Clinical Practice Guidelines

Medical Management

• Adults Exposed to the World Trade Center Disaster
• Adult Preventive Services
• Appropriate Use of Antibiotics for Children and Adults
• Arthritis
• Asthma
• Cholesterol Management for Adults at Risk for Cardio/Vascular Disease
• Chronic Kidney Disease
• Chronic Obstructive Pulmonary disease (COPD)
• Community-Acquired Pneumonia
• Congestive Heart Failure
• Coronary Artery Disease
• Diabetes Mellitus
• H-pylori
• HIV/AIDS
• Hypertension
• Low Back Pain Diagnosis and Treatment
• Lyme disease
• Obesity and Weight Management in Adults
• Obesity and Weight Management in Children and Adolescents
• Osteoporosis
• Pediatric and Adolescent Preventive Services
• Preconception Care
• Prenatal/Postpartum Care
• Sexually Transmitted Disease (STDs)
• Smoking Cessation
• Stroke Prevention
• Tuberculosis
• Urinary Incontinence

Behavioral Health

ValueOptions® manages behavioral health services for members served by Emblem Behavioral Health Services Program (for plans underwritten by GHI HMO, HIP and HIPIC or administered by VHMS) and Behavioral Management Program (for plans underwritten by GHI).

Please refer to the ValueOptions Treatment Guidelines at www.valueoptions.com.

Diagnosed Based

• Acute Stress Disorder and Post-Traumatic Stress Disorder (PDF)
  Adopted from APA 8/10/06 Reviewed 7/08/10
• Assessing and Treating Suicidal Behaviors (PDF)
  Adopted from APA 8/10/06 Reviewed 7/08/10
• ADHD Guidelines (Child/Adolescent) (PDF)
  Adopted from AACAP Reviewed 4/18/11
• Autism Spectrum Disorders (PDF)
  Reviewed 10/18/10
• Bi-Polar Disorder (PDF)
  Adopted from APA 6/2004 Reviewed 7/08/10
• Co-Occurring Mental Substance Related Problems (PDF)
  Reviewed 7/08/10
• Generalized Anxiety Disorder (PDF)
  Adopted Canadian Psychiatric Association Anxiety Guidelines 10/12/06 Reviewed 09/20/10
• Major Depression (PDF)
  Adopted APA 5/12/05 Reviewed 3/21/11
• Tip 43 Medication Assisted Treatment for Opioid Addicition in Opioid Treatment Programs (PDF)
  Reviewed 4/18/11
• Suboxone (PDF)
  Reviewed 9/09/10
• Treating Schizophrenia (PDF)
  Adopted from APA Reviewed 3/21/11
• Schizophrenia Guideline Watch (PDF)
  Adopted 3/21/11 Reviewed 3/21/11
• Treating Panic Disorder (PDF)
  Adopted from APA 8/10/06 Reviewed 7/08/10
• Treating Substance Use Disorders (PDF)
  Adopted from APA 8/10/06 Reviewed 7/08/10

Program Based

• EAP Guidelines (PDF)
  Reviewed 4/18/11

Treatment Based

• Electroconvulsive Therapy (ECT) (PDF)
  Adopted APA 8/11/05 Reviewed 10/05/09
• Telepsychiatry (PDF)
  Adopted APA 7/1/98 Reviewed 9/9/10