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NEDA TOOLKIT for Coaches and Trainers Self-guided Cognitive Behavior Therapy  A modified form of cognitive behavior therapy in which a treatment manual is provided for people to proceed with treatment on their own, or with support from a nonprofessional. Guided self-help usually implies that the support person may or may not have some professional training, but is usually not a specialist in eating disorders. The important characteristics of the self-help approach are the use of a highly structured and detailed manual-based CBT, with guidance as to the appropriateness of self-help, and advice on where to seek additional help. Telephone Therapy  A type of psychotherapy provided over the telephone by a trained professional. Self-report Measures  An itemized written test in which a person rates his/her feeling towards each question; the test is designed to categorize the personality or behavior of the person. Third-party Payer  An organization that provides health insurance benefits and reimburses for care for beneficiaries. State Mandate  A proclamation, order or law from a state legislature that issues specific instructions or regulations. Many states have issued mandates pertaining to coverage of mental health benefits and specific disorders the state requires insurers to cover. Substance Abuse  Use of a mood or behavior-altering substance in a maladaptive pattern resulting in significant impairment or distress of the user. Substance Use Disorders  The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) defines a substance use disorder as a maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by one (or more) of the following, occurring within a 12-month period: (1) Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home; (2) Recurrent substance use in situations in which it is physically hazardous; and (3) Recurrent substance-related legal, social and/or interpersonal problems. Subthreshold (or Subclinical) Eating Disorder  Condition in which a person exhibits disordered eating but not to the extent that it fulfills all the criteria for diagnosis of an eating disorder. Therapeutic Foster Care  A foster care program in which youths who cannot live at home are placed in homes with foster parents who have been trained to provide a structured environment that supports the child’s learning, social and emotional skills. Thinspiration  Slang. Photographs, poems, or any other stimuli that aim to influence a person to strive to lose weight. Thyroid Medication Abuse  Excessive use or misuse of drugs used to treat thyroid conditions; a side effect of these drugs is weight loss. Treatment Plan  A multidisciplinary care plan for each beneficiary in active case management. It includes specific services to be delivered, the frequency of services, expected duration, community resources, all funding options, treatment goals and assessment of the beneficiary environment. The plan is updated monthly and modified when appropriate. Trigger  A stimulus that causes an involuntary reflex behavior. A trigger may lead to the return of eating disorder behaviors in someone in recovery. Usual and Customary Fee  An insurance term that indicates the amount the insurance company will reimburse for a particular service or procedure. This amount is often less than the amount charged by the service provider. Vocational Services  Programs that teach skills needed for self-sufficiency. Yoga  A system of physical postures, breathing techniques and meditation practices to promote bodily or mental control and well-being. Supportive Therapy  Psychotherapy that focuses on the management and resolution of current difficulties and life decisions using the patient’s strengths and available resources. Page  | 57