Behavioral Health Clinical Practice Guidelines 2016-2017

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

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

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

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

Delirium
Practice Guideline for the Treatment of Patients with Delirium  (1999) American Psychiatric Association

Guideline Watch (August 2004): Practice Guideline for the Treatment of Patients with Delirium  (2004) American Psychiatric Association

Depression
Adult Depression in Primary Care Guideline (2013) Institute for Clinical Systems Improvement 

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

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

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

Panic Disorder
Practice Guideline for the Treatment of Patients with Panic Disorder 2nd Edition  (2009) 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

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

Suicidal Behaviors

Practice Guideline for the Treatment of Patients with Suicidal Behaviors   Learn more about third-party links

 (2003)

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.