| Case Management:
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| A service that helps people arrange for appropriate services and supports. A case manager coordinates mental health, social work, educational, health, vocational, transportation, advocacy, respite care, and recreational services, as needed. The case manager makes sure that the changing needs of the child and family are met. (This definition does not apply to managed care.) Managed care definition: A system requiring that a single individual in the provider organization is responsible for arranging and approving all devices needed under the contract embraced by employers, mental health authorities, and insurance companies to ensure that individuals receive appropriate, reasonable health care services. |
| Case Manager:
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| An individual who organizes and coordinates services and supports for children, adults and families coping with mental health problems. |
| Child Behavioral Disorders :
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| Many terms are used interchangably to classify children who exhibit extreme or unacceptable chronic behavior problems. These children lag behind their agemates in social development and are often isolated from others either because they withdraw from social contact or because they behave in an aggressive, hostile manner. Behavior disorders result from persistent negative social interactions between the child and the environment. Behavior disorders generally consist of four clusters of traits, including conduct disorders, anxiety-withdrawl, immaturity, and socialized aggression. |
| Child Conduct Disorder:
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| Children with conduct disorder repeatedly violate the personal or property rights of others and the basic expectations of society. A diagnosis of conduct disorder is likely when these symptoms continue for six months or longer. Conduct disorder is known as a "disruptive behavior disorder" because of its impact on children and their families, neighbors, and schools. |
| Childhood Depression:
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| A mood disorder among children that resembles depression in adults, but shows up in very different ways in children.
Children with depression may appear persistently sad, may no longer enjoy activities they normally enjoy, or they may frequently appear agitated, hyper or irritable. Depressed children may frequently complain of physical problems such as headaches and stomachaches and often have frequent absences from school or poor performance in school. They may appear bored or low in energy and frequently have problems concentrating. A major change in eating or sleeping patterns is a frequent sign of depression in children and adolescents. Significant depression probably exists in about 5 percent of children and adolescents in the general population. Children under stress, who experience loss, or who have learning disorders are at a higher risk for depression.
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| Children & Adolescents At-Risk for Mental Health Problems:
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| Children are at greater risk for developing mental health problems when certain factors occur in their lives or environments. Factors include physical abuse, emotional abuse or neglect, harmful stress, discrimination, poverty, loss of a loved one, frequent relocation, alcohol and other drug use, trauma, and exposure to violence. |
| Clinical Psychologist:
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| A clinical psychologist is a professional with a doctoral degree in psychology who specializes in therapy. |
| Cognitive Therapy:
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| Cognitive therapy aims to identify and correct distorted thinking patterns that can lead to feelings and behaviors that may be troublesome, self-defeating, or even self-destructive. The goal is to replace such thinking with a more balanced view that, in turn, leads to more fulfilling and productive behavior. |
| Cognitive/Behavioral Therapy:
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| A combination of cognitive and behavioral therapies, this approach helps people change negative thought patterns, beliefs, and behaviors so they can manage symptoms and enjoy more productive, less stressful lives. |
| Community Services:
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| Services that are provided in a community setting. Community services refer to all services not provided in an inpatient setting. |
| Compulsions:
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| Compulsions are repetitive behaviors intended to ward off harm to the sufferer of obsessive-compulsive disorder. Performing compulsive rituals gives the person with obsessive-compulsive disorder some temporary relief from the anxiety caused by obsessions. For example, compulsive hand-washing relieves the obsessive thought, "My hands have germs. I'm going to get sick." |
| Compulsive Personality :
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| Personalities who are unusually tidy and even rigid in their daily behavior. Unlike people with obsessive-compulsive disorder, however, they do not find their behavior distressing or perceive their behavior as interfering with their lives. |
| Conduct Disorder:
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| A persistent pattern of behavior that involves violation of the rights of others (disobedience, destructiveness, jealousy, boisterousness, inadequate feelings of guilt). The pattern is seen at home, school, and in the community. Verbal and physical aggression are key features of conduct disorder.
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| Continuous Quality Improvement:
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| An approach to health care quality management borrowed from the manufacturing sector. It builds on traditional quality assurance methods by putting in place a management structure that continuously gathers and assesses data that are then used to improve performance and design more efficient systems of care. Also known as total quality management (TQM). |
| Couples Counseling & Family Therapy:
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| These two similar approaches to therapy involve discussions and problem-solving sessions facilitated by a therapist-sometimes with the couple or entire family group, sometimes with individuals. Such therapy can help couples and family members improve their understanding of, and the way they respond to, one another. This type of therapy can resolve patterns of behavior that might lead to more severe mental illness. Family therapy can help educate the individuals about the nature of mental disorders and teach them skills to cope better with the effects of having a family member with a mental illness-such as how to deal with feelings of anger or guilt. |
| Crisis Services:
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| A group of services that is available 24 hours a day, 7 days a week, to help during a mental health emergency. |
| Cultural Competence:
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| Help that is sensitive and responsive to cultural differences. Caregivers are aware of the impact of culture and possess skills to help provide services that respond appropriately to a person's unique cultural differences, including race and ethnicity, national origin, religion, age, gender, sexual orientation, or physical disability. They also adapt their skills to fit a family's values and customs. |
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