Division of Behavioral Health Services
Bureau for Adult Services
The Bureau for Adult Services is primarily responsible for the oversight and monitoring of the provision of behavioral health services by the regional behavioral health authorities to persons with a serious mental illness and persons receiving services under the general mental health classification. In the fiscal year ending July 2001, approximately 23,000 persons receiving services in the Arizona behavioral health system were classified as persons with a serious mental illness, and approximately 19,000 were classified as general mental health clients. Services are provided either directly by one of the five regional behavioral health authorities, three tribal regional behavioral health authorities, or by contracted provider agencies.
Bureau staff participate in the Operational/Financial Reviews and Data Validation Studies for the regional behavioral health authorities and tribal regional behavioral health authorities. Bureau staff also serve as liaisons to other state and community agencies by providing technical assistance and training in such areas as individual service planning, case management, provider management, and agency administration. In addition, bureau staff assist in resolving issues and complaints from consumers, family members, regional behavioral health authority staff and community stakeholders. Bureau staff directly responded to over 270 telephone calls, letters and legislative requests to facilitate the resolution of client and citizen inquiries about the behavioral health system in 2001.
The Bureau continues to have primary responsibility for the implementation of the court-ordered agreements in the Arnold vs. the Arizona Department of Health Services lawsuit, commonly known as the Exit Stipulation and the Supplemental Agreement. Data is collected to monitor progress and the impact of the recent changes to Seriously Mentally Ill Determination. Efforts continue to expand service provision with the additional funds received from the Legislature and through the Covered Services, House Bill 2003 and Proposition 204 initiatives.
The Bureau also plays an active role in obtaining participating in and/or managing federal grants related to services for persons with behavioral health needs. The development and expansion of vocational services also continues to be a high priority. The Division has participated in an intergovernmental agreement with the Arizona Department of Economic Security/Division of Rehabilitation Services Administration in which state behavioral health funds are used to draw federal vocational rehabilitation funds to provide services for individuals with a serious mental illness. In addition, staff collaborate with other state agencies to expand the provision of vocational, housing and other services to persons with serious mental illnesses by participating in multiple councils, boards, and advisory groups such as the Arizona Council On Offenders With Mental Illnesses, Interagency Service Agreement Advisory Board (with the Department of Economic Security/Rehabilitative Service Administration), Behavioral Health Planning Council, Arizona Behavioral Health and the Aging Coalition and Arizona Coalition to End Homelessness.
The Bureau successfully made the transition from formerly just serving persons with a serious mental illness to include those classified as general mental health clients. Upon establishment as the Bureau for Adult Services, the Bureau assumed responsibility for management and oversight of adult general mental health services. Briefing and orientation meetings were conducted with each regional behavioral health authority on the scope of programs and services provided in general mental health.
During the past year, the Bureau for Adult Services supported multiple trainings for consumers, family members and provider staff, including Recovery Methods and Strategies forums, the Seeds of Success Conference and the Partners in Employment Conferences (Phoenix, Tucson, Flagstaff) with the Department of Economic Security/Rehabilitative Services Administration and the regional behavioral health authorities. Bureau staff, in coordination with other Arizona Department of Health Services and the Division of Behavioral Health Services entities, intensified technical assistance provided to tribal regional behavioral health authorities. Training provided to the tribal regional behavioral health authorities included case file reviews, Arizona Level of Functioning Assessments, and grievance and appeals. In addition, the bureau sponsors the Mental Health Association and Arizona Alliance for the Mentally Ill to provide information, family support services and training to consumers and family members.