Transcript Slide 1

Annual Report
2008
Focusing on Co-Occurring Disorders
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“In the old days, the thinking in 12 step mentality was
‘I drink because I drink.’ In more modern thinking,
however, we realize that the coexistence of a primary
psychiatric disorder with substance abuse is not the
exception, but the rule. “
Dr. Carol Tavani, Psychiatrist
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40% of new admissions have cooccurring addiction and mental illness
Statewide COSIG initiative removes
barriers to treatment through process
improvement.
All sites reduced wait time for
psychiatric services by 4 to 5 weeks,
by prioritizing wait list and shifting
more stable patients to physician and
nurse practitioner.
Newark site reduced wait time for
psychological assessments by 9
weeks.
Staff-wide training on co-occurring
disorders prepared us to better serve
our customers’ complex needs.
Alpha improved collaboration with
psychiatric hospitals and inpatient
facilities.
Annual Report 2008
Treatment with Dignity
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Opioid Treatment
Program serves 550
patients at Lancaster site,
357 at Newark.
480 patients have stayed
in the program 1 year or
more.
109 patients have stayed
in the program 4 years or
more.
“When a client comes to my window and tells me that
they're going to a job interview, I enjoy encouraging
them, ‘Think positive! Hold your head up, and smile,
smile, smile!’ “
Kim Ortiz, Nurse
Annual Report 2008
Staying Clean
412 of 1040 opioid treatment patients (40%) have
at least 90 days of abstinence.
Opioid Treatment Clients by Amount of Clean Time
94
100
80
# of Clients
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77
81
60
60
60
40
40
20
0
3 months
6 months
1 year
2 years
Annual Report 2008
3 years
4 years or
more
Growing Enrollment, Decreasing
Risk
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353 participants enrolled in
needle exchange since
startup in 2007
Over 10,000 syringes
exchanged.
8 sites in operation.
132 participants were
referred by another
participant.
“In order for us to engage with these clients, we have
17 have entered drug
to show them that we care. We have to show them
that we love them, and I think that surprises a lot of
treatment.
them.”
621 have consented to an
Dianna Dorsey, Outreach Worker
HIV test. 7 positives have
been identified.
Annual Report 2008
Reaching the Most in Need
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“Everybody’s got those two or three clients that
they’re always going to keep with them. That type of
reward and internal satisfaction that you get, I don’t 
see how you could possibly get that at any other
job.”
Safety Net Services seamlessly
transitioned 75 clients to treatment
for severe substance abuse and
mental health issues.
42 clients received medication
management at Christiana Care
“one-stop shop” clinic.
100% of Safety Net clients
remained in treatment 6 months or
longer. Two-thirds reported no
drug use, half reported no alcohol
use, and 40% reported no alcohol
or drug use.
NSAFE provided HIV case
management to 110 clients.
Jeremy Zane, Therapeutic Supervisor
Annual Report 2008
Education, not Criminal Records
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198 first time drug
offenders enrolled in
Drug Court Diversion
from Superior Court,
97 graduated.
376 enrolled from
Court of Common
Pleas, 219
graduated..
“I think if we can keep an open mind, and learn to
listen to the client, and have the ability to go
where they are, then we can perhaps bring them
to where they can be.”
Marty Nagy, Counselor
Annual Report 2008
Help for Women In Transition
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“Children need to see a change, and mothers
can do that for their children, to break that cycle.
It’s about changing your quality of life.”
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Perinatal Program is helping
61 pre and post-natal care
consumers with housing,
childcare, medical care, and
transportation.
35 presentations on Fetal
Alcohol Syndrome provided
prevention and education to
520 individuals.
Focus on Families prevention
program started 13th cycle with
12 participants. 4 individuals
obtained full employment.
DFS liaison work with
Department of Children, Youth,
& Families
Brenda Harris, Records Clerk
Annual Report 2008
Lancaster Center: 2009 Goals
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To conduct agency-wide training
with co-occurring disorders
expert Dr. David Mee-Lee as part
of statewide COSIG project.
To implement telephone
coaching as a therapeutic tool.
To offer Focus on Families
prevention program to outside
agencies such as shelters.
To continue as an alumni
member of the Network for the
Improvement of Addiction
Treatment (NIATx).
To maintain census,
accreditation, and licensing
Annual Report 2008
Treatment in the Suburbs
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“I wanted to have an office that was full of
serenity, where people would feel comfortable.
Instead of an office setting, a homelike, warm
setting.”
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Newark Center: 5% increase in
number of patients served.
Increased our clinical staff to
accommodate increased
census.
25% increase in patients
remaining in opioid treatment
for 1 or more years.
Excellent quality care shown in
State licensure audit.
Improved patient flow for
medication with SMART
computer kiosk.
Cindy Pence, Counselor
Annual Report 2008
Newark Center: 2009 Goals
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To provide on-site
psychiatric services.
To further reduce wait time
for psychological
assessment.
To begin group to address
needs of patients on
psychotropic medication.
To maintain census,
accreditation, and licensing.
Annual Report 2008
Breaking the Cycle of Homelessness
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“Probably 80% of our clients are homeless. But a
lot of them are strong willed. They’re really strong
people. They can fall flat on their face, and they
get up and they try it again.”
Krystal Cooper, Receptionist
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Over 70 patients active in
Georgetown homeless program.
Original grant was for 30.
Screened 321 individuals and
admitted 216 in the past year.
Partnered with Crisis House to
assess all homeless in shelters in
Georgetown.
Partnered with Megan, Corinthian,
and Tau halfway houses to provide
aftercare.
Construction underway to add
reception area, 3 offices, new
bathroom, and doctor's exam room.
Expected completion by end of
2008.
DFS liaison work with Department of
Children, Youth, & Families
Annual Report 2008
Lighting the Way for Moms and Kids
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The Lighthouse Women’s and
Children’s Program opened in
December
Dedication by Governor Minner
All beds filled. Expanding capacity
to 14 from 10.
5 persons in GED program, 1 has
received diploma.
2 women have moved into reentry house; 2 more soon to
follow.
Volunteer network teaches
sewing, ceramics, self-esteem,
computers
“To watch the faces of children who are
spared the suffering that comes with active
addiction is a joy unparalleled.”
Shay Lipshitz, Site Director
Annual Report 2008
Sussex County: 2009 Goals
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To complete the addition to the
Georgetown site.
To begin Suboxone treatment; to plan
process to dispense methadone.
Full integration of co-occurring care.
To start up intensive outpatient level
of care on-site.
To graduate the first round of
Lighthouse clients.
To increase Lighthouse capacity from
10 to 14 residents.
To work on permanent housing and
sustainability.
To maintain census, accreditation,
and licensing.
Annual Report 2008
A Leader in Access and Retention
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40% of Alpha Drug Free clients
completed all or some treatment
goals.
Telephone continuing care with
recovery coaching aims to prevent
relapse and reduce readmissions.
27 clients enrolled and 74% of
phone contacts successful.
Readmissions declined 5%.
Meet & Greet means clients receive
services 3 days sooner.
“Seeing the light bulb go off over someone’s head,
when they find themselves again and they start
Motivational incentives for
realizing that there is hope, that’s such a great
attendance dropped no-shows to a thing to see.”
two-year low.
Monalee West, Senior Counselor
Presented Drug Awareness
Annual Report 2008
Workshops locally.
A Culture of Recovery
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North Wilmington site moved to
Edgemoor Community Center.
Client census increased from 28
to 60 in a month.
On-site orientation at Kirkwood
Detox helps to engage a
challenging population.
1859 Probation & Parole clients
assessed; 231 completed all
groups.
Educated new probation officers
on BCI services and introduced
them to the assessment teams.
Annual Report 2008
Alpha: 2009 Goals
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To do training and case conferencing with
co-occurring disorders experts as part of
COSIG project.
To continue Evidence Based Practices
such as Motivational Incentives and
Telephone Based Continuing Care.
To work with Crisis Intervention to serve
clients needing more intense intervention.
To further reduce wait time for psychiatrist
assessment.
To continue to increase North Wilmington
Center’s census.
To work more closely with Christiana Care
to increase census at Alpha.
To provide Anger Management groups.
To maintain census, accreditation, and
Annual Report 2008
licensing.
Continuous Quality Improvement
(CQI)
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“I just recently described my job here at
Brandywine to someone, and I said, ‘I can’t call
it work, because it’s something I like to do.’”
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Lighthouse Program fully
accredited by Joint Commission.
All sites maintained compliance
through Periodic Performance
Review.
Electronic signatures in use at all
sites to save paper and time.
Electronic forms and paperwork in
use as we prepare for move to
electronic records.
Virtual Private Network makes it
easier to transfer information
between sites.
All policies and procedures
reviewed and/or updated where
needed.
James Harrison, Site Director
Annual Report 2008
CQI: 2009 Goals
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To complete migration to
electronic patient records.
To maintain best possible
patient care using Joint
Commission and State
monitoring tools.
To continue proactive
identification and resolution of
problems through quarterly
CQI audits at all sites and
Human Resources.
To continue to measure reallife outcomes for people in
recovery by collecting
National Outcome Measures
data.
Annual Report 2008
Census By Site
CENSUS BY SITE
N = 2088
Alpha
316,
15%
Newark
357,
17%
Lighthouse
9,
0%
Edgemoor
60,
3%
Georgetown
64,
3%
Lancaster
1282,
62%
Annual Report 2008
Census By Year
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Increase of 6¾% from 2007
BCI Year-End Census
2500
2000
1500
1878 1958 1980 1954 2088
1686 1698
1403 1580
1145
1000
500
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Annual Report 2008
A Skilled and Caring Workforce
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“I didn’t even know what a methadone clinic was.
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There were many people telling me, ‘You’re not gonna
like it. You’re gonna regret taking that job.’ You can’t
go on hearsay. If I’d really listened to people, I might
not be here today.”
Chris Zebley, Nurse Practitioner
Human Resources implemented
Halogen E-Appraisal for
competency-focused
performance evaluation.
Maintained compliance with Joint
Commission requirements.
Employee Handbook revised
and available to staff online.
New Vision Care plan added to
benefits.
Standard new hire orientation
checklists developed.
Counselors and Case Managers
trained in time management.
Annual Report 2008
Human Resources: 2009 Goals
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To maintain compliance
with Joint Commission
requirements.
To reduce the time it
takes to fill vacant
positions.
To continue use of
Halogen software to
develop employee
training programs.
Annual Report 2008
Connecting with the Community
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Donors helped build a children’s
playground at Lighthouse.
Fundraising exceeded its goal
with over $19,500 raised.
BCI Blog continues to tell firstperson stories from staff and
volunteers. Took part in NonProfit Blog Exchange and
“Addiction” DVD Tour.
“I was struck by the young women[‘s]
engagement in achieving goals which would
lead them to being productive,
accomplished, self-sustaining parents and
individuals. As programs provide
opportunities for growth, this makes our
world a better place for all.”
Miriam Zadek, Lighthouse Program donor
Annual Report 2008
Volunteers Share Time and Talent
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Murals painted at Alpha
and Lancaster.
Clinical internship
program at Alpha and
Outreach. Three former
interns were hired as
staff this year.
Computer/IT support
Outreach help with
clothes closet and
educational kits
“I saw the real improvements in most women as
weeks go by. I see smiles on most women there.
Sometimes I hear them sing.”
Eul Lee, Lighthouse Program Volunteer
Annual Report 2008
Board of Directors
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Assisted with grant writing
and direct mail for
playground campaign.
Met with staff to increase
knowledge of programs.
Wrote guest blog post.
Welcomed 3 new
members.
Annual Report 2008
Development/Communications
2009 Goals
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To invite personal
involvement by our
supporters through tours,
content sharing, and social
media.
To inspire support by making
success stories an integral
part of our message.
To increase our use of audio
and video in telling our
stories.
Annual Report 2008
Financial
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Audit report for 2007: one
finding, and it was resolved.
Fraud prevention audit
conducted; no findings.
Receipts cash journals
compared; no discrepancy.
Plan to contract with a major
private insurance company to
provide services to members.
“The job that I do is like information central. I try to just
be in a million different directions, while standing in one
spot. As nasty and argumentative as it is, it’s still one of
the most enjoyable things in my life.”
Karen Barker, Account Manager
Annual Report 2008
Financial Overview: 2008
Rent,
Occupan
cy, and
Utilities
$0.5 MM
6%
Revenue 2008
Donations
$24,391
0%
Interest and
Investment
Income
$9,212
0%
Expenses 2008
Other
Operating
Expenses
$0.2 MM
3%
Supplies
and
Equipmen
t
$0.9 MM
11%
Client Fees
$2.8 M M
33%
Grants
$5.7 M M
67%
Benefits
$1.1 MM
13%
* Fiscal Year 2008 is October 1, 2007 – September 30, 2008
Annual Report 2008
Personnel
$5.5 MM
67%
Thanks to our Supporters
Donors:
Anonymous
Sally Allshouse
Mayor James Baker
Pamela Baker
The Bank of America
Charitable Foundation
Karen Barker
Rebecca Beale
Maria Bedolla
Claudette Bell
Rochelle Booker
Reanard Britt
Stephen Burns
LaShawn Carter
Frank Cassidy
Rep. Michael Castle
Abraham Cheluget
Anita Closic
Krystal Cooper
Dionne Cornish
Linda Cote
Rosemary Cybak
Tracy Dale
Lisa deBrabander
Dianna Dorsey
Lorina Dryden
Lynn Fahey
Joe and Carole Franzoni
Matt Friedman
Phyllis Friedman
Morris Gardner
Renee Gill
Susan Hammond
Kathleen Heacock
Aleshia Hill
Frankie Hill
Clarence James
Kathy Kelley
David Lakin
Mark Lanyon
Florence Levy
Shay Lipshitz
Cindy Lobis
The Longwood Foundation
Carol Ludwig
Emily Maguire
Edna Maldonado
Bob and Kay Malone
Sylvia Martin
Dawn Mason
The Miriam and Robert Zadek
Charitable Gift Fund
Kefa Mongare
Tiffany Mormon
Marty Nagy
Daniel Norvell
John Okada
Linda Palmer
Eileen Pavlic
Pepco Holdings, Inc.
Linda Phillips
William Powell
Margaret Pratt
Rockford Center
Ruth Rono
Stanley Salaam
Justin Shane
Lisa Sherwood
Basha Silverman
Michele Smelstoys
Janice Sneed
Suzanne Squires
Mary Starkweather-White
Rhonda Swanson
Thomas Sweeney
Ann Weinsteiger
The Welfare Foundation
Monalee West
Lyn White
Luther Whiting
Wilmington Trust
Wanda Wyatt-Furrowh
Jeremy Zane
In kind donations:
Acme
Mary Argo
Bear Hugs for Babies
Cathy and Dennis Kitson
Joseph Collis
Deb Griffin and Greer Maneval
Lisa DiFebo-Osias
Loretta Hayes
Home Solutions 123
Kara Baird and family
Kids’ Ketch
Kitty Harrison and Terri Hamm
Marjorie Koburn
Annual Report 2008
Florence Levy
Panera Bread
Barbara Perkins
Janet Ray
Lauren Rose
Saltwater Mama
Ella Savage
Seasons Pizza
Joel Sullivan
Super G
The Glade Quilters
The Mill Outlet
Geri Vota
Dottie Vuono
Jennifer Wagner
Rev. James White
Volunteers:
Sarah Bergamo
Caelen Bird
Nancy Bloom
Chase Card Services
Felecia Doyle
Jennifer Fletcher
Walter Frazier
James Kennedy
Eul Lee
Loretta Legg
Ann Morrow
Manduri Parikh
Jennifer Wagner
Nathan West
Mallory Wilson
Future Challenges
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To maintain licensure and accreditation.
To maintain funding.
Annual Report 2008
2008
Annual Report 2008