Questionnaire Definitions

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A 12‑step program is a support group made up of people who share the same addiction. The ‘12 steps’ refer to the steps a person recovering from an addiction must take to overcome it as part of this program. Attendees at group meetings share their experiences, challenges, successes and failures, and provide peer support for each other.

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.

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.

Is usually considered as having 2‑5 providers.

A system used to assess abnormal involuntary movements, such as hand tremors or rhythmic movements of the tongue and jaw, that may result from the long‑term administration of psychotropic drugs. The test is often given before patients are started on antipsychotic drugs and then re‑administered periodically to monitor side effects.

Includes art, dance, music, recreational and occupational therapies, and psychodrama.

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.

Uses strategies to address the anger cycle, conflict resolution, assertiveness skills, and anger‑control plans. The goal of anger management is to reduce both emotional feelings and the physiological arousal that anger causes.

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.

Are residential facilities that provide people with daily care. Assisted living is for people who need help with daily care, but not as much as a nursing home provides. Nursing homes provide a wide range of health and personal care services. Their services focus on medical care more than most assisted living facilities. These services typically include nursing care, 24‑hour supervision, three meals a day, and assistance with everyday activities. Rehabilitation services, such as physical, occupational, and speech therapy, are also available. (

The practice of delivering outpatient treatment under court order to adults with severe mental illness who meet specific criteria, such as a prior history of repeated hospitalizations or arrest. It is a tool for assisting those individuals most at risk for the negative consequences of not receiving treatment. (

A short‑term intervention, usually one to five sessions, for substance users who are not yet dependent.

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.

This category is used to describe someone who chooses to pay for their treatment directly rather than using health insurance. Payment methods include cash or credit card.

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. (

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).

Provide a community to support individuals living with the effects of mental illness. Through participation in a Clubhouse people are given the opportunities to rejoin the worlds of friendships, family, important work, employment, education, and to access the services and supports they may individually need. A Clubhouse is a restorative environment for people who have had their lives drastically disrupted, and need the support of others who believe that recovery from mental illness is possible for all. (

Cognitive behavioral therapy involves recognizing unhelpful patterns of thinking and reacting, and then modifying or replacing these with more realistic or helpful ones. The therapy can be conducted with individuals, families, or groups, and clients are generally expected to be active participants in their own therapy.

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. Proper treatment with these therapies can help enhance the social and professional integration of patients. (www.cognitive‑

Program makes funds available to all 50 states, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and six Pacific jurisdictions to provide community mental health services. The program primarily targets adults with serious mental illnesses (SMI) and children with serious emotional disturbances (SED).

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. (

An intensive outpatient therapy in which individuals focus on improving family relations, receive vocational training, and learn a variety of skills to minimize drug dependency. An incentive program (vouchers whereby individuals can earn points exchangeable for retail items) is used to encourage individuals to remain in treatment and be abstinent.

Provides a range of direct services designed to assist low-income individuals and families to attain the skills, knowledge, and motivation needed to achieve self‑sufficiency. Services and activities funded by this type of block grants may include: housing assistance; Head Start Education for youth; nutrition programs, to include distribution of foodstuffs; transportation programs that include transporting clients to medical facilities; employment services; and emergency services, to include providing shelter and energy assistance to low-income persons.

Often used in the treatment of drug and alcohol use, the approach employs a positive‑reinforcement treatment method in which clients are given rewards for constructive actions taken toward their recovery.

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.

It allows people convicted of certain crimes to receive treatment for a substance use or mental health disorder. A treatment team composed of a judge, lawyers, case managers, health providers and therapists works with the defendant to provide effective treatment and ensure legal compliance. The members of the team remain in regular communication. They encourage support from family members and friends during hearings, therapy and discharge. (

Clients who are involved in the criminal justice system. They include those who are awaiting trial, incarcerated, on probation, on parole, or mandated by the courts to receive treatment.

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.

A condition due to an impairment in physical, learning, language, or behavior areas. It begins during the developmental period, may impact day‑to‑day functioning, and usually lasts throughout a person’s lifetime. (

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 clients 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.

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.

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.

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 attempt suicide. Substantial improvements in the equipment, dosing guidelines, and anesthesia have significantly reduced the side effects.

Facilities that provide mental health treatment and complete this questionnaire may be eligible to be listed as mental health facilities on and the National Directory of Mental Health Treatment Facilities. For substance use treatment facilities, only those designated as eligible by their state substance abuse office and that complete this questionnaire will be listed as substance use facilities on and the National Directory of Drug and Alcohol Use Treatment Facilities. Your state N-SUMHSS representative can tell you if your facility is eligible to be listed on and in the directories. For the name and telephone number of your state representative, call the N-SUMHSS helpline at 1-833-302-1759.

Refers to any facility, that has the primary purpose of providing temporary shelter for the homeless in general, and subpopulations within this group, such as victims of domestic violence, youth, people with mental illness, families with children and veterans. This type of facility does not require occupants to sign leases or occupancy agreements. (

An interactive psychotherapy technique that enables people to heal from the symptoms and emotional distress that are the result of disturbing life experiences. During EMDR therapy sessions, people relive traumatic or triggering experiences in brief doses while the therapist directs the patient’s eye movements. This allows the patient to be exposed to the memories or thoughts without having a strong psychological response.

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.

Refers to health‑care plans provided to active duty members, retired, of the military, and Guard/Reserve members and their families. For example, TRICARE coverage includes emergency substance use treatment services, and other non-emergency services like therapy and counseling.

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 ‟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;
  • 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.

Are residential homes that provide support to people with mental and/or physical disabilities. Group homes can also serve as an alternative to traditional in‑home foster care for children, in which children are housed in an intimate or home‑like setting. (

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.

Refers to a person’s origin (ancestry). Hispanic origin can be Cuban, Puerto Rican, Mexican, Mexican American, Chicano, Argentinean, Colombia, Costa Rican, Dominican, Ecuadorian, Guatemalan, Honduran, Nicaraguan, Peruvian, Salvadoran, from other Spanish‑speaking countries of Central or South America or from Spain, regardless of race.

Are designed to assist individuals with finding and maintaining appropriate housing arrangements.

Direct funds from the Indian Health Service. They consist of tribal funds through ‟638 contracts” (named after the public law under which they were authorized) and/or urban funds through federal 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.

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.

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.

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.

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.

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, long‑term 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.

Involves the administration of a single infusion or a series of infusions for the management of psychiatric disorders (e.g., major depressive disorder, post‑traumatic stress disorder, acute suicidality).

Refers to legal services provided to help protect and maintain a client/patient’s legal rights.

Provides a framework for clients with substance use disorder to obtain the ability to cease drug use, stay in treatment, and participate in an educational program on addiction and relapse. Clients are provided with direction and support from a trained therapist and are introduced to self‑help programs.

A joint federal and state program that helps with medical costs for some people with low incomes and limited resources. Medicaid programs vary from state to state.

The federal health insurance program for people age 65 and older and people with disabilities.

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.

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).

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.

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.

A counseling approach which acknowledges that many people experience ambivalence when deciding to make changes. Its aim is not to focus immediately on the action of changing, but to work to enhance motivation to change.

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).

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.

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. (

The process by which the SAMHSA Center for Substance Abuse Treatment, Division of Pharmacologic Therapies determines that an OTP is qualified to provide opioid treatment under 42 CFR Part 8. For additional information on the OTP certification process, see

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.

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.

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.

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.

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.

Describes clients who receive treatment services without an overnight stay at a treatment facility or hospital.

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.

A medically#8209;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.

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.

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).

Refers to health insurance plans marketed by the private health insurance industry, as opposed to government-run insurance programs. Health Maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) are also considered types of private health insurance.

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.

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.

Offered individually or in groups, provide therapeutic or intervention services such as daily and community‑living skills, self‑care and skills training (grooming, bodily care, feeding, social skills training, and basic language skills).

A cognitive behavioral therapy developed for the treatment of problem drinking and adapted later for people with cocaine addiction. Cognitive behavioral strategies are based on the theory that learning processes play a critical role in the development of maladaptive behavioral patterns. Individuals learn to identify and correct problematic behaviors. Relapse prevention encompasses several cognitive behavioral strategies that facilitate abstinence as well as provide help for people who experience relapse.

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.

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.

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.

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 24‑hour care (e.g., outpatient, day treatment, partial hospitalization), but these additional service settings are not requirements.

Skilled nursing facilities includes nursing homes, rehabilitation facilities and other facilities where skilled care is provided for mental health and substance use issues. Skilled care is nursing and therapy care that can only be safely and effectively performed by, or under the supervision of, professionals or technical personnel. It’s health care given when a client needs skilled nursing or skilled therapy to treat, manage, and observe their condition, and to evaluate their care. (

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

A facility may offer a standard substance use program to all clients but, in addition, offer a specially designed program or group for specific types of clients. Although the treatment methods could be the same, specially designed programs or groups are exclusively for a specific type of client and discussions are particularly relevant to that type of client.

Refers to state programs targeted to the uninsured population, such as SCHIP. It does not refer to insurance for state employees.

A short‑term treatment that has been generalized for a variety of disorders, including opiate drug dependence and cocaine use. The therapy includes supportive techniques, which encourage the client to discuss personal experiences, and expressive techniques, which enable the client to work through interpersonal relationship issues and gain greater self‑understanding.

Refers to a broad range of activities or services including behavioral counseling; medication; medical devices and applications used to treat withdrawal symptoms or deliver skills training; evaluation and treatment for co‑occurring mental health issues such as depression and anxiety; and long‑term follow‑up to prevent relapse. Treatment should include both medical and mental health services as needed. Follow‑up care may include community‑ or family‑based recovery support systems. (

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.

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.

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

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.

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

A noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. TMS creates a magnetic field to induce a small electric current in a specific part of the brain; the current comes from the magnetic field created by an electromagnetic coil that delivers pulses through the scalp. TMS is typically used when other depression treatments have not been effective, and there is ongoing research on the use of TMS to treat PTSD and other mental health conditions.

Housing for individuals recovering from substance use disorders that is designed to provide a drug‑ and alcohol‑free living environment and appropriate support services to facilitate movement to independent living. Such housing includes transitional living, sober houses, sober living, recovery houses, and 3/4 houses.

Cognitive behavior techniques adapted for clients suffering from post‑traumatic stress disorder (PTSD) and other effects of abuse and trauma.

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.

Refers to health care benefits (other than TRICARE) that are provided in VA medical centers or facilities to those who served in the active military, naval, or air service and did not receive a dishonorable discharge. VA health care benefits can be used in combination with other forms of health care coverage (such as private insurance plan, Medicare, Medicaid, TRICARE).

A facility operated by the U.S. Department of Veterans Affairs, including general hospitals, and/or residential treatment programs, and/or psychiatric outpatient clinics.

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.