community Annual Report
One in four adults in the United States experience a diagnosable mental disorder in a given year. National Alliance of Mental Illness
TOP Integral Care, with middle school students participate in social activity at the Diversity Leadership Conference. MIDDLE The Integral Care Incredibles walking at the annual NAMIWALKS Austin. BOTTOM Central Texas African American Support Conference attendees recite pledge of allegiance at the Hilton Austin Hotel.
to improve the lives of people affected by behavioral health and developmental and/or intellectual challenges
a caring and healthy community that supports individuals and families in achieving self-reliance and self-determination
people, integrity, excellence, leadership
Letter from the CEO
Our quest for a healthy community is gaining momentum with mounting recognition that mental health is an integral part of overall health. Integral Care’s role is to promote awareness and provide access to those needing quality services. With the Aﬀordable Care Act and other healthcare advancements, we must seize the opportunity to lead robust system changes and eﬀective solutions for the most prevalent health care problems of our community. In the past year, our agency has proven to be the local authority on mental health innovation through national recognition for best practices in behavioral health and intellectual and developmental disabilities. We collaboratively led the behavioral health component of Senator Kirk Watson’s “10 goals in 10 years” plan to bring much needed healthcare resources to Central Texas. On this list of priorities is expanding the number of medical providers and ensuring our citizens have access to modern psychiatric care and treatment. The 1115 Medicaid Transformation Waiver is creating unstoppable momentum to change the service delivery system, with nine local projects created and provided by Integral Care that range from the expansion of behavioral health and integrated services in underserved areas of north and south Austin (e.g. Dove Springs) to increased Mental Health First Aid training and implementation of chronic disease prevention. Other new opportunities include a pilot program launched by Integral Care to provide quality service delivery to consumers and families transitioning from the State Supported Living Center to living and thriving in the community. These large initiatives fill critical healthcare gaps in the community and require continued collaborative, working partnerships with Integral Care’s appointing agencies: Central Health, the City of Austin and Travis County. Other critical partners include CommUnityCare, the Seton Healthcare Family and St. David’s HealthCare. While Fiscal Year 2012 was the first planning year of this expansion, we now face challenges to gain the necessary federal approvals and initial implementation. With hard work, support and dedication of Integral Care’s workforce and board of trustees, Integral Care has achieved and maintained Joint Commission Accreditation, the national standard for health care quality and safety, was awarded the CEO Cancer Gold Standard Accreditation and chosen as one of Central Texas' Healthiest Employers. The growing recognition of our person-centered, wrap-around services provided us the opportunity to serve 22,000 individuals last year. We know there is more work to be done to achieve open access and are committed to educating the community, its leaders and lawmakers on the importance and value of the services that impact those we serve. Discover more about our programs at IntegralCare.org. Should you have any questions or comments, contact us at firstname.lastname@example.org. We greatly appreciate your feedback and suggestions for improvements.
David Evans Integral Care chief executive oﬃcer 2
TOP Integral Care employee enjoying a game of kickball at the Child and Family Services family fun day. MIDDLE Happy door prize winner at the Central Texas African American Support Conference. BOTTOM Attendee smiles at the conference opening session. Learn more at ctaafsc.org.
Mental health conditions are the second leading cause of workplace absenteeism. American Psychological Foundation 3
A Year in Review Here is a look back at fiscal year 2012, highlighting important accomplishments by Integral Care in meeting
Joint Commission Accreditation The Joint Commission is the nation's oldest and largest accrediting notfor-profit organization in health care. Integral Care’s dedication to continuous quality improvement and standard of services earned Joint Commission Accreditation by demonstrating national standards for healthcare and safety.
CEO Receives National Lifetime Achievement Award Integral Care Chief Executive Officer, David Evans, was the national recipient of the 2012 Saul Feldman Award for Lifetime Achievement, presented by ACMHA: The College for Behavioral Health Leadership for his contributions to the advancement of policy in mental health and addictions recovery.
Central Texas' Healthiest Employers Chosen as one of 38 Central Texas organizations, Integral Care was awarded the Austin Business Journal's Healthiest Employers in Central Texas, and also received the CEO Cancer Gold Standard Accreditation for its commitment to employee health and efforts to fight cancer in the workplace.
Co-Leading Planning Efforts for Behavioral Health Integral Care was chosen by Mayor Lee Leﬀingwell to collaboratively lead and develop Senator Kirk Watson’s 10 in 10 Initiative’s behavioral health component with Central Health, which identified gaps, priorities and resources for high utilization of mental health services. Subsequently, this plan was used for the development and prioritization of 1115 Transformation Medicaid Waiver projects.
State Supported Living Center Pilot The Department of Aging and Disability Services awarded Integral Care a grant to develop a one-year pilot that enhances support to successfully transition approximately 40 people from the Austin State Supported Living Center to homes in the community.
Stigma about mental health disorder against patients and families prevent people 4
the community’s needs and preparing for future changes.
Veterans Mental Health Online Screening Tool The Veterans’ Mental Health Screening Tool was created and launched by Integral Care to assist veterans experiencing behavioral health symptoms by offering free and confidential support through caring, qualified veterans affairs professionals.
All-time High Fundraising for Children’s Mental Health Services New Milestones Foundation’s annual event celebrated ten years and raised more than $63,000 in funds for children’s mental health services. More than 500 guests arrived at the Bob Bullock Texas State History Museum for a festive evening with actress and author Carrie Fisher.
Health Opportunities Work Group Partner Early in the year, the Texas Council of Community Centers created the Health Opportunities Work Group, which was led by Integral Care, to develop statewide policy and recommendation for Affordable Care Act and 1115 Transformation Medicaid Waiver.
Dramatic Provider Expansion With provider network expansion efforts, consumers can now choose from 596 external contract network providers, an 37 percent increase from 2010.
and discrimination from seeking help World Health Organization 5
Total Serviced 3,300 Child and Family
14,188 Adult Behavioral Health
2,578 Developmental Disabilities
19,621 Total People Serviced
Other Diagnoses 8% Other Developmental Disorders
Key Services Provided by total hours Adult Behavioral Health
Psychiatric Services 8,982
Case Management and Rehabilitation Services 102,948
6% Child & Family Services Substance-use 3% Disorders Other Mood 24% Disorders
Psychiatric Services 8,982 Case Management and Rehabilitation Services 19,950
Developmental Disabilities Services Bipolar Disorder
Supported Employment 2,623 Service Coordination 10,414
Safety Net Services Assessment and Diagnosis 2,005 Crisis Screening and Response 21,476
Schizophrenia/ Other Psychotic Disorders
117,640 Total 24/7 Crisis Hotline Calls
78,072 Calls forwarded to Crisis Services 6,876 Crisis consumers served (includes other divisions)
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56% Female 44% Male
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42% White 27% Hispanic 24% Black 6% Other
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26% 18-30 20% 0-17 19% 41-50 18% 31-40 17% 51+
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91% $0-5k 4% $5k-10k 2% 10k-20k 1% 20k-40k 1% 40k+
History of Expenses, Revenues, Fund Balance Revenues
29m 22m 7m 87k 58m
27.5m 20m 8m 65k 55m
Prescription Drugs and medicine
Contract Direct Care Services & Consultants
Furniture and Equipment
Facility, Telephone & Utility
Debt Service Principal & Interest
Excess of Revenues Over Expenses Fund Balance End of Period
Local State Federal Interest Income Total
Thank You 2012 Donors! Major Funders City of Austin Central Health Department of Aging & Developmental Disabilities Department of State Health Services SAMHSA Travis County St. David’s Foundation The Middelburg Family Trust
Adult Mental Health Holiday Events Julia Jo Barkley Memorial Fund Carolyn Barkley Janet Barkley Booker Episcopal Church of the Good Shepherd Eloise Netherton Sandy Perkins St. John’s Episcopal Church Ruth Strittmatter Betty Wattinger
Child & Family Services Coats for Kids/Junior League of Austin Tarrytown United Methodist Church Riverbend Church
Volunteer Services Contributors Austin Fit Magazine Austin Family Magazine H-E-B It's About Thyme Nursery Kerbey Lane Café Magnolia Café Massage Harmony Randall’s Sustainable Food Center
Bridging the Gap Campaign for Children’s Mental Health Services
In honor of Paul & Karen Leeke Kathy Bouldin In honor of Joyce Orr & Sandy Perkins Sheila Rosenfield In honor of Kathy Rider Emma Lea Mayton
Lola Wright Foundation Best Buy
In memory of Sandra Anderson Baccus Robyn Turner Beverly & Dan Yahiel In memory of Steven Aldrich Mary & Richard Aldrich, Ph.D. In memory of Carmen Chavez Yvonne Chavez In memory of Julia Jo Barkley Carolyn Barkley Janet Barkley Booher In memory oﬀ Kristi Couvillion Judge Nancy Hohengarten In memory of Michael Cecil Kushman Pam Beachley In memory of Chase Keller Merily & Tom Keller In memory of Charlotte London Mike London In memory of Leslie L. Murphy Patti & Charles E. Harrison, Jr.
New Milestones Foundation
Contributors Anonymous Francelle Bettinger Bob & Kathy Bucklin Ann & Jim Downing Betty King Mary Moody M.P. Mueller/Door #3 Jare & Jim Smith Joan & Kurt Wade Leo J. Welder, III Michael Crowe Gary Daniel Donna David Cecile DeWitt, Ph.D. Suzann Dvorken Sherrie Frachtman Cookie & David Goldblatt, MD Susan Hendrix Sharon Hardison Nancy Hoﬀman Sharon Horowitz, Ph.D. The Hon. Donna Howard Roger Ireland Pamela & Richard Jones Karen Kerking Christine Kuhner Ellen & Sherman Kusin Nancy Neavel Cindy & David Pinto Donna & Theo Sanders Steve Saunders Betty Schmidt Lynda Shanblum Sherry Smith Mary Jo Stanley Milli Stecker Marcia Toprac, Ph.D. Marilyn Vache, MD Cynthia & Joe Winer Suzanne & Marc Winkelman
Honorariums In honor of Jane Hilfer Kathryn Hillhouse In honor of Genevieve Hearon The Hon. Elliott Naishtat
With special appreciation Gary Daniel
2011 Bridging the Gap Event Lamar Bridge Partners Tocker Foundation Darryl Wittle, Flemings Steakhousethe Domain
Mopac Bridge Partners Brown McCarroll, L.L.P H-E-B HRWK Jane Hilfer Linebarger Law Firm Susan & Dr. Craig Lubin, MD MFI Foundation Marc Ropollo Hill Seton Family of Hospitals
1st Street Bridge Partners Adelanto Healthcare Ventures JP Morgan Chase Susan & Scott Hector, Ph.D. Karen & Paul Leeke Kathy Rider Susan & Alan Sager Carlos Zaﬃrini
Pfluger Pedestrian Bridge Partners Joy & Bob Hrobak Graves Dougherty Hearon &Moody Merily & Tom Keller LCRA United Employees NAMI Austin Cindy & David Pinto Eric Stumberg Janesta Sturrup Joan & Kurt Wade Leo J. Welder, III
Lady Bird Lake Bridge Partners Debra & Davis Evans Stephen Jones Southwest Strategies Lori & Jordan Steiker Gail Sulak Rachel & Ben Vaughan
NMF Event Sponsors Blo Blow Dry Bar/Austin Evie Evan Cosmetics & Skincare Ropollo’s Pizza The Ashton Beyond Tradition/Kappie Bliss Zoltan & Patty David Fontaine Studio Tours Nancy Hoﬀman Mandolas Megan Summerfield Piranha Killer Sushi Twin Liquor Susan & Alan Sager
NMF Inkind Contributors Austin Woman Magazine Brooks Barksdale Carol Brejot Kappy Bliss Autumn Boukadkis Canolli Joe’s Kerri & Jay Morrison Public Eye Photography River City Pops Ginny’s Printing Bettie Reichman/Public Eye Photography Ingrid Weigand/URP Productions
Auction & Raffle Donors Abuelo's Mary & Richard Aldrich Amiano Wines, Inc. Jeri & Michael Archuleta Austin Duck Adventures Austin Social Planning Beyond Tradition
Catherine Nicole Jo Anne Christian Clip-N-Curl Kathy Cronkite Pamela DeFanti Robinson Billie Dixon III Ann Downing EOS Dermatology & Med Spa EZ Lakeway Storage Fresh Esthetics Hair Care Aanold Fuentes Karin Gluk Green Pastures Restaurant Ruby Hemenway Jane Hilfer Hilton Hotels Nancy Hoﬀman I Can Do That! Nathan Jensen Just Four Paws Sharon Kyle Kuhn Lake Travis Animal Hospital Herve Lapuente Georgina Lavin Paul Leeke Sandra Ling Susan McDonald Mesa Rosa Kerri & Jay Morrison Newflower Farmers Market Oak Hill Automotive Joyce Orr Péché Plate by Dzintra Linda Rangel Rewards Robin Jackson Photography Russell’s Bakery Susan & Alan Sager Shimmer & Bliss Sirens Salon Special Occasion Cakes Spirited Food Co. Stephanie Jimenez Jewelry Supercuts Tejas Patel, DDS Tracy Tenpenny The Texas Clothier The Trading Post The World of Tennis Tomasik Family Dental Tula Hats Twin Liquors UT Golf Club Mecca Viurus Wear Art Thou Whole Foods Micah Yancey
12th Annual Central Texas African American Family Support Conference Sponsors Center for the Elimination of Disproportionality & Disparities City of Austin Hilton Austin Hotel New Milestones Foundation Oﬃce for the Elimination of Health Disparities Seton Family of Hospitals The Wood Group
Contributors Agape Baptist Church Austin Area Mental Health Consumers Barnes & Noble City of Austin Ron Collins Ginny’s Printing Hogg Foundation for Mental Health Huston-Tillotson University Integral Care Consumer Council KAZI 88.7 FM Soulciti.com Texas Council for Developmental Disabilities Texas Dept. of Aging & Disability Services Texas Dept. of Assistive & Rehabilitative Services Texas Dept. of Insurance Texas Dept. of State Health Services Travis County Health & Human Services & Veterans Services Ujima Magazine
There are approximately 4.5 million people with developmental disabilities in the United States. United States Dept. of Health and Human Services 9
Approximately half of mental disorders begin before the age of 14. Around 20 percent of the world's children and adolescents are estimated to have mental disorders or problems. World Health Organization
TOP Integral Care employees and volunteers smile at the annual Thanksgiving dinner. More than 250 consumers received a warm meal at the event. MIDDLE Child and Family Services fun day with families at Bartholomew Park.
BOTTOM Integral Care employee enjoys Halloween party.
Facility Locations R MA LA
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1. Self Help & Advocacy Center (SHAC) 3205 S. 1st St. 2. Juvenile TCOOMMI Program 2515 S. Congress Ave. 3. Integral Care Annex 1700 S. Lamar Blvd. 4. Robert T. Chapa Sr. Admin. Bldg. 1430 Collier St. 5. Infant Parent Program – ECI 1717 W. 10th St. 6. Children’s Services 105 W. Riverside Dr. 7. Psychiatric Emergency Services (PES) 56 East Ave. 8. Homelessness Services 500 E. 7th St. 9. Behavioral Health Services 1631 E. 2nd St. 10. Psychiatric & Counseling Annex 110 Chalmers Ave. 11. Genevieve Tarlton Hearon Respite Recovery Bldg. 403 E. 15th St. 12. ANEW Program 4920 N. IH-35 13. IDD Services 5225 N. Lamar Blvd. 14. North Austin Services 825 E. Rundberg Ln.
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Offices & Clinics
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Child & Family
Board of Trustees Matthew Snapp, Ph.D., CGP, Chair Richard Hopkins, Vice Chair Robert T. Chapa, Jr., Secretary/Treasurer Brenda Coleman-Beattie Exalton A. Delco, Ph.D.
Hal Katz Martha Martinez Vincent Torres Tom Young
Executive Management Team David Evans, Chief Executive Officer Iliana Gilman, Chief Strategy Officer Dawn Handley, Chief Program Operations Charles Harrison, Chief Operating and Financial Officer
Lisa Ott Laky, General Counsel Louise Lynch, Provider Network and Authority Officer Jim Van Norman, MD, Chief Medical Officer
Planning & Network Advisory Committee Exalton A. Delco, Integral Care Trustee Joan Baird Nada Bracewell Alonzo Bradley Cecile DeWitt Bart Farar Michael Flowers Drew Glass Shirley Goff Mylene Hill
Gordon Israel Alecia Little Henry McMahon Reta Moore Julia Moreno Ballard Nancie Morgan Simone Schrott Liz Shelby Bettie Storey Mark Vowell
New Milestones Foundation Board Kathy Rider, LCSW, BCD, President Susan Sager, President Elect Paul D. Leeke, Immediate Past President Mary L. Aldrich, Secretary/Treasurer Donna Carpenter Neil Diaz Brenda Coleman-Beattie Reenie Collins Exalton Delco, Ph.D.
Anthony Haley Genevieve Hearon Scott Hector Joan Khabele Alice Kuhn Matthew Snapp, Ph.D, CGP Gail Sulak Carlos Zaffirini David Evans, Integral Care CEO
TOP David Evans, Integral Care chief executive officer speaks to the audience at the Affordable Care Act quarterly community forum.
BOTTOM Integral Care employees launch a one-year pilot to successfully transition approximately 40 people from the Austin State Supported Living Center to homes in the community.
Non-Profit Organization U.S. Postage
Permit No. 912 Austin, TX
P.O. Box 3548 Austin, Texas 78764-3548
24-Hour Crisis Line 512-472-HELP (4357) TTY: 512-703-1395
Visit us at IntegralCare.org Donate at NewMilestones.org.