Recommendations on Coverage of Mental Health and Substance Use ...

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Coalition for Whole Health

Recommendations on Coverage of Mental Health and Substance Use Disorder Services in the Essential

Health Benefit Package

In 2010, Congress enacted the Affordable Care Act (ACA), which will substantially expand health insurance

coverage for Americans, largely through state health insurance Exchanges for individuals and small businesses,

and through an expansion of Medicaid for low-income individuals and families. ACA requires the plans in the

Exchanges, as well as Medicaid expansion plans, to cover a set of “essential health benefits” that include

“mental health and substance use disorder [MH/SUD] services, including behavioral health treatment.” By

including MH/SUD as essential services, Congress recognized that substance use disorders and mental

illnesses are preventable, treatable health conditions, as accepted by the American Medical Association, all

other public health and medical standards, and decades of scientific research.

A well designed Essential Health Benefits package that includes sufficient coverage for mental health and

substance use disorders for children, youth and adults is central to efforts to ensure that health reform meets its

potential to allow individuals and families to recover from these diseases, improve health, and bend the cost

curve. The Coalition for Whole Health, a coalition of national organizations advocating for improved coverage

for and access to mental health and substance use disorder prevention, treatment, rehabilitation, and recovery

services, recommends full inclusion of mental health and substance use disorder services within the Essential

Health Benefits framework. This includes incorporating MH/SUD services in each of the Essential Health

Benefits categories, as appropriate, in addition to the mental health and substance use disorder services

category per se.

The ACA creates broad health care service categories that must be covered by certain health plans.


Psychological Evaluation Suds - Bookshelf

Principles of Inpatient Psychiatry

Principles of Inpatient Psychiatry

Substance-induced psychiatric disorders may be misdiagnosed as primary ... and treating SUDs during inpatient psychiatric evaluation and treatment. ...

Adolescent substance abuse, psychiatric comorbidity and high-risk behaviors

Adolescent substance abuse, psychiatric comorbidity and high-risk behaviors

... component of the psychiatric evaluation of adolescents (American Academy of ... and is often clinically useful in evaluating adolescents with SUDs. ...

Journal of mental imagery

Journal of mental imagery

When seen at bedside for initial psychological evaluation, ... SUDS was 4. During the first PE, Cheryl recalled how terrified she had become at the accident ...

Pediatric neuropsychiatry

Pediatric neuropsychiatry

Similarly, the common co-occurrence of psychiatric disorders with SLIDs among adolescents should prompt the use of comprehensive evaluation processes and ...

Textbook of hospital psychiatry

Textbook of hospital psychiatry

The diagnostic workup must include a multiaxial assessment, including evaluation for psychiatric disorders, SUDs, medical disorders, general functioning, ...

Daily Posts Directory


CASE STUDY #9
Initial psychological evaluation. revealed the following diagnoses: Major Depression, ... reported significant decreases in SUDs ratings across all target areas. ...

Adolescents at Risk for Substance Use Disorders: Role of ...
Adolescents at Risk for Substance Use Disorders: Role of Psychological Dysregulation, Endophenotypes, and Environmental Influences from Alcohol Research and Health ...

Substance Use Disorders Overview
Screening and evaluation. Intervention and treatment. SUDs are Potentially Fatal. Leading ... ever have emotional or psychological. problems from using drugs – such ...

GAS T RO E NTE RO L O GY & H E P A T O L OGY
col), (3) enemas (tap water, mineral oil, soap suds, phosphate), and ... psychological evaluation. Consider surgical therapy in the absence of psychological ...

Begin Healing, Inc™
... outcome were trunk mobility evaluation, Subjective Units of Disturbance (SUDS), daily pain record cards for ... in their level of psychological distress as evidenced by changes ...