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Maintaining an Unfunded Vocational Partnership

Anthony Carrillo Jennifer Thorson Jody Gardner Maria Esposito Adam Robson Letitia Labrecque. Maintaining an Unfunded Vocational Partnership. It’s hot. Yes, it’s a dry heat . That doesn’t matter when it’s 115 °.

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Maintaining an Unfunded Vocational Partnership

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  1. Anthony Carrillo Jennifer Thorson Jody Gardner Maria Esposito Adam Robson Letitia Labrecque Maintaining an Unfunded Vocational Partnership

  2. It’s hot. Yes, it’s a dry heat. That doesn’t matter when it’s 115°. Most people who live here aren’t from here but they complain about how “we” drive. We’d like to dispel the “Old West” stereotype, but our kids get time off from school for Rodeo. Did we mention it’s hot? Arizona “Fun Facts”

  3. Geographic Service Areas (GSAs) GSA 1: NARBHA (Northern Arizona Regional Behavioral Health Authority) • Counties: Apache, Coconino, Mohave, Navajo, Yavapai GSA 2: Cenpatico • Counties: La Paz, Yuma GSA 3: Cenpatico • Counties: Cochise, Graham, Greenlee, Santa Cruz GSA 4: Cenpatico • Counties: Gila, Pinal GSA 5: CPSA (Community Partnership of Southern Arizona ) • County: Pima GSA 6: Magellan Health Services • County: Maricopa

  4. ADHS/DBHS Created in 1986, the Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS) serves as the single state authority to provide coordination, planning, administration, regulation and monitoring of all facets of the state public Behavioral Health system. ADHS/DBHS contracts with community based organizations, known as Regional Behavioral Health Authorities (RBHAs), to administer Behavioral Health services throughout the State.

  5. Intergovernmental Agreement (IGA) • Since 1992, the Arizona Department of Health Services (ADHS), the Regional Behavioral Health Authority (RBHA), and Rehabilitation Services Administration (RSA), which includes Vocational Rehabilitation (VR), have worked together to coordinate and provide these services through an Intergovernmental Agreement. • The purpose of the IGA is to increase the number of employed people with psychiatric disabilities who are successful and satisfied with their vocational roles and environments.

  6. Key points in the IGA • In conjunction with the RBHAs, regular meetings are to be held within each region (minimum of quarterly) • These are often called Quarterly Vocational meetings • As of 7/1/10, there is no budget affiliated with the IGA. • Prior to that, ADHS/DBHS matched 21.3% of Federal monies. It is our goal to return back to that level. • There is no need for a signed Release of Information to be able to communicate with the RBHAs. • Some RBHAs may require it, but they have been instructed to not delay any services for the individual while waiting for the Release of Information to be signed You may review the IGA at http://www.azdhs.gov/bhs/intergovtagrmts.htm

  7. Key points in the IGA • VR Counselors shall have “functional workspace” at the RBHA provider site, which includes a private area to meet with clients, access to a desk and telephone, and access to a computer and/or internet • Working in collaboration with the RBHA, VR is to conduct an Orientation at least 1x/month at the RBHA provider site

  8. Per the IGA Agreement… “Supported employment services will be provided consistent with the person’s individual needs and until job stability is achieved.”

  9. RBHA Rehabilitation Services • Pre-Vocational (including JD&P) • Co-Located Providers • Paid Work Activities (in some areas/sites) • Supported Employment/ESE • Peer Support (Individual and Group) • Living Skills Training (Individual and Group) • See specific Covered Services Guide to know exact services (can be found on DBHS website: www.azdhs.gov)

  10. RBHA Websites Magellan of Arizona – www.magellanofaz.com Four Adult Provider Network Organizations (PNOs): • Southwest Network - www.southwestnetwork.org • CHOICES Network - www.choicesnetwork.org • People of Color Network - www.pocn.com • Partners in Recovery - www.partnersinrecovery.us.com

  11. RBHA Websites NARBHA (Northern AZ Regional Behavioral Health Authority) – www.narbha.org/ Ten Responsible Agencies (RAs): • Community Behavioral Health Services (Page) • Community Counseling Centers (Holbrook, Winslow, Show Low) • The Hopi Guidance Clinic (Second Mesa) • The Guidance Center (Flagstaff, Williams) • Verde Valley Guidance Clinic (Cottonwood) • West Yavapai Guidance Clinic (Prescott) • Mohave Mental Health Clinic (Kingman, Bullhead City, Lake Havasu City) • Southwest Behavioral Health Services (Flagstaff, Prescott, Kingman, Bullhead City, Lake Havasu City) • Community Bridges (Winslow, Holbrook) • Child and Family Support Services (Flagstaff, Prescott)

  12. RBHA Websites Cenpatico - www.cenpaticoaz.com Twelve Adult Intake Providers: • Arizona Counseling and Treatment Services (Benson, Bisbee, Bylas, Clifton, La Paz, Parker, Quartzsite, Safford, San Luis, Sierra Vista, Wellton, Wilcox, Yuma) • Community Intervention Associates (Bisbee, Douglas, Nogales, Parker, San Luis, Yuma) • SEABHS (Sierra Vista, Safford, Clifton, Benson, Willcox, Globe)  • Corazon (Nogales, Douglas, Casa Grande) • Pinal Hispanic Council (Casa Grande, Coolidge, Douglas, Eloy, Nogales) • Helping Associates (Casa Grande) • Horizon Human Services (Casa Grande, Coolidge, Globe, Payson, Yuma) • Mountain Health and Wellness (Apache Junction, Kearney, Oracle, Queen Creek, San Manuel, Superior, Yuma)   • Southwest Behavioral Health Services (Apache Junction, Payson) • Chicanos Por La Causa (Claypool, Yuma) • Crossroad Mission (Yuma) • Empact (Maricopa, Yuma)

  13. RBHA Websites CPSA (Community Partnership of Southern Arizona) – http://w3.cpsa-rbha.org/ Four Comprehensive Service Provider (CSPs): • La Frontera Center, Inc. - www.lafrontera.org • COPE Community Services - http://www.copebhs.com/ • CODAC Behavioral Health Services- http://www.codac.org/ • Marana Health Center- http://maranahealthcenter.org/

  14. Rehabilitation Services AdministrationVocational Rehabilitation

  15. Vocational Rehabilitation The goal of the Vocational Rehabilitation (VR) Program is to help eligible individuals become as economically independent as possible and to lessen, or eliminate, their need for government support programs and services, through meaningful and sustained work.

  16. Summary • Agencies across the state working together for a shared goal of increasing employment options • Statewide commitment! • Representing all corners of the State…across rural, frontier, and urban areas! • Different paths… …same destination

  17. Impact of Loss of Funding On Behavioral Health System: • Less access to VR staff • Waitlist for VR services • Gap in services • Need for more creative service delivery • Training needs On Vocational Rehabilitation: • Loss of BH Specialty Counselors • Need to train General Counselors • Increased caseloads • Difficulties with keeping members engaged

  18. Small group activity

  19. Launching training initiatives • Establishing partnerships with RSA/VR Supervisors • Accessing community resources • Developing region-specific services • Increasing the skills and talents of Peer Support Specialists; Recovery Support Specialists to assist in service delivery How We’re Responding

  20. Launching training initiatives

  21. Establishing partnerships with RSA/VR Supervisors

  22. Accessing community resources

  23. Developing region-specific services

  24. Increasing the skills and talents of Peer Support Specialists; Recovery Support Specialists to assist in service delivery

  25. Strengths Challenges Hope for Future Summary

  26. Thank you for your time!

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