Annual Report2014 - 15Hope for new directions

Year of significant transitionsEvery day we work with children and adults through their various stages of recovery and healing. It is our hope that by helping them through their hardest times, they will be able to live healthy and full lives.

In 2014 and 2015, we endured our own period of recovery and healing as an organization, giving us even greater insight to the challenges faced by our clients. The sudden loss of two beloved staff members to unexpected deaths in 2013 required us to work together to find the strength to move forward, even in the most difficult times.

We have been going through a period of transition on many fronts and have made progress in our own recovery. As I reflect on the last two years, I am proud to share we have moved forward in many ways.

• We have added more schools to our school-based therapy program. Helping children where they spend most of their time often creates an environment most conducive to therapy.

• We made major infrastructure changes in our school-based program. The adoption of the Common Core curriculum reduced the amount of time children were accessible in the schools. We needed to restructure how we deliver mental health and addiction services to them.

• We developed programs with an emphasis on family engagement. We moved toward a family-engagement model with all of our therapy services. Incorporating the entire family in therapy creates a more favorable result. So far, the results have been extremely positive and encouraging.

• We achieved certification from the Ohio Department of Mental Health for our new alcohol and drug treatment (AOD) services. This certification allows us to offer prevention and recovery services, which are much-needed in our region.

• We restructured our financial reporting period from a calendar to July 1- June 30 fiscal year to align with the school calendars.

Having to face these challenges made us stronger as an organization and better equipped to meet the needs of our clients and their families.

Sincerely, Rev. Dr. Byron Arledge, President and CEO

Pastoral Counseling serviCe

REPORT TO THE COMMUNITY

Board of Trustees (2014-15)OfficersJeff Satterfield, chair (CEO, QylexIT)

Dr. Leon Howard II, PCC-S, vice chair (Summa Western Reserve Hospital)

Rick Kimble, treasurer (financial secretary, Holy Trinity Lutheran Church)

MeMBersKathy Adkins (2014 board shadow)

Michael Byun (executive director, Asian Services in Action)

Robert Davis (director of finance, The Chapel)

Thomas Kyner (vice president, business development Bowen Engineering)

Betty Oberdorfer, RN (retired, Akron General Medical Center)

Alan Papa (president and COO, Cleveland Clinic Akron General)

Rev. Sue Ann Schmidt (minister, retired, Presbyterian Church USA)

Mark Willis, Esq (attorney, Willis & Willis Co., LPA)

HOnOrary eMeriTus TrusTeeBob Myers (president, Associated Underwriters)

Affiliations and Accreditations Ohio Department of Mental Health & Addiction ServicesOhioMHAS has statutory and regulatory authority over providers of mental health services to Ohio consumers.

Council on AccreditationCOA is an international, independent, not-for-profit, child- and family-service and behavioral healthcare accrediting organization.

Ohio Council of Behavioral Health & Family Services ProvidersThe Ohio Council is a statewide trade and advocacy association representing

150 private, nonprofit organizations that provide alcohol and other drug addiction, mental health and family services.

Lutheran Services in America LSA is one of the largest health care and human services networks in the country, representing 300 Lutheran nonprofit organizations throughout the United States and the Caribbean.

AUdITEd FINANCIAl REsUlTs ANdPROgRAM OvERvIEw

January 1, 2014 – June 30, 2015

2015 FINANCIAl REsUlTs(for the 18 month period ending 6/30/15)

PROGRAM / SuPPORt exPenSeS

83%Program Expense$9,552,511 17% Support Expense

$1,904,318$11,456,829

Net Surplus from Operations – $1,620,527Note: Results include the effect from the reversal of a potential liability

of $1,233,859 related to a prior year that did not materialize.

Revenue AnD SuPPORt$13,077,356l Medicaid $12,472,755l Fees / Insurance $456,526l Contributions / Grants $6,218 l Investment Income $116,633 l Miscellaneous $25,224

Revenue AnD SuPPORt$13,077,356

l Wages / Benefits $9,886,874l Supplies /Services $481,467 l Occupancy $402,942 l Bad Debt $456,276 l Miscellaneous $108,714 l Depreciation $120,556

exPenSeS$11,456,829

Pastoral Counseling serviCe

COMMUNITY-BASED SERVICESCommunity-based services are at the core of PCS – helping people where they live, work and go to school. We greatly expanded our services during 2014-15, providing mental health assistance in more than 74 schools and school-related programs, launching an addiction services program and adding mental health treatment for older adults.

Addiction ServicesOur alcohol and drug (AoD) program for both adults and children started in response to the rising epidemic of drug and alcohol use within Summit County. Our AoD program, certified by The Ohio Department of Mental Health, is available within the schools we serve or on an outpatient basis. Clients in the early stages of treatment or in recovery work with dually licensed therapists/substance abuse counselors.

• Between 2014 and June 2015, referrals increased 35%. • Top referral sources: previous PCS clients, Haven of

Rest, Summa Health Systems, Primary Care Physicians, Summit County Children’s Services and ADM Crisis Center.

Mental Health Services For Older AdultsAn estimated 20 percent of adults over age 55 experience some type of mental health concern, with the number even higher in the nursing home setting. Many don’t have access to mental health treatment. Our aging services program, modeled after our school-based therapy program with on-site therapy and diagnostic treatment, began in May 2015. The success of this pilot has led us to formalize and expand our program with senior living community partnerships in Summit and surrounding counties.

PCS staff has been very beneficial to the students’ success. T hey work well with classroom staff

and children seem to respond to PCS intervention. T hey are very, very helpful during crisis situations.

— Akron Public Schools staff member

I’ve come a long way, but still have a long way ahead. But with the help I am getting now, I am going to make it!

— Vassel Center client

1112

13

14

Our school-based therapy program continues to grow, expanding into Norton City Schools, Tallmadge City Schools and two charter schools during 2014 – 15.

Akron Public Schools ClIENTs

48 Schools 2014 2,146 2015 2,231Barberton City Schools4 schools 2014 259 2015 275norton Public Schools4 schools 2014 30 2015 56tallmadge Public Schools4 schools 2015 39

Woodridge Public Schools4 schools 2014 110 2015 123Summit County Charter Schools5 schools 2014 130 2015* 140 I CAN Akron Imagine Academy – Akron Imagine Kindergarten Main Street Preparatory Academy University Academy

* Through June 2015Stark County Charter Schools4 schools 2014 71 2015* 66 I CAN Canton Believe To Achieve School Garfield Academy Imagine Schools – Canton Imagine Canton Schools

* Through June 2015

1

2

3

4

5

6789

10

11

12

1313

14

1

23

4

5

678 9

10

School-Based Programs

Outpatient Services

2014 2015*

NUMBER OF CLIENTS 437 507SCHEDULED APPOINTMENTS 5,577 4,553

KEPT APPOINTMENTS 3,565 2,939PERCENTAGE KEPT** 64% 65%

* Through June 2015** Of the cancellations, 18% were cancelled by clients and 13% were no-shows.

All therapists have a master’s degree LPCC-S, LPCC, LPC or LISW-S, LISW or LSW. CPSTs all hold a minimum of a bachelor’s degree.

Pastoral Counseling serviCe

OUTPATIENT sERvICEs

Summer and Food Programs For FamiliesOur summer program, offered during eight weeks from mid-June to the beginning of August, helps students continue treatment started during the school year. The program attracted an average of 131 per week, with a peak of 173 weekly participants. The program exceeded expectations as we budgeted for 80 participants. During the program, participants received two hours of service weekly, provided by 16 community psychiatric supportive treatment providers (CPSTs) and eight therapists. More than 50 meals were served each day.

PCS has helped me come a long, positive way.I don’t want to imagine how my life would be

without them.I am very thankful.

— Vassel Center client

Therapists ................... 65CPSTs .......................... 51

Doctors/nurses  ......... 4Administration ........... 24

About the PCS Staff144 total at the end of FY2014-15

Barbara M. vassel CenterWhile most of our services are offered onsite at various locations throughout the community, the Vassel Center allows us to expand our reach to clients in an outpatient setting. The focus of the program is to provide services to those often referred to us through our school-based therapy program.

Our outpatient program continues to grow and the need for the services is evidenced by the sharp increase in clients and appointments in 2014-15. Referrals for our emotional wellness, psychiatric services and recovery program from area agencies, telephone intakes and our website have resulted in a significant increase in scheduled clients. It is also important to note that the kept appointment rate for our clients is well above industry average, which shows our client and staff dedication to treatment.

We recognize mental illness and/or addictions can affect an entire family unit. And we believe our comprehensive family engagement program has been the driving force behind the high number of kept appointments. Staff spends considerable time educating clients and their families regarding treatment procedures and reminding them about appointment times and dates. Transportation can also be a barrier. During FY 2014-15, we provided more than 500 bus passes for clients to aid them in getting to their appointments.

dEMOgRAPHICs2013 – 2015

2013 2014 2015*

18& older

539average age 22.4

496average age 25

616average age 30.1

17& younger

2,718average age 12.4

3,010average age 12

3,376average age 11.5

AGe

2014

39.6%1,386

60.4%2,117

2015*

43%1,714

57%2,276

GenDeR

FEMALES

MALES

* Totals for 2015 reflect the entire calendar year.

2015*

46.9 %1,874

41.9 %1,671

5 . 9 % 234

5. 3 %213

racel Black l Multi-racial, Asian/Otherl White l Declined / Did not answer

2014

52 %1,821

37.7 % 1,323

7 . 5 % 263

2. 8 % 99

MissionThe mission of the Pastoral Counseling Service is to provide mental health services, guidance and direction to persons who are trying to understand and solve difficult issues in their lives.

HistoryPCS is a nonprofit mental health agency that has served the greater Akron community since 1963. PCS was maintained as a small counseling practice until 1998 when CEO Rev. Dr. Byron Arledge was approached to place qualified mental health professionals in select Akron Public Schools (APS). The goal of this initiative was to work with students who were at risk for school failure due to poor academic and behavioral performance. The school-based therapy program began with one licensed therapist at Perkins Middle School. The following year, PCS placed seven licensed mental health professionals in the alternative programs at other APS middle schools. Within a few years, the program expanded into other grades and, ultimately, into other school districts.

In 2013, the outpatient Barbara M. Vassel Comprehensive Care Center opened to serve those with mental health needs outside of the school setting. PCS added addiction treatment and prevention services in 2014 after receiving its AOD certification by the Ohio Department of Mental Health.

Administrative offices and vassel Center (as of June 2016)611 W. Market St., Akron, OH 44303 330.996.4600 (P) 330.643.0767 (F)

pcssummit.org