Creating Possibilities

CC reating Possibilities 2010-2011 Annual Report for Centerstone of Indiana

884

Number of Centerstone of Indiana employees working to save lives and change lives.

Nothing limits achievement like small thinking; nothing expands possibilities like unleashed imagination.

– William Ward

TABLE OF CONTENTS 2 From the CEO 3 From the Board Chair Centerstone of Indiana Board of Directors 4 About Centerstone of Indiana 5 The Year in Review – 2010-2011 Highlights 7 Ages Served Referral Sources 8 Financial Information 9 Centerstone of Indiana Leadership 10 Centerstone of America Leadership

1/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

FROM THE CEO At the very heart of Centerstone’s Mission: To prevent and cure mental illness and addiction is the possibility and hope each individual has for recovery. Without this possibility, without this hope, the cycle of mental illness and addiction continues unabated.

This past year Centerstone staff in Indiana brought possibility and hope for recovery to more than 24,000 Hoosiers. We helped expand the concept of recovery for individuals with mental illness and addiction to include a more integrated system of care. We embraced the efforts of other treatment partners, legal system and health care providers, and volunteers by forming a more collaborative approach to recovery through a Recovery Oriented System of Care (ROSC) which now serves as a model for other Indiana substance abuse service providers. We furthered research into the most effective and efficient treatment protocols and supported approaches that emphasize overall health management, chronic disease management, social support system navigation as well as housing and employment services to more fully address the complete scope of individual need.

I continue to be impressed by the professionalism, innovation, and committment of Centerstone staff. I am also inspired by the courage of those who seek treatment for mental illness and addiction and humbled with the trust they place in Centerstone.

Suzanne Koesel, LCSW Chief Executive Officer Centerstone of Indiana, Inc.

Centerstone’s Mission is to prevent and cure mental illness and addiction.

2/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

FROM THE BOARD CHAIR Seeing the possibilities in the life of a child has been what my work as an educator has encompassed these many years. Extending the possibility of hope and recovery for struggling families as a Centerstone board member has been a rewarding way to be of service to communities in south and central Indiana.

I have seen first-hand the benefit of mental health treatment for children and families through my work in education and have had the privilege to work closely with the leadership of Centerstone as they continue to bridge the gap in care for mental health and substance abuse issues. I am proud to have been associated with this organization and its professional clinical staff.

Terrye Davidson Chair Centerstone of Indiana, Inc. Board of Directors

CENTERSTONE OF INDIANA BOARD OF DIRECTORS Terrye Davidson, Chair Josie L. Seybold, Vice-Chair Stephen Taylor, Secretary Stephen Pritchard, DDS Immediate Past Chair Robert Baltzell Jennifer Embree, DNP David Emmert, Esquire Gerald Gray

Linda L. Hobbs John W. Mull Robert E. Neth Gilbert Palmer Gary Riggle Kristi Rowell Rev. Gregory A. Russell Linda Trader Suzanne Koesel, LCSW, Chief Executive Officer

3/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

ABOUT CENTERSTONE OF INDIANA Centerstone is a not-for-profit organization, offering a full range of mental health services, substance abuse treatment and related educational programs to individuals of all ages and their families.

With a history that spans more than five decades and an annual revenue of $51,600,665, the Centerstone network includes more than 60 facilities across 17 Indiana counties throughout south and central Indiana and operates the Foster Care Select program in 24 counties. Centerstone serves more than 24,000 people each year.

Our service goes beyond diagnosis and treatment. Centerstone programs also help individuals rebound from adversity, build on their strengths and achieve their life goals. We seek to identify new treatments and even eliminate mental illness by participating in groundbreaking research studies with leading universities across the nation. The CARF International Accreditation underscores our commitment to providing unmatched quality of care and a diverse continuum of services. For those who need us most, we are dedicated to providing for unmet mental healthcare needs within the communities we serve.

Michigan - 2

Illinois - 3

Ohio - 95 Randolph

CENTERSTONE Counties where 100+ clients reside Counties where 1-99 clients reside Counties with Centerstone facilities

Jackson

Kentucky - 91

Fiscal Year 2010-2011

www.centerstone.org

We believe in the possibilities of lives changed forever through prevention, early intervention and research-driven treatments.

4/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS It is well documented that individuals with a serious mental illness die on average 25 years earlier than

the rest of the population. In order to address this issue, Centerstone launched the BE Well integrated

health program directed at managing the overall health of seriously mentally ill individuals

in Bloomington.

The Johnson-Nichols Health Center, a service of Centerstone, successfully acquired Rural Health Clinic status.

In the future, the delivery of mental health services will occur in partnership with other healthcare

organizations. For this reason, Centerstone established four new partnerships with Rural Health

Clinics/Federally Qualified Health Centers in Indiana, placing therapists in primary care settings.

The integration of physical and mental health care is on the horizon. In preparation for this

development, Centerstone implemented Health Navigator training with all adult and family

rehabilitation staff, improving their ability to assist clients with physical and well as mental health

care needs.

Centerstone was a founding developer of an integrated health state collaborative effort including the Indiana Council of Community Mental Health Centers, the Indiana Primary Healthcare Association, Behavioral Health Management of Indiana, The Indiana Division of Mental Health and Addiction and the Office of Medicaid Policy and Planning, in addition to Centerstone.

Centerstone participated in the development of the newly formed Mental Health Corporations of

America collaborative on integrated health.

Centerstone expanded the use of evidence-based protocols through implementation of an addictions clinical pathway and the launching of intensive trainings for all Centerstone of Indiana staff.

Centerstone successfully transformed its addictions day treatment program (Recovery House) to

Recovery Engagement Center using a cutting-edge care model, called Recovery Oriented Systems of

Care (ROSC), receiving state and national recognition.

The revision of the Indiana Medicaid Rehabilitation (MRO) Program resulted in significant changes in how intensive home and community-based services are delivered. Centerstone retrained its clinical staff, redefined jobs, and hired many additional staff in response to the new MRO plan, focused on individualized service delivery, skills development and modernized recovery models. Despite this major change in treatment delivery, Centerstone’s clinical outcomes exceeded state averages in all areas. (continued)

5/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS (continued) Centerstone absorbed the programming and staff of the Aurora addictions program of Reid

Hospital, expanding addiction services provided by Centerstone in the Richmond area.

In order to provide additional safe and affordable housing for the homeless mentally ill,

Centerstone broke ground and began construction on a 60-unit apartment complex in Richmond.

The Indiana Division of Child Services made significant changes this year, shifting the provision of children’s community-based mental health services to community mental health centers and

away from other providers. With this change, Centerstone saw an 8 percent growth in the

children’s services area, resulting in becoming the third largest community mental health care

provider to the Indiana Division of Mental Health at the end of the fiscal year.

Financial diversity is critical to Centerstone’s continuing ability to provide much-needed services in

its communities. Centerstone doubled its commercial insurance revenue and expanded grant

revenue by 33 percent. Grants acquired this year included the 60-unit apartment complex, BE Well

clinic, and Recovery Engagement Center initiatives.

In order to improve medical and emergency services, Centerstone integrated medical services

under one medical director and created a single on-call schedule across all medical teams.

Centerstone successfully transitioned to new leadership. Following Dr. Bob Williams’ 20 years of

dedicated and inspired service as Chief Executive Officer, Suzanne Koesel, LCSW, became

Centerstone’s second Chief Executive Officer.

Without leaps of imagination, or dreaming, we lose the excitement of possibilities. Dreaming, after all, is a form of planning.

– Gloria Steinem

6/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

24,713

AGES SERVED 55-74 11%

75+ 2%

0-5 1%

6-12 11% 13-19 15%

20-54 60%

Number of individuals served in 2010-2011 by the Centerstone of Indiana network.

Total 24,713

REFERRAL SOURCES Self

37%

Court/Judicial

25%

Physicians

11%

Hospital

11%

Government Agencies – state and federal

8%

Other

4%

Other Mental Health & Addiction Providers

2%

Schools/Educational

1%

Centerstone Staff

<1%

Business/Industry

<1%

Family or Friend

<1%

Managed Care Companies

<1%

Church/Religious Affiliation

<1%

TOTAL

100%

7/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

Centerstone programs provide a wide range of mental health and addiction services to children, adolescents, adults and seniors.

REVENUES County Funds 6%

Governmental Agency Grants & Contracts 28%

Rents, Donations, Other 9%

Client Services 57% Total $51,600,665

EXPENSES Grant Funded Services 5%

Therapy and Medical Services 27%

Administration 14%

Home and Community-Based Specialty Services 54%

Total $50,089,478

8/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

CENTERSTONE OF INDIANA LEADERSHIP Suzanne Koesel, LCSW Chief Executive Officer

Kenneth Conway, MD Assistant Medical Director, Central Region

Shirley Arney, MBA Chief Operating Officer for Clinic, Medical and Support Services

Linda Grove-Paul, LCSW, MPA Director of Addiction and Forensic Services

Robb Backmeyer, MSW, MBA Chief Operating Officer for Adult, Child and Family Specialty Services John Daugherty, MBA, CPA Vice President for Finance Jerry Neff, MD Medical Director Robert Siegmann, LCSW, MBA Vice President for Healthcare Integration, Lean Sigma, Addictions and Red Oak Industries Kelly Bauermeister, LCSW, MBA Director of Child and Family Services Shannon Castetter, MBA Director of Red Oak Industries David Carrico, LCSW Director of Adult Specialty and Residential Services Thelma Chandler, MSW, CADAC-I, ICAC-II Director of Clinic Services, East Region Kathy Oâ&#x20AC;&#x2122;Brian Christoff, LCSW Director of Adult Specialty and Employment Services

Jenny Harrison, LCSW Director of Clinic Services, Central Region Mark Jones, MD Assistant Medical Director, East Region John Kenny, CPA Controller Scott Lewellen Director of Marketing and Public Relations Darcey Meridith, LCSW Director of Foster Care Select Maria Nehrt, BGS Director of Environmental Services Amanda Pardue, LMHC Director of Clinic Services, West Region Ruth Ralph, LSW Executive Director of Johnson Nichols Health Clinic Beth Rodriquez, MA Director of Development Michelle Sears Director of Authorization, Credentialing, Access, Clinical Records and Support Services Maren Sheese, LCSW Director of BE Well Program

9/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

CENTERSTONE OF AMERICA LEADERSHIP

Centerstone of America exists to provide oversight and support for all companies of Centerstone.

Executive Cabinet

David Guth, Chief Executive Officer Debbie Cagle, Chief Executive Officer of Advantage Behavioral Health Tom Doub, PhD, Interim Chief Executive Officer of Centerstone Research Institute Linda Garceau, MBA, MA, Chief Executive Officer of Centerstone Foundation Barry Hale, Chief Administrative Officer Mike Jones, Executive Director of Not Alone Suzanne Koesel, LCSW, Chief Executive Officer of Centerstone of Indiana Bob Vero, EdD, Chief Executive Officer of Centerstone of Tennessee Gwen Watts, Administrative Chief of Staff Bob Williams, PhD, Chief Strategy Officer and CEO Emeritus

_______________

Michael Butler, CPA, Corporate Controller and Treasury Officer Lynn Chappin, Director of Human Resources Wayne Easterwood, Chief Information Officer Jan Goodson, Director of Grant Writing Sherry Harrison, MSSW, Corporate Compliance Officer Sarah Hirsch, MBA, Director of Contract Management and Managed Care Christy Hooper, PHR, Vice President for Human Resources Karen Keene, Security Officer Prasad Kodali, Director of Enterprise Applications Rona Krueger, MSW, ExecutiveVice President for Quality Improvement Howard McClung, Director of Technology Joe Moore, Finance Officer for Affiliates Brad Nunn, PhD, Executive Vice President for Measurement and Performance Improvement Ramona Rhodes, Vice President for Marketing and Public Relations Natalie Stone, Director of Web Communications Mark Uebel, Director of Business Solutions for SolutionsEAP

10/ 2010-2011 ANNUAL REPORT CENTERSTONE OF INDIANA

Learn more about Centerstone of Indiana www.centerstone.org facebook.com/Centerstone.org twitter: @Centerstone youtube.com/CenterstoneVideos

Centerstone, a not-for-profit organization, has provided a wide range of mental health and addiction services to Indiana residents for more than 50 years. Through more than 60 facilities in 17 Indiana counties, Centerstone serves more than 24,000 children, adolescents, adults and seniors each year. The organization also operates the Foster Care Select program in 24 counties. It is accredited by CARF International. For more information about Centerstone, please call 800-344-8802 or visit www.centerstone.org