Division of Behavioral Health Services
Arnold v. Sarn
As part of the Arnold v. Sarn Stipulation for Providing Community Services and for Terminating the Litigation, signed in January 2014, the Arizona Department of Health Services/Division of Behavioral Health Services (ADHS) and the State of Arizona agreed to the following:
- Increase ACT teams from 15 in fiscal year 2014 to 23 by the end of fiscal year 2016.
- Increase the capacity of supported employment in Maricopa County. By the end of fiscal year 2016, the system will be capable of handling 750 more members with supported employment services.
- Increase the number supportive housing slots in Maricopa County. By the end of fiscal year 2016, 1200 more seriously mentally ill members will receive supportive housing services.
- Increase the number of peer and family members who may receive these support services in Maricopa County. By the end of fiscal year 2016, space for an additional 1,500 peer and family members to receive the aforementioned support services will be made available.
Officials at the Substance Abuse Mental Health Services Administration (SAMHSA) have developed fidelity tools to evaluate ACT, supported employment, supportive housing, and peer and family (aka consumer operated) services.
DBHS contracted with SAMHSA to provide training on each of these fidelity tools to providers and interested community members in February 2014. A training video for each will be available at this website soon.
Learn about each individual fidelity tool below:
- Assertive Community Treatment
- Supported Employment
- Supportive Housing
- Peer and Family Services
Assertive Community Treatment
Assertive Community Treatment (ACT) teams are to be available 24 hours per day, 7 days per week for those seriously mentally ill members in Maricopa County who have been assigned to an ACT team. ACT teams provide individualized, flexible services to those living in the community, and each team includes no less than 10 professional health care workers with varied experience, including: a psychiatrist, nurse, social worker, substance abuse specialist, vocational rehabilitation specialist, and a peer specialist.
SAMHSA's ACT fidelity tool is being used to evaluate each ACT team in Maricopa County annually for fiscal year 2015-2016. Read more details of the tool and/or view slides used in Arizona to learn this tool.
Supported employment services help the seriously mentally ill prepare, identify, attain and maintain competitive employment. These services include job coaching, transportation, assistive technology, specialized job training, and individually tailored supervision.
SAMHSA's Supported Employment fidelity tool is being used to evaluate each supported employment provider in Maricopa County annually for fiscal years 2015-2016. Read more details of the tool and/or view slides used in Arizona to learn this tool.
Providers may bill for peer and family services through the following codes found in the state's covered services guide:
- H2027 – Psychoeducational services (pre-job training and development): Services which prepare a person to engage in meaningful work-related activities may include: career/educational counseling, job shadowing, assistance in the use of educational resources, training in resume preparation, job interview skills, study skills, work activities, professional decorum and dress, time management, and assistance in finding employment. Billing unit: 15 minutes. Provider qualifications must be met.
- H2025 – Ongoing support to maintain employment: includes support services that enable a person to complete job training or maintain employment. Services may include monitoring and supervision, assistance in performing job tasks, work-adjustment training, and supportive counseling. Billing unit: 15 minutes. Provider qualifications and service standards must be met.
- H2026 – Ongoing support to maintain employment. See aforementioned definition. Billing unit: per diem. Provider and service standards must be met.
Supportive Housing is permanent housing with tenancy rights and services that support the seriously mentally ill to attain and keep affordable housing. Supportive housing is both the housing, and the support services to help someone stay in integrated housing. Critical aspects of supportive housing are: tenancy rights, the tenant pays no more than 30% of his or her income toward rent, and that the tenant has a choice of where he/she can live.
This program also includes rental subsidies, vouchers, bridge funding.
SAMHSA's Supportive Housing fidelity tool is being used to evaluate each supportive housing provider in Maricopa County twice a year for fiscal years 2015-2016. The details of the tool can be found here. You can also view slides used in Arizona to learn this tool.
Peer and Family Services
Peer support is provided for those who have personal experience with mental illness and substance abuse. These services, which can be provided in individual or group settings, are aimed at assisting in the creation of skills to promote long-term, sustainable recovery.
Family support services are for those family members interested in supporting their family member's treatment and recovery from mental illness and/or substance abuse. Family members receive training to enable them to identify and provide assistance when their family member may be experiencing an episode of crisis. Support services also generally include education about mental illness and substance abuse, and the related community services which are available.
SAMHSA officials call these services Consumer Operated. SAMHSA's fidelity tool is being used to evaluate each peer and family service provider in Maricopa County for fiscal years 2015-2016. Read more details of the tool and/or view slides used in Arizona to learn this tool.
Providers may bill for peer and family services through the following codes found in the state's covered service guide:
- H0038—self-help/peer services: shelf-help/peer provided to an individual person for a short period of time (>2.75 hours)
- H2016 – Comprehensive community support services: self-help/peer services provided to a person for a period of time <3 hours in duration.
- S5110 – Comprehensive family support