A resident of Wickenburg, Arizona and her husband reported experiencing some adverse health effects that she felt may be attributed to a recent pesticide application to her home. The family requested the Arizona Department of Health Services to evaluate whether the remaining levels of pesticides present in her home would cause any health effects. The resident reported to ADHS that their symptoms continued to worsen over time, and that the chemical continued to pool in their house even after being wiped up several times, so that she and her husband vacated the house. The couple underwent extensive testing, and are receiving oxygen treatment to alleviate their symptoms. No medical records have been submitted to ADHS for review, and it is difficult to conclusively analyze health outcome information as it has been self reported.

The objective of this health assessment is to provide an evaluation of current and future potential health risks that may result from exposure to residual organochlorine pesticides at Franklin Elementary School in Phoenix, Arizona. The school has been unoccupied for the past 10 years. The historic school building is being restored by the school district, which plans to reopen the building for use as an elementary school. Several organochlorine pesticides were discovered in the soil during routine environmental sampling done in conjunction with the renovation. In particular, chlordane and dieldrin, banned in the United States in the early 1980's, were present in concentrations above screening levels.

The Arizona Department of Health Services was asked by the Arizona Department of Environmental Quality to evaluate the potential health effects from inhalation of toxic vapors as a result of an unplanned, concentrated nitric acid release. According to Hudson Farms, at approximately 1 pm on July 1st, concentrated nitric acid began escaping from a small leak in a 33,000 gallon storage tank. By 4:30 pm, the first responding fire department units observed an orange colored plume that was moving with the wind direction. The large plume continued to dissipate throughout the area until about 8:30 pm that night. Small amounts of nitric acid that was generally restricted to the Hudson property continued to leak until approximately 8 am the morning of July 2nd when pumping of acid waste waters into emergency storage tanks was completed. It is estimated by ADEQ that a total of 4,0 00-4,500 gallons of concentrated nitric acid was released from the storage tank. Approximately 600 people from the town of Laveen and the Gila River Indian Community were immediately evacuated. Residents were allowed re -entry to their homes the following day, July 2nd at approximately 10 am.

The objective of this health assessment is to provide an evaluation of the health risks that may result from exposure to abandoned mine tailings in Klondyke, Arizona. The tailings are remnants from an earlier flotation mill and mining operation that was in business from the early 1900's until 1950. Environmental data indicate that the 70,000 cubic yards of tailings that remain on the property have contaminated the soil and nearby creeks with heavy metals. This report evaluates the potential pathways of human exposure to the contaminated media. The contaminants of concern further evaluated are lead, arsenic, cadmium, mercury, manganese, and boron. Child health issues and community concerns are also an integral part of the evaluation.

This special topic report examines the prevalence and characteristics of co-occurring substance abuse and mental health problems among juvenile detainees in Maricopa County. The findings come from the Co-occurring Disorder Addendum used during 2007. The findings reveal that almost 30 percent of juvenile detainees were at risk for a co-occurring disorder, and face significantly greater difficulties across a number of critical factors, including incarceration, homelessness, and victimization.

This special topic report examines the prevalence and characteristics of co-occurring substance abuse and mental health problems among adult arrestees in Maricopa County. The findings suggest that more than 28 percent of adult arrestees in Maricopa County are at risk for a co-occurring disorder, and they face significantly greater difficulties across a number of critical factors, including incarceration, homelessness, and victimization. Understanding the prevalence and particular characteristics of the dual-diagnosed arrestee population in Maricopa County is an important part of assessing demands on behavioral health and substance use treatment resources. Additionally, examining some of the current defining characteristics of this population relative to arrestees not dually diagnosed can serve as an indicator of future demand.

Arizona’s public behavioral health care system, which serves some 150,000 mentally ill and vulnerable state residents, is wrestling with a number of urgent challenges. In addition to budget cuts resulting from the current economic crisis, and the demands of a 28-year-old class-action lawsuit, the system has been repeatedly criticized in several areas, including for inadequate staff, data, housing support, and crisis services. On July 22, a panel of professionals who play key roles in the system discussed these and other issues before some 300 behavioral health providers, supervisors, and policymakers at the annual Summer Institute hosted by Arizona State University’s Center for Applied Behavioral Health Policy. This paper provides an abbreviated report of that discussion, which was partially designed and moderated by ASU’s Morrison Institute for Public Policy.

Severe and widespread budget cuts in behavioral health and substance abuse services for lower-income Arizonans who don’t qualify for AHCCCS have already taken effect across the state. Even before these cuts were implemented, it was clear that the publicly-supported behavioral health system in our state was not adequately serving many Arizonans who needed mental health or substance use disorder treatment. This paper represents an effort by Arizona State University’s Centers for Applied Behavioral Health Policy and the Morrison Institute for Public Policy to promote and enrich Arizona’s public dialogue about these problems and potential solutions.