TURNING POINT OF CENTRAL CALIFORNIA, INC.

TURNING POINT
OF
CENTRAL CALIFORNIA, INC.
TABLE OF CONTENTS
CHIEF EXECUTIVE OFFICER'S MESSAGE
Page 2
CHILDREN’S MENTAL HEALTH SERVICES
Page 3 - 5
MENTAL HEALTH SERVICES ACT PROGRAMS
Page 6 - 8
ADULT MENTAL HEALTH SERVICES
Page 9 - 11
EMPLOYMENT SERVICES
Page 12
COMMUNITY CORRECTIONAL
TREATMENT SERVICES
Page 13 - 15
SERVICES FOR THE DEVELOPMENTALLY
DISABLED
Page 16
OUTPATIENT DRUG AND ALCOHOL SERVICES
Page 17 - 19
RESIDENTIAL DRUG AND ALCOHOL SERVICES
Page 20 - 21
HOUSING PROGRAMS
Page 22 - 23
ANCILLARY SERVICES
Page 24
FUTURE GROWTH, SUCCESS STORIES
Page 25 – 27
CLIENTS SERVED
Page 28
CHIEF EXECUTIVE OFFICER’S MESSAGE
This past year, Turning Point has continued to fulfill its mission of providing services to people
in need. With the economy of the nation still sluggish, the need for many of our services is still great
as we continue working to expand services, increase efficiency and generate more positive outcomes
through adopting the best evidence-based practices available.
In July of 2011 the State of California “realigned” funding for public safety, mental health and
substance abuse treatment services under Assembly Bill 109. This realignment created great change
for the counties and for service providers. There were negative and positive results. The major
negative result for Turning Point was a loss of funding for our Mother and Infant program in Arvin
California that we operated for many years. Thankfully, we were able to partner with another group to
continue use of this facility to help homeless people in need of housing and other services. In
addition, some of our other services for parolees have experienced a reduction of referrals due to the
transfer of supervision of a large percentage of the parolee population to the counties.
On the positive side, we have entered agreements with three different counties to provide a
variety of new services for the county supervised Post Release Community Supervision (PRCS)
cases that the realignment law created. These are the lower level offenders who were previously
under state parole supervision. In Fresno County, we are providing outpatient treatment at our new
First Street Center and Full Service Partnership type services through expansion of our Integrated
Mental Health (IMH) Services. In Tulare County, we are providing residential treatment and housing
services at our Visalia Reentry Center facility and in Kern County our Psychiatric Alternative
Resource program is now serving PRCS placements.
Our new permanent supportive housing program, Family Villa, continues to serve homeless
families in the Fresno area and we continue looking for ways to expand existing services to meet the
needs. Our new Court Street Transitional Housing program is another new service. Each year we
serve thousands of people in our ongoing programs and on July 1, 2012 we installed a cloud based
management information system that is designed to improve access to important care information
and statistics that will be used to further improve services.
In the first part of this year, our long-time President of the Board of Directors, E. Wayne Rogers
had to resign from the Board due to health problems. He passed away shortly thereafter. On one of
my last visits with “Buck” he wanted me to pass on to everyone that he felt Turning Point was one of
the most efficient and professional organizations he had worked with and that he missed being
involved. We recognize “Buck” for his steadfast contributions for over 40 years and continue to miss
his involvement. In memory of Buck, we plan to honor the mission he helped create and continue to
provide efficient and effective services. This is what he always encouraged us to do and I know he
would be pleased that many people who need some help will continue to get their needs met through
Turning Point programs.
Sincerely,
J. Jeff Fly, CEO
2
CHILDREN’S MENTAL HEALTH SERVICES
Our CHILDREN’S MENTAL HEALTH SERVICES offer a wide range of Specialty Mental Health
Services in Tulare County for children with emotional and behavioral problems who meet medical
necessity requirements. Three program sites provide these services throughout the northern Tulare
County service area: Visalia Youth Services (VYS), Dinuba Children’s Services (DCS) and
Sequoia Youth Services (SYS) (with satellite offices in Farmersville and Woodlake). Services are
also provided at most of the school sites and rural communities in the northern Tulare County service
area. These clinics have provided outpatient mental health services to 3095 children this year, an
increase of 83 clients over the previous year.
Professional staff members provide treatment services in clinics, schools, homes and other
appropriate places in the community, with the focus on removing or reducing emotional problems,
developing secure caring relationships and assisting the children to reach their highest potential.
Services are tailored to transition the children to progressively lower levels of care as well as prevent
the development of more serious problems. Progress at school, home and in the community
determines if the minor requires more intensive services. Medical necessity for services is assessed
prior to provision of therapy, counseling, case-management support, medication management, and
psychological testing. These services are successful when the children and youth are in school, at
home and out of trouble.
Professional and para-professional staff members provide a wide range of services. These
services include assessment and referral services, crisis intervention, medication services, case
management, mental health rehabilitation services, skills groups, therapy groups, family counseling
and individual counseling. These services are provided using evidenced-based treatment standards,
where applicable, and by staff trained in cultural competency.
A staff liaison is assigned to work at each of the schools in the Visalia Unified School District
and other schools in the northern half of Tulare County to provide services and receive referrals.
Physicians, Central Valley Regional Center, the County Probation Department and Child Welfare
Services are additional referral sources to the agency as well as partners in delivering services to
their populations.
Electronic Health Record Service (EHRS) was implemented in our Children’s Mental Health clinics
this past year and went live on July 1st, 2012. The software vendor selected in this process was
Credible which provides a service that integrates many processes together in one software service,
including centralized scheduling, reporting, documentation, clinical outcomes, electronic signatures to
sign and submit completed work instantly, e-prescribing and more, all of which is now done real time
with up to the minute reporting. There are still many features to be developed with the use of the
service. Along with improving operations of the clinics this is putting our Children’s Mental Health on
firm footing to be prepared for mandates of the HITECH Act and healthcare reform.
Evidence-Based Practice/Therapy (EBP/T) one of the EBPs directly related to the use of the
Credible service will be in developing Concurrent Documentation, the process of enabling and
empowering staff to complete documentation in the session with the client present. There are many
benefits to this including work completion, improved morale for staff, better outcomes for clients and
improved consumer satisfaction and engagement in their treatment process.
3
We also implemented Parent Child Interaction Therapy (PCIT) in August 2011. This was assisted
and made possible through a grant for the equipment needed by First 5 of Tulare County. PCIT is a
parent coaching model for parents of young children age 2 through 8 years old. It utilizes an in-ear
device and the use of an observation room with camera equipment and a one-way viewing window to
offer specific coaching techniques with the parent while they work with the child in the therapy room.
We were able to serve 33 clients this past year and train three therapists to complete their
certification in PCIT.
A few other EBTs that are either implemented or are in the training phase of development are as
follows:
Dialectic Behavioral Therapy (DBT) - skills based training for our high risk consumers.
Eye Movement Desensitization and Reprocessing (EMDR) – this is cognitive based therapy
showing positive outcomes with many different types of trauma.
Trauma Focused – Cognitive Behavioral Therapy (TF – CBT) - through no-cost online training,
staff are utilizing stress reduction training and coping skills training designed for use with children and
their parents.
Therapeutic Behavioral Services (TBS) is a specialty mental health service that helps children and
young adults to age 21 who (a) have severe emotional problems, (b) live in mental health placement
or are at risk of placement, or (c) have been hospitalized recently for mental health problems or are at
risk for psychiatric hospitalization. Under the direction of the California courts and the Department of
Mental Health (DMH), this service is mandated to increase utilization across California. As such, the
DMH has reduced barriers and restrictions to this service to increase utilization. Turning Point Clinics
have maintained a team to provide these services and works along with other providers in our county
to identify consumers eligible for the service, to promote the use of and increase the utilization of the
service. These services are intensive and can be provided in any setting, i.e., home and community,
but are focused on working with the consumer and significant support persons to reduce the
behaviors that place them at risk.
Last year, sixty-three (63) consumers received services by the Turning Point TBS team. During this
year 67 consumers were served by the Turning Point TBS team.
The Early Childhood Success Program (ECSP) is funded by a grant with Tulare County Office of
Education, Headstart/Homebase. The program works with 0-5 year-olds, their parents and childcare
providers to develop workable responses to address early-diagnosed behavioral problems. During
the year, this program provides consultation, direct service and training in prevention of mental health
issues relating to preschoolers for the Headstart/Homebase providers in Tulare County.
4
Program Referrals
Total Annual Referrals from
all Sources
Percentage of Referrals
from CWS/Probation
Percentage of Referrals
from Schools/Headstart
Percentage of Referrals
from Family/Self
Percentage of Referrals
from Physicians
Percentage of Referrals
from Other
5
DCS
SYS
VYS
TOTALS
330
244
895
1469
27%
8%
27%
21%
17%
16%
37%
23%
41%
39%
23%
34%
12%
19%
1%
11%
3%
18%
12%
11%
Mental Health Service Act Programs
In Tulare County, Turning Point Mental Health Services Act (MHSA) Programs provide Outreach and
Engagement, System Development Services, and Full Service Partnership services that target
underserved and un-served populations. MHSA Programs are designed to expand and transform the
mental health system to increase access, cultural competency and to use a holistic health approach
which includes recovery, wellness, and resiliency treatment principles. Treatment services address
(a) mental health, (b) alcohol and other substance abuse, (c) physical health, (d) food and housing,
(e) vocational and (f) educational needs. The three MHSA programs under the Tulare County Health
& Human Services Agency are the North County One Stop Program, Central County One Stop, and
the North County Mobile Unit: “Unidos Para La Salud”
The North County One Stop Program serves transitional age youth (ages 16-24 years) throughout
northern Tulare County. A culturally diverse and linguistically appropriate group of staff members
identify youth with barriers to accessing traditional mental health services. These youth are (a) linked
to existing community services, (b) assessed for immediate mental health, alcohol/drug use, physical
health treatment needs, and (c) assessed for psychiatric services, educational and vocational needs.
High risk consumers are referred for Full Service Partnership services, which provide (a) independent
living support, (b) psychiatric medication support, (c) intensive mental health and case management
services, and (d) crisis intervention services on a 24-hour, seven-day per week basis. Services are
provided to consumers in the location that is most accessible to the consumer, e.g., their home,
school or other community locations. This program collaborates with numerous community agencies
including Families First, Tulare County Department of Probation and Tulare County Child Welfare
Services.
“Unidos Para La Salud” (United for Health) is the North Tulare County Mobile Unit Program.
With the Mobile Unit Program, culturally diverse staff members provide intensive outreach to the rural
communities of northern Tulare County. This program offers services to mental health consumers of
all ages. Consumers with access barriers are identified and assessed for immediate (a) mental
health, (b) physical health, (c) alcohol and other drug abuse treatment, (d) medication and medication
support services, and (e) educational needs. High risk consumers are also referred for eligibility for
the Mobile Unit’s Full Service Partnership services, which provide intensive crisis intervention, mental
health, and case-management services on a 24-hour, seven-day per week basis. Services to unserved and underserved adults and older adult populations are a special focus of this program.
Transportation services are provided when needed.
6
The Central County One Stop Program serves transitional age youth (ages 16-24 years)
throughout central Tulare County. This program provides intensive mental health services to
consumers facing barriers in accessing traditional mental health services. These consumers are
assessed for needs in the areas of mental health, alcohol/drug abuse, physical health treatment,
psychiatric services, education and vocation. Going beyond assessment, this program refers highrisk consumers for Full Service Partnership services, links consumers to existing community services,
refers to medication support, provides living support and transportation as well as mental
health, case-management services and crisis intervention services on a 24-hour, seven-day per week
basis. Services are provided to consumers in the location that is most accessible to the consumer,
e.g. their home, school or other community locations. This program collaborates with numerous
community agencies including the Wraparound Services Program, Tulare County Department of
Probation and Tulare County Child Welfare Services.
Number
Served
Full Service
Partnership
System
Development
Outreach &
Engagement
Totals
Central
County One
Stop
North
County One
Stop
North
County
Mobile Unit
Totals
14
35
32
81
49
101
154
304
47
110
103
239
271
457
421
1612
7
Hope House is a socialization center and peer support for persons recovering from mental
illness and is supported through Madera County Behavioral Health Services (MCBHS) and
the Mental Health Services Act (MHSA).
SERVICES AVAILABLE










Consumer Employment Opportunities
Peer Support Groups
Addiction Recovery Groups
Socialization Skills
Computer Lab
Laundry Facilities
Showers
Cooking Classes
Outreach Services in Chowchilla and Oakhurst
Spanish Speaking Staff
MEMBERSHIP
Membership is open to all current, former, and prospective consumers of Madera County
Behavioral Health Services (MCBHS).
Applied
Members
Total
Visits
Average
Weekday
Participation
Objective
150
500
25
25
Actual
90
8,853
34.4
18.2
8
Average
Weekend
Participation
ADULT MENTAL HEALTH SERVICES
We operated three programs that provide adult mental health services including the Psychiatric
Alternative Resource (PAR) program in Bakersfield, the Intensive Community Services and
Supports Team (ICSST) program in Fresno and the Rural Mental Health (RMH) programs in
Fresno.
Psychiatric Alternative Resource (PAR) program is a 40-plus outpatient program contracted by the
Kern County Mental Health system of care to provide a broad array of services to adults who have a
high level of persistent chronic mental health challenges and co-occurring substance abuse
disorders. Services provided include (a) initial mental health assessment, (b) psychiatric evaluation,
(c) medication management with nursing stabilization, (d) intensive case management, (e) individual
or family psychotherapy, (f) educational counseling groups, (g) supportive housing placements, (h)
support with General Assistance or Social Security access, (i) substance abuse education, (j)
substance abuse counseling referrals, and (k) education/employment referrals. Staff members
provide many of the services "in the field" and are committed to lessening the life demands of PAR
clients due to their mental health challenges and empowering of PAR clients to be more independent
and resourceful in the community at large.
Throughout the 2011-2012 contract year, the PAR program was able to refer more clients to
education/employment services while stabilizing more client’s housing problems.
The Intensive Community Services and Support Team (ICSST) is a program contracted by the
Fresno County Department of Behavioral Health to provide case management services to adults who
have particularly high levels of use of mental health services. Criteria for admission include four or
more psychiatric hospitalizations during the year prior to admission and having a diagnosis as
Seriously Mentally Ill. Services provided include (a) psychiatric evaluations, (b) medication
management, (c) health education, (d) case management, (e) individual psychotherapy, (f)
educational groups, (g) supportive housing/placement, (h) social/educational/employment skills
development, (i) substance abuse treatment, (j) money management/payee services, (k) assistance
with applying for Social Security Disability Insurance (SSDI), (l) General Relief (GR), (m) Medi-Cal,
(n) Medically Indigent Services Program (MISP), (o) State Disability Insurance (SDI), and (p) other
resources. Staff members provide the majority of services “in the field” and are committed to a
“whatever it takes” philosophy of wellness.
Additionally, ICSST is looking at graduating several consumers who have met treatment goals, which
is not unique. However, these individuals, during this process, have moved from the lowest of lows in
their lives to being able to live independently, manage their own funds and perform all of the things
the rest of us take for granted.
The Co-Occurring Disorders Program is an integrated, comprehensive, consumer-centered mental
health and substance abuse disorders program. This program works to support the consumer in
recovery and self-sufficiency. The Co-Occurring Disorders program is a contracted service of Fresno
County Department of Behavioral Health under the Mental Health Services Act. Services provided
include: (a) case management, (b) housing, (c) daily living skills, (d) mental health treatment, (e) cooccurring integrated substance abuse services, (f) supported education and employment, (g)
transportation, (h) advocacy and (i) peer support.
9
Rural Mental Health (RMH) is proud to conclude their fourth year (2011-2012) of providing outpatient
mental health services to adults who are 18 years or older with a Serious Mental Illness (SMI)
diagnosis and who reside in Fresno County. RMH referrals are mostly made by The County of
Fresno (Department of Behavioral health) from the Pinedale, Sanger and Reedley communities. In
2011-2012, RMH successfully provided services to nearly 700 clients at the three levels of care (Full
Service Partnership (FSP), Intensive Case Management (ICM), and Outpatient (OP)). RMH Clinics
are designed to be welcoming, empathetic, culturally competent, trauma informed and communitybased. RMH is dedicated to empowering its consumers to recognize their strengths and abilities to
successfully regain and achieve independence and self-sufficient in the community. Services
provided are intensive case management services to help consumers access SSI benefits, housing
assistance, Medi-Cal benefits, transportation assistance, appropriate medical care, general relief
assistance and other identified community resource needs. RMH provides individual life skills
training, symptom management training, individual/group therapy, psychiatric and nursing services,
and 24-Hour Emergency Hotline assistance.
Integrated Mental Health (IMH) is a Full Service Partnership service that provides comprehensive
rehabilitation and recovery services for adults (ages 18-59) with severe mental health disabilities and
that may be experiencing homelessness, drug and alcohol addictions, frequent hospitalizations, legal
troubles, family issues, or job loss. The goal of IMH is to assist individuals regain independence of
their lives in the community through informed decision-making with psychiatric, rehabilitative, and
peer support. Services are based on the individual’s wellness and recovery goals and desired
results. IMH operates with (a) Personal Service Coordinators (PSC) who manages a caseload of 20
clients and provides frequent supportive and rehabilitative services; (b) a Mental Health Professional
who provides treatment planning and individual/family therapy; (c) a Mental Health Rehab Specialist
who facilitates psycho-educational and support groups; and (d) a Housing Coordinator who helps
locate and secure transitional and permanent affordable housing.
The Integrated Services for Mentally Ill Parolee-Clients (ISMIP) is in its third year. We are an outpatient program, providing case management, individual and group counseling, transportation, food
and other necessities. We help parolees with a mental health diagnosis to get stabilized and help
them apply for benefits and entitlements. The culture of the program is therapeutic and unconditional,
helping our clients begin to feel like valued people.
With our support, 12 of our clients are now attending community college, and others are obtaining
their GEDs.
The recidivism rate for this population is very high, yet we have a great record for helping clients with
an average “out” time of 30 to 60 days, stay out of prison for good. Sometimes this requires as much
as 100 hours a month of intervention per client. This is unusual, but has proven necessary in some
cases. The largest challenge faced by the majority of our clients is homelessness
The Transitional Age Youth (TAY) Program is an outpatient mental health program serving
consumers that are between the ages of 16-24. The TAY Program provides an opportunity for
consumers to receive mental health services, secure affordable housing, and recognize their
strengths and abilities to successfully gain independence and self–sufficiency in the community.
Services are transitional in nature, with the goal for the consumers to achieve self-sufficiency. This is
a program that assists consumers with life transitions and empowers consumers to achieve a variety
of goals. Consumers also obtain the skills they need to learn to live independently in the community
as adults. Services provided include:
10










Psychiatric evaluations/medication
monitoring
Health Education
Referral and linkage to Primary Care
Physician (88% of clients have been
successfully linked)
Case Management
Individual, group, couples, and family
Psychotherapy


Rural
Mental
HealthFSP
90
Reduction in Days
Hospitalized 80%
Reduction in Days
Incarcerated
Social/educational/employment skills
Substance abuse treatment
Money management
Life skills instruction
Assistance with applying for Medi-Cal,
SSI, GR and/or Medically Indigent
Services Program(MISP)
Psycho-educational groups
Supportive Housing placement
TAY
CoOccurring
Disorders
ICSSTFSP
IMH –
FSP
Total
78
139
60
116
172
612
87%
90%
90%
71%
93%
82%
84%
N/A
82%
97%
92%
90%
97%
85%
92%
Number Provided
Stable Housing 68%
71%
100%
98%
75%
93%
99%
89%
16
26
18
4
64
52
171
Program Objectives
Number of Clients
Served
Number Placed in
Employment/Education
PAR ISMIP
47
7
11
EMPLOYMENT SERVICES
The Monterey County Adult Employment Program has been operating job training, placement and
related services for adult offenders in Monterey County since 1975. Turning Point is the lead agency
in a collaborative partnership service delivery system specifically designed for adults who face
multiple barriers to employment and places them in productive work. The program focuses on
integrated, comprehensive services to increase the employment, retention, earnings and occupational
skill attainment of participants. Job retention is addressed through comprehensive assessment, preemployment skills training, individual and group counseling, supportive services, intensive case
management and follow-up services. The Adult Employment Program is funded by the Monterey
County Workforce Investment Act.
Turning Point is also a key partner in the Silver Star Youth Program which is a day reporting center
for youth on probation ages 16 to 21. Turning Point has just completed its 11th successful year of
operation in collaboration with Monterey County Probation Department, Behavioral Health and Office
of Education. Turning Point continues the partnership at Rancho Cielo with the Drummond Culinary
Institute which provides one-year of vocational training for youth while they are earning their High
School Diploma. Turning Point provides vocational and employment related services to the courtinvolved youth at Rancho Cielo effectively weaving jobs and a pay check with educational
achievement. Successful completion of probation, employment, vocational certification and education
are the focus of all program activities. The Program is funded by Monterey County Workforce
Investment Act, Monterey County Probation Department, United Way Monterey County and
Community Foundation for Monterey County.
Program Objectives
Number of Clients
Served
Successful
Completions
Monterey
County
Employment
Program
Silver
Star
Totals
440
255
695
100%
100%
100%
71
115
186
Number of Unemployed
Individuals Placed in
Employment
12
COMMUNITY CORRECTIONAL TREATMENT SERVICES
Turning Point operates five community correctional programs in Salinas, Visalia, Fresno, and
Bakersfield. These programs are similar in nature and have operated for over 25 years. All of them
serve selected offenders in the community. The programs provide a range of services designed to
reduce the likelihood of return to crime. Primary services include:
1. Job development
2. Substance abuse treatment and/or relapse prevention training
3. Victim awareness training
4. Life management skills
5. Stress management
6. Conflict resolution
7. Family reunification services
8. Religious activities
Other ancillary services include:
1. Financial management
2. Drug and alcohol monitoring
3. Literacy training
4. Activity and behavior accountability
5. Correctional counseling
Opportunities for people to change their thinking, feelings and behaviors toward the direction of
positive law-abiding constructive patterns of living are guided and closely monitored and managed to
maximize community safety and individual growth.
Turning Point Community Treatment Programs are centrally located, to provide residents with easy
access to (a) public transportation, (b) places of business for employment opportunities, (c) adult
education sites, (d) substance abuse/mental health clinics, and (e) medical/dental offices when the
need arises. A major goal of Turning Point Community Treatment Centers is to provide quality case
management, treatment, supervision, and in-house services to residents. It is the mission of these
centers to assist offenders in the establishment of law-abiding behavior and self-sufficient living.
The Visalia Reentry Center underwent a number of changes during the past year. Under the new
contract with the Department of Corrections and Rehabilitation which became effective January 1,
2012, the program structure underwent significant changes from previous years. The program is a
90 day intensive program designed to address the resident’s substance abuse issues, life and coping
skills and to increase employability – with the primary goal of successful reentry into society. During
Phase I of their stay, parolees must complete 260 hours of classroom training that include cognitive
skills, anger management, victim awareness, parenting and family reintegration, finances, substance
abuse, HIV awareness, computer skills, job readiness and community reentry planning. Upon
successfully completing Phase I, the participant advances to Phase II which consists of 40 hours of
classroom time focusing on interviewing skills. During this Phase II parolees may begin to job search
or obtain employment. The length of the program may range from a minimum of 90 days to a
maximum of 180 days and is determined by how rapidly the parolee advances through the two
Phases.
13
In addition to continuing to provide services to male parolees from Tulare and Kings Counties, Visalia
Reentry, through an agreement with the Tulare County Probation Department, began providing
residential services for male probationers. The program offers two components—the intensive 90
day “life skills” program or the 90 day licensed substance abuse treatment program. Visalia Reentry,
as a licensed substance abuse program, currently provides substance abuse treatment to Tulare
County Probation referrals as well as parolee referrals from the Substance Abuse Services
Coordination Agency (SASCA).
The Bakersfield Reentry program, with a 125-bed capacity serves and assists state parolees,
federal inmates, and probationers with their reintegration back into society. Since 1983, our goal has
been to successfully assist our clients to be self-supporting upon completion of our program. As a
Parolee Service Center (PSC) for California Department of Corrections and Rehabilitation, we provide
a 90 day program for parolees who were referred to our program by their Parole Agent. We also
have a contract with the Federal Bureau of Prisons as a Residential Reentry Center (RRC) for
referrals from the federal system, and for federal probationers who are placed in our program by their
probation officer if they have violated a condition of their probation, or are in need of housing. Our
clients attend classes focusing on such topics as substance abuse education, money management,
life skills, family reintegration, parenting and victim awareness. We have a Job Developer and a
Social Services Coordinator assisting the clients in all areas of employment, mental/physical health
and social services. Our clients also participate in community service projects and volunteer for
various non-profit agencies. For FY 2011-2012, our program served over 600 clients with
approximately 40 percent obtaining/retaining employment or volunteering full time. The average
savings per client was approximately $1,500 which enabled them to purchase vehicles, and secure
housing. Our staff members strive to assist our clients through a comprehensive social model that
focuses on a therapeutic approach to case management.
The Fresno G Street Program is a Parolee Service Center (PSC) that is designed to assist active
parolees in becoming productive citizens. The Reentry Center Program has received ACA
accreditation and contracts with the California Department of Corrections and the U.S. Bureau of
Prisons. We are a co-ed facility that accommodates up to 75 residents at a time and has provided
services to 580 clients this year. Initial placements are for 90 days; however, this can be extended for
up to one year upon staff and parole agent approval. The Program provides an on-site 52 week
domestic violence program, N.A. Meetings, Test of Adult Basic Education (T.A.B.E.) testing, and
assistance with placement into GED classes or GED preparation to achieve a 12th grade level of
education. Additional services provided include, but are not limited to victim awareness training;
substance abuse prevention; individual, group and family reunification counseling; stress
management; money management; job search training and job placement services. Community
based organizations such as Labor Ready and MDT Personnel have assisted greatly in job
placement for approximately one third of our employed clients.
The Reentry Center Program staff members have devoted their time and effectively carried out the
Turning Point mission statement to “serve people in need.” In times of budget concerns, the Program
staff remarkably displayed dedication and collaboration in providing services to others while adhering
to contractual requirements.
14
The Golden State - Residential Reentry Center, in Fresno, served the equivalent of 445 federal
clients this year, which included In-house and Home Confinement participants. Due to unforeseen
circumstances, our population declined and our facility, like many others, experienced budget strains
and personnel changes. Our facility has a dedicated staff, and with varied degrees of education and
experience. These talents are needed when addressing the challenges of a growing client population
with extensive medical, mental health and social skill problems.
As a Residential Reentry Center, our facility has the opportunity to see changes in character and
behavior of clients, over the course of several months. Some clients, in their adult years, have never
had employment or an independent living experience. Their previous lives were mainly dependent on
low income social services or the Criminal Justice System. This year, our facility had the honor of
witnessing some clients completing their high school requirements and receiving their diploma. In
one case, the recipient was also honored as “Student of the Year,” for his dedication to the school
and the employment that the school provided. From this employment he developed his own personal
transportation and completed the program with healthy self-esteem. This was a good example of selfmotivation and assisted guidance. Many such role models exist under individual acceptance of
responsibility. There have been those clients who have failed, however the success of some
individuals often comes from a series of failures and finally making better choices.
The Salinas Reentry Center is a 51-bed residential program, operating for over 28 years, for adult
offenders returning to Monterey County from the Federal Bureau of Prisons and parolees supervised
by the California Department of Corrections and Rehabilitation. The objective of the Reentry Center
program is for offenders and parolees to become aware of their responsibility to society and to assist
them with education and employment to enhance their success in obtaining and maintaining
employability while in the program and after their return to the community. The program assists
offenders and parolees in becoming productive citizens through transitional housing, supportive
services and programming. As individual needs vary greatly, comprehensive assessments and
effective case management are an integral part of the program. A combination of in-house and
community based services are utilized to assure the full array of services necessary to support
residents in their development of a crime/drug-free, self-sufficient lifestyle. Partnership activities are
an essential service component to assist residents in the development of a reliable support system
prior to program completion.
15
SERVICES FOR THE DEVELOPMENTALLY DISABLED
It has been another year of success for our services to the developmentally disabled. There
continues to be a need for intense residential services within the State of California and we have
been able to remain full and provide supports to many children and families. We continue to meet
each outcome measure successfully. This year, all of the children have effectively remained out of
the developmental centers and successfully transition into their life-long plan.
The long-term intensive therapeutic homes have paralleled the success of the short-term therapeutic
homes and continue to offer supports towards person-centered planning. The children have been
able to adapt to a community and feel as though they are a part of a life-long plan. The successful
transitions have been one of reward and victory for the children that were able to be placed within
their family unit.
The Lake House residential program, one of our newest homes, has been able to meet all goals and
objectives with emphasis on participant educational paths. The Lake County community has
embraced our children and in doing so, it has made for successful and rewarding outcomes.
Overall, this year has proven successful for the children and the families the programs support.
Turning Point of Central California continues to recognize all of these children as individuals and with
dignity and respect have accomplished a life-long plan for each child.
Porterville
Ukiah
Journey
On
Ukiah
Country
Roads
Occupancy Rate
100%
100%
Successful Transitions to
Less Restrictive
Environment
100%
Successful community
integration as evidenced
by participation in
educational activities,
vocational activities and
other appropriate
community activities
Program Objectives
Percentage of clients
going to the Hospital
Atascadero
Ukiah
Northern
Lights
Prairie
House
Lake
House
Overall
Average
100%
100%
100%
100%
100%
100%
100%
80%
100%
100%
100%
100%
97%
100%
100%
80%
100%
100%
100%
100%
97%
0%
0%
80%
0%
0%
0%
0%
11%
16
OUTPATIENT DRUG AND ALCOHOL SERVICE
The Turning Point Federal Aftercare Programs provide counseling and drug testing services for the
U.S. District Court System in Fresno. Most of our clients have substance abuse problems and receive
random drug testing to ensure compliance with their conditions of release. Nearly 35% of our clients
receive either individual or group substance abuse counseling. Another 15% are seen by mental
health professionals for individual psychotherapy. This past year we achieved a success rate of 88%.
A total of 265 clients were served with only 10% being discharged for failure to comply with program
expectations. The other 2% transferred to other programs or moved out of the area.
The Kennemer Outpatient Drug Free Counseling Program has occupancy of approximately 71
adult clients at any given time in the intensive outpatient drug treatment program. Services were
provided to 202 unduplicated participants in this last fiscal year.
In the first three months of the program, phase one clients participate in group and individual
counseling sessions at least five times a week. Clients who complete the first three months of the
program learn and practice the necessary skills to gain sobriety and stability in their day to day life.
As the client progresses through the 8-month program, the level of intensity decreases to three
groups per week and includes an increased level of participation in community social support
activities. Clients who successfully complete all phases of the program have created a solid
foundation for continuing an alcohol and drug free lifestyle and becoming productive community
members.
The Treatment Goals are:
“At the end of treatment, the client should demonstrate an understanding of factors that have
contributed to his or her drug and/or alcohol use; an ability to deal with daily stressors without the use
of drugs; participation and engagement in fulfilling activities that support recovery; and a commitment
to abstinence.” (From Kern County Substance Abuse Standards of Care)
Of 114 discharged clients, 25.4% successfully completed the comprehensive program, and another
12.3% of discharged clients left before completion, but had satisfactory progress during their
treatment episode.
This year’s Kern County Client Satisfaction Survey reported that clients of the Kennemer ODF
program indicated a 100% satisfaction with the services that they received. Clients reported that the
skills that they learned in the program relate to their family and social lives and that these skills relate
directly to their abstinence. Of clients surveyed, 96 percent said that they would recommend the
program to others.
17
Turning Point Youth Services (TPYS): This program assists youth in Tulare County to obtain and
maintain a drug-free lifestyle. Program outcomes for the three major program components,
Treatment, Student Assistance Programs and Project Alert, are as follows:
Outpatient Drug-Free Treatment Component
Teens are involved in group and individual counseling for approximately six months. The majority of
referrals come from Probation and Schools. Recovery skills, family support, and the development of
self-efficacy skills are the primary focus of treatment groups. This year the program has continued to
increase access to rural communities in order to provide needed treatment services to at risk youth
and their families. TPYS now provides services at 16 state certified locations in Tulare County.







1,011 Total Unduplicated Clients Served
4,320 Individual Counseling sessions 11,546 Group Counseling contacts
120 Family Support Groups completed, 9,197 Informational/Referral contacts
49% Clients successfully completed the program
56% of discharged clients had achieved 30 days or more of continuous clean time at the
time of discharge
49% of discharged clients had achieved 60 days or more of continuous clean time at the
time of discharge
35% of discharged clients had achieved 90 days or more of continuous clean time at the
time of discharge
Community Prevention Component
Project Alert: Target Population
*Universal Population
*High School Students
*Effects of Advertising on Alcohol Use
*Peer Pressure and Tools to Resisting It
*Communicating with Family about Alcohol
*Effects of Drugs and Alcohol on the Body
*Helping students to see that not everyone in High School drinks
Voices: Target Population
* Universal Population
* Female High School students in Tulare County
The program increases student awareness and skills related to: Alcohol and drug
awareness
Drug Education, Refusal skills
Peer pressure and influence, stopping the cycle of abuse, Positive self-awareness
Motivation to succeed
Brain Food: Target Population
* Universal Population: 362 clients served
* Jr. High School students in Tulare County
The program increases student awareness and skills related to: Alcohol and drug
awareness
Peer pressure and influence
Life management lessons, Refusal skills, Money management
Positive self-awareness, Motivation, and the Importance of education
18
Student Assistance Program
Middle School and High School students are seen on school campuses throughout Tulare
County to gain an understanding of how alcohol and other drugs may negatively affect their
lives. Throughout the school year, educational/support groups are provided to give information
and skills to make healthy choices and develop beneficial relationships with peers and family.
Students are also referred to community supports and linkages as needed.




14 Schools served in Tulare County
1,036 Students served (an assessment was completed for each individual)
1,340 Educational/Counseling groups provided
5,318 Student Contacts in all groups
Federal Kennemer
Program Objectives
Aftercare Outpatient
How Many Clients
Served
177
161
Percentage
Successfully
Completing Full
Program
80%
29%
19
ISMIP
TPYS
Totals
N/A
1,011
1349
N/A
49%
53%
RESIDENTIAL DRUG AND ALCOHOL SERVICES
The Quest House is a 30 bed co-ed residential treatment program. The Quest House provides
residential treatment for substance abuse and other co-occurring disorders. The Quest House is
licensed by the California Department of Alcohol and Drug Programs as an inpatient treatment facility.
For the past few years, the Quest House has operated under contract with the Substance Abuse
Services Coordinating Agency and the California Department of Corrections and fulfills a variety of
needs for State Parolees. The Quest House has recently acquired a contract with Fresno County,
providing services for the Parolee Services Network (PSN), as well as working in conjunction with
other Turning Point facilities to provide residential treatment for those suffering from co-occurring
disorders. The Quest House may also provide services for private pay individuals.
The Quest House is a clean and sober environment, which is conducive to progress and success.
The treatment program provides a well-structured 40 hours of curriculum per week. The curriculum
includes various classes, such as: (a) Breaking Barriers, (b) Life Skills, (c) Substance Abuse
Education, (d) Health Education, (e) Relapse Prevention, (f) Anger Management and (g) Parenting
Skills and Family Group Education. Residents begin and end each day by attending an AA or NA
Meeting. Residents also receive 1-2 Hours of individual counseling per week. The Quest House
Counselors and Supervisors are Certified Addiction Specialists there is a Licensed Mental Health
Specialist on staff.
The Kennemer Center residential program in the fiscal year 2011-2012 provided substance abuse
treatment to a total of 703 clients. Kennemer provides comprehensive alcohol and drug addiction
treatment and prevention services for adult men and women parolees and to private pay individuals
inside or outside the local area. This year will be remembered for being a major transitional year as a
result of AB 109 realignment of the California Department of Corrections. Certain felonies,
considered to be non-serious are no longer punishable by a state prison term and instead became
eligible for county jail sentences. As jail and prison space became a major challenge all over the
state, Kennemer’s certified counselors continued to provide an effective residential substance abuse
treatment experience to higher risk offenders with co-occurring disorders which helped to reduce
incarceration and recidivism rates. An on-site vocational program known as WESTEC provided
certified training for many clients who then became gainfully employed ending their homelessness.
Clients benefited greatly also from alumni meetings, aftercare services, support groups, recreational
activities, and family gatherings held at the Kennemer Center. Clients often report that they learned
to develop and sustain healthy relationships after completing anger management classes and while
healing from many serious issues causing addiction. We have seen many clients experience a
positive “Turning Point” in their lives after previous failed attempts to become clean and sober. We
believe in our clients and the individual’s power to overcome addiction permanently. Lots of one-onones and groups with the clients seem to be a key factor in their success stories. It continues to be
Kennemer’s goal to unearth, heal, and overcome underlying issues that caused them to resort to
substance abuse in the first place.
20
Program
Objectives
Clients Served
Percentage
Obtaining
Employment
Residents Moved
to Appropriate
Living
Arrangement
Percentage
Completing the
Program
Kennemer
Residential
Quest
House
Total
703
184
887
25%
7%
16%
75%
83%
79%
65%
69%
67%
21
HOUSING PROGRAMS
New Outlook is a supportive housing program for homeless families. Fifty apartment units are
utilized to house families who wish to receive supportive services which are directed to overcoming
homelessness and finding permanent housing within a 24 month period of time.
The New Outlook program housed 91 families comprised of 107 adults and 197 children. Despite the
economy and deep cuts within state and county social service agencies, ninety six (96%) of the
adults leaving the program found permanent housing with increased income from employment. The
average length of stay increased this grant year to seventeen (17) months, due to the reasons
previously stated. New Outlook staff of four (4) continues to exceed the requirements established
and mandated by HUD.
Stasis Center Permanent Supportive Housing serves persistently mentally ill individuals, many of
whom have co-occurring disorders. Most of our residents are between their mid- thirties and early
fifties. Our services include life skills education, crisis intervention, socialization and some case
management services in referring residents to wrap around services. The goal for our residents is to
help them live as independently as possible and to maintain stabilization in regard to their psychiatric
disorders.
The Turning Point Transitional Living Center (TLC) is a HUD funded program that was designed to
assist the homeless in Fresno County, many of whom suffer from chronic mental and emotional
disorders, as well as substance abuse issues. The Program’s success can be attributed to a highly
experienced staff, as well as an emphasis on substance abuse and prevention.
TLC first opened its doors in August of 1994, and since then, has served over 2000 residents, many
of whom face significant barriers to independent living.
TLC is part of the Fresno Madera Continuum of Care, and assists residents in maintaining their
sobriety, stabilizing their mental health, finding meaningful employment, and regaining their
independence. TLC works closely with the Residents and makes referrals to mainstream resources
within the community, to ensure that they are connected with local resources to keep them on track,
once they leave the program.
22
In the grant year of 4/1/11 through 4/30/12, Family Villa served 45 adults and 64 children. The grant
provides for permanent supportive housing with a program goal to stabilize and maintain homeless
families, whose parents have a disability caused by substance abuse and/or mental health illness.
Forty-two percent have found employment or are enrolled in school. The supportive services and life
skill classes offered to residents should help to keep these families from returning to homelessness.
Court Street Transitional Center (CSTC) is a four-bed transitional housing program, serving
homeless males as they transition to independence. CSTC received its first client in October of
2011. Since opening its doors the Court Street Transitional Center has served clients from Tulare
County Probation, Turning Point’s TAY Program, and self-referrals. Upon intake and assessment,
residents meet with the caseworker assigned to the facility to prepare an individualized case plan to
include (a) in-house financial management, (b) computer skills job search and retention skills, (c)
cognitive skills, (d) use of community resources, (e) victim awareness, (f) and substance abuse
counseling, if applicable. Residents are required to participate in meaningful activities that facilitate
reentry into the community such as vocational training, adult school or junior college and volunteer
work or employment. CSTC’s primary goal is for the residents to secure appropriate permanent
housing upon release.
Program Objectives
Nights of Shelter
Clients Served
Number Placed in Permanent
Housing
Percentage Successfully
Overcoming Barriers to
Improve or Obtain
Employment
Transitional
New
Living
STASIS Outlook
Center
Family
Villa
Total
9,002
56,766
9,983
9,651
85,402
36
283
146
109
574
N/A
111
81
N/A
766
64%
97%
36%
42%
60%
23
ANCILLARY SERVICES
Some services have developed as adjuncts to major programs to assist in the overall purpose and
vision. One such service is the Payee Program, which provides money management services for
mentally disabled individuals who need this type of assistance. Other ancillary services include (a)
jail visitation programs, (b) electronic monitoring, (c) drug use detection, (d) self-help meetings, (e)
public education, (f) community youth prevention activities, (g) peer support activities, (h) speaker’s
bureaus and (i) tenant council development.
Turning Point Payee Services Programs serve individuals that are unable to administer their own
Social Security, veterans benefit or private funds in Fresno County. The majority of our clients have
some type of mental health diagnosis and difficulty managing their money. This past year we
administered over $3,977,647.09 in varied types of benefits, servicing 369 clients. This program
serves a population that, without our help, could very easily become homeless and destitute.
Program Objectives
Fresno
Payee
Services
Annual Deposits
$3,977,647.09
Clients Served
Average Annual
Deposit
369
24
$10,780
FUTURE GROWTH
We continue efforts to expand services to meet growing needs in the communities we serve. New
programs for the developmentally disabled and homeless are in the process of implementation for the
coming year.
SUCCESS STORIES (pseudonyms are used in place of actual names)
Fresno “G” Street
We have had a number of residents come through the program and successfully complete a 90 day
program. However one individual stands out for outstanding program completion. This resident who
we will call Dan in this true story, entered the program early January of 2012 and received a
certificate of completion for 90 days. At that point, he requested an extension that took him through a
total of seven months in the program. Dan successfully began job searching and in no time secured
full time employment with a local poultry packing plant. He complied with all program policies in
making deposits in a timely manner as well as tending to all financial responsibilities that arose. Dan
also fulfilled program requirements and all other responsibilities such as attending parenting classes,
DUI classes and NA/AA meetings without it conflicting with his employment schedule. He was
successful in completing program training, obtaining full-time employment, maintaining sobriety and
was able to move into his own apartment that he was able to afford with the monies he had saved in
his trust account. Even with all these successes perhaps his greatest success was regaining custody
of his children.
Integrated Services for Mentally Ill Parolee-Clients (ISMIP)
We have many stories of clients who have turned their lives around, gotten stabilized and have
managed to stay out of prison a year or two, possibly for good. One client, Michael aged 45, told us
he averaged only two months out of jail for the past ten years. We recently attended his wedding and
celebrated his first year of freedom. To date, he has been doing well and it has been over one and a
half years.
25
Intensive Services for Mentally Ill Parolees (ISMIP)
When Albert was released from prison over a year ago, he was released to the streets with no place
to call home. Albert only had the clothes on his back, and no family or friends to help him out in any
way. Once Albert began the ISMIP program, case managers immediately assisted him with finding
food, clothing, and housing. That same day, his ISMIP case manager located all of the important
necessities including shelter at a local sober living home. Albert was determined to turn his life
around and relied on his faith to bring him through his hardships. We are proud of Albert because he
has always maintained a positive attitude, and never let anything get in the way of his goals. Today
Albert lives in his own apartment with the help of the Housing Authority. Albert is also currently a full
time student at Bakersfield College and earning excellent grades in his second year. He is a full time
student, but on his day off (Fridays) he spends the day with his support system, ISMIP.
Bakersfield Reentry
We have many client success stories but one client in particular benefitted greatly from our
programming. We will call him “Jim” and when he entered our program he was very distraught due to
various challenges he was facing. He was unemployed and had just recently lost custody of his
children. He was committed to regaining his children and bringing his family back together in a safe
environment. Jim attended all of the required classes while in the program including substance
abuse education, parenting, money management, etc. Jim completed the three-week WESTEC
training which provides the necessary certifications for various positions in the oil fields or
construction industry. Job Developer, Mike Martinez worked closely with Jim to assist him during his
job search process. Jim was able to secure employment in the oil fields utilizing his certifications.
This job allowed him to save approximately $700 while in the program. He used this money towards
a security deposit on an apartment. Working through Child Protective Services, he presented the
judge his certificates of completion for our program and the various classes he attended. The judge
was very impressed with Jim’s dedication and commitment to improving his life skills, and obtaining
employment, along with providing suitable housing for his children. During his 90 days in the
program, Jim never received a disciplinary report, and never tested positive for drugs or alcohol. The
judge awarded Jim custody of his five children as a result of his positive actions and successful
programming at Bakersfield Reentry. Jim is still employed and has custody of his children since
leaving the program over one year ago.
Integrated Mental Health Full Service Partnership
Diane’s Story
For most of us making our own decisions and having a home of our own is taken for granted.
However, for some it is an almost impossible dream never reached due to mental health barriers. But
someone forgot to tell Diane that her dream of having her own place to call home was impossible.
Diane has been living with serious mental health issues for over two decades and has lived in
numerous residential settings including locked and supervised facilities, while rarely being able to
maintain independent living. She has been psychiatrically hospitalized many times in over three
different counties and was even placed on conservatorship for a four-year period. Diane lost custody
of her two children thirteen years ago because she was deemed mentally unfit to care for them. More
recently, she was living homeless in Fresno for two months, had no access to psychiatric care or
medications, and had zero support.
26
Since her engagement in the Integrated Mental Health Program last August, Diane has made great
strides in her wellness and recovery process. Utilizing her strengths of persistence, spirituality, and
faith, she has gained access to regular psychiatric care and has found a primary care physician. She
has built a positive and trusting rapport with the program staff and has developed a small support
network of friends. Diane has learned how to access public transportation and is able to attend most
of her appointments on her own. She has successfully learned how to use coping skills and her
support system to help her through times of crisis, and has managed to avoid hospitalization since
August 2010. Additionally, Diane has maintained independent living for almost 5 months and recently
secured and moved into her own apartment. She is looking forward to decorating her apartment for
all of the seasons and holidays and maybe even a house warming party. Diane still has more goals
to accomplish such as reuniting with her family and children, going back to college, and seeking
employment, but for now she couldn’t be more happy having her very own place to call home and she
is now truly living free.
Mari’s Story
Mari stated she was “rescued by Turning Point back in March” and remembered telling staff to go
away and leave her alone. She has had a long history with mental health care needs for about 30
years and alcoholism for 15 years. Up until about three months ago, all that Mari thought about was
going to sleep and never waking up again. Mari states she had an epiphany when Turning Point
“rescued” her and felt compelled to change her life around. Mari states during this process she has
even found God. Mari’s mental health recovery consists of being active by attending all available
group therapy classes, going to Blue Sky, and socializing with her peers as much as possible for that
extra support needed to be successful in her life. Mari states that she is excited to be alive again and
does not ever see herself going backwards. Some of Mari’s goals are to write more, do more
missionary work for her church and to continue managing her mental health symptoms so she can
lead a fulfilling life. Mari says that her worst enemy is herself and when she gets out of the way of her
own progress, she allows herself to walk more proudly and is ready to take on whatever comes her
way. Mari stated her favorite coping skill is believing she can get through anything and finds that
determination is her best defense against the unexpected. Mari wanted to tell everyone that “it works
if you work it” and believe it or not that she is living proof of that.
27
TURNING POINT SERVICES
28