LETTER OF AGREEMENT

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					                         LETTER OF AGREEMENT

           COCHISE COUNTY COLLABORATIVE PARTNERSHIP
        REGARDING ADULTS JOINTLY SERVED BY CPSA AND AOC

Purpose:
This document serves as a basic outline to guide CPSA, SEABHS, and AOC (Cochise
County) to work in collaboration towards the ongoing development of the integration of
behavioral health services and the criminal court system. Our goal is to achieve and
maintain a unified philosophy that allows for a seamless approach in the way our
community works with adults who are jointly served by the Community Partnership of
Southern Arizona (CPSA) and the Administrative Office of the Courts (AOC).
    This agreement is consistent with the Arizona Department of Health
       Services/Division of Behavioral Health Services Practice Improvement Protocol
       #8 on Adult Clinical (Recovery) Teams and the DBHS Provider Manual section
       4.4.6-E.
    This agreement is the foundation of our collaborative decision-making process
       which supports an Adult Recovery Team approach for jointly served AOC/Court
       and behavioral health recipients.
    It is our vision that adults in the behavioral health system will have access to an
       Adult Recovery Team. This team will, at a minimum, consist of a qualified
       behavioral health representative/clinical liaison, the member, and the AOC/Court
       assigned staff and/or Court requirements. The size, scope, and/or intensity of
       involvement of the team members are determined by the acuity and intensity of
       the service needs, objectives established by the team, and the individuals that
       are needed to develop and coordinate an effective service plan.

Coordination of Treatment Planning and Services:
In Cochise County, persons who are with AOC, CPSA, and SEABHS will work in
coordination to follow a service plan with the enrolled person that incorporates
AOC/Court requirements, is clinically sound, and responsive to his/her identified needs.
The assigned behavioral health representative/clinical liaison will collaborate with the
assigned AOC/Court staff to integrate the behavioral health service plan and the
AOC/Court requirements. In order to demonstrate continuing support and commitment
to the implementation of collaboration efforts, AOC, CPSA, and SEABHS agree to utilize
the following guidelines:
     The Adult Recovery Teams shall be culturally competent and linguistically
         appropriate. Whenever possible, teams shall involve family members, the
         community, and other natural supports. The team shall base services upon the
         unique values, preferences, and strengths of the person.
     Adult Recovery Team decisions affecting the member will be made with the
         involvement of the AOC/Court staff and/or a legal representative, except in a
         psychiatric or legal crisis.
     Upon request by the Court or a member, SEABHS staff will attend hearings
         where decisions are made that will impact member treatment, i.e. motion to
         release, sentencing, probation revocation, Mental Health Court reviews, etc.
     Promote the utilization of the “Mental Health Court” in JP 5 in Sierra Vista.
Information Sharing:
Each agency commits to appropriately communicate information to ensure coordination
and implementation of services. CPSA and Network staff will provide the Court with
compliance reports as requested on jointly developed forms and/or verbally in Court.
AOC/Court staff will provide SEABHS staff with Court reports, conditions of probation,
and other information to support coordination of services.

Resource Sharing:
AOC/Court, CPSA, and SEABHS agree to coordinate their use of resources to the care
and support of adult members mutually served by both systems. Services are delivered
with the explicit goal of assisting members to achieve or maintain success in compliance
with Court orders, recovery, gainful employment, education, protection of the community,
self-sufficiency, and meaningful community participation. Services will be continually
evaluated and modified to most effectively meet these goals.

Arrangement for Co-location:
If there is a need for co-location in the future, AOC, CPSA, and SEABHS will discuss
possible arrangements.

Problem Solving Process:
AOC, CPSA, and SEABHS will attempt to resolve problems by utilizing the following
guidelines:

   1. Strive to resolve issues at the Adult Recovery Team level.
   2. If consensus by the team has not been reached at the Adult Recovery Team
      level, supervisors will assist in issue resolution and assist the team in being
      responsive to mandatory time frames imposed by various systems.
   3. If issues remain unresolved or concerns remain, supervisors have the option to
      involve CPSA Member Services and AOC/Court Administration.

Joint Training:
Partners shall develop training for all staff involved in the provision of behavioral health
services to persons involved with AOC and CPSA. Trainings may include the following:

        Best practices and cross training consistent with Performance Improvement
         Protocol #8 and this agreement.
        Conflict resolution
        Team facilitation
        Resources
        Mental Health 101 and Criminal Justice 101 for entry level SEABHS and AOC
         case management staff.

Summary:
Each participating agency/entity will ensure that all staff/contractors are familiar with and
adhere to these procedures in working with all jointly served adults.

This agreement will be reviewed on a yearly basis (by January 1, 2007) or more often as
needed and revised as necessary by agreement of the undersigned.
_________________________________________         _________________
NEAL CASH                                         DATE
PRESIDENT/CHIEF EXECUTIVE OFFICER
COMMUNITY PARTNERSHIP OF SOUTHERN ARIZONA




__________________________________________        _________________
THOMAS E. COLLINS                                 DATE
PRESIDING JUDGE
COCHISE COUNTY SUPERIOR COURT




__________________________________________        _________________
KAREN FERRARA                                     DATE
COURT ADMINISTRATOR
COCHISE COUNTY




__________________________________________        _________________
LIVINGSTON SUTRO                                  DATE
CHIEF ADULT PROBATION OFFICER
COCHISE COUNTY



____________________________________________      _________________
DANA JOHNSON                                      DATE
CHIEF EXECUTIVE OFFICER
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES




___________________________________________       _________________
DAN BARDEN                                        DATE
ADULT CLINICAL DIRECTOR
SOUTHEASTERN ARIZONA BEHAVIORAL HEALTH SERVICES

				
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