Annual Report Henrico Area Mental Health & Developmental Services

2015-2016

Providing comprehensive community mental health, developmental

disability and substance use disorders services to individuals and

families in Henrico, Charles City and New Kent Counties

Opiate Recovery Group artwork from HAMHDS

2016 Wellness Series: Paint Your Story

Board Members and Executive Staff

Henrico Area Mental Health & Developmental Services Board Brenda A. Brown, Chairperson

Jessica Young Brown, PhD, Vice Chairperson

James E. Cox, Jr., Secretary

Allison J. Batchelder, MD

Terone B. Green

Nita J. Grignol

Karen W. Grizzard

Joyce A. Hann

Mark E. Johnson

Kathryn M. Merritt

Lynne Szewczyk

Karlee Wynn

Henrico Area Mental Health & Developmental Services Staff Laura S. Totty, MS, Executive Director

Lynn A. Goodale, CCM, Administrative & Financial Division Director

A. Michelle Johnson, LCSW, Community Support Services Division Director

R. Daniel Rigsby, LCSW, Clinical & Prevention Services Division Director

Yvonne D. Russell, MA, Quality Assurance Program Manager

10299 Woodman Road

Glen Allen, Virginia 23060

(804) 727-8500

Kevin watering the vegetable garden

at his residential group home

Inside VisionandValues 1

Overview

Executive Summary 2

Serving the Community 4

Fiscal Year Revenue and

Expenses 6

EarlyInterventionServices 8

DevelopmentalServices

Intake/Eligibility 10

Case Management Services 10

Residential Services 12

Employment & Day Services 12

HousingServices 16

Clinical&PreventionServices

Youth & Family Services 18

Adult Recovery Services 20

Crisis & Emergency Services 22

Adult Outpatient & Jail Services 24

Prevention Services 26

Providence Forge Of'ice 28

OurStories 30

Vision & Values

OUR VISION We envision an inclusive,

healthy, safe community where

individuals lead full and

productive lives.

OUR VALUES Excellence, Dignity, Partnership

OUR LEADERSHIP

PHILOSOPHY Leadership is the responsibility

of everyone at Henrico Area

Mental Health & Developmental

Services. If we are to be

successful, we must lead with

integrity, good stewardship,

openness, creativity and full

participation.

Vision & Values

2

Executive SummaryExecutive SummaryExecutive SummaryExecutive Summary Henrico Area Mental Health & Developmental Services (HAMHDS) is pleased to present the

Annual Report for Fiscal Year 2016 showcasing the activities and initiatives of the past year to

address vital issues and to improve the quality of care for individuals with mental health,

substance use and addiction issues, and intellectual disabilities. We have continued to focus

on heath and wellness and are committed to assuring access to quality healthcare and

promoting better health outcomes for the people we serve. Highlights:

♦ Continued our partnership with The Daily Planet in providing primary care services sixteen

hours a week to individuals at our East Center. This partnership was recognized by the

Virginia Healthcare Foundation through the receipt of the Unsung Hero Teamwork Award.

♦ Coordinated agency-wide planning to implement a Telehealth strategy and procure

equipment with State grant funding. Began providing psychiatric services to two of our

programs through Telepsychiatry.

♦ Began implementation of the Dartmouth College evidence-based InSHAPE wellness

program through a grant awarded by the National Council for Behavioral Health to

improve the physical health of individuals with co-occurring serious mental illness and

obesity. InSHAPE focuses on increased exercise and improved life style changes.

♦ Increased healthy living in residential homes for individuals with intellectual disabilities by

growing vegetable gardens, selecting healthy food alternatives through the guidance of a

certified nutritionist volunteer, and partnering with a local organization to provide mind/

body activities such as chair Zumba.

♦ Provided Mental Health First Aid for adults and youth and developed suicide prevention

initiatives.

♦ Completed screenings for the Governor’s Access Plan (GAP) enabling eligible individuals’

access to health insurance.

We continue to strengthen our comprehensive emergency response system. We remain

committed to improving the experience and outcomes for individuals receiving services when

they interact with the criminal justice system and expanding our role supporting public safety

agencies in the community. The Crisis Intervention Team (CIT) has trained over 1,460 first

responders from Henrico and over 35 other public safety agencies in the forty hour training. A

team of 70 CIT instructors provided over 3,000 hours of instruction during the facilitation of

sixty-two CIT classes. The Crisis Receiving Center (CRC) has expanded the hours of operation

offering a safe and appropriate location for emergency mental health evaluations and triage to

occur. Jail diversion efforts have been enhanced to divert, coordinate and clinically manage

the needs of individuals who have a mental illness resulting in expanded treatment options

3

“...promoting better health “...promoting better health “...promoting better health “...promoting better health

outcomes for the people outcomes for the people outcomes for the people outcomes for the people

we serve.”we serve.”we serve.”we serve.” in the jail setting, positive outcomes upon release

and reducing incarceration costs while keeping our

community safer.

On July1, 2016, we welcomed individuals with

Developmental Disabilities (DD) into services as we

became the single point of entry. Extensive planning

occurred in preparation for the Waiver Re-Design as

part of our on-going participation of the Department

of Justice Settlement Agreement. We look forward to

developing long-lasting partnerships with DD

providers to ensure individuals live successfully and

are fully integrated in our community.

In the year ahead we will have a strategic focus on

procuring and implementing a new Electronic Health

Record, providing same day access to services, and

assuring the provision of high quality services for

individuals with Developmental Disabilities. We will

continue to strengthen existing partnerships and

develop new ones. We will promote wellness and

recovery in all service areas.

The Board and staff express our appreciation and

thanks to the Boards of Supervisors of Henrico,

Charles City and New Kent Counties for their ongoing

support of our mission. Their commitment and the

work of our diverse, talented and dedicated staff

make a difference in the lives of many individuals.

Brenda A. Brown Laura S. Totty

Board Chair Executive Director

4

serving the

H 1,670EmergencyScreeningsforPsychiatricHospitalizationscompleted

TotalservedintheJails:

2,305

Early

Intervention

reached

808

infantsand

toddlers

Intellectual

Disability

caseloadof

1,153

consumers

servedby

case

managers

677

CourtOrderedEvaluations

4,960 individuals

servedby

MentalHealthClinicians

Substance

Use

Disorders

Services

renderedto

1,643 individuals

30

HAMHDS Total Unduplicated Served FY16: 9,933

ID Day Support Hours: 208,232

2,624 served in SUD Community, includes 981 jail inmates participating in the RISE Program

628 Walk-in Admissions to

Substance Use Disorders Services

16,273 Calls to Access Center

28,515 Face to Face Case Management Visits

Youth & Family Clinical Contacts: 8,190

843 Virginia Independent Clinical Assessment

Program (VICAP) Assessments

88,444 Lakeside Center hours

297 Governor’s Access Plan (GAP) Assessments

Crisis Receiving Center utilized 692 times in FY16

5

community

INDIVIDUALS SERVED BY

GENDER

INDIVIDUALS

SERVED BY RACE

AND ETHNICITY

INDIVIDUALS SERVED BY

PROGRAM AREA

6

fiscal year revenue

EXPENSES BY

PROGRAM AREA

39% LOCAL FUNDS

31% 3rd PARTY FEES

23% STATE FUNDS

6% FEDERAL FUNDS

1% OTHER FUNDS

EXPENSES

Mental Health Services $16,363,625

Developmental Services $12,297,130

Administra3ve Services $2,661,554

Substance Use Disorders Services $2,396,291

REVENUE

Local funds $14,247,188

3rd Party Fees $11,170,188

State Funds $8,050,242

Federal Funds $1,985,992

Other Funds $316,932

7

In addition to its role as a community service provider,

HAMHDS is a contributor to the local economy. In

FY2016, HAMHDS directly provided 369 jobs, paid

$25.6 million in employee compensation, and spent

$33.7 million on expenditures.

Utilizing Community Health Solutions estimation and

analysis via IMPLAN® economic modeling system, the

ripple effect be can estimated that these direct outputs

may have supported 333 additional jobs, $17.6 million

in additional labor income, and $35.7 million in

additional economic output.

and expenses

AGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTSAGENCY ACCOMPLISHMENTS ♦ Implemented a Telehealth strategy and procured video conferencing equipment from

State grant funding; installed at all locations, including Jails and Juvenile Detention; began

providing psychiatric services to two of our programs through Telepsychiatry

♦ 145,000 calls managed and 36,000 individuals checked in at our 4 clinic locations

♦ Experienced a 70% increase in external audits/program reviews

♦ 32 staff trainers provided instruction on a variety of areas such as: First Aid, CPR, and

AED, Prevention of Violence, Therapeutic Options, Cultural Awareness, Brown Bags,

Wellness series: My side of the Story, Mental Health First Aid, Electronic Health Record

system and other professional training outside of their normal duties

8

EARLY INTERVENTION SERVICES

Improving the development of infants

and toddlers to prevent or reduce the

poten3al for developmental delays and

increase the capacity of families to

meet the needs of their at-risk babies

Parent Infant Program - Part C early

interven3on builds upon and provides

supports and resources to assist family

members and caregivers to enhance

children’s learning and development

through everyday learning

SERVICES

♦ Medical diagnos3c and evalua3on

♦ Family training, counseling, and

home visits

♦ Occupa3onal therapy

♦ Physical therapy

♦ Speech-language pathology

♦ Service Coordina3on/Case

Management

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Early Intervention ServicesEarly Intervention ServicesEarly Intervention ServicesEarly Intervention Services

ACCOMPLISHMENTS

♦ Organized Maternal Substance Abuse training in

conjunc3on with Substance Use Disorders Services

educa3ng staff to address the needs of pregnant

mothers who use substances

♦ Par3cipated in a collabora3ve program with Healthy

Families in Charles City County, promo3ng posi3ve,

nurturing, responsive paren3ng, improving child health

and development, promo3ng school readiness and

preven3ng child abuse and neglect

♦ Celebrated Early Interven3on month at the Pediatric

Center (John Rolfe loca3on) by thanking our contract

providers, local pediatricians/ hospitals, and various

other partners/referral sources in the community

infants and toddlers in

Virginia have

developmental delays

and disabili3es. It is

crucial that these

children receive

immediate interven3on

and treatment upon

diagnosis (Virginia

Board for People with

Disabili3es)

16,000

9

As a Local Lead Agency As a Local Lead Agency As a Local Lead Agency As a Local Lead Agency HAMHDS HAMHDS HAMHDS HAMHDS provide

leadership/partnership to a comprehensive statewide program of early intervention services for infants and toddlers with disabilities and their

families.

♦ Ensure providers establish and maintain comprehensive system of supports and services that is family centered, accessible, and

community based

♦ Direct fiscal oversight

♦ Provide technical assistance around Part C regulations, insurance/billing, and specific

cases on a daily basis

♦ Monitor Part C compliance

ACCOMPLISHMENTSACCOMPLISHMENTSACCOMPLISHMENTSACCOMPLISHMENTS

♦ Participate in child-find activities with area pediatricians, neonatal intensive care units, Essex Village, Henrico County’s community fair, Healthy Families, and Smart Beginnings of Greater

Richmond

♦ Collaborate, develop and provide ongoing training for Early Intervention therapists

and service coordinators

“Early Intervention helped Jesus with his fine motor and

gross motor skills since his heart surgery because he was really delayed in those areas. He could not use his hands well, sit, walk or even have any big motor movements. I appreciate all the help we have received because without service coordination or the therapists we would not be able to reach our goals. Early intervention is great because they come into play at such an early point in

children’s lives.”

“Early intervention has been a great support system for us since Jaylin was born premature at

27 ½ weeks.”

JAYLIN

JESUS

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Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Developmental ServicesDevelopmental ServicesDevelopmental ServicesDevelopmental Services

DEVELOPMENTAL SERVICES

serving children and adults with intellectual disabili3es (ID), assis3ng in the

naviga3on of state’s system of services while iden3fying and strengthening

individuals’ natural supports

ACCOMPLISHMENTS

♦ Intake/Eligibility and Case Management collaborated to complete Priority

Categories for all individuals on the Intellectual Disabili3es Urgent and

Non-Urgent wai3ng list and the new VIDES assessment for all individuals

mee3ng Priority 1

♦ Upon our recommenda3on, the Department of Behavioral Health and

Developmental Services (DBHDS) appointed community members to the

Waiver Slot Alloca3on CommiGee

♦ Restructured intake team and hired two case managers to prepare for

becoming the Central Point of Entry for individuals with Developmental

Disabili3es (DD)

♦ Absorbed the waiver screening and waitlist monitoring for infants to 3 years

old who are in our Early Interven3on program

♦ Con3nued to par3cipate in Support Intensity Scales (SIS) verifica3on audits,

Na3onal Core Indicators, Delmarva surveys, Department of Jus3ce audits,

Licensing audits, DBHDS quality audit, and Department of Medical Assistance

Services (DMAS) audits

♦ All case managers and supervisory staff successfully completed required

DBHDS Case Management (CM) modules

♦ Case management supervisory staff completed DBHDS training to become

Waiver Re-Design Experts; this designa3on provides a resource for other

community providers in waiver re-design implementa3on

11

Michelle loves working with and helping

others in the local community. In early 2014,

Michelle began the Hermitage Enterprises

Office Assistance Training Program with the intent of gaining work skills leading to

more independent employment. Michelle learned how to interact appropriately with

individuals, answer telephones, take messages, file sensitive information within

specific charts, and give brief presentations of her job to groups touring the building. As

she began interacting in ways that defined great customer service and it became clear

that Michelle had many strengths and talents beyond working as a receptionist. With

her Employment Specialist advocacy and support, Michelle applied, interviewed, and

was hired as an Elevator Operator with The Virginia Home. Michelle quickly learned her

new tasks and responsibilities working side by side her Employment Specialist. One

year later, Michelle has grown into a dependable and responsible employee.

Michelle’s supervisor considers her to be an outstanding asset to his staff at The

Virginia Home. Michelle personifies what The Virginia Home is all about: safety, trust,

and a loving environment where individuals continue to grow in spirit, mind, and body

despite the limitations of their wheelchairs.

PROGRAMS

♦ Intake & Eligibility

♦ Case Management Services

♦ Regional Governor’s Virginia Housing &

Suppor3ve Services Ini3a3ve (HSS)

♦ Regional Educa3on Assessment Crisis

Services Habilita3on (REACH)

MICHELLE’SSTORY

12

DEVELOPMENTAL SERVICES

Provides residen3al services for adults with intellectual disabili3es; Group homes are located in

neighborhoods throughout the County of Henrico

Employment & Day Services offers center-based programs at Hermitage and Cypress Enterprises;

Individual and Group Supported Employment Services are provided to individuals and employer

across the metro Richmond area

PROGRAMS

♦ Residen3al Services

♦ Individual and Group

Supported

Employment

♦ Work programs at

Hermitage and

Cypress

♦ Skills Training for

Employment

(STEP)

♦ Life Enrichment

Services

♦ Employment

Resources and

Community

Engagement

Programs

♦ Benefits

Counseling - Work

Incen3ve Specialist

Advocate (WISA)

♦ Office Assistance

Training Program

Ashley now says, “Life is good!” After graduation from

Deep Run High School, Ashley tried working in the

community but felt it was too stressful, impacting her

medical conditions. Ashley began attending Hermitage

Enterprises STEP program. There she volunteered in the

community, worked on contract work in the center,

attended classes, and joined in discussions with others

who were working to explore employment opportunities.

She joined a job club as part of the Employment

Resources Program to learn new skills. With support of

her mother and team, she began exploring placements

in group supported employment sites. Ashley took

advantage of a job opportunity at Omnicare which

eventually lead to community employment 5 days/week.

She currently works 28 hours/week and earns minimum

wage. Ashley states, “They make me

feel like I am one of them there. I have

met new friends, learned a new job

where I make a lot of money so I can

help take care of my mom and myself.”

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Developmental ServicesDevelopmental ServicesDevelopmental ServicesDevelopmental Services ASHLEY’SSTORY

13

ACCOMPLISHMENTS

♦ Agency representa3on on several state advisory boards: Employment First Advisory

Group , Community Engagement Advisory Group , including appointment to a 3

year term on the Employment Services Organiza3ons Advisory

Group with the Department of Aging and Rehabilita3ve Services

♦ Developed and implemented a new electronic data collec3on

system at Hermitage and Cypress; computer worksta3ons were

added to increase efficiency

♦ Implemented several pilots towards improving community

inclusion services to those who aGend day services

♦ Graduated one individual from the Office Assistance Training

Program (OATP) to a full 3me individual placement; placed

three individuals from Hermitage into community integrated

employment

♦ 115 individuals earned wages in

community integrated

employment through our

Individual or Group Supported

Employment program

♦ Through art lessons, residents

experienced crea3ng artwork to

decorate their homes

♦ Sherbrooke staff par3cipated in

training with a cer3fied

Nutri3onist to support an

individual with a new diagnosis

of diabetes; this led to a

residen3al health and wellness

ini3a3ve

♦ Residen3al Services donated

vegetables grown in their

garden to a local food pantry

National

Developmental

Disability month

was celebrated

with a talent

show at

Hermitage

Enterprises

Ishmer playing his guitar, and enjoying it immensely,

at the Hermitage Enterprises Talent Show

14

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Community Community Community Community Lakeside Center: Lakeside Center: Lakeside Center: Lakeside Center:

15

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office A place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and selfA place of recovery that values hope, individualization, and self----determinationdeterminationdeterminationdetermination

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HOUSING

SERVICES

manages the

Virginia Housing

Development

Authority’s

(VHDA) Housing

Choice Voucher

program for

individuals

receiving

services at

HAMHDS and

also serving

homeless

veterans,

Hurricane

Katrina families

and former

Welfare-to-Work

families

As an Administra3ve Agent of

Virginia Housing Development Authority

program, HAMHDS provided oversight to

271 voucher holders and maintained a

wai3ng list of 215

271

Housing ServicesHousing ServicesHousing ServicesHousing Services

Housing Assistance

Payments disbursed on

behalf of Henrico residents

providing residents safe and

stable housing totaled

$1,831,865 in FY16

$1.8 MIL

17

ACCOMPLISHMENTS

♦ FY16 Sec3on Eight Management Assessment

Program (SEMAP) audit “High Performer"

♦ Housing Case Manager served on the Region

IV Department of Jus3ce (DOJ ) Housing

CommiGee

♦ Received the Regional VHDA Capacity Grant

and serves as fiscal agent

♦ Led the DOJ Regional Rapid Response Housing

Ini3a3ve, gaining immediate access to

addi3onal housing vouchers for the region

♦ $8,416 U3lity Reimbursement Payments

expended to tenants in need

♦ Conducted over 350 annual safe housing

inspec3ons/re-inspec3ons to verify repairs

completed

♦ Of the 271 households with a Housing Choice

Voucher, 110 receive some other HAMHDS service

18

YOUTH & FAMILY SERVICES serving youth up to age 18 with mental health

and substance use disorders u3lizing resources from the courts, community,

schools, and families

Na3onal Ins3tute of Mental Health

es3mates 1 in 5 adolescents may

have a mental health disorder.

Early

iden3fica3on

and treatment

can lead to

happier, healthier

and more fulfilling lives.

15outof

Children and adolescents who use

alcohol and drugs at an early age

are more likely to face problems

with substance use as adults.

Youth artwork from HAMHDS 2016 Wellness Series: Paint Your Story

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Youth & Family ServicesYouth & Family ServicesYouth & Family ServicesYouth & Family Services

19

PROGRAMS

♦ Virginia Independent Clinical Assessment

Program (VICAP) Assessments

♦ Child & Adolescent Mental Health &

Substance Use Disorders Services

♦ Juvenile Deten3on Services

♦ Intensive Care Coordina3on Services

♦ Court Services

♦ Mul3-Systemic Treatment (MST)

♦ Psychiatry Services

♦ Youth Crisis & Emergency Services

♦ Regional Child Crisis Stabiliza3on at

St. Joseph’s Villa

♦ Regional Children’s Mobile Crisis

Interven3on Services (CReST)

ACCOMPLISHMENTS

♦ Served 583 individuals

♦ Provided Intensive Care Coordina3on Services to eight youth at risk of residen3al

placement, using a high-fidelity wraparound model of services

♦ Con3nued our partnership with court services, serving fiPy youth and their families

in Court Alterna3ve Program Substance Abuse (CAP-SA) psycho-educa3onal groups

♦ Con3nued to expand our role as Children’s Services Act (CSA) case managers for

youth receiving residen3al or community-based services; 45 youth served

♦ Increased the flexibility of our staffing for conduc3ng VICAP Assessments through the

use of contract staff, conducted 843 VICAP assessments

♦ Nego3ated increased on-site hours and services at Juvenile Court Services

Crisis Response & Stabiliza3on Services

(CReST), a new regional program

created to help children during a mental

health emergency in their own homes,

schools and communi3es so they can

avoid costly and restric3ve inpa3ent

hospitaliza3ons began. HAMHDS served

14 youth in this program to date.

20

ADULT RECOVERY SERVICES serving adults with serious and persistent mental

illness to develop personal recovery goals, achieve stability, and lead full and

produc3ve lives

When Darlene started with the East PACT team, her

mental status was unstable and medication

adherence was a continuous issue resulting in several inpatient psychiatric hospitalizations.

Darlene eventually agreed to receive an injectable medication, and since that time, she has

vastly improved. She has resumed communication and interaction with her family and

friends, she was able to move into a her own apartment, she reports great insight into her

mental illness and her need for remaining on her medications as prescribed. Darlene is

friendly and engages with all PACT staff, she readily asks for assistance with case

management needs and transportation in the community. She reports the PACT team as a

great support for her and that without them “I wouldn’t know what I would do.”

PROGRAMS ♦ Programs for Asser3ve/Intensive Community Treatment (PACT/ICT)

♦ Case Management & Assessment

♦ Young Adult Services: In Step Toward, Recovery, Insight,

Development, & Empowerment (In STRIDE)

♦ Adult Crisis Stabiliza3on

♦ Jail Diversion

♦ Employment Services

♦ Psychosocial Rehabilita3on Services

♦ Skills Building Services

♦ Residen3al Services

♦ Medical Services

♦ Psychiatry/Nursing Services

♦ Peer Recovery Support Services

Kim has been in treatment

services for her co-occurring disorders “on and

off for twenty years.” She meets the criteria for

a Serious Mental Illness and has struggled

with chronic alcohol relapse, resulting in

periods of incarceration and homelessness.

“Now I have Medicaid and am seeing a doctor

for the first time in 35 years. I am feeling now

like I want to live again and am making

progress in my

life.”

DARLENE’SSTORY

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Adult Recovery ServicesAdult Recovery ServicesAdult Recovery ServicesAdult Recovery Services

KIM’SSTORY

21

ACCOMPLISHMENTS

♦ Con3nued to demonstrate the

effec3veness of case management

services with 92% of individuals

experiencing either a reduc3on in

hospitaliza3on admissions or

remaining at zero hospitaliza3ons

♦ Con3nued partnership with The

Daily Planet and implemented

par3cipa3on in Enhanced Care

Coordina3on as part of integrated

healthcare

♦ Began implementa3on of the

InSHAPE wellness program

♦ Provided employment services to

47 consumers, 87% were

successfully employed during the

year

♦ Enhanced Lakeside Center by

implemen3ng addi3onal

structured programming in the

daily schedule

♦ Peer Specialists ac3vely working at

Crisis Receiving Center and on

ICT/PACT teams

2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the category of Human Services: category of Human Services: category of Human Services: category of Human Services: Innovative Residential Programming recognized by National Association of

Counties (NACo).

In November 2013, HAMHDS created a new level of residential programming for individuals with serious and persistent mental illness. The Danray Home provides housing and support to five adult male clients who have expressed an interest in living independently, but who currently lack the skills and abilities to manage without the support of staff. The unique component of this program is that rather than having staff present 24 hours a day, 7 days a week, staff are present at critical points through the day to provide support and education. These critical points typically occur early in the morning when residents are waking and again in the evening when residents are settling in for the night. Staff focus on teaching skills related to medication management, cooking, budgeting and housework. During other parts of the day residents live independently giving them an opportunity to practice the skills they are learning. The primary objectives of this program are to increase residents’ independent living skills and to encourage integration into the larger community. This new level of residential support has resulted in decreased operating costs, and more importantly, improved outcomes for residents of The

Danray Home.

22

CRISIS & EMERGENCY SERVICES

24 hour, 7 day a week response to

individuals experiencing mental health

crises to promote individual and

community safety

PROGRAMS

♦ Access

♦ Emergency

Services

♦ Crisis

Stabiliza3on

♦ Hospital &

Discharge

Planning

♦ Psychiatry

♦ Crisis

Interven3on

Team (CIT)

HAMHDS staff aGended the Zero Suicide Academy as

part of larger strategy to address the rising number of

suicides and suicide aGempts.

The Na3onal Ins3tute of Mental Health

reports that nine out of 10 people who die by suicide

have a treatable mental illness.

910outof

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Crisis & Emergency ServicesCrisis & Emergency ServicesCrisis & Emergency ServicesCrisis & Emergency Services

185RegionIV

45Henrico,Charles

City&NewKent

Counties

1,086

VASuicide

Deaths

reportedby

Medical

Examiner

Emergency Services has a crucial role in

detec3ng suicidal idea3on and assuring

appropriate evalua3on, for our residents.

Services include: screenings, risk assessments,

safety plans, treatment, discharge assistance,

and follow-up plans, treatment, discharge

assistance, and follow-up care.

23

ACCOMPLISHMENTS

♦ Expanded our services at the

Crisis Receiving Center (CRC) from

12 to 18 hours a day

♦ Coordinated with Children’s

Response and Stabiliza3on Team

(CReST) and the Regional

Educa3onal Assessment Crisis

Response Habilita3on (REACH)

Team

♦ Began planning for

implementa3on of Same Day

Access

♦ Expanded CRC partnership to

include New Kent Sheriff’s Office

and are ac3vely training their

sheriff depu3es in 40 hour

Henrico Crisis Interven3on Team

(CIT) training with the goal of

100% trained

♦ Con3nued to provide monthly CIT

classes to police, fire and sheriff

first responders and have trained 100% of the 655 Police Officers and 100% of the

121 Communica3on Officers as of May 2016

face to face emergency

assessments conducted by cer3fied

preadmission screening evaluators

providing crisis interven3on,

stabiliza3on, and referral assistance

1,670

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Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Adult Outpatient & Jail Services Adult Outpatient & Jail Services Adult Outpatient & Jail Services Adult Outpatient & Jail Services

ADULT OUTPATIENT & JAIL SERVICES

serving adults in the community and in local jails with mental health and

substance use disorders

ACCOMPLISHMENTS

♦ Implemented Dual Diagnosis

Substance Abuse Treatment and

Dialec3cal Behavioral Therapy

(DBT) skills groups in partnership

with Adult Recovery Services

♦ Awarded grant to expand Jail

Diversion Services

♦ Outreach system implemented for

the mothers of substance exposed

infants

♦ Completed 510 Court ordered

evalua3ons, 72 of which were

competency/sanity evalua3ons

♦ Hired first Peer Specialist to work

in jail seTng

♦ Enhanced the engagement of

those seeking Substance Use

Disorders Services

♦ Developed a new partnership with

Health Brigade to provide onsite

HIV tes3ng

2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the 2016 Achievement Award in the category of Human Services: category of Human Services: category of Human Services: category of Human Services: Moral Reconation Therapy groups recognized by National Association of

Counties (NACo).

Moral Reconation Therapy (MRT) is an evidence-based cognitive behavioral treatment modality utilized with individuals with Antisocial Personality Disorder or antisocial traits. The HAMHDS team in the jail identified the need for this type of service for inmates housed at Henrico Jail West as it is a common diagnosis for incarcerated individuals. While the team is typically tasked with crisis intervention, assessments, and triage of inmates; it was clear that the need existed to have additional therapeutic interventions available to the inmates. The group is voluntary and inmates do not receive any incentives for participation. The goal of the group is to assist individuals to identify negative ways of thinking, to learn new more appropriate ways, and ultimately to

reduce recidivism.

25

My name is Thurman. I have not been home

that long from prison. Upon coming home, I

lost my favorite person (mother) in the whole

world. So being released at that time was

rough and I eventually started using again

trying to deal with my pain. One day I knew I

could no longer deal with my problem and I

could hear my mama telling me, “It’s time for

a change; you promised me”. So I talked to

my wife and she made a couple of calls and

by the grace of God we found Henrico Mental

Health. I said to myself it was time to take my

life more serious plus I was not getting any

younger. I have been clean for two months

now and I have not been

clean since 2012. So here

I am taking it one day at a time.

THURMAN’S STORY

PROGRAMS

♦ Adult Substance Use Disorders Services

♦ Court Evalua3ons

♦ Jail Services / Jail Diversion

♦ Proba3on & Parole Partnership

♦ Contracted Detox, Residen3al,

Medica3on Assisted Treatment (MAT)

♦ Contracted Residen3al and In-Pa3ent

26

PREVENTION SERVICES

serving youth in Henrico,

Charles City and New Kent

to strengthen protec3ve

factors that reduce the

risk of mental illness or

substance use disorders

individuals benefiGed from

outreach to schools and community to

promote wellness through Mental

Health First Aid (MHFA), preven3on of

violence and substance use, and suicide

preven3on. Addi3onally, aPerschool

programming focused on enhancing

early academic success and promo3ng

resilience through life skills.

3,255

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Prevention ServicesPrevention ServicesPrevention ServicesPrevention Services

27

ACCOMPLISHMENTS

♦ Conducted mapping of tobacco-product vendors and provided merchant educa3on

as an environmental strategy focused on raising awareness regarding VA laws on

tobacco product sales to minors, 241 vendors iden3fied

♦ Connect Program youth par3cipated in the Annual Spring College Tour, visi3ng

Virginia State University and Randolph-Macon College

♦ Teen Job Prep Program (TJPP) provided forty-one 14 and 15 year old youth with job

training and a paid summer work experience

♦ Par3cipated in the Region IV Suicide Preven3on Collabora3ve to develop

Bewellva.org website that educates the community about Community Services

Boards (CSB) and wellness resources

♦ Trained 179 persons in Mental Health First Aid (MHFA) including Sheriffs, county

employees, social work and human service interns, youth serving organiza3ons,

CERT volunteers and the faith community. A MHFA video was developed in

collabora3on with Henrico County Media Services for HCTV and cable channels

featuring a Preven3on MHFA trainer

♦ Disseminated Preven3on informa3on/resources on substance use preven3on,

healthy rela3onships, suicide preven3on, and paren3ng at the Henrico Summer

Heat Community Day

♦ Youth Ambassadors Leadership Group planned and implemented the 1st Annual

Wellness Hip-Hop Poetry Slam

28

The Providence Forge office provides a full array of

services to residents in need of treatment and

support

PROGRAMS

♦ Outpa3ent therapy for children, adolescents and adults

♦ Substance Use Disorder Services - individual and group therapy

♦ Case Management Services for individuals with developmental disabili3es and

adults with serious mental illness

♦ Psychiatric Services

PROVIDENCE FORGE OFFICE serving the residents of Charles City and

New Kent Coun3es

Community Partnership

Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office Providence Forge OfficeProvidence Forge OfficeProvidence Forge OfficeProvidence Forge Office

29

ACCOMPLISHMENTS

♦ Served 583 individuals

♦ Provided psychiatric services to 149 individuals

♦ Provided case management services to 57

individuals with serious and persistent mental

illness

♦ Par3cipated on the Family Assessment and Planning Teams and County Policy

Management Teams for Charles City and New Kent coun3es

♦ Partnered with Quin Rivers Healthy Families and par3cipated in Child Find

ac3vi3es to strengthen families and enhance the development of children in

Charles City and New Kent Coun3es

♦ HAMHDS coordinated with New Kent County Sheriffs’ department for Crisis

Interven3on Team Training and for use of the Crisis Receiving Center

Prevention services extend to Prevention services extend to Prevention services extend to Prevention services extend to

Charles City and New Kent Charles City and New Kent Charles City and New Kent Charles City and New Kent

counties promoting healthy counties promoting healthy counties promoting healthy counties promoting healthy

behaviors and lifestyles to behaviors and lifestyles to behaviors and lifestyles to behaviors and lifestyles to

support youth development. support youth development. support youth development. support youth development.

Programs address Programs address Programs address Programs address

community needs identified community needs identified community needs identified community needs identified

by stakeholders as risk by stakeholders as risk by stakeholders as risk by stakeholders as risk

factors and protective factors and protective factors and protective factors and protective

factors. By addressing risks factors. By addressing risks factors. By addressing risks factors. By addressing risks

and building upon the and building upon the and building upon the and building upon the

strengths of Charles strengths of Charles strengths of Charles strengths of Charles

City/New Kent youth, City/New Kent youth, City/New Kent youth, City/New Kent youth,

families, schools and families, schools and families, schools and families, schools and

communities, the need for communities, the need for communities, the need for communities, the need for

more costly treatment more costly treatment more costly treatment more costly treatment

services is prevented.services is prevented.services is prevented.services is prevented.

30

“Iamnowlivingabetterlife,thinking

clearlyagainandbeingagoodmother

tomyson”

KAYLA’SSTORY

When Kayla started with services

at HAMHDS eight months ago, she

had only been a few days clean

and had a brand new baby to take

care of, in a brand new place. She

moved to Henrico eight days prior

to starting services from Columbus,

Ohio. “If I was to be successful, I

needed a fresh start and to live a

better life involving sobriety from

opiates. I was referred to a

methadone clinic by my counselor,

Adam, who has really helped me a

lot. Since I started treatment, I

have not used one time, which is a big accomplishment for me. Coming to my

appointments here along with the methadone treatment, I am now living a better

life, thinking clearly again and being a good mother to my son, Braeden. It hasn’t

always been easy but it has been a change for the better and I

couldn’t be happier with my progress thus far.”

31

John is a 16 year old who has struggled for several years to manage his

depression, anxiety, and obsessive compulsions. Things hit an all-time low last

year when John’s behaviors became unmanageable. John ended up being

psychiatrically hospitalized numerous times and incurred some serious legal

charges. His father said, “We were in deep debt due to all of the treatment costs

and hospital bills.” John’s family was also emotionally exhausted and began

considering options to have John removed from the home indefinitely.

John and his family were then referred to Henrico

Area Mental Health & Developmental Services.

John started receiving case management, which

led to involvement and coordination with the

other child serving agencies in the County. John

successfully completed a residential treatment program that was facilitated by

the County agencies involved. He returned home with community based WRAP

around services in place. John and his family have been a part of every

treatment decision and his service plan is centered on his strengths and tailored

to his individual and family needs. John’s parents benefitted from a Parent

Support Partner’s presence and support at planning meetings.

John has now gone a year without being hospitalized. He

is excelling in school and now on grade level. His

relationship with family members is strong, and his mother

now says that spending time with John is “Like a breath of fresh air.”

John no longer has legal involvement and is involved with

positive activities in the community. He is now able to say “I love life.”

“SpendingtimewithJohnis

likeabreathoffreshair.”

JOHN’SSTORY

32

Mr. Chaudhry has struggled with a mental health diagnosis and alcoholism for

many years. He had obtained sobriety and mental health stability, but faced a

setback in March of 2015. He relapsed, and the relapse unfortunately led to

incarceration. He was quickly identified by HAMHDS staff in the jail as a potential

candidate for the Jail Diversion program. The Jail Diversion Program is a program

that provides participants an opportunity to be served in the community, in lieu of

remaining in jail while the court case progresses through the courts.

The courts approved Mr. Chaudhry’s

bond and participation in the jail

diversion program. He actively engaged

in outpatient substance abuse

services, group and individual therapy

and case management services. Jail diversion staff assisted him with applying

for social security, and provided education on symptom management. Mr.

Chaudhry became an active participant in his community, attending AA meetings

and spending time with his family.

Mr. Chaudhry’s participation in the program allowed him to remain free and work

on his recovery as opposed to being exposed to further traumatization in the jail

environment. “This incident happened for a reason because I am on the correct

path now, I was able to get back on track, a bad experience was turned into

good” “The Jail Diversion program is a great program to support individuals and I

recommend it to everybody”.

“Iwasabletogetbackontrack,abad

experiencewasturnedintogood”

MR.CHAUDHRY’SSTORY

33

Melissa’s desire was to be a Dietician at Henrico

Doctors’ Hospital. She attended PAVE (Program for

Adults in Vocational Education), which provided

classroom and hands-on-learning in culinary arts. Melissa also participated in an

internship at Henrico Doctors’ Hospital during her last year of the PAVE program. At

the end of her college experience, Melissa was

released from her time limited internship and

referred to Supported Employment at HAMHDS.

Melissa then was hired part-time at Henrico Doctors’

Hospital, obtained a driver’s license and moved into

her own apartment. One day, Employment Specialist

was called to a meeting at Henrico Doctors’ Hospital

where Melissa was celebrated for her

professionalism, dedication, commitment to the job,

outstanding team work, and offered a permanent,

full-time Dietary Aide position with benefits! The job

required Melissa to take orders over

the phone, input the orders

in a computerized system, print a receipt, and track how long it

took the patient to obtain the order. Melissa is shy, soft spoken, and hard

to understand so this proved to be difficult for her. With her Employment Specialist,

Melissa trained and persevered. Melissa’s job description expanded to included

patient interaction. Melissa loves her job and has been employed at Henrico Doctors’

Hospital for 12 years. Melissa no longer receives Social Security benefits. She loves

fashion and travelling and has been able to take numerous trips and purchase a

“fashion-forward” wardrobe due to the income she makes at work.

MELISSA’SSTORY

“IwanttobeaDieticianat

HenricoDoctors’Hospital”

WoodmanOf'ice

10299WoodmanRoad

GlenAllen,VA

ProvidenceForgeOf'ice

9403PocahontasTrail

ProvidenceForge,VA

EastCenterOf'ice

4825SouthLaburnumAvenue

Henrico,VA

RichmondMedicalPark

2010BremoRoad,Suite122

Henrico,VA

HermitageEnterprises

8247HermitageRoad

Henrico,VA

LakesideCenter

5623LakesideAvenue

Henrico,VA

CypressEnterprises

205RoxburyIndustrialCenter

CharlesCity,VA

Aspecialthankyoutothe

GraphicCommunicationsstudentsof

forpartneringtoprintandbind

theHAMHDS2016AnnualReport