Monitoring and Surveillance of Behavioral Health in the Context of Public Health Emergencies

A Toolkit for Public Health Officials

Abbreviations and Definitions of Key Terms

Abbreviations

Abbreviations
Abbreviation Definition
AAPCC American Association of Poison Control Centers
ARIMA autoregressive integrated moving average
BH behavioral health
BLS Bureau of Labor Statistics
BRFSS Behavioral Risk Factor Surveillance System
CDC Centers for Disease Control and Prevention
CI confidence interval
COVID-19 coronavirus disease 2019
CPA change-point analysis
CSTE Council of State and Territorial Epidemiologists
CTL crisis text line
CUSUM cumulative sum
DiD difference-in-differences
DOH Department of Health
DOL Department of Labor
ED emergency department
EMS emergency medical services
ESSENCE Electronic Surveillance System for the Early Notification of Community-Based Epidemics
EWMA exponentially weighted moving average
ICD-10-CM International Classification of Diseases, Tenth Revision, Clinical Modification
ITSA interrupted time series analysis
L.A. Los Angeles
LAUS Local Area Unemployment Statistics
NEMSIS National Emergency Medical Services Information System
NPDS National Poison Data System
NRDM National Retail Data Monitor
NSSP National Syndromic Surveillance Program
OTC over the counter
PCC Poison Control Center
PH public health
PHE public health emergency
PROMIS Program to Measure Insured Unemployed Statistics
PTSD posttraumatic stress disorder
PTSS posttraumatic stress syndrome
RHINO Rapid Health Information Network
SAMHSA Substance Abuse and Mental Health Services Administration
SI suicidal ideation
SSRI selective serotonin reuptake inhibitor
UI unemployment insurance

Definitions of Key Terms

  • Behavioral health: Encompasses mental health conditions and substance use disorders, as well as psychological well-being. BH includes behaviors related to life stressors, crises, and stress-related physical symptoms and can affect health outcomes. BH issues include mental health conditions, SI or suicide attempts, and substance use disorders (Evans and Bufka, 2020; Substance Abuse and Mental Health Services Administration [SAMHSA], 2011).
  • Public health emergency: Situations in which “health consequences have the potential to overwhelm routine community capabilities to address them” (Nelson et al., 2007, p. S9).
  • Disaster: “A serious disruption of the functioning of a community or a society causing widespread human, material, economic or environmental losses which exceed the ability of the affected community or society to cope using its own resources.” A disaster is a type of PHE (International Strategy for Disaster Reduction [ISDR], 2007, p. 9).
  • Monitoring: The routine tracking of priority information to detect early warnings of health problems or program performance (Joint United Nations Programme on HIV and AIDS [UNAIDS], 2000).
  • Surveillance: “The systematic collection, analysis, and interpretation of death, injury, and illness data, which enables public health to identify adverse health effects in the community” (National Center for Environmental Health, 2016, p. 3; also see Thacker and Berkelman, 1988).
  • Disaster surveillance: Assessing “the human health impacts of a disaster and evaluating potential problems related to planning and prevention,” which helps “identify risk factors, track disease trends, determine action items, and target interventions” (CDC, 2019).
  • Health equity: “Fair and just access to health resources, protection from health hazards, and health decisionmaking” (Chandra, Martin, and Acosta, 2021; also see RAND Corporation, undated).

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