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Who Are We?
A Brief Snapshot FY2008
The Center, incorporated in
1963, is a private, not-for-profit comprehensive behavioral healthcare
organization (the “behavioral healthcare” indicates that we work with
mental and emotional illness, substance abuse issues, and the dually-diagnosed –
those with both mental and substance problems).
Our Vision: We are committed to improving the health status
of the residents of
Columbiana
County by providing excellent, effective, efficient, and sufficient behavioral
health care services.
Our
Mission:
It is our mission to provide affordable, high quality,
comprehensive behavioral health services to community members of all ages -
children, youth, adults, and families; we accomplish this through efficient
management of funds, utilization of such evidence-based practices as the
Recovery Model, and the practice of continuous quality improvement. In this
way, clients and families are provided sufficient education and support to
achieve increased independence and improved functioning in their homes and
communities.
We have approximately 150 employees, a 7.3
million dollar budget, and we serve between 4,500 and 5,000 individuals and
families each year, including 2,000 new clients. Approximately 20% of
those clients are seen for substance abuse issues. At any given point in time,
we see approximately 3,200 active, unduplicated clients. We see people of all
ages, individuals, families, and groups; we provide 24-7 emergency psychiatric
services for all of
Columbiana
County. We work
with around 700 Severely Mentally Disabled (SMD)
adults and 400 Severely Emotionally Disturbed (SED) youth. Our medical staff see
approximately 1,500 clients, including around 600 youths. Our youth services
include intensive home-based, early childhood, and school-based care.
Increasingly, our youth providers see younger clients; over the past two years,
approximately 17-18% of
Counseling
Center referrals have been for youth ages 3-5; if we add in the 6 & 7 year olds,
the percentage increases to over 31%. Our case managers have caseloads of
approximately 35 clients each and our therapists each have caseloads of about
150. Annually, we subsidize the housing of approximately 100 families and
individuals and assist 150 to 200 people concerning their vocational needs.
We have three sites:
Lisbon, East
Liverpool, and Salem. We are also in the Juvenile Justice Center in downtown
Lisbon.
We have a residential/crisis care building on our
main campus, called the Kendall House, with 6 apartments, staffed 24/7, housing
urgent care adult clients; our
PATH house allows
us to provide housing to four formerly homeless mental health clients in the
community; we own five other scattered-site apartments in the Lisbon area and
Apple Grove Homes I, two 10-unit townhouse apartments in Lisbon, and recently
completed an additional 10 units (Apple Grove II). We are in the schools and
jails, serving clients. We work with all the local social service agencies, law
enforcement, and the courts. We provide services for a number of groups,
serving individuals, parents, teachers, and families with support, mentoring,
education, and provide an intensive outpatient program (IOP) as an alternative
to hospitalization for a number of individuals suffering from a chemical
dependency.
The County paid for 600 bed days at the
State Psychiatric
Hospital for fiscal year 2007, which averages less than two (2) beds per day.
We, or the County, have contracts with several hospitals for emergency
psychiatric beds, including Northside Hospital (adults), Saint Elizabeth’s
(adults),
Aliquippa
(adults), Turning Point Crisis Stabilization (adults) and Canton Crisis Center
(adults). We also use Saint Joseph’s (Trumbull County), Belmont Pines in
Youngstown (youth), and Saint Thomas (adults) and Akron Children’s Hospital
(youth), both in Akron, as needed. Finally, we will place clients who require
substance abuse inpatient care at Neil Kennedy, as needed.
Our clinical staff consist of:
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4 psychiatrists
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2 advanced
practice nurses
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1 family
practice physician
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4 nurses
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3 psychologists
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21 therapists
(several of whom specialize in treating children and substance
abuse)
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27 case
managers, including 2 jail diversion workers
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16 youth and
family specialists
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8 After-Hours
Crisis workers and 3 Crisis workers during regular hours
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5 vocational
specialists
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8 residential
workers, working at our Kendall House
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3 counseling
and psychology interns, and
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2 Payeeship
workers
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The great majority of our funding comes through a
contract that we have with the local Columbiana County Mental Health and
Recovery Services Board through which federal and state mandated and
discretionary funds are provided.
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38% comes from
the Ohio Department of Mental Health;
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3% comes from
the Ohio Department of Alcohol and Drug Administration Services;
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31% comes from
Medicaid and Title XX (indigent funding);
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14% from local
levies; and another;
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14% from client
fees and local, state and federal grants.
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We have a subsidized fee scale that is based on a
client’s ability to pay. Generally, the
County
Board
provides the difference between what the client pays and what the agency’s
actual cost is. So, for instance, if a client is asked to pay $10 per
hour/visit with a therapist, and our cost is $100/hour, the Board picks up $90.
Our contract with the County has to be “earned” in the sense that we collect
money from all third party payers, including Medicaid, Medicare, private
insurance, and self-pay. We, then, invoice the County every month, based on the
total number of clients we see and services performed.
We have grants from
the Ohio Department of Job and Family Services, the Ohio Department of Mental
Health, the Ohio Department of Development, and the US Department of Housing and
Urban Development. We have local school and jail contracts and a number of local
affiliation agreements.
We are certified by
the Ohio Department of Mental Health (ODMH) & the Ohio Department of Alcohol and
Drug Addiction Services (ODADAS); and we are accredited by the Commission on
Accreditation of Rehabilitation Facilities (CARF). We receive an independent
audit, a Medicaid audit and a Non-Medicaid services audit on an annual basis.
Rules from the Office of Management & Budget (OMB) Circular A-133 apply to our
funding.
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