HCS | 2014 Annual Impact Report by Highlands Community Services

2014 REPORT 2014ANNUAL ANNUAL IMPACT IMPACT REPORT improving lives, discovering possibilities

2014 ANNUAL IMPACT REPORT Showcasing agency impact during FY14 (July 2013 - June 2014) Our Culture........................................................................................................... 4 Our Leadership...................................................................................................... 5 Financials.............................................................................................................. 6 Service Overview.................................................................................................. 9 Service Details..................................................................................................... 10 Spotlight: Wizard of Oz....................................................................................... 16 Spotlight: JMH & HCS......................................................................................... 18 Spotlight: Loweâ&#x20AC;&#x2122;s Heroes.................................................................................... 20 Spotlight: imPACKED........................................................................................... 22 Spotlight: Naturalists.......................................................................................... 24 Year in Review..................................................................................................... 26 Community Impact............................................................................................. 28 In the News......................................................................................................... 30 Consumers Say.................................................................................................... 32 Employees Say.................................................................................................... 33 Our Locations...................................................................................................... 34

OUR CULTURE

HCS MISSION Highlands Community Services is committed to “improving lives and discovering possibilities” by providing the highest quality continuum of behavioral health, creating a center of excellence for all individuals seeking mental health, substance abuse or intellectual disability services.

HCS VISION Highlands Community Services is dedicated to discovering, implementing, and sustaining valuable services that improve lives. HCS will continue to operate with efficiency, financial viability, and innovation.

HCS VALUES Highlands Community Services’ core values are integrity, respect, teamwork, empowerment, and transparency. These values guide all that we do.

improving lives, discovering possibilities

OUR LEADERSHIP

Jeff Fox, Executive Director

“HCS continues to have a clear sense of direction as well as a clearly defined mission and set of value statements that represent a vibrant and living organization. HCS proudly operates from an extremely high level of efficiency and quality. Our goal continues to be to create a comprehensive treatment program that promotes Highlands Community Services as a ‘center of excellence’ for Washington County and Bristol, VA.”

HCS BOARD OF DIRECTORS

WASHINGTON COUNTY William L. Bowman Angie Cullop Jane Johnson Kittye Owens Odell Owens Rebecca Querio

“Fiscal Year 2014 was once again a successful year for Highlands Community Services. The board of directors continues to be pleased with the quality of services and staff. We look forward to many more years of valuable behavioral health care in Washington County and Bristol as a result of our innovative agency.”

Steve Rowland (Chair) Lillian Spicer CITY OF BRISTOL Sondra Alan Donald Ashley Fred T. Bowman (Vice Chair) Nancy J. Brown (Secr./Treas.) Carter Miles

Steve Rowland, Board Chair

FINANCIALS REVENUE State Funds.....................................................................................$2,917,636 Local Funds........................................................................................ $522,748 Federal Funds.................................................................................... $782,016 Fees for Services...........................................................................$15,905,078 Other Funds....................................................................................... $841,792 TOTAL........................................................................................ $20,969,270 4.0%

State Funds

13.9%

Local Funds 2.5% 3.7%

Federal Funds Fees for Services Other Funds

75.9%

EXPENDITURES Personnel.....................................................................................$15,564,712 Staff Development............................................................................ $289,545 Facilities/Vehicles.......................................................................... $1,848,302 Equipment/Supplies......................................................................... $325,665 Consult/Contracts......................................................................... $1,929,383 Program Operations......................................................................... $308,522 Other Expenses.................................................................................. $31,722 TOTAL........................................................................................$20,297,851 9.5%

1.5%

0.2%

Personnel

1.6%

Staff Development

9.1%

Facilities/Vehicles 1.4%

Equipment/Supplies Consult/Contracts 76.7%

Program Operations Other Expenses

BALANCE SHEET Balance sheet reflects financial status at the end of the fiscal year, June 30, 2014. ASSETS Cash and Cash Equivalents...................................................................$3,260,548 Accounts Receivable.............................................................................$2,875,697 Property and Equipment....................................................................$12,254,182 TOTAL............................................................................................... $18,390,427 LIABILITIES Accounts Payable.....................................................................................$285,895 Accrued Wages........................................................................................$672,810 Notes Payable.....................................................................................$11,517,386 Accrued Interest........................................................................................ $18,307 Accrued Leave..........................................................................................$812,407 Deferred Revenue...................................................................................... $25,000 CSA Funds.................................................................................................. $27,280 TOTAL............................................................................................... $13,359,085 NET POSITION TOTAL..................................................................................................$5,031,341 “FY14 ended stronger than any year since FY08 with income reaching nearly $21 million – a 5% increase from last year. This is so important, as it allows us to continue to provide essential behavioral health services and to develop new services in response to community needs. My sincere thanks to each of you for the part that you play in ensuring that HCS remains a financially sound organization in the year ahead and for many years to come. ” Kathy Simpson, CFO

HCS received an unqualified (clean) audit opinion on its financial statements for the 2014 fiscal year.

SERVICE OVERVIEW For over four decades, Highlands Community Services has been dedicated to finding, implementing, and sustaining valuable services that assist our community and individuals in our service area of Washington County and Bristol, Virginia. Behind the walls of any of our locations, you will find integrity, respect, hope, genuine empathy, and caring individuals who have a passion for improving lives and discovering possibilities through mental health, substance abuse, and intellectual disability services for all ages.

219 INTELLECTUAL DISABILITY served

Providing a detailed person-centered plan to individuals with significant limitations in intellectual functioning and adaptive behavior before age 18.

1,671 PSYCHIATRIC served

Psychiatrists, nurse practitioners, and LPNs working together to provide appropriate medication services for qualifying HCS consumers.

1,593 CRISIS & EMERGENCY served

Delivering 24/7 emergent care to consumers and families who present as needing immediate assistance.

1,471 CHILDREN & FAMILY served

Meeting the needs of at-risk children and their families in schools, homes, in the community, and at HCS clinical office locations.

2,741 PREVENTION & EDUCATION served

Providing community programs, including everything from school-based education to parenting classes.

985 ADULT RECOVERY served

Providing a comprehensive community support system with meaningful relationships for people in recovery who have a serious mental illness.

1,682 OUTPATIENT served

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Providing short-term help with long-term impact to consumers with significant substance abuse or emotional challenges that do not warrant hospitalization.

FULL CONTINUUM OF SERVICES

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PLEASE NOTE: These totals are unduplicated within each department. Due to the nature of our services, adults and/or children in one department may also receive services in other HCS departments.

SERVICE DETAILS INTELLECTUAL DISABILITY SERVICES HCS Intellectual Disability Services provide a detailed Person-Centered Plan to individuals with significant limitations both in intellectual functioning and in adaptive behavior, originating before the age of 18. Our organization believes that within every disability is ability, and that a good life is possible for all individuals served in our programs. ID Services Include: • Horizons Day Support • Support Coordination Services • Sponsor Home Residential Program To learn more about individual programs, log onto www.highlandscsb.org.

We improved lives and discovered possibilities this year by...

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Adding occupational therapy as a therapeutic consultation resource for persons with complex behavioral/sensory support needs. Why it matters: People respond differently to sensory experiences and have different sensory needs. To determine how a person reacts to different senses and whether or not some of their behaviors of concern are, in fact, due to sensory issues can require a thorough assessment from an occupational therapist. An occupational therapist has experience working with people with disabilities and complex behavior and sensory support needs and is a great help to HCS ID consumers and families.

Performing a full production of the Wizard of Oz in the Horizons Adult Day Support program. Why it matters: Taking part in activities provides consumers with valuable skills such as learning to speak in public to large crowds, resulting in a boosted self-confidence and pride in their work. Activities are also helpful in learning everyday skills (like how to take turns when speaking) and provide those outside of the program the opportunity to see a person with disability in a new light and see what they are truly capable of.

Continuing residential development with the addition of two Sponsor Homes. Why it matters: The Sponsor Home Program offers individuals with intellectual disability the opportunity to live in a licensed sponsored family home in their community. Sponsor home settings offer a nurturing and supportive home environment focusing on supports to increase the individual’s independence, health, safety, and community involvement.

PSYCHIATRIC & CRISIS SERVICES HCS Psychiatric Clinic Services implement appropriate medication services for qualifying HCS consumers. HCS psychiatrists, psychiatric nurse practitioners, and licensed practical nurses work together as a team to serve both children and adults. HCS Crisis Services are available 24 hours a day, seven days a week. They provide attentive, emergent care to consumers and families who present as needing immediate assistance. Crisis services staff can be found providing crisis stabilization services to children at The Safety Zone as well as providing emergency service evaluations at HCS and the emergency department at our local hospital. Psychiatric & Crisis Services Include: • Psychiatric Assessment • Medication Management • Discharge Planning • Crisis Intervention • Crisis Stabilization for Children at The Safety Zone *NEW* • Triage To learn more about individual programs, log onto www.highlandscsb.org.

We improved lives and discovered possibilities this year by...

Providing 70 % of all crisis contacts at Johnston Memorial Hospital.

Launching a crisis stabilization program for children and youth known as The Safety Zone.

Hiring an Adult Medical Director for Psychiatric Services

Why it matters: By being present in our local hospital, HCS Emergency Service Specialists can quickly and efficiently respond to individuals in crisis and work directly with their medical team as well to help determine next steps. These steps help to prevent potentially tragic situations and help to keep individuals and our community safe.

Why it matters: The Safety Zone allows a child to remain in their own community while receiving an intensive crisis stabilization service. It is an alternative to costly psychiatric inpatient treatment, which can often take children far away from home for services. The goal is to keep the child close to home while returning them to pre-crisis levels of functioning.

Why it matters: Having a dedicated adult medical director, with Dr. Sabri’s experience, located within HCS Psychiatric Services is a great asset to HCS and the community as a whole.

SERVICE DETAILS CHILDREN & FAMILY SERVICES HCS Children & Family Services serve families, children, and adolescents in multiple settings including local schools, homes, in the community, and at HCS clinical office locations. Services are specifically designed to meet the needs of at-risk children and their families. Children and Family Services Include: • Behavior Intervention • Care Coordination • Early Intervention • EMBRACE Sponsor Homes • The Interchange School and Summer Programs • Intensive Case Management • Intensive In-Home • Prevention and Education • Student Assistance • Transition Coordination • Therapeutic Day Treatment To learn more about individual programs, log onto www.highlandscsb.org.

We improved lives and discovered possibilities this year by...

Having 130 fathers participate in the HCS Project DADS program, a National Fatherhood Initiative program. Participants come from all walks of life - some participating even while incarcerated - but all are learning what it means to be a dad. Why it matters: 24 million children in America – one out of every three – live without their biological dad in the home. Research shows that when a child is raised in a father-absent home, he or she is more likely to live in poverty, to suffer emotional and behavioral problems, and is more likely to commit crime.

Serving 419 kids in 11 elementary schools, 3 middle schools, and 4 high schools through Therapeutic Day Treatment services. Why it matters: On average, students have shown a 40% drop in discipline referrals, a 20% increase in attendance, and a 20% increase in grades with support of TDT.

Securing community partnerships to continue to provide, as well as increase the quality of, food to children in the Summer Day Treatment program despite last-minute funding loss. Why it matters: In 2012, 15.9 million children under 18 in the United States live in households where they are unable to consistently access enough nutritious food necessary for a healthy life. Although food insecurity is harmful to any individual, it can be particularly devastating among children, due to their increased vulnerability and the potential for long-term consequences.

ADULT RECOVERY SERVICES HCS Adult Recovery Services provide a comprehensive community support system for people in recovery who have a serious mental illness and are unable to function independently in the community. These individuals require guidance, training, and considerable support in preventing hospitalizations, in accessing needed resources, and in maintaining a natural support system through meaningful relationships. Adult Recovery Services Include: • Recovery Care Coordination • Adult Crisis Stabilization • Psychosocial Rehabilitation at Stepping Stones • Peer Support Services (WRAP) • Mental Health Supports at Oasis To learn more about individual programs, log onto www.highlandscsb.org.

We improved lives and discovered possibilities this year by...

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Assisting consumers in gaining access to medical care and mental health services, as well as basic needs such as food and shelter. Why it matters: Meeting basic needs is the foundation necessary for consumers to begin to feel empowered and secure. It positions them on the road to hope and independence and gives them the satisfaction of beginning to do things for themselves.

Continuing partnerships with community agencies such as the Washington County Library. Why it matters: These partnerships provide consumers with valuable resources such as tutors for GED completion, allowing them to meet important life milestones that may not be possible otherwise.

Building partnerships between the Naturalist Group at Stepping Stones and the Abingdon Horticulture Department. Why it matters: Consumers provide maintenance and cleanup of several key gardens and grounds around the town. Opportunities such as these help them feel connected to their community, and feel validated that they too can give back and make a difference.

SERVICE DETAILS OUTPATIENT SERVICES HCS Outpatient Services provide short-term interventions that have long-term impact. Services are designed to meet the needs of children, adolescents, and adults whose substance abuse and/or emotional challenges have become significant, but do not warrant hospitalization. With premier therapeutic counseling services, an array of support groups, and advanced treatment options, Outpatient Services are dedicated to the most modern and effective practices that help HCS consumers achieve and maintain a healthy lifestyle. Outpatient Services include: • Alcohol Safety Action Program • Autism Services • Assessment, Diagnostic, and Consultation Services • Community Support Groups • Drug Court Services • Individual, Group, and Family Therapy for Mental Health and Substance Use Needs • Integrated Care Services at Johnston Memorial Hospital *NEW* • Medication Assisted Therapy and Care Coordination • Project Jane Domestic Violence Services • Restoration to Competency Services • Substance Abuse Intensive Outpatient Program • Specialized Clinical Supervision Services • Virginia Highlands Community College Student Assistance Services • Veteran’s Services • Women’s Treatment Services To learn more about individual programs, log onto www.highlandscsb.org.

We improved lives and discovered possibilities this year by...

Completing EMDR training for additional staff which resulted in a total of 17, Level 2 EMDR-trained, clinicians at HCS. Why it matters: EMDR therapy is recognized as an effective form of trauma treatment in numerous practice guidelines worldwide. In the US, this includes organizations such as the American Psychiatric Association and Department of Defense. More than twenty randomized studies support the effectiveness of the therapy in the treatment of Post Traumatic Stress Disorder.

Increasing the volume and array of children’s services; launching creative groups such as the Super Hero Social Skills Group. Why it matters: With children pouring into HCS who have experienced trauma, who have behavioral and social challenges, and who have specific diagnoses such as autism, it is critical that HCS continues to develop clinically sound, yet creative and engaging, treatment experiences. This can be seen in our Outpatient groups like the popular Super Hero Group.

Securing funding to re-launch the Washington County Drug Court Program and beginning partnerships with the Bristol Drug Court Program. Why it matters: Drug Courts are the most effective justice intervention for treating the drug-addicted. Drug Courts keep individuals in treatment long enough for it to work, while supervising them closely. They reduce drug use and crime while saving communities money, but more importantly, they help reunite families and restore lives.

Launching a partnership with Johnston Memorial Hospital to provide two on-site Integrated Care Clinicians who assess the mental health needs of patients. Why it matters: The HCS Integrated Care Clinicians provide assistance and service to the physicians, nurses, and patients - serving as clinical liaisons between the hospital and local mental health and psychiatric services. This progressive partnership demonstrates both organizations’ commitment to provide the highest quality of healthcare, be it behavioral or medical, to our community.

SPOTLIGHT: WIZARD OF OZ With a full crowd of over 60 seated guests in the HCS Annex building, consumers from the Horizons Day Support Program performed “The Wizard of Oz”. The play followed the typical storyline and included six total scenes.

The scenes were full of comedic moments, but at the end, tears fell as one performer sang a touching rendition of â&#x20AC;&#x153;Somewhere Over the Rainbowâ&#x20AC;?, and the production received a standing ovation from the audience.

SPOTLIGHT: JMH & HCS Johnston Memorial Hospital and HCS partnered this year to provide Integrated Care Clinicians that work on site at JMH, enabling an integrated outlook on health, and resulting in quality treatment of the whole person.

When doctors and nurses think that a mental health or substance abuse assessment is necessary, the Integrated Care Clinicians are on-site to provide assessments and link patients to additional valuable services when needed.

SPOTLIGHT: LOWEâ&#x20AC;&#x2122;S HEROES HCS partnered with Loweâ&#x20AC;&#x2122;s Heroes to renovate a donated space to use for the new crisis stabilization program for children and youth called The Safety Zone, which provides an alternative to psychiatric inpatient treatment.

New rooms were sectioned, carpet was installed, walls were painted, and fun decor was brought in to create a space for counseling services as well as observation, safety monitoring, behavior management and much more.

SPOTLIGHT: IMPACKED HCS employees donated glue, paper, pencils, pens, notebooks, book bags, and more for the second annual HCS back-to-school program, imPACKED, which provided much-needed school supplies to HCS student consumers

The imPACKED school supply program was made available to all HCS student consumers from any HCS program, ranging in grade from preschool to high school, in both the Bristol City and Washington County School Systems.

SPOTLIGHT: NATURALISTS The Naturalists were organized by two HCS employees so consumers could once again realize that they had other interests, instead of focusing on the mental illness that they felt had become their life and their identity.

This year, eight founding members were recognized on the fifth anniversary of the Naturalist program. The Naturalists now maintain three gardens on the Virginia Creeper Trail, as well as gardens at HCS Stepping Stones.

YEAR IN REVIEW

HCS employees and their families enjoyed a day of recreation at the 2013 HCS company picnic, held at the Washington County 4H Center.

HCS departments participated in Domestic Violence Awareness Month by decorating t-shirts for HCS’s internal domestic violence task force, Project Jane. HCS also partnered with Abuse Alternatives to display The Silent Witnesses in recognition of victims of abuse in our community.

The HCS podcast Thrive began its second season, partnering with Johnston Memorial Hospital. Thrive is recorded at HCS bi-monthly and features clinical guests from JMH and HCS who offer valuable discussions about living healthier, mentally and physically.

HCS was a Gold Winner in the “Branding Refresh” category of the 2013 International MarCom Awards and a Silver ADDY Winner in the “Website” category of the 2014 SWVA American Advertising Awards.

HCS Prevention and Education leaders, along with members and partners of the Washington County Substance Abuse Prevention Coalition, launched a successful campaign against drinking and driving. The media campaign included posters, banners, coozies, key chains, t-shirts, and coasters to spread the message, but also included a partnership with the Washington County Sherrif’s Office that targeted data and focused efforts on specific areas in the county.

HCS employees collected food for the Abingdon Rotary Club “Rotary Has Heart” Food Drive to benefit Faith in Action. The Executive Suite was taken over with the generous donations from HCS employees at all locations.

4th District Delegate Joe Johnson was recognized at a reception in August for his service and dedication to the mission and vision of the agency. Executive Director Jeff Fox presented Delegate Johnson with a plaque to commemorate his efforts at Highlands Community Services. The first annual Autism 5K was held on the Creeper Trail in April 2014, Autism Awareness Month. Over 300 participants showed at the race to support the cause. The money raised from the race was given to HCS Autism Services, and continues to be used to fund a local parent support group.

Each year, HCS ID Services hosts a prom for all consumers of the Sponsor Home, Day Support, and Support Coordination programs. This year’s prom involved a full dinner, a photo booth with props, and lots of dancing.

A tree in the historic Fields-Penn House was decorated with ornaments that were hand-made by children in HCS programs. HCS employees and community members brought non-perishable food items to place under the tree to donate to local charities.

COMMUNITY IMPACT

LOCAL RETURN ON INVESTMENT

worth of HCS services is returned to the community for each $1 contributed by Washington County and Bristol, Virginia

EMPLOYMENT OPPORTUNITIES

325

individuals were employed in full-time and part-time positions during the year at HCS

HCS ANNUAL ECONOMIC IMPACT

31,000,000+

IMPACT ON LOCAL SCHOOLS

schools in both Washington County and Bristol partnered with HCS to provide quality schoolbased mental health services to their students

MILES DRIVEN BY HCS EMPLOYEES

780,889

miles were traveled in vehicles dedicated to serving consumers

HOURS OF SERVICE PROVIDED

590,000

hours of service were provided to our consumers

IN THE NEWS ARTICLES, RELEASES, & NEWS STORIES

opportunities for news coverage came about this year involving HCS, including articles published in the local newspapers; news releases sent out from HCS Communications to announce news, changes, or exciting partnerships; and television spots featuring interviews with our staff

HEADLINES • Need for Sponsor Home Parents Stays Steady (WCYB 5 Evening News) • Increase in Regional Autism Cases Reported (Bristol Herald Courier, TriCities.com) • Non-Profit Profile: Highlands Community Services (VIP Scene) • Mental Health Solution: Behavioral Specialist Soon to Help Bridge Gap Between Johnston Memorial Hospital, Community Services (Bristol Herald Courier, TriCities.com)

• Highlands Community Services Wins Gold MarCom Award for Rebranding Efforts (HCS News Release) • HCS Provides Mental Health Insight at New Barter Theatre Show (Times News) • Turning an Old Place into a Safe Space for Children in Crisis (Bristol Herald Courier, TriCities.com) • HCS Applauds as the Social Security Administration Banishes the “R-Word” (HCS News Release) • Five Bristol, VA Inmates Complete National Fatherhood Initiative (Bristol Herald Courier, TriCities.com)

CONSUMERS SAY... These people are a family of love and care to me. I don’t know what I would do without the help of HCS.

Since coming into HCS Children’s Services, our son is getting along better with peers and his self-esteem is better. He handles stress better and is doing a lot better in school the last 6 weeks.

I appreciate everyone being so nice. It is a privilege to be here and it has helped me in my illness and recovery. You gave me a chance, and I have excelled to become a better person.

Without my In-Home worker, I don’t know where I’d be. I’m very pleased with HCS. Thank you for all you do.

As a result of my progress at HCS, I have developed patience when it comes to life and health.

EMPLOYEES SAY... I love helping and supporting families and children in our community. - Rebecca

I like helping other people - the sense of satisfaction I get from doing it. I don’t think there are jobs out there that are more rewarding. For me, it’s the smile on a face whenever you see somebody do something for themselves, or when they learn. You just see it – and that’s the payoff. - Steve

Being at HCS has been absolutely awesome. I feel like every day is a new challenge. I get to use my creativity, I get to use all of my skills, and also get to work with so many fabulous people – not only other counselors, but just this entire agency has been super supportive. - Zach

Sometimes, we’re the only positive influence in a child’s life, we’re the only praise that they hear, and we’re the only person that they can count on. - Wendi

OUR LOCATIONS

Glade Spring 19

Meadowview

Emory 81 y

7 5 Abingdon 8 4 6

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Bristol

Oakview Childrenâ&#x20AC;&#x2122;s Services

102 Oakview Avenue, Bristol, VA 2

Recovery Care Coordination - Bristol

Interchange I & School-Based Services

The Annex 608 Campus Drive, Abingdon, VA

The Campus - Admin & Various Services 610 Campus Drive, Abingdon, VA

Stepping Stones

Interchange II 751 Radio Drive, Abingdon, VA

80 Terrace Drive, Bristol, VA 4

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414 Ivy Street, Abingdon, VA

1969 Lee Highway, Bristol, VA 3

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Crisis Recovery Center 802 Hillman Highway, Abingdon, VA

Oasis 27018 Lee Highway, Abingdon, VA

improving lives, discovering possibilities 610 Campus Drive, Abingdon, VA 24210 www.highlandscsb.org | 276.525.1550

This institution is an equal opportunity provider and employer.