Joe RoszakExecutive Director

KMHS is Growing Forward

HAPPENINGS Fall

2011

IIn the midst of the continuing economic recession and challenging funding environment, KMHS remains strong and is growing our way forward. KMHS’ solid foundation comprised of professional staff with exceptional skills and compassion is complemented by a visionary board of directors. Together we are tasked to provide complex and intensive services to the most vulnerable and voiceless citizens of Kitsap County.

KMHS is proud to announce we are a ‘job creator.” The agency created 14 new jobs last year, 5 community-based, and 9 which created employment for clients. This is one of our lowest job creation years on record but reflects positive growth to the local economy.

In response to the overwhelming unmet need for behavioral health treatment, discussion continues in our county about enacting the 1/10 of 1% sales tax initiative, a way for our community to ‘pull ourselves up by the bootstraps’ and raise funds in Kitsap County for use in Kitsap County. Funds raised by the initiative are dedicated by state law to community based mental health treatment programs and services, substance use disorder treatment programs

and services, housing for both, and therapeutic courts within Kitsap County. There is a diversity of ways such funds could be used immediately to impact the overall quality of life for many of our county citizens, from children to adults.

KMHS remains committed to evidence-based practices as we implement the Daily Living Assessment-20, a quantifiable functional analysis for provision of behavioral health services. The DLA-20 can be used for adults and children with substance use disorders and focuses on client daily function rather than on mental health symptoms. The DLA-20 has been endorsed by the National Council for Community Behavioral Healthcare and meets federal Centers for Medicare and Medicaid Services (CMS) guidance.

KMHS continues its statewide leadership as one of six agencies in Washington to participate in a prescription medication improvement collaborative. The collaborative focuses attention on medication adherence by clients and explores the viability of poly pharmacy (prescribing several medications at the same time). Ultimately it will help direct psychotropic prescription medication practices of the future.

We are researching feasibility of a geropsychiatric service. With only one geropsychiatric facility in all of Western Washington our community has identified this as an unmet need for our region. We expect to complete a feasibility study before the summer of 2012.

Another significant advancement is our partnership with Harrison Health Partners to locate a primary care physician onsite at KMHS in January 2012. This provides the essential support necessary for KMHS to create a ‘health care home’ for individuals with serious chronic mental illness and/or substance use disorders. Health care homes are considered the future of health care, but at KMHS the future is happening now!

Despite the turmoil on a national and state level, KMHS is still moving forward in support of our mission, clients and staff.

Respectfully,

Joe Roszak Executive Director

INTEGRATIVE CARE: THE ROAD TO RECOVERY

2

Primary Care Provider on Campus January 2012

Recognizing the importance of accessible, affordable primary care services for the 38% of KMHS adult clients who are without a primary care provider, Harrison Health Partners (HHP) and KMHS have joined together to locate a primary care provider on the KMHS campus. January 5th, 2012 will mark the first day at KMHS for Hector D. Reyes, Jr. M.D. when he will begin by seeing KMHS clients on a priority basis, one day a week.

Adult clients with chronic, persistent mental illness who do not have a primary care physician and whose illness is complicated by multiple medical conditions are expected to be among the first referrals. “We are pleased to continue our movement toward the full integration of primary care with behavioral health care, and look forward to our partnership with HHP. We believe this is consistent with the coming changes in healthcare reform that will make a vast difference in the well-being of our clients,” notes KMHS Medical Director Dr. David Beck.

Clients whose recovery no longer requires the level of mental health services provided by KMHS are encouraged to secure a primary care provider in the community who can continue to monitor their overall health, including treatment for any symptoms of mental illnesses. The result is that during 2011, at the time of discharge from KMHS services, 78% of clients had a referral to a local primary care provider.

Adults with chronic, severe mental illnesses suffer premature disability and death about 25 years earlier than their peers.

Supporting Wellness in Every Day Life

“Healthy Living,” a collaborative program developed by the Peninsula Regional Support Network, Harrison Medical Center, KMHS and Clallam and Jefferson Community Mental Health Centers, supports clients in making changes toward healthier living. What began as a client-driven move to develop a weight-loss program has evolved to a four-part series with group and individual education, and a specifically created Healthy Living curriculum. The program uses effective behavior change techniques designed for the challenges faced daily by clients.

A tobacco cessation program assists clients who wish to quit smoking with the help of nicotine replacement therapy and group and individual supports. Coupled with the Metabolic Syndrome Program initiated in 2009 for clients at high risk of medical complications, these programs work hand in hand with KMHS’ commitment to improve the overall health of clients.

COD TREATMENT WORKS

“Cathy” began her treatment feeling angry and hopeless about her future. It wasn’t the first time she had tried to quit using alcohol, cocaine and methamphetamines. But it was the first time she was treated simultaneously for her underlying mental health issues – major depression and post traumatic stress disorder.

Through KMHS’ Co-occurring (COD) outpatient treatment program “Pathways” she has been clean and sober two years and her mental health symptoms are stable. She is working part-time, and rebuilding a healthy relationship with her daughter.

“Integrated treatment gave me the opportunity to heal and enter into a journey of recovery I never thought possible.”

In 2009 KMHS embarked on an initiative to train staff on co-occurring treatment by bringing national expert Dr. Kenneth Minkoff to train all staff in this integral approach to treatment.

The best outcomes happen through integrated co-occurring disorders treatment. Traditionally, mental health disorders and addiction problems have been treated in separate facilities, and staff often had different training and expertise. Treating people at the same time, at the same place and with the same treatment team supports clients on the road to recovery.

Over 60% of adults

seeking KMHS Mental

Health Services have a

co-occurring substance

use disorder.

“ “

JOURNEY OF RECOVERY: SUPPORTING HEALTH & WELL-BEING IN DAILY LIFE

New Tool Helps Client Aim for Improving Daily Functioning

Called by clinicians “The Golden Thread” that weaves treatment plans into practical client and clinician selected strategies for managing activities of daily life impacted due to their mental health diagnosis, the Daily Living Activities (DLA) Functional Assessment tool includes assessment of life domains such as health, housing, safety, drug and alcohol use, family relationships, nutrition, personal care/hygiene, social network and other areas of daily life. Endorsed by the National Council for Community Behavioral Healthcare as a reliable, valid activities scale for helping improve client functioning, KMHS is among other leading community mental health agencies nationwide to embrace this approach to supporting clients in their journey of recovery at home, at work, at school, and in the community. KMHS clinicians trained in use of the DLA assessment tool this fall, and have already begun to implement it throughout the agency.

The Access Center – Entry Point to KMHS Services

People are referred for mental health services through a variety of community providers – from the emergency room and primary care providers, from local social service providers to law enforcement, jail services, the courts, DSHS, or others. When there is a crisis requiring rapid response, one that involves potential harm to self or others, the KMHS Crisis Response Team Designated Mental Health Professionals determine if crisis services are needed.

Whether a person decides to seek mental health services, or has a referral to contact KMHS for services, the “front door’ for both children and adults is through the KMHS Access Center. The Access Center is staffed by individuals with a solid clinical background who provide a telephone screening for callers requesting services and scheduling of their first appointment. This year, the center received 6,780 requests for services, and after determining initial eligibility for services, 2,015 individuals were scheduled for an intake appointment. If it is determined a person’s needs would be better served by another provider, other resource information is given to assist the caller. The Access Center can be reached by calling 360-405-4010, weekdays during office hours.

“Hospital Without Walls” Helps Keep People Well at Home

Hospitalization data regarding individuals who have received three years of services through KMHS’ Program for Assertive Community Treatment (PACT) Team is telling a remarkable story. These individuals are doing well at home and in their communities instead of being in psychiatric hospitals. For ONE year prior to entering the PACT program, these people had a combined total utilization of approximately 2,980 hospital “bed days.” But, these same people utilized only 824 bed days during THREE years of receiving PACT services. This is a dramatic 72% reduction in hospitalization days needed for stabilization of severe episodes of mental illness! The PACT Team provides highly intensive services to individuals with mental illness living in the community 24/7. The result is a vast improvement in the quality of life for the person and a remarkable decrease in cost of services.

Treatment Works!

At 40, with a diagnosis of schizophrenia and substance use, “Jerry” was experiencing health and weight issues. After being clean and sober for two years, he was ready to make more changes. Charting a plan with his treatment coordinator, he is walking twice weekly, attending to what he eats, and has quit smoking.

Nearly 300 Kitsap County residents have trained in Mental Health First Aid! Next offering: January 24th and 25th at KMHS

For information call 360-415-5801 or e-mail communityrelations@kmhs.org

If it weren’t for the compassion and

services from the PACT Team,

I would either be back at Western

State Hospital, strung out on the streets, or

dead.

3

Course & Dinner Sponsor:

Title Sponsor:

Lunch Sponsors:Pepsi-Cola Bottling Company of BremertonBrian P. Wicks, MD, President, The Doctors Clinic

Media Sponsors:Kitsap News GroupLarry J. Tuke, Senior Vice President – Wealth Management Financial Advisor Morgan Stanley Smith Barney LLC

Driving Range Sponsor:Kibble & Prentice, a USI Company

Golf Cart Sponsors:Andy Davidson, VALIC Financial AdvisorsThe BJC Group, Inc., General Contracting & Consulting

Putting Green Sponsor:Mark L. Hartman CFP® Second Vice President – Wealth Management Morgan Stanley Smith Barney LLC

Golf Team Photo Sponsor:Larry J. Tuke, Senior Vice President – Wealth Management Financial Advisor Morgan Stanley Smith Barney LLC

Hole-In-One Sponsor:Joseph G. Marra, Davis Grimm Payne & Marra

Golf Clinic Sponsor:Puget Sound Energy

Tee Sponsors:All Star Lanes & CasinoBall & Treger, LLPBroughton Law Group, Inc. PSEve Willett Agency, Farm Division of Whitfields InsuranceHarrison Medical CenterKelley Imaging SystemsLamb’s Office SupplyParatransit ServicesPeninsula Services – All ShredPropel InsuranceReid Property Management, LLCScott McLendon’s HardwareThe Roszak Family

Beverage Cart Sponsor:S&S Security Services

Designated Driver Sponsor:Westbay Auto Parts

Green Sponsors:Blue Water Koi and Outdoor LivingComfort KeepersFarmers Insurance Group – The Brewton-Hight AgencyFred Meyer of Port OrchardHall & West, PS Attorneys at LawLaw Offices of Greg S. MemovichOlympic Anesthesia Services, Inc.Oxford Suites - SilverdalePlaza Barber ShopRon Wright & Associates/Architects, P.S.Seitel Systems, LLCSpaeth Transfer, Inc.Sullivan Heating and CoolingTacoma/Valley Radiation Oncology Centers

Thank You!

Kitsap Bank honored for their continued Title Sponsorship of the Golf Classic

SAVE THE DATE!August 8th, 2012

KMHS Golf Classic!

We set the goal for this year’s KMHS charity golf tournament to net $40,000 – you met that and exceeded it! Together we raised $40,845.74 in proceeds to benefit KMHS client services! We thank you for your continued support and your generous hearts in support-ing our work.

You did it! 2011

Golf Tournament Committee

Rich Peterson, Chair

Pete Douvis

Wayne Evans

Mark Grimm

Loren Johnson

Bryan McConaughy

Joe Roszak

Reinhold Schuetz

Larry Tuke

Brian P. Wicks, M.D.

© K

MH

S

4

Older Adults Supported Via Nursing Home Liaison Program

KMHS’ specialized Nursing Home Liaison Team helps long-term care residents maintain a successful placement in their facility of residence. The team provides consultation to staff and residents of six nursing homes in Kitsap County. Through a separate contract with the Area Agency on Aging, approximately 100 elderly residents of Kitsap County who would otherwise not qualify for any mental health services receive counseling services in their own homes. Through an additional contract with DSHS, clients living in adult family homes who are at risk for eviction due to their behaviors are assisted by Older Adult Services staff to find strategies that will help clients avoid eviction and hospitalization and maintain their place of residence.

“These three programs, in addition to the regular outpatient services, provide critical supports needed to help elders with mental illnesses age in place at the level of care they need,” says Older Adult Services Team Leader Denise Hughes, MSN, RN. Denise and her team are among an elite group of geriatric mental health specialists in the community which provide consultative services to professionals, and direct services to over 500 older adults each year.

Rehabilitation Grant Supports Decent, Affordable Housing

Community Support Makes Special Projects Possible

5

© K

MH

S

Meeting Kids Where They Are

Child & Family Teams serve children 0 – 17 through Home Based Services, Community Support, Intensive Services Foster Care programs, Madrona Day Treatment School and the Youth Inpatient Unit. Teams provide services at KMHS, at home, school, and in the community.

Stories of restored lives abound…

A case aide reports a •young man sees her in the grocery store and proudly announces “I know you, you helped me when I was nine. I’m better now, my uncle’s family adopted me, and my life is good now. When I saw you, I just wanted to say thank you and let you know I’m doing OK.”

A grown man knocks on the •door to the Youth Inpatient Unit, to say hello to the staff and let them know how he transitioned into adulthood, had a successful stint in the military, and now on return wants to give back by volunteering his service.

One student attending •Madrona Day Treatment School Program was experiencing overwhelming mental, emotional and social needs. Together the Madrona and Youth Inpatient Unit staff worked to gain trust of both child and mother, allowing this young student to move into a foster home where he has made positive strides.

Stable housing is a critical key to success for persons with chronic, severe mental illnesses, and for this reason, KMHS seeks to ensure clients in need of housing supports to live successfully in the community can do so. The Kitsap Regional Coordinating Council announced it will fund rehabilitation of 12 KMHS owned houses that provide residences for 36 KMHS clients. City of Bremerton Community Development Block Grant “HOME” funds were awarded in the amount of $451,000 following extensive review of grant applications by a diligent Citizen Advisory Board. Renovations will begin in 2012 and are anticipated to be completed by fall.

Community Reintegration: Employment is Key

KMHS’ Employment Services work program is now providing contracted towel service to the new Haselwood Family YMCA in Silverdale. A cooperative agreement between the two non-profits helps employ people with chronic mental illness and is an offshoot of the towel service provided to the Kitsap Family YMCA on a contractual basis since 1998. Between the two locations over 3,000 towels were delivered in June. This client work opportunity was made possible by Kitsap Bank’s original donation for laundry equipment some twenty years ago, and, more recently, by a grant from the Boeing Employees Community Fund of Puget Sound for purchase of additional equipment.

Ross Morgan, KMHS Employment Specialist and manager for the KMHS Laundry Program.

KMHS Housing Program

Kitsap Mental Health ServicesQuality Mental Health Care for our Community

5455 Almira Dr. NEBremerton, WA 98311 Address Service Requested

Non-Profit OrganizationU.S. Postage

PAIDOlympic Presort

Our Mission:To shape the future of mental health through state of the science service delivery, community partnerships and advocacy.

Marge Thorne, Volunteer of the Year Gifts KMHS

For more than four decades, longstanding Crisis Clinic volunteer Marge Thorne has gifted KMHS with her vision, wisdom, and presence. This fall, she also generously gifted KMHS with a $25,000 grant she received as a recipient of the Bainbridge Community Foundation’s C. Keith Birkenfeld 2011 Volunteer of the Year Award. Marge received the award in recognition of her lifetime of service to the Kitsap community, having contributed countless hours of leadership and service to a host of organizations.

KMHS is indebted to Marge for naming KMHS as the charitable organization of her choice for this generous gift, an incredible gift which will help support the work she knows firsthand makes a difference in the lives of many.

KMHS Board President Bruce Harlow, Marge Thorne, and Executive Director Joe Roszak

CRISIS CLINIC SAVES LIVES, 211 OFFERS SUPPORT

With Crisis Clinic Supervisor Kelly Schwab at the helm, 25 well-trained volunteers respond 24/7 to calls from the community. For people in need of critical mental health assistance, KMHS Crisis Response Team Designated Mental Health Professionals are called upon for their aid. Callers seeking local resources phone 211.

This year 20,518 people called the Crisis Clinic or 211!Top 10 Reasons for Calling

Mental Health1. Lonely2. Emergency Shelter3. Stress4. Suicide Related5. Utilities6. Relationship Issues7. Interpersonal Conflict8. Rent/Mortgage9. Dental10. Crisis Clinic of the Peninsulas 360-479-3033 or 1-800-843-4793

Interested in Volunteering for the Crisis Line or 211? Call (360) 415-5876

Kitsap Mental Health Services (KMHS) is a non-profit community mental health center providing inpatient and outpatient programs and services to children, families, adults and seniors. As a recipient of Federal financial assistance, KMHS does not discriminate against any person on the basis of gender, race, color, creed, religion, national origin, sexual orientation, disability or age in admission to, participation in, or receipt of the services under any of its programs and activities, whether carried out by KMHS directly or though a contractor or any other entity with which KMHS arranges to carry out its programs and activities.

© K

MH

S