Community Health Associates

Substance use treatment

Refers to a diverse array of activities and services, which encompass identifying the issue (and involving the person in therapy), brief therapeutic approaches, evaluating substance abuse and associated problems, including histories of different forms of abuse, diagnosing the issue(s), and devising a treatment plan in Community Health Associates that may involve counseling, medical care, psychiatric care, psychological care, social services, and post-treatment support for individuals struggling with alcohol or drug problems in the San Luis area (as stated by the Institute of Medicine in 1990).

Mental health treatment

Encompasses treatments such as therapy or the use of psychotropic medication that address an individual's mental health concerns, alleviate symptoms, and enhance behavioral functioning and outcomes. More information is available on the Community Health Associates website.

Treatment for co-occurring substance use plus either serious mental health illness in adults / serious emotional disturbance in children

The housing provided for individuals in recovery from substance abuse is specifically designed to offer a drug and alcohol-free environment along with appropriate support services, facilitating the transition to independent living. This type of housing can be categorized as transitional living, sober houses, sober living, recovery houses, and 3/4 houses and maybe offered by Community Health Associates in the San Luis area.

County or local government funds

Refers to the financial support that is provided by local or county government agencies to drug treatment facilities like Community Health Associates. This financial assistance can be in the form of grants, contracts, or other payment arrangements that allow drug treatment facilities to offer services to individuals in Arizona or anyhwere in the US who may not have the means to pay for treatment.

Community Mental Health Block Grants

Individual block grant contracts with community mental health services programs help focus resources on the development and upkeep of community-based services in Arizona or the area approved in by the grant.

Community Service Block Grants

Supplies financial aid to address the root causes and circumstances of poverty in communities like San Luis.

IHS/Tribal/Urban (ITU) funds

Funds directly from the Indian Health Service come in two forms: tribal funds through "638 contracts" authorized by public law, and urban funds through federal Title 5 grants. These funds are considered a component of the Indian healthcare system and can be utilized for programs offering behavioral health services like Community Health Associates or for programs that provide other health-related services.

Medicare

A federal health insurance program for individuals who are 65 years of age or older and those with disabilities.

Medicaid

A collaborative federal and state initiative that provides financial aid for medical expenses for certain individuals with limited income and resources. Medicaid programs differ in Arizona than other states.

Federal military insurance (e.g., TRICARE)

The TRICARE health insurance program provided by the Department of Defense is available for active duty service members and be be accepted a treatment facility like Community Health Associates. They are not required to pay any out-of-pocket expenses for medical treatment or prescriptions, and there are no insurance premiums to be paid.

Other State funds

Financial resources obtained or provided by other Arizona agencies and/or government entities within the government.

Private health insurance

Refers to health insurance plans administered by private health insurance companies.

State corrections or juvenile justice funds

Community Health Associates may work through financial resources made accessible to individuals who have served or are currently serving time in prison or are legally detained.

Cash or self-payment

Treatment payment is made directly by the individual, either in cash or through alternative means, instead of using health insurance.

State-financed health insurance plan other than Medicaid

Other medical platforms aimed at providing assistance to Medicaid recipients and patients across the Arizona and other states.

State mental health agency (or equivalent) funds

Financial aid made availiable in Arizona specifically allocated to cover the expenses of treatment for mental health conditions.

State welfare or child and family services funds

Financial resources directed towards improving the well-being of citizens and children who require protection within the home.

HIV testing

Detects whether you have been infected with the human immunodeficiency virus (HIV), which weakens the immune system and can progress to acquired immunodeficiency syndrome (AIDS).

STD testing

An examination to identify the specific sexually transmitted infection that an individual may have contracted.

TB screening

Dermal tests utilized to assess individuals who have a high likelihood of exposure to tuberculosis, such as those with illnesses or conditions that impair their immune system.

Metabolic syndrome monitoring

Refers to the process of monitoring an individual's metabolic health as part of their drug treatment program. Metabolic syndrome is a group of risk factors, including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels, that increase the risk of developing heart disease, stroke, and type 2 diabetes. Monitoring an individual's metabolic health helps to detect any potential health issues related to substance abuse and to ensure that they receive the appropriate level of care and services at Community Health Associates to address their substance abuse issues and promote their overall health and well-being.

Testing for Hepatitis B (HBV)

A blood test that measures the presence of Hepatitis B virus (HBV) antigens and antibodies.

Testing for Hepatitis C (HCV)

An evaluation for Hepatitis C, typically recommended for individuals who fall under the following categories:Currently or previously engaged in drug injection Prior recipients of blood transfusions or organ transplants Individuals with certain medical conditions, including: a. Those who received clotting factor concentrates prior to 1987 b. Those who underwent long-term hemodialysis c. Those with persistent elevated alanine aminotransferase (ALT) levels d. Those with human immunodeficiency virus (HIV) infection.

Laboratory testing

Refers to the process of conducting various laboratory tests on individuals seeking drug treatment services from Community Health Associates. These tests may include blood tests, urine tests, and other types of medical tests. The purpose of laboratory testing is to assess the individual's overall health status, identify any potential health issues related to substance abuse, and inform the development of an effective treatment plan. The results of the laboratory tests are used to inform the treatment team about the individual's health status and to make any necessary adjustments to their treatment plan.

Chronic disease/illness management

A structured approach aimed at enhancing healthcare for individuals with chronic diseases. The core elements of most CDM approaches include patient self-management, physician education, and organizational support. A range of strategies are used at Community Health Associates, including case management, continuous quality improvement, disease management (DM), and the chronic care model (CCM).

Court-ordered outpatient treatment

Referred to by various names in different states, such as "assisted outpatient treatment (AOT)," "involuntary outpatient treatment," or "mandatory outpatient treatment." 44 states including Arizona allow the use of court-ordered outpatient treatment as a way for individuals with severe mental illness, who are unable to voluntarily receive care, to stay in their community. Each state has its own laws regarding involuntary commitment that establish the criteria for determining when court-ordered treatment is appropriate for these individuals. (https://www.crimesolutions.gov/ProgramDetails.aspx?ID=228)

Family psychoeducation

Refers to Community Health Associates aiming to assist consumers, their families and supporters in understanding mental illness, developing effective coping strategies, reducing family tension, providing social support, focusing on the future, and finding ways to aid in recovery through relationship building, education, collaboration, and problem-solving. This includes learning about mental illness, mastering new methods of managing it, and offering encouragement to one another.

Intensive case management

Intensive Case Management (ICM) is an essential service in the mental health care continuum for individuals with severe mental illness. It involves building a caring and trustworthy relationship with the consumer, promoting their independence by coordinating appropriate services and providing ongoing, long-term support. ICM evolved from Assertive Community Treatment (ACT) and Case Management (CM) and emphasizes frequent contact, small caseloads, and high-intensity care to improve the consumer's quality of life. The case manager coordinates services from multiple systems as the consumer's needs change, working to help them achieve their recovery goals and stabilize their lives. Intensive case management is critical in providing the support and resources that consumers need to improve their quality of life.

Vocational rehabilitation services

Involve assistance in securing employment, evaluating and improving job-related abilities, attitudes, and behaviors, and providing job training and opportunities, including transitional employment in the San Luis area.

Case management service

A service that provides assistance to individuals and families in coordinating necessary support and resources through a designated case manager. The case manager assesses the needs of clients and their families and arranges for various services such as mental health care, social work, healthcare, education, employment training, recreational activities, transportation, advocacy, and respite care as needed.

Suicide prevention services

Involve identifying potential warning signs; educating staff on recognizing signs of suicidal behavior and evaluating risk; and managing patients who are at risk of suicide by providing appropriate interventions, such as treating underlying mental health or substance use disorders, administering psychotropic medications, offering supportive services, and providing education. Hotlines also allow individuals to reach the closest suicide prevention mental health provider in San Luis for assistance.

Chlorpromazine

A drug to treat various conditions such as schizophrenia, bipolar disorder, and severe nausea or vomiting. It belongs to a class of medications known as antipsychotics, which work by affecting the levels of certain chemicals in the brain to help alleviate symptoms.

Droperidol

A medication used in pharmacotherapy for drug treatment facilities to manage various conditions such as severe agitation, nausea and vomiting, and anxiety. It belongs to a class of medications known as antipsychotics and works by affecting the levels of certain chemicals in the brain to help alleviate symptoms. Droperidol is typically used in a hospital or clinical setting under the close supervision of a healthcare provider due to its potential side effects.

Fluphenazine

Used in drug treatment to manage various conditions such as schizophrenia and other psychotic disorders. It belongs to a class of medications known as antipsychotics, which work by affecting the levels of certain chemicals in the brain to help alleviate symptoms such as delusions, hallucinations, and disordered thinking.

Haloperidol

More effective at treating positive symptoms of schizophrenia, such as hallucinations and delusions, but may also have a higher risk of causing adverse effects, Haloperidol is considered a high-potency antipsychotic drug used to treat psychotic disorders. Haloperidol is typically prescribed at a lower dose than Fluphenazine due to its higher potency.

Loxapine

This medication is a tricyclic antipsychotic used for treating schizophrenia, which is marketed under various brand names, including Loxitane and Adasuve.

Thiothixene

Tiotixene, also referred to as thiothixene, is a thioxanthene class typical antipsychotic medication that is similar to chlorprothixene. It is utilized to manage psychoses like schizophrenia and bipolar mania and is sold under various brand names, including Navane.

Thioridazine

Thioridazine, a member of the phenothiazine medication class, was once widely employed to treat schizophrenia and psychosis as a first-generation antipsychotic.

Trifluoperazine

A medication that belongs to the class of drugs known as typical antipsychotics. It is primarily used to treat symptoms of schizophrenia and other psychotic disorders. Trifluoperazine works by blocking certain receptors in the brain, such as dopamine receptors, which are involved in regulating mood and behavior.

Aripiprazole

A medication that belongs to the class of drugs known as atypical antipsychotics. It is primarily used to treat symptoms of schizophrenia, bipolar disorder, and depression. Aripiprazole works by adjusting the levels of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating mood and behavior.In a drug treatment facility like Community Health Associates, aripiprazole may be used to help manage symptoms of substance withdrawal, particularly in cases where there is an underlying mental health condition, such as schizophrenia or bipolar disorder. Aripiprazole may also be used as part of a comprehensive treatment plan for individuals with co-occurring substance use and mental health disorders.

Asenapine

Asenapine works by adjusting the levels of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating mood and behavior. It may be prescribed by a healthcare professional in combination with other medications and therapies, such as cognitive-behavioral therapy, individual counseling, and group therapy. The goal of using asenapine in a drug treatment facility like Community Health Associates is to help manage symptoms and improve overall quality of life while an individual is in recovery.

Brexpiprazole

Brexpiprazole may be used the drug treatment facility to help manage symptoms of substance withdrawal and to address co-occurring mental health conditions. As an atypical antipsychotic and "serotonin-dopamine activity modifier," it may be particularly useful in treating symptoms of schizophrenia, bipolar disorder, and major depressive disorder that can occur in individuals with substance use disorders.

Cariprazine

A medication that belongs to the class of drugs known as atypical antipsychotics that may be used as part of a comprehensive treatment plan for individuals with schizophrenia or bipolar disorder who require pharmacological intervention. The medication may be used in conjunction with other medications, such as mood stabilizers or antidepressants, as well as various forms of therapy, such as cognitive-behavioral therapy or group therapy.

Clozapine

A medication that also belongs to the class of drugs known as atypical antipsychotics and maybe used may be used as a treatment option in Community Health Associates for individuals with treatment-resistant schizophrenia, or those who have not responded well to other antipsychotic medications in a drug treatment facility.

Olanzapine

Olanzapine, an atypical antipsychotic, is primarily prescribed for the treatment of bipolar disorder and schizophrenia. It can be used for both long-term maintenance and new-onset disease in schizophrenia, and can be administered orally or via intramuscular injection.

Olanzapine/Fluoxetine combination

Olanzapine/Fluoxetine combination is a medication that is prescribed for the treatment of depressive episodes associated with bipolar I disorder, as well as treatment-resistant depression in adults. It is a combination of two active ingredients, olanzapine and fluoxetine, that work by modulating the activity of neurotransmitters in the brain. This medication is typically used when other antidepressant medications have been found to be ineffective.

Quetiapine

An atypical antipsychotics used to treat schizophrenia, bipolar disorder, and major depressive disorder by reducing the symptoms of schizophrenia, bipolar disorder, and major depressive disorder, such as hallucinations, delusions, mood swings, and sleep disturbances. Aunique aspect of Quetiapine is that it has been associated with a relatively lower risk of extrapyramidal symptoms (EPS) compared to some other antipsychotics. EPS are a set of movement disorders that can occur with the use of antipsychotic medications, and can include symptoms such as tremors, muscle stiffness, and involuntary movements. While Quetiapine may still cause EPS in some individuals, it is generally considered to have a lower risk of these symptoms compared to other antipsychotics.

Risperidone

Risperidone also an atypical antipsychotics thats used in the treatment of schizophrenia, bipolar disorder, and irritability associated with autism, may differ from similar medications in its class because its able to be administered via a long-acting injection that is given every two weeks. This can be particularly helpful for individuals who have difficulty adhering to a medication regimen, as it ensures that the medication is consistently delivered to the body.

Nicotine replacement

A form of treatment that delivers nicotine to the body through alternative means, excluding tobacco, and without the presence of harmful chemicals. Nicotine replacement therapy usually takes the form of nicotine patches, gum or lozenges, nasal spray, or inhaler, aimed at curbing cravings and helping a person quit tobacco use.

Non-nicotine smoking/tobacco cessation

Medications that work on the brain to reduce a person's desire for tobacco and are not containing nicotine are known as smoking cessation medications. Some popular examples include Bupropion (Zyban, Wellbutrin) and Nortriptyline (Pamelor). These medications are often used along with behavioral therapy or support groups for maximum efficacy in helping individuals quit smoking for the long term.

Antipsychotics used in treatment of SMI

A multi-disciplinary clinical team approach helps individuals with serious mental illness to live in the community by offering 24-hour intensive services within their natural surroundings.

Activity therapy

Refers to therapy that utilizes creative arts, physical movement, sound and rhythm, leisure activities, and dramatic role-playing to aid in the treatment of emotional and mental health issues.

Cognitive behavioral therapy

Refers to a form of therapy that focuses on identifying and changing negative thought patterns. Clients work with a therapist, either individually, in a family setting, or in a group setting, to identify and replace unproductive thoughts with more positive and realistic ones. The client is encouraged to be an active participant in the therapy process.

Couples/family therapy

Involves group sessions with a therapist at Community Health Associates who facilitates discussions and problem-solving activities to enhance the understanding between couples and family members and improve their relationships. This type of therapy addresses problematic behaviors that could contribute to serious mental health issues. Family therapy also provides education about mental illness, and teaches coping skills for dealing with the challenges of having a family member with a mental illness, such as managing feelings of anger or guilt.

Dialectical behavior therapy

A type of therapy that combines cognitive-behavioral techniques with acceptance and mindfulness strategies, with the goal of helping individuals address multiple disorders. DBT has five components, including skills training, individualized treatment plans, access to therapists beyond the clinical setting, reinforcement of adaptive behaviors, and therapist team consultation. The therapy seeks to balance behavioral change, problem-solving, and emotional regulation with validation, mindfulness, and acceptance.

Group therapy

Involves small groups, typically consisting of 4 to 12 individuals who share similar challenges, meeting regularly with a therapist at Community Health Associates. The therapist leverages the emotional interactions within the group to provide relief from distress and potentially modify the behavior of the group members.

Integrated Mental and Substance Use Disorder treatment

A treatment approach that addresses both mental illness and substance abuse simultaneously, offered by a single clinician or treatment team. This long-term, community-focused program uses specialized counseling specifically designed for individuals with co-occurring disorders.

Individual psychotherapy

Focuses on addressing a patient's current life and relationships within their family, social, and work environment through one-on-one therapy sessions. The aim is to identify and resolve issues with a deeper understanding, and also to build upon the patient's strengths.

Telemedicine/telehealth therapy

The use of telecommunication technology at Community Health Associates that enables healthcare providers to connect with patients remotely, diagnose conditions, offer treatment, and collaborate with other providers to deliver quality healthcare services is known as telemedicine, teletherapy, telepsychiatry, or e-psychiatry. The facility maf offer it as an option for individuals not located in San Luis.

Abnormal involuntary movement scale

Refers to a treatment approach used in a drug treatment facility to monitor and manage involuntary movements that may occur in individuals receiving antipsychotic medication. AIMS is a tool used by healthcare providers to assess and measure the severity of drug-induced movement disorders, such as tardive dyskinesia, which can occur as a side effect of antipsychotic medications.

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