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.

Since spring 1996, regional School To Work (STW) partnerships throughout the state have been involved in a variety of activities designed to help create a comprehensive statewide system of school-to-work opportunities for Arizona students. The School-to-Work Opportunities Act of 1994 suggests that one element of a statewide system is career counseling for all students. As part of a multi-faceted evaluation of the state’s STW initiative coordinated by Morrison Institute for Public Policy on behalf of the Arizona Department of Commerce, School To Work Division (ADC-STW), Arizona public school counselors and their roles and responsibilities are being studied. The hypothesis is that if career guidance is emphasized in the schools (in accordance with 1994 Act), then one might see a shift in counselors’ roles over time to reflect more time spent on counseling activities related to career guidance. Baseline measures of counselor’s time use were established in 1996. This briefing paper provides first year trend data on Arizona school counselors and their use of time.

This briefing paper provides 3-year trend data on Arizona school counselors' use of time. They hypothesis is that if career guidance were to be emphasized in the schools in accordance with the School-To-Work Act, a shift in counselors' roles could be expected to reflect more time spend on career guidance. An overview of the survey is provided including methodology and respondent characteristics. Data for each year includes counselors' allocation of time to counseling students, working with teachers and guidance curriculum, responding to crises, providing system support, and non-guidance activities. Although the pattern of time use has remained stable over three years, non-guidance and system support time have decreased in favor of guidance activities. Changes are small. Percentage of time spent in student counseling is further analyzed by issues. Counselor awareness of the School-To-Work initiative and their job satisfaction has increased. However, no significant changes in counselors' roles or duties were found in spite of considerable professional development efforts at state and local levels. These results are compared with the Comprehensive Competency-Based Guidance model, and sound practice in school counseling is discussed. Policy questions are raised.

One component of a multi-faceted evaluation of the state's STW initiative is the evaluation of public awareness and opinions of STW as a concept and a vehicle for education reform. In spring 1996, a statewide public poll of parents, businesses and educators was conducted to establish baseline measures of public attitudes toward STW prior to widespread implementation in the schools. In fall 1996, Arizona public school counselors were surveyed as an additional constituent group. This paper highlights findings from the state's baseline study of counselors' opinions toward STW -- especially as compared with the opinions of other constituent groups.

As part of a multi-faceted evaluation of the state's STW initiative, a survey was conducted to establish baseline measures of counselors' time use and attitudes toward STW prior to its widespread implementation in Arizona schools. This paper discusses counselors' roles and responsibilities--that is, how they currently spend their time. The study will be replicated annually, with the hypothesis that if STW has the impact intended, then one should see marked increases in the time spent counseling students on work/career issues.