“The state of Arizona initiated a process in 2001 to substantially redesign its process of mental health and substance abuse service delivery to children and adolescents. The state already possessed a unique behavioral health infrastructure due to the combined challenges of urban and rural needs, tribal and non-tribal cultures, and linguistically diverse populations. The Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS) is the single state authority to provide coordination, planning, administration, regulation and monitoring of all facets of the state public behavioral health system. ADHS/DBHS contracts with five separate organizations, known as Regional Behavioral Health Authorities (RBHAs), and three additional organizations, known as Tribal Regional Behavioral Health Authorities (T/RBHAs), to administer behavioral health services throughout six specified geographic service areas and three Tribal service areas. These RBHAs and T/RBHAs function in a fashion similar to a managed care behavioral health carve-out, contracting with a network of service providers to deliver a full range of behavioral health care services for adults and children, including children with serious emotional disturbance.”
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