1-413-499-0412
Winter 2016
www. briencenter.org
The Brien Center
Newsletter
Volume 1, Issue 3
FROM THE CEO:
I am proud
From the CEO
1
Strategic Plan
1
Launch!
Child & Adolescent
Division Update
2
ABH Awards Ceremony
3
“Seeking Safety”
Overview
4
In the News
5
Newsflash, Information,
Employment
6
CBFS Update
7
DSM 5 / UNICO Dinner
8
Transitional Housing
9
Adult/Acute Update
10
to say that I
fully support
a statewide
campaign
“CEOs
Against
Stigma”
launched by
NAMI Massachusetts, the state
chapter of the National Alliance
on Mental Illness. The mission of
the campaign is to end workplace
stigma and create healthier, more
productive workplaces by changing attitudes within Massachusetts workplaces by securing the
commitment of business leaders.
By signing onto the campaign, I
will work with NAMI Mass to increase “know- how” relating to
employee behavioral health. Businesses, like the Brien Center, will
take a part in the campaign and
utilize the information and resources of NAMI Mass—including
NAMI’s “In Our Own Voice” program, widely recognized as one of
the most effective anti-stigma
programs in America.
I stand behind NAMI’s campaign
to eliminate the stigma, the
shame, and the secrecy associat-
ed with mental illness. Mental illness and addiction impact almost everyone including our family members, friends, neighbors, and
colleagues at work. We as a
community must talk more
and work harder to educate
people about mental illness
and addiction and destigmatize both. NAMI’s
“CEOs Against Stigma” campaign opens up the channels for conversation. Talking openly with each other
about mental illness and
addiction is the best way to
break down misconceptions
and promote recovery and
healthy communities. As
Berkshire County’s primary
community-based behavioral health provider, the Brien
Center works everyday to
address the needs of our
community, as well as our
employees, to facilitate a
better understanding about
how behavioral health
affects everyone, and to
make sure those who are
affected by mental illness
and/or addiction get the
support they need!
Warm Regards,
Chris
FULL STEAM AHEAD
IN 2016— A NEW
STRATEGIC PLAN!
Did you know that The
Brien Center has been
involved in developing
a new strategic plan
since 2014? We have
been on an incredible
“journey” to map out
our strategic goals for
2015-2020 as our agency grows. Goal teams,
based on our new strategic goals, launched in
late 2015 and represent programs from
across the Brien Center. Our goal teams are
focused on the following areas : access to
services, staff recruitment/ retention,
public visibility,
quality improvement
and financial planning.
Thanks so much to the
Brien Center
employees involved in
this exciting initiative!
The Brien Center
www. briencenter.org
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Page 2
Child Adolescent Division Updates:
With Jim Mucia, LICSW; Child & Adolescent Division Director
Volume 1, Issue 3
The Child and Adolescent Division remains very busy with ongoing programming. In addition to
our work in our Community Service Agency, Outpatient Services, Day Treatment and Outreach
services, Child Behavioral Health services, and our residential Caring Together Services, our
Division has three new grants that are starting or in the process of starting.
Adolescent Community Reinforcement Approach (A-CRA) is a youth/adolescent substance use intervention funded
through an RFR from BSAS and some supportive funding from Berkshire United Way. A-CRA is an intensive evidence based
program that utilizes the youth’s community to reinforce positive behaviors that will replace substance use. The program
has received national recognition due to its high positive outcomes. Currently referrals are being accepted and staff are
being fully certified in A-CRA. This new exciting evidence based program is a great addition to our Patrick Miller Youth Substance Abuse prevention and treatment program. Although the program is still getting off the ground, we are already experiencing positive outcomes. The sad news is that the program is clearly needed in our community. The level of substance use continues to shock many of us. In the past, marijuana and alcohol were by far the most prevalent reason for
referral in the youth population. Referrals for opioid use and addiction are increasing to numbers not seen before.
Youth violence and gang activity is significantly on the rise in our community as well. Youth violence and gang activity directly relate to increases in opioid addictions and drug dealing. The City of Pittsfield started a youth violence prevention
program through a state grant a number of years ago. Pittsfield Community Connections (PCC) focuses on youth violence
prevention. Prevention in this regard refers to youth who for various reasons represent a high risk to develop violence and
or gang involvement. The goal is to steer the youth away from gangs and acts of violence. Over the summer we were
asked to participate with PCC in applying for a grant called The Safe and Successful Youth Initiative, or SSYI. This grant requires significant involvement from Behavioral Health. The City of Pittsfield who oversees PCC invited us to join in the
grant application. We were recently informed that PCC did receive the SSYI grant and shortly work will begin in starting up
this addition. SSYI differs from the past PCC efforts in that the target population is youth who have already committed
acts of violence. Referrals are made directly from criminal justice after the youth has been arrested. The goal of SSYI is to
prevent continued acts of violence and gang activity. We are very excited about this new opportunity.
A third grant was recently attained for our Community Service Agency (CSA). The CSA is the corner stone of the large CBHI
programming. CSA is based on the values of family and youth voice and choice with the emphasis being on parents directing their child’s and family’s Action Plans. This innovative approach is called Wraparound, placing the parents at the
“head of the table” when it comes to planning. Wraparound usually involves many agencies and programs with the goal of
working together on the same family based goals. Family Partners (parents with lived experience) play an important role
in assisting families through this process and providing advocacy. This excellent program demonstrates great success, but
doesn’t always fit well with Transitional Age Youth (TAY). TAY in normal developmental process should be separating from
family and therefore Action Plans should be directed more by the youth versus the parent. In order to enhance our services to TAY we recently received a grant to provide CSA based peer mentors to TAY in our CSA. Peer mentors will provide
a similar advocacy to TAY as Family Partners provide to families. The grant was award as I write this and we are hoping for
a start up after the holidays.
It has been a busy time for the Child & Adolescent Division with some significant improvements in our services and very
interesting grant opportunities enhancing our services.
Volume 1, Issue 3
The Brien Center
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Page 3
Colleen SondriniCooper of The Brien
Center Receives
ABH’s Moe
Armstrong Award
for Peer Leadership
The Association for Behavioral Healthcare (ABH), a
statewide organization representing over 80 communitybased behavioral healthcare
provider organizations, today
announced its 2015 Recognition Awards recipients at its
Salute to Excellence event.
Each year, ABH recognizes
individuals and groups that
have made impressive contributions to the field of mental
health and addiction treatment. This year, Colleen Sondrini-Cooper, the Recovery
Services Coordinator at The
Brien Center, received the
Moe Armstrong Award for
Peer Leadership for her exceptional contribution to the development and strengthening
of the role of consumers in
addiction treatment services.
"On behalf of ABH, we want
to thank all of today's award
recipients for the important
work that they do," said Vic
DiGravio, President/CEO of
ABH. "The dedication of everyone in this room to individuals and families struggling
with substance use and mental
health disorders is truly making a difference in our communities, and we salute you
for your life-changing work."
Colleen is currently both the
Recovery Services Coordinator and Human Rights Coordinator for the Brien Center.
Prior to her current roles, Col-
leen has held several positions
within the Brien Center that
opened opportunities for selfdisclosure and relational supports. In her attempts to teach
sensitivity to her fellow coworkers, she began to selfdisclose her own mental
health struggles to teach them
a deeper understanding of
people’s capabilities. Long
before the peer movement was
an accepted force in the mental health field, Colleen pioneered it in her own works.
She has pushed boundaries
and with balance has supported staff to understand that
recovery is possible. In August of 2014, Colleen guided
five individuals to create the
first peer run home in Berkshire County, Freedom House.
Colleen was recognized at a
ceremony at the Westin Hotel
in Waltham. ABH members
are the primary providers of
community-based behavioral
healthcare in Massachusetts.
Member providers and their
47,000 dedicated employees
provide clinically effective
and cost-sensitive care to
81,000 individuals on any
given day in communities
throughout the state.
As an organization with three
decades of experience in not
only the advancement, but
also the preservation and promotion of community-based
mental health and addiction
services, ABH is recognized
as the leading statewide association in this field.
Colleen Sondrini-Cooper, the Recovery Services
Coordinator at The Brien Center, received the Moe
Armstrong Award for Peer Leadership. Colleen was
introduced by Brien Center CEO
M. Christine Macbeth and gave an amazing
presentation to a crowd of over 200!
Volume 1, Issue 3
The Brien Center
www. briencenter.org
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Page 4
Seeking Safety: An Overview:
With Brien Center Outpatient Clinician Linda McGinley , MA, LMHC
Seeking Safety is an evidence-
focus on ideals; (4) four content
based model of structured treat-
areas: cognitive, behavioral, inter-
ment, developed by Lisa M.
personal, and case management;
Najavits, designed to help in the
and (5) attention to therapist pro-
process of recovery from PTSD
cesses. “Safety” is an umbrella term
and Substance Abuse. The treat-
that signifies various elements:
ment is action-oriented and in-
discontinuing substance use, reduc-
formational and draws from the
ing suicidality, minimizing exposure
cognitive-behavioral therapy
to HIV risk, letting go of dangerous
(CBT) tradition and from the psy-
relationships (such as domestic
chodynamic with a strong respect
abuse and drug-using “friends”),
for twelve-step and other self-
gaining control over extreme symp-
help traditions. Seeking Safety is
toms (such as disassociation), and
the first treatment for PTSD and
stopping self-harming behaviors
substance abuse with published
(such as cutting). Just as violations
outcome results (Najavits et al.,
of safety are life-destroying, the
1997, 1998e). Seeking Safety is
means of establishing safety are life
an alternative to trauma-
-enhancing. The treatment thus fits
processing models that include
what has been described as first-
exploration of past trauma. The
stage therapy for each of the disor-
most urgent clinical need in the
ders. The first stage, safety, is in
treatment of PTSD and substance
and of itself an enormous therapeu-
abuse is to establish safety. Seek-
tic task for some patients.
ing Safety does not require the
client to delve into emotionally
There are 25 topics, each one inde-
distressing trauma narratives.
pendent of the other so they can be
The excerpt below is from SEEK-
used in any order for any length of
ING SAFETY: A Treatment Manual
time. The topics address cognitive,
for PTSD and Substance Abuse by
behavioral, and interpersonal skills,
Lisa M. Najavits:
with a focus on engaging clients in
community resources. Examples of
The treatment is based on five
Seeking Safety topics include, Hon-
central ideas: (1) safety as the
esty, Creating Meaning, Setting
priority of this first-stage treat-
Boundaries in Relationships, Taking
ment; (2) integrated treatment of
Good Care of Yourself, Compassion,
PTSD and substance abuse; (3) a
Coping with Triggers, Healing from
Anger, and Recovery Thinking.
Seeking Safety can be conducted with a
broad range of populations - adolescents and adults; males and females;
military/veterans; survivors of domestic abuse; homeless people; clients
with reading or cognitive
impairments; criminal
justice and racially/ ethnically diverse populations; those who are
seriously and persistently mentally ill; individuals
with behavioral addictions such as pathological gambling; active
substance users; and
clients in all levels of
care (outpatient, residential, inpatient,
community care, and private practice).
Lisa M. Nejavits, PhD, is Professor of
Psychiatry, Boston University School of
Medicine; Lecturer, Harvard Medical
School; clinical psychologist, VA Boston
Healthcare System; and clinical associate, McLean Hospital.
Linda McGinley, MA, LMHC, facilitates
a Seeking Safety group treatment at
the East Street campus of the Brien
Center in Pittsfield, MA. She can be
reached there directly at 413.
398.1320.
www. briencenter.org
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Page 5
The Brien Center
Brien Center CEO was the emcee at the Berkshire
Chamber of Commerce “Good News Business Salute”
The “Good News Business Salute” took
place at the Pittsfield Country Club on
January 28, 2016. This quarterly gathering showcases "good news" in the
Berkshires to create a positive environment for business while promoting
quality jobs and celebrating the spirit
of success. The Keynote Speaker was
new Pittsfield Mayor Linda Tyer and
Volume 1, Issue 3
Chris Macbeth, CEO of the Brien Center, was the guest Emcee. Chris, prior
to introducing the mayor, was able to
discuss the Brien Center’s important
role in Berkshire County and how it
serves 1 in 4 families in Berkshire
County and over 10,000 clients a year.
Mayor Tyer spoke of her vision for
Pittsfield with focus on growing its
Featured at the “Good News Business Salute” is (left to right)—
Dr. Jennifer Michaels, Medical Director, M. Christine Macbeth,
CEO, Linda Gaspardi Febles, Brien Center Board member, Lois
Hobbs, Brien Center HR Director, Paul Hickling, Brien Center
Division Director, Meri-Ellen Morgans, Brien Program Director
CBFS
economy.
Brien Center Medical Director
Dr. Jennifer Michaels does a
TED TALK— “Training Your Brain to
Optimize Happiness”
Dr. Jennifer Michaels, Medical Director of the Brien Center gave a TED TALK about “Training Your Brain to Optimize
Happiness” on November 19,2015. Jennifer Michaels is also an Assistant Professor at the University of Massachusetts Medical
School. She is a national mentor for the Physician Clinical Support System, an educational program for physicians entering the
field of addiction. Dr. Michaels frequently guests on public radio, WAMC. She is a committed community educator on topics
related to mental health, mindfulness, and addictions.
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Page 6
Our newsletter provides important updates to the Brien Center team about our programs and activities,
giving you a voice to express your interests, appreciation, questions, and a great way to keep connected. We also know that community members benefit from knowing what services we provide and new
initiatives we are launching. For suggestions, ideas, questions, recommendations for staff appreciation,
or other exciting news you would like to share, please send it by email to
[email protected].
Volume 1, Issue 3
The Brien Center
www. briencenter.org
For information, referrals or
appointments call:
1-413-499-0412
For our 24-hour
crisis hotline call:
1-800-252-0227
Employment
Join the Brien Team and
make a difference in the
lives of Berkshire County
residents!
At The Brien Center, we are always
looking for talented individuals who
care about their future and are seeking a fulfilling career. Our employees are committed to providing high
quality, comprehensive mental
health and addiction services to the
residents of Berkshire County.
With four divisions, dozens of pro-
grams, and over 25 locations, The
Brien Center offers a wide range of
career opportunities, from individuals who are just starting out on their
career path to professionals seeking a
new challenge.
As a leader in the behavioral health
field, our agency is proud to deliver
21st century services to those we
serve. Our wages and benefits are
very competitive and feature the following highlights:

Generous Leave Pool (7 weeks

paid time off annually!)
Health and Dental Insurance
(immediate eligibility)

Short Term and Long Term

Disability Insurance
Flexible Spending, Vision
Insurance and much more..
You can be part of our mission
and team by exploring the career
opportunities available today!
Apply online at
www.briencenter.org
or contact us at
[email protected]
Volume 1, Issue 3
The Brien Center
www. briencenter.org
Page 7
1-413-499-0412
CBFS Update
With Denise Galvagni, Division Director
The Community Services Division
(CBFS) has been quite busy the
past few months! The CBFS/Adult
Day Health teams worked closely to
support people throughout the
holiday season, which can be a very
rewarding and stressful time. It has
been impressive to be part of such
a dedicated and fun team. Here are
a few highlights:
Pittsfield Adult Day Health: We want
to send out a special thanks to the
Taconic High School chorus. In
December, the entire chorus arrived at the Bradford St. site to sing
holiday songs and together they
drank eggnog and shared cookies.
We were really fortunate that the
staff person, Richard Blay-Miezah
jumped into a Santa Claus suit and
handed out gifts to each person as
the scheduled Santa called and
submit member names under the
cancelled. Richard, you saved the
“Poinsettia Tree” and another staff
day!
person could choose a name and
return it with a gift. Through this
North Adult Day Health: We want
offering, all of the men who reside at
to send a big thanks to Dan
Freedom House received winter
Horan and his wife. They have
clothing, hats, and gloves.
donated presents to the participants for over eight years! The
The Turning Point residential proprogram celebrated with a nice
gram in Williamstown hosted a Holivisit from Santa and Mrs. Claus.
day party in December. There were a
Jim and Staci Bush did a spectactotal of 30 community members and
ular job handing out gifts, posing
Turning Point residents in attendfor pictures, and enjoying holiday
ance. They had a ham and turkey
cookies with the participants.
dinner with all of the fixings as well
Additionally, David Nicholas, his
as a delightful assortment of pies.
“open-mic” buddies, and Lita
No one went home with an empty
Williams performed holiday mubelly! Santa also made an appearsic that was enjoyed by all.
ance before the day was through.
What a great way to end a great
Community Based Flexible Supyear!
ports: We are always humbled by
the giving among staff when it
As a way to spend time together and
comes to the people they serve
celebrate the season, the managers
and care about. During the holihosted a holiday party for all staff in
days the staff were seen organizthe Community Services Division.
ing holiday meals, anonymously
This year, well over 60 staff attenddonating gifts to people they
ed! Additionally, this was our first
support that have no family or
annual “Ugly Sweater” contest and
holiday plans, and spreading
Tracey Ritcher, CBFS Office Managholiday cheer with their coer, won with the most votes!
workers.
The Pittsfield CBFS team offered
a way for staff to anonymously
A big thank you our staff! We look
forward to all that 2016 will bring!
Pictures (to the left/
above) show CBFS
Holiday festivities
which were enjoyed
by both Brien Center
clients and staff!
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Page 8
DSM 5 / ICD-10 Transition Update
With Andrea Horowitz, Addiction Program Supervisor
In October of this year the mental health community experienced an event that has not occurred in 40 years, the changing of the World Heath Organization’s International Classification of Diseases
Codes. The ICD codes, as they are called, were last changed in 1975 when they transitioned from ICD-8 to ICD9. The Diagnostic and Statistical Manual, DSM, published by the American Psychological Association (APA) has
utilized the ICD codes since it’s first printing in 1952 (DSM 1 and ICD 6).
The transition from ICD 9 to ICD 10 was met with some anxiety and confusion. It was the
Y2K of the mental health world. In addition to numerical changes and the introduction of
letters (those darn F Codes) the APA also updated diagnostic criteria and created spectrums for many of the standard disorders. Clinician’s were tasked with understanding the
changes in criteria, re-assessing existing clients and learning the new coding system. In
true Brien Center fashion, the staff at all sites came through and surpassed expectations
in their adaptability and effort.
To help the staff an ICD team was put together to facilitate the transition clinically as well
as with our (favorite) electronic medical record system iCentrix. The ICD team included Andrea Horowitz, Jim
Mucia, Paul Hickling, Kennin Strout, Arline Cooper, and Metta Burpee—thanks for the time and feedback
provided in these groups. Another special thanks to Ann Greenbaum–Mucia, Megan Eldridge Wroldson, Julia
Vitori, Lisa Schmiski, Carol King-Reed and Sam Utz who got together to brainstorm tools that would be helpful to clinicians as we made this transition. Through these meetings “cheat sheets” (short cut informational
pages) were created. Once the changes were made to iCentrix outpatient addiction clinician Janet Brennan
made an excellent cheat sheet for those iCentrix forms that were newly
created for DSM 5/ICD-10.
The change initially seemed daunting but with cooperation and hard work
it came together brilliantly. We will be totally prepared for ICD-11 and
DSM 6!
Please save the date!
The Brien Center’s Annual UNICO Dinner
Honoring Senator Benjamin B. Downing
Thursday, May 12, 2016
5:30pm
ITAM Lodge
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The Brien Center
Page 9
The Brien Center Transitional Housing Program
Update By Mark Warren, Manager
This Department of Mental Health-funded program is an integral part of The Brien
Center’s community-based system. The program provides a service to adults with behavioral health needs who require
a temporary group living arrangement and support services as they stabilize and integrate into the community. The
services include assessment, treatment planning, and intensive case management for those stepping down from inpa-
Volume 1, Issue 3
tient care, and serve as respite for emergencies or as a bridge to some permanent arrangements. The program is designed to provide high levels of support during a time of crisis and helps individuals access appropriate long-term supports and services to sustain them when they return to the community.
For the past 5 months, all nine beds in the Transitional Program have been full. We have two transitional beds at
Pomeroy House and seven at Brenton house. During that time we have helped residents move into programs that provide additional services such as Wendell House and Keenan House, or helped them move into their own place. The
Transitional Program provides up to 30 days of aftercare support for discharged residents until CBFS is able to take
over services. During that time we help them move in and set up their new residence. We also can administer medication should that be necessary.
Upon admission, residents review the house rules, sign off on a Substance Abuse Policy, and discuss their goals for the
future. Most times the major goal is housing but other services offered include: Substance abuse groups, mental health
groups, medication administration and monitoring, and active ongoing goal planning coordinated by weekly Team
Meetings. While in the Transitional Program, residents work at putting their life back together after having some type
of setback. Brenton House provides residents with a dedicated phone and computer that they are encouraged to use
to find apartments and employment as well as research any topics they are interested in.
Staff and residents work hard to create a family type atmosphere at Brenton House. Residents share dinner together
and are encouraged to participate in prep and clean-up. The house is an open design and the “office area” is open to
staff and residents except during Team Meetings. This has helped promote better relationships between staff and residents allowing them the opportunity to come in any time with any questions or just to hang out. Many Brenton House
Alumni have returned to visit and share a coffee. Current residents are then able to see what happens to residents
when they work on their goals and take their recovery seriously.
Staff in the Transitional Program are dedicated to providing a safe, supportive environment for residents. Most of our staff have been working at
Brenton House for more than 5 years with 5 staff logging more than 10
years. We have supported residents who are studying for their GED, attending college, or are working. The Transitional Program strives to create a
therapeutic environment that supports residents, offering them a safe place
to live and recover, and encouraging them to improve their lives.
Pictures (top of page and above)
showing Brenton House and the large
living room area for residents)
www. briencenter.org
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Adult & Family Division/ Acute Care Services Division-- Updates:
With Paul Hickling, Division Director
Page 10
It was a busy and productive 2015 for the Adult & Family Division and Acute Care Services
Division and 2016 is off to a great start!
Acute Care Services is working closely with the new Pittsfield Police Patrol Unit Commander Captain John Mullins to develop and strengthen our Public Safety Program. Becca
Phelps, Crisis Manager and I met with Captain Mullins in January 2016 to discuss our goals
for 2016. Thanks to Richard Collins, Brien Center Crisis Clinician, for agreeing to participate in this program
and we look forward to opportunities to actively participate in training and ride-along patrols to serve individuals who may be in distress in the community. Timely intervention using teamwork between the crisis clinician
and the police can help to safely de-escalate individuals in need of help and to work with the individual’s natural support system to generate a plan that avoids the need for unnecessary trips to the emergency room for
crisis screenings and possible inpatient psychiatric treatment. Focusing on outpatient intervention instead of a
higher level of care helps individuals in the community to stay in their jobs or school and/or not to be separated from family and friends.
The Adult Division not only includes outpatient behavioral health care services at our outpatient sites in East
Street (Central), American Legion Drive (North), and 60 Cottage Street (South) but also Brien Center services at
Community Health Program (CHP) primary care physician offices in Great Barrington, Lee and Pittsfield. Thanks
to CHP clinicians Joanne Boelke and Lisa Schimski for your efforts to integrate behavioral health care in primary care settings to serve individuals in need. I wanted to highlight this program as it has expanded in the past
year and is not always well known to other Brien Center staff because it is an off-site program.
In partnership with Berkshire Health Systems new “Neighbor For Care Program”, the Brien Center Addiction
Program added a Structured Outpatient Addiction Program (SOAP; Addiction Day Treatment Program) to
North Adams (located at the former North Adams Regional Hospital on the old critical care unit) which started
services in September 2015. This was a much needed new service in the North Adams area and complements
our existing Day Treatment program in Pittsfield—these intensive services are critical for individuals in early
recovery stepping down from a detox level of care. Program supervisor Carol Gokhale and North County clinicians Mary Sugden, Thomas Sanford and Jeremy Sullivan all have provided critical group services for the new
Day Treatment program which operates M-F from 9am-12:30pm—thanks for your hard work everyone! For
questions about the new Addiction Day Treatment Program please call Carol Gokhale at 413-664-5540.
Also, we appreciate Arline Bertone for operating a step-down Enhanced Outpatient Program (EOP) at our 124
American Legion Drive outpatient site to accommodate clients graduating from the Day Treatment program.
Congratulations to Keenan House, the Brien Center’s 24-bed co-educational Recovery Home (halfway house) in
Pittsfield, Massachusetts, for recently completing the license renewal process. Thanks to the hard work of the
Keenen House staff (including Program Supervisor Deb Shaver-Bates and House Manager Dave Vincent) and
Addiction Program Director Nanciellen Poulin. Keenan House works with individuals in early recovery who
have completed detox treatment and usually a transitional level of care (i.e. CSS or TSS program). The length of
stay can be up to 6-8 months. For questions about Keenan House please call 413-499-2756.