1 ANNUAL REPORT 2013 iver RRegion Human Services, Inc. Rebuilding Families, Restoring Communities
2 CEO/Board Chair Message An annual report is a perfect opportunity to share with our community the many programs and services we provided in the past year. It is also, however, a chance to look to the future and describe our vision to our stakeholders. Esmin M. Shakespeare, Ed.D. President, Board of Directors Tiffany Galvin Green, Ph.D. CEO/Executive Director The need for mental health, substance abuse and supportive services is evergrowing in our community. As the First Coast expands and changes, so does the need for behavioral health services. Yet, funding for these programs has been declining in recent years and we have been challenged to be more creative in how, where and when we deliver services to those in need. In the coming year, we will be focusing on expanding our services by increasing the use of our mobile units and new locations in outlying communities. We are building on our new location in Baker County and seeking additional locations throughout the First Coast where we can offer our services and programs. We believe in bringing prevention and treatment programs to people in need, wherever they are. As we implement Electronic Health Records (EHR) at River Region, our processes will become more efficient and we will continue to streamline services. EHR allows us to share information across the organization more accurately, and to share data with other health providers and insurers, as well. We are pleased to have been selected to work with the federal Substance Abuse and Mental Health Association on a pilot program to use social media to reach out to people at risk for substance abuse and HIV. The New Media, New Messages project, or NM2, has already reached thousands of people in our community through Facebook, Twitter, Instagram, text messaging and other social media tools. It is one more way that River Region reaches out to people wherever they are, to bring them messages of health and hope. We will continue to reach out to our community for support, in the form of corporate sponsorships, individual donations and participation in our annual fundraising events such as the golf tournament and bowling event. We believe that partnering with our community not only makes the agency stronger, but benefits all of the people we serve. Thank you for your support of River Region Human Services. Esmin M. Shakespeare, Ed.D., President, Board of Directors Tiffany Galvin Green, Ph.D., CEO/Executive Director
3 Rebuilding Lives, Restoring Communities For more than 40 years, River Region Human Services has been serving the people of Duval, Baker, Clay, Nassau, and St. Johns counties who need mental health, substance abuse, HIV/AIDS testing and other services. We take great pride in meeting the needs of our diverse community by providing education, prevention, and treatment for children, teens, and adults. By reaching out into our community, we bring the services to the people who need them most. One of the keys to our success is the ability to work collaboratively with other non-profits, schools and government agencies to deliver services. By working together, we reduce duplication while ensuring the very best level of treatment is available where it is needed most. Many of River Region s programs are nationally recognized and used as models for other agencies that want to implement similar programs in their area. As a non-profit agency, our funding is provided by grants and contracts from federal, state and local government agencies. We also receive reimbursement from Medicaid. But these funding sources are constantly changing due to the economy, so we seek out other sources of support continuously. River Region offers a comprehensive range of programs and services at numerous locations across the First Coast, including our mobile unit. 1
4 Drug and Alcohol Treatment From prevention and intervention to residential and outpatient treatment, River Region provides a full range of substance abuse services. Programs include assessment and detoxification, as well as treatment in both residential and outpatient settings. The Medication Assisted Treatment program helps individuals who are addicted to pain killers and other opiates by providing medically supervised treatment. In addition, River Region offers a Halfway House and Next Step DUI treatment programs to assist those who are recovering from their addiction. A co-occurring treatment program helps those who are coping with mental illness as well as substance abuse. Mental Health Through outreach and education, River Region is improving the lives of those with mental illness with a variety of services for children, teens, adults and seniors. Using a case management approach, River Region s staff of physicians, counselors, and other professionals provide services at residential and outpatient settings. Working with Duval County Public Schools, River Region also provides programs to students who are struggling with mental health issues. Three Drop-In Centers are located throughout the First Coast, providing peer support through a variety of support groups for adults with a mental illness diagnosis. The centers promote independence through education, advocacy, self-help and peer support. River Region assists clients with referrals for housing, medical or dental treatment, legal services, employment and other services. Outreach and Community Services Reaching out to serve our community through education, prevention and mobile services is a critical part of how River Region delivers its mission. Many services are provided in schools, jails, and community centers. The mobile unit provides HIV/AIDS and STD testing and education throughout Northeast Florida. We provide speakers for local community groups and schools, and offer support groups at several locations. The New Media, New Messages campaign uses social media tools to provide prevention and education for substance abuse and HIV/AIDS. 2 River Region also provides programs for seniors that focus on improving wellness and properly maintaining medications. Training and support are provided for caregivers, as well. Programs for seniors are offered at senior centers, churches, nursing homes and housing projects, as well as in the home. We also partner with local hospitals to provide follow-up services to seniors injured due to falls, hip fractures or accidents that have occurred due to problems with medication management.
5 Housing River Region provides a variety of housing options on our campuses, as well as at other locations throughout Jacksonville. Three locations provide permanent supportive housing for chronically homeless and disabled individuals and families. River Region offers rental assistance, case management and other supportive services. These programs are funded in part by the Department of Housing and Urban Development, the City of Jacksonville Public Service Grant, and Housing Opportunities for Persons Living with HIV/AIDS (HOPWA). An assisted living facility provides housing for those with mental health or a cooccurring mental illness, substance abuse and an HIV diagnosis. It serves individuals who are court-ordered to be housed in an inpatient facility. The Rogerson Halfway House is transitional housing for individuals who have completed court-ordered treatment at Matrix House. Andy s Place offers permanent supporting housing for persons who are homeless due to sub-stance abuse, mental illness or HIV/AIDS. Youth and Family Services We believe that keeping families together and healthy improves the entire community, and we provide a wide range of programs to serve children, teens and adults. Services include support groups, intervention programs, parenting classes, anger management programs, and more. Drug and alcohol treatment programs are designed specifically for teens and are offered at several private, alternative and charter schools in Jacksonville. River Region works closely with the Department of Juvenile Justice and the courts to help families in crisis by providing treatment for both individuals and families. Youth education programs on drug and alcohol awareness are offered in local schools. Kid Power, offered in six Duval County elementary schools, targets children with multiple risk factors and helps them prevent or reduce unhealthy choices. 3
6 Restoring Communities: Highlights of 2013 Electronic Health Records Initiative Like many other behavioral health and human services providers across the county, RRHS began the process of transiting to an Electronic Health Record (EHR) system in Recognizing the importance of this transition, RRHS began the selection process of choosing an approved EHR vendor over a year ago. After careful consideration, River Region chose PsychConsult Provider from Askesis Development Group, Inc. as the provider of its EHR system. A cross-functional committee from all areas of the agency are now working on the implementation and transition to the software. Throughout the process, the committee continues to analyze our current workflow/processes and customize the EHR software to meet our needs. The goal of our EHR system is to have one system for the entire agency that is easily accessed and gives our clinicians a holistic view of the client. Clinicians have access to treatment planning integrated with progress notes and diagnosis documents. This facilitates a complete electronic medical record while promoting outcomesbased care that will help improve our already outstanding quality of care. The EHR system also connects our clinical and billing processes, thereby eliminating the need for double entry of data. 4 Having Fun and Raising Funds River Region sponsored three fundraising events in 2013; a bowling tournament in April, a Charity Bingo Night in August, and a golf tournament in October. The successful events each exceeded their fundraising goals while providing fun and entertainment for participants. The first Let s Roll It s Time to Bowl event was a fundraiser to support the youth and family programs and services at River Region. Held at Batt Family Fun Center in April, the event drew over 140 participants and included a drawing for a custom made bowling ball, along with many other prizes. The event was so successful that River Region will be hosting it again this year and ACTS Solutions will be the title sponsor.
7 In August, the River Region Foundation presented a Charity Bingo Night at Hamburger Mary s, a local restaurant. While playing bingo, dozens of supporters also raised funds to provide educational services and resources for children in the community. The Fifth Annual Charity Golf Invitational, presented by DEX Imaging, Inc., was held October 21 at Jacksonville Golf & Country Club. Over 30 golfers enjoyed a full day of golf at Jacksonville Golf & Country Club featuring a golf entertainer, friendly competition for prizes, great food and a silent auction. Recovery Month Celebrations In September, River Region celebrated National Recovery Month with events to help clients celebrate their sobriety with clean and healthy activities. Partnering with Gateway Community Services for the eighth year, we offered events throughout the month to bring attention to healthy recovery. The month began with a softball game between River Region and Gateway, now in its third year of a friendly rivalry. During the month, the two agencies sponsored the first annual talent show, where consumers from both agencies showcased their creative talents. The month-long celebration was capped with the annual Recovery Month Walk, with more than 300 walkers, and a Block Party that attracts more than 400 individuals every year. New Media, New Messages Pilot Program In October, River Region Human Services was awarded a federal grant for a pilot program that uses social media to reach targeted populations with messages designed to aid in the prevention of substance abuse and HIV infection. New Media, New Messages (NM2) is a grant awarded to 18 agencies in the U.S. by the Substance Abuse and Mental Health Services Administration (SAMHSA). The grant provides funding to conduct outreach to specific minority populations using social media platforms such as Facebook, Twitter, Instagram and others. The NM2 program aims to decrease prejudice and discrimination by giving those at risk of contracting HIV the opportunity to share their stories online, allowing positive interaction with others in their community and encouraging healthy behaviors. The grant targets those at highest risk for substance abuse and HIV infection, including African American heterosexuals over the age of 15, and African American men who have sex with men (MSM) over the age of 18. Both heterosexual and MSM populations within the African American community carry a significant burden of HIV/AIDS, as well as co-occurring risk factors that contribute to the disproportionate growth of substance abuse, mental health, and HIV/AIDS cases in Duval County. River Region has developed two social media sites for the identified populations: WatsDaTJax to target African American MSMs over the age of 18; and WatsDaPlayJax to target African American heterosexuals over the age of 15. Each of the two populations use Facebook, Twitter, Instagram, text messaging, and other methods of outreach to share information regarding free testing, preventing STDs, and avoiding at-risk behaviors. 5
8 A Walk of Remembrance Early on a Saturday morning in October, River Region employees and family members gathered to participate in the American Cancer Society s Making Strides Against Breast Cancer 5K walk. The team walked in honor of all of those in the River Region family who have been affected by Breast Cancer, including former CEO Derya Williams. Current and former staff and longtime friends participated in the walk, which provided an opportunity to share stories of both survivors and those who were lost to the disease. Annual Art Show Art is often used as part of the therapeutic process, but River Region took the concept further and created an Art Show for consumers to exhibit and sell their artistic creations. Set at the Riverhouse Drop-in Center last summer, art booths were strung along the river bank. It was an opportunity for consumers to showcase, market and create a profit by offering their talents and artistic abilities to the community. Consumers throughout the agency (including residential, drop-in center and psychosocial rehabilitation) exhibited artwork and enjoyed the music of guest artists Patrick McMillan and Eric Herrin. Jacksonville s New Rising Star, McMillan is best known for his work with Mariah Carey and recent features on local news and the cover of Folio Weekly. Over 100 consumers participated and close to 200 were present. With strong support from River Region art connoisseurs/administration, the Silent Auction drew healthy competition and monetary reward. Eleanor, one of the consumers who participated, attributes having gained enough confidence from the experience of the art show to go out a few weeks later and attain employment within her field of art expertise. She was not alone in her gratitude. With teary wide eyes, Arnold, a consumer of River Region for over 10 years, said he d never before been given a real canvas to paint and a stage for his voice to be heard. New Baker County Location River Region Human Services opened a mental health counseling and substance abuse treatment facility in Baker County in May There are two locations at 56 North 2nd Street and 213 Macclenny Avenue, both in Macclenny, FL. The facility is staffed by a Psychiatrist, Certified Addiction Professionals, and an ARNP who provides psychiatric services along with the physician. The facility also includes a Drop-In Center for mental health clients. River Region was chosen by Lutheran Services of Florida to provide the services through a contract with the agency. Services offered include: substance abuse and mental health services for adults and adolescents; group counseling; case management; in-school counseling; and home-based counseling. 6
9 Women, Children & Family Treatment Program In October, the staff of the Women, Children and Family Treatment (WCFT) program at the Derya E. Williams campus gathered to celebrate the graduation celebration for women who successfully completed residential treatment. WCFT is a substance abuse treatment program for Women, Children, and Families sponsored by SAMHSA Center for Substance Abuse Treatment. The staff and participants were honored to have State Senator Audrey Gibson in attendance at this event. Senator Gibson has been a strong supporter of all of River Region s efforts and programming in the community, particularly as related to the needs of pregnant and postpartum, women in treatment. The program addresses the needs of women, their children and family members. The program provides 3 to 4 months of residential treatment services to any woman who is pregnant, or who has given birth in the last 12 months, and their family members. The program includes: individual counseling; individualized treatment planning; group counseling; family counseling; case management; mental health counseling; prevention and intervention for family members and other children; parenting skills; and family strengthening and reunification. The WCFT program offers a family-focused approach that allows women to bring their children into treatment with them. The goal of this program is to help keep families intact while the mother receives treatment and works towards a path of recovery. 7
10 Financials Funding for mental health and substance abuse services continues to be a challenge in the current economy. River Region primarily relies on patient care funding from private insurance, Medicaid, and federal and private grants. We also enjoy support from our local Jacksonville community through donations from corporations, local businesses and individuals. Sources of Revenue Revenue: State of Florida $5,298,934 Medicaid and 3rd Party $2,309,006 City of Jacksonville $2,845,493 Federal Government $3,782,834 Client Fees/Other 1,615,786 Total Revenue $15,852,053 FISCAL YEAR END JUNE 30,2013 Sources of Revenue FYE June 30, % 24% 33% 18% 15% State of Florida Federal Government City of Jacksonville Medicaid and 3rd Party Client Fees/Other 8
11 Statistics River Region Human Services serves members of the greater Jacksonville community including Duval, St. Johns, Clay, Baker and Nassau counties. We serve all who are in need with a sliding scale fee. River Region has specialized services for children, teens, adults and older adults, as well as for pregnant women and mothers of newborns. We focus on strengthening and maintaining strong families in our communities.
12 CEO/Executive Director Tiffany Galvin Green, Ph.D. Chief Operating Officer Gloria Hanania, LMHC, CAP Vice President of Finance Ed L. McCall, M.B.A. Vice President of Medical Services Raymond Pomm, MD Associate Vice President of Corporate Excellence Karen Garrett, CPLP, CAP Associate Vice President of Co-Occurring Treatment Services Renee S. Hellen, LMHC, CAP Associate Vice President of Court and Community Services Dietangal Heard, MS, CAP River Region Human Services, Inc. Board of Directors Esmin M. Shakespeare, President Margaret T. Johnson, Vice President Robert V. Duss, Esq., Secretary Boyd Henderson, Treasurer Andrew Coleman, III Richard Danford, Ph.D Kay Fullwood, ARNP Barry A. Whilden R R iver egion Human Services, Inc. Rebuilding Families, Restoring Communities (904) Administrative Offices 2055 Reyko Road, Suite 101 Jacksonville, FL , ext Fax