Summer Institute 2022 Magazine by Kevin Bushaw

23rd Annual

Summer Institute for Behavioral Health July 12 - 14, 2022 | Flagstaff, Arizona

Networks and Pathways Expanding capacity and improving quality of care across agencies and disciplines

socialwork.asu.edu/si

Be the solution with locations in:

Phoenix, Tucson, Yuma + Online

The School of Social Work at Arizona State University is one the largest and most diverse social work programs in the U.S. Celebrating 60 years of preparing practitioners committed to upholding social justice for individuals, families and communities.

Highly Highly Ranked Ranked Graduate Graduate Programs Programs

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among public public among institutions institutions

— Best Best MSW MSW Programs Programs —

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overall overall — US US News News && World World Report Report — "Best Graduate Graduate Schools" Schools" "Best

socialwork.asu.edu An academic academic unit unit of of Watts Watts College College of of An Public Service and Community Solutions Public Service and Community Solutions

Networks

and Pathways Created by Kevin Bushaw, SSW Conferences and Events Manager Kevin.Bushaw@asu.edu Britany Luna, Contributing Editor BritanyLuna@HeritageArizona.org Christine Nguyen, Marketing and Events Coordinator (Student) cpnguye5@asu.edu Keith Smith, SSW Logistics Coordinator Keith.Smith.2@asu.edu Miguel Vieyra, SSW Community Engagement and Strategic Initiatives MVieyra@asu.edu

Sponsored in part by America's Rehab Campuses americasrehabcampuses.com Arizona Complete Health azcompletehealth.com Arizona Council of Human Service Providers azcouncil.com Arizona Health Care Cost Containment System (AHCCCS) azahcccs.gov BCBS Arizona / Health Choice healthchoiceaz.com Banner University Health Plans banneruhp.com COPE Community Services copahealth.org Community Health Associates chaarizona.com Community Medical Services communitymedicalservices.org Cottonwood Tucson cottonwooddetucson.com Devereux Foundation devereux.org The Governor's Office of Youth, Faith, and Family goyff.az.gov Hushabye Nursery hushabyenursery.org Mercy Care mercycareaz.org Molina Healthcare mccofaz.org Old Pueblo Community Services (OPCS) helptucson.org Optum Behavioral Health Solutions optum.com Palo Verde Behavioral Health paloverdebh.com Pathways of Arizona pathwaysofaz.com Solari Crisis and Human Services solari-inc.org Sonoran Prevention Works spwaz.org Spectrum Healthcare Group spectrumhealthcare-group.com The Southwest Interdisciplinary Research Center sirc.asu.edu Terros terroshealth.org Valleywise Health valleywisehealth.org Watts College for Public Service and Community Solutions publicservice.asu.edu The ideas, views and perspectives expressed in this publication strictly represent those of the authors. They do not represent the ASU School of Social Work or Arizona State University.

Printed locally in Phoenix, Arizona at Artcraft.

Continuing Education at Summer Institute The Training Institute -Southwest Behavioral & Health is approved by the American Psychological Association to sponsor continuing education for psychologists. The Training Institute-Southwest Behavioral & Health maintains responsibility for this program and its content. The Training Institute -Southwest & Behavioral Health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6368. Programs that do not qualify for NBCC credit are clearly identified. The Training Institute-Southwest Behavioral & Health is solely responsible for all aspects of the programs. NAADAC, the Association for Addiction Professionals, represents the professional interests of more than 100,000 addiction counselors, educators and other addiction-focused health care professionals in the United States, Canada and abroad. NAADAC’s members are addiction counselors, educators and other addiction-focused health care professionals, who specialize in addiction prevention, treatment, recovery support and education. An important part of the healthcare continuum, NAADAC members and its 47 state and international affiliates work to create healthier individuals, families, and communities through prevention, intervention, quality treatment, and recovery support. The Arizona Chapter of the National Association of Social Workers is the largest professional association of social workers in Arizona with members from all over the state. The Chapter is dedicated to promoting the quality and effectiveness of social work practice in a state rich with diversity. Wherever you work, whomever you serve, the National Association of Social Workers, Arizona Chapter is your link to ideas, information, resources, and the brightest and best social workers in the state.

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Welcome to Mercy Care We’re excited about welcoming people with an SMI designation in Gila and Pinal counties to the Mercy Care family. Starting on Oct. 1, Mercy Care will provide access to physical and behavioral health care for those living with a serious mental illness (SMI) in Gila, Maricopa and Pinal counties. These changes are part of the expansion of the AHCCCS Complete Care, or ACC, contract. AHCCCS awarded the ACC-RBHA expansion contracts to three health plans, including Mercy Care. These expanded contracts will mean some changes for some members, but a member’s covered benefits will remain the same. So will Mercy Care’s commitment to advocating for the comprehensive health of our members and families. We want our members to live healthier lives and achieve their full potential. Visit https://bit.ly/WELCOME2MC for more information.

Because we care. www.MercyCareAZ.org Contract services are funded under contract with the State of Arizona.

Committed to serving the behavioral health community through a wide range of resources, including specialized research centers such as the Center for Applied Behavioral Health Policy, Global Center for Applied Health Research, Southwest Interdisciplinary Research Center, Center for Violence Prevention and Community Safety, Center for Child Well-being and the Family Violence Center.

Be the solution

When you’re ready to take the next step. Our programs span the spectrum of public service. Whatever your passion, you will find it here. Featuring leading academic programs, our four schools — Community Resources and Development, Criminology and Criminal Justice, Public Affairs and Social Work — equip you with the tools to move on or move up in your career, and provide the opportunity to put your ideas into action today. • Master’s Degrees

• Graduate Certificates

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• PhD Degrees

• Executive & Continuing Education

• Undergraduate Degrees

ASU is #1 in innovation

School of Criminology and Criminal Justice PhD Program

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School of Social Work

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publicservice.asu.edu

WELCOME

Letter from the Dean Cynthia A. Lietz, PhD, LCSW Dean, Watts College of Public Service and Community Solutions I am very pleased to welcome you to this year’s Summer Institute. For over twenty years, the institute has created an important space where leaders and practitioners across Arizona’s behavioral health-focused organizations come together to share best practices. The institute creates an important space for networking, and it reaffirms our shared commitment to ensuring high quality care to community members in need of behavioralhealth services. The past two years have quite challenging. Along with the physical health consequences of COVID-19, the pandemic brought increased anxiety, depression and loneliness as we grappled with the need to live our lives distanced from loved ones and members of the broader community. The killing of George Floyd was a tragedy; a poignant and painful reminder that we as a society continue to struggle with a long history of systemic racism. And, as more people required social services, many of our providers faced workforce challenges while the mental health needs of underserved members of our society continued to grow. Despite the challenges we have faced, I have also experienced many examples of resilience. We have been reminded about the importance of relationships and are enjoying opportunities to gather with an enhanced sense of appreciation. We are having more intentional conversations about how to advance anti-racist policies and practices, and while long overdue, these

discussions are prompting not just reflection, but actual change. You have been front and center in of all of this, and I deeply appreciate your compassion and leadership. ASU’s Watts College of Public Service and Community Solutions and our School of Social Work are pleased to partner with you in this important work. Providing effective, evidencebased behavioral health services remains essential to the wellbeing of all those who call Arizona home. You are making a difference in your local communities and we are here to support you in this needed and meaningful endeavor. Thank you for choosing to be a part of this year’s Summer Institute. Your resilience and diligence in providing services during such a difficult time are truly making a difference. I applaud your efforts and extend my sincere gratitude for all you do. Cynthia A. Lietz, PhD, LCSW Dean & President’s Professor ASU Watts College of Public Service and Community Solutions

Visit publicservice.asu.edu

Networks and Pathways

Optum is proud to support ASU Summer Institute for Behavioral Health. Together we can create a healthier world — one insight, one connection, one person at a time. © 2022 Optum, Inc. All rights reserved.

Arizona Complete Health is proud to sponsor

ASU’s 23rd Annual Summer Institute for Behavioral Health Conference!

“Transforming the health of the community one person at a time.”

AZCompleteHealth.com

Summer Institute

WELCOME

Direct from

the Director

Elizabeth Lightfoot, PhD, MSW On behalf of the Arizona State University School of Social Work, welcome to the 23rd annual Summer Institute for Behavioral Health. We are pleased to return to Flagstaff this year and continue this important opportunity to gather together and learn about the latest in behavioral health trends and treatment options. This year’s theme, Networks and Pathways challenges us to use our collective expertise and experience to discover new ways to promote health and well-being while addressing the barriers, divisions and inequities that limit human potential. No doubt, the pandemic has challenged this work while making more visible the gaps and disparities in our continuum of care, particular those related to systemic racism. But I also have been encouraged by the bravery and resilience of our workforce to respond to these challenges and engage in dialogue to advance racial equity. As a social worker, I think the today’s challenges are call to action to use our practice and research to transform systems while recognizing the central importance of human relationships in our practice. But of course, we cannot do it alone. We join with fellow educators and researchers, clinicians, peer support specialists, and the individuals, families, and communities we serve to combat social problems, stigma, and injustice.

Networks and Pathways

And now more than ever, we are committed to educating the next generation of practitioners ready to join the behavioral health workforce. An important part of this mission is to expand the workforce ready to serve communities they come from. We are proud to be one of the most diverse schools of social work in the country with locations in Phoenix, Tucson, Yuma and online. We are also proud to host two HRSA funded behavioral health workforce grants to provide specialized, paid clinical training opportunities for MSW students. Since 2020, the Center for Applied Behavioral Health Policy’s Interdisciplinary Training Academy for Integrated Substance/Opioid Use Disorder has prepared emerging professionals to address the complex treatment needs of opioid misuse and other substance use. In 2021, the School partnered with ASU’s College of Health Solutions to develop the Integrated Behavioral Health Social Work Clinical Internship to a develop new workforce trained and experienced in the practice of integrated behavioral health

tailored to the needs of the underserved target populations in Arizona. We hope this conference also is an opportunity to focus attention on the needs of our behavioral health workforce, including exploring opportunities to both strengthen the pipeline to the profession as well as to advance the knowledge and skills of those in practice. Through conferences and events such as this one, we hope the School can be a community resource to help you advance your practice, put research to use and to dialogue with us about ways a university can join with practitioners to play a role in systems transformation. We hope you will visit our website to learn more about our continuing education and event offerings. Elizabeth Lightfoot Director and Foundation Professor ASU School of Social Work

Visit socialwork.asu.edu

ASU wants to hear from behavioral health providers! Focus groups will be held in-person or via Zoom. The input you provide will be used to create and enhance Arizona’s behavioral health care workforce in the area of diversity, equity, and inclusion. All participants will receive a $25 gift card Participation is completely voluntary To register or to learn more: Call or text ASU Researcher Isaac Akapnitis @ 480-447-9493 to schedule participation or you can email us at

Email: BIPOCHDP@gmail.com

Summer Institute

AGENDA

Tuesday, July 12 7:00 AM

Pre-conference hall opens; continental breakfast served

23rd Annual

Humphreys 8:00 AM

Summer Institute

ADCRR Reentry Summit

for Behavioral Health

Fremont

Session 1 - What’s On the Horizon for Arizona’s Medicaid - AHCCCS with Dana Flannery

10:00 AM

11:30 AM

1:00 PM

3:00 PM

Abineau

Doyle

Rees

Session 2 - Project MATTRRs: Medication and Treatment Technical Assistance for Recovery Residences with Natasha Mendoza

Welcoming Luncheon with Elizabeth Lightfoot, School of Social Work Director ADCRR Reentry Summit

Session 3 - Disability and the Behavioral Health Workforce with Elizabeth Lightfoot

Session 4 - Using Technology to Connect with Sustainable Resources that Enhance Personal Wellness for Helping Professionals with Iva Rody

Session 5 - Evolution of Peer Support in Arizona with Chaz Longwell

Session 6 - A New Approach to Integrated Care and Treatment for Adolescents with Kim McWilliams

Visit socialwork.asu.edu/si23 for online conference login links, session descriptions, speaker bios, session evaluation, and more Networks and Pathways

Arizona Complete Health is a proud sponsor of

ASU’s 23rd Annual Summer Institute for Behavioral Health Conference!

“Transforming the health of the community one person at a time.” 20

AZCompleteHealth.com

Summer Institute

AGENDA

Wednesday, July 13 8:00 AM - Pre-conference hall opens; continental breakfast served Humphreys 9:00 AM

10:00 AM

11:45 AM

1:45 PM

3:30 PM

Session 8 - The Path to Recovery Following The First Episode with Shasa Jackson and Vicki Staples

Fremont

Abineau

Doyle

Session 7 Establishing safety in the body as the basis of care with Anne-Laure Peaucelle

Session 10A Ethical Decisionmaking in the Digital Age with Denise Beagley

Wellness Session: Vibrational Energy Reset: Finding your Calm Amongst the Chaos with Keith Caplin

Session 9 Self-Care: Work to Wellness for Behavioral Health Professionals with LeKeshia Mathis

Session 10B Ethical Decisionmaking in the Digital Age with Denise Beagley

Session 11 Better Behavioral Healthcare Through College of Wellness with Kristin Damron and Jason Eng

Rees

Session 12 -Turning Artificial Intelligence Data into Actionable Intelligence to Improve Clinical Outcomes with Michael Franczak and Jacqueline Webster

Luncheon with Arizona Town Hall Workforce for Mental Health, Substance Use, and Homelessness panel presentation Session 13 Understanding Peer and Family Run organizations as an EvidenceBased Practice (a panel discussion) with Dan Haley, Kimberly Craig and Susan Kennard

Session 14 - The Intersectionality of COVID-19 & The Black Lives Matter Movement: A Cultural & Neurological Perspective with Iya Wekenon Affo

Session 15 Healthcare and Justice Collaboration to Improve Outcomes for Justice Involved Populations with Ray Young and Lori Jones

Session 16 Peer-led strategies for improving mental well-being on Arizona high school campuses with Carrie Monica and Grace Kirker

Session 17 Burnout, Secondary Traumatic Stress, and Employee SelfCare with Armando Peelman

Session 18 Integrated Care... Anywhere with April Rhodes and Sunshine Dean

Session 19 - Best Practices in Providing Gender Affirming Care - Building a Partnership Between Family, Individual, and Treating Professionals in Outpatient and Residential Settings with Janelle Westfall, Michelle Marvin, and Micah Tu

Session 20 Public Defender/ Legal Defender Co-Location Project with Heidi Eccleston

Session 21 Statewide Child Sex Trafficking Collaborative: the Protocol for the Treatment of Trafficked Youth with Sara Way and Amber Divens

Session 22 Engagement and Retention of Clients with Opioid Use Disorder at a Federally Qualified Health Center during COVID-19 using Culturally Relevant Programming and Technology with Brenda Granillo and Josephine D. Korchmaros

socialwork.asu.edu/si23

Networks and Pathways

Struggling with Opioids? There is hope. Visit our booth to learn more.

AGENDA

Thursday, July 14 8:00 AM - Pre-conference hall opens; continental breakfast served Humphreys 9:00 AM

10:45 AM

Fremont

Abineau

Doyle

Session 23 Motivational Interviewing in Integrated Care Settings with Jeremiah Kaplan

Session 24 Creating Culturally Safe Spaces for Indigenous Populations with Turquoise Skye Devereaux and Chris Sharp

Session 25 - Supporting Opioid Dependent Pregnancies Through Collective Impact, Hushabye Nursery with Michael White

Session 26 Resilience and Autism Spectrum Disorder: Building Support through Collaborative Treatment with Michele Bishop and Janelle Westfall

Session 27 Increasing Access and Equity in Mental Healthcare with Value-Based Care Models and the MIND Method with Jeff Spight

Session 28 Supporting child survivors of family violence: Interdisciplinary best practices to promote healing, safety, and justice with Bianca Harper and Francisco Garcia

Session 29 Integrating Medications for Opioid Use Disorder Services within Primary Care and Transitioning to an OfficeBased Addictions Treatment Program: Best Practices and Lessons Learned with Brenda Granillo and Josephine D. Korchmaros

Session 11 Better Behavioral Healthcare Through College of Wellness with Kristin Damron and Jason Eng

Rees Session 31 Groups May Be the Answer!: How both professionals and paraprofessionals can use EMDR -based group tools to help different populations with affect regulation and grounding (Part 1 and 2) with Michelle Gottlieb and Deborah Silveria

Lunch hour + Afternoon Break | Take a break, enjoy Flagstaff! The Peaks Ballroom + Pre-Conference Hall 4:30 PM

Awards Gala "Red Carpet" Reception

5:30 PM

Aizona Behavioral Health Awards Dinner and Ceremony with remarks by Cynthia Lietz, Dean of ASU’s Watts College

Visit socialwork.asu.edu/bhawards

Read about the honorees, reserve your seat and select your meal preference. Thank you for attending the Summer Institute. Visit socialwork.asu.edu/si23 for evaluation links!

socialwork.asu.edu/si23

Networks and Pathways

Networks

and Pathways

All about the Arizona Health Care Cost Containment System by Dana Flannery

Major efforts in 2022 include:

The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid program, currently serves 2.4 million Arizonans, an almost 29 percent increase since the declaration of the COVID-19 pandemic in March 2020.

• Leveraging opportunities to directly assist providers and members through the American Rescue Plan (ARP), ensuring money was directly distributed to a decreasing direct care workforce;

While addressing the pandemic and assisting members, families, providers, and stakeholders through pandemic-related flexibilities to ensure ongoing care, AHCCCS also continued its efforts to enhance Arizona’s nationally recognized behavioral health and crisis system.

Summer Institute

• Developing and negotiating the five-year, 1115 Waiver demonstration;

• Beginning the plans for a new transitional housing facility and co-located clinic in Phoenix, and continuing other system enhancements; • Planning RBHA contract expansion on Oct. 1, 2022, and supporting a workforce that is now 74 percent full-time remote.

Stakeholder input has been critical to every move AHCCCS has made; AHCCCS relies on your feedback at the Summer Institute to guide our future planning and our review of actions taken during the pandemic. Furthermore, as AHCCCS plans for the end of the public health

emergency, members, families, and providers will be critical in the smooth transition to regular business processes. From understanding member eligibility to the continuation of some pandemic flexibilities, communication to our stakeholders will be critical.

About the Author Dana Flannery currently serves in two senior-level capacities for AHCCCS – Senior Policy Advisor and Assistant Director of the Division of Community Advocacy and Intergovernmental Relations (DCAIR). In her role as Senior Policy Advisor to the director, Dana serves as a conduit between the agency’s divisions and the executive team, while also acting as a source of guidance for the agency’s director, two deputy directors, and chief medical officer. In her second role as assistant director of DCAIR, Dana directs federal, state, and tribal relations, external communications, as well as member and stakeholder engagement throughout the State of Arizona. During her 18-year career in public health, with 11 of those years at the State of Arizona, Dana has led various initiatives to promote policy changes to support positive health outcomes for Arizonans. Dana’s experience served AHCCCS especially well during the COVID-19 pandemic, when she led the agency’s COVID-19 strike force team as they obtained Federal approval of programmatic changes that ensured AHCCCS members continued to receive health care services and providers maintained viability. She’s been instrumental in designing the agency’s plan for American Rescue Plan Act (ARP) funding to enhance Home and Community-Based Services for members in the Arizona Long Term Care System (ALTCS). In addition, Dana assisted in planning for Arizona’s launch of 9-8-8 and its most recent evolution to a single, statewide crisis system.

Special thanks for their continued support of the Summer Institute

Networks and Pathways

Getting help during a behavioral health crisis is getting easier. The 988 Suicide & Crisis Lifeline went live on July 16. You can call this free and confidential lifeline at anytime, 24/7, if you or someone you love is experiencing emotional distress or a suicidal crisis. Just dial 988 to talk to a trained counselor. And, starting on Oct. 1, Arizona is launching a single, statewide behavioral health crisis line. Until then, you can call one of the existing Arizona behavioral health crisis lines. If you’re experiencing a behavioral health crisis anywhere in Arizona, you can reach out 24 hours a day, 7 days a week to talk with a trained crisis intervention specialist. The call is confidential and there’s no cost to you. • Central Arizona Behavioral Health Crisis Line: 1-800-631-1314 • Northern Arizona: 1-877-756-4090 • Southern Arizona Behavioral Health Crisis Line: 1-866-495-6735 • Gila River and Ak-Chin Indian Communities: 1-800-259-3449 • Salt River Pima Maricopa Indian Community: 1-855-331-6432 Help is always available. You are not alone.

Because we care. www.MercyCareAZ.org Contract services are funded under contract with the State of Arizona.

Networks

and Pathways

Better Outcomes and Increased Reimbursement Using the HIE by Nancy Whitt, FACMPE

Director Health IT Solutions, Contexture

The Health Information Exchange (HIE) is much more than a second medical record. Not only does it contain clinical information not found in your medical record or delivered by your clinical staff, but it can also be the gateway to improved care coordination, better outcomes, enhanced measurement performance and increased patient safety, as well as heightened client and provider satisfaction. A value-based practice culture and population health efforts driven by workflows are the pathways to these improvements.

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PRACTICE CULTURE

Data can also be aligned with the following:

Do you consider your organization to be valuebased/data-driven? Healthcare providers are being moved toward data-driven care more than ever. To improve outcomes and increase reimbursement, using data effectively and efficiently is very important. An overall valuebased, data-driven culture can drive your team towards these improvements.

•

Value-based Measures

•

Managed Care Contract measures (Medicare, Medicaid, commercial)

•

Bundled payment arrangements

•

Merit-based Incentive Payment System (MIPS)

•

Value-based, data-driven healthcare practices have the following attributes:

•

Targeted Investment Program

•

Proactive, not reactive. They focus on prevention instead of solely sick care.

•

Quality Initiatives

•

The Joint Commission, CARF or other certifying body quality measures

•

Internal quality program goals

•

Use workflows to ensure that no steps are missed.

•

Use team-based care with everyone working at the top of their license.

•

Focus on improving results through realtime data gathering and applying clinical workflows.

•

Invest in and use the latest technology, leveraging alert and report services to improve outcomes.

Focus on data gathering and measurement and evaluate that data to ensure improvements are achieved and sustained

POPULATION HEALTH The HIE contains the clinical information and tools to assist with data management. However, healthcare organizations must first determine what their clinical and business goals are and what they are attempting to improve to decide what to track, act on and measure.

DATA STRATEGY Choose data wisely. Too much data can lead to data fatigue and will ultimately be ignored. Choose data that aligns with what’s important to you and your patients. And only choose data that can be measured, is actionable and will make an impact. Organizations can select data and measures based on their mission and goals, payer priorities, internal quality programs or other factors of importance.

WORKFLOWS Once you determine what data you need to focus on, you must develop data management workflows. Workflows are essential to turn data into clinical action. They are set series of steps that accomplish a task or the movement of work within a task. Workflows enable your team to work more efficiently and with less frustration, reducing the time between receiving data and putting that data into action.

HEALTH CURRENT/CONTEXTURE GUIDES FOR THE ENHANCED USE OF THE HIE Behavioral health practices as well as integrated clinics are extremely busy organizations and often do not have the size or staff to formulate plans to increase efficiency, improve client and patient outcomes or improve reimbursement through value-based contracts. Seeing this need, Health Current/Contexture has developed cost free guides that serve as roadmaps to better clinical and financial success using HIE services. Access these guides at: Healthcurrent.org/YourHIE.

Join Nancy Whitt, FACMPE, Director Health IT Solutions, Contexture on Thursday, July 14th from 10:45am to 12:15pm for an interactive session on using the HIE to improve outcomes and practice efficiency.

Networks and Pathways

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Health Choice is proud to support this year’s Summer Institute for Behavioral Health Conference.

THANK YOU HealthChoiceAZ.com

1043768-22

For connecting behavioral health providers with education and resources to better serve the diverse and underrepresented members of the community.

2022 Arizona Behavioral Health Awards

Please join us Thursday, July 14th at the High Country Conference Center for the Behavioral Health Awards Gala. (Unfortunately, the goats will not be attending.)

Summer Institute

Dr. Joanne Cacciatore Legacy Award

The Legacy Award recognizes the career of a behavioral health leader. Dr. Joanne Cacciatore founded the Selah Carefarm, a restorative community for traumatic grief, where people from around the world come to find support and respite in nature and with some of the forty plus rescued animals that reside on the farm. She also founded the international NGO, The Miss Foundation, in 1996 and has volunteered for the organizations since. Joanne is also the author of the award-winning book, Bearing the Unbearable: Love, loss, and the heartbreaking path of grief. Joanne is very generous with her knowledge and expertise. She often provides cost-free training to non-profit groups on grief and trauma.

Networks and Pathways

As the premier statewide trade association for Health and Human Service Organizations, we do the following: Provide legislative and administrative advocacy for our member agencies Partner with all state agencies to promote a comprehensive continuum of care for target populations Act as the collective voice for members to influence local, state, and federal public policy decisions Track and analyze legislation (state and federal) that impacts the human service delivery system Share information to help members become more effective advocates for those they serve Provide resources, support and mentoring for our members based on their individual and collective needs Contact Shannon Higgins at shiggins@azcouncil.com for more information about joining the AZ Council

azcouncil.com

Dr. Bob Bohanske

Southwest Behavioral & Health Services

Legacy Award This year, we are awarding a Legacy Award to posthumously recognize the life and career of a behavioral health leader. Dr. Bob Bohanske, better known as “Dr. Bob,” served for 25 years as Chief of Clinical Services/Clinical Training at Southwest Behavioral & Health Services. Throughout those 25 years, Dr. Bob was instrumental in evoking system change throughout Arizona, he was focused on quality over quantity, and he truly cared about our

staff and clients. He served at the forefront of his profession, advocating for and with others on the important issues impacting the field of psychology. Dr. Bob’s commitment to ensure voice and choice to members served was evident in every facet of his work. He touched the hearts of so many professionals working throughout the behavioral health system not only in Arizona but across the world. His legacy will be carried forward as we continue to raise the bar in providing quality services to all people.

Networks and Pathways

Senator Rebecca Rios Legislative Leadership 38

Summer Institute

The Legislative Leadership award recognizes an elected official who has helped strengthen allocation for behavioral health services. Since 1995 Senator Rios has been advocating for the best interests of all Arizonans through her roles in the Arizona House of Representatives and the State Senate, where she has held positions as the Minority Leader and Minority Whip in both. As a Social Worker, and someone who comes from a family tradition of service and servant leadership, Senator Rios has maintained an open-door policy, welcoming feedback, and ideas from everyone, not just those who reside in her district. She has been a champion for both Child Welfare and Behavioral Health initiatives and her ability maintain strong relationships with constituents and colleagues has been key to her success as a public figure.

Suzanne Legander Stand Together and Recover (STAR)

Peer Leadership Suzanne is an amazing advocate and innovative leader who has working on our behavioral health system for more than 20 years in multiple roles. She currently is the CEO of S.T.A.R. (Stand Together and Recover Centers) and transformed the services at this PRO by expanding to multiple locations, integrating primary care services, counseling, created a hospital discharge program (that has amazing outcomes and is saving lives) and so much more. Suzanne ensures that S.T.A.R.'s services and programs address the needs of the whole person health including behavioral and physical health, substance use, employment, social connections, and many other social determinants of health. Suzanne uses her personal and professional experiences and expertise to reduce stigma and improve the lives of individuals with mental health and substance use challenges so they can reach their full potential.

Networks and Pathways

Devereux is proud to be a 2022 QUARTZ Sponsor!

Devereux Advanced Behavioral Health Arizona changes lives by unlocking and nurturing human potential for individuals living with emotional, behavioral or cognitive diﬀerences.

Programs and Services

With oﬃces in Phoenix and Tucson, we serve Maricopa and Pima counties with our vast array of programs and services, which include: • • • • • • • •

Adolescent Integrated Clinic Assessment and Intervention ABA and Autism Short-term Intensive Stablization Outpatient Counseling Residential Treatment Respite Therapeutic Foster Care (Children and SMI Adults)

The Devereux Diﬀerence • Specialized services to meet community need such as DBT, TAY, CSEC, LGBTQ expanded services, and more • Comprehensive Assessment, Diagnostics and Measurement to support data-driven care • Evidence-based Treatment and Special Education • Transition and Independent Life Services • Family Education and Professional Training • Research and Innovation to advance the ﬁeld • Culture of Diversity, Equity and Inclusion

Join Our Team! If you’re looking for a job you’ll love, look no further! Devereux is hiring! We have open positions in Phoenix and Tucson as well as numerous internship opportunities. We serve a diverse population, which is also reﬂected in the diversity of our staﬀ. For a full listing of open positions, visit: jobs.devereux.org

Questions? Contact Us!

DevereuxAZ.org

MacArthur E. Lucio Cultural Heritage

The Cultural Heritage Award recognizes an individual or agency that has brought cultural distinction to the behavioral health field. LCDR MacArthur Lucio has provided emergency response services as a Licensed Clinical Social Worker with the Phoenix Area Indian Health Service, and has brought the highest levels of service to boarding schools, local schools, local Child Protection teams, and more. His guidance and persistence on site visits, ongoing calls and meetings, and more importantly direct engagement in the enforcement of codes and laws ensure the protection of Native children across the Southwest.

The Leadership in Services Award recognizes an individual who has excelled in the provision of behavioral health services Jamie Valderrama is passionate about providing tools for responsive living via mindful practices and uses her extensive background in education to successfully integrate that knowledge within her courses.

Jamie Valderrama

Additionally, Jamie conducts keynotes and workshops nationally and internationally on the personal and professional benefits of mindfulness. She is a leader in preparing behavioral health providers with the necessary skills for ethical and professional practice and we congratulate her for her outstanding efforts and accomplishments.

Leadership in Services

Networks and Pathways

Brandie Reiner

Leadership in Advocacy The Leadership in Advocacy Award recognizes an individual who has championed policies that enhance behavioral health services in Arizona.

health, access to care, supporting LGBTQIA+ individuals and access to voting.

Brandie Reiner is the Executive Director of NASW AZ Chapter. Ms, Reiner has championed policies that enhance behavioral services in Arizona as demonstrated by providing testimony in AZ House Committee against SB 1138 Prohibition of gender transition for minors. Ms. Reiner has also provided guidance and statements on several other policy issues relating to mental

She continues to work with national and state legislators on issues related to workplace safety, immigration, police reform, tele-health services, and behavioral health licensure for title protection. Her leadership in advocacy efforts promoting fair, equitable and inclusive behavioral health services for Arizonans is exemplary.

Ms. Reiner partners with the School Social Workers of Arizona (SSWAAZ) on advocacy efforts related to school social workers and the AZ Department of Education, successfully blocked SB 1189, a bill that only included funding for school counselors, excluding social workers.

Networks and Pathways

WE BELIEVE IN MAKING A DIFFERENCE IN EVERY WAY WE CAN

Let’s Work Together Solari Crisis & Human Services partners with communities to improve public access to local services and resources.

Each year, we help nearly 500,000 individuals through our Crisis Line

If you run a crisis center or human services program and want to explore ways to partner on specific projects, or just want to learn more about our services and expertise, we want to help.

and Warm Line services:

Both are confidential and open to anyone who needs help.

24|7 Crisis Line:

800.631.114 24|7 Peer Support Warm Line:

602.347.1100

Visit solari-inc.org for more information

Get the care you need, close to home. Lean on Molina Obtén el cuidado que necesitas, cerca de casa. Apóyate en Molina.

MCCofaz.com

(800) 424-5891

Molina Complete Care

Providing quality behavior health care to people receiving government assistance

Our programs are:        

Community based Promote recovery and wellness Flexible and individualized Evidence-based and outcomes driven Supported by technology Comprehensive, collaborative, multidisciplinary teams Coordinated with system partners Trauma informed

Our services include:           

Assessment and Evaluation Case Management Individual, Group and Family Therapy 24/7 Crisis Support Saturday appointments Psychiatric Services Summer Programs Skills Development Substance Use Treatment Parenting/Family Support Foster Care/Respite

Our locations:  1161 N El Dorado, Ste. 103, Tucson AZ 85715 520-748-7108  3295 W Ina Road, Ste. 150, Tucson, AZ 85741 520-744-4376  3818 W 16th Street, Yuma, AZ 85364 928-317-0177

Networks

and Pathways

Justice Clinics

Helping individuals serving probation find a path to success by Ray Young, LPC It has been called a “re-entry crisis.” Each year, tens of thousands of individuals are released from prison to face a new reality: life after incarceration. As they begin the transition back into society, they do so with trepidation and frustration, navigating where they will live, how they will eat and what they will do to make ends meet. But something most of them don’t think about is the status of their health. This comes despite the fact that a large percentage of them have physical and behavioral health challenges. Such is the case at Maricopa County’s Black Canyon Adult Probation Center, where about

57% of the approximately 3,200 individuals on probation have identified needs for mental health and substance abuse services, according to data from the county’s Adult Probation Department.

Networks and Pathways

Terros Health, a non-profit organization that has been helping Arizonans facing mental and physical health challenges on their recovery journeys for more than 50 years, believed there was an opportunity to give these individuals a fresh start while reducing the recidivism rate. The idea: team up with Maricopa County Adult Probation and the Arizona Health Care Cost Containment System (AHCCCS) to expand integrated care to justice clinics in high-needs areas. Together, the three partners launched a first-of-its-kind program that serves adults on probation, a historically underserved population that has experienced inequities in health coverage and care while experiencing significant health care needs. Merging justice and health care in this way is a game-changer because it enables the partners to open new doors for individuals serving on probation, particularly when it comes to the treatment of substance abuse. Since the program’s inception, more than 6,000 individuals have been served at four co-located centers in Phoenix and Mesa. The program is funded by a grant from the Arizona Health Care Cost Containment System’s Targeted Investments Program. AHCCCS established the program in 2017 to incentivize eligible providers that meet specific benchmarks for integrating and coordinating physical and behavioral care for Medicare beneficiaries.

Staffing is an important consideration: Each colocated health center is run by a Terros Health nurse practitioner and registered nurse case manager who are specially trained in working with the probation population, along with two counselors, a peer community health worker and a project manager. Before receiving services, patients undergo a comprehensive physical and mental health examination that includes BMI, heart function, diabetes, anxiety and depression screenings. Results from the screenings, along with an evaluation of their social determinants of health, inform a customized treatment plan. Terros Health has a long-standing partnership with Maricopa County Adult Probation and extensive experience working with the justice system to expand treatment, community education and prevention efforts through its Maverick House residential substance use treatment center and Bridging the Gap Offender Re-Entry program. But this program is different because it enables Terros Health to coordinate patients’ physical and mental health needs under one roof. “We want these individuals to feel welcome and know that we value their health and wellbeing,” said Dr. Karen Tepper, Terros Health’s president and CEO. Ultimately, Tepper said, “the goal is to help these patients rebuild their lives.” For more information, visit terroshealth.org/tip

About the Author Ray Young, LPC., is an Arizona Licensed Professional Counselor and Arizona Board of Behavioral Health (AZBBHE) approved Clinical Supervisor. He currently serves as an Integrated Care Site Director, overseeing the operations of Terros Health 27th Ave Integrated Health Clinic, as well as the Program Sponsor for Terros Health’s Targeted Investments Program. He served as President of the Arizona Counselor’s Association in 2019. In 2020, he was recognized by the Phoenix Business Journal as a Health Care Hero. Ray continues his passion in his field by working with his teams to promote and provide integrated health services for all.

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Primary Care

Well Visits, Preventative Care, Sick Visits, Chronic Disease Management, Specialist Referral and Coordination

Patient Centered Personalized Care

Substance Use Care

Mental Health Care

Counseling, Psychiatric Services, Medication Management, Peer Support, Specialize in Serious Mental Illness Care

GNIZ

NCQA

Counseling, Intensive Outpatient Groups, Medication Assisted Treatment, Substance Use Residential, Sober Living.

PATIENT-CENTERED MEDICAL HOME

2020

Networks and Pathways

Our Ancestors Knew Healing the dysregulation of historical trauma by Iya Affo, Tribal Chief Founder of Heal Historical Trauma

Summer Institute

Networks

and Pathways

Standing on top of Ogun Mountain, in the Sacred City of 41 Mountains, West Africa, I knew my life would forever change. The women from the royal house danced for me. The men drummed me into a trance. They called me by my African name as they welcomed me home. On the soil of my ancestors, the healing began. I am a black woman born in the 1970’s. Nine generations ago, my ancestors were on the continent of Africa inhabiting the Kingdom of Dahomey. We were thriving. Unbeknownst to most, we were highly intelligent, hard-working people who enjoyed economic security, and a deeply spiritual way of life. And then the Trans-Atlantic Slave Trade gripped West Africa. The initial agreement between our people and Europeans was for indentured servitude in exchange for weapons. We were promised to be returned to our homeland after 7 years of service. Once human trafficking proved to be profitable, we became the enslaved. Word traveled back to the homeland about the horrors of the New World. We learned not to trust outsiders.

distinguish the smell of our tribal people versus Europeans. I’m certain they could sense danger. They must have always been at the ready for the fight of their life and primed to run. As a people, we became hypervigilant. Our DNA interacts with the environment and the epigenome adapts for survival. The genetic code does not change, but the expression of our DNA can change. Epigenetic adaptation results in behavioral changes, changes in cognitive ability and in decision making. Life threatening danger is the reason we were equipped with our stress response system. In survival, with our brain stems engaged we lived in fight or flight mode.

Epigenetic adaptation results in behavioral changes, changes in cognitive ability and in decision making.

I imagine my Dahomean mothers and fathers desperate to survive and therefore adapting to the new threats. I bet my ancestors could

The history of our people is filled with adversity. We were captured on the Motherland, watched while some of our brothers and sisters refused to board the ships and drowned themselves in defiance. We were sold on the auction block and ripped away from our parents and children. We lived in constant fear. We endured heinous physical and psychological torture. Trauma is cumulative over time, multigenerational and is linked to multiple negative outcomes. During the Civil Rights Movement, our homes were torched, our peaceful demonstrations were met with tear gas and high pressured water hoses. Our

Networks and Pathways

grandmothers were trampled in the street. Our mothers raped. Our men were often the strange fruit hanging from the trees. Trauma manifests as neurological dysregulation which in the case of historical trauma can be expressed as: depression, self-destructive behavior, substance use disorder, identification with ancestral pain, fixation to trauma, somatic symptoms, anxiety, guilt, and chronic bereavement in the descendants. Epigenetics teaches us that trauma can be passed from one generation to the next for potentially fourteen generations. Since 2015, police officers have fatally shot at least 135 unarmed Black men and women nationwide. Like their ancestors, my sons must be hypervigilant. They carry the burden of trauma from those that came before in addition to the world in which we live. Intergenerational trauma, microaggressions, and bias impact resilience. The day to day stressors created by structural racism decrease a person’s window of tolerance. Without the right tools, it’s difficult to maintain neurological regulation when we are wired for survival and feel threatened. When a person has primitive behavior it is because they are reacting from the most primitive part of the brain (brain stem). This is not a measure of civility or intelligence. It is the reality of having a prolonged response to stress.

The COVID-19 worldwide pandemic is an excellent example of collective trauma. Regardless of whether we have been directly impacted by COVID, we are affected as members of the collective known as human beings. Many Black people in America have essential jobs. In our communities, we struggled with trusting information around the virus, we were afraid to lose jobs, afraid to become sick, afraid to get our families sick, afraid to wear PPE, and angry when we were forced to be exposed to illness. Our window of tolerance was significantly decreased. And then the world watched Derek Chauvin’s knee on George Floyd’s neck. We fell out of the window and set the world on fire. Like trauma, healing and benevolence can be passed from one generation to the next. When we restore cultural identity and live with a regulated stress response, we all have the opportunity for self-realization and a full expression of resilience even in the face of adversity. You can join Iya on July 13th in the Fremont room from 1:15pm - 2:45pm to discover how the collision of COVID-19 and the murder of George Floyd created space for healing within the African American community, and how intergenerational trauma impacts neurobiology. Most importantly, explore how to ignite healing for the next fourteen generations.

About the Author Iya Affo is a Culturalist and Historical Trauma Specialist. She earned Western certification as a Trauma Specialist and is a descendant of a long line of traditional healers from Bénin, West Africa. Iya is the founder of Heal Historical Trauma Culture & Indigenous Wellness Academy, serves as an Executive Board Member for the Arizona ACEs Consortium, is an Adjunct Faculty member at the Arizona Trauma Institute, and the founder of the Phoenix Rising in Resilience blog on the Paces Connection platform. She has visited more than 30 countries; living in Jewish, Buddhist, Hindu, Taoist, Native American, and Yoruba communities, embracing aspects from each culture for personal evolution. She strives to transcend tolerance through cultivating love and respect in hopes of facilitating the decolonization and subsequent healing of people from all over the world. Through teaching about the importance of culture & neurobiology, Iya advocates for the harmonization of Traditional and Western Medicine for true holistic healing.

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Yoga Therapy Bringing the body into mental health care

Anne-Laure Peaucelle, MEng, C-IAYT With more and more research and studies focusing on the connection between body and mind and the impact of trauma on the body, we are starting to understand better how a holistic approach may be more effective for mental health care. The Western medical approach often compartmentalizes the different aspects of our health and of our lives. We treat the body with the body and the mind with the mind. However, the work of Peter Levine and Bessel van der Kolk sheds light on the different ways in which experiences of trauma live in the body and express themselves through the body and the nervous system. When trauma is unresolved, it affects: • • • • •

our capacity to self-regulate and respond intentionally how we process intense emotions our capacity to reason and process information our sense of trust in ourselves and the world our physical body with symptoms like chronic pain, digestive issues, sleep issues etc

The yogic approach considers all aspects of who we are and yoga therapy offers practices that weaves together the physical, mental, emotional and spiritual parts of ourselves. When we have a hard time regulating our emotions and our nervous system, we all have different things that we reach for in an attempt to feel better; some of them being more effective and helpful than others.

How can yoga help? Yoga therapy practices that include movement, breath or relaxation offer ways for people to regulate themselves that have a more positive, lasting impact. Because trauma and mental health issues play out in the body, the mind and

Networks and Pathways

the nervous system, we need to use all parts of ourselves to address them. This is why yoga and other mind-body practices are particularly effective! Yoga also helps us reconnect to our felt sense, which is our awareness of how we feel in our body. Examples of the felt sense is feeling tightness in our throat when we feel scared or butterflies in our stomach when we’re excited.

3 tools to practice self-regulation Humming Bee Breath Our breath can be very useful to regulate our nervous system, and we can use practices such as Humming Bee Breath to lengthen our exhale, which can be soothing and calming. To try this breathing practice, start by breathing in and then hum as you breathe out. You can repeat this 5-10 times as feels comfortable.

Hand-sensing practice Exploring sensing your body (or interoception) is another way to practice self-regulation. A great place to start is through sensing your hands. In your own time, with your eyes open, start by bringing your palms together and rubbing them against each other. Notice the sensations in the hands. Then, as you feel ready, you might move the hands away from each other and notice sensations in your hands. You can choose to close your eyes if it’s

comfortable for you, and continue to feel the hands. If there is little sensation, it’s ok. Simply continue experimenting.

Grounding practice When we are grounded, we have the capacity to respond in more supportive ways and to self-regulate more easily. To try this grounding practice, you can start standing or seated. Feel your feet on the floor, gently pressing down into one foot at a time. If you are standing, you can experiment with bending the knees slightly, and then press into the feet to stand back up. Repeat 3-5 times as feels comfortable.

What happens during an individual yoga therapy session? First, we spend some time taking a holistic look at what you are experiencing and what your life looks like at the moment (physical and emotional symptoms, sleep, work life, personal life, etc). We then go on to create a short yoga practice designed to support you where you’re at and help you move towards what you want. This can include movement, breathing practices, relaxation techniques, meditation, journaling or self-reflection, or even reconnecting with other practices you know are supportive for you (we all forget sometimes!). In follow-up sessions, we spend time checking in and revisiting the practice as things change. No matter what, you’ll always leave with tools you can use in your daily life.

About the Author Anne-Laure Peaucelle, MEng, C-IAYT is a trauma-sensitive yoga therapist specialized in mental, behavioral and emotional health. She supports individuals in navigating anxiety, depression, burnout and trauma recovery through the lens of yoga therapy. She also works with organizations, such as behavioral health facilities who are ready to bring a holistic approach to care to their staff and patients. Her work is based on the understanding that trauma lives in the body and that trauma is often concurrent to many behavioral health issues. She uses movement, breath and other yoga practices to lessen symptoms and start reversing patterns of trauma. She can be contacted at annelaure@yogawithannelaure.com for individual yoga therapy, speaking and training facilitation.

Summer Institute

Transforming Lives One Person at a Time

To create healthier communities across the Valley. At Valleywise Health, we believe a healthy mind is just as important to your well-being as a healthy body. Our District Medical Group physicians strive to provide patients with the tools and guidance needed to achieve total mind-and-body wellness. We’re proud to partner with Arizona State University for their annual Winter Institute. With a focus on “Public Safety & Behavioral Health,” we’re not only working hard to treat our patients — we’re working to destigmatize mental and behavioral health issues, as well as increase community awareness and access to treatment across our state.

ValleywiseHealth.org | 833-VLLYWSE

SERVING THOSE WHO SERVED

Cottonwood Tucson is honored to partner with the Department of Veterans Affairs Community Care Network, TriWest, and PsychArmor as a Veteran-Ready program. Services include detox, residential, partial hospitalization, and intensive outpatient treatment for mental health and addiction for our nation’s military community.

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Psych-Educational Veteran/First Responder-specific groups: Relapse Prevention,12-Step, Post-Acute Withdrawal Symptoms, Automatic Negative Thoughts, Codependency, Trauma Response, and Feelings Awareness Trauma Release Exercises (TRE) ✦ EMDR ✦ Somatic Experiencing Therapy NARM (NeuroAffective Relational Model) ✦ Sex Addiction Individualized Therapy Acudetox ✦ Psychodrama ✦ Grief and Loss Group ✦ Process Group ✦ Fitness Groups led by Certiﬁed Trainer ✦ Naturopathic Education ✦ Wim Hof Breathing Method CBT Skills Group/Education ✦ DBT Skills Group/Education ✦ Family Education Program Equine Therapy ✦ Neurofeedback Training ✦ HeartMath ✦ 24-Hour Nursing and Psychiatric Care ✦ Psychological and Neurocognitive Testing ✦ Soundbath Healing ✦ Reiki

For more information, contact Cottonwood Tucson Admissions (520) 743- 0411 or admissions @ cottonwoodtucson.com

VAC

COMMUNITY ARE

Summer Institute

UCENT Building 411 N Central Ave, Suite 800 Phoenix, AZ 85004-0689

The 23rd Annual Summer Institute for Behavioral Health is presented in partnership with

Thank you to all the staff, volunteers and contributors who helped make this publication possible, from the Arizona State University School of Social Work. Printed locally in Phoenix, Arizona at Artcraft. © 2022