Believing in Possibilities

Believing in

Possibilities 2010-2011 Annual Report for Centerstone of Tennessee

957

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

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

TABLE OF CONTENTS 2 From the CEO 3 From the Board Chair Centerstone of Tennessee Board of Directors 4 About Centerstone of Tennessee 5 The Year in Review – 2010-2011 Highlights 7 Advisory Board of Trustees Consumer and Family Advocacy Council 8 Ages Served Referral Sources 9 Financial Information 10 Centerstone of Tennessee Leadership 11 Centerstone of America Leadership

1 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

FROM THE CEO To work in the area of community behavioral healthcare is, without doubt, a special privilege. As healthcare providers, we work with individuals and families whose lives have been impacted by mental illness or addiction disorders, and oftentimes both. Their hope lies in timely and effective care – their future entrusted to our compassionate understanding, skills and expertise.

Their effective treatment requires not only the best of our science but, moreover, the best of ourselves. It is our responsibility to give them our best and continue to create new possibilities.

As an organization driven by a mission to prevent and cure mental illness and addiction, we believe in the possibilities of lives changed forever through prevention, early intervention and research-driven treatments. We know that together we can see happiness restored, futures reclaimed and minds and bodies healed – it happens every day, in fact.

We are not alone in our belief. We have so many partners with whom we share this mission. Their belief in Centerstone allows us to fulfill our mission and the accomplishments highlighted in this report reflect the dedicated work, cooperation and collaboration of many.

As we present this annual report to the community, we reflect on our past and look to the future. Our sights are set on the opportunities that await us – every call to Centerstone is an opportunity to positively change someone’s future and pursue possibilities.

Sincerely,

Robert N. Vero, EdD Chief Executive Officer Centerstone of Tennessee, Inc.

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

2 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

FROM THE BOARD CHAIR On behalf of the Centerstone of Tennessee Board of Directors, it is my honor to present this annual report to the community. Inside these pages contains the work of nearly a thousand dedicated staff members, serving nearly 50,000 Middle Tennesseans. Our ability to continue to provide life-saving services to so many is a testament to our belief in our mission and in the endless possibilities of the human spirit.

I joined the board of directors at Centerstone because I found in Centerstone a caring and well run organization, but moreover, a family of professionals, working for families to make our communities a healthier place for all.

We do not do this alone so we thank you for your partnership, your gifts and your support.

Lee Ann Ingram Chair Centerstone of Tennessee, Inc. Board of Directors

CENTERSTONE OF TENNESSEE BOARD OF DIRECTORS Lee Ann Ingram, Chair Janet Ayers, Vice-Chair Jim Sweeten, Secretary Joan Sivley, Immediate Past Chair Richard Baxter, MBA, PhD, DBA Brenda Corbin Ansel L. Davis Father Fred Dettwiller Vincent W. Durnan, Jr. Mark Faulkner

R. Parker Griffith Christa N. Holleman Lavinia Johnston Albert L. Menefee, III Dana Oman Carmen Reagan, EdD Steve Saliba Sperry Bell Stadler Commissioner Deborah Taylor Tate Robert N. Vero, EdD, Chief Executive Officer

3 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

ABOUT CENTERSTONE OF TENNESSEE 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 55 years and an annual revenue of more than $66 million, the Centerstone network includes 50 facilities and 160 school and community partnership locations throughout Middle Tennessee, serving nearly 50,000 individuals 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 ground breaking research studies with leading universities across the nation. Our 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.

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

Kentucky - 218 Robertson

Stewart Obion

Dyer

Weakley

Henry

Davidson

Gibson

Smith

White

Lewis

Hardin

Wayne

Maury

Jefferson

Knox Roane

Cocke Sevier

Blount

Bedford Coffee

Giles

Carter

Cumberland

Warren

Perry

Sullivan

Hancock

Greene

Morgan

Hickman

Chester

Claiborne Scott

Putnam

DeKalb

Williamson

Madison

Fayette

Wilson

Carroll

Tipton

Shelby

Pickett

Overton

Houston

Crockett

Clay

Sumner Macon

Lincoln

Franklin

Grundy

Marion

McMinn Monroe

Polk

Alabama - 55

CENTERSTONE Counties where 100+ clients reside Counties where 20-99 clients reside Counties where less than 20 clients reside Counties with Outpatient Facilities Counties with Case Management Services / Therapeutic Foster Care Services

Fiscal Year 2010-2011

www.centerstone.org

4 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS Responding to requests to serve West Nashville, Centerstone opened a new private practice model

clinic at 4525 Harding Pike.

Despite the bleak national and state unemployment picture, Centerstone increased its full time

staff by more than 15%.

Accountability in healthcare requires cost-effective care with proven clinical outcomes. Responsively, Centerstone trained all of its outpatient clinicians, School-Based, Intensive In-Home and

Community-Based Case Management staff to collect data regarding treatment outcomes, as well

as client satisfaction (Client Directed Outcomes Inventory [CDOI]).

Meeting a service gap in Middle Tennessee, Centerstone expanded its Community-Based Case

Management services for Children and Adolescents by approximately 50% over the previous fiscal year.

Our Case Managers play a critical role in navigating the complex healthcare delivery system.

Better healthcare coordination means better healthcare outcomes. Using an evidence-based,

internationally-supported curriculum, Centerstone trained all of its Adult Case Managers to be “Healthcare Navigators.” Now we are more informed and better equipped to assist our clients in

meeting both their physical and behavioral care needs. We also increased our Adult Case Management staff by 21%.

When Wilson and Humphreys counties asked for additional Centerstone services, especially for their youngest and most vulnerable residents, Centerstone responded by expanding our School-Based

Services in these counties.

Centerstone expanded its continuum of Foster Care services to the underserved Southeast and

Southwest regions of Tennessee.

The State of Tennessee’s Department of Children’s Services (DCS) again recognized Centerstone’s

exemplary treatment outcomes for children and adolescents by awarding it additional funding within its

Performance-Based Contracting System.

At Weems Academy, our special education school in Clarksville, we implemented a new program

called “Response to Intervention, School-Wide Positive Behavior Support,” resulting in a 58% reduction of serious incident reports last school year. (continued)

5 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

THE YEAR IN REVIEW – 2010-2011 HIGHLIGHTS (continued) Centerstone understands the importance of safe, affordable and permanent housing in the lives of individuals and families—especially those recovering from mental illness and/or addiction disorders.

This year we broke ground on our new apartment complex in Dickson, Tenn. The complex will provide permanent housing for eight individuals. Construction will be completed in February 2012.

Telephone “hot lines” are often life lines to those contemplating suicide. Our nationally certified Crisis Call Center responded to 26,615 calls from people in crisis.

Centerstone offered Mental Health First Aid, a nationally recognized educational curriculum about mental illness and its impact. As a result, there are more than 200 Middle Tennesseans who better understand mental illness and addiction and more importantly, how they can help someone in crisis.

Health Care Reform seeks to create more accountability in healthcare delivery as well as more meaningful and improved coordination of care among providers. This year, Centerstone enhanced its electronic health record (EHR) by adding an electronic prescribing module for our physicians and advanced practice nurses. Prescription information is now more reliable and can be coordinated across prescribers, lowering the risk of unintended drug-drug interactions or abuse.

Through a grant from the Department of Labor, Centerstone opened its Career Resource Center to provide training, education and job placement in the Allied Health professions for underemployed and unemployed Middle Tennesseans in Maury, Bedford, Coffee, Marshall and Lawrence counties.

Centerstone introduced its substance abuse and HIV awareness prevention program to Montgomery, Cheatham, Dickson, Houston, Robertson and Stewart counties. The “Be Aware” Program is funded by the U.S. Department of Health and Human Services and the SAMHSA Center for Substance Abuse Prevention.

We all see the physical and emotional consequences associated with teen pregnancy. Through a grant from the Department of Health and Human Services, Office of Adolescent Health, Centerstone implemented “Be in Charge,” a new teen pregnancy prevention program offered to 26 Middle Tennessee Counties.

It is better to believe than to disbelieve; in so doing you bring everything to the realm of possibility.

– Albert Einstein

6 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

ADVISORY BOARD OF TRUSTEES Centerstone’s Advisory Board of Trustees provides a structure for county participation and consultation, which helps maintain and improve services of Centerstone. It consists of members from throughout Middle Tennessee.

Mayor Howard Bradley, Chair Robertson County

Mayor Janet Vanzant Giles County

Mayor Joe Boyd Liggett Marshall County

Mayor Eugene Ray Bedford County

Mayor G.E. Clark Houston County

Mayor Jim Bailey Maury County

Mayor David McCullough Cheatham County

County Executive Jessie Wallace Humphreys County

Mayor Carolyn Bowers Montgomery County

Mayor David Pennington Coffee County

County Executive J. Mack Chandler Lawrence County

Metro Executive Sloan Stewart Moore County

Mayor Bob Rial Dickson County

Mayor Van Ward Lewis County

Mayor John Carroll Perry County

Mayor Richard Stewart Franklin County

Mayor Peggy Bevels Lincoln County

County Executive Jason Rich Wayne County

CONSUMER AND FAMILY ADVOCACY COUNCIL Centerstone’s Consumer and Family Advocacy Council provides a structure for advocacy leader participation which helps Centerstone maintain and improve services and diminish stigma toward mental illness and substance abuse.

Richard Baxter Betty Bernard Bethea Drew Carl Groendes Ginger Hoogesteger Laurie Jewett Kathy Kalipetsis Bonnie Kelly

Irene Mockabee Cheryl Russell Anne Sheridan Joan Sivley Ellen Smith Bessie Summar Patricia Williams Catlin Wright

7 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

49,174

AGES SERVED 55-74 10%

20-54 46%

75+ 1%

Unspecified 9%

0-5 3%

6-12 17% 13-19 14%

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

Total 49,174

REFERRAL SOURCES Self

51%

Family or Friend

18%

Hospitals

13%

Physicians

5%

Other Mental Health & Addiction Providers

4%

Other

4%

Government Agencies – state and federal

1%

Centerstone Staff

1%

Managed Care Companies

1%

Schools/Educational

<1%

Business/Industry

<1%

Court/Judicial

<1%

Military

<1%

Church/Religious

<1%

TOTAL

100%

8 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

Centerstone programs help individuals rebound from adversity, build on their strengths and achieve their life goals.

REVENUES Crisis Services 7%

Other Program Services 5%

Administrative 2%

Clinic Services 38%

Specialized Services 48% Total $66,220,082

EXPENSES Crisis Services 7%

Other Program Services 4%

Administrative 2%

Clinic Services 41%

Specialized Services 46%

Total $65,459,714

9 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

CENTERSTONE OF TENNESSEE LEADERSHIP Robert N. Vero, EdD Chief Executive Officer

Ben Middleton, MS Chief Operating Officer for Clinic Services

Sallie Allen Vice President for Customer Care and Facility Operations

Mary Moran, LPC-MHSP Director of Specialized Services for Adults

Kathy Ballinger, MA Director of Intensive In-Home Treatment Services and Trauma Care Kris Blount, SLPE Director of Adult Residential Services Michelle Covington, MA Director of Community Based Services for Children Gino DeSalvatore, MS Director of Residential and Academy Services Rudy Gregory, LPC Regional Director of Clinic Services Southeast Region Beth Hail, LCSW Director of School-Based Services & Child and Adolescent Specialty Clinic of Davidson County Matthew Hardy, PsyD Regional Director of Clinic Services Northern Region Elaine Hice Director of Customer Care Rebecca Marshall, LPC-MHSP Regional Director of Clinic Services Davidson County Region

Jack Noe, MBA Director of Training and Staff Development John Page, MSSW Chief Operating Officer for Specialty Services Karen Rhea, MD Chief Medical Officer Kathleen Rogers, LCSW Director of Quality Improvement Ken Saefkow, LCSW Director of Adult Case Management Julie Spears Vice President for Finance Ken Stewart, SLPE Regional Director of Clinic Services Southwest Region Becky Stoll, LCSW Director of Crisis Services Mindy Tobin Director of Marketing and Public Relations Scott Valentine Director of Health Information Management Doris Vaughan, LADAC Director of Prevention Services

10 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

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, Executive Vice 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

11 / 2010-2011 ANNUAL REPORT CENTERSTONE OF TENNESSEE

Learn more about Centerstone of Tennessee 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 people of all ages for more than 55 years. Through more than 50 facilities and 160 partnership locations across Middle Tennessee, Centerstone serves nearly 50,000 children, adolescents, adults and seniors each year.

Centerstone is accredited by CARF International. For more information about Centerstone, please call 888-291-4357 or visit www.centerstone.org.