Steward Health Choice Arizona’s Children’s Services staff operate with a team approach to develop, implement, monitor and manage services and programs for behavioral healthcare needs of children enrolled in SHCA’s system.
You can contact our Children’s Liaison 24 hours a day, 7 days a week at 928-214-2370 for further assistance.
Steward Health Choice Arizona’s Children’s Services staff uses a team approach to develop and enhance programming that helps pave the way toward children and families experiencing the Arizona Vision and Twelve Principles:
- Collaboration with the child and family
Collaboration with the child and family is essential. Parents and children are treated as partners in all stages of service delivery.
- Functional outcomes
Behavioral health services are designed and implemented to aid children to be successful in school, live with their families, avoid delinquency and become stable and productive adults.
- Collaboration with others
Children with multi-system involvement will have a jointly established child/family centered service plan.
- Accessible services
Children will have access to a wide array of behavioral health services, which will be adapted or created when not available.
- Best practices: Behavioral health services are provided according to best practices and are continually evaluated and modified to achieve desired outcomes.
- Most appropriate setting
Children are provided services in their home and community to the extent possible.
Children identified as needing behavioral health services are assessed and served promptly.
- Services tailored to the child and family
Services are tailored to the child and family with their unique strengths and needs driving the service array provided.
Behavioral health services strive to minimize multiple placements and prevent crisis situations.
- Respect for the child and family’s unique cultural heritage
Behavioral health services are provided in a manner that respects the cultural tradition of the child and family.
Behavioral health services include support and training for both parents and children to gain independence.
- Connection to natural supports
Natural supports will be used from the family’s own community network including friends, neighbors, and organizations.
What is ASD?
Autism Spectrum Disorder (ASD) is a developmental disability that can cause social, communication and behavioral challenges. People with ASD may communicate, interact, behave and learn in different ways than other people. People with ASD can range from gifted to severely challenged given their learning, thinking and problem-solving abilities. This is also seen in a person with ASD’s ability in their daily lives; some need a lot of help and others need less.
Source: CDC https://www.cdc.gov/ncbddd/autism/facts.html
Autism Spectrum Disorder Evaluation
If your child is showing signs of autism, you may talk to your doctor or Child and Family Team (CFT), about an Autism Spectrum Disorder Evaluation. The evaluator will start a survey where you will be asked to answer questions about your child. Some surveys that may be used are:
- The Autism Diagnostic Observation Schedule – Second (ADOS-2) with interview
If the evaluator sees signs of ASD from your child’s evaluation, they may send you to a specialized doctor. View our list of ASD providers:
With your permission, your doctor or team will send the results to the Arizona’s Department of Economic Security (DES) to see if your child qualifies for special services. DES has two programs that can support you and your child. The programs include:
- The Division of Developmental Disabilities (DDD)
- The Arizona’s Early Intervention Program (AzEIP) (for children under years-old)
Both programs may provide services to improve your child’s health. Services include:
- Physical therapy
- Occupational therapy
- Speech therapy
- Community resources
Behavioral Health Best Practices
Behavioral health best practices refers to evidence-based treatments and interventions that are proven to have the best results. Some practices that may benefit your child include:
- Applied Behavioral Analysis
- Focuses (Functional Behavioral Assessment)
- Family/Individual skills training and generalization
Should I still see my Doctor?
You may continue to see your doctor. Your doctor can provide your child with many services to improve their health. Some services include:
- Speech therapy
- Occupational therapy
- Physical therapy
- Medication support (if needed)
Your doctor should also talk with your behavioral health provider. Your behavioral health provider can offer your child more services to improve their growth. Some services include:
- Case management
- Medication support (if needed)
- Support services
- Individual therapy
- Family therapy
- Early childhood intervention
- Crisis services
If you have any questions, you may contact our member services team at 1-800-322-8670.
Have you heard about Project ECHO?
Project ECHO is a great resource. You can visit their website at : https://thompsoncenter.missouri.edu/autism-training/echo-autism/. Project ECHO also has tool kits to help you connect to care. The tool kits include:
- Diagnostic Resources
- Behavioral Resources
- Medical Condition Resources
- Family Support Resources
- Educational Resources
- Ability 360
- AHCCCS Autism Resources
- Autism Society of America (Arizona Chapters)
- Autism Speaks
- Arizona Autism Coalition
- Arizona Board of Psychologist Examiners – Licensed Behavioral Analyst
- Behavioral Analyst Certification Board (BACB)
- Community Provider of Enrichment Services (CPES)
- Epilepsy Foundation of Arizona
- Kaibab Behavioral Services
- Intermountain Centers for Human Development
- Feeding Matters
- National Autism Center
- National Center on Caregiving at Family Caregiver Alliance (FCA)
- Positive Behavioral Interventions & Supports (PBIS)
- Project ECHO
- Raising Special Kids
What is First Episode Psychosis?
The term, “psychosis” refers to hallucinations or unusual thoughts, behaviors or emotions. Psychosis or schizophrenia is a symptom of a mental illness. If this is your first time having these symptoms, this is called a “first episode.”
Some Things to Know About Psychosis:
- Schizophrenia and psychosis usually develop between the ages 15-25
- On average, people have symptoms for over a year before getting help
- Young adults with schizophrenia or psychosis have a high risk of suicide
- The greatest risk of suicide is within the first five years of onset of psychosis symptoms
- Schizophrenia and psychosis are treatable
What Are the Symptoms?
It can be hard to tell when someone begins to experience psychosis. Psychosis may occur in different events. You may have times where things are normal, and then periods of times when thoughts, feelings and views are disturbed. Common symptoms are:
- Hearing or seeing things that others don’t
- Having beliefs or thoughts that are unusual or bizarre
- Unusual behaviors
- Feelings of being watched
- Changes in personality
- Changes in personal hygiene
- Problems sleeping
- Distancing yourself from others
- Trouble thinking
What Can You Do To Help?
Families and friends are often the first to see signs of psychosis. Psychosis is treatable. It is important to seek help early. Early treatment can help slow down or stop the symptoms of psychosis and improve recovery. Research has found early treatment improves quality of life and increases successes in work and school.
If you have experienced the symptoms of psychosis, we can help. You can call our Member Services at 1-800-640-2123. Your Health Home can also help.Some Health Homes offer the Fast Forward Program for first episode psychosis. This program is designed to help young adults who have had an episode of psychosis within the last two years.
Health Homes offering these programs are:
- The Guidance Center
- Mohave Mental Health Clinic
- West Yavapai Guidance Clinic
- Child and Family Support Services
If you or a loved one is experiencing a mental health crisis, call our Crisis Line at 1-855-756-4090.
For life-threatening emergencies, please dial 911.
The Children’s System of Care Plan is developed annually between Steward Health Choice Arizona and ADHS/Division of Behavioral Health Services. The plan outlines the focus of children’s public behavioral health service initiatives for the plan year (November 1st through October 31st). A regional forum is hosted by Steward Health Choice Arizona and ADHS each year to give an overview of goal areas and obtain initial feedback on planning.
Steward Health Choice Arizona’s plan focuses on the following areas:
- Transition to Adult Programming
- Child and Family Team Practice Improvement
- Partnerships with Youth and Families
- Expansion of Support and Rehabilitation Services
- Development of Dedicated Case Management Services for High-Need Children
- Adolescent Substance Abuse Program Development
- Reducing Use of Congregate (facility-based) Care
- Home Care Training to the Home Care Client
- Collaboration with community partners
- Prevention on the topics of substance and alcohol misuse, bullying, and underage drinking, targeted to vulnerable populations such as LGBTQ, homeless, youth in recovery, victims of domestic violence.
At Steward Health Choice Arizona we want to provide foster families support through the many trainings we offer. These trainings are open to the public and are at no cost to the attendees.
The inception of Child and Family Team practice in northern Arizona since 2001 represents a major change in our state’s philosophy for serving children with serious emotional disturbances. Rather than children being funneled into standard treatment plans, individualized service plans are developed in partnership with the child and family to fit their unique cultures and circumstances.
The Child and Family Team (CFT) is a group of people that includes, at a minimum, the child and family, any foster parents, a behavioral health representative, and any individuals important in the child’s life and who are identified and invited to participate by the child and family. In the case of children who may be legally dependent or delinquent, the custodial agency shares selection of team membership with the child and family. This may include, for example, teachers, extended family members, friends, family advocates, healthcare providers, coaches, community resource providers, representatives from faith-based communities, agents from other state service systems, etc.
The size, scope, and intensity of involvement of the team members are determined by the objectives established for the child and the needs of the family in providing for the child and can therefore expand and contract as necessary to be successful on behalf of the child.
For children in the care and custody of the state, Arizona has seen an increasing need in recent years for foster care programs that can serve children who require specialized clinical and supportive interventions.
In 1989 the regional ADES/CPS District III first recognized this need in rural northern Arizona and initiated a Professional Family Foster Care program. Steward Health Choice Arizona joined this innovative program to provide Medicaid funding and substantial clinical and other supports, thereby rapidly expanding capacity in this new partnership.
Now known as Home Care Training to the Home Care Client (HCTC), this evidence-based practice promises many children a chance to experience and practice the intimacy of family connections related to longer-term positive stability and permanency. These children might otherwise have been placed away from their communities, including in out-of-state and more restrictive institutional settings. Over the past few years, Steward Health Choice Arizona has had very few children placed out-of-state and is committed to continuing to develop local treatment resources.
Steward Health Choice Arizona continues to contract with foster care licensing agencies throughout the region to expand this program.
As part of the Governor’s Department of Child Safety (DCS) Reform Process, DBHS requires DCS to refer children removed from their homes to behavioral health services within 72 hours after entering its care and custody. The purpose is to:
- Identify immediate behavioral health needs and presenting problems of children removed from their homes, to stabilize crises, enroll the child in the behavioral health system and offer the immediate services and supports each given child may need.
- Provide direct (therapeutic) support to each child removed from their home as appropriate, intending to reduce stress or anxiety and address any trauma the child may be experiencing
- Provide direct support to each child’s new caregiver as appropriate, including guidance about how to respond to the child’s immediate behavioral health needs
- Are you a foster parent looking for more information about your child’s behaviors or diagnosis? Check out Facts for Families.
- Identify a point of contact within the behavioral health system. A current list of designated RBHA DCS contacts for behavioral health can be found here. You can also find contact information for DCS here.
- Initiate the development of a Child and Family Team process
- Provide the DCS Specialist with findings and recommendations, related to the behavioral health needs of each child prior to the Preliminary Protective Hearing, if possible, not to exceed five calendar days from the referral
For an overview of mental health and substance abuse services for children in foster or adoptive care please click here.
If the child in your care is new to the system and has NOT been assessed within 72 hours or you need additional information for your child, to schedule an assessment please call: Member Services: 1-800-322-8670 or our Steward Health Choice Arizona Dedicated Foster Care Hotline: 928-293-7038.
Do you need help with alcohol and substance abuse? Steward Health Choice Arizona can help.
Youths can learn how to recover from alcohol and substance abuse through a variety of ways. Some methods of recovery include:
- Support groups
- Family and group counseling
When you seek help, you may be placed into a treatment program. These programs will help you build the skills needed to overcome addiction. Some of those programs include:
- Seven Challenges
- Matrix Model
- Adolescent Community Reinforcement Approach (A-CRA)
- Intensive Outpatient Treatment
For more information about Steward Health Choice Arizona’s youth substance abuse programs, please call our Member Services at 1-800-322-8670.