Fiscal Year 2014 Annual Report

Fiscal Year 2014 Annual Report Our Community. Our Recovery. Our Future. Residential Treatment Outpatient Service Medication Assisted Recovery Education and Prevention Recovery Housing Drug-Free Workplace Continuum of Care

Quest Mission Statement To serve our community by providing education, prevention, and treatment of alcohol, drugs, and other addictive behaviors. Quest Board of Directors Terri Roth- Chair Shannon English Hexamer- Vice Chair Carrie Sibila- Treasurer Eric Belden Larry Blasiman James Bower James Conley Larry Durian Carla Frank Lorrie Fuchs Lynnette Gallina Barbara Kessler The Reverend Doctor Darla Ann Kratzer Ann Davies Moyer Robert G. Morlan- Emeritus, Non-Voting Our Mission Message to the Community Quest Recovery and Prevention Services completed an exciting year of growth during Fiscal Year 2014. The year saw many accomplishments and enhancements to our services and programs. Changes to our health systems brought about by The Affordable Care Act and Ohio s Medicaid Expansion made behavioral health services and in particular, alcohol and drug treatment and recovery services, accessible to more consumers. The continuation of these programs, at least in the near future, will allow those in need to receive all of the services that are associated with a recovery oriented lifestyle. In November 2013, Quest Recovery & Prevention Services opened BRIGHT House, a non-medical residential treatment center for adolescent females. This 12 bed facility is one of only a few alcohol and drug treatment residential facilities for adolescent females and serves not only Stark County but surrounding counties as well. Quest has also continued to enhance its treatment and recovery of those impacted by the Opiate epidemic. By expanding staff, medication options and improving access to services, the Medication Assisted Recovery Program has strived to meet the urgent needs of those struggling with heroin and prescription Opiates. Quest continues to expand services where it fits the community need. The desire for a Recovery Oriented Community where those who have been impacted by substance use issues can recover, work, and succeed is moving forward. On behalf our clients, staff, and Board of Directors, I thank you for the tremendous support of the community and look forward to enhancing the continuum of services Quest offers. Respectfully, Keith Hochadel President & CEO

Smith House Ivan Rosa Chief Operating Officer A Message from the Chief Operating Officer Quest Recovery and Prevention Services continues to respond to the needs of the community by expanding and redesigning our programs to ensure we provide the best and most innovative services to individuals faced with overwhelming circumstances. Our Programs A Message from the Chief Operating Officer Quest Recovery and Prevention Services continues to the needs of the community by expanding and redesign programs to ensure we provide the best and most inno services to individuals faced with overwhelming circum Wilson Hall Our men s residential treatment facility continues to be one of the most effective alcohol BRIGHT and House drug residential treatment facilities in Ohio. Wilson Hall provides a safe and sober living environment for Opened in November 2013, our newest residential men to develop and practice sober living skills. Over the past few years we have seen facility, the amount BRIGHT of House, individuals is truly seeking meeting treatment the needs at of the Wilson Hall increase community. by 54%. This recently renovated cottage is one of the In FY 2014, approximately few alcohol 10% and of drug residents residential at Wilson facilities Hall in the were State of veterans of the armed Ohio forces. aimed To specifically ensure these at adolescent veterans females receive (age the 15- care they need, Quest 18). has The partnered house is able with to the hold Stark up County to 12 residents Veterans at one Service Commission time, to subsidize and all residents the cost attend of treatment. on-line schooling in order to ensure they don t fall behind academically. BRIGHT House Opened in November 2013, our newest residential facility, BRIGHT House, is truly meeting the needs of the community. This recently renovated cottage is one of the few alcohol and drug residential facilities in the State of Ohio aimed specifically at adolescent females (age 15-18). The house is able to hold up to 12 residents at one time, and all residents attend on-line schooling in order to ensure they don t fall behind academically. 150 100 50 0 Men in Residential Treatment 2010 2011 2012 2013 2014 Men in Residential Treatment

Our Programs Deliverance House Our women s residential facility continues to see sustained growth in the number of clients we serve. We served 57 women in FY 2014 and an astonishing 42% remained abstinent six months after treatment; a figure that is almost twice the state average. Deliverance House was also the direct beneficiary of over $16,000 in charitable gifts which included new patio furniture, a playground, and a meditation water feature and garden. SMITH House Smith House continues to distinguish itself among state-wide adolescent residential programs. Adolescent males come from all over Ohio to receive our comprehensive treatment program which focuses on instilling the morals and values of truth, honesty, and self-responsibility. Smith House has a maximum capacity of 16 males who stay at the facility for up to 120 days. Just like BRIGHT House, Smith House residents receive on-line schooling in order to ensure they don t fall behind academically.

eliverance cility Deliverance House House was also was the also direct the direct beneficiary beneficiary of over th in the continues number to of see clients we serve. We of over 16,000 mber $16,000 in charitable in charitable gifts which gifts which included included new patio en in of FY clients 2014 and we an serve. astonishing We 42% new patio rniture, furniture, a playground, a playground, and a and meditation a meditation water water feature inent 4 and six an months astonishing after 42% treatment; a figure feature nd nths garden. wice and after the garden. state treatment; average. a figure te average. use was also the direct beneficiary of over o ritable the direct gifts which beneficiary included of over new patio which Driver s Intervention Program yground, included and a Methadone new meditation patio water feature Clients Clients (DIP) d a 200 meditation 200 water feature One of Quest s longest running programs; Driver s Intervention 150 150 Program operated 67, 3-day classes for first-time DUI offenders in 100 Methadone 100 Clients Methadone Methadone Alliance, Canton, Massillon, and done Clients Clients Clients 50 Hudson this past year. Altogether, 50 in FY 2014, Quest served 1200 0 participants from all over the 0 2011 United States. 2011 2012 2012 2013 2013 2014 2014 Methadone Methadone Clients Clients Outpatient Services Services Medication Assisted Recovery 1st Quest offers 2012 With offers outpatient the 2013 outpatient recent programs 2014 spike programs in at heroin five at facilities five use facilities in Stark across across Stark Stark and and roll Carroll 2013 Counties. County, Counties. 2014These Quest These facilities has facilities seen include a include direct offices offices impact in Canton, in Canton, Massillon, Alliance, in the Alliance, Minerva, amount Minerva, and of individuals Carrollton. and Carrollton. In seeking all, In our all, counselors our counselors either Methadone or Suboxone. Both 2415 saw 2415 adult adult clients clients and 195 and adolescent 195 adolescent clients clients last year. last year. Quest ices medications are taken orally and designed Quest conducts also conducts to weekly specifically weekly counseling block counseling groups the effects groups for veterans of for other veterans of the of armed the armed patient es, forces, a programs Opiate a for medicines at families for five families facilities and of substance prevent of across substance withdrawal abusers, Stark abusers, and and other and other rams der These gender and at facilities symptoms. five population and facilities population include Currently, specific across offices specific groups. Stark we in Canton, groups. and have 180 clients ce, ties Minerva, include who offices and receive Carrollton. in Canton, Methadone In all, and our counselors another 87 lients and Carrollton. who receive and 195 In all, Suboxone. our counselors Prevention adolescent Prevention Services clients last year. Quest Services 95 ekly adolescent counseling clients groups last for year. veterans Quest of the armed ling continues for groups families to enhance to for of enhance veterans substance its prevention its of prevention abusers, the armed programming. and programming. other Last Last Our Programs Outpatient Services Quest offers outpatient programs at five facilities across Stark and Carroll Counties. These facilities include offices in Canton, Massillon, Alliance, Minerva, and Carrollton. In all, our counselors saw 2415 adult clients and 195 adolescent clients last year. Quest also conducts weekly counseling groups for veterans of the armed forces, a program for families of substance abusers, and other gender and population specific groups. Prevention Services Quest continues to enhance its prevention programming. Last year we added eight schools to prevention, including four in Carroll County, bringing our total number of schools served to 20 and serving almost 1,200 students. This is done through our evidence-based programs which are specifically designed for particular age groups.

Our Programs Lake Erie Correctional Institute Quest runs counseling programs at Lake Erie Correctional Institute; a medium-security correctional facility located in Conneaut, Ohio. During FY 2014, Quest staff treated 121 inmates who received substance abuse counseling in both a group and individual setting. The goal of this program is to give inmates the coping skills necessary to live a drug-free life after their release. Quest Continuing Education Quest is dedicated to not only the continuing education of our staff, but also the community and others working in the field of counseling. As a result, Quest offers a CDCA Academy designed to provide 40 hours of training for those entering the chemical dependency field to obtain their entry level credential of Chemical Dependency Counselor Assistant (CDCA). We also offer a comprehensive OCPS Academy that allows people to gain the basic knowledge needed to enter in to the profession of prevention. By becoming an Ohio Certified Prevention Specialist (OCPS), one is able to provide high quality prevention services to students and the community. Drug-Free Workplace Urine Drug Screens Quest offers the highest quality in urinalysis and hair follicle testing. We offer testing at our Canton, Alliance, and Massillon outpatient offices, residential sites, and provide on-site collections for schools and businesses. In FY 2014, we collected 12,313 specimens for testing and expect this number to grow as more companies and schools realize the benefit of instituting drug testing policies. The Occupational Health & Safety Administration reports that almost 13 million individuals actively use drugs in the workforce. Quest tries to prevent this from happening by conducting drug-free workplace trainings for supervisors and employees, drug testing, and outpatient services. During FY 2014, Quest performed educational classes and drug testing services to 15 companies in Stark County and surrounding communities.

$2,661,812 HRSB Medicaid $2,661,812 rants, Fundraising, and United Way Self Pay & Insurance & Other Contracts nterest $2,661,812 MHRSB Medicaid & Miscellaneous Grants, Fundraising, and United Our Way Finances Self Pay & Insurance & Other Contracts Medicaid Interest & Miscellaneous d United Way Self Pay & Insurance & Other Contracts smental Health & Recovery Services Board (MHRSB) Message from $2,712,800 the CFO 36.2% Medicaid Mental Health & Recovery Services One of our Board core (MHRSB) $2,661,812 foundations at Quest 35.5% Recovery $2,712,800 and Prevention 36.2% Services is Services to be fiscally responsible. Our revenue has increased 150% and net assets Grants, Board Fundraising, (MHRSB) and United Medicaid Way $2,712,800 36.2% $358,387 4.8% $2,661,812 35.5% have increased $555,000 since FY10. We will continue to add new programs, Grants, Fundraising, Self Pay & Insurance & Other Contracts $2,661,812 and United Way maximize 35.5% $358,387 4.8% revenue $1,386,767 and monitor expenses 18.5% as we move into the future. nited Way Interest & Miscellaneous Self Pay & Insurance $358,387 & Other Contracts 4.8% $374,886 $1,386,767 5.0% 18.5% er Contracts Interest & Miscellaneous $1,386,767 18.5% $374,886 5.0% Beth Devitt $7,494,652 100.0% $374,886 Chief Financial 5.0% Officer $7,494,652 100.0% $7,494,652 100.0% FY14 Expenses By By Program FY14 Program Expenses By Program Expenses By Program 2,744 $852,744 $210,402 $310,753 $1,788,714 $852,744 $210,402 $1,788,714 $310,753 $808,206 $808,206 $3,154,664 $3,154,664 $1,788,714 Outpatient $1,788,714 25.1% Medical $808,206 11.3% Residential Services $3,154,664 44.3% Administration $808,206 $310,753 4.4% Prison $210,402 3.0% Prevention & Prevention $852,744 12.0% 4 $7,125,483 Medical Outpatient Residential Services Medical Residential Administration Services Prison Administration PreventionPrison Prevention ntial Services Administration Prison Prevention

and net assets have increased $555,000 since FY10. We will continue to add new programs, maximize revenue and monitor expenses as we move into the future. Our Finances FY14 FY14 Revenue Revenue Beth Devitt Chief Financial Officer $1,386,767 $374,886 $2,712,800 $358,387 $2,661,812 MHRSB Grants, Fundraising, and United Way Interest & Miscellaneous Medicaid Self Pay & Insurance & Other Contracts Mental Health & Recovery Services Board (MHRSB) $2,712,800 36.2% Medicaid $2,661,812 35.5% Grants, Fundraising, and United Way $358,387 4.8% Self Pay & Insurance & Other Contracts $1,386,767 18.5% Interest & Miscellaneous $374,886 5.0% $7,494,652 100.0%

Our Finances Revenue Comparison by Fiscal Year $8,000,000 $7,000,000 $6,000,000 $5,000,000 $4,000,000 $3,000,000 $2,000,000 $1,000,000 - $7,494,651 $6,231,581 $4,910,021 $5,541,609 FY11 FY12 FY13 FY14

Numbers Tell the Story Numbers Tell the Story Our clients continuously value the treatment they receive from Quest as Our clients continuously evident value in the our treatment Client they receive Satisfaction from Quest as Survey. evident in our Client Satisfaction Survey. I would rate my treatment as great. The problems I brought to treatment have improved. My stress since entering treatment has improved. I have confidence in the skills of those staff who worked with me. I would recommend these services to others who might need them. I was satisfied with the overall quality of care I received. I felt accepted, understood and respected by staff who worked with me. Staff were sensitive to my cultural/ethnic linguistic background. I was satisfied with the way my concerns and problems were handled. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Our Growth Our Continued Growth As Quest continues to grow and expand services due to increased demand for As Quest continues to grow and expand services due to increased demand for alcohol and drug treatment, we continue to add highly qualified staff members. alcohol and drug treatment, we continue to add highly qualified staff members. 200 150 Quest Employees 100 Quest Employees 50 0 2010 2011 2012 2013 2014 Recovering Housing As individuals transition out of residential treatment and back into the community, many times individuals need sober living to reinforce the habits learned during residential treatment. In the Recovery future Quest Housing will be pursuing recovery housing to complete our continuum of care. This type of facility will allow graduates of our As individuals treatment program transition to focus out of the residential majority of their effort on sustaining treatment long-term and back employment into the and community, less time about securing a safe, sober place to live. many times individuals need sober living to Canton Friendship Center Many who abuse substances also suffer from one or more mental health disorders. Quest recently received accreditation to treat those suffering Canton Friendship from co-occurring Center diseases which allows us to treat mental health and addiction disorders. This will streamline our treatment process and allow our Many who abuse substances also suffer clients to receive more services in a quicker and from one more more effective mental manner. health disorders. Quest recently received accreditation to

1341 Market Avenue North Canton, Ohio 44714 Our Locations Outpatient Facilities Alliance Office 46 Federal Avenue NW Suite F Alliance, Ohio 44601 Canton Office (Administrative Offices) 1341 Market Avenue N Canton, Ohio 44714 Outpatient Facilities Carrollton Office 211 Moody Avenue N Carrollton, Ohio 44615 Massillon Office 46 Federal Avenue NW Suite 1 Massillon, Ohio 44647 Minerva Office 220 Short Street Minerva, Ohio 44657 Residential Facilities Residential Facilities BRIGHT House (Adolescent Female) 811 Faircrest Street SW Canton, Ohio 44706 Smith House (Adolescent Male) 1660 Nave Road SE Massillon, Ohio 44646 Deliverance House (Adult Female) 1711 Spring Avenue NE Canton, Ohio 44714 Wilson Hall (Adult Male) 1680 Nave Road SE Massillon, Ohio 44646