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1306 11th Avenue Greeley, Colorado 80631 353-3686
ANNUAL REPORT
1977/1978
Board of Directors
President Linda A. Bauer
Vice-President Joe Tennesson
Secretary Madeleine Masterson
Treasurer Roy Shore, M.D. ."
Past President John Houtchens
Harry Ashley
Hazel Chick
Cornelia Dietz
Kay Fortner
Rev. Tom Hiltsley.
Bernard Kinnick .
Leonard Roe
Sue Stephens
Maria Velasquez`
Joyce Washington
7 ,10 ,3,
Branch Offices �---(� r'_.Z/
Stepping Stone 353-3686,Halfway House 353-4144, Ft. Lupton Clinic 857-2723,Lean-On 353-3900 FrOi6
WELD MENTAL HEALTH CENTER, INC.
ANNUAL REPORT
1977/1978
The year 1977/78 represented the most significant budget crisis in the Center's
history. The Center began the fiscal year in July, having lost $60,000 in
federal funds, by laying off 5 staff and closing the Alcoholism/Psychiatric
Halfway House. These actions brought the year's budget into balance; however,
the Center was facing a loss of an additional $140,000 in federal funds the
following year. An appropriation of $60,000 from Weld County and an increase
in state funding of 35% was sufficient to offset this loss in federal funds and
enabled the Center to enter the 1978/79 fiscal year without additional layoffs
or program cutbacks.
In August of 1977 the Board of Directors voted to transfer the Center Alcoholism
program to the Weld County Health Department. This decision was the result of
extensive discussions between the two agencies, the County Commissioner, and other
County Health agencies. The transfer on January 1 of six staff and a Federal
Grant of $96,000 resulted in the consolidation of alcoholism services in the
County under one agency.
In spite of the confusion caused by the above events, the Center's Mental Health
and Drug Abuse programs had a relatively productive year. The Center served
4,993 clients during the year, an increase of 12% over 1976/77. There were,
however, 2,684 new admissions during the year, a decline of one percent in
admissions over the previous year, reflecting a leveling off in the demand for
services by new clients during the year.
A summary of the number of admissions into the various programs for the past three
years is shown below in Table A. As can be seen, there are slight changes in
both directions in the number of clients admitted to the various programs. The
one exception is the Horizons Program which had an increase of 290% in the number
of new admissions.
TABLE A
THE NUMBER OF CLIENT ADMISSIONS BY PROGRAM
DURING THE PAST THREE YEARS •
1975/76 1976/77 1977/78
Inpatient 199 192 211
Stepping Stone - 114 106
Outpatient Care
Adult Teams 1,113 1,216 1,257
Children Teams 959 1,124 984
Fort Lupton Clinic 197 276 268
Horizons 20 53 207
Alcoholism 442 485 192*
Emergency Contacts - 2,689 2, 755
* 6 months data
ANNUAL REPORT
1977/1978 Page 2
The number of units of service by treatment modality for the entire Center is
shown in Table B. As can be seen, there were small shifts in both directions.
TABLE B
NUMBER OF UNITS OF SERVICE BY MODALITY FOR
ALL CENTER PROGRAMS IN 1976/77 AND 1977/78
Modality 1976/77 1977/78
Inpatient (Client Days) 1,420 1,261
Residential (Client Days) 1, 655 1,578
Partial Care (Contacts) 2, 522 2,717
Outpatient (Contacts) 25,024 26,179
Consultation and Education 4, 364 4,089
(Staff Hours)
This stabilization in client demand enabled the Center to continue to provide
services through the year without establishing a waiting list. Outpatient
services continued to represent the great volume of the Center's work and all
clients were able to be seen immediately if necessary and within one week of a
requested appointment. The typical number of outpatient visits continued to be
between six and eight visits.
Although there was an increase in the number of clients admitted to Inpatient
Program (10%) , there was a decline of 11% in the number of patient days in the
Inpatient Program. This indicates that the average length of stay for Center
clients in the Hospital declined from 7.4 days to 6 days in 1977/78.
Community Services. The number of staff hours devoted to Consultation, Public
Education and Community Service continued to decline for the third 'straight year.
In 1977/78, the Center provided 4, 542 hours, a decline of 24% from 1976/77 and
a decline of 44% from 1974/75. Whereas part of this decline certainly represents
clearer goals and more efficient organization, nevertheless, there is a continuing
concern that the decline in hours spent with the staff of other agencies will
increasingly result in the isolation of the Center from other community programs.
The Center needs to be concerned with maintaining a close working relationship
with a number of County agencies as well as continuing to make the public aware
of the availability of the Center's services.
Horizons. The Horizons program was moved from 101 14th Avenue to 1317 10th Avenue
in the fall of the year and a new Director, Dan Dailey, was hired. The focus of
the Drug Abuse Program was re-oriented toward that of direct service and closer
referral ties. As a result, the number of new admissions into the program increased
290% from 53 client admissions in 1976/77 to 207 in 1977/78.
ANNUAL REPORT
1977/78 Page 3
Elderly Peer Counselor Program. The Elderly Peer Counselor Program, initiated last
year, provided 2,850 contacts in 1977/78. This program saw 61 new admissions
and maintains an active caseload of between 80 and 90. This program consists of
12 trained elderly persons who do outreach work and counseling to elderly citizens
in the community who otherwise would not seek such service from the Mental Health
Center. The success and growth of this program has been a tribute to the energy
and commitment of the Peer Counselors involved.
Fort Logan Mental Health Center Referrals. The Center continues to admit small
numbers of clients to Fort Logan Mental Health Center in Denver, the state hospital
for our region. In this past year, there were 32 clients admitted to Fort Logan
(3 children, 6 adolescents, 19 adults and 4 geriatric clients) compared to 24 in
1976/77 and 22 in 1975/76. This increase may be indicative of the fact that the
Center has reached the limits of its resources in providing alternative services
in the community.
Budget. The total budget for fiscal year 1978 was $1,080,650. A budget summary _
for the year showing expenditures and receipts is on Table C. Expenditures
for personnel reflect a staff FTE of 50 and fringe benefits of 12%. The federal
appropriation represents 27% of the total budget while the state appropriation
constitutes 49%. The half of the $60,000 appropriated from Weld County is shown
in this fiscal year budget as well as the appropriations from the cities. The
United Way appropriation of $7,750 is shown. Patient Fees and Third Party
payments constitute 12% of the total budget.
TABLE C
SUMMARY OF RECEIPTS AND EXPENDITURES FOR FY1978
Expenditures Mental Health Alcohol Drug Total Center
Personnel 670,927.57 54,972.45 36,842.00 762,742.02
Fringe Benefits 79,801.42 7,407.10 5,702.70 92,911.22
Operating 178,242.67 7,688.95 9,206.89 195,138.51
Travel 21,872.40 1,665.89 1,850.23 25,388.52
Capital Outlay 4,470.60 -0- -0- ' 4,470.60
955, 314.66 71,734.39 53,601.82 1,080,650.87
Receipts
Federal 242,034.00 48, 692.28 -0- 290,726.28
State 490,117.00 -0- 39, 502.08 529,619.08
City 20,677.00 -0- 1, 200.00 21,877.00
County 30,000.00 -0- -0- 30,000.00
Contracts 19,615.15 35,508.60 -0- 55,123.75
United Way 7,750.04 -0- -0- 7,750.04
Patient Fees &
Third Party 124,821.83 5,041.23 673.00 130,536.06
Miscellaneous 8,233.90 -0- -0- 8,233.90
943,248.92 89, 242.11 41,375.08 1,073,866.11
ANNUAL REPORT
1977/78 Page 4
The New Year: 1978/79. Fiscal instability remains a major problem for the Weld
Mental Health Center in that the Center will lose an additional $40,000.00 in
federal funds in 1978/79, further reducing the federal share of the budget from
11% to 7%. The Center will have to continue to be prepared to make programmatic
shifts as the financial base of the Center continues to remain unstable. The
Center will be undertaking additional efforts to improve Patient Fees and Third
Party Reimbursements during the current year as one source of additional funds to
replace federal dollars. Current state and federal restrictions around Medicaid
and Medicare are significant problems in limiting Third Party Reimbursements as
well as the policies of private insurance carriers.
Nevertheless, the Center has attained some stability which it has not experienced
for some time. The early years were ones of rapid growth followed by cutbacks
and consolidation. This year provides an opportunity to reassess our services,
organization, and the needs of the community, and to begin setting priorities
for future growth.
The Center has begun this year with the creation of four planning committees to
assess the Center's programs in various areas and to outline future needs. These
planning committees are: Prevention, Secondary Care, Tertiary Care, and
Staff Development/Quality Assurance. It is anticipated this planning process
will take most of the year and may result in some reorganization. With this, the
Center should be prepared to meet the demands of future years and maintain the
creative and responsive programs.
age‘czrr oci.Aftek 24._. •
"Linda A. Bauer Richard Cripe, Ph.D.
President Executive Director
Board of Directors Weld Mental Health Center, Inc.
Weld Mental Health Center, Inc.
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