GHS Annual Report Fiscal Year 2022

ANNUAL REPORT 2022

Danis Russell CEO, Genesee Health System

Greetings

We are very proud to present the 2022 GHS Annual Report to the Genesee County community. As in the past couple of years, Covid continues to dominate a lot of what we do. We continue to increase the frequency of face-to-face contact but have found that virtual contact is very workable for some consumers. Despite the daily challenges, GHS staff continue to provide consistent, high-quality services. How we deliver services has changed, but our commitment and passion has never wavered.

As we look forward to the new year, we understand that there will continue to be challenges and opportunities. The statewide CMH system successfully fought off a very determined legislative attempt to privatize the system. This was a great victory for the system and all consumers and families, but it won’t be the last challenge. Our system is far from perfect, but locally operated services are better than a for profit out of state company that has no local identity or accountability.

As our fiscal year nears an end, we are very excited by the completion of the new GHS children’s facility, the Center for Children's Integrated Services. This state-of-the-art facility houses all of the GHS Children’s services in one location. In addition, we will have an office of our FQHC, the Genesee Community Health Center, in the facility to offer primary care as well.

This project has been an amazing demonstration of community support and collaboration. A unique funding model of public, private, foundations, and new market tax credits that can be a model for mental health projects moving forward. We were very proud and fortunate to be a part of this truly revolutionary initiative.

We are committed to our community and will never stray from our Mission to serve the individuals and families of Genesee County with compassion and kindness while providing high-quality service and supports.

Kathy Boles GHS Board Chair

Thank you

2021-2022 GHS Board Members

ALEXANDER, Patricia Consumer Representative Exp. 03-31-25

BOLES, Kathryn Board Chair General Public Exp. 03-31-24

DANIC, Michael, DO General Public Exp. 03-31-23

ELLENBURG, Ellen General Public County Commissioner Exp. 03-31-25

HENRY, Patrick Occupations Having a Working Involvement w/Mental Health Services Exp. 03-31-24

JOHNSON, Dr. Jennifer Occupations Having a Working Involvement w/Mental Health Services Exp. 03-31-23

Our Mission

Supporting recovery, prevention, health, and wellness of the body, the mind, and the community.

Our Vision

GHS will take positive action to promote hope and health by recognizing the interconnectedness of the body, the mind, and the community. We will do this by drawing out and strengthening the natural systems of support inherent to all communities so that individuals achieve the lives they desire. We will use a relationship-based model of care to empower the people we serve and all members of our community to be the drivers of their own health and wellness goals. We will support those who need it with highly-qualified caring professional teams able to respond to needs across all spheres of life: physical, mental, social, and spiritual. We believe that recovery is possible, worthwhile, and achievable for everyone.

JONES, Gary Family Member Exp. 03-31-24

LEMONS, Kenneth Consumer Representative Exp. 03-31-23

MCCREE, Kyle General Public Exp. 03-31-23

REEVES, Dr. Angela Board Secretary/Treasurer Occupations Having a Working Involvement w/Mental Health Services Exp. 03-31-25

SPEED, Raynetta General Public Exp. 03-31-24

WINFREY, Charles General Public County Commissioner Exp. 03-31-23

Our Values

• Welcoming, accessible, responsive services

• Providers who understand the need for relationship

• Inclusiveness founded upon the inherent worth and dignity of every member of the community, with respect and appreciation for diversity of opinions, preferences, and life choices

• Delivery systems that integrate physical and behavioral health care

• Accountable, transparent stewardship of the public’s trust

• Good corporate citizenship, partnership, and leadership across the community’s many networks of services and supports, both public and private

Individuals Served FY 2022

98%

&

Consumer Satisfaction Surveys

In Michigan, mental health service areas are divided into 10 regions called PIHPs (Prepaid Inpatient Health Plans). Genesee Health System is in the Region 10 geographic area. This region includes GHS, Lapeer County CMH, Sanilac County CMH, and St. Clair County CMH.

Each year, the Region conducts a consumer satisfaction survey in conjunction with each county provider.

In Genesee County, 165 adult consumers and 70 children who were consumers responded to the survey provided by the Region. In addition, GHS reviewed surveys from 191 individuals who were recently discharged from services.

In the Region 10 surveys, 98% of adults and 82% of children surveyed said they were satisfied with the services received.

In the discharge surveys, the open-ended questions elicited comments of satisfaction, dissatisfaction, and general availability of services. Most were overall positive, and some gave feedback for improvement.

Overall, the Region identified recommendations for the area that included:

• Review barriers to service

• Address nationwide staffing crisis and that impact locally

• Review areas of person-centered planning

• Review lower scores of satisfaction for children

82% of adults of children said they were SATISFIED with the services received.

To find both surveys follow the links or you can scan the QR Code with your smartphone.

Region 10 PHIP 2022 Regional Satisfaction Survey

Provider Quality/Compliance Review Scores

Each year, GHS audits our contractual providers for quality of care (QOC) indicators as well as staff Credentialing and Privileging (C&P). These scores measure quality of care across all domains of program operation and treatment provision, including assessment, treatment planning, service delivery, coordination of care, specialty service considerations, Social Determinants of Health, and discharge planning. In addition, site reviews ensure all Health and Safety aspects are addressed and staff records are reviewed to ensure continued adherence to requirements of licensure, certification, and training. Most audits are done annually, therefore are listed as routine. If another audit is needed, it would be listed as a special or focus audit. The scores achieved by each provider is listed below as a percentage which is an overall average of scores based on a sample review of 15-30 case records across all domains.

DEFINITIONS

• CM/SC - Case Management/Supports Coordination

• ACT - Assertive Community Treatment

• HB - Home Based

CLINICAL PROGRAMS

• MST - Multisystemic Therapy

• CLS - Community Living Supports

• AFC/CLF - Adult Foster Care/Community Living Facility

CLS/Respite Providers

Vocational Providers

AFC/CLF Homes

In May of 2021, Genesee County voters approved a mental health millage to help expand and support mental health services to county residents.

2022 was the first year of the millage funding, and this report highlights expansions, new programs, and other community supports that this millage covered.

Thank you Genesee County voters for your support of mental health services.

The millage focuses on seven areas of community support:

1. Law Enforcement/First Responder Crisis Intervention Training (CIT) Mental Health Response Team

2. Law Enforcement/Mental Health Co-Response and Jail Diversion

3. Court/Corrections Mental Health Supports and Services

4. Suicide and Crisis Prevention

5. Prevention and Crisis De-Escalation in the K-12 Community

6. Crisis Center/Crisis Stabilization

7. Health and Wellness for Vulnerable Populations

GHS has partnered with many law enforcement, corrections, and first responder agencies to create relationships that can better respond to emergencies and situations that have a mental health component.

• It is estimated that over half of the calls for emergency assistance have a mental health or substance use component with various criminal justice systems and public safety initiatives. Crisis Intervention Team (CIT) training is a 40-hour training focusing on mental health, warning signs and symptoms, substance abuse, personal wellness, scenario-based skill application, and non-violent intervention. Training is now offered quarterly. For those law enforcement agencies that cannot afford to send officers or dispatchers, GHS offers a scholarship program to cover salaries while in training.

• GHS now offers three days of mental health response training at the police academy so that new officers begin their careers with more skills and improved safety.

158

law enforcement and first responders trained

as of December 2022

• A co-response team consisting of a mental health professional and a sheriff’s department officer riding in tandem to assist callers reaching out to Genesee 911 for support related to a mental health crisis. These teams are experts in mental health de-escalation techniques, resources, and alternatives to detainment. When the team responds, jail diversion is achieved 84% of the time.

84% Jail diversion is achieved of the time

• Critical Incident Stress Debriefing (CISM) provides group and individual debriefing following traumatic or stressful incidents to first responders and large-scale traumatic events in and to the community.

• Inmate training assists in managing mental health, substance use/abuse, and traumatic experiences.

Other initiatives supporting our community include programs within the schools, a crisis center/stabilization, community counseling/outreach, and other ways to support the mental health of our community.

• Within the schools, a UCares program is beginning with several Genesee County area schools offering crisis response assistance for students who have a mental health crisis or are exhibiting behavioral concerns. In addition, prevention skill-building groups, an embedded community health worker, and vaping/tobacco cessation groups are now being implemented in several districts within Genesee County. Work continues to implement suicide prevention and parent support initiatives.

• The Behavioral Health Urgent Care began in September of 2020, offering virtual 24/7 care during the pandemic. With increased usage, a physical building opened a year later in October of 2021, with a grant from SAMHSA (Substance Abuse and Mental Health Services Administration). The millage has allowed the program to be expanded with staffing and hours of operation. Further expansion of hours and staff is planned for upcoming years.

• The Pillars of Hope project is a partnership with local churches. Mental health staff are located at the churches to offer counseling to those living in and around the neighborhoods. This makes mental health services accessible in a comfortable and familiar setting. To date, 173 people have been connected to services through this outreach. This partnership is in conjunction with existing outreach programming and community events.

• Community grassroots organizations reach individuals who might not otherwise seek mental health services and support. GHS created a grant program that provided over $300,000 to local organizations to support mental health and vulnerable populations.

For more information on the Mental Health Millage, this year's accomplishments, and to continue to follow our successes and outreach, visit:

www.geneseethefuture.org

individuals connected

to mental health treatment from faith-based locations

Making a positive impact in Genesee County

As we close on another challenging year, we reflect on what has transpired and how we, here at Genesee Community Health Center, have made a positive impact in Genesee County and the communities we serve. We are grateful to employ a team of diverse staff who are compassionate, caring, and dedicated individuals. Our integrated care team consists of physicians, nurse practitioners, behavioral health clinicians, health coaches, nurses, certified medical assistants, and additional support staff, all working together to improve the health and well-being of the community, regardless of race, ethnicity, or sexual orientation, ensuring equal access to healthcare along with other community supports.

Genesee Community Health Center is dedicated to improving health and health equity by providing high-quality healthcare services and programs in an integrated, patient-centered environment. Our Board of Directors comprises multi-sector leadership from Flint and Genesee County’s businesses, government, education and schools, organized labor, nonprofits, communitybased organizations, and residents.

Jean Troop Executive Director

We are committed to providing the highest quality, most effective primary health care, behavioral health services, and substance use disorder needs for the adults, children, and families we serve in Genesee County. We are dedicated to providing these services in a welcoming, supportive, non-discriminatory way, meeting people where they are, and improving their quality of life; physically, mentally and spiritually.

Claudnyse D. Holloman GCHC Board Chair

2022 was a year of recovery from the effects of the pandemic. Genesee Community Health Center strives to ensure high-quality healthcare services are available to the community. Our team of dedicated professionals is here to support your needs. This year we continued to offer COVID testing and vaccine administration. We brought back full-time, on-site primary and behavioral health care along with telehealth services upon request. Our mobile team attended over 200 community events offering COVID education, testing and vaccines, flu vaccines, Narcan trainings, hot meals, and additional support within Genesee County. They worked with our community partners to get into neighborhoods to bridge any barriers to care.

As we enter our tenth year of service in our community, we continue to unapologetically serve the unserved and underserved populations in Genesee County. Guided by love and fortified by indignation at the racial injustice pervading our society, we have redirected ourselves to ensuring that every person has equal access to high-quality health care, behavioral health care, preventative services, and other wrap-around supports.

2021-2022 GCHC Board Members

Claudnyse Holloman Board

Chair

Autumn Bagley Vice Chair

Sam Olson Treasurer

Steven Schwartz Secretary

Angela Essenburg At Large

Our Mission

Improve the health and health equity in Genesee County through the provision of high quality healthcare services and programs in an integrated, patient-centered environment with a priority focus on homeless and public housing residents.

Jorian Hardman At Large

Patrick Henry GHS Representative

Elizabeth Rushing At Large

Erica Thrash-Sall At Large

Michael Wright At Large

Our Values

• Welcoming, accessible, responsive services

• Providers who understand the need for relationship

• Inclusiveness founded upon the inherent worth and dignity of every member of the community, with respect and appreciation for diversity of opinions, preferences, and life choices

• Delivery systems that integrate physical and behavioral health care

• Accountable, transparent stewardship of the public’s trust

• Good corporate citizenship, partnership, and leadership across the community’s many networks of services and supports, both public and private

Demographics

Supporting recovery, prevention, health, and wellness of the body, the mind, and the community.

Call us to begin services:

420 W. 5th Avenue • Flint, MI 48503

Monday - Friday 8:00 am - 5:00 pm

(810) 257-3740

Toll Free: 877-346-3648 • TTY: (810) 232-6310

24 HOUR CRISIS LINE

7 days a week - 24 hours a day

(810) 257-3740

Toll Free: 877-346-3648 • TTY: (810) 232-6310

BEHAVIORAL HEALTH URGENT CARE

Customer Services

Monday - Friday 8:00 am - 5:00 pm

(810) 257-3705

Toll Free: 866-211-5455

TTY: (810) 257-1346

www.genhs.org

422 W. 4th Avenue • Flint, MI 48503

(810) 496-5500

Toll Free: 877-346-3648 • TTY: (810) 232-6310

Walk-In Services: 7 days a week - extended hours

Video Chat Services: 7 days a week - 24 hours a day

Children & Young Adult

Mobile Crisis Services: 7 days a week - 8:00 am - 7:00pm