Table of Contents Counseling Service of Addison County, Inc. Locations 2 Annual Report Board Letter 2 Master Guide Award 2 Staff Quotes 3 2015 Home 4 Community 5 We can help… Employment 6 Care 7 Bocce 8 Donors 9 Emergency and Crisis Services Open Dialogue 10 IFS 11 24 hour hotline Financials 12-13 All in the #’s 14 (802) 388-7641 Board Members 15 Poem 15 Statements, Policies 16 Locations 109 Catamount Park 89 Main St Community Associates 802.388.4021 Adult Mental Health, Psychiatric & Substance Abuse Services 802.388.6751 Employment Associates 802.388.4021 Addison County Employment Services 802.388. 8185 Administrative Offices 802.388.6751 Emergency Services 802.388.7641 67 Catamount Park 17 Court St Bristol Youth and Family Services 802.388.8188 The Center 802.388.3093 Bristol Office 802.388.6751 Evergreen 802.388.3468 Board Letter Master Guide Award 2015 Recipient This year the Counseling Service of Addison County has joined health and human service providers across the Alexa Euler, SPHR country in moving closer to an integrated/holistic model of care – a shift from treating people only when they are sick and financial incentives that reward doing more (fee-for-service) Director of Human Resources to a system that intervenes to keep people healthy, prevents the need for costly services, and rewards good health of populations and positive outcomes. Our 2015 Annual Strategic and Quality Improvement Plan identifies five elements that capture the essence of what CSAC needs to focus on to be successful in the future: Easy Access, Customer Service built on a culture of engagement and wellness, comprehensive care, excellent outcomes and excellent value. CSAC’s Board of Directors has endorsed and fully supports a planning strategy consistent with movement toward a wellness model. We are excited about the innovations and collaborations that are developing in this evolving concept of wellness within Addison County communities. “Paddling in earnest and leading us through unknown and Barbara Doyle-Wilch Bob Thorn unmapped territory.” Board President Executive Director 2 When Staff were asked; Why do you work for CSAC? “CSAC opens doors for community engagement and personal growth.” “CSAC gives me the ability to be engaged in my community, collaborate with creative peers, and grow both professionally and personally.” “I work at CSAC because it is an organization that highly values its employees, is family friendly, and we have an excellent HR department that proves it with their actions every day.“ “Staff are encouraged to be creative, to collaborate with each other. My coworkers at CSAC are compassionate, dedicated, experienced and welcoming of honest and healing conversations. They provide a context in which it is possible to do this work with all its emotional rewards and demands.” “I work at CSAC because it is a hopeful living example that a Community Mental Health Agency can break through the system related limitations and provide good service to youth and families and good work environment to employees. Good leadership coupled with devoted clinicians can make this possible. This just keeps my spirit going in spite of the high emotional and physical demands that the nature of this job brings to my life.” “I feel extremely rewarded every time someone I’m working with attains personal goals.” 3 We can help... 166 People we helped find housing or remain in their homes 605 People served in their own homes “I love social living.” “I’m happier here than I’ve ever been.” “I feel safe here.” 4 We can help... I have personally been very fortunate to have both Bob Thorn and Larry Goetschius (Home Health and Hospice) in our local service area to work The Wilton W. Covey with. CSAC in particular has been a gift in collaborating and being open to ideas on how to utilize our existing health partners and their expertise to bet- Community Award ter serve our community’s needs, without harming the organizations in place. Finding ways to maximize that local expertise and care for our patients in this collective manner is a win for the patient and a win for each organization that is presented annually to a occurs as a result of working together, rather than creating yet another community member in recognition duplicated health care service. of their commitment to enhancing the quality of life in the Addison County Community. Being a Federally Qualified Health Center has poised Mountain Health Center to contribute to the community in ways they were never able to before. For example: we have expanded our services to include community and health-oriented activities such as smoking cessation workshops and blood drives. Our community room is available at no charge to non-profit organizations or organizations whose work helps to strengthen our communities, such as the Parkinson’s support group that meets monthly here. After 3 long years of collaborating with private dental offices to create affordable care to the uninsured and under insured our organization recently secured a grant to expand oral health services. We will now be able to provide this much needed service in our existing space as a 2-chair dental office – this provides much needed dental services to the community – and for our private dental partners that cannot afford to care for the Medicaid population and stay 2015 Recipient in a viable business. This program will open early in 2016 at our site in Martha Halnon Bristol. Executive Director, ~Martha Halnon Mountain Health Center A Federally Qualified Health Center 1,097 “I work at CSAC because I am a member of the community who would like to give back. We are privileged to live here in this beautiful and supportive environment. Making a difference CSAC clients who in the lives of children is the most gratifying job I have held.” receive support services in ~CSAC Staff the community 5 We can help... A 30 year old woman was referred to our employment program. She had been referred repeatedly over the past ten years, and had less than a week of paid employment in her entire life. We agreed to start at the beginning. The first step was to develop an employment The Holly Clook Award profile and then identify potential career paths. Once a plan was is presented to any developed, we hit the road together. Counseling Service of We settled on a two prong approach when we visited a potential employer. The Addison County employee first check was if the consumer approved of the atmosphere- “Does it ‘feel’ like a who enhances workplace vitality place I could work?” If so, then together we would talk with the employer to through their creative use of understand the various employment opportunities. We visited eight employers, and many didn’t have the right feel. The few that felt like a good fit to the humor, humanity, consumer didn’t have any opportunities. dedication and commitment.. She was feeling a bit down and frustrated- but the ninth place was the ticket. The vibe was fantastic- the owners of the business greeted us with tremendous warmth. They were looking for something like our program. After a discussion of needs, schedules, and insurance, we set up and began an eight week work experience in association with Vermont Vocational Rehabilitation. Every check-in across the eight weeks was more positive than the previous one. The young woman had just the right skills to learn the delicate work. It became obvious this was a fantastic match. She is now on the payroll part- time as an apprentice jeweler. The plan is for her to be a full time employee by the holiday season. The only remaining steps are to assist the employer with the work opportunity tax credit paperwork, and to stop in and visit to see all of the smiles. 2015 Recipient 77 239 Steve Reigle CSAC Employment Operations Coordinator New Job People we helped Placements find/keep jobs 6 We can help... The Wilton W. Covey Staff Award is presented annually to a Counseling Service of Addison County employee, in recognition of their commitment to enhancing the quality of life in the Addison County Community. 2015 Recipient Heather Bessette, CSAC Family Outreach Clinician I work for CSAC because we offer a service to help others who otherwise wouldn’t be able to help themselves. WE Artwork by: provide the means for an individual to go out Joyce Warner into the community and make a better life for themselves. We support, encourage, advocate, teach, and care for people who don’t know how to do these things for themselves. 437 65 It’s such a rewarding feeling to watch someone grow and become a better version of themselves. Knowing that I helped someone, possibly even changed their life, that is a People Clinicians providing care in feeling I can never get used to, I love it. received crisis care schools, That’s why I work for CSAC. ~Amber Thornton clinics and doctors offices Community Integration Specialist Community Associates 7 Bocce Tournament 2015 $20,980 52 36 Raised Volunteers Teams Thank you Hickok & Boardman Lead Sponsor two years running!!! We are so grateful for the community support that raised $20,980 for CSAC’s 5th Annual Bocce Tournament. Each year since it began the tournament has grown, thanks to you! Last August, 36 teams of all abilities came to play, from as far away as New York, Massachusetts and southern Vermont. Everyone played to the best of their ability and most left smiling, whether or not they won. We want to express our gratitude to our sponsors, donors, volunteers, players and for everyone who made the tournament the success it was! Thank you! 8 Funders Collaborative, Middlebury Friends Meeting Cy & Roth Tall, Jr. Addison County Transit Resources UWAC & VCF Middlebury Union High School The Rolling Stones Rev. Dr. Leon & Robert & Juliet Gerlin Jeff & Joy Minns Aaron Townshend Bonnie Totten Adkins Ann Gibson Monument Farms United Counseling Service & Amy Tarrant Foundation Wendy N. Grace Virginia & Tom Moser Developmental Services Jack & Louisa Anderson Marv & Diane Greenberg Scott & Cheryl Mullins United Methodist Church of Kathleen M. & Edmund O. Andich Sue & Charlie Grigg MVP Health Care Middlebury, VT, Inc. David Andrews Helen Haerle John & Margaret Myhre Vergennes Lions Club Steve Maier & Priscilla Baker David & Patty Hallam National Bank of Middlebury Vermont Community Foundation, Bank of America Health Care and Mary & William Nawn Bellerose Family Fund Charitable Gift Fund Rehabilitation Services Karen Nawn-Fahey W.B. Mason Fred & Marian Baser Ursula Heibeges Victor & Betty Nuovo Tom & Dorothy Walsh George & Paula Casey Bellerose Hickok & Boardman HRI Dennis & Judith O'Brien Dolores B. Walton Mark & Nancy Benz Hickok & Boardman Michael & Judith Olinick Suzanne J. Ward Dr. Donald & Elizabeth Bicknell Insurance Group Kitty Oxholm Mary Jane Washburn James L. & Krissa Bolton Bruce & Ginny Hiland Paydata Nancy Bruck & Weinstein Michael Boston Jessica Hoagland Lucy Pelligrini Thomas & Carol Wells Patricia Brakely Bruce & Ann Hodgeman People's United Bank Vivian Werner Heidi & Donald Branca Holden Insurance Mary & Don Pepe Weybridge Congregational Church Breadloaf Corporation Lewis Holmes Natalie Peters Barbara and Mark Wilch Barbara Brooker William O. Hopkins Susan Prager Thomas & Mary Williams Tucker Burns Gale Hurd Verena & Spence Putnam Jonathan & Geraldine Willis Carol Calhoun Linda Johnson David and Diana Raphael Frank & Janet Winkler Klara Calitri Dr. Dayle Klitzner & John Kellner Richard Alther & Ray Repp Wm. Wrigley Jr. Peter & Margaret Carothers Mary Kerr Residence at Otter Creek Company Foundation Casella Waste Management, Inc. Kevin Lehman Family Fund Catherine Rickerby Ric Wheeler & Champlain Valley Warren & Barry King Vern & Yvonne Riley Barbara Hammerlind Universalist Society Charlie & Marie Kireker Jan & Kirk Roberts Dan & Peggy Wright Jonathan T. Chapin Susan Klaiber Rock N' Roll Evergreen Team Zen Affiliate of Vermont John Clarke George & Margaret Klohck Ropes & Gray, LLP Art and Ann Cohn Ann LaFiandra David & Jean Rosenberg Harry Colwell John LaFountain Rotary Club of Middlebury John & Bonnie Cooney Matt LaFountain Len & Ann Rowell Cooperative Insurance Company Audry LaRock Jane & Eugene Roy Mac & Laurie Cox Emily Sunderman and Michael Lee Joanne Scott & John Rubright Beth Davis Janett Leggett Louise Sandberg Chris & Becky Dayton Leggett Family Joyce T. Sargent Greg Dennis David Littlefield Tiffany Sargent Don & Marty Dewees Kathryn & Christopher Livesay Ira & Linda Schiffer Lisa Dickinson Gerrie & Bobbie Loney Hal Schmitter Dinse, Knapp & McAndrew, P.C. Gary Margolis & Wendy Lynch Robin J. Scott Fred Kniffin & Caryn Etherinton Sarah Harrison Lynn Lindi Bortney & Jerry Shedd Frank E. Fahey Charles Sabukewicz & Larry & Connie Simino Scott Fahey Helen Marsh Cronin Sleeper FairPoint Communications MassMutual Rosemary Spahn Allen & Carol Farnsworth Chip & Jack Mayer Elizabeth Stabler Virginia Faust Jay & Joan McEvoy David Starr Annerulon Fisher Ed & Mary McGuire Gary & Kathy Starr Nancy Baker & Brian Flynn John & Mirielle McWilliams Peter Straube Donna Fogel Christine F.Metcalf Judy Jaubert & Samuel Fogel Michael W. Furey Assoc. Richard Swanson Foster & Son Catering Middlebury Bagel & Deli Judith l Sweeney 9 We can help... Open Dialogue is a way of involving family and personal networks in William J. Lippert, Jr. times of mental health crisis or in situations of “stuckness” that involves Advocacy Award listening carefully to everyone’s perspectives and looking for new meanings and understandings that might help to open new possibilities. Research from Finland where Open Dialogue originated has shown it to be particularly effective as an early response model for emerging experiences of psychosis. CSAC is one of just a few community mental health systems in the US piloting this approach. We have now held dialogic network meetings with over 70 different families and personal support networks . The findings, from by far the most rigorous trial to date conducted in the United States, concluded that schizophrenia patients who received smaller doses of antipsychotic medication and a bigger emphasis on one-on-one talk therapy and family support made greater strides in recovery over the first two years of treatment than patients who got the usual drug-focused care. 2015 Recipient ~The New York Times Peter Lebenbaum, CSAC Youth and Family Outpatient Clinician and Community Rehabilitation 5 67 and Treatment Services, Open Dialogue Clinician community mental families and This award is presented to a dedicated health programs in support networks individual with a vision toward a caring and inclusive community; in particular, to recognize The United States benefiting from advocates of high integrity who have consistently practicing Open Dialogue in expressed the values of fairness, justice, compassion, and respect for individual Open Dialogue Addison County differences. 10