DHS

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Publications & Documents

Announcements

Title Type Posted Date
FFY 2019 SAMH Mini Block Grant Application with Notice PDF 07/31/2018
FFY18-19 Combined Block Grant Application Submitted 090117 PDF 09/05/2017
FFY 18-19 Combined Substance Abuse and Mental Health Block Grant Application PDF 08/01/2017
Arkansas FY2016-2017 State Behavioral Health Assessment and Plan - SAPT and CMHS Block Grant PDF 08/31/2015

Annual Progress and Services Report

Title Type Posted Date
Infant Mental Health Training Information PDF 09/20/2018

Annual Reports

Title Type Posted Date
Mental Health Commitment - Involuntary Committment PDF 09/20/2018

Directories

Title Type Posted Date
Community Mental Health Center Directory by County PDF 09/27/2018
Community Mental Health Center Directory PDF 09/27/2018
SFY18 Arkansas Prevention Services Providers List PDF 08/14/2018
Licensed Substance Abuse Treatment Providers PDF 08/02/2018
Psychology Internship Supervisors PDF 07/13/2017
DASEP DWI Services Directory PDF 01/04/2017

Forms

Title Type Posted Date
License Substance Abuse Provider Incident Form-Updated PDF 07/30/2015

General Information

Title Type Posted Date
Mental Health Committment - Immediate Confinement PDF 09/20/2018
Mental Health Commitment - Involuntary Committment PDF 09/20/2018
Arkansas Strategic Prevention Plan PDF 05/16/2016
Forensic Seminar Schedule PDF 05/11/2016
DASEP Guidelines PDF 10/30/2012

Manuals

Title Type Posted Date
Infant Mental Health Therapist Standards Manual with application PDF 07/17/2018
Peer Support, Family Support Partner, and Youth Support Specialist Standards Manual and application PDF 01/01/2018
ADMIS Manual Revised Oct 2017 PDF 10/13/2017
Regional Alcohol and Drug Detoxification (RADD) Manual PDF 05/11/2015
Substance Abuse Provider Licensure Standards PDF 01/07/2013

Notices

Title Type Posted Date
Notice of Rule Making - Alcohol and Drug Abuse Prevention Rules of Practice and Procedure PDF 06/12/2016
Alcohol and Drug Abuse Prevention Rules of Practice and Procedure Manual PDF 04/13/2016

Outpatient Behavioral Health Certification Documents

Title Type Posted Date
Residential Community Reintegration Program Certification DOC 10/19/2017
DHS Residential Community Reintegration Program Form 600 DOC 10/19/2017
DHS Independently Licensed Practitioner Certification - 7.1.17 DOC 07/07/2017
DHS Partial Hospitalization Certification - 7.1.17 DOC 07/07/2017
DHS Therapuetic Communities Certification - 7.1.17 DOC 07/07/2017
DHS Acute Crisis Unit Certification - 7.1.17 DOC 07/07/2017
DBHS Behavioral Health Agency Certification - FINAL - Updated QBHP Training DOC 07/07/2017
DHS BEHAVIORAL HEALTH AGENCY CERTIFICATION Form 100 - Application for New Agency DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 200 - Accreditation Release Form DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 210 - BHA Resource Summary DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 220 - Site Close or Move DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 230 - Behavioral Health Agency Recertification DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 240 - Annual Report DOC 06/27/2017
DHS BEHAVIORAL HEALTH AGENCY Form 250 - New Site Certification DOC 06/27/2017
DHS ACUTE CRISIS UNIT CERTIFICATION Form 330 DOC 06/27/2017
DHS INDEPENDENTLY LICENSED PRACTITIONER Form 500 - Application DOC 06/27/2017
DHS THERAPUETIC COMMUNITIES CERTIFICATION Form 300 DOC 06/27/2017
DHS PARTIAL HOSPITALIZATION CERTIFICATION Form 310 DOC 06/27/2017

Physician Certification Forms

Title Type Posted Date
PHYSICIAN CERTIFICATION OF SERIOUS EMOTIONAL DISTURBANCE PDF 02/08/2018
PHYSICIAN CERTIFCATION OF ADULT WITH A SERIOUS MENTAL ILLNESS PDF 02/08/2018

Procedures

Title Type Posted Date
Physician Certification of Adults with a Serious Mental Illness Policy and Procedure Instructions Fo PDF 10/12/2011

Publications

Title Type Posted Date
Psychology Internship Supervisors PDF 07/13/2017
MHPP Certification PDF 09/24/2015
ICD-10 Training Fall 2015 PDF 09/24/2015
ICD-10 Training 6/17/2015 PDF 07/08/2015

Reports

Title Type Posted Date
Special Services Program Report SFY 2015 PDF 02/03/2016
Resource Summary Report SFY 2016 PDF 02/02/2016
Arkansas: Substance Use Consumption and Consequences PDF 08/21/2012
2011 Customer Satisfaction Survey Results PDF 02/08/2012

Resources

Title Type Posted Date
Infant Mental Health Training Information PDF 09/20/2018
PSS FSP and YSS posting PDF 09/07/2018
PSS, FSP & YSS Provider Training slides PDF 02/15/2018
Infant Mental Health Therapist Provider Training slide deck PDF 02/15/2018
Peer Support, Family Support Partner, and Youth Support Specialist Training Information PDF 02/14/2018
Implementing Trauma-Informed Approaches in Access to Recovery Programs PDF 08/01/2012
Dealing with the Effects of Trauma PDF

Rules

Title Type Posted Date
Substance Abuse Treatment Rules of Practice & Procedure PDF 10/13/2010
HIPAA Notice of Privacy Practices PDF 10/13/2010

Staff

Title Type Posted Date
Psychology Staff List PDF

Synar Report

Title Type Posted Date
2017 Arkansas Annual Synar Report PDF 11/06/2016
2015 Arkansas Annual Synar Report PDF 12/09/2015
2016 Arkansas Annual Synar Report PDF 12/08/2015
2014 Arkansas Annual Synar Report PDF 10/16/2014
2013 Arkansas Annual Synar Report PDF 01/24/2013
2012 Arkansas Annual Synar Report PDF 11/29/2011
2011 Arkansas Annual Synar Report PDF 12/31/2010
2010 Arkansas Annual Synar Report PDF 12/31/2009
2009 Arkansas Annual Synar Report PDF 12/31/2008
2008 Arkansas Annual Synar Report PDF 01/01/2008
2007 Arkansas Annual Synar Report PDF 01/02/2006
2006 Arkansas Annual Synar Report PDF 01/01/2006

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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