The URL can be used to link to this page

Browse Search

Home My WebLink About790556.tiff ' � Weld Mental 1 Health Center, Inc. ,; 1306 11th Avenue Greeley, Colorado 80631 353-3686 ANNUAL REPORT 1978/1979 Board of Directors President Linda Bauer, Greeley vice-President Harry Ashley, Windsor Secretary Cornelia Dietz, Greeley Treasurer Roy Shore, M.D., Greeley Past President John Houtchens, Greeley Beth Bashor, Grover. Hazel Chick, Ault Kay Fortner, Greeley Michael Gimmestad, Greeley Jason Hernandez, Kersey Rev. Tom Hiltsley, Ft. Lupton Madeleine Masterson, Greeley John Pacheco, Greeley Leonard Roe, Greeley Joe Tennesson, Greeley Executive Committee Richard Cripe, Ph.D. , Executive Director Gary Crawley, M.D., Medical Director Arlyce M. Trossen, Business Manager Neil Benson, Ph.D., Director, Program Evaluation Stan Eilert, M.A. , Director, Adult Outpatient Services Jim Maley, M.A. , Director, Children's Services & Prevention Dana Wellman, M.Div. , Director, Intensive Care Services Kathy Dailey, Ed.S., Staff Development Coordinator /7,1(, Branch Offices: Stepping Stone 353-3686, In-Touch Counseling 857-2723, Horizons 353-3900 WELD MENTAL HEALTH CENTER, INC. ANNUAL REPORT 1978/1979 The year 1978/1979 was a successful one in most aspects for the programs of the Weld Mental Health Center. Among the Center's accomplishments: -- Provided service to 4,565 clients; -- Maintained a high level of client satisfaction and client goal attainment; -- Limited the use of Fort Logan Mental Health Center for severely disturbed clients of all ages; -- Completed a reorganization of services, which reduced the number of administrative positions and reduced administrative costs; -- Increased productivity so that there was no rise in the average unit cost for services delivered; -- Increased fees and third party payments for services delivered by 64%. Stability Established. 1978/79 was a year of establishing stability after several years of rapid growth and unstable funding. The admissions of 2,536 new clients represented essentially no change over the previous year, in contrast to increases in admissions in previous years of 12% or more. Although the Center experienced the loss of $60,000 in Federal funds, this was more than offset by the substantial increase in State funding, as well as the increase in fees and third party reimbursements. Center Reorganization. The Center took a long look at its organizational structure this past year and made some changes to accommodate a changing situation. The transfer of the Alcoholism services in 1978 from the Mental Health Center to the Weld County Health Department had changed the balance of the organization. In addition, the increasing growth of services to the severely and chronically mentally ill had not been reflected clearly in the organizational structure. The reorganization, completed in February, affected only the clinical service areas. Clinical services were divided into three program areas: Intensive Services, Adult Outpatient Program, including the Elderly Peer Counselor Program, and the Children's Outpatient and Prevention Program, including the Fort Lupton Clinic and Horizons Program. Whereas the previous organizational structure had two Program Divisions and eight Teams, this reorganization resulted in three Program Divisions with three separate Teams, a reduction of four administrative positions. The reorganization also eliminated one level of administration for all clinical staff with the exception of those on the specialty teams. The resulting organizational structure is shown below. - 1 - BOARD OF DIRECTORS EXECUTIVE DIRECTOR Richard Gripe, Ph.D. Director - Program Business Manager staff Development Intensly Care Evaluation - coordinator Services Neil Benson, Ph.D. Arlyce M. Trossen 'Kathryn Dailey, Ed.S. Dana Wellman, M.D1v. Medical Director Children's Services Adult Outpatient end Prevention Services Gary L. Crawley, M.D. Jim Raley, M.A. Stan Eilert, M.A. - In Touch Clinic - Elderly Carol Bowmen, M.M.S. Peer (Teem Leader) Counselors Marie Ego,Ed.D - Horizons (Team Leader) Dan Dailey, S.A. (Team Leader) Medical Director. Dr. Gary Crawley, psychiatrist who joined the Center in July, became Medical Director in January, replacing Dr. Roger Johnson who has continued with the Center on a part-time basis. Services. The Center provided service to 4,565 clients during the year, including 2,536 new admissions. The admissions represented a decline of 6% over the previous year, in marked contrast to the increases of 12% and more the past several years . On Table A below is shown admissions to Center programs for this year and the previous year. Table B below shows the volume of service units by program for the same period. These two statistics together describe the services provided in the past year. This information is discussed below by program. TABLE A. NUMBER OF ADMISSIONS BY PROGRAM FOR 1977/78 AND 1978/79 1977/78 1978/79 Inpatient 214 271 Residential 18 36 Stepping Stone 106 34 Outpatient-- Adult Program - 732 Children's Program 984 973 In-Touch Clinic 268 300 Peer Counselors - 50 Horizons 207 184 - 2 - TABLE B. VOLUME OF SERVICE UNITS BY ALL CENTER PROGRAMS FOR 1977/78 AND 1978/79 PROGRAM UNIT OF MEASURE 1977/78 1978/79 % Change Inpatient Patient Day 1,261 1,583 + 26 % Residential Patient Day 1,578 3,093 + 96 % Partial Care Contact 4 2 hours 2, 307 2,377 + 3 % Outpatient Contact > 2 hours 26,179 26,038 - .5% Adult Program 5,890 5,221 Children's Program 9,783 8, 364 In-Touch Clinic 2,195 2,529 Peer Counselors 2,909 3,568 Horizons 1,970 3,138 Intensive Services 3,845 3,527 Intensive Services Program. The Intensive Services Program was established in the reorganization under the direction of Dana Wellman. It is comprised of what previously was the Stepping Stone Program and the Alternative Care Team. With 9 .5 staff, this program is responsible for coordinating Inpatient Services, Residential Services, Partial Care (Stepping Stone Program) , in addition to providing Outpatient Services to severely and chronically disabled adults. The Center continues to Provide short-term Inpatient Care through contractual agreement with Weld County General Hospital. In the past year the Center had 271 admissions to the Inpatient unit and 1,583 patient days, both figures representing an increase of 26% over the previous year. The Center provides residential services through contractual arrangements with Windsor Health Care, an extended care facility, with 60 psychiatric beds, and the Krieger Boarding Home, a privately operated Adult Group Home in Greeley. In addition to these residential services, the Center was awarded five "units" from the Department of Housing and Urban Development for subsidized Housing for mentally ill individuals. Five clients have been placed in private apartments in Greeley and receive rent subsidies from HUD. The growth of services in this area is reflected in Table A, which shows admissions increasing from 13 to 36, and Table B, which shows residential client days increasing to 3,093 days, an increase of 96%. In these ways, the Center is developing additional resources and services to support the chronically mentally ill individuals in the community. The Stepping Stone Program continues to provide daycare services to chronically mentally ill individuals within the community. This program provides a variety of group activities, including group therapy, occupational therapy, and recreation programs. Although there were only 34 admissions to the Stepping Stone Program, there were 2,377 Partial Care contacts provided. This indicates there is a sizable number of long-term clients participating in this program and carried from year to year. Adult Outpatient Services. In the reorganization, Adult Outpatient Program was kept intact and made one of the three program areas. This program has eight staff and is under the direction of Stan Eilert. The program admitted 732 new clients last year and 5, 221 outpatient contacts. Comparisons of admissions from previous years are not available; however, there is a decline in the number of outpatient contacts of 11%. This decline represents limitations in available service resources rather than a decline in demand. Part of the year the amount of service provided was limited by the lack of clinical staff time available; a waiting list of up to 3 weeks existed at various times during the year. - 3 - Elderly Peer Counselor Program. The Elderly Peer Counselor Program was established in 1977 and has been growing since that time under the direction of Dr. Marie Ego. Currently there are 15 elderly Peer Counselors, retired citizens who have undergone training in counseling and act as para-professional counselors to the elderly in the community. In the past year, this program has had 50 new admissions and provided 3,568 outpatient contacts, an increase of 23% over the previous year. In spite of the growth of this program, the number of people served in relation to the total program remains relatively small. The further expansion of this program remains one of the priorities of this Center. Four new Peer Counselors have just completed training and two additional Peer Counselors are ready to begin their training. Marjorie Herrera of the Center staff has joined the Program to provide additional staff support in this coming year. Children's Outpatient Program. The Children's Outpatient Program was established in the reorganization through the combination of the two teams, Family Action Services Team and the Consultation and Outpatient Team. Presently under the direction of Jim Maley, the Program has 11 staff. There were 973 new admissions to service in the past year and 8, 364 client contacts. The latter figure represents a decline of 14% in the service provided. As with the Adult Program, the decline in services does not reflect a decline in demand as much as limitation in availability of service time. In addition to the outpatient services provided, the Children's Program is responsible for much of the Consultation and Prevention Programs that are carried on by the Center. The program provided 667 hours of consultation to Schools in the past year. This total includes services to Public Schools and Pre-Schools, both public and private. Consultation services to the Department of Social Services accounted for 203 staff hours in the past year. In-Touch Counseling Clinic, Fort Lupton. This program remained intact in the reorganization and continues under the direction of Carol Bowman, with 4 staff. The program provides outpatient counseling to the southern part of Weld County as well as consultation with community agencies. In the past year, the Center saw 300 new cases, an increase of 12% over the past year and provided 2,529 outpatient contacts, an increase of 15% over the previous year. Horizons. Horizons Program was also untouched by the reorganization and continues as a Drug Crisis Counseling Program under the direction of Dan Dailey, with 3 staff. The program served 184 new admissions in the past year, which was a decline of 11% from the previous year, but had 3,138 client sessions, an increase of 59% over the previous year. The program serves primarily late adolescents and young adults with various drug-related emotional problems . The program also provides service to sex offenders referred by the courts. Emergency Services. The Center provides both walk-in and telephone emergency service 24 hours a day, 7 days a week. A substantial number of clients initiate their service by walking in to the Mental Health Center and requesting an appointment. After hours, the Center staff are available by telephone for consultation or for direct interview. As can be seen from Table C, there were 2,508 emergency contacts during working hours, an increase of 49% over the previous year and 1,059 emergency contacts after hours, a slight decline from the previous year. - 4 - TABLE C. NUMBER OF EMERGENCY CONTACTS DURING AND AFTER HOURS FOR TWO YEARS 1977/78 1978/79 During Hours 1,682 2,508 After Hours 1,073 1,059 TOTAL 2,755 3,567 State Hospital Admissions. In 1978/79 there were 25 Weld County residents admitted to Fort Logan Mental Health Center in Denver, the state hospital for our region. Recent information from the Division of Mental Health indicates that Weld County is lowest in the State in the number of patient days in which County residents spend in the State Hospital. The Weld Mental Health Center is proud of its record in limiting the use of the State Hospital and maintaining people in the local community. Table D shows the admissions by age group for the past three years. TABLE D. ADMISSIONS TO FORT LOGAN MENTAL HEALTH CENTER FROM WELD COUNTY FOR A THREE-YEAR PERIOD Adult Elderly Children Adolescents Total 1976/77 10 3 5 6 24 1977/78 19 4 3 6 32 1978/79 14 4 2 5 25 Commitment Data. Mental Health Commitments: The Care and Treatment of the Mentally ill Act (27-10, C.R.S.) provides for citizens to be held on an emergency basis when they are judged to be "imminently dangerous to self or others" or "gravely disabled", "for reasons of mental illness . " In 1978/79 there were 132 persons admitted to Weld County General Hospital under this law. Of these, 82 were the result of law enforcement officers bringing individuals to Weld County General Hospital Emergency Room. The State Law also provides for short-term certification (90 days) and long-term certification (180 days) . In 1978/79 there were 21 persons given short-term certification and none given long-term certification. Table E shows the comparison of this year with previous years in the number of persons committed for reasons of mental illness. TABLE E. COMMITMENTS IN WELD COUNTY FOR THREE-YEAR PERIOD 72-Hour Evaluation Short-Term Long-Term 1976/77 45 8 1977/78 59 14 4 1978/79 86 21 0 Budget. The total budget for the fiscal year 1979 was $1,223,194 ., This budget represented an increase of 9% over the previous year. Table F shows a budget summary for the year showing expenditures and receipts . The expenditures for personnel reflect a staff of 50 full-time employees and fringe benefits of 12.8% - 5 - of salaries. The Federal appropriation now represents 8.7% of the total budget while the State appropriation has grown to 58%. The Weld County appropriation of $61,500 is shown as well as the appropriation from the City of Greeley and other communities in the County. The United Way appropriation is $7,867. Patient fees and third party payments now constitute 26% of the total budget and have increased 64% over the previous year. TABLE F. SUMMARY OF EXPENDITURES AND RECEIPTS FOR FY1979 Mental Health Drug Total Center Expenditures: Personnel $ 764,764 $ 53,674 $ 818,438 Fringe Benefits 97,090 7,951 105,041 Operating 257,758 10,808 268,566 Travel 21,755 1,591 23, 346 Capital Outlay 7,468 335 7,803 $1,148,835 $ 74, 359 $1,223,194 Receipts: Federal $ 92,052 $ 15,152 $ 107,204 State 666,723 47,873 714,596 City 15,522 2,603 18,125 County 58,897 2,603 61,500 United Way 7,867 -0- 7,867 Patients Fees & 307,777 6,128 313,905 Third Party Miscellaneous 1,504 -0- 1,504 $1,150, 342 $ 74,359 $1,224,701 The new year 1979/80. It is expected that the coming year will be one of stability for the Weld Mental Health Center. The reorganization has been successful and all programs are functioning well. An experienced management team and stable funding sources indicate the coming year should likewise be productive and successful. Definite trends, however, are indicated by this past year's experience. The increase in Inpatient and Residential Care, and the increased commitments are indicative of a growing presence of severe and moderately disturbed individual in the community. With each passing year, the number of such individuals increase and the amount of care required to serve this group also increases . Of parallel significance is the decline, albeit slight, of Outpatient admissions and services. Given a limited budget, the increasing needs of the more seriously disturbed individuals are being met at the expense of those less seriously disturbed, who request outpatient service. It is expected that this trend will continue into the future and become more pronounced. More and more it will be necessary for the less seriously disturbed people to receive care through private providers. It is anticipated that very little in the way of new programs will be able to be developed in the coming year. The Center is recruiting a second full-time psychiatrist and it is anticipated that someone will be hired prior to July, 1980. The Center is also looking at the facility needs of the Stepping Stone Program and the staff - 6 - of the Intensive Services Program. The Stepping Stone Program has outgrown the space of their present building and the building represents less than fully satisfactory working conditions. In addition, the Center would like to expand the Vocational aspects of its Program and provide Sheltered Workshop Services through contracts with Schaefer Rehabilitation Center. Another program possibility is the initiation of Prevention services in the form of increased consultation to Preschools and Parent Education Training or Parent Groups. It will not be possible to do all these things in the coming year and perhaps none of them beyond hiring the additional psychiatrist. Future growth of the Program will be slow and will necessitate the careful setting of priorities. This is the primary task of the Center in the year to come. 7% (677 Harry Ashley Richard Cripe, Ph.D. President of the Board Executive Director RVC:sn Hello