Behavioral Health Clinical Practice Guidelines 2020-2021

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
“Post-traumatic Stress Disorder”  PDF Document National Institute for Health and Care Excellence

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
"Practice Guideline Update Summary: Mild Cognitive Impairment"  (2018) American Academy of Neurology
"Dementia: Assessment, Management and Support for People Living with Dementia and Their Carers"  (2018) National Institute for Health and Care Excellence
"Neuropsychological Evaluation in Adults"  (2019) American Family Physician

Attention-Deficit/Hyperactivity Disorder (ADHD)
Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents  PDF Document (2019) American Academy of Pediatrics
"Attention Deficit Hyperactivity Disorder: Diagnosis and Management"  PDF Document (2018) National Institute for Health and Care Excellence

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
Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research  PDF Document : (2015) American Academy of Pediatrics
Targeting Sensory Challenges in Children with Autism Spectrum Disorder-An Update  PDF Document (2017) Agency for Healthcare Research and Quality
Identification, Evaluation, and Management of Children with Autism Spectrum Disorder  PDF Document : (2020) American Academy of Pediatrics

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
"Evidence-Based Guidelines for Treating Bipolar Disorder: Revised Third Edition Recommendations from the British Association for Psychopharmacology"  (2016) Journal of Psychopharmacology

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
"Clinical Practice Review for Major Depressive Disorder"  (2016) Anxiety and Depression Association of America
VA/DoD Clinical Practice Guideline for The Management of Major Depressive Disorder  PDF Document (2016) Department of Veterans Affairs/Department of Defense
Nonpharmacologic Versus Pharmacologic Treatment of Adult Patients With Major Depressive Disorder: A Clinical Practice Guideline from the American College of Physicians (March 2016) American College of Physicians
Depression in Adults: Recognition and Management (first published 2009, updated April 2018) National Institute for Health and Care Excellence
"Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts" (2019) American Psychological Association
"Depression in Children and Young People: Identification and Management" (2019) National Institute for Health and Care Excellence

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
Eating Disorders: Recognition and Treatment (May 2017) National Institute for Health and Care Excellence

General
"Practice Guidelines for the Psychiatric Evaluation of Adults"  (2015) American Psychiatric Association
“Guidance on Strategies to Promote Best Practice in Antipsychotic Prescribing for Children and Adolescents” (2019) Substance Abuse and Mental Health Services Administration

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
"Clinical Practice Review for GAD"  (2015) Anxiety and Depression Association of America
"Diagnosis and Management of Generalized Anxiety Disorder and Panic Disorder in Adults"  (2015) American Family Physician

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
"Clinical Practice Review for OCD"  (2015) Anxiety and Depression Association of America
"Obsessive-Compulsive Disorder: Diagnosis and Management"  (2015) American Family Physician

Schizophrenia
Practice Guideline for the Treatment of Patients with Schizophrenia 3rd Edition  (2021) 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
Psychosis and Schizophrenia in Adults: Prevention and Management (2014) National Institute for Health and Care Excellence

Substance Use Disorders

General
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
"TIP 31 Screening and Assessing Adolescents for Substance Use Disorders" (2012) Substance Abuse and Mental Health Services Administration
"TIP 42 Substance Abuse Treatment for Persons with Co-occurring Disorders" (2013, revised 2020) Substance Abuse and Mental Health Services Administration
Principles of Drug Addiction Treatment: A Research-Based Guide (Third Edition) (2018) National Institute on Drug Abuse

Opioid
"The ASAM National Practice Guideline for the Treatment of Opioid Use Disorder 2020 Focused Update" (2015) American Society of Addiction Medicine "Medications for Opioid Use Disorder TIP 63" (2018, revised 2019) Substance Abuse and Mental Health Services Administration

Alcohol
"Practice Guideline for the Pharmacological Treatment of Patients with Alcohol Use Disorder"   (2018) American Psychiatric Association
Medication for the Treatment of Alcohol Use Disorder: A Brief Guide  PDF Document (2015) Substance Abuse and Mental Health Services Administration
Alcohol Screening and Brief Intervention for Youth, A Practitioner's Guide-produced in collaboration with the American Academy of Pediatrics  PDF Document (Revised 2015, Reprinted 2019) National Institute on Alcohol Abuse and Alcoholism
"The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management"  PDF Document (2020) American Society of Addiction Medicine

Suicidal Behaviors
VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide  PDF Document (version 2.0, 2019) Department of Veterans Affairs/Department of Defense

Telehealth
"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
"General Provider Telehealth and Telemedicine Tool Kit"  PDF Document (2020) Centers for Medicare and Medicaid Services
"Telepsychiatry Toolkit"  PDF Document (2020) American Psychiatric Association
"Practice Guidelines for Telemental Health with Children and Adolescents"  PDF Document (2017) American Telemedicine Association

Transgender
"Guidelines for Psychological Practice with Transgender and Gender Nonconforming People"  PDF Document (2015) American Psychological Association
"Ensuring Comprehensive Care and Support for Transgender and Gender Diverse Children and Adolescents"  PDF Document (2018)

Diversity
"Multicultural Guidelines: An Ecological Approach to Context, Identity, and Intersectionality"  PDF Document (2017) American Psychological Association
"The American Psychiatric Association Practice Guidelines for the Psychiatric Evaluation of Adults: Guideline V. Assessment of Cultural Factors"  PDF Document (2016) American Psychiatric Association

Electroconvulsive Therapy
"Royal Australian and New Zealand College of Psychiatrists Professional Practice Guidelines for the Administration of Electroconvulsive Therapy"  PDF Document (2019) Australian and New Zealand Journal of 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 HCSC BH product lines including Illinois Government Programs (MMAI, BCCHP, and MLTSS). 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 judgment 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.