Table 1: Taxonomy of Service
Example of a taxonomy of services from a SAMHSA funded multi-site managed care study.

MENTAL HEALTH SERVICES

• Long-Term Inpatient: Twenty-four hour care within a unit designed to serve mentally ill persons who are clinically stable and do not need around-the-clock professional services. Services emphasize psychosocial rehabilitation and improving skills in daily living.
  
  
• Acute Inpatient: Twenty-four hour care within a unit designed to stabilize acutely mentally ill persons in need of professional services to evaluate mental status, determine diagnosis, plan treatment needed to alleviate acute status, and provide treatment aggressively.
  
  
• Crisis Support and Emergency Treatment: Evaluation and short-term treatment for mentally ill persons experiencing a crisis. Available in hospitals and other specialized settings.
  
  
• Partial Day/Night Treatment: For persons who need active intervention to manage acute status, but who do not need inpatient confinement. Programs are designed to stabilize persons who otherwise might have to be admitted to an inpatient unit.
  
  
• Assessment: Service for the purpose of intake, treatment planning, eligibility determination or functional assessment by a qualified mental health professional other than a psychiatrist. This includes psychiatric evaluation/mental status by a qualified mental health professional for diagnostic or disposition purposes, commitment evaluation, psychosocial evaluation and psychological evaluation with or without testing.
  
  
• Evaluation by Psychiatrist: Above definition by psychiatrist.
  
  
• Individual Treatment/Therapy: Outpatient mental health service provided on an individual basis in a clinic, similar facility, or other location. These services may include counseling, psychotherapy, behavior management for the purposes of developing insight, producing cognitive/behavioral change, improving decision-making and/or reducing stress.
  
  
• Group Treatment/Therapy: Psychotherapy provided to more than one client. Includes psychotherapy, activity group therapy, groups, etc. for the purposes of developing insight, producing cognitive/behavioral changes, improving decision-making and/or reducing stress.
  
  
• Family Therapy: Family members of mentally ill persons who receive psychotherapy
  
  
• Medication Management: Services provided by a physician to evaluate, prescribe and monitor medications for the treatment of psychiatric disorders. Includes medication review and administration services provided by an RN under the supervision/order of a physician or Nurse Practitioner. Includes visits for the purpose of prescribing medication as well as for medication refills or dosage regulation. Medication service does not include methadone maintenance, etc. or detoxification.
  
  
• Medications: Medication prescribing in visits where primary diagnosis is a mental health disorder.
  
  
• Primary Care Visits for Mental Health Reasons: Visits to a primary care physician where primary diagnosis is a mental health disorder.
  
  
• Clozapine-Related Services: Services associated with the provision of Clozapine including weekly blood test.
  
  
• Clubhouse: Daytime program that emphasizes self-help and the work-centered day. Members of the clubhouse carry out all the functions required to run the program with the guidance of staff, some or all of whom may be former consumers of mental health services. Focus is on performance based outcomes in practical, functional and work related skills.
  
  
• Case-Management: Support services provided by a paraprofessional or team. Case-managers assist a mentally ill person to access needed mental health, legal, educational or medical services, welfare benefits, and housing. In some forms of case-management, case-managers can provide certain services.
  
  
• 24-Hour Supervised Residential Treatment: Residential service in a facility with continual staff supervision.
  
  
• Non-24-Hour Supervised Residential Treatment: Residential service with part time staffing.

SUBSTANCE ABUSE SERVICES

• Assessment: Service for the purpose of intake, initial diagnosis, and treatment planning. It will include taking a history of past and current alcohol and drug use, evaluating the person’s strengths and weaknesses, and a history of medical problems.
  
  
• Acute Inpatient: Twenty-four hour hospital care within a unit designed to stabilize acutely ill persons with Substance Use Disorders (SUD) who are in need of professional services to evaluate mental status, determine diagnosis, plan treatment to alleviate acute status, and provide treatment aggressively.
  
  
• Residential Treatment: non-acute residential care in a setting with treatment services for alcohol and other drug abuse and dependency.
  
  
• Outpatient Methadone: Methadone maintenance is the continued administration of methadone, in conjunction with provision of appropriate social and medical services at relatively stable dosage levels. Methadone is used as an oral substitute for opiates during the rehabilitative phase of treatment.
  
  
• Individual Therapy: Outpatient service that may include counseling, psychotherapy, behavior management for the purposes of developing insight, producing cognitive/behavioral change, improve decision-making or reducing stress.
  
  
• Group Therapy: Services provided to a group of clients by facility staff. These include, but are not limited to, psychotherapy, insight therapy, reality therapy, transactional analysis, and various types of expressive groups.
  
  
• Medication/Somatic: Administration of medications to assist in the treatment of alcohol or substance abuse disorders. Drugs could include Antabuse or Naltrexone.
  
  
• Acupuncture: A therapy for relieving pain or changing a function of the body by placing thin needles in the skin.
  
  
• Detoxification: Treatment in which person is monitored while withdrawing from a substance, as part of being treated for a substance abuse disorder.

REHABILITATION SERVICES

• Vocational Program Other than Clubhouse: Services designed to help clients obtain and/or maintain employment, or learn job related skills, not including services provided through a clubhouse program.

SELF-HELP SERVICES

• Self-help or Mutual-Help Groups for those Recovering from SUD: Independent support groups or fellowships organized by and for individuals with alcohol or other drug problems or their collateral’s to help members achieve and maintain abstinence from and/or cope with the effects of alcohol and other drugs.
  
  
• Self-help or Mutual-Help Groups for those Recovering from Mental Illness: Services organized and run by individuals who are recovering from mental illness that are intended to support individuals with mental illness. Includes both consumer operated drop-in centers and other consumer operated services.

MEDICAL SERVICES

• Primary Care Visits for Physical Health Reasons
  
  
• Emergency Physical Health Visits: Unscheduled service provided by a facility which is open 24 hours a day in response to crises or emergencies related to physical health problems. Includes Urgent Care and other walk-in clinics as well as hospital-based services.
  
  
• Non-Mental Health Pharmacy: Medications prescribed at a visit where the primary diagnosis is other than a mental health or substance use disorder.
  
  
• Medical Inpatient: Twenty-four hour care within a unit designed to stabilize persons with physical health problems in need of professional services to evaluate health status, determine diagnosis, plan treatment needed to alleviate acute status, and provide treatment aggressively.
  
  
• Specialty Non-Mental Health Medical Services: Services delivered by a non-psychiatric physician who is specially trained in a specific area of medicine for a problem related to the physician’s specialty.

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