Foundations
Models & Evidence
Team & Roles
Barriers
& Solutions
Outcomes & Tech
200

This term describes care that places the client's values, preferences, and lived experience at the heart of every decision.

What is person-centered care?

200

This model provides mobile, 24/7 multidisciplinary team services to individuals with severe mental illness in their natural settings. 

What is Assertive Community Treatment (ACT)?

200

This team member role serves as the bridge between the client and all service providers, coordinating care across settings.

What is the case manager or care coordinator?

200

This term describes disconnected systems where mental health, primary care, and social services operate independently rather than together.

What are siloed systems?

200

This type of shared platform reduces duplication and care gaps by enabling real-time provider access to client records.

What is an Electronic Health Record (EHR)?

400

This IOM report from 2001 established foundational principles of person-centered care, including dignity and respect.


What is "Crossing the Quality Chasm"?

400

Unützer et al. (2002) developed this model that embeds behavioral health into primary care with a care manager and consulting psychiatrist.

What is the Collaborative Care Model (CCM)?

400

These team members bring their own lived experience with mental illness to support others in recovery.

What are peer support specialists?

400

Corrigan et al. (2014) found that this social force discourages help-seeking and limits engagement with mental health services.

What is stigma?

400

Hilty et al. (2013) found that this delivery modality improves mental health access for rural populations with outcomes equivalent to in-person care.

What is telehealth or telepsychiatry?

600

This biopsychosocial framework is used at intake to assess needs across all life domains in a holistic manner.

What is a comprehensive assessment?

600

Drake et al. (2012) documented strong peer-reviewed outcomes for this evidence-based employment model for people with serious mental illness.

What is Individual Placement and Support (IPS)?

600

They are not MDs but have a doctor pf psychology (PsyD) or a doctor of philosophy degree (PhD). They work with patients who are experiencing mental health challenges, especially during times of stress or emotional turmoil.

What is a Psychologist?

600

Griner & Smith (2006) conducted a meta-analytic review showing these increase engagement and outcomes for diverse clients.

What are culturally adapted mental health interventions?

600

Tsemberis et al. (2004) demonstrated that integrated services improved this life-domain outcome by 61%.

What is housing stability?

800

Co-creating individualized, recovery-oriented plans with measurable goals, client strengths, and identified supports is called this.

What is shared treatment planning?

800

Developed by Mary Ellen Copeland in 1997, this consumer-driven, peer-supported model helps individuals identify warning signs and create self-management plans.

What is the Wellness Recovery Action Plan (WRAP)?

800

This structured procedure during care transitions — such as from inpatient to outpatient — prevents rehospitalization by ensuring a direct provider-to-provider handoff.

What is a warm hand-off?

800

Compton & Shim (2015) emphasized that housing, employment, and food insecurity — known as these — profoundly impact mental health.

What are social determinants of mental health?

800

Torous et al. (2018) studied these mobile tools that extend peer support capacity and show benefits for self-management.

What are digital peer support tools (or mental health apps)?

1000

This SAMHSA report from 2019 outlined standards for person- and family-centered care and peer support services.

What is the SAMHSA Person- and Family-Centered Care report (2019)?

1000

Bond et al. (2001) found that this evidence-based model reduced psychiatric hospitalizations by 38%.

What is Assertive Community Treatment (ACT)?

1000

According to Coleman et al. (2006), implementation of care transitions interventions improved this metric by 74%.

What is follow-up after hospital discharge?

1000

Mechanic (2012) advocated for these reimbursement structures under the ACA to support care coordination activities.

What are value-based payment models (or bundled care incentives)?

1000

This validated outcome measure used to track depressive symptoms is commonly used in collaborative care models to evaluate care plan effectiveness.

What is the PHQ-9?