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Annual Report Henrico Area Mental Health & Developmental Services
2015-2016
Providing comprehensive community mental health, developmental
disability and substance use disorders services to individuals and
families in Henrico, Charles City and New Kent Counties
Opiate Recovery Group artwork from HAMHDS
2016 Wellness Series: Paint Your Story
Board Members and Executive Staff
Henrico Area Mental Health & Developmental Services Board Brenda A. Brown, Chairperson
Jessica Young Brown, PhD, Vice Chairperson
James E. Cox, Jr., Secretary
Allison J. Batchelder, MD
Terone B. Green
Nita J. Grignol
Karen W. Grizzard
Joyce A. Hann
Mark E. Johnson
Kathryn M. Merritt
Lynne Szewczyk
Karlee Wynn
Henrico Area Mental Health & Developmental Services Staff Laura S. Totty, MS, Executive Director
Lynn A. Goodale, CCM, Administrative & Financial Division Director
A. Michelle Johnson, LCSW, Community Support Services Division Director
R. Daniel Rigsby, LCSW, Clinical & Prevention Services Division Director
Yvonne D. Russell, MA, Quality Assurance Program Manager
10299 Woodman Road
Glen Allen, Virginia 23060
(804) 727-8500
Kevin watering the vegetable garden
at his residential group home
Inside VisionandValues 1
Overview
Executive Summary 2
Serving the Community 4
Fiscal Year Revenue and
Expenses 6
EarlyInterventionServices 8
DevelopmentalServices
Intake/Eligibility 10
Case Management Services 10
Residential Services 12
Employment & Day Services 12
HousingServices 16
Clinical&PreventionServices
Youth & Family Services 18
Adult Recovery Services 20
Crisis & Emergency Services 22
Adult Outpatient & Jail Services 24
Prevention Services 26
Providence Forge Of'ice 28
OurStories 30
Vision & Values
OUR VISION We envision an inclusive,
healthy, safe community where
individuals lead full and
productive lives.
OUR VALUES Excellence, Dignity, Partnership
OUR LEADERSHIP
PHILOSOPHY Leadership is the responsibility
of everyone at Henrico Area
Mental Health & Developmental
Services. If we are to be
successful, we must lead with
integrity, good stewardship,
openness, creativity and full
participation.
Vision & Values
2
Executive SummaryExecutive SummaryExecutive SummaryExecutive Summary Henrico Area Mental Health & Developmental Services (HAMHDS) is pleased to present the
Annual Report for Fiscal Year 2016 showcasing the activities and initiatives of the past year to
address vital issues and to improve the quality of care for individuals with mental health,
substance use and addiction issues, and intellectual disabilities. We have continued to focus
on heath and wellness and are committed to assuring access to quality healthcare and
promoting better health outcomes for the people we serve. Highlights:
♦ Continued our partnership with The Daily Planet in providing primary care services sixteen
hours a week to individuals at our East Center. This partnership was recognized by the
Virginia Healthcare Foundation through the receipt of the Unsung Hero Teamwork Award.
♦ Coordinated agency-wide planning to implement a Telehealth strategy and procure
equipment with State grant funding. Began providing psychiatric services to two of our
programs through Telepsychiatry.
♦ Began implementation of the Dartmouth College evidence-based InSHAPE wellness
program through a grant awarded by the National Council for Behavioral Health to
improve the physical health of individuals with co-occurring serious mental illness and
obesity. InSHAPE focuses on increased exercise and improved life style changes.
♦ Increased healthy living in residential homes for individuals with intellectual disabilities by
growing vegetable gardens, selecting healthy food alternatives through the guidance of a
certified nutritionist volunteer, and partnering with a local organization to provide mind/
body activities such as chair Zumba.
♦ Provided Mental Health First Aid for adults and youth and developed suicide prevention
initiatives.
♦ Completed screenings for the Governor’s Access Plan (GAP) enabling eligible individuals’
access to health insurance.
We continue to strengthen our comprehensive emergency response system. We remain
committed to improving the experience and outcomes for individuals receiving services when
they interact with the criminal justice system and expanding our role supporting public safety
agencies in the community. The Crisis Intervention Team (CIT) has trained over 1,460 first
responders from Henrico and over 35 other public safety agencies in the forty hour training. A
team of 70 CIT instructors provided over 3,000 hours of instruction during the facilitation of
sixty-two CIT classes. The Crisis Receiving Center (CRC) has expanded the hours of operation
offering a safe and appropriate location for emergency mental health evaluations and triage to
occur. Jail diversion efforts have been enhanced to divert, coordinate and clinically manage
the needs of individuals who have a mental illness resulting in expanded treatment options
3
“...promoting better health “...promoting better health “...promoting better health “...promoting better health
outcomes for the people outcomes for the people outcomes for the people outcomes for the people
we serve.”we serve.”we serve.”we serve.” in the jail setting, positive outcomes upon release
and reducing incarceration costs while keeping our
community safer.
On July1, 2016, we welcomed individuals with
Developmental Disabilities (DD) into services as we
became the single point of entry. Extensive planning
occurred in preparation for the Waiver Re-Design as
part of our on-going participation of the Department
of Justice Settlement Agreement. We look forward to
developing long-lasting partnerships with DD
providers to ensure individuals live successfully and
are fully integrated in our community.
In the year ahead we will have a strategic focus on
procuring and implementing a new Electronic Health
Record, providing same day access to services, and
assuring the provision of high quality services for
individuals with Developmental Disabilities. We will
continue to strengthen existing partnerships and
develop new ones. We will promote wellness and
recovery in all service areas.
The Board and staff express our appreciation and
thanks to the Boards of Supervisors of Henrico,
Charles City and New Kent Counties for their ongoing
support of our mission. Their commitment and the
work of our diverse, talented and dedicated staff
make a difference in the lives of many individuals.
Brenda A. Brown Laura S. Totty
Board Chair Executive Director
4
serving the
H 1,670EmergencyScreeningsforPsychiatricHospitalizationscompleted
TotalservedintheJails:
2,305
Early
Intervention
reached
808
infantsand
toddlers
Intellectual
Disability
caseloadof
1,153
consumers
servedby
case
managers
677
CourtOrderedEvaluations
4,960 individuals
servedby
MentalHealthClinicians
Substance
Use
Disorders
Services
renderedto
1,643 individuals
30
HAMHDS Total Unduplicated Served FY16: 9,933
ID Day Support Hours: 208,232
2,624 served in SUD Community, includes 981 jail inmates participating in the RISE Program
628 Walk-in Admissions to
Substance Use Disorders Services
16,273 Calls to Access Center
28,515 Face to Face Case Management Visits
Youth & Family Clinical Contacts: 8,190
843 Virginia Independent Clinical Assessment
Program (VICAP) Assessments
88,444 Lakeside Center hours
297 Governor’s Access Plan (GAP) Assessments
Crisis Receiving Center utilized 692 times in FY16
5
community
INDIVIDUALS SERVED BY
GENDER
INDIVIDUALS
SERVED BY RACE
AND ETHNICITY
INDIVIDUALS SERVED BY
PROGRAM AREA
6
fiscal year revenue
EXPENSES BY
PROGRAM AREA
39% LOCAL FUNDS
31% 3rd PARTY FEES
23% STATE FUNDS
6% FEDERAL FUNDS
1% OTHER FUNDS
EXPENSES
Mental Health Services $16,363,625
Developmental Services $12,297,130
Administra3ve Services $2,661,554
Substance Use Disorders Services $2,396,291
REVENUE
Local funds $14,247,188
3rd Party Fees $11,170,188
State Funds $8,050,242
Federal Funds $1,985,992
Other Funds $316,932
7
In addition to its role as a community service provider,
HAMHDS is a contributor to the local economy. In
FY2016, HAMHDS directly provided 369 jobs, paid
$25.6 million in employee compensation, and spent
$33.7 million on expenditures.
Utilizing Community Health Solutions estimation and
analysis via IMPLAN® economic modeling system, the
ripple effect be can estimated that these direct outputs
may have supported 333 additional jobs, $17.6 million
in additional labor income, and $35.7 million in
additional economic output.
and expenses
AGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTS ♦ Implemented a Telehealth strategy and procured video conferencing equipment from
State grant funding; installed at all locations, including Jails and Juvenile Detention; began
providing psychiatric services to two of our programs through Telepsychiatry
♦ 145,000 calls managed and 36,000 individuals checked in at our 4 clinic locations
♦ Experienced a 70% increase in external audits/program reviews
♦ 32 staff trainers provided instruction on a variety of areas such as: First Aid, CPR, and
AED, Prevention of Violence, Therapeutic Options, Cultural Awareness, Brown Bags,
Wellness series: My side of the Story, Mental Health First Aid, Electronic Health Record
system and other professional training outside of their normal duties
8
EARLY INTERVENTION SERVICES
Improving the development of infants
and toddlers to prevent or reduce the
poten3al for developmental delays and
increase the capacity of families to
meet the needs of their at-risk babies
Parent Infant Program - Part C early
interven3on builds upon and provides
supports and resources to assist family
members and caregivers to enhance
children’s learning and development
through everyday learning
SERVICES
♦ Medical diagnos3c and evalua3on
♦ Family training, counseling, and
home visits
♦ Occupa3onal therapy
♦ Physical therapy
♦ Speech-language pathology
♦ Service Coordina3on/Case
Management
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Early Intervention ServicesEarly Intervention ServicesEarly Intervention ServicesEarly Intervention Services
ACCOMPLISHMENTS
♦ Organized Maternal Substance Abuse training in
conjunc3on with Substance Use Disorders Services
educa3ng staff to address the needs of pregnant
mothers who use substances
♦ Par3cipated in a collabora3ve program with Healthy
Families in Charles City County, promo3ng posi3ve,
nurturing, responsive paren3ng, improving child health
and development, promo3ng school readiness and
preven3ng child abuse and neglect
♦ Celebrated Early Interven3on month at the Pediatric
Center (John Rolfe loca3on) by thanking our contract
providers, local pediatricians/ hospitals, and various
other partners/referral sources in the community
infants and toddlers in
Virginia have
developmental delays
and disabili3es. It is
crucial that these
children receive
immediate interven3on
and treatment upon
diagnosis (Virginia
Board for People with
Disabili3es)
16,000
9
As a Local Lead Agency As a Local Lead Agency As a Local Lead Agency As a Local Lead Agency HAMHDS HAMHDS HAMHDS HAMHDS provide
leadership/partnership to a comprehensive statewide program of early intervention services for infants and toddlers with disabilities and their
families.
♦ Ensure providers establish and maintain comprehensive system of supports and services that is family centered, accessible, and
community based
♦ Direct fiscal oversight
♦ Provide technical assistance around Part C regulations, insurance/billing, and specific
cases on a daily basis
♦ Monitor Part C compliance
ACCOMPLISHMENTSACCOMPLISHMENTSACCOMPLISHMENTSACCOMPLISHMENTS
♦ Participate in child-find activities with area pediatricians, neonatal intensive care units, Essex Village, Henrico County’s community fair, Healthy Families, and Smart Beginnings of Greater
Richmond
♦ Collaborate, develop and provide ongoing training for Early Intervention therapists
and service coordinators
“Early Intervention helped Jesus with his fine motor and
gross motor skills since his heart surgery because he was really delayed in those areas. He could not use his hands well, sit, walk or even have any big motor movements. I appreciate all the help we have received because without service coordination or the therapists we would not be able to reach our goals. Early intervention is great because they come into play at such an early point in
children’s lives.”
“Early intervention has been a great support system for us since Jaylin was born premature at
27 ½ weeks.”
JAYLIN
JESUS
10
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Developmental ServicesDevelopmental ServicesDevelopmental ServicesDevelopmental Services
DEVELOPMENTAL SERVICES
serving children and adults with intellectual disabili3es (ID), assis3ng in the
naviga3on of state’s system of services while iden3fying and strengthening
individuals’ natural supports
ACCOMPLISHMENTS
♦ Intake/Eligibility and Case Management collaborated to complete Priority
Categories for all individuals on the Intellectual Disabili3es Urgent and
Non-Urgent wai3ng list and the new VIDES assessment for all individuals
mee3ng Priority 1
♦ Upon our recommenda3on, the Department of Behavioral Health and
Developmental Services (DBHDS) appointed community members to the
Waiver Slot Alloca3on CommiGee
♦ Restructured intake team and hired two case managers to prepare for
becoming the Central Point of Entry for individuals with Developmental
Disabili3es (DD)
♦ Absorbed the waiver screening and waitlist monitoring for infants to 3 years
old who are in our Early Interven3on program
♦ Con3nued to par3cipate in Support Intensity Scales (SIS) verifica3on audits,
Na3onal Core Indicators, Delmarva surveys, Department of Jus3ce audits,
Licensing audits, DBHDS quality audit, and Department of Medical Assistance
Services (DMAS) audits
♦ All case managers and supervisory staff successfully completed required
DBHDS Case Management (CM) modules
♦ Case management supervisory staff completed DBHDS training to become
Waiver Re-Design Experts; this designa3on provides a resource for other
community providers in waiver re-design implementa3on
11
Michelle loves working with and helping
others in the local community. In early 2014,
Michelle began the Hermitage Enterprises
Office Assistance Training Program with the intent of gaining work skills leading to
more independent employment. Michelle learned how to interact appropriately with
individuals, answer telephones, take messages, file sensitive information within
specific charts, and give brief presentations of her job to groups touring the building. As
she began interacting in ways that defined great customer service and it became clear
that Michelle had many strengths and talents beyond working as a receptionist. With
her Employment Specialist advocacy and support, Michelle applied, interviewed, and
was hired as an Elevator Operator with The Virginia Home. Michelle quickly learned her
new tasks and responsibilities working side by side her Employment Specialist. One
year later, Michelle has grown into a dependable and responsible employee.
Michelle’s supervisor considers her to be an outstanding asset to his staff at The
Virginia Home. Michelle personifies what The Virginia Home is all about: safety, trust,
and a loving environment where individuals continue to grow in spirit, mind, and body
despite the limitations of their wheelchairs.
PROGRAMS
♦ Intake & Eligibility
♦ Case Management Services
♦ Regional Governor’s Virginia Housing &
Suppor3ve Services Ini3a3ve (HSS)
♦ Regional Educa3on Assessment Crisis
Services Habilita3on (REACH)
MICHELLE’SSTORY
12
DEVELOPMENTAL SERVICES
Provides residen3al services for adults with intellectual disabili3es; Group homes are located in
neighborhoods throughout the County of Henrico
Employment & Day Services offers center-based programs at Hermitage and Cypress Enterprises;
Individual and Group Supported Employment Services are provided to individuals and employer
across the metro Richmond area
PROGRAMS
♦ Residen3al Services
♦ Individual and Group
Supported
Employment
♦ Work programs at
Hermitage and
Cypress
♦ Skills Training for
Employment
(STEP)
♦ Life Enrichment
Services
♦ Employment
Resources and
Community
Engagement
Programs
♦ Benefits
Counseling - Work
Incen3ve Specialist
Advocate (WISA)
♦ Office Assistance
Training Program
Ashley now says, “Life is good!” After graduation from
Deep Run High School, Ashley tried working in the
community but felt it was too stressful, impacting her
medical conditions. Ashley began attending Hermitage
Enterprises STEP program. There she volunteered in the
community, worked on contract work in the center,
attended classes, and joined in discussions with others
who were working to explore employment opportunities.
She joined a job club as part of the Employment
Resources Program to learn new skills. With support of
her mother and team, she began exploring placements
in group supported employment sites. Ashley took
advantage of a job opportunity at Omnicare which
eventually lead to community employment 5 days/week.
She currently works 28 hours/week and earns minimum
wage. Ashley states, “They make me
feel like I am one of them there. I have
met new friends, learned a new job
where I make a lot of money so I can
help take care of my mom and myself.”
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Developmental ServicesDevelopmental ServicesDevelopmental ServicesDevelopmental Services ASHLEY’SSTORY
13
ACCOMPLISHMENTS
♦ Agency representa3on on several state advisory boards: Employment First Advisory
Group , Community Engagement Advisory Group , including appointment to a 3
year term on the Employment Services Organiza3ons Advisory
Group with the Department of Aging and Rehabilita3ve Services
♦ Developed and implemented a new electronic data collec3on
system at Hermitage and Cypress; computer worksta3ons were
added to increase efficiency
♦ Implemented several pilots towards improving community
inclusion services to those who aGend day services
♦ Graduated one individual from the Office Assistance Training
Program (OATP) to a full 3me individual placement; placed
three individuals from Hermitage into community integrated
employment
♦ 115 individuals earned wages in
community integrated
employment through our
Individual or Group Supported
Employment program
♦ Through art lessons, residents
experienced crea3ng artwork to
decorate their homes
♦ Sherbrooke staff par3cipated in
training with a cer3fied
Nutri3onist to support an
individual with a new diagnosis
of diabetes; this led to a
residen3al health and wellness
ini3a3ve
♦ Residen3al Services donated
vegetables grown in their
garden to a local food pantry
National
Developmental
Disability month
was celebrated
with a talent
show at
Hermitage
Enterprises
Ishmer playing his guitar, and enjoying it immensely,
at the Hermitage Enterprises Talent Show
14
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Community Community Community Community Lakeside Center: Lakeside Center: Lakeside Center: Lakeside Center:
15
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office A place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and self----determinationdeterminationdeterminationdetermination
16
HOUSING
SERVICES
manages the
Virginia Housing
Development
Authority’s
(VHDA) Housing
Choice Voucher
program for
individuals
receiving
services at
HAMHDS and
also serving
homeless
veterans,
Hurricane
Katrina families
and former
Welfare-to-Work
families
As an Administra3ve Agent of
Virginia Housing Development Authority
program, HAMHDS provided oversight to
271 voucher holders and maintained a
wai3ng list of 215
271
Housing ServicesHousing ServicesHousing ServicesHousing Services
Housing Assistance
Payments disbursed on
behalf of Henrico residents
providing residents safe and
stable housing totaled
$1,831,865 in FY16
$1.8 MIL
17
ACCOMPLISHMENTS
♦ FY16 Sec3on Eight Management Assessment
Program (SEMAP) audit “High Performer"
♦ Housing Case Manager served on the Region
IV Department of Jus3ce (DOJ ) Housing
CommiGee
♦ Received the Regional VHDA Capacity Grant
and serves as fiscal agent
♦ Led the DOJ Regional Rapid Response Housing
Ini3a3ve, gaining immediate access to
addi3onal housing vouchers for the region
♦ $8,416 U3lity Reimbursement Payments
expended to tenants in need
♦ Conducted over 350 annual safe housing
inspec3ons/re-inspec3ons to verify repairs
completed
♦ Of the 271 households with a Housing Choice
Voucher, 110 receive some other HAMHDS service
18
YOUTH & FAMILY SERVICES serving youth up to age 18 with mental health
and substance use disorders u3lizing resources from the courts, community,
schools, and families
Na3onal Ins3tute of Mental Health
es3mates 1 in 5 adolescents may
have a mental health disorder.
Early
iden3fica3on
and treatment
can lead to
happier, healthier
and more fulfilling lives.
15outof
Children and adolescents who use
alcohol and drugs at an early age
are more likely to face problems
with substance use as adults.
Youth artwork from HAMHDS 2016 Wellness Series: Paint Your Story
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Youth & Family ServicesYouth & Family ServicesYouth & Family ServicesYouth & Family Services
19
PROGRAMS
♦ Virginia Independent Clinical Assessment
Program (VICAP) Assessments
♦ Child & Adolescent Mental Health &
Substance Use Disorders Services
♦ Juvenile Deten3on Services
♦ Intensive Care Coordina3on Services
♦ Court Services
♦ Mul3-Systemic Treatment (MST)
♦ Psychiatry Services
♦ Youth Crisis & Emergency Services
♦ Regional Child Crisis Stabiliza3on at
St. Joseph’s Villa
♦ Regional Children’s Mobile Crisis
Interven3on Services (CReST)
ACCOMPLISHMENTS
♦ Served 583 individuals
♦ Provided Intensive Care Coordina3on Services to eight youth at risk of residen3al
placement, using a high-fidelity wraparound model of services
♦ Con3nued our partnership with court services, serving fiPy youth and their families
in Court Alterna3ve Program Substance Abuse (CAP-SA) psycho-educa3onal groups
♦ Con3nued to expand our role as Children’s Services Act (CSA) case managers for
youth receiving residen3al or community-based services; 45 youth served
♦ Increased the flexibility of our staffing for conduc3ng VICAP Assessments through the
use of contract staff, conducted 843 VICAP assessments
♦ Nego3ated increased on-site hours and services at Juvenile Court Services
Crisis Response & Stabiliza3on Services
(CReST), a new regional program
created to help children during a mental
health emergency in their own homes,
schools and communi3es so they can
avoid costly and restric3ve inpa3ent
hospitaliza3ons began. HAMHDS served
14 youth in this program to date.
20
ADULT RECOVERY SERVICES serving adults with serious and persistent mental
illness to develop personal recovery goals, achieve stability, and lead full and
produc3ve lives
When Darlene started with the East PACT team, her
mental status was unstable and medication
adherence was a continuous issue resulting in several inpatient psychiatric hospitalizations.
Darlene eventually agreed to receive an injectable medication, and since that time, she has
vastly improved. She has resumed communication and interaction with her family and
friends, she was able to move into a her own apartment, she reports great insight into her
mental illness and her need for remaining on her medications as prescribed. Darlene is
friendly and engages with all PACT staff, she readily asks for assistance with case
management needs and transportation in the community. She reports the PACT team as a
great support for her and that without them “I wouldn’t know what I would do.”
PROGRAMS ♦ Programs for Asser3ve/Intensive Community Treatment (PACT/ICT)
♦ Case Management & Assessment
♦ Young Adult Services: In Step Toward, Recovery, Insight,
Development, & Empowerment (In STRIDE)
♦ Adult Crisis Stabiliza3on
♦ Jail Diversion
♦ Employment Services
♦ Psychosocial Rehabilita3on Services
♦ Skills Building Services
♦ Residen3al Services
♦ Medical Services
♦ Psychiatry/Nursing Services
♦ Peer Recovery Support Services
Kim has been in treatment
services for her co-occurring disorders “on and
off for twenty years.” She meets the criteria for
a Serious Mental Illness and has struggled
with chronic alcohol relapse, resulting in
periods of incarceration and homelessness.
“Now I have Medicaid and am seeing a doctor
for the first time in 35 years. I am feeling now
like I want to live again and am making
progress in my
life.”
DARLENE’SSTORY
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Adult Recovery ServicesAdult Recovery ServicesAdult Recovery ServicesAdult Recovery Services
KIM’SSTORY
21
ACCOMPLISHMENTS
♦ Con3nued to demonstrate the
effec3veness of case management
services with 92% of individuals
experiencing either a reduc3on in
hospitaliza3on admissions or
remaining at zero hospitaliza3ons
♦ Con3nued partnership with The
Daily Planet and implemented
par3cipa3on in Enhanced Care
Coordina3on as part of integrated
healthcare
♦ Began implementa3on of the
InSHAPE wellness program
♦ Provided employment services to
47 consumers, 87% were
successfully employed during the
year
♦ Enhanced Lakeside Center by
implemen3ng addi3onal
structured programming in the
daily schedule
♦ Peer Specialists ac3vely working at
Crisis Receiving Center and on
ICT/PACT teams
2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the category of Human Services: category of Human Services: category of Human Services: category of Human Services: Innovative Residential Programming recognized by National Association of
Counties (NACo).
In November 2013, HAMHDS created a new level of residential programming for individuals with serious and persistent mental illness. The Danray Home provides housing and support to five adult male clients who have expressed an interest in living independently, but who currently lack the skills and abilities to manage without the support of staff. The unique component of this program is that rather than having staff present 24 hours a day, 7 days a week, staff are present at critical points through the day to provide support and education. These critical points typically occur early in the morning when residents are waking and again in the evening when residents are settling in for the night. Staff focus on teaching skills related to medication management, cooking, budgeting and housework. During other parts of the day residents live independently giving them an opportunity to practice the skills they are learning. The primary objectives of this program are to increase residents’ independent living skills and to encourage integration into the larger community. This new level of residential support has resulted in decreased operating costs, and more importantly, improved outcomes for residents of The
Danray Home.
22
CRISIS & EMERGENCY SERVICES
24 hour, 7 day a week response to
individuals experiencing mental health
crises to promote individual and
community safety
PROGRAMS
♦ Access
♦ Emergency
Services
♦ Crisis
Stabiliza3on
♦ Hospital &
Discharge
Planning
♦ Psychiatry
♦ Crisis
Interven3on
Team (CIT)
HAMHDS staff aGended the Zero Suicide Academy as
part of larger strategy to address the rising number of
suicides and suicide aGempts.
The Na3onal Ins3tute of Mental Health
reports that nine out of 10 people who die by suicide
have a treatable mental illness.
910outof
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Crisis & Emergency ServicesCrisis & Emergency ServicesCrisis & Emergency ServicesCrisis & Emergency Services
185RegionIV
45Henrico,Charles
City&NewKent
Counties
1,086
VASuicide
Deaths
reportedby
Medical
Examiner
Emergency Services has a crucial role in
detec3ng suicidal idea3on and assuring
appropriate evalua3on, for our residents.
Services include: screenings, risk assessments,
safety plans, treatment, discharge assistance,
and follow-up plans, treatment, discharge
assistance, and follow-up care.
23
ACCOMPLISHMENTS
♦ Expanded our services at the
Crisis Receiving Center (CRC) from
12 to 18 hours a day
♦ Coordinated with Children’s
Response and Stabiliza3on Team
(CReST) and the Regional
Educa3onal Assessment Crisis
Response Habilita3on (REACH)
Team
♦ Began planning for
implementa3on of Same Day
Access
♦ Expanded CRC partnership to
include New Kent Sheriff’s Office
and are ac3vely training their
sheriff depu3es in 40 hour
Henrico Crisis Interven3on Team
(CIT) training with the goal of
100% trained
♦ Con3nued to provide monthly CIT
classes to police, fire and sheriff
first responders and have trained 100% of the 655 Police Officers and 100% of the
121 Communica3on Officers as of May 2016
face to face emergency
assessments conducted by cer3fied
preadmission screening evaluators
providing crisis interven3on,
stabiliza3on, and referral assistance
1,670
24
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Adult Outpatient & Jail Services Adult Outpatient & Jail Services Adult Outpatient & Jail Services Adult Outpatient & Jail Services
ADULT OUTPATIENT & JAIL SERVICES
serving adults in the community and in local jails with mental health and
substance use disorders
ACCOMPLISHMENTS
♦ Implemented Dual Diagnosis
Substance Abuse Treatment and
Dialec3cal Behavioral Therapy
(DBT) skills groups in partnership
with Adult Recovery Services
♦ Awarded grant to expand Jail
Diversion Services
♦ Outreach system implemented for
the mothers of substance exposed
infants
♦ Completed 510 Court ordered
evalua3ons, 72 of which were
competency/sanity evalua3ons
♦ Hired first Peer Specialist to work
in jail seTng
♦ Enhanced the engagement of
those seeking Substance Use
Disorders Services
♦ Developed a new partnership with
Health Brigade to provide onsite
HIV tes3ng
2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the category of Human Services: category of Human Services: category of Human Services: category of Human Services: Moral Reconation Therapy groups recognized by National Association of
Counties (NACo).
Moral Reconation Therapy (MRT) is an evidence-based cognitive behavioral treatment modality utilized with individuals with Antisocial Personality Disorder or antisocial traits. The HAMHDS team in the jail identified the need for this type of service for inmates housed at Henrico Jail West as it is a common diagnosis for incarcerated individuals. While the team is typically tasked with crisis intervention, assessments, and triage of inmates; it was clear that the need existed to have additional therapeutic interventions available to the inmates. The group is voluntary and inmates do not receive any incentives for participation. The goal of the group is to assist individuals to identify negative ways of thinking, to learn new more appropriate ways, and ultimately to
reduce recidivism.
25
My name is Thurman. I have not been home
that long from prison. Upon coming home, I
lost my favorite person (mother) in the whole
world. So being released at that time was
rough and I eventually started using again
trying to deal with my pain. One day I knew I
could no longer deal with my problem and I
could hear my mama telling me, “It’s time for
a change; you promised me”. So I talked to
my wife and she made a couple of calls and
by the grace of God we found Henrico Mental
Health. I said to myself it was time to take my
life more serious plus I was not getting any
younger. I have been clean for two months
now and I have not been
clean since 2012. So here
I am taking it one day at a time.
THURMAN’S STORY
PROGRAMS
♦ Adult Substance Use Disorders Services
♦ Court Evalua3ons
♦ Jail Services / Jail Diversion
♦ Proba3on & Parole Partnership
♦ Contracted Detox, Residen3al,
Medica3on Assisted Treatment (MAT)
♦ Contracted Residen3al and In-Pa3ent
26
PREVENTION SERVICES
serving youth in Henrico,
Charles City and New Kent
to strengthen protec3ve
factors that reduce the
risk of mental illness or
substance use disorders
individuals benefiGed from
outreach to schools and community to
promote wellness through Mental
Health First Aid (MHFA), preven3on of
violence and substance use, and suicide
preven3on. Addi3onally, aPerschool
programming focused on enhancing
early academic success and promo3ng
resilience through life skills.
3,255
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Prevention ServicesPrevention ServicesPrevention ServicesPrevention Services
27
ACCOMPLISHMENTS
♦ Conducted mapping of tobacco-product vendors and provided merchant educa3on
as an environmental strategy focused on raising awareness regarding VA laws on
tobacco product sales to minors, 241 vendors iden3fied
♦ Connect Program youth par3cipated in the Annual Spring College Tour, visi3ng
Virginia State University and Randolph-Macon College
♦ Teen Job Prep Program (TJPP) provided forty-one 14 and 15 year old youth with job
training and a paid summer work experience
♦ Par3cipated in the Region IV Suicide Preven3on Collabora3ve to develop
Bewellva.org website that educates the community about Community Services
Boards (CSB) and wellness resources
♦ Trained 179 persons in Mental Health First Aid (MHFA) including Sheriffs, county
employees, social work and human service interns, youth serving organiza3ons,
CERT volunteers and the faith community. A MHFA video was developed in
collabora3on with Henrico County Media Services for HCTV and cable channels
featuring a Preven3on MHFA trainer
♦ Disseminated Preven3on informa3on/resources on substance use preven3on,
healthy rela3onships, suicide preven3on, and paren3ng at the Henrico Summer
Heat Community Day
♦ Youth Ambassadors Leadership Group planned and implemented the 1st Annual
Wellness Hip-Hop Poetry Slam
28
The Providence Forge office provides a full array of
services to residents in need of treatment and
support
PROGRAMS
♦ Outpa3ent therapy for children, adolescents and adults
♦ Substance Use Disorder Services - individual and group therapy
♦ Case Management Services for individuals with developmental disabili3es and
adults with serious mental illness
♦ Psychiatric Services
PROVIDENCE FORGE OFFICE serving the residents of Charles City and
New Kent Coun3es
Community Partnership
Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office
29
ACCOMPLISHMENTS
♦ Served 583 individuals
♦ Provided psychiatric services to 149 individuals
♦ Provided case management services to 57
individuals with serious and persistent mental
illness
♦ Par3cipated on the Family Assessment and Planning Teams and County Policy
Management Teams for Charles City and New Kent coun3es
♦ Partnered with Quin Rivers Healthy Families and par3cipated in Child Find
ac3vi3es to strengthen families and enhance the development of children in
Charles City and New Kent Coun3es
♦ HAMHDS coordinated with New Kent County Sheriffs’ department for Crisis
Interven3on Team Training and for use of the Crisis Receiving Center
Prevention services extend to Prevention services extend to Prevention services extend to Prevention services extend to
Charles City and New Kent Charles City and New Kent Charles City and New Kent Charles City and New Kent
counties promoting healthy counties promoting healthy counties promoting healthy counties promoting healthy
behaviors and lifestyles to behaviors and lifestyles to behaviors and lifestyles to behaviors and lifestyles to
support youth development. support youth development. support youth development. support youth development.
Programs address Programs address Programs address Programs address
community needs identified community needs identified community needs identified community needs identified
by stakeholders as risk by stakeholders as risk by stakeholders as risk by stakeholders as risk
factors and protective factors and protective factors and protective factors and protective
factors. By addressing risks factors. By addressing risks factors. By addressing risks factors. By addressing risks
and building upon the and building upon the and building upon the and building upon the
strengths of Charles strengths of Charles strengths of Charles strengths of Charles
City/New Kent youth, City/New Kent youth, City/New Kent youth, City/New Kent youth,
families, schools and families, schools and families, schools and families, schools and
communities, the need for communities, the need for communities, the need for communities, the need for
more costly treatment more costly treatment more costly treatment more costly treatment
services is prevented.services is prevented.services is prevented.services is prevented.
30
“Iamnowlivingabetterlife,thinking
clearlyagainandbeingagoodmother
tomyson”
KAYLA’SSTORY
When Kayla started with services
at HAMHDS eight months ago, she
had only been a few days clean
and had a brand new baby to take
care of, in a brand new place. She
moved to Henrico eight days prior
to starting services from Columbus,
Ohio. “If I was to be successful, I
needed a fresh start and to live a
better life involving sobriety from
opiates. I was referred to a
methadone clinic by my counselor,
Adam, who has really helped me a
lot. Since I started treatment, I
have not used one time, which is a big accomplishment for me. Coming to my
appointments here along with the methadone treatment, I am now living a better
life, thinking clearly again and being a good mother to my son, Braeden. It hasn’t
always been easy but it has been a change for the better and I
couldn’t be happier with my progress thus far.”
31
John is a 16 year old who has struggled for several years to manage his
depression, anxiety, and obsessive compulsions. Things hit an all-time low last
year when John’s behaviors became unmanageable. John ended up being
psychiatrically hospitalized numerous times and incurred some serious legal
charges. His father said, “We were in deep debt due to all of the treatment costs
and hospital bills.” John’s family was also emotionally exhausted and began
considering options to have John removed from the home indefinitely.
John and his family were then referred to Henrico
Area Mental Health & Developmental Services.
John started receiving case management, which
led to involvement and coordination with the
other child serving agencies in the County. John
successfully completed a residential treatment program that was facilitated by
the County agencies involved. He returned home with community based WRAP
around services in place. John and his family have been a part of every
treatment decision and his service plan is centered on his strengths and tailored
to his individual and family needs. John’s parents benefitted from a Parent
Support Partner’s presence and support at planning meetings.
John has now gone a year without being hospitalized. He
is excelling in school and now on grade level. His
relationship with family members is strong, and his mother
now says that spending time with John is “Like a breath of fresh air.”
John no longer has legal involvement and is involved with
positive activities in the community. He is now able to say “I love life.”
“SpendingtimewithJohnis
likeabreathoffreshair.”
JOHN’SSTORY
32
Mr. Chaudhry has struggled with a mental health diagnosis and alcoholism for
many years. He had obtained sobriety and mental health stability, but faced a
setback in March of 2015. He relapsed, and the relapse unfortunately led to
incarceration. He was quickly identified by HAMHDS staff in the jail as a potential
candidate for the Jail Diversion program. The Jail Diversion Program is a program
that provides participants an opportunity to be served in the community, in lieu of
remaining in jail while the court case progresses through the courts.
The courts approved Mr. Chaudhry’s
bond and participation in the jail
diversion program. He actively engaged
in outpatient substance abuse
services, group and individual therapy
and case management services. Jail diversion staff assisted him with applying
for social security, and provided education on symptom management. Mr.
Chaudhry became an active participant in his community, attending AA meetings
and spending time with his family.
Mr. Chaudhry’s participation in the program allowed him to remain free and work
on his recovery as opposed to being exposed to further traumatization in the jail
environment. “This incident happened for a reason because I am on the correct
path now, I was able to get back on track, a bad experience was turned into
good” “The Jail Diversion program is a great program to support individuals and I
recommend it to everybody”.
“Iwasabletogetbackontrack,abad
experiencewasturnedintogood”
MR.CHAUDHRY’SSTORY
33
Melissa’s desire was to be a Dietician at Henrico
Doctors’ Hospital. She attended PAVE (Program for
Adults in Vocational Education), which provided
classroom and hands-on-learning in culinary arts. Melissa also participated in an
internship at Henrico Doctors’ Hospital during her last year of the PAVE program. At
the end of her college experience, Melissa was
released from her time limited internship and
referred to Supported Employment at HAMHDS.
Melissa then was hired part-time at Henrico Doctors’
Hospital, obtained a driver’s license and moved into
her own apartment. One day, Employment Specialist
was called to a meeting at Henrico Doctors’ Hospital
where Melissa was celebrated for her
professionalism, dedication, commitment to the job,
outstanding team work, and offered a permanent,
full-time Dietary Aide position with benefits! The job
required Melissa to take orders over
the phone, input the orders
in a computerized system, print a receipt, and track how long it
took the patient to obtain the order. Melissa is shy, soft spoken, and hard
to understand so this proved to be difficult for her. With her Employment Specialist,
Melissa trained and persevered. Melissa’s job description expanded to included
patient interaction. Melissa loves her job and has been employed at Henrico Doctors’
Hospital for 12 years. Melissa no longer receives Social Security benefits. She loves
fashion and travelling and has been able to take numerous trips and purchase a
“fashion-forward” wardrobe due to the income she makes at work.
MELISSA’SSTORY
“IwanttobeaDieticianat
HenricoDoctors’Hospital”
WoodmanOf'ice
10299WoodmanRoad
GlenAllen,VA
ProvidenceForgeOf'ice
9403PocahontasTrail
ProvidenceForge,VA
EastCenterOf'ice
4825SouthLaburnumAvenue
Henrico,VA
RichmondMedicalPark
2010BremoRoad,Suite122
Henrico,VA
HermitageEnterprises
8247HermitageRoad
Henrico,VA
LakesideCenter
5623LakesideAvenue
Henrico,VA
CypressEnterprises
205RoxburyIndustrialCenter
CharlesCity,VA
Aspecialthankyoutothe
GraphicCommunicationsstudentsof
forpartneringtoprintandbind
theHAMHDS2016AnnualReport