FY15 Annual Report FINAL 2 - Genesis Behavioral Health

GENESIS BEHAVIORAL HEALTH
2015
Annual
Report
“The future depends on what we do in the present.”
­­
—
Mahatma Gandhi
­
— Susan Stearns | President, Board of Directors
The need for community-based mental health services has never been greater,
nor has the promise of recovery. In our region, an estimated one in four adults
lives with a significant mental illness and one in five children has a serious
behavioral health issue.
At Genesis Behavioral Health, we are providing more services to more
children and adults, and doing so with better outcomes. Overall services
have more than doubled in the last ten years. Emergency Services alone
increased by 25% over the past year. Together with our patients, their
families, and our many community partners, we are part of a collaborative
solution that improves the health and well-being of our region.
THE OPPORTUNITY TO DO MORE AND DO BETTER LIES BEFORE US.
Today, we are faced with the unique opportunity to serve our patients and their
families more effectively and efficiently despite systemic challenges and industry
changes, while remaining true to our mission. Programs such as ACT, Supported
Employment, and Transitions of Care – all highlighted within this report – demonstrate
the success our patients can achieve when we work together as a cohesive,
coordinated team focused on improving the quality of life for people living with and
recovering from mental illness.
As we look to the future, and the challenges and joys it will undoubtedly bring, we
will continue to bring to fruition our vision of seamlessly integrating primary care
and behavioral health services for our patients, too many of whom die twenty-five
years younger than other Americans. We will join forces with other organizations
to be active participants in supporting services for rising substance misuse in
our communities. We will advocate to minimize the impact of budget reductions
and other external forces on our patients. We will evolve to meet the challenges
presented by Managed Care and other initiatives. As the need for mental health
services continues to grow, we will actively seek ways in which we can improve
the experience of care for our patients through programming, technology, and, in
particular, facilities.
“THE FUTURE STARTS TODAY, NOT TOMORROW.”
— POPE JOHN PAUL II
Genesis Behavioral Health will celebrate its 50th Anniversary in 2016. We have come
a long way from 1966, when Dr. George “Pete” Harris opened The Lakes Region
Mental Health Center with one employee and a budget of less than $70,000. Yet, we
still have the same goal – to provide this community with quality, accessible mental
health care. We still deliver this care with the same dedication and compassion of
our predecessors. It is upon their strong foundation that we move into the next
era of Genesis Behavioral Health. We are honored to have the opportunity to
transform the future of mental health services for our patients, their families,
and the Lakes Region, and look forward to sharing all that is to come with you.
Executive Director
President, Board of Directors
“When we work together to understand all aspects
of a human challenge such as mental illness, we are
much more likely to find a real solution.” ~ Shelly
Golden, MSW, Grafton County Mental Health Court
Coordinator
Working together accurately sums up the role of
Chelsea Lemke, MSW, Lead Clinical Case Manager.
Chelsea is responsible for managing patient
transitions from inpatient hospitalizations and
incarceration to the community. Communication,
coordination and connections are vital to the
patient’s success and well-being once they return to
their community. It takes a village – one made up of
caring and concerned professionals and community
resources – to engage patients during these
transitions of care.
“I feel like a concierge sometimes,” says Chelsea,
“A good part of the day is spent on the phone
coordinating care and linking patients to the
resources they’ll need once discharged.” Whether
she’s talking to the social workers at the Designated
Receiving Facility in Franklin or New Hampshire
Hospital about discharge planning, and coordinating
the appointments a patient will need once they
return to the community, or making sure our
patients in Compliance Court or Mental Health Court
are keeping their appointments and following their
treatment plans, the desired goal is always to ensure
a seamless transition.
Helping people thrive in their own community
is the ultimate outcome, but there have been
other positive effects from working with others on
transitions of care. While the psychiatric bed crisis
in New Hampshire persists, Genesis Behavioral
Health and the LRGHealthcare social workers have
begun working together to brainstorm ways patients
who frequently appear in the emergency department
can be better supported in their community to avoid
spending time in the hospital.
“We want to get people engaged in the treatment
they need to be well,” states Chelsea, “While my role
is largely focused on communication, it’s a good
feeling when we don’t hear from a patient after
they’ve returned to the community with a treatment
plan that works. It means they are doing well, and
that’s what we want to see.”
SE
UN
TRANSITIONS
OF CARE
TIENTS
PA
MPENSA
CO
D
TE
“THIS IS A TRANSFORMATIONAL MOMENT
FOR GENESIS BEHAVIORAL HEALTH.”
TOWN
CARE
RVE D
Alexandria
54
$3,663
Alton
110
$2,964
Ashland
74
$3,105
Barnstead
70
$662
Belmont
316
$9,676
11
$1,279
Bristol
137
$7,951
Campton
132
$11,332
Center Harbor
29
$833
Ellsworth
1
$0
Bridgewater
Gilford
189
$7,144
Gilmanton
84
$4,763
Groton
5
$0
Hebron
10
$0
Holderness
34
$3,269
Laconia
1,273
$72,710
Meredith
232
$6,926
New Hampton
53
$1,548
Plymouth
224
$38,528
Rumney
63
$9,348
Sanbornton
83
$1,443
Thornton
32
$9,208
Tilton
147
$5,448
Wentworth
24
$5,481
Out of Catchment
456
$8,598
Total
3,843
$215,879
Uncompensated Care
includes cost of services
to individuals who are
under or uninsured and
in need of treatment.
orP
/tnemtiurceR rediv
gnisitrevdA
Salaries
Benefits and Taxes
Other Expenses
Occupancy
Depreciation
*
S
E
Supplies
Insurance
63%
19%
3%
4%
2%
1%
1%
3%
3%
1%
AUCTION DONORS
%1
CONNECTIONS ARE
THE COG IN THE
ACT TEAM WHEEL
“How do we put people in charge of their own
lives? That’s part of the role of the ACT Team,”
says Heather Tolson, MS, ACT Facilitator at Genesis
Professional Fees
Behavioral Health. ACT (Assertive Community
Treatment) is a team-based treatment model that
Provider Recruitment/
provides multidisciplinary, flexible treatment
Advertising
and support to people with mental illness 24/7.
ACT is based around the idea that people receive better care
*A
dm
when their mental health care providers work together. ACT
inis
t.
trat
dge
team members help the person address every aspect of their life,
ion is
u
b
l
9% of the tota
whether it be medication, therapy, social support, employment
or housing.
laS have shown that ACT is more effective than
seiraStudies
traditional treatment for people experiencing mental illnesses such
36
as schizophrenia and schizoaffective disorder and can reduce %
hospitalizations
by 20%. ACT has helped patients in all
aspects of life, including improving physical health and financial health.
S
N
E
Communications
P
X
E
snoitubirtnoC &
%1
“While being a patient at Genesis Behavioral Health, I have worked with the ACT Team extensively. We work together to
produce the best results we can, and the ACT Team has coached me when I need it,” says Thomas Emanuel, “Now, they
are coming to me and suggesting I participate in peer support. I like this idea – reaching out to help fellow clients in a no
pressure scenario. My goal is to achieve maximum independence while feeling worthwhile about myself.”
All My Life Jewelers
Bayside Service
Bead Divine
Belknap Landscape Company
Alice Boudreau
Michelle Brown
CADY – Communities for Alcohol and Drug Free Youth
Canterbury Shaker Village
Ciao Pasta
Cozy Cabin Rustics
Tracie D’Amico
Sue Drolet
Downtown Pizza
Fireside Inn and Suites
George’s Seafood & BBQ
Great New Hampshire Restaurants
Gunstock Mountain Resort
Harris Family Furniture
Hart’s Turkey Farm Restaurant
Tina Hayes
Heavenly Confections
Heritage Farm Pancake House
Hewitts Handmades
Jim Hundrieser
Innisfree Woodwork
snoitanoD
troppPeer
uS support
cilbuPhas&helped
stnaACT
rG participants
At Genesis Behavioral Health, connections are the cog in the ACT Team wheel.
thrive, including a peer-centered group that meets regularly and focuses on health and %
wellness,
relationship
building,
3
sdnengagement,
uF nwoTincluding
& ytnemployment.
uoC
and community
The goal is for patients to become supports for one another. Most
often, patients are more responsive
%2 to this approach and it has a significant positive impact on treatment.
htlaeH laroivaheB fo uaeruB
%2
Tammy Graham, ACT Peer Support Specialist, is eager to share her story in the hopes it will help others. “As a past client of
Genesis Behavioral Health, I was provided the care and understanding to help me to understand and manage my disability.
Learning to trust and confide in professionals who truly had my best interest became paramount towards my ability to
seuneveR rehtO
move forward into emotional wellness. Replacing coping mechanisms
%and
1 implementing healthier alternatives played
that no longer worked
a big role in my ability to move into a lifestyle that offered peace of
mind and wellness management. Today, I am a peer support specialist
with the help of past therapeutic groups, counseling and Supported
Employment, which led me back to school for
my Associate’s Degree and eventually to my
seeking my Bachelor’s Degree. There was no
Medicaid
69% magic wand or cure for my illness, but there
Private Insurance
5%
is patience and understanding from Genesis
Behavioral Health, which allowed me to go
Medicare
5% at a comfortable pace towards learning to
Self-pay
1% manage and understand my thoughts and
actions, and more importantly, my strengths.”
11% Community-based Contracts
“Watching peer support in action is amazing,”
says Heather, “We are fortunate to see people
who have had – and overcome – so many
challenges in their lives pull from their own
past to help others move forward with their
future.”
diacideM
%96
2% 1% 3% 2% 1% Bureau of Behavioral Health
Donations & Contributions
Grants & Public Support
County & Town Funds
Other Revenues
RE
VEN
stcartnoC desaB-ytinummoC
%11
UE
AUCTION SPONSORS
S
98.3 LNH
WEMJ
yap-fleS
%1 104.9 The Hawk
Proforma Piper Printing
Bank of New Hampshire
Northway Bank
eracideM
LWSI
%5
Ippolito’s Furniture, Inc.
K.M. Photography
Laconia Police Department
Lakes Region Community College
Lissa Loo Stationery
Linda MacDow
Main Street Dental
Manchester Monarchs
Mill Falls at the Lake
Monkey Trunks
Claire Moorhead
Kayleigh Moran
Elaine Morrison
Mr. Paul’s Hair Affair
New England Porch Rockers
New Hampshire Bowl & Board, LLC
Onions Pub & Restaurant
OSG Paintball
Patrick’s Pub & Eatery
Pizza Express
Plymouth Animal Hospital
Prescott Farm Environmental Education Center
Prescott’s Florist, LLC
Rhino Bike Works
Sew Knot Average Bags N’ Gifts
Cinda Shepard
Zahra Shirazi
Shooter’s Tavern & Pizzaria
SideTrax Jewelry
Simply Sunflowers
Dick Smith
Snap Fitness
Squam Lakes Natural Science Center
Susan L. Stearns
Steele Hill Resorts
Styleworks Salon
Sweets Jeannie
Tanger Outlet Center
Rich Teed
Vicki Teed
The Beerkery
The Blooming Iris
The Children’s Museum of New Hampshire
The Common Man Family of Restaurants
The Studio
The Winnipesaukee Playhouse
Tuttle’s and Tony’s Italian Grille & Pub
Uno Chicago Grill – Tilton
Richard Veilleux
Vintage Emporium
W.B. Mason
Robin White
Wholly Tara
Winnipesaukee Forge
Shannon Yip
PATIENTS SERVED BY
PROGRAM IN FY2015
DUPLICATED COUNT TO INCLUDE PATIENTS SERVED
IN MULTIPLE PROGRAMS
A
D
1,680
M IS SI O N
ERGENC
E
Y
M
SE
1,372
R VICES
A D U LT
1,196
IL
Non-Eligible
921
225
Eligible
Non-Eligible
2,038
893
R VICES
IL D
I M PA
CT
CH
Eligible
D & FA M
SE
Laconia
P
1,094
R VICES
ILY
CH
SE
RO
GRA
”THERE IS JOY IN WORK.”
— HENRY FORD
AKE &
NT
S
I
Serious mental illness costs the US
in lost earnings each year.
M
Plymouth
Most people with severe mental illness (SMI) want to work. Studies indicate
that approximately 2 out of every 3 people with mental illness are interested
in competitive employment, but less than 15% are currently employed (www.
dartmouthips.org). Employment is an important goal for many patients at Genesis
Behavioral Health, and the Supported Employment (SE) team is an integral part of
achieving this goal. The SE team works together with local employers to help patients
find competitive employment, defined as community jobs that any person can apply for, in
integrated settings (and in regular contact with nondisabled workers), and that pay at least
minimum wage. SE staff provide ongoing supports to ensure success and help with any
challenges that may arise, including facilitating communication with the employer if the
patient wishes.
Work provides one with a sense of purpose, and has a positive impact on overall wellbeing. People who obtain competitive employment have increased income, improved
self-esteem, improved quality of life, and reduced symptoms – all of which lead to a reduction
in community mental health treatment costs, hospitalizations, and emergency department
usage (www.dartmouthips.org). Currently, there are 101 patients receiving SE Services at GBH,
and over one-third of them are competitively employed.
CHRISTINA’S STORY
“Going back to school and getting back into work was always something I
wanted to do but lacked the confidence to get the process started myself.
With Supported Employment’s help, I have taken those first steps. I
realized it was OK to not be completely confident because I had help and
supportive people who backed me up.
“I wasn’t aware of it at the time, but my self-confidence was growing
and I was making strides both in school and out.
I had successfully applied for my first job,
and had my first interview. Supported
Employment helped me prepare for the
questions and rehearse, which helped
me to be more comfortable and have a
successful interview.
“I can honestly say it is with the help of
Supported Employment that I have gained
confidence. I am enrolled in school to begin
what is hopefully my future career in Information
Technology. I find it very encouraging that
Supported Employment functions as a team,
remaining optimistic, encouraging and uplifting. I am
very thankful for their help and unwavering support.”
Mental illness
affects 1 in 4
adults and 1
in 5 children.
$ billion
193.2
46%
26%
live with serious
mental illness
and/or substance
use disorders.
of homeless adults
live with serious
mental illness.
Each day
18-22
Suicide is the 2nd
leading cause of
death for young
people ages
15-22
veterans die by
suicide.
.
8.4
million people have a co-occurring
mental and substance use disorders
– only 7.9% receive treatment.
70% 20%
of youth in juvenile
justice systems
have at least one
mental health
condition and
live with a serious
mental illness.
Adolescents with depression are
times as likely to use substances.
4
Statistics provided by NAMI and SAMHSA.
DONORS
Anonymous (1)
Judi Abbott
Anne Abear
AmazonSmile Foundation
Dennis Bean
Sandra Bean
Ray and Lori Boelig
Sonya Bomster
Dawn Bourret
Richard and Eleanor Brouillard
Bruce & Barbara Austin Family Foundation
Kim Bruneau
Cascade Spa
Timothy Cavanaugh
Central New Hampshire VNA & Hospice
Elaine Chang
Dr. Doris B. Citron
Tom and Karen Clairmont
Congregational Church of Laconia – United
Church of Christ
Contigiani’s Catering Service, Inc.
Dennis and Phyllis Corrigan
Pamela Cote
Curt’s Caterers
Daniels Artesian Wells, Inc.
Marc DeLuca
Harold and Mary Dexter
Andrea DiDonato
Gary Dionne
Joe Driscoll
Sue Drolet
Edward T. Drury
Rodney and Gail Dyer
Gail Ehrenberg
Jack and Kathryn Eltzroth
Tammy Emery
Donald Ettelson, MD
Don and Lorraine Flanders
Dr. Harriet Forkey
Eugene Friedman
Michael Garner
Celia Gibbs
Kim and Tom Giles
Michael and Cindie Graham
Granite United Way
Nicole Harding
David and Lee Hart
Harvard Pilgrim Health Care
Sally Hatch
Erin Hattan
Peter Hattan
Cindy Hemeon-Plessner
Linda Hogan
Amanda Hoyt
Jim Hundrieser
David and June Huot
Charles A. Hutchins, Jr.
Irwin Automotive Group
Sue Irwin
J Secord Photography
Shirley Jacob
Mitchell B. Jean
Walter Johnson
Jocelyn Kaye
Fred and Katharina Kelsey
Gayle Kimball, JD, CFRE
Dawn and David Lacroix
Lakes Region Partnership for Public Health
Pauline Lank
Dawn Lavensky
Robert A. LeCount
Faith Levesque
Dr. Miller and Ginny Lovett
LRGHealthcare
John H. Lyman & Sons, Inc.
Cindy Ludwick
Magic Foods Catering, LLC
Manchester Monarchs
Mary McEvoy-Barrett
Ed and Brenda McFarland
Cindy McKusick
Gail and David Mears
Rae Mello-Andrews
Meredith Village Savings Bank
Meredith Village Savings Bank Fund of the New
Hampshire Charitable Foundation
Liz Merry
Mid-State Health Center
Mill Falls at the Lake
Patrick Miller and Pamela Andruszkiewicz
James Millette
Claire Moorhead
Don Morrissey
Larry and Sandy Mosbrucker
NAMI NH
Samantha Newman
Northeast Delta Dental
Joyce Palmer and George DeWolf
Paula Parisi
Patrick’s Pub & Eatery
Lynne and Geoff Pedersen
Samantha Pedersen
Deb and Dana Pendergast
Patricia Petitpas
Pfizer Foundation Matching Gifts Program
Carol Pierce
Joe Polseno
Teresa Potter-Brown
Prescott Farm Environmental Education Center
Maggie Pritchard
Ryan Prosser
Rice Law Office
Hilary Robinson
John Rogers
Micheline Roy
Peter Russell
Val and Jack Scarborough
Joe and Jennifer Sereni
Shaheen & Gordon, PA
Cinda Shepard
Janet Smith
Susan and David Smith
Ed and Kim Sperry
Bill Springer
Starr King Unitarian Universalist Fellowship
Walter and Shirley Strauch
Emily Stromdahl
Amy Sullivan
Carolyn E. Sutcliffe
Jannine and George Sutcliffe
Katy Tavares
Temple B’Nai Israel “We Care” Program
Michael Tentnowski
The Common Man Family of Restaurants
The Home Beautiful
Bobbie Thomas
Transport Central
Steve Travis
Vickie and Terry Trudelle
The Untiet Family
USI New England
Mary Wadsworth
Cinde Warmington and William Christie
CJ Warren
Kristen and Michael Welch
Wilkinson-Beane Funeral Home
Rev. and Mrs. David C. Williams
Rick and Wendy Wilson
Patrick and Jane Wood
IN-KIND DONORS
Beverly Young
Astrazeneca
Bank of New Hampshire
Broadway North
Robert Downing
EM Gilbert Trust
Gilbert Apartments
Gilford Hills Tennis and Fitness
Gilford Youth Center
Good 360
Hannaford Supermarkets – Gilford
Laconia Athletic & Swim Club
Laconia Parks and Recreation Department
Local Kid Productions
Lundbeck Pharmaceuticals
Merck Pharmaceuticals
Meredith Parks and Recreation Department
Meredith Village Savings Bank
NH Food Bank
Ninth State Movement
Otsuka Pharmaceutical
Pemi-Baker Aquatic & Fitness Center
Planet Fitness – Belmont
Plymouth State University
Salvation Army
Shire Pharmaceuticals
Smith Orchard – Belmont
Stages Dance Academy
Sunovian
Taylor Community – Laconia
Teva Pharmaceuticals
UNH Cooperative Extension – Nutrition
Connections
White Tiger Karate, LLC
Whole Village Family Resource Center
Winnipesaukee Wellness Center
We make every effort to recognize
our donors and their generous
support of our mission accurately,
and apologize for any unintentional
errors or omissions. Please contact
our Development Office at 603-5241100 x445 or email Kristen Welch at
kwelch@genesisbh.org so we may
correct our records.
IN HONOR AND MEMORY OF
In Honor of Lynnellen Ayer
Robert Ayer Family Irrevocable Trust of 2002
In Memory of Thomas W. Beaudet
Helen E. Holbrook
In Honor of Allen Case
W.M. Case
In Honor of Patricia Colby
Meredith Village Savings Bank
In Memory of Richard A. Dearborn
Jason and Kim Caldwell
RA and SA Caldwell
Marcy Cheney
Michael and Joan Colonna
Rodney and Gail Dyer
InsulFab
Tina Mazuzan
Swiftwater Way Station
In Memory of James W. Dodge
Janet Dodge
In Memory of CJ Graham
Anonymous
Carolyn Ames
Hans and Kathy Dahll
Bill and Ginny Littlefield
Cinde Warmington
In Honor of Barbara Harris
Martha and Donald Dolben
In Memory of Dr. George “Pete” Harris
Martha and Donald Dolben
Barbara B. Harris
Dr. Thomas R. Nadeau
Susan L. Stearns
Kelley Jean White, MD
In Memory of Marshall B. Hatch, Jr.
Marshall B. Hatch, III
In Memory of Margaret “Meg” A. Hoey
Café Déja Vu
Jamie Caldwell and Hali Dearborn
David and Sylvia Detscher
EPTAM Plastics
Dennis Fields and Geraldine Fuller
Jorgensen Tool
Richard and Sandra Jorgensen
Charles Pauwels
Robert Pauwels
Jeff and Carrie Pearson
Lynn and Preston Santy
Wilcom Inc.
In Memory of Kimberly King
Patricia Goguen
In Memory of Robert J. King
Patricia Goguen
In Memory of Michael Lavoie
Debra A. Naro
In Memory of Paul A. Levesque
Martha Levesque
In Memory of Beverly Baker Lutcovich
Patricia Goguen
In Memory of Marilouise McCaffery
Sherry and Frank Collins
Dave Bouchard
In Memory of Rep. James Pilliod, MD
Sara M. Allen
Sharon Pilliod Grant
In Memory of Margaret “Peg” Plumer
Barbara B. Harris
In Memory of Richard Plummer
Julie Dietrich-Cote
Edward T. Drury
Eugene Friedman
Vicki Rines
Kristen Welch
In Memory of Robert G. Holbrook
In Memory of M.J. & L.D. Soza
Helen E. Holbrook
Matt Soza
In Memory of William R. Jordan
In Memory of Gordon Thomas, MD
Sarah Jordan & Glenn Jordan, Jr.
Richard and Mary Hattan
In Honor of Kristen Welch
Virginia Villani
In Memory of David E. Wood
Katie Wood Hedberg and Viking Hedberg
Lori Boelig, Laconia
Joseph H. Driscoll, IV, Laconia
Dr. Miller C. Lovett, Meredith
Ed McFarland, Laconia
Liz Merry, Laconia
Carol Pierce, Laconia
Jennifer Sereni, Sanbornton
Cinda Shepard, Gilford
Matthew Soza, Laconia
Kim Sperry, Meredith
Cinde Warmington, Concord
Dr. Kelley Jean White, Laconia
Board of Directors | 2014 to 2015:
President: Susan L. Stearns, Northfield
Vice President: Deborah Pendergast, Gilford
Treasurer: Dr. Jim Hundrieser, New Hampton
Secretary: Jannine Sutcliffe, Holderness
25%
Received in Grants
$402,168
Increase in Emergency Services
The mission of Genesis Behavioral Health is to provide essential services that
promote the emotional and mental health of our communities. Our vision is to be
a leading health care provider recognized for its excellence in delivering accessible,
quality mental health care and support in our communities.
$119,270 from 17 municipalities for Emergency Services
31%
Increase in
community-based contracts
$817,180
Genesis Behavioral Health, and the patients and families we serve, THANK YOU for your support.
Administrative & Adult Services
111 Church Street
Laconia, NH 03246
Emergency Services
85 Spring Street, 3rd Floor
Laconia, NH 03246
In community benefits
Children & Family Services
771 North Main Street
Laconia, NH 03246
All Services
599 Tenney Mountain Highway
Plymouth, NH 03264
Contact Kristen Welch at kwelch@genesisbh.org or 524-1100 x445 for more information. Visit the website at
genesisbh.org, like us on Facebook, follow us on Twitter (@GenesisBHNH), and join our mailing list!