a diagnosis of mental illness. Not all persons with mental illness accept this terminology, however.
Consumer Inclusion and Recovery Coalition (CIRC) –
A coalition of consumers, family members, and consumer advocates focused on inclusion and recovery in every aspect of the state mental health system.
Continuum of Care –
A term that implies a progression of services that an individual moves through, usually one service at a time. More recently, it has come to mean comprehensive services.
Two different diagnoses given to the same person, also referred to as dual diagnosis. Co-occurring may specifically refer to the existence of a mental illness and a substance abuse disorder or a mental and a physical illness in the same person at the same time.
Crisis Intervention Team (CIT) –
Crisis Intervention Team (CIT) is a police program developed in Memphis, Tennessee. A CIT is comprised of designated officers who are called upon to respond to mental disturbance calls and crises, such as attempted suicides. These officers participate in 40 hours of specialized training under the instructional supervision of law enforcement professionals, mental health providers, family advocates, and mental health consumer groups. Officers trained under this program are skilled in de-escalating potentially volatile situations, gathering relevant history, and assessing medication information and the individual's social support system. The CIT is recognized as a national program and has been replicated in Nebraska in the Region VI area.
Crisis Residential Treatment Services –
Short-term, round-the-clock help provided in a nonhospital setting during a crisis. The purposes of this care are to avoid inpatient hospitalization, help the individual stabilize, and determine the next appropriate step.
Crisis Response Team –
A team usually consisting of law enforcement, mental health professionals, and consumers, designed to assist individuals in crisis and divert them from being involuntarily committed.
Crisis Stabilization Unit –
Crisis Stabilization Units (CSUs) provide brief psychiatric intervention for individuals with acute psychiatric conditions.
Day Facilities –
A day treatment facility provides evaluation, diagnosis, and ambulatory treatment services for individuals who are experiencing mental, emotional or behavioral problems, disturbances, dysfunctions or disorders.
Day Reporting –
Day reporting centers require offenders who are on pretrial release, probation, or parole to appear at a specific location on a frequent and regular basis. Unlike community corrections centers, the day reporting centers are non-residential and offenders are required to report to the centers but return to their homes to sleep at night. There is extreme diversity in day reporting centers operating across the country in terms of type of offenders, types of services, number of clients served at a center, and length of time to be spent at the center. Typically while at the center, offenders are required to participate in services (treatment, employment search, etc.) or activities (urine test, meetings with parole agent, etc.) provided by the center or other community agencies.
Day Treatment –
Day treatment includes special education, counseling, parent training, vocational training, skill building, crisis intervention, and recreational therapy. It lasts at least four hours a day. Day treatment programs work in conjunction with mental health, recreation, and education organizations and may even be provided by them.
Decompensation is a temporary return to a lower level of psychological adaptation or functioning, often occurring when an individual is under considerable stress or has discontinued psychiatric medication against medical advice.
To reduce the level or intensity of a difficult or dangerous situation.
Domestic Violence (DV) –
Domestic violence and emotional abuse are behaviors used by one person in a relationship to control the other. Partners may be married or not married; heterosexual, gay, or lesbian; living together, separated or dating.
Drop-in Center –
Drop-in center is a peer-run program model of peer services that are housed at a central location and focus on social skills development and support within an informal setting.
Drug Court –
A specialized court also known as problem-solving courts aimed at increased accountability and better outcomes for offenders, decreased offender recidivism, lessened financial burden to communities, and improved community access to the justice system due to some of the drug-related cases being moved to the specialized court.
DSM-IV (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) –
An official manual of mental health problems developed by the American Psychiatric Association. Psychiatrists, psychologists, social workers, and other health and mental health care providers use this reference book to understand and diagnose mental health problems. Insurance companies and health care providers also use the terms and explanations in this book when discussing mental health problems.
Dual Diagnosis –
Two different diagnoses given to the same person, such as substance abuse and mental illness. Also referred to as co-occurring disorder.
DV Shelters –
Safe shelters designed to assist victims of domestic violence leave abusive relationships and work toward a better life for themselves.
Emergency Community Support –
A service of Region III Behavioral Health Administration in Nebraska. The Emergency Community Support Program is responsible for providing voluntary and short term follow up services, coordination, and continuity of care to individuals who have been admitted to an Emergency Protective Custody (EPC) or Civil Protective Custody (CPC) service contracted through Region 3 Behavioral Health Services.
Emergency Protective Custody (EPC) –
In Nebraska, law enforcement has the authority to place an individual in emergency protective custody if they are deemed to be a danger to themselves or others.
Evidence Based Practice –
Evidence-based practices are interventions for which there is consistent scientific evidence showing that they improve client outcomes.
Family-Centered Services –
Help designed to meet the specific needs of each individual child and family. Children and families should not be expected to fit into services that do not meet their needs.
Functional Family Therapy (FFT) –
Functional Family Therapy (FFT) is a family-based prevention and intervention program that is designed to treat high-risk youth and their families.
Having the nature or habit of doing.
The federal definition of homelessness is an individual who lacks a fixed, regular, and adequate nighttime residence or an individual who has a primary nighttime residence that is a supervised publicly or privately operated shelter designed to provide temporary living accommodations (including welfare hotels, congregate shelters, and transitional housing for the mentally ill); an institution that provides a temporary residence for individuals intended to be institutionalized; or a public or private place not designed for, or ordinarily used as, a regular sleeping accommodation for human beings.
Independent Living Services –
Support for a young person living on his or her own. These services include therapeutic group homes, supervised apartment living, and job placement. Services teach youth how to handle financial, medical, housing, transportation, and other daily living needs, as well as how to get along with others.
Inpatient Hospitalization –
Mental health treatment provided in a hospital setting 24 hours a day. Inpatient hospitalization provides: short-term treatment in cases where an individual is in crisis and possibly a danger to his/herself or others, and diagnosis and treatment when the patient cannot be evaluated or treated appropriately in an outpatient setting.
Integrated Care Coordination Unit –
A collaborative effort, the ICCU provides family advocacy, protection and safety, and case management in a team-based approach for out-of-home state ward children and their families.
The most common type of involuntary mental health treatment is court-ordered commitment to an inpatient mental health facility. However, involuntary treatment also includes involuntary medication or other treatments including electro-convulsive therapy, whether court-ordered or imposed by mental health professionals, treatment imposed upon persons with mental illnesses in prisons and jails or as a condition of probation, supervision or parole, outpatient commitment, and the use of guardianship or conservatorship laws.
Jail Diversion –
The goal of jail diversion programs is to divert persons with a serious mental illness or co-occurring substance abuse disorder, who are incarcerated for nonviolent, misdemeanor crimes or who have had multiple law enforcement contacts in the community. A combination of pre- and post-booking diversion points are used to discourage system perception that incarceration is required before needed treatment can be accessed.
Licensed Alcohol and Drug Abuse Counselor
Licensed Mental Health Practitioner
The Mental Health Association of Nebraska; The Mental Health Association of Nebraska (MHA-NE) is a consumer-run, voluntary not-for-profit statewide association with Chapters located in communities throughout Nebraska. MHA-NE brings together service recipients, families, professionals, advocates and concerned citizens to address all aspects of mental health and mental illness.
Motivational Interviewing –
Motivational interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with nondirective counselling, it is more focused and goal-directed. The examination and resolution of ambivalence is its central purpose, and the counselor is intentionally directive in pursuing this goal.
Multisystemic Therapy –
Multisystemic therapy (MST) is an intensive family-based treatment that addresses the known determinants of serious antisocial behavior in adolescents and their families.
Nebraska Association of Behavioral Health Organizations (NABHO) –
The Nebraska Association of Behavioral Health Organizations exists to actively promote sound, responsive, efficient, and effective substance abuse and mental health services for the people of Nebraska.
Nebraska Advocacy Services (NAS) –
Nebraska Advocacy Services, Inc. (NAS), The Center for Disability Rights, Law and Advocacy, is a private, non-profit organization designated by the Governor to protect and advocate for the rights of Nebraskans with significant physical or mental disabilities.
National Alliance on Mental Illness (NAMI) –
NAMI Nebraska is a nonprofit, grassroots organization dedicated to education, support and advocacy for anyone whose life has been touched by mental illness.
Nebraska Family Support Network (NFSN) –
The Nebraska Family Support Network is a family organization, created by families, staffed by families, and working for families. The mission of NFSN is to empower families affected by mental, emotional, or behavioral health issues through peer mentoring, education, and advocacy to build better futures. NFSN serves the Region 6 community in Nebraska.
Outpatient Treatment –
Outpatient treatment is any treatment that takes place on an outpatient (as opposed to inpatient or residential) basis.
Parity laws are federal and state laws that remove limits imposed by insurance providers on access to mental health care that are more restrictive than limits imposed on access to physical health care. Legislation requiring insurers to cover access to mental and physical health care under equivalent terms and conditions is referred to as parity legislation.
Partial Care –
Partial hospitalization is a specialized and intensive form of treatment that is less restrictive than inpatient care but is more intensive than the usual types of outpatient care (i.e., individual, family, or group treatment). The most frequently used type of partial hospitalization is an integrated curriculum combining education, counseling, and family interventions.
Peer Support Services –
Peer Support Services are consumer centered services with a rehabilitation and recovery focus designed to promote skills for coping with and managing psychiatric symptoms while facilitating the utilization of natural resources and the enhancement of community living skills.
Presidents New Freedom Commission –
President George W. Bush established the President’s New Freedom Commission on Mental Health in April 2002 as part of his commitment to eliminate inequality for Americans with disabilities. The President directed the Commission to identify policies that could be implemented by Federal, State and local governments to maximize the utility of existing resources, improve coordination of treatments and services, and promote successful community integration for adults with a serious mental illness and children with a serious emotional disturbance.
Professional Partner –
The Professional Partner program is aimed at improving the lives of Nebraska’s children with serious emotional/behavioral problems and their families by preventing expensive out-of-home placements, reducing juvenile crime, increasing school performance and attendance, and preventing children from becoming state wards just to access services. The mission of the program is to use the wrap-around approach to coordinate services and supports for the families of children with serious emotional/behavioral problems, and to ensure they have a voice in, ownership of, and access to their own comprehensive, individualized support plan.
Post-Traumatic Stress Disorder (PTSD) –
Post-Traumatic Stress Disorder, PTSD, is an anxiety disorder that can develop after exposure to a terrifying event or ordeal in which grave physical harm occurred or was threatened. Traumatic events that may trigger PTSD include violent personal assaults, natural or human-caused disasters, accidents, or military combat.
The return of a released ex-inmate to custody in a correctional facility. Typically
results from either an arrest for a new crime or from a technical violation such as failure to meet conditions of release (probation/parole).
Recovery is referred to as the return to an improved state after a setback or loss. Some consumer/survivors aspire to recovery; others believe that they can embrace the change they have gone through and aspire to a state of well-being.
Reentry plan –
A reentry plan is designed to include the level of supervision, community service hours, job search, counseling, training, daily schedules, and any court-ordered conditions required for an individual upon their release from a correctional facility.
Residential Treatment Centers –
Facilities that provide treatment 24 hours a day and can usually serve more than 12 young people at a time. Treatment may include individual, group, and family therapy; behavior therapy; special education; recreation therapy; and medical services. Residential treatment is usually more long-term than inpatient hospitalization.
Respite Care –
A service that provides a break for parents who have a child with a serious emotional disturbance. Trained parents or counselors take care of the child for a brief period of time to give families relief from the strain of caring for the child. This type of care can be provided in the home or in another location.
SIG – Nebraska’s Children’s Mental Health and Substance Abuse State
Infrastructure Grant –
In October of 2004 Nebraska HHSS received funding to develop a state wide Children’s Mental Health and Substance Abuse delivery system. This is a 5-year grant from the Substance Abuse Mental Health Service Administration providing $750,000 of funding per year.
Sub-acute Care –
Subacute care is comprehensive inpatient care designed for someone who has an acute illness or injury. It is goal oriented treatment rendered immediately after, or instead of, acute hospitalization to treat one or more specific medical conditions or to administer one or more technically complex treatments, in the context of a person's underlying long-term conditions and overall situation.
Supportive Employment –
Supported Employment is a well-defined approach to helping people with mental illnesses find and keep competitive employment within their communities. Supported employment programs are staffed by employment specialists who have frequent meetings with treatment providers to integrate supported employment with mental health services.
Supportive Housing –
Assistance in the Supportive Housing Program is provided to help homeless persons meet three overall goals. These are to achieve residential stability, increase their skill levels and/or incomes, and obtain greater self-determination (i.e., more influence over decisions that affect their lives).
Transitional Age –
The age in which individuals transition from the youth mental health system of care to the adult mental health system of care. In Nebraska this typically refers to individuals who are 18 to 21 years of age.
Trauma Informed Nebraska (TIN) –
The mission statement of Trauma Informed Nebraska is to oversee the development and implementation of a statewide, consumer-driven, recovery-oriented trauma-informed project.
Traumatic Brain Injury (TBI) –
Traumatic brain injury, often referred to as TBI, is most often an acute event similar to other injuries. Unlike other injuries, no two brain injuries are alike and the consequence of two similar injuries may be very different. Symptoms may appear right away or may not be present for days or weeks after the injury.
Wellness Recovery Action Plan (WRAP) –
Wellness Recovery Action Plans or WRAP plans are self-designed plans individuals create for themselves. The goal of WRAP is to help individuals stay well, feel better when they are not feeling well, increase personal responsibility and control over their own life, and make their life the way they want it to be.
Work Ethic Camps –
The Work Ethic Camp program is designed for first-time non-violent male and female offenders who would otherwise be prison bound. The program is based on a 120-day stay, but offenders may be kept up to 180 days. The philosophy of the Work Ethic Camp is that behavior and attitude that reflect positive work ethics can be learned and transferred to all areas of an individual's life.
Youth Residential Treatment Center (YRTC) –
Youth Residential Treatment Centers are located in Kearney (male only) and Geneva (female only), Nebraska. The YRTC serves juveniles who are court-ordered to reside there.
12 step program –
A program designed to assist in the recovery from addiction or compulsive behavior, especially a spiritually-oriented program based on the principles of acknowledging one's personal insufficiency and accepting help from a higher power.
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