Healthy Families & Communities
2 0 1 8 ANNUAL REPORT
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MISSION Horizon’s Mission
Horizon Behavioral Health is the premier provider of mental health, substance use and intellectual disability services in Central Virginia. Horizon’s mission is to support and promote the health, independence and self-worth of individuals and families in Central Virginia by providing a continuum of community-based prevention, early intervention, aftercare, and psychosocial rehabilitation services for persons affected by mental health, intellectual disabilities, substance use and co-occurring disorders. Our vision is to provide behavioral healthcare services that are accessible, consumer-centered, cost effective, and quality outcome-based.
2018 Board of Directors Clyde T. Clark, Sr. Chair
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Rob Merryman Vice-Chair
William Scott Secretary
Gary Marple Treasurer
Betty Brickhouse Andy Crawford Susan Hogg Dana Koenig Abe Loper
John Rice S. James Sikkema Mary Lou Spiggle Treney Tweedy Major Betty Wise
2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
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LEADERSHIP Dear Friends and Community Partners, Horizon Behavioral Health was initially developed on April 19, 1969 as a Chapter 10 Board, the result of legislation passed by the Virginia General Assembly in 1968 to develop local public agencies to provide mental health services in their communities. Since then, Horizon continued a path of steady and measured growth. And 2019 will mark a special milestone- our 50th Anniversary. At it’s start, Horizon consisted of 5 team members serving a small number of individuals in a single service with a budget of $18,350. Today, we are Central Virginia’s premier behavioral health provider, thanks to the tireless work of many Board Members, team members, and community partners. Today, Horizon provides nearly 200 community based services throughout Central Virginia. Annually we serve more than 17,000 courageous individuals and families. Our workforce consists of more than 600 incredibly dedicated, talented, and caring staff. In fiscal year 2018, our operating budget was $51,359,496. While our work is far from over, we are very proud of what we’ve accomplished thus far. For the past four years I have been fortunate to serve this amazing organization alongside a supportive and active Board of Directors, a talented group of team members, and collaborative community partners. I’m very grateful for all of your passion, dedication, and leadership. Many thanks for your continued participation in this wonderful journey across the Horizon! With every best wish and kind regard,
Damien Cabezas, CEO, Horizon Behavioral Health and Board President, Horizon Opportunities, Inc.
WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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PORTFOLIO OF
SERVICES
MENTAL HEALTH & SUBSTANCE USE SERVICES We provide a comprehensive continuum of evidenced-based treatment from Residential Crisis Stabilization and Recovery Residence Treatment to Office-based Opioid Treatment (OBOT) and our Intensive Outpatient Program (IOP). It is a continuum of care designed to focus not just on recovery, but on whole person health. All consumers receive case management to navigate the overall process of care, an individualized service
CASE MANAGEMENT SERVICES
plan to ensure all needs and risks are addressed, as well as
Our Case Managers are trained to link both adults and children
group therapy and peer support for specialized discussions and
with services they need such as medical, social, educational, and
encouragement.
other needed identified services. We help navigate treatment options, obtain available resources and support, and enhance
SCHOOL-BASED SERVICES
opportunities for community integration. Case Managers
Using evidence-based methods proven to be extremely
meet with consumers to review treatment options and identify
successful nationally, our school-based services take a
their overall satisfaction with the services they receive. Case
comprehensive, holistic, and integrated approach to severe
Managers also provide supportive counseling, discuss life skills
emotional and behavioral issues. In addition to working
and coping strategies, provide help through any crisis and
directly in the schools with K-12 students, we also have an
provide guidance on which community resources would be most
alternative education center for students placed on homebound
helpful.
instruction. Through individual and group approaches, we help with behavior management, problem-solving strategies,
EMERGENCY SERVICES
coping and empathy skills, social skills training and more. We
Our Emergency Services Team assesses individuals
often coordinate with other Horizon services to ensure every
experiencing a crisis and facilitates getting them the help they
consumer receives high quality care.
need. Our clinicians are available 24/7/365. An example of a psychiatric crisis could be an adult or child with suicidal
OUTPATIENT SERVICES
thoughts, or other issues that put that person or others in
Outpatient therapy is provided to address a wide array of
immediate physical danger. We regularly coordinate with
behavioral and emotional concerns such as depression, anxiety,
individuals, first responders, behavioral health services, and
post-traumatic stress, substance use disorders, and attention
local hospitals as well as law enforcement and the legal system
deficit disorder, among others. Our Intensive Outpatient
to help with assessments, community integration following
Program for Substance Use Disorders is an adjunct and/or step
incarceration, and trainings on how to properly assist a person
down from residential treatment with emphasis on structured
in mental health crisis. As part of our services, our Emergency
addiction and co-occurring mental health therapy, education
Services Team offers Ambulatory Crisis Stabilization for
and support. We offer a broad range of programming, and
children and adults. This service is specifically focused on
specialized clinical staff to meet the needs of our consumers.
helping those with severe emotional, mental health, or
Individual, family and group therapies are provided at
behavioral issues find stability so they can remain in their
Horizon’s Wellness Centers.
homes or communities living a productive and positive life.
PSYCHIATRIC SERVICES
HOUSING SERVICES
We have a team of medical providers (adult and child
We have several Intermediate Care Facilities (ICF) that provide
psychiatrists as well as nurse practitioners) who provide
housing for adults with intellectual disabilities who require
evaluations and medication management to our consumers,
moderate to high medical and/or behavioral support. Our
including those in crisis stabilization.
ICFs create a nurturing and therapeutic environment for all individuals, with the primary goal of helping residents live as independently as possible. Our ICFs are built to cater to the needs of our consumers and are staffed with caring experts in home-health, rehabilitation and special needs services.
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For Admissions call: (434) 477-5000 After-hours Emergencies call: (434) 522-8191
2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
SERVICE
OVERVIEW For 49 years, Horizon Behavioral Health has been serving individuals and families in Central Virgina and throughout the Commonwealth, supporting and promoting the health, independence and self worth of our consumers.
6,902 CASE MANAGEMENT SERVICES served 3,002 EMERGENCY SERVICES served 44 HOUSING SERVICES served 1,010 OUTPATIENT SERVICES served 5,244 PREVENTION SERVICES served 5,368 PSYCHIATRIC SERVICES served 726 SCHOOL BASED SERVICES served 688 MENTAL HEALTH AND SUBSTANCE USE SERVICES served 611 PSYCHIATRIC SERVICES served 17,262 TOTAL NUMBER OF CLIENTS served WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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HORIZON’S
GOT TALENT Horizon’s Got Talent was, yet again, a great success. For the fourth year in a row, local talent blew away the judges and the audience. More than 200 guests enjoyed dinner, a show and a wonderful silent auction to support the missions of both Horizon Behavioral Health and Horizon Opportunities Inc. Horizon is unique in that 100% of its proceeds go to support its mission and services.
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2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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CEO WELLNESS
CHALLENGE Horizon’s Wellness Fair At the beginning of this year our employees rose to a challenge – let’s improve our health. For several years, the CEO Challenge, has helped employees to “think healthy.” But January’s Wellness Fair turned those good intentions into action. The Super Bowl Themed event, saw more than 130 Horizon employees receive biometric screenings by the nursing staff of Optima Health. It is thanks to these screenings that, more than half a year later, our employees are expressing excitement about the improvement in their overall health. The Health Fair also provided an opportunity for staff members to visit nearly twenty vendors, including Optima, Virginia Retirement System, BOST, The Variable Annuity Life Insurance Company (VALIC), Standard, AFLAC, Voya Financial, Guardian, Minnesota Life, Lynchburg Salsa, Sam’s Club, Lynchburg Chiro, YMCA, Virginia 211, Lynchburg Parks and Recreation, the Virginia Cooperative Extension, Complete Nutrition and Health Nut. Horizon knows it is important to invest in events like the Health Fair, to ensure our employees are living the best life possible.
LYNCHBURG HEART WALK A team of Horizon employees participated in the second annual Lynchburg Heart Walk. This walk was sponsored by Horizon, to show its support of the American Heart Association’s mission. The health of our employees and consumers is very important and events like these give us time to walk and fellowship together - building a stronger, happier and healthier community!
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2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
HORIZON
EVENTS Horizon’s Therapeutic Day Treatment Graduation For the third year, Horizon hosted a graduation ceremony for the children of it’s Therapeutic Day Treatment (TDT) program. This program is an alternative to regular school for children who were not initially successful in that setting. TDT is proven to keep children out of residential treatment. The goal is to create a happier and healthier child who will ultimately be successful back in a regular school setting. This year, as the children received their diplomas, their families cheered and beamed with pride. Former Therapeutic Day Treatment student, Frankie Haynes and Shana Harvey, gave motivational, touching speeches to the graduates. Horizon also honored Principal of the Year, Ryan White, Teacher of the Year, Brittany Bell, and Advocate of the Year, Marie Petrone, for their outstanding work with our children.
Opioids: The State of Our Community In an effort to educate the community and “ramp up” the fight against opioid abuse, Horizon hosted an addiction expert and a panel discussion on opioid abuse in Virginia. Nearly 200 people from the Lynchburg area gathered at Horizon’s Therapeutic Day Treatment Center to hear Dr. Mishka Terplan, Associate Director of Addiction Medicine at Virginia Commonwealth University. He discussed the history of opioids and their effects on society today. After his address, community leaders lead a discussion about the problem on a local level and efforts being taken to address this devastating and deadly addiction.
WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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COMMUNITY
IMPACT
$8,923,200 Local Return on Investment
2,316 Number of Uninsured Consumers
611 Jobs Sustained This is the average number of individuals employed by Horizon during the year.
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Impact on Local Schools schools through Amherst, Bedford and Campbell Counties have well qualified Horizon staff providing evidence based behavioral health programing.
653,407 Hours of Service Provided hours in which Horizon’s staff provided services to the citizens of Central Virginia, and beyond. 10
2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
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Office Based Opioid ~ Treatment Consumer
CONSUMERS
“Now I
have hope!!
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“
“
After coming to Horizon and meeting my Case Manager I have learned the coping skills to get through my drug addiction.
HEAR FROM OUR
Before Horizon I didn’t have a support system. Now I can be a better mom, a better sister, a better daughter, a better person in all my relationships knowing that I have the support I have from Horizon. ~ Outpatient Consumer
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WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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YEAR IN
REVIEW REDUCING HOMELESSNESS AND CRIME IN TRANSITION AGED YOUTH In September of 2017, Horizon received a three year $2.2 million grant from the Substance Use and Mental Health Services Administration. Called the Coordinated Approaches to Benefit Homeless Individuals (CABHI), this grant funds a group of therapists, case managers, and housing/employee/ peer specialists at Horizon. Their job is to work with homeless young adults (18-24 years old) to maximize their potential. This, in turn, will reduce homelessness, incarceration, emergency department visits and re-arrests. Their ultimate goal is to provide stable employment and housing to these individuals. The CABHI program concluded it’s first year by surpassing its goal of entering fifty clients into the grant evaluation. As of November of 2018, the CABHI team had received a total of 98 referrals of which 69 were found to be CABHI eligible. Fifty-two of those people agreed to enter into the evaluation. Twenty-four percent of those clients were linked to permanent housing, 88% received additional out reach services, and 90% received Trauma Focused Cognitive Behavioral Therapy. Additionally, 96% of youth referred from community partners were linked to services within seven days and 100% were linked to a Case Manager or Entitlement Specialist as needed. In the coming year, the CABHI team hopes to continue to surround this vulnerable population with the wrap-around services they need to better their outcomes and maintain the program’s momentum. They will continue to move homeless clients toward stable housing, help them find employment so they can maintain that stable housing.
NEW CONCORD LOCATION In early October, Horizon opened the new Horizon Wellness Center at Concord. Horizon outgrew the space in the original Wellness Center at Campbell and started the search for another location. Horizon moved the Children Crisis Intervention Team to the new location. This space allows for us to serve more children and start new programs. Horizon’s Crisis Intervention Team serves children with severe mental health needs and are experts at dealing with trauma and wonderful at bringing wrap-around services to the children and families in need.
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2018 ANNUAL REPORT: HEALTHY FAMILIES & COMMUNITIES
HORIZON AND THE LYNCHBURG DEPARTMENT OF SOCIAL SERVICES TO AID IN THE EXPANSION OF MEDICAID. In November of 2018, a new partnership between Horizon Behavioral Health and the Lynchburg Department of Social Services (DSS) emerged as a direct result of the impending Medicaid Expansion in Virginia. This partnership placed a DSS Benefits Program Specialist in order to enhance this public/public partnership. The Benefits Program Specialist will assist individuals and families living in Lynchburg on site at Horizon as they apply for Medicaid and other benefits. Having a specialist onsite will eliminate the need to make a referral. The Commonwealth of Virginia has expanded Healthcare coverage for nearly 400,000 Virginians. Horizon and DSS want to ensure that adults living in Lynchburg have access to quality health coverage.
IMPLEMENTATION OF MYSTRENGTH Horizon and myStrength, Inc., have partnered to offer web and mobile behavioral healthcare solutions as part of Horizon’s continuum of care. Patients and employees of Horizon now have access to digital self-care solutions that will complement treatment to help manage stress, depression, anxiety, substance use disorders, chronic pain and sleep disorders. The partnership between Horizon and myStrength is the first of its kind in Virginia, bringing therapy and support to mobile devices and laptops, opening a new world of access to mental health care. myStrength’s digital resources complement the continuum of care offered by Horizon, empowering consumers with self-help resources to support recovery efforts, as well as tools to monitor and maintain overall wellness and quality of life. The myStrength platform helps bridge the gap between therapy visits, allowing consumers to navigate through issues and address problems. The online tools and activities are available 24/7 to those served through Horizon and offers low-risk, effective solutions to managing behavioral health issues for anyone 13 years and older. On average, users of myStrength experienced eighteen times greater reduction in depression within only two weeks.
ACCREDITED BY CARF INTERNATIONAL Horizon received a three-year Accreditation by CARF International, the highest level of accreditation given to a behavioral health organization. According to the evaluation team of experts brought together from across the country, Horizon demonstrated a commitment to offering programs and services that are measurable, accountable, and of the highest quality.
WWW.HORIZONBH.ORG To donate, visit www.horizonopportunities.org
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OUTCOMES HORIZON HOMES
4,200
Total trips for our consumers living with intellectual disabilities in Horizon Homes. 2,129 of those trips were individual outings that gave them one on one attention. CRISIS INTERVENTION TEAM (CIT)
99% 100%
of individuals are not criminally charged or arrested during Emergency Custody Order (ECO). of officers on site are CIT Trained.
EMERGENCY SERVICES
100% 1,001 97%
of children in a psychiatric emergency are seen within two hours. Emergency Custody Orders (ECOs) for adults. of adults needing Emergency Service are evaluated by Horizon within two hours. HIV AND HEP-C TESTING
611
14 18
Individuals tested
FORENSIC SERVICES
89% 98%
of Horizon consumers in jail linked to services prior to their release. of consumers in regional jails were not rearrested in a year. HUDSON HOUSE
92 0.9%
clients attend Hudson House, a day program for people with severe mental illness. of members experienced hospitalization during participation of the Hudson House program.
ADMISSIONS
2,643 115
Walk-in Evaluations by Admission Team
Tele-Intakes completed
SCHOOL BASED SERVICES
546 90%
students enrolled attendance rate
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50Thank you’s to our team, consumers and partners. To donate, visit www.horizonopportunities.org