When a child or teen sustains a spinal cord injury, the period following the acute phase of the injury can be particularly difficult, says Lynn O’Malia of the Department of Health Services’ Office for Children with Special Health Care Needs (OCSHCN).

“As the family tries to understand the injury and its impact, there are so many transitions to deal with. Often the child or teen moves from acute care, to inpatient treatment, to rehab, outpatient treatment and, ultimately, back to school – and each of these changes can be confusing and stressful.”

To help families navigate the sometimes-overwhelming service system, OCSHCN (pronounced "ocean") has expanded the scope of its successful Service Coordination program.

The Service Coordination program broadened its scope in 1997 to assist children and youth with traumatic brain injuries and their families. The program expanded to provide similar services for children and youth with spinal cord injuries in July 2005.

“Our aim is to be a single point of contact for families,” says Ms. O’Malia. “We begin working with families while the child is in an acute setting. We’ll work with them to determine what services they need and to develop an individualized service plan for their child.”

Service Coordinators help families identify service providers in their community and complete application processes. They also serve as liaisons with insurers and other payors.

“One of our most important roles is to provide education and support for the family as they go through the process of learning about their child’s injury and understanding its impact,” says Ms. O’Malia, who serves as the program’s Statewide Manager.

Services are provided through a network of nine community agencies across the state. Service Coordinators, who had extensive experience in working with children with TBI and their families, participated in training to prepare for working with children with SCI and their families.

While the program is still young, Ms. O’Malia is already noting some differences in working with the two populations.

“Because traumatic brain injuries are less visible, families sometimes tend not to recognize the implications for ongoing disability in the beginning. So we may not become involved with them for some time after the injury. Because spinal cord injuries are more evident, we are seeing families earlier in the process.”

Funding for the program is provided by the Arizona Governor’s Council on Spinal and Head Injuries and OCSHCN. There is no charge to families for Service Coordination.

While not an entitlement program, the Service Coordination program also has limited funding available to assist families without insurance with specific needs, such as equipment or transportation.

Individuals who are interested in learning more about Service Coordination for children with SCI should contact the Service Coordinator for their county.

Service Coordination for Children and Teens with Traumatic Brain Injury, Spinal Cord Injury, and Other Special Health Care Needs

County

Contractor

Contact person

Phone

Apache


Hummingbird

Laura Denali 

928-339-4465

Cochise

The Blake Foundation

Roni Spehn 

520-795-4977 

ext 227

Coconino


Coconino County Health Department

Lizette Melis 

928-522-7889

Gila


The Developmental Learning Center/Gila County ARC

Debra Hammer 

928-425-6053

Gila North

The Blake Foundation 

Roni Spehn 

520-795-4977 

ext 227

Graham

The Blake Foundation

Roni Spehn 

520-795-4977 

ext 227

Greenlee

The Blake Foundation

Roni Spehn 

520-795-4977 

ext 227

La Paz


REM Rehabilitation

Pati Gilbank

928-680-1637

1-877-725-0417

Maricopa


St. Joseph’s Hospital and Medical Center

Vivien Burley

602-406-6559

Mohave


REM Rehabilitation

Pati Gilbank

928-680-1637

1-877-725-0417

Navajo

Northland Therapy Services


Jody Gaskill

928-532-1532

Pima

The Blake Foundation 

Roni Spehn

520-795-4977 

ext 227

Pinal

The Blake Foundation 

Roni Spehn

520-795-4977 

ext 227

Santa Cruz

The Blake Foundation 

Roni Spehn

520-795-4977 

ext 227

Yavapai

Yavapai County Community Health Services

Linda Kimberly 

Kitty Sinkey

928-649-5128

928-583-1025

Yuma


Yuma Regional Medical Center

Danielle Puentedura

928-336-7195