1. The Mental Health System
AJS 270
Revised 01/06

2. The Mental Health System
Performance Objectives
Understand the structure of governmental services available to the seriously mentally ill
Define the role of the Regional Behavioral Health Authority/Value Options
Recognize signs and symptoms of a seriously mentally ill individual
Demonstrate effective crisis intervention techniques
Complete a petition for psychological evaluation

3. The Mental Health System
State of Arizona
The Arizona Department of Health Services
Division of Behavioral Health Services

4. The Mental Health System
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZDHS/DBH’s Mission Statement:
The mission of Behavioral Health Services is setting the standard for personal and community health through direct care delivery, science, public policy, and leadership..
DBHS’ Vision Statement:
Leadership for a Healthy Arizona.

5. Department of Behavioral Health Services
Guiding Principles
Easy Access
Consumer and Family Involvement
Collaboration with the Greater Community
Effective Innovation
Expectation of Improvement
Cultural Competency

6. Department of Behavioral Health Services
Role of the State Agency
Financial, Program & Appointment Standards
Provider Network Requirements
Policy & Procedures Manual
Clinical Guidance Documents
Performance Measures
Resolution of Disputes

7. Department of Behavioral Health Services
Organizational Structure
Clinical Services
Quality Management
Fiscal Management
Information Systems Management
Consumer Rights
Compliance & Policy
Arizona State Hospital

8. Department of Behavioral Health Services
Coconino
Navajo Nation
Mohave
GSA-1
NARBHA
Navajo
Apache
Yavapai
Colorado River
Indian Tribe
Gila
GSA-6
ValueOptions
GSA-4
CBHS
La Paz
Gila River
Indian Community
Greenlee
GSA-2
CBHS
Maricopa
Graham
Pinal
GSA-3
CPSA
Yuma
Pima
GSA-5
CPSA
Pascua Yaqui
Tribe
Cochise
Santa
Cruz
NARBA =Northern Arizona Behavioral Health Authority
CBHS-2 & CBHS =Cenpatico Behavioral Health Services
CPSA-3 & CPSA =Community Partnership of Southern Arizona
ValueOptions =ValueOptions of Arizona

9. Department of Behavioral Health Services
The DBHS currently has IGAs with four tribes to operate as TRBHAs
Gila River
Colorado River
Navajo Nation
Pasqua Yaqui  

10. Funding Stream

11. FY2005 Funding Allocations

12. Clients Served SMI 31,473 NON-SMI 61,990 Children 36,742 TOTAL FY 2005
130,205

13. Covered Services Treatment services Rehabilitation services
Medical services
Support services
Inpatient services
Crisis intervention services
Residential services
Behavioral health day programs
Prevention

14. The Mental Health System
The Criminal Justice System and Mental Illness

15. The Criminal Justice System and Mental Illness
In 2004, nearly 7 million people
were on probation, in jail or prison,
or on parole at yearend.
3.2% of all U.S. adult residents
Or 1 in every 31 adults.
(U.S. Department of Justice)

16. The Criminal Justice System and Mental Illness
Increase in the Jail Population:
Between 1995 and 2004, the incarcerated population grew an average 3.4% annually.
State Prisons up 1.8%
Local Jails up 3.3%
Federal Prison up 5.5%
U.S. Dept. of Justice, Bureau of Justice Statistics,

17. The Criminal Justice System and Mental Illness
The percentage of jail detainees with mental disorders is substantially higher than among the general population.
(Steadman & Veysey, 1997; Teplin, 1994)
“County Officials estimate 20% of the jail’s population is seriously mentally ill.”
Detaining Mentally Ill in Jail a Problem Leonard,
The Arizona Republic, Mar 17, 2005

18. The Criminal Justice System and Mental Illness
It is estimated that persons with severe mental illness are admitted to jails at a rate that is eight times the rate of admissions to public psychiatric hospitals, which means that more people with severe mental disorders are in jail than are in state psychiatric hospitals.
Torrey et al., 1992

19. The Criminal Justice System and Mental Illness
The average daily population of persons in state and county psychiatric hospitals has decreased from 592,853 in 1950 to 71,619 in 1994.
(Kiesier & Sibulkin, 1994);
In 1998 there were 72,000 beds for a total national population of than 250 million.

20. The Criminal Justice System and Mental Illness
It is reported that 7% of police contacts involve persons with mental illness in crisis as reported by major police departments.
(Deane, Steadman, Boram, Veysey, & Morrissey, 1998)

21. The Criminal Justice System and Mental Illness
Additionally, a survey of 450 police officers in three U.S. cities noted that within the month prior to the survey, police each responded to an average of six calls regarding people with a mental illness in crisis
(Bonun, Deane, Steadman, & Morrisey, 1998).

22. The Criminal Justice System and Mental Illness
Of the incarcerated population of persons with severe mental illness, nearly 3 out of 4, or approximately 70%, also have a co‑occurring alcohol and/or drug abuse problem.
(Abram & Teplin, 1991, Teplin, 1994)

23. The Criminal Justice System and Mental Illness
Psychiatric Recover Center
Police Referrals, 2005
PRC West
PRC Central ,250
Community Bridges/Detox *
*Combination of Police Departments.

24. Additional Information
Arizona State Hospital
National Alliance on Mental Illness
US Dept of Health & Human Services
Substance Abuse and Mental Health Services Administration