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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 development. Page  | 54