Transcript Maintaining an Unfunded Vocational Partnership

MAINTAINING AN UNFUNDED
VOCATIONAL PARTNERSHIP
Anthony Carrillo
Jennifer Thorson
Jody Gardner
Maria Esposito
Adam Robson
Letitia Labrecque
ARIZONA “FUN FACTS”
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?
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GEOGRAPHIC SERVICE AREAS (GSAS)
GSA 1: NARBHA (Northern Arizona Regional Behavioral Health Authority)
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Counties: Apache, Coconino, Mohave, Navajo, Yavapai
GSA 2: Cenpatico
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Counties: La Paz, Yuma
GSA 3: Cenpatico
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Counties: Cochise, Graham, Greenlee, Santa Cruz
GSA 4: Cenpatico
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Counties: Gila, Pinal
GSA 5: CPSA (Community Partnership of Southern Arizona )
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County: Pima
GSA 6: Magellan Health Services
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County: Maricopa
ADHS/DBHS
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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.
INTERGOVERNMENTAL AGREEMENT (IGA)
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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.
KEY POINTS IN THE IGA
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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
KEY POINTS IN THE IGA
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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
PER THE IGA AGREEMENT…
“Supported employment
services will be provided
consistent with the person’s
individual needs and until job
stability is achieved.”
RBHA REHABILITATION SERVICES
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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)
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
RBHA WEBSITES
NARBHA (Northern AZ Regional Behavioral Health
Authority) –
www.narbha.org/
Ten Responsible Agencies (RAs):
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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)
RBHA WEBSITES
Cenpatico - www.cenpaticoaz.com
Twelve Adult Intake Providers:
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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)
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 Serviceshttp://www.codac.org/
 Marana Health Center- http://maranahealthcenter.org/
REHABILITATION SERVICES
ADMINISTRATION
VOCATIONAL REHABILITATION
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.
SUMMARY
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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
IMPACT OF LOSS OF FUNDING
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On Behavioral Health
System:
Less access to VR staff
Waitlist for VR services
Gap in services
Need for more creative
service delivery
Training needs
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On Vocational Rehabilitation:
Loss of BH Specialty
Counselors
Need to train General
Counselors
Increased caseloads
Difficulties with keeping
members engaged
SMALL GROUP ACTIVITY
HOW WE’RE RESPONDING
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2.
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5.
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
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
SUMMARY
Strengths
 Challenges
 Hope for Future
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THANK YOU FOR
YOUR TIME!