adverb. with or in proximity to another person or people.
2016 annual impact report
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july 2015-june 2016
2.......................................... Our Culture 4....................... Our Financial Status 6............................Working, Together 9........................................... Our Impact 10............................. Better, Together 12..................... Recovering, Together 13..................... Partnering, Together 14.......................... Learning, Together 16........................ Healthier, Together 17..................... Successful, Together 18.......................... Growing, Together 20.................................. Our Locations
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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 developmental 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.
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a letter from jeff During the past year we had our share of successes, challenges, joys, some losses, and change. 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 2016, or that we continue to enjoy the “fruits” of a high quality clinical program. Nor is it due to acquiring the Children’s Advocacy Center, or engaging in the construction of the children’s campus. 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 JEFF FOX at HCS that so many Executive Director organizations strive for, but very few achieve.
HCS is genuinely developing a corporate culture rooted in character and integrity.”
From my vantage point, HCS is genuinely developing a 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 staff this past year to sincerely embrace and advance the philosophical tenets of a trauma informed environment has taken hold, and will do us proud over the years to come.
our culture
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.
Total number of FT employees at the end of FY16 was 302
WHO WE ARE Highlands Community Services was founded in 1972 to be the local organization (Community Services Board or CSB) responsible for providing behavioral health care to all individuals seeking mental health, substance abuse, or developmental services. Since then, HCS has become a leader in the region, providing cuttingedge types of intervention and treatment programs, through a comprehensive system of care to children, adolescents, and adults.
EMPLOYEES Total number of PT employees at the end of FY16 was 37.
TOTAL = 339
2 // Highlands Community Services
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board of directors WASHINGTON CO.
CITY OF BRISTOL
Judy Carrier
Sondra Alan
Angie Cullop
Nancy Brown,
Randall Eads
Secretary/Treasurer
Saul Hernandez
William Hartley
Odell Owens, Chair
Emily Lee
Lisa Seaborn
Carter Miles,
Phillip Sprinkle
Vice Chair
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our fy16 financial status The year ending June 30, 2016 was another fiscally challenging yet successful year for HCS with total revenues reaching nearly $22 million. The rate of growth in fee revenue (which comprises 70% of the total budget) was the lowest of all funding categories in FY16, but increases in other revenue categories (state, local, federal and other funds) combined to result in total revenue growth of 3.6% for the year. With careful, conservative budgeting and close attention to our financial position throughout the year, revenues reached 101% of budget and expenditures totaled 98% of budget. The resulting 3% surplus totaled $622,503, of which $606,620 was restricted funding. The collective efforts of HCS staff, management and board members throughout the year once again resulted in continued financial stability as well as an unmodified (clean) audit opinion.
ASSETS Cash and Cash Equivalents........... 4,109,123.25 Accounts Receivable....................... 2,778,534.40 Property and Equipment............. 12,585,633.22 Total........................................ 19,473,290.87
LIABILITIES Accounts Payable............................... 274,922.93 Accrued Wages/Taxes....................... 690,916.69 Notes Payable................................ 11,302,759.85 Accrued Interest................................... 17,677.68 KATHY SIMPSON Chief Financial Officer
Accrued PTO..................................... 823,437.13 CSA Funds............................................. 44,128.31 Total......................................... 13,153,842.59
NET POSITION Total........................................... 6,319,448.28
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REVENUE 5.22%
3.5%
17.32%
3.64%
REVENUE State Funds...................................... 3,916,235.86 Local Funds........................................ 791,034.93 Fees for Services ......................... 15,895,742.55
70.32%
State Funds
Federal Funds................................. 1,180,021.10
Local Funds
Other Funds....................................... 822,784.74
Fees for Services
Total........................................ 22,605,819.18
Federal Funds Other Funds
EXPENDITURES 8.57% 1.97% 7.71% 1.31% 1.42% .76%
EXPENDITURES Personnel...................................... 17,205,258.88 Personnel
70.27%
Staff Development............................. 287,227.54
Staff Development
Facilities/Vehicles........................... 1,883,720.40
Facilities/Vehicles
Equipment/Supplies.......................... 430,784.37
Equipment/Supplies
Consult/Contracts.......................... 1,696,000.96
Consult/Contracts
Program Operations......................... 312,714.19
Program Operations
Other Expenses.................................. 167,610.15
Other Expenses
Total........................................ 21,983,316.49
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WORKING, TOGETHER
HCS departments
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 served an unduplicated total of 1,209 adults this year. ADULT RECOVERY SERVICES INCLUDE:
I really like it here, and I feel I have accomplished a lot with the help of all the staff members.”
Adult Case Management Psychosocial Rehabilitation at Stepping Stones
- HCS Consumer
Peer Support Services (WRAP) Mental Health Skills Building at Oasis
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.
More than 250 new cases of abuse and neglect were opened at the Children’s Advocacy Center this year. CAC SERVICES INCLUDE:
I gave HCS all A’s because they’re the best provider I’ve been to including those in other states.”
Investigative Intervention Trauma Assessments
- HCS Consumer
Specialized Treatment & Counseling Court Preparation
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I love HCS and am thankful for all their help with my children.” - Parent of HCS Consumer
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 served an unduplicated total of 2,907 adults and children this year. OUTPATIENT SERVICES INCLUDE:
Individual, Group, and Family Therapy
VHCC Student Assistance Services
Comprehensive Assessments and Diagnostic Studies
Restoration to Competency Services
Substance Abuse Intensive Outpatient Program
First Episode Psychosis Services
Consultation Services
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 atrisk children and their families.
Children and Family Services served an unduplicated total of 1,334 children this year. **This number does not reflect those served in Prevention and Education. The unduplicated total number of children and adults reached through HCS P&E programs is 4,848. These programs include school based substance abuse prevention education, parenting classes (Strengthening Families and Project Dads), and community substance abuse and suicide prevention education.
CHILDREN AND FAMILY SERVICES INCLUDE:
Behavior Intervention
Specialized Trauma Treatment Services
Prevention and Education
Drug Court Services
EMBRACE sponsor Homes
Women’s Services
Autism Services
Alcohol Safety Action Program
Project Jane Domestic Violence Services
The Interchange Schools and Summer Programs
Veteran’s Services
Specialized Clinical Supervision Services
Medication Assisted Therapy and Care Coordination
Case Management
Intensive Case Management Intensive In-Home Student Assistance Transition Coordination Therapeutic Day Treatment Infant and Toddler Connection of the Highlands
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HCS departments... We love our case manager. HCS provides excellent services.” - Parent of HCS Consumer
PSYCHIATRIC SERVICES
CRISIS SERVICES
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.
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.
Psychiatric Services served an unduplicated total of 1,841 adults and children this year. PSYCHIATRIC SERVICES INCLUDE:
Crisis Services served an unduplicated total of 1,072 adults and children this year.
Psychiatric Assessment Medication Management
FY16 brought significant change to our Crisis Services Department’s processes. Changes in legislation, along with an increase in emergency evaluations, created a challenging climate. Despite the increase in emergency evaluations, Crisis Services was able to decrease the number of individuals admitted to inpatient facilities. This means that adults and children were able to be successfully treated within their own communities, using our own community-based mental health services and resources. Comparing FY15 and FY16:
CRISIS SERVICES INCLUDE:
Emergency Services Crisis Stabilization for Children Crisis Stabilization for Adults Crisis Consultation and Triage
FY 15 FY 16
OUTCOME
Southwest Virginia Mental Health Institute Admissions: Commonwealth Center for Children & Adolescents Admissions: Overall TDO Admissions (including state and private facilities): Overall Voluntary Admissions:
248
231
6.85% decrease
27
15
44% decrease
Emergency Evaluations:
1219
8.17% decrease 20.63% decrease 1243
1.96% increase
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our impact Our Support Coordinator has moved worlds for us and we are very grateful for her and HCS.” - Parent of HCS Consumer
$21,000,000+ TOTAL VALUE OF SERVICES during FY16 at HCS.
339 EMPLOYMENT OPPORTUNITIES provided at HCS.
$17,000,000+ STAFF SALARIES AND BENEFITS earned by total workforce.
DEVELOPMENTAL DISABILITY SERVICES HCS Developmental 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.
$42
worth of services
RETURN ON INVESTMENT to every $1 to Washington County and the City of Bristol.
Developmental Disability Services served an unduplicated total of 222 adults and children this year. DD SERVICES INCLUDE:
Horizons Day Support Support Coordination Services Sponsor Home Residential Program
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BETTER, TOGETHER
merger WITH THE
children’s advocacy center On October 1, the Children’s Advocacy Center (CAC) of Bristol, Washington, and Smyth County officially became a service of Highlands Community Services (HCS). HCS administration was contacted by the leadership at the Children’s Advocacy Center requesting assistance. The CAC was faced with a complex set of challenges that was jeopardizing their ability to ensure that their critical, and very valued services, to the children of our community would continue. HCS agreed to join forces with the CAC, providing the comprehensive clinical and financial support needed. HCS looked forward to assisting the CAC in expanding their services and reaching into the future like never before.
The positive integration of the two systems has created seamless access to the full continuum of behavioral health services for the children and families served. The Children’s Advocacy Center 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 neglect, sexual, and physical abuse.
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Photos top: CAC and HCS announce their merge. Photos bottom: The Lowe’s Heroes, along with HCS staff, work hard to provide upgrades to the CAC building and grounds.
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RECOVERING, TOGETHER
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The Washington County Virginia Drug Court Program celebrated another successful year of graduations. The drug court helps troubled individuals discover truth, honesty, and accountability in their own lives. The program works to help participants ultimately break free of the addictions and behaviors that have resulted in their involvement in the criminal justice system and have reduced their overall quality of life. It is a four phase program (18-24 months
“
...strong record of success. Individuals recover. Families are restored. Lives are changed. minimum) for adult criminal offenders who are experiencing drug and/ or alcohol dependence problems. Frequent court appearances, random drug and alcohol screenings, individualized substance abuse treatment, mental health treatment, and intensive supervision including curfews are all required. The drug court has a strong record of success. Individuals recover. Families are restored. Lives are changed.
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PARTNERING, TOGETHER
thrive podcast
Photo above: A drug court graduate successfully completes the program, receiving her graduation certificate from Judge Lowe. Photo left: A drug court participant is honored with a phase token as she moves through to a new phase of the program.
Season 3 of Thrive Podcast included a show on Drug Addiction and Recovery with Dr. Hughes Melton, who is the VP of Medical Education for the Virginia Operations of Mountain States Health Alliance and Rebecca Holmes, HCS Clinical Director.
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LEARNING, TOGETHER
Photo above: Sgt. Stephen Anders with the Southern Virginia Internet Crimes Against Children Taskforce (SOVA-ICAC) presents at the C4C Conference. Photo left: Donna Callis with the CAC enters the conference with Nomad, the CAC Facility Dog.
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Photo above: HCS Executive Director Jeff Fox speaks with Olivia Bailey from WCYB. Photo left: Kathi Roark speaks to WCYB about current CAC topics.
CHAMPIONS
CHILDREN
More than 200 cases of abuse/neglect were opened last year at the Children’s Advocacy Center of Highlands Community Services. It was with the great need to educate others and the desire to work to prevent such abuse that the CAC of HCS announced its 2016 Champions 4 Children Conference that took place on March 15, 2016 at the Southwest Virginia Higher Education Center from 8:00am-4:30pm. More than 300 individuals attended, and the event featured nationally renowned keynote speaker Ken Lanning. Mr. Lanning is a consultant in the area of crimes against children and a former Special Agent with the FBI.
Attendees were grouped into four tracks based upon their specialty areas: Community, Child & Family Advocacy, Clinical, and Criminal Justice. The conference brought together a broad variety of individuals to learn about topics such as: Trends in Online Exploitation and Gaming, Normal Sexual Development for Children, Acquaintance Molestation in Youth Serving Agencies, and many more.
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HEALTHIER, TOGETHER
horizons day support and iron mountain crossfit partner ...participants were able to enjoy a specialized exercise program.� Horizons is both a center and communitybased program for individuals with intellectual disability who are ages twelve years through adulthood. This program provides assistance to increase socialization, life skills, communication, and more through community resources and center-based activities. This year, Horizons participants were able to enjoy a specialized exercise program thanks to local Iron Mountain CrossFit. Becoming physically fit, and learning this skill, is an important part of this valued HCS program. Photos: Participants enjoy working out and learning how to make wellness a priority.
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SUCCESSFUL, TOGETHER
In October, HC S began accepting referrals for a new program known as Navigate. Navigate is a comprehensive evidencebased program designed to provide early and effective treatment to individuals who have experienced a first episode of psychosis. With effective treatment most people will recover from their first episode of psychosis and may never have another episode. It is important to remember that psychosis is a treatable condition and help should be sought early.
WHO MAY QUALIFY? Those between the ages of 16 and 25 Those living in Washington county or Bristol, VA Those who have experienced unusual thoughts, feelings, behaviors, or sensations that aren’t typical Those who are willing to work with the Navigate treatment team to address symptoms and concerns
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GROWING, TOGETHER
HCS breaks ground on
children’s campus Highlands Community Services broke ground on the new Children’s Campus located at 391 Baugh Lane, Abingdon, VA in April. Highlands Community Services broke ground on the new Children’s Campus located at 391 Baugh Lane, Abingdon, VA in April. The project represents the culmination of years of planning to create a facility where the children of Washington County and Bristol, VA can come to receive critically needed behavioral health services. In the last nine years, the number of children provided behavioral healthcare by HCS has risen at an alarming rate. We believe that in order for a community to be truly healthy, its citizens - young and old - must experience a sense of security, belonging, well-being, and hope. We look forward to seeing all of these elements come together in a comprehensive, consolidated space where children feel valued, hopeful, and safe.
The HCS Children’s Campus will provide the community with a new facility that will: Centralize Most Children’s Programs Decrease Wait Times for Behavioral Health Services Increase Efficiencies of Our Services Provide a State-of-the-Art, Therapeutic, Recovery-Centered Space Allow for Improved Collaborative Services With Community Partners Allow Continued Assistance to our School Systems by Expanding School-Based Services Save Taxpayer Dollars by Keeping Services in the Community Serve More Children and Families in our Region
The building will include 25,450 square feet of program and office space plus a 7,296 square foot gymnasium for a total of 32,746 square feet and is expected to be completed in January of 2017.
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10 locations
across Washington County and the City of Bristol, Virginia.
Oakview Children’s Services 102 Oakview Avenue | Bristol, VA 24201
Stepping Stones Psychosocial Rehabilitation 414 Ivy Street | Abingdon, VA 24210
Adult Case Management & Outpatient Services - Bristol 1969 Lee Highway | Bristol, VA 24201
Interchange II 751 Radio Drive | Abingdon, VA 24210
Interchange I & School-Based Services 80 Terrace Drive | Bristol, VA 24201
Crisis Resolution Center 802 Hillman Highway | Abingdon, VA 24210
Children’s Advocacy Center of HCS 21451 Sugar Hollow Road | Bristol, VA 24202
Oasis Mental Health Skills Building 27018 Lee Highway | Abingdon, VA 24211
The Annex - Developmental Services 608 Campus Drive | Abingdon, VA 24210 The Campus - Administration & Clinical Services 610 Campus Drive | Abingdon, VA 24210
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improving lives, discovering possibilities. highlandscsb.org
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