Annual Report | 2018

Investing In Our Future

Washtenaw County Community Mental Health is committed to the community we serve. This year we continued our commitment by focusing on conversations captured throughout the county in 2017 as we discussed the needs and opportunities of the community. The millage for Mental Health and Public Safety passed in 2017. The passing of such an important millage allowed WCCMH to spend much of 2018 reviewing important topics throughout the county and begin developing a phased approached on what we learned in order to develop a plan for future investments and reaching proposed objectives. A heartfelt thank you to everyone that voted to pass such an important millage.

On behalf of the WCCMH Board, I am pleased with the progress displayed within the 2018 Annual Report and the work accomplished by WCCMH staff. As the system of care and supports for citizens with intellectual and developmental disabilities, mental illness, serious emotional disturbances and substance use disorders in Washtenaw County, we are a broad safety net organization for children, youth, families and adults in need.

I want to take this opportunity to thank all our dedicated staff for their commitment to excellence and to maintaining WCCMH as leader in behavioral health and continuing to pursue new and innovative ways to serve our community.
This year has demonstrated that WCCMH is an organization of bold action and progressive change. The WCCMH Board and I look forward to continued success as we work with providers, advocates, community partners, and stakeholders to better the lives of individuals and the community we serve.

John Martin
Chair, WCCMH Board

Trish Cortes
Executive Director, WCCMH

We promote hope, recovery, resilience, quality of life, and wellness in Washtenaw County by providing high quality, integrated services to eligible individuals.

Judgement Free Zone

WCCMH Fun Facts!

Our WCCMH Health and Wellness Nurses and Team Members Provided:

  • Over 1,700 injections

  • Over 900 clinic model visits

  • 132 health/wellness classes

  • Over 1000 Health and Wellness activities

WCCMH Residential Team:

  • Completed approximately 62 out of county site visits

  • The furthest site is approximately 170 miles away from Ann Arbor!

WCCMH PORT Team:

  • Made 190 unduplicated contacts for Homeless Outreach Services

  • Distributed 150 pieces of gear (tents, sleeping bags, etc.)

WCCMH Contracts:

  • Issued 972 contracts/agreements including Service, Revenue, Specialty Service, Administration, Millage, leases, Self-Determination, School Agreements, Law Enforcement, Nursing Home, and COFRS

WCCMH Access Department:

  • Receives, on average, 4000-6000 calls per month

The Creative Recovery Art Group (CRAG) has been active for many years, and is open to adults 18+ who are receiving CMH services. The group began in 2015 with the dream of Peer Support Specialist, Stephanie. The main purpose of the art group is to explore a recovery oriented topic while using multimedia supplies in a creative fashion. When Stephanie left CMH, staff and group members felt that this group was very important, so Peer Support Specialist Kim Vandenberg and Supports Coordinator Danielle Hoover kept the group going.

Kim and Danielle explained that, “Our number one rule is that this is a judgment free zone”. This also applies to self-judgment. Group members encourage each other to use positive language about their own skills. Rather than saying that you are ‘bad’ at something, you can express that you are ‘learning’ it. Group members come in with varying skills and experiences with art. Some may not identify themselves as artists, but they feel that engaging with art is therapeutic.

Danielle and Kim also discussed the socialization and friendships members find in this group. Group members appreciate having a space to see their friends each week, and will sometimes plan to get lunch together before the meetings, or go to get-togethers outside of the group.

This group can also be a place to develop coping skills. Some members spend time in the group journaling, and continue journaling throughout the week at home. Other projects are able to be taken home for continued work as well. Some days staff will spend time leading a discussion during the group.

When asked about the group, Kim and Danielle said, “It’s nice to be able to finish out the week doing something creative and helping support people with their mental health and recovery. I couldn’t think of a better way to spend Friday”.

WCCMH Fun Facts!

Our WCCMH Health and Wellness Nurses and Team Members Provided:

  • Over 1,700 injections

  • Over 900 clinic model visits

  • 132 health/wellness classes

  • Over 1000 Health and Wellness activities

WCCMH Residential Team:

  • Completed approximately 62 out of county site visits

  • The furthest site is approximately 170 miles away from Ann Arbor!

WCCMH PORT Team:

  • Made 190 unduplicated contacts for Homeless Outreach Services

  • Distributed 150 pieces of gear (tents, sleeping bags, etc.)

WCCMH Contracts:

  • Issued 972 contracts/agreements including Service, Revenue, Specialty Service, Administration, Millage, leases, Self-Determination, School Agreements, Law Enforcement, Nursing Home, and COFRS

WCCMH Access Department:

  • Receives, on average, 4000-6000 calls per month

“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going.”
NOAM SHPANCER
If you or someone you know needs help, please call 734-544-3050.

In November 2017, Washtenaw County residents voted two-to-one in favor of an eight-year millage that would generate $5 – $6 million per year for mental health and public safety improvements, beginning in January 2019.

Throughout 2018, the Community Mental Health Advisory Committee, launched by the Washtenaw County Board of Commissioners, held community conversations to develop a plan for the best use of these funds. They recommended 11 mental health and public safety investments with four initial investments.

Washtenaw County Community Mental Health is pleased to report:

1. Building capacity to support the whole community. WCCMH has recruited and trained new staff members, including peer support specialists, crisis service professionals, mental health professionals and more. These staff members are now supporting service expansions outside of the traditional WCCMH population, while bringing necessary expertise in community outreach, prevention programming, youth services, substance use services, crisis stabilization, and other areas.

2. Expanding services. WCCMH has dramatically expanded the scope of its 24/7 hotline, which provides crisis response services for all county residents. In May 2019 the CARES Team began to provide short-term stabilization services to county residents, as well–regardless of age, insurance, or ability to pay. New services go beyond Crisis response to include Access to mental health services, Resource connections, Engagement with community partners, and Support for a wide range of individual needs.

3. Rural delivery. Satellite locations have started to open in areas outside of Ann Arbor and Ypsilanti, like Whitmore Lake and Chelsea. These satellite locations provide treatment, mobile response vehicles, and crisis stabilization services to county residents, regardless of insurance. Through these and other activities, WCCMH hopes to significantly improve access to mental health services in the county’s rural communities.

4. Crisis Response. Along with the creation of the CARES Team, WCCMH plans to open a new crisis response location, adjacent to the existing Community Mental Health offices in Ypsilanti. This location will be open 24 hours per day, 7 days a week, 365 days a year. It will be able to serve up to five individuals in crisis at any given time, and provides a full range of observation, assessment, support, and stabilization services in a comfortable setting.

Future investments, as recommended by the Community Mental Health Advisory Committee, include community outreach programs, youth treatment and prevention services, substance use treatment and prevention programs, supportive housing services, and other supports.

Race: White 2,387; African American, 1,295; Other, 582
Population: I/DD-Adult, 1,044; I/DD-Child, 342; MI-Adult, 2,277; MI-Child, 601
Gender: Male, 2,391; Female, 1,873
Age: 0-17, 959; 18-39, 1,575; 40-64, 1,479; 65+, 251
Ethnicity: Not Hispanic or Latino, 3,861; Unknown, 188; Hispanic or Latino, 215

Working Together

Through Health Innovation

Washtenaw County Community Mental Health served over 3000 individuals with a Serious Mental Illness in 2018. WCCMH has a dedicated team of case managers, peer supports and supervisors to help provide clinical support and services to support these individuals within our county. The MI clinical teams strive to provide normalization for people when they come into services with WCCMH. They can be scared when they come into services, and we try to provide them with some education about what they may be going through and tell them about our services. They partner with a case manager to talk more about their unique circumstances and needs. One thing is key, and this is the discussion of recovery in their initial meeting. Recovery looks different to everyone. It is important to begin your journey with a focus on your recovery. Talk about all of the parts of recovery, the ups and down, spirituality, natural supports and goal planning. CMH can be part of your recovery process. We will always be here to support you, but it does not need to be a permanent component of your recovery. There are many other parts of your life that play into your recovery.

One individual we worked with did not come to WCCMH in the typical manner. She came into contact with the WCCMH Crisis Team. She was calling the police a lot and because of our partnership with local law enforcement the police were asking the crisis team for help. This particular individual was paranoid and had a lot of delusions. WCCMH Access supervisor began a conversation and developed a relationship with her over the phone. Over time, the supervisor worked with her to consider CMH services. Countless conversations were had to help her think about who would be the best fit for her clinically before she even walked through our door. Case manager Tina Tisdale was identified. It was known that coming in for the typical assessment was not going to work for her. Access Crisis staff introduced her and Tina, and from that meeting she hass been an active participant at WCCMH.

There were struggles along the way, risk of losing her housing, keeping on task with paperwork and living with day to day challenges. Through it all, the relationship that she and Tina built led to many wonderful accomplishments. She now owns her home, had help from natural supports to help pay her mortgage and keeping her life on track. Tina and other WCCMH staff gave her consistency and helped keep her organized, and they were able to build a good and long standing relationship. Other positives include no further interaction with law enforcement, maintaining clinical and legal appointments, maintaining housing, and living an active life in the community.

Mission

To promote hope, recovery, resilience, quality of life and wellness in Washtenaw County by providing high quality, integrated services to eligible individuals.

Vision

All residents can secure supports to improve their quality of life, and reach their full potential.

Values

EXCELLENCE
We provide the highest level of service to promote recovery, quality of life and self-sufficiency through proven and innovative practices. We recognize that the foundation of excellent service is our relationships.

GROWTH
We believe in the capacity for change at every stage of development. We grow through shared learning, lived experiences and mentoring.

WELL-BEING
We cultivate well-being through a commitment to physical and emotional safety, active listening, and a culture of appreciation.

INCLUSION
Together we build a welcoming, respectful environment for all people. Through active engagement and shared decision-making, we build a stronger community.

COMMUNITY
We develop strong, trusting partnerships with the people we serve, in our broader community, and within our own organization.

ACCOUNTABILITY
We are accountable to those we serve, to the larger community, and to each other for the ethical, effective, and efficient use of our resources.

Washtenaw County Community Mental Health
555 Towner St.
Ypsilanti, MI 48198
734.544.3050 | 800.440.7548
www.ewashtenaw.org

Washtenaw County Community Mental Health (WCCMH) highly values the partnership with our network of providers to help meet the need of individuals in our community. Given this, WCCMH meets with five long-standing providers bimonthly with the mission to strengthen our network partnerships through collaborations and advocacy in order to provide quality services to consumers in our community.
This Provider Advisory Workgroup focuses on the following goals: explore training/professional development opportunities; create performance improvement indicators and a provider dashboard; increase communication and collaboration; explore ways to improve recruitment and retention amongst direct support professionals; and explore state level advocacy opportunities.

Alone, we can do so little; together, we can do so much. From Helen Keller

Mission

To promote hope, recovery, resilience, quality of life and wellness in Washtenaw County by providing high quality, integrated services to eligible individuals.

Vision

All residents can secure supports to improve their quality of life, and reach their full potential.

Values

EXCELLENCE
We provide the highest level of service to promote recovery, quality of life and self-sufficiency through proven and innovative practices. We recognize that the foundation of excellent service is our relationships.

GROWTH
We believe in the capacity for change at every stage of development. We grow through shared learning, lived experiences and mentoring.

WELL-BEING
We cultivate well-being through a commitment to physical and emotional safety, active listening, and a culture of appreciation.

INCLUSION
Together we build a welcoming, respectful environment for all people. Through active engagement and shared decision-making, we build a stronger community.

COMMUNITY
We develop strong, trusting partnerships with the people we serve, in our broader community, and within our own organization.

ACCOUNTABILITY
We are accountable to those we serve, to the larger community, and to each other for the ethical, effective, and efficient use of our resources.

Washtenaw County Community Mental Health
555 Towner St.
Ypsilanti, MI 48198
734.544.3050 | 800.440.7548
www.ewashtenaw.org

Population, Numbers Served: Children SED, 784; Adults SMI, 3,132; Adults & Children I/DD, 1,412. Total 5,328
Population, Cost of Service: Adults & Children I/DD, $47,199,765; Adults SMI, $27,3939,745; Children SED, $4,761,427. SED: Serious Emotional Disturbance. SMI: Serious Mental Illness. I/DD: Intellectual/Developmental Disability.

FUND SOURCE

Medicaid $68,555,204

Healthy MI Plan $7,511,709

Autism Medicaid $2,515,117

State General Fund $3,211,461

County Contribution/Local $1,348,649

Fee for Service $1,059,397

All Other $1,623,052

Use of Fund Balance $38,701

Total $85,863,290

Services Numbers Served

Case Coordination

3528

Crisis

2561

Medication Management

2510

Assessment

1651

Therapy

909

Inpatient Hospitalization

712

Community Living Supports

685

Vocational Supports

632

Integrated Care

501

Peer Supports

325

Respite

219

Autism Services

190

Specialized Residential

176

Partial Hospitalization

146

Assertive Community Treatment

136

Clubhouse Services

117

Family Training

91

Infant Mental Health/Wraparound

87

Home Based

62

Washtenaw County Community Mental Health (WCCMH) has always placed those we serve in the center of what we do. Not only in providing service, but including their voice in all aspects of operations. Ways in which this occurs includes;
• Washtenaw Consumer Advisory Council
• Washtenaw County Speakers Bureau

These groups are comprised of both primary and secondary consumers, they meet monthly and review policy, procedure, data and provide feedback to guide the organization. The Washtenaw CAC also focuses on consumer communication through a quarterly newsletter, satisfaction of services, advocacy efforts and education to the community on behavioral health. One such advocacy effort that the CAC engages both WCCMH staff and consumers is the Annual Walk A Mile Rally held in Lansing, Michigan. In 2018, over 2500 individuals traveled from around the State to lend their voice to the rally in support of increased funding for Michigan community mental health services.

The Washtenaw County Speakers Bureau is a group of individuals that have worked to record their personal story on their journey with behavioral health. They work with peers to write, rehearse and hone their public speaking skills. They then travel throughout Washtenaw County, presenting at local colleges and high schools, sharing their stories in an effort to eliminate stigma. In 2018, over 30 presentations were provided to the community.

Overall, the dedication and commitment of these groups is a shining example of embracing your personal journey and using it to build and support those around you. Each meeting, story, and mile walked is done in an effort to empower and eradicate stigma!

Add this number to your phone!

734.544.3050

CARES Access number

One number, 734.544.3050, should be added to address books all across the county. It’s the CARES access number for mental health and substance use treatment services offered by Washtenaw County Community Mental Health.

The number may be needed at 3:00 am on a Monday, during kickoff on Homecoming weekend, or 6:00 pm on a Sunday. In fact, twenty four hours a day, seven days a week, 365 days a year, the phones at Washtenaw County Community Mental Health are staffed and CARES social workers, therapists, peer specialists, and psychiatrists are on standby to offer Crisis response services, Access to mental health services, Resource connections, Engagement with community partners, and Support for individual needs.

Middle and high school teachers should have kids take out their phone and program the number in during class. Anyone who’s lost a loved one, struggled with addiction, or experienced mental health challenges and had difficulty finding help should post it on the refrigerator now.

These staff aren’t exclusively for residents with severe naeeds or critical emergencies; they are for everyone, in every one of the county’s townships.

As we write this article, only eight months since the Washtenaw County Millage dollar first became available, the list of services is long and growing. To learn more about current and planned millage-funded public safety and mental health services for Washtenaw County residents, visit Washtenaw.org/2806/Public-Safety-and-Mental-Health-Millage.

2018 Consumer Satisfaction Survey – Percent satisfaction

Intellectual and Developmental Disabilities (Adult)

IDD Consumer FY 18

Washtenaw

Sample Size
30

Q – I decided my goals, not CMH staff

100%

Q – I feel comfortable talking to someone at CMH if I disagree with my services

100%

Q – I am treated like an important person by the CMH staff

96.55%

Q – CMH staff told me I have the right to be safe

100%

Q – I can ask to work with different CMH staff people if I want

100%

Q – I usually enjoy how I spend my day

100%

Q – CMH staff pay attention to me and listen to me

100%

Q – Staff encourage me to make choices about how I live my life

100%

IDD Guardians

Washtenaw

Sample Size
36

Q – My complaints are taken seriously

100%

Q – I understand consumer and family guardian rights while receiving services

100%

Q – I am encouraged/invited to participate in my loved one’s treatment decisions

100%

Q – I trust that consumer information is kept private

100%

Q – My phone calls are returned in a timely fashion

100%

Q – I feel respected when talking to the treatment team

100%

Q – I feel welcomed when coming into the building or calling on the phone

100%

Q – I would recommend this agency to a friend or family member

100%

MI Adult (10-17)

MI Adult FY 18

Washtenaw

Sample Size
31

Q – Staff help me feel hopeful about my future

96%

Q – I feel free to complain or disagree

93.33%

Q – I understand my rights as a person receiving service

87.1%

Q – Staff encourage me to make choices about how I live my life

81.48%

Q – I trust my information is kept private

96.55%

Q – I am encouraged to ask questions about my treatment and medication

89.29%

Q – I am in charge of deciding my treatment goals

80.65%

Q – I feel welcome when I come into the building

89.29%

Q – People in services help make decisions at CMH

92%

Q – I am treated with dignity and respect

93.1%

Q – I am accepted for who I am

89.66%

Q – I would recommend this agency to a friend or family member

87.1%

Youth and Family (10-17)

Youth and Family FY 18

Washtenaw

Sample Size
25

Q – The staff listened to what I had to say

100%

Q – The staff asked me what I wanted/needed

100%

Q – I felt I had someone to talk to when I needed to

100%

Q – I felt the staff accepted me for who I am

100%

Q – learned a skill or approach that gets me through the day

100%

Q – I am better able to cope when things go wrong

94.44%

Q – I am doing better in school and/or at work

88.24%

Q – I would recommend this mental health center to a friend who neded help

96%

Current WCCMH Board Members

Suzie Antonow
Felicia Brabec
Carly Collins
Anna Dusbiber
Nancy Graebner
Ricky Jefferson
Bob King
John Martin
Caroline Richardson, MD
Katie Scott
Patricia Spriggel
Kari Walker

FY18 WCCMH Providers

by service type

APPLIED BEHAVIORAL ANALYSIS

ABA Pathways, LLC
ABA Insight
Centria Healthcare
Creating Brighter Futures
Dearborn Speech & Sensory Center DBA Metropolitan Speech, Sensory & ABA Centers
Eastern Michigan University-Autism Collaborative Center
Judson Center
Momentum Autism Therapy Services d/b/a Therapy Core, LLC.
Novel Responses, INC
Residential Options, LLC

CLUBHOUSE SERVICES

Touchstone Services Inc. -Fresh Start Clubhouse
Training & Treatment Innovations, Inc.

COMMUNITY LIVING SUPPORTS – UNLICENSED

Adult Learning Systems
Avalon Housing
Bedside Angel’s HealthCare
Behavioral Outcomes Management dba ExpertCare Management Services
CHS Group LLC
Community Residence Corp.
Friends Who Care
Home Sweet Home Care Services, LLC
His Eye is on the Sparrow
INI Group, Inc.
JOAK American Homes
Macomb Residential Opportunities
Michigan Agency with Choice, LLC
Partners in Personal Assistance
Progressive Residential Services, Inc.
Renaissance Community Homes Inc.
Saints Inc.
Spectrum Community Services
Synod Residential Services

CRISIS RESIDENTIAL

Safehaus, Inc.
Synod Community Services

DROP IN CENTER

Full Circle

ENHANCED PHARMACY SERVICES

Genoa Healthcare
Nutritional Healing of Ann Arbor Pharmacy Solutions

FISCAL INTERMEDIARIES

Community Living Network
Guardian Trac LLC

ENHANCED PHARMACY SERVICES

Genoa Healthcare
Nutritional Healing of Ann Arbor Pharmacy Solutions

HOSPITALS

Harbor Oaks
Havenwyck Hospital
Havenwyck Hospital d/b/a Cedar Creek Hospital
Hillsdale Medical Center
Madison Community Hospital d/b/a Samaritan Behavioral Center
Mercy Memorial Hospital
New Oakland Family Center (Partials)
Pine Rest Christian Mental Health Services
StoneCrest Center
Trinity Health-Michigan
University of Michigan

LICENSED RESIDENTIAL

Adult Learning Systems
Beacon Specialized Living Services
Courtyard Manor of Wixom Inc. III
Flatrock Manor of Burton
Henlyn Care, Inc.
Hope Network Behavioral Health Services of MI
Hope Network West Michigan
JOAK American Homes
Macomb Residential Opportunities
Prader Willi Homes of Oconomowoc, LLC
Progressive Residential Services, Inc.
Quest Inc.
Renaissance Community Homes Inc.
Renaissance House-MI
Saints Inc.- Oak Manor
Spectrum Community Services
St Louis Center
Synod Residential Services
Toepfer Home
Turning Leaf

OUTPATIENT/LICENSED INDEPENDENT PRACTITIONERS/OTHER MH SERVICES

Bedside Angel’s HealthCare
Behavioral Outcomes Management dba ExpertCare Management Services
Camp Tall Tree
Camp Zip
CHS Group
Friends Who Care (skilled respite)
Home Sweet Home Care Services, LLC.
Indian Trails Camp dba IKUS Enrichment Services
Just US Club
LifeSpan….A Community Service
Michigan Agency with Choice, LLC
Michigan Visiting Nurses (skilled respite)
Saline Area Schools
St. Francis Camp on the Lake
St. Louis Center
The Fowler Center

SKILL BUILDING & SUPPORTED EMPLOYMENT

Catholic Social Services of Washtenaw Co
CHS Group LLC
Community Work Opportunities
Comprehensive Services for the Developmentally Disabled
Just Us Club
Work Skills Corporation

TRANSLATOR SERVICES

Language Line
University Translators