FY2017 ANNUAL REPORT

FY2017 ANNUAL REPORT

1 OUR MISSION The mission of the Medina County Alcohol, Drug Addiction and Mental Health (ADAMH) Board is to assure the availability of high quality alcohol, drug addiction and mental health services to all Medina County residents through planning (assessing needs and resources, and determining priorities); purchasing cost effective services to the extent resources are available; coordinating services; and evaluating these services. OUR ROLE The Medina County ADAMH Board s Board of Directors is a public body made up of county citizens who are appointed to the Board by the Ohio Department of Mental Health and Addiction Services and the County Commissioners. The Board consists of up to 14 members. The ADAMH Board provides oversight and direction to multi-faceted, behavioral healthcare community programs and services. The ADAMH Board s providers offer treatment, prevention and education. To do this, the ADAMH Board identifies needs, funds, monitors, and evaluates mental health and substance abuse services. These services are available to all citizens of Medina County, regardless of their ability to pay. With information provided by the community and agencies, the ADAMH Board determines the direction of mental health and substance abuse services and contracts for these services through private, non-profit service providers. The ADAMH Board provides full or partial funding to these agencies from federal, state and local funds. SERVICES PROVIDED BY THE MENTAL HEALTH AND SUBSTANCE ABUSE NETWORK Our network of providers is a group of community agencies dedicated to providing effective, coordinated and affordable mental health and alcohol and drug addiction treatment to residents of Medina County. Each year, services help literally thousands of people troubled by mental illness, emotional problems and addictions. The agencies provide services for children, teens, adults, older adults and families. PAYMENT FOR SERVICES The charge for services at the ADAMH Board s primary agencies is based on how much an individual or family can afford to pay, based on the family income. Payment arrangements are worked out with the contract agency when services begin. The Medina County ADAMH Board utilizes public funds to share in the cost of services when clients, who are Medina County residents, are unable to afford full payment. Payment is also accepted from insurance, Medicaid, Medicare and other sources. Individuals are offered the opportunity to enroll in the Board s Sliding Fee for Service plan to ensure that all services offered locally are available to them. No one is turned away because of the inability to pay.

2 ADAMH FUNDED ORGANIZATIONS AND PROGRAMS Alternative Paths and Solutions Behavioral Healthcare were the largest ADAMH Board funded agencies in FY2017. Their mix of services provided Medina County residents with a wide array of local mental health and substance use disorder services as well as access to a full continuum of care through partnerships with neighboring counties. The Medina County ADAMH Board funds numerous other initiatives in Medina County to assure the best possible array of services for residents. ALTERNATIVE PATHS, INC. Medina Office: 246 Northland Drive, Medina, Ohio, 44256, (330) 725-9195 Lodi Office: 225 Elyria Street, Lodi, Ohio 44254 Wadsworth Office: 1 Park Center, Wadsworth, Ohio 44281 www.alternativepaths.org Alternative Paths, Inc. is a not-for-profit provider of behavioral health services traditionally specializing in treatment for adults and youth experiencing severe and persistent mental illnesses such as schizophrenia, bipolar disorder, major depression, and other psychotic and personality disorders. This fiscal year has been the beginning of growth for Alternative Paths, as they have begun to expand in numerous arenas. At the end of FY2017, Alternative Paths began to incorporate a full range of services for substance use disorders, including individual and group counseling, and a Medication-Assisted Treatment program. Alternative Paths has also expanded to provide Intensive Home-Based Therapy for youth as well as Child Psychiatry services, and are in the process of credentialing this specialized program. Alternative Paths is comprised of a multi-disciplinary team consisting of psychologists, psychiatrists, nurses, counselors, social workers, and community supportive psychiatric treatment professionals who work collaboratively to develop a plan of care appropriate to the needs of each client they serve. Fees for services are based on an individual s financial resources. A sliding fee scale incorporating family size and income is applied for residents of Medina County. No one is denied services provided by Alternative Paths because of inability to pay. Alternative Paths accepts private insurance, Medicare, and Medicaid. Services provided include: Alternative Paths, Inc. Mental Health Services- Child, Adolescent and Adult 24/7 Crisis Hotline with 24/7 Crisis Intervention Services Diagnostic Assessment and Individual Psychiatric Assessment and Pharmacologic Management by an MD or Advanced Nurse Practitioner Indigent Medication Assistance Services Medication Management and Education Community Psychiatric Supportive Individual, Group, and Home Health Treatment Services Adult Forensic (Jail), Case management, Re-Entry, Peer Support, and Education Services Juvenile Forensic (Detention Center) and Education Services Psychiatric Hospitalization and Community Re-Engagement Case Management Services Housing Support Program Crisis Intervention Team Training for Law Enforcement Officers

3 Coalition for the Prevention of Suicide Mental Health Residential/Stabilization Placement Transitional Aged Youth Specialist which is combined Intensive Home-Based Therapy and Community Psychiatric Supportive Treatment for young adults Mental Health Residential Supportive Services Mental Health Resident Placement and Management for more than 30 ADAMH owned housing units Vocational Support Services Adult Group Home Placement and Management Adolescent and Case Management Services in the Lodi, Wadsworth and Medina offices School-Based Mental Health in the Cloverleaf and Buckeye Local School Districts Services in development include expanded Peer Support Services Alternative Paths, Inc. Alcohol and Drug Treatment Services- Adolescent and Adult Diagnostic Assessment Group Peer Support Vocational Support Services Diversion Program (Medina/Wadsworth Municipal Court Probation) Referral for Detox Services Pre-Trial Diversion Program for First Time Offenders Individual Crisis Intervention Community Case Management Intensive Outpatient Program Medication Assisted Treatment (Vivitrol) in partnership with the Medina Health Department Referral for Residential Treatment Intensive Outpatient Program 72 Hour OVI/DUI Driver Intervention Program Forensic Monitoring Violence Prevention Program Theft Alternative Paths Other Community Services Medina County Suicide Prevention Coalition Community Education/Outreach Internship Program with local Universities Satellite Office: 1 Park Center, Wadsworth, Ohio Annual Crisis Intervention Training for Medina County Law Enforcement Community Engagement Accepting interns for clinical positions Satellite Office: 225 Elyria Street, Lodi, Ohio (The agency has dissolved) SOLUTIONS BEHAVIORAL HEALTHCARE, INC. FY2017 was the final year of operation for Solutions Behavioral Healthcare, Inc. Due to ongoing operational and fiscal issues, the ADAMH Board did not renew a provider contract with Solutions, and the agency dissolved in September 2017. During FY2017, Solutions provided outpatient behavioral healthcare services for children, adolescents, and adults of all ages. The Solutions staff was comprised of prevention staff and licensed professionals that specialized in dealing with individual or familial concerns related to mental health, psychiatric, relationship or substance use problems. Solutions provided services to Medina County residents on a sliding

4 fee scale, according to a person s ability to pay. No one was denied services provided by Solutions because of an inability to pay. Services provided during FY2017 included: Solutions Alcohol and Drug Treatment Services Diagnostic Assessment Individual, Family, and Couples Crisis Intervention Group - Adult Alcohol and Drug Group - Phased Opiate Intensive Outpatient Program Intensive Outpatient Program Primary Recovery Substance Abuse Living Sober Dual Diagnosis Readiness to Change Women in Recovery Systemic Training for Effective Parenting Criminal Justice Alcohol/ Drug Recovery Group Phase I Relapse Prevention Phase II Case Management-Adult and Child Recidivism Prevention Specialist services Alcohol and other drug In Home Therapist Outreach Referral for Residential Services Referral for Detox services Medication Assisted Treatment Suboxone Gambling Addiction Screening/Assessment/Treatment Driver Intervention Program Medina County Juvenile Court s Ti-180 Program Prevention Services including: Community Education, Community-Based Process for development of community resources, Alternatives, which included advocacy activities, Diagnostic Assessment Individual, Family and Couples Urgent Services Group - Adult Mental Health Dual Diagnosis Social Skills Emotional Processing Systemic Training for Effective Parenting Phased Opiate Intensive Outpatient Primary Recovery Substance Abuse Living Sober Parenting Program Solutions Mental Health Services Adolescent Alcohol and Drug Juvenile Drug Court Program Intensive Component Phase I Intensive Component Phase II Intensive Component Phase III Non-Intensive Component Information Dissemination, Teen Institute for At-Risk Youth, Gambling Prevention, and School-Based Intervention and Education Services Group - Adolescent Mental Health Adolescent Anger Management Group Mindfulness for Adolescents Group Resiliency Group Social Skills Group

5 Community Psychiatric Support Treatment-Adult Youth Resiliency Therapist Juvenile Drug Court Mental Health Grant Domestic Relations Court Grant including groups for Divorcing and Never Married Families and their children as well as a Supervised Visitation Program Outreach Transitional Age Youth Specialist Psychiatric Evaluations and Pharmacologic Management by an MD FIRST Program including: 24/7 Emergency Coverage Intensive Outpatient Intensive Home-Based Therapy Community Psychiatric Supportive Treatment Family Resource Specialist CATHOLIC CHARITIES Diagnostic Assessment Outpatient Mental Health Senior Case Management Services Help Me Grow- Home Visiting Parent Education- Incredible Years Ombudsman Services for the Developmentally Disabled Community School-Based Prevention- STEP STRONG Food Shelf OTHER MEDINA COUNTY ADAMH BOARD FUNDED SERVICES AND PROGRAMS Agency/Entity Prevention Services Cathy s House Criminal Justice and Behavioral Health (CJBH) Linkage Grant Inter-Agency Collaborative Assessment Team (ICAT) HAND s Foundation Medina City Schools Wadsworth City Schools Share Cluster Service or Support Item Funding through contracted agencies to provide school and community wide prevention services Support for Sober Living Facility -Provides funding for linkage services for individuals incarcerated at the Medina County Jail and Juvenile Detention Center -Assists with linking to follow up treatment, medication and psychiatric services to prevent recidivism Assistance with services for those youth with severe and persistent behavioral health issues who have been unsuccessful in traditional forms of local treatment Funding for Senior Prevention Services in Medina, Brunswick, Wadsworth and Lodi Provides funding to Medina City School s Drug Screening program Provides funding to Wadsworth City School s Drug Screening program Provide funds to assist with prevention activities such as

6 Medina County Health Department Opiate Task Force Medina Metropolitan Housing (MMHA) Coleman Professional Services Northland Place I and II Washington Apartments State Addiction Conference National Alliance on Mental Illness (NAMI) Leadership events, youth Extreme Challenge, Tobacco Education, and Community Workshops. Narcan Kits available to the public through the Health Department s Project DAWN Clinic Created an Opiate Task Force in partnership with the Medina County Health Department, which included over 200 attendees, and has led to working subcommittees Contract with MMHA to manage our properties for individuals with severe and persistent mental health issues, and to provide HUD/Housing consultation services. Contract with Coleman to manage HUD and to provide HUD consultation services Mental Health Housing units owned and operated by the Medina ADAMH Board with programming through Alternative Paths Mental Health Housing units owned and operated by the Medina ADAMH Board with programming through Alternative Paths Funding registrations for local providers and individuals in recovery Funding provided to Alternative Paths to participate in education, support and advocacy for those living with mental illness and their families. FISCAL YEAR 2017 ADAMH BOARD MEMBERS William Laux, Chairperson Kent W. Patterson, Finance Chair Susana Lewis, Planning Chair Melanie Kasten-Krause, Secretary/Treasurer Dennis Hanwell Dennis S. Langdon Tom Lockard Tom Miller Laura D. Nemeth Stuart Root Lori R. Solaro, MD Sharon Tahajod FISCAL YEAR 2017 STAFF Phillip Titterington, Executive Director Amy Akermann, Finance Director Dennis Dunn, IT Director Barbara Moxey, Administrative Office Manager Tiffany Shelton, Planning & Program Director

7 ADAMH BOARD SERVICE EXPENDITURES FOR FISCAL YEAR 2017 Alternative Paths, Inc. Mental Health Services $ 1,358,671 Alcohol & Drug Services $ 126,529 Housing Services $ 246,133 $ 1,731,333 Catholic Charities Community Services $ 29,553 Cathy s House $ 46,000 Family First Council $ 132,811 Medina Metropolitan Housing Authority $ 272,231 Solutions Behavioral Healthcare, Inc. Mental Health Services $ 334,281 Alcohol & Drug Services $ 382,905 $ 717,186 Miscellaneous Providers / Consultants $ 29,957 ADAMH Board / IT Operating Budgets $ 601,829 ADAMH BOARD REVENUES FOR FISCAL YEAR 2017 HUD $ 205,191 Medina County Commissioners $ 192,289 Medina County Drug Abuse Commission $ 56,000 Ohio Department Mental Health & Addiction Services $ 3,139,599 Other Miscellaneous Income $ 3 Rental Income $ 214,082 For more information, please contact: Medina County ADAMH Board 246 Northland Drive Medina, OH 44256 (330) 723-9642 Office Hours: 8:00 am - 4:30 pm Monday Friday office@adamhmedina.org www.medinamentalhealth.com