Alcohol & Drug Abuse Services, Inc. Annual Report Fiscal Year July 1, 2013 June 30, 2014

ALCOHOL & DRUG ABUSE SERVICES, INC.

Annual Report

Fiscal Year

July 1, 2016 – June 30, 2017

Table of Contents

Introduction 3

Administrative Report 6

Fiscal Report8

Prevention/Intervention Report 11

Case Management Report 15

Outpatient Treatment Report 17

Inpatient Treatment Report 27

Contracted Services 34

Introduction

Mission Statement

Our mission is to provide quality and compassionate substance use and co-occurring services, empowering individuals to develop responsible, healthy lifestyles.

Philosophy

Alcohol and Drug Abuse Services, Inc. provides compassionate treatment for substance abusing individuals including those with co-occurring disorders. Recognizing that both these disorders influence other people, ADAS also offers counseling and support for the families of those affected by these disorders.

The program is based upon the understanding that an addiction is a treatable illness – that addiction is the problem, not just a symptom. A recovery program, the lifelong process of total abstinence, begins with an honest assessment of the problem.

At ADAS, the staff provides the finest professional compassionate care and treats addiction for what it is – a life threatening disease affecting the entire family. ADAS staff strives to be sensitive to each individuals needsand understands there may be co-occurring and trauma specific issues which play a significant role in their lives.

Individualized treatment plans are specifically designed for each individual with the goal of restoring the person to a meaningful, productive role in society. The plans are strength based to empower them to want to make healthy lifestyle changes.

Background

Alcohol and Drug Abuse Services, Inc. was initiated as a department of the Cameron, Elk, McKean, and Potter County Mental Health Mental Retardation Joinder in 1972 with seed money from the Law Enforcement Assistance Act (LEAA). Drug and alcohol prevention services, outpatient counseling and the residential treatment facility, Maple Manor, was established at that time through LEAA grant funding.

In 1987 Alcohol and Drug Abuse Services separated from the CEMP MH/MR joinder and became incorporated as a separate private non-profit agency. Potter County became its own SCA under the county government. Alcohol and Drug Abuse Services, Inc. (ADAS, Inc.) was contracted by the county commissioners to serve as the Single County Authority (SCA) for Cameron, Elk, and McKean Counties. ADAS, Inc. was established as a Private Executive Commission, which is overseen by a Governing Board that is made up of eleven members; three from Cameron County, four from Elk County and four from McKean County. The appointment of Board Members is approved by the County Commissioners.

Whereas most SCA’s act as an administrative entity providing oversight and contracting for services, Alcohol and Drug Abuse Services, Inc. was established as a Functional Unit facilitating direct treatment services. ADAS, Inc. provides prevention, early intervention, case management, recovery support, outpatient treatment, intensive outpatient treatment, and adult residential treatment services for residents of Cameron, Elk, McKean and Potter Counties. Additional contracts are in place with surrounding Single County Authorities for services provided at Maple Manor

Additional contracted services offer choice, specialized services, and expand the continuum of services available to clients. ADAS, Inc. maintains contracts with other providers for outpatient, intensive outpatient, detoxification, short and long term rehabilitation, halfway house, and partial hospitalization.

Treatment services are offered on a fee for service basis. ADAS, Inc. is part of the provider network of most insurance companies. Services are also offered on a sliding scale. As the Single County Authority, ADAS, Inc. also receives funding to subsidize treatment for low income uninsured individuals residing in Cameron, Elk and McKean Counties. Pregnant women injection drug users, pregnant women substance users, injection drug users, overdose survivors, and veterans are priority populations for treatment.

Agency Goals

• Assess and monitor community needs in relation to the incidence and prevalence of alcohol, tobacco and other drug abuse.
• Provide, or make available through contracted services, a full continuum of drug and alcohol prevention, treatment and support services to meet community needs.
• Review and evaluate the effectiveness of drug and alcohol services.
• Provide training to agency staff and community stakeholders to enhance local knowledge and skills to address drug and alcohol issues.
• Engage in collaborative processes with stakeholders and community members to address substance abuse concerns.
• Expand awareness of programs and services available to reduce and prevent substance abuse.

Board of Directors

Chairperson, Ms. Kathy Roche - McKean County

Vice Chairperson, Mr. John Thomas - Elk County

Secretary, Ms. Jennifer Kirk - McKean County

Treasurer, Ms. Judy LeRoy- McKean County

Ms. Kathleen Obermeyer–McKean County

Mr. Scott Atwell – Elk County

Dr. Pamela Allegretto-Diiulio - Elk County

Ms. Tayler Gnan – Elk County

Mr. Joe Fragale - Cameron County

Mr. Rob Aversa–Cameron County

Mr. Brian Harmon – Cameron County

Agency Leadership

Executive Director–Angela Eckstrom

Medical Director – Dr. George Castellano

Administrative Officer – Tammy Conway

Clerical Supervisor – Cassandra Ryder

Prevention/Early Intervention Services - Lisa Cherry

Case Management and Recovery Support Services –Lisa Cherry

Outpatient and Intensive Outpatient Treatment - Jennifer Greenman

Program Manager at Maple Manor–Thomas Patterson

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Administrative Report

Board Development

• Kathy Rocheremained the Board of Directors Chairperson throughout 2016-2017.
• Jennifer Henry, McKean County,resigned in December 2016.
• Audrey Lane, McKean County, resigned in March 2017.
• John Thomas, Elk County, resigned in June 2016.
• Brian Harmon, Cameron County, was appointed in July 2016.
• Kathleen Obermeyer, McKean County, was appointed in May 2017.
• At the end of FY 16-17 there wasoneMcKeanCounty vacancy and one Elk County vacancy on the ADAS, Inc. Board of Directors.

Staff Recognition

Due to the budget impasse in 2015-2016, ADAS held its annual recognition dinner in September 2016 and recognized employees for both 2015 and 2016. Therefore, there were no other staff or board members recognized for fiscal year 2016-2017.

• Greta Billings, Prevention Specialist, was recognized for 25 years of service.
• David Shaffer, DATS, was recognized for 25 years of service.
• Amy Zimmerman, Case Manager, was recognized for 25 years of service.
• Rae Nelson, DATS, was recognized for 20 years of service.
• Cassandra Ryder, Administrative Assistant, was recognized for 20 years of service.
• Krystal Meade, Administrative Assistant, was recognized for 10 years of service.
• Minnie Wilber, Residential Worker, was recognized for 10 years of service.
• Sarah Cimino, DATS, was recognized for 5 years of service.
• Nicole Skinner, Residential Worker, was recognized for 5 years of service.

Staff Development

ADAS staff were supported in the participation of 1, 403 training hours during the 2016-2017 fiscal year. The clinical staff received an average of 42 hours of training. ADAS hosted a total of 36 hours of in-house, PCB approved trainings this fiscal year. We offered these trainings to our staff and other surrounding agencies and stakeholders. They include: Online Gambling, Family Recovery in Addiction, Motivational Interviewing, Ethics, Cultural Competency and Conflict Management.

In addition, our Prevention staff provided 30 hours or Student Assistance Program training to all three counties school districts.

Infrastructure Development

• ADAS raised the money for the expansion of our inpatient facility, Maple Manor. During this fiscal year we expanded short-term to 16 beds in March 2017.
• ADAS purchased a Ford Escape as part of the expansion to have a vehicle to transport clients to our facility.
• ADAS moved our Administrative and Outpatient offices to 12 Church Street, Suite 100, Port Allegany.
• Central intake was added as part of the expansion of all services.

Collaborative Processes

• The Executive Director is a member of the PA Association of Drug and Alcohol Administrators (PACDAA) and serves on the Legislative and Policy Committee.
• The Executive Director is a member of the Central Governing Board of the Behavioral Health Alliance of Rural Pennsylvania (BHARP).
• The Executive Director is an active member of the Task Force for Community Intervention. The Task Force is comprised of providers, law enforcement and the Mayor and works to raise awareness of substance use and addiction and provide resources for help.
• The Executive Director and the Administrative officer are Community Benefit Advisors for Cole Memorial.
• ADAS is a member of the Northern Tier Community Collaboration and Substance Use Subcommittee.
• ADAS participates in McKean County Collaborative Board.
• ADAS participates in Cameron County Collaborative Board.
• ADAS participates in the Elk County Family Resource Network.
• ADAS participates in the Criminal Justice Advisory Board in Cameron, Elk, and McKean Counties.
• ADAS is a partner with Clearfield Jefferson Counties and Penn Highlands which collaborates in a Rural Opioid Overdose Reversal grant. The goal of the grant is to provide education and Narcan to law enforcement and first responders.

Program Expansion/Enhancements

• ADAS hired a Recovery Support Specialist in Elk Co.
• ADAS added a full-time therapist in Ridgway.
• ADAS expanded short term inpatient services from 12 to 16 beds. As a result of that expansion, we significantly increased our residential workers, added a Life-Skills educator, and a Case Management Specialist. The previous fiscal year we hired a Program Manager and Drug and Alcohol Treatment Specialist in anticipation of the expansion.
• A new Drug and Alcohol Treatment Specialist was hired to serve the Bradford and Port Allegany offices.
• ADAS hired a Central Intake employee in anticipation of the expansion and to streamline intakes for all services.

2016-2017 FISCAL REPORT

The ADAS, Inc. budget reflects a broad range of funding secured through federal, state, county and private sources. Federal legislation provides for block grants distributed through the state, which provides funds for prevention, intervention, inpatient, outpatient, intensive outpatient, case management, recovery support, Student Assistance Programs (SAP), gambling, opiate crisis and services targeted to special populations (pregnant injection drug users and substance abusers, injection drug users, overdose survivors and veterans). The budget also reflects the PA State Gaming Funds which were used for inpatient treatment and assessments of numerous individuals.

The Commonwealth of PA provides the Base Allocation monies and distributes Human Services Development Funds (HSDF) to counties who, in turn, provide ADAS, Inc. with funding for prevention services provided in the schools, county jails, family centers, and other community locations. Cameron, Elk and McKean Counties also provide matching funds for services.

Through the Department of Public Welfare, ACT 152 funds and Behavioral Health SpecialInitiatives (BHSI) funds continued to be available for treatment across the continuum of care.ACT 152 continues to fund medical assistance eligible individuals needing non-hospital residentialtreatment prior to being funded through Community Care Behavioral Health. BHSIfunded medical assistance non-eligible individuals, due to welfare reform, for all levels of treatment. McKeanis a block grant county and allocates ACT 152/BHSI monies to ADAS, Inc. These funds are used for treatment, case management, recovery support and prevention services. Elk and Cameron counties continued to be non-block counties in which ADAS, Inc. receives funding directly from the Department of Public Welfare.

In addition, ADAS, Inc. generated fees from clients with health choices and private health insurance. The program also obtained funds from contracts with Federal Probation, First-Time Offenders Programs, Youthful Offender Programs, McKean County Prison, area school districts, and local United Way and United Fund agencies (Bradford, Port Allegany, St. Marys, and Smethport). Funds were also generated through Potter County on a fee for service basis to provide prevention, outpatient, intensive outpatient, recovery support, DUI and Drug court, and inpatient services and Warren, Armstrong-Indiana-Clarion and Clearfield-Jefferson Counties for inpatient services. Our prevention department administered Too Good for Drugs in the schools using PCCD grant funds. Numerous local foundations provided funding for more prevention activities through CEM.

ADAS, Inc. spent the year in preparation of doubling our 12 bed non-hospital based treatment facility to include eight long term beds. Our Maple Manor inpatient facility was relocated to Bradford, Pa. and a building was purchased through foundation grants, McKean County Block Grant Special Initiative, Community Care Reinvestment, and state allocations to include the heroin/opiate crisis funds.

2016-2017 Expenditures

2016-2017TOTAL PROGRAM REVENUES

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2016-2017 Prevention and Early Intervention Report

Supervisor – Lisa Cherry

Environmental Strategies: Establish or change written and unwritten community standards, codes, ordinances and attitudes to influence the prevalence of substance abuse in the population. An example of an activity would be providing support and technical assistance to a company or organization related to development of drug free policies and procedures. ADAS had partnered with the Department of Drug & Alcohol Programs Secretary Gary Tennis and the McKean County Task Force to hold a Town Hall regarding the Opiate issue in our surrounding area. ADAS also held a Town Hall in Elk County to address the alcohol issues in the county.

• Services Provided - 2
• Individuals Assisted - 70

Community Events: Provide large scale opportunities to increase awareness and are typically undertaken by in collaboration with multiple partners.

Health Fairs and Screening Events

• Services Provided – 12 events

• Individuals Impacted 3,179 participants

Gambling Awareness Community Events

• Services Provided -6
• Individuals Impacted – 894 participants

Community Prevention Partnerships: Focus on increasing community capacity to provide substance abuse prevention and treatment services. Activities include inter-agency collaboration, coalition building and networking. Prevention staff participated of the following collaborative processes during FY 16-17:

• Elk County Family Resource Network
• McKean County Collaborative Board and Steering Committee
• McKean County Youth Transition Team
• Cameron County Collaborative Board and Family Center
• Systems of Care
• Cameron County Children and Youth Service Advisory Board
• Criminal Justice Advisory Boards – Cameron, Elk, McKean Counties
• PA LINKS
• Bradford YWCA
• Elk and McKean County Jails
• Elk County Area School District
• Charles Cole Memorial Hospital
• Dickinson Center, Inc.
• Emporium Foundation

Professional Development Training: Prevention Department staff are state approved trainers for Student Assistance Program Training. Staff also provide Children in the Middle facilitator training. The SAP training occurred once during FY 2016-2017.

• Services Provided - 1 – (3 day) SAP Training
• Individuals Impacted - 18 professionals SAP trained

Information Dissemination: Development and distribution of marketing materials such as newspaper articles, brochures, flyers, public service announcements and media campaigns. Some of the materials developed and distributed over the past year included

PA STOP brochures, flyers and stickers, and banner displays, dissemination of drug/alcohol brochures during health fairs, prescription take back day flyers, made bags with FASD information and dropped off to local OB-GYN offices as well as WIC offices, Red Ribbon Week info distributed, materials and pencils donated during Backpack giveaway, Live Line show advertising Teen Scene, Small Games of Chance Seminar materials, and creation of a gambling article for newspapers and website.