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Mental Health Intercept Map Early Intervention Early Intervention is the point when they start to go to specialized appointments. These appointments can be from a primary care physician, therapist, psychiatrist, etc. Available Resources is in between intercept 0 and 1 because it is influenced by both. Unfortunately, there are major holes in this intercept: There is a lack of mental health professionals. which can contribute to an increase in average wait times. Statistics show that Arizona has a severe lack in professionals in rural areas—Arizona is mainly rural There is a lack of knowledge as to what insurance covers in terms of behavioral health. They either not explicitly state what they cover, or it is difficult to find. To lessen these holes: Promote behavioral health insurance coverage the same as physical health Telehealth services—phone, online meeting, potential VR? Enable self-help seeking for those with potential mild symptoms to prevent worsening. Go Back Contact: Kelley Coronado 520.591.1490 Kelley@AZYP.org

Mental Health Intercept Map This page is designed to explain AZYP’s Help & Hope for YOUth’s Mental Health Intercept Model and ways it can be implemented into communities that need it. Background information Mental Health Intercept Map The Digital Toolkit (coming soon) Arizona's Rankings According to The State of Mental Health in America 2022, we are currently one of the worst ranked states in America for mental health. Our Youth is ranked 50 of 51* and our adults are ranked 42 of 51. In the past eight years, the highest Arizona ranked overall was 28th. *District of Columbia Included Sequential Intercept Map The Mental Health Intercept Model (MHIM) is adapted from the Sequential Intercept Model to focus on mental health and Implements the Mental Health Continuum. The Substance Abuse and Mental Health Services (SAMHSA) created this model to help communities find gaps and resources for those with substance use and mental disorders, and how they encounter the criminal justice system. For more information on their model, Click Here Anchor 3 The Mental Health Continuum Image of Mental Health Continuum from Delphis.org.uk The mental health continuum is a spectrum which everyone falls upon. It is something that is used to describe one’s current wellbeing and can change no a day to day or an hourly basis. If you feel like you have been in “surviving” or lower, it is encouraged to potentially seek to move through the MHIM. The continuum is categorized into five key categories. This continuum is from Delphis. For a more detailed description, Click Here It is important to understand that the descriptions are what people may feel. This is not an exhaustive list. The Model As previously mentioned, this model is meant to be adapted into our communities. With the background information out of the way, the model can be more effectively explained. Mental Health Intercept Map Based on where someone is at in the mental health continuum (and have been feeling less than thriving for the past few weeks), they may need to move forward into the model. The MHIM is made up of four intercepts: Prevention, Early Intervention, Treatment, and Recovery. At each intercept, we identified potential gaps and proposed solutions to prevent from moving forward into the model. Click on each button below to go through the four intercepts. Prevention Early Intervention Treatment & Recovery Please feel free to adapt this model to best fit your community. It is meant to be used to benefit mental health across Arizona. Go Back Anchor 1 Anchor 2 Contact: Kelley Coronado P: 520.591.1490 E-mail: Kelley@AZYP.org

School & Youth Organizations Online Resources The American Academy of Pediatrics The American Academy of Pediatrics has published guidance for clinicians on screening for emotional and behavioral disorders. The Health and Human Services of Adolescent Health The Health and Human Services Office of Adolescent Health offers information on adolescent development and a wide range of resources and online training for professionals. SAMHSA's Suicide Prevention Resource Center SAMHSA's Suicide Prevention Resource Center provides information on the role of high school teachers in preventing suicide. SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) SAMHSA-HRSA CIHS reviews the latest resources and research related integrated care from children and youth, and compiles the most helpful information The Kennedy Forum The Kennedy Forum offers several resources for educators, including 5 Pillars, the Pathway to Improving the Delivery of Mental Health Services in Education; and Mental Health Activities for the Classroom The U.S. Department of Health & Human Services The U.S. Department of Health & Human Services offers mental health resources and information, including guidance for educators and for community leaders The Society for Adolescent Health Medicine The Society for Adolescent Health Medicine supports adolescent health and medicine professionals in variety of ways including clinical care resources and professional development. Additional Resources NAMI Ending the Silence Ending the Silence is a no-cost, 50 minute presentation designed to give middle and high school students an opportunity to learn about mental illness through discussion and short videos. The program is delivered by a two-person team trained by NAMI Southern Arizona, one of whom is a young adult living in recovery with a diagnosable mental health condition. Students learn to recognize the early warning signs of mental health conditions and learn what to do if they or someone they know is showing these signs. They also learn how to help themselves, friends, or family members who may be in need of support. Once the program is completed, handouts are sent home to parents informing them of the program. Ending the Silence is also available for school staff and families. To request Ending the Silence for your school or organization, please reach out to Kelley Coronado at Kelley@AZYP.org or Becky Nuffer, NAMI Membership Coordinator, at 520.622.5582 with any questions Try it Now! Text START to 89800 Text, Talk, Act Text, Talk, Act is a free, 50-minute interactive activity that guides students in a discussion using a series of pre-programmed text messages. Participants gather in small groups (3-4 people) with one cell phone per group and receive a series of text messages that facilitates a conversation on mental health: why it is important, how to care for it, and how to help a friend in need. The text messages include videos, social media interactions, polling questions and discussion questions. Text, Talk, Act can be done on its own, or it can be scheduled consecutively with Ending the Silence to increase the engagement with and retention of the learning. For questions or to request Text, Talk, Act for your group, please contact Raquel Goodrich, Raquel@texttalkact.com Not Broken Not Broken is a candid, unflinching, yet hopeful one-hour documentary about the lives of seven young people who have mental illnesses, told in their own brave words. To highlight that mental illness affects all of us, these stories represent a spectrum of different experiences. Some of the participants are youth of color, some identify as LGBTQ, some have survived sexual abuse, poverty, bullying – and all are fighting to live their dreams despite their mental health challenges. Segments of Not Broken are featured on PBS LearningMedia and are supplemented with teacher guides, discussion guides and additional resources. These short film modules can be used to support viewing of Not Broken while engaging students in discussions about mental health, trauma, self-harm, drug use, suicide, violence and the stereotypes, myths and realities of living with mental illness. Click to access the full documentary, vignettes and PBS LearningMedia collection. For additional information, contact Cheryl Gerken, Educational Outreach Coordinator, at 520.621.4792 Youth Mental Health First Aid (YMHA) YMHFA is primarily designed for adults who regularly interact with young people to teach them how to help an adolescent (age 12-18) experiencing a mental health or addiction challenge, or who may be in crisis. The course introduces common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step action plan for how to help young people in both crisis and non-crisis situations. Topics covered include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (including AD/HD), and eating disorders. Youth Mental Health First Aid is an eight hour training which can be delivered in one day or in two 4-hour sessions. For more information on Youth Mental Health First aid, contact Kelley Coronado at Kelley@AZYP.org Click Here to go to Arizona Youth Partnership's page to register! Anti-Stigma Educational Strategies and Programs Developed by the Help & Hope for YOUth Education & Training Task Force, this listing of educational strategies and programs includes the name, topics, intended audience, evidence basis, cost, ease of use and pros and cons. Click to download. Mental Health Intercept Map and Toolkit The Mental Health Intercept Map (MHIM) is based on Substance use and Mental Health Services Administration’s (SAMHSA) Sequential Intercept Model (SIM). The Mental Health Intervention Mapping Toolkit is intended to provide county-specific resources for all youth and act as the bridge to getting the help they may need. For those who implement this, it will allow for self assessment of key issues in their community for mental health and provide local resources to fill those gaps. MHIM has 4 primary objectives: Develop a mental health map of how children, youth, and young adults flow through systems of care and who can intercept youth at each level. Identify resources, gaps in services, and opportunities at each intercept for children, youth, and young adults ages 5-24. Develop priorities to improve the system. Increase capacity for information capture and data collection. *Resources are currently being gathered to put together an individualized toolkit for each county. Click here for a more detailed walkthrough of the map! For any additional questions, please reach out to Kelley Coronado at Kelley@AZYP.org *Click on the image to magnify* Go Back Contact: Kelley Coronado P: 520.591.1490 E-mail: Kelley@AZYP.org

Too Good for Drugs Too Good for Drugs and Violence Skill development is at the core of Too Good for Drugs, a universal K-12 prevention education program designed to mitigate the risk factors and enhance protective factors related to alcohol, tobacco, and other drug (ATOD) use. The lessons introduce and develop social and emotional skills for making healthy choices, building positive friendships, developing self-efficacy, communicating effectively, and resisting peer pressure and influence. Too Good for Drugs teaches five essential social and emotional learning skills, which research has linked with healthy development and academic success: Setting Reachable Goals Making Responsible Decisions Bonding with Pro-Social Others Identifying and Managing emotions Communicating Effectively Learn More here... Elementary At the elementary school level, additional skills and developmental topics build on the core skill set to broaden the student’s sense of self-efficacy and confidence. Lesson designs are tailored to the intellectual, cognitive, and social development of the student. Interactive games and activities help students visualize and apply the strategies and skills directly so they can begin to apply them in their daily life right away. Middle School Too Good for Drugs empowers teens to meet the challenges of middle school life fostering confidence and building resistance to substance abuse. Students set and reach more complex goals and, in the process, develop and practice stronger decision-making skills and effective-communication skills. High School Too Good for Drugs in High School applies real world challenges teens face in high school to explore practical guidance for understanding the negative health effects related to prescription drug misuse, underage drinking, marijuana abuse, opioid abuse, and nicotine use. Students also explore the stages of addiction and the risks associated with experimentation. The holistic approach (school, student, family) to the program helps make sure that across the board the objectives are being supported and encouraged. The goal is to set the student up for success and this program helps the other adults in their lives to be a part of that as well. -Colleen D., Community Outreach Specialist Our Locations: Services are provided statewide either in person or through virtual programming throughout the state of Arizona. If you are interested in seeing one of our programs at your location please contact us. Contact: Julie Craig 928.961.0426 JulieC@AZYP.org

Teen Maze Teen Maze is an interactive, 30- 60 minute event for high school students focused on decision making and the consequences of using drugs and alcohol. Students start at a party, where they are given a card with a scenario about an unhealthy choice that a teen could make at a party. After participating in a mock party the students then enter the “maze”, where they visit different tables that represent possible consequences of decisions made at the party. Stations are run by volunteers from the schools and the community (court, law enforcement, career, hospital), who have a script guiding participants through a discussion about how their decisions affect them, their friends, and their family, as well as what they could do differently. Participation from local law enforcement, health partners, juvenile court helps to increase reality of consequences. Increases students concept of risk associated with drugs and alcohol. Teaches facts about substances not previously known. Sparks conversation with youth about decision-making process. Over 1000 10th grade students participate each year. Our Locations: Services are provided statewide either in person or through virtual programming throughout the state of Arizona. If you are interested in seeing one of our programs at your location please contact us. Contact: Kelley Coronado 520.591.1490 Kelley@AZYP.org

Inscripción al programa Wake Up! Inscribe a tu estudiante al programa de educación sobre el alcohol y la droga debajo. Regístrate al programa educativo Wake Up! aquí Actualmente estamos a la espera de la confirmación de fondos para el programa Wake Up. Tenemos la esperanza de volver a programar sesiones en diciembre. ¡Gracias por su continuo apoyo y comprensión! Si tiene alguna pregunta, comuníquese con Kelley — con gusto le ayudaremos. Nombre del estudiante Apellido del estudiante Edad del estudiante Número de teléfono del estudiante Escuela del estudiante Razón de referencia * Marijuana Alcohol Vapear Prescripción Otro Nombre del padre/tutor Número de teléfono del padre/tutor Correo Electrónico Dirección Referido por * La escuela Libertad condicional (probation) El padre/tutor Otro Si seleccionó "Otro', favor de incluir la razón aquí Si fue referido por una escuela, favor de indicar el nombre de ella Un paquete con más detalles del programa se le será enviadio. Cómo quisiera recibir el paquete? * Por E-mail Por Correo Por E-mail y Correo Consentimiento Durante la clase del sábado habrán varios descansos cortos y uno para comer. En cualquier momento que el participante salga del edificio, Arizona Youth Partnership no se hará responsable. Si el participante llega tarde de los descansos, podrá recibir una multa. Si al participante no lo recogen después de 15 minutos o más de terminar el programa, podrá recibir una multa. Si el participante maneja al programa Wake Up! no podrá llevar a otros participantes al final o durante los descansos a menos de que el padre o tutor lo apruebe. Estoy de acuerdo con los términos y condiciones del programa Pague Wake Up! Si su estudiante fue referido por el Distrito Escolar Amphitheater, favor de ignorar el enlace para hacer el pago, AZYP verificará con el Distrito el pago del programa. Si fue referido por cualquier otra fuente, tendrá que pagar en línea, traer efectivo, un cheque o un giro postal a la clase. Cheques personales no serán aceptados. Para pagar en línea , será dirigido a una página de pago después de completar el formulario y seleccionar "Enviar". Por favor tome en cuenta: La tarifa estándar para el programa es $55 con 10 horas de servicio comunitario. Si tiene alguna pregunta favor de contactar a K elley Coronado al 520.591.1490 para español, o a Kari Stewart al 928-432-5718 para inglés. Un documento con más detalles del programa será enviado. Favor de buscarlo en su bandeja de entrada o carpeta de correo no deseado después de enviar la solicitud. Contacto: Kelley Coronado 520.591.1490 Kelley@AZYP.org

Youth Mental Health First Aid Since October 2018, AZYP has offered Youth Mental Health First Aid Training. Youth Mental Health First Aid is an approved curriculum for the Arizona's Department of Education required Suicide Prevention Training. Youth Mental Health First Aid is designed to teach teachers, family members, caregivers, school staff, health and human services workers and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health challenge or is in crisis. This program is primarily designed for adults who have regular contact with young people. The course covers common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step plan for how to help young people in both crisis and non-crisis situations. Topics include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (AD/HD), and eating disorders. Click Here to Register! Contact: Kelley Coronado 520.591.1490 Kelley@AZYP.org

Youth Shelters Through our continued expansion, the ongoing effort of the agency is to serve rural communities in Arizona to fight poverty and build healthy, self-sufficient youth and families. The services we provide to the homeless youth population through shelters in Mohave County, have proved to be crucial towards building solid foundations. These have served as safe spaces for youth to learn their potential and work towards a positive life with the support of the trusted AZYP team. Harbor House Harbor House is a Basic Center Program that addressed the needs of the runaway and homeless youth and their families in Mohave county and its surrounding communities. The program is built on the principles of positive youth development, emphasizing the strength of each individual and family unit served. Harbor House works with youth and their caregivers to create a plan to either reunite youth with their families or another trusted adult. This plan may include personal goals, counseling, job skills, drug and alcohol education and academics. This shelter offers a safe place for youth to regroup and chart a new course in their life. Harbor House offers temporary shelter for up to 21 days to 50 runaway and homeless male youth. The center currently has 4 beds available for emergency shelter. Harbor House also reaches youth through several outreach activities including weekly youth sessions focusing on life skills and character development utilizing Botvin’s Life Skills curriculum. Providence Place Providence Place is a Basic Center that addressed the needs of the runaway and homeless youth girls and their families in Mohave county and its surrounding communities. The program is built on the principles of positive youth development, emphasizing the strength of each individual and family unit served. Providence place works with youth and their caregivers to create a plan to either reunite youth with their families or another trusted adult. This plan may include personal goals, counseling, job skills, drug and alcohol education and academics. This shelter offers a safe place for youth to regroup and chart a new course in their life. Providence place offers temporary shelter for up to 21 days to 50 runaway and homeless female youth. The center currently has 4 beds available for emergency shelter. Providence place also reaches youth through several outreach activities including weekly youth sessions focusing on life skills and character development utilizing Botvin’s Life Skills curriculum. Contact: Dana Davis, Program Manager 928.542.5579 Dana@AZYP.org

AIM 4 Teen Moms *Desai M, Clark LF, Cordero FJ, Okonta VN, Drake P & Lim IM. (2016). An Adaptation of Project AIM for Preventing Rapid Repeat Pregnancies Among Teen Mothers. AIM 4 Teen Moms (AIM4TM)* is an evidence-based intervention designed for teen moms by helping teen mothers define specific life aspirations, engage in planning to successfully achieve them, and consider the role of contraception in their lives. AIM4TM is an eight-session program, consisting of six individual sessions and two group sessions. This intervention is delivered by a facilitator, known as an advisor, over the course of eight weeks. AIM4TM engages teen moms in positive future thinking around a desired career goal. The program is designed for mothers between the ages of 14-20 years old with at least one child and is provided for free virtually , across the state of Arizona. REFER A TEEN MOM HERE Core Elements: Thinking about a positive poss ible future Through activities, and discussion, youth envision a positive future and set goals to achieve it Present actions to achieve future success Youth learn communication skills, how to identify their own strengths as well as needed resources and experience a sense of success through engagement in personal and group activities Safeguarding one's future Youth are encouraged to safeguard their future through risk reduction Creating a reproductive life plan The curriculum incorporates knowledge of different methods of contraception and conceptualizes family planning as part of a larger holistic reproductive health agenda. Youth create a personalized reproductive life plans Motherhood as an i dentity strength The program acknowledges motherhood as a driving force that motivates many young mothers to succeed in life. Youth are encouraged to consider parenting as adding to the strengths and experiences useful to succeed rather than as a limiting factor in their life REFER A TEEN MOM HERE Contact: Stephanie King 480.571.3498 Stephanie@AZYP.org

Love Notes Unhealthy relationships, dating violence, and risky sexual behaviors are a serious threat to the well-being and futures of many young people. Love Notes Sexual Risk Avoidance Adaptation (SRA) Evidence -Based Program (EBP) addresses these issues by building skills and knowledge for healthy relationships of all kinds (romantic, friendly, family, school, and work). In 13 lessons, youth learn more about themselves, including how their past has shaped their present and how to make decisions on what they want for their future. They learn what healthy relationships are and are not while building a set of skills, including evidence-based communication and conflict management skills, for developing and maintaining healthy relationships, as well as choosing partners and friends. Parents and trusted adult connection activities offer conversation starters on healthy relationships and on the benefits of leaving sex out of their youthful relationships. Love Notes meets the National Sexuality Education Standards and is available to middle and high schools, youth centers, group homes and college campuses. Learn more about Love Notes 3.0 here! EXCITING VIRTUAL OPPORTUNITY! REGISTER YOUR YOUTH HERE! For more information 520-744-9595

PROGRAM UPDATE: We’re currently awaiting confirmation on our funding for the Wake Up program. We’re hopeful to begin scheduling sessions again in December. Thank you for your continued support and understanding! If you have any questions, please contact Kari. We’re happy to help. Wake Up! The Wake Up! program is funded in part by grants from the Arizona Governor's Office of Highway Safety and Union Pacific Community Ties. En Español Wake Up! is an alcohol and drug education program designed for young people aged 12-22. The program addresses behaviors and attitudes towards drugs and alcohol by exposing youth to real-life consequences of impaired decision making. Participants have the opportunity to reflect on their beliefs about alcohol and drug use, and the effect it has on their lives, family, friends, and our community. Program Length & What to Expect Please read thoroughly Welcome to Session One – Orientation! (First Saturday of the Month 1:00-2:30pm) In our first session, please bring your payments and all signed paperwork. We'll schedule hospital tours, discuss community service hours, and go over essay guidelines. Engage in activities and discussions, and view slides highlighting substance misuse-related deaths. Remember, program fees are due by Session One. Session Two – Hospital Visit (Scheduled Thursday and Friday Evenings during the Month of Program) Session Two offers a personalized walk-through with an AZYP staff through Banner's Emergency Department, Trauma Bay, and Intensive Care Unit. Participants may have the opportunity to talk with EMTs, nurses, and doctors about patients affected directly or indirectly by substance use. Session Three – Education *Attendance at Session One and Session Two is required for the final session (First Saturday of the Month, 8:00 am-12:00 pm) Join us in Session Three for activities and discussions on the consequences of impaired decision-making under the influence of drugs or alcohol. We'll explore the real-life impacts of impaired decision-making, discuss the physiological and physical effects of alcohol and drugs, identify decision-making processes under the influence, and learn refusal skills. A guest speaker will share their personal story, and you can ask them questions. Don't forget to turn in your 500-word essay and logged community service hours during this session. Program Fees: $55 $85 $105 10 hours 5 hours 0 hours # of Community Hours Fee Wake Up! is recommended for youth who have had a first-time offense for substance use 94% of previous participants have not been re-arrested for a similar offense since completing Wake Up! 81% of the youth in Wake Up! said they would say no if offered alcohol 70% of the youth in Wake Up! reported they would say no if someone offered them Marijuana or Hashish 96% of the youth said they would recommend Wake Up! to their peers PROGRAM UPDATE: We’re currently awaiting confirmation on our funding for the Wake Up program. We’re hopeful to begin scheduling sessions again in December. Thank you for your continued support and understanding! If you have any questions, please contact Kari. We’re happy to help. Contact: Kari Stewart 928-432-5718 KariS@AZYP.org

Trauma Informed Care Training Youth who have experienced trauma have become part of the landscape in America today. Though the youth’s backgrounds are diverse, research suggests that most of these youth have experienced early and multiple traumatic events. Not surprisingly, these youth experience significant mental health problems, including depression, anxiety disorders, PTSD, suicidal ideation, behavior disorders, conduct disorders, attachment disorders, and substance abuse disorders. The goal of Trauma Informed Training is to improve the quality of services for youth who have experienced trauma by increasing the trauma-related knowledge and skills of direct care personnel that are responsible for engaging and retaining youth in services and providing the support and care these youth require. Specific objectives include: Participants will have increased knowledge regarding trauma and their impact on child/adolescent growth and development; Participants will understand adolescent high-risk behaviors in the context of trauma; Participants will understand the importance of an agency wide approach to managing trauma in youth Participants will develop skills to help youth recognize their trauma and to self regulate Participants will understand the impact of secondary trauma and the importance of self care. Contact: Julie Craig 928.961.0426 JulieC@AZYP.org