growing 2011 / 2012 Annual Report dear friends, 2011/2012 Board of Directors Todd Helvig, PhD, President Attila Denes, Vice President Robert L Ireland, Secretary/ Treasurer Thomas Flanagan, Jr, Past President Wayne Barnard ‘Nita Brown Mario Harding, MHA, FACHE Kelli Kane, LCSW Jeffrey Nelson, LCSW Patricia Opper, LCSW Vincent Sauter Carla Vellos Melanie Worley Advisory Directors John Phillips José Reyes, LPC, EDD Appointed Directors Bill Holen, Arapahoe County Commissioner Barbara Drake, Douglas County Human Services Director Community Member Tom Burger Mission To provide mental health and substance abuse treatment services that are professional, comprehensive, culturally inclusive and fully integrated across health care; to create opportunities that empower people to recover and to improve their quality of life; and to promote public acceptance of mental illness. We strive to meet people where they are across the continuum of mental health needs. This approach requires a diversity of services in a variety of settings; in a counseling office, schools, businesses, at home or in hospitals. We must be able to respond to immediate need and grow for future purposes. We find the common grain of mental health needs and weave that into the fabric of our community. During fiscal year 2012, that equated to reaching 8,849 people and helping them recover and to improve their quality of life. The past year at Arapahoe/Douglas Mental Health Network has achieved these needs. In May, four people graduated from the Wellness Court, inspiring the dozens of others who are to follow in their footsteps. Wellness Court is devised to change the pattern of one’s life, due to mental health and substance abuse challenges, and make changes that break the cycle of incarceration. It is a rigorous program and so we salute the graduates who succeed and inspire others. It is not possible to look at the picture of health without seeing both mental and physical health as one. For many with a severe and persistent mental illness the mental and medical well-being are often at odds due to medication side effects and lifestyle choices. Access to medical care is often not convenient or affordable. The Be Well Clinic is a step forward solving the dilemma of integrated care. Last year, 609 received life changing labs and screenings to help them find balance for their health and wellness. As we work to serve the mental health and substance abuse needs of today, we are also preparing for the workforce of tomorrow. We are proud to have a strong internship program which gives students hands on experience in the field, leadership opportunities and the ability contribute to the strength of our community. We are confident in the future of the organization, so skillfully led under the leadership of Scott Thoemke, and we look ahead to a future where we will only grow, adapt, innovate and heal, contributing to the stronger than ever fabric of our community. Wishing you wellness, Scott R Thoemke, MEd Executive Director and CEO Todd Helvig, PhD President © Arapahoe/Douglas Mental Health Network admhn.org celebrating a career. Scott R. Thoemke Retirement Scott’s remarkable career at Arapahoe/Douglas Mental Health Network can be characterized by his bold vision and highly effective leadership. He began his career with us as a substance abuse therapist and emergency services clinician upon graduating from the University of Missouri in 1978. Through the years he held several leadership positions, including Coordinator of Clinical Services and deputy director, finally being appointed executive director and CEO in 2002. Scott’s term as CEO was an era of significant growth in programming and infrastructure —purchase of the pharmacy and supportive housing for clients, the growth of insurance business and conversion of Bridge House to an acute treatment unit. During his term, we also developed a sophisticated IT infrastructure to support the transition to electronic medical records and accomplish statewide data sharing and telemedicine. He led our pursuit of cultural competency and our focused efforts into primary care integration. Scott has carefully guided the network through these many changes, and has positioned it as a truly outstanding and comprehensive community mental health center. 1978 Aquarius Champions football team. Scott Thoemke, top row, left. Scott honoring Marcella S C Rapp with an award at a luncheon in 2004. collaborat Treatment in the Best Setting When people with mental illness come in contact with law enforcement they are often met by a CIT officer, a specially trained police officer who is able to recognize and diffuse problems that stem from emotional and mental issues. Our CIT case management team participates in this collaboration by providing services to individuals once they have been referred by a CIT officer. Integrated case management intervention—working collaboratively with mental health, substance abuse, criminal justice and other community services—is an evidence-based practice. This means we have proof that it works. People get better; we spend less by not incarcerating inappropriately placed individuals, and we keep our community safer. Due to our concentrated efforts with CIT trainings, we are a partner with the National Institute of Corrections. Breaking the Cycle of Incarceration The focus of the Wellness Court is not on crime or illness, but about success and wellness. The innovative program, developed in 2008, diverts individuals convicted with certain types of crimes from entering the criminal justice system, and instead they participate in a long process of treatment, including counseling, substance abuse treatment and problem solving skills. This is not a “get out of jail free” ticket. Participants are screened to assess their ability to comply and they must participate in the program and all the requirements for two years, including reporting in with the judge once per week. To date, the 18th Judicial District Mental Health Court has screened well over 200 applicants, and 55 applicants have been approved and accepted into the court. “The person I am today is guided by...the motivation to want everyone who suffers from mental illness to enter into recovery and the knowledge that I am part of a community that accepts me for who I am and not what [illness] I have.” Suicide Prevention The Douglas County Suicide Prevention Alliance was formed in 2007 in response to an alarming increase in suicide related emergency room visits at south metro area hospitals. It was soon determined that many agencies were involved in responding to suicide, and prevention and treatment, and so the Alliance was developed to streamline communication between these agencies. We work with schools, hospitals, police and the Department of Human Services. The Suicide Prevention Alliance began the process to incorporate in 2012 and is now working on a partnership in Arapahoe county. ion ADMHN Division Director, Dr. Barb Becker, is the president of the newly formed Colorado Chapter of the American Foundation for Suicide Prevention. We have twelve clinicians who are certified with the Second Wind Fund, Inc., of Douglas county to provide immediate counseling for students in the district who exhibit mental health issues and are at risk for suicide. Clinicians are equipped to provide services in American Sign Language (ASL) and Spanish. Building a Sustainable Workforce Our internship program is among the strongest mental health clinical programs in the state, with 28-35 interns training with us at any given time. The program produces highly qualified students who are prepared to take on the challenging professional world. Interns are encouraged to take a holistic view of a client’s life situation and to learn how community mental health centers are unique in providing the most multifaceted care available. There is specific focus on how to access resources and how to assess a client’s life situation, not just mental health limitations. Because we are a community mental health network, we have the resources and the flexibility to meet student-training needs while meeting the unique requirements of school programs. We encourage the development of proactive professionals who are able to advocate for their clients in this managed care environment and in the community. for the greater good. growing Statement of Operations Year ending June 30, 2012 Revenue Medicaid Medicare Other client services Government Public support Pharmacy Miscellaneous revenue Total operating revenue $11,419,000 $201,000 $4,507,000 $4,607,000 $1,165,000 $3,326,000 $1,594,000 $26,819,000* to build better tomorrows. Expenses Personnel Client expenses Occupancy expenses Operating expenses Cost of prescriptions sold In kind expenses Total operating expenses $16,863,000 $1,312,000 $1,092,000 $3,370,000 $2,987,000 $1,117,000 $26,741,000* Net operating income Gain on sale Capital grants Other $78,000 $638,000 $90,000 $12,000 Change in unrestricted net assets $818,000* * Unaudited figures. Our services • • • • • • • • • Counseling — Individual, Group, Family Psychiatry Case Management Intensive In-Home Therapy Substance Abuse Treatment Criminal Justice Services Victim Services Bridge House Acute Treatment Unit Supported & Transitional Housing • • • • • • • Vocational & Social Rehabilitation Day Treatment Therapeutic School School-based Services Integrated Healthcare Services Pharmacy Speakers Bureau Education and Wellness Programs 10 locations across the south metro area Clients by Ethnicity 8.4% Hispanic 6.3% African American 1.5% Asian 1.6% Other 2.1% American Indian/Alaska Native >1% Hawaiian/Pacific Islander 9.8% Unknown 8,849 unique clients in 2011-2012 Clients by Age 10% Older adults ults 60+ 61% Adults 18-59 11% Children 0-11 nts 12-17 18% Adolescents Clients by Gender 56% Female 44% Male Clients by Counties Served 28.3% Other 41.5% Arapahoe 30.2% Douglas success in the classroom. Prince Street Academy “Ben” was having a difficult time fitting in and learning rning in a traditional public school classroom. His behavioral issues had ad caused him to be moved from school to school. Finally, he was enrolled at Prince Street Academy, a specialized, accredited school for children with significant emotional or behavioral problems. The school combines therapy with certified education programming five days a week. Students also receive medication as needed and participate in family therapy as a component of this complete day treatment program. “Without Prince Street (Academy), my), Ben and I would both still be lost. You are the reason Ben is where he is now...I just wanted to make sure everyone eryone there knew how grateful my family is for you all, and know that we will never forget any of you.” helping Building Communities munities The Bienvenido program is an evidence-based mental health program designed to improve the quality of life of Latino immigrants. We conduct the program with the help of many community partners including schools, libraries and low-income health care providers. The content areas cover a variety of mental health and quality of life issues including stress of acculturation, depression, anger management and communication strategies. The three primary focus areas in the nine week curriculum are: • Group presentations and discussion to build supportive community networks; • Mental health education; • Increase community integration and greater awareness of behavioral risks and assets. The outcomes of this program have been vast. Attendees report increased knowledge about substance abuse, how to access community resources and reduced feelings of isolation. Bienvenidos promotes healthy communities and lives for immigrants and their neighbors! improve Rapid Response in Times of Need The need for mental health resources and services can arise out of nowhere. This is certainly the case when a tragedy occurs that affects whole communities. In late December, 2011, a member of the Sudanese refugee community was shot and killed as he returned home from his job. He left behind a large family and extended network of neighbors and friends. Our emergency response team activated immediately to reach out to this community and help alleviate their fears, pain and shock. all In late spring 2012, fires began to devastate the Front Range. As part of a broad community response, we joined the Office of Emergency Preparedness and Response and other mental health centers in the Pre area to anticipate and respond to the needs of citizens who were are evacuated from their homes. ev Lastly, when the theater shooting ocurred in Aurora, our clinicians La mobilized to help other area mental health partners provide on-site mo grief support. In such difficult circumstances, our focus is to become gr aware of what other agencies are doing and to provide education and aw resources to our community and the people we serve. res Health Care Integration H The Be Well Clinic, started in 2011 with a grant from the Colorado Health Foundation, is a fully equipped exam room and medical office located at our adult outpatient facility on Sycamore Street in Littleton. We provide health care to our adult clients who do not have a primary care physician, particularly clients with wi severe mental illness. The medical staff works closely with the mental health staff for fully coordinated care. me The Th diagnostic lab work done at the Be Well Clinic is the t gateway to detecting the presence and severity of, and treating, medical ting, chronic and life threatening m edical conditions such as diabetes, high cholesterol, or thyroid function, physical ction, and to monitoring monitorring the physic cal a side effectss and complications of psychiatric medications. People with severe mental al illness llness die an average of 25 yearss earlier than the general population, ion, largely due to treatable medical conditions. lives. thank you! Your gifts and generosity have made it possible for us to provide critically important mental health and substance abuse services to those who could not otherwise afford them. These lists reflect gifts received between July 1, 2011 and June 30, 2012. Every effort has been made to ensure the accuracy of our donor list. If any error or omission has occurred, please contact the Development Office at 303 793 9601. Individual Donors Anonymous (5) Leslie Eliza Ashley Wayne Barnard Lois Lyon Bellis ‘Nita Brown Thomas & Mary Cay Burger Innovest Portfolio Solutions, LLC Robert Ireland Kelli Kane Virginia Koberstein Anne Lovett John Smrcka Donna Mae Spring Noreen & Sidney Stillman Scott R Thoemke Kevin Ann & Mark Tieman Lisa & Mike Traudt 7th Annual Raising Spirits Wine Tasting & Auction ~ Fall 2011 The seventh annual Raising Spirits Wine Tasting and Auction was held at the lovely Sanctuary golf course near Sedalia. The money raised at this event was designated to provide mental health services for people in our two-county area who have low incomes and/or are uninsured or underinsured. The fall 2011 fall fundraiser brought in $17,000 for our indigent services fund, exceeding our projections! Rachel Farnsworth, Larry & Tami Merfeld of Lukas Liquors, and Kim Walker. Chevron Humankind Matching Gift Program Braden Clements Compass Construction Derek & Danielle D’Andrea John M Daly Attila & Cory Denes Joan & Vince DiMaria Barbara Drake Jack Dybalski Judy & Hunter Ellington Laurie & Steve Elliott Michael & Beth Ellis Kelly Esselman Emily Fine Thomas J Flanagan, Jr Stephan Ghadaifchian Nikolas Golosow, MD Brenda & Brad Greicar Mario & Carrie Harding Todd & Kristi Helvig Joel & Karen Hendrickson Maria Herriges Bill L Holen Richard Horrocks iCORE Global Jenifer Malloy Michele & Pat Mangan Tina Martinez WL & Paul Miller Gary Mitchell Carolyn Moershel Eric Moore Marty Morris NAMI Arapahoe/Douglas Counties Calvern & Janie Lyn Narcisi Jeffrey Nelson, LCSW Carolyn & Kevin O’Brien Patricia Opper Nancy O’Shields The Parks Group, LTD Mary Platt Justin Rayburn Joe & Kendall Rice Ruth M Ryan Marc Salzberg Alison & Thomas Sandler Jane Sanford Vincent Sauter Catherine Schreck Doug Seeger Carla & John Vellos Carol Villa Elizabeth Whitmore, PhD James & Christine Woods Melanie Worley Alec Wynne Xcel Energy Foundation Pam and Bob Zwick Thank you to everyone who supported the ADMHN Stars of Recovery NAMI Walk team! $3344.25 was raised for Center Point programs. Memorials & Tribute Gifts In memory of Yervant Ghadaifchian In memory of Arthur Frank In honor of Don Egan, MD In Kind Donors 2 Oaks Partners, LLC Act II Consignment Boutique Advanced Flooring Solutions AEG Live - Rocky Mountains Alarmtechs, Inc Anthony’s Pizza & Pasta Arapahoe County Arapahoe Floral Paula Bainbridge Body Mind Experience Bonanno Concepts Britt Nemeth Photography Brown Palace Hotel Brunswick Zone XL Colorado Women’s Roller Derby/Denver Roller Dolls Compass Construction Lindsay Cowee CRW, Inc Cathy Durst Pat & Don Echtermeyer Elway’s Englewood Auto Repair & Body Shop Environmental Designs, Inc Fazoli’s The Food Guy Catering Innovative Lending Solutions The Inverness Hotel and Conference Center Keepin’ It Green Lawncare Kentucky Fried Chicken Kyjen, Inc Life Cycle Balloon Adventures, Ltd Lockton Companies, LLC Jenifer Malloy May Enterprises & Co, Inc Mile Above Commercial Carpet Cleaning & Restoration, Inc Carolyn Moershel National Western Stock Show New Belgium Brewing Company Newsradio 850 KOA Office Depot Patricia Opper Panache Catering The Pooch Mobile Romano’s Pizzeria Sanctuary Signature Interiors SkyVenture Colorado South Suburban Parks and Recreation T & S Building Services, Inc Town Hall Arts Center Van Gilder Insurance Corporation Waste Management Grants, Sponsors & Corporate Donors 18th Judicial District VALE Board Addiction Research and Treatment Services Arapahoe County Arapahoe County Community Development Block Grant Program Arapahoe County Sheriff’s Office Arapahoe House Aurora Mental Health Center Behavioral HealthCare, Inc Cherry Creek Schools Caring for Colorado Foundation City of Glendale City of Littleton City of Lone Tree Citywide Banks Colorado 18th Judicial District Colorado Division of Behavioral Health Colorado Division of Criminal Justice Colorado Division of Housing Colorado Health Foundation Colorado Judicial Department Problem Solving Courts Program Community Reach Center Delta Dental Plan of Colorado Douglas County Douglas County Mill Levy Grant Program Douglas County Sheriff’s Office Intermountain Rural Electric Association Doug & Amy Jennings Kaiser Permanente Gay & Lesbian Fund for Colorado Highlands Behavioral Health System Lockton Companies, LLC Mercer Health & Benefits Mountain Crest Properties NAMI Arapahoe/Douglas Counties Signal Behavioral Health Network Unum Provident Annual Luncheon The Mental Health Benefit Luncheon serves two important purposes, to raise much needed funds to provide mental health services for those who are medically indigent, and to promote public awareness and acceptance of mental illness. We were proud to present Tonier Cain, who had a great impact on the room, bringing guests near tears as she talked about the heartbreak of losing custody of four children. The beauty of her story, however, is the resilience and well-placed humor that cast a hopeful and inspiring message. A portion of the proceeds raised came from the purchase of hand painted watering cans. make a difference. • $120 provides one hour of family therapy for an uninsured family. • $100 provides suicide prevention training at a local high school. • $75 provides six new books for the Child & Family office waiting areas. • $25 provides a scholarship for one person erson to attend a 12-hour, certified Mental Health First irst Aid training. • $25 provides a low-income client important mportant blood tests to measure medication levels. Your gift is directly distributed to services for low-income, uninsured and underinsured individuals and families in Arapahoe and Douglas counties. thank you! admhn.org Arapahoe Mental Health Center dba Arapahoe/Douglas Mental Health Network 155 Inverness Drive West, Suite 200 Englewood, CO 80112 Arapahoe Mental Health Center Your donation will
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