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Development Strategies & Resources For A Successful Transition Home

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. Introductions: Objectives: 1. Overview of the Behavioral Health System

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Development Strategies & Resources For A Successful Transition Home

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  1. 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

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

  3. 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 Behavioral Health Overview

  4. ADHS/DBHS Services • Administers unified statewide behavioral health service delivery system. • Required by statute to contract with Tribal and Regional Behavioral Health Authorities (T/RBHAs) to coordinate service delivery in six geographic service areas statewide. • Provides services to both federally eligible (Title XIX and Title XXI of the Social Security Act) and State-only populations. • 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 (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

  6. Arizona

  7. 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

  8. 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: • Children • Pregnant Women • Adults in Families with Dependent Children • Individuals with Disabilities, and • Individuals 65 or over AHCCCS - Arizona Health Care Cost Containment System is the Medicaid program/plan in Arizona

  9. Behavioral Health System

  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.

  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, Ophthalmologistor Developmental Pediatricians 3. Developmental Concerns

  12. Baby Brain

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

  14. 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

  15. 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

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

  17. 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

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