Transitions, Inc2

Long-Term Residential Programs

Non-Medical Detoxification

Outpatient Counseling

CLIENTS SERVED IN 2013

Residential

Non-Medical Detoxification

Outpatient

Housing

Day Care

DAYS OF CARE138,362

3,30317,299

1,697628792146

40

(Continued)

Although 2013 continued to be financially

challenging – due to the budget cuts passed

along from various governmental entities

and other funding sources – Transitions

is truly grateful to celebrate still another

new “First.”

In December 2013, Transitions opened

the Healthy Newborns House, the first

sober living house for pregnant and

addicted women in Northern Kentucky. In

general, when women enroll in Transitions’

Women’s Residential Addictions Program

(WRAP), they go through 90 to 120 days

of residential addiction treatment. From

2011 through 2013, pregnant and addicted

women were able to stay clean and sober

throughout the duration of their pregnancy.

Although slightly drug affected, all 55 babies

born to women in WRAP have gone direct-

ly home from the hospital with their moth-

ers, avoiding a costly stay in the Neonatal

ICU. Therefore, Transitions decided to

expand the program for pregnant women

and created the Healthy Newborns House.

Northern Kentucky’s Collective Response

to the Heroin Epidemic – Our Plan for

Recovery was released on November 14,

2013 by The Northern Kentucky Heroin

Impact Response Workgroup, which was

co-founded by Transitions. One of the

report’s findings was the increased need

FROM THE EXECUTIVE DIRECTOR

Executive Director, Mac McArthur

for treatment in an era of declining

government funding.

In response to the extremely long waiting

lists for detox and treatment due to the

heroin epidemic and changing environment

created by the expansion of Medicaid,

Transitions identified the need for us to

expand capacity and hire more specialized

staff. We hired a Major Gift consultant to

perform a feasibility study to help us de-

termine if the community would support

us as we moved forward to transform

the agency. Thankfully the answer was a

resounding “YES!”

We appreciate all of your support in

the past and look forward to working

together as we work to meet the challenges

presented in the current environment.

Gratefully,Mac

2013 PROGRAMS AND SERVICES

141,665 DAYS AND NIGHTS OF CARE IN 2013

• Intensive outpatient counseling • Rehab continuing care • Sober group homes• Men’s therapeutic community • Drug aftercare program • Homeless Services Project• Residential addiction treatmentt • Drug court treatment • Supportive housing apartments• Halfway house services • Non-medical detoxification • PLANKS (homeless services)• Children’s daycare • START (parents of foster children) • GAPS (for homeless women)• Medication assisted treatment

(Suboxone and Subutex) • Transitional housing for

pregnant women and new mothers

Annual Report 2013 3

Contract Services Rendered

Client fees

Rent

Investment return

Contributions

Other Client Revenue

Income

Programs

Administrative

Fundraising expenses

Expenses

Deficit

Fund Balance (ending net assets) (accumulated assets including buildings, facilities, furnishings, vehicles, etc . since 1969)

INCOME$5,989,610

$386,903$214,927

$54,286$185,483$465,348

$7,296,557

EXPENSES $6,731,928

$598,101$16,488

$7,346,517$49,960

2,694,914

On November 14, 2013, the Northern

Kentucky Heroin Impact and Response

Workgroup, co-founded by Transitions,

publicly unveiled a 4-year, $16 million plan

to combat the region’s heroin epidemic to

a standing room only crowd in Covington.

Comprised of various professionals, several

organizations, and concerned citizens, the

Impact and Response Workgroup has a sin-

gle purpose – to save lives and communities

in Northern Kentucky. In the plan,

the Workgroup outlined how to

accomplish this through steps such as:

• Adding 200 residential treatment beds

for adults;

• Opening the region’s first residential

treatment program for adolescents;

• Increasing the number of physicians

trained to offer medically assisted

treatment from 9 to 40; and

• Informing the public about heroin

issues through social media, public

service announcements, and

other means.

The event and the plan received extensive

media coverage, partly because Northern

Kentucky was the first region in Greater

Cincinnati to produce such a plan.

Numerous people, including Director

of the Office of Drug Control Policy

Van Ingram, later said they referred to

the plan for ideas to address the heroin

epidemic in other regions or statewide.

Interact for Health (formerly The Health

Foundation of Greater Cincinnati) pro-

vided support for the planning phase and

generously offered a matching grant for the

plan’s implementation phase.

Transitions’ Executive Director Mac

McArthur served as the Treatment

Committee chairperson during the

preparation of the plan. Staff members

Charlotte Wethington, Jason Merrick,

and Bruce Ripley also played significant

roles in the development of the plan.

2013 INCOME & EXPENSES

WORKGROUP REVEALS BOLD PLAN TO COMBAT THE HEROIN EPIDEMIC

2013 PROGRAMS AND SERVICES

The Workgroup’s plan can be viewed on Transitions’ website www.transitionsky.org

• Intensive outpatient counseling • Rehab continuing care • Sober group homes• Men’s therapeutic community • Drug aftercare program • Homeless Services Project• Residential addiction treatmentt • Drug court treatment • Supportive housing apartments• Halfway house services • Non-medical detoxification • PLANKS (homeless services)• Children’s daycare • START (parents of foster children) • GAPS (for homeless women)• Medication assisted treatment

(Suboxone and Subutex) • Transitional housing for

pregnant women and new mothers

Transitions, Inc4

When Northern Kentucky’s heroin

epidemic became apparent a few years

ago, Transitions saw a sharp increase in

the number of young pregnant women

addicted to heroin. Over a three-year

period, all 55 babies born to mothers in

treatment could leave the hospital with

their mothers and did not need to be

“detoxed”, avoiding a costly stay in the in

the Neonatal ICU. But the sharp increase

placed a strain on the existing services

at our Women’s Residential Addiction

Program (WRAP) in Covington because

the pregnant mothers stayed longer in the

program, creating a long waiting list for

women to enter treatment. Transitions had

to do something immediately to increase

our capacity.

In 2013, we began converting one of our

buildings in Covington into a transitional

program for pregnant women and new

mothers participating in treatment at

WRAP. This transitional unit became

known as the Healthy Newborns House.

Unlike our other programs, the Healthy

Newborns House receives no government

funds – the program depends entirely on

the generosity of the community.

Women move into the Healthy Newborns

House during the later stage of their

pregnancies and stay 2 to 4 months after their

babies are born. Pregnant women

participate in the treatment program at

WRAP, unless pregnancy complications

prevent them from doing so. New mothers

resume treatment at WRAP once they

can participate again. Transitions began

admitting pregnant woman to the Healthy

Newborns House in December 2013.

At the Healthy Newborns House, the sole

focus is the health of the newborn babies

and relapse prevention for their mothers.

The Healthy Newborns House provides

a safe, stable place for more mothers and

their babies to undergo this process.

Residents of the Healthy Newborns House

are still held accountable, as if they were

at the WRAP House. They continue to be

drug tested, alcohol tested, and subjected

to a curfew. In addition, they are assigned

a Case Manager, who will help them find

employment, sign up for assisted / afford-

able housing, and help them further their

education. Nursing students getting their

Masters Degree at NKU attend weekly

house meetings to answer questions and

provide support in the areas of pregnancy,

breast feeding, newborn care, nutrition and

parenting skills.

TRANSITIONS GIVES BIRTH TO HEALTHY NEWBORNS HOUSE

Since its opening in December 2013, the Healthy Newborns Home has housed 10 pregnant and addicted women and 6 healthy babies have come home from the hospital without being severely drug affected and needing additional hospitalization.

Annual Report 2013 5

There are as many roads to recovery as

there are people in recovery.

Some hit bottom, stop drinking or using,

and never do so again - but many must

travel a road with more twists, turns, and

valleys in order to reach a more enduring

recovery. Lindsey traveled such a road to

get where she is today.

“My childhood was the same as most people’s,” she said about growing up in Lexington as the youngest of 6 children. “I had everything I needed, much of what I wanted, and my parents were successful.”

Like most kids, Lindsey tried alcohol in

order to fit in and deal with peer pressure,

but her life unraveled with continued

alcohol use. Every aspect of her life suffered

and she entered her first residential treat-

ment program as a teen. She stayed for a

while, but did not complete the program.

Afterwards, Lindsey stayed clean for a

while, returned to school, and moved to

Northern Kentucky. But the “geographic

cure” (moving in order to get or remain

sober) did not last. She began associating

with the wrong crowd again. Alcohol,

drugs and arrests soon consumed

Lindsey’s world.

Lindsey eventually entered Transitions’

Women’s Residential Addiction Program

(WRAP) to pull her life together. For a

while, it did seem she was on the right track.

She completed WRAP’s residential and af-

tercare programs…lived in Transitions’

Oxford House for women…got married

and had her second child…bought

a house…but relapsed after 3½ years

of sobriety.

“I wasn’t working, had too much time on my hands, and my relapse went from zero to 100 so fast,” Lindsey recalled. “My disease had progressed even while I was sober.”

Soon she was back in the system and

served 16 ½ months in the Grant County

Jail. “I had become someone I didn’t know

anymore,” she said of that time.

Lindsey’s turning point occurred on

January 2, 2004 when she took someone

else’s sleeping pill and had what she calls a

“spiritual awakening.” She soon resolved

to do whatever it took to get in, and stay

in, recovery. She was still determined to

recover by the time she entered

Transitions’ Intensive Outpatient Program

(IOP) in Covington, which she completed

successfully. Slowly but surely, pieces of

her life came back together: she obtained

her own apartment, had her daughter living

with her and was working at McDonald’s,

eventually becoming a manager.

During this time, a chance encounter with

a Transitions employee resulted in Lindsey

getting a 3rd shift job at WRAP. Today, she

is the administrative assistant at IOP. “I’ve

met some of the most awesome people

ever working at Transitions,” said Lindsey.

“I’ve met life long friends here.”

Lindsey leads a busy, full life outside of

Transitions. In addition to her work at

Transitions, she participates in a self-

help program for people in recovery and

attends school at Northern Kentucky

University, with a projected graduation

date in 2016. Lindsey and her long-term

partner have 5 children between them.

What made the difference the second

time around? “The spiritual side,” replied

Lindsey. “It was a rude wake-up call. I had

to change everything – people, places,

things. While I was incarcerated, no one

gave up on me. My family still supported

me. A lot of people from church supported

me too.”

As for Lindsey’s advice to a newcomer

at Transitions, “Be open-minded and follow the rules, because they’re there for a reason. Stay sober so you can hear the message.”

LINDSEY’S ROAD TO RECOVERY

There are as many roads to recovery as there are people in recovery.

Transitions, Inc6

Johnny AlexanderPaul AnglinJoan ArlinghausJerry ArrasmithJo AshbournRaymond & Nancy BeilGreg & Susan BoatrightMary T. BraffordMary BraunBromley Christian ChurchStuart and Mary BuchananBusald, Funk & ZevelyButler FoundationStephen CainPat CaldonBryce CalvertKaren CampbellAlexandria CardosiRobert J. CardosiCharities Guild of Northern KentuckyTheresa CicchinelliJeff and Lesley CooneyElizabeth CorbettJB CorbettLeslie CorbettClub Masters LLCDonald & Sue Corken, Jr.Steven and Pamela CrawfordVicky DansberryHolly DaughertyMike DeMarsJeanne DemlerMary DetersKaren DunnCheryl DurbinRC Durr FoundationPam EasterlingMr. & Mrs. Rodney EldridgeJeremy Engel, MDEventbriteEvergreen Advisors, inc.Michael EwingHenry & Elaine Fischer

THANK YOU:Transitions, Inc. is a nonprofit organization which provides substance abuse related services to those who cannot obtain them elsewhere.

In order to do this, we count on the generosity of others. We thank the following individuals, companies, foundations, and agencies which have

recently contributed to Transitions:

Randie & Terry FlaigPatrick FogartyVirginia FordJeff FoscoFour Leaf Family Foundation, Inc.Lynn FoutsMatthew FranksLinda FrederickJoseph FrickeCary FriedlyJoe GallagherGarden of HopeRobert and Candace GardinerGatherwright, Freeman & Associates, PSCGetMeRegistered.com, LLCGE FoundationTimothy Gold & Mary Pat BehlerMichael and Diane GoldschmidtDavid GoodmanKurt GrannanGriffin IndustriesJoe GrkmanMike GrkmanMargo GrubbsEric HaasChristopher and Emily HarrisJuanita HannaKaren HargettMr. & Mrs. Richard HedgerMr. & Mrs. Donald HeebRene HeinrichLarry & Debra HeinzelmanHudson HenryJeffery HeroldHighland United Methodist ChurchDavid HillRonnie HolmesTheresa Holstein, MDThomas Hoppenjans

Sharon HoppenjansSandy HuntJTM Provisions Co., Inc.Cathy JacksonJohn JonstonTim and Mary Ellen KegelLaura KennedyKentucky Bar FoundationKentucky Partnership for Families and Children, Inc.Sara KieffnerBrian KinnePamela KinneyMarlene KooperAndrew & Jennifer KordenbrockCasey KramerAshel KreutzkampLaura Kruthoffer-BrownClarence LassetterDon LeeNeil & Pearl LeonardMark LesterCresta LewisCarolyn LonglandMike & Lynne ListCharles J. MachockJeannine MackeMatt MagerScott & Kimberly MalofMac McArthurJohn & Carrie McCoyKaren McCrackenMilton and Irene McCrackenJ. Scott McKinleyBrian & Judy McKinneyMarlene MeisterGary and Vicki MertzJim MillsTheresa MohanJeffrey and Stacie NanceRuth NeltnerTina NiemerAudrey Nobbin

Mark OgleOld Pogue Master’s SelectJane OliverOmega Phi Tau XI ChapterTeresa ParkerStephen and Brenna PenrosePenrose Law PLLCRob PetreyDaniel and Susan Pfau FoundationGale PierceHeather PinsonLorinda PlappMatt PlappDebra PleatmanFred PughMary RadenheimerRon RadenheimerJeffrey & Patricia RainesJimmie RankinArthur ReckmanJames RecktenwaldRonald McDonald House CharitiesHon. Ann RuttleJames St. ClairSt. Elizabeth HealthcareSt. Henry District High SchoolSt. Walburg MonasteryA.D. SandersBill ScheyerTimothy and Lori SchlarmanLouis and Melba Schott FoundationServpro of Northwest CincinnatiGeorge & Tara SharpStephen ShuppAnn SilversMary SkahanDouglas SmithMatthew and Glenda Smith John SpenceAmy Spero

Glenn and Karen StansberryBeth SteelKathy SturwoldStith Funeral HomeDr. David and Tessie SuetholzSutphin Family FoundationTJX FoundationKimberly TaneyLisa ThalThe Bank of KentuckyThe Greater Cincinnati FoundationThe Spirit of Cincinnatus, Inc.Shirley Thompson ToyotaBurr TravisDarla TravisSue TravisTina VolzJeffrey and Molly WallaceDavid WatersRobert and Susan WatsonSue WatsonWilliam and Terry WatsonCharlotte WethingtonCamilla WhitmanKelley WilliamsRichard and Elaine WilliamsAmbrose and Karen WilsonAnthony C. Wirtz IIIMichael and Shirley WithrowWohlgemuth Herschede FoundationWood & Lamping LLPNorman Nicholas Ziegler

Annual Report 2013 7

Transitions is extremely grateful for the donations made in honor of (IHO) and/or in memory of (IMO) your loved ones. Thank you for thinking of us.

In Honor of Dr. David Suetholz Michael and Sharon Strunk

In Memory of Anthony Cardosi David and Marion CroweSusan FlachChristine Hollenkamp and Jerry NesbittRichard and Joan MaierStewart and Joy Riche

In Memory of Keith CookBlanche GaynorJeffery HeroldViola & Nancy KinnmanJill NeltnerCharlotte QuinnRiver’s BreezeGeorge and Tara SharpMichael and Saundra Smith

In Memory of Adam GiffordRobert and Marguerite Schabell

In Memory of John HatfieldBernard and Beverly Meese Jr.

In Memory of Kayla HaubnerRandi & Terry Flaig

In Memory of Pauline KennedyMichelle BagbyBen and Dottie BuergerSara KieffnerNancy Works

In Memory of Colin LewisMary AlfordPatricia DayStephen & Charee GallantJames GeorgeRichard & Theresa HageeElizabeth KrummelShirley PollockRobin Vogel

In Memory ofCharlas KrutzkampGood Sam Angels

In Memory ofKeith LillardThomas & Laura CardosiDavid & Julie KishNicholas and Monica LowryRichard and Joan MaierBarry & Carol PeperRobert & Christine RushmanHenry & Nina SellmeyerLonnie & Rose Sirks

In Memory ofJohn and Norene MartinDonald and Megan Heeb

In Memory ofMary McKinneyMargie GreenJohn and Lynn HicksCharlotte WethingtonGerald and Lois SchultzThompson Living Trust

In Memory ofTabatha RolandThomas & Laura CardosiShannon DebraBrian and Jeri RafflerPaul and Paula RitterGeorgia Steres

In Memory ofZachary SmithSteve EgbersMillay and Company, Inc.

In Memory ofMarjorie SmootMelvin & Glenda AblesD. Michael and Roxanne ArgenbrightRW and Margaret Ann BachmeyerMichelle BagbyBen and Dottie BuergerRobert and Bonnie CarterJim CorbettBill and Helen DixonSusan DukeTimothy Gold & Mary Pat BehlerKaren HargettBarry & Brenda Hartman

Betty Jo HensonTerry and Caroline HuffmanSara KieffnerLevi Strauss FoundationMary Lou LoomisJoann MaxwellVerner and Carol McKinleySandra McMillanLee Mitts and Betty Stephens EstillMarjorie Fay NorrisTerry and Sherry OttLori PurcelBruce RipleyMary Skahan and Jean SilversteinUnited Methodist ChurchRobert & Susan WatsonBetty WheelerBeulah WolfNancy Works

In Memory ofNicholas SpechtRaymond & Susan BacherLori BrowneThomas & Laura CardosiGary and Mary ChafinCaryn DemannGood Sam AngelsJohn & Vaughntia KleierMichael and Betsy LoughnaneNancy MaloneJames MastersChristine NiemerCharles and Gayle ParnellKathy M Reedy, LLCChristian SpechtTerry and Lisa Beth WagnerCharlotte WethingtonWhite DesignB. Willson

In Memory ofCasey WethingtonJames and Betty LawrenceGary and Tina Volz

2013 ANNUAL REPORT

TRANSITIONS, INC. MISSIONThe mission of Transitions is to help people transition from the pain of addiction to the gratitude of recovery through comprehensive support services. Transitions helps individuals, families, and communities, break the cycles of substance abuse, family abuse, violence, crime and poverty.

Transitions, Inc. was founded in 1969 by volunteers concerned about the lack of substance abuse treatment for the uninsured in Northern Kentucky. Today, we offer women and men a holistic continuum of care comprised of nonmedical detoxification, residential substance abuse treatment, outpatient substance abuse treatment, and supportive housing.

We assist the indigent, the uninsured, the homeless and the working poor of Kentucky.

FUNDINGTransitions’ services are funded and/or administered in part by the U.S. Dept. of Housing and Urban Development; the

Kentucky Dept. of Corrections; Kentucky Housing Corporation; the Northern Kentucky Mental Health/Mental Retardation Board; the

fiscal courts of Kenton, Campbell, and Boone Counties; the Northern Kentucky Area Development District; the Kentucky Justice

Cabinet; other government agencies; private foundations; and individual donors.

2013 AWARDSTHE 2013 110% AWARDS WERE PRESENTED TO (from L to R): Charlotte Wethington,

Recovery Advocate; Lisa Waible, Administrative Assistant for York Street House & the Two

Rivers Center; Donna Sprague, Human Resources Assistant; Shana Tucker, Associate

Operations Director; and Dr. George Kent, Grateful Life Center volunteer. Each person

receiving the 110% Award has displayed dedication and commitment above and beyond what is

asked for or expected.

www.transitionsky.org

Administrative Offices

700 Fairfield Avenue / Bellevue, KY 41073

Phone (859) 491-4435

FAX (859) 491-6598

TDD (859) 491-4436

Editor

Bruce Ripley

E-Mail bripley@transitionsky.org