2020 ANNUAL REPORT
A N A F F I L I AT E O F M E N TA L H E A L T H A M E R I C A A U N I T E D WAY A G E N C Y O F E X C E L L E N C E
820 37th Place Vero Beach, FL 32960 772.569.9788 772.569.2088 www.mhairc.org
MISSION To provide immediate access with no barriers to mental health care. It’s Okay to Get Help! VISION Individuals will be afforded an opportunity for an improved quality of life through access to a continuum of care, reduced stigma of mental health issues, and increased integration and acceptance within a community that has an informed understanding of mental health issues. PROMISE Our promise is to operate as a model agency for mental health care, sustaining a superb staff and facilities, and administering the agency with high standards of innovation and professionalism. ABOUT The Mental Health Association in Indian River County (MHA) is the only mental health care agency in the county that operates a Walk-In & Counseling Center where Indian River County residents (children and adults) can receive an immediate mental health screening, free of charge without an appointment. We provide a full range of mental health services. The MHA also operates three peer-run Drop-In Centers, which provide a safe haven for adults with severe & persistent mental illness, open 365 days per year. ON THE COVER “Jungle” Turtle at Humiston Park Painted by Ruth Ann Holt
ME N TAL HEA LTH A S SO C I ATI O N IN IND IA N RIV ER COUNTY
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BOARD OF DIRECTORS
2019/20
CHAIRMAN Ross Cotherman VICE CHAIR Steve Erickson TREASURER Richard Yarborough AT LARGE Jamie Bell Anne Lanier Kyle Melanson Stacey Morabito Tyler Puttick Justin Larson Susana Marikle, PsyD CEO Dr. Philip Cromer
DEAR FRIENDS, To say the fiscal year 2019-20 was challenging for the MHA would be an understatement. The year began with a strategic focus to increase public awareness of MHA and its programs available to the local community. The MHA’s highly successful School Violence and Suicide Prevention program was expanded to include the Charter High School and other schools not included under the Indian River School District umbrella. The MHA’s Annual Fundraiser, MHA ROCKS!, was a success, generating over $100,000. The new webpage, rebrand, and Marketing and Public Relations blitz termed the “Tidal Wave Campaign” was in full swing and beginning to yield noticeable dividends. We were having great success in raising awareness and combating the negative assumptions associated with mental health. Numbers were up in terms of therapy sessions as well as revenue, when, in late February, the world faced what would come to be known as the COVID-19 pandemic. Although many businesses shut down for three to six months or more, the MHA’s doors remained open. And although donations slowed and people stayed home during the initial six weeks of the pandemic, we chose to keep our doors open in order to continue critical care for our clients as well as for many new clients. We evolved the way mental health services were delivered to clients by adopting telehealth, as well as continuing to provide in-person and virtual same day screenings. 2
To meet the increasing demands of the community and the school system, we hired a psychologist, Dr. Phil Cromer, in April 2020, who became our Chief Executive Officer in January 2021. In addition, we welcomed new Psychiatrist/Medical Director, Dr. Jessica Olsen, along with Psychiatric Nurse Practitioner, Christina Atkinson, APRN, in order to meet demanding and increasing needs for psychiatric services. Chief Brand Officer, Sheana Firth, received international recognition for exceptional design and communication for MHA’s 2019 Annual Report; she accepted a Summit Creative Award in June and is scheduled to present at the Mental Health America National Conference this summer. In September, the MHA announced the successful implementation of a new program for veterans and first responders made possible through a grant from Gold Star Mothers. Jim Ranahan, a retired Navy Veteran and former social worker at the MHA, hosts at the Vero Beach Drop-In Center every Wednesday. As the pandemic persists, the need for affordable and immediate mental health services continues to grow. As a nonprofit, the MHA simply cannot do it alone and wishes to thank donors, like you, who support us through thick and thin. Sincerely, Ross Cotherman, Board Chairman
ME NTAL HE ALT H ASSOCIAT ION IN INDIAN RIVE R COUNT Y
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BY THE NUMBERS Unduplicated Served Mental Health Screenings Resource Consultations Diagnostic Assessments Psychotherapy Visits Case Management Visits Psychiatry Visits Group Therapy Support Groups/ Psycho-Edu Classes Mental Health Court Peer Support
Walk-In Center
Drop-In Centers
917 640 449 338 4655 143 898 138 120 --
464 -------922 1011
319
640
Unduplicated Children
Mental Health Screenings
served at the Boys & Girls Clubs of Indian River County
1,383 Students Served
through the Erika’s Lighthouse Program in 2019/20
performed at our Walk-In & Counseling Center
3
ve a e l I “ y r e v e y p a r e th ng i l e e f week ent, d fi n o c d n a y p hap ” . l u f e hop 4
The MHA also provided 4655 Psychotherapy Sessions.
ME NTAL HE ALT H ASSOCIAT ION IN INDIAN RIVE R COUNT Y
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69% of clients discharged during the year were discharged with favorable outcomes. 449 individuals screened and confirmed their safety within 48 hours following intervention, proving our program prevents avoidable harm. During this time period, staff made personal contact with
We significantly lowered anxiety and depression levels. Last fiscal year, clients ages 12 and up who completed treatment had average point decreases 7.7 points lower to reduce problematic anxiety and 9.8 points lower to reduce problematic depression. This is significant as 5 points lower on the GAD7 scale for anxiety and the PHQ9 scale for depression is broadly regarded as a successful outcome. Our care was
rated as exemplary and helpful by those whom MHA has
93% of walk-in and follow-up clients who completed satisfaction surveys rated MHA treatment as appropriate and professional and 95% felt we were helpful in meeting their needs. 87% agreed that without the Walk-In & Counseling Center they would not have gotten needed help. served.
In our Optum Behavioral Health Network quality analysis review, we received
CMHS/Agency Site Review score of 100% and a Treatment Record Review score of 100%. This independent audit reflects the great a
quality of our agency’s clinical services and treatment delivery.
WALK-IN & COUNSELING CENTER 5
According to Mental Health America’s State of Mental Health in America, 1,560,288 people took an online mental health screening nationally from January to September 2020 and accessed immediate resources and support through Mental Health America’s Screening Program, offered through MHA National and affiliates alike. The number of people looking for help with anxiety and depression has skyrocketed.
315,220
people took an anxiety screening (93% increase from 2019)
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COVID AND MENTAL HEALTH
In September 2020,
534,784
people took a depression screening (62% increase from 2019)
more than 80%
of people who took an anxiety or depression screening scored at moderate or severe levels.
ME NTAL HE ALT H ASSOCIAT ION IN INDIAN RIVE R COUNT Y
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At our Walk-In & Counseling Center, 47% of Walk-In Screenings confirmed COVID has negatively affected their mental health.* *from April 2019 through September 2020.
42% of people who came in for a screening reported an increase in the intensity of symptoms since the start of the pandemic.
36% of people who came in for a screening reported the onset of new or emerging symptoms since the start of the pandemic.
11% of people who came in for a screening reported that their visit was directly related to the pandemic. 7
97%
NON-RECIDIVISM* RATE VERO
ANNUAL TOTAL
Unduplicated Members
197
Visits
7,522
*NOT REPEATING AN UNDESIRABLE BEHAVIOR AFTER EXPERIENCING THE NEGATIVE CONSEQUENCES OF THAT BEHAVIOR
98%
ANSWERED YES
MARTIN COUNTY
ANNUAL TOTAL
Unduplicated Members
122
Visits
3,046
OKEECHOBEE COUNTY
ANNUAL TOTAL
Unduplicated Members
145
Visits
6,112
“IS THE DROP-IN CENTER IMPORTANT TO YOUR WELL-BEING AND/OR RECOVERY?” - CLIENT SATISFACTION SURVEY
Thank you for keeping the center open during COVID19. We need the help here. What our members like the most about our Drop-In Centers 90%
GETTING SUPPORT
86%
SOMETHING TO DO
81%
MAKING FRIENDS
76%
SHARING COMMON INTERESTS
81%
SUPPORTING MY RECOVERY
81%
MEETING PEOPLE
Member Satisfaction Surveys were completed by 121 clients on a voluntary basis at the Vero Drop-In Center from Oct 2019 through Sept 2020.
DROP-IN CENTERS 9
BOYS & GIRLS CLUBS OF INDIAN RIVER COUNTY
This program was made possible by Quail Valley Charities to build functional living skills in Indian River County youth. The results from 2019-2020 program speak for themselves.
1,521
Psycho-Educational Interventions provided to youth served to date.
I can’t believe all I have to do is ask to find the help I need.
319
Unduplicated Youth Served
Ages 8-18 at the Boys & Girls Clubs of Indian River County
78% of youth reported feeling positive
about the program and that they learned from the program
76%
of youth reported
that the program helped them.
With funding from the Indian River Community Foundation and the Indian River Hospital Taxing District, the MHA’s School Violence & Suicide Prevention Program implemented Erika’s Lighthouse, an evidence-based, depression awareness and suicide prevention curriculum. The program provides a safe
SCHOOL VIOLENCE & SUICIDE PREVENTION PROGRAM
space for students to learn about depression, to remind students that they are never alone, and to assure them that there is somewhere to turn. Prior to the pandemic, the MHA School Violence & Suicide Prevention Program was able to reach students from Indian River County School District high schools as well as the Charter High School. After seeing 970 students in the year ending 2019, MHA staff was able to reach 1,383 students from 6TH through 12TH grades this year.
1,383
Students Served
124 hours
of school-based crisis intervention
in our 2019-20 Erika’s Lighthouse program
37 hours
of critical incident response M E NTAL H EA LTH A S SO C I ATION IN IND IA N RIV ER COUNTY
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VIRTUAL CONNECTIONS Amid all the changes brought to our community and the rest of the world, COVID-19 sent a shockwave through the healthcare industry that forced everyone to adjust how we deliver necessary services to those in need. Namely, we had to quickly find a way to scale-up web-based delivery methods in a small amount of time. There were some hiccups and growing pains, without a doubt, but we did it. As fast as we could, we invested in as many webcams as were still on the shelves and set our clinicians up with doxy.me, a HIPAA compliant telehealth platform where clients and clinicians can talk face-to-face while adhering to social distancing guidelines. Next, we employed Zoom to hold committee and staff meetings and continued to participate in community forums and group discussions. In May, we launched our first-ever virtual monthly support group facilitated by a clinician. Our Mood & Anxiety Support Group offers attendees the chance to speak with others about dealing with Depression, Bipolar Disorder, Anxiety and/or Panic Attacks. We opened this group to all adults who are struggling with mood fluctuations during this trying time so they can relate to others who understand and can learn skills and strategies to cope with these conditions. We plan to continue this group virtually every third Wednesday at noon through Zoom as well as add new classes and groups. 12
NOTEWORTHY NEWS The Hospital District awarded the MHA $75,000 for the continuation and expansion of our School Violence & Suicide Prevention program, allowing us to reach Middle and High School Students through the coming year. The Indian River Community Foundation awarded the MHA a $50,000 grant to further expand our School Violence & Suicide Prevention Program, Erika’s Lighthouse. The Foundation also agreed to an additional $25,000 match. The MHA successfully launched a weekly veterans meet-up with the help of a generous donation from the Indian River County Gold Star Mothers. The COVID-19 pandemic placed a community-wide focus on mental health. Early on, we decided that we could not and would not close any of our centers. We chose instead to reduce the hours of operation at our three Drop-In Centers, while limiting the number of members allowed inside. The Walk-In & Counseling Center remained open to serve the increasing need in the community, seeing a 30% increase in walk-ins. We were able to quickly adapt to telehealth delivery methods with the help from the United Way CARES fund and we plan on utilizing these new methods moving forward. We continue to see sharp increases in the severity and acuity of symptoms, making the services we offer that much more important to the health of our community.
WITHOUT YOUR SUPPORT WE WOULD NOT HAVE BEEN ABLE TO ACCOMPLISH THE FOLLOWING: Provide
640 free mental health screenings for Indian River County residents.
Provide
free same-day assistance and crisis intervention for safety
planning for Indian River County residents when they are in a crisis situation. Provide
free services for IRC Children, Teens and Veterans. 138 group therapy sessions and provide PsychoEducational Classes to 83 adults.
Complete
917 unduplicated clients at the Walk-In & Counseling Center, complete 338 diagnostic assessments and host 37 support groups.
Serve
MAKING AN IMPACT 14
464 members to our three Drop-In Centers for a total of 16,680 visits.
Welcome
ME NTAL HE ALT H ASSOCIAT ION IN INDIAN RIVE R COUNT Y
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THANKS TO OUR PARTNERS Grand Harbor Community Outreach Indian River Community Foundation Indian River County Indian River Hospital District Indian River Gold Star Mothers Jim & Billie Ellis Foundation John’s Island Community Service League John’s Island Foundation KT Family Foundation Quail Valley Charities Southeast Florida Behavioral Health Network United Way of Indian River County 15
FINANCIAL SUMMARY The cash position of the MHA on September 30, 2020 was:
Endowment Fund................... $436,172
REVENUE
16
A N A F F I L I AT E O F M E N TA L H E A L T H A M E R I C A
Brognoli Endowment............. $31,099
EXPENSES
PROFIT & LOSS
2020
Unrestricted PUBLIC SUPPORT & REVENUES
Temporarily Restricted
Total
4,720 --- --- --- --- --- --- --- --- (35,676)
219,991 1,214,364 105,245 (35,085) 162,762 10,244 --7,947 3,981 ---
Contributions 215,271 Grants 1,214,364 Fundraising income 105,245 Cost of direct benefit to donors (35,085) Program fees 162,762 Interest income 10,244 Gain on disposal of asset --- Unrealized/realized gains (losses) 7,947 Miscellaneous income 3,981 Net assets released from 35,676 restrictions
Total Public Support & Revenues PPP forgivable stimulus loan
$1,681,820
$(35,676)
$1,646,144
Unrestricted EXPENSES Program services Drop-in Centers Walk-In Center Total Program Activities
Management & General Fundraising
Total Expenses
2020 Temporarily Restricted
Total
403,181 1,160,522
--- ---
403,181 1,160,522
1,563,703
---
1,563,703
44,434 191,914
--- ---
44,434 191,914
1,800,051
---
1,800,051
Increase (Decrease) In Net Assets Net Assets, Beginning of year
119,212 (30,956) 88,256 1,081,485 70,651 1,152,136
Net Assets, end of year
$1,200,697
$39,695
$1,240,392
$198,858
Retrieved from 2019-2020 MHA Auditor’s Report
Mental Health Association in Indian River County A U|N2018 I T E D Annual WAY AReport GENCY
OF EXCELLENCE
17 17
{the} MHA has transformed my life.
EASY WAYS YOU CAN CHANGE A LIFE
We are registered with the Fla. Dept. of Agriculture and Consumer Services. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE (800) 435-7352 WITHIN THE STATE OR VISIT THE WEBSITE AT 800HELPFLA.COM. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. Our FDACS Registration#: CH-4331and our IRS EIN # is 59-1693337.
#1 Make a Financial Contribution (cash or stocks). Big or small, your gift means we can continue to positively change and even save the lives of residents in our community. #2 Volunteer Your Time. Do you have a special skill or talent that would benefit our clients or organization? Come talk to us to discuss opportunities for you to make a real difference in our community. #3 Host an Informational Activity. Do you love to host gatherings of friends for breakfast, lunch, etc.? You can help us spread the word by introducing your friends to the MHA at these gatherings – feel free to contact us to assist in such communications. #4 Give an In-kind Donation. We’re always in need of advertising space or air time so we can get our message out, gift cards, items for our silent auctions and food for our Drop-in Centers. #5 Stay up-to-date with the MHA News and Engage in Social Media. Help us spread our critical message that “It’s Okay to Get Help.” Find us @MHAIndianRiver on Instagram, Facebook, Twitter & LinkedIn. #6 Planned Giving/Legacy Gifts. Including the MHA as a beneficiary in your retirement plans, will, living trust, life insurance or charitable annuities offers an opportunity for you to extend your legacy for future generations. Your attorney/accountant can assist you with your planned gift. Our IRS EIN # is 59-1693337. #7 Make a Five-Year Promise. Show your commitment to the Mental Health Association in Indian River County by pledging an annual amount for the next five years. #8 Amazon Smile. Add the Mental Health Association in Indian River County as your charity of choice at smile.amazon.com and don’t forget to update your bookmarks! #9 Use Your Spare Change. The transactions which helps the MHA support our community.
M E NTAL H EA LTH A S SO C I ATION IN IND IA N RIV ER COUNTY
allows you to automatically donate the change from your credit or debit card
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SPECIAL THANKS TO OUR DONORS (OCTOBER 2019 - SEPTEMBER 2020)
$10,000 - $100,000 American Gold Star Mothers, Inc. Bernard A. Egan Foundation, Inc. Ms. Karen Black Camp-Younts Foundation Charles Genoni John P. Genoni John & Nicki Genoni L & G Fund The Prentice Foundation Toyota/Kia of Vero Beach $5,000 - $9,999 Mr. & Mrs. William Becker Girard Equipment Inc. McKeen Fund James & Margaret McLaughlin Harold & Nancy Ofstie Michael & Kathie Pierce Princeton Wealth Advisors Scott & Cristina Prouty Dr. & Mrs. W. King Stubbs Jr. Rehmann John & Genevieve Reitano Donald & Patricia Riefler
$5,000 - $9,999 Rebecca Streetman Fund Williams Family Fund $1,000 - $4,999 Stephan & Lucia Bailey Family Foundation Scott & Jennifer Beckwith Builders East, Inc. James H. Carney Pete Charamut Cleveland Clinic Jay & Maryellen Conefry Ken Cooper Ross & Connie Cotherman Ms. Ocella Covill James & Dorothy Currie Mr. & Mrs. Alfred C. DeCrane Olivia Delacruz Foundation Enterprise Holding Foundation Barbara Fargnoli Kit & Lundy Fields George E. Warren Corp. Mr. & Mrs. Roger Haines Elizabeth Hazard
$1,000 - $4,999 The Hill Group J.M. Hopwood Charitable Trust Nancy Hopwood Rody & Tommye Johnson The Kahle Foundation Robert Kusch Ms. Anne Lanier Lanier Family Foundation Genia Leonard Live Like Cole Foundation Macata Stone Company Callie & Mark Marques Bob & Ellie McCabe Alex McWilliam Real Estate Jeff & Dana Mead Edward & Dawn Michael Minotty Family Foundation Ruth Moore Jerry & Stacey Morabito Patricia Nick William Norris Mr. Scott Nuttall Oak Harbor Run Vero
$1,000 - $4,999 Ms. Chris Sexton Amanda Simpson Dale Sorensen Real Estate Andrew & Jean Taylor Varietals & More Patrick & Margaret Walsh $500- $999 Abbate Tile & Marble B & W Growers Leo Badalamenti Bailey Family Foundation Paul & Camille Battista Daniel & Tracey Bockhorst Robert Brackett Gary M. Brost Patricia Brown Rich & Sherry Brown Ms. Jacqueline Carlon Frank Charamut Complete Marine Services Mr. & Mrs. Edward Dayton Joseph & Diane DeLuca Rebecca Emmons
SPECIAL THANKS TO OUR DONORS (OCTOBER 2019 - SEPTEMBER 2020) $500- $999 Mr. & Mrs. Steve Erickson Stephan Evans FBC Mortgage LLC Charles Garris Kathie Gaston Valerie Grassano Tonya Hawkins Mr. Todd Heckman Mr. Raymond Hengerer Lori Higdon Indian River Project Mgmt, Inc. Roy & Patsy Lambert Wanda Lincoln Laurin Lott Pohl Frank Mackle Mrs. Melissa Medlock Kyle Melanson Mike & Karen Mersky Rudolph Muller Patricia Nick Brittany Nuzzi Oak Harbor Club Piper Aircraft, Inc. Anne Posey
$500- $999 Michael D. Rhoads SAD Foundation Sur la Mer Salon Jeff Thompson In-Kind Friends of the MHA ABC Printing Angela Guzenski Anne Lanier Ar Pat’s Dry Cleaners Barbara Sharp Art Big Shots Golf Bob Soos Bowen Therapy Chris Sweeney Christopher’s Salon Cindy Goetz Citron Bistro City Guide Coastal Creations Coste d’Este Resort Dillard’s Elegance by the Sea Environmental Learning Center
In-Kind Friends of the MHA Falasiri Rugs Geoff Moore InsideTrack Almanac Jean Clark Jerry & Stacey Morabito Jesse Strang Jewelry by Clair Jim Wilson Photography Joanne Quaile Main Street Vero Beach Marcia Littlejohn Marsh Landing McKee Botanical Gardens Monti’s Flowers Paris Productions Riverside Theatre Sara Campbell Boutique Sue Hunt Sunshine Furniture Treasure Lane Wild Thyme Catering Youth Guidance
Honorable Legacy The Robert H. and Augusta G. Vinson Charitable Remainder Trust Special Gratitude to the Family of Tyler Heiserman John P. Genoni Charles Genoni John & Nicki Genoni In loving Memory of David C. Garfield Tyler Heiserman Robert F. McCabe James Mead Rodney Meadows To the numerous donors who gave any amount whom we did not list, we sincerely appreciate your support!
Note: We made a sincere effort to ensure this list is accurate and complete. If there are any errors or omissions, please accept our sincere apologies and notify us by calling 772-569-9788 x126. Also, please contact us if you desire to remain anonymous in any future publications.
It’s OKAY to Get Help!®