Arizona - azahcccs.gov · 2018-02-13 · Arizona UNIFORM APPLICATION FY 2016 BEHAVIORAL HEALTH REPORT SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT OMB - Approved 05/21/2013

ArizonaUNIFORM APPLICATION

FY 2016 BEHAVIORAL HEALTH REPORT

SUBSTANCE ABUSE PREVENTION AND TREATMENTBLOCK GRANT

OMB - Approved 05/21/2013 - Expires 05/31/2016(generated on 01/24/2017 6.05.13 AM)

Center for Substance Abuse PreventionDivision of State Programs

Center for Substance Abuse TreatmentDivision of State and Community Assistance

Agency Name Arizona Department of Health Services

Organizational Unit Division of Behavioral Health Services, Grants Management and Information Systems

Mailing Address 150 N. 18th Avenue; Suite 240

City Phoenix, AZ

Zip Code 85007

I. State Agency for the Block Grant

First Name Cara

Last Name Christ

Agency Name Arizona Department of Health Services

Mailing Address 150 N. 18th Avenue, Suite 500

City Phoenix

Zip Code 85007

Telephone 602-364-1007

Fax 602-542-1062

Email Address [email protected]

II. Contact Person for the Block Grant

State Expenditure Period

From 7/1/2014

To 6/30/2015

Block Grant Expenditure Period

From 10/1/2012

To 9/30/2014

III. Expenditure Period

Submission Date 12/1/2015 11:48:58 PM

Revision Date 6/28/2016 1:44:04 PM

IV. Date Submitted

First Name Jacqueline

Last Name Luckey-Eaton


Fax


V. Contact Person Responsible for Report Submission

First Name Jacqueline

Last Name Luckey-Eaton



VI. Contact Person Responsible for Substance Abuse Data

I: State Information

State Information

Arizona Approved: 05/21/2013 Expires: 05/31/2016 Page 1 of 133

Footnotes:


Priority #: 1

Priority Area: Youth

Priority Type: SAT

Population(s): Other (Entire population under 18 years old)

Goal of the priority area:

Increase the number of youth in the behavioral health system identified as having a diagnosed substance use disorder.

Strategies to attain the goal:

Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS) will monitor enrollment numbers of youth with a substance use diagnosis in the system of care.

Regional Behavioral Health Authorities (RBHAs) will continue to collaborate and meet regularly with children/adolescent providers to share information on substance abuse screening, trends and best practices.

ADHS/DBHS and RBHAs will provide and promote access to substance abuse training initiative available to children/adolescent providers- including those employed through other agencies, such as Child Protective Services and Juvenile Justice as well as education for medical providers and teachers.

ADHS/DBHS and RBHAs will educate treatment providers, prevention providers, and coalitions on how to engage community stakeholders in identifying and referring youth to early intervention and substance abuse treatment services.

ADHS/DBHS will ensure the availability of a standardized, parent-friendly, screening tool to identify substance use/abuse in children and adolescents.

Indicator #: 1

Indicator: Percentage of those under the age of 18 in the behavioral health system who were diagnosed as having a substance use disorder or dependence

Baseline Measurement: FY2012 6.9%

First-year target/outcome measurement: FY2014 7.5%

Second-year target/outcome measurement:

New Second-year target/outcome measurement(if needed):

Data Source:

Client Information System (CIS)

New Data Source(if needed):

Description of Data:

The Division tracks the enrollment of all members receiving services within the behavioral health system.

New Description of Data:(if needed)

Data issues/caveats that affect outcome measures:

There is a two month lag on demographic data submitted as well as a six month lag on claims or encounters submitted. Assessment information is based on self-report.

New Data issues/caveats that affect outcome measures:

Annual Performance Indicators to measure goal success

II: Annual Report

Table 1 Priority Area and Annual Performance Indicators - Progress Report

FY2015 8%


Report of Progress Toward Goal AttainmentFirst Year Target: gfedc Achieved gfedcb Not Achieved (if not achieved,explain why)

Reason why target was not achieved, and changes proposed to meet target:The percent of youth in the behavioral health system receiving substance abuse services decreased slightly from FY2012 (6.9%) to FY2013 (6.8%). RBHAs have been working to promote access to substance abuse treatment services for adolescents during meetings with providers and collaborators, and through school and community-based trainings. Trainings provided by RBHAs, have included components on how to screen for substance abuse in the adolescent population, and effective substance abuse treatment of such as ACRA and other evidence based practices targeting the adolescent population. Additionally, providers continue to utilize SA screening tools, including ASAM and CRAFFT.

How first year target was achieved (optional):

Second Year Target: gfedc Achieved gfedcb Not Achieved (if not achieved,explain why)

Reason why target was not achieved, and changes proposed to meet target:

In order to capture the number of those served in the behavioral health system more accurately, there was a change in methodology in reporting. Historically, the counts were based on enrolled; this year and moving forward the reporting will be based on the number of those enrolled and served. This change has caused reporting to have the appearance of decreasing. The percent of youth in the beavioral health system receiving substance abuse services decreased slightly frohm FY2014 (3.6%) to FY2015 (2.4%). Arizona has continued to focus on this population through the use of trainings and the expanding the use of the American Society of Addiction Medicine (ASAM) to adolescents. RBHAs monitor for utilization of services and funds, as well as utilization of evidence-based SUD treatment. RBHAs have been working to promote access to substance abuse treatment services for adolescents during meetings with providers and collaborators, and through school and community-based trainings. Trainings provided by RBHAs, have included components on how to screen for substance abuse in the adolescent population, and effective substance abuse treatment of such as ACRA and other evidence based practices targeting the adolescent population. Additionally, providers continue to expand the utilization of SUD screening tools, including ASAM and CRAFFT.

How second year target was achieved (optional):

Priority #: 2

Priority Area: Older Adults

Priority Type: SAP, SAT

Population(s): Other (Entire population over 55 years old)


Reduce the rates of older adult (55+) deaths from 15.9 to 15.5 and hospitalizations from 110.6 to 110.0 due to poisonings.


Expand the Prescription Drug Initiative statewide incorporating a variety of prevention and early intervention strategies. Strategies include ongoing engagement with the medical community to increase participation with the Prescription Drug Monitoring Database, use of the Screening, Brief Intervention, and Referral to Treatment, and community education on safe storage practices.

Indicator #: 1

Indicator: Rate of deaths and hospitalizations for individuals over the age of 55 due to poisonings.

Baseline Measurement: CY2012: Deaths- 15.9 per 100,000, Hospitalizations- 110.6 per 100,000

First-year target/outcome measurement: Deaths- 15.5 per 100,000 due to poisonings for Arizonans ages 55+, Hospitalizations- 110.0 per 100,000 due to poisonings for Arizonans ages 55+



Data Source:

-Arizona Department of Health Services Office of Vital Registration death certificates


Deaths- 15.5 per 100,000 due to poisonings for Arizonans ages 55+, Hospitalizations- 110.0 per 100,000 due to poisonings for Arizonans ages 55+


-Arizona Hospital Discharge Database at the Arizona Department of Health Services


-Arizona Department of Health Services, Division of Behavioral Health Services (ADHS/DBHS) Client Information System (CIS)


Mortality data were compiled from the death certificates registered with the Arizona Department of Health Services Office of Vital Registration. Any death record for an Arizona resident assigned an International Classification of Diseases, 10th Revision (ICD-10) code for poisoning as the underlying cause of death was included in the count. Poisonings due to envenomation by animals, plants, or insects (X20 – X29) were excluded from this report. Inpatient hospitalization discharge data and emergency department discharge data from 2007 through 2011 were compiled from the Arizona Hospital Discharge Database at the Arizona Department of Health Services. The discharge database contains information from private, acute-care facilities in the state of Arizona, and do not include visits to federal facilities, such as Veterans’ Affairs Hospitals or Indian Health Services facilities.


ADHS/DBHS CIS records all encounters for behavioral health services.


The discharge databases do not contain data from urgent care facilities, private physician practices, or medical clinics. Hospital discharge data include hospital transfers and readmissions. Therefore, a single injured individual may be counted more than once. These data should be interpreted as episodes of medical treatment, not individual injuries.


Encounters may be submitted up to 210 days after the service is rendered causing a data lag.


Reason why target was not achieved, and changes proposed to meet target:In FY14, rates for hospitalizations due to poisoning as defined by emergency room visits rates and inpatient discharge rates for Arizona residents ages 65 and older, both had rates of 15.0 per 100,000.The Arizona Office of Population Health and Vital Statistics data on death and hospitalizations are reported by age groups. The rates reported here represent the elderly-aged group ages 65 and older. Additionally, hospitalizations due to poisonings are broken out by rates for emergency room visits and inpatient discharge. RBHAs continue to work with councils, providers, and community agencies to make appropriate referrals and monitor substance use diagnoses among the older adult population, as well as attend educational events, such as the Area Agency on Aging conference. Arizona is continuing to expand the use of SBIRT in order to reach older adults with substance use disorders who are receiving medical care.




Due to the consolidation of ADHS/DBHS with the State Medicaid Authority, changes to the data collected and reported are required. ADHS/DBHS previously reported on the number of hospitalizations, moving forward, the number of individuals 55 and older receiving behavioral health services will be reported. In FY14, 14.2% of the enrolled population 55 years old and older had an SUD compared to 29.5% in FY13. Arizona is working to ensure that individuals 55 and older are being screened and referred to substance abuse treatment services when needed.

RBHAs continue to work with councils, providers, and community agencies to make appropriate referrals and monitor substance use diagnoses among the older adult population, as well as attend educational events, such as the Area Agency on Aging conference. Providers have implemented programs tailored to the older adult population, such as a “Senior Peer” program that provides preventative services, resource connections and limited counseling and peer/family support services, and an “Older Adult Behavioral Health” program that focuses on providing an array services in clinic. Arizona is continuing to expand the use of SBIRT in order to reach older adults with substance use disorders who are receiving medical care.


Priority #: 3


Priority Area: Service Members and Veterans

Priority Type: SAP, SAT, MHP, MHS

Population(s): Other (Military Families, Military and Veterans)


Increase enrollment of service members and veterans enrolled in the behavioral health system.


ADHS/DBHS is engaged with Arizona Coalition for Military Families to connect service members, veterans and family members to services throughout the State. ADHS/DBHS disseminates information to all levels of services and encourages collaboration for the provision of culturally competent care.

ADHS/DBHS will assist RBHAs in establishing a relationship with local Veterans Affairs (VAs) in order to coordinate care and participate in trainings.

ADHS/DBHS and RBHAs to increase the ability and comfort of behavioral health providers (treatment and prevention) to offer culturally competent services for service members, veterans, and their families.

Indicator #: 1

Indicator: Number of military/veterans within the behavioral health system

Baseline Measurement: FY2012 .6%

First-year target/outcome measurement: Increase FY2012 data by 5%



Data Source:










Reason why target was not achieved, and changes proposed to meet target:Enrollment of service members and veterans for substance abuse services out the total number enrolled in the behavioral health system increased from 0.6% in FY2012 to 1.1% in FY2013. Please note, the percent of service members and veterans out of the number of individuals enrolled in the Arizona behavioral health system for substance abuse services is 3.5%.Our RBHAs have been collaborating in various capacities, including holding memberships in ACMF’s Resource Network and ACMF Leadership Council, and collaborating on ACMF’s Resource Navigator training and the VA’s Veteran’s Summit. Additionally, Rally Point Tucson, a program of CPSA, staffed by experienced veterans continues to help veterans and their families in Pima County navigate and access various resources. Providers throughout the state have been engaged in multiple trainings that are specific to the needs of service members, such as Mental Health First Aid for Military, Veteran and Their Families, Trauma Informed Care, PTSD, Traumatic Brain injury, and employment assistance.



Increase FY2013 data by 5%




Enrollment of service members and veterans for substance abuse services decreased from 2,560 individuals in FY2013 to 2,165 in FY2013. The decrease in numbers is due in part to a change in how data is reported. In order to capture the number of those served in the behavioral health system more accurately, there was a change in methodology in reporting. Historically, the counts were based on enrolled; this year and moving forward the reporting will be based on the number of those enrolled and served.Arizona Regional Behavioral Health Authorities (RBHAs) have been collaborating in various capacities, including holding memberships in Arizona Coalition for Military Families (ACMF’s) Resource Network and ACMF Leadership Council, and collaborating on ACMF’s Resource Navigator training and the VA’s Veteran’s Summit. Additionally, Rally Point Tucson, a program of CPSA, staffed by experienced veterans continues to help veterans and their families in Pima County navigate and access various resources. In addition, Rally Point Tucson is an active member of Tucson Veterans Serving Veterans, which facilitates the annual Tucson Homeless Veteran Stand Down event. Providers throughout the state have been engaged in multiple trainings that are specific to the needs of service members, such as Mental Health First Aid for Military, Veteran and Their Families, Trauma Informed Care, PTSD, Traumatic Brain injury, employment assistance, and resource navigation.


Priority #: 4

Priority Area: Healthcare Integration

Priority Type: SAT, MHS

Population(s): SMI


Increase coordination of care between behavioral health providers and primary care physician.


In FY2014, Maricopa County will pilot a healthcare integration program to provide behavioral and physical care within one location for Seriously Mentally Ill (SMI) clients. The outcomes of this pilot will be tracked to determine the impact on a client's overall health. Based on the outcomes of this pilot, healthcare integration for the SMI population will be rolled out statewide. ADHS/DBHS will work closely with the healthcare providers to ensure that clients are receiving both physical and behavioral health services and that there is continued collaboration between all professionals.

Indicator #: 1

Indicator: Coordination of Care within Maricopa County for SMI clients

Baseline Measurement: FY2012 97.4%

First-year target/outcome measurement: 100%



Data Source:

Case file review



ADHS/DBHS preforms a random sample case file review for coordination of care for those with a Seriously Mentally Ill (SMI) diagnosis non a quarterly basis.



Documentation indicating coordination of care may vary between providers causing discrepancies in compliance rates.


100%




Reason why target was not achieved, and changes proposed to meet target:The percent of COC occurring for SMI clients in Maricopa County decreased from 97.4% in FY2012 to 88.2% in FY2013.As mentioned, ADHS will monitor and assist Maricopa County with the pilot healthcare integration program to provide behavioral and physical health care in one location for Seriously Mentally Ill (SMI) members in FY14. MMIC, the RBHA for Maricopa County has assigned Care Management staff at each Adult Provider Network Organization (APNO) direct clinic in order to provide a direct link to education and technical assistance; this has allowed an increase in awareness of the medical health related needs, service utilization monitoring, identify gaps, and provide educational resources related to coordination of care with medical providers. The Care Management staff also ensures the treatment goals in the members’ Care Plans address both their physical and behavioral health needs. Efforts to increase Primary Care Providers (PCP) knowledge of behavioral health needs is also being addressed through the Integrated Care Training Academy which occurs quarterly, and includes topics such as the SBIRT process.




Arizona has set standards for coordination of care and monitors progress through regular deliverables. While Arizona has not achieved the goal of 100% compliance with coordination of care, there continues to be the expectation that PCP and behavioral health provide integrated services. Arizona will continue to monitor progress towards the goal. Arizona is working to establish a statewide electronic health record to facilitate the coordination of care.


Priority #: 5

Priority Area: Pregnant Women and Women with Dependent Children

Priority Type: SAP, SAT

Population(s): PWWDC


Ensure that all women are aware of SAPT services and monitor utilization of treatment services.


ADHS/DBHS and RBHAs to collaborate ways to expand public awareness campaigns directed towards priority populations.

RBHAs as well as ADHS/DBHS staff to regularly monitor treatment waitlist to ensure access to care.

ADHS/DBHS will review encounter codes to ensure that pregnant women and women with children are receiving the full array of services.

Indicator #: 1

Indicator: Number of pregnant and parenting women with dependent children receiving susbstance abuse treatment services/

Baseline Measurement: FY2012 10,979

First-year target/outcome measurement: Increase FY2012 enrollment by 5%



Data Source:



Increase FY2013 enrollment by 5%










Reason why target was not achieved, and changes proposed to meet target:Strategies utilized by RBHAs and providers for collaborations include the following: creating a protocol for pregnant females using drugs intravenously in order to ensure MAT medications are appropriately prescribed for this population; collaboration with Arizona’s Family First Program which provides substance use treatment services to parents who have involvement with DCS due to abuse of substances; and collaboration through the Women’s Services Network who are currently developing tools for outreach to women in the community. In addition to statewide use of updated SABG posters, a Women’s Services Directory was developed this last year that lists all treatment providers with treatment services and programs that are gender specific to women, and the Women’s Treatment Group is developing a pamphlet and short video summarizing women’s services that will be displayed for incarcerated women in jails, hospitals, and domestic violence shelters. Monitoring of the number of women in substance abuse treatment (particularly those on the waitlist), encounter values is being conducted statewide.


Second Year Target: gfedcb Achieved gfedc Not Achieved (if not achieved,explain why)



The number of pregnant and parenting women enrolled for substance abuse services increased from 1,646 in FY13 to 1,767 in FY14, an increase of 7.6%.

Priority #: 6

Priority Area: Suicide Rate

Priority Type: MHP

Population(s): Other (Entire population)


Reduce the suicide rate in Arizona


ADHS/DBHS is implementing a wide variety of strategies in an effort to reduce the suicide rate. Strategies include social media messaging, social marketing/public awareness, youth leadership programs, gatekeeper trainings, improved surveillance, and ongoing collaboration with stakeholders for system improvement.

Indicator #: 1

Indicator: Arizona suicide rate per calendar year

Baseline Measurement: Calendar year 2011 16.81 per 100,000 population

First-year target/outcome measurement: 14.9 per 100,000





Data Source:

Arizona Department of Health Services, Division of Public Health and Statistics (ADHS/PHS) suicide rate



Each fall, the Arizona Department of Health Services, Division of Public Health and Statistics (ADHS/PHS) calculates the State’s suicide rate by determining the number of death certificates of Arizona residents where “Suicide” was indicated by a medical examiner as the cause of death during the second most recent complete calendar year (i.e. CY 2010 data will be made available in fall 2011). This number is then aggregated across the general population to establish a suicide rate per 100,000 persons.This information is then published on the ADHS/PHS website for public dissemination (see http://www.azdhs.gov/plan/report/ahs/index.htm)



Personnel turnover at Vital Statistics has caused potentional data lag and miscalculations for the suicide rate.


Report of Progress Toward Goal AttainmentFirst Year Target: gfedcb Achieved gfedc Not Achieved (if not achieved,explain why)


How first year target was achieved (optional):The suicide rate in Arizona decreased from 17.2 suicides per 100,000 in calendar year 2011 to 16.2 per 100,000 in calendar year 2012.



The suicide rate in Arizona increased from 16.2 suicides per 100,000 in calendar year 2012 to 17.0 per 100,000 in calendar year 2013. Arizona has participated in and/or sponsored various suicide prevention conferences and trainings, such as the Arizona Suicide Prevention Conference, ASIST (Applied Suicide Intervention Skills Training), and Mental Health First Aid. Over one million individuals have completed ASIST. ASIST is a Maricopa-based two-day workshop, that helps providers, community members, and employees feel more comfortable, confident, and competent in helping to prevent the immediate risk of suicide. Arizona is working to develop the capacity of coalitions and committees that focus on bullying and suicide prevention, such as the Suicide Continuum of Care Committee in Southern Arizona and the Arizona Suicide Prevention Coalition. Additionally, one provider has funded 3 police drop off programs which assess for substance use disorders as well as DTS/DTOs. Arizona has worked to develop a statewide suicide prevention plan in collaboration with multiple stakeholders as well as input from SAMHSA.


Priority #: 7

Priority Area: Intravenous Drug Users

Priority Type: SAT

Population(s): IVDUs


Increase the availability and service utilization of Medication Assisted Treatment (MAT) options for individuals with a substance use disorder with a specific focus on reaching the IV drug using population.


ADHS/DBHS will further rollout the expanded MAT services available to those with a substance use diagnosis through additional advertising within the

14 per 100,000


community.

ADHS/DBHS and RBHAs to provide education for healthcare practitioners on best practices and availability of MAT services.

ADHS/DBHS to compile a listing of various MATs available throughout the State to assist clients in locating appropriate services.

Indicator #: 1

Indicator: Percentage of IVDU clients utilizing MAT services out of total number of IVDU clients

Baseline Measurement: Calendar Year 2011 43%

First-year target/outcome measurement: 46%



Data Source:










Reason why target was not achieved, and changes proposed to meet target:Arizona has worked to improve MAT access and availability through provider network monitoring to assess needs, expanding lists of approved MAT medications, and increasing convenience of locations and hours. Providers and their prescribers receive training on the availability and use of MAT services, as well as education on MAT medications. Additionally, there is now Methadone and Suboxone Directories available for Maricopa County to assist in making appropriate referrals.




While a lack of treatment capacity is often cited as the barrier to receiving MAT, areas such as lack of appropriate referral sources and a limited formulary all contribute to reduced access. Arizona has worked to improve MAT access and availability through provider network monitoring to assess needs, expanding lists of approved MAT medications, and increasing convenience of locations and hours. Providers and their prescribers receive training on the availability and use of MAT services, as well as education on MAT medications. Methadone and Suboxone Directories are available for Maricopa County to assist in making appropriate referrals. Additionally, collaborative meetings were held in Southern Arizona with medical assisted treatment site directors in southern Arizona to address issues identified in secret shopper calls, such as members waiting too long to receive services, high physician case loads and lack of space at provider sites. Arizona continues to monitor utilization and network capacity to identify areas for expansion and improvement.



Priority #: 8

50%


Priority Area: Underage Drinking

Priority Type: SAP

Population(s): Other (Youth ages 21 and younger)


Increase the percentage of youth who perceive 1-2 drinks of alcohol per day harmful to 64% as measured by the Arizona Youth Survery.


1. Conduct youth driven media campaigns to promote positive youth values and community pridea) Youth developed social media campaigns: radio; PSA's poster contests; billboards; murals; alcohol free pledgesb) Collect samples of youth written letters to the editor with anti-alcohol messagesc) Host a statewide youth UAD prevention media display and recognition eventd) Verify that all prevention programs incorporate education on perception of harm into prevention programs• Request data on inclusion of perception of harm in RBHA annual evaluation report• Identify which programs need to increase incorporation of perception of harm • Meet with RBHA Prevention Administrators who have programs that need to include perception of harm to determine a means for inclusion• Monitor incorporation of perception of harm into prevention programs2. Implement afterschool and leadership programs for youtha) Implement alcohol prevention focused peer leadership programs such as:• SADD• YES• Sources of Strength• University leadership organizationsb) Host annual statewide and regional conferences/ retreats/ youth campsc) Develop a statewide venue for recognition of youth UAD prevention projects and other successes3. Implement an adult targeted media campaign to educate parents about the risksa) Community media campaign/ Draw the Line (DTL)/ Hasta Aqui Implementation• Request data on inclusion of Draw the Line in SFY 2011 annual evaluation report • Identify which programs need to increase incorporation of DTL in their parenting programs• Meet with RBHA Prevention Administrators to determine a means for inclusion of DTL in programs• Distribution of DTL materials to RBHAs during alcohol awareness month

Indicator #: 1

Indicator: Percentage of youth who perceive 1/2 drinks per day as harmful.

Baseline Measurement: Pre-tests administered at the beginning of the year (annual measure). 2012 Arizona Youth Survey 34.2% (every even year measure).

First-year target/outcome measurement: 1.5% increase from baseline per post tests administered at the end of the year. 2014 Arizona Youth Survey 35.5%.



Data Source:

Pre post test (Arizona Adolescent Core Measure)Arizona Youth Survey



ADHS Core Instrument for Adolescents is administered through prevention providers on a yearly basis. Arizona Youth Survey is administered by the Arizona Criminal Justice Commission in the schools every two years to individuals 8, 10 and 12th grades.




1.5% increase from baseline per post tests administered at the end of the year.2016 Arizona Youth Survey 37.2%


Arizona Youth Survey is administered every two years.


Report of Progress Toward Goal AttainmentFirst Year Target: gfedcb Achieved gfedc Not Achieved (if not achieved,explain why)


How first year target was achieved (optional):In FY12, 51.9% of students surveyed in the Arizona Youth Survey reported that they perceive having five or more alcoholic beverages in a row once or twice a week is of great risk; in FY14, this perception increased to 78.9%. Due to a change in AYS reporting, the indicator used in this report will need to change from the perception of 1 to 2 alcoholic drinks as harmful to the perception of 5 or more drinks in a row as harmful.



While this goal was achieved in FY2014, the following activities have been conducted in order to sustain progress; : Conducting youth driven media campaigns to promote positive youth values and community pride. Campaigns including: youth developed social messaging (radio; PSA poster contests; billboards; murals and alcohol free pledges).Ensuring that prevention programs incorporate education on perception of harm into prevention programs.Implementing after-school and leadership programs for youth; Implementing alcohol prevention focused peer leadership programs such as: SADD, YES, Sources of Strength, University leadership organizations; Hosting annual statewide and regional conferences/ retreats/ youth camps;Implementing an adult targeted media campaign to educate parents about the risks of underage drinking;Implementing a youth targeted media campaign to educate youth about the risks of underage drinking.


Priority #: 9

Priority Area: Tuberculosis Screening

Priority Type: SAT

Population(s): TB


Increase the number of clients who are screened for tuberculosis services when entering substance abuse treatment.


ADHS/DBHS to provide guidance to RBHAs regarding accurate documentation on screening and referral for TB services.

Indicator #: 1

Indicator: Number of clients receiving substance abuse services with documentation of a screening or referral for TB services.

Baseline Measurement: FY2011 14%

First-year target/outcome measurement: Increase FY2011 data by 5%



Data Source:

Independent Case Review (ICR)



Increase FY2012 data by 5%



ADHS/DBHS hires an independent contractor annually to conduct a case review of clients receiving substance abuse services.



The sample size is not statistically significant.



Reason why target was not achieved, and changes proposed to meet target:Based on the 2013 Independent Case Review (ICR), the percent of clients entering substance abuse treatment who are screened for tuberculosis increased to 14.6% compared to 14% during the 2011 ICR. However, we did not reach our goal of increasing by 5%. Strategies focused on developing mechanisms to document and verify TB screening of those entering substance abuse treatment were implemented this last year. Such strategies providers are implementing include: integrating education on TB (along with other communicable diseases) into client orientations, providing educational materials on TB to clients, providing clients with referral handouts for TB and HIV testing at specified locations, as well as including elements to capture TB screening documentation in contractors’ audit tools.





Arizona provided in depth technical assistance to contractors regarding the expectations for screening and referral to treatment for TB. Based on the 2014 Independent Case Review (ICR), the percent of clients entering substance abuse treatment who are screened for tuberculosis increased from 8.9% in FY13 to 24.0% in FY14.

Footnotes:


Expenditure Period Start Date: 7/1/2014 Expenditure Period End Date: 6/30/2015

Activity A. SA Block Grant

B. MH Block Grant

C. Medicaid (Federal,

State, and Local)

D. Other Federal

Funds (e.g., ACF (TANF), CDC, CMS (Medicare) SAMHSA,

etc.)

E. State Funds

F. Local Funds

(excluding local

Medicaid)

G. Other

1. Substance Abuse Prevention* and Treatment

$23,314,386 $143,644,085 $962,797 $8,753,120 $63,875 $0

a. Pregnant Women and Women with Dependent

Children*

$2,621,137 $0 $0 $0 $0 $0

b. All Other $20,693,249 $143,644,085 $962,797 $8,753,120 $63,875 $0

2. Primary Prevention $5,059,400 $0 $2,305,274 $0 $0 $0

3. Tuberculosis Services $0 $0 $0 $49,217 $0 $0

4. HIV Early Intervention Services $0 $0 $0 $0 $0 $0

5. State Hospital

6. Other 24 Hour Care

7. Ambulatory/Community Non-24 Hour Care

8. Administration (Excluding Program and Provider Level)

$917,266 $7,154,633 $425,781 $3,591 $0 $0

9. Total $29,291,052 $0 $150,798,718 $3,693,852 $8,805,928 $63,875 $0

* Prevention other than primary prevention

Please indicate the expenditures are actual or estimated.

nmlkji Actual nmlkj Estimated

III: Expenditure Reports

Table 2 - State Agency Expenditure Report

Footnotes: Arizona Department of Health Services/Division of Behavioral Health Services is currently in the process of merging with the State Medicaid Authority. This has caused delays in accessing required data for the completion of the table. ADHS/DBHS requests a brief extension for the submission of the data.



Table 3 - SAPT Block Grant Expenditure By Service


Service Unduplicated Individuals

Units Expenditures

Healthcare Home/Physical Health $0

Specialized Outpatient Medical Services $0

Acute Primary Care $0

General Health Screens, Tests and Immunizations $0

Comprehensive Care Management $0

Care coordination and Health Promotion $0

Comprehensive Transitional Care $0

Individual and Family Support $0

Referral to Community Services Dissemination $0

Prevention (Including Promotion) $0

Screening, Brief Intervention and Referral to Treatment $0

Brief Motivational Interviews $0

Screening and Brief Intervention for Tobacco Cessation $0

Parent Training $0

Facilitated Referrals $0

Relapse Prevention/Wellness Recovery Support $0

Warm Line $0

Substance Abuse (Primary Prevention) $0

Classroom and/or small group sessions (Education) $0

Media campaigns (Information Dissemination) $0

Systematic Planning/Coalition and Community Team Building(Community Based Process) $0

Parenting and family management (Education) $0


Education programs for youth groups (Education) $0

Community Service Activities (Alternatives) $0

Student Assistance Programs (Problem Identification and Referral) $0

Employee Assistance programs (Problem Identification and Referral) $0

Community Team Building (Community Based Process) $0

Promoting the establishment or review of alcohol, tobacco, and drug use policies (Environmental) $0

Engagement Services $0

Assessment $0

Specialized Evaluations (Psychological and Neurological) $0

Service Planning (including crisis planning) $0

Consumer/Family Education $0

Outreach $0

Outpatient Services $0

Evidenced-based Therapies $0

Group Therapy $0

Family Therapy $0

Multi-family Therapy $0

Consultation to Caregivers $0

Medication Services $0

Medication Management $0

Pharmacotherapy (including MAT) $0

Laboratory services $0

Community Support (Rehabilitative) $0

Parent/Caregiver Support $0

Skill Building (social, daily living, cognitive) $0

Case Management $0


Behavior Management $0

Supported Employment $0

Permanent Supported Housing $0

Recovery Housing $0

Therapeutic Mentoring $0

Traditional Healing Services $0

Recovery Supports $0

Peer Support $0

Recovery Support Coaching $0

Recovery Support Center Services $0

Supports for Self-directed Care $0

Other Supports (Habilitative) $0

Personal Care $0

Homemaker $0

Respite $0

Supported Education $0

Transportation $0

Assisted Living Services $0

Recreational Services $0

Trained Behavioral Health Interpreters $0

Interactive Communication Technology Devices $0

Intensive Support Services $0

Substance Abuse Intensive Outpatient (IOP) $0

Partial Hospital $0

Assertive Community Treatment $0

Intensive Home-based Services $0

Multi-systemic Therapy $0


Intensive Case Management $0

Out-of-Home Residential Services $0

Children's Mental Health Residential Services $0

Crisis Residential/Stabilization $0

Clinically Managed 24 Hour Care (SA) $0

Clinically Managed Medium Intensity Care (SA) $0

Adult Mental Health Residential $0

Youth Substance Abuse Residential Services $0

Therapeutic Foster Care $0

Acute Intensive Services $0

Mobile Crisis $0

Peer-based Crisis Services $0

Urgent Care $0

23-hour Observation Bed $0

Medically Monitored Intensive Inpatient (SA) $0

24/7 Crisis Hotline Services $0

Other (please list) $0

Total $0

Footnotes:



Table 4 - State Agency SABG Expenditure Compliance Report


Category FY 2013 SAPT Block Grant Award

1. Substance Abuse Prevention* and Treatment $26,880,231

2. Primary Prevention $7,009,187

3. Tuberculosis Services $0

4. HIV Early Invervention Services** $0

5. Administration (excluding program/provider level) $1,156,513

6. Total $35,045,931

*Prevention other than Primary Prevention **HIV Designated States

Footnotes: Arizona was not designated as an HIV State for the FFY2013 Award Year.



Table 5a - Primary Prevention Expenditures Checklist


Strategy IOM Target SAPT Block Grant Other Federal State Local Other

Information Dissemination Selective $ $ $ $ $

Information Dissemination Indicated $ $ $ $ $

Information Dissemination Universal $ $ $ $ $

Information Dissemination Unspecified $ $ $ $ $

Information Dissemination Total $ $ $ $ $

Education Selective $ $ $ $ $

Education Indicated $ $ $ $ $

Education Universal $ $ $ $ $

Education Unspecified $ $ $ $ $

Education Total $ $ $ $ $

Alternatives Selective $ $ $ $ $

Alternatives Indicated $ $ $ $ $

Alternatives Universal $ $ $ $ $

Alternatives Unspecified $ $ $ $ $

Alternatives Total $ $ $ $ $

Problem Identification and Referral Selective $ $ $ $ $

Problem Identification and Referral Indicated $ $ $ $ $

Problem Identification and Referral Universal $ $ $ $ $

Problem Identification and Referral Unspecified $ $ $ $ $

Problem Identification and Referral Total $ $ $ $ $

Community-Based Process Selective $ $ $ $ $

Arizona Page 1 of 3Arizona Approved: 05/21/2013 Expires: 05/31/2016 Page 21 of 133

Community-Based Process Indicated $ $ $ $ $

Community-Based Process Universal $ $ $ $ $

Community-Based Process Unspecified $ $ $ $ $

Community-Based Process Total $ $ $ $ $

Environmental Selective $ $ $ $ $

Environmental Indicated $ $ $ $ $

Environmental Universal $ $ $ $ $

Environmental Unspecified $ $ $ $ $

Environmental Total $ $ $ $ $

Section 1926 Tobacco Selective $ $ $ $ $

Section 1926 Tobacco Indicated $ $ $ $ $

Section 1926 Tobacco Universal $ $ $ $ $

Section 1926 Tobacco Unspecified $ $ $ $ $

Section 1926 Tobacco Total $ $ $ $ $

Other Selective $ $ $ $ $

Other Indicated $ $ $ $ $

Other Universal $ $ $ $ $

Other Unspecified $ $ $ $ $

Other Total $ $ $ $ $

Grand Total $ $ $ $ $

Footnotes:

Please see attached documentation regarding updates for Arizona's CAP: Table 5a - SAMHSA Reporting CAP Update.docx.


SAMHSA Reporting CAP Update 12.1.15

Revision Request:

Per AZ's Corrective Action Plan submitted on June 30, 2014 to comply with the SABG FFY 2014

Special Terms and Conditions required by CSAP, the state detailed the measures that will be

taking in their system in order to correctly report these prevention expenditures in future years

effective FFY 2015. Please provide a status update of AZ's corrective action plan under the

attachments section of the SABG FY 2016 Report, and include a footnote under this reporting

table making reference to this attachment.

Response:

Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS)

submitted a Corrective Action Plan (CAP) June 30, 2014 as required by Substance Abuse and

Mental Health Services Administration (SAMHSA) to meet the special terms of the award in the

June 6, 2014 Notice of Grant Award, SABG Grant Number 2B08TIO10004-14. The CAP described

steps which would be taken by ADHS/DBHS in order to comply with block grant reporting

requirements.

ADHS/DBHS has since developed reporting spreadsheets for each for each of the prevention

tables in order to capture for each contracted provider. The information conforms precisely to

the reporting tables for the SABG. Each contractor will be required to submit the spreadsheets

for each Federal Fiscal Year which will allow ADHS/DBHS to confirm that the amount reported

conforms to the required set aside. All prevention activities are reported based on IOM category

for each Federal Fiscal Year. As indicated in the CAP, ADHS/DBHS will come into compliance for

FFY2016. ADHS/DBHS has disseminated the newly developed spreadsheets and has provided

training and technical assistance to all contractors. ADHS/DBHS has received the completed

tables from all contractors for FFY2015 and is on track for reporting for FF2018.



Table 5b - Primary Prevention Expenditures by IOM Category


Activity SAPT Block Grant Other Federal Funds

State Funds Local Funds Other

Universal Direct

Universal Indirect

Selective

Indicated

Column Total $0.00 $0.00 $0.00 $0.00 $0.00

Footnotes: Per the Terms and Conditions of the FY2014 Notice of Grant Award, Arizona submitted a Corrective Action Plan June 30, 2014 describing steps to come into compliance with reporting requirements. Please see attached documentation regarding updates on steps taken to date.



Table 5c - SABG Primary Prevention Priorities and Special Population Categories


Targeted Substances

Alcohol gfedc

Tobacco gfedc

Marijuana gfedc

Prescription Drugs gfedc

Cocaine gfedc

Heroin gfedc

Inhalants gfedc

Methamphetamine gfedc

Synthetic Drugs (i.e. Bath salts, Spice, K2) gfedc

Targeted Populations

Students in College gfedc

Military Families gfedc

LGBTQ gfedc

American Indians/Alaska Natives gfedc

African American gfedc

Hispanic gfedc

Homeless gfedc

Native Hawaiian/Other Pacific Islanders gfedc

Asian gfedc

Rural gfedc

Underserved Racial and Ethnic Minorities gfedc




Resource Development Expenditures Checklist

Activity A. Prevention-MH B. Prevention-SA C. Treatment-MH D. Treatment-SA E. Combined F. Total

1. Planning, Coordination and Needs Assessment $0.00

2. Quality Assurance $0.00

3. Training (Post-Employment) $0.00

4. Program Development $0.00

5. Research and Evaluation $0.00

6. Information Systems $0.00

7. Education (Pre-Employment) $0.00

8. Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00


Table 6 - Resource Development Expenditure Checklist





Table 7 - Statewide Entity Inventory


Entity Number

I-BHS ID Area Served

(Statewide or

SubState Planning

Area)

Provider / Program Name

Mailing Address

City State Zip SAPT Block

Grant - A. Block Grant Funds

(B + D + E)

SAPT Block Grant - B.

Prevention (other than

primary prevention)

and Treatment

Services

SAPT Block

Grant - C. Pregnant Women

and Women

with Dependent

Children

SAPT Block

Grant - D. Primary

Prevention

SAPT Block Grant - E.

Early Intervention Services for

HIV

* 560049 AZ101073 Southeast Arizona CENPATICO

1501 W. Fountainhead Parkway

Tempe AZ 85282 ($65,781) ($18,951) $3,600 ($46,830) $0

* 551922 AZ101072 Yuma and La Paz Counties

CENPATICO 1501 W. Fountainhead Parkway

Tempe AZ 85282 ($31,404) ($59,740) ($4,981) $28,336 $0

* 339855 AZ100871 Maricopa County

Center for Behavioral Health Inc

2123 E SOUTHERN AVE STE 2

Tempe AZ 85282 $30,951 $30,951 $44,891 $0 $0


National Council on Alcoholism and Drug Dependence

4201 N 16TH ST STE 140 Phoenix AZ 85016 $152,619 $152,619 $448,908 $0 $0


New Casa de Amigas

1648 W COLTER ST # 8 Phoenix AZ 85015 $59,075 $59,075 $70,470 $0 $0

* AZ101147 AZ101147 Maricopa County

Mercy Maricopa Integrated Care (MMIC)

4351 E. Cotton Center Blvd., Bldg. D

Phoenix AZ 85040 $181,856 $265,313 $67,179 ($83,457) $0

* AZ101145 AZ101145 Pima County

Community Partnership of Southern Arizona (CPSA)

4575 E Broadway Blvd

Tucson AZ 85711 $537,748 $454,870 $140,289 $82,879 $0

* 48480601 AZ102276 Pima County Providence 1181 N El

Dorado Place Tucson AZ 85715 $198,920 $23,347 $0 $175,572 $0

397770 AZ100953 Northern Arizona 5 Counties

ABHS 249 West Ponderosa Drive

Whiteriver AZ 85941 $1,360 $1,360 $0 $0 $0


ABHS Ginger Myers

249 West Ponderosa Drive

Whiteriver AZ 85941 $40 $40 $0 $0 $0

B206561029 AZ100811 Southeast Arizona

Alternative Counseling Service Inc

999 East Fry Boulevard Suite 305

Sierra Vista AZ 85635 $1,437 $1,437 $0 $0 $0

AZ101018 X Maricopa County

Area Agency on Aging

1366 East Thomas Road Suite 108

Phoenix AZ 85014 $291,754 $0 $0 $291,754 $0

AZ101843 AZ101843 Yuma and La Paz Counties

Arizona Counseling and

2545 South Arizona Avenue Suite D

Yuma AZ 85364 $80,171 $80,171 $0 $0 $0

AZ102728 AZ102728 Southeast Arizona

Arizona Counseling and

2039 East Wilcox Drive Suite A

Sierra Vista AZ 85635 $64,383 $64,383 $0 $0 $0

581226 AZ102730 Southeast Arizona

Arizona Counseling and Treatment

301 E. 4th St., Ste. A Safford AZ 85546 $38,216 $38,216 $0 $0 $0



562 N. Coronado Blvd.

Clifton AZ 85533 $1,337 $1,337 $0 $0 $0



24 Howell St. Bisbee AZ 85603 $14,651 $14,651 $0 $0 $0



500 S. Highway 80, Ste. A

Benson AZ 85602 $7,282 $7,282 $0 $0 $0



730 West Cowell Street Quartzsite AZ 85359 $195 $195 $0 $0 $0




1021 South Kofa Avenue Parker AZ 85344 $3,298 $3,298 $0 $0 $0

476817 AZ102738 Yuma and La Paz Counties


679 N. First Avenue, Ste E San Luis AZ 85349 $31,020 $31,020 $0 $0 $0



10318 William Street Wellton AZ 85356 $1,013 $1,013 $0 $0 $0



114 & 116 S. Arizona Avenue

Willcox AZ 85644 $14,005 $14,005 $0 $0 $0

536715 AZ102734 Pinal and Gila Counties


13100 S. Sunland Gin Road, Ste. 1

Arizona City AZ 85123 $2,500 $2,500 $0 $0 $0

AZ101019 AZ101019 Statewide Arizona Suicide Prevention

P.O. Box 10745 Phoenix AZ 85064 $8,000 $0 $0 $8,000 $0

AZ101020 X Pima County

Arizona Youth Partnership

4239 West Ina Road Tucson AZ 85741 $153,397 $0 $0 $153,397 $0

006006 X Northern Arizona 5 Counties

Arizona Youth Partnership

4239 W. Ina Road, Ste 101 Tucson AZ 85741 $72,121 $0 $0 $72,121 $0

AZ105607 AZ105607 Pima County

Arizona's Children Association

2700 South 8th Ave Tucson AZ 85716 $5,096 $5,096 $0 $0 $0

AZ101021 AZ101021 Statewide Arizonans for Prevention

7658 South Bosworth Field Way

Tucson AZ 85746 $213,215 $0 $0 $213,215 $0

AZ101022 AZ101022 Statewide ASU P.O. Box 874906 Tempe AZ 85287 $91,809 $0 $0 $91,809 $0


AZI House LLC 5986 South Jakemp Trail Tucson AZ 85747 $1,806 $1,806 $0 $0 $0

AZ101530 AZ101530 Maricopa County

BAART Behavioral Health Services Inc

908-B West Chandler Boulevard Suite 4

Chandler AZ 85225 $128,960 $128,960 $0 $0 $0

AZ100957 AZ100957 Maricopa County Bayless 3620 North

3rd Street Phoenix AZ 85012 $6,020 $6,020 $0 $0 $0


Calloway Laboratories

9305 W THOMAS RD STE 270

Phoenix AZ 85037 $106,279 $106,279 $0 $0 $0

502818 AZ101144 Pima County

Casa de los Ninos

140 N. Tucson Blvd. Tucson AZ 85716 $2,345 $2,345 $0 $0 $0

AZ101024 AZ101024 Pinal and Gila Counties

Casa Grande Alliance

901 E Cottonwood Lane

Casa Grande AZ 85211 $42,454 $0 $0 $42,454 $0


Catholic Community Services of Southern Arizona

690 E 32ND ST Yuma AZ 85365 $643 $643 $27 $0 $0


CENPATICO 1501 W. Fountainhead Parkway

Tempe AZ 85282 $125,678 ($12,483) ($18,897) $138,161 $0

210401 AZ901153 Maricopa County

Center for Behavioral Hlth Phoenix Inc

1501 East Washington Street

Phoenix AZ 85034 $45,136 $45,136 $19,239 $0 $0


Centered Spirit Program

7490 S Camino De Oeste

Tucson AZ 85757 $192,500 $0 $0 $192,500 $0


Chicanos Por La Causa

1112 E. Buckeye Rd. Phoenix AZ 85014 $399,886 $307,190 $0 $92,696 $0


Chicanos Por La Causa Inc - Centro de La Familia

4602 W INDIAN SCHOOL RD STE C-3

Phoenix AZ 85031 $28,106 $28,106 $0 $0 $0


Child & Family Resources

2800 E. Broadway Tucson AZ 85718 $255,061 $0 $0 $255,061 $0


Child & Family Support Services

8652 E. Eastridge Road, Ste. 103

Prescott Valley AZ 86314 $1,279 $1,279 $0 $0 $0

AZ101027 AZ101027 Southeast Arizona Circles of Peace 404 Crawford Nogales AZ 85621 $75,382 $0 $0 $75,382 $0


047557 AZ101029 Maricopa County City of Tempe 715 W. FIFTH

STREET Tempe AZ 85281 $172,492 $0 $0 $172,492 $0


CODAC Behavioral Health Services Inc

127 S. 5th Ave. Tucson AZ 85701 $842,796 $704,400 $110,800 $138,396 $0


Community Bridges Inc 110 E. 2nd St Winslow AZ 86047 $98,513 $98,513 $0 $0 $0


Community Bridges Inc

993 North Hermosa Drive Holbrook AZ 86025 $37,443 $37,443 $0 $0 $0



675 E. Cottonwood, Suite 101

Casa Grande AZ 85122 $4,318 $4,318 $376 $0 $0



5734 E. Hope Lane Globe AZ 85501 $24 $24 $0 $0 $0


Community Bridges Inc 803 W Main St Payson AZ 85541 $67,654 $67,654 $5,883 $0 $0



803 W. Main St Payson AZ 85541 $79,894 $46 $0 $79,848 $0



358 E. Javelina Ave Ste 101 Mesa AZ 85210 $1,444 $1,444 $0 $0 $0



1855 W. Baseline Rd., Suite 101

Mesa AZ 85202 $5,110,083 $4,905,623 $420,691 $204,460 $0



2770 East Van Buren Street Phoenix AZ 85008 $277 $277 $0 $0 $0



554 S. Bellview Mesa AZ 85204 $667,074 $667,074 $72,374 $0 $0



824 N. 99th Ave Ste. 108 Avondale AZ 85323 $409 $409 $0 $0 $0



646 W Union St Benson AZ 85602 $235,464 $235,464 $20,475 $0 $0



3250 B East 40th Street Yuma AZ 85365 $456,476 $456,476 $39,694 $0 $0


Community Counseling Centers Inc

423 S. Main St. Snowflake AZ 85937 $13,658 $13,658 $2,129 $0 $0



105 N. Fifth Ave. Holbrook AZ 86025 $27,359 $27,359 $5,434 $0 $0



2500 East Show Low Lake Road

Show Low AZ 85901 $45,345 $45,345 $5,294 $0 $0



1015 East 2nd Street Winslow AZ 86047 $21,451 $21,451 $3,241 $0 $0


Community Intervention Associates

1701 N Douglas Ave Douglas AZ 85607 $21,196 $21,196 $0 $0 $0



1326 Hwy. 92 Suite J Bisbee AZ 85603 $7,065 $7,065 $0 $0 $0



32 Blvd. Del Rey David Nogales AZ 85621 $34,033 $34,033 $4,996 $0 $0



2851 S Ave B Bldg 3 & 4 Yuma AZ 85364 $58,898 $58,898 $1,759 $0 $0



1516 Ocotillo Avenue Parker AZ 85344 $1,146 $1,146 $0 $0 $0



1938 E Juan Sanchez Blvd Bldg 6

San Luis AZ 85349 $5,594 $5,594 $0 $0 $0


Community Medical Services

3825 N 24TH ST Phoenix AZ 85016 $206,336 $206,336 $25,652 $0 $0



ConnectionsAZ,Inc.

404 W AERO DRIVE Payson AZ 85541 $104 $104 $0 $0 $0


COPE Community Services Inc - Coady

101 S. Stone Tucson AZ 85701 $730,203 $730,203 $70,000 $0 $0


Corazon 900 E. Florence Blvd. Casa Grande AZ 85122 $65,750 $65,750 $0 $0 $0

102849 AZ100598 Southeast Arizona Corazon 936 F. Avenue Douglas AZ 85607 $22,534 $22,534 $0 $0 $0


Corazon Integrated Healthcare Services

1891 N. Mastick Way Nogales AZ 85621 $22,534 $22,534 $0 $0 $0


Crossroads Mission

944 S ARIZONA AVE Yuma AZ 85364 $49,481 $49,481 $0 $0 $0


CV Lore and Associates

355 S. Balboa Dr Gilbert AZ 85296 $26,000 $0 $0 $26,000 $0

319790 AZ750154 Maricopa County Ebony House 6222 S 13TH

ST Phoenix AZ 85042 $290,160 $290,160 $173,151 $0 $0


Empact Suicide Prevention

1232 E Broadway, Suite 320

Tempe AZ 85282 $80,000 $0 $0 $80,000 $0


Empact Suicide Prevention

4425 W OLIVE AVE STE 194 Glendale AZ 85302 $51,584 $51,584 $12,826 $0 $0

100587 AZ101032 Statewide Empact Suicide Prevention

1232 E Broadway, Suite 320

Tempe AZ 85282 $2,500 $0 $0 $2,500 $0


Encompass Health Services - Fredonia Location

32 N. 10th Ave Ste 5 Page AZ 86040 $141,756 $84,059 $3,955 $57,697 $0


Encompass Health Services - Page Outpatient

463 S. Lake Powell Blvd. Page AZ 86040 $48,962 $48,962 $0 $0 $0


Epidaurus dba Amity Foundation

P. O. Box 3034 Tucson AZ 85702 $13,926 $13,926 $0 $0 $0


Eureka Imperial Residence

1740 South Heritage Drive Gilbert AZ 85295 $9,935 $9,935 $0 $0 $0

AZ100963 AZ100963 Northern Arizona 5 Counties

Fort Apache Home Maintenance

P.O. Box 1095 Fort Apache AZ 85926 $455 $455 $0 $0 $0


Fort McDowell Yavapai Nation

P.O. Box 17779

Fountain Hills AZ 85269 $77,596 $0 $0 $77,596 $0


Gila River Health Care PO BOX 38 Sacaton AZ 85147 $33,257 $30,642 $0 $2,615 $0


Gila River Health Care PO BOX 2175 Sacaton AZ 85147 $6,528 $6,528 $0 $0 $0


Gila River Health Care

291 W. Casa Blanca Rd. Sacaton AZ 85147 $203,613 $144,389 $0 $59,224 $0


Gila River Health Care RTC - Thwajik Ke Healing House

3850 N. 16th Street Laveen AZ 85339 $13,831 $13,831 $0 $0 $0


Gila River Trail Riders Club

5594 W. Wildhorse Pass Blvd.

Chandler AZ 85226 $12,000 $0 $0 $12,000 $0


Guidance Center Inc

2187 N. Vickey Street Flagstaff AZ 86004 $239,577 $239,577 $128 $0 $0


Guidance Center Inc

220 W. Grant Street Williams AZ 86046 $3,216 $3,216 $119 $0 $0



Guidance Center Inc

2695 E. Industrial Dr Flagstaff AZ 86004 $262,099 $262,099 $8,528 $0 $0


Guidance Center Inc

2697 E. Industrial Dr Flagstaff AZ 86004 $292,206 $292,206 $10,838 $0 $0


Helping Associates, Inc.

1901 N. Trekell Rd., Suite A Casa Grande AZ 85222 $146,648 $146,648 $0 $0 $0


Horizon Human Services

102 N Florence St. Casa Grande AZ 85122 $23,464 $23,464 $0 $0 $0

AZ101035 AZ101035 Maricopa County I.C.A.N. 650 E.

Morelos St. Chandler AZ 85225 $205,433 $0 $0 $205,433 $0


Intensive Treatment Systems

651 W COOLIDGE ST PHOENIX AZ 85013 $61,080 $61,080 $1,621 $0 $0


Intensive Treatment Systems LLC

19401 N CAVE CREEK RD STE 18

Phoenix AZ 85024 $378,080 $378,080 $17,617 $0 $0


Jewish Family & Children's Service

4747 North 7th Street PHOENIX AZ 85014 $33,036 $33,036 $0 $0 $0


Kathleen Stanton, Consultant

5342 N 3rd Ave Phoenix AZ 85013 $25,000 $0 $0 $25,000 $0

NY100995 NY100995 Statewide Kognito 135 W 26th St New York AZ 10001 $27,937 $0 $0 $27,937 $0


La Frontera Center - Hope Center

260 S Scott Ave Tucson AZ 85701 $350,000 $350,000 $0 $0 $0


La Frontera Center - Substance Abuse Outpatient Services

502 W 29th St Tucson AZ 85713 $473,641 $303,457 $70,000 $170,184 $0

806185 AZ100967 Maricopa County Lifewell 2715 N 3RD ST Phoenix AZ 85004 $541,632 $541,632 $513,038 $0 $0


Little Colorado Behavioral Health Center

50 N. Hopi Springerville AZ 85938 $27,558 $27,558 $2,353 $0 $0


Little Colorado Behavioral Health Center

470 West Cleveland Street

St. Johns AZ 85936 $10,827 $10,827 $1,357 $0 $0


Luz Social Services (CER)

2797 N. Introspect Dr. Tucson AZ 85745 $105,602 $0 $0 $105,602 $0


Marana Health Center

13395 N Marana Main St

Marana AZ 85653 $100,253 $100,253 $76,773 $0 $0


Maricopa Ak-Chin PO Box 144 Maricopa AZ 85139 $45,666 $0 $0 $45,666 $0

AZ101040 X Northern Arizona 5 Counties

MATForce 8056 E. Vallet Road, Ste B. Prescott AZ 86314 $72,121 $0 $0 $72,121 $0


Mohave Mental Health Clinic

2187 Swanson Avenue

Lake Havasu City AZ 86403 $34,722 $34,722 $2,347 $0 $0



2580 Hwy 95 Ste. 208, 209, 210

Bullhead City AZ 86442 $21,984 $21,984 $256 $0 $0



2002 Stockton Hill Road Ste 104

Kingman AZ 86401 $4,157 $4,157 $43 $0 $0



1145 Marina Boulevard

Bullhead City AZ 86442 $14,613 $14,613 $2,278 $0 $0



2001 Stockton Hill Road Ste 104

Kingman AZ 86401 $4,748 $4,748 $11 $0 $0



1741 Sycamore Avenue

Kingman AZ 86409 $62,997 $62,997 $9,820 $0 $0




3505 Western Ave. Kingman AZ 86409 $60,375 $60,375 $9,411 $0 $0


Mountain Health & Wellness

P.O. BOX 3160 Apache Junction AZ 85117 $59,075 $59,075 $0 $0 $0


Mountain Health & Wellness

625 N PLAZA DRIVE

Apache Junction AZ 85120 $45,290 $45,290 $0 $0 $0


Native American Connections

4520 N CENTRAL AVE STE 100

Phoenix AZ 85012 $471,932 $471,932 $211,628 $0 $0


Navopache Electric Cooperative

1878 W. White Mtn Blvd

Lakeside AZ 85929 $235 $235 $0 $0 $0


New Hope Behavioral Health Center Inc

215 S POWER RD STE 114 Mesa AZ 85206 $128,960 $128,960 $0 $0 $0


New Horizon Youth Homes PO Box 2754 Chandler AZ 85244 $2,988 $2,988 $0 $0 $0


North Country Healthcare

2920 N. 4th Street Flagstaff AZ 86004 $118,182 $61,516 $0 $56,666 $0


Northern Arizona Regional Behavioral Health Authority

1300 South Yale St Flagstaff AZ 86001 $326,080 $220,968 $9,642 $105,112 $0


Northwest Organization for - Voluntary Alternatives (NOVA)

4425 W OLIVE AVE STE 200 Glendale AZ 85302 $763,319 $763,319 $0 $0 $0


Nursewise

1501 W Fountainhead Parkway, Suite 201

Tempe AZ 85282 $29,851 $29,851 $0 $0 $0

AZ101148 AZ101148 Statewide Office of HIV 150 N. 18th Ave. Phoenix AZ 85007 $63,361 $63,361 $0 $0 $0


Pantano Behavioral Health Services Inc

5055 E. Broadway Tucson AZ 85711 $10,559 $10,559 $0 $0 $0


Parc Place Casa Grande

1120 E. 6th Street Casa Grande AZ 85222 $10,821 $10,821 $0 $0 $0


Park Place Outreach and Counseling

13626 DEL RIO DR, ARIZONA CITY, AZ 85123

Arizona City AZ 85123 $5,299 $5,299 $0 $0 $0


Park Place Outreach and Counseling

11349 E 24TH LN Yuma AZ 85367 $24,035 $24,035 $0 $0 $0


Parker Alliance for Community Empowerment

1309 9th Street Parker AZ 85344 $74,739 $0 $0 $74,739 $0


Partnership for a Drug-Free America

3030 NORTH CENTRAL, SUITE 509

Phoenix AZ 85012 $242,767 $0 $0 $242,767 $0


Pasadera Behavioral Health Network

2950 N. Dodge Tucson AZ 85716 $531,718 $531,718 $0 $0 $0


Pasadera Behavioral Health Network

2499 Ajo Rd Tucson AZ 85713 $709,180 $709,180 $0 $0 $0


Pasadera Behavorial Health Network - Outpatient Services

1779 W. St. Mary's Tucson AZ 85745 $121,445 $121,445 $0 $0 $0

AZ101149 X Pima County Pascua Yaqui 7490 S.

Camino Oeste Tucson AZ 85746 $38,500 $0 $0 $38,500 $0

151346 AZ750162-1

Maricopa County

People of Color Network

77 E Thomas Rd, Ste 230 Phoenix AZ 85012 $117,125 $117,125 $0 $0 $0



Phoenix Indian Center

4520 N. CENTRAL AVE., STE. 250

Phoenix AZ 85012 $113,806 $0 $0 $113,806 $0

AZ101045 AZ101045 Statewide Pima County 3950 S Country Club Rd #1491

Tucson AZ 85714 $72,857 $0 $0 $72,857 $0


Pima Prevention Partnership

3130 E Broadway Rd, Ste 180

Tucson AZ 85716 $238,680 $0 $0 $238,680 $0


Pima Prevention Partnership

1475 North Oracle Road Tucson AZ 85705 $30,100 $0 $0 $30,100 $0

AZ101048 AZ101048 Pima County

Pima Prevention Partnership (CER)

2525 E. Broadway Ste 100

Tucson AZ 85716 $112,180 $0 $0 $112,180 $0


Pinal Gila Council for Senior Citizens

8969 W McCartney Casa Grande AZ 85294 $116,462 $0 $0 $116,462 $0


Pinal Hispanic Council 107 E 4th St. Eloy AZ 85131 $25,000 $25,000 $0 $0 $0

164567 OTC6003 Pinal and Gila Counties

Pinal Hispanic Council

556 S Arizona Blvd. Coolidge AZ 85128 $25,000 $25,000 $0 $0 $0



275 N Grand Court Plaza Nogales AZ 85621 $8,502 $8,502 $0 $0 $0



1940 E 11th St. Douglas AZ 85607 $8,502 $8,502 $0 $0 $0


Quality Care Network

5326 E Washington St., Bldg B

Phoenix AZ 85034 $222,660 $222,660 $0 $0 $0


Sally Riggs 5820 N Calle Grandeza Tucson AZ 85718 $23,631 $0 $0 $23,631 $0

AZ101155 X Southeast Arizona

San Carlos Apache Wellness Center

San Carlos, Arizona San Carlos AZ 85550 $35,202 $0 $0 $35,202 $0


San Carlos Apache Tribe

San Carlos, Arizona San Carlos AZ 85550 $35,066 $0 $0 $35,066 $0


Scottsdale Prevention Institute

6908 E. THOMAS RD., STE. 302

Scottsdale AZ 85251 $223,715 $0 $0 $223,715 $0


Sonora Quest Laboratories

1255 W WASHINGTON ST

Tempe AZ 85281 $1,188 $1,188 $0 $0 $0


Sothwest Behavioral Health Services

111 W CEDAR LANE Payson AZ 85541 $18,750 $18,750 $0 $0 $0


Southeastern AZ Behav Health Services - (SEABHS)

996 Broad St. Suite 10 Globe AZ 85501 $33,400 $20,000 $0 $13,400 $0



404 Rex Allen Dr. Willcox AZ 85646 $4,468 $4,468 $0 $0 $0



611 W. Union St Benson AZ 85602 $20,020 $20,020 $7,205 $0 $0



430 N. Coronado Blvd

Clifton AZ 85533 $35,214 $1,120 $0 $34,094 $0



4755 Campus Dr. Sierra Vista AZ 85635 $158,349 $69,983 $0 $88,366 $0



1615 S. 1st Ave Safford AZ 85546 $67,603 $23,072 $0 $44,531 $0


AZ100992 AZ100992 Southeast Arizona

Southern Arizona AIDS Foundation

375 S Euclid Ave Tucson AZ 85719 $183,591 $0 $0 $183,591 $0


Southwest Behavioral Health Clinic

2215 Hualapai Mountain Rd. Ste. H&I

Kingman AZ 86401 $11,445 $11,445 $407 $0 $0



809 Hancock Rd Ste 1

Bullhead City AZ 86442 $116,216 $116,216 $4,135 $0 $0



1845 McColloch Blvd Ste B1

Lake Havasu City AZ 86403 $2,238 $2,238 $80 $0 $0



1515 E. Cedar Ave. Ste B2 Flagstaff AZ 86004 $38,827 $38,827 $1,381 $0 $0



2580 HWY 95 Ste 119-125

Bullhead City AZ 86442 $9,316 $9,316 $331 $0 $0



7600 E. Florentine Ave Ste. 101

Prescott Valley AZ 86314 $86,465 $86,465 $3,076 $0 $0



7763 East Florentine Road

Prescott Valley AZ 86314 $16,566 $16,566 $589 $0 $0


Southwest Behavioral Health Services

3450 N. 3rd Street Phoenix AZ 85012 $377,045 $202,742 $64,130 $174,303 $0

404093 X Maricopa County

Southwest Behavioral Health Services

1545 W. BROADWAY AVE., STE 1 & 2

Apache Junction AZ 85220 $25,436 $0 $0 $25,436 $0


Southwest Human Development

2850 N. 24th St Phoenix AZ 85008 $163,509 $0 $0 $163,509 $0


Southwest Network

2700 N Central Ave, Ste 1050

Phoenix AZ 85004 $281,382 $281,382 $0 $0 $0


Spectrum Healthcare Group Inc

8 E. Cottonwood St. Bldg C

Cottonwood AZ 86326 $168,014 $168,014 $9,780 $0 $0



8 E. Cottonwood St.

Cottonwood AZ 86326 $47,658 $47,658 $2,776 $0 $0



452 Finnie Flats Road Camp Verde AZ 86322 $17,761 $17,761 $840 $0 $0



8 E. Cottonwood St.

Cottonwood AZ 86326 $111,706 $111,706 $5,090 $0 $0

AZ101157 AZ101157 Statewide State Lab -HIV 150 N. 18th Ave. Phoenix AZ 85007 $10,000 $10,000 $0 $0 $0


Tanner Community Development

700 E. JEFFERSON ST. - SUITE 200

Phoenix AZ 85034 $160,174 $0 $0 $160,174 $0

283809 AZ100002 Maricopa County Terros Inc

3003 N. Central Ave, Suite 200

Phoenix AZ 85012 $2,568,153 $2,229,247 $425,641 $338,906 $0

592867 AZ750311 Pima County The Haven 1107 E

Adelaide Dr. Tucson AZ 85719 $243,317 $243,317 $175,362 $0 $0


Touchstone Behavioral Health

15648 N. 35th Ave Phoenix AZ 85053 $308,042 $36,130 $0 $271,912 $0


Town of Quartzsite P.O. Box 2812 Quartzsite AZ 85346 $50,356 $0 $0 $50,356 $0


Transitional Living Center Recovery

1360 S. 4th Avenue Yuma AZ 85364 $4,258 $4,258 $0 $0 $0



2073 N. Grande Avenue #19

Nogales AZ 85621 $100,000 $100,000 $0 $0 $0



117 E. 2nd Street, Suite 2 Casa Grande AZ 85122 $86,950 $86,950 $0 $0 $0

1717 E.


AZ101060 X Pima County U of A Speedway

Blvd Suite #1101

Tucson AZ 85719 $200,333 $0 $0 $200,333 $0

388606 AZ100504 Maricopa County VALLE DEL SOL 3807 N. 7th St. Phoenix AZ 85014 $848,899 $661,770 $64,130 $187,129 $0


West Yavapai Guidance Clinic

625 Hillside Ave Prescott AZ 86301 $2,045 $2,045 $85 $0 $0



642 Dameron Dr Prescott AZ 86301 $380,725 $380,725 $15,836 $0 $0



642 Dameron Drive Prescott AZ 86301 $214,715 $149,703 $5,575 $65,012 $0



3345 N. Windsong Drive

Prescott Valley AZ 86314 $446 $446 $19 $0 $0


West Yavapai Guidance Clinic - Windsong Center

3345 N. Windsong Drive

Prescott Valley AZ 86314 $52,180 $52,180 $1,379 $0 $0


WMAT Apache Propane P.O. Box 1149 Whiteriver AZ 85941 $75 $75 $0 $0 $0


WMAT Housing Authority P.O. Box 1270 Whiteriver AZ 85941 $200 $200 $0 $0 $0


WMAT Solid Waste P.O. Box 1038 Whiteriver AZ 85941 $10 $10 $0 $0 $0


WMAT Utility Authority P.O. Box 517 Whiteriver AZ 85941 $36 $36 $0 $0 $0


Womens Transition Project

240 OHARA AVE Bisbee AZ 85603 $208,372 $208,372 $10,989 $0 $0


Worthy Institute

2942 E. 24th St., Ste 207 Phoenix AZ 85016 $83,768 $0 $0 $83,768 $0


Youth Evaluation and Treatment Center

4414 N. 19th Avenue Phoenix AZ 85015 $6,663 $6,663 $0 $0 $0


Yuma Family YMCA

1917 W 32nd Street Yuma AZ 85364 $57,063 $0 $0 $57,063 $0


Yuma Treatment Center 1290 W 8th Pl Yuma AZ 85364 $291,160 $291,160 $0 $0 $0

Total $30,380,573 $23,371,386 $3,496,099 $7,009,187 $0

* Indicates the imported record has an error.

Footnotes: Please see attached Excel file.


(1) (2) (3) (4) (5)

STATE CODE

Entity Number

(State Provider

Number)

Provider Name Provider Address Provider City

AZ 397770 ABHS - Angeline Lee 249 W. Ponderosa Whiteriver

AZ 397770 ABHS - Ginger Myers 249 W. Ponderosa Whiteriver

AZ 094421 Alternatives Counseling Service999 E FRY BLVD Sierra Vista

AZ AZ101018 Area Agency on Aging 1366 EAST THOMAS ROAD SUITE 108Phoenix

AZ 359375 Arizona Counseling and Treatment 2545 S. Arizona AvenueYuma

AZ 580533 Arizona Counseling and Treatment 114 & 116 S. Arizona AvenueWillcox

AZ 581244 Arizona Counseling and Treatment 2039 E. Wilcox Dr., Ste. ASierra Vista

AZ 581226 Arizona Counseling and Treatment 301 E. 4th St., Ste. A Safford

AZ 581235 Arizona Counseling and Treatment 562 N. Coronado Blvd.Clifton

AZ 754451 Arizona Counseling and Treatment 24 Howell St. Bisbee

AZ 581257 Arizona Counseling and Treatment 500 S. Highway 80, Ste. ABenson

AZ 536715 Arizona Counseling and Treatment 13100 S. Sunland Gin Road, Ste. 1Arizona City

AZ 478741 Arizona Counseling and Treatment 730 W. Cowell Street Quartzsite

AZ 477855 Arizona Counseling and Treatment 1021 Kofa Avenue Parker

AZ 476817 Arizona Counseling and Treatment 679 N. First Avenue, Ste ESan Luis

AZ 448320 Arizona Counseling and Treatment 10318 William Street Wellton

AZ AZ101022 Arizona State University P.O. BOX 874906 Tempe

AZ AZ101019 Arizona Suicide Prevention P.O. BOX 10745 Phoenix

AZ Arizona Youth Partnership - Rural4239 W. Ina Rd, Ste 101 Tucson

AZ AZ101021 Arizonans for Prevention 7658 S Bosworth Field WayTucson

AZ Arizona's Children Association2700 South 8th Ave Tucson

AZ 6006 Arizona Youth Partnership 4239 W. Ina Road, Ste 101Tucson

AZ 668806 AZI House LLC 5986 South Jakemp TrailTucson

AZ 319460 BAART Behavioral Health Services908B W CHANDLER BLVD STE 4Chandler

AZ 076465 Bayless Healthcare 3620 N. 3rd Street Phoenix

NY 941593 Calloway Laboratories 9305 W THOMAS RD STE 270Phoenix

AZ 502818 Casa de los Ninos 140 N. Tucson Blvd. Tucson

AZ AZ101024 Casa Grande Alliance 901 E Cottonwood LaneCasa Grande

AZ 168444 Catholic Community Services of Southern Arizona 690 E 32ND ST Yuma

AZ 551922 CENPATICO 1501 W. Fountainhead ParkwayTempe



AZ 339855 Center for Behavioral 2123 E SOUTHERN AVE STE 2Tempe

AZ 366918 Center for Behavioral Health1501 E WASHINGTON STPhoenix

AZ 218075 Centered Spirit Program 7490 S Camino De OesteTucson

AZ 112219 Chicanos Por La Causa 1112 E. Buckeye Rd. Phoenix

AZ 112219 Chicanos Por La Causa 4602 W INDIAN SCHOOL RD STE C-3Phoenix

AZ Child & Family Resources 2800 E. Broadway Tucson

AZ 445274 Child & Family Support Services 8652 E. Eastridge Road, Ste. 103Prescott Valley

AZ AZ101027 Circles of Peace 404 Crawford Nogales

AZ 047557 City of Tempe 715 W. FIFTH STREET Tempe


AZ 52127901 CODAC 127 S. 5th Ave. Tucson

AZ 576264 Community Bridges Inc 646 W Union St Benson

AZ 677658 Community Bridges Inc 358 E. Javelina Ave Ste 101 Mesa

AZ 420941 Community Bridges Inc 993 North Hermosa DriveHolbrook

AZ 363859 Community Bridges Inc 2770 East Van Buren StreetPhoenix

AZ AZ100973 Community Bridges Inc 554 S. Bellview Mesa

AZ 677294 Community Bridges Inc 675 E. Cottonwood, Suite 101Casa Grande

AZ 283412 Community Bridges Inc 1855 W. Baseline Rd., Suite 101Mesa

AZ 388723 Community Bridges Inc 5734 E. Hope Lane Globe

AZ 357379 Community Bridges Inc 803 W Main St Payson

AZ 357379 Community Bridges Inc 803 W. Main St Payson

AZ 630855 Community Bridges Inc 824 N. 99th Ave Ste. 108 Avondale

AZ 599812 Community Bridges Inc 110 E. 2nd St Winslow

AZ 488670 Community Bridges Inc 3250 B East 40th Street Yuma

AZ 740227 Community Counseling 423 S. Main St. Snowflake

AZ 003450 Community Counseling 105 N. Fifth Ave. Holbrook

AZ 007460 Community Counseling 2500 East Show Low Lake Road Show Low

AZ 426191 Community Counseling 1015 East 2nd Street Winslow

AZ 893893 Community Intervention 2851 S Ave B Bldg 3 & 4Yuma

AZ 495600 Community Intervention Associates1516 Ocotillo AvenueParker

AZ 496988 Community Intervention Associates1938 E Juan Sanchez Blvd Bldg 6San Luis

AZ 620627 Community Intervention Associates1701 N Douglas Ave Douglas

AZ 620609 Community Intervention Associates1326 Hwy. 92 Suite J Bisbee

AZ 603657 Community Intervention Associates32 Blvd. Del Rey Nogales

AZ 342717 Community Medical Services 3825 N 24TH ST Phoenix

AZ 216806 ConnectionsAZ, Inc. 404 W AERO DRIVE Payson

AZ 69712002 COPE 101 S. Stone Tucson

AZ 102238 Corazon 1891 N. Mastick Nogales

AZ 102849 Corazon 936 F. Avenue Douglas

AZ 100059 Corazon 900 E. Florence Blvd. Casa Grande

AZ CPSA - Admin 4575 E Broadway BlvdTucson

AZ CPSA - Profit 4575 E Broadway BlvdTucson

AZ 704719 Crossroads Mission 944 S ARIZONA AVE Yuma

AZ AZ101031 CV Lore and Associates 355 S. Balboa Dr Gilbert

AZ 319790,274629 Ebony House 6222 S 13TH ST Phoenix

AZ AZ100587 Empact Suicide Prevention 1232 E Broadway, Suite 320Tempe

AZ 100587 Empact Suicide Prevention 1232 E Broadway, Suite 320Tempe

AZ 622987 Empact Suicide Prevention 4425 W OLIVE AVE STE 194Glendale

AZ 168072 Encompass Healthcare 463 S. Lake Powell Blvd.Page

AZ 737330 Encompass Healthcare 32 N. 10th Ave Ste 5 Page

AZ 822503 Epidaurus dba Amity FoundationP. O. Box 3034 Tucson

AZ 445100 Eureka Imperial Residence 1740 South Heritage DriveGilbert

AZ AZ100963 Fort Apache Home MaintenanceP.O. Box 1095 Fort Apache

AZ Fort McDowell Yavapai Nation

AZ 334582 Gila River Health Care PO BOX 2175 Sacaton

AZ 589093 Gila River Health Care 3850 N. 16th Street Laveen

AZ 683287 Gila River Health Care 291 W. Casa Blanca Rd.Sacaton


AZ 415712 Gila River Health Care PO BOX 38 Sacaton

AZ AZ101034 Gila River Trail Riders Club 5594 W. Wildhorse Pass Blvd.Chandler

AZ AZ101861 Helping Associates, Inc. 1901 N. Trekell Rd., Suite ACasa Grande

AZ 136384 Horizon Human Services 102 N Florence St. Casa Grande

AZ AZ101035 I.C.A.N. 650 E. Morelos St. Chandler

AZ 872095 Intensive Treatment 651 W COOLIDGE ST PHOENIX

AZ 955023 Intensive Treatment Systems 19401 N CAVE CREEK RD STE 18Phoenix

AZ 178348 Jewish Family & Children's Service4747 North 7th StreetPHOENIX

AZ AZ101037 Kathleen Stanton, Consultant5342 N 3rd Ave Phoenix

NY NY100995 Kognito 135 W 26th St New York

AZ 59384901 La Frontera 260 S Scott Ave Tucson

AZ 6913901 La Frontera 502 W 29th St Tucson

AZ 806185 Lifewell 2715 N 3RD ST Phoenix

AZ 007519 Little Colorado Behavioral Health Center 50 N. Hopi Springerville

AZ 003442 Little Colorado Behavioral Health Center 470 West Cleveland StreetSt. Johns

AZ Luz Social Services (CER) 2797 N. Introspect Dr.Tucson

AZ 23445601 Marana Health Center 13395 N Marana Main StMarana

AZ AZ101038 Maricopa Ak-Chin PO Box 144 Maricopa

AZ MATForce 8056 E. Vallet Road, Ste B.Prescott

AZ MMIC - Admin Expense

AZ MMIC - Profit

AZ 147125 Mohave Mental Health 2187 Swanson AvenueLake Havasu City

AZ 515719 Mohave Mental Health 2580 Hwy 95 Ste. 208, 209, 210Bullhead City

AZ 690405 Mohave Mental Health Clinic2002 Stockton Hill Road Ste 104Kingman

AZ 116667 Mohave Mental Health Clinic1145 Marina BoulevardBullhead City

AZ 435192 Mohave Mental Health 2001 Stockton Hill Road Ste 104Kingman

AZ 589848 Mohave Mental Health Clinic1741 Sycamore AvenueKingman

AZ 117136 Mohave Mental Health Clinic3505 Western Ave. Kingman

AZ AZ100630 Mountain Health & WellnessP.O. BOX 3160 Apache Junction

AZ AZ102128 Mountain Health & Wellness625 N PLAZA DRIVE Apache Junction

AZ 590001 National Council on 4201 N 16TH ST STE 140Phoenix

AZ 151346 Native American Connections4520 N CENTRAL AVE STE 100Phoenix

AZ AZ100987 Navopache Electric Cooperative1878 W. White Mtn BlvdLakeside

AZ 098534 New Casa de Amigas 1648 W COLTER ST # 8Phoenix

AZ 893554 New Hope Behavioral 215 S POWER RD STE 114Mesa

AZ 467641 New Horizon Youth Homes PO Box 2754 Chandler

AZ 539184 North Country Healthcare 2920 N. 4th Street Flagstaff

AZ 006579 Northern Arizona Regional 1300 South Yale St Flagstaff

AZ 810029 NOVA 4425 W OLIVE AVE STE 200Glendale

AZ 947806 Nursewise 1501 W Fountainhead Parkway, Suite 201Tempe

AZ Office of HIV

AZ 77257601 Pantano 5055 E. Broadway Tucson

AZ 129263 Parc Place Casa Grande 1120 E. 6th Street Casa Grande

AZ 772542 Park Place Outreach and Counseling13626 DEL RIO DR, ARIZONA CITY, AZ 85123Arizona City

AZ 830786 Park Place Outreach and 11349 E 24TH LN Yuma

AZ AZ101042 Parker Alliance for Community Empowerment1309 9th Street Parker

AZ AZ101043 Partnership for a Drug-Free 3030 NORTH CENTRAL, SUITE 509Phoenix


AZ 448846 Pasadera Behavioral Health 1779 W. St. Mary's Tucson

AZ 592578 Pasadera Behavioral Health Network 2950 N. Dodge Tucson

AZ 807753 Pasadera Behavioral Health Network 2499 Ajo Rd Tucson

AZ Pascua Yaqui - Indirect Cost

AZ 151346 People of Color Network 77 E Thomas Rd, Ste 230Phoenix

AZ 740367 Phoenix Indian Center 4520 N. CENTRAL AVE., STE. 250Phoenix

AZ AZ101045 Pima County 3950 S Country Club Rd #1491Tucson

AZ 557514 Pima Prevention Partnership 3130 E Broadway Rd, Ste 180Tucson

AZ 557514 Pima Prevention Partnership 1475 North Oracle RoadTucson

AZ AZ101048 Pima Prevention Partnership (CER)2525 E. Broadway Ste 100Tucson

AZ AZ101049 Pinal Gila Council for Senior Citizens8969 W McCartney Casa Grande

AZ 591324 Pinal Hispanic Council 275 N Grand Court PlazaNogales

AZ 598482 Pinal Hispanic Council 1940 E 11th St. Douglas

AZ 688903 Pinal Hispanic Council 107 E 4th St. Eloy

AZ 164567 Pinal Hispanic Council 556 S Arizona Blvd. Coolidge

AZ 48480601 Providence 1181 N El Dorado PlaceTucson

AZ 186074 Quality Care Network 5326 E Washington St., Bldg BPhoenix

AZ AZ101052 Sally Riggs 5820 N Calle GrandezaTucson

AZ San Carlos Apache San Carlos, Arizona San Carlos

AZ AZ901708 San Carlos Apache Tribe San Carlos, Arizona San Carlos

AZ AZ101053 Scottsdale Prevention Institute 6908 E. THOMAS RD., STE. 302Scottsdale

AZ 658575 SouthEastern Arizona Behavioral Health Services611 W. Union St Benson

AZ 117888 SouthEastern Arizona Behavioral Health Services430 N. Coronado BlvdClifton

AZ 336159 SouthEastern Arizona Behavioral Health Services4755 Campus Dr. Sierra Vista

AZ 895659 SouthEastern Arizona Behavioral Health Services1615 S. 1st Ave Safford

AZ 783673 SouthEastern Arizona Behavioral Health Services996 Broad St. Suite 10Globe

AZ 082893 SouthEastern Arizona Behavioral Health Services404 Rex Allen Dr. Willcox

AZ 452152 Sonora Quest Laboratories 1255 W WASHINGTON STTempe

AZ 361463 Sothwest Behavioral Health Services111 W CEDAR LANE Payson

AZ AZ100992 Southern Arizona AIDS Foundation375 S Euclid Ave Tucson

AZ Southern Arizona AIDS Foundation (CER)375 S. Euclid Tucson

AZ 522645 Southwest Behavioral Health Clinic 2215 Hualapai Mountain Rd. Ste. H&I Kingman

AZ 633183 Southwest Behavioral Health Clinic 809 Hancock Rd Ste 1 Bullhead City

AZ 647081 Southwest Behavioral Health Clinic 1845 McColloch Blvd Ste B1 Lake Havasu City

AZ 454331 Southwest Behavioral Health Clinic 1515 E. Cedar Ave. Ste B2 Flagstaff

AZ 435457 Southwest Behavioral 2580 HWY 95 Ste 119-125 Bullhead City

AZ 633167 Southwest Behavioral Health Clinic 7600 E. Florentine Ave Ste. 101 Prescott Valley

AZ 654156 Southwest Behavioral Health Clinic 7763 East Florentine RoadPrescott Valley

AZ 888373 Southwest Behavioral Health Services 3450 N. 3rd Street Phoenix

AZ 888373 Southwest Behavioral Health Services 3450 N. 3rd Street Phoenix

AZ 404093 Southwest Behavioral Health Services 1545 W. BROADWAY AVE., STE 1 & 2Apache Junction

AZ Southwest Human 2850 N. 24th St Phoenix

AZ AZ101004 Southwest Network 2700 N Central Ave, Ste 1050Phoenix

AZ 438745 Spectrum Healthcare 8 E. Cottonwood St. Bldg CCottonwood

AZ 184460 Spectrum Healthcare Group 8 E. Cottonwood St. Cottonwood

AZ 755689 Spectrum Healthcare Group 452 Finnie Flats Road Camp Verde

AZ 057952 Spectrum Healthcare Group (FKA Verde Valley Guidance Center)8 E. Cottonwood St. Cottonwood


AZ State Lab -HIV

AZ AZ101056 Tanner Community Development 700 E. JEFFERSON ST. - SUITE 200Phoenix

AZ 283809 TERROS 3003 N. Central Ave, Suite 200Phoenix

AZ 246632 The Guidance Center 2187 N. Vickey StreetFlagstaff

AZ 116807 The Guidance Center 220 W. Grant Street Williams

AZ 158133 The Guidance Center 2695 E. Industrial Dr Flagstaff

AZ 969884 The Guidance Center 2697 E. Industrial Dr Flagstaff

AZ 592867 The Haven 1107 E Adelaide Dr. Tucson

AZ AZ101009 Touchstone Behavioral 15648 N. 35th Ave Phoenix

AZ AZ101059 Town of Quartzsite P.O. Box 2812 Quartzsite

AZ 384591 Transitional Living Center 1360 S. 4th Avenue Yuma

AZ 425931 Transitional Living Center Recovery117 E. 2nd Street, Suite 2Casa Grande

AZ 617407 Transitional Living Center 2073 N. Grande Avenue #19Nogales

AZ AZ101060 U Of A 1717 E. Speedway Tucson

AZ U of A ERAD 1717 E. Speedway Blvd Suite #1101 Tucson

AZ 388606 VALLE DEL SOL 3807 N. 7th St. Phoenix

AZ 537095 West Yavapai Guidance Center 3345 N. Windsong DrivePrescott Valley

AZ 540303 West Yavapai Guidance Center 625 Hillside Ave Prescott

AZ 591562 West Yavapai Guidance 642 Dameron Dr Prescott

AZ 116790 West Yavapai Guidance Center 642 Dameron Drive Prescott

AZ 366233 West Yavapai Guidance Center 3345 N. Windsong DrivePrescott Valley

AZ AZ101013 WMAT Apache Propane P.O. Box 1149 Whiteriver

AZ AZ101014 WMAT Housing Authority P.O. Box 1270 Whiteriver

AZ AZ101015 WMAT Solid Waste P.O. Box 1038 Whiteriver

AZ AZ101016 WMAT Utility Authority P.O. Box 517 Whiteriver

AZ 989634 Womens Transition Project 240 OHARA AVE Bisbee

AZ Worthy Institute 2942 E. 24th St., Ste 207Phoenix

AZ YMCA 1366 EAST THOMAS ROAD SUITE 108Phoenix

AZ 349127 Youth Evaluation and 4414 N. 19th Avenue Phoenix

AZ AZ101061 Yuma Family YMCA 1917 W 32nd Street Yuma

AZ 872128 Yuma Treatment Center 1290 W 8th Pl Yuma




(6) (7) (8) (9) (10)

Provider Zip I-BHS ID Area Served (SPA)Total Block Grant

Funds

Prevention (other

than primary

prevention) and

Treatment Services

85941 AZ100953 Navajo 1,360 1,360

85941 AZ101062 Navajo 40 40

85635 AZ100811 Graham, Greenlee, 1,437 1,437

85014 AZ101018 Maricopa County 194,623 -

85364 AZ101843 Yuma 80,171 80,171

85644 AZ102727 Cochise 14,005 14,005

85635 AZ102728 Cochise 64,383 64,383

85546 AZ102730 Graham 38,216 38,216

85533 AZ102731 Greenlee 1,337 1,337

85603 AZ102732 Cochise 14,651 14,651

85602 AZ102733 Cochise 7,282 7,282

85123 AZ102734 Pinal 2,500 2,500

85346 AZ102735 La Paz, Yuma 195 195

85344 AZ102736 La Paz 3,298 3,298

85349 AZ102738 La Paz, Yuma 31,020 31,020

85356 AZ102739 La Paz, Yuma 1,013 1,013

85287 AZ101022 99 91,809 -

85064 AZ101019 99 8,000 -

85741 X Pima County 153,397 -

85746 AZ101021 99 213,215 -

85716 Pima County 5,096 5,096

85741 X Mohave County 72,121 -

85747 AZ100956 Pinal 1,806 1,806

85225 AZ101530 Maricopa 128,960 128,960

85012 AZ100957 Maricopa 6,020 6,020

85037 AZ100958 La Paz, Yuma 106,279 106,279

85716 PIMA 2,345 2,345

85211 AZ101024 Pinal 42,454 -

85365 AZ100057 Yuma 670 643

85282 AZ101072 La Paz, Yuma (36,385) (59,740)

85282 AZ101073 Graham, Greenlee, Cochise, Santa Cruz(62,181) (18,951)

85282 AZ101074 Gila, Pinal 106,781 (12,483)

85282 AZ100871 Maricopa 75,842 30,951

85034 AZ901153 Maricopa 64,375 45,136

85757 AZ101473 Pima 192,500 -

85014 AZ105433 Maricopa County 399,886 307,190

85031 AZ301719 Maricopa 28,106 28,106

85718 X Pima County 255,061 -

86314 AZ100959 Coconino County 1,279 1,279

85621 AZ101027 Santa Cruz 75,382 -

85281 AZ101029 Maricopa 172,492 -


85701 AZ105599 Pima County 953,596 704,400

85602 AZ100512 Cochise 255,939 235,464


86025 AZ100518 Navajo County 37,443 37,443

85008 AZ100796 Maricopa County 277 277


85122 AZ101825 Pinal 4,694 4,318

85202 AZ101826 Maricopa 5,530,774 4,905,623

85501 AZ101827 Gila County 24 24

85541 AZ101829 Gila 73,537 67,654

85541 AZ101830 Gila County 79,894 46

85323 AZ101831 Maricopa County 409 409

86047 AZ101832 Navajo County 98,513 98,513

85365 AZ101862 Yuma 496,170 456,476

85937 AZ100960 Navajo County 15,787 13,658

86025 AZ101317 Navajo County 32,793 27,359

85901 AZ105631 Navajo County 50,640 45,345

86047 AZ300158 Navajo County 24,692 21,451

85364 AZ100005 Yuma 60,657 58,898

85344 AZ101864 La Paz 1,146 1,146

85349 AZ101865 Yuma 5,594 5,594

85607 AZ102447 Cochise 21,196 21,196

85603 AZ102448 Cochise 7,065 7,065

85621 AZ102449 Santa Cruz 39,028 34,033


85541 AZ100961 Gila, Pinal 104 104

85701 AZ100809 Pima County 800,203 730,203

85621 AZ100559 Santa Cruz 22,534 22,534

85607 AZ100598 Santa Cruz 22,534 22,534

85122 AZ102108 Pinal 65,750 65,750

85711 Pima 502,048 335,463

85711 Pima 175,989 119,406

85364 AZ100477 Yuma 49,481 49,481

85296 AZ101031 Yuma 26,000 -

85042 AZ750154 Maricopa 463,310 290,160

85282 AZ100587 99 2,500 -


85302 AZ101844 Maricopa 64,410 51,584



85702 AZ301016 Pinal 13,926 13,926


85926 AZ100963 Navajo 455 455

X Maricopa County 77,596 -

85147 AZ100964 Pinal County 6,528 6,528


85147 AZ101868 Pinal County 203,613 144,389


85147 AZ101722 Pinal County 33,257 30,642


85222 AZ101861 Pinal County 146,648 146,648

85122 AZ101827-1 Pinal 23,464 23,464

85225 AZ101035 Maricopa 205,433 -

85013 AZ101044 Maricopa 62,701 61,080


85014 AZ100966 Maricopa 33,036 33,036


10001 NY100995 99 27,937 -

85701 AZ100152 Pima County 350,000 350,000

85713 AZ750550 Pima County 543,641 303,457

85004 AZ100967 Maricopa County 1,054,670 541,632

85938 AZ100665 Apache County 29,911 27,558

85936 AZ300133 Apache County 12,183 10,827

85745 X Pima County 105,602 -

85653 AZ101039 Pima 177,027 100,253

85139 AZ101038 Pinal 45,666 -

86314 X Yavapai County 72,121 -

Maricopa 173,267 119,072

Maricopa 75,768 146,241

86403 AZ100491 Mohave County 37,069 34,722

86442 AZ100619 Mohave County 22,240 21,984

86401 AZ100945 Mohave County 4,201 4,157

86442 AZ101040 Mohave County 16,891 14,613

86401 AZ101063 Mohave County 4,758 4,748

86409 AZ102112 Mohave County 72,817 62,997

86409 AZ300174 Mohave County 69,787 60,375


85120 AZ102128 Maricopa 45,290 45,290

85016 AZ750535 Maricopa 601,527 152,619

85012 AZ750162 Maricopa 683,559 471,932

85929 AZ100987 Navajo 235 235


85206 AZ101283 Maricopa 128,960 128,960


86004 Mohave, Yavapai, and 118,182 61,516

86001 AZ101080 Coconino, Mohave, Yavapai, Apache, Navajo 335,722 220,968


85282 AZ100334 Gila, Pinal 29,851 29,851

99 63,361 63,361

85711 AZ100838 Pima County 10,559 10,559

85222 AZ100990 Pinal County 10,821 10,821

85123 AZ100281 Pinal 5,299 5,299

85367 AZ102821 Graham, Greenlee, Cochise, Santa Cruz24,035 24,035

85344 AZ101042 La Paz 74,739 -

85012 AZ101043 Maricopa 242,767 -


85745 AZ100728 Pima County 121,445 121,445

85716 AZ102120 Pima County 531,718 531,718

85713 AZ105565 Pima County 709,180 709,180

X Pima 38,500 -

85012 AZ750162-1 Maricopa County 117,125 117,125

85012 AZ101748 Maricopa 113,806 -

85714 AZ101045 99 72,857 -


85705 AZ102093 Maricopa 30,100 -

85716 AZ101048 Pima County 112,180 -

85294 AZ101049 Pinal 116,462 -

85621 AZ102267 Santa Cruz 8,502 8,502

85607 AZ102268 Cochise 8,502 8,502

85131 AZ105615 Pinal 25,000 25,000

85128 OTC6003 Gila, Pinal 25,000 25,000

85715 AZ102276 Pima County 198,920 23,347


85718 AZ101052 La Paz, Yuma 23,631 -

85550 X Graham 35,202 -

85550 AZ901708 Gila 35,066 -

85251 AZ101053 Maricopa 223,715 -

85602 AZ100848 Cochise 27,225 20,020

85533 AZ101876 Greenlee 35,214 1,120

85635 AZ101885 Cochise 158,349 69,983

85546 AZ101886 Graham 67,603 23,072

85501 AZ102746 Gila, Pinal 33,400 20,000

85646 AZ104907 Cochise 4,468 4,468

85281 AZ100991 Graham, Greenlee, Cochise, Santa Cruz 1,188 1,188

85541 AZ101678 Gila 18,750 18,750

85719 AZ100992 Gila, Pinal 88,081 -

85719 X Pima County 95,510 -

86401 AZ100668 Mohave County 11,852 11,445

86442 AZ100678 Mohave County 120,351 116,216

86403 AZ100679 Mohave County 2,317 2,238


86442 AZ100994 Mohave County 9,648 9,316

86314 AZ102777 Yavapai County 89,541 86,465



85012 AZ888373 Maricopa 20,539 15,134

85220 X Maricopa 25,436 -

85008 X Maricopa County 163,509 -







99 10,000 10,000

85034 AZ101056 Maricopa 160,174 -

85012 AZ100002 Maricopa County 2,993,794 2,229,247





85719 AZ750311 Pima County 418,679 243,317

85053 AZ101009 Maricopa 308,042 36,130

85346 AZ101059 La Paz, Yuma 50,356 -

85364 AZ101627 Yuma 4,258 4,258

85122 AZ101727 Pinal 86,950 86,950

85621 AZ102368 Santa Cruz 100,000 100,000

85719 AZ101060 99 93,333 -

85719 X Pima County 107,000 -

85014 AZ100504 Maricopa 913,029 661,770





86314 AZ101842 Yavapai County 465 446

85941 AZ101013 Navajo 75 75

85941 AZ101014 Navajo 200 200

85941 AZ101015 Navajo 10 10

85941 AZ101016 Navajo 36 36

85603 AZ101017 Graham, Greenlee, Cochise, Santa Cruz219,361 208,372



85015 AZ101835 Maricopa 6,663 6,663

85364 AZ101061 Yuma 57,063 -

85364 AZ100066 Yuma 291,160 291,160




(11) (12) (13)

Pregnant Women

and Women with

Dependent Children

Primary PreventionHIV Early

Intervention

- - -

- - -

- - -

- 194,623 -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- 91,809 -

- 8,000 -

- 153,397 -

- 213,215 -

- - -

- 72,121 -

- - -

- - -

- - -

- - -

- - -

- 42,454 -

27 - -

(4,981) 28,336 -

3,600 (46,830) -

(18,897) 138,161

44,891 - -

19,239 - -

- 192,500 -

- 92,696 -

- - -

- 255,061 -

- - -

- 75,382 -

- 172,492 -


110,800 138,396 -

20,475 - -

- - -

- - -

- - -

72,374 - -

376 - -

420,691 204,460 -

- - -

5,883 - -

- 79,848 -

- - -

- - -

39,694 - -

2,129 - -

5,434 - -

5,294 - -

3,241 - -

1,759 - -

- - -

- - -

- - -

- - -

4,996 - -

25,652 - -

- - -

70,000 - -

- - -

- - -

- - -

122,439 44,146 -

17,849 38,733 -

- - -

- 26,000 -

173,151 - -

- 2,500 -

- 80,000 -

12,826 - -

- - -

3,955 57,697 -

- - -

- - -

- - -

- 77,596 -

- - -

- - -

- 59,224 -


- 2,615 -

- 12,000 -

- - -

- - -

- 205,433 -

1,621 - -

17,617 - -

- - -

- 25,000 -

- 27,937 -

- - -

70,000 170,184 -

513,038 - -

2,353 - -

1,357 - -

- 105,602 -

76,773 - -

- 45,666 -

- 72,121 -

22,385 31,810 -

44,794 (115,267) -

2,347 - -

256 - -

43 - -

2,278 - -

11 - -

9,820 - -

9,411 - -

- - -

- - -

448,908 - -

211,628 - -

- - -

70,470 - -

- - -

- - -

- 56,666 -

9,642 105,112 -

- - -

- - -

- - -

- - -

- - -

- - -

- - -

- 74,739 -

- 242,767 -


- - -

- - -

- - -

- 38,500 -

- - -

- 113,806 -

- 72,857 -

- 238,680 -

- 30,100 -

- 112,180 -

- 116,462 -

- - -

- - -

- - -

- - -

- 175,572 -

- - -

- 23,631 -

- 35,202 -

- 35,066 -

- 223,715 -

7,205 - -

- 34,094 -

- 88,366 -

- 44,531 -

- 13,400 -

- - -

- - -

- - -

- 88,081 -

- 95,510 -

407 - -

4,135 - -

80 - -

1,381 - -

331 - -

3,076 - -

589 - -

58,725 174,303 -

5,405 - -

- 25,436 -

- 163,509 -

- - -

9,780 - -

2,776 - -

840 - -

5,090 - -


- - -

- 160,174 -

425,641 338,906 -

128 - -

119 - -

8,528 - -

10,838 - -

175,362 - -

- 271,912 -

- 50,356 -

- - -

- - -

- - -

- 93,333 -

- 107,000 -

64,130 187,129 -

1,379 - -

85 - -

15,836 - -

5,575 65,012 -

19 - -

- - -

- - -

- - -

- - -

10,989 - -

- 83,768 -

- 97,131 -

- - -

- 57,063 -

- - -




Column

Column

Number

STATE_CODE 1

Entity Number / State Provider Number 2

PROVIDER NAME 3

PROVIDER ADDRESS 4-6

I-BHS 7

SUB-STATE PLANNING AREA (SPA) 8

TOTAL BLOCK GRANT FUNDS 9

PREVENTION (OTHER THAN PRIMARY PREVENTION) AND TREATMENT SERVICES 10

This table requires States to report expenditures for authorized activities funded under the SABG awarded three years prior to the year the state is applying for funds. This table should be filled out in two stages. The first

stage involves completion of columns 1 through 8. These columns record information about the entity. The second stage involves completion of columns 9 through 13. These columns record information about the use of

SABG funds.

Instructions for Table 8


PREGNANT WOMEN & WOMEN WITH DEPENDENT CHILDREN 11

PRIMARY PREVENTION 12

HIV EARLY INTERVENTION SERVICES 13


Instructions

A two-letter unique identifier for a state, District of Columbia or territory.

This is the number from the entity list you assembled in preparing to complete the form. It must be unique.

For any entity without an I-BHS ID number, enter the provider’s name. If the state funds more than one of the

organization’s locations in the SPA , enter the address and of its main administrative office.

For any entity without an I-BHS ID number, enter the provider’s street address, city and zip code in the

appropriate columns. If the state is funding more than one of the organization’s locations in the SPA, enter the

address and of its main administrative office.

If the entity has an I-BHS ID, enter that number here. I-BHS ID have the format of XX999999, where XX is the

state abbreviation and 999999 is a unique number. For treatment providers that have more than one location,

and therefore more than one I-BHS ID number, enter the number for the organization’s main administrative

office. For non-treatment providers, place an “X” in the box, indicating the entity has no I-BHS ID. All entities

with expenditures in column 10 should have an I-BHS number.

A unique identifier for the state which defines the states Sub-state Planning Area. An entity may serve the whole

State (Statewide) or an entity may serve several areas. For example, entity 1 is a program that serves the entire

State. When completing column 8 for this entity, enter code "99." A code of "99" must be entered for any

Statewide program.

This column reports the total FFY 2010 SABG funds awarded to each entity/provider. (This column did not exist

in previous SABG reports.) For each row, the amount in column 9 should be the sum of the amounts in columns

10, 12 and 13.

Enter the amount of funds from the FFY 2010 SABG award that went to each entity. This includes funds used for

alcohol and drug prevention (other than primary prevention) and all treatment activities, such as medication

assisted treatment, outpatient counseling, residential rehabilitation including therapeutic community stays, and

hospital-based care. This also includes related direct services to patients/clients/service recipients, such as the

SABG required service accompaniments for pregnant women and women with dependent children, interim

services, outreach, detoxification, vocational counseling, case management, central intake, follow-up and non-

state (e.g., intermediary, provider, county) program administration. Early intervention activities (other than

primary prevention), substance abuse treatment and rehabilitation activities, and, if applicable, funds for

tuberculosis services should be included in this column. The amount may be identical to the amount listed in

column 9. (Do not include funds for state administration or resource development costs in this column.)

This table requires States to report expenditures for authorized activities funded under the SABG awarded three years prior to the year the state is applying for funds. This table should be filled out in two stages. The first

stage involves completion of columns 1 through 8. These columns record information about the entity. The second stage involves completion of columns 9 through 13. These columns record information about the use of

SABG funds.

Instructions for Table 8


Enter the amount of funds for specialized treatment programs for pregnant women and women with dependent

children, including the related services required by the SABG. Do not include funds for tuberculosis services in

this column.

Column 11 is a subset of the expenditures reported in column10. For example, a provider may provide a

specialized treatment program for women. The SABG funding for this provider would be entered twice, first in

column 10 and again in column 11. If the provider did not receive SABG funds for primary prevention or HIV

early intervention services, the number would also be the same as the amount entered in column A.

(Do not include funds for tuberculosis services or state administration or resource development costs in this

column.)

SA Block Grant funds for primary prevention - Enter the amount of funds from the SA Block Grant awarded three

years prior to the year the State is applying for funds. This includes funds for education and counseling, and for

activities designed to reduce the risk of substance abuse. Do not include funds for administration cost in this

column.

If the state was not a designated state for FFY 2010, enter zero for each entity. If the state was a designated

state for FFY 2010, enter the amount of funds for pre-test counseling, testing, post-test counseling, and the

provision of therapeutic measures to diagnose the extent of deficiency in the immune system to prevent and

treat the deterioration of immune system, and to prevent and treat conditions arising from HIV/AIDS. Include

the cost of making referrals to other treatment providers in this item. (Do not include funds for state

administration or resource development costs in this column.)


STATE

CODE

Entity

Number

(State

Provider

Number)

Provider NameProvider

Address

Provider

City

Provider

Zip

AZ 397770 ABHS - Angeline Lee 249 W. PonderosaWhiteriver 85941

AZ 397770 ABHS - Ginger Myers 249 W. PonderosaWhiteriver 85941

AZ 094421 Alternatives Counseling Service 999 E FRY BLVDSierra Vista85635

AZ AZ101018 Area Agency on Aging 1366 EAST THOMAS ROAD SUITE 108Phoenix 85014

AZ 359375 Arizona Counseling and Treatment 2545 S. Arizona AvenueYuma 85364

AZ 580533 Arizona Counseling and Treatment 114 & 116 S. Arizona AvenueWillcox 85644

AZ 581244 Arizona Counseling and Treatment 2039 E. Wilcox Dr., Ste. ASierra Vista85635

AZ 581226 Arizona Counseling and Treatment 301 E. 4th St., Ste. ASafford 85546

AZ 581235 Arizona Counseling and Treatment 562 N. Coronado Blvd.Clifton 85533

AZ 754451 Arizona Counseling and Treatment 24 Howell St.Bisbee 85603

AZ 581257 Arizona Counseling and Treatment 500 S. Highway 80, Ste. ABenson 85602

AZ 536715 Arizona Counseling and Treatment 13100 S. Sunland Gin Road, Ste. 1Arizona City85123

AZ 478741 Arizona Counseling and Treatment 730 W. Cowell StreetQuartzsite 85346

AZ 477855 Arizona Counseling and Treatment 1021 Kofa AvenueParker 85344

AZ 476817 Arizona Counseling and Treatment 679 N. First Avenue, Ste ESan Luis 85349

AZ 448320 Arizona Counseling and Treatment 10318 William StreetWellton 85356

AZ AZ101022 Arizona State University P.O. BOX 874906Tempe 85287

AZ AZ101019 Arizona Suicide Prevention P.O. BOX 10745Phoenix 85064

AZ Arizona Youth Partnership - Rural 4239 W. Ina Rd, Ste 101 Tucson 85741

AZ AZ101021 Arizonans for Prevention 7658 S Bosworth Field WayTucson 85746

AZ Arizona's Children Association 2700 South 8th AveTucson 85716

AZ 6006 Arizona Youth Partnership 4239 W. Tucson 85741

AZ 668806 AZI House LLC 5986 South Jakemp TrailTucson 85747

AZ 319460 BAART Behavioral Health Services 908B W CHANDLER BLVD STE 4Chandler 85225

AZ 076465 Bayless Healthcare 3620 N. 3rd Street Phoenix 85012

NY 941593 Calloway Laboratories 9305 W THOMAS RD STE 270Phoenix 85037

AZ 502818 Casa de los Ninos 140 N. Tucson Blvd.Tucson 85716

AZ AZ101024 Casa Grande Alliance 901 E Cottonwood LaneCasa Grande85211

AZ 168444 Catholic Community Services of Southern Arizona 690 E 32ND STYuma 85365

AZ 551922 CENPATICO 1501 W. Fountainhead ParkwayTempe 85282



AZ 339855 Center for Behavioral Health 2123 E SOUTHERN AVE STE 2Tempe 85282

AZ 366918 Center for Behavioral Health 1501 E WASHINGTON STPhoenix 85034

AZ 218075 Centered Spirit Program 7490 S Camino De OesteTucson 85757

AZ 112219 Chicanos Por La Causa 1112 E. Buckeye Rd.Phoenix 85014

AZ 112219 Chicanos Por La Causa 4602 W INDIAN SCHOOL RD STE C-3Phoenix 85031


AZ Child & Family Resources 2800 E. BroadwayTucson 85718

AZ 445274 Child & Family Support Services 8652 E. Eastridge Road, Ste. 103Prescott Valley 86314

AZ AZ101027 Circles of Peace 404 CrawfordNogales 85621

AZ 047557 City of Tempe 715 W. FIFTH STREETTempe 85281

AZ 52127901 CODAC 127 S. 5th Ave. Tucson 85701

AZ 576264 Community Bridges Inc 646 W Union StBenson 85602

AZ 677658 Community Bridges Inc 358 E. Javelina Ave Ste 101 Mesa 85210

AZ 420941 Community Bridges Inc 993 North Hermosa DriveHolbrook 86025

AZ 363859 Community Bridges Inc 2770 East Van Buren StreetPhoenix 85008

AZ AZ100973 Community Bridges Inc 554 S. Bellview Mesa 85204

AZ 677294 Community Bridges Inc 675 E. Cottonwood, Suite 101Casa Grande85122

AZ 283412 Community Bridges Inc 1855 W. Mesa 85202

AZ 388723 Community Bridges Inc 5734 E. Hope LaneGlobe 85501

AZ 357379 Community Bridges Inc 803 W Main StPayson 85541

AZ 357379 Community Bridges Inc 803 W. Main St Payson 85541

AZ 630855 Community Bridges Inc 824 N. 99th Ave Ste. 108 Avondale 85323

AZ 599812 Community Bridges Inc 110 E. 2nd St Winslow 86047

AZ 422788 Community Bridges Inc 105 N Cottonwood AveWinslow 86047

AZ 488670 Community Bridges Inc 3250 B East 40th Street Yuma 85365

AZ 740227 Community Counseling Centers Inc 423 S. Main St. Snowflake 85937

AZ 003450 Community Counseling Centers Inc 105 N. Fifth Ave.Holbrook 86025

AZ 007460 Community Counseling Centers Inc 2500 East Show Low Lake Road Show Low 85901

AZ 426191 Community Counseling Centers Inc 1015 East 2nd StreetWinslow 86047

AZ 893893 Community Intervention Associates 2851 S Ave B Bldg 3 & 4Yuma 85364

AZ 495600 Community Intervention Associates 1516 Ocotillo AvenueParker 85344

AZ 496988 Community Intervention Associates 1938 E Juan Sanchez Blvd Bldg 6San Luis 85349

AZ 620627 Community Intervention Associates 1701 N Douglas AveDouglas 85607

AZ 620609 Community Intervention Associates 1326 Hwy. 92 Suite JBisbee 85603

AZ 603657 Community Intervention Associates 32 Blvd. Del Rey DavidNogales 85621

AZ 342717 Community Medical Services 3825 N 24TH STPhoenix 85016

AZ 216806 ConnectionsAZ, Inc. 404 W AERO DRIVEPayson 85541

AZ 69712002 COPE 101 S. StoneTucson 85701

AZ 102238 Corazon 1891 N. Mastick WayNogales 85621

AZ 102849 Corazon 936 F. AvenueDouglas 85607

AZ 100059 Corazon 900 E. Florence Blvd.Casa Grande85122

AZ CPSA - Admin 4575 E Broadway BlvdTucson 85711

AZ CPSA - Profit 4575 E Broadway BlvdTucson 85711

AZ 704719 Crossroads Mission 944 S ARIZONA AVEYuma 85364

AZ AZ101031 CV Lore and Associates 355 S. Balboa DrGilbert 85296

AZ 319790,274629Ebony House 6222 S 13TH STPhoenix 85042

AZ AZ100587 Empact Suicide Prevention 1232 E Broadway, Suite 320Tempe 85282

AZ 100587 Empact Suicide Prevention 1232 E Broadway, Suite 320Tempe 85282

AZ 622987 Empact Suicide Prevention 4425 W OLIVE AVE STE 194Glendale 85302

AZ 168072 Encompass Healthcare 463 S. Lake Powell Blvd.Page 86040

AZ 737330 Encompass Healthcare 32 N. 10th Page 86040

AZ 822503 Epidaurus dba Amity Foundation P. O. Box 3034Tucson 85702

AZ 445100 Eureka Imperial Residence 1740 South Heritage DriveGilbert 85295


AZ AZ100963 Fort Apache Home Maintenance P.O. Box 1095Fort Apache85926

AZ Fort McDowell Yavapai Nation

AZ 334582 Gila River Health Care PO BOX 2175Sacaton 85147

AZ 589093 Gila River Health Care 3850 N. 16th StreetLaveen 85339

AZ 683287 Gila River Health Care 291 W. Sacaton 85147

AZ 415712 Gila River Health Care PO BOX 38 Sacaton 85147

AZ AZ101034 Gila River Trail Riders Club 5594 W. Wildhorse Pass Blvd.Chandler 85226

AZ AZ101861 Helping Associates, Inc. 1901 N. Trekell Rd., Suite ACasa Grande85222

AZ 136384 Horizon Human Services 102 N Florence St.Casa Grande85122

AZ AZ101035 I.C.A.N. 650 E. Morelos St.Chandler 85225

AZ 872095 Intensive Treatment Systems 651 W COOLIDGE STPHOENIX 85013

AZ 955023 Intensive Treatment Systems 19401 N CAVE CREEK RD STE 18Phoenix 85024

AZ 305538 Intermountain Centers Summit 1310 N Speedway PlTucson 85715

AZ 178348 Jewish Family & Children's Service 4747 North 7th StreetPHOENIX 85014

AZ AZ101037 Kathleen Stanton, Consultant 5342 N 3rd AvePhoenix 85013

NY NY100995 Kognito 135 W 26th StNew York 10001

AZ 59384901 La Frontera 260 S Scott AveTucson 85701

AZ 6913901 La Frontera 502 W 29th StTucson 85713

AZ 806185 Lifewell 2715 N 3RD STPhoenix 85004

AZ 007519 Little Colorado Behavioral Health Center 50 N. Hopi Springerville85938

AZ 003442 Little Colorado Behavioral Health Center 470 West Cleveland StreetSt. Johns 85936

AZ Luz Social Services (CER) 2797 N. Introspect Dr.Tucson 85745

AZ 23445601 Marana Health Center 13395 N Marana Main StMarana 85653

AZ AZ101038 Maricopa Ak-Chin PO Box 144Maricopa 85139

AZ MATForce 8056 E. Vallet Road, Ste B.Prescott 86314

AZ MMIC - Admin Expense

AZ MMIC - Profit

AZ 147125 Mohave Mental Health Clinic 2187 Swanson AvenueLake Havasu City86403

AZ 515719 Mohave Mental Health Clinic 2580 Hwy 95 Ste. 208, 209, 210Bullhead City86442

AZ 690405 Mohave Mental Health Clinic 2002 Stockton Hill Road Ste 104Kingman 86401

AZ 116667 Mohave Mental Health Clinic 1145 Marina BoulevardBullhead City86442

AZ 435192 Mohave Mental Health Clinic 2001 Stockton Hill Road Ste 104Kingman 86401

AZ 589848 Mohave Mental Health Clinic 1741 Sycamore AvenueKingman 86409

AZ 117136 Mohave Mental Health Clinic 3505 Western Ave.Kingman 86409

AZ AZ100630 Mountain Health & Wellness P.O. BOX 3160Apache Junction85117

AZ AZ102128 Mountain Health & Wellness 625 N PLAZA DRIVEApache Junction85120

AZ 590001 National Council on Alcoholism and Drug Dependence4201 N 16TH ST STE 140Phoenix 85016

AZ 151346 Native American Connections 4520 N CENTRAL AVE STE 100Phoenix 85012

AZ AZ100987 Navopache Electric Cooperative 1878 W. White Mtn BlvdLakeside 85929

AZ 098534 New Casa de Amigas 1648 W COLTER ST # 8Phoenix 85015

AZ 893554 New Hope Behavioral Health Center 215 S POWER RD STE 114Mesa 85206

AZ 467641 New Horizon Youth Homes PO Box 2754Chandler 85244

AZ 539184 North Country Healthcare 2920 N. 4th StreetFlagstaff 86004

AZ 006579 Northern Arizona Regional Behavioral Health Authority 1300 South Yale StFlagstaff 86001

AZ 810029 NOVA 4425 W OLIVE AVE STE 200Glendale 85302

AZ 947806 Nursewise 1501 W Tempe 85282

AZ Office of HIV


AZ 77257601 Pantano 5055 E. BroadwayTucson 85711

AZ 129263 Parc Place Casa Grande 1120 E. 6th StreetCasa Grande85222

AZ 772542 Park Place Outreach and Counseling 13626 DEL RIO DR, ARIZONA CITY, AZ 85123Arizona City85123

AZ 830786 Park Place Outreach and Counseling 11349 E 24TH LNYuma 85367

AZ AZ101042 Parker Alliance for Community Empowerment 1309 9th Parker 85344

AZ AZ101043 Partnership for a Drug-Free America 3030 NORTH CENTRAL, SUITE 509Phoenix 85012

AZ 448846 Pasadera Behavioral Health Network 1779 W. St. Mary'sTucson 85745

AZ 592578 Pasadera Behavioral Health Network 2950 N. DodgeTucson 85716

AZ 807753 Pasadera Behavioral Health Network 2499 Ajo RdTucson 85713

AZ Pascua Yaqui - Indirect Cost

AZ 151346 People of Color Network 77 E Thomas Rd, Ste 230Phoenix 85012

AZ 740367 Phoenix Indian Center 4520 N. CENTRAL AVE., STE. 250Phoenix 85012

AZ AZ101045 Pima County 3950 S Tucson 85714

AZ 557514 Pima Prevention Partnership 3130 E Broadway Rd, Ste 180Tucson 85716

AZ 557514 Pima Prevention Partnership 1475 North Oracle RoadTucson 85705

AZ AZ101048 Pima Prevention Partnership (CER) 2525 E. Broadway Ste 100Tucson 85716

AZ AZ101049 Pinal Gila Council for Senior Citizens 8969 W McCartneyCasa Grande85294

AZ 591324 Pinal Hispanic Council 275 N Grand Court PlazaNogales 85621

AZ 598482 Pinal Hispanic Council 1940 E 11th St.Douglas 85607

AZ 688903 Pinal Hispanic Council 107 E 4th St.Eloy 85131

AZ 164567 Pinal Hispanic Council 556 S Arizona Blvd.Coolidge 85128

AZ 48480601 Providence 1181 N El Dorado PlaceTucson 85715

AZ 186074 Quality Care Network 5326 E Washington St., Bldg BPhoenix 85034

AZ AZ101052 Sally Riggs 5820 N Calle GrandezaTucson 85718

AZ San Carlos Apache Wellness Center San Carlos, ArizonaSan Carlos 85550

AZ AZ901708 San Carlos Apache Tribe San Carlos, ArizonaSan Carlos 85550

AZ AZ101053 Scottsdale Prevention Institute 6908 E. THOMAS RD., STE. 302Scottsdale 85251

AZ 658575 SouthEastern Arizona Behavioral Health Services 611 W. Union StBenson 85602

AZ 117888 SouthEastern Arizona Behavioral Health Services 430 N. Coronado BlvdClifton 85533

AZ 336159 SouthEastern Arizona Behavioral Health Services 4755 Campus Dr.Sierra Vista85635

AZ 895659 SouthEastern Arizona Behavioral Health Services 1615 S. 1st AveSafford 85546

AZ 783673 SouthEastern Arizona Behavioral Health Services 996 Broad St. Suite 10Globe 85501

AZ 082893 SouthEastern Arizona Behavioral Health Services 404 Rex Allen Dr.Willcox 85646

AZ 452152 Sonora Quest Laboratories 1255 W WASHINGTON STTempe 85281

AZ 361463 Sothwest Behavioral Health Services 111 W CEDAR LANEPayson 85541

AZ AZ100992 Southern Arizona AIDS Foundation 375 S Euclid AveTucson 85719

AZ Southern Arizona AIDS Foundation (CER) 375 S. EuclidTucson 85719

AZ 522645 Southwest Behavioral Health Clinic 2215 Hualapai Mountain Rd. Ste. H&I Kingman 86401

AZ 633183 Southwest Behavioral Health Clinic 809 Hancock Rd Ste 1 Bullhead City 86442

AZ 647081 Southwest Behavioral Health Clinic 1845 McColloch Blvd Ste B1 Lake Havasu City 86403

AZ 454331 Southwest Behavioral Health Clinic 1515 E. Cedar Ave. Ste B2 Flagstaff 86004

AZ 435457 Southwest Behavioral Health Clinic 2580 HWY 95 Ste 119-125 Bullhead City 86442

AZ 633167 Southwest Behavioral Health Clinic 7600 E. Florentine Ave Ste. 101 Prescott Valley86314

AZ 654156 Southwest Behavioral Health Clinic 7763 East Florentine RoadPrescott Valley86314

AZ 888373 Southwest Behavioral Health Services 3450 N. 3rd StreetPhoenix 85012

AZ 888373 Southwest Behavioral Health Services 3450 N. 3rd StreetPhoenix 85012

AZ 404093 Southwest Behavioral Health Services 1545 W. BROADWAY AVE., STE 1 & 2Apache Junction85220


AZ Southwest Human Development 2850 N. 24th StPhoenix 85008

AZ AZ101004 Southwest Network 2700 N Central Ave, Ste 1050Phoenix 85004

AZ 438745 Spectrum Healthcare Group 8 E. Cottonwood St. Bldg CCottonwood 86326

AZ 184460 Spectrum Healthcare Group 8 E. Cottonwood St.Cottonwood 86326

AZ 755689 Spectrum Healthcare Group 452 Finnie Flats RoadCamp Verde86322

AZ 057952 Spectrum Healthcare Group (FKA Verde Valley Guidance Center)8 E. Cottonwood St.Cottonwood 86326

AZ State Lab -HIV

AZ AZ101056 Tanner Community Development 700 E. JEFFERSON ST. - SUITE 200Phoenix 85034

AZ 283809 TERROS 3003 N. Central Ave, Suite 200Phoenix 85012

AZ 246632 The Guidance Center 2187 N. Vickey StreetFlagstaff 86004

AZ 116807 The Guidance Center 220 W. Grant StreetWilliams 86046

AZ 158133 The Guidance Center 2695 E. Industrial DrFlagstaff 86004

AZ 969884 The Guidance Center 2697 E. Industrial DrFlagstaff 86004

AZ 592867 The Haven 1107 E Adelaide Dr.Tucson 85719

AZ AZ101009 Touchstone Behavioral Health 15648 N. 35th AvePhoenix 85053

AZ AZ101059 Town of Quartzsite P.O. Box 2812Quartzsite 85346

AZ 384591 Transitional Living Center Recovery 1360 S. 4th AvenueYuma 85364

AZ 425931 Transitional Living Center Recovery 117 E. 2nd Street, Suite 2Casa Grande85122

AZ 617407 Transitional Living Center Recovery 2073 N. Grande Avenue #19Nogales 85621

AZ AZ101060 U Of A 1717 E. SpeedwayTucson 85719

AZ U of A ERAD 1717 E. Speedway Blvd Suite #1101 Tucson 85719

AZ 388606 VALLE DEL SOL 3807 N. 7th St.Phoenix 85014

AZ 537095 West Yavapai Guidance Center 3345 N. Windsong DrivePrescott Valley86314

AZ 540303 West Yavapai Guidance Center 625 Hillside Ave Prescott 86301

AZ 591562 West Yavapai Guidance Center 642 Dameron Dr Prescott 86301

AZ 116790 West Yavapai Guidance Center 642 Prescott 86301

AZ 366233 West Yavapai Guidance Center 3345 N. Windsong DrivePrescott Valley86314

AZ AZ101013 WMAT Apache Propane P.O. Box 1149Whiteriver 85941

AZ AZ101014 WMAT Housing Authority P.O. Box 1270Whiteriver 85941

AZ AZ101015 WMAT Solid Waste P.O. Box 1038Whiteriver 85941

AZ AZ101016 WMAT Utility Authority P.O. Box 517Whiteriver 85941

AZ 989634 Womens Transition Project 240 OHARA AVEBisbee 85603

AZ Worthy Institute 2942 E. 24th St., Ste 207Phoenix 85016

AZ YMCA 1366 EAST THOMAS ROAD SUITE 108Phoenix 85014

AZ 349127 Youth Evaluation and Treatment Center 4414 N. 19th AvenuePhoenix 85015

AZ AZ101061 Yuma Family YMCA 1917 W 32nd StreetYuma 85364

AZ 872128 Yuma Treatment Center 1290 W 8th PlYuma 85364


I-BHS ID

Area

Served

(SPA)

Total Block

Grant Funds

Prevention

(other than

primary

prevention)

and Treatment

Services

Pregnant

Women and

Women with

Dependent

Children

Primary

Prevention

HIV Early

Interventi

on

AZ100953 Navajo 1,360 1,360 - - -

AZ101062 Navajo 40 40 - - -

AZ100811 Graham, Greenlee, Cochise, Santa Cruz1,437 1,437 - - -

AZ101018 Maricopa County194,623 - - 194,623 -

AZ101843 Yuma 80,171 80,171 - - -

AZ102727 Cochise 14,005 14,005 - - -

AZ102728 Cochise 64,383 64,383 - - -

AZ102730 Graham 38,216 38,216 - - -

AZ102731 Greenlee 1,337 1,337 - - -

AZ102732 Cochise 14,651 14,651 - - -

AZ102733 Cochise 7,282 7,282 - - -

AZ102734 Pinal 2,500 2,500 - - -

AZ102735 La Paz, 195 195 - - -

AZ102736 La Paz 3,298 3,298 - - -

AZ102738 La Paz, 31,020 31,020 - - -

AZ102739 La Paz, Yuma 1,013 1,013 - - -

AZ101022 Statewide 91,809 - - 91,809 -

AZ101019 Statewide 8,000 - - 8,000 -

X Pima 153,397 - - 153,397 -

AZ101021 Statewide 213,215 - - 213,215 -

Pima 5,096 5,096 - - -

X Mohave County 72,121 - - 72,121 -

AZ100956 Pinal 1,806 1,806 - - -

AZ101530 Maricopa 128,960 128,960 - - -

AZ100957 Maricopa 6,020 6,020 - - -

AZ100958 La Paz, Yuma 106,279 106,279 - - -

PIMA 2,345 2,345 - - -

AZ101024 Pinal 42,454 - - 42,454 -

AZ100057 Yuma 670 643 27 - -

AZ101072 La Paz, Yuma (36,385) (59,740) (4,981) 28,336 -

AZ101073 Graham, Greenlee, Cochise, Santa Cruz(62,181) (18,951) 3,600 (46,830) -

AZ101074 Gila, Pinal 106,781 (12,483) (18,897) 138,161

AZ100871 Maricopa 75,842 30,951 44,891 - -

AZ901153 Maricopa 64,375 45,136 19,239 - -

AZ101473 Pima 192,500 - - 192,500 -

AZ105433 Maricopa County399,886 307,190 - 92,696 -

AZ301719 Maricopa 28,106 28,106 - - -


X Pima County 255,061 - - 255,061 -

AZ100959 Coconino County 1,279 1,279 - - -

AZ101027 Santa Cruz 75,382 - - 75,382 -

AZ101029 Maricopa 172,492 - - 172,492 -

AZ105599 Pima County 953,596 704,400 110,800 138,396 -

AZ100512 Cochise 255,939 235,464 20,475 - -

AZ100516 Maricopa 1,444 1,444 - - -

AZ100518 Navajo 37,443 37,443 - - -

AZ100796 Maricopa County 277 277 - - -

AZ100973 Maricopa 739,448 667,074 72,374 - -

AZ101825 Pinal 4,694 4,318 376 - -

AZ101826 Maricopa 5,530,774 4,905,623 420,691 204,460 -

AZ101827 Gila County 24 24 - - -

AZ101829 Gila 73,537 67,654 5,883 - -

AZ101830 Gila County 79,894 46 - 79,848 -

AZ101831 Maricopa County 409 409 - - -

AZ101832 Navajo County 98,513 98,513 - - -

AZ101833 Navajo County - - - - -

AZ101862 Yuma 496,170 456,476 39,694 - -

AZ100960 Navajo County 15,787 13,658 2,129 - -

AZ101317 Navajo 32,793 27,359 5,434 - -

AZ105631 Navajo 50,640 45,345 5,294 - -

AZ300158 Navajo 24,692 21,451 3,241 - -

AZ100005 Yuma 60,657 58,898 1,759 - -

AZ101864 La Paz 1,146 1,146 - - -

AZ101865 Yuma 5,594 5,594 - - -

AZ102447 Cochise 21,196 21,196 - - -

AZ102448 Cochise 7,065 7,065 - - -

AZ102449 Santa Cruz 39,028 34,033 4,996 - -

AZ102992 Maricopa County231,988 206,336 25,652 - -

AZ100961 Gila, Pinal 104 104 - - -

AZ100809 Pima County 800,203 730,203 70,000 - -

AZ100559 Santa Cruz 22,534 22,534 - - -

AZ100598 Santa Cruz 22,534 22,534 - - -

AZ102108 Pinal 65,750 65,750 - - -

Pima 502,048 335,463 122,439 44,146 -

Pima 175,989 119,406 17,849 38,733 -

AZ100477 Yuma 49,481 49,481 - - -

AZ101031 Yuma 26,000 - - 26,000 -

AZ750154 Maricopa 463,310 290,160 173,151 - -

AZ100587 Statewide 2,500 - - 2,500 -

AZ101032 Maricopa County 80,000 - - 80,000 -

AZ101844 Maricopa 64,410 51,584 12,826 - -

AZ102753 Coconino 48,962 48,962 - - -

AZ102754 Coconino County 145,711 84,059 3,955 57,697 -

AZ301016 Pinal 13,926 13,926 - - -

AZ102741 Maricopa County 9,935 9,935 - - -


AZ100963 Navajo 455 455 - - -

X Maricopa County 77,596 - - 77,596 -

AZ100964 Pinal County 6,528 6,528 - - -

AZ101809 Maricopa 13,831 13,831 - - -

AZ101868 Pinal County 203,613 144,389 - 59,224 -

AZ101722 Pinal County 33,257 30,642 - 2,615 -

AZ101034 Maricopa County 12,000 - - 12,000 -

AZ101861 Pinal County 146,648 146,648 - - -

AZ101827- Pinal 23,464 23,464 - - -

AZ101035 Maricopa 205,433 - - 205,433 -

AZ101044 Maricopa 62,701 61,080 1,621 - -


AZ100965 Pima County - - - - -

AZ100966 Maricopa 33,036 33,036 - - -

AZ101037 Maricopa 25,000 - - 25,000 -

NY100995 Statewide 27,937 - - 27,937 -

AZ100152 Pima County 350,000 350,000 - - -

AZ750550 Pima 543,641 303,457 70,000 170,184 -

AZ100967 Maricopa County1,054,670 541,632 513,038 - -

AZ100665 Apache County 29,911 27,558 2,353 - -

AZ300133 Apache County 12,183 10,827 1,357 - -

X Pima County 105,602 - - 105,602 -

AZ101039 Pima 177,027 100,253 76,773 - -

AZ101038 Pinal 45,666 - - 45,666 -

X Yavapai County 72,121 - - 72,121 -

Maricopa 173,267 119,072 22,385 31,810 -

Maricopa 75,768 146,241 44,794 (115,267) -

AZ100491 Mohave County 37,069 34,722 2,347 - -

AZ100619 Mohave County 22,240 21,984 256 - -

AZ100945 Mohave County 4,201 4,157 43 - -

AZ101040 Mohave County 16,891 14,613 2,278 - -

AZ101063 Mohave County 4,758 4,748 11 - -

AZ102112 Mohave County 72,817 62,997 9,820 - -

AZ300174 Mohave County 69,787 60,375 9,411 - -


AZ102128 Maricopa 45,290 45,290 - - -

AZ750535 Maricopa 601,527 152,619 448,908 - -

AZ750162 Maricopa 683,559 471,932 211,628 - -

AZ100987 Navajo 235 235 - - -


AZ101283 Maricopa 128,960 128,960 - - -


Mohave, Yavapai, and Coconino Counties118,182 61,516 - 56,666 -

AZ101080 Coconino, Mohave, Yavapai, Apache, Navajo 335,722 220,968 9,642 105,112 -

AZ750634 Maricopa County763,319 763,319 - - -

AZ100334 Gila, Pinal 29,851 29,851 - - -

Statewide 63,361 63,361 - - -


AZ100838 Pima County 10,559 10,559 - - -

AZ100990 Pinal 10,821 10,821 - - -

AZ100281 Pinal 5,299 5,299 - - -


AZ101042 La Paz 74,739 - - 74,739 -

AZ101043 Maricopa 242,767 - - 242,767 -

AZ100728 Pima 121,445 121,445 - - -

AZ102120 Pima 531,718 531,718 - - -

AZ105565 Pima County 709,180 709,180 - - -

X Pima 38,500 - - 38,500 -

AZ750162- Maricopa 117,125 117,125 - - -

AZ101748 Maricopa 113,806 - - 113,806 -

AZ101045 Statewide 72,857 - - 72,857 -

AZ101046 Maricopa County238,680 - - 238,680 -

AZ102093 Maricopa 30,100 - - 30,100 -

AZ101048 Pima County 112,180 - - 112,180 -

AZ101049 Pinal 116,462 - - 116,462 -

AZ102267 Santa Cruz 8,502 8,502 - - -

AZ102268 Cochise 8,502 8,502 - - -

AZ105615 Pinal 25,000 25,000 - - -

OTC6003 Gila, Pinal 25,000 25,000 - - -

AZ102276 Pima 198,920 23,347 - 175,572 -


AZ101052 La Paz, Yuma 23,631 - - 23,631 -

X Graham 35,202 - - 35,202 -

AZ901708 Gila 35,066 - - 35,066 -

AZ101053 Maricopa 223,715 - - 223,715 -

AZ100848 Cochise 27,225 20,020 7,205 - -

AZ101876 Greenlee 35,214 1,120 - 34,094 -

AZ101885 Cochise 158,349 69,983 - 88,366 -

AZ101886 Graham 67,603 23,072 - 44,531 -

AZ102746 Gila, Pinal 33,400 20,000 - 13,400 -

AZ104907 Cochise 4,468 4,468 - - -


AZ101678 Gila 18,750 18,750 - - -

AZ100992 Gila, Pinal 88,081 - - 88,081 -

X Pima 95,510 - - 95,510 -

AZ100668 Mohave County 11,852 11,445 407 - -

AZ100678 Mohave 120,351 116,216 4,135 - -

AZ100679 Mohave County 2,317 2,238 80 - -

AZ100993 Coconino County 40,209 38,827 1,381 - -

AZ100994 Mohave County 9,648 9,316 331 - -

AZ102777 Yavapai County 89,541 86,465 3,076 - -

AZ102820 Yavapai County 17,155 16,566 589 - -

AZ101003 Maricopa 420,635 187,608 58,725 174,303 -

AZ888373 Maricopa 20,539 15,134 5,405 - -

X Maricopa 25,436 - - 25,436 -


X Maricopa 163,509 - - 163,509 -






Statewide 10,000 10,000 - - -

AZ101056 Maricopa 160,174 - - 160,174 -

AZ100002 Maricopa 2,993,794 2,229,247 425,641 338,906 -

AZ100434 Coconino 239,705 239,577 128 - -

AZ101006 Coconino County 3,335 3,216 119 - -

AZ101007 Coconino 270,628 262,099 8,528 - -

AZ101008 Coconino County 303,044 292,206 10,838 - -

AZ750311 Pima County 418,679 243,317 175,362 - -

AZ101009 Maricopa 308,042 36,130 - 271,912 -

AZ101059 La Paz, Yuma 50,356 - - 50,356 -

AZ101627 Yuma 4,258 4,258 - - -

AZ101727 Pinal 86,950 86,950 - - -

AZ102368 Santa Cruz 100,000 100,000 - - -

AZ101060 Statewide 93,333 - - 93,333 -

X Pima County 107,000 - - 107,000 -

AZ100504 Maricopa 913,029 661,770 64,130 187,129 -



AZ100689 Yavapai 396,561 380,725 15,836 - -

AZ101309 Yavapai County 220,290 149,703 5,575 65,012 -

AZ101842 Yavapai County 465 446 19 - -

AZ101013 Navajo 75 75 - - -

AZ101014 Navajo 200 200 - - -

AZ101015 Navajo 10 10 - - -

AZ101016 Navajo 36 36 - - -

AZ101017 Graham, Greenlee, Cochise, Santa Cruz219,361 208,372 10,989 - -

X Maricopa County 83,768 - - 83,768 -

X Maricopa 97,131 - - 97,131 -

AZ101835 Maricopa 6,663 6,663 - - -

AZ101061 Yuma 57,063 - - 57,063 -

AZ100066 Yuma 291,160 291,160 - - -


STATE

CODE

Entity

Number

(State

Provider

Number)

Provider

Name

Provider

Address

Provider

City

Provider

ZipI-BHS ID

Area

Served

(SPA)

Total Block

Grant Funds

AZ 283809 TERROS 3003 N. Central Ave, Suite 200Phoenix 85012 AZ100002 Maricopa 2,615,833

AZ 283809 TERROS 333 E. Indian School Rd.Phoenix 85012 AZ100002 Maricopa 377,961

2,993,794

AZ 246632 The Guidance Center 2187 N. Vickey StreetFlagstaff 86004 AZ100434 Coconino 233,600

AZ 078528 The Guidance Center 2187 N. Vickey StreetFlagstaff 86004 AZ100434 Coconino 6,105

239,705

AZ 704719 Crossroads Mission944 S ARIZONA AVEYuma 85364 AZ100477 Yuma 15,972

AZ 704719 Crossroads Mission944 S ARIZONA AVEYuma 85364 AZ100477 Gila, Pinal 33,509

49,481

AZ 388606 VALLE DEL SOL3807 N. 7th St.Phoenix 85014 AZ100504 Maricopa 93,971

AZ 388606 VALLE DEL SOL3807 N 7th StPhoenix 85014 AZ100504 Maricopa 819,058

913,029

AZ 339855 CENTER FOR BEHAVIORAL HEALTH2123 E SOUTHERN AVE STE 2Tempe 85282 AZ100871 Maricopa 6,379

AZ 339855 CENTER FOR BEHAVIORAL HEALTH2123 E SOUTHERN AVE STE 2Tempe 85282 AZ100871 Maricopa 69,463

75,842

AZ 806185 LIFEWELL 2715 N 3RD STPhoenix 85004 AZ100967 Maricopa County 966,028

AZ 806185 LIFEWELL 2715 N 3RD STPHOENIX 85004 AZ100967 Maricopa 88,642

1,054,670

AZ 419683 Community Bridges Inc554 S. Bellview Mesa 85204 AZ100973 Maricopa 33,898

AZ 419683 Communit 554 S. BellviewMesa 85204 AZ100973 La Paz, Yuma 52,319

AZ 419683 Community Bridges Inc554 S. BellviewMesa 85204 AZ100973 Gila, Pinal 634,074

AZ 386442 Community Bridges Inc560 South BellviewMesa 85204 AZ100973 Maricopa County 106

AZ 385867 Community Bridges Inc560 South BellviewMesa 85204 AZ100973 Maricopa County 242

AZ 480768 Community Bridges Inc554 S. Bellview Mesa 85204 AZ100973 Maricopa County 524

AZ 419683 Community Bridges Inc554 S. BellviewMesa 85204 AZ100973 Graham, 18,285

739,448

AZ 452152 SONORA 1255 W WASHINGTON STTempe 85281 AZ100991 Graham, Greenlee, Cochise, Santa Cruz327

AZ 452152 SONORA QUEST LABORATORIES1255 W WASHINGTON STTempe 85281 AZ100991 Gila, Pinal 379

AZ 452152 SONORA 1255 W WASHINGTON STTempe 85281 AZ100991 La Paz, Yuma 483

1,188

AZ AZ100992 Southern 375 S Euclid AveTucson 85719 AZ100992 Gila, Pinal 42,014


AZ AZ100992 Southern Arizona AIDS Foundation375 S Euclid AveTucson 85719 AZ100992 Gila, Pinal 46,067

88,081

AZ AZ101004 SOUTHWE 2700 N Central Ave, Ste 1050Phoenix 85004 AZ101004 Maricopa County 273,907

AZ N/A SOUTHWE 2700 N Central Ave, Ste 1050Phoenix 85004 AZ101004 Maricopa 7,475

281,382

AZ 357279 TOUCHSTONE BEHAVIORAL15648 N. 35th AvePhoenix 85053 AZ101009 Maricopa 65,913

AZ AZ101009 TOUCHST 15648 N. 35th AvePhoenix 85053 AZ101009 Maricopa County 242,129

308,042

AZ AZ101018 AREA AGENCY ON AGING1366 EAST THOMAS ROAD SUITE 108Phoenix 85014 AZ101018 Maricopa County 169,759

AZ Prevention OnlyAREA 1366 EAST THOMAS ROAD SUITE 108Phoenix 85014 AZ101018 Maricopa 24,864

194,623

AZ 047557 CITY OF TEMPE715 W. FIFTH STREETTempe 85281 AZ101029 Maricopa 22,386

AZ 047557 CITY OF TEMPE715 W. FIFTH STREETTempe 85281 AZ101029 Maricopa 150,106

172,492

AZ AZ101031 CV Lore and Associates355 S. Balboa DrGilbert 85296 AZ101031 Yuma 6,000

AZ AZ101031 CV Lore and Associates355 S. Balboa DrGilbert 85206 AZ101031 Pinal/Gila 20,000

26,000

AZ Prevention OnlyI.C.A.N. 650 E. Morelos St.Chandler 85225 AZ101035 Maricopa 22,456

AZ AZ101035 ICAN 650 E. Morelos St.Chandler 85225 AZ101035 Maricopa County 182,977

205,433

AZ Prevention OnlyPARTNERSHIP FOR DRUG FREE AMERICA3030 NORTH CENTRAL, SUITE 509Phoenix 85012 AZ101043 Maricopa 30,255

AZ AZ101043 PARTNERSHIP FOR A DRUG FREE AMERICA3030 NORTH CENTRAL, SUITE 509Phoenix 85012 AZ101043 Maricopa County 212,512

242,767

AZ AZ101052 Sally Riggs 5820 N Calle GrandezaTucson 85718 AZ101052 La Paz, Yuma 6,231

AZ AZ101052 Sally Riggs 5820 N Calle GrandezaTucson 85718 AZ101052 Graham, Greenlee, Cochise, Santa Cruz17,400

23,631

AZ Prevention OnlySCOTTSDALE PREVENTION INSTITUTE6908 E. THOMAS RD., STE. 302Scottsdale 85251 AZ101053 Maricopa 29,604

AZ AZ101053 SCOTTSDALE PREVENTION INSTITUTE6908 E. THOMAS RD., STE. 302Scottsdale 85251 AZ101053 Maricopa County 194,111

223,715

AZ Prevention OnlyTANNER COMMUNITY DEVELOPMENT700 E. JEFFERSON ST. - SUITE 200Phoenix 85034 AZ101056 Maricopa 21,006

AZ AZ101056 TANNER COMMUNITY DEVELOPMENT700 E. JEFFERSON ST. - SUITE 200Phoenix 85034 AZ101056 Maricopa 139,168

160,174

AZ 551922 CENPATICO 21501 W. Fountainhead ParkwayTempe 85282 AZ101072 La Paz, Yuma (121,610)

AZ 551922 CENPATICO 21501 W. Fountainhead ParkwayTempe 85282 AZ101072 La Paz, Yuma 100,030

AZ 551922 CENPATIC 1501 W. Fountainhead ParkwayTempe 85282 AZ101072 La Paz, Yuma (14,805)

(36,385.00)$


AZ 560049 CENPATICO 31501 W. Fountainhead ParkwayTempe 85282 AZ101073 Graham, Greenlee, Cochise, Santa Cruz(143,201)

AZ 560049 CENPATICO 31501 W. Fountainhead ParkwayTempe 85282 AZ101073 Graham, Greenlee, Cochise, Santa Cruz(25,863)

AZ 560049 CENPATIC 1501 W. Fountainhead ParkwayTempe 85282 AZ101073 Graham, Greenlee, Cochise, Santa Cruz106,883

(62,180.89)$

AZ 944563 CENPATIC 1501 W. Fountainhead ParkwayTempe 85282 AZ101074 Gila, Pinal (79,572)

AZ 944563 CENPATICO 41501 W. Fountainhead ParkwayTempe 85282 AZ101074 Gila, Pinal 127,007

AZ 944563 CENPATICO 41501 W. Fountainhead ParkwayTempe 85282 AZ101074 Gila, Pinal 59,347

106,781.31$

AZ 893554 NEW HOPE BEHAVIORAL HEALTH CENTER215 S POWER RD STE 114Mesa 85206 AZ101283 Maricopa 10,810

AZ 893554 NEW HOPE BEHAVIORAL HEALTH CENTER215 S POWER RD STE 114Mesa 85206 AZ101283 Maricopa 118,150

128,960

AZ 319460 BAART BEHAVIORAL HEALTH908B W CHANDLER BLVD STE 4Chandler 85225 AZ101530 Maricopa 10,810

AZ 319460 BAART 908B W CHANDLER BLVD STE 4Chandler 85225 AZ101530 Maricopa County 118,150

128,960

AZ 740367 PHOENIX INDIAN CENTER4520 N. CENTRAL AVE., STE. 250Phoenix 85012 AZ101748 Maricopa 15,813

AZ 740367 PHOENIX 4520 N. Central Avenue, Suite 250Phoenix 85012 AZ101748 Maricopa County 97,993

113,806

AZ 283412 Community Bridges Inc1855 W. Mesa 85202 AZ101826 Maricopa 648,500

AZ 283412 Community Bridges Inc1855 W. Baseline Rd., Suite 101Mesa 85202 AZ101826 Maricopa 4,882,274

5,530,774

AZ 622987 EMPACT SPC4425 W OLIVE AVE STE 194GLENDALE 85302 AZ101844 Maricopa 5,405

AZ 622987 EMPACT 681 S Madison DrTempe 85281 AZ101844 Maricopa County 59,005

64,410

AZ 049454 Helping Associates, Inc. 1901 N. Trekell Rd., Suite ACasa Grande85222 AZ101861 Pinal County 490

AZ 146516 Helping 1000 E Racine PlCasa Grande85122 AZ101861 Pinal 146,158

146,648

AZ 77593908 MOUNTAIN HEALTH & WELLNESS625 N PLAZA DRIVEApache Junction85120 AZ102128 Maricopa 5,405

AZ 593908 Mountain 625 N. Plaza DriveApache Junction 85120 AZ102128 Pinal 39,885

45,290

AZ 342717 COMMUN 3825 N 24TH STPhoenix 85016 AZ102992 Maricopa County 212,530

AZ 342717 COMMUNITY MEDICAL SERVICES3825 N 24TH STPHOENIX 85016 AZ102992 Maricopa 19,458

231,988

AZ 007460 Community Counseling Centers Inc2500 East Show Low Lake Road Show Low 85901 AZ105631 Navajo 48,953

AZ 007460 Community Counseling Centers Inc2500 East Show Low Lake Rd.Show Low 85901 AZ105631 Navajo 1,686

50,640


AZ 319790,274629EBONY HOUSE6222 S 13TH STPhoenix 85042 AZ750154 Maricopa 38,916

AZ 319790,274629EBONY HOUSE6222 S 13TH STPhoenix 85042 AZ750154 Maricopa 424,394

463,310

AZ 151346 NATIVE AMERICAN CONNECTIONS4520 N CENTRAL AVE STE 100Phoenix 85012 AZ750162 Maricopa 68,804

AZ 151346 NATIVE AMERICAN CONNECTIONS4520 N. Central Avenue, Suite 100Phoenix 85012 AZ750162 Graham, Greenlee, Cochise, Santa Cruz1,521

AZ 151346 NATIVE AMERICAN CONNECTIONS4520 N. Central Avenue, Suite 100Phoenix 85012 AZ750162 La Paz, Yuma 20,448

AZ 151346 NATIVE AMERICAN CONNECTIONS4520 N. Central Avenue, Suite 100Phoenix 85012 AZ750162 Maricopa 581,733

AZ 151346 NATIVE AMERICAN CONNECTIONS4520 N. Central Avenue, Suite 100Phoenix 85012 AZ750162 Gila, Pinal 11,053

683,559

AZ 590001 NATIONAL 4201 N 16TH ST STE 140Phoenix 85016 AZ750535 Maricopa 50,628

AZ 590001 NCADD 4201 N 16th St., Ste 140Phoenix 85016 AZ750535 Maricopa County 550,899

601,527

AZ 366918 CENTER FOR BEHAVIORAL HEALTH PHOENIX1501 E WASHINGTON STPhoenix 85034 AZ901153 Maricopa 5,405

AZ 366918 CENTER FOR BEHAVIORAL HEALTH PHOENIX2123 E SOUTHERN AVE STE 2Tempe 85282 AZ901153 Maricopa County 58,970

64,375


Prevention

(other than

primary

prevention)

and

Treatment

Services

Pregnant

Women and

Women with

Dependent

Children

Primary Prevention

HIV Early

Interventi

on

1,968,668 352,349 294,816 -

260,579 73,292 44,090 -

2,229,247 425,641 338,906 -

233,600 - - -

5,976 128 - -

239,577 128 - -

15,972 - - -

33,509 - - -

49,481 - - -

64,542 5,405 24,024 -

597,228 58,725 163,105 -

661,770 64,130 187,129 -

2,595 3,784 - -

28,356 41,107 - -

30,951 44,891 - -

496,230 469,798 - -

45,402 43,240 - -

541,632 513,038 - -

33,898 - - -

48,134 4,186 - -

567,349 66,726 - -

106 - - -

242 - - -

524 - - -

16,822 1,463 - -

667,074 72,374 - -

327 - - -

379 - - -

483 - - -

1,188 - - -

- - 42,014 -


- - 46,067 -

- - 88,081 -

273,907 - - -

7,475 - - -

281,382 - - -

36,130 - 29,783 -

- - 242,129 -

36,130 - 271,912 -

- - 169,759 -

- - 24,864 -

- - 194,623 -

- - 22,386 -

- - 150,106 -

- - 172,492 -

- - 6,000 -

- - 20,000 -

- - 26,000 -

- - 22,456 -

- - 182,977 -

- - 205,433 -

- - 30,255 -

- - 212,512 -

- - 242,767 -

- - 6,231 -

- - 17,400 -

- - 23,631 -

- - 29,604 -

- - 194,111 -

- - 223,715 -

- - 21,006 -

- - 139,168 -

- - 160,174 -

(121,475) (7,468) 7,333 -

72,460 2,919 24,652 -

(10,724) (432) (3,649) -

(59,739.80)$ (4,981.23)$ 28,336.03$ -$


(72,305) 1,571 (72,466) -

(17,032) (648) (8,183) -

70,386 2,678 33,819 -

(18,950.79)$ 3,600.28$ (46,830.38)$ -$

(55,368) (2,947) (21,257) -

88,374 4,704 33,929 -

(45,489) (20,654) 125,490 -

(12,483.04)$ (18,897.03)$ 138,161.38$ -$

10,810 - - -

118,150 - - -

128,960 - - -

10,810 - - -

118,150 - - -

128,960 - - -

- - 15,813 -

- - 97,993 -

- - 113,806 -

587,078 35,457 25,965 -

4,318,545 385,234 178,495 -

4,905,623 420,691 204,460 -

4,324 1,081 - -

47,260 11,745 - -

51,584 12,826 - -

490 - - -

146,158 - - -

146,648 - - -

5,405 - - -

39,885 - - -

45,290 - - -

189,040 23,490 - -

17,296 2,162 - -

206,336 25,652 - -

43,659 5,294 - -

1,686 - - -

45,345 5,294 - -


24,322 14,594 - -

265,838 158,557 - -

290,160 173,151 - -

50,968 17,836 - -

1,521 - - -

20,448 - - -

387,941 193,792 - -

11,053 - - -

471,932 211,628 - -

12,793 37,835 - -

139,826 411,073 - -

152,619 448,908 - -

3,783 1,622 - -

41,353 17,617 - -

45,136 19,239 - -

2,417,313.96$ 2,572,795.67$ -$ -$


Total Single State Agency (SSA) Expenditures for Substance Abuse Prevention and Treatment

Period

(A)

Expenditures

(B)

B1(2013) + B2(2014)2

(C)

SFY 2013(1)

$53,055,527

SFY 2014(2)

$41,217,201 $47,136,364

SFY 2015(3)

$48,437,339

Are the expenditure amounts reported in Column B "actual" expenditures for the State fiscal years involved?

SFY 2013 Yes X No

SFY 2014 Yes X No

SFY 2015 Yes X No

Did the State or Jurisdiction have any non-recurring expenditures for a specific purpose which were not included in the MOE calculation?

Yes No X

If yes, specify the amount and the State fiscal year:

If yes, SFY:

Did the State or Jurisdiction include these funds in previous year MOE calculations?

Yes No

When did the State submit an official request to the SAMHSA Administrator to exclude these funds from the MOE calculations?

If estimated expenditures are provided, please indicate when actual expenditure data will be submitted to SAMHSA:


Table 8a - Maintenance of Effort for State Expenditures for SAPT

Footnotes: Arizona Department of Health Services/Division of Behavioral Health Services is currently in the process of merging with the State Medicaid Authority. This has caused delays in accessing required data for the completion of the Maintenance of Effort table. ADHS/DBHS requests a brief extension for the submission of the data.


State Expenditures for Tuberculosis Services to Individuals in Substance Use Disorder TreatmentBASE

Period Total of All State Funds Spent on TB Services

(A)

% of TB Expenditures Spent on Individuals in Substance

Use Disorder Treatment

(B)

Total State Funds Spent on Individuals in Substance Use Disorders Treatment (A x B)

(C)

Average ofColumn C1 and C2

C1+C22

(MOE BASE)

(D)

SFY 1991(1)

$916,654 0.00% $0

SFY 1992(2)

$860,717 0.69% $5,939 $2,969

State Expenditures for Tuberculosis Services to Individuals in Substance Use Disorder TreatmentMAINTENANCE

Period Total of All State Funds Spent on TB Services

(A)

% of TB Expenditures Spent on Individuals in Substance Use Disorder

Treatment

(B)

Total State Funds Spent on Individuals in Substance Use Disorders Treatment

(A x B)

(C)

SFY 2015(3)

$553,000 8.90% $49,217


Table 8b - Base and Maintenance of Effort for State Expenditures for TB

Footnotes: Please see attached document for explanation of calculation methodology.


Table 8b: TB MOE Narrative explaining the calculation methodology

The Arizona Department of Health Services (ADHS), Office of Infectious Disease Services provided the

total number of TB Cases in SFY15, which are 157. The Division of Behavioral Health Services then

compared identifying information provided by the Office of Infectious Disease Services to the Client

Information System (CIS) in order to determine if any clients received substance use disorder treatment

during SFY15. Of those 157 cases, 14 reported a substance use disorder. The result was 14 cases or

8.9% of the total TB cases in Arizona.

Therefore, the total of all State funds spent on TB services ($553,000) multiplied by the percent of TB expenditures spent on TB clients with a substance use disorder (8.9%) equals the total State funds spent on clients who were in substance use disorder treatment ($49,217).


State Expenditures for HIV Early Intervention Services to Individuals in Substance Use Disorder TreatmentBASE

Period Total of All State Funds Spent on Early Intervention Services for HIV

(A)

Average of ColumnsA1 and A2

A1+A22

(MOE Base)(B)

(1) SFY 1991 $0

(2) SFY 1992 $0 $0

Statewide Non-Federal Expenditures for HIV Early Intervention Services to Individuals in Substance Use Disorder TreatmentMAINTENANCE

Period Total of All State Funds Spent on Early Intervention Services for HIV(A)

(3) SFY 2015 $0


Table 8c - Base and Maintenance of Effort for Expenditures for HIV Early Intervention Services

Footnotes: Arizona was not an HIV designated State for the FFY2013 Award.


Expenditures for Services to Pregnant Women and Women with Dependent Children

Period Total Women's Base(A)

Total Expenditures(B)

SFY 1994 $2,796,016

SFY 2013 $3,860,921

SFY 2014 $3,500,777

SFY 2015 $3,496,101

Enter the amount the State plans to expend in 2016 for services for pregnant women and women with dependent children (amount entered must be not less than amount entered in Table IV Maintenance - Box A (1994)): $ 3500777.00


Table 8d - Expenditures for Services to Pregnant Women and Women with Dependent Children

Footnotes: Expenses reported in Period 2015 reflect the FFY2013 Block Grant Award, Women's Expenditures, to maintain consistency in reporting.


IV: Populations and Services Reports

Table 9 - Prevention Strategy Report


Column A (Risks) Column B (Strategies) Column C (Providers)

No Risk Assigned 1. Information Dissemination

3. Media campaigns 12

4. Brochures 6

5. Radio and TV public service announcements 5

6. Speaking engagements 3

7. Health fairs and other health promotion, e.g., conferences, meetings, seminars

11

8. Information lines/Hot lines 1

2. Education

1. Parenting and family management 7

2. Ongoing classroom and/or small group sessions 2

3. Peer leader/helper programs 16

4. Education programs for youth groups 5

3. Alternatives

1. Drug free dances and parties 3

2. Youth/adult leadership activities 2

3. Community drop-in centers 1

4. Community service activities

5. Community-Based Process

1. Community and volunteer training, e.g., neighborhood action training, impactor-training, staff/officials training

4

2. Systematic planning 3

3. Multi-agency coordination and collaboration/coalition 5

5. Accessing services and funding

6. Environmental

2. Guidance and technical assistance on monitoring enforcement governing availability and distribution of alcohol, tobacco, and other drugs

2


3. Modifying alcohol and tobacco advertising practices 0

4. Product pricing strategies 0

7. Other

1. Policy change at the Elks club limiting where alcohol is consumed

1

2. Sticker shock 3

3. Prescription drug drop boxes 1

5. Social host ordinance 4

6. Shoulder Tapping 2

7. Covert underage buys 0

8. Party patrol 1

9. Responsible Beverage Service 1

11. Dump the drug events 1

12. Nuisance/unruly gathering ordinances 1

Footnotes: Please see attached documentation regarding updates for Arizona's CAP: Table 9 - SAMHSA Reporting CAP Update.docx.


SAMHSA Reporting CAP Update 12.1.15

Revision Request:

Per AZ's Corrective Action Plan submitted on June 30, 2014 to comply with the SABG FFY 2014

Special Terms and Conditions required by CSAP, the state detailed the measures that will be

taking in their system in order to correctly report these prevention expenditures in future years

effective FFY 2015. Please provide a status update of AZ's corrective action plan under the

attachments section of the SABG FY 2016 Report, and include a footnote under this reporting

table making reference to this attachment.

Response:

Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS)

submitted a Corrective Action Plan (CAP) June 30, 2014 as required by Substance Abuse and

Mental Health Services Administration (SAMHSA) to meet the special terms of the award in the

June 6, 2014 Notice of Grant Award, SABG Grant Number 2B08TIO10004-14. The CAP described

steps which would be taken by ADHS/DBHS in order to comply with block grant reporting

requirements.

ADHS/DBHS has since developed reporting spreadsheets for each for each of the prevention

tables in order to capture for each contracted provider. The information conforms precisely to

the reporting tables for the SABG. Each contractor will be required to submit the spreadsheets

for each Federal Fiscal Year which will allow ADHS/DBHS to confirm that the amount reported

conforms to the required set aside. All prevention activities are reported based on IOM category

for each Federal Fiscal Year. As indicated in the CAP, ADHS/DBHS will come into compliance for

FFY2016. ADHS/DBHS has disseminated the newly developed spreadsheets and has provided

training and technical assistance to all contractors. ADHS/DBHS has received the completed

tables from all contractors for FFY2015 and is on track for reporting for FF2018.



Table 10 - Treatment Utilization Matrix


Level of Care Number of Admissions > Number of Persons Served

Costs per Person

Number of Admissions (A)

Number of Persons Served

(B)

Mean Cost of Services (C)

Median Cost of Services (D)

Standard Deviation of

Cost (E)

DETOXIFICATION (24-HOUR CARE)

1. Hospital Inpatient 155 116 $2,037 $1,208 $2,687

2. Free-Standing Residential 1321 860 $2,105 $1,668 $1,612

REHABILITATION/RESIDENTIAL

3. Hospital Inpatient 3219 2543 $8,104 $4,611 $11,952

4. Short-term (up to 30 days) 4005 2904 $9,093 $4,723 $12,636

5. Long-term (over 30 days) 1105 923 $1,983 $1,155 $2,213

AMBULATORY (OUTPATIENT)

6. Outpatient 47098 40009 $2,467 $1,050 $5,991

7. Intensive Outpatient 950 877 $2,564 $1,053 $3,611

8. Detoxification 0 0 $0 $0 $0

OPIOID REPLACEMENT THERAPY

9. Opioid Replacement Therapy 3912 3367 $385 $202 $395

10. ORT Outpatient 0 0 $0 $0 $0

Footnotes:



Table 11 - Unduplicated Count of Persons


Age A. Total B. WHITE C. BLACK OR AFRICAN

AMERICAN

D. NATIVE HAWAIIAN /

OTHER PACIFIC ISLANDER

E. ASIAN F. AMERICAN INDIAN /

ALASKA NATIVE

G. MORE THAN ONE RACE REPORTED

H. Unknown I. NOT HISPANIC OR LATINO

J. HISPANIC OR LATINO

Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female Male Female

1. 17 and Under 3122 1714 763 158 53 11 4 8 2 213 140 34 19 3 0 1113 587 1025 394

2. 18 - 24 6233 2909 2207 272 161 18 11 14 7 257 245 52 46 22 12 2226 1902 1296 775

3. 25 - 44 20810 8601 8492 733 686 42 46 60 41 913 887 94 111 66 38 7661 7781 2782 2483

4. 45 - 64 11983 5271 4652 598 438 35 26 23 10 492 284 48 39 48 19 5224 4641 1243 808

5. 65 and Over 629 299 229 33 11 5 0 1 0 30 11 2 1 5 2 288 230 82 22

6. Total 42777 18794 16343 1794 1349 111 87 106 60 1905 1567 230 216 144 71 16512 15141 6428 4482

7. Pregnant Women 1102 880 101 11 4 96 9 1 773 328

Number of persons served who were admitted in a period prior to the 12 month reporting period

26776

Number of persons served outside of the levels of care described on Table 10

0

Footnotes:


2.

3.

4.

5.

6.


Table 12 - HIV Designated States Early Intervention Services


Early Intervention Services for Human Immunodeficiency Virus (HIV)

1. Number of SAPT HIV EIS programs funded in the StateStatewide: Rural:

Total number of individuals tested through SAPT HIV EIS funded programs

Total number of HIV tests conducted with SAPT HIV EIS funds

Total number of tests that were positive for HIV

Total number of individuals who prior to the 12-month reporting period were unaware of their HIV

infection

Total number of HIV-infected individuals who were diagnosed and referred into treatment and care

during the 12-month reporting period

Identify barriers, including State laws and regulations, that exist in carrying out HIV testing services:

Footnotes: Arizona was not a designated state in FFY2015.


Notice to Program Beneficiaries - Check all that apply:

gfedc Used model notice provided in final regulation.

gfedc Used notice developed by State (please attach a copy to the Report).

gfedc State has disseminated notice to religious organizations that are providers.

gfedcb State requires these religious organizations to give notice to all potential beneficiaries.

Referrals to Alternative Services - Check all that apply:

gfedc State has developed specific referral system for this requirement.

gfedcb State has incorporated this requirement into existing referral system(s).

gfedcb SAMHSA’s Treatment Facility Locator is used to help identify providers.

gfedcb Other networks and information systems are used to help identify providers.

gfedc State maintains record of referrals made by religious organizations that are providers.

gfedcb 0 Enter total number of referrals necessitated by religious objection to other substance abuse providers ("alternative providers"), as defined above, made in previous fiscal year. Provide total only; no information on specific referrals required.

Brief description (one paragraph) of any training for local governments and faith-based and community organizations on these requirements.

The Arizona Department of Health Services’, Division of Behavioral Health Services (ADHS/DBHS), serves as the single state authority, providing coordination, planning, administration, regulation and monitoring of all facets of the state public behavioral health system. ADHS/DBHS contracts with community based organizations, known as Regional Behavioral Health Authorities (RBHAs), to administer behavioral health services throughout the State. The RBHAs receive SAPT funds and are, therefore, held accountable to the compliance requirements of the grant – including the Charitable Choice provisions as outlined by 42 U.S.C. 300x–65 and 42 U.S.C. 290kk, et seq., and additionally defined in Arizona Revised Statute (A.R.S.) 41-3751 et seq. Accordingly, the Division’s Provider Manual includes guidance to help ensure that persons receiving substance abuse treatment services under the SAPT Block Grant have the right to receive services from a provider to whose religious character they do not object. Behavioral health subcontractors providing substance abuse services under the Substance Abuse Prevention and Treatment Block Grant must notify persons of this right using a standard document (attachment 3.19.1). Providers must document that the person has received notice in the person’s comprehensive clinical record. If a person objects to the religious character of a behavioral health provider, the provider must refer the person to an alternative provider within 7 days, or earlier when clinically indicated, after the date of the objection. The alternative provider must be accessible to the client and have the capacity to provide substance abuse services. The services provided by the alternative provider must be of a value not less than the value of the services the client would have received from the original organization. Upon making such a referral, providers must notify the RBHA of the referral and ensure that the person makes contact with the alternative provider. As part of regular business practices, the Division provides on-going training and technical assistance to the RBHAs on all aspects of the Provider Manual, including charitable choice compliance.


Table 13 - Charitable Choice


Footnotes:


V: Performance Indicators and Accomplishments

Table 14 - Treatment Performance Measure Employment/Education Status (From Admission to Discharge)

Short-term Residential(SR)

Employment/Education Status – Clients employed or student (full-time and part-time) (prior 30 days) at admission vs. discharge

At Admission(T1) At Discharge(T2)

Number of clients employed or student (full-time and part-time) [numerator]40 36

Total number of clients with non-missing values on employment/student status [denominator]365 365

Percent of clients employed or student (full-time and part-time)11.0 % 9.9 %

Notes (for this level of care):

Number of CY 2014 admissions submitted:341

Number of CY 2014 discharges submitted:388

Number of CY 2014 discharges linked to an admission:383

Number of linked discharges after exclusions (excludes: detox, hospital inpatient, opioid replacement clients; deaths; incarcerated): 365

Number of CY 2014 linked discharges eligible for this calculation (non-missing values):365

Source: SAMHSA/CBHSQ TEDS CY 2014 admissions file and CY 2014 linked discharge file[Records received through 2/1/2016]

Long-term Residential(LR)














Outpatient (OP)



Number of clients employed or student (full-time and part-time) [numerator]3,114 3,469

Total number of clients with non-missing values on employment/student status [denominator]11,628 11,628



Number of CY 2014 admissions submitted:21,191

Number of CY 2014 discharges submitted:13,615

Number of CY 2014 discharges linked to an admission:13,158

Number of linked discharges after exclusions (excludes: detox, hospital inpatient, opioid replacement clients; deaths; incarcerated): 11,680

Number of CY 2014 linked discharges eligible for this calculation (non-missing values):11,628


Intensive Outpatient (IO)














Footnotes:



Table 15 - Treatment Performance Measure Stability of Housing (From Admission to Discharge)


Stability of Housing – Clients reporting being in a stable living situation (prior 30 days) at admission vs. discharge


Number of clients in a stable living situation [numerator]229 240

Total number of clients with non-missing values on living arrangements [denominator]346 346

Percent of clients in stable living situation66.2 % 69.4 %






















Outpatient (OP)



Number of clients in a stable living situation [numerator]10,316 10,418

Total number of clients with non-missing values on living arrangements [denominator]11,364 11,364























Footnotes:



Table 16 - Treatment Performance Measure Criminal Justice Involvement (From Admission to Discharge)


Clients without arrests (any charge) (prior 30 days) at admission vs. discharge


Number of Clients without arrests [numerator]323 325

Total number of Admission and Discharge clients with non-missing values on arrests [denominator]376 376

Percent of clients without arrests85.9 % 86.4 %






















Outpatient (OP)



Number of Clients without arrests [numerator]10,026 10,174

Total number of Admission and Discharge clients with non-missing values on arrests [denominator]12,413 12,413























Footnotes:



Table 17 - Treatment Performance Measure Change in Abstinence - Alcohol Use (From Admission to Discharge)


A. ALCOHOL ABSTINENCE AMONG ALL CLIENTS – CHANGE IN ABSTINENCE (From Admission to Discharge)Alcohol Abstinence – Clients with no alcohol use at admission vs. discharge, as a percent of all clients (regardless of primary problem)


Number of clients abstinent from alcohol [numerator]250 284

All clients with non-missing values on at least one substance/frequency of use [denominator]376 376

Percent of clients abstinent from alcohol66.5 % 75.5 %

B. ALCOHOL ABSTINENCE AT DISCHARGE, AMONG ALCOHOL USERS AT ADMISSIONClients abstinent from alcohol at discharge among clients using alcohol at admission (regardless of primary problem)


Number of clients abstinent from alcohol at discharge among clients using alcohol at admission [numerator] 39

Number of clients using alcohol at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 126

Percent of clients abstinent from alcohol at discharge among clients using alcohol at admission [#T2 / #T1 x 100] 31.0 %

C. ALCOHOL ABSTINENCE AT DISCHARGE, AMONG ALCOHOL ABSTINENT AT ADMISSIONClients abstinent from alcohol at discharge among clients abstinent from alcohol at admission (regardless of primary problem)


Number of clients abstinent from alcohol at discharge among clients abstinent from alcohol at admission [numerator] 245

Number of clients abstinent from alcohol at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 250

Percent of clients abstinent from alcohol at discharge among clients abstinent from alcohol at admission [#T2 / #T1 x 100] 98.0 %
































Outpatient (OP)




Number of clients abstinent from alcohol [numerator]8,791 9,260

All clients with non-missing values on at least one substance/frequency of use [denominator]12,413 12,413





Number of clients using alcohol at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 3,622




Number of clients abstinent from alcohol at discharge among clients abstinent from alcohol at admission [numerator] 8,586

Number of clients abstinent from alcohol at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 8,791

































Footnotes:



Table 18 - Treatment Performance Measure Change in Abstinence - Other Drug Use (From Admission to Discharge)


A. DRUG ABSTINENCE AMONG ALL CLIENTS – CHANGE IN ABSTINENCE (From Admission to Discharge)Drug Abstinence – Clients with no Drug use at admission vs. discharge, as a percent of all clients (regardless of primary problem)


Number of clients abstinent from drugs [numerator]106 164


Percent of clients abstinent from drugs28.2 % 43.6 %

B. DRUG ABSTINENCE AT DISCHARGE, AMONG DRUG USERS AT ADMISSIONClients abstinent from Drug at discharge among clients using Drug at admission (regardless of primary problem)


Number of clients abstinent from drugs at discharge among clients using drugs at admission [numerator] 66

Number of clients using drugs at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 270

Percent of clients abstinent from drugs at discharge among clients using Drug at admission [#T2 / #T1 x 100] 24.4 %

C. DRUG ABSTINENCE AT DISCHARGE, AMONG DRUG ABSTINENT AT ADMISSIONClients abstinent from Drug at discharge among clients abstinent from Drug at admission (regardless of primary problem)


Number of clients abstinent from drugs at discharge among clients abstinent from drugs at admission [numerator] 98

Number of clients abstinent from drugs at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 106

Percent of clients abstinent from drugs at discharge among clients abstinent from Drug at admission [#T2 / #T1 x 100] 92.5 %
































Outpatient (OP)




Number of clients abstinent from drugs [numerator]6,438 7,175

All clients with non-missing values on at least one substance/frequency of use [denominator]12,413 12,413




Number of clients abstinent from drugs at discharge among clients using drugs at admission [numerator] 1,021

Number of clients using drugs at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 5,975




Number of clients abstinent from drugs at discharge among clients abstinent from drugs at admission [numerator] 6,154

Number of clients abstinent from drugs at admission (records with at least one substance/frequency of use at admission and discharge [denominator] 6,438

































Footnotes:



Table 19 - Treatment Performance Measure Change in Social Support Of Recovery (From Admission to Discharge)


Social Support of Recovery – Clients attending Self-help Programs (e.g., AA, NA, etc.) (prior 30 days) at admission vs. discharge


Number of clients attending self-help programs [numerator]88 178

Total number of clients with non-missing values on self-help attendance [denominator]376 376

Percent of clients attending self-help programs23.4 % 47.3 %

Percent of clients with self-help attendance at discharge minus percent of clients with self-help attendance at admission Absolute Change [%T2-%T1] 23.9 %























Outpatient (OP)



Number of clients attending self-help programs [numerator]1,899 2,472

Total number of clients with non-missing values on self-help attendance [denominator]12,387 12,387

























Footnotes:



Table 20 - Retention - Length of Stay (in Days) of Clients Completing Treatment

Level of Care Average (Mean) 25th Percentile 50th Percentile (Median) 75th Percentile


1. Hospital Inpatient126 4 126 247

2. Free-Standing Residential37 3 4 29


3. Hospital Inpatient136 12 69 136

4. Short-term (up to 30 days)129 33 83 148

5. Long-term (over 30 days)607 431 592 848


6. Outpatient288 91 180 374

7. Intensive Outpatient170 55 91 135

8. Detoxification0 0 0 0


9. Opioid Replacement Therapy1 1 1 1

10. ORT Outpatient450 150 326 637

Level of Care 2014 TEDS discharge record count

Discharges submitted Discharges linked to an admission


1. Hospital Inpatient2 2

2. Free-Standing Residential214 212


3. Hospital Inpatient29 29


4. Short-term (up to 30 days)388 383

5. Long-term (over 30 days)14 12


6. Outpatient13615 12594

7. Intensive Outpatient8 8

8. Detoxification0 0


9. Opioid Replacement Therapy0 2

10. ORT Outpatient0 564


Footnotes:



Table 21 - Prevention Performance Measures - Reduced Morbidity-Abstinence from Drug Use/Alcohol Use; Measure: 30 Day Use

A. Measure

B. Question/Response

C. Pre-

populated Data

D. Approved Substitute

Data

1. 30-day Alcohol Use

Source Survey Item: NSDUH Questionnaire. "Think specifically about the past 30 days, that is, from [DATEFILL] through today. During the past 30 days, on how many days did you drink one or more drinks of an alcoholic beverage?[Response option: Write in a number between 0 and 30.]Outcome Reported: Percent who reported having used alcohol during the past 30 days.

Age 12 - 17 - CY 2012 - 2013 13.7

Age 18+ - CY 2012 - 2013 54.1

2. 30-day Cigarette Use

Source Survey Item: NSDUH Questionnaire: "During the past 30 days, that is, since [DATEFILL], on how many days did you smoke part or all of a cigarette?[Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having smoked a cigarette during the past 30 days.

Age 12 - 17 - CY 2012 - 2013 5.0

Age 18+ - CY 2012 - 2013 21.6

3. 30-day Use of Other Tobacco Products

Survey Item: NSDUH Questionnaire: "During the past 30 days, that is, since [DATEFILL], on how

many days did you use [other tobacco products][1]?[Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having used a tobacco product other than cigarettes during the past 30 days, calculated by combining responses to questions about individual tobacco products (snuff, chewing tobacco, pipe tobacco).

Age 12 - 17 - CY 2012 - 2013 2.9

Age 18+ - CY 2012 - 2013 8.4

4. 30-day Use of Marijuana

Source Survey Item: NSDUH Questionnaire: "Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use marijuana or hashish?[Response option: Write in a number between 0 and 30.] Outcome Reported: Percent who reported having used marijuana or hashish during the past 30 days.

Age 12 - 17 - CY 2012 - 2013 9.0

Age 18+ - CY 2012 - 2013 7.6

5. 30-day Use of Illegal Drugs Other Than Marijuana

Source Survey Item: NSDUH Questionnaire: "Think specifically about the past 30 days, from [DATEFILL] up to and including today. During the past 30 days, on how many days did you use

[any other illegal drug]?[2]

Outcome Reported: Percent who reported having used illegal drugs other than marijuana or hashish during the past 30 days, calculated by combining responses to questions about individual drugs (heroin, cocaine, stimulants, hallucinogens, inhalants, prescription drugs used without doctors'orders).

Age 12 - 17 - CY 2012 - 2013 4.3

Age 18+ - CY 2012 - 2013 4.1 Arizona Approved: 05/21/2013 Expires: 05/31/2016 Page 114 of 133

[1]NSDUH asks separate questions for each tobacco product. The number provided combines responses to all questions about tobacco products other than cigarettes.[2]NSDUH asks separate questions for each illegal drug. The number provided combines responses to all questions about illegal drugs other than marijuana or hashish.

Footnotes:



Table 22 - Prevention Performance Measures - Reduced Morbidity-Abstinence from Drug Use/Alcohol Use; Measure: Perception Of Risk/Harm of Use

A. Measure


C. Pre-

populated Data


Data

1. Perception of Risk From Alcohol

Source Survey Item: NSDUH Questionnaire: "How much do people risk harming themselves physically and in other ways when they have five or more drinks of an alcoholic beverage once or twice a week?[Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk.

Age 12 - 17 - CY 2012 - 2013 78.1

Age 18+ - CY 2012 - 2013 80.9

2. Perception of Risk From Cigarettes

Source Survey Item: NSDUH Questionnaire: "How much do people risk harming themselves physically and in other ways when they smoke one or more packs of cigarettes per day?[Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk.

Age 12 - 17 - CY 2012 - 2013 91.8

Age 18+ - CY 2012 - 2013 92.6

3. Perception of Risk From Marijuana

Source Survey Item: NSDUH Questionnaire: "How much do people risk harming themselves physically and in other ways when they smoke marijuana once or twice a week?[Response options: No risk, slight risk, moderate risk, great risk] Outcome Reported: Percent reporting moderate or great risk.

Age 12 - 17 - CY 2012 - 2013 66.4

Age 18+ - CY 2012 - 2013 60.2

Footnotes:



Table 23 - Prevention Performance Measures - Reduced Morbidity-Abstinence from Drug Use/Alcohol Use; Measure: Age of First Use

A. Measure


C. Pre-

populated Data


Data

1. Age at First Use of Alcohol

Source Survey Item: NSDUH Questionnaire: "Think about the first time you had a drink of an alcoholic beverage. How old were you the first time you had a drink of an alcoholic beverage? Please do not include any time when you only had a sip or two from a drink.?[Response option: Write in age at first use.] Outcome Reported: Average age at first use of alcohol.risk.

Age 12 - 17 - CY 2012 - 2013 13.2

Age 18+ - CY 2012 - 2013 17.5

2. Age at First Use of Cigarettes

Source Survey Item: NSDUH Questionnaire: "How old were you the first time you smoked part or all of a cigarette?[Response option: Write in age at first use.] Outcome Reported: Average age at first use of cigarettes.

Age 12 - 17 - CY 2012 - 2013 12.8

Age 18+ - CY 2012 - 2013 16.0

3. Age at First Use of Tobacco Products Other Than Cigarettes

Source Survey Item: NSDUH Questionnaire: "How old were you the first time you used [any other

tobacco product][1]?[Response option: Write in age at first use.] Outcome Reported: Average age at first use of tobacco products other than cigarettes.

Age 12 - 17 - CY 2012 - 2013 13.7

Age 18+ - CY 2012 - 2013 20.3

4. Age at First Use of Marijuana or Hashish

Source Survey Item: NSDUH Questionnaire: "How old were you the first time you used marijuana or hashish?[Response option: Write in age at first use.] Outcome Reported: Average age at first use of marijuana or hashish.

Age 12 - 17 - CY 2012 - 2013 13.5

Age 18+ - CY 2012 - 2013 17.7

5. Age at First Use of Illegal Drugs Other Than Marijuana or Hashish

Source Survey Item: NSDUH Questionnaire: "How old were you the first time you used [other

illegal drugs][2]?[Response option: Write in age at first use.] Outcome Reported: Average age at first use of other illegal drugs.

Age 12 - 17 - CY 2012 - 2013 13.0

Age 18+ - CY 2012 - 2013 22.1

[1]The question was asked about each tobacco product separately, and the youngest age at first use was taken as the measure.[2]The question was asked about each drug in this category separately, and the youngest age at first use was taken as the measure.

Footnotes:



Table 24 - Prevention Performance Measures - Reduced Morbidity-Abstinence from Drug Use/Alcohol Use; Measure: Perception of Disapproval/Attitudes

A. Measure


C. Pre-

populated Data


Data

1. Disapproval of Cigarettes

Source Survey Item: NSDUH Questionnaire: "How do you feel about someone your age smoking one or more packs of cigarettes a day?[Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving.

Age 12 - 17 - CY 2012 - 2013 90.4

2. Perception of Peer Disapproval of Cigarettes

Source Survey Item: NSDUH Questionnaire: "How do you think your close friends would feel about you smoking one or more packs of cigarettes a day?[Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent reporting that their friends would somewhat or strongly disapprove.

Age 12 - 17 - CY 2012 - 2013 87.6

3. Disapproval of Using Marijuana Experimentally

Source Survey Item: NSDUH Questionnaire: "How do you feel about someone your age trying marijuana or hashish once or twice?[Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove]Outcome Reported: Percent somewhat or strongly disapproving.

Age 12 - 17 - CY 2012 - 2013 75.9

4. Disapproval of Using Marijuana Regularly

Source Survey Item: NSDUH Questionnaire: "How do you feel about someone your age using marijuana once a month or more?[Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove]Outcome Reported: Percent somewhat or strongly disapproving.

Age 12 - 17 - CY 2012 - 2013 75.3

5. Disapproval of Alcohol

Source Survey Item: NSDUH Questionnaire: "How do you feel about someone your age having one or two drinks of an alcoholic beverage nearly every day?[Response options: Neither approve nor disapprove, somewhat disapprove, strongly disapprove] Outcome Reported: Percent somewhat or strongly disapproving.

Age 12 - 17 - CY 2012 - 2013 87.9

Footnotes:



Table 25 - Prevention Performance Measures - Employment/Education; Measure: Perception of Workplace Policy

A. Measure


C. Pre-

populated Data


Data

Perception of Workplace Policy

Source Survey Item: NSDUH Questionnaire: "Would you be more or less likely to want to work for an employer that tests its employees for drug or alcohol use on a random basis? Would you say more likely, less likely, or would it make no difference to you?[Response options: More likely, less likely, would make no difference] Outcome Reported: Percent reporting that they would be more likely to work for an employer conducting random drug and alcohol tests.

Age 18+ - CY 2012 - 2013 37.3

Age 12 - 17 - CY 2012 - 2013

Footnotes:



Table 26 - Prevention Performance Measures - Employment/Education; Measure: Average Daily School Attendance Rate

A. Measure


C. Pre-

populated Data


Data

Average Daily School Attendance Rate

Source: National Center for Education Statistics, Common Core of Data: The National Public Education Finance Survey available for download at http://nces.ed.gov/ccd/stfis.asp.Measure calculation: Average daily attendance (NCES defined) divided by total enrollment and multiplied by 100.

School Year 2012 89.0

Footnotes:



Table 27 - Prevention Performance Measures - Crime and Criminal Justice; Measure: Alcohol-Related Traffic Fatalities

A. Measure


C. Pre-

populated Data


Data

Alcohol-Related Traffic Fatalities

Source: National Highway Traffic Safety Administration Fatality Analysis Reporting System Measure calculation: The number of alcohol-related traffic fatalities divided by the total number of traffic fatalities and multiplied by 100.

CY 2013 - 2014 25.8

Footnotes:



Table 28 - Prevention Performance Measures - Crime and Criminal Justice; Measure: Alcohol and Drug Related Arrests

A. Measure


C. Pre-

populated Data


Data

Alcohol- and Drug-Related Arrests

Source: Federal Bureau of Investigation Uniform Crime ReportsMeasure calculation: The number of alcohol- and drug-related arrests divided by the total number of arrests and multiplied by 100.

CY 2014 28.8

Footnotes:



Table 29 - Prevention Performance Measures - Social Connectedness; Measure: Family Communications Around Drug and Alcohol Use

A. Measure


C. Pre-

populated Data


Data

1. Family Communications Around Drug and Alcohol Use (Youth)

Source Survey Item: NSDUH Questionnaire: "Now think about the past 12 months, that is, from [DATEFILL] through today. During the past 12 months, have you talked with at least one of your parents about the dangers of tobacco, alcohol, or drug use? By parents, we mean either your biological parents, adoptive parents, stepparents, or adult guardians, whether or not they live with you.?[Response options: Yes, No] Outcome Reported: Percent reporting having talked with a parent.

Age 12 - 17 - CY 2012 - 2013 57.6

2. Family Communications Around Drug and Alcohol Use (Parents of children aged 12-17)

Source Survey Item: NSDUH Questionnaire: "During the past 12 months, how many times have you talked with your child about the dangers or problems associated with the use of tobacco, alcohol,

or other drugs?[1][Response options: 0 times, 1 to 2 times, a few times, many times] Outcome Reported: Percent of parents reporting that they have talked to their child.

Age 18+ - CY 2012 - 2013 92.4

[1]NSDUH does not ask this question of all sampled parents. It is a validation question posed to parents of 12- to 17-year-old survey respondents. Therefore, the responses are not representative of the population of parents in a State. The sample sizes are often too small for valid reporting.

Footnotes:



Table 30 - Prevention Performance Measures - Retention; Measure: Percentage of Youth Seeing, Reading, Watching, or Listening to a Prevention Message

A. Measure


C. Pre-

populated Data


Data

Exposure to Prevention Messages

Source Survey Item: NSDUH Questionnaire: "During the past 12 months, do you recall [hearing,

reading, or watching an advertisement about the prevention of substance use][1]?Outcome Reported: Percent reporting having been exposed to prevention message.

Age 12 - 17 - CY 2012 - 2013 87.4

[1]This is a summary of four separate NSDUH questions each asking about a specific type of prevention message delivered within a specific context having been exposed to prevention message.

Footnotes:



Table 31-35 - Reporting Period - Start and End Dates for Information Reported on Tables 31, 32, 33, 34, and 35

Reporting Period Start and End Dates for Information Reported on Tables 33, 34, 35, 36 and 37Please indicate the reporting period (start date and end date totaling 12 months by the State) for each of the following forms:

Tables A. Reporting Period Start Date

B. Reporting Period End Date

1. Table 31 - Prevention Performance Measures - Individual-Based Programs and Strategies; Measure: Number of Persons Served By Age, Gender, Race, And Ethnicity

7/1/2014 6/30/2015

2. Table 32 - Prevention Performance Measures - Population-Based Programs And Strategies; Measure: Number of Persons Served By Age, Gender, Race, And Ethnicity

7/1/2014 6/30/2015

3. Table 33 - Prevention Performance Measures - Number of Persons Served by Type of Intervention

7/1/2014 6/30/2015

4. Table 34 - Prevention Performance Measures - Number of Evidence-Based Programs by Types of Intervention

7/1/2014 6/30/2015

5. Table 35 - Prevention Performance Measures - Total Number of Evidence-Based Programs and Total SAPTBG Dollars Spent on Evidence-Based Programs/Strategies

7/1/2014 6/30/2015

Question 1: Describe the data collection system you used to collect the NOMs data (e.g., MDS, DbB, KIT Solutions, manual process).

Arizona currently utilizes a manual process for data collection. Each contractor is required to submit annual reports which conform to information submitted into WebBGAS . This information is then aggregated for state level reporting.

Question 2: Describe how your State's data collection and reporting processes record a participant's race, specifically for participants who are more than one race.Indicate whether thes State added those participants to the number for each applicable racial category or whether the State added all those partipants to the More Than One Race subcategory.

The tool to collect demographic information used by all providers submitting data to the State used "Multiracial Direct", "Multiracial Indirect", and "Multiracial Total" to collect data that constitutes the "More than One Race" subcategory.

Footnotes:



Table 31 - Prevention Performance Measures - Individual-Based Programs and Strategies; Measure: Number of Persons Served By Age, Gender, Race, And Ethnicity

Category Total

Age

0-4

5-11

12-14

15-17

18-20

21-24

25-44

45-64

65 and over

Age Not Known

Gender

Male

Female

Gender Unknown

Race

White

Black or African American

Native Hawaiian/Other Pacific Islander

Asian

American Indian/Alaska Native

More Than One Race (not OMB required)


Race Not Known or Other (not OMB required)

Ethnicity

Hispanic or Latino

Not Hispanic or Latino

Question 1: Describe the data collection system you used to collect the NOMs data (e.g., MDS, DbB, KIT Solutions, manual process).

Question 2: Describe how your State's data collection and reporting processes record a participant's race, specifically for participants who are more than one race.Indicate whether thes State added those participants to the number for each applicable racial category or whether the State added all those partipants to the More Than One Race subcategory.




Table 32 - Prevention Performance Measures - Population-Based Programs And Strategies; Measure: Number of Persons Served By Age, Gender, Race, And Ethnicity

Category Total

Age

0-4

5-11

12-14

15-17

18-20

21-24

25-44

45-64

65 and over

Age Not Known

Gender

Male

Female

Gender Unknown

Race

White

Black or African American

Native Hawaiian/Other Pacific Islander

Asian

American Indian/Alaska Native

More Than One Race (not OMB required)


Race Not Known or Other (not OMB required)

Ethnicity

Hispanic or Latino

Not Hispanic or Latino




Table 33 - Prevention Performance Measures - Number of Persons Served by Type of Intervention

Number of Persons Served by Individual- or Population-Based Program or Strategy

Intervention Type A. Individual-Based Programs and

Strategies

B. Population-Based Programs and

Strategies

1. Universal Direct N/A

2. Universal Indirect N/A

3. Selective N/A

4. Indicated N/A

5. Total 0 0

Footnotes:


1. Describe the process the State will use to implement the guidelines included in the above definition.

2. Describe how the State collected data on the number of programs and strategies. What is the source of the data?

A.Universal

Direct

B.Universal Indirect

C.Universal

Total

D.Selective

E.Indicated

F.Total

1. Number of Evidence-Based Programs and Strategies Funded

0 0

2. Total number of Programs and Strategies Funded 0 0

3. Percent of Evidence-Based Programs and Strategies

Table 34 - SUBSTANCE ABUSE PREVENTION Number of Evidence-Based Programs and Strategies by Type of Intervention


Table 34 - Prevention Performance Measures - Number of Evidence-Based Programs by Types of Intervention




Table 35 - Prevention Performance Measures - Total Number of Evidence-Based Programs and Total SAPTBG Dollars Spent on Evidence-Based Programs/Strategies

Total Number of Evidence-Based Programs/Strategies for IOM Category Below

Total SAPT Block Grant Dollars Spent on evidence-based Programs/Strategies

Universal Direct Total # $

Universal Indirect Total # $

Selective Total # $

Indicated Total # $

Total EBPs: 0 Total Dollars Spent: $0



FFY 2014 Prevention Attachment Category A:

File Version Date Added

FFY 2014 Prevention Attachment Category B:


FFY 2014 Prevention Attachment Category C:


FFY 2014 Prevention Attachment Category D:



Prevention Attachments

Submission Uploads

Footnotes:


Documents

Arizona - azahcccs.gov · 2018-02-13 · Arizona UNIFORM APPLICATION FY 2016 BEHAVIORAL HEALTH REPORT SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT OMB - Approved 05/21/2013