Investing in our future. Annual report 2017

greetings

Washtenaw County Community Mental Health (WCCMH), the Board and staff are honored to share with you our Annual Report for fiscal year 2017. Please enjoy reading about the programs and initiatives WCCMH has been pursuing and also learn of some exciting opportunities for 2018 and beyond! WCCMH is pleased to report that we have furthered our work toward the goals and priorities set forth in our 2017-2022 Strategic Plan. Of course, none of this would be possible without the hard work and dedication of our board members, staff, families, individuals served, peers, advocates, network of providers and community partners. They stand together with us and make it possible to deliver exceptional services in Washtenaw County. The strengths and diversity of this group form the WCCMH mission, vision and values and help set the course to enhance the lives of all those we serve.

Notable highlights for 2017 include the creation of the Washtenaw County Diversion Council to further our working relationship with local law enforcement. Working with the Washtenaw Intermediate School District (WISD) through the “Handle with Care” Initiative and the passing of a Washtenaw County Mental Health and Public Safety Preservation Millage in November 2017 to begin in January 2019.

While the stories you read will share many successes, WCCMH continues to face significant financial challenges at the state level. WCCMH leadership is working diligently to identify and raise awareness of the state funding challenges and to promote the importance of adequately funding these critical services. Sufficient resources ensure our ability to continue our commitment to engage our community with the highest levels of access and services. WCCMH and its partners continue to advocate for those in our community that we currently serve and those in need of services. WCCMH strives to take full advantage of our potential through engagement, outreach and innovative practices. We are proud to do this important work, relying on the strength of partnerships to realize our vision: All residents can secure supports to pursue recovery, improve quality of life and reach their full potential.

John Martin's signature

John Martin
Chair, WCCMH Board

Trish Cortes's signature

Trish Cortes
Executive Director, WCCMH

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photo of smiling kids

Handle With Care

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andle with Care is an initiative brought to Washtenaw County designed to promote communication between local law enforcement and schools. When law enforcement is on the scene of an incident that was experienced or witnessed by a school-aged child, they’ll find out what school the child attends, and a “Handle with Care” notice will be sent to the child’s school by the next day. School staff are encouraged to handle that child with care and look for potential signs that the trauma the child experienced is affecting his or her behavior or ability to succeed in school. If additional support for the student is needed, Community Mental Health will assist in referring to other providers.

These events are referred to as ACEs (Adverse Childhood Experiences) – Stressful or traumatic events, including abuse and neglect. They may also include household dysfunction such as witnessing domestic violence or growing up with family members who have substance use disorders.

Handle with Care helps respond as a community when a student experiences or witnesses a potentially traumatic event out of school and to support that child or youth in school and help mitigate the child’s trauma by helping him or her to build resilience and safety at school. It also connects students with accessible mental health services in the community if additional support is needed and strengthen and improve relationships in the community.


2017 WCCMH Fun Facts and Stats!
  • WCCMH Contracts Department is responsible for 955 various contracts, memorandums of understanding, agreements, leases, and business associate agreements
  • 25 classes, both high school and college, engaged with the WCCMH Speakers Bureau
  • Since WCCMH began an onsite pharmacy in March 2017, over 34,000 prescriptions have been filled
  • WCCMH Crisis Team responded to approximately 934 crisis outreaches
  • 68,829 calls were received by the WCCMH Call Center
  • WCCMH Customer Service processed 80 grievances
  • WCCMH Office of Recipient Rights investigated over 130 rights complaints
  • Over 300 people work at WCCMH!
  • 129 individuals were trained in Mental Health First Aid

Reducing the number of people with mental illness or intellectual or developmental disabilities from entering the corrections system, while maintaining public safety

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ashtenaw County created a Diversion Council in 2017 in an effort to reduce the number of individuals with moderate to severe mental illness and/or substance use disorder in jail. There is a growing number of people with serious mental illness and/or substance use disorder being admitted to jail, both nationally and in Washtenaw County. Unfortunately, jail has become a de facto facility of care for much of this population, instead of mental health hospitals or treatment centers. Once incarcerated, these individuals typically stay longer in jail and upon release are at a greater risk of returning to jail. Financially, jails are spending more money on this specific group of individuals, yet often do not see improvements to public safety, nor these individual’s health.

To impact this important topic, Washtenaw County sought council members who are county leaders, stakeholders and experts from a variety of backgrounds who are invested in helping this population. Members include, mental health and substance use experts, correctional, judicial and educational experts and elected officials to begin conversations and take action.

Tools used by the diversion council include executive leadership, data and training. Leadership advances the councils overall goals by ensuring timely and appropriate decision making occurs. Data ensures the council has all available and relevant data for decision making. The data is also being added to a data repository for future diversion efforts. Finally, training ensures materials and policy opportunities are identified and in place to operationalize the council’s plans. Ultimately, data will drive the ultimate outcomes of the council.

photo of a sunset with the silhouette of a chain turning into flying birds
Data shows:

The percentage of inmates admitted to CMH is fairly consistent, maintaining 5%-6% since 2015.

The average length of stay is much higher for inmates known to CMH, nearly 14 days longer on average since 2015.

The readmission rate is notably higher for inmates known to CMH, 29% higher rate.

Females known to CMH are admitted to jail is on average 69% higher.

RACE

Race graph: 2,336 White; 1,289 African American; 586 Other

GENDER

Gender graph: 2,373 or 56.339% Male; 1,839 or 43.67% Female

AGE

Age graph: 0-17 Years 858 or 20.38%; 18-39 Years 1,530 or 36.33%; 40-64 Years 1,565 or 37.16%; 65+ Years 258 or 6.13%

ETHNICITY

Ethnicity graph: 3,887 or 92.31% Not Hispanic or Latino; 132 or 3.13% Unknown; 192 or 4.56% Hispanic or Latino

stock photo of adult and child hands holding a green ribbon

WORKING
TOGETHER

THROUGH HEALTH INNOVATION

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he State Innovation Model (SIM) focuses on the development and testing of multi-payer health care payment and service delivery models in order to achieve better care coordination, lower costs, and improved health outcomes for Michiganders. The Michigan Department of Health and Human Services (MDHHS) is implementing this initiative based upon the Blueprint for Health Innovation, which is a strategic plan that was developed in partnership with Michigan stakeholders. MDHHS received a $70 million grant from the U.S. Department of Health and Human Services to develop and test the models that were outlined in the Blueprint for Health Innovation over the next four years. MDHHS will work with stakeholders to develop and test these models in the five pilot regions in Michigan: Genesee County; Jackson County; Livingston-Washtenaw counties; Muskegon County; and the Northern Region.

The state’s SIM initiative has organized its work under three main umbrellas: Population Health, Care Delivery, and Technology. Community Health Innovation Regions, or CHIRs (pronounced “shires”), which are intended to build community capacity to drive improvements in population health, form the base of the Population Health component. The Care Delivery component includes the Patient-centered Medical Home (PCMH) Initiative and the promotion of alternative payment models. The Technology component is where Michigan leverages its statewide infrastructure and related Health Information Exchange (HIE) initiatives to enable and support advances in population health and payment and care delivery strategies.

The Livingston Washtenaw Community Health Innovation Region (LWCHIR) goals are to address challenges in a participant’s life that may affect their health and could cause unnecessary use of emergency departments. Participants of the project will receive an assessment for a variety of needs for physical, mental health and social services. There are currently twelve community organizations which are called hublets that are working with the LWCHIR. The agencies are comprised of primary care, mental health and social services organizations. Every participant of the program has a lead hublet that takes on the coordination of clinical and community services in order to address the needs of the participant. All of the hublets document treatment plans and other clinical notes in the same clinical record in order to share real time information and provide better coordinated care. Washtenaw County Community Mental Health is one of the hublets and is working with eligible WCCMH consumers to access the services in the SIM project.

We are proud to report the success of our first SIM enrolled participant. Enrolled in October 2017, Rose crossed many community partners, Washtenaw County Community Mental Health, Michigan Medicine, Jewish Family Services and Packard Health Clinic to name a few. Together, these partners came together to create a plan to best meet the needs of Rose and decrease her use of the emergency room and better serve her needs in the community. This is an amazing success story of how services in the community can come together in a personal and helpful manner to meet an individual’s unique needs. Through collaborative efforts, a thoughtful and well developed plan was created to highlight the strengths of each program to meet Rose’s needs when and where needed. We are proud of the successes of Rose and all the others who have been served by the SIM project to date.

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Healthy Delights Eatery

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hidden gem at Washtenaw County Community Mental Health (WCCMH) is the Vocational Kitchen program at our Ellsworth site, the Healthy Delights Eatery, serving adults with Intellectual and Developmental Disabilities and/or Mental Illness. The kitchen employed five individuals in 2017, teaching them a variety of important skills, in addition to serving up some delicious and healthy treats! The program offers kitchen safety and cooking techniques to individuals, enhances skill building opportunities, and provides healthier meals to WCCMH individuals in therapeutic groups. Individuals work in the kitchen preparing meals with the supervision of one WCCMH staff from the vocational program. As a part of the training process, individuals learn and practice a set of skills that involves universal food handling skills. These skills are consistent with the food handling industry Serv-Safe training. WCCMH wanted to create an environment where clients could be successful and learn the skills needed to get jobs in the community.

Per month, Health Delights Eatery served healthy and delicious food to over 1000 individuals attending therapy groups and meetings within WCCMH!
Sam states “it’s never a boring moment when I’m working in the kitchen and I get paid.”
Stephanie shares “there is no I in team and this is how we do it.”

Group photo of 3 Healthy Delights Eatery workers with trays of prepared food

Fund Source

MEDICAID
$64,213,244
HEALTHY MI PLAN
$7,138,189
AUTISM MEDICAID
$1,740,254
STATE GENERAL FUND
$2,821,733
COUNTY CONTRIBUTION/LOCAL
$1,695,067
FEE FOR SERVICE
$977,842
ALL OTHER
$1,354,772
USE OF FUND BALANCE
$715,083

TOTAL

$80,656,184

POPULATION NUMBERS SERVED

Graph data: 605 Children SED; 1,368 Adults & Children I/DD; 2,983 Adults SMI; 4,956 Total; Legend: SED = Children with Serious Emotional Disturbance, SMI = Adults with Serious Mental Illness, I/DD = Adults & Children with Intellectual/Developmental Disability

POPULATION COST OF SERVICE

Graph data: $45,237,008 for Adults & Children I/DD; $25,922,293 for Adults SMI; $3,312,887 for Children SED; $74,472,188 Total; Legend: SED = Children with Serious Emotional Disturbance, SMI = Adults with Serious Mental Illness, I/DD = Adults & Children with Intellectual/Developmental Disability

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WALK A MILE IN MY SHOES

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n May 2nd, over 3,000 people came together at the State Capitol to lend its voice to behavioral health matters. The Walk a Mile in My Shoes Rally is a walk to raise awareness for behavioral health and intellectual/developmental disability advocates from around Michigan. An opportunity to gather at our state Capitol and educate the public and legislators about mental health. It is time to lend our voices and work together to end negative feelings about people with behavioral health and developmental disabilities and helping others who do not understand what it means to have a disability learn more. Educating them on the use of respectful language, focusing on abilities, not limitations and allowing everyone to participate and feel included. Behavioral health and developmental disabilities know no boundaries and never discriminate. Anyone can be affected at any time. Unfortunately, people with behavioral health and developmental disabilities are often associated with stigma and discrimination. To help eliminate this stigma, we must recognize that in many cases people can recover or live the life they choose with treatment and services provided by Community Mental Health.

Washtenaw County is proud to have attended and shared in the collective voice!
This is our moment MOVEMENT!
Thanks to everyone that helped make the day impactful.
#walkamileinmyshoes

Be the change you wish to see in the world…    -Gandhi

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he Recovery Opioid Overdose Team (ROOT) is a collaborative project between Home of New Vision and Washtenaw County Community Mental Health Crisis Team to support individuals who have been involved in an opiate/heroin overdose, rescued with naloxone/Narcan by first responders and transferred to the emergency department for medical services.

The team consists of a Peer Support Specialist and a Mental Health Professional co-responding to an emergency room setting (24/7, 365 days a year) to support the individual, begin the recovery engagement process and explore options for releasing to a safe setting with adequate support. A Care Navigator continues to provide support post emergency room visit to connect to treatment resources, remove barriers to engagement in recovery, and identify recovery capital/personal strengths and provide case management support.

The ROOT team has provided great support to our community’s first responders and emergency room departments to collaboratively address the opioid crisis in Washtenaw County.

Community Mental Health Partnership of Southeast Michigan logo
Home of New Vision logo
Badge of the Washtenaw Sheriff

2017 CONSUMER SATISFACTION SURVEY – PERCENT SATISFACTION

CURRENT WCCMH BOARD MEMBERS
Anna Dusbiber
Patricia Spriggel
Kari Walker
Martha Bloom
Suzie Antonow
Nancy Graebner
Mark Creekmore
John Martin
Caroline Richardson, MD
Carly Collins
Felicia Brabec
Kent Martinez-Kratz

FY17 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
Novel Responses, INC
Residential Options, LLC
Spectrum Community Services

Clubhouse Services
Touchstone Services Inc. -Fresh Start Clubhouse

Community Living Supports – Unlicensed
Adult Learning Systems
Avalon Housing
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
Turning Leaf

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

Hospitals:
Harbor Oaks
Havenwyck Hospital
Herrick Medical Center
Hillsdale Medical Center
Mercy Memorial Hospital
New Oakland Family Center (Partials)
Trinity Health-Michigan
University of Michigan

Licensed Residential
Adult Learning Systems
Beacon Specialized Living Services
Courtyard Manor
Flatrock Manor
Henlyn Care, Inc.
Hope Network Behavioral Health Services of MI (HNBHS)
Hope Network West Michigan (HNWM)
JOAK American Homes
Macomb Residential Opportunities
Prader Willi Homes of Oconomowoc, LLC
Progressive Residential Services, Inc.
Quest Inc.
Renaissance Community Homes Inc.
Renaissance House
Saints Inc.
Spectrum Community Services
Synod Residential Services
Toepfer Home
Turning Leaf

Outpatient / Licensed Independent
Practitioners / Other MH Services
ABA Pathways, LLC
Advanced Therapeutic Solutions
BM Martis, LLC
Erin Brewer
Friends Who Care
Michigan State University Community Music School
Michigan Visiting Nurses
Psych Resolutions
Wallace PsychServices, LLC

Respite & Respite Camps
Camp Tall Tree
Camp Zip
CHS Group
Friends Who Care (skilled respite)
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
The Fowler Center

Skill Building & Supported Employment
Catholic Social Services of Washtenaw County
CHS Group LLC
Community Work Opportunities
Comprehensive Services for the Developmentally Disabled
Work Skills Corporation

Translator Services
Language Line
University Translators

Washtenaw County Community Mental Health • 555 Tower St. • Ypsilanti, MI 48198 • 734.544.3050 | 800.440.7548 • www.washtenaw.org