HealthSmart Florida Mental Health Therapy Treatment

HealthSmart’s mental health benefits may encompass inpatient care, outpatient therapy, counseling, medication management, wellness initiatives, and other programs and services. The coverage specifics can differ based on the policy and its terms, among other factors. We encourage you to reach out to one of our helpful patient advocates at The Sylvia Brafman Mental Health Center at 877-958-9212 for additional information.

HealthSmart Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) is a structured and intensive treatment method that provides therapy and support during the daytime, allowing individuals to return to their homes or stable environments in the evenings. PHPs offer a higher level of care than outpatient treatment but are less restrictive than inpatient hospitalization. Typically, HealthSmart offers coverage for PHPs.

HealthSmart Coverage for Intensive Outpatient Program

Intensive Outpatient Programs (IOPs) are structured treatment programs tailored to offer comprehensive therapy and support for individuals facing mental health challenges. These programs provide a more intensive level of care compared to standard outpatient services, allowing participants to live at home and maintain their daily routines. HealthSmart typically offers coverage for these treatment programs.

HealthSmart Coverage for Outpatient Program

Outpatient programs provide therapeutic services, including counseling and mental health support, for individuals dealing with mental health disorders. Unlike inpatient or residential programs, outpatient care allows individuals to receive treatment while continuing to live at home and maintain their daily routines. HealthSmart typically offers coverage for various outpatient programs and services.

HealthSmart Coverage for EMDR Therapy

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a specialized psychotherapy approach aimed at helping individuals process and recover from traumatic or distressing experiences. Initially developed for post-traumatic stress disorder (PTSD) treatment, EMDR has since demonstrated its effectiveness in addressing various mental health disorders, including anxiety and depression.

EMDR therapy aims to reprocess traumatic memories that can become stuck in the brain, causing emotional and psychological distress. The eight-phase process includes bilateral stimulation, such as moving fingers back and forth or using auditory tones, to help the brain integrate these memories more effectively. HealthSmart typically provides coverage for EMDR therapy. However, reviewing your policy documents for more accurate information is essential.

Treatment Programs

• Partial Hospitalization Treatment
• Intensive Outpatient Treatment
• Urgent Psychiatric Care
• Residential Treatment Program
• Long Term Residential Treatment
• Women’s Residential treatment
• Men’s Residential treatment
• Mental Health Retreat
• Long-Term Mental Health Treatment
• Short-Term Mental Health Treatment

Facility Admissions and Costs for Treatment in South Florida

Mental Health Treatment Insurance Providers in Florida

Florida and Mental Health Statistics

In the Sunshine State, sobering statistics cast a shadow over its residents’ well-being. In 2022, a staggering 63.5% of the state’s 1,823,000 adults with any form of mental illness found themselves in a disheartening predicament: they didn’t receive the treatment needed. This treatment gap reveals a concerning chasm in the availability and accessibility of mental health resources.

The plight extends to the younger generation as well. Over 400,000 children and youth in Florida face emotional, behavioral, and developmental challenges. Unfortunately, only roughly half of them have the opportunity to access the crucial services designed to help them navigate these complexities. Florida’s low per capita funding for mental health services is a pressing issue that needs urgent attention. Improved access to care and destigmatization of mental health issues are necessary.

• A substantial 63.5% of Florida’s 1,823,000 adults who experienced any mental illness (AMI) did not receive treatment in 2022.¹
• Data from The Health Council of South Florida’s Miami Matters website show that in 2019, 16% of Miami-Dade’s Medicare beneficiaries received treatment for depression.²
• Over 400,000 children and youth in Florida face emotional, behavioral, and developmental challenges, but only about half receive necessary services.³
• In 2022, Florida had one of the lowest rates of mental illness in the entire country.⁴
• There are about 490 mental health treatment facilities operating in the state of Florida.⁵
• Florida ranks last among the states in terms of per capita support for mental health services.
• About 7.99% of adults residing in Florida struggle with substance use or alcohol-related issues.
• Florida has one of the lowest mental health care access rates and one of the highest incarceration rates.
• A total of 14.7% of Florida’s adult population disclosed that they had received a diagnosis of a depressive disorder, encompassing conditions such as depression, major depression, minor depression, or dysthymia, from a healthcare professional at some point in their lives.⁶
• In March 2019, on a specific day, 57,335 individuals in Florida underwent treatment for substance use, marking a decrease from the 63,287 individuals in 2015. Among these individuals, 51.0% sought treatment for drug addiction, 13.3% for alcohol addiction, and 35.6% received treatment for both drug and alcohol addiction.⁷

Sources

1. Reinert, M, Fritze, D. & Nguyen, T. “The State of Mental Health in America 2022.” Mental Health America, mhanational.org/sites/default/files/2022%20State%20of%20Mental%20Health%20in%20America.pdf. Accessed 23 Sept. 2023.
2. Conduent Healthy Communities Institute. “Depression: Medicare Population.” Miami Matters, 2021, www.miamidadematters.org/indicators/index/view?indicatorId=2058&localeId=414.
3. “Behavioral Health and Related Topics.” Florida Health, 8 Sept. 2023, www.floridahealth.gov/programs-and-services/childrens-health/cms-specialty-programs/title-5-program/Behavioral-Health-Services/index.html.
4. Warren, Darice. “The State of Mental Health in America 2022: Adult Prevalence and Access to Care – NextStep Solutions.” NextStep Solutions, 6 Dec. 2021, www.nssbehavioralhealth.com/nss-blog-the-state-of-mental-health-in-america-2022-adult-prevalence-and-access-to-care.
5. “Mental Health in Florida: The Facts.” Florida Health Behavioral Association, cdn.ymaws.com/www.fadaa.org/resource/resmgr/files/mental_health/MentalHealthInFlorida_Brochu.pdf. Accessed 23 Sept. 2023.
6. United Health Foundation. “Depression in Florida.” America’s Health Rankings. 2022, https://www.americashealthrankings.org/explore/measures/Depression_a/FL?population=Depression_75k.
7. HHS Publication. “Behavioral Health Barometer: Florida, Volume 6: Indicators as Measured Through the 2019 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services.” Substance Abuse and Mental Health Services Administration, 2020, www.samhsa.gov/data/sites/default/files/reports/rpt32826/Florida-BH-Barometer_Volume6.pdf.