About behavioral health
What's the difference between behavioral health and mental health?
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Let’s say that behavioral health is like a pie. Mental health would be a piece of the pie. Behavioral health looks at how our behaviors affect our overall physical and mental well-being. Your behavioral health can be influenced by different factors like your diet, alcohol and drug use, relationships, chronic health issues and trauma. Your mental health is simply one part of your behavioral health, and it focuses on your ability to handle regular life stressors in your daily life.
Reference: www.Betterhelp.com
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Why is mental health important?
Everyone has mental health. Our mental health affects how we think, feel, act and behave. Some signs of positive mental health include being able to contribute to your community, engage in healthy relationships, handle normal levels of stress and recognize your value and worth.
When you struggle with your mental health, other areas of your life may feel the effects. There’s no shame in reaching out for help when you need it. Anyone can experience challenges with mental health at any time.
Sources: Centers for Disease Control & Prevention, World Health Organization
Get care
Who is Optum Behavioral Health?
We're proud to partner with OptumHealth Behavioral Solutions of California (Optum Behavioral Health), a trusted leader in the mental health and substance use disorder industry, to provide behavioral health benefits to our members. Together, we make it easy for you to access the care you need, with thousands of behavioral health providers for you to choose from, a suite of virtual mental health and substance use disorder specialty care, and 24/7 access to personalized evidence-based digital tools and wellness resources.
How do I find a provider?
Please visit Optum Behavioral Health's online provider directory to find a provider. No referral is needed to access outpatient therapy within your plan network. If you need assistance selecting a provider, please call Optum Behavioral Health at 1-844-483-9013.
What if I need help now?
For 24/7 crisis intervention and urgent mental health support, please call Optum Behavioral Health at 1-844-483-9013. If emergency care is needed, call 911 or go to the emergency room of the nearest hospital.
If you or someone you care about is experiencing a suicidal or mental health crisis, please call or text the Suicide and Crisis Lifeline at 988 or dial 1-800-273-TALK (8255).
How do I obtain prior authorization for behavioral health services?
Please contact our behavioral health partner, OptumHealth Behavioral Solutions of California at 1-844-483-9013 for assistance with behavioral health services that require prior authorization.
How do I get reimbursed for behavioral health services that I paid for?
If you see an out-of-network behavioral health provider, you may need to pay out of pocket. To request reimbursement, log in to your Optum Behavioral Health account. If you don't have an account, creating one is quick and easy. Once logged in, go to Claims and select Submit a claim, then fill out the form and upload your documents. Optum will review your claim for reimbursement to see if services are covered, and copayments may apply. Sharp Health Plan does not process behavioral health claims for reimbursement — send all claims to Optum Behavioral Health. If you send a request to Sharp Health Plan, we will direct you to Optum Behavioral Health. For help, please call Optum Behavioral Health at 1-844-483-9013.
Finding a behavioral health provider
How do I find the right therapist for me?
Finding the right therapist can take some time, but it is worth the effort. When you’re searching for a therapist who can help you long-term, we recommend you follow these five tips.
What’s the difference between a psychologist and a therapist?
Great question. It’s good to know the differences between types of behavioral health professionals. Sharp Health Plan members have access to all the following types of providers, depending on your needs.
- Psychiatrists (MD, DO)
Psychiatrists are licensed medical doctors that specialize in mental, emotional and behavioral disorders. They diagnose mental health conditions, prescribe and monitor medications and perform medical laboratory tests to help determine a patient’s specific issues and needs. Psychiatrists may use several treatment methods together to improve a patient’s well-being.
- Psychiatric Mental Health Nurse Practitioner/Advanced Practice Registered Nurse (PMHNP, APRN)
A Psychiatric Mental Health Nurse Practitioner is an advanced practice registered nurse (APRN) who has completed additional education and training to specialize in diagnosing and treating mental health and substance use disorders, including prescribing medications. They work closely with a team of healthcare providers including psychiatrists, psychologists and other mental health providers.
- Psychologists (PhD, PsyD)
Psychologists can provide individual or group therapy and may have specialized training in different forms of therapeutic treatment. They use clinical interviews, psychological evaluation and testing to determine your mental health and psychological needs. Psychologists may not prescribe medication.
- Licensed clinical social workers (LCSW)
Licensed clinical social workers are the largest group of mental health services providers. They diagnose and treat mental, behavioral, emotional and substance abuse issues among individuals, couples, groups and families, and they provide therapy and develop treatment plans. LCSWs are well-trained in case management and often act as the administrators of social programs such as child welfare.
- Licensed Professional Clinical Counselor (LPCC)
Licensed Professional Clinical Counselors are mental health professionals who have completed specialized training in counseling and psychotherapy allowing them to diagnose and treat mental health issues. They provide therapy and counseling services to individuals, families and groups to address a variety of emotional and psychological concerns.
- Marriage and family therapists (MFT, LMFT)
Marriage and family therapists specialize in psychological issues in the context of marriage, couples and family systems. They are trained to deal with both individual psychological issues and issues that affect the entire family, such as marital problems and child-parent relationship issues.
- Addiction counselors
Addiction counselors treat people who are suffering from addictions. It’s common for addiction counselors to work in group settings, either with other individuals dealing with the same addiction or with loved ones affected by the behavior.
- Eating disorder specialists
Eating disorder specialists focus on helping individuals who struggle with conditions such as anorexia, bulimia, body dysmorphia and binge eating disorder. They also support their patients’ medical and nutritional needs and guide them to build lasting, healthy eating habits.
Understanding mental illness
What is mental illness?
Mental illnesses are health conditions that can affect your daily life, your moods, your behavior and the ways you think and feel. These conditions can happen over short periods, be chronic (long-lasting) or occasional. Many individuals who experience mental illness benefit from the support that behavioral health providers can offer.
Source: Centers for Disease Control & Prevention
What causes mental illness?
Many factors may contribute to the risk of mental illness, including:
- Biological factors, such as genes or chemical imbalances
- Family history
- Feelings of loneliness or isolation
- Life experiences, such as stress or abuse
- Use of alcohol and/or other drugs
- Other injuries or medical conditions
Behavioral health providers help to identify your concerns and offer suggestions, treatment and guidance.
Sources: Centers for Disease Control & Prevention, Medline Plus
Can my overall health be affected by mental illness?
Certain types of mental illness can increase the risk of physical health problems. The opposite can also be true: Chronic conditions may increase risks for mental illness.
Source: Centers for Disease Control & Prevention
Is mental illness common?
Yes. Like many other health concerns, mental illnesses are common and are treatable. In the U.S., nearly 1 in 5 adults experience mental illness and nearly half of them receive treatment. Adolescents and children can also experience mental illness.
Sources: American Psychiatric Association, NAMI
Which types of mental illnesses are most common?
There are over 200 types of mental illness. Common conditions include:
- Anxiety disorder
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Depression
- Eating disorders
- Personality disorders
- Posttraumatic Stress Disorder (PTSD)
- Schizophrenia
- Substance abuse disorders
Source: Centers for Disease Control & Prevention
What are common signs and symptoms of mental illness?
Symptoms can show up differently, depending on the type of mental illness someone is experiencing. Common signs can include:
- An inability to cope with daily problems and activities
- Changes in eating or sleeping habits
- Excessive anxiety, fear or worry
- Extended periods of irritability or sadness
- Extreme highs and lows in mood
- Strong feelings of anger
- Thoughts of suicide