Annual Report - Coastal Horizons Center, Inc.
Transcription
Annual Report - Coastal Horizons Center, Inc.
Coastal Horizons Center, Inc. 2008 2009 Annual Report Promoting Choices for Healthier Lives and Safer Communities Our Mission... Coastal Horizons Center, Inc. promotes choices for healthier lives and safer communities by providing professional assistance to those in need of prevention, crisis intervention, criminal justice alternatives, community outreach and substance abuse and mental health treatment services. Inside This Report Board Chair’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Financial Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Program Operations & Service Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 External Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Human Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Criminal Justice Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Region 1 Regional Coordinating Entity (RCE). . . . . . . . . . . . . . . . . . . . . . 9 NC TASC Training Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Substance Abuse & Mental Health Services. . . . . . . . . . . . . . . . . . . . . . 11 Outpatient Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13 HIV Early Intervention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Prevention & Outdoor Adventure . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16 Medical Services & Corporate Compliance . . . . . . . . . . . . . . . . . . . . . . 17 Rape Crisis Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18-21 Open House Emergency Youth Shelter . . . . . . . . . . . . . . . . . . . . . . . 22-23 Hotline Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 A. Farah Boyce, Editor-In-Chief 2 Board Chair’s Message 2008-2009 Board of Trustees On behalf of the Board of Trustees of Coastal Horizons Center, Inc., it is a privilege to present the Fiscal Year 2008-2009 Thomas Potratz Chair Howard Loving Vice Chair L.S. “Bo” Dean, Jr. Secretary David Kingman, CPA Treasurer Simon Britton Benjamin David, DA Cynthia Henry Hal Kitchin Richard McGraw Gina McKim Craig Michael Nora Noel, PhD Richard Ogle, PhD Beth Quinn Clyde Stunson Gaines Townsend Ken Weeden Jonathan Weiss Margaret Weller-Stargell Kathleen Wiese, MD Annual Report. to both maintain the high quality of services while keeping a keen eye on ongoing fiscal responsibilities. Would you expect anything less from Coastal Horizons Center? I certainly wouldn’t, having Before you begin reading the report however, witnessed the organization first-hand in my five some background is in order. Like all of us you are years of Board service. Also sharing this perspective no doubt very aware of the enormous economic is anyone who has needed assistance from the challenges our nation and the world has faced in the organization, as well as the social workers, elected past year. The crisis has touched individuals, families officials, members of law enforcement and our legal and communities with unparalleled swiftness and system who work closely with the management depth. team and staff day in and day out. For Coastal Horizons Center the impact has been You may recall in my letter introducing the twofold; first, the need for services provided by the annual report last year I called the organization organization has never been greater. Simultaneously, ‘extraordinary.’ There may be no such word in our the major funding sources at the Federal, State and dictionary but ‘extraextraordinary’ might be a better, local level have had to reduce their own budgets, more fitting description. thus straining the resources and budget of Coastal Horizons Center to unprecedented levels. On behalf of the Board of Trustees, we would like to acknowledge the individuals, foundations, grant Despite the above facts, with a budget of $10.6 providers and government agencies that have million, the organization ended the fiscal year at a provided funding to Coastal Horizons Center. Your net loss of less than -2%. It is also noteworthy that support and heartfelt investments have enabled the the FY 2008-2009 budget was an increase of +16% organization to continue to assist some of the most from FY 2007-2008 ($9.1 million) and an increase of vulnerable and valuable members of our community. +92% from just five years ago. Lastly, as this will be my final term as Board Chair, I Credit for holding the budgetary shortfall to such would also like to express my sincere appreciation to a low level should be given to my fellow Board the staff of Coastal Horizons Center. In a world with members as well as President and CEO Margaret too few heroes you folks are more than worthy of Weller-Stargell and the Management Team. These that description – and then some – and I thank you. remarkable individuals demonstrated leadership when it was needed most with early, preemptive and proactive analysis and determined decision- With very best regards to you and your families, I remain, making. Once those strategic decisions were made the well-trained, professional and compassionate staff of Coastal Horizons Center stepped up in a big way Thomas Alan Potratz Chair, Board of Trustees 3 President’s Message As I look back on the past year, Indeed, it is time for us to celebrate the dedication The fundamental requirements of providing cost a common theme continues to permeate my and commitment of our staff, now more than ever. effective, quality services in the midst of frequent thoughts…it has been a time of great uncertainty. Coastal Horizons Center has historically provided reimbursement changes required us to reassess how The financial crisis of 2008-2009 is the worst in services to a population of clients that have never we serve, and to whom. Without a guarantee of America’s history since the Great Depression, and been seen as popular. The team at Coastal Horizons reimbursement for qualified services by qualified this economic downturn has impacted us all. North Center has remained vigilant in their commitment staff, agencies like Coastal Horizons Center will not Carolina experienced an over $3 billion budget to serve those in need of substance abuse, mental survive. It is critical that this message be magnified shortfall this past fiscal year. This shortfall required health, criminal justice, and crisis intervention as we look to the future of delivering quality state agencies and contract agencies to take services to the citizens of the 33 Eastern Counties services to the citizens of North Carolina. We are extraordinary measures to survive. Coastal Horizons of North Carolina and Durham. The many residents in tumultuous times, and need to strategically Center was no exception. For the first time in the of Brunswick County in need of substance abuse define how we want our mental health system to history of the organization we implemented a and mental health treatment will soon be greater be structured when times get better...and they will furlough plan for all employees. We had to eliminate served by the opening of our long awaited new get better. We must identify ways to sustain the some positions, which meant assuming the difficult Coastal Horizons Center facility in Shallotte. This strong providers who can weather the storm and task of informing individuals they would no longer 7800 square foot project, made possible through affiliate with others to guarantee a full continuum have employment with the Agency. It required the very generous donation of the Odell and Virginia of services to those clients in need. Coastal Horizons telling existing staff they would need to do far more Williamson family, is set to open in the fall of 2009. Center remains committed to meeting its mission with far less. It has not been an easy year, nor has it come without significant costs. Coastal Horizons Center is fortunate to have quite an impressive Board of Trustees, comprised of a to promote choices for healthier lives and safer communities by providing professional assistance to those in need of prevention, crisis intervention, Although Coastal Horizons Center has been faced diverse, cross section of outstanding professionals. with many challenges caused by the state’s budget They assumed and accepted the enormous crisis, our staff has risen to these challenges each responsibility of assuring the survivability of the and every time, and with very little warning. Staff Agency in a time of extreme financial uncertainty. continued to excel in service delivery through a With their strategic guidance, we went through the year of financial uncertainty and constant changes. critical and arduous process of developing financial Never have I been so proud to be a part of this contingency plans and streamlining expenses in Margaret Weller-Stargell phenomenal organization. We have the most order to balance the Agency’s budget. The financial President and CEO talented, most productive staff…and they are a staff viability of this agency has remained strong due of great heart and strong will. to the agency’s sound business practices, even amid times when the system itself has been most dysfunctional. criminal justice alternatives, community outreach, substance abuse and mental health treatment services. 4 Financial Audit Report Year End June 2008 Sources of Revenue – 2008-2009 Coastal Horizons Center, Inc. Foundations & Donations 4% Statements of Financial Position June 30, 2008 and 2007 Assets Current Assets Cash and cash equivalents (Notes 5 and 12) Certificates of deposit (Note 12) Investments (Note 3) Receivables (less allowance for doubtful accounts 2008 $589,357; 2007 $340,514) (Note 13) Prepaid expenses Total current assets 2008 $ Assets Limited to Use for Construction of Facilities (Notes 4 and 8): Cash and cash equivalents (Note 12) Investments (Note 3) Certificates of deposit (Note 12) Property and Equipment (Notes 4, 5, 6 and 7) Less accumulated depreciation Total assets $ Liabilities and Net Assets Current Liabilities Accounts payable and accrued expenses Accrued vacation Deferred revenue Current portion of capital lease payable (Note 7) Current maturities of long-term debt (Note 6) Total current liabilities $ Capital Lease Payable, less current portion (Note 7) Long-Term Debt, less current maturities (Note 6) Total liabilities 176,487 206,100 - $ 279,297 188,245 1,238,422 143,178 1,849,142 224,405 775,677 1,000,082 76,166 740,232 208,010 1,024,408 5,299,826 1,025,403 4,274,423 7,892,513 4,731,999 790,185 3,941,814 $ 6,815,364 $ 96,421 221,443 25,018 46,590 125,004 514,476 77,484 1,753,895 1,831,379 131,398 1,868,482 1,999,880 2,866,456 2,514,356 Commitments and Contingencies (Notes 4, 8, 10 and 11) Net Assets Unrestricted Temporarily restricted (Note 2) Total net assets Total liabilities and net assets $ See Notes to Financial Statements. 3,366,184 1,659,873 5,026,057 7,892,513 2,657,788 1,643,220 4,301,008 $ 6,815,364 Local Management Entities Funding 71% Coastal Horizons Center, Inc. Statements of Activities Years Ended June 30, 2008 and 2007 Revenue and other support (Notes 8 and 13) Government grants Contributions Client fees Other Net assets released from restrictions: Satisfaction of program use restriction Total revenue and other support Change in net assets See Notes to Financial Statements. Chief Financial Officer 7,553,817 209,012 1,204,402 56,955 $ 24,378 9,048,564 Expenses and losses Supporting expenses Administration Program expenses Clinical Trials Network Outpatient treatment services Outdoor adventure Prevention/education Treatment accountability for safer communities (TASC) Crisis line/open house Rape crisis TASC Training Institute Runaway First call HUD Horizon Housing Day sentencing Rape prevention Total expenses and losses Net assets, ending 2008 Temporarily Restricted Unrestricted $ Net assets, beginning Alan Waller Government Contracts & Grants 19% 2007 2,142,976 92,445 2,618,008 622,430 247,899 50,161 114,587 1,035,077 Program Other Service Fees 1% 5% $ Total 41,031 $ 7,553,817 209,012 1,204,402 97,986 (24,378) 16,653 9,065,217 731,374 - 731,374 2,947,151 193,520 479,376 - 2,947,151 193,520 479,376 2,414,106 101,367 302,778 503,937 216,190 99,198 131,619 173,861 45,691 8,340,168 - 2,414,106 101,367 302,778 503,937 216,190 99,198 131,619 173,861 45,691 8,340,168 708,396 16,653 725,049 2,657,788 1,643,220 4,301,008 1,659,873 $ 5,026,057 3,366,184 $ 5 Coastal Horizons Center, Inc. Program Operations and Service Area Substance Abuse Services / Crisis Intervention Services / Eastern Center for Prevention Resources / TASC / NC TASC Training Institute Eastern Center for Prevention Resources / TASC / NC TASC Training Institute Eastern Center for Prevention Resources / NC TASC Training Institute TASC / NC TASC Training Institute NC TASC Training Institute Only Board of Trustees President & CEO Administration Substance Abuse & Mental Health Services Crisis Intervention Services Hotlines (Crisis Line/First Call for Help) Prevention Open House Youth Shelter Outdoor Adventure Rape Crisis Center HIV Early Intervention H.U.D. Horizons Housing Criminal Justice Services HARRTS Outpatient & Medical Adolescent Treatment & MAJORS Adult Treatment Adult Opioid Treatment Clinica Latina DWI Services Research & Clinical Trials TASC Statewide Training Institute Training & Curriculum Development Creative & Technical Development Credentialing Department TASC (Treatment Accountability for Safer Communities) Drug Testing Day Sentencing Center 6 External Operations Coastal Horizons Center continues to be a leader in the provision of is expected to open in September, 2009 and will evidence based practices in criminal justice, have been hard at work developing relationships substance abuse, crisis intervention and mental within the community and upfitting the facility while health services inside an ever changing landscape providing services in a temporary office space in within our state. Multiple meetings have been Supply until the official opening. attended with the Legislative Oversight Committee, the Institute of Medicine’s Task Force on Substance Abuse, the Division of Mental Health, Developmental Disabilities and Substance Abuse Services as well as Southeastern Center and East Carolina Behavioral Health. On a national level meetings have been held with SAMHSA, NASADAD, and NIDA regarding criminal justice and treatment services. The major concern continues to be the difficulty in assuring a full continuum of substance abuse and mental health treatment for North Carolina citizens including those involved in the criminal justice system. The financial crisis in North Carolina has caused a forty million dollar reduction in the state budget to the Local Management Entities for services across the state. This will further fragment a system of care which has been struggling for several years. It is expected to directly affect services provided by Coastal Horizons Center across eastern North house both treatment and rape crisis services. Staff The 2008 National Treatment Accountability for Safer Communities (TASC) conference was held in Chicago where I completed my two year term as President of the organization. In September, 2009 North Carolina will again be host to the National TASC conference. The conference will be held in Charlotte and has many outstanding presenters including R. Gil Kerlikowske, the Director of the White House Office of National Drug Control Policy. After seven years of service, I will attend my last National Board meeting at this conference and look forward to nominating another Coastal Horizons Center TASC staff person to be elected to serve our state on the National Board. One CARF survey was completed during the fiscal year. Shortly after that survey I stepped down as a surveyor in order to spend more dedicated time within the Wilmington and Eastern North Carolina operations. Carolina and Durham. The definitive reductions in As we enter the new fiscal year it is my hope that funding to programs have not yet been determined Coastal Horizons Center will continue to be a leader but the responses by our management team to locally, statewide and nationally to enable us to these reductions will need to be rapid to assure enhance our mission. continued financial stability for the agency. On the local level, expansion of services continued to be the key to success during this fiscal year. The major service expansion has been the finalization of construction of our Brunswick facility. This facility Karen V. Chapple, Executive Vice President of Operations 7 Human Resources Coastal Horizons Center continues to be a recognized leader in its service field by many of the area and national times of tighter fiscal management, and have done so together in a supportive, collaborative fashion. The chart below continues to show the steady substance abuse and mental health treatment growth of our committed staff over the past few professionals. I can proudly share this statement as factual - a result of my role as the Human Resources Director, which provides me with the opportunity to converse with many talented treatment professionals years, along with Coastal Horizons Center’s ability to maintain appropriate levels of staff services, despite the economic challenges faced this past year. who inquire about possible opportunities to become Coastal Horizons Center, and it’s people, have part of the Coastal Horizons Center team. successfully demonstrated their experience managing how we continue to deliver our services While this past year was challenging for us to those in need in all types of economic health organizationally, as it was with other service periods over the years. As we look ahead, we’ll providers working with tightened budgets, our continue to draw from these experiences, and team of professionals came together in many ways continue in our place as the recognized leader in not anticipated by the Agency’s management. We our field. witnessed departments creatively doing more with less, staff members extending themselves in their roles to help each other, and their working together in a supportive team approach to maintain and Bob Jalbert continue the high standards of service for which Human Resources Director Coastal Horizons Center is known. Our people have demonstrated their ability to achieve success in Employee Totals • 2008-2009 2009-2010 2008-2009 2007-2008 2006-2007 2005-2006 2004-2005 Total Full-Time Part-Time 2003-2004 2002-2003 0 20 40 60 80 100 120 140 160 8 Criminal Justice Services Correctional Alternative Programs The Criminal Justice Services (CJS) component of Coastal Horizons Center provides a continuum of services to people involved in the criminal justice system within eastern North Carolina and training statewide for staff providing similar services. The primary goals of CJS are: n To assist the individual in accessing the hundred and four (5,404) referrals in this past fiscal year. Additionally, of the four thousand one hundred and seven (4,107) individuals that completed TASC services this year fifty three point seven percent (53.7%) or twenty two hundred and 7 (2,207) completed the program successfully. North Carolina TASC Training Institute treatment and community support services North Carolina TASC Training Institute needed in their local community to ultimately The NC TASC Training Institute provides evidence reduce recidivism based training to TASC staff statewide via regional n To provide advocacy within the criminal justice system n To provide state of the art training to staff involved in Treatment Accountability for Safer Communities (TASC) programs and their partner agencies. and virtual learning environments in order to improve the delivery of services to the offender population across North Carolina. New Hanover County Day Sentencing Center The New Hanover County Day Sentencing Center TASC (Treatment Accountability for Safer Communities) is a highly structured, intermediate punishment TASC is a critical link between the criminal justice punishment as well as rehabilitation opportunities to system and treatment services. TASC provides: substance abusing offenders. n Screening and assessment for those referred; “...I wanted a better life than the one I was living. My Case Manager made me feel like...she actually cared about me getting the help I needed.” region. The RCE received five thousand, four n Referral and linkages to treatment services needed; n Access to wrap around services in the local community; n Monitoring and reporting treatment progress to the referring agent. program designed to provide risk control, Drug Diversion A 12 month voluntary program for first time felony offenders in need of substance abuse services. Drug Education School (DES) DES is a state certified course designed for first time offenders who have been charged with These services are provided in 33 counties in Eastern misdemeanor possession of Schedule I through VI North Carolina and Durham. and/or drug paraphernalia or Felony Possession of TASC RCE (Regional Coordinating Entity) Cocaine (less than one gram). The TASC RCE serves as the management Alcohol and Drug Education Training School (ADETS) infrastructure for the effective delivery of substance ADETS is a state certified course designed for abuse and other treatment interventions to the individuals who have been convicted of driving while offender population in eastern North Carolina. The under the influence. Assessments are provided for RCE is responsible for ensuring that standardized this level of offender prior to referral for ADETS and/ TASC services are available throughout the eastern or treatment. 9 Criminal Justice Services Region I – Regional Coordinating Entity (RCE) The TASC RCE provides an objective and effective bridge between two separate institutions: justice and treatment. The justice system’s legal sanctions reflect the community’s concern for public safety, while Accomplishments in Client Services: Accomplishments in Regional Development: n Five thousand four hundred and four (5,404) n Quality assurance procedures have been implemented state wide with quality assurance review performed by RCE Director’s and the TASC Training Institute Director. clients were referred to Regional TASC services in fiscal year 08-09. n Fifty three point seven percent (53.7%), or two the treatment community emphasizes therapeutic thousand two hundred and seven (2,207), of Regional Statistical Information: relationships as a means for changing behavior and clients completed TASC services successfully. n 53.3% of all admissions were Intermediate level offenders. n 78.5% of admissions were men. n Average age of admissions within the region was 31. reducing the personal suffering associated with n The Addiction Severity Index Multimedia Version substance abuse and mental illness. Under TASC (ASI-MV) utilization continues with positive supervision, community-based treatment is accessed results. for drug-involved and/or mentally ill offenders. The n Average cost of $1.37 per client per day. TASC RCE staff provides clinical substance abuse Wes Stewart quality services for drug-involved and/or mentally ill Accomplishments in Professional Development: offenders. n All Region 1 TASC staff are either registered with assessments and mental health screening and access The Coastal Horizons Center TASC RCE continues to provide administrative and managerial supervision within Region 1. The TASC RCE is responsible for quality improvement and quality assurance throughout the Region with several key goals which include; Standardized clinically-sound practice; Standardized protocols for treatment access and tracking; Utilization management and review; Quality and outcomes management; and Information management. TASC RCE Director – Region 1 the NC Substance Abuse Licensure Board or have already received their LCAS, CCS or Active Cases at Month End – 2008-2009 CCJP certification. n Care Management staff from the Region 2,800 have completed the TASC on-line Clinical 2,700 Series Training. 2,600 n The majority of Case Management staff 2,500 have attended all trainings within the 2,400 Region offered by the TASC Training 2,300 Institute. 2,200 n Twelve TASC staff within the Region 2,100 attended the 2008 National TASC July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2008 2008 2008 2008 2008 2008 2009 2009 2009 2009 2009 2009 Conference Case Activity – 2008-2009 600 Admissions Discharges 500 400 300 200 100 0 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2008 2008 2008 2008 2008 2008 2009 2009 2009 2009 2009 2009 10 Criminal Justice Services NC TASC Training Institute Treatment Accountability for Safer Communities - North Carolina TASC Training Institute n The TASC Training Institute provides evidencebased training to TASC staff statewide, via regional and virtual learning environments in North Carolina TASC Training Institute Accomplishments During FY 08-09 n The NC TASC Training Institute sponsored 24 NC TASC staff to the 2008 National TASC Conference in Chicago, Illinois. n The NC TASC Clinical Training Series is certified order to improve the delivery of services to the by the NC Substance Abuse Professional Practice offender population across the state of North Board (NCSAPPB) as an on-line training series. Carolina. TASC staff completed 1282 online courses in FY n The Institute provides TASC Clinical Series Online Training for new staff, NC Drug Education School (DES) instructor training, DWI Services technical and continuing education training via regional and state conferences, and other Institute sponsored events. n The Institute continues to develop distance learning modules including, “TASC Clinical Series Online”, and “TASC Continuing Education” online presentations. n The Institute’s websites provide information, online training, training event information and registrations for the NC TASC Network and the NC DWI treatment provider community. n The Institute administers the Instructor Certification programs for the NC DES and 08/09 for a total of 4436 credit hours awarded. n Two new online courses, Ethical Principles of Conduct and Incident Reporting, were developed and approved by the NCSAPPB. n Continuing education in NC TASC Standard Operating Procedures, Co-Occurring Disorders, and Strength Based Practices was provided to 638 TASC and Criminal Justice partner agency staff awarding 3689 credit hours. n ADETS Instructor Pre-Certification Trainings was provided for 140 participants awarding 4200 credit hours. n North Carolina Drug Education School Instructor Pre-Certification Trainings were held, training 71 participants and awarding 319.5 credit hours. n “E 508” DWI Certificate of Completion Web NC Alcohol and Drug Education Traffic School Application Trainings were held, training 212 ADETS programs. participants and awarding 1007 credit hours. n The Institute provides administrative and n NC DWI New Provider Orientation Training was technical support, training and consultation for provided to 113 participants and awarding NC Division of Mental Health, Developmental 536.75 credit hours. Disabilities and Substance Abuse Services DWI Programs Office, including DWI New Provider Orientation, E508 Certificate Of Completion training and administration, and quality Dale Willetts improvement consultation for DWI treatment Director, NC TASC Training Institute providers. 11 Substance Abuse and Mental Health Services The Substance Abuse and Mental Health Services of Coastal Horizons Center provides a continuum of outpatient treatment, HIV early intervention, and prevention services to individuals in the eastern region of North Carolina – with primary emphasis being in New Hanover, Pender, & Brunswick counties. The purpose n UNC-Chapel Hill Department of Social Work n Webster University n Equip them with skills and resources needed for healthier living; and n Encourage those individuals and their families in the recovery process. New Hanover County 615 Shipyard Blvd Wilmington, NC 28412 (910) 343-0145 n Adolescent Services (for Teens & their Parents) n MAJORS Program for Adjudicated Youth Pender County 803 S Walker St Burgaw, NC 28425 (910) 259-0668 & their Families – utilizing Cannabis Youth Treatment (CYT) and other evidence based n Engage substance abusing/chemically dependent high risk) with professional services; n UNCW – Psychology Department and School of Social Work of our services is threefold, to: and mental health populations (and those at Our Outpatient Treatment facilities are now in three (3) locations: n Research & Internship Partnerships: treatment approaches n Adolescent specific treatment n Intensive In-Home services Brunswick County 120 Coastal Horizons Center Drive Shallotte, NC 28470 (910) 754-4515 n Horizons Adult Regional Residential Treatment Services (HARRTS) Program n Integrated model of efficient delivery of coordinated and collaborative services to Outpatient Treatment address the problems of homelessness, Kenny House, LCAS, CCS n Substance Abuse and Mental Health Services substance abuse, and co-occurring mental Vice-President of Clinical Services n Individual, Group, & Family Counseling illness. • With Auxiliary Medical & Supportive Services • Mental Health Counseling n Substance Abuse Intensive Outpatient Program (SAIOP) – structured group, n Mobilizing communities to prevent, reduce, or n Clinica Latina – Specialized Outpatient Hanover County) Services in Spanish n Other Supportive Services Mental Health/STR 27% delay illegal use of alcohol, tobacco, and other drugs n Serving as the Eastern Center for Opioid Treatment Clinic • 2008-2009 Prevention Resources (CPR) n Utilizing Best Practice Strategies and 140 n Adult Drug-Free Treatment Programs proven effective in delivering 120 n Adult Treatment for Opioid Dependence quality outcomes 100 n Medication Assisted Recovery • Opioid Treatment Program (New Hanover) • Office Based Suboxone (New Hanover and Brunswick) n HUD Horizons Housing Program Family/Other 16% n Rapid & Standard HIV Testing Prevention & Outdoor Adventure Self 22% TASC/Probation 35% Referrals in eastern North Carolina activities n Jail Diversion Mental Health Services (New n Education, Medical Diagnostic Testing & individual and family addiction treatment Source of Referrals – All Clients • 2008-2009 HIV Early Intervention Admissions Enrolled 07/01/08 80 60 40 20 0 Male (W) Male (B) Male (O) Female Female Female (W) (B) (O) 12 Substance Abuse and Mental Health Services (continued) Outpatient Treatment What Have Outpatient Treatment Services Accomplished In The Past Year? groups in Dialectical Behavior Therapy, Creating services in Spanish and in a culturally Calm, Seeking Safety, Open Support Groups, comfortable setting for Latinos and their We are a comprehensive, affordable outpatient Hepatitis/Liver Disease Support Groups, and families. treatment program for adults and adolescents. Client Services: n After 23 years of dedicated service to the Trauma-specific groups. n Through our MAJORS Program and Adolescent services, we continued to provide Agency, Dr. Thomas Reid resigned as our evidence-based treatment interventions for Medical Director. The duties of Medical Director adolescents. were assumed by Dr. David Joseph after a n We maintained a full census in the five (5) n Our quality services were recognized by CARF, as evidenced by our recent three (3) year accreditation. n We have seen our caseload grow in New Hanover County to over 600 active substance abuse clients. n HARRTS… The HARRTS program was developed successful three month period of transition. apartments of permanent housing as part of Many thanks to Dr. Reid for his years of service our HUD Horizons Housing (HHH) Program as an innovative treatment approach to engage to Coastal Horizons Center. for homeless clients from the Opioid Treatment individuals who otherwise do not follow-up Program. The renewal grant for the 2009-2010 with outpatient services after either acute project to study telemedicine screening with fiscal year will allow us to maintain a census of hospitalizations or inpatient treatment. We work over 733 individuals at risk for co-occurring up to six (6) individuals or families, in a total of with primary substance abuse as well as co- disorders and for HIV/AIDS. five (5) apartments. occurring mental health and medical issues. n We finalized our 3-year NIDA-funded research n Our Substance Abuse Intensive Outpatient n We continued our relationship with various n We entered into Memorandums of Treatment Program (SAIOP) has grown graduate school programs, with graduate Understanding and Business Associates beyond its original capacity to serve up to sixty Interns serving as a valuable resource for the Agreements with 6 “network partners” in Agency. the community to provide the residential/ (60) clients, with five separate sections of SAIOP. SAIOP is offered each Monday, Wednesday and n All staff members are Licensed, Certified or recovery beds - Hope House of Wilmington, Registered with either the North Carolina East Coast Solutions – Stepping Stone Manor, Substance Abuse Professional Practice Board or Full Circle Ministries, LINC (Leading into New Admission processes were redesigned to with another discipline (NC Psychology Board; Communities), Good Shepherd Ministries, and incorporate the need for Comprehensive Clinical NC Board of Licensed Professional Counselors, Assessments. We began utilizing the Avatar NC Social Work Board). Friday without exception (holidays included). n The Screening, Intake, Assessment and electronic medical records system for intakes and assessments. n In addition to “Recovery 101” Classes, we added “Motivating Change” classes, an 8-session Evidence-Based Best Practice n With a grant from the Cape Fear Memorial All Family Recovery. n We have built strong relationships for referrals with regional programs such as – Wilmington Foundation, we were able to support Treatment Center, Cherry Hospital, Walter B leadership positions in New Hanover, Brunswick Jones ADATC, ATC in Raleigh, local outpatient and Pender counties. providers, RJ Blackley ADATC, etc. . . n We were successful in obtaining State approval n We received 365 referrals from the above intervention using Motivational Enhancement for an Alternate Service Definition for Jail agencies and admitted 161 to the program - Therapy techniques. This affordable class allows Diversion Services and will expand this with 53 successful completions and 33 of them clients to engage quickly in services that will program going forward into the Fiscal year who we continue to have contact with that enhance readiness for change and help them be 2009-2010. remain clean and sober. better prepared for their treatment experience. n Licensed therapists added to the variety of groups that we offer, including additional n With a grant from the Kate B Reynolds n We have been used by the State MH/DD/SAS Charitable Trust, we successfully launched to provide consultation with other agencies “Clinica Latina” – providing professional developing similar programs. substance abuse and mental health treatment 13 Brunswick County… n While our new 7,000 square foot outpatient n We continued to collaborate with Southeastern Center to house their Pender County Hospital New Initiatives: n We will be fully implementing the Avatar treatment facility was being built in the town Discharge Clinic and assist them in providing computer system, to move from integrated of Shallotte in Brunswick County, we provided psychiatric services at a much reduced cost to electronic scheduling to client records and services over this past year from a small, uninsured residents of Pender County. billing. temporary office nearby. We began offering n We continued to provide ongoing brief therapy outpatient medical (Suboxone), DWI, and other and suicide assessments to the Pender County substance abuse and mental health counseling Jail. services for adults and adolescents. Our new n We will work on developing new services for Pender and Brunswick counties to meet community needs. n We continued our relationship with various n Adolescent and MAJORS services going forward facility was built and services launched with the graduate and undergraduate school programs, this fiscal year will offer a variety of services, generous financial support of the Williamson with their Interns serving as a valuable resource including Cannabis Youth Treatment (CYT), family. We are now fully operational! for the Agency. Intensive In-Home Services, basic (individual, Pender County… n In Pender County we now serve over 450 active clients receiving substance abuse, mental health, medication management services or various classes. n We became a state authorized DWI Treatment Facility, offering DWI Assessments, Short Term and Longer Term Treatment. n We added a Wellness 101 class and a Recovery 101 class to meet the needs of clients with mental health and substance abuse issues who could not receive state funding for their treatment. n We expanded classes to include a weekly Anger Management Class. n We provided team building, relationship building n We continued to provide Assessment services for Pender County Department of Social Services case management, and psychiatric care. and Probation offering a reduced fee for clients n We will continue to pursue opportunities to funded by these organizations. a bilingual therapist on staff. Services assisting clients with housing, and began work on a program to offer comprehensive mental health and substance abuse services to veterans and their families. n We will further develop opportunities to provide services to Spanish speaking (Latino) consumers. transportation, Medicaid applications, employment search and skill development, connecting clients to food resources, self help groups and other community resources. n We continued to work with PSC Med Supply to provide low cost prescriptions with in our office which allows clients comprehensive seamless treatment. Outpatient Treatment Clinic – Non Opioid Male Clients Served 2008-2009 therapy for students at Burgaw Elementary n We became paneled with Tricare Insurance their families and obtain training on the special needs of this population. n We continued to offer Community Support County Middle schools and weekly individual and Safe Schools, Healthy Students programs. offer comprehensive services to veterans and n We continued to offer all services in Spanish via and emotional regulation groups in five Pender School as part of the Communities in Schools group, and family) therapy, community support/ Outpatient Treatment Clinic – Non Opioid Female Clients Served 2008-2009 90 160 Male (W) Male (B) Male (O) (W) Male 140 120 70 100 60 80 50 40 60 30 40 20 20 0 Female (W) Female (B) Female (O) 80 10 under 18 18-24 25-35 35-44 45 + 0 under 18 18-24 25-35 35-44 45 + 14 Substance Abuse and Mental Health Services (continued) HIV Early Intervention Outreach / Early Intervention Contacts By Gender • 2008-2009 Females 47% We continue to work with individuals who are already in New Initiatives: n We continue to partner with the State treatment — in our Tri-County area. Our focus has expanding our HIV testing services beyond been on individuals at high risk for HIV/AIDS and our tri-county area — we started with six (6) communicable diseases, and to provide free HIV Opioid Treatment Programs in the eastern region related testing and counseling services. of NC and we now have eight (8) program agreements. Our objective is to collaborate with Males 53% Outreach / Early Intervention Contacts By Ethnicity • 2008-2009 Hispanic 6% Other 2% HIV Early Intervention services include: even more programs in the east to ensure that n Medical Diagnostic Testing and Counseling for those who receive substance abuse treatment HIV, TB, and Syphilis n Risk Reduction Counseling and Education n Referrals for other medical services counseling services to even more individuals n RV (Mobile Field Station) services as they are admitted to our own treatment n Early Intervention HIV support group program. The idea is to provide these services n Regional testing and counseling in various other upon admission/intake. We also will provide our SA treatment centers located in eastern North Carolina. Caucasian 76% What have HIV Early Intervention Services Accomplished in the Past Year? n We have reached 608 individuals in the TriCounty area with HIV testing along with pre and post test counseling. Also, we have reached 385 African American 15% also receive our HIV services. n This year we hope to provide our testing and individuals through our regional testing which totals 993 individuals reached this year. n Our HIV Early Intervention support group continues to meet weekly. We also continue to assist our group participants with accessing various HIV/AIDS workshops, trainings, community events, etc. n We continue to use the OraQuick Rapid HIV Antibody Test and the Uni-Gold Recombigen Test. n We facilitated referrals for 196 individuals coming out of “facility based crisis” facilities to assist in their access to follow up care. services to the newly opened Clínica Latina. n This year we hope to implement the VOICES/ VOCES single-session, video-based HIV/STD prevention program designed to encourage condom use and condom negotiation skills. This program targets African American and Latino adult men and women at high risk of becoming infected with and/or transmitting HIV and other STDs. Skills in condom use and negotiation are modeled in the videos, then role-played and practiced by participants during the discussion that follows. 15 Prevention and Outdoor Adventure Best Practice Strategies and Programs Proven Effective Prevention Services provide a wide range of age appropriate, culturally relevant, and research-based programs and strategies designed to promote healthy choices and prevent problems associated with alcohol, tobacco, and other drug use. There are six types of service: 1) information, 2) education, 3) alternatives, 4) problem identification and referral, 5) community based processes, and 6) environmental changes. There are five “best practice” steps to providing services: 1) needs assessment, 2) capacity development, 3) planning, 4) implementation, and 5) evaluation. Outdoor Adventure programs offer an opportunity for participants to experience a dynamic learning environment that reinforces communication, trust, teamwork, and decision-making skills. Best practice models and industry standards are followed for these programs. What Have Prevention & Outdoor Adventure Services Accomplished In The Past Year? Prevention Best Practice Programs Youth n 257 children were served with I’m Special (3rd or 4th grade Skill Building Program). n 57 youth were served with All Stars (Goal Setting and Skill Building Program for 6th graders). n 97 youth were served with Project ALERT (Refusal Skills Program for 6th graders). n 70 youth were served with Project Toward No Drug Abuse (Skill Building Program for 8th-12th graders). n 236 youth were served at the Juvenile Detention Center (Education and Skill-Building Program). n 20 youth were served through the Pender County Delinquency Prevention Initiative (Diversion Program). n 144 students were referred from New Hanover, Pender, and Brunswick County Schools through the School Policy Violation Program. n 49% of students received Prevention Services n 41% of students were referred for Additional Services n 10% of students chose Other Options (noncompliance, own provider network, etc.) Adults n 14 adults and 11 children were served with Strengthening Families Program (Parent and Child Skill Building Program). n 23 families were served with Guiding Good Choices (Parent Skill Building Program). n 120 families were served with Staying Connected with Your Teen (Parent Skill Building Program). Prevention Best Practice Strategies n Environmental and Policy Change: Changes to laws, norms, policies, and practices help communities address the root causes of problems such as teen tobacco use, underage drinking, impaired driving, and other drug use. n Staff from the Eastern Center for Prevention Resources (CPR), were chosen to become coaches in the Sustainability Planning Training Model. Coaches are working with communities in the Eastern Region to develop Sustainability Plans that will assist local communities in sustaining outcomes developed through the Strategic Prevention Framework. The Eastern CPR Prevention Staff strive to increase the capacity of Prevention Services throughout Eastern North Carolina by providing technical assistance, increasing training opportunities, serving as a resource center and guiding communities through the Strategic Prevention Framework steps. This includes direct training and scholarships to build community capacity across the Eastern Region, including the target communities Onslow, Duplin, Sampson, Dare, Brunswick and Gates. Staff members work with community leaders to identify specific problems and develop plans to address those areas using best practices. Staff members are Facilitator Trainers in several model programs including the Sustainability Planning and Community Mobilization Models. 16 How Prevention Makes a Difference in our Community New Hanover County Brunswick County All Stars Community Coalition Building Community Awareness Guiding Good Choices I’m Special No Fumo Tobacco Prevention Outdoor Adventure Programs Project Venture Reach Out Now (Underage Drinking Initiative) State Incentive Grant (Impaired Driving Initiative) Toward No Tobacco Use Prevention and Outdoor Adventure (continued) n Various forms of media including radio, television, newspaper, billboard, theater slides and internet were used to raise awareness and change behaviors; media is a best practice strategy to address behavior changes and attitudes in large populations, especially when combined with community mobilization to change policies and social norms. Media campaigns to watch in the future include: TRU campaign messages to reduce teen tobacco use; Quit Line promotion to provide coaches for those wanting to quit smoking; “Life At Its Best” messages to promote fun without drinking and reduce underage drinking; Domino Strategy: “0-1-2” and “Do You Count?” messages to promote low risk alcohol consumption guidelines and reduce impaired driving. n Staff worked with the Cape Fear Coalition for a Drug Free Tomorrow to identify youth access to alcohol challenges and survey area merchants using Alcohol Purchase Surveys to determine the rate of merchant compliance with Pre-Purchase Identification Checks (ID Checks); after surveying 152 stores, 74% of stores were compliant with the law and 26% of stores surveyed were non-compliant; compliant merchants were thanked for their efforts to reduce youth access to alcohol; Coalition members and staff will Pender County Community Coalition Building Community Awareness I’m Special Outdoor Adventure Programs Project Venture Staying Connected with Your Teen Strengthening Families Toward No Drug Abuse continue to work with non-compliant stores to improve compliance rates. n Over 300 people attended the Recovery Month Celebration Awareness Event with music, food and family friendly fun; consumers and community partners were involved in the planning and implementation of the event. A Jazz Music Fund Raiser helped cover the cost of the event. n Over 1,300 youth at local area schools attended Red Ribbon Celebration presentations or programs. n Over 1,200 youth attended Alcohol Awareness Month events with media coverage and partnerships. Outdoor Adventure Best Programs and Practices n 1,632 participants were served through Outdoor Adventure Programs including: n 411 youth served in after-school Teambuilding Programs in Brunswick, Pender, and New Hanover Counties. n 59 youth completed Project Venture- the year long leadership, adventure, and service learning program. Activities included family outings, service learning and Eco-Adventure Summer Camp. Delayed Early Onset of Drug Use All Stars (6th Grade) Project ALERT (6th & 7th Grade) Project Venture (6th–9th Grade) Toward No Drug Abuse (9th–12th Grade) Guiding Good Choices (Parents of 4th–8th Graders) Staying Connected with Your Teen (Parents of 8th–12th Graders) 3 3 3 3 Increased Standards & Norms Unfavorable to Drug Use Decreased Weapons Carrying Among Males Decreased Alcohol, Tobacco & Drug Use 3 3 3 3 3 3 3 3 3 3 3 3 3 I’m Special (3rd & 4th Grade) Increased Self Esteem Increased Family Management Skills Program Decreased Family Conflict Outcome Measurements with Prevention Programs – Prevention: Who We Reach • 2008-2009 3 3 3 3 3 3 3 3 3 All Stars Community Coalition Building Community Awareness Guiding Good Choices No Fumo Tobacco Prevention Outdoor Adventure Programs Project ALERT Project SUCCESS Project Venture Reach Out Now (Underage Drinking Initiative) Staying Connected with Your Teen Toward No Drug Abuse n 92% of the students participated in youth planned and implemented service learning projects n 78% of students participated in Family Day events, shown to increase family bonding n 54% showed an increase in academic performance and positive behavior at home or school n 74 youth were served through a partnership with the New Hanover County Gang Task Force Governor’s Crime Commission Grant. n 45 youth and adult participants worked together in adventure based family bonding programs such as GET REAL (Growing and Experiencing Together through Ropes and Experiential Adventure Learning). n Outcomes from participant and group leader surveys included: n 79% reported an increase in problemsolving skills n 74% reported improved peer communications and interactions n 43% reported an increase in self-esteem and teambuilding skills n 42% reported an increase in positive attitude n 100% reported that they would recommend this program to others New Initiatives: n The Eastern Center for Prevention Resources Staff are working with Brunswick County to collect needs assessment data, build community capacity to address impaired driving and develop a strategic plan for addressing the problem of impaired driving. n Brunswick, New Hanover, and Pender County Schools are working to implement best practice programs to address 100% Tobacco Free School Policy Compliance and further reduce teen smoking by developing Tobacco Reality Unfiltered (TRU) Clubs and other programs to change social norms - with training and technical support from Prevention staff members. 17 Medical Services and Corporate Compliance The electronic medical records system was integrated into the patient scheduling function and a reliance on this advancement has been essential for monitoring patient services and billing. The program has experienced a decline in admissions as a result of more individuals trying suboxone rather than methadone to treat opioid addiction. The Division of Mental Health, Developmental Disabilities and Substance Abuse Services enacted changes for reporting of client services which required frequent changes to the formatting of the electronic medical records system. During the last two months of the fiscal year, the component prepared for transitioning duties to a new physician to assume the role as Medical Director as Dr. Thomas B. Reid resigned his position. A sampling of Quality Improvements included: n Implementing a Recovery 101 Class to address the large volume of referrals from the Local Managing Entity for outpatient treatment services. n Conducting a training program for HARRTS residential managers on Business Associate Agreements to address confidentiality issues. n TASC developed a three-tier client approach pilot program which would include 30-60-90 day plans, with more phone contacts with clients, more communication with probation and more drug testing. The program was initially implemented in Sampson and Edgecombe counties. The Consumer Satisfaction Survey for 2008-2009 had the following responses: Of Outpatient Substance Abuse Treatment consumers surveyed: n 93% “indicated that “employees are sensitive to my ethnic/cultural background”, n 91% “indicated that “I have felt comfortable asking questions about my treatment”, n 96% “indicated that “I feel safe in and around this agency when I arrive or leave”, n 100% “would recommend this agency to a friend or family member”, n 91% “indicated that “I am making progress with staying clean and sober”, n 90% “indicated that “I deal more effectively with my daily problems”, n 92% “indicated that “I get along better with my family and significant others”, and n 88% “indicated that “I am doing better in school and/or work”. Eric Luttmer, Vice President, Medical Services & Corporate Compliance FY 2008-2009 Clients Receiving Opioid Assisted Therapy (Methadone) Number of Clients Receiving Opioid Assisted Therapy 254 Number of Doses Dispensed 54,753 Number of Take-Homes 18,845 versus FY 2007-2008 Clients Receiving Opioid Assisted Therapy (Methadone) Number of Clients Receiving Opioid Assisted Therapy 283 Number of Doses Dispensed 62,885 Number of Take-Homes 22,174 18 Crisis Intervention Services Rape Crisis Center – New Hanover & Brunswick The Rape Crisis Center provides free and confidential 24-hour crisis n National & North Carolina Association of Social response, counseling, information and referrals, n North Carolina Coalition Against Sexual Assault solicits donations for materials, awards and court advocacy and accompaniment, and support n North Carolina Victims’ Assistance Network incentives for group participants. Over the groups for victims of rape, sexual assault and sexual n Rape Prevention Education Program’s Sexual years, both agencies have committed time and abuse. Rape Crisis Center promotes community rape awareness through elementary, middle and high school groups and programs, sexual assault awareness programming for homeless women and youth, and basic rape victim response training for community professionals. Rape Crisis Center is one of 10 state Primary Rape Prevention Education Programs with two community strategies focusing on both adolescent males and females. NEW HANOVER - Program Operations In Fiscal Year 2008-2009: n 257 new sexual violence victims/survivors sought Rape Crisis Center services. n 89 family members, friends and/or significant others of victims sought services. n 230 continuing victims/survivors utilized Rape Crisis services. n 35% of new victims served were under the age of 18. n 43% of new victims seen at the hospital were Workers Assault Advisory Board n Blue Ribbon Commission (BRC)/ Healthy Carolinians Violence Prevention Committee Fiscal Year 2008-2009 Achievements: n Rape Crisis Center remains the only victim services agency in Coastal, Southeastern North Carolina with ALL direct services staff certified as Victim Services Practitioners, through the North Carolina Victim Assistance Network. n Rape Crisis Center – New Hanover presented 188 community rape prevention and awareness programs presented to 2,703 citizens in New Hanover County, in cooperation with the following schools and agencies: New Hanover High School, Laney High School, Trask Middle School, Virgo Middle School, Noble Middle School, Myrtle Grove Middle School, Pine Valley Elementary School, Mary C. Williams Elementary School, Union Baptist Church, Juvenile Detention Center, Community Boys and involved in suspected/confirmed alcohol or drug- Girls Club, Inc., Girls, Inc. Village of Greenfield facilitated rapes. Resource Center, Hillcrest Community Center, n 69 hospital crisis interventions were provided The WIRE Community Resource Center, The with 80% of victims filing a preliminary law Salvation Army, and New Visions Women’s enforcement report of the assault. Program. Program Affiliations: n Community Child Protection Team- Pender and New Hanover Counties n The STARS Young Women’s Empowerment Group, founded in 2000, is a successful collaboration, co-facilitated by the Rape Crisis Center and the Domestic Violence Shelter & n Community Crisis Response Team Services, to focus primary prevention education n New Hanover Sexual Assault Response Team efforts on young women’s empowerment n UNCW Sexual Assault Response Team & UNCW BEFORE they experience sexual or dating Women’s Resource Center violence. STARS Group collaborates with other community youth-serving agencies, such as Planned Parenthood, Wilmington Health Access for Teens, and DREAMS of Wilmington, and resources to the STARS Group, with no funding specifically designated toward this unique effort. Each year, due to popular demand, STARS Young Women’s Empowerment Group is hosted within two local high schools and is provided several times each year. In addition, due to requests from local middle schools, this program has been modified and provided to younger teens. n Rape Crisis Center staff have been actively recruiting additional community volunteers to assist with rape crisis hospital response. Currently, 6 dedicated volunteers assist the Rape Crisis Team with weekend and holiday on-call coverage, with 7 more volunteer candidates in the training process. Rape Crisis Center volunteers are vital to maintaining 24/7 hospital response for victims of rape. n If you were in downtown Wilmington on the morning of Saturday, August 30th 2008, you might have been surprised to see men walking down the street in high heels! Walk a Mile In Her Shoes – Men’s March Against Rape and Gender Violence, organized by Shemekka Miles, brought out over 75 men, including Sheriff McMahon and representatives from the New Hanover County Sheriff’s Office, Coastal Horizons Center employees, UNCW fraternity students, and other community members, some who walked one mile in women’s highheeled shoes to protest rape, sexual assault & gender violence. This annual awareness event / fundraiser clearly demonstrates to the Cape Fear community that men are committed to 19 the movement to end violence against women and Resource Center, celebrated its eighth and girls. Walk-A-Mile 2008 netted $1,500 in annual performance at UNCW in February, with proceeds raised to support Rape Crisis Center’s proceeds benefiting the Rape Crisis Center primary Rape Prevention Education Program. and Domestic Violence Shelter and Services. n The current Rape Prevention Education There were three performances, including a Program Coordinator, Lauran Arledge, MA dinner theatre show. Exercising her Thespian M.Ed., working with the Community Sexual roots again this year, Rape Crisis Center’s Assault Prevention Task Force, is developing a own Amy Feath, Crisis Intervention Services comprehensive plan to combat the epidemic of Director, performed the monologue, “Vagina sexual violence in the Cape Fear community, and Workshop”! Rape Crisis Center received $1,400 providing consultation on the two educational from this annual fundraising effort. strategies to be implemented in New Hanover n Community partners worked to raise money County. Another exciting initiative is the creation and awareness about sexual violence. The Port of a documentary, with the generous assistance City Social Club hosted a fundraiser at the Front and creative vision of film maker Brad Walker, Street Brewery in November and Out Impact President of The Lighthouse Film Company, from supported the Rape Crisis Center by hosting the point of view of males, from young to old, on societal pressures of masculinity and how Kyler England at the Soapbox Lounge. n In honor of April’s Sexual Assault Awareness these pressures can directly impact interpersonal month, the Rape Crisis Center, in partnership violence. with NextMedia Group, celebrated the 7th n The Rape Prevention Education Program is Annual Port City Rock Against Rape Music excited to announce their partnership with Festival, raising over $3,000. This year’s event University of North Carolina Wilmington’s CARE included the formation of a Rock Against Office and New Hanover County Schools in Rape Committee, co-chaired by Rape Crisis implementing a new peer education program staff member, Lauren Slusher. The committee using Safe Dates, a healthy relationship recruited 15 members, as well as support from curriculum that has shown terrific results in UNCW Greek Sorority Alpha Xi Delta, UNCW decreasing inter-personal violence between CARE, UNCW’s Men Of Strength Chapter, teens. and The Beat Wilmington Music Magazine. n Rape Crisis Center’s Prevention Coordinator Discussion of Rock Against Rape and the issue Lauran Arledge and Domestic Violence Shelter of sexual violence in our community took and Services’ Violence Prevention Specialist Rick over morning talk shows, local magazines, Houston are excited to be co-authoring a young news casts, and numerous media outlets in men’s mentoring program that is scheduled to the area. Rock Against Rape dominated the begin late fall of 2009. music scene in Wilmington on April 17th and n V-DAY 2009 was celebrated for international April 18th, with 8 venues participating and 14 communities to take a stand against violence bands performing. Every participating venue against women. “The Vagina Monologues,” had Rape Crisis representatives and displayed sponsored by the UNCW Women’s Studies information on Rape Crisis Center services and “I am not a client, but my sister is, and I think that her counseling sessions are helpful and that she feels supported. I appreciate the courteous staff and the positive atmosphere.” 20 Rape Crisis Center (continued) drug-facilitated sexual assault. The event was a huge success not only in raising money, but also raising awareness on the issue of sexual violence in our community. n The Rape Crisis Center, with the support of UNCW’s CARE office, and the Women’s Studies and Resource Center, hosted a screening of “No! The Rape Documentary,” which speaks to the unique historical perspective of African American women’s rape experiences. The screening included a coffee and dessert reception before and an informative postscreening discussion, facilitated by a panel of community and UNCW members. n The New Hanover County Sheriff’s Department and Wilmington Police Department joined forces with Rape Crisis Center to promote awareness of sexual violence Sexual Assault Awareness Month. During the entire month of April, Sheriff’s and Police Department vehicles displayed sexual assault awareness magnets to show support and spread awareness throughout the community. n Local businesses throughout New Hanover and Brunswick Counties displayed Sexual Assault Awareness Month “Table Tents,” on customer tables or display boards, with local sexual RAPE CRISIS CENTER – BRUNSWICK Due to continued collaborative efforts and generous support of Hope Harbor Home, Inc., NC Governor’s Crime Commission and the NC Council for Women & Domestic Violence Commission, Rape Crisis Center – Brunswick, providing 24-hour Rape Crisis response services for Brunswick County rape victims/ survivors, continues to expand program services and provide specialized rape crisis services. Rape Crisis Center – Brunswick offers free and confidential rape crisis services for victims of sexual violence, of any age, as well as their families, friends and loved ones, who struggle to provide victims with support Rape Crisis Center services. n 18 family members, friends and/or significant others of victims sought services. n 29 continuing victims/survivors utilized Rape Crisis services. n 47% of new victims served were under the age of 18. n 17 hospital crisis interventions were provided with 100% of victims filing a preliminary law enforcement report of the assault. Program Affiliations: with Hope Harbor Home, Inc. and the Office of n Community in Schools – Brunswick the NC 13th Prosecutorial District Attorney to n Brunswick County Resource Coalition facilitate services in Leland and Supply, as well as n Brunswick County Sexual Assault Response its leased Brunswick County office, located in the Team Brunswick Medical Campus in Supply, while the n North Carolina Coalition Against Sexual Assault Coastal Horizons Center’s new facility in Shallotte n Brunswick County Wellness Coalition is nearing completion. As the Rape Crisis Center— n Girls, Inc. Advisory Board Brunswick continues to expand services and to build community partnerships, Brunswick County victims now have rape crisis services accessible across Brunswick County, including services and programs in Sunset Beach, and Oak Island. Assault and Rape Crisis Center services. n Also for Sexual Assault Awareness Month 2009, Teal Ribbon Teal Ribbon Campaign, netting n 55 new sexual violence victims/survivors sought and care. Rape Crisis Center – Brunswick partners violence statistics and information about Sexual Rape Crisis Center continued the 2nd Annual BRUNSWICK - Program Operations In Fiscal Year 2008-2009: Crisis Intervention Services 2008-2009 County Breakdown – 4,290 Total CIS Clients “Your help was invaluable in helping me deal with the crisis. Thank you!” Rape Crisis Center 2008-2009 Clients Served over $400 in donations for Rape Crisis Center operations. New Hanover 66% Brunswick 8% New Primary Victims 46% Continuing Clients 38% Pender 5% Other/Unknown Counties/States 21% New Secondary Victims 16% 21 Fiscal Year 2008-2009 Achievements: Groups for girls, in addition to counseling space n The Brunswick County Sexual Assault Team as needed. Due to demand for additional groups (SART), with participation from the Rape Crisis like this in the southern part of the county, the Center, have begun to establish protocols to Pleasant View Baptist Church in Sunset Beach, ensure a coordinated response network for offered to host Teen and Pre-Teen Groups. victims of sexual violence, their families and n Rape Crisis Center - Brunswick presented 37 loved ones. Hosted in the Office of the District community rape prevention and awareness Attorney for the 13th Prosecutorial District, programs presented to 547 students in Brunswick County SART boasts members Brunswick County, in cooperation with the from Brunswick Community Hospital, Dosher following schools and agencies: Brunswick Memorial Hospital, Leland Police Department, Community College, North Brunswick High Southport Police Department, Shallotte Police School, South Brunswick High School, Jessie Department, Brunswick Department of Social May Monroe Elementary School, Girls, Inc., and Services, The Carousel Center and Brunswick Brunswick Academy. n In honor of April’s Sexual Assault Awareness County Sheriff’s Department. n Rape Crisis Center – Brunswick has established month, the Rape Crisis Center – Brunswick partnerships with community organizations and placed informational table tents at area faith based groups to ensure access to services businesses and restaurants. In addition, the throughout the county. A Teen Girls’ Group has Brunswick County Sheriff’s Department, the been established at Johnson Chapel in Leland. Leland Police Department and Oak Island Police The Oak Island Resource Center has generously Department displayed teal ribbons to represent offered for Rape Crisis Center – Brunswick to their support in ending sexual violence. utilize space for a monthly Teen and Pre-Teen Rape Crisis Center 2008-2009 Client Age Breakdown 41-60 Years 11% 61+ Years 2% Unknown 2% 26-40 Years 22% 18-25 Years 26% 0-17 Years 37% “Highly skilled practitioners, good practical guidance, prefessionalism, service without a fee is an amazing gift to the community.” 22 Crisis Intervention Services Open House Emergency Youth Shelter Open House Emergency Youth Shelter provides 24-hour access Program Affiliations: Open House Residential Team maintains active Education Group are facilitated by in-house to temporary, emergency shelter for runaway, memberships and participation on: Rape Crisis Center staff. homeless, street, displaced, abused and neglected n New Hanover County Community Child youth ages 6 to 18. Open House Shelter provides Protection Team n A Bi-monthly Teen Girl’s Rape Awareness and n Substance Abuse Prevention Group and substance abuse assessment and treatment for basic food, clothing and shelter needs through n North Carolina Child Fatality Review Team plans are facilitated through Coastal Horizons’ referrals from Departments of Social Services, law n New Hanover County Child Abuse Prevention Adolescent Substance Abuse and Prevention enforcement, Juvenile Justice, school officials, other Coalition services. n New Hanover County Gang Task force partnered youth serving professionals, as well as through n National Runaway Switchboard self- and parent/legal guardian referrals. Open n National Network for Youth and Family Services with Open House to educate the staff about House’s nine-bed, co-ed facility is licensed, every two n Southeastern Network for Youth and Family how to identify and refer youth to their services years, through the North Carolina Division of Social Services for Emergency Foster Care placements for periods of up to 90 days. Funding support through Services n FEMA Emergency Food and Shelter Local Board Chair for prevention and intervention. n Through a generous grant from the Landfall Foundation, the “Open House Extreme City of Wilmington, New Hanover County, U.S. n Tri-County Homeless Interagency Council Makeover” was completed in 2008-2009. Department of Health And Human Services – Family n Cape Fear Teen Health Council The Assistance League of Greater Wilmington and Youth Service Bureau, Federal Emergency n Adolescent Parenting Program donated time and energy to paint each Management Assistance, foster care, and Child/ n OUTWilmington Community Center bedroom in bright new colors, and donated Adolescent Crisis Respite reimbursements support all n WIRE Center for youth durable new bed covers. Brenda Best and Julie shelter services. n New Hanover, Hoggard and Ashley Student Burton hand-painted window detail art work Support Teams Program Operations In Fiscal Year 2008-2009: n Youth Action Coalition n Open House provided 1,612 days of shelter Fiscal Year 2008-2009 Achievements: service, for 132 unduplicated youth, aged 7-18; facilitating 163 Intakes and 163 discharges. n 77% of youth served were 14 through 16 years of age. n 65% of youth served were female; 35% were male. n Average length of shelter stay was 12.2 days, with 28% of youth utilizing Open House shelter for 10 days or longer. n Open House maintained siblings needing out of home placement on 16 separate occasions. n From July 1, 2008-June 30, 2009, Open House on the walls around each bedroom window. Paint supplies for the project were donated by Sherwin Williams and Roque Painting companies. NINE (9) sturdy, new Captain’s Beds were hand-crafted for the shelter, by artisans Shelter’s Clinical Supervisor, a Licensed Clinical Mr. & Mrs. Orville Schoenfield of Sneads Ferry, Social Worker, provided 157 individual and NC, who selflessly donated all their talent and family therapy sessions, thus affording shelter expertise to construct these beautiful beds. youth and their families with nearly 114 hours of Also through the Landfall Foundation grant, a free and confidential clinical services in a twelve new sofa and loveseat were purchased for the month period. living room/recreational area, curtains, study n From July 1, 2008-June 30, 2009, Open House desks and stools and all the necessary tools Shelter’s Clinical Supervisor facilitated 32 Group and supplies needed for the staff and youth to Therapy sessions for Open House Shelter restore existing end tables, entertainment center, Youth, providing over 113 hours of free and and coffee table as DIY vocational projects. The confidential group clinical services in a twelve Gallery of Oriental Rugs graciously donated a month period. new oriental carpet, to put the finishing touches 23 on the living/recreation area. A new washer/ Planetarium, Carmike Theaters and Omega dryer set was donated by Dennis Moeller Sports all donated tickets for youth to enjoy Custom Homes; a full set of dishes was donated movies and exhibits. Johnnie Mercer’s Fishing by Deb Donovan; brand new sheet sets and bed Pier provided the pass, and Pawn USA provided pillows were donated by Julisa Canty, Elizabeth the fishing gear, so that youth can enjoy a Phillips and Stephanie House; and another favorite regional pass time for years to come. kitchen table and chair set was donated by Mr. Sweetwater Surf Shop graciously provided Open and Mrs. Sean Berg. Plants, flower arrangements House Shelter with an array of girls’ swimsuits, and wall hangings were also added to complete so that they won’t miss out on summer fun at the “home like” atmosphere for the youth that the beach and Legion Stadium pool. Last, but spend time at Open House. not least, Teacher’s Aid and Image Monster n Throughout each year, Open House Emergency Youth Shelter benefits from the compassion and generosity of the Cape Fear Area. With many teamed up to provide various supplies, and craft/ art materials for in-house craft and art projects. n In the stressed economy this past fiscal year, revenue reductions this past fiscal year, Open Open House Emergency Youth Shelter looked House counted on this community kindness for every way to stretch their food budget to even more. Thanks to Atlantic Appliance and the limit to make sure growing teenagers have Hardware Center and Scott Electric Company, sufficient nutritious food available. The Open the shelter was able to obtain and install a House Shelter residential team would like to new range hood to maintain compliance with thank the following “food benefactors” for licensure requirements. The Home Depot at donating yummy, and often home-grown, Monkey Junction assisted Open House with a goodies for the youth: Edible Arrangements, gift certificate to purchase materials necessary Megan and Kathleen Meyerson, Holy Trinity to re-do the shelter’s pantry closet with new Episcopal Church of Hampstead, J. Michael’s shelving. Philly Deli, Chili’s Restaurant-Wilmington, Old n In order to make their stay at Open House Emergency Youth Shelter a bit more like home, residential staff works tirelessly to identify and obtain various health and wellness, cultural and special recreational activities for the youth to experience. This is no small feat with little to no budget for recreations for up to 9 youth. Again, our local community rose to the call and afforded Open House staff with a variety of donated goods, services and activity tickets to allow the days to pass with a bit more adventure. Cape Fear Serpentarium, Ingram North State Wealth Management and April Sussman of Kure Beach. “Open House is a kind and safe place. The people are dependable.” Open House Emergency Youth Shelter 2008-2009 Referral Source – Age of Youth Age13 13% Age12 12% Age 14 15% Age11 4% Age10 4% Ages 7,8 & 9 1% each Age18 1% Age 15 26% Age 17 10% Age 16 21% Open House Emergency Youth Shelter 2008-2009 Referral Source – 132 Total Youth Homeless Family Shelter 3% Other Youth Shelter 1% Parent/Relative/ Legal Guardian 14% DSS 48% Self-Referral 7% Other Adult or Youth 1% Other CHC Program 1% School 3% Juvenile Justice/ Other Youth Law Enforcement Services Agency 5% 10% Community Support/ LME Crisis Respite 7% 24 Crisis Intervention Services Hotline Services: Crisis Line and First Call for Help Hotlines Coastal Horizon Center’s Crisis Line & First Call for Help Hotlines provide 24-hour crisis, suicide intervention/ prevention hotline counseling services. Information and referrals are also provided to facilitate linkages with available, needed resources, with walk-in crisis intervention counseling and pregnancy testing offered. Trained crisis intervention/information and referral specialists and community volunteers maintain Hotline Services, available for the Brunswick, New Hanover and Pender county region, and beyond, Crisis Hotline 2008-2009 Crisis Line Hotline/Walk-In Issues Substance Abuse Issues 5% Interpersonal Issues 7% First Call for Help 2008-2009 Information & Referral Hotline Issues Phone Number Assistance 18% Depression 5% Family Issues 4% Sexual Violence 4% Phone Number Assistance 8% Employment Issues 1% Suicide 1% Sexual Violence 2% Shelter for Adults 2% Transportation 2% General Medical 2% Depression 2% Alcohol Involved 3% Drugs Involved 3% Other Unspecified Issues 3% Family Issues 4% Domestic Violence 4% Financial Issues 4% Alcohol Involved 4% Parent/Child Issues 4% Shelter for Youth 8% Frequent Callers 10% Latino/Hispanic Linea De Ayuda 1% Domestic Violence 17% Financial Issues 18% Woodlot Program 9% Housing Issues 5% Frequent Callers 5% Interpersonal Issues 4% Food Need Referral 4% in cooperation with additional funding support provided through Cape Fear Memorial Foundation, Program Affiliations: and linkage assistance to human service City of Wilmington and New Hanover County. Crisis Line & First Call for Help staff and volunteers agencies in Brunswick, New Hanover and maintain active membership in, and the primary Pender counties. In addition to the NC 2-1-1 community contact for: Call Center capabilities, citizens and community n Community Crisis Response Team partners can access information and referral n Interagency Council of New Hanover County services via the NC 2-1-1 database through the n Tri-County Homeless Interagency Council CommunityPoint feature at www.nc211.org. n Cape Fear & Brunswick County Volunteer Centers Hotline Services will serve as the local NC 2-1-1 n Brunswick Resource Coalition Database managers, responsible to work with n H.O.L.A. – Helping Our Latin Americans community agencies to maintain the flow of up- n North Carolina 2-1-1 to-date information and referral data on a daily n American Association of Suicidology basis, thus ensuring efficient, quality access to Program Operations In Fiscal Year 2008-2009: n Crisis Line Hotline processed 2,881 crisis hotline walk-in contacts, requesting crisis counseling, or information and referral services. n First Call for Help Information and Referral Hotline provided services for 338 citizens in the tri-county area. n Hotline staff and volunteers provided over 840 hours of free crisis intervention counseling and information and referral linkages. services for citizens in the tri-county area. With Fiscal Year 2008-2009 Achievements: implementation of NC 2-1-1. First Call for Help n Hotline Services maintain after-hours crisis Hotline will phase out in support of this new intervention support and on-call dispatch services for Domestic Violence Shelter and “You guys have helped me a lot... get through a rough time with a friend. And I really appreciate it. So when I didn’t have really anyone else to call, I called your number. There was always a friendly little face...well not a face, but a voice on the other end and it really made me feel better.” statewide effort. n Hotline Services maintain participation/ Services, Hope Harbor Home, Inc., Families facilitation of community efforts for the New First, Inc., Southeastern Center for MH/DD/SA Hanover County Emergency Management, services, and Rape Crisis Center – New Hanover Community Crisis Response Team and IC3 & Brunswick Counties. Emergency Management Team, to maintain n In partnership with United Way of the Cape seamless services for community response Fear Area, Hotline Services officially launched to weather events, mass casualties or other NC 2-1-1 for Brunswick, New Hanover and disasters, in cooperation with United Way of the Pender counties. NC 2-1-1 is part of the national Cape Fear Area and the Cape Fear Volunteer and statewide United Way initiative to create Center. a streamlined, easy-to-access, up-to-date mechanism for quality information & referral services. Citizens dial 9-1-1 for emergencies, 4-1-1 for information, and are now able to Amy L. Feath simply dial 2-1-1 to access information, referral Director, Crisis Intervention Services 25 Contributors 16 Taps Joy Alford-Brand All About Fitness, Inc. Frieda Allen Sue Alleny AllOver Media Connie Andress Atlantic Appliance and Hardware Center Carolyn Baker Autumn Beam Rachel Beard Brenda Best The Beat –Music Magazine Mr. & Mrs. Sean Berg Bibis and Black Black’s Tires – Market Street Cornelius Boone Bon Saison Patricia Bowker Ronald Brand Simon Britton Danette Brown Buffalo Wild Wings-Monkey Junction Julie Burton Camber Caldwell Rebecca Caldwell Hal Campbell Julisa Canty Cape Fear Serpentarium Carmike Theaters Nancy Carpitella Robert & Debbie Carter Dee Casey Amy Chapman Karen V. Chapple Kimberly Cheatham Chick-Fil-A-Monkey Junction Chili’s Restaurant Victoria Chuong CiCi’s Pizza Amber Clifford Coastal Engraving Coastal K-9 Bakery Coca-Cola Cecelia Corbett, ASID Travis Corpening Costello’s Cruiser’s Car Wash – Oleander Megan Curtin Ben David Gillian Day Bo Dean & Michael Freeze Patricia Delair Shanna Dickens Dinosaurs Dock Street Printing DOGLiving Magazine Suzanne & Dave Davis Debra Donovan Justin Dorff East Coast Painting Edible Arrangements Jonathan Edwards Elijah’s Dr. Janet Ellerby Ann Elmer Encore Enemy of Mine Euphoria… First Citizens Bank Flaming Amy’s Burrito Barn Adam Fominaya Food Lion – 17th Street Fred Flynn Birdie Frink Jason A. Frizzelle Photography Front Street Brewery Pam Fuller Arlene G. Gallan, Ph.D. Gallery of Oriental Rugs Sylvia Gnall Kim Gobble Mike Godwin Maggie Goldman Good Shepherd Ministries Kathleen Gould Sarah Grady-Hales Diane Haaning Hamburger Joe’s Hampton Inn –Medical Park Krista Harrell-Blair Charles W. Harris, Jr. Mary Jo Harris Melodi R. Hayes, P.A. Lee Anne Haggerty HellBroth Hell’s Kitchen Cindy Henry Suzanne Hentz, M.D. Sarah Hester Brooke Hinnant Paul Hoffmann Peggy Holmes-Hairston Holy Trinity Episcopal Church HomeDepot – Monkey Junction Kenny House Stanley & Lillian House Stephanie House Rick Houston Inner Solutions-A Center for Growth & Healing IMAGEMONSTER Incredible Pizza Integrated Therapy Associates Intense Defense Dojo J. Michael’s Philly Deli Carolyn Jackson Bob & Susan Jalbert Suzanne Jalot JellyBeans Family Skating Center Peyton M. Jeter Johnny Mercer’s Fishing Pier Matt Johnson KAT’s Taxi Kristen Kaynan Suzanne Kelly David Kingman, CPA Hal Kitchin Paul Knott Krispy Kreme Donuts L Shaped Lot Thomas Lankford Aaron Lawrence Steven Lawson Mackey Leach Little Chapel on the Boardwalk Barbara Lloyd Sheridan Long Howard & Libeth Loving Lucky’s Pub Mangia Bene Catering MARRZ Night Club Ashley Martin Mr. and Mrs. Dennis Matthews Lauren Maultsby Mayfaire Towne Centre Richard McGraw Herbert & Gina McKim Laura McLean Maria McLendon Penny Meck Meineke – Carolina Beach Road Mellow Mushroom Cathy Meriam Sarah Meriam Regina Mertens Dave Meyer Megan & Kathleen Meyerson Craig Michael Betty Michaliga Shemekka E. Miles – Mary Kay Shemekka Miles Gennifer Miller Dennis Moeller Dennis Moeller Custom Homes Carol Moon Tikila Morgan-Perry Mary V. Morris Carol Moser MOST Club – Laney High School MOST Club – New Hanover High School Laura Nance Dr. Nora E. Noel North Carolina Aquarium at Fort Fisher North Carolina Sorosis Night Department NTR Group, LLC Jackie Oakes Rich Ogle Old North State Wealth Management Olive & Olive, P.A. Cheryl Osann OUTImpact Margie Ozier Laura Padgett James & Angela Parham PAWN USA Elizabeth Phillips Daniella E. Polich Pomegranate Books Maysel Potratz Thom Potratz Beth Quinn The REEL Café Amanda Register Revolution 9 Josh Rivenbark Eddey Roque Lisa Ruefle Barbara Sabatini Jennifer W. Saphara Michelle Scatton-Tessier Mr. & Mrs. Orville Schoenfield Scott Electric Company Tammy Senge Sonja Shanley, M.D. Mr. and Mrs. John Q. Shaw Antoinette Sheilds Sherwin-Williams SHIRTMANDUDE.COM Terri Ann Sigman Silver Judas Rosalie Skurski Kim Slozak Lauren Slusher Beth Smith Cheryl Snyder Snyderneff.com Jennifer Stancil Stevenson Honda Clyde Stunson Peggy Styes Sunrise Broadcasting SURF 98.3 FM April Sussman Sweetwater Surf Shop Gayle Tabor Adam Tate Teacher’s Aid Ten Dollar Thrill The Last Ones Left Tufana Thomas Tierney Screen Printing Terry Tomb Gaines Townsend Treblehook Ann Trembley Laura Trivett Jason Tyson UNCW – “1 in 4” Men’s Group UNCW – CARE Program & Peers UNCW – Center for MultiCulturalism & Inclusion UNCW – Psychology Department UNCW – Social Work Department UNCW – Women’s Studies & Resource Center United Insurance Company of America Paula Veltz Andrea Walker Brad Walker Jennifer Wall Alan Waller Walmart SuperCenter Ashley Ware Bambi Weavil Latisha Webb-Corpening Ken Weeden Ken Weeden & Associates Jonathan Weiss Katherine S. Weller Margaret Weller-Stargell Whitey’s El-Berta Motor Inn Kate Wiese, MC Keely Williams WILMA! Wilmington Star-News – Currents Penny Worley Xtreme Detail Yang Ming (America) Corporation YWCA – Lower Cape Fear Heather Zajaczkowski Z 107.5 FM With special thanks to: Coastal Horizons Center, Inc. Willie Stargell Office Park 615 Shipyard Boulevard Wilmington, NC 28412 910.790.0187 phone • 910.790.0189 fax www.coastalhorizons.org
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