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Mental Health & Recovery Board of Ashland County
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31605 County Road 1095 Ashland, Ohio 44805
419-281-3139 www.ashlandmhrb.org ... Offering Rays of Hope
Tom Gaus Chair
Jenny WhitmoreVice Chair
Kim Harrison Secretary
Nancy UdolphPlanning Committee chair
Pam MowryFinance Committee Chair
Jenny Whitmore AOD Committee Chair
Sylvia AdrianEva Beard
Ryan EmmonsGinny Telego
Lee BrightMary JonesMike White
Rebecca OwensShari Shafer
Bethany RickseckerBarbara Workman
Board Members
RSVP Collage ..................... 2
Annual Report ............... 4-9
Lifeworx Updates ............. 10
Beacon Award .................. 11
Prescription Drug Abuse Awareness ......................... 12
OACBHA Conference...... 12
In this issue...
The Ashland County Men-tal Health and Recovery Board in collaboration with the MHRB of Wayne and Holmes Counties host-ed the 6th Annual RSVP Recovery Conference on September 24, 2013 at the J.C. Meyer’s Convocation Center at Ashland University. Over 160 people participated on the day of the conference including volun-teers, speakers, presenters, and at-tendees. Drs. Courtenay Harding and Sue Estroff were keynote presenters at this year’s conference and each de-livered a keynote address, as well as leading a breakout session. Dr. Harding provided a key-note address during the morning plenary session on the topic of the renowned Vermont Longitudinal Study, with which she was involved. Her presentation set a clear path for the day providing evidence of sig-nificant improvement and recovery in serious and persistent psychiatric disabilities and the impact of reha-
bilitation in reclaiming lives. Dr. Estroff addressed the group during the afternoon plenary ses-sion reminding attendees not to be a system governed by fear. Instead, she encouraged attendees to think outside the box and utilize research findings to create unique, consum-er centered and provider sustaining services. In addition to the keynote ad-dresses, there were a total of 12 breakout sessions available to allow attendees to choose from a variety of topics. Information about the breakouts, including those handouts and PowerPoint presentations that were made available by presenters are available on the MHRB web-site: www.ashlandmhrb.org/rsvp. The Board would like to thank all planning committee members, pre-senters and attendees for your con-tributions to the ongoing success of the RSVP Recovery Conference. Planning for next year’s confer-ence will begin this month.
2013 RSVP Recovery Conference Steve Stone, executive director, welcomes attendees of the 6th annual RSVP Conference during the opening plenary session.
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Dr. John Stratton from the Ash-land Center for Nonviolence shares how the Circle process has been implemented at Lifeworx.
Forty conference participants attended the breakout session on Yoga and Meditation facilitated by Kathy Rusiska and Steve Cook. Rusis-ka and Cook volunteer with MOCA House in Wayne county to help
members explore how these approaches can enhance recovery.
Jack Cameron of OEC (left) shown here with Steve Stone, executive director of the Ashland MHRB(right), presented at this year’s conference with Donna Conley regarding the role of peers in the Mental Health system
Ruta Mazelis (right) presented with Pat Risser, M. Vanessa Eu-banks and Trish Risser regarding next steps in the recovery journey, helping those who have tackled symptoms and behaviors answer: “What now?”
CONFERENCE COLLAGE
Fredy Robles (Catholic Charities) facilitates a panel discussion regarding recovery.
Courtenay Harding addresses RSVP attendees during her opening keynote address. Dr. Hard-ing also presented a breakout session about appreciating the real person underneath the diagnosis.
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Left Louise Fleming-Dufala (far left) and Judy White of the Ashland University Cen-ter for Civic Life provided a breakout session discussing the impact of community is-sue forums on raising aware-ness regarding mental health, early childhood and trauma issues. The center’s forums have lead to the formation of action groups in the commu-nity on various topics.
Above Sue Estroff provides an afternoon breakout session on the topic of utilizing research evidence to make recognition and respect central to treatment services. She discussed local possibilities for application with breakout participants. Dr. Estroff also provided the luncheon keynote earlier in the day. Below Stephanie Taddeo, Mental Health Team Manager at the Visiting Nurse As-sociation, provides a breakout session dis-cussing stress reduction and management. The main goals of the presentation were to help participants identify stress triggers and identify coping skills.
Above Lee Weatherbee, Ashland University Sem-inary, presents with Brian Judd (right), consumer. The two paired up to prepared a presentation on spirituali-ty and recovery. Judd shared his own personal story and Weatherbee shared from his experience as a counselor.
Above Susan Buchwal-ter (Counseling Center of Wayne and Holmes Coun-ties) Jerry Strausbaugh (Ap-pleseed CMHC) and Bob Hurdle (Catholic Charities) present as members of a pan-el with Board directors Judy Wortham-Wood and Steve Stone on new directions in the MH system.
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Ohio Department of Mental Health(ODMH) State Mental Health Funds $1,159,230 State Title XX $33,993 State Hospital Inpatient Dollars $226,094 Federal Mental Health Funds $30,801 Federal Medicaid Receipts $229,025 Total ODMH $1,679,143
Ohio Department of Alcohol & Drug Addiction Services(ODADAS) State Alcohol and Drug Funds $107,953 Federal Alcohol and Drug Funds $192,927 Federal Medicaid Receipts $7,483 Total ODADAS $308,363
Ashland County Levy $1,021,420 Levy Carryover $750,977 Total Ashland County $1,772,397
Other Municipal Court(For Alcohol and Drug Jail Services) $15,000 Administrative Support $6,000 Career Center Liaison $61,825 Margaret Clark Morgan $15,800 Misc Receipts $1,321 RSVP $3,405 Total Other $103,351
Total Revenue $3,863,254
FY2013 Annual ReportFiscal Year 2013 Receipts
ODMH Funds43%
ODADAS Funds8%
County Funds46%
Other3%
FY13 Total Receipts
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Mental Health Expenditures Mental Health Direct Treatment Services (Non-Medicaid) $844,125 Mental Health Direct Treatment Services (Medicaid) $178,588 School Liaison Services $434,142 Crisis Hotline $150,450 Pharmaceutical Assistance $12,382 Crisis/Diversion Beds $18,183 Consumer Operated Services $70,000 Hospital Bed Days $226,094 Other $47,293
Total Mental Health Expenditures $1,981,257
Alcohol and Drug Expenditures Alcohol/Drug Direct Treatment Services (Non-Medicaid) $176,428 Alcohol/Drug Direct Treatment Services (Medicaid) $11,130 Alcohol/Drug Detox/Residential Services $24,119 Alcohol/Drug Prevention Services $72,951 Alcohol/Drug Jail Treatment and Prevention Services $77,097 Alcohol/Drug Women Specific Services $0
Total Alcohol and Drug Expenditures $361,725
Board Administration $475,548
FY13 Carry Over & State Paybacks FY 2013 Carry Over $954,848 FY 2013 Reserve Payback $46,789
Total FY 2013 Carry Over & State Paybacks $1,001,637
TOTAL EXPENDITURES $3,863,254
FY2013 Annual ReportFiscal Year 2013 Expenditures
Mental Health Expenditures
51%
Alcohol & Drug Expenditures
10%
Board Admin12%
Other1%
FY 13 Carry over & Paybacks
26%
TOTAL EXPENSES
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Family & Children First CouncilThe Family & Children First Council (FCFC) is a partnership of over 33 local social service agencies, systems and families that enhances the well-be-ing of Ashland’s children and families by build-ing community capacity, coordinating systems and services, and engaging and empowering families. FCFC serves children aged prenatal -21 years.
• 146 children aged prenatal to 3 yrs. served by Help Me Grow (Tri Co. ESC). Of those, 116 were Early Intervention having a diagnosed disability or medical condition.
• 48 children, 25 families served with Family Support Services.
• 27 families with 40 children aged prenatal -18 yrs. received individualized service opportuni-ty plans from the Preventive Care Team.
• With Family-Centered Support Service funds from state FCFC, 147 children and 78 fami-lies were assisted with essential “gap” needs to build individual and family strengths.
Supported Employment (SE)
Supported Employment (SE) is an evidence-based practice that helps people with severe symptoms of mental illness identify, acquire, and maintain com-petitive employment in their communities. SE is assertive about helping people find the job they want as soon as they express a desire to work.
• 68 people struggling with mental illness participated in the supported employment program during FY 2013
• On average, 41% of those participating in the program were employed at some point during the year! This is an excellent rate.
• Additional funding for the program continues through a partnership with Ohio Rehabilita-tion Services Commission. Close to $15,000 was generated through this partnership.
• The SE coordinator continues to engage new employers. In FY 2013 there were 27 distinct employers involved (a new high!).
24/7 Crisis Hotline ServicesA crisis can happen at anytime. With this in mind the Crisis Hotline is staffed 24/7 to assist mem-bers of the community who may be experiencing a psychiatric crisis or emergency situation. Crisis Hotline workers provide education, de-escalation, consultation and referral services to callers. SFY 13 saw our largest volume of calls in the last five years. There was a 38% increase in calls from SFY 12 to SFY 13.
• Approximately 1,400 persons called the Ho-tline in Fiscal Year 2013
• Of the 7,395 calls made to the Crisis Hotline:• 2,267 calls were devoted to Emergent/Cri-
sis-De-escalation needs; a 67% increase over last year!
• 5,128 calls were devoted to Education, Con-sultation & Referral
School-Community Liaison ProgramLiaisons continue their important work by strengthening the capacity of families to support children’s learning by forging strong home, school and community partnerships. In Fiscal Year 2013 (FY 2013), the School-Community Liaison Pro-gram served 1,670 unduplicated students.
• 1,670 Students were served by the liaisons• 1,804 referrals were made to community
agencies• 92% of the time those referrals were followed
through with• 83% of students served showed academic
improvement• 85% of students served showed improved
attendance• 87% of students served showed improved
behaviors
FY2013 Annual ReportAnnual Service Summary
Program Outcome
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Alcohol, Tobacco & Other Drug PreventionThe Ashland County Council on Alcoholism & Drug Abuse (ACCADA) facilitates the following evidence based prevention programs:Too Good for Drugs—This is an evidence based pre-vention curriculum. It has been a useful tool in reach-ing new schools/classes that we have not visited for a while. Word of Mouth—Word of Mouth is a tobacco pre-vention program developed by the American Lung Association offering curriculum for grades 4-8. Those grade levels now receive Too Good for Drugs. T.I.—Teen Institute is a group of students learning to be drug-free leaders in their school and community. Members must sign a pledge to be drug-free, and are expected to be positive examples. A.C.T. – (Ashland Connects to Teens) Catholic Charities Community Services (CCCS) provides this peer mentoring program for middle school aged youth to reduce alcohol, tobacco or other drug use.
• In FY 2013 ACCADA produced 816 hours of prevention services
• For FY 2013 prevention programming im-pacted over 2,000 youth in multiple classrooms (Primary, Middle & High Schools) throughout the county
• Ashland Middle, Perrysville Jr. High and Crest-view all participated in Teen Institute in SFY 13.
• Pre/Post Test Outcomes continue to show im-provements, meaning, youth participating in prevention activities are reporting an increased awareness & understanding of the harmful ef-fects of Alcohol, Tobacco and Other Drugs
• Based on Community Needs, ACCADA will be increasing prevention programming in SFY 14.
Ashland County LifeworxLifeworx is a mental health consumer-run peer recovery and support center. Their goal is to meet the emotional and social needs of members through the means of peer support. Lifeworx is a non-profit organization funded by the Mental Health & Recovery Board of Ashland County. The organization is licensed by the Ohio Depart-ment of Mental Health and Addiction Services (ODMHAS) as a “Consumer Operated Program” and became its own independent agency in March of 2007.
• Many members benefit by their participation in groups at Lifeworx which including: Sew-ing/Arts & Crafts, Boundaries/Respect, Man-aging Emotions, Etiquette, Social Interaction and What Would You Do?
• Over 20 new persons attended Lifeworx FY 2013. A total of 75 people participated over the course of the year.
• The organization negotiated a change in its Board of Directors and completed a robust Board Orientation and Strategic Planning Process.
• Lifeworx continues to make transportation available to members and is seeking to obtain a larger vehicle
• The FCFC/United Way Talk, Read, Play School Readiness Initiative sponsored in-teractive family learning events involving 80 family groups with 129 preschool-aged chil-dren. Another 28 children received readiness materials.
• Talk, Read, Play also provided 80 families a Newborn Infant Learning Bag containing a one-of-a kind infant book and resources to encourage parents to support child learning beginning at birth.
• The FCFC Child Abuse Prevention Month Task Force trained 121 professionals from 7 counties and reached over 3,126 community members with awareness information during the month of April.
FY2013 Annual ReportAnnual Service Summary
Program Outcome
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Alcohol/Drug Residential & Detox Services
Persons receiving alcohol/drug addiction treat-ment may sometimes require a more intensive lev-el of care than outpatient services. The Ashland County Council on Alcoholism & Drug Abuse (ACCADA)serves as the “gatekeeper” for Ashland County residents requiring either detoxification services from drugs/alcohol and/or residential treatment services. Residential and Detox services can be a vital and necessary step in the recovery process from drugs/alcohol.
• 65 individuals participated in ACCADA’s Medication Assisted Treatment program in calendar year 2012. Of those 65, 66% demon-strated at least some positive treatment out-comes.
• 6 individuals benefited by Residential and/or Detox services in Fiscal Year 2013.
• 41 days of Residential/Detox services were funded by the Board.
State HospitalizationState Hospitalization is the most restrictive level of care the Board utilizes to help those at immi-nent risk of harm to themselves or others due to a psychiatric emergency. Over the last twelve years the Board has worked with Appleseed and other community partners to reduce the number of beds needed at the State Hospital by increasing local options that are far less restrictive yet appro-priate to address the seriousness of the person’s symptoms. This trend has allowed for increased funding of services at the local
level.
Intensive Home Based TreatmentIntensive Home Based Treatment (IHBT) is an evidence-based service for children/youth and their families to live and function successfully in his or her home, school and the community. It is intended to prevent out-of-home placements and increase the success of children/youth reunifying with their families. Integrated Families and Sys-tems Treatment or I-FAST is the specific model/approach used by Appleseed staff to deliver this service.
• Appleseed continued to serve over 221 indi-viduals and families with the I-FAST model in FY 2013.
• Appleseed staff involve themselves in case consultation, utilize DVD’s for discussion and feedback and utilize live supervision in order to be more effective in helping youth and fam-ilies. Client, family and therapist outcomes show that the approach is helpful.
• For FY 2014 ACMHC will be tracking I-Fast differently. Rather than looking at all of the youth impacted by the model they will target youth being served by the high intensity Case Management and Counseling program.
FY2013 Annual ReportAnnual Service Summary
Program Outcome
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Jail-Based Drug & Alcohol Services
When persons are incarcerated in the local jail, treatment for Alcohol and Other Drugs (AoD) is still available. Persons incarcerated are offered an array of AoD services with emphasis placed on continued treatment when the person is released back into the community.
• The ACCADA Jail Program has served approximately 350 inmates (unduplicated) with individual counseling and/or education in SFY 2013.
• A total of 1,492 hours of AoD services were provided at the Ash-land County Jail in Fis-cal Year 2013 including:• 477 Hours of Screening/Education• 215 Hours of Assessment• 289 Hours of Individual Counseling• 502 Hours of Group Education
Alternative Programming for “ADHD”Beginning in SFY 2012 the Board, in a partner-ship with Appleseed Community Mental Health Center, has established programming for youth diagnosed as Attention Deficit/Hyperactive that is not focused on the use of stimulant medica-tion, but on empowering parents and youth thru skill building, communication and strengths based problem solving. This program continues to grow and develop and will continue in SFY 2014.
• 19 youth and 28 parents benefited from this program in SFY 2013
• In addition to parents and youth, teachers from different districts and grade levels, have been included in the program as well as other professional staff from Appleseed
• This program enters its third year in SFY 14
Program Outcome
FY2013 Annual ReportAnnual Service Summary
Number of People who Received Direct Board-Funded* Recovery Support Services Fiscal Year 2013
Total = 983Female = 467Male = 516
Mental Health Treatment = 730 (74%)Alcohol or Other Drug Treatment = 203 (21%)
Both = 50 (5%)
5%
8%
42%
43%
2%
Direct Recovery Support Services by Age
<= 12
Between 13 -17
Between 18 - 35
Between 36 - 64
>64
*Doesn’t include per-sons involved with he School-Community Li-aison Program, Jail-Based Services or Prevention Services.
This is an abbreviated re-port. For the full report vis-it www.ashlandmhrb.org.
The Ashland County Council on Al-coholism and Drug Abuse (ACCADA) was in comfortable standing last fiscal year in regards to their Board allocation and agency budget. They were also able to generate some revenue through the RAP OVI program (weekend DUI school. At the end of the year ACCADA decid-ed to use these dollars to fund some structur-al and aesthetic improvements to the agency’s building, which they also made final payments on last Fiscal Year and now own outright. Some of the improvements/investments include: • Repairing and painting the front porch• Replacing one air conditioning unit• Adding seats to counseling offices• Painting trim and walls throughout the of-
fice• Purchasing two new computers, one for the
Jail Program• Buying other books and materials for the
Jail Program• Purchasing new manuals to support group
counseling• Installing a new storm door • Improving landscaping around the building
Dennis Dyer, ACCADA Director, says the building looks good and the improvements seem to have given the staff a boost. Mr. Dyer also said he is hopeful that the improvements will present a pleasant appearance for clients. MHRB staff and board members toured the agency during their October board meeting to get a look at the new and improved facility. ACCADA also recently announced the retirement of long-time employee and youth substance abuse counselor, Susan Drushel. Su-san has been involved with ACCADA since she started there as a student in 1985. Her love and respect for youngsters and willingness to advo-cate for clients - among other things - made her a great counselor. The agency bids her farewell at the end of this month.
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An Update from the Director: In late September and early October, Lifeworx members helped the MHRB by vol-unteering at the Ashland County and Loudon-ville Street Fair booths. You can see pictures at www.facebook.com/AshlandCountyLifeworx. We began a quilt raffle at the Mental Health and Recovery Board’s Annual Dinner. Ticket sales were continued at the RSVP Con-ference the following day. Lifeworx made $67 in the first two days of sales! Tickets are available at Lifeworx or by calling 419-496-0200, they are 1 for $1 or 6 for $5. The raffle will end on November 2nd at Holiday Happenings at the YMCA. Several Lifeworx members participated in the annual RSVP Conference. A few mem-
bers were speakers and several helped to sell
raffle tickets and other items at the Lifeworx exhibit booth at the conference. At the Mental Health and Recovery Board’s Annual Dinner, we were pleased and surprised to watch one of our dearest volunteers - Captain Chad Grubb - earn the Martha Jor-dan Beacon Award for his service in support of recovery at Lifeworx. A ticket contest was held and the mem-bers with the most tickets were able to go on a trip to Kalahari - an indoor water park in San-dusky, Ohio. The members did an excellent job and fun, laughter, and exhaustion was had by all!Looking ahead... Members will have opportuni-ties to attend a trip to a paint-ball park as well as West Side Market in Cleveland. Also coming up, the Board and Staff will be hosting a Mur-der Mystery dinner for Lifeworx members.
Lifeworx raises funds with quilt raffle
Alcohol and drug agency gets aesthetic boost
Many in the community mourned the loss of a beloved mem-ber of the social services and counseling community in late August. Martha Philips Jorden was the author of the weekly mental health column in the Ashland Times-Gazette - Mental Health Mat-ters - up until the time of her death. She dedicated her life to help-ing those suffering from mental health or substance abuse disorders, grief, or the general stress of life and the trauma that so often accom-panies our journey through it. Martha played an integral role in the development of a community system of mental health care in Ash-land County. Although it would be impossible to comment on all of her accomplishments and contributions, it is fair to say many of us, including our system as a whole, would not be where we are without Martha’s leadership and guidance. In her memory the Mental Health and Recovery Board of Ashland County has decided to develop and annual award to be giv-en to an outstanding member of the community each year. The Martha Philip Jorden Beacon Award was presented for the first time at this year’s Annual Dinner on September 24, 2013. This year’s award recipient, Captain Chad gives of his time, en-ergy, and passion to support Lifeworx. He provides support through a bible study group at the agency twice a week and takes the group out on sailing trips on Lake Erie a few times a year. His presence at the agency and in the lives of the members encourages their development of life skills and contributes to their recovery in positive ways.
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Appleseed is beginning its third year of a specialized program for children who have been diagnosed with ADHD and their parents. This year’s first cohort is the largest Appleseed has had. The program, which was designed in large part by Stephanie Krueger, involves a six week course for parents and children on non-pharmaceuti-cal solutions for managing the symptoms of ADHD. The pro-gram includes two other com-ponents: in-home counseling to help families implement the techniques learned in the groups and support for the children’s’ teachers. Appleseed starts three new cohorts of the program each year. Appleseed’s Supported Employment program is beginning an eight week group de-signed to help individuals get and maintain
employment. The group is led by Arlen Yoder, long-time Appleseed case manager and trained supported employment specialist.
The weekly topics include: •Making changes•How to look for a job•Writing resumes, cover letters, and thank you notes•Understanding basic cus-tomer service skills•Dressing for success/Communicating effec-
tively• Meeting employers expectations• Getting the interview• You’re employed/How to keep your job/
The ideal employeeFor more information call (419) 281-3716.
Specialized groups help Appleseed clients succeed
Capt. Chad presented Beacon Award at Annual Dinner
MEDIATOR TRAINING
to be offered
February 7&8
• Increaseskillsfordealingwithconflict
• Modelhealthyconflictresolu-tionforclients
• Allowstafftoworkmore
collaborativelyTo register or for
more information call (419)207-8255
Registration is now live for the 2013 Mental Health and Addiction Conference: Coming Together for a Healthy Ohio
The Ohio Association of County Behavioral Health Authorities, in partnership with the Ohio Department of Mental Health and Ad-diction Services, the Ohio Department of Rehabili-tation and Correction, the Ohio Rehabilitation Ser-vices Commission, and the Ohio Department of Job and Family Services, will be host-ing the 2013 Mental Health and Addiction Conference: Coming Together for a Healthy Ohio on December 16-17, 2013 in Columbus, Ohio. This conference will be the first of its kind in Ohio, bringing together partners from throughout Ohio to address a variety of behavioral health issues. During this day and a half event, participants will have the op-portunity to learn from a number of experts on a variety of topics. The afternoon of December 16th will include three pre-conference workshops. The main conference will occur on December 17th where two plenary sessions and over 30 breakout sessions will provide multi-systemic educational opportunities to all attendees. This conference promises to provide exceptional learning and net-working opportunities for all in attendance. We hope to see you there! Registration information is
available at http://www.oacbha.org/2013_mental_health_and_addicti.php. 12
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Prescription Drug Abuse Prevention and Awareness Efforts
The Mental Health and Recovery Board in partnership with ACCADA prevention spe-cialists have been working to raise public awareness of the is-sue of prescription drug abuse. A large portion of the prescription opiates and other abused medi-cations are diverted from legit-imate prescriptions. Often, the prescription holder is unaware that their medications have been lifted or redistributed. This may be due to a younger relative taking a few pills from a family member’s medicine cabinet or because the individual is a vic-tim of a theft. It is vital that all community members keep their
medicines well organized and keep controlled substances hid-den. This year, the MHRB worked to raise awareness by distributing information about how to keep medications off the streets and how to keep fami-ly members safe at the Ashland County and Loudonville Street Fairs. Similar information will be on display for distribution at pharmacies in the community. The board is also work-ing to partner with the Ashland County Sheriff ’s Department and Loudonville Police Depart-ment to get a drop box for pre-scription medications located in
each community. The drop box-es would provide a space where community members could drop left over prescription medica-tions at any time. At the end of October the Sheriff ’s Depart-ment participated in the national drug take back event. Presentations will be done in the community to civ-ic and school groups to further raise awareness of the issue.
