NEDA TOOLKIT for Coaches and Trainers
Health Maintenance Organization (HMO) A health
plan that employs or contracts with primary care
physicians to write referrals for all care that covered
patients obtain from specialists in a network of
healthcare providers with whom the HMO contracts.
The patient’s choice of treatment providers is usually
limited. Hematemesis The vomiting of blood.
Hypno-behavioral Therapy A type of behavioral
therapy that uses a combination of behavioral
techniques such as self-monitoring to change
maladaptive eating disorders and hypnotic techniques
intended to reinforce and encourage behavior change.
Hypoglycemia An abnormally low concentration of
glucose in the blood.
Interpersonal Therapy (IPT) IPT (also called
interpersonal psychotherapy) is designed to help
people identify and address their interpersonal
problems, specifically those involving grief,
interpersonal role conflicts, role transitions, and
interpersonal deficits. In this therapy, no emphasis is
placed directly on modifying eating habits. Instead,
the expectation is that the therapy will enable people
to change as their interpersonal functioning improves.
IPT usually involves 16 to 20 hour-long, one-on-one
treatment sessions over a period of 4 to 5 months.
Ketosis A condition characterized by an abnormally
elevated concentration of ketones in the body tissues
and fluids, which can be caused by starvation. It is a
complication of diabetes, starvation and alcoholism.
In-network benefits Health insurance benefits that
a beneficiary is entitled to receive from a designated
group (network) of healthcare providers. The
“network” is established by the health insurer that
contracts with certain providers to provide care for
beneficiaries within that network.
Level of Care The care setting and intensity of care
that a patient is receiving (e.g., inpatient hospital,
outpatient hospital, outpatient residential, intensive
outpatient, residential). Health plans and insurance
companies correlate their payment structures to the
level of care being provided and also map a patient’s
eligibility for a particular level of care to the patient’s
medical/ psychological status.
Indemnity Insurance A health insurance plan that
reimburses the member or healthcare provider on a
fee-for-service basis, usually at a rate lower than the
actual charges for services rendered, and often after a
deductible has been satisfied by the insured.
Major Depressive Disorde A condition characterized
by one or more major depressive episodes that consist
of periods of two or more weeks during which a patient
has either a depressed mood or loss of interest or
pleasure in nearly all activities. (See Depression)
Independent Living Services Services for a person
with a medical or mental health-related problem who
is living on his/her own. Services include therapeutic
group homes, supervised apartment living, monitoring
the person’s compliance with prescribed mental and
medical treatment plans, and job placement.
Mallory-Weiss Tear One or more slit-like tears in the
mucosa at the lower end of the esophagus as a result of
severe vomiting.
Intake Screening An interview conducted by health
service providers when a patient is admitted to a
hospital or treatment program.
International Classification of Diseases (ICD-10) The
World Health Organization lists international standards
used to diagnose and classify diseases. The listing
is used by the healthcare system so clinicians can
assign an ICD code to submit claims to insurers for
reimbursement for services for treating various medical
and mental health conditions in patients. The code is
periodically updated to reflect changes in classifications
of disease or to add new disorders.
Massage Therapy A generic term for any of a number
of various types of therapeutic touch in which
the practitioner massages, applies pressure to, or
manipulates muscles, certain points on the body or
other soft tissues to improve health and well-being.
Massage therapy is thought to relieve anxiety and
depression in patients with an eating disorder.
Maudsley Method A family-centered treatment
program with three distinct phases. The first phase
for a patient who is severely underweight is to
regain control of eating habits and break the cycle of
starvation or binge eating and purging. The second
phase begins once the patient’s eating is under
control, with a goal of returning independent eating
to the patient. The goal of the third and final phase
is to address the broader concerns of the patient’s
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