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2 Centennial Mental Health Centennial Mental Health Center (CMHC) is a non-profit organization dedicated to providing the highest quality comprehensive mental health services to the rural communities of northeastern Colorado. We believe in the preservation of human dignity, self respect and client rights. Clients are our highest priority. Clients are best served through collaboration. Centennial Mental Health Center is dedicated to maintaining communications with the public we serve and participating actively in our communities. Cheyenne Morgan Elbert Phillips Kit Carson Sedgwick Lincoln Washington Logan Yuma

3 Table of Contents

4 Centennial and the rest of Colorado s community behavioral health centers have worked hard the last few years to bring mental health and substance use disorders out as health issues that deserve to be recognized and treated effectively. Recovery happens! Mental health and wellness is still a critical issue in Colorado, so let s become a little more aware. Did you know that northeast Colorado has one of the highest suicide rates in the entire State, and that Colorado ranks 6th in suicides per capita in the entire nation? According to NAMI (The National alliance for Mental Illness), one in four American adults, that s approximately 61.5 million people experience symptoms of mental illness in a given year. One in 17 lives with a serious mental illness such as schizophrenia, major depression or bipolar disorder. About 20 percent of youth ages experience severe mental disorders in a given year, and for children ages 8-15, the estimate is about 13 percent. Approximately 1.1 percent of American adults about 2.4 million people live with schizophrenia and about 2.6 percent of American adults 6.1 million people live with bipolar disorder. Nearly 15 million people live with major depression, while 18 percent of American adults that s 42 million people live with an anxiety disorder, such as panic disorder, obsessive-compulsive disorder, posttraumatic stress disorder, or a generalized anxiety disorder. About 9.2 million adults have co-occurring mental health and addiction disorders. Enough statistics? What about the impact? According to NAMI, serious mental illness costs America $193.2 billion in lost earnings per year. Mood disorders such as depression are the third most common cause of hospitalization in the U.S. for both youth and adults ages 18 to 44. Adults living with serious mental illness die on average 25 years earlier than other Americans, largely due to treatable medical conditions. And in what can only be considered a national shame, although military members comprise less than 1 percent of the U.S. population, veterans represent 20 percent of suicides nationally. Each day, about 22 veterans die from suicide. If you think that mental illness isn t an issue that affects you, look around. Do you have a relative or friend with an addiction? Many times, drug and/or alcohol addictions are signs of an underlying mental illness that is being medicated rather than treated. And then, take another look. There is a segment of mentally ill people in each of our communities. These are our people; our neighbors; our responsibilities. And if you think this isn t your problem, and that the government is going to fix this, take yet another look. The government may be well-intentioned but it will never solve the stigma of accessing mental health services, nor will it ever have the resources to provide quality care to all those in need. Individually, as we become more aware of the devastating reality of mental health issues, that awareness should prompt us to action. One of the things that we all could do is to get a mental health check-up. Most of us routinely get a routine physical exam once a year. Consider asking for a simple evaluation from your physician or health professional for you and your family members. Talk openly with your health professional about any troubling symptoms such as anxiety, fatigue, mood swings, sadness, or thoughts of suicide. An effective and often personally satisfying way to become part of the solution is to volunteer to help individuals experiencing mental health problems. Responsive services from the mental health center are essential, but these services will never be enough and their augmentation through community volunteers, serves to make a stronger and more effective safety net for those suffering with mental illnesses. The collective wellness of our communities should be predicated upon our capacity to insure that we take of our own; not through shunning or ignoring them. -Tom Westfall

5 This has been another year of change at Centennial, and one that has challenged us at times to breathe deep and remember our core mission of service to our clients and communities. While we are still working out many details behind the scenes, we are well into a new Medicaid contract with Colorado Access for behavioral health services in our corner of the state, and also in the final months of implementing a substantial expansion of Crisis Services supported in large part through funds awarded by the State of Colorado for this purpose. We believe that all of our community residents will benefit from these efforts, and are excited by these new resources! Along with these changes, we re in the midst of a substantial expansion overall in our clinical programs and staffing. Centennial continues to serve over 5000 individuals each year, and our overall admissions (new clients coming into services) continue to grow. While we can attribute some of the growth in admissions to more of our community residents having benefits from either Medicaid expansion or new health insurance options available, I would hope that at least some of the growth is also a reflection of more and more people in Northeast Colorado recognizing behavioral health issues in themselves and others and seeking help! We still have a long way to go for mental health and substance use disorders to be seen as just another health issue, likely to affect most of us directly or indirectly within our lifetimes, but Centennial continues to look for ways to bring awareness to all in our communities that Mental Health IS Health and offer hope, along with the message that treatment works and recovery happens. One of our outreach efforts is through Mental Health First Aid classes offered periodically in each of our communities as a free resource for all. Please take advantage of this amazingly effective course! Some of the clinical programs initiated this year include our School-Based Clinical Specialist who provides consultation and training to any and all willing school districts in our 10-counties around best practices for preventing and/or identifying behavioral health needs in our youth; this is a program with tremendous growth potential as most of our districts have limited to non-existent resources internally. We have also initiated Assertive Community Treatment in our Morgan and Logan County clinics, an evidence-based model for actively supporting individuals with serious and persistent mental illness in community that expands our ongoing community support Journey programs for these individuals. Even prior to the state crisis services awards, Centennial had also completed a new facility to provide regional crisis respite services and expanded our mobile Emergency Response Team to support individuals and our community partners when a crisis occurs. Last but not least, we are continuing to develop further programs that better integrate behavioral health with our regions primary care medical systems, including joining care coordination teams within our Medicaid Regional Care Collaborative programs and co-locating some of our behavioral health providers within hospital/clinic sites. I want to thank all of you who are our champions out in our communities and support Centennial s mission in all of the ways you do. Community collaboration and feedback help us move forward ever more effectively with each passing year, so keep up the good work! Regards, Elizabeth Hickman, Ph.D.

6 Revenue Financials Medicaid State General Fund Contract Grants Third Party Private Fees Donated Medications Insurance Substance Use Disorder County Contributions DHS/DSS Core Services Interest/Investment Income Medicare Miscellaneous 58.8% 12.6% 8.2% 4.5% 3.1% 3.0% 2.7% 2.9% 1.5% 1.2%.6%.6%.7% Expenses Personnel & Contract Client Expenses Occupancy Expenses Computer Svcs & Spls Auto & Travel Audit, Legal & Professional Supplies & Postage Telephones & Pagers Recruiting Dues, Fees, Licenses Other 79.6% 4.9% 4.6% 2.9% 1.4% 1.7% 1.2%.7%.8%.6% 1.6%

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8 Client/Services 111,144 - Individuals residing in Centennial s service area, or 2% of Colorado s total 81,706 - Services Provided 17,647 - Square miles in Centennial s service Area or 16% of Colorado s total 5,001 - Individuals served 2,672 - Admissions: * 450 Substance Use Disorder * 1,993 Mental Health * 229 Jail Based Behavioral Services 765 -Emergency Services resulting in: *547 diversions to outpatient services * 218 Inpatient or other treatment County Cheyenne Elbert Kit Carson Lincoln Logan Morgan Phillips Sedgwick Washington Yuma Indigent Services # of Clients # of Clients Indigent clients not funded by OBH due to other funding available (e.g. Medicaid or private insurance)

9 Number of Clients and Services by County County Child Adolescent Adult Elder County Total Cheyenne Elbert Kit Carson Lincoln Logan Morgan Phillips Sedgwick Washington Yuma Clients Services Clients Services Clients Services Clients Services Clients Services , ,032 2, , ,004 3,195 4,516 20,791 17,266 1, , ,434 1, ,471 1, ,812 4,484 5,323 26,602 25,044 2, ,030 5,376 Total 604 8, ,913 3,399 60, ,501 5,001 81,706

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11 Top Referral Source DD/ Dementia Family/ Relative Other Physician Behavioral Mood Self Social Services Probation/ Parole Primary Diagnosis Anxiety Adjustment Attention Deficit Abuse Relationships Substance Use Psychotic Ethnicity White Gender Male Female Other Non-Hispanic Native Hawaiian American Indian Hispanic Native Alaskan African American Asian Adult Elder Age Adolescent Child

12 Press Release May 2, 2014 Centennial Awards 2014 Scholarships In an effort to raise awareness of career opportunities in the behavioral health field to members of our communities, Centennial Mental Health Center developed an annual scholarship program to assist these students in achieving their goals. As such, Centennial is pleased to announce the recipients in the eighth annual Future Mental Health Professional Scholarship Program. From Cheyenne County, James Cody : Eden was selected to receive the distinguished overall award of $2,000. Second runner ups receiving $1000 are Leeah Key from Logan County and Chelsea Meininger from Morgan County. Other notable applicants receiving a $500 award are Mandy Columbia from Morgan County, Brooke Parker and Natasha Helfer from Phillips County, Emily Owens from Logan County, Alexis Taylor from Yuma County and Cody Reese from Kit Carson County. This is a repeat application and award for James Cody Eden, Brooke Parker and Emily Owens. Individuals eligible to apply are: traditional or non-traditional students who are graduates from high school or GED program by Summer 2014; United States citizen or legal immigrant; resident of Cheyenne, Elbert, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington or Yuma County; and are intending to complete a minimum of a bachelor degree in a behavioral health related field (e.g. psychology, sociology, counseling etc.). The winners were selected based on academic achievement, aptitude, and community service from the submitted application, transcript(s), letters of recommendation and essay. Centennial, with administrative offices in Sterling, is an equal opportunity provider and employer that provides behavioral health services to individuals across the lifespan in Cheyenne, Elbert, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington and Yuma Counties. Services include a variety of behavioral health service programs: outpatient therapy, community support programs, crisis intervention, emergency response, substance use disorder treatment, and child, adult and family counseling. Services are offered at Centennial offices in each county, as well as other community locations such as private homes, schools, jails, nursing homes and hospitals. Spring 2014 awards : James Cody Eden Cheyenne County $2000 Leeah Key Logan County $1000 Chelsea Meininger Morgan County $1000 Many Columbia Morgan County $500 Brooke Parker Phillips County $500 Natasha Helfer Phillips County $500 Emily Owens Logan County $500

13 Regional Operations Elizabeth L. Hickman, Ph. D. Executive Director Administration Paul Freda, M.D. Medical Director Art Reyes, Ph.D., LPC, AAMFT Regional Operations Director East Region Jessica Schart, MSW, LSW Regional Operations Manager East Region Lorie Hessler Executive Assistant Pam Craig, MA, LPC Deputy Director of Clinical Services Lindy Barnhill, CACIII Regional Operations Director Northeast Region Chantell Christner Regional Operations Manager Northeast Region Spencer Green, M. Div., CACIII Deputy Director of Operations Jill Johnson AR and IS Manager Sherri K. Davidson, MSM Finance Director Karla Rosas, MA, LPC Community Resource Director Kathleen Murray, MBA, CMA, LPC Regional Operations Director South Region Sheila Snyder Regional Operations Manager South Region Kassidy Clouse Human Resource Manager Tim Davidson IT Director Kortnie Mendonza, MBA Regional Operations Director Central Region Arlene Weimer, Psy.D., Psychologist Charles Fisher, Ph.D., Psychologist Mark Farmer, PA, Physician Assistant Laurie Mahar, MSN, APRN, PMH-NP Medical and Specialty Services Patricia Payne, M.D. Contracted Pediatric Psychiatrist Paula LaPorte, RN, Psychiatric Nurse Robert Segerstrom, Ed.D., Staff Psychologist Theron Ted G. Sills, M.D., Contracted Psychiatrist Center Wide Clinical Coordinators Jodi Geis-Crowder MS, LPC Adult Mental Health Steve Gilbertson MA, LPC, CACIII Substance Use Disorder Philip Moss MA, LPC Intensive Services Rachel Fryrear, MA, CACIII Project Leader Jail Based Behavioral Services

14 FEATURING HILL DAY! The nation s largest behavioral health

15 Licensures Licensed Marriage and Family Therapist 1 Nurse Practitioner/ARNP 1 Licensed Addiction Counselor 1 Licensed Practical Nurse 2 Registered Nurse 2 Medical Doctor 3 Licensed Psychologist 4 Licensed Clinical Social Worker 3 Bachelor of Arts or Sciences Degree 23 Certified Addiction Counselor 11 Licensed Professional Counselor 22 Master of Arts, Education, or Social Work Degree 55 Centennial takes an active role in encouraging staff to obtain licensure and is proud to celebrate with the following for their accomplishments! John Duhamel LAC Mary Bryant LPC Jessica Schart LCSW Andrea McPherson-Mendes LPC Ann Tompkins LPC Travis Wheeler LPC Carrie Fox LPC Kathleen Murray LPC

16 May 29, 2014 Colorado Access wins Behavioral Health Organization Contracts for Denver and Northeast Colorado Denver, Colo Colorado Access, a local, nonprofit health plan, is excited to announce that it has won two contracts to serve as the Behavioral Health Organization (BHO) for both the city and county of Denver and 12 counties in northeast Colorado. In this role, Colorado Access will serve more than 275,000 Coloradans with behavioral health services and care management. The Department of Health Care Policy and Financing (HCPF) is required to rebid all BHO contracts every five years. Colorado Access has been the BHO for the city and county of Denver since 1998 and has won every Denver BHO bid since. Starting in July, they will provide those same services to the northeast region of Colorado, which include the following counties: Weld, Larimer, Morgan, Logan, Sedgwick, Phillips, Washington, Yuma, Kit Carson, Lincoln, Elbert and Cheyenne. As the northeast BHO, Colorado Access will work closely with Centennial Mental Health Center, North Range Behavioral Health, and Touchstone Health Partners to increase behavioral health services access and efficacy. This partnership enables an integrated approach to extensive care management and behavioral health services for the neighboring communities. We are honored and thrilled to once again serve as the Behavioral Health Organization for Denver and we are looking forward to expanding our services to northeast Colorado, said Marshall Thomas, CEO and President of Colorado Access. We are already serving the physical health needs of Medicaid recipients in northeast Colorado, so we understand their needs and see the importance of the integration of both physical and behavioral health care. We especially look forward to working with our partners at Centennial Mental Health Center, North Range Behavioral Health and Touchstone Health Partners to advance our shared mission of providing access to quality care. With this new addition of the northeast region to their nonprofit health plan, Colorado Access will serve as the behavioral and physical health needs of more than 125,000 individuals, also allowing Medicaid recipients to get most of their services under one health plan. Centennial Mental Health Center is pleased to join Colorado Access in bringing behavioral health services to our northeastern Colorado communities," says Dr. Elizabeth Hickman, Executive Director. "Colorado Access and Centennial together bring a history of compassion, innovation and quality that will serve our rural and frontier counties well, and provide a springboard for new collaboration among healthcare providers in our communities. "North Range Behavioral Health is excited to work with Colorado Access," says Executive Director Larry Pottorff, "as we enter a new era of collaboration in eastern Colorado. We are looking forward to a long term partnership that will enhance efforts to integrate behavioral and physical healthcare with the common goal of improving the health of our members. "Touchstone Health Partners looks forward to a strong and productive partnership with Colorado Access," said Randy Ratliff, CEO of Touchstone Health Partners. "Best of all - both Colorado Access and Touchstone share a commitment to ensure that the individuals and families we serve will receive seamless care from the providers they trust. Together, we will continue our decades-long legacy of improving behavioral health for the people of northeast Colorado." About Colorado Access: Founded in 1994, Colorado Access is a local, nonprofit health plan that serves more than 600,000 members. The company s members receive healthcare under Child Health Plan Plus (CHP+), Medicaid behavioral and physical health programs, long-term support, and/or Medicare Advantage. Colorado Access provides care coordination and management for three (3) of the seven (7) Regional Care Collaborative Organizations (RCCOs) under Colorado s Accountable Care Collaborative Medicaid program. To learn more about Colorado Access, visit coaccess.com. About North Range Behavioral Health: As part of the community for over 45 years, North Range Behavioral Health is a private, non-profit corporation dedicated to providing comprehensive, professional, and multicultural behavioral health services. We serve more than 12,000 clients each year at over 20 locations throughout Weld County, with integrated, outpatient, acute, and community-based services. We also provide critical prevention and education programming to schools, employers, and community organizations. For more information, visit northrange.org or call (970) About Centennial Mental Health Center: Centennial Mental Health Center, with administrative offices in Sterling, is an equal opportunity provider and employer that provides behavioral health services to individuals across the lifespan in Cheyenne, Elbert, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington and Yuma Counties. Services include a variety of behavioral health service programs: outpatient therapy, community support programs, crisis intervention, emergency response, substance use disorder treatment, and child, adult and family counseling. Services are offered at Centennial offices in each county, as well as other community locations such as private homes, schools, jails, nursing homes and hospitals. For more information, visit centennialmhc.org. About Touchstone Health Partners: Founded in 1957, Touchstone Health Partners is a private non-profit whose mission is to provide unsurpassed behavioral health prevention, intervention, and treatment services in Larimer County. Each year, Touchstone Health Partners serve approximately 6,700 individuals afflicted by mental health and substance use disorders, 34% of which are children, youth and young adults. With 20 locations throughout northern Colorado, services are available to both individuals and families who are without other options for behavioral health care. For more information, visit touchstonehealthpartners.org.

17 Board of Directors Carmen Halde Cheyenne County Terry Hart Washington County JulieAnn Hughes Kit Carson County Silvia Castillo At Large Phillips County Greg King Lincoln County Tom Westfall President Logan County John Gardner Yuma County Dave Martin Morgan County Linda Olsen Secretary/Treasurer Lincoln County PattyAnn Maher Elbert County Nancy Bogenhagen Cheyenne County Rocky Samber Logan County Jim Beck Sedgwick County Robin Wiley Harlan Stern Phillips County Kim Wells Washington County John Ayoub Phillips County Gary Koop Kit Carson County Vice-President Yuma County Jim Zwetzig Morgan County Clark Bernhardt Sedgwick County

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19 response. With offices in Akron, Burlington, Elizabeth, Fort Morgan, Holyoke, Julesburg, Limon, Sterling, Wray and Yuma and services available in Cheyenne Wells, Centennial is well- positioned to identify local needs and provide prompt

20 Administration 211 West Main Street Sterling, CO, Phone: Fax: Akron 871 E 1st Street, PO 222 Akron, CO Phone: Fax: Burlington 1291 Circle Dr., PO 247 Burlington, CO Phone: Fax: Cheyenne Wells 80 E. 1st Street, Suite 2 Cheyenne Wells, CO Phone: Fax: Elizabeth 650 E. Walnut, PO 533 Elizabeth, CO Phone: Fax: Fort Morgan 910 East Railroad Ave Fort Morgan, CO Phone: Fax: Fort Morgan 625 West Platte Avenue Fort Morgan, CO Phone: Fax: Holyoke 115 N. Campbell, PO 206 Holyoke, CO Phone: Fax: Julesburg 118 W 3rd St, PO 62 Julesburg, CO Phone: Fax: Limon 606 Main St, PO 976 Limon, CO Phone: Fax: Sterling 211 West Main Street Sterling, CO Phone: Fax: Wray 340 South Birch Street Wray, CO Phone: Fax: Yuma 215 South Ash St Yuma, CO Phone: Fax:

21 Abbie Garcia Ace Hardware Alexis Thrlow Amanda Cristello Amanda Renner Andrew Steger Anschutz Foundation Ashley Meick Baja Tacos Bank of Colorado Bloedorn foundation Bobbie Klaer Brad Jensen Brenda Carrasco Britt Schmidt Caring for Colorado Foundation Carla's Cluster Care Carmen Halde Carrie Fox Cecilia Caro Chapter BG of Peo Charlotte Towne O Connell Cherry Stogsdill Cheryl Dillon Chris Jutz Clark Bernhardt Coldwell Banker Colorado Garden show Crowder & Sons Darcy Van Driel Dardanes Tree Service Darla Tradewell David Lorenzo Deb Dickerson Department of Local Affairs EB Autos El pomar foundation Elizabeth Hickman First National Bank of Hugo Frank and Gloria walsh Frenier Floors & Interiors Gary Jerman Gary Koop George Kyncl Greg King Harlan Stern Hawthorne & Assoc. Heather Glover Heidi Tribbett Hoffman Drug Holly Haman Marcum H-R Tire Ida Sneath Jacque Frenier Janetta Jaques Jecelle Fetzer Jennifer Kerr Jennifer Schmidt Jennifer Svoboda Jessica Holmes Jill Curtis Jill Johnson Jim Beck Jim Daly Jimmy's Pizza Jodi Geis-Crowder Jose Leon Joedon & Brittney Dunker John Ayoub John Gardner John Jerman John Szewczyk Johnna Harris Josh Alexander & Carmen Meraz Thank you to our donors! Julie & Justin Spradlin Julie Ann Hughes Karen Rockwell Karla Rosas Kassidy Clouse Kathleen Moore Kellogg-Ewing Kendall Hemphill Kevin & Chantell Christner Kim Wells Kim's Fashion Eyewear Kirstin Schelling Kortnie Mendoza Laura Wagner Leslie Raffelson Lexi Ververs Lincoln Cnty Dept. Of Human Services Lincoln Community Hospital Linda Olsen Lindsey & Jeremy Briles Lorie Hessler Love Funeral Home Lydia Dunbar Mandy Phillips Martini's Liquor Megan Hovel Megan Hunter Michelle Lynn Michelle Wolft Mike Lapp Mike Mcclaran Missy Bergemann Morgan Federal Bank Nancy Bogenhagen Napa Nicole Herrera Nicole Koester Nikki Cabrera Northstar Bank Osborne's Supermarket Pam Craig Paul Freda Pilkington Financial Services Pizza Hut Plains Heating & Air Plains Heating & Air Conditioning Points West Rich Carroll Richard Curtis Lapp Richard Lapp RL Design Rob Flores Robin Wiley Rocky Samber Rod Mcclaran Roger & Carly Brown Rominger Jewelry Rose Clement Ruth Carroll Samantha Stieb Samuel Soto Sandi Owens Sara Walgenbach Sarah Bailey Sarah Walgenbach Sarah Whitman Savory Spoonful Schlenz Builders Schmale Realty Scott & Debbie Gerlach Shannon Beauprez Shannon Strong Sheila Couch Sherri Davidson Silvia Castillo Spencer Green Spotts Bros Furnace Co. Stan Fox Sterling Eye Center Steven Walker Subway Superior Builders Susan Kelly Susan Speight Sykes Enterprises Tammy Berbee Temple Hoyne Buell Fnd. Tennant Funeral Home Terry Hart The Colorado health Foundation The Roots Group Theresa Jensen Tiffany Nichols Tiffany Widoe Tim Davidson Tom Westfall Toni Warnick Trevor & Miranda Miller Turkey Crossing Café Walgreens Walker's Pharmacy Walther Farms Wellness Foundation Wendy Jerman Wendy Nuss Wright & Williamson Zach & Silke Hunker Zwetzig Realty