Guidance Center Inc

THE GUIDANCE CENTER DELIVERS BEHAVIORAL HEALTH SOLUTIONS.

ADULT OUTPATIENT SERVICES: TGC PROGRAMS IN OUTPATIENT SERVICES OFFER A SCOPE OF PRACTICE THAT INCLUDES: PSYCHIATRY, NURSING AND MEDICATION SERVICES, BEHAVIORAL HEALTH CRISIS, PRE-PETITION SCREENING, CARE/CASE MANAGEMENT, PEER SUPPORT, VOCATIONAL REHABILITATION, AND COUNSELING IN BOTH INDIVIDUAL AND GROUP FORMATS. THE OVERALL GOAL IS TO IMPROVE THE BEHAVIORAL HEALTH OF ADULTS WITH SERIOUS MENTAL ILLNESSES OR OTHER MENTAL AND/OR SUBSTANCE USE CONDITIONS THROUGH THE PROVISION OF HIGH-QUALITY, COST EFFECTIVE OUTPATIENT SERVICES. TREATMENT IMPLEMENTS EVIDENCE-BASED THERAPY AND SERVICE MODELS, STAFF ARE CLINICALLY SUPERVISED BY LICENSED BEHAVIORAL HEALTH PROFESSIONALS AND INTERNAL QUALITY MANAGEMENT ENSURES EXCELLENCE IN THE PROVISION OF CARE.FY2020 ACCOMPLISHMENTS: ADDED SUBSTANCE USE TREATMENT GROUPS FOR ADULTS IN "EARLY RECOVERY" WITH SUBSTANCE USE. DOUBLED PEER SUPPORT SPECIALIST STAFF (INDIVIDUALS WITH LIVED EXPERIENCE OF MENTAL ILLNESS AND/OR SUBSTANCE USE). TRAINED LICENSED THERAPISTS IN ADDITIONAL EVIDENCE-BASED THERAPY MODELS (E.G. EYE MOVEMENT DESENSITIZATION AND REPROCESSING OR EMDR FOR TRAUMA). ADDED STANDARDIZED, EVIDENCE-BASED TOOLS FOR SUICIDE RISK SCREENING AND ASSESSMENT.CHILD & FAMILY SERVICES: INTERDISCIPLINARY SERVICES OFFER FAMILIES CARE FOR THEIR YOUTH FROM BIRTH TO ADULTHOOD THAT INCLUDE: PSYCHIATRY, NURSING AND MEDICATION SERVICES, PSYCHOLOGICAL EVALUATION AND TESTING, AUTISM SCREENING, BEHAVIOR ANALYSIS SERVICES, BEHAVIORAL HEALTH CRISIS, CARE/CASE MANAGEMENT, FAMILY SUPPORT, VOCATIONAL REHABILITATION, EDUCATION AND LIFE SKILLS TRAINING AND INDIVIDUAL, FAMILY AND GROUP THERAPIES. TREATMENT IMPLEMENTS EVIDENCE-BASED THERAPY AND SERVICE MODELS, STAFF ARE CLINICALLY SUPERVISED BY LICENSED BEHAVIORAL HEALTH PROFESSIONALS AND INTERNAL QUALITY MANAGEMENT ENSURES EXCELLENCE IN THE PROVISION OF CARE.FY2020 ACCOMPLISHMENTS: ADDED TO THE ARRAY OF SERVICES: PSYCHOLOGICAL EVALUATION AND TESTING, AUTISM SCREENING AND BEHAVIOR ANALYSIS SERVICES TO ENHANCE TGC'S ABILITY TO SERVE A BROADER SET OF NEEDS AS VOICED BY OUR COMMUNITY AND AREA SCHOOL DISTRICTS. ENHANCED THE PROVISION OF SERVICES WITHIN SCHOOLS AND IN PARTNERSHIPS WITH ACADEMIC COUNSELORS AND ADMINISTRATORS. PROVIDED CRITICAL INCIDENT STRESS DEBRIEFING (CISD) SERVICES FOR SCHOOLS AND THE SCHOOL DISTRICT AT TIMES WHEN STUDENTS, FACULTY OR STAFF ENDURED A TRAGEDY (E.G. DEATH BY SUICIDE OR OTHER MEANS).CRISIS & INTAKE SERVICES: TIED TO THE STATEWIDE CRISIS LINE AND PARTNERED WITH ANOTHER PROVIDER FOR MOBILE CRISIS SERVICES, TGC'S CRISIS SERVICES IS STAFFED 24/7 WITH MASTER'S LEVEL CLINICIANS AND BACHELOR'S LEVEL CARE MANAGERS WHO HELP INDIVIDUALS STRUGGLING WITH COMPLEX ISSUES WITH AN ASSESSMENT AND DIRECT REFERRAL INTO THE CRISIS STABILIZATION UNIT (CSU) OR PSYCHIATRIC ACUTE CARE (PAC). CRISIS CLINICIANS ALSO PROVIDE ASSESSMENTS IN THE COCONINO COUNTY DETENTION FACILITY. CRISIS CLINICIANS EVALUATE INDIVIDUALS WHO MAY BE REFERRED FOR POSSIBLE INVOLUNTARY COMMITMENT SHOULD THEIR RISK LEVEL DEMAND IT AND THEY ARE NOT WILLING TO ACCEPT TREATMENT.FY2020 ACCOMPLISHMENTS: CRISIS SERVICES REMAINS FULLY AVAILABLE ON-SITE 24/7. INTAKES (INITIAL ASSESSMENTS TO START SERVICES) WERE PROVIDED ON-SITE 24/7 AND, NEW IN FY2020, BECAME AVAILABLE OVER VIDEO CONFERENCE/ZOOM. INTAKES WERE SHORTENED FROM 2.0-2.5 HOURS EACH IN FY2018 TO 1.25 HOURS IN FY2019 AND NOW RUN APPROXIMATELY 1 HOUR EACH INCLUDING COMPLETION OF INITIAL PAPERWORK AT RECEPTION. ACCESS TO CARE HAS IMPROVED AS MORE PEOPLE STAY FOR THE INTAKE PROCESS RATHER THAN LEAVING PRIOR TO ITS COMPLETION. RESPONSES FOR REQUESTS TO DETENTION NEARLY TRIPLED IN VOLUME IN FY2020 COMPARED TO ANY PREVIOUS YEAR YET RESPONSE TIME CONSISTENTLY AVERAGED 3-4 HOURS THROUGHOUT THE YEAR. SCHOOL CONTACT RELEASE OF INFORMATION CREATED SO THAT SCHOOLS COULD COMPLETE A RELEASE OF INFORMATION FOR PARENTS/GUARDIANS OF STUDENTS THAT COULD BENEFIT FROM STARTING BEHAVIORAL HEALTH SERVICES AND THIS WOULD ALLOW TGC TO OUTREACH THE FAMILY RATHER THAN DEPENDING ON THE FAMILY TO FIND TIME AND INITIATIVE TO WALK IN FOR SERVICES.CRISIS STABILIZATION UNIT (CSU): AN OUTPATIENT STABILIZATION SERVICE TO INDIVIDUALS 18 AND OVER IN A CRISIS. THE CSU HAS A CAPACITY OF 7 CHAIRS, WHERE INDIVIDUALS CAN BE ADMITTED IN ANY STATE OF CRISIS AND STAY FOR UNDER 24 HOURS, RECEIVING NURSING ASSESSMENTS, PSYCHIATRIC CHECK-IN SERVICES FOR MEDICATION BRIDGING OR INITIAL PRESCRIPTIONS, CONTINUOUS NURSING SERVICES AND CARE/CASE MANAGEMENT.FY2020 ACCOMPLISHMENTS: PSYCHIATRIC SERVICES BECAME A DAILY FUNCTION RATHER THAN AN ON-CALL/AD-HOC REQUEST FUNCTION AS HAD BEEN DONE IN FY2019. BEGAN OFFERING BUPRENORPHINE AND OTHER MEDICATION-ASSISTED TREATMENT (MAT) OPTIONS ON THE CSU FOR THOSE IN NEED OF OPIOID USE DETOXIFICATION.WILLIAMS CLINIC: AN OUTPATIENT CLINIC PROVIDING INTAKES, PSYCHIATRIC OUTPATIENT SERVICES, VOCATIONAL SERVICES, CARE MANAGEMENT AND THERAPY SERVICES TO OVER 200 INDIVIDUALS OF ALL AGES. WHILE MOST SERVICES ARE PROVIDED IN-PERSON, TELEHEALTH SERVICES WERE ENHANCED TO BETTER REACH INDIVIDUALS IN DISTANT RESIDENCES.FY2020 ACCOMPLISHMENTS: GROUP THERAPY SERVICES FOR ADULTS DOUBLED SINCE FY2019 IN NUMBER OF GROUPS AND TOTAL NUMBER OF INDIVIDUALS PARTICIPATING IN GROUP THERAPY SERVICES TRIPLED OR MORE FROM ANY PREVIOUS YEAR. DIRECT REFERRALS ARE NOW SOLICITED AND ACCEPTED FROM THE LOCAL SCHOOL DISTRICT, WHICH HAS NO ON-SITE COUNSELING RESOURCES AVAILABLE TO STUDENTS. TGC BEGAN PARTICIPATION IN TOWN IMPROVEMENT COMMITTEES WITH LOCAL OFFICIALS TO INCREASE PRESENCE IN THIS GROWING COMMUNITY.

PSYCHIATRIC ACUTE CARE UNIT: A 16-BED LEVEL I ACCREDITED PSYCHIATRIC HOSPITAL SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT FOR STABILIZATION FROM DANGER AND DYSFUNCTION. SERVICES INCLUDE TITLE 36 PRE-PETITION SCREENING/ COURT-ORDERED EVALUATIONS AND TREATMENT, PSYCHIATRIC ACUTE CARE, AND RESTRAINTS/ SECLUSIONS CAPABILITY. THE FACILITY ACCOMMODATES INDIVIDUALS WITH MANY TYPES OF DISABILITIES. THE UNIT PROVIDES HOSPITALIZATION, PSYCHIATRIC EVALUATION, MEDICATION STABILIZATION, 24-HOUR NURSING, TELEHEALTH AND EMERGENCY PSYCHIATRIC CARE WHICH INCLUDES VOLUNTARY AND INVOLUNTARY HOSPITALIZATION.FY2020 ACCOMPLISHMENTS: PEER SUPPORT WAS ENHANCED AT THE HOSPITAL SO INDIVIDUALS WITH LIVED EXPERIENCE COULD HELP HOSPITALIZED INDIVIDUALS GAIN INSIGHT INTO THEIR HEALTH CONDITIONS AND NEED TO ADHERE TO PRESCRIBED MEDICATIONS. ONGOING IMPROVEMENTS IN THE ASSESSMENT AND TREATMENT OF INVOLUNTARILY COMMITTED INDIVIDUALS CONTINUED THIS FISCAL YEAR WITH A GROWING PARTNERSHIP WITH THE COCONINO COUNTY ATTORNEY'S OFFICE. ADDED IN-UNIT EDUCATIONAL PROGRAMMING TO HELP INDIVIDUALS BETTER UNDERSTAND THEIR SYMPTOMS AND DIAGNOSES, TREATMENT NEEDS AND OPTIONS, AND LEARN MORE EFFECTIVE COPING METHODS.

THE SUBSTANCE ABUSE RESIDENTIAL RECOVERY PROGRAM (SARRP): A 16-BED, CO-ED ADULT UNIT SERVING HIGH-RISK INDIVIDUALS NEEDING INTENSIVE TREATMENT WITH RESPITE FROM THEIR LIFE IN THE COMMUNITY. SERVICES ARE PRIORITIZED TO PREGNANT WOMEN, WOMEN WITH DEPENDENT CHILDREN, INTRAVENOUS DRUG USERS AND INDIVIDUALS STRUGGLING WITH OPIOIDS. FY2020 ACCOMPLISHMENTS: PROGRAMMING HAS BEEN SUBSTANTIALLY MODIFIED THIS YEAR TO REFLECT MORE CURRENT, EVIDENCE-BASED SKILLS TRAINING AND PSYCHOTHERAPY. ALL STAFF ARE TRAINED ON THE EDUCATIONAL PROGRAMMING AND LIFE SKILLS TRAINING USED SO IT CAN BE REINFORCED THROUGH EVERY STAFF CONTACT BY A MEMBER. PARTNERSHIPS FOR EXPEDITED PROBATION, COURT AND DETENTION REFERRALS WERE DEVELOPED TO BETTER SERVE INDIVIDUALS ENCOUNTERING THE JUSTICE SYSTEM WHILE STRUGGLING WITH SUBSTANCE USE. BEGAN ENFORCEMENT OF TGC'S NON-SMOKING CAMPUS, WHICH IS PARTICULARLY DISTRESSING TO THOSE IN INITIAL OR EARLY RECOVERY WITH ADDICTION. INDIVIDUALS WERE ASSISTED THROUGH THE USE OF PRESCRIBED NICOTINE SUBSTITUTES AND MONITORED BY NURSING PROFESSIONALS. ON-UNIT PSYCHIATRIC AND NURSING SERVICES BEGAN BEING PROVIDED IN-PERSON AND VIA TELEHEALTH.