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growth.

2017

ANNUAL IMPACT REPORT

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FY17 | JULY 2016 - JUNE 2017

CONTENTS

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Our Culture + Leadership Our Financial Status Our Impact Our Services Our Year in Review Our History Our Locations


OUR 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 use, or developmental services.

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

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

improving lives, discovering possibilities.


During the past year we had our share of successes, challenges, joys, changes and growth. I believe HCS now finds itself at a very unique spot in its development. It is not due to our positive financial situation at the end of Fiscal Year 2017, or that we continue to enjoy the “fruits” of a high quality clinical program. Nor is it due to the addition of the Children’ Advocacy Center or opening of the Children’s Campus in February. I believe what is most significant is that we, as a professional group, are well on our way to genuinely embracing a very unique and special “practice” as part of our professional experience at HCS that so many organizations strive for, but very few achieve. From my perspective, HCS is genuinely developing an advanced corporate culture rooted in “character” and “integrity”. At its core is an appreciation of servant leadership and “synergy”, as well as a true sense of mission. Our reputation for being a first class healthcare organization is becoming increasingly more visible throughout our community. The continued commitment demonstrated by our staff this past year to sincerely embrace and advance the philosophical tenets of a trauma informed environment is taking hold and will do us proud over the years to come. Without question, HCS has significantly grown over the past year, not only with regards to budgets or programs, but as a collective whole committed to further enhancing our organization that, at the present time, remains second to none within the CSB system and is here to serve the ever growing and changing needs of our surrounding community.

Jeff Fox HCS | Executive Director


OUR CULTURE + LEADERSHIP BOARD OF DIRECTORS BOARD CHAIR William Hartley VICE CHAIR Nancy Brown SECRETARY/TREASURER Carter Miles WASHINGTON CO. Judy Carrier Angie Cullop Randall Eads Saul Hernandez Randy Pennington Lisa Seaborn Phillip Sprinkle CITY OF BRISTOL Nancy Brown William Hartley Emily Lee

WHO WE ARE Highlands Community Services was founded as a Virginia Community Services Board (CSB) in 1972. We provide behavioral health care to all individuals seeking mental health, substance use, and developmental services in Washington County and Bristol, Virginia. Since then, HCS has become a leader in the region, providing cutting edge intervention and treatment programs in 8 locations between Bristol and Abingdon, through a comprehensive system of care for children, adolescents, and adults.

OUR LEADERS We are made up of a team of over 356 employees that work in 14 departments ranging from clinical to administrative services. HCS is led by a Senior Leadership Team of 16 members of Executive and Departmental Leadership. Together they help guide the direction of the organization and provide leadership for each area’s Department Directors, Program Managers, Unit Managers, and Individual Staff.

THE HCS TEAM 316 Total Full-Time Employees at the End of FY17 40 Total Part-Time Employees at the End of FY17

Carter Miles David Trotter

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Kathy Simpson

CHIEF FINANCIAL OFFICER

ASSETS Cash and Cash Equivalents . . . . . . . . . . . . . . . 4,669,678.44 Accounts Receivable . . . . . . . . . . . . . . . . . . . . . . 2,229,521.27 Property and Equipment . . . . . . . . . . . . . . . . 12,847,898.99 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19,747,098.70

LIABILITIES Accrued Wages/Taxes . . . . . . . . . . . . . . . . . . . . .1,520,815.80 Notes Payable . . . . . . . . . . . . . . . . . . . . . . . . . . . 11,079,052.99 Accrued PTO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .849,288.77 Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,449,157.56

NET POSITION Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6,297,941.14

We maintained our strong financial position during FY17, realizing a 4.5% growth in operating revenue over the previous year, and ending the year with total revenues of $23.6 million. In addition, just over $560,000 in capital improvement funds was invested in the agency’s newest facility, The Children’s Campus, as well as several smaller facility projects and infrastructure upgrades. Human Resource expenditures, staff wages and fringe benefits, remained the largest portion of HCS operational expenses at $18 million, while all other operating expenses totaled $5.3 million. The resulting surplus of $857,000 - $460,000 of which was restricted funds - amounted to 3.5% of the budget. Thanks to the dedication and commitment of HCS Staff and Management as well as the support of the HCS Board of Directors and the community that we serve, HCS continues to grow and remain fiscally strong positioning us to serve the those in need for years to come.


REVENUE

3.91% 16.16%

6.82%

State Funds . . . . . . . . . . . 3,907,973.14

3.53%

Local Funds . . . . . . . . . . . . 853,399.85 Fees for Services . . . . 16,830,594.65 Federal Funds . . . . . . . . . 1,649,883.82

State Funds

Other Funds . . . . . . . . . . . . . .944,711.94

Local Funds

Total . . . . . . . . . . . . . . . $24,186,563.40

Fees for Services Federal Funds

69.59%

Other Funds

EXPENDITURES Personnel . . . . . . . . . . . .18,043,202.49

3.80% 8.25% 1.54%

7.44% 1.29% 0.33%

Staff Development . . . . . .358,862.87 Facilities/Vehicles . . . . . .1,925,350.63

Personnel

Equipment/Supplies . . . . .887,690.95

Staff Development

Consult/Contracts . . . . . .1,736,391.08

Facilities/Vehicles

Program Operations . . . . .301,550.43

Equipment/Supplies

Other Expenses . . . . . . . . . . .76,775.27 Total . . . . . . . . . . . . . . . . 23,329,823.72

77.34%

Consult/Contracts Program Operations Other Expenses

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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.

I feel right at home.” TOM, HCS CONSUMER

ADULT RECOVERY SERVICES SERVED AN UNDUPLICATED TOTAL OF ONE THOUSAND TWO HUNDRED AND EIGHTY ADULTS THIS YEAR.

ADULT RECOVERY SERVICES ■ Adult Case Management ■ Mental Health Skill Building ■ Peer Support Services (WRAP) ■ Psychosocial Rehabilitation at Stepping Stones

I enjoy the relationships developed over the years with the consumers, some of which I have served since 1997 or so, and the complete teamwork and support of the staff that I have been privileged to work with over the years, especially in the last 6 years. “

RICK SUTHERLAND

Senior Psychosocial Rehabilitation Specialist 28 Years of Service

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CHILDREN AND FAMILY SERVICES HCS Children and 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 comprised of several different departments and are specifically designed to meet the needs of at risk children and their families.

CHILDREN AND FAMILY SERVICES SERVED AN UNDUPLICATED TOTAL OF ONE THOUSAND FIVE HUNDRED AND NINETY TWO CHILDREN AND FAMILIES THIS YEAR.

CHILDREN AND FAMILY SERVICES ■ Behavior Intervention ■ Case Management ■ EMBRACE Sponsor Homes ■ Intensive Case Management ■ Intensive In-Home ■ Prevention and Education ■ Student Assistance Program ■ The Interchange School and Summer Programs ■ Therapeutic Day Treatment ■ Transition Coordination The students from The Interchange alternative school visit The HCS Main Campus and Annex during their annual Trick or Treat.

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THE CHILDREN’S ADVOCACY CENTER The Children’s Advocacy Center of Highlands Community Services leverages the efforts of law enforcement, prosecutors, medical and mental health providers, social workers, and others to provide a seamless, comprehensive system of support for child victims of sexual and physical abuse, and neglect.

CAC SERVICES ■ Court Preparation ■ Investigation Intervention ■ Specialized Treatment and Counseling ■ Trauma Assessments

THREE HUNDRED AND FIFTY-SEVEN NEW CASES WERE OPENED AT THE CHILDREN’S ADVOCACY CENTER THIS YEAR - A 34% INCREASE IN CASES FROM FY16.

The Washington County Trauma Team, just one of three multidisciplinary teams that work to assist child victims of abuse, join the CAC staff to plant the annual pinwheel garden for Child Abuse Prevention Month.

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Nomad, the Facility Dog at the Children’s Advocacy Center, turned 5 (human) years old in 2017. In the time that he has worked with Outpatient Therapist Donna Callis and the team at the CAC, he has worked with over 500 child victims and their family members during forensic interviews, counseling sessions, meet and greets in the playroom, and support in the courtroom. He also provides support and comfort to the CAC staff and the multidisciplinary team members.


CRISIS SERVICES HCS Crisis Services are available 24 hours a day, seven days a week. They provide attentive, emergent care to consumers and families who need immediate assistance. Crisis Services staff can be found providing crisis stabilization services to children at The Safety Zone, providing crisis stabilization services to adults at Crisis Resolution Center, as well as providing emergency service evaluations at HCS locations and the emergency department at our local hospital.

HCS has been a life saver. Thank you!” ANN, HCS CONSUMER

CRISIS SERVICES SERVED AN UNDUPLICATED TOTAL OF ONE THOUSAND AND FIVE ADULTS AND CHILDREN THIS YEAR.

CRISIS SERVICES ■ Crisis Consultation and Triage ■ Crisis Stabilization for Adults ■ Crisis Stabilization for Children ■ Emergency Services

I feel staff are heard and cared about here. The agency and management has not been afraid to listen to feedback. They are willing to not only hear staff but take a look at how things are being done and change them if necessary to improve and grow.”

CANDICE BRIGHT

Emergency Services Program Manager 1 Year of Service

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DEVELOPMENTAL SERVICES HCS Developmental 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.

DEVELOPMENTAL SERVICES ■ Horizons Day Support ■ Sponsor Home Residential Program ■ Support Coordinator Services ■ Infant and Toddler Connection of the Highlands

DEVELOPMENTAL SERVICES SERVED AN UNDUPLICATED TOTAL OF TWO HUNDRED AND FORTY-FOUR ADULTS AND CHILDREN THIS YEAR.

The Developmental Services Team spends most of their time out in the community, but they come together every year for their Annual Christmas Lunch and visit from Santa. A special thanks goes to Woodmen of the World for hosting the lunch and to the team at Shoney’s.

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OUTPATIENT SERVICES OUTPATIENT SERVICES ■ Alcohol Safety Action Program ■ Comprehensive Assessments and Diagnostic Studies ■ Consultation Services ■ Drug Court Services ■ NAVIGATE First Episode Psychosis Services Program ■ Individual, Group, and Family Therapy ■ Project Jane Domestic Violence 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 use 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.

■ Restoration to Competency Services ■ Specialized Clinical Supervision Services ■ Specialized Trauma Treatment Services ■ Substance Abuse Use Intensive Outpatient Program ■ VHCC Student Assistance Services ■ Veteran’s Services ■ Women’s Services

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OUTPATIENT SERVICES SERVED AN UNDUPLICATED TOTAL OF THREE THOUSAND FIFTY-ONE ADULTS, CHILDREN AND FAMILIES THIS YEAR.


PSYCHIATRIC SERVICES PSYCHIATRIC SERVICES ■ Medication Management ■ Psychiatric Assessment

Very respectful, considerate, helpful, supportive, and caring.” ANN, HCS CONSUMER

Psychiatric clinic services provide 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.

PSYCHIATRIC SERVICES SERVED AN UNDUPLICATED TOTAL OF ONE THOUSAND NINE HUNDRED AND SIX ADULTS AND CHILDREN THIS YEAR.

I love that my work gives me the ability to help people to be their personal best. I also enjoy my great co-workers - everyone is supportive and caring.”

THERESA NORMAN Family Nurse Practitioner 5 Years of Service

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Once upon a time there was a magical evening where everyone was a prince or a princess and a king or a queen... HCS Consumers, Staff and Community members danced the night away at this year’s annual Spring Formal. Each year Developmental Services hosts a formal for those with special needs and their guests. This year’s formal was the largest yet taking up three rooms at the Bristol Holiday Inn. Everyone enjoyed dinner and dancing with DJ Christian. Consumers got a special treat this year thanks to Universal Companies. The UC Glam Squad added a little extra sparkle to the evening with manicures, hair styling, make-up refreshes, and hand massages. They even joined in on the dancing! “This year’s formal was a night to remember! The individuals who participated formed bonds with others in the community and had a great time dancing and socializing. It was truly an exciting time for all that attended,” said Debra Rowe, Direct Support Services Program Manager.


J. A STREET & ASSOCIATES

HCS CHILDREN’S CAM After years of planning and preparation, HCS realized a dream and opened the new Children’s Campus... Sitting on a beautiful piece of land straddling the Washington County border the new HCS Children’s Campus is open for service in Abingdon, Virginia. Over the last 10 years HCS has seen a steady increase in numbers of children served from Outpatient and Crisis Services to School and Community-Based Services. We were serving children and students through four locations out in the community. It was time to bring our teams together. The 32,746 sq. foot space now provides a home base for Children’s Psychiatric Services, Intensive Case Management, Prevention & Education, School-Based Day Treatment, and more. And is now the main program space for The Interchange Alternative School and The Safety Zone our Children’s Crisis Stabilization program. We’ll continue to grow and change as needed to best serve the children of our community.

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J. A STREET & ASSOCIATES

J. A STREET & ASSOCIATES

MPUS

The addition of the Children’s Campus has by far been the most needed, and most exciting change yet. Seeing the positive collaboration of services to assist our kids that experience mental health issues has been such an awesome experience. Being able to see a change, make a change, or even be the change in these kids’ lives at the Safety Zone has been the most rewarding part thus far in my career.”

SHANNON KENT Crisis Stabilization Counselor 16 Years of Service What I enjoy most about working at HCS, especially in Children’s Services is working alongside staff who are passionate about making a difference in the lives of children and the community we serve.” J. A STREET & ASSOCIATES

Senator Tim Kaine visited the Children’s Campus in the Summer of 2017 for a tour and chat with our leadership team. He remarked about the facility, “I can’t say it exists anywhere else in Virginia. I’ve been in politics here for 23 years and I’ve never seen another one like this.”

PAM TOLBERT Office Manager 8.5 Years of Service Everyone with HCS strives for excellence and has a desire to want to meet the needs of the consumers and their families. I feel the opening of the Children’s Campus has allowed us to further our drive for excellence and the children campus gives us a new kid friendly environment to further advance children’s services with HCS.”

JILL VANDYKE Nurse Practitioner 7.5 Years of Service improving lives, discovering possibilities | 19


Swing Band. Silent Auction and Cork Pull. Wine (Beer, and a Choco-Cocktail), Loads of Chocolate. And all for a good cause... After a successful merger with the Children’s Advocacy Center, it was time to reinvigorate the CAC’s most popular event - Christmas at the Grove. Enter the First Annual Wine & Chocolate Festival. Centered around an evening with good food, good friends and plenty of chocolate, over 200 people came together to raise money for a good cause The Children’s Advocacy Center and all other HCS Children’s Services. Guests enjoyed a Silent Auction with more than 25 unique items and packages, the popular mystery Cork Pull and live swing music dancing with Mick Glasgow and the House Hoppers. And then of course wine and chocolate. Each guest received a tasting card and pair guide to help them. Local chocolatiers and sweeteries provided chocolate tastings and sweet treats to take home that paired with each of the different style of wines. Well over $15,000 was raised to help fund the work of the Children’s Advocacy Center and all other HCS Children’s Services. A special thanks goes to all our sponsors, our vendors - Anthony’s Desserts, Bellafina, Chocolate Elegance, and Four Seasons Bakery, the Foundation Event Facility Team, and over 30 volunteers from HCS, Emory & Henry, John Battle High School, and Marion Senior High School. WeServices couldn’t have done this 22 | Highlands Community without you!


1963

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1987

2006

2007

2008

President Kennedy requested a “bold, new approach to solve the problems of mental illness." With the signing of the Community Mental Health Act, communities were now responsible for giving care to children, teens and adults who were suffering from a mental illness.

Local governments established The Community Mental Health and Mental Retardation Services Board of Washington Co. and the City of Bristol VA. aka "Highlands Community Services" was born!

The Board changed its name to Highlands Community Services Board and soon relocated its offices.

Jeff Fox joins HCS as the Executive Director, and begins executing his mission of improvement to make HCS one of the most crucial and helpful resources for Mental and Behavioral Health in the area.

A Home Recovery Program is implemented to offer crisis stabilization services 24 hour, 7 days a week treatment and emergent care to consumers and families who need immediate assistance. They would move into the Crisis Resolution Center on Hillman Highway a year later to continue their services

HCS opened their headquarters site on Campus Drive. The main Campus provided a much needed home-base for the HCS Team as it consolidated 8 locations into one facility, allowing for easier access for all consumers in the community.

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CARRIE CANNADAY / STARSCAPE MEDIA

2009

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2017

NOW

Intellectual Disability Services, now known as Developmental Services, moved to their new home, known as the Annex, to bring their services under one roof. Working in the community, HCS increases the amount of care and help given to consumers living with a wide array of developmental disabilities.

Our Psychosocial Rehabilitation Program, our adult clubhouse treatment model, moved into their new location on Russell Road in Abingdon, VA. At Stepping Stones, the staff work with adults who are suffering from severe types of mental illness to help educate and provide care for them while helping them manage their symptoms.

Highlands Community Services merges with the Children's Advocacy Center which serves Washington & Smyth County, and the city of Bristol. The CAC partners with multiple partners to help children who have been sexually or physically abused or neglected.

HCS begins to break ground and releases plans for new Children's Campus to serve youth in Washington Co. and the City of Bristol.

The HCS Children's Campus is officially opened and began serving the children of Washington Co. and the City of Bristol. The Children’s Campus has its own educational programs for students in the area, as well as provides crisis stabilization through the Safety Zone.

Highlands Community Services is one of the largest employers in the area... improving lives and discovering possibilities daily. With over 350 employees, HCS has grown significantly over the past decade to become a leader in Behavioral and Mental Health.

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Children’s Services 102 Oakview Avenue | Bristol, VA

Case Management & Clinical Services 1969 Lee Highway | Bristol, VA

of Highlands Community Services 21451 Sugar Hollow Road | Bristol, VA

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THE ANNEX Developmental Services 608 Campus Drive | Abingdon, VA

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Psychosocial Rehabilitation 414 Ivy Street | Abingdon, VA

Children’s & Crisis Services 391 Baugh Lane | Abingdon, VA

Adult Crisis Services 802 Hillman Highway | Abingdon, VA


improving lives, discovering possibilities highlandscsb.org

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HCS | 2017 Annual Impact Report  
HCS | 2017 Annual Impact Report  
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