Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County Annual Report
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1 Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County Annual Report A Message to the Residents of Putnam County The Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County is responsible for planning and assuring the availability of behavioral health services for the residents of Putnam County. The Board uses a combination of Federal, State, and local funds to contract with providers for service delivery. Eight area residents are appointed to the Board by the Ohio Department of Mental Health (4), and the Ohio Department of Alcohol and Drug Addiction Services (4). The Putnam County Commissioners make the remaining appointments. This annual report is presented to highlight our accomplishments and to bring you up to date on our financial situation. The Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County will continue its commitment to our mission and monitor locally driven programs. Community Boards Community Benefits! Our sincere thanks to all of our service providers and social service agencies for working to provide strong programming for the residents of Putnam County. Sincerely, Joseph Uphaus, Chair Michael Ruhe, Director October 4, 2012 Inside this issue: Mission, Vision, & Values Statements Board Members & Staff Crime Victim Services Putnam County Head Start Prevention Services Electronic Health 5 CARF Certification 5 Nursing Facility 6 Central Pharmacy 6 Home Choice 7 AOD Group 7 Family Coordination Team 8 WRAP Around 8 Pathways Units 9 Board Financial Statements 10-11
2 Caring, Wellness, Recovery, Resilience Mission Statement The commitment of The Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County (ADAMHS) in partnership with providers, other social service organizations, the community, and our families is to provide necessary behavioral health care services. The residents of Putnam County believe in and promote strong family ties. We believe our future is dependent upon the well -being of our families. As these needs are effectively met, individuals and families will develop to their fullest potential, and the community will build on the renewed strengths of the residents. Vision Statement Ohioans believe in their families, children, and communities. The best hope for the future is the well-being of Ohio's families. Ohio will be a place where families can build their heritage and culture and feel secure in the present as well as reach for the future. Families will accept responsibility for meeting their needs. Ohioans will develop to their full potential, and communities will support and build upon the strengths of their residents. The Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County strives toward this vision at the local level. Values Statement The Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County believes in a network of care that makes a difference in peoples' lives. We believe in the honesty and integrity of our system and individuals we serve. Page 2
3 Board Members Joe Uphaus Chairperson Dr. Mandy Klass Vice-Chairperson Joe Stechschulte Secretary/Treasurer Ed Bratt Carol Fessler Helen Devitt Dr. Merrill Raye John Phillips Nancy Frankart Dr. Sarah Schoonover Jeanette Meyerhoffer Michelle Hermiller Dianna Geiger Mary Jo Williams Denise Phillips Teresa Lanwehr Board Staff Michael J. Ruhe, MA Executive Director Amy R. Hedrick Fiscal Administrator Page 3
4 Crime Victim Services Crime Victim Services (CVS) of Putnam County has been providing services to victims of crime since CVS staff meets victims 24/7 at medical facilities, provides 24/7 crisis counseling to all victims who call 911, and provides shelter on an as needed basis. CVS serves all domestic violence (male and female victims), and CVS is the only victim assistance organization in Putnam County, so we assist all felonies, misdemeanors, juvenile, and unreported/ unsolved crime victims in Putnam County. From June July 2012 CVS staff provided crisis counseling to 157 primary victims while the 24-hour crisis line answered by CVS staff and trained crisis counselors fielded 146 emergency calls from 142 victims of sexual assault and domestic violence. CVS assisted 326 victims of domestic violence (132 primary, 134 secondary, and 60 s u p p o r t persons) and 108 sexual assault victims (38 primary, 44 secondary and 26 support p e r s o n s ). V i c t i m Advocates also helped assist 33 primary victims file Civil and Criminal Protection Orders and provided packets of information to an additional 15 primary victims. Crime Victim Services also provided assistance with transportation to 56 individuals (20 families) as well as provided 111 individuals (12 families) meals and 224 (28 families) nights of housing/ shelter. Eighteen families celebrated Christmas with food and gifts through our Adopt a Family Program. CVS has two Licensed Independent Social Workers (LISW) and one Licensed Professional Counselor (LPC) on staff to provide crisis counseling and t herapy t o victims in need o f m e n t a l health services in relation to their trauma. All of the counseling and therapy related services are primarily provided to survivors of domestic violence, sexual assault, homicide and other violent crimes. Crime Victim Services has a designated room available to provide therapy services at the Family Justice Center in the Putnam County office. CVS therapists continue to assist victims in need of mental health services and recognize the importance of such services in the recovery process. Putnam County Head Start Program Pathways Counseling Center continues to provide mental health consultation services for the Putnam County Head Start Program. Each of the three classrooms is observed twice a year to ensure positive teacher-student interaction and to identify any emotional/ behavioral concerns with the children. Additionally, teachers are given the opportunity to participate in six mental health consultation meetings designed to address any classroom concerns noted over the course of the school year. Page 4
5 Prevention Services Prevention Services at Pathways Counseling Center consist of a multitude of programs that provide youth and adults with education, skill building, and alternative activities to prevent the use of drugs and the abuse of alcohol. Services include, but are not limited to, schoolbased programming, youth-led i n i t i a t i v e s, a w a r e n e s s campaigns, and drug free alternative activities. Many of the programs have increased in numbers over the past several years, and recent local surveys (Project SAFE and PRIDE) have shown a decrease in underage alcohol use and an increase in perceived risk associated with alcohol. As of October 2008, prevention programming at Pathways Counseling Center is licensed by ODADAS, and has also been n a m e d a n E x e m p l a r y Program by the national accreditation agency CARF. Mentionable Prevention Programs: Girl s Circle, FRIENDS, How To Be A Better You, JEDI and Putnam Adolescent Response Team for Youth Electronic Health Records Pathways Counseling Center is currently upgrading their computer software and hardware in preparation for the use of Electronic Health Records (EHR). A new server, improved security hardware, and updated software have been installed. Office staff are currently entering data into the updated billing software program which can be integrated into the EHR program. CARF Certification Pathways earned its second consecutive three-year CARF Accreditation in the fall of CARF is a national accrediting association for behavioral health providers. The Prevention Program at Pathways was awarded Exemplary Status by CARF. Pathways is also accredited by ODMH and ODADAS. All three accreditations will be reviewed in the fall of Page 5
6 Nursing Facility Pathways Counseling Center continues to contract with The Meadows of Ottawa-Glandorf Nursing Facility to provide consultation services. This service is provided by a Licensed Social Worker. Four hours of direct consultation services is provided monthly at The Meadows. New residents are evaluated for any serious mental health needs with r e f e r r a l s a n d l i n k a g e s recommended as necessary. Additionally, residents are assisted in making the adjustment to the care facility with ongoing consultation and support available to all residents on an as needed basis. Central Pharmacy Pathways uses several programs to help patients, who do not have the means or have limited resources, obtain needed medications. Central Pharmacy is a state funded program to provide medication for the indigent and those who qualify for Title XX services. While this program helps many people, funding is limited and may leave some clients without medication as funding runs out. We are also using the Patient Assistance Programs through the drug companies. The patient and physician fill out an application provided by the company. It is then sent in for approval. Once approved, the medication is sent to Pathways for distribution. This fiscal year, we were, again, awarded funding for our Medication Stop Gap program from The United Way of Putnam County. This program allows clients to start their medications while they are applying for one of the other programs. Typically, clients are on this program for a couple of months. Pathways also has sample medications on hand to alleviate some of the cost to the patients. We encourage the drug representatives to visit Pathways frequently. Clients who are on Medicaid or Medicare can usually purchase their medications without a lot of difficulty. Page 6
7 Alcohol/Drug Group Therapy This year the Alcohol and/or Drug (AoD) group therapy has continued. The curriculum of The Change Company s Interactive Journals and focus on 12 step attendance has continued. There has been a refining of the curriculum, and some topics have been shortened or eliminated. These changes are still ongoing with constant improvement being our aim. The program continues to be 16 weeks long meeting twice a week for three hours each session. Ohio Home Choice Program Ohio Home Choice is a program Pathways has become involved in as a benefit to residents of Putnam County. Persons who have been residing in restrictive and more expensive living situations for a period of ninety days or more and are now able to move to a less restrictive and often less expensive situation are able to access funds to help make this move possible. Pathways provides case management and/or transition management for the use of these funds. Page 7
8 Family Coordination Team What is Family Coordination Team? The Family Coordination Team (FCT) is a group of individuals convened by FCFC representing Juvenile Court, Probation, Mental Health, Children s Services and the Educational Service Center. The purpose of the team is to discuss referrals made to the Putnam C o u n t y S e r v i c e C o o r d i n a t i o n Mechanism. The team determines if the referral is appropriate for services, and if so, what level of care is needed by the family, either Service Coordination or WrapAround. For families determined eligible for WrapAround, their case is assigned to a facilitator. Each month prior to the FCT meeting, facilitators provide a written update to the FCFC Coordinator regarding their cases, which are reviewed at the monthly FCT meeting. The review includes timelines for initiating services, how services are being delivered, what resources the family is in need of, how we can assist families in accessing resources, brainstorming with other systems involved with the family, discussing utilization of the FCFC family centered services and supports funds (if needed). The FCT meetings are beneficial to the families involved in the program, as well as the facilitators. With all of the key stakeholders at one table, unmet needs of each family can be addressed, and then plans/ideas can be addressed with the family. Many of our families who transition out of WRAP/Service Coordination have met many of their goals set in their WRAP plans, and the team is able to prepare the family for the future. WRAPAround The Putnam County Mental Health, Alcohol and Drug Addiction Recovery Services Board has been a key leader in the implementation and sustainability of the Putnam County WrapAround program. The Board is one of the partners involved in helping the Putnam County Family & Children First Council in planning, monitoring, and evaluating services to families. In Putnam County, 99 families have been referred to WrapAround since the program began in WrapAround is a strengths-based, family driven, planning process to address the family s needs and help them meet their goals. When families enroll in the program, they help create their own child and family WrapAround team. The team is comprised of four to seven people who know the family best and have a history of working with the family. Agency workers, teachers, principals, grandparents, neighbors, friends, and clergy have served on teams. It has proven beneficial for families to have a consistent group of people working with them over time. The team learns about the strengths and needs of each family member, helps them develop short and long-term goals, and assists in resolving conflict. Assessment tools are used to track the safety and progress of each family in WrapAround. The results are shared with the Putnam County Family Coordination Team, which acts as an advisory committee for the program and includes the Mental Health, Alcohol and Drug Addiction Recovery Services Board director. Page 8
9 Mental Health Units Diagnostic Assessment Medical/Somatic Individual Counseling 6,428.9 Individual Counseling/Psychotherapy 10,051.0 Group Counseling/Psychotherapy 20.0 Residential Support Consultation MH Education 36.0 Crisis Intervention 59.8 Other MH Services 1,200.3 Alcohol & Other Drug Units Assessment Screen Analysis Individual Counseling 2,197.3 Group Counseling 4,558.2 Case Management 12.7 Crisis Intervention 7.6 Community Services Alternatives Education Information Dissemination 35.6 Other/RSC Outreach 2.0 Page 9
10 Cash Income Federal Funds Mental Health Block Grant $18, Alcohol & Drug Block Grant $97, Youth Led Prevention $3, Child Care Quality $7, Title XIX Medicaid $375, Title XX Social Services $18, State Funds $520, Forensic $6, Alcohol & Drug Abuse Subsidy $83, $278, RSC Grants $14, Local Funds $383, Tax Levy $188, Miscellaneous $7, $195, TOTAL REVENUE $1,100, Page 10
11 Cash Disbursements MH Board Administration & Special Services $129, Pathways MH $303, Pathways AD $184, Out of County XIX $130, MACSIS Expense $22, Crime Victim Services $30, Title XX $18, Neighborhood Properties $6, Levy Money $78, RSC/VRP3 Grant $19, Pathways Medicaid $238, $1,116, Page 11
12 Mental Health, Alcohol & Drug Addiction Recovery Board of Putnam County P.O. Box North Locust Street Ottawa, Ohio Phone: Fax: CONGRATULATIONS! Dianna Geiger and Dr. Sarah Schoonover on their volunteer services to the Putnam County ADAMHS Board.
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