A Message from Our Leaders - Inland Valley Recovery Services

A Message from Our Leaders
Inland Valley Recovery Services (IVRS) is a CARF (Commission on Accreditation of Rehabilitation Facilities)
accredited, licensed and certified 501(c)3 non-profit corporation that has been providing premiere substance use
prevention, outreach, recovery and counseling services since 1962. This past year IVRS celebrated its 50th year of
healing individuals, families and the community. IVRS is headquartered in Upland, CA with facilities in Upland,
Pomona and San Bernardino. IVRS continues to grow in size and stature by offering a continuum of care that includes
detoxification, residential treatment, outpatient, secondary prevention, youth services, family counseling and courtordered programs, along with aftercare, transitional living and a host of 12-step meetings. In 2012 IVRS added
outpatient alcohol and drug free services for adolescents to its existing repertoire of services. Throughout the year
IVRS reached in excess of 5000 individuals in San Bernardino and Los Angeles Counties combined.
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IVRS experienced a challenging year in 2012 as it continued to navigate through the turbulent economic environment.
The agency is truly fortunate to have tremendous support from many generous funders and the surrounding
community. The Landecena Family Foundation and Upland Foothill Kiwanis Foundation hosted the 7th Annual Chili
Cook-off Fundraiser, which netted nearly $50,000 in proceeds. These proceeds benefitted IVRS’ Career Development
Program for graduates. In addition to the fundraiser revenue, IVRS received a grant from the Rose Hills Foundation
to implement new electronic record keeping software, as well as Community Development Block Grant funds from
the City of Upland to purchase 12-step literature for its clients. Also, many well-deserving IVRS clients were gifted
with cars through a program developed by Bill Landecena and the Landecena Family Foundation. The agency has
formed a true friendship with Mr. Landecena, and he holds a very special place in the heart of the organization.
The financial information included with this report provides a continuing and positive record of operating
improvement. In 2012, the agency again showed an earned surplus, which is being utilized for expansion of today’s
recovery activities and the addition of new cutting edge programs.
During 2012 the Board of Directors and executive management conducted a thorough review of the agency’s mission
and strategic direction. IVRS will continue to be defined by recovery from substance use. As treatment practices
progress and change so will IVRS. Maintaining this focus is fundamental to our future.
It is our pleasure to share these observations with you, our important stakeholders. We appreciate and value the
opportunity to participate in this most rewarding personal experience with all of you. In that regard we look forward
to a positive future for IVRS.
Finally, no annual report would be complete without recognizing the indispensable role played by the team of highly
qualified and loyal clinical, administrative and support staff members. The vast array of services provided by these
dedicated individuals makes the mission of IVRS a reality.
Sincerely,
Robert W. McCullough
Board Chairperson
Contents
A Message From Our Leaders
Mission and Overview of Facts
Overview of Residential Services
Overview of Outpatient Services
Overview of Youth Services
Donors
1
2
3
4-5
6
7
Stacy L. Smith, BS, LVN, CADC-II
Executive Director
Outcomes Management System
Independent Auditor’s Report
Statement of Financial Position
Statement of Activities
Statement of Cash Flows
Leadership and Locations
8-9
10
11
12
13
14
˜ 1
Mission and Overview of Facts
The Mission of Inland Valley Recovery Services:
“To break the cycle of addiction and mend the lives of those
suffering from behavioral health conditions.”
Drug addiction is a brain disease. Although initial drug use might be voluntary, drugs of
abuse have been shown to alter gene expression and brain circuitry, which in turn affect human
behavior. Once addiction develops, these brain changes interfere with an individual’s ability to
make voluntary decisions, leading to compulsive drug craving, seeking, and use.
Many people view drug abuse and addiction as strictly a social problem. Parents, teens, older
adults, and other members of the community tend to characterize people who take drugs as morally
weak or as having criminal tendencies. They believe that drug abusers and addicts should be able
to stop taking drugs if they are willing to change their behavior.
These myths have stereotyped not only those with drug-related problems but also their
families, their communities, and the health care professionals who work with them. Drug abuse
and addiction comprise a public health problem that affects many people and has wide-ranging
social consequences. One of IVRS’ goals is to help the public replace its long-held mistaken beliefs
about drug abuse and addiction with evidence that addiction is a chronic, relapsing, and treatable
disease.
Recent scientific research provides overwhelming evidence that not only do drugs interfere
with normal brain functioning creating powerful feelings of pleasure, but they also have longterm effects on brain metabolism and activity. At some point, changes occur in the brain that can
turn drug abuse into addiction; a chronic illness that is relapsing in nature. Those addicted to
drugs suffer from compulsive drug craving and usage and cannot quit by themselves. Treatment is
necessary to end this compulsive behavior.
Many approaches are used to help clients deal with these cravings and possibly avoid drug
relapse. Research shows that addiction is clearly treatable. IVRS provides treatment that is tailored
to individual needs, so that clients can learn to control their condition and live relatively normal
lives.
Treatment can have a profound affect not only on drug abusers but on society as a whole
by significantly improving social and psychological functioning, decreasing related criminality
and violence, and reducing the spread of communicable disease. Treatment can also dramatically
reduce the costs to society of drug abuse.
Understanding drug abuse also helps in understanding how to prevent use in the first place.
Prevention research has shown that comprehensive prevention programs which involve the family,
schools, communities, and the media are effective in reducing drug abuse. It is necessary to keep
sending the message that it is better to not start at all than to enter rehabilitation, if addiction
occurs.
The wealth of scientific data provide a tremendous opportunity to change the ways in which
the public understands drug addiction and abuse.
2 ˜
Residential Treatment Services
Detoxification
IVRS offers detoxification services to adult men and women in a comfortable, home-like atmosphere.
The overall goal of the detoxification program is to stabilize those suffering from the effects of alcohol
and drug abuse so that they can begin the recovery process. Length of stay is typically from 5-10 days.
Detoxification assists the individual to cease current drug use rapidly and with minimal discomfort through
proper nutrition and care from experienced staff. IVRS employs a licensed MD and a full time nurse,
along with 24-hour awake staff so that clients receive 24-hour supervision and monitoring. Individualized
treatment plans are developed to address short term, specific needs. Physical condition permitting, clients
receive individual counseling sessions and access to community 12-step panels. Upon completion of
detoxification a follow up discharge plan is developed, and appropriate referrals are made, to assist clients in
establishing a plan for continued recovery.
Residential Therapeutic Community
IVRS offers structured residential treatment for adult men and women based on the Therapeutic
Community (TC) model of treatment. The TC model of treatment focuses on the “re-socialization” of
the participant and uses the program’s entire “community,” consisting of other clients, staff, and the social
context, as active components of treatment. Addiction, in part, is viewed in the context of an individual’s
social and psychological deficits. Treatment of addiction focuses on developing personal accountability,
responsibility and socially productive lives. TC treatment is highly structured. Activities are designed to help
clients examine damaging beliefs, self-concepts, and patterns of behavior and assist them in adopting new,
harmonious, and constructive ways to interact with others. The TC provides a safe and stable environment
required for the first stages of recovery. Length of stay is typically from 30 to 90 days.
Chronic alcohol and drug abuse is associated with poor communication skills, financial difficulties, a
detrimental system of values and attitudes, criminal behavior, and poor comprehension of long-term goals.
Effective treatment ideally addresses each of these points in a manner that considers the particular needs
of the individual client. IVRS’ treatment approach is designed to prepare individuals for transition back
into the community. Once the client has demonstrated positive behavior changes and has completed all
treatment plan goals, an exit plan is formulated. The exit plan determines the client’s follow up recovery
plan and includes aftercare groups, 12-step meetings, employment, family relations and relapse prevention.
Mothers and Fathers with Children
In keeping with its Mission (Breaking the intergenerational cycle
of addition) IVRS includes a treatment component where children can
accompany their mothers or fathers in a residential setting. Adults with
children receive all services as described for residential TC programs, as
well as specialized parenting education and life skills instruction. IVRS’
licensed therapists evaluate children in need of specialized services and/
or counseling and provide those services, or make appropriate referrals
as needed. Unless other educational arrangements are in place, IVRS
clients who are school-aged children are enrolled at Upland Elementary
School, with which the agency has a long-standing relationship.
˜ 3
Outpatient Services
Outpatient Services
Outpatient Treatment
Perinatal Day Treatment
IVRS has developed a successful outpatient program that addresses the needs of substance abuse
recovery and integrates improvements in health, social and vocational aspects of life. Clients in treatment
receive information and education about alcohol and drug use, and recovery therefrom; learn skills that
help them to deal with feelings and emotions; and get information and education about relapse prevention.
They are encouraged to share openly and to learn practical living skills from others. Clients are openly
confronted by counseling staff and their peers when engaged in denial or other types of distorted thinking
and behaviors. While the focus of substance use treatment has been on abstinence from or reduction in
substance use, the benefits of treatment may go beyond those outcomes to include improvement in health,
social, and vocational domains. Clients receive valuable information and case management services They
also participate in therapy groups and individual counseling sessions.
IVRS outpatient perinatal services system of care consists of a comprehensive approach for providing
substance abuse treatment services to pregnant and post-partum women. The goal of treatment is to
provide clients and their children with high-quality, culturally appropriate and effective care, counseling
and education. A vital facet of the clients’ success is to determine the health status of the adult women
and to monitor their over-all well being during the course of their pregnancies and post partum periods,
providing follow-up treatment as necessary. Because the complexity of problems varies among the clients as
individuals, IVRS makes available various levels of treatment intensity and a wide spectrum of individualized
services.
24-Hour Crisis Intervention
Individuals in crisis, regardless of whether or not they are current IVRS clients, can call the agency’s
residential campus detoxification hotline 24/7 and talk to a counselor or other recovery staff. Appropriate
referrals are made when deemed necessary.
Aftercare Services
IVRS offers weekly aftercare groups as follow up to clients’ primary treatment. Groups address
conditions arising from family, legal issues, financial issues, and job search. Topics include Relapse
Prevention and discussions take place in a group forum to help clients identify triggers, risky situations, and
when they may be in “relapse mode.” Aftercare services include life skills and job search training; process
groups; and random drug testing as necessary.
Secondary Prevention
IVRS has two outpatient recovery centers (one each in Upland and San Bernardino). These centers
serve as vital tools in secondary (relapse) prevention. They are “safe” places for individuals to come and
“hang out,” shoot pool, watch TV, play video games, attend 12-step meetings and chat with friends at the end
of the day. Situated inside the Upland Recovery Center is Mystic Coffee a specialty coffee shop. The recovery
centers have regularly scheduled social activities, including but not limited to dances, pool tournaments,
karaoke, comedy shows and televised sporting events. IVRS’ recovery centers host a number of 12-step and
other recovery-related meetings. Many individuals and their families are given the opportunity to achieve
healthier lifestyles and become productive members of the community through participation in recovery
center activities.
Life Skills
Drinking Driver Programs
The National Highway Traffic Safety Administration (NHTSA) reports that drunk driving is often a
symptom of a larger problem: alcohol misuse and abuse. Alcohol-impaired motor vehicle crashes cost in
excess of an estimated $37 billion annually. In the United States in 2010, more than 10,000 people died in
alcohol-impaired driving crashes - one every 51 minutes.
Drinking and driving remains a serious national epidemic, and tragically affects thousands of victims
annually. IVRS offers court-approved drinking driver programs for first offenders, and those with multiple
DUI driving violations. The program allows clients to develop guidelines to live productive, healthy alcoholfree lifestyles. Specially trained counselors facilitate the groups, which are available in English and Spanish.
Domestic Violence Batterer’s Intervention
Domestic violence is a national dilemma. The National Coalition Against Domestic Violence
(NCADV) reports that one in every four women will experience domestic violence during her lifetime.
Fifteen percent of victims are men. In an effort to impact staggering statistics IVRS offers court-approved
domestic violence batterer’s treatment. The program consists of 52 weeks of comprehensive treatment and
education for men and women convicted of domestic violence. The goal is to reduce the number of repeat
incidents. Specifically trained counselors facilitate the groups.
Many referrals are made within IVRS due to the array of
services available to those in need. In addition to the services
listed IVRS provides anger management and parenting classes,
individual therapeutic counseling, family counseling, multi-family
and couples groups, childcare, and smoking cessation classes. In
addition, referrals are made to outside agencies for services not
provided by IVRS.
Under contract with San Bernardino County Department of Behavioral Health (DBH), IVRS sends
counselors to designated Transitional Assistance Department (TAD) Offices in the County to provide Life
Skills classes to recipients of public benefits. Social workers assess the recipients and determine whether
or not they can benefit from the classes. Additional referrals are made, as appropriate, for clients requiring
additional structure.
4 ˜
˜ 5
Youth Services
National Curriculum and Training Institute Crossroads
Education (NCTI)
Juvenile delinquency, crime and victimization present major
challenges to law enforcement and other practitioners who are responsible
for prevention, intervention, and enforcement efforts. Juvenile justice
practitioners face a number of challenges today, including escalating
crimes committed by juveniles, involvement in gangs and drugs, and
decreasing fiscal resources. IVRS provides the Prevention and Early
Intervention (PEI) National Curriculum and Training Institute (NCTI)
Crossroads Education Classes and services to children (ages 10-15) and
Anthony Smith, CAS
transitional aged youth (ages 16-25) who are trauma exposed, in stressed
Youth Counselor
families, at-risk of school failure, and/or at risk of, or experiencing juvenile
NCTI – Crossroads Facilitator
justice involvement. Services are provided at both the Upland and San
Bernardino locations. Pictured at the right is Anthony Smith, CAS – NCTI Facilitator. Anthony has received
a plethora of awards and recognition for his success with the kids in the local school districts.
Therapeutic Counseling Services
IVRS has provided Therapeutic Counseling Services to children and youth referred by the County’s
Dept. of Children and Family Services (CFS) and the Juvenile Probation Department through its Marriage
and Family Therapy Training Program. In addition, IVRS works in a therapeutic environment providing
treatment to parents referred by CFS and when possible, provides early intervention services. This is
accomplished through parent training, teaching effective family communication, helping families with
conflict resolution and problem solving, teaching families how to use positive reinforcement, and modeling
appropriate behavior for parents and children. Services are provided at both the Upland and San Bernardino
locations.
Juvenile Drug Court Services
IVRS provides the substance abuse treatment and supervision component of the San Bernardino
County Juvenile Drug Court Services Program. The Drug Court is an intensive treatment program
established within and supervised by the juvenile courts to provide specialized services for eligible druginvolved youth and their families. IVRS participates in a coordinated and supervised delivery of an array
of support services necessary to address the problems that contribute to juvenile involvement in the justice
system. Services are provided at the San Bernardino location.
Adolescent Outpatient Services
IVRS recently added Alcohol and Other Drug (AOD) outpatient to its repertoire of youth services.
These services are provided to adolescents aged 12-17 at IVRS’ San Bernardino location. IVRS utilizes
evidence-based, cognitive restructuring curriculum to educate the kids on the disease concept of addiction
and related thinking and behaviors. Relapse prevention is a key element in successful, long-term recovery.
IVRS introduces clients to the 12-step programs specific to young people. In addition, special time is
allotted to the kids to enjoy recovery center activities separate from the adults to assist them in enhancing
socialization skills and to establish a firm foundation for long term recovery. IVRS believes it is important
to educate and involve the parents and family in the treatment process whenever possible, thereby providing
family counseling and support for family members of the client.
6 ˜
Our Donors
ABC Recovery
Hafif Family Foundation
Palm Springs Air Museum
Frankie & Lenor Alvarez
Haines Contracting
Palm Springs Follies
Anaheim Marriott
Patti Haire
Palm Springs Aerial Tram
Chuck Atha & Mainstreet Signs
Stanley Hoffman
Pinehaven Cafe
Lucinda Blackstone
Home Depot
Pomes Insurance
Stacy Blackstone
June Hoover
Jason Poplar
Bowen & McBeth, CPA
Bill Huff
Bruce Quarto
Kevin Brown
Incredibly Zen
RAM Business Systems
Terrie Carmichael
IVRS Key Management
Roberta Reid
Cedar House
Robert Johnson
Francis Rincon
Hugh & Jamie Chang
Sarah Keeney
Rose Hills Foundation
City of Upland
Kenney Trust
Rod & Sue Savage
Claremont Music
King Window Cleaning
Lauri Shea
Collier Photography
Kevin Knapp
Richard & Ruby Simpson
Davis & Graeber Insurance
David T. Komendat
Vic Skvarna
Lisa Davis-Wright
Landecena Family Foundation
Jim Smirl
Jodi Diaz
Bill Landecena
Anthony Smith
Disney Corporation
Joseph Lyons Family
Soil Busters
Dale & Sharon Eazell
Rich & Trish Mayo
Bob Sparks
Dent Remedy
Robert & Marilyn McCullough
Sportspros Personal Training
Edison Employees
Mike Milhiser
St. Anthony’s Church
Joanell Ellis & John O’Connell Sr
Linda Miller
Pat Sutay
Euclid Avenue Firehouse
Thomas & Laura Miller
Upland Animal Shelter
Robert & Ann Fletcher
Miracle Springs Resort & Spa
Vision for You
Fundamental Concepts
Bob Moxley
Doug & Hazel Walker
Julie Gibson
Pamela Nickell
Wal-Mart Foundation
Barbara Goss
Neil O’Dwyer
Marilyn & William Waters
Terry Graham
Joelle Opotowsky
Wells Fargo Foundation
Greenscape
Mel & Bonnie Opotowsky
Max & Marilyn Williams
Green’s Auto Tech
Pacific Western Bank
Willis, Chris
Gina Gudmundson
Pacifica Synod
Wong, Ann
Additionally,
we want to take this opportunity to thank everyone who generously contributed
in-kind donations, auction items and those who volunteered personal time. Your support enables us
to provide services that are crucial to the continued health and welfare of our community. Thank you
everyone.
˜ 7
Unemployed
Part-time
Full-time
Outcomes
Outcomes
12%
2012 Annual
Success
Rate
2012 Annual
Success
Rate
Goal: To measure abstinence
rate of clients that participated
in the services at IVRS.
2012 IVRS Annual
Retention
Rate2012
2012
IVRS
Annual
Retention
Rate
IVRS Annual
Retention Rate
5%
Remained Abstinent
11%
Completion
5%
Walk Aways
2%
Admitted to Relapse
Completion
2%
Walk Aways
Termination
Termination
Transfer
A sample of participants
were surveyed 90 days after
treatment. 89% of the clients
remained abstinent from drugs
and alcohol.
Transfer
Goal: 55% of the participants at
IVRS will successfully complete
treatment.
2012 Overall Satisfaction
48%
45%
12%
from internal controls.
45%
Satisfied with
services at IV
89%
Not satisfied
services at IV
2012 Overall Satisfaction
2012
Annual
Employment
Rate 2012 Annual
2012
Annual
Employment
Rate
Employment Rate
2012 Overall Satisfaction
12%
Satisfied with
services at IVRS
Not satisfied with
services at IVRS
Goal: To improve the satisfaction of
services provided at IVRS.
A satisfaction survey was
administered to the participants upon
completion of treatment and 88%
indicated that they were satisfied with
the services that they received at
IVRS.
88%
3%
Participant’s Comments:
“My Counselor is very compassionate and approachable.”
“I feel like I have hope.”
8 ˜
20
Information48%
is collected
Goal: Measure participants that
have obtained employment after
25%
receiving services.
A sample of participants
were surveyed 90 days after
receiving services. 25% were
Unemployed
employed
full-time, 12% were
Part-time
employed part-time.
Full-time
12%
88%
63%
25%
63%
Unemployed
Part-time
Full-time
12%
Inland Valley Recovery Services is committed to continually improving our organization delivery of
2012
Annual
Rate is used 2012
quality service. Data is
collected
andSuccess
information
to manage
and
improve
service delivery.
Annual
Success
Rate
The dynamic nature of continuous improvement in an accredited organization sets it apart from
other organizations providing similar services. IVRS shares and provides the persons served and other
Abstinent
interested stakeholders 11%
with ongoing information about itsRemained
performance
as a business entity and
our Abstinent
Remained
11%
Admitted
to
Relapse
ability to achieve optimal outcomes for the persons served through our program and services Admitted to Relapse
˜ 9
10 ˜
˜ 11
12 ˜
˜ 13
Leadership & Locations
2012 BOARD OF DIRECTORS
Robert McCullough
Board Chair
Joelle Opotowsky
Vice Chair
Thomas Miller
Treasurer
Kenny Foster
Secretary
Joseph Lyons
Director
Donald Sullivan
Director
Joe Cano
Director
Richard Simpson
Director
Neil O’Dwyer
Director
Ronald Wolff Advisory Council
2012 MANAGEMENT/KEY PERSONNEL
Stacy L. Smith, BS, LVN, CADC-II
Executive Director
Laurie Figueroa, B.S. Director of Finance
Ellen Davis
Executive Assistant
John O’Connell
Admissions Coordinator
Sophia Ortega, CADC-II Res. Services Coordinator
Tina Hughes, CADC-II
OP Services Coordinator
Pamela Nickell, CAS
OP Services Coordinator
Francis Rincon
Program Coordinator-Pomona
Michael Valdez, M.D.
Medical Director
Roberta Reid, M.S., L.M.F.T. Clinical Supervisor
Executive Offices
916 N. Mountain Ave., Suite A • Upland, California 91786 • (909) 932-1069 • Fax (909) 932-1087
Detoxification Admissions • Residential Treatment Admissions • Transitional Living Admissions
Recovery Centers
934 N. Mountain Ave., Suites A & B • Upland, California 91786 • (909) 949-4667 • Fax (909) 931-3774
939 N. D St. • San Bernardino, California 92410 • (909) 889-6519 • Fax (909) 889-6560
Secondary Prevention • Outpatient Substance Abuse Treatment • Perinatal Day Treatment/IOP (Upland)
Juvenile Drug Court (San Bernardino) • Adolescent Outpatient (San Bernardino)
Youth Enrichment Services • Couples Counseling • Family Counseling
Court-approved Domestic Violence Batterer’s Treatment (Upland) • Anger Management Classes
Parenting Classes • Aftercare Groups • Career Development/Job Readiness (Upland)
12-Step Meetings • Drug Testing • Community Education/Outreach Seminars and Workshops
Referral Resources • Social Events • Mystic Coffee Shop (Upland)
Pomona Center
375 S. Main St., Suite 111 • Pomona, California 91766 • (909) 622-7311 • Fax (909) 868-1432
Court-approved Drinking Driver Programs • Bilingual/Bicultural Services • English and Spanish Groups
ALL PROGRAMS ARE LICENSED AND CERTIFIED BY THE STATE OF CALIFORNIA
DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
IVRS IS CARF ACCREDITED FOR THE FOLLOWING PROGRAMS
DETOXIFICATION • OUTPATIENT • THERAPEUTIC COMMUNITY • RESIDENTIAL
14 ˜
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