Beacon Health Options

CORPORATE Style Guide

Aarevised 4.1.18 At Beacon Health Options, we start the conversations that matter.

As the leading voice in behavioral health and wellness solutions today, Beacon Health Options (Beacon) should deliver clear and consistent communications. Everything we write for Beacon—newsletters, press releases, blog posts, presentations, brochures, corporate emails, proposals, and anything in between—should speak for us as a unified company.

The Beacon Health Options Corporate Style Guide was developed to ensure consistency and clarity within our written communications, allowing us to better extend our message to a broad audience of members, providers, clients, industry stakeholders, and fellow employees. Use these guidelines for both internal and external communications written on behalf of Beacon.

This style guide was developed using The Associated Press (AP) Stylebook as a resource, with most guidelines following AP style. However, there are some instances where Beacon usage differs from AP style. In these cases, Beacon’ style should prevail.

Because this guide is designed to be a universal resource and not a comprehensive list, there may be instances where a specific style rule is not outlined. In these cases, default to AP Style. If you don’t have access to a recent copy of The Associated Press Stylebook, many AP style rules and resources can be found by searching online.

Please that while this guide outlines Beacon’s default style rules, certain clients and contracts may have their own unique style rules that we are required to follow. When writing to a specific agency, pay close attention to mandatory marketing or writing guidelines. Additionally, some of Beacon’s internal departments may follow their own established style guides (for example, Proposals). Always check with your supervisor if you are unsure of which guidelines to use.

If you have any questions about the Beacon Health Options Corporate Style Guide, our Marketing and Communications team is always available to assist you at [email protected].

2 TABLE OF CONTENTS

BRANDING STYLE GUIDELINES Our Visual Identity 4 Colors 6 Logo 4 Photography 7 Fonts 6

WRITING STYLE GUIDELINES academic degrees 8 Jr., Sr./II, III 17 8 Medicaid, Medicare 17 acronyms 9 mental health and substance use disorder (MHSUD) 18 Beacon Health Options 10 names 18 behavioral health vs. mental health 10 nationalities and races 18 bulleted lists 11 nonprofit 19 calendar designations 11 numbers 19 capitalization 11 percentages 19 co-insurance 12 plurals 19 co-locate(d) 12 program and product names 20 colons 12 quotation marks 21 12 regions/geographic locations 21 company names 13 regions (Beacon) 21 comorbid(ity) 13 registration mark 22 contractions 13 22 co-occurring 13 service/engagement centers 22 countries 14 social media 22 dates 14 spacing 23 department names 14 states 23 disabilities 14 symbols (&, @) 24 disorders 14 tele (telehealth, telemental health, telemedicine, drugs 15 telepsychiatry, etc.) 24 ellipses 15 telephone numbers 24 email 15 time designations 25 email signature 15 titles 25 em 16 underlining 26 en dashes 16 veteran 26 health care 16 web 26 HEDIS® 17 website 26 17 well-being 27 internet 17 Work/Life (work/life) 27

LANGUAGE SENSITIVITY GUIDELINES Cultural Competency 28 Mental Health and Substance Use Language 30 Lesbian, Gay, Bisexual, Transgender (LGBT) 28 Terminology for the People We Serve/ People-first Language 32 Ethnicity versus Race 29 Health Literacy Guidelines and Reading Disabilities 29 Level Requirements 33 Audiological Disabilities 29 Health Literacy Guidelines 33 Intellectual and Developmental Disabilities 30 Reading Levels 34 Visual Disabilities 30 Active vs. Passive Voice 34 Diseases, Disorders, Conditions and Drugs 30

3 BRANDING STYLE GUIDELINES

Our Visual Identity

Logo When you use the Beacon Health Options logo, you’re showing you’re a part of a team. That team includes everyone from clinicians and doctors to claims and customer service “ The lighthouse representatives to facilities managers and technology experts. represents a signal Our end goal is one single brand—Beacon Health Options—for every part of our combined company regardless of prior sub-brand or geographic name. The Beacon Health Options logo will be the only for safe navigation in one we will use. This builds and solidifies the name and mission of our company. the right direction.”

HORIZONTAL LOGO VERTICAL LOGO

Left Justified Right Justified

HORIZONTAL LOGO / REVERSED VERTICAL LOGO / REVERSED

Left Justified Right Justified

Branding Style Guidelines 4 IMPROPER USAGE

Branding Style Guidelines 5 Fonts Materials that go through our corporate design team (like this style guide) will use the Gotham font, which is also included in the text part of our logo.

But for all other communications, we use Arial. It’s a clear and modern font that’s versatile enough to use in reports, presentations, and all of our day-to-day work. The use of Arial guarantees consistency, simplicity and readability, and it’s a choice that will never distract or confuse a reader.

GOTHAM / BOLD GOTHAM / BOOK ARIAL / REGULAR

Colors At Beacon Health Options, our primary colors are those in our logo— blue and gray. We added some additional colors as highlights to add visual interest to our work. Using the right We chose our colors for a reason. Blue is beneficial to the mind and body and has a calming effect. The shades of blue we use also indicate colors for our brand modern, technological innovation. These colors show in a visual way what it is that we do here at Beacon. The highlight colors are red, reinforces what it orange and green. Together they add energy, enthusiasm, and a nod to good health to our brand’s representation. Use these colors for PowerPoints, charts, graphs, or other Beacon materials. stands for.”

PMS 298 C PMS 539 C PMS 429 C PMS 157 C PMS 7625 C PMS 7479 C C 65 R 61 C 89 R 19 C 38 R 163 C 3 R 240 C 3 R 232 C 70 R 0 M 10 G 181 M 73 G 31 M 27 G 170 M 43 G 160 M 84 G 80 M 0 G 206 Y 1 B 230 Y 56 B 56 Y 27 B 174 Y 75 B 85 Y 81 B 62 Y 72 B 125 K 0 K 67 K 0 K 0 K 1 K 0 #3db5e6 #081f2d #a3aaae #f0a055 #e8503e #00ce7d

Branding Style Guidelines 6 Photography We built an image library that reflects the diversity of our members, employees and clients. The general images we chose echo our fundamental belief in resiliency and recovery. The individuals in the images are not in the throes of depression or another mental health event, but neither are they stock images of smiling happy people. Our membership faces a variety of challenges every day and we want our presentation of images to reflect that complicated reality. Behavioral health issues affect individuals in all walks of life, and to help grow an understanding of that diversity, we are thoughtful in our photo selections.

In specific cases, we may choose particular images to reflect the specific needs of a client, or unique circumstances, but the majority of our images represent the broad prevalence of behavioral health, as well as a wide range of communities, cultures, body types, and abilities.

Branding Style Guidelines 7 WRITING STYLE GUIDELINES academic degrees

»» When written out, use an for bachelor’s degree or master’s degree, but not for associate degree or doctoral degree. There is no apostrophe when listing the official title; for example, Master of Arts or Bachelor of Science. »» Only capitalize official degree names, such as Master of Business Administration. Lowercase general references like bachelor’s or master’s degree. When referencing an area of study with a degree, only capitalize if it’s a proper noun, such as English or French; general subjects like biology, education, and visual arts should be lowercase. • Correct: master’s in accounting; Bachelor of Science in chemistry; bachelor’s degree in English literature • Incorrect: master’s in Accounting; Bachelor’s of Science in Nursing »» It’s permissible to drop the word degree for general references—a bachelor’s of English. Never use degree after an official diploma title like Bachelor of Arts. »» While it’s preferable to avoid abbreviating degree names, it may be necessary when listing multiple individuals and their degrees in one place. To abbreviate, use acronyms with periods (B.A., M.F.A., Ph.D.). apostrophes »» Use apostrophes to indicate possession. • Example: That is Burt’s wet dog. QUICK TIP »» If the word ends in an s, the apostrophe is placed after the s. If you can replace “Beacon Health Options” • Example: That is not Lois’ wet dog. Beacon Health with the word “our” in a sentence, Beacon Health Options should have an apostrophe: Options’ policy does not address wet dogs. »» The apostrophe also follows the s to indicate a plural Beacon Health Options’ (our) EAP is a 24- (group) possession. hour service. • Example: Those are the Care Managers’ handbooks. »» An apostrophe indicates a plural noun only if the noun has one letter. • Yes: The system runs on • No: There are two RN’s in • Yes: The RNs went to the four model p’s. the operating room. operating room. »» Don’t use an apostrophe when making acronyms plural. • Yes: IDs, CAFs • No: ID’s, CAF’s »» Don’t use an apostrophe when referring to years or decades, unless it’s possessive. • Yes: The 1990s were a Oscar winners. great decade for film. • No: The 1990’s were a • Yes: I know all about 1991’s great decade for film.

Writing Style Guidelines 8 acronyms

»» When appropriate, use the full term in the first reference. Follow it with the abbreviated form or acronym in Remember that “BHO” should never be used as an acronym for Beacon parentheses. There is no need to list an acronym (unless Health Options. When abbreviating our it is a necessary part of the description) if it will not be company name, always use “Beacon” used again throughout the content piece. after the first instance: • Example: On Monday afternoon, he contacted the National Alliance on Mental Illness (NAMI). He spoke Beacon Health Options (Beacon) is a with a NAMI official. specialty behavioral health company. Beacon serves individuals across all »» For common acronyms, and acronyms that serve as a brand 50 states. name, use the abbreviation from first usage onward. • Examples: • Please find an ATM so you can withdraw cash. (ATM = automatic teller machine, but spelling it out is not necessary) • My brother just started his new position at IBM. (IBM = International Business Machines, but IBM is the company’s preferred name brand)

Below is a list of acronyms that you will likely encounter while working at Beacon Health Options:

ABA: applied behavioral analysis DSM-5: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition ACA: Affordable Care Act EAP: employee assistance program ACO: accountable care organization HEDIS®: Healthcare Effectiveness Data and AMA: American Medical Association Information Set (Note: acronym must be ASO: administrative services only or followed by a registered symbol) administrative service organization HIPAA: Health Insurance Portability and BHO: behavioral health organization Accountability Act

BHS: Beacon Health Strategies (informal— HMO: health maintenance organization only used in internal communications) HP: health plan

CCM: Clinical Care Manager ICD-10: International Classification of Diseases, CDC: Centers for Disease Control and 10th Edition Prevention ICM: Intensive Case Management

CMS: Centers for Medicare and Medicaid Services LCSW: Licensed Clinical Social Worker

® CPT Code: Current Procedural Terminology MBHO: managed behavioral health organization

DHHS: Department of Health and Human MCO: managed care organization Services

Writing Style Guidelines 9 MH: mental health QA: quality assurance

MHSUD: mental health substance use disorder QM: quality management

NAMI: National Alliance on Mental Illness SAMHSA: Substance Abuse and Mental Health Services Administration NCQA: National Committee for Quality Assurance SCA: single case agreement NON-PAR: non-participating provider SME: subject matter expert OON: out of network SMI: serious mental illness P4P: pay for performance SOS: Stamp Out Stigma PPACA: Patient Protection and Affordable Care Act (commonly called Affordable Care SUD: substance use disorder Act, or ACA) TPA: third-party administrator PCP: primary care physician or primary care provider UM: utilization management

PHI: protected health information UR: utilization review

PII: personally identifiable information URAC: Utilization Review Accreditation Commission (Note: always use acronym for this; PMPM: per member per month never spell out)

PsyD: Doctor of Psychology WRAP®: Wellness Recovery Action Plan®

Some departments have established their own commonly used acronym lists. Please check with your department head to help clarify any questions you may have.

Beacon Health Options

»» When abbreviating our company name, always use “Beacon” after the first instance. »» Remember that “BHO” should never be used as an acronym for Beacon Health Options. behavioral health vs. mental health

»» “Behavioral health” and “mental health” are often, and sometimes erroneously, used interchangeably. Mental health care includes treatment for mental health conditions such as anxiety and depression, as does behavioral health care. However, behavioral health care also includes ways of intervening in substance use disorders, opioid misuse, or other addictions. Therefore, behavioral health includes mental health, but not vice versa. Also, there may be those that believe that behavioral health is a less stigmatized description than mental health, but in many occasions the description proves to be inaccurate.

Writing Style Guidelines 10 bulleted lists

»» Use a to introduce a bulleted list, then add one line before the first . »» There are no line spaces between bullets. »» Capitalize the first letter of the first word of each bullet. • Example: Beacon audits call documentation to ensure all incoming calls are managed with consistency and reliability. Audit items include verifying the: • Caller’s identity • Caller’s relationship to the member • Name of the customer service representative handling the call »» When a list consists of one or more complete sentences, end each sentence with a period. Keep list organization parallel; if all bulleted items aren’t sentences, none should be. »» While periods are fine to use at the end of complete sentences in bulleted lists, avoid using commas or semicolons. • Example: Single Case Agreement (SCA) requests are performed when: • Beacon Health Options’ network facilities are full. • Clinical needs (for example, clinical specialty, language, culture, gender) can’t be met by available network resources. »» Keep bulleted items in the same verb tense. • Correct: • Incorrect: Job responsibilities include: Job responsibilities include: • Bagging groceries • Bagging groceries • Stocking shelves • Stocked shelves • Assisting customers as needed • Assist customers as needed calendar designations

»» Capitalize days of the week, months of the year, and religious and secular holidays. • Examples: Monday, February, Christmas, Fourth of July »» Do not capitalize names of seasons, unless they are part of a proper name. • Example: Though it was the middle of summer, Rose was counting down the days until the Winter Olympics. capitalization

»» Capitalize all proper nouns, including names of companies, clients, and brands. • Examples: Chevron, ADP, Humana, West Virginia Family Health Plan

Writing Style Guidelines 11 »» Do not capitalize common nouns (in other words, nouns that refer to a general object or idea). • Example: The medical student is interested in pursuing oncology. »» Many commonly used terms in health care are not capitalized. • Examples: mental health, substance use, health plan, clinician, autism, opioid, outpatient, federal, state »» Capitalize branches of the U.S. military and any related entities. Retain capitalization even if the U.S. is dropped. • Examples: U.S. Army, the Air Force Academy, Navy commander, Marine Corps veteran »» For other capitalization rules, please consult specific sections of this style guide. co-insurance

»» Use a . co-locate(d)

»» Use a hyphen. colons

»» Colons are used to introduce lists, tabulations, and excerpts of text. »» Use colons for bulleted or numbered lists after a paragraph. »» A colon shouldn’t be used after a heading or subheading, even if the following text is a list. »» Capitalize the first word after a colon only if it is a proper QUICK TIP noun or the start of a complete sentence. Beacon uses the serial , »» Use one after a colon. also called the Oxford comma. It makes sentences clearer by separating items that might commas otherwise be mistakenly grouped together. For example: »» Use a comma before the and in a series of three or more items, and before the conjunction in a simple series. With: I invited my parents, Mildred, and Rodrigo. (Implies four • Example: John is taking courses in math, dance, and separate people.) philosophy this semester. • Example: He spent more than 17 years at the high school Without: I invited my parents, as a music teacher and voice coach, and as director of Mildred and Rodrigo. (Implies two the marching band, jazz ensemble, and chorus. people—your parents, who are named Mildred and Rodrigo.) »» If a sentence contains a complex series of words that includes other commas, use semicolons to separate them.

Writing Style Guidelines 12 • Example: The committee included Bernice Frankel, Director of Research; Rue Devereaux, Vice President of Production; and Betty Ludden, Assistant Baker. »» When a conjunction such as and or but links two clauses that could stand alone as separate sentences, use a comma before the conjunction. However, the comma may be omitted in simple sentences where the clauses are short and closely connected. • Example: She entered the classroom, and the professor greeted her warmly. • Example: Dad played the guitar and Darcy sang. »» Use commas to offset nonessential elements such as dates, states, and supporting phrases. • Example: Calvin Broadus, an accomplished poet, frequently promotes alternative medicine in his works. • Example: On June 18, 1983, Sally Ride became the first American woman to go to space. • Example: I’ve visited Lake Wobegon, MN, and Stars Hollow, CT. company names

»» When writing a company name, adhere to that company’s specific marketing guidelines. Some corporate entities will require you to use their full legal name, while others will not. For instance, Beacon Health Options never uses Inc. in any marketing materials. »» Unless otherwise specified by a company’s marketing guidelines, use a comma beforeInc. , LLC, and Ltd. comorbid(ity)

»» Write as one word, no hyphen. contractions

»» Contractions use an apostrophe to splice two words into one. For example, you are becomes you’re. »» The Federal Plain Language Guidelines recommend using contractions to enhance readability and make your writing more accessible to the reader. Use contractions wherever they sound natural—in other words, simply write as you speak. »» You may find it appropriate to forgo contractions when writing more formal communications (for example, research papers). co-occurring

»» Use a hyphen.

Writing Style Guidelines 13 countries

»» U.S. and U.K. may be abbreviated using periods, including instances where they stand alone; spell out the names of all other countries. dates

»» Write full dates in month-day-year format. »» Use the name of the month, rather than a numeric abbreviation. Spell out the full name of the month when it stands alone, or when it’s paired only with a year. When a month is paired with a specific day, abbreviateJan. , Feb., Aug., Sept., Oct., Nov., and Dec. Always use cardinal numbers for specific days, withoutst , nd, rd, or th. • Correct: December; December 2018; Dec. 1; Dec. 1, 2018 • Incorrect: Dec.; Dec. 2018; Dec. 1st; 1 December 2018; December 1, 2018; 12/1/18 »» In charts or tables where it’s essential to save space, numeric date abbreviations may be used. department names

»» Capitalize with or without the word department attached. • Example: I used to be in the Finance Department, but now I work in Legal. disabilities

»» Do not use the name of a disorder to describe individuals. People have disorders; they don’t become disorders. • Correct: My son was diagnosed with ADHD. • Incorrect: My son is ADHD. »» See Language Sensitivity – Disabilities for more specific rules and guidelines. disorders

»» Mental illnesses or disorders are written in lowercase (for example, autism, anxiety, depression), except when known by the name of a person or region, such as Down syndrome or West Nile virus. »» Mental illness or disorder acronyms are capitalized. • Examples: • attention-deficit/hyperactivity disorder (ADHD) • autism spectrum disorder (ASD) • post-traumatic stress disorder (PTSD) »» See Language Sensitivity – Diseases, Disorders, Conditions, and Drugs for more specific rules and guidelines.

Writing Style Guidelines 14 drugs

»» Brand names are capitalized, but generic drug names are lowercase. For example, Lexapro is the brand name for escitalopram. »» See Language Sensitivity – Diseases, Disorders, Conditions, and Drugs for more specific rules and guidelines.

Employee Assistance Program (employee assistance program)

»» Capitalize only when referring to Beacon’s product. Use lowercase when referring to the general concept. • Example: Many companies find value in offering an employee assistance program as part of their benefits. The Beacon Health Options Employee Assistance Program helps employees and their loved ones cope with life’s toughest obstacles. ellipses

»» An ( … ) is three periods together with space on either side. • Correct: Well … we’ll see about that. • Incorrect: Well . . . we’ll see about that. • Incorrect: Well...we’ll see about that. »» Use an ellipsis to show that you’ve omitted words—for instance, when shortening a quote. • Example: • Beacon’s policy explicitly states that we • Beacon’s policy explicitly states that we “prohibit wet dogs in the boardroom “prohibit wet dogs in the boardroom … without exception, including on Fridays.” including on Fridays.” »» Never use ellipses to change the original meaning of a quote or sentence. • Example: Beacon’s policy explicitly states we “prohibit wet dogs in the boardroom … on Fridays.” »» Ellipses can also be used in more informal communications to show a pause or a break in a train of thought. However, they are often unnecessary, so QUICK TIP be careful not to overuse them. Too many ellipses can distract readers and make your writing sound less Choose Arial for your font. Stylize each line confident. with the proper formatting listed below:

(Arial Bold / 10pt) Your Name (Arial Bold / 10pt) Your Title email ––––––––––––––––––––––– (Arial Bold / 9pt) Beacon Health Options »» Email (no hyphen) is the preferred format, rather than (Arial / 9pt) XXX Street Address e-mail. (Arial / 9pt) City, State Zip Code (Arial / 9pt) Office: 000-000-0000 »» Use a hyphen with other e- terms: e-book, e-newsletter, (Arial / 9pt) Cell: 000-000-0000 (Arial / 9pt) www.beaconhealthoptions.com e-commerce

Writing Style Guidelines 15 email signature QUICK TIP »» Your email signature should include your name, job title, office address, phone number(s), and a link to the To insert an em in Word, type two company website. (See sidebar to right for specific hyphens (-) next to each other without formatting.) any space between words or hyphens. »» To create your default signature in Outlook, select Example: Word--word (space) “New Email,” then select “Signature” on the menu bar. From here, you can set up your signature for internal and external emails. »» Format phone numbers with dashes (-). This format prompts mobile devices to generate a link to call your number directly or add you as a contact. em dashes

»» The em dash (—), with no space before or after it, emphasizes a point with a pause, denotes an abrupt change in thought, or signifies an interruption in dialogue. • Example: If the participant’s issues fall outside of the scope of the EAP—such as medical or QUICK TIP other types of assistance—the participant will be An en dash looks similar to a hyphen, referred to services offered by his employer or local but is actually slightly wider. To insert an community organizations. en dash in Word, type a single hyphen • Example: Our understanding of generational between two words, with a space differences has resulted in increased usage of EAP between the hyphen and each word. services by the younger worker—individuals least Example: Word - word (space) likely to engage in the EAP and yet most likely to engage in risky behaviors. »» No more than two em dashes should be used in a single sentence, and avoid overusing them. »» An em dash may also be used before a name (no space) that follows a quote or quotation. • Example: “A person who has committed a mistake and doesn’t correct it is committing another mistake.” —Confucius en dashes

»» An en dash (–) with no space before or after is used to connect inclusive numbers and sometimes words. In this use, the en dash signifiesup to and including or through (e.g., 2009– 2012, 10:30 a.m.–2:30 p.m.). »» The en dash should not be used when the word to follows the first element (from 1960 to 2010) or the word between precedes the first element (between 10:30 a.m. and 2:30 p.m.).

Writing Style Guidelines 16 »» An en dash may also be used by itself after a date to indicate that something is still going on, with no space after the dash (e.g., On Track, 2007–). »» Use a hyphen, not an en dash to separate numbers that are not inclusive, such as telephone numbers and social security numbers. »» An en dash is often used in place of a hyphen in a compound adjective for clarity. • Example: Jane was looking for the nursing home–home care policy, not knowing that Bill, in his devil-may-care style, had tossed it in the fireplace. health care

»» Write as two words. »» When part of another entity’s name, use that entity’s formatting, such as The Agency for Healthcare Research and Quality.

HEDIS®

»» The Healthcare Effectiveness Data and Information Set (HEDIS) is a registered trademark of NCQA. The registered must be applied directly after the “HEDIS” the first time you use it in written material. At the bottom of the page where the registered trademark first appears there must be a footnote that states “HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).” This is an NCQA requirement for maintaining our accreditation and there are no exceptions to this rule. If you can’t add an actual footnote, type an next to the registration mark and add the required sentence at the end of your page. hyphens

»» Hyphens are used to join two words. »» When a compound modifier—two or more words that express a single concept—precedes a noun, use hyphens to link the words in the compound except the adverb very and all adverbs that end in -ly. • Correct: My dog Toasty has beautifully brown-colored fur. • Incorrect: My dog Toasty has beautifully-brown-colored fur. »» Use a hyphen, not an en dash, to separate numbers that are not inclusive, such as telephone numbers and social security numbers. internet

»» Lowercase the i in internet.

Writing Style Guidelines 17 • Example: The internet provides many great resources on becoming a private detective.

Jr., Sr./II, III QUICK TIP »» Use the abbreviations Jr., Sr., II and III only as part of a person’s full name. Beacon uses Mental Health and Substance Use Disorder (MHSUD) instead of Mental »» Use a comma before Jr. and Sr., but not II or III. Health and Substance Abuse (MHSA). The • Example: Larry Mullen, Jr. term substance use suggests that people can • Example: Larry Mullen III and do recover—they are not their disorder. See the Mental Health and Substance Use Disorder Language section for more details. Medicaid, Medicare

»» Both words begin with a capital M in all references. • Correct: The Medicaid and Medicare populations are continually growing. mental health and substance use disorder (MHSUD)

»» Mental health and substance use disorder (MHSUD) is preferred over mental health and substance abuse (MHSA). The term substance abuse connotes a fixed and potentially permanent condition that can become internalized by the individual, as opposed to a disorder that is treatable and from which a person can recover. »» When abbreviating, use MHSUD without a . • Correct: Beacon offers a wide variety of MHSUD services. • Incorrect: Beacon offers a wide variety of MH/SUD services. names

»» In general, use only last names on second reference, unless a person has an honorific title (Doctor, Senator, etc.). • Examples: • Frances Gumm will serve as Beacon’s new Marketing Manager. Gumm has nearly 15 years of experience in the marketing field. • Dr. Caryn Johnson joined the company as Clinical Director. Dr. Johnson previously worked at St. Katherine’s Hospital in San Francisco, CA. »» If two individuals share the same last name, distinguish the two by using their full names. • Example: Beacon is pleased to welcome Ramon Estevez and Carlos Estevez to the company. Ramon Estevez will serve as Director of Communications, while Carlos Estevez joins as Creative Services Manager.

Writing Style Guidelines 18 »» For internal publications such as company newsletters, refer to employees by their first name. • Example: Estelle Scher is a clinician out of our Latham Service Center. Estelle has been with the company for more than 17 years. »» See titles for more information. nationalities and races

»» Capitalize the proper names of nationalities, peoples, races, tribes, etc. • Examples: Native American, African, Japanese, Nordic, Jewish »» Hyphenate countries/regions of origin when used as an adjective. Don’t hyphenate when used as a noun. • Example: Asian Americans make up nearly 5.6 percent of the U.S. population. Amy Tan is a best-selling Asian-American writer. »» While African-American and Caucasian are capitalized, black and white are not. »» For more specific guidelines, seeLanguage Sensitivity - Cultural Competency. nonprofit

»» Write as one word, no hyphen. numbers

»» Numbers below 10 should be written as words. Use numerals for numbers 10 and up. • Example: Beacon attended eight regional conferences and 12 national conferences this quarter. »» Similarly, numbers with letter suffixes (for example, 11th) should be written as words below 10. Use numbers for 10 and up. • Correct: My son starts 11th grade this year. It feels like he was in first grade only yesterday. • Incorrect: My son starts eleventh grade this year. It feels like he was in 1st grade only yesterday. • Exceptions: Instances that call for a lower reading level, for example, writing for Medicaid. »» When a number begins a sentence it should be written out. • Correct: Ten years ago, we had half the employees we do now. • Incorrect: 10 years ago, we had half the employees we do now. »» Always use numerals for ages, even when the number is less than 10: She’s a 6-year-old girl; the boy is 5 years old. »» Use a comma for any numbers in thousands range, as it makes the figure easier to read:4,000, 56,000, 745,000 »» For million, billion, or trillion figures, use a figure-word combination and lowercase:1 million people, $2 billion

Writing Style Guidelines 19 percentages

»» Use numerals with percentages, except at the beginning of a sentence. Spell out the term percent in regular body copy. • Example: The Bluth Company’s revenue increased by 45 percent this year. Three percent of the profits were generated by its frozen banana stand. »» Use the symbol (%) in charts and tables. plurals

»» Don’t use an apostrophe when making acronyms plural. • Correct: IDs, CAFs • Incorrect: ID’s, CAF’s »» The apostrophe also follows the s to indicate a plural (group) possession. • Example: Those aren’t the Care Managers’ handbooks. »» To make a last name plural, simply ad an s (or an es in some cases). • Example: The Kennedys and Joneses have been avid mental health supporters for many years. »» No apostrophe is needed to pluralize decades. • Correct: The company was established in the 1980s. • Incorrect: The company was established in the 1980’s. program and product names

»» Capitalize our program and product names. • Example: Employee Assistance Program and Interactive Voice Response

Some of Beacon’s programs and products include:

Achieve Solutions MemberConnect, etc.) Adoption Reimbursement Assistance Program Customer Service Adult (Geriatric) Care Management Depression Care Management Autism Care Management Disruptive Event Management Back-Up Care Advantage (Child & Adult) EAP Reseller Beacon Impact Employee Assistance Program and Services Beacon Lens Fitness for Duty Evaluations Building Resilience: A Workplace Strategy Global EAP Central Night Service Integrated Care Management Claims Administration Intensive Case Management Clinical Care Alerts Interactive Voice Response CONNECTS (CareConnect, ProviderConnect, Lactation Support

Writing Style Guidelines 20 Legal/Financial Substance Abuse Case LifeSpeak On Demand Management QUICK TIP MHSUD Program (SAP) placement Nanny Find Tuition Subsidy varies when using question Assistance Network Management and Development marks and exclamation points. Video If part of a quotation, they stay Organizational Development Services Counseling inside quotes: (Telehealth) Peer Support Programs Example: Over the noisy Provider Practice Improvement Program Work/Life restaurant, our server shouted, Concierge “Your table will be ready soon!” Psychotropic Drug Intervention Program (PDIP) Work/Life If they aren’t part of a quotation, Psychiatric Disability Management Services leave them on the outside: Recovery, Education and Access to Community Workplace Example: What did she mean Health (REACH) Prevention by saying our table would be ReferralConnect Programs “ready soon”? Reporting Workplace Violence Training Stamp Out Stigma and Consultation

Please note that while this list is detailed, it is not comprehensive, and items may change as new services emerge. When in doubt about a program or product name, always check with an SME. quotation marks

» Always place periods and commas inside quotation marks, whether single or double. • Example: She told me our table would be “ready soon.” » Semicolons, dashes and colons are placed outside of quotation marks. • Example: You will find the following items in the “Quit Kit”: nicotine replacement , a refrigerator magnet, and a binder of educational material. » Use quotation marks around titles of articles, chapters, speeches, and seminar and conference titles. Book titles should be italicized. » Use single quotation marks (‘ ’) for a quote within a quote, or in headlines.

• Example: “The ‘Quit Kit’ has helped thousands of people stop Northeast (Region 1) smoking,” said Cassandra Peterson, Marketing Director. Tri-State/Mid-Atlantic (Region 2)

Southeast/Central (Region 3) regions/geographic locations West (Region 4)

» Capitalize geographical terms accepted as proper names. Federal/Employer Division

Writing Style Guidelines 21 • Examples: the West Coast, the Middle East »» If a geographical term applies to more than one entity or is not regarded as a proper name, it is not capitalized. • Examples: southerner, western California »» Geographic regions are capitalized, but compass directions are not. • Examples: the Southwest (region), southwestern (direction). regions (Beacon)

»» Beacon has five business units, split into four regions and a Federal/Employer Division: • Northeast Region (Region 1) • Tri-State/Mid-Atlantic Region (Region 2) • Southeast/Central Region (Region 3) • West Region (Region 4) • Federal/Employer Division »» When referencing regions externally, or in company-wide communications, use the full name of the region. • Example: Beacon’s Northeast Region is now delivering service to over 20,000 members. »» Individually, Beacon’s regions may reference themselves using their corresponding region numbers [seen in map key] versus the proper name. registration mark

»» We don’t require use of the registration mark, trademark, or symbol when naming Beacon Health Options’ products or other trademarked names in documents. Some external entities, however, do require us to use registration and trademark symbols when referencing their names. (See HEDIS® as an example.) Be sure to adhere to any unique contract-specific or entity-specific marketing guidelines. »» In general, it’s only necessary to use a registration mark or trademark symbol with the first reference when the name appears repeatedly in the same document. »» Superscript all registration and trademark symbols. »» If a symbol falls at the end of a clause or sentence, it should go before the punctuation. • Example: We are proud to announce our new partnership with MomCorp®, best known for manufacturing Mom’s Old-Fashioned Robot Oil™. MomCorp is truly a company of the future. semicolons

»» Semicolons are used to combine two independent clauses (two full sentences that could stand alone). They are used to join together two similar thoughts. • Example: Beacon’s Care Managers are available to serve your members at all times; with 24/7

Writing Style Guidelines 22 access, we are ready to connect members to the right level of care at the right time. QUICK TIP »» If a sentence contains a complex series of words with other commas, use semicolons to separate them. Back when typewriters were • Example: The committee included Bernice Frankel, Director common, all font characters of Research; Rue Devereaux, Vice President of Production; were the same width, making text difficult to follow visually. and Betty Ludden, Assistant Baker. Using two spaces after a period helped break up sentences and service/engagement centers make them easier to read. Today’s computerized fonts, »» Capitalize when referring to a specific location. however, are designed with • Example: Miami Service Center proportional widths so they’re »» Use lowercase when referring to service/engagement centers easier to follow. That means generally. using two spaces after a period no longer helps readability—it • Example: Beacon’s service centers are located all throughout just takes up space, or worse, the country. distracts the reader. social media

»» Lowercase social media unless it’s part of a proper noun. • Example: Brad loved social media so much, he started the Beacon Social Media Club. »» Names of social media sites should be formatted as follows: • Facebook • LinkedIn • Instagram • Twitter • Google+ »» If you use a social media account on behalf of the company, please reference the Marketing and Communications policy MC501. spacing

»» Put one space after a period at the end of a sentence.

Alabama AL Indiana IN Nebraska NE South Carolina SC Alaska AK Iowa IA Nevada NV South Dakota SD Arizona AZ Kansas KS New Hampshire NH Tennessee TN Arkansas AR Kentucky KY New Jersey NJ Texas TX California CA Louisiana LA New Mexico NM Utah UT Colorado CO Maine ME New York NY Vermont VT Connecticut CT Maryland MD North Carolina NC Virginia VA Delaware DE Massachusetts MA North Dakota ND Washington WA Florida FL Michigan MI Ohio OH West Virginia WV Georgia GA Minnesota MN Oklahoma OK Wisconsin WI Hawaii HI Mississippi MS Oregon OR Wyoming WY Idaho ID Missouri MO Pennsylvania PA Illinois IL Montana MT Rhode Island RI

Writing Style Guidelines 23 »» Put one space after a colon. »» Put a space on either side of an (Proctor & Gamble) unless an entity’s name is specifically formatted without spaces for stylistic reasons (A&W). »» If a hyperlink ends a sentence, there is no space between the hyperlink and the period. • Example: We invite you to visit our website at www.beaconhealthoptions.com. »» When listing a percentage within a chart or table, there is no space between the numeral and the percentage sign. »» There should be no space before or after an em dash. »» Omit any space between a slash (/) and the words or letters it divides. • Correct: Work/Life services • Incorrect: Work / Life services states

»» Spell out the name of any states, U.S. territories, and possessions that stand alone. • Example: We have clients in California, Puerto Rico, and Guam. »» Abbreviate states when paired with a city. • Example: Beacon is headquartered in Boston, MA. »» When abbreviating states, use the U.S. Postal Service’s two-letter state abbreviations. • Correct: Beacon has offices in Reston, VA, and Cypress, CA. • Incorrect: Beacon has offices in Reston, Va., and Cypress, Calif.

Here is a list of abbreviations for each state: »» The District of Columbia may be abbreviated to Washington, DC. »» Four states—Kentucky, Massachusetts, Pennsylvania, and Virginia—are legally commonwealths. This distinction is only necessary in formal communications. »» Lowercase all state of constructions. Apply the same principle to phrases such as commonwealth of, city of, and town of. • Example: We proudly serve the state of North Carolina and the commonwealth of Massachusetts. symbols (&, @)

»» Use the ampersand (&) symbol only when it is part of a company’s formal name or title, such as Proctor & Gamble. There should be a space on either side of the symbol.

Writing Style Guidelines 24 » The ampersand should not be used in place of the word and, except in some instances of accepted abbreviations such as B&B. QUICK TIP » The @ symbol should only be used in email addresses. There Avoid using three-letter should be no space on either side of the @ symbol. time zone abbreviations, as these change with Daylight Saving Time—for example, tele (telehealth, telemental health, Eastern Standard Time (EST) telemedicine, telepsychiatry, etc.) becomes Eastern Daylight Saving Time (EDT). Two-lett­ er » Don’t use a hyphen with the prefix tele. time zone abbreviations stay • Correct: telehealth the same year-r­ound—for • Incorrect: tele-health example, Eastern Time (ET)— making them simpler to use » Use lowercase when referring to a general tele technology or and understand. service; tele compounds should only be capitalized when part of a proper noun. • Example: With telehealth increasing in popularity, we decided to launch the Beacon Telehealth Portal. telephone numbers

» Use hyphens to separate numbers. Parentheses around the area code are not necessary. » It is not necessary to put a ‘1’ prior to the area code. » In the case of extensions, put a comma to separate it. • Example: 555-555-1212, ext. 3. time designations

» Use digits and a.m. or p.m. (with a space between the last number and periods after the letters) to indicate specific times. » Delete the zeroes if the time is on the hour. • Correct: 5 p.m. • Incorrect: 5:00 p.m. » Use noon and midnight to clarify events happening at 12. » Only use two-letter time zone when necessary for clarity. • Correct: 4 p.m. ET • Incorrect: 4 p.m. EST » Separate time spans using an en dash with no spaces, not a hyphen. • Correct: 6-7:30 p.m. • Incorrect: 6 – 7:30 p.m.

Writing Style Guidelines 25 titles

» Refer to both men and women by first and last name, without courtesy title (for example, Mr., Mrs., Ms.), on first reference. For subsequent references, use the subject’s last name. • Example: Demetria Guynes and Truman Persons are both Creative Directors. Guynes and Persons have held these roles for nearly seven years. » Exception: If an individual uses a professional or formal title, use their title with each reference. • Example: Dr. Caryn Johnson joined the company as Clinical Director. Dr. Johnson previously worked at St. Katherine’s Hospital in San Francisco, CA. » Capitalize all professional titles. • Examples: •Vice President of Corporate Strategy Fred Austerlitz • Fred Austerlitz, Vice President of Corporate Strategy • Fred Austerlitz is joining the company as Vice President of Corporate Strategy. » Spell out Beacon job titles on the first usage, and then abbreviate upon subsequent use. • Correct: Ehrich Weiss serves as Senior Vice President (SVP) of Finance. In his role as SVP… • Incorrect: Ehrich Weiss serves as SVP of Finance. In his role as SVP… » When listing an individual’s title after their name, use acronyms with periods (L.C.S.W., Ph.D.), and set off the title with commas. The title should only appear after the first instance of a person’s name. • Example: Robyn Fenty, Ph.D., is speaking tomorrow night. Dr. Fenty is a renowned expert in both music theory and cosmetic chemical compounds. » There may be times when the individual’s title must be given initially in an abbreviated form due to space constraints (for example, email subject line, org charts). » Titles such as governor, senator, and chief executive officer are only abbreviated when they come before the person’s name. This also includes military titles. • Example: Gov. John Ratcliffe » Depending on the audience and material—for example, an employee newsletter—it may be appropriate to forgo official titles and opt for more informal references, such as first names. See names for more information. underlining

» Only used with hyperlinks, not to emphasize text. Use italics to emphasize text. • Correct: Wendy Peffercorn knew exactly what she was doing. • Incorrect: Wendy Peffercorn knew exactly what she was doing. veteran

» Always use lowercase unless it’s a part of an entity name or other proper noun.

Writing Style Guidelines 26 • Example: We honor veterans on Veterans Day. web

»» Lowercase the w in the web, including instances where web is paired with another word, such as web browser. • Example: With so much new information published to the web each day, many users subscribe to a web feed to get the latest content all in one place. website

»» Write website as one word, with a lowercase w. • Example: You may find the information on the company’s website. »» When referencing any website, use all lowercase letters for the URL. • Example: www.beaconhealthoptions.com »» In electronic documents, reference websites by their working URL (for example, www.beaconhealthoptions.com). Most programs will then automatically generate a hyperlink to the site. You may drop “http://” for URLs containing “www” (for example, http://www.beaconhealthoptions.com becomes www.beaconhealthoptions.com). »» For print documents, it’s fine to shorten web addresses even further by dropping “www”—for example, Learn more about Beacon’s innovative EAP services at beaconhealthoptions.com. »» The terms webpage, webcam, webinar and webmaster are also spelled as one word with a lowercase w. well-being

»» Well-being (hyphenated) is the preferred format, rather than wellbeing. »» When referencing an entity that formats wellbeing without a hyphen, use the entity’s formatting. For example, the Welcome Wellbeing newsletter.

Work/Life (work/life)

»» Capitalize only when referring to Beacon’s product. Use lowercase when referring to work/life in general. Separate with a slash, omitting any spaces. • Example: Better employee balance starts with better work/life services. Beacon’s Work/Life offers a range of support for employees.

Writing Style Guidelines 27 LANGUAGE SENSITIVITY GUIDELINES

Cultural Competency Beacon is committed to using language that reflects the perspectives and preferences of the groups we serve. The following categories outline our practices regarding some of these groups.

Lesbian, Gay, Bisexual, Transgender (LGBT) gender identity »» An individual’s personal, deeply rooted sense of his or her gender. For transgender individuals, their gender identity does not match the biological gender they were assigned at birth, or, in some cases, align with either gender.

LGBT »» Acronym for lesbian, gay, bisexual, and transgender. LGBT and/or GLBT may be used interchangeably, though the former is more commonly recognized. The acronym is sometimes expanded to LGBTQI, which includes Q for individuals questioning their gender or sexual identity, and I for intersex individuals (those born with a sexual anatomy that doesn’t fit the typical characteristics of female or male). transgender »» An umbrella descriptor applied to people whose gender identity and expression (their dress, grooming, speech, or physical presentation) differs from traditional standards associated with their biological gender. Many transgender people are prescribed hormones or undergo surgery to change their bodies; but not all transgender people can or will take those steps. »» Use: • A transgender person’s chosen pronoun and name. To avoid confusion, do not use pronouns associated with a transgender person’s birth sex, even when referencing their life prior to transition. »» Never use: • Transgender as a noun (it should only be used as an adjective) • An extraneous -ed after the word, transgender (for example, transgendered) • Pre- or post-operative as this inaccurately conveys a person must have surgery to transition • Biologically male or female or any phrasing that suggests a person’s sex is determined at birth

Language Sensitivity Guidelines 28 Ethnicity versus Race ethnicity »» Refers to social groupings based on shared descent and cultural traditions. Behavioral norms and forms of personal identity are associated with ethnic groups. For example, someone of white race could be of Irish, Italian, or Hispanic ethnicity. Ethnicity is changeable, based upon a person’s location, personal choices, and experiences. race »» Refers to one’s biologically determined physical characteristics, including hair, skin, and eye color, and potential to develop specific diseases. There are five U.S. government-defined racial categories: white (Caucasian), black, Native American, Asian, and Pacific Islander. Race is not changeable.

Disabilities Beacon Health Options uses the terminology used by national groups representing specific disabled communities. Follow these rules: »» Avoid terms and descriptions that convey pity, such as afflicted with, struggles with, suffers from, confined to a wheelchair,or wheelchair-bound (see People-first Language). • Example: He has depression and multiple sclerosis. She used a wheelchair before her hip- replacement surgery. »» Never use handicapped unless referring to handicapped accessible.

Audiological Disabilities Use deaf (lowercase d) to describe the audiological condition of not hearing. Deaf (capital D) is a term preferred by many people who were born deaf and consider American Sign Language—not English—their primary language.

»» Other appropriate terms include: • Hard of hearing • Late-deafened (hearing loss occurred later in life) • Non-verbal, speech impaired • Speech disorder—the person isn’t able to communicate with spoken words

»» Don’t use: • Deaf and dumb • Deaf-mute

Language Sensitivity Guidelines 29 Intellectual and Developmental Disabilities The term intellectual disability should be used in place of mental retardation. An intellectual disability signifies when a person has limitations in the areas of mental functioning and adaptive behavior. The term developmental disabilities includes intellectual disabilities, but can also refer to physical disabilities, such as cerebral palsy.

Visual Disabilities Use blind to describe a person with complete loss of sight. For others, use terms such as visually impaired or person with low vision.

Diseases, Disorders, Conditions and Drugs Behavioral health is an acceptable phrase to capture the concepts of both mental health and substance use. Behavioral health disorder(s) is an acceptable phrase to capture both mental illness and substance use disorders.

Disorder is an approved term in the current Diagnostic and Statistical Manual of Mental Disorders to describe conditions where an individual is experiencing distress and challenges in her daily functioning due to mental illness or substance use or addiction. Condition is another acceptable term.

For disorders, conditions and other behavioral health terms, we follow the Diagnostic and Statistical Manual of Mental Disorders, fifth edition DSM-5( ). However, DSM-5 uses the term posttraumatic stress disorder, whereas we use the AP Style term post-traumatic stress disorder.

Most diseases, disorders, conditions, body parts, and procedures are spelled in lowercase, without italics or quotation marks (for example, bipolar disorder, diabetes, uvula).

When the illness is named after a person or region, the name is capitalized but the disease type is lower case (for example, Alzheimer’s disease, West Nile virus).

Mental Health and Substance Use Language With regard to mental health and substance use, we first specify the area of focus (mental health vs. substance use) followed by the term disorder or less frequently condition. We don’t use the phrases substance, drug, or alcohol abuse or addiction as these connote a fixed and potentially permanent condition that can become internalized by the individual, as opposed to a disorder that is treatable and from which a person can recover.

Alcohol use disorder should be used to describe alcohol-related disorders.

Use: person with alcohol use disorder

Never use: alcohol abuse, alcohol abuser, alcoholism, or alcoholic

Medications should be identified first as the chemical or generic name in lower case, followed by the trade name in parentheses with a trademark symbol. Example: fluoxetine (Prozac®). If

Language Sensitivity Guidelines 30 describing drugs of misuse, the commonly known slang term is preferred. In such cases, reverse order to the above should be applied. For example, roofies should be presented as Rohypnol® (flunitrazepam).

MHSA stands for mental health and substance abuse. It is acceptable to use when clinically describing a condition or when referencing groups like SAMHSA (Substance Abuse and Mental Health Services Administration). Beacon uses MHSUD in all other circumstances.

MHSUD is an acronym for mental health and substance use disorder. This is our preferred terminology over MHSA.

Recovery refers to the process an individual experiences as he improves his ability to manage the thoughts, feelings, and behaviors that are associated with his mental health or substance use disorder. Recovery is an ongoing process, one which is unique for each individual. References to an individual being cured of a particular disorder would be an inaccurate depiction of the process involved in maintaining recovery.

Use: in recovery

Never use: clean (“she’s clean,” referring to a negative urine drug screen or someone not currently using substances), clean and sober

Slang terms should appear in quotes in first usage within a document, and can appear later without quotes. Example: The “high” a person gets when on cocaine is not the same as an LSD high.

Substance use disorder should be used to describe substance-related disorders.

Substance misuse describes the use of a substance for a purpose not consistent with legal or medical guidelines.

Use: person with substance use disorder, substance misuse

Never use: drug/substance abuse, drug/substance abuser, drug/substance addict, drug/substance user, dirty (“he’s dirty,” referring to positive urine drug screen or a person who is currently using substances); derogatory slang such as junkie, crackhead, pill popper, tweaker, druggie, speed freak

Opioid use disorder should be used to describe opioid-related disorders. Use opioid misuse when referring to the use of opioids outside legal or medical guidelines.

Never use: opioid addict, opioid abuse

Beacon frequently references medication-assisted treatment (MAT), an evidence-based treatment for opioid use disorder.

Never use: replacement therapy, substitution therapy

Withdrawal management refers to the medical and psychological care of patients who are experiencing withdrawal symptoms as a result of ceasing or reducing use of their drug of dependence.

Never use: detox

Language Sensitivity Guidelines 31 Terminology for the People We Serve/People-first Language Beacon’s written communications support our efforts to de-stigmatize language to reflect a more person-centered, strength-based approach. We distinguish between the individual and the condition she is experiencing. For example, we would refer to an individual with schizophrenia versus a schizophrenic. A person is not her diagnosis, and this needs to be reflected in our language.

People-first language focuses on the individual, not the person’s medical condition or disability.

Use: has diabetes, has schizophrenia, people with schizophrenia, individuals diagnosed with anorexia, members with disabilities, person with mental illness, adults with co-occurring disorders, children with autism spectrum disorder, veterans with disabilities

Don’t use: diabetic, schizophrenics, anorexics, disabled members, mentally ill person, dually disordered adults, autistic, disabled veterans

Patient or case should only be used when describing a person seeking treatment. If referring to a person with a mental illness, use person or individual.

Do not use insulting terms such as insane, crazy/crazed, nuts or deranged.

Be sensitive to the use of words that connote negativity or pity. A health condition should not be labeled a problem, but be called an illness or disorder.

Avoid negative terms such as cripple, victim, sufferer, or afflicted with. Instead, use people who have had a stroke, not stroke victims, or has depression, not suffers from depression.

Be mindful when discussing the subject of suicide. Avoid using the expression a suicide, which places focus on the mode of death rather than the person, or committed suicide, which connotes illegal behavior. It is preferable instead to describe the deceased as having died by suicide. Also avoid referring to successful, unsuccessful, or failed suicide attempts. Instead, contrast suicide deaths with nonfatal attempts.

Use the right term for the right audience. For example, you would typically use the term patient when addressing a provider audience, not member. Alternatively, you wouldn’t address a member audience as patients. Some contracts will also have specific terminology requirements, such as beneficiary.

Don’t confuse readers by using multiple terms (for example, members, employees, and participants for the same group of people) in your communications—be consistent.

Define a term if necessary. For example: Acme Company participants (your employees and their family members) can use our smartphone app to locate providers.

Gender-specific pronouns should be alternated in communications instead of using the term he or she or they throughout.

For example: A person thinking about suicide may talk of despair and hopelessness. He may appear to be preparing for departure. She might talk or joke about different methods to die by suicide.

Language Sensitivity Guidelines 32 Health Literacy Guidelines and Reading Level Requirements

Health Literacy Guidelines Follow these tips to help make your writing clearer, more accessible across all audiences, and at a lower reading level:

Using a conversational—but true—tone helps to lower the reading level.

Consistency is key. When using a term within an article, use the same one instead of other words. For example, if you are using eyeglasses, use the full word or glasses, but not lens or spectacles.

Try to avoid using more than 15 words in a sentence. Don’t overuse punctuation.

Choose words that are less than three syllables. It’s hard to avoid with terms such as bipolar disorder and schizophrenia. But you can limit the number of times they’re used within the piece.

Avoid using i.e. and e.g., which are often misused and can be confusing to readers. Use that is or for example instead.

Here are a few word substitutions that will help get the reading level down. Please note that the original words are fine to use if the reading level is not an issue:

Advocate: Use support person instead.

Behavior modification: Can be described as changing what you do or stopping bad habits.

Chronic: Can also use lasting a long time, constant, or does not go away.

Diagnosis: May use finding out the cause of an illness.

Episode: Can also be described as brief time, event, or set amount of time.

Medical: Use health instead (health care, health facility, etc.).

Physician: Use doctor or provider when possible.

Prescription: Can also be script, order for medicine, or doctor’s order.

Psychiatrist: May also be described as mental health doctor.

Websites: Many health literacy sites exist. We suggest the following:

»» Centers for Disease Control and Prevention (CDC) Health Literacy Site www.cdc.gov/healthliteracy »» Quick Guide to Health Literacy www.health.gov/communication/literacy/quickguide/factsbasic.htm »» Simple Words and Phrases https://plainlanguage.gov/guidelines/words/use-simple-words-phrases/ »» University of Michigan’s Plain Language Medical Dictionary www.lib.umich.edu/plain-language-dictionary

Language Sensitivity Guidelines 33 Reading Levels All member/client/employee communication pieces should be written at whatever reading level is determined by your audience, department, or contract. Beacon prefers the Microsoft Word Flesch- Kincaid reading level tool that is located within the spelling and grammar check. Accessing it depends on your software version. If you are unfamiliar, check your Microsoft Word help center for more information.

For additional tips on making your writing more accessible across all audiences, check out Beacon’s Reading Level Guide.

Active vs. Passive Voice »» In active voice, the subject of a sentence performs the action. • Example: Beacon helps people live their lives to the fullest potential. »» In passive voice, the subject is acted upon. • Example: People are helped to live their lives to the fullest potential by Beacon. »» Use active voice to ensure your writing is clear and concise. Avoid using passive voice whenever possible, as it weakens the meaning of your writing and tends to make sentences longer.

Language Sensitivity Guidelines 34