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Development Strategies & Resources For A Successful Transition Home 1 Missy Longe, MC, LPC, LISAC - Terros, Inc. and Erica Chestnut, MC, LISAC - La Frontera.

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Presentation on theme: "Development Strategies & Resources For A Successful Transition Home 1 Missy Longe, MC, LPC, LISAC - Terros, Inc. and Erica Chestnut, MC, LISAC - La Frontera."— Presentation transcript:

1 Development Strategies & Resources For A Successful Transition Home 1 Missy Longe, MC, LPC, LISAC - Terros, Inc. and Erica Chestnut, MC, LISAC - La Frontera AZ, Empact-Suicide Prevention Center

2 AGENDA AND OBJECTIVES AGENDA AND OBJECTIVES 2 Introductions:Objectives: 1. Overview of the Behavioral Health System 1. Overview of the Behavioral Health System 2. Warning Signs 2. Warning Signs 3. Engaging Families 3. Engaging Families 4. Referral Process 4. Referral Process Wrap Up:

3 BEHAVIORAL HEALTH OVERVIEW 3 In August 1986, Arizona Revised Statute, , created the Division of Behavioral Health Services, DBHS, within ADHS. DBHS is the single state authority providing coordination, planning, administration, regulation, and monitoring of all facets of the state public behavioral health system. ADHS/DBHS Legislative Presentation - 2/4/09 Retrieved on 2/10/09 from

4 ADHS/DBHS Services 4 1.Administers unified statewide behavioral health service delivery system. 2.Required by statute to contract with Tribal and Regional Behavioral Health Authorities (T/RBHAs) to coordinate service delivery in six geographic service areas statewide. 3.Provides services to both federally eligible (Title XIX and Title XXI of the Social Security Act) and State-only populations. 4.No direct services except at the Arizona State Hospital.

5 Regional Behavioral Health Authorities (RBHA) ADHS contracts with organizations, known as Regional Behavioral Health Authorities (RBHAs) or Tribal Regional Behavioral Health Authorities (TRBHAs) to deliver all the behavioral health services in Arizona. In our area- Magellan is the RBHA. Changes on the horizon 5

6 Arizona 6 Region ServedRHBA/TRBHA Apache, Coconino, Mohave, Navajo and Yavapai Counties Northern Behavioral Health Authority (NARBA) GSA 1 Gila, Pinal, La Paz, and Yuma Counties Cenpatico Behavioral Health of Arizona GSA 2, 3 and 4 Cochise, Graham, Greenlee, Pima and Santa Cruz Counties Community Partnership of Southern Arizona (CPSA) GSA 5 Maricopa CountyMagellan Health of Arizona GSA 6 Navajo Nation, Pascua Yaqui Tribe, Gila River Indian Community, Colorado River Indian Tribes, and White Mountain Apache Tribe Tribal RHBAs: Gila River Indian Community, Pascua Yaqui Tribe and White Mountain Tribe Tribal Contractors: Navajo Nation and Colorado River Indian Tribes

7 Funding 7 Federal, State, County and City Funds State Agencies of Arizona Arizona Department of Health Services (ADHS) Division of Behavioral Health Services (DBHS) Regional Behavioral Health Authority (RBHA/TRBHA Integrated Services Networks Provider Community Direct Care Pharmacy Lab

8 Medicaid Background 8 Implemented in 1965 as a jointly funded cooperative venture between the Federal and State governments to assist states in the provision of adequate medical care for: 1.Children 2.Pregnant Women 3.Adults in Families with Dependent Children 4.Individuals with Disabilities, and 5.Individuals 65 or over AHCCCS - Arizona Health Care Cost Containment System is the Medicaid program/plan in Arizona

9 Behavioral Health System 9

10 Community Transition Role of the Rapid Response Clinician 1. Assessment of child and environment 2. Educate caregiver & complete Developmental Assessment 3. Demonstrate in home techniques and/or skills 4. Provide resources 5. Make behavioral health recommendations 5. Submit written assessment to CPS, Magellan Liaison and Courts. 10

11 Identifying Concerns 1. Prenatal Substance Exposure – SEN – Stiffness in extremities, feeding issues, false cues, difficulty with regulating and being over stimulated 2. Medical Issues & Prematurity -Initial or ongoing Pediatric care, explore referrals to Neurologists, Geneticists, Cranial Technologies, Ophthalmologist or Developmental Pediatricians 3. Developmental Concerns 11

12 Baby Brain 12

13 Transition Home Activity 13 Baby Massage Monitor Feeding Swaddle Monitor External Stimuli Relationships Brain Development Kangaroo Care Touch

14 Referral Process 1. Developmental Services – AzEIP – CMDP – Comprehensive Medical and Dental Plan – Division of Developmental Disabilities – Long Term Care 2. Behavioral Health Services – PNOs – Southwest Childrens Network, People of Color Network and Quality Care Network. – Qualified Service Providers – A New Leaf, Jewish Family Childrens Services, Bayless and Associates, Arizonas Childrens Association, Empact-SPC, etc. – Private Sector 14

15 Resources Zero to Three Southwest Human Development – Birth to Five Helpline – Mentally Ill Kids in Distress (MIKID) SAARC – Southwest Autism Research & Resource Center Child Welfare Information Gateway Community Information & Referral Centers for Disease Control & Prevention 15

16 Wrap Up There is no such thing as a baby by itself. – D.W. Winnicott 16

17 Contact Information Crisis Response Network – Patti Ritchie Williams or TERROS - Missy Longe or Empact –Suicide Prevention Center - Erica Chestnut or


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