2012

The mission of the Trumbull County Mental Health and Recovery Board is

to improve the well being of our community by establishing and maintaining an effective, efficient and quality system of alcohol, drug and

mental health services in Trumbull County.

Annual Report

July 1, 2011 ~ June 30, 2012

Fiscal Year

2

Individual Needs Supported With Trumbull County Mental Health and Recovery Board Funds

~ Recovery ~

Relapse Prevention Support Groups

~ Basic Living Needs ~ Transportation

Medication Assistance Hospitalization Crisis Services Guardianship

Housing Employment

~ Community Support ~ Case Management

Information/Referral Services Vocational Training

Individual and Group Counseling Employment Services

Health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.

~World Health Organization, 1948

Dear Community Partner: As state and federal funding for behavioral health services has decreased over the years our local funding to support basic needs like housing, utility bills, transportation, medication, vocational and employment services has increased. Many of our consumers benefit more from case management services than traditional counseling, so there has been a cost shift in those areas also. We partner with the medical and business communities as well as other social services to aid our consumers, eliminate duplication and ensure greater stability. Thank you, your continued support enables us to be the safety net for so many! April J. Caraway Executive Director

3

Top 10

Top 10

Top 10

Top 10

52% 48%

Gender Female

Male

872 985 996 1239

1805

1323 1255

765

162

0

500

1000

1500

2000

0-9 10-13 14-17 18-24 25-34 35-44 45-54 55-64 65+

Age Grouping

Race Other: 133 2%

Unknown: 76 1%

White: 7,958 84%

Black: 1,251 13%

1.) Depressive Disorder- 34% 2.) Bipolar Disorder- 29% 3.) Anxiety Disorder- 14% 4.) Psychotic Disorders- 11% 5.) Opioid use Disorders- 9% 6.) Alcohol Use Disorders- 6% 7.) Adjustment Disorders-5% 8.) Post Traumatic Stress Disorders- 4% 9.) Cannabis Use Disorder- 4%

10.) Attention Deficit Disorder- 3%

Diagnoses for Adults

Diagnoses for Children

1.) Attention Deficit Disorder- 35% 2.) Conduct Disorders- 22% 3.) Adjustment Disorders- 22% 4.) Bipolar Disorder- 20% 5.) Depressive Disorders- 10% 6.) Pervasive Developmental

Disorders- 6% 7.) Post Traumatic Stress Disorders- 6% 8.) Anxiety Disorders- 4% 9.) Cannabis Use Disorder-2%

10.) Other Childhood Disorders- <1%

PROFILE: 9,674 Clients in SFY 2012

5,671 5,620 5,852

6,657

7,238 7,416 7,295 7,589

8,525

9,734 9,329

9,556 9,674

0

1,500

3,000

4,500

6,000

7,500

9,000

10,500

12,000

FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 FY 2007 FY 2008 FY 2009 FY 2010 FY 2011 FY 2012

Persons Served in Treatment Services, FY2000–FY2012 (FY2012 totals are preliminary)

Data Sources: MACSIS Data Mart (www.dwcubes.mh.state.oh.us), Heartland East Report LA02.C78.SFY.2012.PR

4

Fiscal Year 2012 Levy Funds Enabled Community Access to:

Alcohol and Other Drug Detoxification

Around the Clock Crisis Intervention

Around the Clock Suicide Hotline

Behavioral Health Counseling

Case Management

Christy House Homeless Shelter

Crisis Stabilization

Early Childhood Social & Emotional Education

for Daycare Providers

Guardianship Services

Help Hotline Crisis Center, Inc./Trumbull 211

Housing Options- Campbell Apartments,

Crossroads, Joey’s Landing and

Washington House

Jail Based Intervention

Lloyd McCoy Center integrated care

Niles-Trumbull Transit System

Psychiatric Inpatient Treatment

Psychiatric Medications

Riverbend Treatment Center

Salvation Army Drop-In Center

Substance Abuse Education

Warren West integrated care

Wraparound Services

Community Collaborations

Area Agency on Aging 11 Mahoning / Trumbull Recovery Project

Mahoning Valley Consortium for Early Care & Education Mahoning Valley Early Childhood Planning Group

Mahoning Valley Organizing Collaborative Northeast Ohio Children’s Consortium

Ohio Association of County Behavioral Health Authorities Trumbull Advocacy & Protective Network

Trumbull County Bridges Out of Poverty Steering Committee Trumbull County Child Assault Prosecution Unit

Trumbull County Child Fatality Review Board Trumbull County Community Corrections Planning Board

Trumbull County Disaster Preparedness Teams Trumbull County Domestic Violence Task Force

Trumbull County Family & Children First Council Trumbull County Family Dependency Treatment Court

Trumbull County Family Wraparound Oversight Committee Trumbull County Housing Collaborative

Trumbull County Human Services Planning Committee Trumbull County Suicide Prevention Coalition

Trumbull County Transportation Committee

Washington House Opens

The need for housing and services to

meet the unique needs of youth and

young adults in transition is a growing

problem in Trumbull County. In response

to this problem, Coleman Professional

Services completely rehabilitated a

vacant, foreclosed home into an eight

bedroom facility for young adults

ages 18 – 26. This agency has employed

house monitors and provides

supportive services.

Anti-Stigma Initiative Crosses County Lines The Trumbull, Mahoning and Columbiana County Boards partnered to create a two-year campaign to raise awareness about mental health issues and reduce stigma. The tri-county initiative includes commercials,

billboards and interviews on WKBN.

5

Amish Outreach

Amish residents of Trumbull County’s northwestern town -ships face transportation and behavioral health access issues, which have contributed to their historically limited use of mental health and addiction services. The Amish Outreach project serves members of the Amish community in northern Trumbull County. Participants receive routine mental health services and group interventions in their community. This partnership is one of only a few in the state and it has existed for more than a decade.

In FY 2012, the ASAP Opiate Task Force, a project of the Trumbull County Mental Health and Recovery Board, collaborated with the TAG Law Enforcement group to complete two prescription drug take back programs. The two events prevented over 100,000 pills from being diverted and misused. Trumbull County’s ranking as 8th in the state for unintentional drug overdoses makes the proper disposal of medications an important activity. The Task Force continues to meet monthly to strategize ongoing prevention efforts and all are welcome to participate.

The Voices of Youth Committee meets monthly to address barriers that stand in the way of youth and young adults with behavioral health and other disabilities successfully transi-tioning to adulthood. The committee has created the Voices of Youth Closet as a means for youth experiencing a life challenge to obtain personal hygiene items, household cleaning products and access to transportation. The Closet is maintained solely through fund-raising events and volunteerism.

~ Project Highlights ~

In April 2012, the Trumbull County Mental Health and Recovery Board, Valley Counseling Services, COMPASS Family & Community Services and the Best Practices in Schizophrenia Treatment (BeST) Center in the Department of Psychiatry at Northeast Ohio Medical University (NEOMED) partnered to establish FIRST Trumbull County, a comprehensive, team-based, early identification and treatment program for individuals with schizophrenia spectrum disorders.

Voices of Youth

Committee

ONE Health Ohio

Collaboration

Statistically, consumers diagnosed with a mental illness have a lifespan of 25 years less than the general population. In order to help combat this problem, the Trumbull County Mental Health and Recovery Board works collaboratively with ONE Health Ohio, a Federally Qualified Health Center (FQHC) to provide medical vouchers to clients most in need. The reimbursement for the cost of the voucher/cost per visit to either Warren West or the Lloyd McCoy Center is paid by the TCMHRB to ONE Health Ohio. The impact is over 1,000 medical visits per year for behavioral health clients at no cost.

FIRST Trumbull County

6

Trumbull County Levy $3,392,646

ODMH - Medicaid $8,816,790

ODMH - Federal & State $1,034,054

ODADAS - Medicaid $1,861,502

ODADAS - Federal & State $694,298

HUD $538,353

Other $53,874

Revenues

Trumbull County Levy - 21%

ODMH - Medicaid - 54%

ODMH - Federal & State - 6%

ODADAS - Medicaid - 11%

ODADAS - Federal & State - 4%

HUD - 3%

Other - 1%

Administrative $817,064

Housing Services $1,376,992

Mental Health Treatment

$14,220,413

Substance Abuse Prevention $218,705

Substance Abuse Treatment $731,935

Inpatient Hospital & Forensic Services,

$294,114

Wraparound & Early Childhood, $89,358

Community Services, $154,202

Other $537,674

Expenditures

Administrative & Community Support Services 5%

Housing Services: Residential Treatment, Subsidized, Temporary 8%

Mental Health Treatment 79%

Substance Abuse Prevention 1%

Substance Abuse Treatment 4%

Inpatient Hospital & Forensic Services 1.5%

Wraparound & Early Childhood Programs .5%

Community Services 1%

7

Board of Directors ____

Teresa Massucci President

Sharon A. Norman Vice President

John L. Wilson Treasurer

Jessie Swegan Recording Secretary

Dr. Edward Amicucci

Kathryn E. DiCristofaro

Rev. Nicholas Furrie, Jr.

Atty. Anthony A. Iannucci Jr.

Cynthia D. Klein

Hiedi Konsol*

James Luonuansuu

Capt. Joseph R. Marhulik

Larry Pavone

Debbie Roth

Dr. Ralph Snelson

Judith Toles

Nancy Wilber Werner

* Indicates that term either ended or began

mid fiscal year

Staff_ __ ______

April J. Caraway

Executive Director

John Myers, Jr., PhD Ilona Roth-Cohn

Director of Evaluation Director of Programs

& Quality Improvement & Community Outreach

Lauren Thorp Brian Draa

Program Coordinator Accountant

Jennifer Peveich Janet Weisberg

Director of Finance Director of Finance Through February 2012 Beginning February 2012

Linda Parise Wanda Thompson

Enrollment Specialist Administrative Assistant

Margie Alexander

Family and Children First

Council Coordinator

Independent Contractors:

David Chiarella, PhD Laura Domitrovich

Chief Clinical Officer Wraparound Coordinator

Tracie Fugitt Atty. Brendan Keating

Information Technology Legal Consultant

Jill Lewis

Public Education &

Awareness Consultant

The Trumbull County Mental Health and Recovery Board is grateful to its contract organizations for providing quality services to the residents of Trumbull County

Belmont Pines Hospital

Churchill Counseling Services, Inc.

Coleman Professional Services

Community Solutions Association, Inc.

Compass Family and Community Services

Homes For Kids/ Child and Family Solutions, Inc.

Forensic Psychiatric Center of NE Ohio

Glenbeigh

Greater Warren-Youngstown Urban League

Greentree Counseling Center, Inc.

Guardianship and Protective Services

Help Hotline Crisis Center, Inc.

Humility of Mary Health Partners

Neil Kennedy Recovery Clinic

Niles-Trumbull Transit System

ODMH Regional Psychiatric Hospitals

ONE Health Ohio

PsyCare, Inc.

Ravenwood Mental Health Center

Salvation Army

Specialty Care Counseling Services

St. Joseph’s New Start Treatment Center

SUMMA Health System

Valley Counseling Services

8

Mental illness affects 1 in 5 Americans.

It’s as real as cancer and as treatable as a broken arm.

Treatment Works... People Recover.

Recovering People Work and Working People Pay Taxes

~ Mike Hogan (former Director, Ohio Department of Mental Health)