Dickinson Center, Inc. Expenses FY 14/15

Transcription

AN OPEN LETTER TO OUR COMMUNITY
As Chairperson of the Board of Governors and as the Interim Chief Executive Officer, we are privileged to be able to provide you
with Dickinson Center’s FY 2015 Annual Report. Both the Board of Governors and Administration have dedicated the year in
review to responding to the ever-evolving health care environment and what needs to occur for non-profit health care systems
to remain financially sustainable and mission driven. We would like to each take this opportunity to briefly share our respective
reflections and viewpoints on the ever-changing landscape in health care reform and the positive impact Dickinson continues to
make.
Fran Kuhns - Chairperson of the Board of Governors
As I close out my first year as Board Chair, I must say that I have developed a deeper
and richer appreciation of the vast number of service lines offered by Dickinson. It is
remarkable to have a “front row seat” in observing, learning, and guiding such a
dynamic and mission driven non-profit organization. During its nearly 60 year history, I
have come to respect the sustained growth, commitment to service excellence, and
innovative thought leaders which have made Dickinson the organization it is today.
I have been equally as impressed by the commitment of its employees across the
organization to quality care and the needs of the consumers we serve. There is a very special sense of pride which I have
observed here in employees whom I have personally met and have had the pleasure of hearing about from the Dickinson
leadership team. The employees are no doubt the backbone of its success, both past and current. Supporting others in
addressing their recovery from serious mental illness, inspiring hope while offering tangible reasons to persevere, and to
console with compassion and respect are not just captions in this organization’s brand. Our employees believe in this credo
and are inspired to have those whom they serve believe it as well.
Fran Kuhns, DCI Board Chairperson
Heidi Thomas, Interim Chief Executive Officer
Fiscal year 2014-2015 was a year of many challenges and opportunities for Dickinson
Center. Our employees continued to provide dedicated care to our consumers despite the
challenges. Our growth continued with almost 4,000 individuals served in fiscal year 2015,
which is a testament to the scope and quality of services we provide. Our quality was
recognized by the Office of Rural Health with our Total Health program being awarded
Pennsylvania's Rural Program of the Year. The Total Health program provides integrated
behavioral and physical health care services for consumers with serious mental illness and
complex physical health conditions
Our focus on fostering a culture of compassion, excellence, and hope continues. During
2015, we furthered our commitment by developing an internal Trauma Informed Care
Committee. This committee promotes caring for both our employees and our consumers with a focus on promoting safety,
empowerment, peer support, trustworthiness, and collaboration.
We achieved success despite many challenges in 2015, and we are excited about what the future holds for us. This report
provides an overview of DCI's achievements over the past year. We are proud of those achievements and pleased to share them
with you.
Heidi Thomas, DCI Interim Chief Executive Officer
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WE ARE committed TO HELPING INDIVIDUALS REACH THEIR
full potential BY PROVIDING A COMPREHENSIVE SPECTRUM OF
BEHAVIORAL HEALTH, INTELLECTUAL DISABILITY, AND PREVENTION SERVICES.
BOARD OF
GOVERNORS
Elk County
Dr. William Conrad
Richard Brown, Jr.,
Vice Chairperson
Jesse Shirey, DVM
Dennis Crotzer
Joseph K. Haines
Abbi Peters
Clearfield County
James Dixon
ADMINISTRATION
[Back Row, Pictured L-R] Jim Prosper, Chief Operations Officer;
Michael Fernan, Corporate Compliance Officer; Tim Lowe, Director of
Management Information Systems; Heidi Thomas, Chief Fiscal Officer/
Interim Chief Executive Officer; Heidi Eastman, Potter County
Operations Manager.
[Front Row, Pictured L-R] Sara Mercer, Billing Director; Angela Chew,
Clinical Services Director; Carol Wells, Human Resources Director;
Jennifer Dippold, Community Outreach and Development Officer
Potter County
Lucy Lajcsak
McKean County
James Byham, Treasurer
Jefferson County
Ms. Fran Kuhns, Chairperson
DOCTORS
,
Dr. Luisito Dingcong Dr. Paul Ignatius, Dr. Robert Wilson, Dr. Liberty Eberly, Dr. Thomas Murray Baker,
Dr. Hridayesh Pathak, Dr. Katie Fernan, Dr. Matthew Ashby, Dr. Sadaf Islam, Dr. Roger LaRoche (exit 2015).
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ADMINISTRATIVE STAFF
[Back Row, L-R] Loretta Zambanini, Fiscal
Technician; Kari Smith, Fiscal Assistant;
Judy Sample, Fiscal Technician;
Pat Porcaro, Personnel Assistant;
Robin Barclay, Fiscal Assistant.
[Front Row, L-R] Irene Davido,
Administrative Assistant/Secretary to the
Board; Tim Shrubb, IT Technician;
Leona Hoohuli, Fiscal Technician.
MAINTENANCE
[Pictured L-R] Scott Burlingame,
Chris Iozzo, Supervisor
CLEANING STAFF
Hope Piccirillo, Nathan Danekas, Anna Yonker
Tosha Vansickles, Amber Luchs, Denise Minderler
TRAUMA-INFORMED CARE TEAM
Promoting a Safe and Compassionate Agency for
both Employees and Consumers
Jack Goga and Tim Thomas present the Trauma Informed Care committee members a check from the
DCI Employee Helping Hand Fund. This funding is being utilized to pilot the TIC initiative throughout DCI
[Pictured Back Row L-R] Jack Goga, (former) CEO; Tim Thomas, Chairperson of Helping Hands Project Fund;
Glenn Metzler, TIC; Mike Fernan, TIC [Pictured Front Row L-R] Tracey Williams, TIC;
Tonya Wolf, TIC; Tana Funair, TIC
[Members not pictured] Steve Symans, Heidi Eastman, Carla Milliron, Ashlee Foil-Yen
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DCI SAFETY COMMITTEE
Promoting Safety Awareness to DCI
Employees
[Front Row L-R] Sharon Young -Treasurer,
Jolene Wiesner, Kelly Leuschel, Brenda
Distler-Secretary.
[Back Row L-R] Scott Burlingame,
Chris Iozzo, Heidi Thomas,
Tim Thomas-Chairperson,
Tim Lowe
[Pictured Right - Potter County Safety Members L-R]
Tom Howland and Rebecca Keagle
WELLNESS COMMITTEE
Promoting Wellness to DCI Employees since 2008
[Pictured L-R] *Rita Kraus - Chairperson,
Julie Lang, *Kari Smith, and Sara Mercer
[Not Pictured] *Diana Streich – Treasurer,
*Stephanie Rosenhoover, Erin Andrews,
Tonya Wolfe, *Alyse Renwick
Asterisk * denotes members since inception
EMPLOYEE APPRECIATION
COMMITTEE
Improving Agency Morale through Employee
Recognition
[Pictured L-R] Cathy Walters,
Jamie Eckert, Stephanie Rosenhoover,
Lianne Schneider.
[Not Pictured] Jen Dippold
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MAIN TABLE OF CONTENTS
Financial Report | pps. 11-14
Grant Report | pps. 15-16
Community Outreach & Development Report | pps. 17-18
Human Resources Report | p. 19
Corporate Compliance Report | p. 20
Quality Assurance Report | p. 21
Behavioral Health Services (BH) | pps. 23-42
Intellectual Disabilities Services (ID) | pps. 43-54
Children's Prevention Services | pps. 55-64
Consumer Testimonials | pps. 65-67
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DICKINSON CENTER, INC. ANNUAL REPORT 2014/2015
FINANCIAL REPORTS
FINANCIAL REPORT
Submitted by Heidi Thomas, CFO
BALANCE SHEET - Unaudited
June 30, 2015
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FINANCIAL REPORTS
FINANCIAL REPORTS
Dickinson Center, Inc.
Revenue FY 14/15
McKean County
Human Services 0.2%
Human Services
Development Fund 0.2%
Miscellaneous 0.6%
Fundraising 0.2%
Rural Health Center 0.9%
Elkwood Arts Sales 0.8%
Private Pay 2.5%
School
1.5%
United Way 0.1%
Office of Vocational Rehab
0.1%
Children & Youth 3.5%
Grants/Donations 3.9%
Investment Income 0.1%
Potter County
Human Services
4.1%
Insurance 5.1%
MA/CCBH
(Managed Care)
45.1%
Cameron/Elk
MH/MR
7.9%
Medical Assistance (ID
Waiver) 23.3%
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FINANCIAL REPORTS
Dickinson Center, Inc.
Expenses FY 14/15
Maintenance Contract
0.8%
Office Supplies 1.0%
Communications 1.5%
Other Purchased Services
1.9%
Depreciation 2.3%
Leasing 1.0%
Interest
Expense 1.1%
Treatment
Supplies
1.2%
Building/Equipment
Maintenance 0.7%
Memberships and
Subscriptions 0.4%
Professional
Fees 0.3%
Purchased Physician
Services 3.5%
Miscellaneous 0.1%
Staff & Consumer
Transportation 3.6%
Occupancy 3.7%
Personnel 76.7%
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Recruitment and
Advertising 0.3%
GRANT REPORT
GRANT REPORT
July 1, 2014- June 30, 2015
Submitted by Jennifer Dippold, CODO
Behavioral Health
Funding Source
Project
Amount
Applied
Amount
Awarded
Autism Program – 2 yrs
30,000
38,000
Crossroads Lunch Project
1,500
1,500
Intensive OP Startup
49,698
Denied
Outpatient Telepsych Time
78,000
23,000
Autism
6,000
6,000
St. Marys United Way
Crossroads
5,000
Unknown
SAMHSA Physical &
Total Health Expansion
392,899
Unknown
Year 1 of 4
3,637
Unknown
Autism Operations
30,000
Unknown
Total Behavioral Health
563,097
68,500
Amount
Applied
40,000
Amount
Awarded
40,000
40,000
40,000
Stackpole-Hall Foundation
Women Who Care
EQT Foundation
George & Margaret Mee
Charitable Trust
DuBois United Way
Behavioral Health Integration
ECCF Elk Co. Economic &
Community Development
Stackpole-Hall Foundation
Foundation
Intensive OP Startup
Intellectual and Developmental Disabilities
Funding Source
Edith Trees Charitable Trust
Project
Elkwood Arts
(Feb ’14 – Jan ’15)
Elkwood Arts
(Feb ’15 – Jan ’16)
ID Programs
153,665
105,000
Act 13 Grant
(Elk Co. Commissioners)
Elkwood Arts
Program
6,646
6,646
100
100
$240,411
$191,746
ECCOTA
Elkwood Arts – Elk Expo
Total Intellectual
Disability
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GRANT REPORT
Children’s Prevention Services
Funding Source
Sigismunda & AJ Palumbo
Charitable Trust
Sigismunda & AJ Palumbo
Charitable Trust
Walmart
Project
Amount
Amount
Signs of Suicide
Applied
92,000
Awarded
92,000
Signs of Suicide
85,500
85,500
LIFE
Kindergarten Readiness
5,000
Unknown
$182,500
$177,500
Total Children’s
Prevention
Agency Infrastructure
Funding Source
Northwest Savings Bank
Project
43 Servidea Drive
Amount
Amount
Applied
40,000
Awarded
30,000
10,000
Denied
5,870
5,870
4,340
3,000
$60,210
$38,870
(10,000/year for 3 years)
Act 13 Grant
Elk County (Commissioners)
Analytics Software
Harrison & Muriel Stackpole
South Entrance Door
Fund
HM Insurance Group
GRAND TOTALS
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Enlighten
43 Servidea
Safety Equip./Training
Total Agency
Infrastructure
Amount
Amount
Applied
Awarded
$1,046,218
$476,616
COMMUNITY OUTREACH AND DEVELOPMENT
COMMUNITY OUTREACH AND DEVELOPMENT HIGHLIGHTS
Submitted by Jennifer Dippold, CODO
Total Health was awarded the 2014 Rural Health
Program of the Year award from the
Pennsylvania Office of Rural Health.
Curves of St. Marys adopted two families through
Dickinson’s Children’s Prevention Services division
to support their Christmas season needs.
THE EMPLOYEE GIVING CLUB
Helping Hands represents the employees of Dickinson Center, Inc. It was established in
2012, and the employees disseminated their first grants in 2013-2014. There are three
funds employees can contribute to: Community Connections Fund, Project Fund, and
Sustaining Our Future Fund. There were three grants awarded for FY 2014-2015:
Community Nurses, Ridgway Volunteer Fire Department, and Dickinson Center’s
Trauma-Informed Care Committee
Tonya Wolfe and Tana Funair, Community
Connection Fund members, present check to
Community Nurses, Inc.
Tonya Wolfe, Community Connection
Fund Chair, presents check to the
Ridgway Volunteer Fire Department.
Tim Thomas, Project Fund Chair, and Jack
Goga, (former) CEO, present check to
Dickinson Center’s Trauma-Informed Care
Committee.
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COMMUNITY OUTREACH AND DEVELOPMENT
GRANTORS AND DONORS
$100,000 & up
$200-$299
*Fernan Family Practice, LLC
*Mr. & Mrs. Joseph Muccio
*Mr. & Mrs. Gregory Bauer
$85,000-$99,999
AJ & Sigismunda Palumbo Charitable Trust
$35,000- $84,999
The Stackpole-Hall Foundation
Mr. Leroy Kopp/Horizon Foods
*Bulldog Office Products, Inc.
*Mr. & Mrs. Matthew Stainbrook
*St. Marys Pharmacy
*Mr. & Mrs. Jeff Azzato
$10,000-$34,999
Northwest Charitable
Foundation
George & Margaret Mee
Foundation
$199 & Under
$
490,056
$5,000-$9,999
*Dr. & Mrs. Waqar Shah
Harrison & Muriel Dauer Stackpole Fund
DuBois United Way
$1,000-$4,999
Mr. & Mrs. Steve Brazinski
Women Who Care
*Arnold Wolfe & Laura Wolfe Foundation
HM Insurance Group
St. Marys United Way
$300-$999
*Dr. & Mrs. Paul Ignatius
Mr. & Mrs. Michael DeStefano
*Penn Highlands Healthcare
*Domtar Paper Company
National Fuel Foundation
*Northwest Savings Bank
Johnsonburg Wilcox Fund
*CNB Foundation
*Mr. & Mrs. Richard Masson
Anderson & Kime Employer
Benefits
ECCOTA
*Advantage Sales Company
*Dr. Edward McVay
*Dr. & Mrs. Ted Eshbach
*Mr. & Mrs. Richard Wolfe
*Mr. & Mrs. James DeCarli
*Mr. & Mrs. Michael Armanini
*Mr. & Mrs. William Falger
*Dr. & Mrs. Narayana Subramany
*Dr. & Mrs. George Fatula
*Mr. & Mrs. Paul Brazinski
*Ms. Mary Fernan
*Mr. & Mrs. Angelo Illuzzi
*Ms. Lucy Lajcsak
*KTH-Hallstrom
*Dr. & Mrs. Guillermo Udarbe
*Verizon Foundation
*Mr. & Mrs. Dennis Bonanno
* DENOTES 2014-2015 AUTISM PROGRAM
CAMPAIGN DONORS
Dickinson Center, Inc. is a 501 (c) (3) organization, contributions to which are tax deductible as permitted by law. The official registration and financial information of
Dickinson Center, Inc. may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not
imply endorsement.
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HUMAN RESOURCES REPORT
HUMAN RESOURCES
Submitted by Carol Wells, SPHR
Service Area: All Counties
Address: 43 Servidea Drive, Ridgway, PA 15853
Telephone#: 814.776.2145 x260 or x248
Program Director: Carol Wells, SPHR
Administration
Domain
by Employees
10%
Children's
Prevention
9%
Program Overview: The Human Resources (HR)
Department provides a full range of employee services
to Dickinson Center, Inc. It is organizationally under the
arm of administration and includes a full-time director
and two part-time assistants.
Mental
Health
49%
Intellectual
Disabilities
32%
Consumer Information:
Breakdown of Full-time,
Part-time Employees
Workforce Tenure
26+ yrs
21-25 yrs
16-20 yrs
11-15 yrs
6-10 yrs
2-5 yrs
Less than 1 yr
Emergency Relief
Part-time (1-19 hrs)
Full-time (40 hrs/wk)
0
50
100
150
0
20
40
60
80
Past Year’s Accomplishments:
The HR department successfully completed the following projects over the past year:
 Job descriptions for the entire organization were re-written in a new format. This format better meets legal
requirements, and more accurately reflects our evolving culture of service excellence and trauma-informed care.
 A return-to-work program was developed for workers injured on the job and returning to the job.
 A pre-employment drug testing program was implemented.
 A fee-for-service compensation model was developed for outpatient clinicians.
 The HR department fully transitioned into using Quantum, our HR software, for recordkeeping.
We had some significant challenges this year as well. Our Medical Director and our CRNP (Nurse Practitioner) resigned
this year and recruiting replacements for them was extremely difficult; this challenge will continue into the year ahead.
Due to funding cuts and changes in reimbursement methods, we had no choice but to decrease our benefit package.
As we have tightened our belt, we have gone down in total employees from 209 as of July 1, 2014 to 192 as of June 30,
2015
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CORPORATE COMPLIANCE REPORT
CORPORATE COMPLIANCE
Submitted by Mike Fernan, CCO
Service Area: All Counties
Telephone#: 814.776.0213
Program Director: Mike Fernan, MSW
Program Overview:
The Corporate Compliance Program consists of all of the formal and informal activities that DCI undertakes to support
and foster adherence to ethical and sound business practices. The Board of Governors maintains overall responsibility
for the Compliance Program, with day-to-day responsibilities delegated to the Chief Compliance Officer. The Compliance
Officer serves as the chair of the interdisciplinary staff Corporate Compliance Committee.
DCI’s Compliance Program conducts internal and external risk assessments in order to determine areas of compliance
risk. All staff receive training in general compliance knowledge, with more specific trainings and communications
conducted as needed. Auditing and monitoring efforts work to ensure that compliance risks are avoided and/or
effectively mitigated. Identified issues are investigated and reported as dictated by applicable regulations.
Continuous quality improvement principles are employed in the compliance process in order to identify root causes of
issues and to develop processes that limit exposure to future risk. Staff are encouraged to actively participate in
improving compliance through process improvement activities.
The past fiscal year proved to be the busiest by far in terms of the number of audits conducted by outside entities. DCI’s
managed care organization conducted audits aimed at gauging the compliance, quality, and clinical soundness of various
DCI programs. DCI received positive reviews in all of the audit reports. Of DCI’s programs subjected to licensing reviews
by the Commonwealth, no citations were received by any program during this time period.
Outside audits have increasingly resulted in re-audits, as auditors strive to ensure that audit recommendations are
followed. The Compliance Program has adopted the use of internal audits in assessing compliance with identified quality
improvement plans. This continuous quality improvement approach has helped to ensure audit recommendations are
followed.
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QUALITY REPORT
QUALITY IMPROVEMENT
Submitted by Mike Fernan, CCO
Service Area: All counties
Telephone#: (814) 776-0213
Program Director: Mike Fernan, MSW
Program Overview:
The Quality Improvement Program assists program managers with the development, tracking and improvement of key
performance indicators aimed at measuring outcomes. The program supports the development of efficient processes to
achieve intended goals and offers methodologies to investigate root causes of, and solutions to, process issues.
Quality assurance efforts strive to maintain quality and compliance in programs. Continuous quality improvement
principles are employed in response to identified issues.
DCI’s Quality Improvement Program strives to improve the experience and service outcomes of each individual we
serve.
The scope of the Quality Improvement Program continues to grow. Over the course of the 2014-2015 fiscal year, all DCI
programs have identified outcome metrics in order to measure program effectiveness. Programs with previously
developed metrics continue to track and improve upon performance. Of note in building DCI’s capacity to measure and
improve treatment outcomes, DCI’s MIS Department successfully embedded the DLA-20 functional assessment into
DCI’s electronic health record.
Behavioral health programs have worked to create sets of metrics that will help ensure future program success in an
ever-changing healthcare environment. These metrics will assist program directors with improving program
performance while demonstrating value to program consumers and payers. For programs serving individuals with
intellectual disabilities, the Incident Management/Quality Management process has incorporated continuous quality
improvement into the incident review process.
The Quality Improvement Program facilitated numerous special projects throughout the year. One such project,
through the work and involvement of all Residential program staff, resulted in a 37% reduction in medication errors for
individuals living in DCI residential homes.
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BEHAVIORAL
HEALTH
TABLE OF CONTENTS
Autism | p. 25
Blended Case Management | p. 26
COPE Drop-In Center | p. 27
Crisis-Emergency Services | p. 28
Crossroads/ Child & Adolescent Partial Hospitalization | p. 29
Family-Based Program | p. 30
Forensic Services | p. 31
Intensive Outpatient Program | p. 32
Mobile Psychiatric Rehabilitation | p. 33
Outpatient Services | pps. 34-35
H.O.P.E. Program | p. 36
Peer Support Program | p. 37
Psychiatric Rehabilitation Program – P.R.I.D.E. (Potter) | p. 38
Psychiatric Rehabilitation Program – S.T.A.R.S. (McKean) | p. 39
Psychiatric Rehabilitation Program – S.T.E.P.S. (Elk/Cameron) | p. 40
Rural Health Center | p. 41
Total Health Program | p. 42
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BEHAVIORAL HEALTH
POSSIBILITIES AUTISM CENTER
Service Area: Elk, Cameron, Jefferson, Clearfield,
Potter & McKean Counties
Telephone #: 814.776.2145
Program Supervisor: Angela Chew, LCSW, Clinical Services Director
Program Overview:
The Autism Center provides Autism Spectrum Disorder (ASD) diagnostic and
Dr. Amanda Straub, PsyD,
treatment services for individuals 3 through 18 years of age. A comprehensive
Autism and Outpatient
Psychologist
diagnostic assessment includes a written report outlining treatment strategies
to be utilized in the home, school, and by therapeutic teams. On-site treatment
options include occupational therapy (OT), sensory integration therapy, behavior therapy, social skills group
therapy, and family and individual therapy. The center’s School Consultation Program can offer consultation,
direct assistance, and training in order for school systems to better serve children diagnosed with autism
spectrum disorders.
The Autism Center supports children and adolescents 3 through 18 years of age. Referrals are made from
parents, pediatricians, other DCI programs, schools, and other behavioral health providers. Program staff
completed 85 comprehensive assessments, served 158 unduplicated consumers in Autism services, and served
26 unduplicated consumers in OT services.
The prevalence of autism is 1 in 68 as reported by the Center for Disease Control (2014). As DCI’s program gains
a regional reputation, requests for evaluations are increasing. These requests are being received from as many
as twelve different counties. In January of this fiscal year, the center’s psychologist earned her clinical license
and was credentialed with most insurance providers, allowing her to complete evaluations without contracted
supervision. The program restructured following the retirement of the director and the OT assistant, allowing for
reduced expenses and maximum benefit from the generous grant funds and donations to the program. The
Autism program continues to receive support through the Stackpole Hall Foundation, the United Way of DuBois,
and private donors responding to this year’s fundraising mail campaign. The center’s psychologist has placed a
special emphasis on group sessions focusing on social skill development, and this group has continued to grow in
numbers and new referrals. The center is also participating in DCI’s development of a trauma informed culture.
Expenses,
$193,915
Revenue,
$125,072
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BEHAVIORAL HEALTH
BLENDED CASE MANAGEMENT
(BCM)
Service Area: Elk & Cameron Counties
Telephone #: 814.772.2005
Program Director: Denise Michalowski, BA
Program Overview:
The Blended Case Management (BCM) program assists
[BCM Staff, Front Row L-R] Denise Michalowski, Program
Director/Supervisor; Beth Sorg, Administrative
consumers with mental health diagnoses in accessing
Assistant/Representative
Payee; Alyse Renwick.
appropriate mental health services and the various
community resources they may need. Our team of case
[Back Row L-R] Richelle Bauer, Yvonne Kastner,
management professionals coordinates consumer
Jolene Wiesner, Bill Decker, Shelby McDermott
services, monitors progress, and addresses any
[Missing from Photo] Diana Krise
concerns the consumers may have. Consumers have
access to reaching an on-call case manager 24/7 during
any individual crisis. The program service also includes a Forensic Case Manager. This case manager works with
consumers making the transition from incarceration back into the community. Representative payee services
are another sub-specialization of BCM’s service line. Consumers qualify for this service if deemed eligible by the
Social Security Administration.
 Eligibility: Adults who have a mental illness and children who have a mental illness or serious emotional
disturbance as defined by meeting the criteria for diagnosis and treatment history according to the
Office of Mental Health and Substance Abuse regulations.
 Age range or restrictions: Adults and children are excluded with a principal diagnosis of intellectual
developmental disability, psychoactive substance abuse, organic brain syndrome, or a V-Code.
Admissions: 144
Discharges: 134
Number of consumers served: 150
Blended Case Management had their first on-site audit with the Office of Mental Health and Substance Abuse in
19 years. The program was given full licensure with no deficiencies. The Representative Payee service line was
audited by the Social Security Administration in November 2014. This audit was also successful without any
identified areas for concern. The program’s year-end profit/loss statement reflected a profit despite the high
staff turnover of five direct service staff. The Blended
Case Management program at Dickinson Center, Inc.
continues to strive for excellence through ongoing
initiatives to evaluate outcomes and quality of our
service.
Expenses,
$503,705
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Revenue,
$542,613
BEHAVIORAL HEALTH
COALITION OF PEOPLE EMPOWERED (C.O.P.E.) DROP-IN-CENTER
Address: Race Street, Ridgway, PA 15853
Telephone #: 814.776.2664
Program Supervisor: Julie Papa
Program Director: Tracey Williams
Program Overview:
The C.O.P.E Drop-In-Center is located in Ridgway, PA
and serves individuals from Cameron and Elk Counties.
The center provides a safe and social environment for
people in recovery. Individuals can obtain information
about services in the community, participate in social
activities, and find resources to meet their daily
challenges.
[COPE Staff, L-R] Jamie Eckert, Administrative Assistant; Kathy
Williamson, Drop-In Center Liaison; Henry Snyder, Drop-In Center
Liaison; Julie Papa, Drop-In Center Supervisor; Tracey Williams,
Drop-In Center Program Director
The Drop-In-Center offers individuals with serious
mental illness a warm and friendly place to “drop-in,”
meet other people, and participate in activities at their
discretion. Some activities offered at the center include cinch tournaments, dinners, Nintendo Wii, movie nights,
pool tournaments, crafts, coffee club, bingo, and wellness promotion.
Any adult (18 years of age) with a mental illness is eligible to attend the program. Consumer visits average 300
per month.
We are pleased to have had an increase in hours of operation over the past year. The C.O.P.E Drop-In-Center’s
schedule is posted on the Dickinson Center, Inc. website at www.dickinsoncenter.org.
Expenses,
$87,077
Revenue,
$94,438
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BEHAVIORAL HEALTH
CRISIS INTERVENTION
SERVICES
Service Area: Cameron, Elk and Potter Counties
Address: 1 North Main St., Coudersport, PA
16915
Telephone #: 814.274.8651
Program Director/Supervisor: Steven Symans
Program Overview:
Crisis personnel provide telephone, walk-in, and
mobile crisis services, upon request, to any
consumer or anyone concerned about someone
who may be experiencing an acute disturbance
of mood, thought, behavior or social functioning.
After assessing all aspects of the crisis event,
crisis personnel work with the consumer and/or
those concerned about them to determine the
most appropriate and least restrictive plan of
care available to meet their current clinical
needs.
[Elk/Cam. Crisis Staff, L-R] Rita Kraus, Stephanie Rosenhoover, Steven Symans,
Lanette Nesbitt and Sharon Young
[Potter Crisis Staff, L-R] Steven Symans, Carla Miliron, Ashley Foil-Yen,
Laura Sypien and Katie Kightlinger
The program serves any person or concerned
party, regardless of origin of residence, as long
as they are seeking service within Cameron, Elk, or Potter County. Only walk-in crisis services are available to
residents of Cameron County.
The program experienced 100 admissions and 83 discharges in Cameron and Elk Counties, while the Potter
County program experienced 224 admissions and 138 discharges.
Program Accomplishments:
While a Section 302 committal of the 1976 Mental Health Procedures Act is sometimes the only reasonable
course of action that can be pursued in both Cameron/Elk and Potter counties, this is consistently an unlikely
event. Only 13 consumers were the subject of a 302 committal in Elk and Cameron Counties, while only 9 were
committed involuntarily in Potter County. The vast majority of consumers served this year (53 in Cameron/Elk
Counties and 100 in Potter County) were either referred to outpatient services, or stabilized and directed to
continue with current outpatient services.
DCI’s Crisis Services program supports consumers
already established in other service lines during times
when the course of their emotional recovery requires
additional support. Crisis Services is also an entry point
to services for many consumers and families who put
off seeking help and support to address behavioral
health concerns. Crisis personnel are often the primary
source of engagement that link consumers to other
services. Crisis personnel exemplify the agency’s values
by offering hope where there is often little, and
displaying professional excellence through their
compassion and concern.
28
Elk/Cam
Revenue,
$7,470
Potter
Expenses,
$64,286
Potter
Revenue,
$49,722
Elk/Cam
Expenses,
$14,993
BEHAVIORAL HEALTH
CROSSROADS CHILD/ADOLESCENT PARTIAL HOSPITALIZATION
PROGRAM
Service Area: Cameron, Clearfield, Elk, Jefferson,
and McKean Counties
Address: 763 Johnsonburg Road, Mailbox # 37
St. Marys, PA 15857
Telephone #: 814.389.4515
Program Director/Supervisor: Tonya Wolfe, LCSW
Program Overview:
Crossroads offers mental health day treatment to
children and adolescents who experience moderate to
severe emotional and behavioral symptoms due to a
mental health disorder. At Crossroads, children and
adolescents receive group, family, and individual
therapy as well as psychiatric evaluations and
medication management. Crossroads’ staff also work
collaboratively with seven school districts to provide
academic support to children and adolescents enrolled
during the traditional school year.
[Crossroads Staff, Back Row L-R] Stacey Kelly, Caseworker;
Tonya Wolfe, Program Supervisor;
Brianna Bush, Special Education Teacher;
[Front Row L-R] Katie Greenthaner, Caseworker;
Deedee Schloder,Teacher’s Aide;
Peg Aharrah, Administrative Support Staff
Children and adolescents between the ages of 11-18 who have an Axis I mental health diagnosis and who reside
in the Brockway, Cameron County, Dubois, Johnsonburg, Kane, Ridgway, or St. Marys school districts may seek
services at Crossroads. Participation is determined through an evaluation by a psychiatrist based on regulatory
medical necessity criteria. There have been thirty-five children/adolescents from five school districts served this
year. There were twenty-eight admissions and twenty-four discharges.
Relationships with school districts and other external organizations have continued to develop. For the first time
in the program’s history, transportation became less of a barrier due to the generous support of the school
districts and the Cameron & Elk Counties Behavioral & Developmental Program. Crossroads was awarded a
grant through Women Who Care to assist with “lunch program” costs. This was a new source of revenue for
Crossroads. Lastly, a quality chart review was conducted by Community Care Behavioral Health (CCBH) with
positive results.
Expenses,
$320,026
Revenue,
$285,445
29
BEHAVIORAL HEALTH
FAMILY BASED MENTAL HEALTH
Program Name: Family Based Mental Health
Service Area: Elk, Cameron, Potter & McKean
Counties
Telephone #: Elk Office: 814.772.9540
Potter Office: 814.274.0350
Program Director: Sara L. Warmbrodt, M.S.
Program Overview:
Family Based is a non-traditional outreach family
therapy program designed to help improve the family’s
overall functioning and empower parents to care for
their children in the home setting. Each family is
assigned to two highly trained therapists that provide
[FBMH Staff, Front Row L-R] Katie Makufka, FBS Therapist;
intensive therapy in the home several times a week.
Kim Smith, FBS Therapist; Jennifer Currier, FBS Therapist
Treatment is individualized for each family and is
[FBMH Staff, Back Row L-R] Dave Bauer, FBS Therapist; Cynthia
tailored to each family’s unique needs. Family Based
Klaiber, Administrative Support; Sara Warmbrodt, Family Based
provides therapy to all family members as needed,
Director; Leighanne Franklin, FBS Therapist; Kelly Swanson, FBS
including family sessions, marital/couples work,
Therapist; Laura Zampogna-Stahli, FBS Therapist
individual sessions with any/all members, sibling
[Missing from Photo] Pam Lewis, FBS Therapist “
sessions, and subset work between dyads. The
program also has a case management component
which assists families in coordinating services and linking them to resources. If a family member is struggling
with a mental health crisis, Family Based also offers 24-hour crisis support.
Family Based Mental Health served 55 families this past year.
The Family Based Program at Dickinson Center, Inc. continues to strive for excellence through ongoing initiatives
to evaluate outcome measures and increase referrals. Family Based welcomed 3 new therapists this past year
and the program is currently fully staffed with all staff at full caseloads. The program served 55 families this past
year. This was an increase of 20 families from last year. The Family Based Program plans to reinstate its 5th
therapy team due to this increase in referrals. This will ensure availability and reduce wait time for families
needing services. The new team will be based out of Potter County and will function as a mobile team covering
all counties as referrals arise.
Potter
Expenses,
$155,912
Revenue,
$478,485
Expenses,
$444,074
Potter
Revenue,
$181,794
30
BEHAVIORAL HEALTH
FORENSIC PROGRAM
Telephone Number: 814.776.2145
Program Director: Michelle Straub, LCSW
Program Overview:
The Forensic Program delivers therapeutic services,
psychiatric services, and case management services
to consumers in the criminal justice population.
These services are delivered in the prison, in
homes, and in the communities of Elk and
[Forensics Staff, L-R] Angela Iozzo, Forensic LPN; Jennifer Quiggle, BA,
Cameron Counties. The services focus on reducing
Forensic Mental Health Specialist: Michelle Straub, LCSW, Program
recidivism by using best practice models in
Director; Justin Bauer, LSW, Forensic Mental Health Specialist;
delivering the treatment. The Forensic Program
William Decker, Forensic Case Manager
offers the prison specialized lethality assessments
that are given to inmates. These assessments indicate any suicidal and/or homicidal ideations in order to
provide ongoing monitoring to ensure the safety of the inmates and prison personnel. The program also offers
specialized court ordered Forensic Mental Health Evaluations at the request of judges and/or attorneys. The
assessment is completed in order to identify any mental health and/or drug and alcohol issues that may have
contributed to the criminal behaviors. The completed evaluation assists judges and attorneys in making
appropriate sentencing recommendations given the issues that the evaluation identifies.
A consumer is eligible for the Forensic Program if they are an adult (18 years of age or older) living in Elk or
Cameron County and are currently or recently incarcerated in the criminal justice setting. The individual must be
screened and meet criteria for a mental health diagnosis. The Forensic Program served 350 consumers in the
most recent fiscal year.
The Forensic Program continues to grow in referrals. Our collaboration with other service providers has
expanded in order to meet more needs of the population being served.
Expenses,
$173,711
Revenue,
$237,937
31
BEHAVIORAL HEALTH
CHILD & ADOLESCENT
INTENSIVE OUTPATIENT
PROGRAM
Service Area: Potter/ McKean/ Cameron
Counties
Address: 1 North Main Street, 3rd Floor,
Coudersport, PA 16915
Telephone#: 814.274.0977
Program Supervisor/Director: Heidi
Eastman LCSW, CPRP
[IOP Staff, L-R] Rose Beaver MSW, IOP therapist; Heidi Eastman LCSW, CPRP,
Program Director; Teresa Ostrom BSW,IOP therapist; Mary Hugill,
Administrative Support Staff; Erin Andrews BSW, IOP therapist;
Marlana Reges BSW, Slippery Rock University Intern
Program Overview:
The Child and Adolescent Intensive OutPatient Services in Potter County started in January 2013. This was a new service offered after the closing of the
Potter County Child and Adolescent Partial Hospitalization Program. The Intensive Out-Patient Program partners
with The Seneca Highlands Intermediate Unit-9 to meet children and adolescent’s mental health and
educational needs. The two agency’s staff members work together as an inter-disciplinary team to ensure the
best quality services for the individuals and families served. Individual therapy, group therapy, and family
therapy are provided along with positive behavior supports in a classroom setting. The children and adolescents
are also able to see a psychiatrist through the program for medication management appointments.
The program served 65 children and adolescents ages 7 to 18 during the past year. A number of the individuals
served transitioned successfully back into a traditional school environment. The program serves children and
adolescents who struggle to exhibit appropriate behaviors in school, at home, or in their community. The
program allows the child/adolescent and their family to receive intensive mental health treatment while the
child/adolescent remains in the family home, rather than outside of their home, which could be a residential
treatment facility.
The Child and Adolescent Intensive Out-Patient Program had quite a busy and exciting year. The program staff
endured many new challenges relating to behavior management and teamwork. Dickinson Center staff
collaborated with the Intermediate Unit staff and developed new approaches to handle very challenging
behaviors. The program staff also developed a very dynamic summer program which included collaborations
with various other community service providers. Program staff were able to provide the members with
innovative activities to complement their therapeutic interventions.
Expenses,
$205,998
Revenue,
$262,093
32
BEHAVIORAL HEALTH
MOBILE PSYCHIATRIC
REHABILITATION
Telephone #: 814.772.2005
Program Director: Tracey Williams, CPRP
Program Overview:
The Mobile Psychiatric Rehabilitation (MPR)
program is designed to help individuals who are
suffering from a mental illness to regain or maintain
skills and access resources needed to increase their [MPR Staff, Back Row L-R] Nikki Freeburg, MPR Worker; Jamie Eckert,
Administrative Assistant; Tracey Williams, Program Director, CPRP;
capacity to be successful in the living, working,
Kacie Starr, MPR Specialist, CPRP
learning and social environments of their choice.
[MPR Staff, Front Row L-R] Sharon Young, MPW Worker;
This service is provided in the individual’s home
Marlee DeMay, MPR Worker
and/or community and is tailored to the individual’s
needs.
MPR participants are adults (18 years of age or older) with a serious mental illness who voluntarily agree to
participate. They must have a functional disability resulting from mental illness with a desire to develop,
enhance or retain: psychiatric stability, social competencies, personal adjustment, and/or independent living
competencies so that they can experience more success and satisfaction in the environment of their choice.
Funding sources sometimes grant waivers to individuals who don’t meet diagnosis criteria, but have a significant
functional impairment. The MPR program had 37 admissions and 32 discharges this past year.
Our Mobile Psychiatric Rehabilitation program was reviewed in April 2015 by the Office of Mental Health and
Substance Abuse and was awarded full licensure status. Our program worker received her certification as a
Certified Psychiatric Rehabilitation Practitioner in April 2015. We are pleased to have served 70 individuals this
past year.
Expenses,
$191,229
Revenue,
$262,771
33
BEHAVIORAL HEALTH
OUTPATIENT SERVICES
Service Area: Elk, Cameron,
and Potter Counties
Addresses:
43 Servidea Drive, Ridgway, PA 15853
808 S. Michael St., St. Marys, PA 15857
1 N. Main Street, Coudersport, PA 16915
Telephone #: Ridgway: 814.776.2145
St. Marys: 814.834.9722
Coudersport: 814.274.8651
Program Director: Angela N. Chew, LCSW
[OP Ridgway Staff, L-R] (Back Row) Dr. Amanda Straub, Psy D, Outpatient & Autism
Psychologist; Angela Iozzo, LPN; Ginette Watts, Office Manager; Angela Chew, LCSW,
Clinical Services Director; Darla Wolfel, Clerical Support (Middle Row) Liz Frontz,
LCSW, Outpatient & HOPE therapist; Connie Carter, Clerical Support; Debbie Stahli,
Medical Secretary; Justin Bauer, LSW, Outpatient & Forensic Therapist; Toni
Mosebarger, RN (Front Row) Jennifer Quiggle, Outpatient & Forensic Therapist; JoRae
Yorns, Clerical Support; Kristen Williams, LSW, Outpatient & HOPE therapist; Michelle
Straub, LCSW, Outpatient Therapist & Forensic Supervisor.
Program Overview:
Outpatient services are currently
[Not pictured] Stephanie Rosenhoover, Engagement Specialist and Dr. Paul Ignatius,
provided in three main sites in Ridgway,
MD, Child & Adolescent Psychiatrist(Penn Highlands); Tele-psychiatrists(Innovatel):
St. Marys, and Coudersport. Outpatient
Dr. Eberly, Dr. Islam, Dr. Ashby, and Dr. Dingcong
services include individual, group, and
family counseling/therapy, as well as
psychiatric medication evaluation and management for individuals and families dealing with a number of life
related stressors. These stressors can include depression, anxiety, trauma, or psychosis, as well as other issues
which disrupt and cause distress to the everyday functioning for those individuals and families. Outpatient
providers include a variety of credentialed levels of behavioral health clinicians. Outpatient services are often
the gateway to referrals for other services as needed by the consumers in order to reach their full potential.
Outpatient services are provided within a trauma informed culture.
 Outpatient programs primarily serve
Elk, Cameron and Potter Counties,
but also have consumers receiving
services from Clearfield, Jefferson,
McKean and other surrounding
counties.
 Services are initiated by consumers
via an intake referral to schedule an
[OP St. Marys Staff, L-R] Ed Badeau, LPC, Outpatient Therapist; Robin Overturf,
assessment. This is based on
Clerical Support; Amanda Erickson, Clerical Support; Amy Mickle, LPC, Outpatient
Therapist; Amber Cooper, LCSW, Outpatient Therapist
insurance or other payment
arrangements for services, and
[Not pictured] Toni Mosebarger, RN
depending on the consumer’s needs
Tele-Psychiatrist (Innovatel): Dr. Islam
and resources.
 Outpatient programs primarily provide assessment and treatment for consumers ages 3 and up.
 Outpatient programs provided services as follows during the past fiscal year:
o Ridgway: 1,545 unduplicated consumers.
o St. Marys: 510 unduplicated consumers.
o Coudersport: 544 unduplicated consumers.
34
BEHAVIORAL HEALTH
Dickinson Center’s Outpatient
Services continue to progress
forward with improving consumer
outcomes and experiences within a
trauma informed environment. The
outpatient department has adapted
to using a newer delivery of
psychiatric care via tele-psychiatry.
Outpatient received $23,000 from
the George & Margaret Mee
Foundation in support of telepsychiatry services. This service
[OP Potter Staff, L-R] Steve Symans, Outpatient Therapist & Crisis Supervisor; Amy
allows a licensed psychiatrist in
Mickle, LPC, Outpatient Therapist; Peg Streich, Clerical Support; Amber Cooper, LCSW,
another city or state to deliver
Outpatient Therapist; Netra Baker, RN, Susan Hetrick, Clerical Support.
psychiatric medication management
[Not pictured] Amanda Erickson, Clerical Support,
and evaluation services using live
Tele-psychiatrists ( Innovatel): Dr. Eberly & Dr. Wilson
video technology. Through telepsychiatry, the outpatient department was able to maintain quality service delivery to consumers with minimal
disruption while responding to the unexpected resignations of our Nurse Practitioner and Medical Director.
Outpatient continues to develop a culture of shared accountability for consumers, clinicians, and other staff.
This partnership has led to a no-show percentage average of 9-10%, which is significantly lower than the
industry standard. Outpatient clinicians have presented at the Ridgway High School’s Drug Awareness Panel and
the Housing Seminars sponsored by LINK, an aging and disabilities resource network. Outpatient continues to
develop and support the training and education of its service providers, with two master’s level clinicians
obtaining their LSW credential this past year on the path to the LCSW credential. Outpatient clinicians are
engaging in more group therapy service lines, increased evidenced based practices, and development of
outcome measures for service delivery. These efforts are in preparation for future shifts of outpatient service
delivery, trauma informed care, and service reimbursement.
Potter Expenses,
$455,353
Ridgway Revenue,
$696,610
St. Marys
Expenses,
$289,681
St. Marys
Revenue, $220,086
Ridgway
Expenses,
$1,123,955
Potter Revenue,
$355,932
35
BEHAVIORAL HEALTH
H.O.P.E. PROGRAM
Service Area: Elk and Cameron Counties
Address: 808 S. Michael Street, St. Marys, PA 15857
Telephone #: Referrals: 814.834.9722
H.O.P.E. Clinicians are
pictured in Outpatient Report.
Information: 814.776.2145
Program Director: Angela N. Chew, LCSW, Clinical Service Director
Program Overview:
H.O.P.E. (Helping Our Pupils Excel) is a school based outpatient program providing behavioral health services in
local schools for the past five years. Each school is a licensed satellite site of Dickinson Center’s main outpatient
location in Ridgway. The H.O.P.E. program offers students the opportunity to receive trauma informed and
confidential individual and/or group therapy in a school setting. The program staff provide students with
counseling support and tools to alleviate behavioral health symptoms so they can return to their previous or an
improved level of functioning. H.O.P.E. has licensed therapists who provide services in the school, and youth
with medical assistance and most private insurances can receive services. H.O.P.E. does not require any fee or
payment from the school, only confidential meeting space and some assistance from staff to access the
students. H.O.P.E. continually improves the ability of students to receive quality behavioral health treatment
while reducing the amount of class time which would be missed in traditional outpatient office appointments.
H.O.P.E. provides the same level of excellence in service within the school setting as is provided at Dickinson
Center’s outpatient locations.
 H.O.P.E. serves students from pre-K through 12th grade in the following 12 schools: Cameron County
Jr/Sr High, Woodland Elementary, Johnsonburg Area High, Johnsonburg Area Elementary, Ridgway Area
Middle/High, Francis S. Grandinetti Elementary, St. Marys Area High, St. Marys Area Middle, South St.
Marys Street Elementary, Fox Township Elementary, Bennetts Valley Elementary, and Elk County
Catholic Middle/High.
 H.O.P.E. referrals are received from various programs within Dickinson Center. Parent and/or student
requests are also accepted.
 H.O.P.E. received 147 referrals and provided therapy services to 111 unduplicated student consumers
this past year.
H.O.P.E. staff continue to strengthen existing partnerships with the schools and their staff. Dickinson Center’s
H.O.P.E. and SAP/LIFE programs have partnered to improve processes for shared consumers. Preliminary
screenings, assistance with paperwork, and parental communication standards have been streamlined. The
H.O.P.E. program has maintained continued success with the model of school based outpatient therapy and
skilled staff. One therapist has earned the LSW credential this year and is working towards the LCSW. H.O.P.E.
staff have been successfully using group therapy as one
approach to service delivery, and continue to work toward
development of a trauma informed culture within the
school environment.
Expenses,
$83,669
36
Revenue,
$70,639
BEHAVIORAL HEALTH
PEER SUPPORT PROGRAM
Service Area: Elk, Cameron, Potter,
Clearfield, Jefferson, Forest & Warren
Counties
Address:
43 Servidea Drive, Ridgway, PA 15853
Telephone #: 814.772.2005
Program Supervisors: Julie Papa &
Denise Geyer
Program Director: Tracey Williams
[Peer Support Staff, L-R] Back row: Patti Poulopaulos, CPS; Tracy Rhodes, CPS;
Angela Collins,CPS; Julie Papa, CPS Supervisor. Middle row: Laura Sypien, CPS;
Program Overview:
Michelle Chubbuck, CPS; Denise Geyer, CPS Supervisor; Tracey Williams, CPS
Peer Support services are specialized
Program Director, CPRP; Jamie Eckert, Administrative Assistant.
therapeutic interactions conducted by selfFront Row: Glenn Metzler, CPS; Paula Galmish,CPS; Neil Quackenbush,CPS
identified current or former consumers of
[Missing from photo] Kay Seichrest, CPS
mental health services. The Peer Specialist
is trained and certified to offer support and
assistance in helping others with their recovery and the community-integration process. Peer Support is
intended to inspire hope in individuals that recovery is not only possible, but also realistically achievable. The
program philosophy is that all Peer Specialists are examples of hope and can enlighten people as to what
recovery is, and can teach the skills to help facilitate their wellness journey.
 Adult (18 years of age) with a serious mental illness who voluntarily agrees to participate.
 Must have a functional impairment within the moderate to severe level which significantly impairs the
individual’s self-maintenance, vocational, educational, or social domains. Funding sources sometimes
grant waivers to individuals who don’t meet diagnosis criteria, but have a significant functional
impairment.
 161 consumers were served this fiscal year, with 82 admissions and 87 discharges.
The Peer Support program was reviewed in May 2015 by the Office of Mental Health and Substance Abuse and
was awarded full licensure status. Peer Support also completed an internal chart review in April 2015, as
requested by Community Care Behavioral Health as a follow-up to our Quality Improvement Plan.
Expenses,
$83,669
Revenue,
$70,639
37
BEHAVIORAL HEALTH
PSYCHIATRIC
REHABILITATION PROGRAM
P.R.I.D.E. (People Reaching
Independence, Dreams and
Excellence)
Service Area: Potter/McKean
Address: 1 North Main Street, 3rd Floor,
Coudersport, PA 16915
Telephone#: 814.274.0977
Program Director: Heidi Eastman LCSW, CPRP
[PRIDE Staff, L-R] Denise Minderler, Cleaner; Tina Cole MHC, CPRP, Psych.
Rehab. Specialist; Heidi Eastman LCSW, CPRP, Program Director; Rebecca
Keagle BSW, CPRP, Psych. Rehab. Specialist; Mary Hugill, Administrative
Support Staff
Program Overview:
Psychiatric Rehabilitation promotes recovery, full
[Missing from photo]: Steve Symans MS, Psych. Rehab. Worker
community integration, and improved quality of
life for persons who have been diagnosed with
any mental health condition that seriously
impairs their functioning. Psychiatric rehabilitation services are collaborative, person-directed, and
individualized. They are an essential element of the behavioral health services spectrum. Psychiatric
rehabilitation services focus on helping individuals develop skills and access resources needed to increase their
capacity to be successful and satisfied in the living, working, learning, and social environments of their choice.
To be eligible for services, a person must have a qualifying diagnosis and a recommendation from their doctor.
Program staff can assist with obtaining that recommendation. The program served 65 people throughout the
year, including 30 referrals, 28 admissions, and 15 discharges.
Throughout the past year there have been many PRIDE members who have obtained jobs and/or volunteer
positions in the community. We have had members who have transitioned to independent living situations and
members who have improved their social support networks. There have also been members who have achieved
educational milestones, such as obtaining their high school diploma. Enrollment and attendance in the program
have increased significantly during this past year. Program staff continue to do an excellent job of facilitating
engaging and exciting activities to assist members in reaching their full potential.
Expenses,
$282,582
Revenue,
$440,290
38
BEHAVIORAL HEALTH
PSYCHIATRIC REHABILITATION PROGRAM
S.T.A.R.S. (Supportive Teamwork Aimed at Recovery and Success)
Service Area: McKean County
Address: 9 Main Street, Bradford, PA 16701
Telephone #: 814.362.7464
Program Supervisor: Whitney Thomas
Program Overview:
The Bradford Psychiatric Rehabilitation Program (PRP) operates five
days per week, Monday through Friday, from 8:00a.m. to 4:30p.m. The
mission of Psychiatric Rehabilitation is to assist persons with long-term
psychiatric disabilities with increasing their functioning level so that
[STARS Staff, L-R] Whitney Thomas,
they can be successful and satisfied in the environments of their choice
Laura Krivonyak, Jeff Slaughenhaupt and Marywith the least amount of intervention. Psychiatric rehabilitation
Ellen Bushey.
programs help members to determine the living, working, learning, and
social roles they wish to achieve. Members partner with staff and, if desired, other services and/or supports, to
identify the skills they currently have and the skills they want to work on to achieve their goals. The information
gathered is used to prepare a Recovery Plan, where members decide what methods or persons will help them
with meeting their goals. Groups and activities are designed to teach these needed skills. PRP staff meet with
members monthly, or as needed, to assess progress or barriers to goal attainment. Psychiatric Rehabilitation
promotes recovery, full community integration, and improved quality of life for persons who have been
diagnosed with mental health conditions that seriously impair their ability to lead meaningful lives.
Psychiatric rehabilitation services assist persons age 18 and older with functional disabilities resulting from
mental illness. The Bradford PRP served 44 persons this past year.
Through skills building groups, activities, and collaboration with other services, one member became employed
this fiscal year and two other members were able to move independently into apartments. Members report
that they are managing their symptoms better through the activities and the coping skills they have learned at
program. This directly correlates with the decrease in psychiatric hospitalizations, with only seven
hospitalizations this year. Members have supported area agencies by participating in the Rays of Hope and Peer
Networking groups, the Better Bradford Clean-up, the Big Brothers/Big Sisters Bowling for Kids’ Sake, and by
walking to raise money for the Miles for Smiles Walk. Members have also participated in community events such
as Pumpkin Fest, Lunch in the Square, Easter Eggstravaganza, Town Wide Garage Sale, and Main Street Clean-Up
Day. Staff provide information in various ways to assist the members with budgeting skills. Members chose
crafts to make and sell, and also budgeted and shopped for the needed materials. Members sold candy, chips,
and water to raise money for future opportunities, including psych rehab trainings, conferences, and fun
activities of choice. Members also increased their knowledge by attending the Survivor to Thriver conference
sponsored by Directions in Independent Living, and Recovery in the Stix, sponsored by the Cameron-Elk MH/MR
Program.
Expenses,
$224,953
Revenue,
$386,966
39
BEHAVIORAL HEALTH
PSYCHIATRIC REHABILITATIONPROGRAM
S.T.E.P.S. (Striving Toward
Empowerment and Personal
Satisfaction)
Service Area: Cameron, Elk and McKean Counties
Telephone #: 814.776.2652
Program Director: Michelle Showalter, BA, CPRP
Program Overview:
Psychiatric Rehabilitation (PR) services assist
[STEPS Staff, L-R] Jake Burns, Stackpole-Hall Foundation Summer Intern;
Marian Steis, Administrative Assistant; Michelle Showalter, Program
persons with functional disabilities resulting from
Director; Rita Kraus, Case Worker; Dave Alaskey, Aide
mental illness to develop, enhance, and/or retain
psychiatric stability, social competencies,
personal adjustment, and/or independent living. PR services are founded on the principles of consumer choice
and the active involvement of others in a person’s rehabilitation. PR practices are guided by the basic philosophy
that people with disabilities need opportunities to identify, and choose for themselves, their desired roles in the
community with regard to living, learning, working, and/or social engagements. PR promotes recovery, full
community integration, and improved quality of life. The expected outcome is that people will go to work, go to
school, live independently, and volunteer. People will improve their quality of life, participate in meaningful
activity, and re-assume roles that they may have previously lost due to their mental health symptoms or
complications stemming from their illness.
The population served includes adults diagnosed with a serious mental illness who choose to participate. PR
statistics for the past fiscal year include 35 referrals, 25 admissions, and 26 discharges. There are currently 31
members.
The PR program has had many successes this past year. We have one member who is currently employed parttime as a PR Aide. Several of the members have taken vacations and successfully traveled the country. Many
others have increased their overall wellness and have quit smoking, lost weight, lowered their use of
medications, or maintained their sobriety. There are members who continue to obtain and maintain
employment. The members as a whole have also successfully managed through the unexpected deaths of 4
fellow members.
Expenses,
$250,828
Revenue,
$318,311
40
BEHAVIORAL HEALTH
RURAL HEALTH CENTER
Embedded Behavioral Health Care in a Regional Primary Care Office
(An integrated care service in partnership with Charles Cole Memorial Hospital)
Service Area: Cameron County
Address: 288 Sizerville Road, Emporium, PA 15834
Telephone #: 814.486.2078
Program Director: Angela Chew, LCSW, Clinical Services Director
Clinician: Leah Dippold, LCSW
Program Overview:
Over the past several years, Dickinson Center, Inc. and Charles Cole Memorial
Hospital (Coudersport, PA) have partnered in an established medical health
home service. This service provides a continuum of physical and behavioral
health care for patients in select hospital-operated rural health centers. The
clinician encounters consumers with a trauma informed approach.
Leah Dippold, LCSW,
Rural Health Center Therapist
 Eligibility: Symptoms of an emotional-behavioral disorder
 Age Range: All ages
 Referrals are made from medical practitioners, other providers, and other DCI programs.
 Number of face-to-face patient diagnostic or treatment encounters: 1,042
This service model is currently at the forefront of the health care reform movement. It is one of the most
comprehensive and cost effective ways to provide a holistic approach in the delivery of integrated care. Patient
encounters in medical practices statistically show high numbers of individuals whose health care needs straddle
both physical and behavioral health. Prior to this model’s implementation, physicians in their practices had
typically taken on the additional scope of clinical services based upon need and because of limited access to
free-standing mental health providers in the region. Dickinson Center, Inc. has embraced this partnership
opportunity with Charles Cole Memorial Hospital and the health care benefits it has afforded the communities
each serves. This Rural Health Center model has been highly successful with the quality of services offered and
the rate of reimbursement.
Expenses,
$74,417
Revenue,
$82,610
41
BEHAVIORAL HEALTH
TOTAL HEALTH PROGRAM
Service Area: Elk, Cameron, and McKean Counties
Telephone Number: 814.776.0151
Program Director/Supervisor: Tricia Brendel, RN
Program Overview:
The Total Health Program provides integrated
behavioral and physical health services to
seriously mentally ill adults, 18 years of age and
older, with a concurrent medical condition. The
program has been in full operation since January
2013. We provide services at Dickinson Center’s
main campus in Ridgway. Services are coordinated
through the wellness nurse and health navigators
who assist the consumer in developing,
implementing, and monitoring their holistic care
along with wellness goals.
[Total Health Staff, L-R] Back row: Ginette Watts, Office Manager
Outpatient Services; Denise Michalowski, Program Director BCM; Tracey
Williams, Program Director Peer Specialist Services; Toni Mosebarger, RN
Tele-Psychiatrist Nurse; Tricia Brendel, RN, Program Director Total Health
Program; Raeanne Burlingame, Administrative Support; and Michelle
Showalter, Program Director STEPS PRP. Front Row: Dr. T. Murray Baker,
Primary Care Physician and Dr. Katie Fernan, Primary Care Physician
[Missing from photo]: Neil Quackenbush,
Peer Specialist, Peer Specialist Services.
The program collaborates with Penn Highlands, a
free standing practicing Ridgway physician, various
programs within Dickinson Center, Community Care Behavioral Health (CCBH), and the Behavioral Health
Alliance of Rural Pennsylvania (BHARP). The Total Health Program is also involved in a research project through
PCORI (Patient Centered Outcomes Research Institute), which allows us to provide integrated care in the
community. This added service has been in operation since November 2013.
97 consumers have been enrolled into the on-site Total Health Program. This number continues to grow through
ongoing referrals from within Dickinson Center and from surrounding agencies, as well.
104 consumers are enrolled in the PCORI project. A total of 201 consumers participate in Total Health Program
services.
Increased internal referrals within DCI programs have led to increased consumer care. Additional referrals from
other mental health facilities show that this program has become an important resource for all qualified
consumers. We continue to improve physical and behavioral health care within our integrated team of primary
care physicians, telemedicine services, wellness nurse, and health navigators. Our care team has expanded to
include Dickinson Center’s blended case management, peer support services, mobile psychiatric rehabilitation,
psychiatric rehabilitation, and outpatient services. This team has developed a system for coordinated care in
which we continue to see increased medication compliance and decreased emergency visits.
The Total Health Program was also awarded the 2014 Rural Health Program of the Year. We are very proud of
the services this program provides to our clients. This Total Health Program touches on the client’s holistic care
through their mental, emotional, spiritual, and physical health.
42
INTELLECTUAL
DISABILITIES
TABLE OF CONTENTS
Adult Day Treatment | p. 45
Adult Habilitation Center | p. 46
Community Residential Facilities | pps. 47-48
Elkwood Arts Prevocational Training | p. 49
Employment Support Services (Elk County) | p. 50
Employment Support Services (Potter County) | p. 51
Home & Community Habilitation Services (Elk County) | p. 52
Lifesharing Through Family Living | p. 53
43
44
INTELLECTUAL DISABILITIES
ADULT DAY TREATMENT (ADT)
Service Area: Potter County
Address: 20 East 2nd St., Coudersport, PA 16915
Telephone #: 814.260.0129
Program Supervisor: Kelly Flint-Lathrop
Program Director: Lynne Childs
Program Overview:
The Adult Day Treatment (ADT) program in Potter
County is licensed through the PA Department of
Public Welfare and Department of Aging. The ADT
provides services to adults with intellectual and
developmental disabilities based upon the principles [ADT Staff, L-R] Hazel Duell, Shannon Renner, and Kelly Flint-Lathrop.
[Missing from photo] Christine Conlon and Mark Baker.
of Everyday Lives. Individual and group activities are
structured to enhance self-care, personal adjustment
and relationship development skills. The service also assists individuals with gaining experiences in the
community through participation in volunteer activities. Activities facilitated by the program are designed to
promote independence, while allowing each person to complete everyday tasks to enhance their quality of life.
Any person with an intellectual or developmental disability age 18 or older is eligible to attend the ADT, as long
as they can safely be served. Consumers range in age from 21 to 94. There are 21 consumers enrolled in the
program with an average daily attendance of 12 persons. There was 1 discharge and 3 new admissions this past
year.
Volunteer efforts within the community include ongoing maintenance of a local park and flower garden, as well
as cooperative efforts with the Meals on Wheels program. Consumers also assisted with displaying the town
Christmas decorations. Positive business and community relationships continue to flourish. Weekly
opportunities for bocce ball in the summer and bowling in the winter encourage teamwork. Regular activities
like these promote respect for each other’s abilities in a friendly atmosphere. The consumers have adjusted very
well to recent personnel changes in direct care staff and program leadership. This new consumer/staff network
has developed a positive outlook and consumers are applying themselves to every aspect of their vision for the
program’s future. The mutual encouragement and respect for each other is clearly visible both in the facility and
in the community. Efforts are being made to have regular contact with local schools and the community at large
in order to validate ADT’s position within the service community. It will be important to make them aware of the
services that are offered and will serve to create an effective consumer transition into the ADT facility when
formal education services are no longer available.
Expenses,
$163,717
Revenue,
$158,169
45
ADULT HABILITATION CENTER
Service Area: Elk, Cameron
& McKean Counties
Address: 43 Servidea Drive,
Ridgway, PA 15853
Telephone #: 814.772.0091
Program Director: Kevin Leahy
Program Overview:
The Adult Habilitation Center (AHC) is a
center-based program that is dually
licensed by both the Department of
Human Services Office of Developmental
Programs (ODP,) as an Adult Training
Facility, and by the Office of Long Term
Living as an Older Adult Daily Living
Center.
[AHC Staff, L-R] Kevin Leahy, Program Director; Michele Kunes, TASW;
Caitlin Uplinger, TASW; Alex Parson, Stackpole-Hall Summer Staff; Mike Fulginiti, TASW;
Julie Lang, Program Specialist
The AHC serves individuals with intellectual and developmental disabilities ages 18 and older from the Ridgway,
St. Marys, Kane and Emporium areas. The main criteria for admission into the AHC is that the individual must
have had a diagnosis of mental retardation before the age of 18. The AHC had 4 admissions and 2 discharges
during the last fiscal year. The program currently serves 29 consumers.
The AHC earned full licensure through ODP and the Office of Long Term Living in November of 2014. We
continue to develop a very good rapport with area supports coordinators. They referred seven consumers over
the past year and four of those consumers chose the AHC as their day program. We have opened our program
to individuals with physical disabilities who require a nurse to be present with them in order to attend. This has
proven to be successful so far, and we look forward to providing this service to others in the future. Earlier this
year, we began using the Autism program’s sensory room. This opportunity has opened up a broader spectrum
of learning for our consumers; particularly the individuals who are diagnosed with Autism. These families have
commented on how much their family member’s quality of life has improved and in such a short amount of
time. We continue to grow strong as a program and keep humor as a strong foundation to our teaching
techniques. AHC staff remain loyal to their job, as most have been together for 18-19 years and enjoy working
with and teaching everyday life skills to the consumers.
Expenses,
$266,852
46
Revenue,
$247,894
COMMUNITY RESIDENTIAL PROGRAM
Service Area: Elk and Potter Counties
Telephone #: 814.772.2005 x444
Program Supervisors: Kelly Leuschel & Kelly Flint-Lathrop
Program Overview:
Dickinson Center, Inc. operates three Community
Residential Facilities, or group homes, in Elk County and
one home in Potter County. Direct care staff employed in
[Potter Residential Staff, L-R] Christine Conlon, Rhonda
Kopp, and Kelly Flint-Lathrop - Supervisor.
these group homes provide services to adults with
intellectual disabilities who choose to live in a community
[Missing from photo]
setting. The goal is to encourage independent quality
Michele Euster, Missy Payne, and Mark Baker.
lifestyles while ensuring the safety, welfare, and health of
the individuals served. Staff at the group homes provide 24-hour care and supervision for the consumers. Each
consumer’s role in self-care, cooking, laundry, and upkeep of their home is based not only on their interests, but
on their capacity to participate in the task at hand. Control in life, individuality, and freedom are all respected.
Regular individual and group activities give each person the opportunity to learn more about themselves and
their community while exploring interests and maintaining a safe and healthy lifestyle.
The group homes are licensed to serve 14 consumers. There are currently 10 consumers served in Elk County
with 1 vacancy, and 3 consumers served in Potter County. Consumers range in age from 27 to 71. Any adult with
an intellectual or developmental disability can be considered for referral into a group home. Once accepted, an
annual plan of service is developed with each consumer, based on their interests and abilities. The plan is easily
adapted to their changing needs. Supports are individualized, staff are held accountable in maintaining those
supports, and families are included in the planning process. Continued, Next Page….
[Elk Residential Staff, L-R] Front Row: Annette Hulings, Sarah Hartman, Jodi Bailey, Michelle Friedl, Lynne Childs - Director
Back Row: Kayla Fulginiti, Chelsea Tarr, Patricia Lehman, Randi Hulings, Katie Harvey, Carol Dempsey,
Lanette Nesbitt, Kelly Leuschel - Supervisor
[Missing from photo] Cindy Bear, Tammy Bobenrieth, Cheyene Dinch, Joanne Mahaney, Caitlin Uglinger,
Darlene Cassels, Hannah Cappiello, Brianna Wolff.
[Missing from photo]:
Michele Euster, Missy Payne, and Mark Baker.
47
Community Residential, Continued….
There was one nine-month vacancy at the Potter County home that was just recently filled. Finding a person
who needs a home, can safely be served, has the funding to live in the home, and is a good “match” for the
other consumers is very challenging. We were fortunate to find a young man who has very comfortably settled
into his new home and whose presence has made a positive impact on many levels. This past year the group
homes also participated in a continuous quality improvement project addressing medication errors. Supervisory
staff were able to use the process to talk to direct care staff, examine past medication errors, and recognize
system issues that may have impacted on errors. Medication administration practices were them adjusted, staff
were retrained, and the system has since experienced a 37% reduction in medication errors.
Potter
Expenses,
$203,912
Elk Revenue,
$804,017
Elk
Expenses,
$799,155
Potter
Revenue,
$190,307
48
ELKWOOD ARTS
Telephone #: 814.776.2174
Program Director/Supervisors: Tim Thomas &
Kevin Leahy
Program Overview:
[Elkwood Arts Staff, Front Row L-R] Julie Lang, Program Specialist; Janet Leahy,
Elkwood Arts is a licensed Community
Laser Engraver; Bob Philp, Carpenter; Jean Karpinski, Clerk Typist II.
Rehabilitation Program (CRP) that provides
training and sheltered paid employment for
[Back Row L-R] Diana Streich, Floor Supervisor; Dan Yonker, Volunteer; Tim
adults with intellectual and developmental
Thomas, Program Director - Elkwood Arts Production; Matt Michale, Volunteer;
Kevin Leahy, Program Director - Consumers
disabilities. This facility-based program
provides an educational environment where
general job-related skills are taught, with a focus on the development of individual interests and the personal
well-being of each consumer. The consumers are involved in different phases of woodworking projects in
conjunction with an associated skilled woodworking shop.
 Individuals age 18 and over with an intellectual disability and/or mental health diagnosis are eligible to
participate in the Elkwood Arts program.
 Elkwood Arts is currently serving consumers from age 19 to 75.
 Elkwood Arts currently has 21 consumers registered for attendance.
 Elkwood Arts experienced 5 consumer admissions this year, with 1 discharge pending.
Elkwood Arts experienced a transition this year, which resulted in an increase in services offered to our
consumers. After inquiries and discussions with the Pennsylvania Department of Public Welfare’s Office of
Developmental Programs, we learned that additional services could be provided through our program. These
services would expose the consumers to new tasks and work related efforts that would help to prepare them for
possible employment in the local community. Consumers are given the choice to participate in this new effort,
which allows them the ability to grow in their skills and work experiences and maximize their potential. The
production staff members, who have not previously been direct care providers, have been utilized to provide
these services to the consumers. With the emphasis on preparation for employment, production staff now
engage a training role and include the consumers when they perform select daily work tasks. Staff/consumer
ratios can be 1:1, or the staff can work with up to 7 consumers at a time. To date, the consumers have embraced
the concept with eagerness, and they display a desire to work hard and do a good job. This new effort brings
new opportunities to the consumers, raises their skill levels,
and exposes them to new functions and duties. The
additional efforts provided by the production staff also
increases program revenue.
Expenses,
$352,183
Revenue,
$322,104
49
EMPLOYMENT SUPPORT
SERVICES
Address: 4 Erie Ave., Suite 301, St. Marys, PA 15857
Telephone #: 814.776.2655
Program Director/Supervisor: Marsha Dippold
Program Overview:
Employment Support Services (ESS) is a program that assists
people with disabilities through the various steps involved
[ESS Elk/Cam. Staff, L-R] Marsha Dippold, Director ESS;
with seeking and procuring employment. ESS services are for
Ross Bish, Employment Specialist; Erica Rosenhoover,
persons age 18 or older who are diagnosed with a physical,
Employment Specialist.
mental health, or intellectual disability; or deaf or blindness.
[Missing from photo] Cortney Woodel, Employment
There are essentially two stages to the employment process,
Specialist and Amanda Erickson, Administrative Assistant
with the first being job development. This involves all aspects
of preparing for a career, such as constructing resumes,
practicing interview skills, and applying for jobs. This stage enables the consumer to determine what career path
would best suit their needs and abilities to help ensure a successful vocational placement for them. The next
stage is job support, which can involve specialized on-the-job training and follow-along support services. These
services help to ensure the consumer can perform their job duties independently and to the level of satisfaction
expected by the employer.
Elk County is currently serving 24 individuals. This is an increase of 8 individuals from last year. 18 of these
individuals are competitively placed in jobs, which is an increase of 8 since last year. 4 consumers were placed in
full-time jobs with benefits. 6 consumers are currently job developing in order to obtain employment. ESS
currently has no waiting list, which is a first-time event in over 1½ years.
Employment Support Services celebrated October 2014 as National Disability Employment Awareness (NDEA)
Month. The Elk & Cameron County Commissioners recognized NDEA month with proclamations, and ESS hosted
a special event with the theme Expect, Employ and Empower. The event featured consumers and their job
coaches who spoke of the benefits of being employed. A consumer’s family member and an employer also spoke
about positive impacts they have experienced. The event was attended by the Elk County Commissioners, area
service providers, administrative entity personnel, and the media.
Expenses,
$127,260
50
Revenue,
$137,747
EMPLOYMENT SUPPORT
SERVICES
Service Area: Potter & McKean Counties
Address: 1 North Main Street, Coudersport, PA 16915
Telephone #: 814.260.0088
Program Director/Supervisor: Marsha Dippold
Program Overview:
Employment Support Services (ESS) strives to assist
people with any disability to secure competitive
employment. People associate a large part of their
identity in where they work. Employment is where
people make their money, meet new friends, and
[ESS Potter Staff, L-R] Marsha Dippold, Director ESS; Andy Thompson,
fulfill a sense of accomplishment, self-worth and selfEmployment Specialist; Koriann Bollhorst, Employment Specialist.
esteem. ESS is designed to help empower people on
their road to recovery by assisting them in obtaining
and maintaining employment. If someone does not have a job, it affects not only their financial well-being, but
their social and emotional well-being.
Potter County is currently serving 13 individuals. Although this is a decrease by 2 consumers, 10 of these
individuals are competitively placed in jobs. This is 2 more individuals than those employed last year. There are
also 3 consumers who are currently job developing in order to obtain employment.
Employment Support Services of Potter County is having some exciting new changes with new Employment
Specialists coming on board. This should help improve the consistency of the services provided. ESS Potter is
currently completing one Community Based Work Assessment (CBWA) and is awaiting another CBWA approval
through Office of Vocational Rehabilitation (OVR). The Letter of Understanding for all counties has been finalized
and we are awaiting state approval for the OVR five-year contract.
Expenses,
$97,339
Revenue,
$107,226
51
HOME AND COMMUNITY HABILITATION
Service Area: Elk, Cameron, Potter and McKean
Counties
1 North Main St., Coudersport, PA 16915
Telephone#: 814.772.2005 x447
Program Director: Cathy Walters
Program Overview:
Home & Community Habilitation (HAB) Services are
designed to provide a variety of supportive services
to individuals with an Intellectual or Developmental
Disability. These individuals can reside
independently, with family, or in certain
[HAB Elk Staff, L-R] Back row: Gene Zelcs, Kelly Steis, John Ogden (HAB
circumstances, in a residential placement. HAB is a workers) Front row: Beverly Snyder (HAB worker), Cathy Walters (Program
Supervisor) Jean Brown (HAB worker)
direct service that is designed to assist individuals
in acquiring, retaining and improving self-help
[Missing from photo] Michelle Carpin (HAB worker) & Jamie Eckert
skills, socialization, and adaptive skills necessary to
(Administrative Assistant)
reside successfully in home and community-based
settings.
Individuals learn and use skills in the context of
participating in activities. These activities are
necessary for individuals to live in the community, to
live more independently, or to be productive and
participatory in community life. Participants enjoy
volunteering, exercising, attending the COPE Drop-In
Center, attending church, meeting with their peers
to have dinner and socialize, learning to cook,
learning to do laundry, and shopping for personal
items of their choice.
[HAB Potter Staff, L-R] Back row: Nicole Cremeans, Cindy Dubots, Larry
Read, Erhard Reese (all HAB workers) Front row: Cathy Walters (Program
Director), Kira Sutton, Angeline Ackerson, Connie Turner (all HAB
workers)
[Missing from photo] Scott Easton & Norman Weeks (HAB workers),
and Jamie Eckert (Administrative Assistant)
Our local communities have been a great support to the individuals that we serve. We are welcomed and
accepted as part of the community. Friendships have been established, natural supports have been gained, and
fun has been had.
We currently serve 26 individuals in Elk/Cameron
Counties and 24 individuals in Potter/McKean
Counties. Throughout the past year, we have had 4
admissions and 2 discharges in Elk/Cameron Counties
and 3 admissions and 5 discharges in Potter/McKean
Counties.
The HAB program recently received our first referral
for an individual under the age of 18. This is a very
exciting opportunity for program expansion.
52
Potter
Expenses,
$391,738
Expenses,
$233,525
Revenue,
$241,338
Potter
Revenue,
$381,589
LIFESHARING THROUGH
FAMILY LIVING
Telephone #: 814.776.2145 x160
Program Supervisor: Kelly Flint-Lathrop
Program Overview:
Lifesharing providers are community residents who open their
private homes to adults with intellectual disabilities and
[Lifesharing Staff, L-R] Lynne Childs, Program
Director; Kelly Flint-Lathrop, Program Supervisor
welcome those adults into their families. The providers assist the
consumers in acquiring, retaining, and improving the self-help,
socialization, and adaptive skills necessary for them to be successful in their home and community-based
settings. This can include help with cooking meals, housecleaning, laundry, and activity planning. They may also
assist with personal care, taking medications, attending medical appointments, or exercising. While residing in a
Lifesharing home, consumers often attend some type of day programming, which can vary based upon each
person’s interests and abilities. These supports are designed to promote independence while allowing each
person to accomplish everyday tasks in order that they may live a quality life. Lifesharing provider homes are
licensed under the state’s Office of Developmental Programs through the Department of Public Welfare.
Dickinson Center, Inc. currently contracts with 4 Lifesharing providers who serve 6 consumers. The consumers
range in age from 23 to 68. Dickinson’s Lifesharing providers have been in the direct care field for many years.
Their long-term care and history with the consumers who live in their homes creates an immeasurable source of
knowledge and consistency.
The Lifesharing consumers are very settled in their homes and with their families. Each person is very much a
part of everyday family life. Some of the consumers recently attended a summer camp and plan to return next
year. Several of the Lifesharing consumers are of retirement age and find comfort in a quieter lifestyle attending
local Senior Centers and interacting with their peers. Some of the younger consumers enjoy a busier lifestyle and
have developed relationships throughout their communities.
Expenses,
$195,895
Revenue,
$208,622
53
54
CHILDREN’S
PREVENTION
SERVICES
TABLE OF CONTENTS
Family Group Decision Making | p. 57
Incredible Years (IY)/LIFE Program | p. 58
Incredible Years (IY)/Staying Connected with your Teen (SCT) | p. 59
Parents As Teachers (PAT) | p.60
Signs of Suicide® (SOS) | p.61
Student Assistance Program (SAP) (Cameron/Elk) | p. 62
Student Assistance Program (SAP) (Potter) | p. 63
55
56
CHILDREN’S PREVENTION SERVICES
FAMILY GROUP DECISION MAKING (FGDM)
Service Area: Elk County
Address: 300 Center Street, Ridgway, PA 15853
Telephone #: 814.772.2807
Program Supervisor: Kayla Grunthaner
Program Overview:
Family Group Decision Making (FGDM) is a community program
that works to preserve families and promote unity whenever a
critical decision about a family member is required. FGDM provides
a setting for families to develop a plan to address specific needs for
the family by focusing on their strengths and resources in the
community. In FGDM, a trained coordinator brings together family
members and their supports to plan and make decisions about
[FGDM Staff, L-R] Tana Funair, Program Director
family concerns. The FGDM Coordinator explains the process and
and Kayla Grunthaner, Program Supervisor
reviews the purpose of the program, helps the family identify
people to involve in the process for support, contacts and invites
those people, and arranges a neutral site in the community for the conference. FGDM conferences include the
following:
 Information Sharing - Participants discuss the family’s strengths, concerns and any possible resources.
 Private Family Time - The family meets in private to communicate, review relevant information, and
create a plan while sharing a meal.
 Plan Presentation, Acceptance, and Follow-up - The family and participants rejoin to present, review,
and accept the family plan and schedule a 45-60 day follow-up meeting. The family plan is then put into
action. Plans are reviewed at follow-up meetings, progress is recognized, and changes are made if
necessary. Families can request another conference if new issues arise.
Conferences are free to families in Elk County and last between 1 to 3 hours. Family eligibility is based on the
family’s willingness to participate and their hope for positive change. Family Group Decision Making was utilized
by 15 families in 2014-2015.
Collaboration between Family Group Decision Making and the schools within Elk County focused on truancy this
past year. Ongoing discussions with the schools and Children and Youth Services (CYS) focused on how Family
Group can be utilized as an avenue to address truancy concerns. Through this collaboration, all parties involved
have the common interest of intervening and addressing truancy concerns in a timely manner. FGDM has
assisted 10 families in successfully holding their own family group conferences, and assisted 4 families in
reviewing their plans after 45 days.
Expenses,
$35,584
Revenue,
$39,500
57
LIFE/INCREDIBLE YEARS (IY) PROGRAM
Address: PO Box 599, St. Marys, PA 15857
Telephone #: 814.834.2602
Program Director: Tana Funair
Program Overview:
The LIFE (Living in Family Environment) Program is a
preventative school-based program that provides goal- [LIFE/IY Staff, L-R] Front row seated: Debbie Freeburg, Caseworker;
Donna Miller, Caseworker; and Deb Love, Caseworker.
oriented services to at-risk students and their families.
Back row standing: Missy Orner, Caseworker;
Caseworkers work individually with students and
and Tana Funair, Program Director.
coordinate with teachers and parents. Students
experiencing behavioral, emotional, social and/or
academic concerns are eligible for this program. The Incredible Years (IY) Curriculum is incorporated into the
LIFE program for students in kindergarten through 2nd grade. Classroom-based Incredible Years lessons are
facilitated throughout the school year. This evidence-based program, endorsed by the Pennsylvania Commission
on Crime and Delinquency, is designed to promote social and emotional competence. Research shows Incredible
Years facilitation decreases risky behaviors such as delinquency, violence, and substance abuse later in life.
LIFE/IY staff are also identified by local school systems as a primary contact for crisis intervention. LIFE/IY staff
are trained and experienced as a result of Critical Incident Stress Management training, which prepares them to
respond to crisis situations and triage needs of children and families.
LIFE/Incredible Years program services are provided at no cost to families. Services are available to all
elementary school-age students in Elk and Cameron Counties.
 83 students were served through the LIFE/IY Program during the 2014-2015 school year, including 70
students enrolled and 442 consultations.
 546 students participated in classroom-based lessons.
 101 students enrolled in Kindergarten Readiness/LIFE Summer Programming.
A school-wide bullying prevention program was facilitated in
conjunction with CAPSEA (Citizens Against Physical, Sexual,
and Emotional Abuse). Staff co-facilitated 24 lessons to 194
students in kindergarten through fifth grades at St. Marys
Catholic Elementary School. The project was designed to
work in partnership with bullying, abuse, and violence
prevention; conflict resolution; and character building
programs. The program promotes dialogue about all forms
of abuse and violence, including name calling, belittling, putdowns, and negative self-talk. Additionally, in conjunction
with CAPSEA, a collaborative six-lesson group entitled
“Standing Up for What’s Right” was co-facilitated with
12 students.
58
Expenses,
$163,099
Revenue,
$191,701
INCREDIBLE YEARS (IY)
STAYING CONNECTED WITH
YOUR TEEN (SCT)
Address: 4 Erie Avenue, Suite 302, St. Marys
Telephone #: 834-2602
Program Director/Supervisor: Lianne Schneider
Program Overview:
The Incredible Years is an evidence-based parenting [IY/SCT Staff, L-R] Nicky Cashmer, Program Facilitator; Lianne Schneider,
Program Director; Brenda Distler, Administrative Assistant
program which has curriculums for parents of
infant/toddlers, preschool, and school-aged
children. This program is designed to promote emotional and social competence and to prevent, reduce and
treat aggression and emotional problems in young children 0-12 years old.
Staying Connected with your Teen parenting program is a research-based program that gets parents and teens
working together to enhance communication and family management practices and decrease conflict. The goal
of the program is to decrease problem behaviors including substance abuse, delinquency, violence, school dropout and teen pregnancy while promoting bonding and resiliency, building skills to develop healthy behaviors and
improving communication skills.
Both Incredible Years and Staying Connected with your Teen are available to any family residing in Elk County
who have children from infant to teen.
The Incredible Years parenting program served 32 families representing 64 children in both group and individual
settings.
The Staying Connected with your Teen program had 7 families, representing 13 children participate in the
program.
Weekly parenting groups are held at Elk County Prison. The attendance at Staying Connected with your Teen
has more than doubled over the last year and attendance at Incredible Years has also increased significantly.
Expenses,
$66,762
Revenue,
$69,551
59
PARENTS AS TEACHERS (PAT)
& THE CHILDREN’S CENTER
Address: 4 Erie Avenue, Suite 302,
St. Marys, PA 15857
Telephone #: 814.834.2602
Program Director/Supervisor: Lianne Schneider
Program Overview:
Parents as Teachers (PAT) is a relationship-based and
parenting-focused program whose goal is to help
families build on their own strengths as they interact
with their children. Parents become teachers in the
normal course of interacting, playing with, and
enjoying their children, and their children stand a
better chance of beginning school fully ready to learn
and succeed.
[PAT Staff, L-R] Front Row: Lianne Schneider, Program Director;
Nicky Cashmer, Parent Educator; Adrienne Mahoney, Parent
Educator. Back Row: Ashley Urbancic, Parent Educator; Cortney
Woodel, Parent Educator; Deb Love, Parent Educator
[Missing from photo] Brenda Distler, Administrative Assistant
The Children’s Center is based on the Parents as Teachers model as a learning environment for young children
and their families. The Children’s Center offers an array of hands-on learning activities and a
parenting and educational resource area, as well as weekly parent-child groups.
In the past year, the Parents as Teachers program staff have worked with 100 families and
147 children through in-home personal visits. The Children’s Center had 744 visits, including
47 new families with 68 children. Since the Children’s Center opening in April 2006, the Children’s Center has
registered 795 families with 1391 children. In the past year, 59 groups were held in the Children’s Center with 87
families attending with 140 children. Monthly groups were also held at two local daycares with 38 children
attending.
Two Story Time in the Park events were held at Benzinger Park in St. Marys and Angela Huey Memorial Park in
Kersey, with 91 families and 172 children attending. The focus of these events was on literacy, and staff led fun
hands-on activities designed to enhance learning. Community Kid’s Day was also held for families in April. PAT
staff continue to provide wellness education to children and their families who reside in Elk County. The
wellness education program originated in 2008 from a grant provided by The Stackpole-Hall Foundation. 17
preschool classrooms, 8 kindergarten classes, 4 daycares, 5 summer kindergarten readiness programs, and 16 inhome visits were completed this past year. PAT staff provided wellness education to over 500 children during
these programs.
Expenses,
$211,265
60
Revenue,
$215,593
SIGNS OF SUICIDE® PREVENTION PROGRAM (SOS)
Telephone #: 814.834.2602
Program Overview:
SOS is an evidence-based program
designed to teach students the warning
signs and symptoms of depression and suicide. Students
are taught how to respond if a friend or loved one
displays the warning signs of depression or suicide or
tells them they may be depressed or suicidal. Students
are taught the acronym ACT to encourage them to
Acknowledge the problem, respond with Care, and Tell a
trusted adult. This program serves middle and high
school students in Elk and Cameron Counties.
[SOS Staff, L-R] Front Row: Deb Love, Facilitator; Sierra Gilmore,
Facilitator; and Shelly Meier, Facilitator Back Row: Missy Orner,
Facilitator; and Tana Funair, Program Director
The Signs of Suicide ® Program is facilitated in all public and parochial middle and high schools in Elk and
Cameron Counties. 640 students participated in SOS this fiscal year.
A total of 110 students were followed up with as a result of SOS this year; 66 students were recommended for
referral or referred to services such as the Student Assistance Program, outpatient therapy, etc. Through SOS,
Dickinson Center continues to partner with a former Cameron County High School student who, having lost both
her father and sister to suicide, is a family survivor of suicide. This year, along with the former CCHS student,
staff presented the SOS program and the student’s suicide prevention senior project at the 2014 Pennsylvania
Suicide Prevention Conference in State College, Pennsylvania. The presentation was very well received and the
event provided a powerful opportunity of networking and collaboration.
Expenses,
$89,581
Revenue,
$92,123
61
STUDENT ASSISTANCE (SAP) PROGRAM
Telephone #: 814.834.2602
Program Overview:
The Student Assistance Program (SAP) is designed to identify
barriers interfering with student success. Through screenings,
referrals, interventions, recommendations, support, and followup, SAP provides support to students who are experiencing
difficulties that are interfering with their academic success.
Recommendations are made upon completion of screenings.
Possible screening recommendations include school-based
supportive counseling and referrals to outside services, such as
outpatient counseling.
[SAP Elk Staff, L-R] Front Row: Sierra Gilmore, SAP
Liaison; and Shelly Meier, SAP Liaison.
Back Row: Missy Orner; SAP Liaison; and Tana Funair,
Program Director
SAP liaisons are also identified by local school systems as a
primary contact for crisis intervention. SAP staff are trained and
experienced as a result of Critical Incident Stress Management
training to address crisis situations and triage needs of students and families. Any student who is suicidal,
homicidal, or in distress can request to meet with a SAP representative. School administration can also request
that a liaison meet with a student if there is cause for concern. Each student is screened and recommendations
and referrals are made as necessary. SAP liaisons are also available to support the school’s faculty and/or
students in the event of a school-wide critical incident, such as an accident or death of a student or faculty
member.
SAP services are available, free of charge, to all middle and high school students in Elk and Cameron Counties.
During the 2014-2015 school year, staff conducted 126 screenings.
This year the program realized an increase in both referrals and supportive counseling services. Staff provided
459 supportive counseling sessions during the 2014-2015 school year; nearly double the number of sessions
provided during the previous year. Implementation of the trauma-informed Juvenile Inventory for Functioning
(JIFF), a computerized screening tool, continues to
be utilized for screening and follow-up. SAP
continues to provide the Signs of Suicide
Prevention Program in the schools, which offers
continuity in programming. Lastly, as a prevention
Expenses,
program, we were pleased to see a decrease in
Revenue,
$55,148
crisis calls this school year, with staff responding
$54,481
to 30 crisis calls.
62
STUDENT ASSISTANCE (SAP) PROGRAM
Address: Gunzberger Building, 1 North Main St.,
3rd Floor, Coudersport, PA 16915
Telephone#: 814.274.8651
Program Director: Carla Milliron
Program Overview:
The Student Assistance Program (SAP) provides
prevention services to students who are
experiencing any type of difficulty, concern, or
behavior that is interfering with school success. The
Student Assistance Program offers screenings to
[SAP Potter Staff, L-R] Carla Milliron, Supervisor; Katie Kightlinger;
referred students in order to gather background
Ashlee Foil-Yen
information in the areas of school, medical history,
family history, peer relations, drug or alcohol
use/history, mental health history, suicidal and homicidal ideation, and self-injurious behavior. The screening
also includes the student’s own impressions about their current situation. Following the screening,
recommendations are made. Possible recommendations may include a referral back to SAP team for monitoring,
three to five supportive counseling sessions in school with the mental health liaison, or an outside referral.
The Student Assistance Program serves children in preschool through 12th grade. The SAP model serves as a
starting point for mental health services. Students are eligible if they attend one of the five Potter County
schools and if they are not already open in another mental health program. The SAP model is a short-term
temporary service system. 124 students participated in SAP at their designated school this past year. All
students are discharged at the close of the school year.
SAP and the Potter County Yellow Ribbon Suicide Prevention Task Force teamed up to host a “Glow Run” to
assist in raising funds to bring Rachel’s Challenge to Potter County. Rachel’s Challenge is a school improvement
process that focuses on safe, caring and supportive learning environments.
Expenses,
$105,567
Revenue,
$107,060
63
64
CONSUMER TESTIMONIALS
DICKINSON CENTER, INC. CONSUMER TESTIMONIALS
Crossroads has helped me very much. I am known
as the one here with the “positive vibes.” The
people here are constantly making me feel good
about myself. I like it here. I have learned to
better use my coping skills, like playing piano or
even just using a stress ball. I am able to
recognize my own strengths, such as I am
empathetic. I believe I am a better person for
having gone here.
Crossroads consumer
I called crisis when I was dealing with a lot of pain
and did not feel like I was going anywhere. I
called crisis as a last resort and they helped me
get into Generations. I was very depressed
because of all the pain I was feeling. The crisis
worker was helpful and very easy to talk to.
They helped me get into the hospital which is
what I needed. I would call them again if I needed
help.
Crisis Consumer
Please spread the word to your upper echelon that
I can’t thank your company enough. My son, at 61
years, is extremely happy, comfortable, and
LOVED.
Community Residential Program,
Mother of Consumer
Psych Rehab benefits me by helping me with
my living goals and working on my social
skills.
In the past six months, I initially found myself
somewhat apprehensive to engage in the Total
Health Program. As I find myself in this small
county, having to transition physicians,
psychiatrists, and therapists so often against
my will. As I have also found, trust is the
building block in any medical or therapeutically
relationship and I have found myself becoming
jaded. However; I still held strong belief and
faith in Dickinson Center, Inc. and their
providers.
My faith was eagerly renewed when I elected
Dr. Thomas Baker to be my primary physician
with the support of the wellness nurse, Tricia
Brendel. They eagerly placed Dr. Dingcong in
analysis of my mental health. This entire team
has been very prompt in responding to any
medical or physical crisis that I have needed. Of
course, I could not leave out my Mobile
Psychiatric Rehabilitation Worker, Nikki
Freeburg who has attended every medical,
psychiatric and disability court appointment I
have had as well as visiting my home two
times per week to help me stabilize my life,
whether that being nutritional help, help with
my agoraphobia… What I mean to say she has
been perhaps the most key person in this Total
Health Program that has kept me
progressing. I could not be more grateful for
this and I intend to stick with them. There is
no one that I would trust more than this team
with dealing my mental and physical health.
Thank you so much for everything you have
done for me.
Thankfully,
Total Health Consumer
PRIDE Pyschiatric Rehabilitation Program
Consumer
Total Health Consumer Testimonial 2:
Testimonials continued, next page….
I am writing this letter to describe my experience so
far with the Total Health Program.
65
The things I have liked most about the program have
been the family doctor portion through Dr. Baker. I
To whom it may concern,
I’ve become a stronger woman and have learned
better choices. I have the same problems as
My son works at Elkwood Arts. He really
other people with mental illness. I’ve learned to
enjoys working there and I feel the program
overcome my obstacles with the tools I’ve been
is wonderful. He truly likes making things
given through my Peer Support to live a better
with wood and it makes him feel important
life.
to have a job. I have tried other work places
Recently, I was hired by
for adults with special needs
Dickinson Center, Inc. to
and they did not have the
“Nearly 20 years ago, I
knowledge to honestly deal
work with the Peer Support
realized that I was not
with my son’s Autism. Our
department. There are a
coping well with issues that
case
worker
through
lot of good things to say
Cameron and Elk County
had become part of my
about the Peer Support
M.H.M.R, suggested that we
everyday existence. I came department at Dickinson.
try
the
Elkwood
Arts
to Dickinson for help. Over I’ve had my own Peer
program. From his first day
there he fit right in and they
the years, through therapy Support for the last 5
years. I’ve grown immensely
handled him with grace that
and medication my life
I
appreciated
from
the
last 5 years with
stabilized. I continue to deal inthethese
bottom of my heart. Being a
help of my CPS. I
with my diagnosis. I keep
parent of a special needs
learned to make better
individual can be challenging
my regularly scheduled
choices. I’ve learned to set
enough to know that I have a
appointments
and
do
my
boundaries, along with
place for him to grow and
developing better
best to follow the plan my
learn after completing high
communication skills. I
school is not only comforting
clinicians and I have drawn
but extremely important to
learned relaxation
up…Dickinson has been a
me. I genuinely believe that
techniques, better
godsend to me.”
Elkwood Arts is an amazing
socialization skills, and
program for amazing people
developed a Wellness
and I am thankful to have
Outpatient Consumer
Recovery Action Plan
found them.
(WRAP). I learned what is
good about myself, and she helped me to learn my
Sincerely,
triggers. I’ve worked with her on my negativity,
Parent of a newly registered consumer to the
and how to manage stress and anger. Also, she and
Elkwood Arts program
I have discussed diet and excersize, and much
more.
I love having group. It teaches me how to deal with
stress, anxiety and other things. I also like that I have
Peer Support Consumer
someone to talk to whenever I need to talk. It’s always
a fun time and is never boring. I love coming here.
From the time I get here until the time I leave I’m
always smiling.
Child and Adolescent IOP (Potter) Consumer
66
Testimonials continued, next page….
I am 51 years old. I am a lifetime resident of Potter
County. When I was very young, I got sick. I had
a very bad fever. This sickness/fever left me with a
learning disability. I was in special classes in school. I
have never learned to read or write, nor have I ever
had a driver’s license.
For 50 years of my life, I always lived with family
members. Sometimes this was okay, but mostly it
wasn’t. I was often treated like a child. I was told
sometimes even made to do things I didn’t want to.
It never felt like my home.
I had dreams of living on my own someday. Many
people, even my “head shrink,” said I could never live
alone!!
But as I would talk and listen to my Dickinson HAB
workers, and my [supports] coordinator, they truly
believed I could live alone. They assured me that if
it was what I wanted, they would support me. It
was scary – I even cried – but I did it. I made the
decision!!
My sport coordinator found me an apartment in a
subsidized housing complex. I have my own
apartment!! I even have a dog!! My HAB workers
assist me with things like grocery shopping, laundry,
volunteering, and doing things in my community. They
also transport me to visit my mom and my brother,
which is very important to me. I am also learning to
cook new foods. I’ve made lots of new friends.
I have lived alone for 1 year. I am very grateful
for the support that gave me my new life.
Home and Community Habilitation Consumer,
Potter County
I am writing this letter to describe my experience so far
with the Total Health Program.
The things I have liked most about the program have
been the family doctor portion through Dr. Baker. I
feel like Dr. Baker is the most thorough doctor I have
ever seen and takes time to fully explain everything to
me. The nurse is very helpful as well.
I feel much less stress now when I go to the doctor
because I feel Dr. Baker does give me time and space
to collect my thoughts to best present them. I feel like
he really hears me.
I do have trouble collecting my thoughts and get easily
overwhelmed and the staff has been very patient with
me.
I also really like that there is great coordination
between the family doctor and the psychiatrist. I like
that the doctors have open communication and there are
no surprises because everyone is on the same page.
As for psychiatric services, I have been receiving them
through Dickinson longer than I have been seeing the
family doctor and still feel confident my needs are
being met.
Overall, I think the program is very successful for me
and I feel comfortable the Total Health program is
meeting my needs better than having doctors with
separate practices.
Total Health Consumer
I feel that case management has helped me to stay organized with keeping all of my mental health
appointments, and also she helps me to understand why I need to take my medications, and the
importance of staying compliant with them. I would never be where I am today with myself and my
baby without the help of my case manager. She helped me to get an apartment, and housing
assistance. She also helped me get set up with programs and services for my baby girl to get her
diapers and formula. My case manager is always there for me when I need her, and she goes out of
her way to help me get the services and assistance I need in order to live independently. My case
manager is one of the only people in my life right now that gives me motivation and support, and
helps me to be able to function on my own.
BCM Consumer
67

Dickinson Center, Inc. Expenses FY 14/15

Transcription

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