Health Care

Results: 55

• Adolescent/Youth Counseling (8)
  RP-1400.8000-050

  Adolescent/Youth Counseling

  RP-1400.8000-050
  
  Programs that specialize in the treatment of adolescents, usually age 12 or 13 through 17, who have adjustment problems, behavior problems, emotional disturbance, a personality disorder or incipient mental illness. The programs may help youth troubled by low self-esteem, social isolation, peer pressure, bullying, school performance issues, truancy, anger management issues, family problems, grief and loss, sexual promiscuity, sexually transmitted disease, alcohol or drug addiction, eating disorders, oppositional and defiant behaviors, depression and anxiety, suicidal thoughts or other difficult issues.
• AIDS/HIV Prevention Counseling (2)
  LH-2700.0150

  AIDS/HIV Prevention Counseling

  LH-2700.0150
  
  Programs that provide counseling services for individuals at risk for contracting or transmitting the HIV virus with the objective of supporting their ability to make behavior changes that will reduce their risk of acquiring or transmitting HIV. Counseling involves a personal risk assessment, development of a personalized action plan and the decision to seek an HIV test. Individuals who have a history of injection drug use, sex with a person with HIV/AIDS, sex with a man who has sex with other men, sex with an injection drug user, a sexually transmitted disease, or exchanging money or drugs for sex are considered to be at high or increased risk and are targets for prevention counseling.
• Ambulatory Pediatrics (6)
  LV-6800.0500

  Ambulatory Pediatrics

  LV-6800.0500
  
  Programs that are staffed by specialists who provide comprehensive, primary care outpatient services for individuals, from infancy through young adulthood, who do not require hospitalization.
• Aquatic Therapy (2)
  LR-8400.0400

  Aquatic Therapy

  LR-8400.0400
  
  Rehabilitation oriented fitness programs that feature gentle exercises in warm water that are especially designed to relieve pain, stiffness and general discomfort in individuals who have disabling conditions such as arthritis, spinal cord injuries, head injuries, amputations, Guillain-Barre syndrome, chronic pain or orthopedic injuries. Exercise in water can increase circulation, strength and endurance, protect joints during exercise, reduce stress and decrease swelling; and the buoyancy effect of water helps to support the individual's weight and improve the movement of affected limbs. Aquatic therapy is generally provided by licensed physical therapists, physical therapy assistants or athletic trainers with specific training in the area.
• Audiological Evaluations (3)
  LR-8000.0500-030

  Audiological Evaluations

  LR-8000.0500-030
  
  Programs that establish the nature and extent of an individual's hearing loss in order to devise an appropriate treatment plan. Evaluations may include pure tone and speech audiometry which measure hearing in terms of reception of calibrated test tones or spoken words which are presented at controlled levels of intensity; impedence tests which measure the integrity of the middle ear system and rule out conductive pathology; and auditory brain stem tests which utilize equipment similar to an EKG to measure neurological activity in response to auditory stimuli.
• Birth Control Counseling (4)
  LJ-2000.1000-100

  Birth Control Counseling

  LJ-2000.1000-100
  
  Programs that provide a comprehensive overview of available birth control methods including information about fertility cycles, natural family planning, contraception and sterilization, and help people evaluate their options and select the method that bests suits their needs.
• Blood Pressure Screening (5)
  LF-4900.1000

  Blood Pressure Screening

  LF-4900.1000
  
  Programs that measure the pressure existing in the large arteries at the height of a pulse wave and identify individuals whose blood pressure is higher than normal, and who are thereby susceptible to strokes and other conditions that are related to hypertension.
• Childhood Immunization (2)
  LT-3400.1500

  Childhood Immunization

  LT-3400.1500
  
  Programs that inoculate infants and young children to prevent them from contracting diseases to which they are particularly susceptible including diphtheria, tetanus (lockjaw), measles, mumps, chicken pox (varicella), rubella (German measles), whooping cough (pertussis), Hib (haemophilus influenzae type B), hepatitis B, pneumococcal infections and polio. Hepatitis A vaccine is recommended for use in selected locales and for certain high-risk groups. Influenza vaccine is recommended annually for children older than six months with specific risk factors. Rotavirus vaccination (to prevent acute gastroenteritis with vomiting and severe diarrhea) is recommended during the first year of infancy. A baby should receive two or three doses depending on the brand used. Some childhood immunizations involve a series of doses at specific intervals.
• City/County Hospitals (12)
  LL-3000.1500

  City/County Hospitals

  LL-3000.1500
  
  City or county-operated health care facilities that provide a full range of inpatient services on an ability-to-pay basis and target low-income and indigent residents of the community.
• Community Clinics (23)
  LN-1500

  Community Clinics

  LN-1500
  
  Consumer-based, community-controlled, nonprofit outpatient facilities that provide basic health care including physical examinations, immunizations, family planning, nutrition assistance and diagnosis and treatment of common ailments for low income people, people who are homeless or uninsured/underinsured or other medically underserved populations that are geographically, economically and culturally challenged. Services are generally provided on an ability-to-pay basis. In the U.S., most community clinics are part of the network of Federally Qualified Health Centers, and many are known as "free clinics".
• Community Mental Health Agencies (6)
  RM-6500.1500

  Community Mental Health Agencies

  RM-6500.1500
  
  Community-based outpatient facilities that offer individual, group, conjoint and family counseling, therapy groups, medication and other mental health services for community residents, especially those who are indigent, who have acute or chronic psychiatric disorders or who may be experiencing difficulty resolving personal or interpersonal conflicts or making personal adjustments to stressful life situations such as separation, divorce, loss of a spouse or a child, poor health, unemployment, family violence, delinquency or substance abuse. Included may be city and county-operated and nonprofit facilities.
• Comprehensive Job Assistance Centers (5)
  ND-1500

  Comprehensive Job Assistance Centers

  ND-1500
  
  One-stop centers that provide an array of employment and training services in a convenient, easily accessible location. Services may include job counseling, testing and assessment; resume preparation assistance, interview training and other prejob guidance services; job matching and referral; unemployment insurance and job registration; labor market and career information; information on financial aid for education and training; and referral for job training, transportation, child care, personal and financial counseling, health care and other human services resources in the community.
• Contraception (5)
  LJ-2000.1000-150

  Contraception

  LJ-2000.1000-150
  
  Programs that prescribe and/or supply temporary devices for preventing pregnancy which may include oral contraceptives (birth control pills), hormonal injections (Depo-Provera), intrauterine devices (IUDs), the patch, the sponge, cervical caps, condoms, foam, the vaginal ring and diaphragms.
• CPR Instruction (1)
  LH-2700.2000-150

  CPR Instruction

  LH-2700.2000-150
  
  Programs that instruct the public in the appropriate techniques for prolonging the lives of victims of heart failure until emergency medical care can be provided. Included may be instruction in full CPR which combines rescue breaths with chest compressions (the best option in some emergencies, including those involving infants and children, drowning victims or people who collapse due to breathing problems) and/or hands only CPR which involves chest compressions only, no mouth to mouth contact. Hands only CPR is used in emergencies where someone suffers sudden cardiac arrest.
• Diabetes Screening (5)
  LF-4900.1700

  Diabetes Screening

  LF-4900.1700
  
  Programs that administer tests which determine whether an individual has diabetes, a disorder in which the pancreas produces too little insulin with the result that the body in unable to adequately metabolize sugar.
• Disability/Rehabilitation Related Occupational Therapy (9)
  LR-6200.1800

  Disability/Rehabilitation Related Occupational Therapy

  LR-6200.1800
  
  Programs that are designed to help patients who have autism or another disability or have been disabled by a stroke, heart attack, arthritis, spinal cord injury, traumatic brain injury, hip replacements or other surgeries, a chronic disease or other illnesses or injuries to restore or reinforce fine motor and other performance skills that are essential for activities of daily living. Therapy may include tasks to strengthen weak muscles and improve such skills as coordination, visual perception, body mechanics, equilibrium and endurance for standing and sitting. Practitioners helping people with autism may adjust tasks and conditions to match their needs and abilities which may include adapting the environment to minimize external distractions, finding specially designed computer software that facilitates communication, or identifying skills they need to accomplish tasks.
• Drug Use Disorder Counseling (3)
  RX-8450.8000-180

  Drug Use Disorder Counseling

  RX-8450.8000-180
  
  Programs that provide individual, group or family therapy for individuals who have problems related to drug use (and/or for their families) to help them better understand the nature of the disorder and support recovery efforts.
• Early Intervention for Children With Disabilities/Delays (4)
  LR-1700

  Early Intervention for Children With Disabilities/Delays

  LR-1700
  
  Programs that identify infants, toddlers and in some cases, preschoolers who show evidence of or are at risk for lags in physical development, cognitive development, language and speech development, psychosocial development or self-help skills, and provide or coordinate the delivery of an enrichment program in order to minimize the potential for a developmental delay and to meet their current developmental needs. The program may include early identification activities (child find); a developmental evaluation; a review of family concerns, priorities and resources; meetings with the family to develop an individualized family service plan; service coordination to ensure that the individual and his or her family receive needed services which may include but are not limited to physical therapy, occupational therapy, audiology, health/medical services, nursing services, nutrition services, psychological services including specialized play groups or therapy sessions, counseling, speech and language assistance, special instructional services, transportation, and parenting skills development; and ongoing evaluation of the child's progress and his or her changing enrichment needs. Included are "birth to three" programs and federal, state or local programs that address the needs of slightly older children or children not otherwise eligible for "birth to three" programs.
• Eye Examinations (4)
  LF-4900.1980

  Eye Examinations

  LF-4900.1980
  
  Programs that conduct a series of tests which measure an individual's visual acuity, identify refractive errors that cause poor vision and check for eye diseases such as glaucoma; and prescribe corrective lenses in situations where there are vision problems. Eye examinations are offered by optometrists and ophthalmologists and are usually available through mobile eye clinics.
• General Acute Care Hospitals (1)
  LL-3000.2500

  General Acute Care Hospitals

  LL-3000.2500
  
  Health care facilities that are licensed to operate 24 hours per day and offer diagnostic and treatment services as well as emergency and critical care services for people who have any of a variety of illnesses or injuries which require immediate, short-term intervention.
• General First Aid Instruction (1)
  LH-2700.2000-250

  General First Aid Instruction

  LH-2700.2000-250
  
  Programs that provide instruction that covers a range of basic paramedical techniques (such as controlling bleeding, preventing shock, rigging emergency splints/wraps for bone breaks/sprains) that can be used to provide basic emergency treatment for individuals who are sick or have been injured before professional medical attention is available. Also included is instruction in treating minor injuries such as insect bites, scratches, burns and splinters that normally do not require medical care.
• General Medical Care (2)
  LE

  General Medical Care

  LE
  
  Routine health care provided by internists, pediatricians, family medicine specialists, gynecologists, obstetricians, nurse practitioners, midwives, physicians' assistants or other health care providers who serve as the first point of contact with the health care system. Services focus on the prevention and early detection of health problems through regular physical examinations, blood pressure checks, mammograms and other similar procedures as well as therapeutic services for people who do not require specialty care.
• General Medical Equipment/Supplies Provision (4)
  LH-5000.2500

  General Medical Equipment/Supplies Provision

  LH-5000.2500
  
  Programs that maintain a comprehensive collection of medical equipment and supplies for use in the home and make it available to people who need it, generally on a rental purchase basis.
• General Physical Examinations (8)
  LF-7100.2500

  General Physical Examinations

  LF-7100.2500
  
  Routine examinations conducted on an annual basis to assess the general physical condition of an individual and detect abnormalities. General physicals vary, but most involve a discussion of any concerns the patient may be having; checking vital signs (temperature, blood pressure, heart rate and respiration rate), weight and general appearance; heart and lung exams using a stethoscope; a head and neck exam that looks at the throat, teeth and gums, ears, sinuses, eyes, lymph nodes, thyroid and carotid arteries; an abdominal exam that uses palpation to detect liver size, the presence of abdominal fluid or tenderness; a visual examination of the extremities; and breast and pelvic exams for women, testicular and prostate exams for men. The annual physical exam also provides an opportunity to refocus attention on prevention and screening and routine laboratory tests may be suggested.
• Gynecology Services (5)
  LV-6000.2550

  Gynecology Services

  LV-6000.2550
  
  Programs usually available in community-based health clinics and family planning centers that provide primary and preventive care, family planning services, diagnostic imaging, management of menopause, medical and surgical treatment of women's disorders and/or diagnosis and treatment of cancers affecting the female genital system. Specific routine services generally include pap smears, pelvic examinations, breast exams, urinalysis, pregnancy testing, laboratory tests including testing for sexually transmitted diseases, contraception, morning after contraception and hormone replacement therapy.
• Hearing Aid Evaluations (1)
  LF-4900.2145

  Hearing Aid Evaluations

  LF-4900.2145
  
  Programs that determine the proper amplification equipment for individuals who have hearing impairments and/or which evaluate the adequacy of present equipment.
• Hearing Screening (2)
  LF-4900.2150

  Hearing Screening

  LF-4900.2150
  
  Programs that offer hearing threshold tests for the purpose of identifying individuals whose ability to perceive sound falls outside the normal range. People who fail the screening test need an in-depth evaluation by an audiologist.
• HIV Testing (5)
  LF-4900.2400

  HIV Testing

  LF-4900.2400
  
  Programs that offer HIV tests which are used to identify individuals who have been infected with the Human Immunodeficiency Virus (HIV) and are at risk for developing AIDS (acquired immune deficiency syndrome) or which are used to measure progression of the disease in people known to be infected. The most common HIV screening test is the enzyme immunoassay (EIA) which most frequently uses peripheral blood drawn from the arm or a finger as a sample, but can also be conducted using serum, oral fluids or urine. Repeatedly reactive EIA tests are confirmed using the Western blot or the immunofluorescence assay (IFA). The most common test that is used to measure disease progression is the PCR (polymeraise chain reaction) or viral load test. Many programs that provide HIV testing also provide pre-testing and post-test counseling which includes information about AIDS/HIV, reducing risks for HIV transmission, emotional support to help the individual deal with the testing process and test results, and information about and referral to other AIDS-related services.
• Hospital Based Outpatient Services (1)
  LN-3000

  Hospital Based Outpatient Services

  LN-3000
  
  Departments within hospitals or freestanding clinics operated by hospitals or hospital systems that are designed for the diagnosis and treatment of people with health problems who do not currently require a bed or admission for overnight care. Outpatient departments offer a wide range of treatment services, diagnostic tests and minor surgical procedures.
• Incontinence Supplies (1)
  LH-5000.3300

  Incontinence Supplies

  LH-5000.3300
  
  Programs that pay for or provide adult diapers and other garments, bedding protection, control devices and alarm systems to help people who have bowel or urination control problems deal with their situation.
• Kidney Screening (1)
  LF-4900.4000

  Kidney Screening

  LF-4900.4000
  
  Programs that offer any of a variety of tests which determine whether an individual shows signs of decline in kidney function at an early enough stage that progression to more severe forms of kidney disease can be delayed or prevented. Included are blood pressure checks; a blood test for creatinine which estimates the glomerular filtration rate (the rate at which waste is being filtered by the kidneys); and a urine test (urinalysis or microalbumin) which looks for unusually large amounts of protein being excreted. Screening is particularly important for people with diabetes, high blood pressure or a family history of kidney disease, as well as for older adults and people of African, Asian, Latin American, or Pacific Island descent.
• Language Therapy (2)
  LR-8000.8000-450

  Language Therapy

  LR-8000.8000-450
  
  Programs that offer individual or group therapy sessions to assist people who have receptive or expressive language difficulties. Sessions usually focus on concept development, word sequencing (syntax), and word choice (vocabulary) as well as on the development or improvement of listening skills.
• Mammograms (3)
  LF-4900.1500-500

  Mammograms

  LF-4900.1500-500
  
  Programs that offer the screening procedure for the early detection of breast cancer which involves an X-ray picture of the breast area which can be studied for abnormalities.
• Medical Care Expense Assistance (3)
  LH-5100.5000

  Medical Care Expense Assistance

  LH-5100.5000
  
  Programs that pay the hospital bills, doctor bills, rehabilitation service bills, laboratory expenses or other health care expenses of people who are unable to obtain necessary health care without assistance. Also included are programs that provide vouchers which enable eligible individuals to obtain medical care. Medical bill payment assistance programs may have age, income, disability, need or other eligibility requirements.
• Medical Social Work (5)
  LH-6300.5500

  Medical Social Work

  LH-6300.5500
  
  Programs that provide support services for patients and their families during hospitalization and upon discharge, for people receiving outpatient services, for previous patients and for other people not previously associated with the facility who need the service. Included are consultation and the coordination of available services for the patient's continuing care at home or in a short or long-term care facility; or whatever other support may be needed to help resolve the logistical, social and psychological problems related to the illness.
• Medication Information/Management (3)
  LH-2700.5000

  Medication Information/Management

  LH-2700.5000
  
  Programs that conduct a review of the prescription and over-the-counter medication and other substances (e.g., herbal remedies, vitamins and other supplements, illegal drugs) that people are taking, and answer any questions they may have about their medications or their medication regimen. The reviews address a number of issues including appropriate therapeutic uses of particular substances; adverse side effects; interaction/reaction with foods and other drugs; product identification and availability or equivalency; safety when used by children, pregnant or breastfeeding women or older adults, many of whom may have multiple prescriptions; and outcomes. The objectives of the program are to support the individual's ability to self-administer medications as prescribed and to ensure their safety and well being, particularly in circumstances where their medication regimen is complex.
• Natural Family Planning (2)
  LJ-2000.1000-600

  Natural Family Planning

  LJ-2000.1000-600
  
  Programs that offer instruction in birth control methods which rely on awareness of the woman's fertility cycle in order to achieve or avoid pregnancy rather than on the use of medication, devices or surgery. Included are the Billings birth control method and the rhythm method.
• Nutrition Education (7)
  LH-2700.6000

  Nutrition Education

  LH-2700.6000
  
  Programs that provide information concerning the basic principles of healthful eating, food handling, food preparation and shopping skills. Included is information about the basic food groups, vitamin and mineral requirements, the relationship of nutrition to the preservation of good health and the prevention of illness, and dietary choices such as vegetarianism.
• Pap Tests (5)
  LF-4900.1500-650

  Pap Tests

  LF-4900.1500-650
  
  Programs that conduct microscopic studies of tissue samples from the cervix or vagina as a means of early cancer detection in women.
• Patient/Family Housing (3)
  LH-6300.3650-600

  Patient/Family Housing

  LH-6300.3650-600
  
  Programs that provide temporary living quarters for people who are ill and for their families while the individual who is ill receives treatment or care. Included are programs that make it possible for family members to stay in local hotels, motels or other settings at no cost or a reduced cost, hotels and motels that provide discounts for people who are visiting an ill family member and programs that maintain special facilities for this purpose.
• Physical Therapy (12)
  LR-6600

  Physical Therapy

  LR-6600
  
  Programs that evaluate joint motion, muscle strength and endurance, heart and lung function and the ability of people to perform activities of daily living; and utilize the therapeutic properties of exercise, heat, cold, electricity, ultraviolet, water, manipulation and massage to improve circulation, strengthen muscles, reduce pain and restore mobility to people who have been disabled by a stroke, arthritis, back or spinal cord injuries or other debilitating conditions. Physical therapists practice in a variety of settings including hospitals, private offices, outpatient clinics, rehabilitation centers, developmental centers, home health agencies, schools and pediatric centers.
• Pregnancy Counseling (5)
  LJ-2000.6500

  Pregnancy Counseling

  LJ-2000.6500
  
  Programs that help people who are experiencing a crisis pregnancy resolve any social or personal problems that have arisen as a result of their pregnancy or the prospect of parenthood, and help them understand their conflicting emotions, put their feelings in perspective, evaluate their options and make a decision that right is for them.
• Pregnancy Testing (11)
  LJ-2000.6750

  Pregnancy Testing

  LJ-2000.6750
  
  Programs that utilize laboratory procedures to determine whether an individual is pregnant or which provide access to devices for establishing pregnancy that people can use at home.
• Prenatal Care (4)
  LJ-5000.6600

  Prenatal Care

  LJ-5000.6600
  
  Programs that provide medical care for expectant mothers from the time of conception to the onset of labor to ensure their own physical well-being and the healthy development and birth of their child. Services generally include identification of risk factors based on age, health and/or personal and family history that may affect a woman's pregnancy; diet and lifestyle advice; routine checkups to look for signs of problems associated with pregnancy (such as edema, preeclampsia, or gestational diabetes) and to assure that the pregnancy is progressing well; ultrasound and other forms of prenatal testing to monitor fetal development and check for possible birth defects; and general information about being pregnant, e.g., what is normal and what is cause for concern, remedies for morning sickness or sleeplessness, managing weight gain and other common issues.
• Prescription Expense Assistance (27)
  LH-5100.6500

  Prescription Expense Assistance

  LH-5100.6500
  
  Programs that provide financial assistance to purchase necessary prescription drugs for people who would be in an emergency situation without assistance. Also included are programs that reimburse individuals for their prescription expenses, usually on an annual basis. Prescription expense assistance programs may have age, income, disability, need or other eligibility requirements.
• Sensory Integration Therapy (1)
  LR-6200.8000

  Sensory Integration Therapy

  LR-6200.8000
  
  Programs that offer therapeutic sessions which treat individuals, usually children, who have sensory processing disorder (also known as sensory integrative dysfunction), a condition in which the brain has difficulty organizing information about one's own body and the world that is gained through the five senses (sight, hearing, taste, smell and touch). Difficulties may also affect the proprioceptive system which provides a sense of the position of the body in space and the vestibular system which provides a sense of how the body is moving even when the eyes are closed. Sensory integration is practiced by occupational therapists who design individual programs or a "sensory diet" to help individuals process and use sensory information.
• Sexually Transmitted Disease Screening (7)
  LF-4900.8000

  Sexually Transmitted Disease Screening

  LF-4900.8000
  
  Programs that identify individuals who have contracted gonorrhea, syphilis, genital herpes or other diseases that are spread by sexual contact and diagnose their conditions. The procedure includes visual examinations, blood tests and analyses of discharge or samples taken from lesions.
• Specialty Hospitals (1)
  LL-3000.7800

  Specialty Hospitals

  LL-3000.7800
  
  Health care facilities that provide diagnostic and treatment services in an inpatient setting for people who have specified medical conditions.
• Speech Therapy (8)
  LR-8000.8000-820

  Speech Therapy

  LR-8000.8000-820
  
  Programs that offer individual or group therapy sessions which focus on the remediation of specific articulation problems in which speech sounds are omitted, replaced by substitute sounds or distorted; voice problems in which pitch, loudness or quality of voice is affected; or stuttering.
• Tuberculosis Screening (1)
  LF-4900.8600

  Tuberculosis Screening

  LF-4900.8600
  
  Programs that identify individuals who have contracted tuberculosis by administering chest x-rays; the Mantoux test, the von Pirquet test or the Vollmer patch test, all of which determine the presence of a tuberculosis infection based on a local inflammatory reaction to a sample of the bacillus which has been injected or rubbed into the skin; or other screening tools.
• Veteran Outpatient Clinics (5)
  LN-9000

  Veteran Outpatient Clinics

  LN-9000
  
  Outpatient medical facilities operated by the U.S. Department of Veterans Affairs that provide routine primary medical care for eligible veterans. Services generally include x-rays, general health check ups, blood pressure checks, treatment for basic illnesses and laboratory tests.
• Veterans Affairs Medical Centers (5)
  LL-3000.9000

  Veterans Affairs Medical Centers

  LL-3000.9000
  
  Health care facilities operated by the U.S. government that provide inpatient and outpatient medical, surgical and psychiatric care for eligible veterans.
• Well Baby Care (3)
  LF-7000.9500

  Well Baby Care

  LF-7000.9500
  
  Programs that provide health screening and immunization services for infants and toddlers to ensure their physical well-being and healthy development. Preschool aged children are also eligible in some areas.
• Wellness Programs (2)
  LH-2700.9500

  Wellness Programs

  LH-2700.9500
  
  Programs that offer individual and/or group sessions which assist participants to understand how their lifestyle impacts their physical and mental health and to develop personal practices that enhance their total well-being. Wellness programs are holistic and combine a variety of components which may include a general physical examination that is tailored to the individual's needs; an evaluation of the person's pattern of exercise, eating habits, sources of stress and other lifestyle elements that are potential risk factors; and the development and implementation of an individualized plan for prevention management and early intervention to optimize health and performance which may include physical fitness sessions, nutrition counseling, stress reduction techniques, biofeedback, practice in assuming responsibility for one's choices, and other specific measures for avoiding physical and mental health problems.
• Women's Health Centers (10)
  LN-9500

  Women's Health Centers

  LN-9500
  
  Programs that provide comprehensive diagnostic and treatment services which focus on conditions that are typically seen in women. Women's health centers provide services in an emotionally supportive and safe environment, and place emphasis on educational programs that encourage women to take personal responsibility for their own health and wellness.