Healthcare Systems and Behavioral Health Services Vocabulary

Vocabulary flashcards covering public healthcare delivery systems, military and veteran care programs, ambulatory care services, and behavioral health history, statutes, and providers.

Lincoln Regional Center

A hospital operated by state administrative agencies that provides care for Nebraskans who are mentally ill.

CHAMPVA

The Civilian Health and Medical Program of the Department of Veterans Affairs; a comprehensive healthcare program in which the VA shares the cost of covered healthcare services with eligible veterans.

TRICARE

A managed healthcare program for active-duty and retired members of the armed services, their families, survivors, military retirees, and spouses of veterans killed in action.

Walter Reed National Military Medical Center

One of the largest military hospitals in the United States, located in Bethesda, MD, which provides care for injured or ill military personnel.

Indian Health Service (IHS)

A federal system providing health services to $2.2\text{ million}$ American Indians and Alaska Natives belonging to $566$ federally recognized tribes through $12$ area offices, $170$ service units, and $33$ urban health service programs.

Ambulatory Healthcare Services

Care provided outside institutional settings, representing the most frequent type of contact individuals have with the healthcare system.

Mental Illnesses

Specific, diagnosable behavioral health disorders characterized by intense alterations in thinking, mood, and/or behavior.

Substance Use Disorders

Behavioral health conditions resulting from the inappropriate use of alcohol and drugs.

Psychiatrists

Physicians in behavioral healthcare who make diagnoses, prescribe psychotherapeutic medications, and may provide psychotherapy.

National Institute of Mental Health (NIMH)

An agency created in $1946$ whose creation, alongside the introduction of psychopharmaceuticals in the $1950\text{s}$, enabled outpatient treatment for mental illness.

Community Mental Health Act

Legislation signed into law by President John F. Kennedy on October 31, $1963$, that provided federal funding to establish comprehensive Community Mental Health Centers (CMHC) across the United States.

Deinstitutionalization

An approach to treating mental illness wherein patients residing in state institutions were moved to community facilities for comprehensive outpatient treatment.

Serious Mental Illness (SMI)

Severe disorders such as schizophrenia and severe bipolar disorder, affecting an estimated $11\text{ million}$ adults (4.5\text{\text{%}}) over $18$ years of age in the U.S. in $2017$.

Naloxone (Narcan)

A medication provided to emergency medical technicians and emergency room staff to reverse opioid overdoses and prevent death.

Protecting Access to Medicare Act of 2014

Bipartisan legislation that funded Certified Community Behavioral Health Clinics (CCBHC) to expand access to comprehensive mental health and substance use disorder services.

Certified Community Behavioral Health Clinics (CCBHC)

Clinics funded through Medicaid demonstration projects that offer $24\text{-hour}$ crisis services, tailored military/veteran care, and integrated mental and physical health services regardless of ability to pay.

Mental Health Parity and Addiction Equity Act of 2008

Federal legislation passed in $2008$ requiring health insurance policies to cover mental health and substance use disorder services.