development strategies & resources for a successful transition home 1 missy longe, mc, lpc,...

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Development Strategies & Resources For A Successful Transition Home

Missy Longe, MC, LPC, LISAC - Terros, Inc. and

Erica Chestnut, MC, LISAC - La Frontera AZ, Empact-Suicide Prevention Center

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AGENDA AND OBJECTIVES

Introductions:Objectives: 1. Overview of the Behavioral Health System 2. Warning Signs 3. Engaging Families 4. Referral ProcessWrap Up:

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BEHAVIORAL HEALTH OVERVIEW In August 1986, Arizona Revised Statute, 36-3402, 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 http://www.azdhs.gov/bhs/index.htm

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ADHS/DBHS Services

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.

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Regional Behavioral Health Authorities (RBHA)

• ADHS contracts with organizations, known as Regional Behavioral Health Authorities (RBHA’s) or Tribal Regional Behavioral Health Authorities (TRBHA’s) to deliver all the behavioral health services in Arizona.

• In our area- Magellan is the RBHA. • Changes on the horizon

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Arizona Region Served RHBA/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 CruzCounties

Community Partnership of Southern Arizona (CPSA) GSA 5

Maricopa County Magellan 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

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Funding

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

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Medicaid Background 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. Children2. 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

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Behavioral Health System

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Community Transition

Role of the Rapid Response Clinician1. Assessment of child and environment2. Educate caregiver & complete Developmental

Assessment 3. Demonstrate in home techniques and/or skills4. Provide resources5. Make behavioral health recommendations 5. Submit written assessment to CPS, Magellan

Liaison and Courts.

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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

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Baby Brain

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Transition Home Activity

Baby Massa

ge Monitor Feeding Swaddle

Monitor External Stimuli

Relationships

Brain Development

Kangaroo Care Touch

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Referral Process 1. Developmental Services

– AzEIP– CMDP – Comprehensive Medical and Dental Plan– Division of Developmental Disabilities – Long Term Care

2. Behavioral Health Services – PNO’s – Southwest Children’s Network, People of Color

Network and Quality Care Network. – Qualified Service Providers – A New Leaf, Jewish Family

Children’s Services, Bayless and Associates, Arizona’s Children’s Association, Empact-SPC, etc.

– Private Sector

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Resources

• Zero to Three • Southwest Human Development

– Birth to Five Helpline – 1-877-705-5437

• Mentally Ill Kids in Distress (MIKID) • SAARC – Southwest Autism Research & Resource Center

• Child Welfare Information Gateway • Community Information & Referral • Centers for Disease Control & Prevention

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Wrap Up

“There is no such thing as a baby by itself.” – D.W. Winnicott

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Contact Information

• Crisis Response Network – Patti Ritchie Williams pattir@crisisnetwork.org or 602.427.4604

• TERROS - Missy Longe missyl@terros.org or 480.291.2560

• Empact –Suicide Prevention Center - Erica Chestnut Erica.chestnut@empact-spc.com or 480. 262.0508