NEOHS annual report 2004

A Letter to the Community June 10, 2004

We celebrate yet a new crest of success in pursuit of our mission of service, as we note the following:

Over the last year, NEOHS served the highest number of individuals and families in need of care than any other organization in our expansive county. Through ourprograms and services from the Schizophrenia Treatment Program, children’s services, and the Geriatric Program, to chemical dependency, and dual diagnosis treatment, we delivered more care of the highest quality for which NEOHS has become reputed. Comprehensive services for the deaf and hard of hearing from counseling for children to treatment for the hearing impaired severely mentally ill adults, as well as chemical dependency care – the only such program in northeast Ohio – were delivered notwith-standing the obstacles. Our responsiveness to community needs, and quality program-ming was most recently recognized through the Helping Hand Award for Agency Programs by the Cuyahoga County Community Mental Health Board for our Perinatal Mental Health Program of helping mothers with little access to care, suffering from post-partum depression. We saw more patients diverted from, and kept out of thehospital than ever before.

Aware that healing is a process, we celebrate recovery, appreciative of its being high-lighted in the President’s New Freedom Commission on Mental Health Report, under the leadership of Michael F. Hogan, Ph.D., Director of the Ohio Department of Mental Health. We celebrate consumer and family empowerment, and a care model informed by dialogue and mutual respect.

Our services are realized through the dedication, compassion and hard work of a most remarkable group of individuals and organizations from professional staff, volunteers, and NAMI to the Cuyahoga County Community Mental Board, and the Alcohol and Drug Addiction Services Board of Cuyahoga County. Pivotal are our consumers, their families, and our community volunteer Board of Trustees who inspire and enable their accomplishments.

As we pause to celebrate, we are mindful of the many challenges facing our health care system. As we have worked in more than thirty years of this organization’s history, we vow to redouble our efforts in the coming years to turn these challenges intoopportunity, inspired by our mission, and empowered by our supporters.

Theresa Lang Coaxum, Roknedin Safavi, M.D. President, Board of Directors Chief Executive Officer and Medical Director

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Special Projects and Programs

The President’s New Freedom Commission on Mental Health Report, issued once a decade and completed in November 2002, provides a springboard for our care system to garner momentum for effecting change. The Commission was charged to ”make recommendations that would enable adults with mental illnesses (and substance use disorders) and children with serious emotional disturbance to live, work, learn and participate fully in their communities.” Their final report, Achieving the Promise: Transforming Mental Health Care in America outlines a model of care dubbed recovery.

C elebration Recovery is an awards program of The Irwin Foundation, a non-profit dedicated to promoting recovery from mental illnesses andsubstance use disorders. The Foundation has selected North East Ohio

Health Services as the recipient and host agency of a 2004 Celebration Recovery event. NEOHS will host Celebration Recovery in Cleveland in mid October 2004. The Gund Arena, and The Cleveland Barons’ season opener game will be the venue for the event, adding a real Cleveland flavor.

Part of the mission of the event is to educate the community about recovery—so they will know that treatment works—people can recover and live successful, rewarding lives. This will be an unveiling of the Recovery model initiative in Ohio and will be unique to our area. Celebration Recovery will feature a Continuing Medical Education seminar, a Walk for Recovery, booths and displays, food and music, a live charitable auction, awards and advocacy speeches by prominent persons in the State.

NEOHS thanks the Irwin Foundation, GlaxoSmithKline, AstraZeneca, The Cleveland Barons and Irwin J. and Hinda T. Apple for their support of this innovative program.

Please watch for more information and invitations to this special event,2004 Celebration Recovery.

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On June 1, 2004 the Cuyahoga County Commissioners made a resolution congratulating the Perinatal Mental Health Program and North East Ohio Health Services on the occasion of receiving the 2003 Helping Hand Award in the Contract Agency Program category.

Annual Helping Hand Awards are designed to illustrate the Cuyahoga CountyCommunity Mental Health Board’s slogan, “At Times, We All Need a Helping Hand…” and were developed to recognize outstanding individuals and

organizations who embody the Board’s mission, have positively impacted the lives of consumers and helped to alleviate the stigma of mental illness in Cuyahoga County.

The Perinatal Mental Health Program, directed by Miriam Rosenthal, M.D. received the award for commitment to the women they serve. Since its beginnings in October 2002, the treatment provided by this innovative program has gone beyond medication issues to empower women to pursue recovery; vocational advances and family goals, achieving successful pregnancies despite challenges and becoming effective new moms. Additionally, under Dr. Rosenthal’s tutelage, new providers of innovative psychiatric interventions are trained and mentored in best practices consistent with the recovery model initiative.

We are honored to accept this recognition in continued commitment to Perinatal Mental Health Program services to residents of Cuyahoga County.

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Research and Care Studies Strengthening local university and community alliances, NEOHS operates an active clinical research program providing our clients with the latest innovations in evidence-based practice and care. Below are just a few of the Agency’s recent and ongoing involvements.

M enopause is a significant event in the life of every woman. While physical symptoms are easily identified, psychological symptoms may include mood swings and depression. Menopause and Mental Illness is a care study con-

ducted by Martha Sajatovic, M.D., Susan Hatters-Friedman, M.D.,Isabel Schuermeyer, M.D. and Monica MacDougall, M.D. of the Department ofPsychiatry, Case Western Reserve University School of Medicine, University Hospitals of Cleveland.

The study was a progressive pilot assessment of individuals’ perception of the effects of menopause on women with schizophrenia / schizoaffective disorder, bipolar disorder and major depression. The aim of the study was to examine expectations and concerns regarding menopause from a patient-centered viewpoint among women with serious mental illness.

For women with mental illness, menopause may be associated with worsening or exac-erbation of underlying psychiatric illness. A majority of these women have substantial gaps in knowledge regarding basic biological facts of menopause. They perceive meno-pause as negatively affecting underlying mental status.

This study will have significant clinical implications as the Women’s Mental Health Program at NEOHS is actively working with the Menopause and Mental Illness carestudy team to develop health education curriculums and therapy programs to address the concerns of this group.

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Programs and Services

In pursuit of our Agency mission, NEOHS delivers comprehensive treatment services—to more than 6,500 individuals during the past year, in the following programs and locations.

NEOHS in Beachwood23210 Chagrin Blvd. Suite 400 Beachwood, Ohio 44122 (216) 831-6466

NEOHS at Huron13951 Terrace Road, 7th Floor East Cleveland, Ohio 44112 (216) 761-6996

NEOHS at MarymountThe Trudell Center, Room 137 12300 McCracken Road Garfield Heights, Ohio 44125 (216) 587-6727

Cleveland Cares Program5398 1/2 Northfield Road Maple Heights, Ohio 44127 (216) 987-8332

The Rose Home2435 West Saint James Parkway Cleveland Heights, Ohio 44106 (216) 721-5169

Assertive Community Treatment

Cecilia Frometa, LISW, Supervisor

Debra Duncan, LPN Vernon Long Vonnette Lovelace, BSW Michelle Rahm, RNC Elvida Sewell, RN Jerry Shepherd, BBA Mark Tandy, BS Lucille Wimberly

Children and Families Program

Valerie Boulware, MD, Medical Director Mark Johnson, LISW, Program Director Christina Hall, LISW, Supervisor

Donald Howe, MD Ellen Boehnen, LSW Joseph Steiner, Ph.D. Kathy Swoope, BA Angela McIntyre, BA

Community Support Program

Christina Hall, LISW, Clinical Supervisor Timia DelPrete-Brown, LPCC, Clinical SupervisorRachelle Spitz, LISW, Clinical Supervisor

Jim Ambs, BA Teresa McAllister, PT Anthony Dreskin, M.Ed Catherine Cesa, BA Holly Brown, BA Shawn Brown, BA Paulette Burton, MCJ Nichelle Callahan, BA James Diano Anne Donohoe-Safko, LSW Dan Fried, BS Bridget Gill, BA Mario Halbert Earnese Hill, AA Kimberly Howell, BA Desmond Johnson, MA Tami Jones, LPN Kristen Kascak, BA Adrien King Loree Lingis, BA Angela McIntyre, BSW

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Julie Rothacker, LPC Kate Sargent, MCJ Sandy Simcox, BA Amy Speaks, BA Noriko Takado, BA Marie Tootle, AS Heather Ungar, BA

Comprehensive Schizophrenia Treatment Program

Jonnie Cooper, BSN, RNC Christine Harper, AAS-CM Janet Spivey, RN

Counseling Program

Michael B. Schachere, Ph.D.,Clinical Director Caren Zeefe, LISW, Administrative Supervisor

Susan Berman, LISW Tina Bulucea, LISW, MSSA Mark Cohen, Ph.D. Linda Grossman, LISW Deborah M. Hefling, LISW Marilyn Litvene, LISW, MSSA Rachel Madosrky, LISW Anne Sylvester, LISW Frances Watts, LISW, MSW Myta Weisberg, LISW Frances Zucco, LPCC

Chemical Dependency and Dual Diagnosis

Leslie Williams, LSW, CCDCIIIE, Administrative Supervisor Daryush Parvinbenham, PCC, CCDCIIIE, Clinical Supervisor

Tom Harper, LSW Ronald Harris, LSW, CCDCII Marilyn Nenadal, CCDCIIIE, SWA Megan Reilly-Cruz, CCDCI Sarah Strong, BA

Driver’s Alternative Program

Jayne Sestak, MA, Project Director Michael Schachere, Ph.D., Services Supervisor

Charles Cartier, CCDCIIIE Sandy Craine, BS Megan Reilly-Cruz, CCDCI Barkus Holmes Nick Lombardo Sandra Premura, RN, CCDCI J.Chris Sestak, Esq. Leslie Williams, LPC, CCDCIIIE

Geriatric Program

Zinaida Lebedeva, M.D. Parisa Talea, MS, Administrative Supervisor Michael Rodio, LSW, LPCC, Clinical Supervisor

Holly Brown, BA Zipporah Brown, BSW Heather Capretta, BALoree Lingis, BA Elisa Poggi, LISW Marie Tootle, AS

Program Services for Deaf And Hard of Hearing

Brian Freeman, Ph.D., CCDCIIIE, Director Addiction Intervention for the Deaf (AID) Counseling to the Deaf and Hard of Hearing

Judi Gogolen, LPCC John Murgel, LSW Laurie Vassallo, LPCC

Women’s Mental Health and the Perinatal Clinic

Miriam Rosenthal, MD, Medical Director Susan Hatters-Friedman, MD Susan Frodyma, MD Monica MacDougall, MD Laura Steinberg, MD Tami Jones, LPN

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Gretchen Gardner, MD David Hahn, MD Helen Hattab, MD Zinaida Lebedeva, MD Mary Lou Miller, MD Byung Minn-Jinn, MD Miriam Rosenthal, MD Martha Sajatovic, MD John Sanitato, MD Daksha Trivedi, MD Sanford Wolf, MD Mark Zedar, DO

Charlene Allar, BSN, RNC Jonnie Cooper, RN Roger Cross, RN Jacqueline Cunard, RNC Debra Duncan, LPN Sandy Neola, RN Michelle Rahm, RNC Elvida Sewell, RN Betty Smith, RN

Volunteers

Sue Gerson, Health Information Nick Lombardo, Driver’s Alternative Program Daniel McPolin Judy Riga

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2004-2005 Giving Programs at NEOHS

In 2001, North East Ohio Health Services was honored as the Best Community Mental Health Agency of the Year by the National Alliance for the Mentally Ill of Ohio. Recently, four of Cleveland’s largest community mental health centers closed,leaving thousands of patients in need of care. NEOHS has functioned as a safety net for many of these patients by adding three new locations, absorbing 2,500 new clients and providing an additional $3 million in care. The Circle of Friends, anAnnual Fund program and The Society of Friends, a planned giving program, are programs that give an opportunity to our friends to ensure that North East Ohio Health Services always has the resources to provide that safety net for those in need.

T he Circle of Friends: A Program for Today was established to provide funding to help children and adults receive treatment for mental health disorders. Last year North East Ohio Health Services (NEOHS) provided treatment and

services for almost 6,000 individuals.

The Circle of Friends are individuals who pledge $10 or more each month for one year to NEOHS. You may make your contribution monthly, quarterly or annually. You may make your contribution by check, or Visa or MasterCard or Electronic Funds Transfer through your bank. You can enroll by completing the form on the enclosed envelope or by calling the Development Department at 216-831-6466, ext. 230.

Your sustaining gift will help children, adults and families recover and become productive members of our community. Individuals who join before December 31, 2004 will become Charter Members of The Circle of Friends, listed in the Annual Report of North East Ohio Health Services, and invited to an annual reception for benefactors.

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F amily Support to Adults is a study conducted by David E. Biegel, Ph.D., Mandel School of Applied Social Sciences, Case Western Reserve University. As an agency that offers a variety of services and treatment modalities for adults

with co-occurring mental and substance use disorders, NEOHS understands the diffi-culties that this population faces, particularly with limited support from family mem-bers. We understand that families constitute crucial support networks for individuals experiencing a wide range of mental and physical impairments. Dual diagnosis clients often experience higher rates of relapse, hospitalization, violence, incarceration, home-lessness, and serious infections such as HIV and hepatitis than are found in persons with only one diagnosis.

The purpose of this pilot study is to improve understanding of family support of adult clients diagnosed with severe mental illness and a co-occurring substance use disorder. Although there is a growing research literature on the influence of social support pro-vided by family members on the response of chronically ill patients to treatment, there is little research with this population and treatment outcomes.

The study seeks to assess the frequency and types of contacts that adults with co-occurring mental and substance use disorders have with their family members, the rea-sons for limited contacts and the perceived quality of relationships and to examine the feasibility and appropriateness of the use of a battery of instruments to assess family members’ well-being and involvement in their clients’ treatment.

Results and conclusions from this study, available later this summer may offer significant clinical information as we seek to further develop integrated, evidence-based treatment programs for our dual diagnosis clients.

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T he Society of Friends: A Program for Tomorrow. The Society of Friends was established to honor individuals who name North East Ohio Health Services as a beneficiary in their will or estate plan, or establish a planned gift to benefit

NEOHS. Individuals who advise NEOHS of their plans to include us in their estate plan will be listed as a member of The Society of Friends in the Annual Report, andinvited to an annual reception for benefactors. It is not necessary to document the amount of the bequest or planned gift. One only has to submit a written statement that NEOHS is in the individual’s bequest or estate plan.

Through planned gifts and future bequests, members of The Society of Friends willbuild a strong financial foundation for NEOHS for decades to come. We invite all who believe in the importance of the mission of North East Ohio Health Services …healing, wellness, and quality of life… to join us in building this foundation. Please call the NEOHS Development Office at 216/831-6466, ext 230 for information.

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GivingThe agency could not remain true to its mission without the generous donations of supportive individuals, corporations, foundations and organizations. We recognize and thank the following donors who contributed between June 1, 2003 and May 31, 2004.

Special Projects

Irwin J. and Hinda T. Apple AstraZeneca Eva L. and Joseph M. Bruening Foundation The Cleveland Barons The Cleveland Foundation GlaxcoSmithKline The Mt. Sinai Health Care Foundation Saint Luke’s Foundation of Cleveland

Annual Fund Donors

Circle of Friends

Roknedin Safavi, MD and Zahra Toossi,MD Margie and Bill O’Connor

$1,000 & Up

James P. Breen Thomas and Susan Gerson Foundation Ivax Pharmaceuticals, Inc. Pfizer Inc. Roknedin Safavi, MD and Zahra Toossi, MD Harris and Julianna Senturia

$500 - $999

Jung-Jin El-Mallawany, M.D. Ronald E. Nowak Esther and Gustavo Pla Michael Schachere, Ph.D. Margaret Walker Sallie Garran

$250 - $499

AstraZeneca Pharmaceuticals LP Mr. And Mrs. John R. Bovington Theresa Lang Coaxum Mr. And Mrs. Ralph E. Johnson Joan Lederer, MD

Samuel Z. Kaplan and Deborah E. Lipson The Lewin Group Peter D.Miller and Mary Louise Miller, M.D. Ronald E. Nowak Stanley J. Olejarski, CPA Daryush Parvinbenam Judy Polshek-Goodman Harvey A. and Lois Snider Joseph Steiner, Ph.D. Charles Wells Margaret Witkowski Sanford R. Wolf, M.D. Frederick Widen, Esq.

$100 - $249

Carolyn Watts Allen Barbara A. Badalamenti Harry D. Boomer Jay Brzoska Donald and Therese M. Cairns Mr. And Mrs. Howard Cohen Walter H. Duvall Donald P. Fann Ronald D. Holman Dr. Jung Kee Jinn and Dr. Byung Minn-Jinn Susan M. Johnson Samuel Z. Kaplan and Deborah K. Lipson Allan D. Kleinman, Esq. Mr. And Mrs. Norman S. Leavitt Ronald M. and Rochelle Lipson Peter Miller and Mary Louise Miller, M.D.Margie and Bill O’Connor Daryush Parvinbenam James S. Polshek Michelle Rahm, R.N., B.A. Peggy Ridgway Virginia L. Schmidt Laura M. Silver Harvey A. Snider

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Myron G. and Nora O’Neil Stern Laurie Waller Sanford R. Wolf, M.D. Mr. and Mrs. Gerald A. Yancheck Caren Zeefe

$1 - $99

Andrew L. Altman and Amy R. Lipson American Baptist Women’s Ministries Dee Baynard Nancy O. Briggs Philip Brodhead Keith Brown and Timia J. DelPrete-Brown Jeanette Brzoska Robert L. and Ellen L. Callahan Elaine Campbell, M.D. Heather Capretta James E. Chirdon George Chtchepov Douglas J. Cline Jonnie Cooper Mary Lou Corsi Roger Coss, R.N. Karen M. Crawford Paul W. Darrah Mr. and Mrs. Meredith M. Dickson, Sr. Mr. And Mrs. Robert J. Draye Mr. And Mrs. Anthony C. Dreskin Mr. and Mrs. John B. Dykeman Mr. and Mrs. Gilbert Farkas Kathy Flowers Daniel Freireich Daniel R. Fried Cecilia Frometa Nancy E. Funk Eileen Gattozzi Mr. and Mrs. Albert Geller Judy Goodman Joseph S. Greco, Ph.D Dolores M. Gunn Christina Hall Christopher G. and Traci C. Herbruck Margaret B. Jones Bill Jonke Mr. and Mrs. Mario Kamionkowski Mr. and Mrs. Alex Karpenko Mr. and Mrs. Charles E. Kleinhenz Sanford Kutash Tanya Lebedeva

Rachel Madorsky Michael Melincoff Kevin A. and Nichole S. Meyer Harriet Morse Kurt and Berneda H. Mott NAMI-Metro Cleveland Robin Pearlstein Allen Pryor Mr. And Mrs. Paul Rippner Konnie Rogers Anne Safko, LSW Michael A. Scocos Robert J. Selva Mr. And Mrs. Allen W. Seman Mr. and Mrs. Steven Shore Earlyne Smith Theresia A. Smith Dorie Sopher Joan Speser Joseph Steiner, Ph.D. Ann B. Sylvester Julius J. and Kathleen R. Toth Hannah J. Trefzger Dr. Hemant Trivedi Cynthia Wallace and Brian Brendza Mr. and Mrs. Emmett Watts, Jr. Helen Weinberger Myta Weisberg Mr. And Mrs. Myron WeissmanDavid Wieder Mr. and Mrs. Howard L. Williams Leslie Williams Margaret Witkowski Mr. and Mrs. Ernest Wolfe Mark Zedar, M.D. Thomas P. and Anita Zimmerman Frances Zucco

M e m o r i a l s

Jeanette Brzoska In memory of Ronald Brzoska In memory of Arthur Dalsky In memory of Robert Francis Douglas J. Cline In memory of Chet & Pauline Cline Karen M. Crawford In memory of Marguerite Luke Paul W. Darrah In memory of Ruth Thomas

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North East Ohio Health Services acknowledges the agency’s many generous donors. Every effort has been made to ensure the accuracy of this report. Please accept our sincere apologies for any errors or omissions that may have occurred.

Mr. and Mrs. Robert J. Draye In memory of Ruth Thomas Margaret Walker In memory of Robert Walker Myta Weisberg In memory of Mary Beth Tekavec David Wieder In memory of Sanford Wieder Mr. and Mrs. Gerald Yancheck In memory of Margaret Bozek

Honorariums

Mr. and Mrs. Meredith Dickson In honor of Meredith Dickson Kathy Flowers In honor of Kathy Flowers Susan M. Johnson In honor of Susan Gerson Mr. and Mrs. Mario Kamionkowski In honor of Myron G. Stern Robert J. Selva In honor of Jane Domb Laura M. Silver In honor of Dr. Susan M. Silver Mr. and Mrs. Steven Shore In honor of Nathan Shore Helen Weinberger

In honor of Eileen Mittleman Mr. and Mrs. Ernest Wolfe In honor of Ernest Wolfe

The Parsa Clinical Trials Fund

Paul W. Darrah Mr. and Mrs. Robert Draye Nancy E. Funk Dolores M. Gunn Eileen Gattozzi Mr. and Mrs. Charles Kleinhenz Kurt and Berneda Herbold Mott Hannah J. Trefzger

Gifts-in-Kind

Barbara Badalamenti Marilyn Litvene Wanda Savioli, R.N Joseph Steiner, Ph.D.

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Sources of Revenue

Medicaid 4,929,915 Non Medicaid 1,961,200 Client Service Fees 350,372 Grants and Contributions and Other Income 314,584 Total Revenues 7,556,071

Uses of Revenue

Mental Health 6,422,660 Children/Adolescent 453,364 Chemical Dependency/Dual Diagnosis 680,046Total Operating Expenses 7,556,071

Audited financial statements are available from our fiscal offices. Non Medicaid funding stream is supported by the CCCMHB and ADASBCC

Summary of Financial Operations

Medicaid Non Medicaid Client Service Fees Grants, Contributions and Other Income

Mental Health Children / Adolescents Chemical Dependency / Dual Diagnosis

ExpensesRevenue