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Supporting Paths to Health and Recovery 2011-2012 Annual Report Centerstone of Indiana

The mission of Centerstone is to prevent and cure mental illness and addiction. At Centerstone of Indiana we work to provide individuals and families the opportunity for recovery and health through availability of research-based mental health and addiction therapy, treatment, technology and education.

1 ANNUAL REPORT 2011-2012 CENTERSTONE OF INDIANA

from the CEO The path of a healthy organization is not unlike the course that an individual must chart. There is both beautiful and daunting terrain. A good map, supportive companions, the right tools and supplies, and a sense of hope are critical to initiating or sustaining a positive direction. But if we can stay the course and meet the challenges, we often find more success than perhaps we ever imagined possible. We were privileged this year to have been able to provide assistance to over 24,000 consumers and their families in southern and central Indiana, helping them to move down their path toward health and recovery. Last year, through the dedicated work of our nearly 900 staff, we continued with the tradition of developing new programs and enhancing existing services with some of the best evidence-based practices available. Clinical pathways were established for the treatment of substance use disorders, depression, trauma, and co-occurring physical health challenges. We expanded recovery oriented systems of care (ROSC) and added two new Recovery Engagement Centers. In addition we developed the now nationally recognized v-REC (virtual recovery engagement center) extending the reach of ROSC to more rural areas and using technology to enhance the quality of care. We built a state-of-the-art supportive housing development with 60 apartments now available for individuals and families who have faced both mental health issues and homelessness. Our routine use of outcome measures allows us to report definitively the improvements of those we work with. For example, there were improved health habits and health indicators among BE Well program participants – individuals who were dually diagnosed with a serious mental illness and another chronic health condition. And there was a 40% reduction in recidivism rates among Indiana Department of Correction referrals participating in our re-entry programs. Also, across the organization we saw decreased school absences, arrests, alcohol and drug consumption, and hospitalizations among youth and adult clients, as well as increased hours worked among adults. More recently, we partnered with the Mental Health Center of Denver to implement their recovery markers system for persons with serious mental illness, an enhancement in our ability to measure the distance traveled and progress made through treatment. It is an interesting time to lead a healthcare organization. There are many reasons to be optimistic about the role that behavioral health can play in our changing environment. Central characteristics of a reformed healthcare system include an increased focus on healthcare integration, recovery and wellness, health outcomes, consumer and family participation, and technology-enabled care. These are all strengths of community behavioral health organizations – and Centerstone in particular. So we are excited about this next phase of our journey to improve the lives and health of those we serve and look forward, expectantly, to the road ahead.

“Over every mountain there is a path, although it may not be seen from the valley.”

Theodore Roethke

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

2 ANNUAL REPORT 2011-2012 CENTERSTONE OF INDIANA

from the Board Chair Supporting health and recovery in the many communities of south central Indiana has been the primary goal of the Centerstone Board of Directors. Centerstone leadership and staff diligently carry out this work of providing assistance for children, adults, and families and improving their quality of life. When people are most vulnerable, it is good to know there are local services available to help them.

board of directors

As a board member and board chair, it has been my privilege and pleasure to serve as a volunteer in this capacity and meet regularly with community representatives, learn more of local mental health needs, and offer assistance in the direction of the organization so that these services might be sustained long term. I have seen the positive impact of Centerstone services in people’s lives .

Secretary Jennifer Embree, DNP

Terrye Davidson FY12 Chair Board of Directors Centerstone of Indiana, Inc.

Chair Linda Trader Immediate Past Chair Terrye Davidson

Board Members Robert Baltzell Lee Elzemeyer David Emmert, Esquire Gerald Gray Linda L. Hobbs John W. Mull Robert E. Neth Gilbert Palmer Stephen Pritchard, DDS Gary Riggle Kristi Rowell Rev. Gregory A. Russell Bradley Smith Catherine Stephen Stephen Taylor, Esquire Chief Executive Officer Suzanne Koesel, LCSW

3 ANNUAL REPORT 2011-2012 CENTERSTONE OF INDIANA

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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 $52,965,553, the Centerstone network includes more than 60 facilities in 17 Indiana counties throughout south and central Indiana. Centerstone served 24,284 Hoosiers this past year. Centerstone services go beyond diagnosis and treatment. Our programs also help individuals rebound from adversity, build on their strengths, and achieve life goals for recovery. Centerstone seeks to identify new treatments and even eliminate mental illness by participating in groundbreaking research studies with leading universities across the nation. CARF International Accreditation underscores our commitment to providing unmatched quality care as well as a diverse continuum of services. We are dedicated to providing for unmet mental healthcare needs within the communities we serve, focusing first upon those who need us most.

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the year in review 2011-2012 highlights • Focused on measuring and improving clinical outcomes, resulting in improved clinical outcomes measurement with more than 86% of clients – a 10% increase over last year • Measured an increase in the number of hours worked by adults, a reduction in the average number of days absent from school for youth, and a decrease in arrests, hospitalizations, and alcohol and drug use by adults and adolescents • Adopted clinical pathways for depression treatment, suicide prevention, substance use disorders treatment, recovery culture, life skills training, health navigator and trauma treatment

Centerstone of Indiana FOUR CORE VALUES Clinical Excellence Rewarding Experiences Service Excellence Fiscal Accountability

• Reduced Centerstone of Indiana client suicide rate by 57 percent • Implemented BE Well program to assist in improving life expectancy for seriously mentally ill by encouraging and supporting healthy behaviors which resulted in: 78% of participants losing weight – an average of 11.67 pounds; significant reductions in blood pressure, blood glucose and cholesterol levels of participants; several participants quitting smoking and many significantly reducing smoking – thereby making significant impact upon the overall health and long-term life expectancy of these individuals • Launched Project CARE in Monroe County, a program designed to improve long-term outcomes for previously incarcerated individuals through partnership with Indiana Department of Corrections (DOC) and resulting in providing services to 210 individuals and a 40% reduction in recidivism among them, as compared to DOC averages • Implemented the Project Rise program in Wayne County resulting in improved levels of education and employment status of participants, as well as doubling the number living independently 5 ANNUAL REPORT 2011-2012 CENTERSTONE OF INDIANA

2011-2012 highlights (continued) • Partnered with the Indiana Department of Child Services to provide child and family services resulting in a 13% increase in the number of participants over last year •

Responded to southern Indiana tornado victims in Washington, Jefferson, Ripley, Clark and Scott counties in coordination with Indiana DMHA Mental Health Disaster Coordination, Project Aftermath, training 35 volunteers and providing many hours of mental health care over many months •

Received two Mental Health America of Indiana Heroes in Recovery Awards for Foster Care Select and Recovery Engagement Center, reflecting our move to bring more of a recovery focus to our work and organizational culture

• Expanded Johnson-Nichols Health Clinic space in Spencer, Indiana, after acquiring Rural Health Clinic Status • Created and implemented a virtual Recovery Engagement Center, called e-ROSC, and provided tools to create a personal health record for substance abuse clients • Installed video conferencing equipment to allow access to Roudebush VA Medical Center for Rush County veterans and a video connection for mental health emergency services for Rush County Hospital emergency room patients • Opened Redwood Terrace, 60-unit apartment complex located on 13 acres at 1840 South 13th Street in Richmond, Indiana, for individuals with a diagnosed mental illness who have had difficulty in maintaining housing and who seek to re-establish themselves in permanent housing in the community • Expanded use of Outcome Rating Scale (ORS), Session Rating Scale (SRS) and implemented Feedback-Informed Treatment (FIT) tools to assist in outcome improvement and improved client engagement

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Revenues Centerstone Serves

Client Services 61%

County Funds 6%

Total number of individuals served by Centerstone of Indiana network in 2011-2012

Rents, Donations, Other 7%

24,294 Adults (18+) Children/Youth

Governmental Agency Grants & Contracts 26%

18,029 6,255

Referral Sources Self/Friend/Family

62.1%

Judicial/Corrections

15.2%

Public Health/Welfare

7.5%

Hospital/Clinic

6.3%

Physician

4.1%

Other Mental Health/ Addiction Provider

2.0%

School

1.6%

Other

0.9%

Business/Industry

0.2%

Government Agency

0.1%

Expenses Home and Community-Based Specialty Services 56%

Administration 14% Grant Funded Services 7%

Therapy and Medical Services 23%

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Centerstone Foundation More than 1.6 million people across Indiana face a mental health or addiction disorder every year. Centerstone is on the front lines of supporting these individuals, providing counseling, offering school-based services for our children, helping combat veterans and their families adjust to life after war, creating innovative substance abuse recovery programs, and implementing parenting, foster care, and adoption programs. The generous contributions from our friends listed below helped to provide vital services and support to more than 24,000 children, families, and individuals throughout southern Indiana this year. In addition, gifts invested in research will discover and expedite cutting edge treatments and cures for mental illness and addiction. Together, we make a difference in the lives of our loved ones and neighbors with mental health and addiction disorders while strengthening and advancing the care and treatment available in our community. Thank you again for your generosity.

Beth Rodriguez Director of Development Centerstone Foundation

Sustaining Donors Centerstone of Indiana July 2011–June 2012 Anonymous Shirley Arney Robert Backmeyer Robert and Marsha Baltzell Stanley H. Byram Foundation Kathy and Dennis Christoff Terry Lynn Clelland Community Foundation Partnership Mark and Terrye Davidson Delta Sigma Theta/Gamma Nu Kathy and Larry Dobbs Jennifer and Dave Embree David and Carolyn Emmert David Fry Robert Goode III Gerald Gray Linda Grove-Paul Susan Hailer

Larry and Mary Hayes Linda and Leo Hobbs Leatha Jackson Sherry Johnson Kendrick Foundation Belinda Kilgus Garry and Cheryl Kleer Suzanne Koesel Nancy and Steve Low Robert Mann Ghansham Manwani Gregory May Glenn Miller Robert and Carolyn Neth Gil and Dawn Palmer Judy Parshall Bernice Pescosolido Susan Pickens and Dave Borcherding

Stephen Pritchard and Penny Gaither Beth and Scott Rodriguez Ron and Kristi Rowell Gregory and Margaret Seifert Russell John Sharpnack Kenneth and Pat Shidler Robert and Elizabeth Siegmann Linda and Maurice Smith Virginia Stawicki Stephen and Barbara Taylor Ashleigh Tillett Linda Trader Treasure Trueblood Shannon Tulloch Mark and Dawn Uebel Robert and Kay Williams

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Homeward Bound 2012 On April 15, 2012, Centerstone staff and volunteers participated in Homeward Bound – Indiana’s 5K Walk to Fight Homelessness. Through the extraordinary efforts of our dedicated team, we raised nearly $10,000 to support those in our communities who are homeless or at risk of becoming so. Homelessness may not be what you envision – nearly 40% of those homeless are families with young children. Of those who are chronically homeless, the majority suffer from mental illness, as well as physical disabilities. Thanks to the generous individuals listed below who made a contribution through the Homeward Bound website and to the many others who participated in the creative events leading up to the walk, proceeds will be used to help address the root causes of homelessness and provide support and essential early intervention services to those most at risk. Anonymous (2) Jorge Aguilar-Sanchez Alesia Alm Dennis Alm Jennifer Alm American Legion Burton Woolery Post No. 18 Shirley Arney Anne Ashley Corbin Ashley Jenifer Avenatti Robb Backmeyer Andrew Barker Benjamin Barker Marta Barker Linda Barnhill Brandi Barthlow Kelly Bauermeister Kimberly Beck Laura Berry Bloomington AMVETS Post # 2000 Billy L. Bohn Mycal Brown Pat Burner David Caldie Linda Chapman Kathy O’Brian Christoff Patti Coil Jennifer Cook Don Creek Edith Cross Chad Davis Donald Davis Joan Davis Leslie Dawley Heather DelaCruz Jeana Delaney Samantha Delph

Andrea Didomenico Sally A. Dominique Lynn Evans Nicholas Ford Genoa Healthcare Holdings LLC Gordon Gibson Jill Giffin James and Alexandria Grannan Beth Gruenewald GL and Sherry Hardesty Jenny Harrison Steve Henchen Danielle Hensley Erica Higgs Tiffany Horn Cindy Houston Marge Hudgins Mackenzie Huth Denise Jackson Laura Jesseph Amy Jewell Jennifer Johnson Michael Jones Alison Kashmer Gary Keck Joe Kinderman Katie King Jason Kiser Suzanne Koesel Joni Koontz Vanessa Lane Anne Leach Jacob Leeds Nancy Low Bill May Gregory May

Douglas R. McCormick Kelsie McKinney Glenn Miller Rebecca Montgomery Demetri Morgan Karita Musgrave Chelsea Pacheco Scott and Amanda Pardue Susan Points Joanne Quimby Jessica Rabiola Patricia Rabiola Jennifer Radcliffe Linda Rallin Regions Bank Michael Reifert Beth Rodriguez David and Kelley Salvo Samuel and Elaine Salvo Kari Salyer Sarah Schenkel Beth Shalom Curtis Shaw Robert Siegmann SIHO Foundation Kristine Sills Ted and Roberta Stafford Katie Stephan Sarah Stewart Nannette Stone Lee Strickholm The Bloomington Metro Firefighters Gina Thomas Nikki Tumey Janice P. Vonsh Leah Whitmer Paulette Young

In-kind Donations

Aldi Applebees Balance Massage Therapy Britography Bloomingfoods Carmen Delgado Salon Curves Elan Salon Holler Hoppin Zip Lines IU Athletics Jay-C Jazzercise Kirkwood Photography Kroger Mariah Food Corporation Marsh Starbucks The Latest Glaze The Comedy Attic Wal-Mart

Every effort has been made to ensure the accuracy of this list. If your name is misspelled or not included, please contact the Development Office at – (812) 355-6355 or Beth.Rodriguez@centerstone.org

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leadership Thelma Chandler, MSW, CADAC-I, ICAC-II

Suzanne Koesel, LCSW Chief Executive Officer

Director of Clinic Services, East Region

Shirley Arney, MBA

Kathy O-Brian Christoff, LCSW

Chief Operating Officer for Clinic, Administrative, and Support Services

Director of Adult Recovery and Employment Services

Robb Backmeyer, MSW, MBA

Kenneth Conway, MD

Chief Operating Officer for Recovery Services

Assistant Medical Director, Central Region

Robert Siegmann, LCSW, MBA

Assistant Medical Director, East Region

Senior Vice President for Healthcare Integration and Collaboration

John Daugherty, MBA, CPA Vice President for Finance

Linda Grove-Paul, LCSW, MPA Vice President of Recovery and Innovation

Jenny Harrison, LCSW Vice President of Access, Emergency, and Clinic Services

Mark Jones, MD John Kenny, CPA Controller

Scott Lewellen Director of Marketing and Public Relations

Darcey Meridith, LCSW Director of Child and Family Services

Maria Nehrt, BGS Director of Environmental Services

Amanda Pardue, LMHC

Rona Krueger, MSW Vice President for Quality Improvement

Director of Clinic Services, West Region

Jerry Neff, MD

Ruth Ralph, LSW

Medical Director

Executive Director of Johnson Nichols Health Clinic

Shannon Castetter, MBA

Beth Rodriguez, MA

Director of Red Oak Industries

Director of Development

David Carrico, LCSW

Michelle Sears

Director of Adult Recovery and Residential Services

Director of Authorization, Credentialing, Access, Clinic Records and Support Services

We cannot hold a torch to light another’s path without brightening our own.

– Ben Sweetland

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Centerstone of Indiana Corporate Offices 645 South Rogers Street Bloomington, Indiana 47403 800.344.8802

Jennings County 1260 East Buckeye Street North Vernon, Indiana 47265 812.346.4468

Clinic Locations

Lawrence County 1315 Hillcrest Road Bedford, Indiana 47421 812.279.3591

Bartholomew County 720 North Marr Road Columbus, Indiana 47201 812.314.3400 Brown County 91 West Mound Street, PO Box 550 Nashville, Indiana 47448 812.988.2258 Clark County 335 Spring Street Jeffersonville, Indiana 47130 812.258.0310 Decatur County 1530 Commerce Park West Drive Greensburg, Indiana 47240 812.663.7057 Fayette County 390 E. Erie Street Connersville, Indiana 47331 765.825.4124 Henry County 3221 S. Memorial Drive New Castle, Indiana 47362 765.521.3010 Jackson County 1443 Corporate Way Seymour, Indiana 47274 812.522.4341 Jefferson County 3008 North Bevcher Drive Madison, Indiana 47250 812.265.1918

Monroe County 645 South Rogers Street Bloomington, Indiana 47403 812.339.1691 Morgan County 1175 Southview Drive Martinsville, Indiana 46151 765.342.6616 11370 North SR 67 Mooresville, Indiana 46158 765.342.6616 Owen County 272 North US Highway 231 Spencer, Indiana 47460 812.829.4871 Randolph County 325 South Oak Street, Suite 103 Winchester, Indiana 47394 765.584.1735 Rush County 201 Conrad Harcourt Way, Suites A & B Rushville, Indiana 46173 765.932.3974 Wayne County 831 Dillon Drive Richmond, Indiana 47374 765.983.8000

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Centerstone of Indiana, Inc. Corporate Office 645 S. Rogers Street Bloomington, Indiana 47403

Access Service 800.344.8802 Crisis Services 800.832.5442

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, substance use disorder, and integrated health 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. It is accredited by CARF International. For more information about Centerstone, please call 800-344-8802 or visit www.centerstone.org


Supporting Paths to Health and Recovery