Coastal Horizons Center, Inc.
Transcription
Coastal Horizons Center, Inc.
Coastal Horizons Center, Inc. 2011 2012 Annual Report Promoting Choices for Healthier Lives and Safer Communities Our Mission... Coastal Horizons Center, Inc. promotes choices for healthier lives and safer communities by providing a continuum of professional services for prevention, crisis intervention, sexual assault victims, criminal justice alternatives, and treatment of substance use and mental health disorders. Inside This Report Board Chair’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Financial Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Program Operations & Service Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 External Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Human Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Criminal Justice Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Regions I & II Regional Coordinating Entities (RCEs). . . . . . . . . . . . . . . . . 9 NC TASC Training Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Substance Abuse & Mental Health Services. . . . . . . . . . . . . . . . . . . . . . 11 Outpatient Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13 Health & Integrated Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Prevention & Outdoor Adventure . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16 Medical Services & Corporate Compliance . . . . . . . . . . . . . . . . . . . . . . 17 Hotline Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Rape Crisis Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-21 Open House Emergency Youth Shelter . . . . . . . . . . . . . . . . . . . . . . . 22-23 Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-25 A. Farah Boyce, Editor-In-Chief 2 Board Chair’s Message 2011-2012 Board of Trustees Howard Loving Chair Beth Quinn Vice Chair Clyde Stunson Secretary William L. Ginna, Jr. Treasurer Margaret Weller-Stargell President & CEO Virginia Adams, PhD Mary Brown Tom Brown Benjamin David Jon David L.S. “Bo” Dean, Jr. Margee Herring Hal Kitchin Steve Krasnipol Richard McGraw Craig Michael Haskell Rhett Jeff Simmons Gaines Townsend Jonathan Weiss I have previously said in my And, we learned that we can multitask! We Board Chairman’s message that we never experience conducted a successful annual fundraiser and a typical year at Coastal Horizons Center. There engaged new members in the community. Margee never is a “steaming as before” atmosphere or Herring produced an outstanding brochure for us mentality. This past year is no exception. We clearly which we can use in multiple ways. We sought and understood direction from the Department of received numerous grants from new sources with Health and Human Services to consider stronger whom we can collaborate. Most important of all, in collaboration and possible organization acquisition the midst of providing a really considerable amount or merger. Knowing this, we devoted a significant of data in the due diligence review we continued effort towards a possible merger with PORT Human to provide superior client services. I speak for the Services in Greenville, NC. entire Board of Trustees when I say we continue Both the Staff and Board of Trustees spent a great deal of time on an exhaustive due diligence process and an ensuing potential merger review. Any to be amazed at the resilience and sustained professionalism of the Coastal Staff and dedicated leadership provided by Margaret Stargell. merger process requires dedicated fact finding and It is an honor to serve as Chairman of the Board of examination. That was reinforced for us in short Trustees. order. We participated in the merger process with an open mind and high expectations. In the end both organizations mutually agreed that it was not in our best interests to proceed with the merger at this time. However, we found out there were positive aspects in the exercise. We learned more about our self and came away reassured of our core strength capabilities. We came away with ideas where we can enhance our client services and potentially grow our geographical footprint. That is our challenge for next year and the coming years. We will succeed. Howard Loving 2011-2012 Board Chair 3 President’s Message Coastal Horizons Center exceedingly important for us to do an internal was not the time to merge the two agencies, yet we celebrates 42 years in operation. I truly cannot organizational assessment and evaluation of remain fully committed to working collaboratively imagine there being any other period in the history who we are and where we need to be, now and cooperatively in the future. of this organization that we should highlight and in the future. or magnify the importance of this longevity Defining our core competencies which is central Setting the strategic framework which allows to the way we work and function is essential to a Coastal Horizons Center to remain fundamentally sustainable strategy for success. The strength of our and uniquely the outstanding agency that it is, organization comes from its people and their vision, comes with significant challenges. Managing risks drive, qualifications, loyalty, and commitment. These and opportunities with a balanced and tactical qualities are necessary to achieving our agency’s approach is essential to our continued success and goals and strategic direction. I am enormously proud was paramount in all of our strategic efforts this to work with such a fine organization and feel very As our nation has entered into an era of fiscal past fiscal year. Ensuring clients had access to a fortunate to work with an amazingly dedicated constraint and austerity that is unlikely to change continuum of quality care while containing our costs board of trustees and staff. in the foreseeable future, and as the mental was a challenging yet overriding priority. Undergoing health transformation in North Carolina continues a rigorous merger due diligence process with PORT to proceed with a steadfast trajectory, including Human Services was an invaluable experience for the Medicaid Waiver Expansion, it has become both our organizations. Ultimately, we decided this milestone as much as we should now. The ability to persevere, stay true to our mission, and remain firmly committed to addressing the ongoing needs of our clients amidst a continued stressed economy is worthy of an extraordinary acknowledgement of achievement. Margaret Weller-Stargell President and CEO 4 Financial Audit Report Year End June 2011 Sources of Revenue – 2011-2012 Foundations & Donations 5% Local Management Entities Funding 66% Alan Waller Chief Financial Officer Program Other Service Fees 1% 6% Government Contracts & Grants 22% 5 Coastal Horizons Center, Inc. Program Operations and Service Area Substance Abuse & Mental Health Services / Crisis Intervention Services / Eastern Center for Prevention Resources / TASC Region 1 / NC TASC Training Institute Substance Abuse & Mental Health Services / Crisis Intervention Services / Eastern Center for Prevention Resources / TASC Region 2 / NC TASC Training Institute Eastern Center for Prevention Resources / TASC Region 1 / NC TASC Training Institute Eastern Center for Prevention Resources / NC TASC Training Institute TASC Region 2 / NC TASC Training Institute NC TASC Training Institute Only Board of Trustees President & CEO Administration Substance Abuse & Mental Health Services Prevention Eastern Center for Prevention Resources (CPR) Outdoor Adventure Best Practice Community & School Based Programs Drug Free Communities – Public Policy, Advocacy & Coalition Initiatives Outpatient Treatment Substance Abuse Intensive Outpatient Program (SAIOP) DWI Assessments & Services Clinica Latina – Spanish Speaking Services Child Mental Health Therapy Adolescent Treatment Intensive In-Home DJJ Youth Services Psychiatric Services Adult Therapy – Individual, Group, & Family Horizons Adult Regional Residential Treatment Services (HARRTS) Program HUD Horizons Housing Adult Treatment for Opioid Dependence Medication Assisted Treatment (Methadone, Suboxone) Research & Clinical Trials Health & Integrated Care Services HIV & Early Intervention Primary Care Clinic Crisis Intervention Services Hotlines (Crisis Line and NC 2-1-1 Database Management) Open House Emergency Youth Shelter & Residential Services Rape Crisis Center Criminal Justice Services TASC (Treatment Accountability for Safer Communities) Drug Testing CIC (Community Intervention Center) TECS (Treatment for Effective Community Supervision) TASC Statewide Training Institute Training & Curriculum Development Creative & Technical Development Credentialing Department 6 External Operations Coastal Horizons Center continues to be a leader in the provision of The North Carolina Legislature continued to have evidence based practices in criminal justice, conditions both nationally and locally. As a result, substance abuse, crisis intervention and mental the budget included a nonrecurring $20 million health services within an ever evolving behavioral reduction to MH/DD/SA state service dollars and health system. Systemically the changes within the a reduction of $8 million in substance abuse mental health and justice systems are dramatic. block grant funding. These cuts have impacted all The creation of the Managed Care Organizations a difficult budget session due to the economic substance abuse services and providers in the state. (MCO) to oversee service delivery for mental health On the regional level, expansion of services and substance abuse has created massive changes continued to be the key to success during this fiscal for both the Local Management Entities (LME) year. Coastal Horizons’ Criminal Justice Services selected as MCOs and providers. East Carolina is implementing one of the first Community Behavioral Health (ECBH) began operations as Intervention Centers in New Hanover County and an MCO in April, 2012. CoastalCare, formerly Treatment for Effective Supervision (TECS) programs Southeastern Center, will begin operations as an in three counties within eastern North Carolina. MCO in January, 2013. TASC Region 2 also divested three contracted TASC The passage and implementation of the Justice Reinvestment Act has revamped the provision of probation and parole in the state. The Criminal Justice Partnership Program ended statewide in June. It is being replaced by Community Intervention programs during this fiscal year which include ten counties. Coastal Horizons Center’s TASC services now span 53 counties in North Carolina. Only one of these counties, Pitt, is not directly managed by Coastal Horizons. Centers (CIC), Residential Services and Treatment for On a local level, Coastal Horizons’ Crisis Intervention Effective Community Supervision (TECS) programs. Services has also expanded their services by its The emphasis of these programs is on cognitive provision of long term care within the Open House behavioral interventions and limited substance abuse Shelter for children and further enhancing the treatment. clinical services offered by the Rape Crisis Center in To maintain our leadership position staff have both New Hanover and Brunswick counties. attended multiple meetings on a local, state As we enter the new fiscal year it is my hope that and national level. These include North Carolina Coastal Horizons Center will continue to be a leader Legislative Committee meetings, the National TASC locally, statewide and nationally to enable us to Board, the American Association for the Treatment enhance our mission. of Opioid Dependence Board, the North Carolina Division’s External Advisory Team and Waiver Advisory Committee, the North Carolina Community Corrections Advisory Board, The North Carolina Substance Abuse Professional Practice Board, the Statewide TASC Leadership Team meetings, plus multiple other boards with state and national scopes. Karen V. Chapple, Executive Vice President of Operations 7 Human Resources The Human Resources function within the Agency is primarily Programs offered include nutrition education, yoga, responsible for recruitment and selection of techniques and practices, and the Wellness Team employees, partnering with Management Team will continue their efforts going forward for the members on business issues concerning the Agency, Agency and our staff. walking events, as well as stress management maintaining compliance on employment laws and Supporting the direction and growth of the Agency requirements for the Agency (FMLA, FLSA, ADA, falls on those in Agency leadership, as well as on COBRA, AFLAC, Workers Comp, etc.), managing those who’s continued years of dedication and employee development and performance, benefit service to the Agency set the measure and standards administration, relationship management with for our newer employees. Coastal Horizons Center third party service providers, and as a consultative benefits from both the ability to attract highly resource for employee relations management. qualified candidates, as well as sustain leadership Through the course of any given year, the emphasis offered by those tenured staff members. The on any one human resource focus to another can employee tenure chart reflects the commitment and shift, and importance can be provided to the human dedication our staff members bring to the Agency resources service area which best supports the over the years. Agency at the time of need. As Coastal Horizons Center continues forward on During the past fiscal year, the Agency experienced its mission to promote choices for healthier lives continued growth in terms of our overall employee and safer communities, the new, as well as tenured population. These Coastal Horizons Center employees who support that mission, remain key to employees are providing services throughout central, the success of all we can accomplish. eastern and southeastern North Carolina. The chart Coastal Horizons Center, Inc. Employee Tenure Totals below continues to show the consistent growth of our overall staff members over the past few years. Bob Jalbert With the ever changing healthcare environment Human Resources Director in which we provide our services, combined with the economic challenges we live in today, Coastal Employee Totals • 2011-2012 Horizons Center, like other employers, 2012-2013 opportunities for our dedicated staff. Along 2011-2012 with maintaining a strong employee benefit 2010-2011 plan, and a generous retirement savings plan, Coastal Horizons Center is doing more in the area of employee wellness, and has an 2009-2010 2008-2009 2007-2008 2006-2007 employee driven Wellness Team to advance 2005-2006 our Agency in helping our employees live, eat, 2004-2005 and exercise better for their own well being. Total Full-Time Part-Time 0 20 40 60 80 100 120 140 160 138 6 – 10 years 28 11 – 15 years 21 15 – 25 years 4 25+ years 5 continues to embrace the ongoing challenge of providing rewarding professional 0 – 5 years 180 200 220 8 Criminal Justice Services Correctional Alternative Programs Region 1 Active Cases at Month End – 2011-2012 3,500 3,000 2,500 The Criminal Justice Services (CJS) component of Coastal Horizons North Carolina TASC Training Institute The NC TASC Training Institute provides evidence Center provides a continuum of services to people based training to TASC staff statewide via regional involved in the criminal justice system in fifty-three and virtual learning environments in order to counties of North Carolina and training statewide improve the delivery of services to the offender 2,000 for staff providing similar services. The primary goals population across North Carolina. 1,500 of CJS are: 1,000 n To assist the individual in accessing the New Hanover County Community Intervention Center (CIC) 500 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2011 2011 2011 2011 2011 2011 2012 2012 2012 2012 2012 2012 Region 2 Active Cases at Month End – 2011-2012 treatment and community support services needed in their local community to ultimately reduce recidivism n To provide advocacy within the criminal justice system 2,500 n To provide state of the art training to staff 2,000 involved in Treatment Accountability for Safer 1,500 Communities (TASC) programs and their partner 1,000 agencies. 500 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2011 2011 2011 2011 2011 2011 2012 2012 2012 2012 2012 2012 Region 1 Admissions & Discharges – 2011-2012 600 Admissions Discharges 500 0 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2011 2011 2011 2011 2011 2011 2012 2012 2012 2012 2012 2012 Region 2 Admissions & Discharges – 2011-2012 Admissions Discharges n Referral and linkages to treatment services to get back on track to be successful on probation. needed; Drug Diversion A 12 month voluntary program for first time felony offenders in need of substance abuse services. Drug Education School (DES) DES is a state certified course designed for first North Carolina. time offenders who have been charged with TASC RCE (Regional Coordinating Entities) The TASC RCEs serve as the management infrastructure for the effective delivery of substance services are available throughout the 53 counties served. The RCE’s received 10,158 referrals in this past fiscal year. Additionally, of the 6,682 individuals that completed TASC services this year 55.4% or July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2011 2011 2011 2011 2011 2011 2012 2012 2012 2012 2012 2012 in pro-social activities to address the criminogenic These services are provided in 53 counties in responsible for ensuring that standardized TASC 0 provide structured evidence based programming to program provides the opportunity for the offenders offender population in North Carolina. The RCE is 100 and Job Development classes. The goal is to n Screening and assessment for those referred; 400 200 Behavioral Intervention, Substance Abuse Treatment situations and promote a positive lifestyle. The 500 300 attend daily group sessions including: Cognitive system and treatment services. TASC provides: abuse and other treatment interventions to the 600 program requires the offender to simultaneously needs, develop their skill sets for handling risky the referring agent. 100 positive for drugs or alcohol during supervision. The TASC is a critical link between the criminal justice n Monitoring and reporting treatment progress to 200 conditions of probation, are unemployed and testing offenders and occupy 40-70% of their time involved community; 300 offenders who have continued problems abiding to TASC (Treatment Accountability for Safer Communities) n Access to wrap around services in the local 400 The CIC is a 90 day highly structured program for 3,700 completed the programs successfully. misdemeanor possession of Schedule I through VI and/or drug paraphernalia or Felony Possession of Cocaine (less than one gram). 9 Criminal Justice Services Regions I and II – Regional Coordinating Entities (RCEs) The Treatment Accountability for Safer Communities (TASC) Regional Coordinating Entities (RCEs) of Coastal Horizons Center provide an objective and effective bridge between two separate institutions: justice and treatment. The justice system’s legal sanctions reflect the community’s concern for public safety, while the treatment community emphasizes therapeutic relationships as a means for changing behavior and reducing the personal suffering associated with substance abuse and mental illness. Under TASC supervision, community-based treatment is accessed for drug-involved and/or mentally ill offenders. The TASC RCE staff provides clinical substance abuse assessments and mental health screening and access quality services for drug-involved and/or mentally ill offenders. The TASC RCE’s continue to provide administrative and managerial supervision within Region 1 and Region II. The RCE’s are responsible for quality improvement and quality assurance throughout the Region with several key goals that include: Standardized clinically sound practice; Standardized protocols for treatment access and tracking; Utilization management and review; Quality and outcomes management; and Information Management. Accomplishments in Client Services for Region I: n 4,647 clients were referred to Regional TASC services in fiscal year 2011-2012 n 52%, or 1,864, of clients completed TASC services successfully. n The Addiction Severity Index Multimedia Version (ASI-MV) continues with positive results. n The RCE purchased and implemented an automated client appointment reminder system. Accomplishments in Professional Development for Region I Accomplishments in Professional Development for Region II: n All of Region I TASC’s staff are registered either with the NC Substance Abuse Licensure Board or have already received their LCAS, CCS, CSAC or CCJP certification. n Care Management staff from the Region have completed the TASC on-line Clinical Series Training. n The majority of Care Management staff have attended all trainings within the Region offered by the TASC Training Institute. n All Region II TASC staff are either registered with the NC Substance Abuse Licensure Board or have already received their LCAS, CCS or CCJP certification. n Care Management staff from the Region have completed the TASC on-line Clinical Series Training. n The majority of Case Management staff have attended all trainings within the Region offered by the TASC Training Institute. Accomplishments in Regional Development for Region I: Accomplishments in Regional Development for Region II: n Quality assurance procedures were implemented statewide with quality assurance review performed by the RCE Director and the TASC Training Institute Director. n Criminal Justice Services was awarded a Community Intervention Center (CIC) contract for New Hanover County from the NC Department of Public Safety. This is one of eight programs across the state. n Quality assurance procedures have been implemented statewide with quality assurance review performed by the RCE Director and the TASC Training Institute Director. n Region II is now providing direct services in all twenty one counties in the region. Regional Statistical Information for Region I: n 80% of clients referred were supervised at the Level 1 (highest), Level 2 (high) or Level 3 (moderate) levels of supervision. n 81.5% of clients referred by Community Corrections scored in the Level 1 (extreme), Level 2 (high) or Level 3 (moderate) need level at the time of intake. Accomplishments in Client Services for Region II: n 3,987 clients were referred to Regional TASC services in fiscal year 2011-2012. n 59.9% or 1,836, of clients completed TASC services successfully. n The Addiction Severity Index Multimedia Version (ASI-MV) utilization continues with positive results. Regional Statistical Information for Region II: n 81.7% of clients referred were supervised at the Level 1 (highest), Level 2 (high) or Level 3 (moderate) levels of supervision. n 79.8% of clients referred by Community Corrections scored in the Level 1 (extreme), Level 2 (high) or Level 3 (moderate) need level at intake. Wes Stewart Andy Miller TASC RCE Director TASC RCE Director Region I Region II 10 Criminal Justice Services NC TASC Training Institute Treatment Accountability for Safer Communities - North Carolina TASC Training Institute n The TASC Training Institute provides evidence- North Carolina TASC Training Institute Accomplishments During FY 2011-2012 n The NC TASC Clinical Training Series is certified by the National Association of Alcoholism and based training to TASC staff statewide, via Drug Addiction Counselors (NAADAC) as an regional and virtual learning environments in on-line training series. TASC staff completed order to improve the delivery of services to the 1,644 online courses for a total of 4,665 credit offender population across the state of North Carolina. n The Institute provides TASC Clinical Series Online hours awarded. n Continuing education in NC TASC Standard Operating Procedures, Mental Health First Aid, Training for new staff, NC Drug Education Understanding Post Traumatic Stress Disorder School (DES) Instructor training, DWI Services and Targeting Dispositions for Drug Involved technical and continuing education training Offenders by Risk and Need was provided to via regional and state conferences, and other 322 TASC and Criminal Justice partner agency Institute sponsored events. staff awarding 2,632 credit hours. n The Institute continues to develop distance n North Carolina Drug Education School Instructor learning modules including, “TASC Clinical Pre-Certification Trainings were held, training 92 Series Online”, and “TASC Continuing participants and awarding 506 credit hours. Education” online presentations. n The Institute’s websites provide information, n “E 508” DWI Certificate of Completion Web Application Trainings were held, training 195 online training, training event information and participants and awarding 1072.5 credit hours. registrations for the NC TASC Network and the n NC DWI New Provider Orientation Training was NC DWI treatment provider community. n The Institute administers the Instructor Certification programs for the NC DES and provided to 180 participants and awarding 990 credit hours. n Phase 1 of the NC TASC Motivational NC Alcohol and Drug Education Traffic School Interviewing (MI) Practice Implementation ADETS programs. Initiative was completed, with 128 TASC Care n The Institute provides administrative and Managers statewide receiving two days of MI technical support, training and consultation for training. 53 received another two day advanced NC Division of Mental Health, Developmental training and 10 NC TASC staff continued to Disabilities and Substance Abuse Services DWI complete Wyoming Protocol Motivational Programs Office, including DWI New Provider Interviewing Instructor training. Orientation, E508 Certificate Of Completion training and administration, and quality improvement consultation for DWI treatment providers. The Institute’s online DWI Training and Support Center provides a portal for information and training for the State’s nearly 500 DWI Treatment Providers. Dale Willetts Director, NC TASC Training Institute 11 Substance Abuse and Mental Health Services The Substance Abuse and Mental Health Services of Coastal Horizons provides a continuum of prevention, outpatient treatment, and health-related services to individuals in the eastern region of North Carolina – with primary emphasis being in New Hanover, Pender, & Brunswick counties. The purpose of our services is threefold, to: n Engage with professional services individuals with substance use and mental health disorders (and those individuals and communities at high risk); n Equip them with skills and resources needed for healthier living; and n Encourage those individuals and their families in the recovery process. Outpatient Treatment n Services for those with Substance Use and Mental Health Disorders n Individual, Group, & Family Counseling • With Auxiliary Medical & Supportive Services n Mental Health Counseling n Substance Abuse Intensive Outpatient Program (SAIOP) – structured group, individual and family addiction treatment activities (New Hanover and Brunswick) n DWI Assessments & a full array of DWI Services n Clinica Latina – Specialized Outpatient Services in Spanish n Child Mental Health Therapy Services n Other Supportive Services n Adult Drug-Free Treatment n Adult Treatment for Opioid Dependence n Medication Assisted Treatment • Methadone Therapy (New Hanover) • Office Based Suboxone (New Hanover and Brunswick) n HUD Horizons Housing Program n Research & Internship Partnerships: n Clinical Trials Network (CTN) of the National Institute on Drug Abuse (NIDA) n UNCW – Psychology Department and School of Social Work n Webster University – Mental Health Counseling Program n Adolescent Services (for Teens & their Parents) n Program for Adjudicated Youth & their Families – utilizing Seven Challenges and other evidence based treatment approaches n Intensive In-Home services n Adolescent specific treatment n Horizons Adult Regional Residential Treatment Services (HARRTS) Program n Integrated model of efficient delivery of coordinated and collaborative services to address the problems of homelessness, substance use disorders, and co-occurring mental illness Health & Integrated Care Services n HIV & Early Intervention n Education, Medical Diagnostic Testing & Referrals in eastern North Carolina n Rapid & Standard HIV Testing n HIV & Early Intervention Support Group n Primary Care Clinic n “Medical Home” services provided by a Nurse Practitioner to our Outpatient clients n Services ranging from physical exams to treatment of acute and chronic illnesses, health education, and referrals Prevention & Outdoor Adventure n Mobilizing communities to prevent, reduce, or delay use of alcohol, tobacco, and other drugs n Serving as the Eastern Center for Prevention Resources (CPR) n Utilizing Best Practice Community & SchoolBased Programs n Outdoor Adventure/Adventure Learning n Juvenile Detention Center Services n Drug-Free Communities – Public Policy, Advocacy & Coalition Services n Training & Technical Assistance n Serving New Hanover, Pender & Brunswick Counties New Outpatient Treatment Initiatives: n We will continue to pursue opportunities to offer comprehensive services to Veterans and their families and obtain training on the special needs of this population. n We will continue to expand the provision of child & youth services in all 3 counties – such as evidence based Child Mental Health services and Intensive In Home services. Intensive In-Home services utilize specialized family therapy to prevent out of home placement and support family reintegration for young consumers. n We will continue to provide trauma-focused counseling services – including integrated treatment of trauma-related issues and substance use disorders - in partnership with the Rape Crisis Center of CHC and the Cape Fear Area United Way. Services are being provided in a co-location model at various Domestic Violence and Rape Crisis locations. n We will continue to expand integrated care – delivering primary health care services in a context that allows for behavioral health outcomes to improve. Our Outpatient Treatment facilities are now in three (3) locations: New Hanover County 615 Shipyard Blvd Wilmington, NC 28412 (910) 343-0145 Pender County 803 S Walker St Burgaw, NC 28425 (910) 259-0668 Brunswick County 120 Coastal Horizons Dr Shallotte, NC 28470 (910) 754-4515 Kenny House, LCAS, CCS Vice-President of Clinical Services 12 Substance Abuse and Mental Health Services (continued) Outpatient Treatment What Has Outpatient Treatment Services Accomplished In The Past Year? We are a comprehensive, affordable outpatient treatment program for adults, children and youth – fully operational in the counties of New Hanover, Pender and Brunswick! New Hanover County... Services & Accomplishments: n Our Opioid Treatment Program maintained an average client population of 165 throughout the year receiving methadone therapy. n We provided assessment and treatment services by contract with Federal Probation and Parole, with an ongoing caseload of 40 of clients. n We continued providing Office-Based Suboxone services in both New Hanover and Brunswick Counties program, with an ongoing caseload of 95 clients. n Our Substance Abuse Intensive Outpatient Treatment Program (SAIOP) has continued to serve up to 72 clients at any given time, with five separate sections of SAIOP. SAIOP is offered each Monday, Wednesday and Friday without exception (holidays included). n Through our Child and Adolescent services, we continued to provide evidence-based treatment interventions. Staff utilize the Seven Challenges Model of therapy for treatment of adolescents with substance use disorders and Parent-Child Interaction Therapy for treatment of young children with emotional and behavioral needs. n We maintained a full census in the 5 apartments of permanent housing as part of our HUD Horizons Housing (HHH) Program for homeless clients from the Opioid Treatment Program. The renewal grant for the 2011-2012 fiscal year will allow us to maintain a census of up to 6 individuals or families, in a total of 5 apartments. n We continued our relationship with various graduate school programs, with graduate Interns serving as a valuable resource for the Agency. n With a grant from the Cape Fear Memorial Foundation, we were able to continue to support leadership positions in New Hanover, Brunswick and Pender counties. n We increased access to psychiatric services in New Hanover by hiring three additional psychiatric service providers: two Medical Doctors and one Nurse Practitioner. We now have the ability to provide psychiatric services four days per week and to serve both adults and children. n We expanded services in New Hanover to include treatment for people who have only mental health disorders – and we continue to serve clients with substance use and cooccurring mental health disorders. n With a grant from the Kate B Reynolds Charitable Trust, we have had our 4th successful year of “Clinica Latina” services – providing professional mental health and substance use disorder treatment services in Spanish and in a culturally comfortable setting for Latinos and their families. Some of the highlights of these services include: n We served 92 new Spanish-speaking clients in this past year, bringing our total to 295 Spanish-speaking clients since Clinica Latina opened in May 2009 n Bilingual-Bicultural staff to serve clients n Liaised with NHRMC as well as Rape Crisis in order to provide services to trauma victims n Established partnerships with other agencies in need of Latino Services n We continue to serve over 575 active substance use and/or mental health disorder clients from our Wilmington office. HARRTS… The HARRTS program was developed as an innovative treatment approach to engage clients who otherwise do not follow-up with outpatient services after either acute hospitalizations or inpatient treatment. We serve clients with primary substance use disorders as well as co-occurring mental health and medical issues. HARRTS services include: n Substance Abuse Intensive Outpatient Treatment n Individual Counseling n Residential placements through local recovery houses in the Wilmington area. n Case Management for coordinated access to community services such as DSS for food stamps, Medicaid, Services for the Blind, medical care through the new Primary Care Clinic located at Coastal Horizons Center, clothing, Vocational Rehabilitation, prescription assistance, transition planning, and Employment Security Commission classes. n Psychiatric Services n Purchase of some psychotropic and other medications, and connection to prescription assistance programs to assure medical and mental health stability. n Provide transportation to and from treatment and bus tickets to assist in accessing community resources. Accomplishments: n We maintained Memorandums of Understanding and Business Associates Agreements with 7 Recovery and Halfway Houses in the community to provide the residential beds - Hope House of Wilmington, PORT Human Services – Stepping Stone Manor, Full Circle Ministries, LINC, Launch Pad, Tree of Life, and All Family Recovery. n We have continued to work closely with agencies throughout the Eastern Region for referrals; Wilmington Treatment Center, Walter B Jones ADATC, RHA/ Harbor Facility Based Crisis, PORT Human Services Detox and Outpatient, local outpatient providers, Pitt Memorial Hospital (Vident), Department of Corrections, and other referral agencies across the state. Through out the fiscal year, we have received referrals from 30 counties. n We received 417 referrals from numerous sources this year with a total of 159 admissions. During the last quarter of this fiscal year, we have tracked completion percentages as well as overall length of stay in the program. HARRTS overall completion rate for the 4th quarter of fiscal year 2011-2012 was 66%, or 24 of 36 individuals (56.9% for the fiscal year). For that population, the average length of stay was 95 days. For the clients that did not complete the program, the average across the quarter 13 was 35 days length of stay. Coastal Horizons Center provided 12,628 hours of services across the year including SAIOP, intake, counseling, psychiatric, and residential services. We continue to track graduates from the program through recovery houses, ongoing treatment services, and direct contact with graduates. To date, 9 clients serviced over the last 2 years are full time recovery house staff. Brunswick County... Services & Accomplishments: n Substance Abuse Intensive Outpatient Program (SAIOP) has two sections - with one section focused on co-occurring disorders; n An Office Based Suboxone Treatment Program for opioid dependent clients; n Outpatient therapy – individual and group - to treat both mental health and addictive disorders; n Adolescent programming included contractual services with the Department of Juvenile Justice and Delinquency Prevention to operate the Life Skills Coaching Program for 25 youth, and later to operate the new Coastal Challenges Program offering assessment and counseling for adolescents at the office of Brunswick County Juvenile Probation, and to initiate them into our “7 Challenges” groups; n Classes offered included Anger Management, Recovery 101, Parenting, and a group called Life Launch. Life Launch is supported by a grant from the Good Shepherd Foundation, for the second year, and is a wellness program targeting individuals new in recovery, and assisting them in discovering positive life directions, and in uncovering hidden strengths; n The full array of DWI services are available assessments, ADETS classes, and all levels of treatment; n Staff participates in the Brunswick County Drug Court, Mental Health Court and Alcohol Intervention Court staff meetings, and are actively involved in providing treatment services to these clients; n We are paneled with two Employee Assistance Programs. CIGNA EAP is the program offered to County employees, Lowes Foods, and employees n n n n n n n of Verizon. Novant EAP covers employees of Brunswick Community Hospital, and medical office affiliates; We participate, along with Prevention services, as a member of the Alcohol Fatality Grant committee to bring Alcohol / DWI education to the community; We engage interns from UNCW, Capella, and Webster University; We are paneled with Medicaid, Medicare, Tricare, Blue Cross, and CIGNA and Medcost; We were supported by grants from Department of Juvenile Justice, Good Shepherd and Brunswick County. Our Multipurpose Room has served as the site for several community events, including several meetings of the Chiefs of Police of Brunswick County, a Zumba-thon , the annual Chamber of Commerce luncheon, and twice weekly NA meetings; The lobby and waiting area has been modified to be more child friendly with the addition of a TV, children’s movies, and toys; and, Art and books for the lobby were purchased with a donation from the children at Virginia Williamson Elementary School and Evelyn Smith Wray Village School. Brunswick County services continue to grow as we utilize our 7,000 sq. ft. outpatient treatment facility in Shallotte – we served 550 active clients (an increase of 220%), and served 703 unique clients (140% increase) this past year. Outpatient Treatment Clinic – Treatment of Clients by County 2011-2012 Brunswick (341) 23.3% Pender (466) 32.0% New Hanover (652) 44.7% Pender County… Pender County services have been operated by Coastal Horizons Center for 6 full years! Pender Services & Accomplishments n In Pender County there are over 500 active clients who receive treatment for mental health and/or substance use disorders. We continue to provide individual, group, family and couples counseling for all ages, a women’s support group, an adolescent substance use disorder group specializing in the evidence-based Seven Challenges, and two (2) dual diagnosis groups. n We continue to provide Recovery 101 and Anger Management classes to the community. n We continue to provide DWI services including Assessments, Short Term and Long Term Treatment, making several groups available per week. n We provide the community with walk in crisis counseling, court assessments and drug screens. n We provide an ongoing adolescent anger and behavior management program entitled “Solving Conflicts” for youth referred by the Department of Juvenile Justice. n We provide Hospital Discharge appointments for consumers leaving hospital placements and assist them in obtaining continued medications, treatment and referrals. n We continue to offer internships and practicums to graduate and undergraduate students of various disciplines and colleges, ensuring quality supervision and a variety of experiences/training. • We assist consumers in connecting to housing, food, transportation, and employment services. • We continue to participate in the Pender Community - coordinating with other agencies to assess the needs of the community and provide for these needs. 14 Substance Abuse and Mental Health Services (continued) Health & Integrated Care We continue to work with individuals who are already in n This year ACES (AIDS Care and Educational Services, Inc.) was officially dissolved and all services have transitioned to Partners In Caring treatment – in our Tri-County area. Our focus has (Duke University Medical Center- Pastoral been on individuals at high risk for HIV/AIDS and Services). Partners In Caring will now provide communicable diseases, and to provide free HIV regional coordination for the distribution of related testing and counseling services. federal funds made via Part B of the Ryan White HIV Early Intervention services include: n Medical Diagnostic Testing and Counseling for Act. n Our HIV Early Intervention program was HIV, TB, and Syphilis recognized this year with an Excellence Award, n Risk Reduction Counseling and Education along with our Prevention services, from the NC n Referrals for other medical services Council of Community Programs. n Early Intervention HIV support group n Regional testing and counseling in various other SA treatment centers located in eastern North Primary Care Clinic: n With funding from the Kate B Reynolds Charitable Trust, we have continued our medical Carolina. home services via our Primary Care Clinic to Accomplishments: address the physical health needs of our clients. n We have reached 579 individuals in the Tri- This is often referred to as “integrated care”, County area with HIV testing along with pre and and since we have a Nurse Practitioner providing post test counseling. Also, we have reached these services at our treatment location, this is 440 individuals through our regional testing also sometimes referred to as “reverse co- which totals 1,019 individuals reached this year. location.” Some of the highlights from our Our HIV Early Intervention support group continues to meet weekly and has grown with second year include: n 347 patients were seen throughout the several referrals from local case managers and year, with the majority of issues being with the help of group members that reach out hypertension, diabetes, and hyperlipidemia to people they know who are also affected by the HIV virus. We also continue to assist our (elevated cholesterol). n 160 flu vaccines were administered over a group participants with accessing various HIV/ 4-day flu clinic period – most of the patients AIDS workshops, trainings, community events, had never before received a flu vaccine. etc. n We continue to use the OraQuick Rapid HIV Antibody Test. n This year an OraQuick Rapid HCV (Hepatitis C) Antibody Test was CLIA waived and we hope to offer rapid Hepatitis C testing in the near future. 15 Prevention and Outdoor Adventure Best Practice Strategies and Programs Proven Effective n 2% of students chose Other Options (noncompliance, own provider network, etc.) Prevention Services provide a wide range of age appropriate, culturally relevant, and research-based programs and strategies designed to promote healthy choices and prevent problems associated with alcohol, tobacco, and other drug use. There are six types of service: 1) information, 2) education, 3) alternatives, 4) problem identification and referral, 5) community based processes, and 6) environmental changes. Adults n 75 families were served with Parent Skill Building Programs such as Strengthening Families, Guiding Good Choices or Staying Connected with Your Teen. There are five “best practice” steps to providing services: 1) needs assessment, 2) capacity development, 3) planning, 4) implementation, and 5) evaluation. Outdoor Adventure programs offer an opportunity for participants to experience a dynamic learning environment that reinforces communication, trust, teamwork, and decision-making skills. Best practice models and industry standards are followed for these programs. Accomplishments: Prevention Best Practice Programs Youth n 114 youth were served with Protecting You, Protecting Me (3rd grade Skill Building Program) or I’m Special (4th grade Skill Building Program). n 27 youth were served with Project Venture (Year Long Skill Building Program for Middle School Youth). nOver 398 youth were served at the Juvenile Detention Center through assessments or during education and skill-building sessions. n 119 students were referred from New Hanover, Pender, and Brunswick County Schools through the School Policy Violation Program; youth referred for Prevention Services receive Toward No Drug Abuse (TND). n 41% of students received Prevention Services n 57% of students were referred for Additional Services or Treatment Prevention Best Practice Strategies Environmental and Policy Change: Changes to laws, norms, policies, and practices help communities address the root causes of problems such as teen tobacco use, underage drinking, impaired driving, and other drug use. n Staff worked with the Cape Fear Coalition for a Drug Free Tomorrow to identify youth access to alcohol challenges and survey area merchants using Alcohol Purchase Surveys to determine the rate of merchant compliance with Pre-Purchase Identification Checks (ID Checks); after surveying 161 stores, 89% of stores were compliant with the law (a 25% increase in compliance from last year) and 11% of stores surveyed were non-compliant; compliant merchants were thanked for their efforts to reduce youth access to alcohol; Coalition members and staff will continue to work with non-compliant stores to improve compliance rates. n A Safe Homes Pledge Campaign is underway in partnership with the Cape Fear Coalition for a Drug Free Tomorrow; to date 91 homes have signed the Safe Homes Pledge stating alcohol will not be provided to minors in their home. n A campaign is underway with the Coalition to prevent youth prescription drug abuse; to date approximately 31 home medication lock boxes have been distributed to help prevent access to prescription medications in the home. n The staff partnered with the Coalition and UNCW to host SAMHA’s Town Hall Meeting on Underage Drinking. 16 How Prevention Makes a Difference in our Community Brunswick County Community Coalition Building Community Awareness I’m Special No Fumo Tobacco Prevention Outdoor Adventure Programs Reach Out Now (Underage Alcohol Prevention) State Incentive Grant (Impaired Driving Initiative) Staying Connected with Your Teen Toward No Tobacco Use TRU Tobacco Prevention Prevention and Outdoor Adventure (continued) Community Awareness Campaigns: nOver 350 people attended the Recovery Month Celebration Awareness Event with music, food and family friendly fun; consumers and community partners were involved in the planning and implementation of the event. A Jazz Music Fund Raiser helped cover the cost of the event. n Over 2,500 youth attended Alcohol, Tobacco and Other Drug (ATOD) presentations or programs. nOver 500 people attended local Health Fair Events where ATOD information and resources were distributed. nOver 1,000 residents within Pender, New Hanover and Brunswick Counties were surveyed on attitudes toward tobacco product use and smoke free facilities; results were shared with key stakeholders and policy makers. nOver 2,000 youth were served within Pender, Brunswick and New Hanover during the Great American Smoke Out. nOver 50 youth were served during the Kick Butts Out of the Park event celebrating the benefits of living tobacco free. Outdoor Adventure Best Practices and Programs n 852 participants were served through Outdoor Adventure Programs including: n 62 youth were served in after-school Teambuilding Programs in Brunswick, Pender, and New Hanover Counties. n 16 young adults were served through Youth Build sessions with the Wilmington Housing Authority. Counties Served Beaufort, Bertie, Brunswick, Camden, Carteret, Chowan, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Green, Halifax, Hertford, Hyde, Jones, Lenoir, Martin, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Sampson, Tyrell, Washington, Wayne and Wilson Pender County Community Coalition Building Community Awareness Guiding Good Choices I’m Special Outdoor Adventure Programs Project Venture Protecting You, Protecting Me Reach Out Now (Underage Alcohol Prevention) Staying Connected with Your Teen n 36 youth were served in Program Elements through a partnership with the New Hanover County Sheriff’s Department. Capacity Building and Technical Assistance in the Region: n Staff from the North Carolina Centers for Prevention Resources (CPR) were trained in the evidence based curriculum Team Awareness to address workplace wellness and substance abuse prevention in a corporate, non-profit and organizational setting. The stress management module has been implemented in several locations including Coastal Horizons Center. n In conjunction with the NC Centers for Prevention Resources, 12 e-newsletters were disseminated throughout the state that provided state news, trainings, resources and opportunities. n Staff from the Eastern Center for Prevention Resources (CPR) presented at the North Carolina Foundation for Alcohol and Drug Studies (NCFADS) Summer School, Addiction Professionals of North Carolina (APNC) Fall Conference and State of the Art Conference. n In conjunction with the NC Centers for Prevention Resources, the Eastern CPR hosted training portals for 14 free webinars that qualified for substance abuse professional credit. n Staff from the Eastern Center for Prevention Resources (CPR) provided National Prevention Week and Above the Influence Toolkits to over 100 people and digital media reach included more than 500. Strategies Utilized Community Environmental Scans to assess factors contributing to the problem Community Mobilization, Training and Empowerment Policy Advocacy Work to change laws, policies, or social norms and practices Support for Law Enforcement of existing policies or laws Community Awareness Campaigns Market Tested Media Campaigns through billboards, newspaper, theater slides, and a variety of print Pender County (continued) Toward No Drug Abuse TRU Tobacco Prevention New Hanover County Alcohol Purchase Surveys Community Coalition Building Community Awareness Guiding Good Choices I’m Special No Fumo Tobacco Prevention Outdoor Adventure Programs Program Elements Reach Out Now (Underage Alcohol Prevention) Staying Connected with Your Teen Toward No Drug Abuse n The NC Centers for Prevention Resources and VISTA VetCorps Volunteer collaborated with the NC National Guard on substance abuse prevention and wellness initiatives. Statewide Leadership: n NC Substance Abuse Prevention Providers Association (NCSAPPA) Board of Directors, Secretary/Communications Officer; Executive Committee; Policy and Advocacy Committee; Quality Assurance and Standards Committee; Workforce Development Committee. n Addiction Professionals of NC (APNC), Prevention/Education/Intervention Committee Chair and Medication Assisted Treatments Ad Hoc Committee Chair. n NC Substance Abuse Federation representing the NC Centers for Prevention Resources. n NC Cooperative Agreement Advisory Board (CAAB). n NC State Epidemiological Workgroup (SEW). n NC Sustainability Leadership Team. n NC Partnerships, Alliances, Coalitions, and Collaboratives (PACC) Coordinating Committee. n NC Association for the Treatment of Opioid Dependence (NCATOD) Chair. n American Association for the Treatment of Opioid Dependence (AATOD) Board member. New Prevention Initiatives: n Working to improve cultural competence and access to services for veterans and military families through VISTA VetCorps and the NC Center for Prevention Resources. n Implementing an evidence-based Workplace Wellness model to address substance abuse prevention and wellness in a corporate, nonprofit and organizational setting. 17 Medical Services and Corporate Compliance Performance Improvement Teams addressed the following issues during the year: n Initiation and Engagement of outpatient mental The Consumer Satisfaction Survey for 2011-2012 from all three locations had the following collective responses: health and substance abuse consumers to Of Outpatient Substance Abuse & Mental Health achieve State required benchmarks; Treatment consumers surveyed: n Enhancements to laboratory drug testing results of outpatient substance abuse consumers for greater sensitivity of alcohol detection; n Policy and Procedure revisions addressing consumer admissions, medication management and criteria for discharge as the agency realized a greater number of consumers being referred for mental health related issues. n 92% indicated that “employees are sensitive to my ethnic/cultural background”, n91% indicated that “I have felt comfortable asking questions about my treatment”, n 92% indicated that “I feel safe in and around this agency when I arrive or leave”, n 92% indicated they “would recommend this agency to a friend or family member”, n The provision of more psychiatric service hours; n Skill-building for clinical staff in the areas of n 97% indicated that “I am making progress with recovery”, n 89% indicated that “I am able to get the kind of Person Centered Planning; n Trends pertaining to agency incidents reported services that I need”, n 90% indicated that “I am able to talk to my to the State system; n To develop greater separation of duties with data management and billing as outlined by the annual audit. counselor when I need help”, and n 87% indicated that “Staff are responsive to my needs and concerns”. n Measures taken to increase consistent attendance of consumers participating in Substance Abuse Intensive Outpatient Treatment; and n Migration to an improved electronic medical records and billing system. Eric Luttmer Vice President, Medical Services & Corporate Compliance 2011-2012 Outcomes & Progress Substance Abuse Treatment 80 50 40 2011-2012 Outcomes & Progress Mental Health Treatment Rest of NC Coastal Horizons Center 70 Rest of North Carolina Coastal Horizons Center 60 30 50 20 40 10 0 30 Employment During Treatment Family Relationship Improvement Mental Health Symptoms Improvement Physical Health Improvement Suicidal Thoughts 20 Employment Family Mental Health During Relationship Symptoms Treatment Improvement Improvement No Alcohol Use Reported No Drug Use Reported Physical Health Improvement 18 Crisis Intervention Services Hotline Services: Crisis Line Hotline Many situations leave individuals, couples and families feeling Crisis Line Hotline 2011-2012 Presenting Issues overwhelmed, confused and hurting. Coastal Family Issues 6% Sexual Assault/ Shelter for Youth Abuse 5% 5% Drugs Involved 5% Interpersonal Financial Issues Issues 6% 9% Phone Number Assistance 6% Depression & Psychiatric Issues 10% Frequent Callers 23% Domestic Violence 25% Horizon Center’s Crisis Line Hotline is available to assist people during this time of bewilderment, 24-hours a day, 7 days a week. Trained hotline counselors assist Cape Fear neighbors struggling with depression, suicidal thoughts, homelessness, emotional distress, PTSD, sexuality, relationship concerns, family conflict, child abuse, sexual and domestic violence, parenting challenges, and alcohol, prescription and other substance Program Affiliations: Crisis Line Hotline staff and volunteers maintain active membership in, and the primary community contact for: n American Association on Suicidology n National Lifeline Suicide Prevention Hotline n Interagency Council of New Hanover County n Tri-County Homeless Interagency Council n Cape Fear & Brunswick County Volunteer Centers n Brunswick Resource Coalition n North Carolina 2-1-1 use concerns. Information and referrals are also Fiscal Year 2011-2012 Achievements: provided to facilitate linkages with available, needed n Hotline Services maintain after-hours crisis resources. Trained crisis hotline specialists and intervention support and on-call dispatch community volunteers maintain Hotline Services, services for Domestic Violence Shelter and available for the Brunswick, New Hanover and Services, Families First, Inc., Coastal Horizons’ Pender county region, and beyond, in cooperation Mental Health and Substance Use programs’ with additional funding support provided first responder duties for Brunswick, New through Cape Fear Memorial Foundation, City of Hanover and Pender facilities, as well as for Wilmington, New Hanover County, and United Way Rape Crisis Center – New Hanover & Brunswick Counties. of the Cape Fear Area. Program Operations In Fiscal Year 2011-2012: n In partnership with United Way of the Cape Fear Area, Hotline Services serves as primary database manager for NC 2-1-1 human services agencies n Crisis Line Hotline assisted 4,527 individual and/ and programs serving in Brunswick, Columbus, or households requesting crisis counseling, or New Hanover, and Pender counties. NC 2-1-1 is information and referral services. part of the national and statewide United Way n 30% (1,223) of hotline callers were provided 20 initiative to create a streamlined, easy-to-access, minutes or more crisis intervention counseling, up-to-date mechanism for quality information & suicide intervention/prevention, or crisis de- referral services. The local four-county NC 2-1-1 escalation, and assessment to determine caller’s service area netted 3,078 calls to the state’s priority needs. 2-1-1 Call Center for access to agency n 15% (615) of hotline callers were provided information and linkages to available services. direct community service linkages for follow-up services. n Hotline staff and volunteers provided over 1,300 hours of free crisis intervention counseling and information and referral linkages. Amy L. Feath Director, Crisis Intervention Services 19 Crisis Intervention Services Rape Crisis Center – New Hanover & Brunswick The Rape Crisis Center (RCC) of Coastal Horizons Center continues to provide free and confidential, 24-hour crisis response to rape victims in need at the hospital, and work with those victims from the moment they present in the hospital all the way to the courtroom and beyond. While working with victims and loved ones who have experienced the devastating effects of sexual assault, the Rape Crisis Center staff assist victims to seek necessary resources, link to appropriate agencies, and provide support and advocacy with court officials and law enforcement. The groups offered at the Rape Crisis Center have been expanded for survivors of sexual abuse, children, teens, and parents of survivors. Specialized groups include, but are not limited to, addressing trauma-related nightmares, substance use and co-occurring sexual assault, and alternative healing groups. As always, all the services and groups remain free to victims. Rape Crisis Center continues to depend on dedicated community volunteers to ensure that hospital response is available 24/7/365. In 2011-2012 fiscal year, dedicated volunteers and interns provided over 9,300 hours of on-call coverage. The Rape Crisis Center of Coastal Horizons Center continues to grow and reach out to its community. Due to the Rape Crisis Center’s growth, services have been expanded to specialized populations, including: individuals with disabilities, the Hispanic population, and those with co-occurring sexual trauma and substance use disorder. This expansion allows for even more thorough and effective counseling, advocacy methods and outreach efforts with community partners such as The disAbility Resource Center, Voces Latinas, local area “Walk and Talks” in predominantly Hispanic neighborhoods, as well as the Wilmington Treatment Center. In addition, staff provided clinically competent services to 178 patients in collaboration with the Wilmington Treatment Center. Rape Crisis Center, through a Governor’s Crime Commission Grant, will expand already existing therapy services for survivors of sexual violence, for short-term therapy services, with the addition of a new clinician. With such high demand for mental health services to address sexual trauma, RCC is proud to be able to provide specialized therapy services to meet the needs of the community. Lastly, Rape Crisis Center has begun working with community partners to develop protocols for serving victims of human trafficking rescued in the area. The RCC advocates active on this committee are sought out by local and state partners, including UNCW and the North Carolina Coalition Against Sexual Assault, to provide trainings and information on the growing concern of human trafficking. Rape Crisis Center prides itself on the competent and passionate staff who serve the victims of sexual violence in both New Hanover and Brunswick counties. Rape Crisis Center remains the only victim services agency in Coastal, Southeastern North Carolina comprised of direct services staff certified as Victim Services Practitioners through the NC Victim Assistance Network, and has 3 clinicians on staff. In order to increase the ability of staff to successfully service victims and remain the experts on sexual violence, Rape Crisis Center staff participated in 172 professional development trainings. A Rape Crisis Center advocate also serves on the North Carolina Coalition Against Sexual Assault Board, serving as a representative for programs located with in our region and as Co-Chair for the Legislative Committee, allowing Rape Crisis Center to provide valuable input on services and key legislative issues for programs across NC. Another component of the Rape Crisis Center is Primary Prevention Education, in all Pender County high schools and 5 middle schools in New Hanover County. The goal of primary prevention is to prevent sexual violence before it occurs, while educating teens on healthy, safe relationships. The prevention team works to impart the prevention education initiative through evidenced-based curriculums, to ensure the proper methods of education. The Prevention Education Team at the Rape Crisis Center remains a leader in the Cape Fear area due to effective education initiatives and community-based efforts. Rape Crisis Center’s services are made possible through the support of the NC Governor’s Crime Commission, the NC Council for Women/Domestic Violence Commission, the NC Coalition Against Sexual Assault, United Way, Z. Smith Reynolds Foundation, the NC Department of Health and Human Services – Injury and Violence Prevention Branch, the City of Wilmington, New Hanover County, Brunswick County, and generous financial and in-kind donors and volunteers from the Brunswick, New Hanover and Pender communities. New Hanover – Program Operations in Fiscal Year 2011-2012: n 357 new sexual violence victims/survivors sought Rape Crisis Center services n 67 family members, friends and/or loved ones of victims received services n 65 or 19% of new victims served were under the age of 18 n 15% of new victims served were male, which is a 2% increase from FY 10-11 n 18 Latina/Hispanic victims were served through collaborations with Clinica Latina and the addition of a bi-lingual advocate/counselor nOver 1,900 hours of clinically competent services were provided to community victims/survivors n Rape Crisis Center staff or trained volunteers responded to 69 victims at local hospitals to provide information, advocacy and support. 79% of these victims reported the crime to law enforcement “RCC and my counselor have brought me back to life and helped me through the numbness.” Rape Crisis Center New Hanover & Brunswick Counties Client Age Breakdown 2011-2012 41-60 Years 17% 61+ Years 1% 0-17 Years 23% 26-40 Years 29% 18-25 Years 30% 20 Rape Crisis Center (continued) Program Affiliations: n Community Child Protection Team – New Hanover and Pender Counties n Community Crisis Response Team n New Hanover Sexual Assault Response Team n Cape Fear Human Trafficking Response Team n UNCW Relationship Violence and Sexual Assault Response Team n Domestic Violence Advocacy Council n National and NC Association of Social Workers n NC Coalition Against Sexual Assault n NC Victims’ Assistance Network n New Hanover High School Student Support Team n New Hanover County Child Watch n New Hanover Community Sexual Violence Prevention Task Force n Blue Ribbon Commission Violence Prevention Committee n Leading Into New Communities (LINC) Roundtable n Partnership for Fatherhood Committee n Community Crisis Collaborative n United Way Health Vision Council n Voces Latinas n YWCA Women of Achievement Committee n Mayor’s Committee for Persons with Disabilities New Hanover Fiscal Year 2011-2012 Achievements: n The Sexual Assault Response Team, facilitated by the Rape Crisis Center, created a new client satisfaction survey which will be provided to survivors of sexual violence from each agency affiliated with SART, such as local law enforcement, the District Attorney’s Office and The Carousel Center, to better ensure high quality and competent victim care throughout the prosecution process. SART also successfully renewed all sexual assault response protocols for New Hanover County. n Rape Crisis Center provided 29 training sessions for professionals in victim response, reaching 566 future members of law enforcement and current social services/mental health providers. nOver 3,000 youth and adults received sexual violence awareness programming in cooperation with: New Hanover High School, Ashley High School, Noble Middle School, Pender County Schools, the WIRE Community Center, Dreams of Wilmington, the Salvation Army, Good n n n n n Shepherd Center, PORT Human Services, Department of Social Services – New Hanover and Brunswick Counties, and the New Hanover County Sherriff’s Department. An estimated 3,070 additional community members received information about our services at area health fairs. Rape Crisis Center is dedicated to providing services to underserved populations populations at increased risk of sexual violence - who are often not able to access services, due to their circumstances. These victim outreach efforts include: programming for clients at Salvation Army Homeless Shelter, NHRMC Behavioral Health Center, Cape Fear Community College, PORT Human Services and Coastal Horizons Center – Intensive Outpatient groups, and Wilmington Treatment Center. Rape Crisis Center assisted New Hanover Regional Medical Center in seeking grant funding to recruit and train new Sexual Assault Nurse Examiner (SANE) nurses in an effort to increase the number of SANE nurses in New Hanover County. Awarded by the Governor’s Crime Commission, the grant provides colposcopes to improve the quality of the pelvic examinations during the sexual assault forensic examination completed in the emergency departments. In 2011-2012, Rape Crisis Center offered 82 support groups to adult, child and adolescent survivors of sexual violence, with a total of 262 survivors attending. RCC participated in the annual production of the “Vagina Monologues” this year to celebrate V-DAY 2012 in February, sponsored by the UNCW Women’s Studies and Resource Center. For the first time, Rape Crisis Center was the sole beneficiary of all proceeds made from the 2012 production which was co-directed by Jessica Green – RCC Underserved Advocate. In addition, Katie Bennett – RCC Rape Prevention Educator and Lauren Slusher – RCC Counselor/ Advocate were among the Monologues cast. The Rape Crisis Center received $4,547 from this annual fundraiser – a huge success! The Annual Rock Against Rape (RAR) was held at Capt’n Bills Backyard Grill in April. It was a great awareness event, celebrating the 10th anniversary of one of RCC’s most entertaining fundraisers! Special thanks to all local supporters and everyone who made RAR 12 possible musical performers (Blivet, Stairwell, Shine, Velvet Jane, The Mishaps and The Devil’s Dove) and collaborating partners: Sandy and Joy of N. Kerr Spalon; Staff of Port City Sports Performance; Emerging Leaders – United Way; Weatherwood Music; and the staff of Capt’n Bills Backyard Grill. n To advertise and promote Rape Crisis Center fundraising and awareness events, Rape Crisis Center created a website, www.supportrcc. org, where the community can learn about upcoming fundraising and awareness events, RCC services and staff, volunteer opportunities, and make a direct contribution. The website is in both English and Spanish. n Other Sexual Assault Awareness Month activities in April included: Proclamations by both the New Hanover County Commissioners and the Wilmington City Council; Teal Tuesdays at UNCW, featuring teal hair extensions and information about sexual violence; the 5th Annual Teal Ribbon Mailing; UNCW “Pillow Talk” program provided by the UNCW CARE office; “A Call to Coaches” program at UNCW co-sponsored by Domestic Violence Shelter and Services and Rape Crisis Center; Jeans for Justice; and a Media Forum hosted by Rape Crisis Center Rape Prevention Education staff. Special thanks also goes to Imago Hair Salon, Moe’s Southwest Grill, The Fuzzy Peach, the Cape Fear Rollergirls for their continued support and generous donations to the Rape Crisis Center. Brunswick – Program Operations in Fiscal Year 2011-2012: n 108 new primary victims of sexual violence, which is a 39% increase from the last fiscal year. n 57 family members, friends, and/or significant others of victims who sought services. n An average of 16 continuing victims/survivors utilized Rape Crisis Center services per month. n 28 hospital crisis interventions were provide with 86% of victims filing a preliminary law enforcement report after the assault. n 39% of new victims served were under the age of 18. 21 Rape Crisis Center 2011-2012 Relationship of Victim to Offender Stranger 8% Other/Not Disclosed 21% Family Member 29% Intimate Partner 6% Program Affiliations: n Community Child Protection Team-Brunswick County n Brunswick County Sexual Assault Response Team n Elder Abuse Prevention Network n Cape Fear Rapid Response Team n NC Victim’s Assistance Network n North Carolina Coalition Against Sexual Assault Brunswick Fiscal Year 2011-2012 Achievements: n The Rape Crisis Center Brunswick of Coastal Horizons Center, Inc. (RCCB) operated with 3 full time employees, and provided 449 hours of clinically-competent, individual and group services for victims of rape and/or sexual assault/ abuse and their loved ones. n RCCB also presented 41 rape and sexual assault awareness and education programs to 1,945 Brunswick County residents and community professionals including Brunswick Community College, Smart Start providers, Guardian Ad Litems and Therapeutic Foster Parents. n April 2012 was Sexual Assault Activism Month (S.A.A.M.) and RCCB asked Brunswick County residents to be active in the fight to end sexual assault in the community. The 3rd annual Jeans for Justice campaign raised over $1,200 during April. Rape Crisis Center Brunswick would like to thank Dosher Memorial Hospital, Brunswick County Department of Social Services, Coastal Internal Medicine, and both the New Hanover and Brunswick County District Attorney’s Office for making the campaign a success. RCCB also hosted its first ever Zumba®-Thon as part of S.A.A.M. The event raised over $300 and was a fun way to raise awareness of such an important community issue. n The Brunswick County Sexual Assault Response Team (SART), co-chaired by a RCC advocate, obtained dedicated office space in the District Attorney’s Office located in the Brunswick County Courthouse in Bolivia. This space will be utilized by RCCB and other SART members who are working with victims of sexual violence involved in the criminal justice process. This will allow further collaboration between RCCB and the District Attorney’s Office and provide RCCB Advocates the opportunity to provide services to adult and child survivors who may not have otherwise accessed support during the criminal justice process. n The Brunswick County Sexual Assault Response Team awarded Detective Kristy Cox of Oak Island Police Department as SART Detective of the year. n RCCB has coordinated with SART, Brunswick Community College and Leland Police Department to bring the North Carolina Justice Academy to Brunswick Community College in September 2012, to facilitate an “Introduction to Sex Crimes Investigation” training for local law enforcement. This training is an exciting opportunity for Brunswick County law enforcement to enhance their skills in investigating crimes involving victims of rape and/or sexual assault/abuse. In addition to allowing law enforcement officers to gain valuable experience, this training will increase collaborative efforts between RCCB and local law enforcement. Rape Prevention 2011-2012 Achievements: n The Rape Prevention Education Program is excited to announce their partnership with University of North Carolina Wilmington’s Health Education Department and New Hanover County Schools in implementing a peer education program using an enhanced version of Safe Dates, a healthy relationship and sexual assault prevention curriculum. This initiative focuses on students improving healthy relationships, conflict resolution skills, and recognizing and challenging the effects of gender stereotyping. It is proven to reduce the risk of sexual violence victimization and perpetration. Over 800 New Hanover County 8th graders benefited from the UNCW mentor facilitated program. n The Rape Prevention Education team continues to collaborate with key community partners on outreach and community awareness as a part of the Sexual Violence Prevention Task Force. The Task Force held a Media Forum on April 27th to discuss the impact that all types of media have on sexual violence prevention. Several community members and members of Star News and WHQR media outlets participated in the forum and are eager to continue these efforts throughout the next year. Acquaintance 36% n Through continued collaboration with Pender County Schools, the Rape Prevention Education team of the Rape Crisis Center continued facilitation of Safe Dates to all Pender County High School’s 9th grade classes. This project assisted in fulfilling a portion of the Healthy Schools/Safe Students Federal Grant Initiative. Over 650 Pender County 9th graders received the 9 session evidence based curriculum focusing on improving healthy relationships, conflict resolution skills, and recognizing the challenging effects of the media and gender stereotyping. All the students participated in a poster contest focused on healthy relationships. Winners of the contest had their artwork posted in the Pender County District Attorney’s Office and Honorable Mentions were posted in the Pender County library. n The Rape Prevention Education team is excited to present the updated curriculum Our Voice, a young men’s mentoring program. The pilot of this program took place in the summer of 2011 at Lake Forest Academy and included a PSA recorded by the students that aired on the New Hanover County Government Channel. Facilitator trainings will be held for future Our Voice Programs throughout the year. nOver 300 men, women, and children put on their high heeled shoes again this year and took to the streets of downtown Wilmington to protest sexual assault and gender violence for the 4th annual “Walk a Mile in Her Shoes” Men’s March. The theme for the 2011 event was “Are you man enough?” in order to challenge the idea of hyper-masculinity that is often present in the media. This year’s event raised over $7,000, with all proceeds benefiting the Rape Crisis Center Prevention programs throughout New Hanover, Brunswick, and Pender Counties. This annual awareness event/ fundraiser continues to successfully show the community that men are involved in the rape prevention movement. n The ever expanding Rape Prevention Education learned it was selected for the 2012-2014 cycle of the Rape Prevention Education grant. As a result of this grant, the RPE team will be developing a new curriculum working with providers and parents of Individuals with Disabilities in order to prevent sexual violence within this population. 22 Crisis Intervention Services Open House Emergency Youth Shelter Open House Youth Shelter is a 9-bed coed facility focused on Program Operations In Fiscal Year 2011-2012: Fiscal Year 2011-2012 Achievements: n Open House provided 2,341 days of shelter n Open House was the recipient of Corning’s 2011 improving male and female youth (ages 6 to 18 service, for 78 unduplicated youth between the Operation Christmas fund. The money raised by years of age) safety, well being, personal growth ages of 6 and 18. Corning’s generous employees and their families and self sufficiency. We provide a positive peer community and encourage youth’s personal growth n 50% of youth served were female; 50% were male. was matched by Ashley Furniture Homestore to purchase a new living room set for the shelter’s through skill building and counseling, providing n The average length of shelter stay was 30 days. common area. Ashley Furniture Homestore for basic food, clothing and shelter needs, as well n 16 of the 78 youth served were considered graciously donated the delivery of the furniture as long-term residential services. Open House Long-Term Foster Care youth, and 5 of those accepts referrals from the Departments of Social youth stayed at Open House for a period of 90 Services, law enforcement, Juvenile Justice, school days or more. officials, other youth serving professionals, as well as through self- and parent/legal guardian referrals. Open House is licensed, every two years, through n 57 of the 78 youth served were reunified with their families upon discharge. n Based on self-report, 93% of youth discharged from the shelter remained in the same Emergency Foster Care placements for periods of placement 60 days post-discharge. obtained licensure for regular Foster Care services to allow the spectrum of assistance for families and youth in discord, from emergency, temporary and respite care, to longer term residential care services. Since then, Open House has seen a dramatic increase in the number of days of shelter service. Funding support through City of Wilmington, New Hanover County, U.S. Department of Health And Human Services – Family and Youth Service Bureau, Federal Emergency Management Assistance, foster care, and Child/Adolescent Crisis Respite reimbursements all support shelter services. room walls. n In June, Corning volunteers also gave the facility the North Carolina Division of Social Services for up to 90 days. Additionally in 2011, Open House in addition to some fresh artwork for the living an “Extreme Makeover” which included a fresh coat of paint in all of the living areas. Youth and Corning volunteers worked side by side to construct and paint new bookshelves, and to select colors for the walls of their rooms. n In order to make the stay at Open House Program Affiliations: Open House Residential Team maintains active memberships and participation on: n New Hanover County Community Child Protection Team n North Carolina Child Fatality Review Team n New Hanover County Child Abuse Prevention Coalition n National Runaway Switchboard n FEMA Emergency Food and Shelter Local Board n Tri-County Homeless Interagency Council n WIRE Center for youth Emergency Youth Shelter a bit more like home, residential staff works tirelessly to identify and obtain various donations from community members, including new flat screen TVs for the shelter living room, and new basketball goal for the backyard. n Open House has been adopted by local Girl Scout Troop 426, lead by Sandy Crumrine. The enthusiastic young scouts have earned several badges while cooking and making holiday decorations with the youth. In April, the troop installed a small raised-bed vegetable garden n Youth Action Coalition in the backyard. Progressive Gardens donated the supplies, and the know how. Open House Open House Emergency Youth Shelter 2011-2012 Youth Age Breakdown Open House Emergency Youth Shelter 2011-2012 Counseling Services youth have enjoyed fresh tomatoes, peppers, cucumbers, and basil right from the garden, and have learned a new appreciation for gardening. 6-12 years 18% 17 years & up 20% Clinical – Group Counseling Clinical – Family 13% Counseling 10% Informal Family Counseling 8% Informal Group Counseling 14% n Since the beginning of 2012, Open House has hosted four Secret Chef Events in which a local celebrity chef cooks a delicious meal for the youth on a day that is unannounced. The ingredients available are a surprise to the celebrity chef, and the specific time and day 13-16 years 62% Clinical – Individual Counseling 33% Informal Individual Counseling 22% are a surprise to the youth and shelter staffthat’s why we call it “Secret Chef”! The result 23 is that the youth learn how to make tasty and Baptist Church, Athena Bryson, the Carolina nutritious meals with little preparation and on a Beach Veggie Wagon, Chili’s, Cottle Organic Tip budget! So far, the youth have enjoyed cooking Top Farms, Great Harvest Bread Co., and Pat with Steve Schnitzler, CEO of Port City Java, Susan Jalbert, founder and owner of Chow Bella Chefs, and Susan Jones, self-proclaimed “foodie”. n A weekly Teen Empowerment and Education Bradshaw. n The Open House Emergency Youth Shelter is committed to educating the youth on fun and easy ways to avoid obesity. Thanks in-part to the Landfall Foundation, Open House has completed Group is facilitated by in-house Rape Crisis a 2nd year of our health and wellness program, Center staff and interns .Topics explored include “Apple-A-Day” which exposes and educates the self-esteem, long- and short-term goal setting, youth to a variety of healthy activities including: positive affirmations, and stress reduction yoga on the beach, weight lifting, laser tag, techniques. tai-chi in the park, swimming, ice-skating, karate n Substance Abuse Prevention Group and substance use assessment and treatment plans are facilitated through Coastal Horizons’ and basketball, and teaches them healthful wholesome meal planning and preparation. n Over a 12 month period, Open House Adolescent Substance Abuse and Prevention Emergency Youth Shelter provided over 839 services. Substance Abuse Prevention educator hours of health and wellness activities thanks from Coastal Horizons’s Prevention team leads in-part to the Wilmington YMCA who has a weekly group that encourages youth to stay drastically reduced the price of an annual drug-free and proposes alternative activities to membership for the 3nd year in a row. Another using. philanthropic contributor, Jenny McGaha, owner n New Hanover County Gang Task force partnered of the Body Aligned Pilates Studio, donated her with Open House to educate the staff about time and studio once a week to teach the youth how to identify and refer youth to their services the core-strengthening and stress-reducing art for prevention and intervention. In 2011, Gang Task Force and Open House youth participated “Since I’ve been here, I’ve been happier and my attitude has been more positive. Being here has made me peaceful. I really enjoyed myself.” “ Thank you for taking me in with open arms.” of Pilates. n Thanks to Open House Shelter’s Clinical in Program ELEMENTS, a youth empowerment Supervisor, Celine Adair, and two Masters Level program that challenges youth to overcome fear Clinical Interns, Open House was able to provide by scaling Coastal’s Outdoor Adventure high shelter youth and their families with a total of ropes course. 268 hours of free and confidential individual and included the Open House Emergency Youth family counseling in a 12month period. Shelter in monthly visits allowing shelter youth n In the stressed economy this past fiscal year, Open House Emergency Youth Shelter looked n Open House Emergency Youth Shelter has their club while they are living at Open House. n The Cameron Art Museum has also gratuitously to work along side of Master artist Hiroshi for every way to stretch their food budget to been developing ongoing collaborations with the limit to make sure growing teenagers have multiple community agencies to increase the sufficient nutritious food available. The Open youth’s exposure to the arts and humanities. House Shelter residential team would like to Throughout the school year; Dreams of donated a Wrightsville Beach parking pass, thank the following “food & meal benefactors” Wilmington joined the youth at the shelter allowing Open House to park at the beach for donating yummy, and often home-grown weekly to teach everything from sculpture, free of charge. This generous donation has and home-made, goodies for the youth: Pine weaving cloth and painting. Also, the Brigade helped Open House youth who must stay at the Valley Church of God, Nourish NC, Krazy Kones Boys & Girls Club has allowed for any and all shelter during the summer maintain as sense of of Carolina Beach, The Sojourners of Masonboro Open House youth to be honorary members of normalcy, as well as a tan! Sueyoshi in the clay studio, complete with an outdoor kiln and fully-equipped, on-site studio. n For the 2nd year in a row Lanier Parking 24 Contributors Funders/Grantors Brunswick County Brunswick County Criminal Justice Partnership Program (CJPP) Brunswick County Juvenile Crime Prevention Council (JCPC) Brunswick County Drug, DWI & Mental Health Treatment Courts Brunswick Community Foundation Cape Fear Memorial Foundation City of Wilmington CoastalCare Communities in Schools of Cape Fear CVS Caremark Dolphin After-School Enrichment Program East Carolina Behavioral Health Enforcing Underage Drinking Laws (EUDL) FEMA - Emergency Food & Shelter Program Good Shepherd Ministries iContact Kate B. Reynolds Charitable Trust Katherine Kennedy Home Landfall Foundation SAMHSA National Institute on Drug Abuse – Clinical Trials Network (NIDA-CTN) - via Duke University New Hanover County New Hanover County Department of Social Services New Hanover County Drug & DWI Treatment Courts NC Coalition Against Sexual Assault NC Council for Women/ Domestic Violence Commission NC Department of Public Health NC Department of Health & Human Services - Injury & Violence Prevention NC Department of Health & Human Services – SPF-SIG & Center for Prevention Resources NC Department of Health & Human Services SAPTBG / Block Grant NC Department of Health & Human Services – Juvenile Detention Center NC Governor’s Crime Commission New Hanover County Sheriff’s Office – Gang Task Force Pender County Schools Safe Schools/Healthy Students Office of Juvenile Justice & Delinquency Prevention (OJJDP) Pender County Juvenile Crime Prevention Council (JCPC) SAMHSA Center for Substance Abuse Prevention (CSAP) - Drug Free Communities United Way of the Cape Fear Area US Department of Health & Human Services Administration for Children & Families-Family & Youth Services Bureau US Department of Housing & Urban Development (HUD) Wells Fargo / Wachovia Foundation Z. Smith Reynolds Foundation Businesses/Individuals A Boxed Event A Second Time Around A Tent Event ABRA Auto Body & Glass Zac & Celine Adair Juanita Adams Virginia Adams, PhD Pat & Rainey Aderhold Jen Adler Tim Akins Oscar Alatorre Joan Alsbury American Property Experts Starr Anders Kami Anderson Karen Anderson Neil Anderson Beverly Andorfer Laura & Joseph Ankrah Arby’s Restaurant – Monkey Junction Shelia Armour Isis Arrieta-Dennis Trey Arrnet Sarah, Arsenoff Ashley Furniture Homestore Atlantic Bread Company Beverley Atwood, M.D. Morgan Avery Hugo Ayala Michelle Baeza Jerry Bagnell Ann Marie Bailey Cpl. T.N. Baker Pat Baker John & Eileen Balance, Sr. Ed Baldogs Allison Ballard Rhonda Ballard Jonathan Barfield, Jr. Barfield & Associates Realty Deb & Russ Barlaan Devin Barlaan Ray Barnes Clifford Barnett Jessie Barnhart Jack Barto Baxley Smithwick, PLLC Cheryl Beall Kendra Bean Autumn Beam Beauty Bar Boutique Gregg Bennett Dr. John Bennett Karen Bennett Katie Bennett Suzie Bennett Sheriff Prentis Benston Kathleen Berkeley, Ph.D & Harry Tuchmayer Angelina Bernard Elizabeth Bernardo Kelly Bile Sandy Bill Steve Bilzi Bilzi Consulting Fred Bingham Jason Black Shawn & Casey Black Tommy Black Tommy Black Band Cathy Blackburn John Blackwell Bladen County Sheriff’s Office Jessica Bleau Diana Bliss BLIVET BLUSH Haus of Beaute Christine & Anica Bly Christine J. Bly & Mark E. Burns Sara Bode Deborah & Charles Boedeker Mike Boedeker Mebane Boyd Mark Boyer Annie Boyle Virginia Boyle Jermaine Bozier Brigade Boys & Girls Club Lori Brinkley, MSW, LCSW Simon Britton & Family Molly Brodbeck Heather Brookshire Mary Brown Tom Brown Will Brown, Jr. Pat Broyles Kate Bruce & Mark Galizio Kathleen Bruschaben Brush Dental Care Athena & Carlos Bryson Barbara Buechler Cyndi Buell Kacie Bull Jimmie Bullis Anthony Buntyn Tony Burke Megan Burress Matthew & Jenifer Burns Susan Burns Camber Caldwell Rebecca & Cloe Caldwell Sylvia Caldwell Gene Cannon Lou Cannon Chris Cantrell Janie L. Canty-Mitchell, Ph.D. Becky L. Caouette Cape Fear Jewish Men’s Association – Temple of Israel Cape Fear Optimist Club Cape Fear Roller Girls Capt’n Bills Backyard Grill Carmike 16 Cinema Carolina Ale House Carolina Beach Veggie Wagon Denise Carlin Lynn Carlson Macio Carlton Sam Catlett Rick Catlin Catlin Engineers & Scientists Ann Caudill LaRendra Caudill Leslie Champion Dep. 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Willie Stargell Office Park 615 Shipyard Boulevard Wilmington, NC 28412 910.790.0187 phone • 910.790.0189 fax www.coastalhorizons.org