Behavioral Health Clinical Practice Guidelines 2017-2018

Clinical Practice Guidelines (CPGs) adopted by Blue Cross and Blue Shield of New Mexico are the foundation for the Behavioral Health Care Management Programs. Updates to CPGs are reviewed and adopted at least every two years.

If you have any questions about the CPGs adopted by BCBSNM, contact us via:


Mail Behavioral Health Quality Improvement Program
Attention: CPG Coordinator
1001 East Lookout Drive
Richardson, TX 75082
Email BHQualityImprovement@bcbstx.com


Select from the links listed below to view CPGs for behavioral health conditions:

Acute Stress Disorder and Posttraumatic Stress Disorder (PTSD)
Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder  (2004) American Psychiatric Association
"Guideline Watch: Practice Guideline for the Treatment of Patients with Acute Stress Disorder and Posttraumatic Stress Disorder"  PDF Document (2009) American Psychiatric Association
"VA/DOD Clinical Practice Guideline for the Management of Posttraumatic Stress Disorder and Acute Stress Disorder"  PDF Document (2017) Department of Veterans Affairs/Department of Defense

Alzheimer's and Other Dementias
Guideline Watch: Practice Guideline for the Treatment of Patients with Alzheimer’s Disease and Other Dementias  (2014) American Psychiatric Association
Treatment of Patients with Alzheimer’s Disease and Other Dementias 2nd
edition
  (2007) American Psychiatric Association
"The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients with Dementia"  (2016) American Psychiatric Association

Note: This guideline is more than 5 years old and under consideration by American Psychiatric Association for revision.

Attention-Deficit/Hyperactivity Disorder (ADHD)
ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents  (2011) American Academy of Pediatrics

Autism
"Practice Parameter for the Assessment and Treatment of Children and Adolescents with Autism Spectrum Disorder"  PDF Document (2014) American Academy of Child and Adolescent Psychiatry
"Autism Spectrum Disorder in Adults: Diagnosis and Management"  (2012) National Institute for Health and Care Excellence
"Practice Parameter: Screening and Diagnosis of Autism"  (2000) American Academy of Neurology

Bipolar
Practice Guideline for the Treatment of Patients with Bipolar Disorder 2nd Edition  (2002) American Psychiatric Association
Guideline Watch: Practice Guideline for the Treatment of Patients with Bipolar Disorder, 2nd Edition  (2005) American Psychiatric Association
"Bipolar Disorder: Assessment and Management Clinical Guideline"  (2014) National Institute for Health and Care Excellence

Depression
Practice Guideline for the Treatment of Patients with Major Depression Disorder 3rd Edition  (2010) American Psychiatric Association

Practice Parameter for the Assessment and Treatment of Children and Adolescents with Depressive Disorders  (2007) American Academy of Child and Adolescent Psychiatry
"Screening for Depression in Children and Adolescents: US Preventive Services Task Force Recommendation Statement"  PDF Document (2016) American Academy of Pediatrics
"Clinical Practice Review for Major Depressive Disorder"  (2016) Anxiety and Depression Association of America

Eating Disorders
Practice Guideline for the Treatment of Patients with Eating Disorders 3rd Edition  (2006) American Psychiatric Association
Guideline Watch: Practice Guideline for the Treatment of Patients with Eating Disorders 3rd Edition  (2012) American Psychiatric Association
"Practice Parameter for the Assessment and Treatment of Children and Adolescents with Eating Disorders"  PDF Document (2015) American Academy of Child and Adolescent Psychiatry

General
"Practice Guidelines for the Psychiatric Evaluation of Adults"  (2015) American Psychiatric Association

Generalized Anxiety and Panic Disorders
"Practice Guideline for the Treatment of Patients with Panic Disorder 2nd Edition"  PDF Document (2009) American Psychiatric Association
"Generalised Anxiety Disorder and Panic Disorder in Adults: Management Clinical Guideline"  (2011) National Institute for Health and Care Excellence

Obsessive Compulsive Disorder
Practice Guideline for the Treatment of Patients with Obsessive-Compulsive Disorder  (2007) American Psychiatric Association
Guideline Watch: Practice Guideline for the Treatment of Patients with Obsessive-Compulsive Disorder  (2013) American Psychiatric Association

Schizophrenia
Practice Guideline for the Treatment of Patients with Schizophrenia 2nd Edition  (2004) American Psychiatric Association

Guideline Watch (September 2009): Practice Guideline for the Treatment of Patients with Schizophrenia  (2009) American Psychiatric Association
"Treating Schizophrenia: A Quick Reference Guide"  PDF Document (2004) American Psychiatric Association
"Practice Parameter for the Assessment and Treatment of Children and Adolescents with Schizophrenia"  PDF Document (2013) American Academy of Child and Adolescent Psychiatry

Substance Use Disorders
Practice Guideline for the Treatment of Patients with Substance Use Disorders 2nd Edition  (2006) American Psychiatric Association

Guideline Watch (April 2007): Practice Guideline for the Treatment of Patients with Substance Use Disorders 2nd Edition  (2007) American Psychiatric Association
"VA/DoD Clinical Practice Guideline for the Management of Substance Use Disorders"  PDF Document (2015) Department of Veterans Affairs/Department of Defense
"Principles of Adolescent Substance Use Disorder Treatment: A Research-Based Guide"  PDF Document (2014) National Institute on Drug Abuse

Opioid
"Treatment of Opioid Use Disorders"  (2016) The New England Journal of Medicine
"Interagency Guideline on Prescribing Opioids for Pain"  PDF Document (2015) Agency Medical Directors’ Group

Suboxone
"Clinical Guidelines for the Use of Buprenorphine in the Treatment of Opioid Addiction: A Treatment Improvement Protocol (TIP) 40"  PDF Document (2004) Substance Abuse and Mental Health Services Administration

Alcohol
"Practice Guideline for the Pharmacological Treatment of Patients with Alcohol Use Disorder"  ((2018) American Psychiatric Association

Suicidal Behaviors
Practice Guideline for the Treatment of Patients with Suicidal Behaviors   Learn more about third-party links  (2003)
"APA Practice Guidelines (2016) Recommendations Regarding Assessment of Suicide as Part of the Initial Psychiatric Assessment"  PDF Document (2016) American Psychiatric Association
"VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide"  PDF Document (2013) Department of Veterans Affairs/Department of Defense

Telehealth
"Practice Guidelines for Video-Based Online Mental Health Services"  PDF Document (2009) American Telemedicine Association
"Practice Guidelines for Video-Based Online Mental Health Services (companion document)"  PDF Document (2013) American Telemedicine Association
"Core Operational Guidelines for Telehealth Services Involving Provider-Patient Interaction"  PDF Document (2014) American Telemedicine Association
"Guidelines for the Practice of Telepsychology"  PDF Document (2013) American Psychological Association
"Clinical Update: Telepsychiatry with Children and Adolescents"  PDF Document (2017) American Academy of Child and Adolescent Psychiatry

The Behavioral Health Care Management Programs offered by BCBSNM serve members suffering from Depression, Alcohol/Substance Abuse Disorders, Anxiety/Panic Disorders, Attention Deficit/Hyperactivity Disorder, Bipolar Disorder, Eating Disorders, Schizophrenia, and other Psychotic Disorders. If a professional provider has a patient who may benefit from participating in one of the above mentioned programs, please call Behavioral Health Member Services using the number on the back of the member’s ID card to have the patient screened and considered for enrollment in a Case Management Program.

The Behavioral Health Clinical Practice Guidelines are applicable to all BCBSNM BH product lines including Blue Cross Community CentennialSM. These guidelines are designed to assist clinicians by providing a framework for evaluation and treatment of patients and is not intended to either replace a clinician’s judgement or establish a protocol for all patients with a particular condition. Guidelines for the use of Psychotropic Medication Management are included within each Behavioral Health Clinical Practice Guideline.

Such services are funded in part with the State of New Mexico.