ANNUAL REPORT 2018·2019

Promoting Healthier Lives, Stronger Families, and Safer Communities

INSIDE THIS REPORT

Board Chair’s Message ...... 2 President and CEO’s Message...... 3 Our Mission... Program Operations and Service Area...... 4 Coastal Horizons Center provides a Substance Use, Mental Health and Care Integration Services..... 5 - 15 continuum of professional services Outpatient Treatment ...... 6 - 12 to promote healthier lives, stronger families, and safer communities. Prevention and Outdoor Adventure ...... 13 - 15 Health and Integrated Care...... 16 - 18 Open House Emergency Youth Shelter ...... 19 - 20 Rape Crisis Center ...... 21 - 22 Criminal Justice Services...... 23 - 29 Re-Entry Systems of Effective Treatment (RESET)...... 23 Recidivism Reduction Services (RRS) ...... 23-25 Our Children’s Place...... 24 - 25 Regions I and II Regional Coordinating Entities (RCEs) ...... 26 - 28 NC TASC Training Institute ...... 29 Quality Improvement and Corporate Compliance ...... 30 - 31 External Operations ...... 32 Human Resources...... 33 Financial Report...... 34 Development ...... 35 Contributors ...... 36 - 40

A. Farah Boyce Foy, Editor-In-Chief 1

BOARD CHAIR’S MESSAGE

On behalf of the Officers and Board of Coastal Horizons Center has had in recent years. leadership, dedication and counsel to me and Trustees of Coastal Horizons Center, Inc., I can tell you that this growth has been rapid to this incredible organization. Your willingness it is a privilege to present the Fiscal-Year 2018- but incredibly strategic. All while maintaining to serve and to provide leadership through this 2019 Annual Report. the vision and mission of the corporation and continuing dynamic and divergent period of continuing to strategically position Coastal mental health reform in North Carolina is not only While the past year certainly brought Horizons as a major provider for behavioral vital, but critically needed. It will always be one unexpected challenges, primarily due to health services in Eastern North Carolina and of my life’s greatest pleasures to have served Hurricane Florence, I am proud that the criminal justice services throughout North these past three terms as your Chair. management and staff were able to bring the Carolina. results you see in this report. I remain in awe Again, I also speak for the entire Board of of all that the Coastal Horizons team did to On behalf of the Board of Trustees, we would Trustees when I say we are continually in overcome so much this past year. Many of the like to acknowledge the individuals, foundations, awe of the passion, dedication and sustained staff remained steadfast in their commitment grant providers and government agencies that professionalism of the entire Coastal Horizons even while facing damage and devastation have provided funding to Coastal Horizons Center Staff. And, especially, the dedicated and 2018-2019 personally. The stories are endless showing the Center. Your support and heartfelt investments inspiring leadership provided by President and compassion and dedication to those we serve. have enabled the organization to continue to CEO Margaret Weller-Stargell. We thank you! It BOARD OF TRUSTEES A “Thank You” on behalf of the board seems like assist some of the most vulnerable and valuable has been an honor to serve as your Chairman of Jimmy Hopkins much too little in expressing our gratitude. members of our community. the Board of Trustees. Chair That same advocacy and unyielding support for I would also like to express my sincere Andy Jones the patients and clients we serve is exceedingly appreciation to my fellow Trustees who work In your service, Vice Chair evident in the pages that follow. What is also tirelessly to support the work of this incredible evident is the amount of continued growth that organization. I thank each of you for your Drew Sheaffer Secretary Jimmy Hopkins 2018-19 Chair, Board of Trustees Candace Miller Treasurer Margaret Weller-Stargell President & CEO

Angela Ballentine, PhD Chief Chris Blue • Thomas Brown Steve DeBiasi • Kelley Evans, PhD Holly Grange • Colin Hackman Brad Hudson • Jennifer Pagliei, MD Connie Parker • Thomas Potratz Nancy Scott-Finan • Keith Strawn Ryan Skuce • Elle Woods

2

PRESIDENT AND CEO’S MESSAGE

Coastal Horizons Center, Inc., a nationally and impassioned board and staff remind us that our financial goals, while maintaining strong accredited, non-profit corporation, continues we will persevere and remain strong and viable program operations to meet the needs of our to be an amazing organization, providing through it all. clients. I want to say a special thank you to services in over half of the one hundred counties Jenifer Burns, Controller, as she did an amazing Coastal Horizons Center’s Annual Report is in North Carolina. From program expansions job leading the Finance Department in an interim intended to be a resource to highlight the past to adjustments in funding, we continue to period, which included overseeing the year end fiscal year and provide a glimpse of what is persevere with absolute resolve to do whatever audit for Fiscal Year 2018-2019. ahead. In the following pages, you will see those is needed to ensure we fulfill our mission in highlights and better understand how Coastal As always, I am enormously proud of our providing a continuum of professional services Horizons is moving forward in our industry, yet incredible staff. Our greatest resource is and to promote healthier lives, stronger families, and I would like to focus this letter on the gratitude will always be our human resource, the staff safer communities. I have in working with such an incredible group who work tirelessly and with diligence to meet I am very pleased to say that Fiscal Year 2018- of people. the needs of every client walking in our doors. 2019 ended in the positive, in spite of the As a leading provider in our industry, Coastal Strong board leadership and a commitment challenges we faced, ranging from industry shifts Horizons can always be counted on to address embark upon a major milestone of 50 years in to collaborative strategies are key indicators to a natural disaster. During times of continued the multitude of needs under our umbrella. operation, I have no doubt we will continue to of a successful organization. Our board has uncertainty about funding in our industry, we Whether it is in responding to the growing provide a continuum of quality and professional not wavered in their commitment to Coastal are finding ways to move forward while meeting behavioral health and primary care needs in care, promoting healthier lives, stronger families, Horizons. They not only have committed their our strategic goals. It is in properly managing, our community, such as addressing the needs and safer communities. I am personally very time and expertise to board governance matters, forecasting and evaluating our financial stability, of an adult dealing with opioid dependence, a thankful for the amazing staff and board I have they too have committed their investment of while firmly maintaining our philosophical counselor responding to a sexual assault call the distinct pleasure of working with every day, time and resources to all of our fundraising approach to operations, and continuously at the hospital, a child in need of safe shelter and we can all be thankful Coastal Horizons endeavors and support of program operations. strengthening our core business practices, and/or psychiatric services, or providing care Center is here! Whether providing dinner to our Open House that we can say without question that Coastal management to an individual recently released youth or giving us invaluable input on our Horizons remains on a successful course. from incarceration, Coastal Horizons is a first finances, we have an incredible board of responder. As we continue to increase our Margaret Weller-Stargell Let us not forget that Fiscal Year 2018-2019 strength and fortitude. I would like to say a geographic presence and footprint, expand our President and CEO began with a major hurricane that impacted the special thank you to our outgoing Board Chair, program operations, and manage the ongoing lives of many of our staff and clients. Hurricane Jimmy Hopkins. His passion and enthusiasm for changes with Medicaid transformation, our Florence disrupted operations and forced us assisting those in need is greatly and forever dedicated staff will always push forward, and to be closed for a record number of days. Our appreciated. for that reason among many others, I am very staff pulled together quickly to restore us to During the past fiscal year, we bolstered our thankful to and for our amazing staff! safe and normal operations and reached out to already stellar management team, as we help neighboring communities recover along Coastal Horizons Center has grown and welcomed a new Chief Financial Officer, Bill Van with us. This horrific storm reminded us that delivered innumerable life changing and Lew. Bill joins a great team of managers who natural disasters pose increasing risk with their lifesaving services to individuals and their understand and work daily to ensure we meet frequency and ferocity, yet our very formidable families in the communities we serve. As we

3 COASTAL HORIZONS CENTER PROGRAM OPERATIONS AND SERVICE AREA

Board of Trustees

President & CEO Administration

Substance Use, Mental Health & Crisis Intervention Services Integrated Care Services Open House Youth Shelter Prevention & Outdoor Adventure Rape Crisis Center Substance Use, Mental Health & Integrated Mobilizing communities to prevent, reduce, or delay use of alcohol, tobacco, and other drugs Care Services Utilizing Best Practice Prevention Strategies and Programs Crisis Intervention Services proven effective Criminal Justice Services Community Based Family Services Challenge Course TASC (Treatment Accountability for Safer Communities) TASC Outpatient & Community-based Treatment DES (Drug Education School) NC TASC Training Institute Substance Use and Mental Health Services OCP (Our Children’s Place) Individual, Group, & Family Counseling RRS (Recidivism Reduction Services) Intensive Outpatient Program (SAIOP) RESET (Re-Entry Systems for Effective Treatment) Crisis Intervention Services Comprehensive Outpatient Treatment (SACOT) Community Based Family Services Jail Diversion Program DWI Assessments & a full array of DWI Services TASC Clinica Latina TASC Statewide Training NC TASC Training Institute Psychiatric Evaluation & Care HARRTS Program – Integrated model with recovery homes Institute Community Based Family Services HUD Horizons Housing Program Training & Curriculum Development Adult Treatment for Opioid Dependence Creative & Technical Development TASC Medication Assisted Treatment Credentialing Department NC TASC Training Institute Licensed Opioid Treatment Program (New Hanover) DWI Training & Consultation Services Office Based Opioid Treatment Quick Response Team (QRT) TASC Research & Internship Partnerships NC TASC Training Institute Child and Adolescent Services Program for Adjudicated Youth & their Families Intensive In-Home services (In 7 counties) TASC Intensive Family Preservation Services (in 27 counties) NC TASC Training Institute Day Treatment (in 3 counties) CHILD FIRST Incredible Years – Parenting program Community Based Family Services Adolescent specific treatment NC TASC Training Institute Child Mental Health Therapy Services Health & Integrated Care HIV Early Intervention & Community Outreach NC TASC Training Institute Education, Medical Diagnostic Testing & Referrals HIV & Early Intervention Support Group Safe Syringe Exchange (SSE) Peer Support & Medical Care Management Hospital Care Integration – partnership with NHRMC Integrated Primary Care Clinics Horizons Health for Adults WHAT - Wilmington Health Access for Teens School-Based Health Centers 4 Telehealth SUBSTANCE USE, MENTAL HEALTH AND CARE INTEGRATION SERVICES

The Substance Use, Mental Health & Care Q HUD Horizons Housing Program Integration Services of CHC provides a Q Hospital Care Integration – services based continuum of prevention, outpatient treatment, at NHRMC Emergency Department and health-related services to individuals in the Q Jail Diversion Program eastern region of North Carolina – with primary Q Community Based Youth Services emphasis being in New Hanover, Pender, & Q Programs for Youth & their Families Brunswick counties. Q Intensive In-Home services Q Intensive Family Preservation Services Outpatient Treatment Q CHILD FIRST services for Young Children Q Adult Outpatient Treatment Services & their Families Q Individual, Group, & Family Counseling for Q Day Treatment services those with Substance Use and/or Mental Q Incredible Years Q HIV & Early Intervention Support Group NEW INITIATIVES for 2019-2020: Health Disorders Q Regional Juvenile Detention Center Q Safe Syringe Exchange Q Craven County – ASPIRE Day Treatment Q Auxiliary Medical & Psychiatric Services Q Child Mental Health Therapy Services Program Q Co-located behavioral health services at Prevention & Outdoor Adventure Q Outpatient Individual and Family Therapy Q Bladen County Child, Adolescent, and Family primary care facilities Q Mobilizing communities to prevent, reduce, for children and youth with behavioral Services: Q Substance Abuse Intensive Outpatient or delay use of alcohol, tobacco, and other health disorders Q Adolescent programming included Program (SAIOP) – structured group, drugs Q Medical and Psychiatric Services Aggression Replacement Training (ART), individual and family addiction treatment Q Utilizing Best Practice Strategies and Q School-based behavioral health services a 12-week program, was offered in3 activities (New Hanover, Brunswick & Programs proven effective in delivering Q Research & Internship Partnerships Bladen County Middle schools this year Pender) quality outcomes and served 51 students funded by a JCPC Q Substance Abuse Comprehensive Horizons Health & Integrated Care Services Q Challenge Course Grant. Outpatient Treatment (SACOT) – a higher Q Primary Care Clinics – “WHAT” (Wilmington Q School-based outpatient services were level structured addiction treatment Health Access for Teens) & “Horizons Health” Our three largest Outpatient Treatment offered to Bladen County schools that intervention model (Brunswick & Pender) Q “Medical Home” services – team-based facilities are in the following locations: was funded by the Community Partners Q DWI Assessments & a full array of DWI approach, with health coaching New Hanover County Grant Program through North Carolina Services Q Services ranging from physical exams to 615 Shipyard Blvd • Wilmington, NC 28412 Department of Public Instruction. The goals Q Clinica Latina – Specialized Outpatient treatment of acute and chronic illnesses, (910) 343-0145 are to increase school safety by providing Services in Spanish health education, and linkage to specialty Pender County evidence-based and evidence-informed Q Medication Assisted Treatment for Opioid Use care 803 S Walker St • Burgaw, NC 28425 crisis services and training to help students Disorders Q School-Based Health Centers at several area (910) 259-0668 develop healthy responses to trauma Q Opioid Treatment Program (New Hanover high schools and stress. This program served over 40 – Methadone & Buprenorphine) Q HIV and Hepatitis Outreach, Testing, and Brunswick County students during the school year. Q Office Based Buprenorphine (New Education 120 Coastal Horizons Dr • Shallotte, NC 28470 Q SACOT Pender County – Comprehensive Hanover, Pender and Brunswick) Q Continuum of Care – Peer Support, Care (910) 754-4515 Outpatient Treatment, a more intensive Q Adult Residential and Community Services Management & SAMHSA High Risk Treatment “step up” from SAIOP level of care service to Q Horizons Adult Regional Residential Initiatives prevent hospitalization. Treatment Services (HARRTS) Integrated Q HIV & Early Intervention Q Columbus County – Outpatient Treatment model of providing intensive treatment in Q Education, Diagnostic HIV Testing & Referrals services for Pregnant & Post-partum Women collaboration with a network of recovery in eastern NC (PPW) under a new grant. homes 5 SUBSTANCE USE, MENTAL HEALTH AND CARE INTEGRATION SERVICES OUTPATIENT TREATMENT

What Have Outpatient Treatment Services participating as members of multidisciplinary Outcomes – outcome surveys show that, after 12 Accomplished In The Past Year? teams to address the opioid epidemic, opioid months of treatment at Coastal Horizons Center We provide comprehensive, affordable overdoses, neonatal abstinence syndrome, in New Hanover… outpatient & community-based treatment for and endocarditis. Q For people with primary substance use adults, children and youth – including the Q In response to the opioid overdose crisis in disorders… integration of primary care for adults and youth! our community, Outpatient Treatment has Q Heroin use decreased from 43% in the increased distribution of Naloxone kits – 30 days prior to admission to 4% after 12 New Hanover County intramuscular, intranasal sprays, and auto- months of treatment. New Hanover Services & Accomplishments: injectors – to clients, family members, and Q Illicit opioid/opiate use decreased from Q New Hanover County transitioned into the trained overdose responders in the area. 18% prior to admission to 7% after 12 new fiscal year with over 1600 active patients Q Successfully building on community months. who receive treatment for mental health and/ partnerships with primary healthcare Q Use of any substance at all – including or substance use disorders. We are admitting, organizations, we continued relationships nicotine – decreased from 92% at 100 on average, of approximately new with both the hospital (NHRMC) HIV admission to 45% after 12 months. outpatient patients per month. Outpatient Clinic to provide co-located Q Unemployment dropped from 61% at Q Our Opioid Treatment Program increased our behavioral health counseling services to admission to 27% – more than half. 400 census to patients during this fiscal year. medical patients. Q At the end of one year of treatment, 95% We continued to build our buprenorphine/ Q We continued the Hospital Care Integration of patients – reported that the program naloxone (Suboxone) medication assisted Program, which locates a therapist and was helpful in improving their quality of life. treatment option within the Opioid Treatment peer support specialist in the Emergency 97% of patients reported that the program Program. We continue to admit most patients Department at NHRMC – to work helped to decrease their symptoms. The to the program within 24-48 hours of walking collaboratively to quickly link and engage great majority – 95% – reported that in the door. some of the most challenging patients into treatment at CHC increased their hope for Q Our Opioid Overdose Quick Response an array of outpatient behavioral health and the future and increased their control over 140 Team served over individuals, providing medical services at CHC. their own lives. Over one fourth said that over 1100 contacts, and engaging 78% of Q We partnered with Cape Fear Community the program was helpful in improving their overdose survivors in treatment and harm College to provide brief screening and education status, employment status, or reduction services. The City of Wilmington therapy services on campus, and to provide both. Homelessness decreased by half. awarded an extension of our our contract – targeted prevention initiatives. Q For people with primary mental health allowing us to continue to utilize special State Q Through our Child and Adolescent services, disorders: funding to reach opioid overdose survivors we continued to provide evidence-based Q Severity of symptoms decreased – and those close to them. treatment interventions. Staff utilize the Seven those who rated their symptoms at least 115 Q We provided treatment for patients by Challenges Model of therapy for treatment of “moderate” or “severe” dropped from 86% contract with Federal Probation and Parole. adolescents with substance use disorders, at admission to 56% after 12 months. Q We continued to provide DWI services and Parent-Child Interaction Therapy for Q Suicidal thoughts, suicide attempts and and had staff representation on both the treatment of young children with emotional intentional self-harming behaviors were all New Hanover County Drug Court and DWI and behavioral needs. Staff trained in Trauma- decreased to zero recent attempts, after Treatment Court teams. Focused Cognitive Behavioral Therapy 12 months. Q Outpatient Treatment staff participated continued use of this evidence-based model Q Employment nearly doubled – from 31% in various initiatives at the local hospital, in treatment services. to 64%. 6 Q For consumers with primary mental of 2.8 self-help groups in the past 30 days Clinica Latina Start, preschool programs, local pediatricians, health disorders, 100% reported that at the beginning of SAIOP to attending an We completed our 10th successful year of judicial system, Carousel Center, and the program’s services were helpful in average of 19 self-help groups in the past 30 “Clinica Latina” services – providing treatment domestic violence shelters. improving their quality of life, decreasing days at the end of SAIOP. services in Spanish and in a culturally Q Through the use of evidence based their symptoms, increasing hope for the comfortable setting for Latinos and their families. therapeutic approaches, Clinica Latina has Substance Abuse Comprehensive Outpatient future and increasing control over their Some of the highlights of these services include: been instrumental in preventing at least 23 Treatment (SACOT) own lives. Q Serving 223 new Spanish-speaking patients hospitalizations for children and adolescents SACOT is offered in the Brunswick County in this past year, bringing our grand total of referred by their schools during a crisis; Intensive Outpatient Program (SAIOP) office and has served9 patients over the past patients served since our opening in May, serving 146 children and adolescents often SAIOP is offered in our 3 office locations, in fiscal year. SACOT is offered5 days a week, for 2009 to 2,202 Spanish-speaking patients; we preventing out of home placements due to New Hanover, Pender, and Brunswick County. 4 hours each day for Medicaid patients only. documented 3,000 office visits this fiscal year mental health and behavioral problems. We have been able to serve up to 140 patients Coastal Horizons was awarded the Trillium resulting in an 81% improvement in symptoms at any given time, across our offices. SAIOP is contract to expand SACOT to the Pender County HARRTS of depression (PHQ-9) and anxiety (GAD-7) offered every Monday, Wednesday and Friday office, starting October 2019. The HARRTS program was developed as an reported by patients who completed pre and without exception (holidays included), for at least Q We continue to maintain 5 apartments as part innovative treatment approach to engage post screening measures. 12 weeks – and at times on other days as well. of our HUD Horizons Housing (HHH) Program. patients after either acute hospitalizations or Q Collaborating with NHRMC (hospital) as well We have reduced barriers and expanded inpatient treatment. We serve those individuals New Hanover offers10 separate sections of as Rape Crisis to provide services to victims access – to provide permanent supportive with primary substance use disorders as well as SAIOP and will be adding in another section of trauma. housing to individuals and families with any co-occurring mental health, medical and housing in the morning for the next fiscal year. New Q Collaborating with Department of Social behavioral health disorder who are struggling issues – linking them with a local network of Hanover offers 4 different time frames for SAIOP: Services in Brunswick, New Hanover, and with chronic homelessness. recovery homes. 6 am, 9 am, 4pm, and 6 pm. Our Pender and Pender county, with County Schools, Smart Q Outpatient Treatment was in full compliance Brunswick locations offer two sections of SAIOP, on the annual Federal/State Block Grant one in the morning and one in the evening. Audit, with no corrections needed. Our SAIOP program has been able to provide Q In honor of a treasured staff member, Ruthie wrap-around services, to include transportation Trammel, who passed away in 2014 after a incentives, peer support assistance, and valiant battle against cancer, we honored coordination with community resources. one staff member as our fourth annual Ruthie Outcomes: Trammel Award recipient. This staff member Q SAIOP outcomes show an overall decrease was selected based on their dedication, in substance use during SAIOP. At the end of passion, and hope that they instill in others SAIOP, 95% of patients reported that they had every day. Staff recognized New Hanover been abstinent from alcohol and drug use in Outpatient Therapist Caitlin Garner as this the last 30 days. year’s Ruthie Trammel Award recipient. Q Patient satisfaction in recovery increased from Q With a grant from United Way of the Lower 0-36 sessions, from 6.6 to 7, on a 1-10 scale, Cape Fear, as part of the Cape Fear Health 1 being with being very weak, and 10 being Net, we were able to continue providing very strong. Patient attendance to recovery- primary care services to high risk, under- related support groups in the past 30 days funded populations. increased as well, from attending an average 7 (continued from last page) OUTPATIENT TREATMENT

HARRTS services include: referrals; New Hanover Regional Medical Q ED charges dropped 68.6% and IP Pender County Q Substance Abuse Intensive Outpatient Center/ Behavioral Health & Emergency charges dropped 79.5%. Overall these Pender County services have been operated by Treatment. Department; Wilmington Treatment Center; patients, in roughly 2-4 months, ran up Coastal Horizons since 2006! Q Individual Counseling & Psychiatric Walter B Jones ADATC; RHA/ Harbor Facility $162,372 less in charges (and, remember, Pender Services & Accomplishments: Evaluations / On-going Care. Based Crisis, PORT Human Services Facility this is basically less than a quarter of a FY), Q Residential placements through local Based Crisis; Dix Crisis Intervention Services, with average savings, on a cost basis, of Q Pender County transitioned into the new 1,285 recovery houses in the Wilmington area. local outpatient providers; Department of $3,026 per patient (which annualizes to fiscal year with active patients who Q Case Management for coordinated access Corrections; and other referral agencies more than $12k per patient). receive treatment for mental health and/ to community services such as DSS for food across the Eastern Region of the state. or substance use disorders. We continue to provide individual, group, family and couples stamps and Medicaid; medical care through Q With some changes to our Partner Network, our on-site Primary Care / Health services we have been able to increase the number counseling, and psychiatric medication and assistance connecting to Cape Fear of Recovery House beds for patients on MAT/ management, for all ages, and specialized Health Net; clothing; Vocational Rehabilitation; Medication Assisted Therapy. support groups. prescription assistance. Regular transition Q During the fiscal year July 2018 to June planning sessions throughout the program 2019, we received 300 referrals from for a smoother transition to community living. numerous sources this year with a total of Case management also provides access to 142 admissions. During the last quarter of emergency needs such as food pantries and this fiscal year, we have tracked completion toiletries. percentages as well as overall length of stay Q Purchase of some psychotropic and other in the program. Our overall completion rate medications, and connection to prescription continues at 50% for the entire fiscal year. assistance programs to assure medical and For that population, the average length of mental health stability. stay was 112 days. We provided over 16,000 Q Provide transportation to and from treatment hours of services across the year including and bus tickets to assist in accessing SAIOP, intake, case management, counseling, community resources. psychiatric services, and residential services. Q Enrollment with Cape Fear Community We continue to track graduates from the College for Back to Work Boot Camp. program through recovery houses, ongoing treatment services, and direct contact with Accomplishments: graduates. One graduate with over 5 years of Q Agreements with 4 Recovery House Partners sobriety is now the fulltime manager of one of for 6 recovery houses in the community to our Recovery House Partners. provide residential beds - Hope House of Q Recent hospital data showed the following Wilmington- Men’s House & MAT, LINC- Coed analysis of the effectiveness of HARRTS Re-entry facility, Launch Pad-Men’s House, services in terms of reducing unnecessary and Wilmington Recovery- Men and Women’s hospitalizations and cost savings: Houses. Q ED visits dropped 56% (23 to 10), IP Q We have continued to work closely with (inpatient) visits dropped 75% (4 to 1) agencies throughout the Eastern Region for and the 30-day readmit rate was 0.0%.

8 Percentage of Clients Using Substances 2018-2019 100 Using Substance at Admission Using Substance after 12 months 80

60

Q Coastal Horizons has maintained an active PATH leadership, the Pender County Health Brunswick County 40 partnership with Pender County Schools to Department and Pender County School Brunswick Services & Accomplishments: 20 offer school-based outpatient counseling Administration, to provide the most efficient Brunswick County services will complete our

across the county and we have expanded to and clinically effective integrated care. 10th year in operation in 2019 and we look 0 Heroin Use Illicit Opioid Use Any Substance Use providing this service in all Pender County Q Our Substance Abuse Intensive Outpatient forward to our 10th Anniversary Celebration of Schools this year. Treatment Program (SAIOP) program our Brunswick Outpatient building in May of Q Coastal Horizons has continued our emphasizes a ‘wraparound service’ approach 2020. partnership with Pender Alliance for through a person-centered care model and Q During 2017-18 the Brunswick Office added a Teen Health (PATH) as their behavioral careful coordination with key community This year Coastal Horizons expanded the site to Peer Support Specialist (PSS), who helps to health provider in a joint initiative to offer stakeholders. Peer Support services provide meet the growing need for additional services increase patient engagement in services and integrated behavioral and medical health increased access and supports people may and clinical staff. We did so by remodeling our reaches individuals in the county jails and at 2 care to students in clinics located at their need in the community. During this past facility to add additional offices for counseling New Hope Clinic weekly. schools. We continue to work closely with fiscal year, the Pender SAIOP program has staff and to accommodate the new Substance Q We continue to implement contracts with served over 150 patients with a consistently Abuse Comprehensive Outpatient Treatment Brunswick County DSS, Federal Probation, increasing overall SAIOP group census. (SACOT) service for those who are struggling the and Brunswick DHHS. most in their journey from addiction to recovery. Q In response to the opioid crisis in Pender and Child, Adolescent, and Family Services: surrounding Counties, the Pender office has Q Brunswick County completed last fiscal 1,516 Q Adolescent programming included continued to provide an Office Based Opioid year with active patients who receive treatment for mental health and/or substance Aggression Replacement Training (ART), a Treatment (OBOT) program prescribing 6 use disorders. 10-week program, was offered in Brunswick Buprenorphine as an additional treatment County Middle schools this year and 4 option for individuals struggling with opioid Adult Services: Bladen County Middle schools and served addiction. During the past fiscal year, we Q Office Based Buprenorphine (OBOT) 52 students in Brunswick and 61 students in 80 provided this support to over people. Treatment for opioid dependent patients Bladen Counties funded by JCPC. Q Pender has doubled the amount of maintained an average caseload of 70-80 Q Child and adolescent individual and family psychiatric provider time to increase our patients in Brunswick County. therapy was offered to Brunswick County timely admission for all new patients within Q Staff participated in the Brunswick County children. seven days. Drug Court, Mental Health Court and Alcohol Q We have completed our Fourth full year as Q The Juvenile Crime Prevention Council Intervention Court staff meetings, and has the sole provider of In- School Therapy in all (JCPC) has continued to fund the program, been actively involved in providing treatment 19 Brunswick county schools and recently “Solving Conflicts,” utilizing the evidence- services for them. Coastal Horizons staff are began serving 7 schools in Columbus County. based Aggression Replacement Training also involved in case management services in Over 2,000 hours of individual therapy and (ART) model, allowing diversion through a these courts through a SAMSHA grant which 200 hours of group sessions were provided treatment for youth in the juvenile justice began in December 2015. These staff also do through the Brunswick School’s In-School system. Through collaboration with the case management for two other courts. Therapy program, which served 102 school Communities in Schools after school program, Q During 2017-18 the Brunswick Office provided children at school sites. we were able to continue to provide this continued increasing access for the onsite Q Our Multipurpose Room continues to serve service, even with the struggles after Needle Exchange Program, HIV and HCV as the site for weekly Families Anonymous Hurricane Florence, in the schools during this (Hepatitis C) rapid testing and treatment meetings, open to the community. 14 past school year. We served youth through referrals, and educational programs. this program. 9 (continued from last page) OUTPATIENT TREATMENT

The Incredible Years Intensive In-Home (IIH) Services Q We have also grown in our coordination The Incredible Years is a grant funded parent Intensive In-Home of Coastal Horizons offers with hospitals and IDD providers to grasp a education program that focuses on building behavioral health treatment to stabilize youth better understanding of the medically fragile and strengthening relationships between who are at risk of out-of-home placement. and IDD (Individuals with Developmental caregivers and children through the use of Utilizing a team approach, we offer intensive, Disabilities) population and their specific positive parenting strategies. The Incredible comprehensive, and integrated treatment in the needs. Years is funded by the Children’s Trust Fund of home and community through individual and Q Coastal Horizons offers services utilizing North Carolina. We partner with Prevent Child family therapy, case management, and crisis nationally and state rostered Trauma-Focused Abuse North Carolina to help provide safe response. CBT (Cognitive Behavioral Therapy) clinicians environments and families for children in our Q Coastal Horizons Intensive In-Home services and utilizes the Seven Challenges model to community. The Incredible Years program is continues to be the largest provider of IIH adolescents with substance use diagnoses. an evidenced based model with 30 years of in the area as we currently offer 24 teams Q Coastal Horizons offers IIH in Spanish in all research showing its efficacy. that serve New Hanover, Brunswick, Pender, seven counties that are currently served. Onslow, Duplin, Columbus, and Bladen The use of skills learned in The Incredible Intensive Family Preservation Services (IFPS) counties. This program served over 718 of Years helps decrease challenging behaviors Intensive Family Preservation Services include: the community’s most vulnerable families this Q In region 11, 82 families were served in a 10 at home, school, and in the community. The Crisis management, intensive case management, year. The program has maintained an 90% county region. This program has maintained program facilitates social connections and individual and/or family therapy, skills training, success rate of keeping youth in the home. At a 100% success rate for keeping families support between participants in the program. behavioral supports and other rehabilitative referral all youth were at-risk of displacement unified at case closure, and 100% at twelve- Additionally, to remove barriers to attendance supports. These services are provided in the based on their severe mental health and/or month follow-up - outpacing contractual and participation, transportation assistance, free home with the family as well as within the substance use needs. benchmarks as well as national standards. In childcare, and dinner for the family is provided community, to prevent the need for out-of-home Q We offer a system of care approach by all regions, the teams served the mandated weekly. There is also a monetary incentive for placements, prevent further abuse and neglect, coordinating treatment efforts with Social number of families. caregivers who complete the 16-week program and enhance social development. Services, Juvenile Justice, residential Q Coastal Horizons served 27 counties with successfully. Coastal Horizons Incredible Years Q This past year, Intensive Family Preservation placements, acute hospitals, schools, primary IFPS across North Carolina. IFPS coverage operates in Pender and New Hanover Counties Services (IFPS) served 3 regions and 276 care physicians, and other community includes serving all of Regions 7, 9, and 11: and has been operating since 2016. families. partners. Anson, Beaufort, Bladen, Brunswick, Carteret, Q This fiscal year, 32 caregivers and 74 children Q In Region 7, 85 families were served in a 9 Craven, Columbus, Cumberland, Duplin, successfully completed The Incredible Years county region. This program has maintained Greene, Harnett, Hoke, Hyde, Jones, Lee, program. a 100% success rate for keeping families Lenoir, Montgomery, Moore, New Hanover, Q Upon completion of the program, 96% of IIH Discharge Summary unified at case closure, and 85.6% at twelve- 2018-2019 Onslow, Pamlico, Pender, Pitt, Richmond, participants reported an increase in the month follow-up – outpacing contractual 10% Robeson, Sampson, and Scotland Counties. use of positive parenting skills, 96% of benchmarks as well as national standards. Discharges to Q Coastal Horizons has had one IFPS staff participants reported a decrease in the use PRTF / TFC / Q In Region 9, 109 families were served in an 8 Level III become one of only fifteen worldwide of inconsistent discipline, 60% reported an county region. This program has maintained trainers for the NCFAS Assessment Tool that increase in the use of clear expectations a 100% success rate for keeping families is used in services delivery with IFPS services. in the home, and 100% of participants unified at case closure, and 91% at twelve- 90% Coastal Horizons has had a total of eight IFPS reported a decrease in challenging behaviors Discharges to month follow-up - outpacing contractual Community/ staff trained in Level 3 Primary Care “Triple P” exhibited by their children. Outpatient benchmarks as well as national standards. that are providing these parenting services for IFPS cases. 10 Q This program has been selected as a part of showcased continued growth and development. Q Of the total number of children with baseline a pilot continuum of care that shows promise In January 2019, the program expanded once problems in communication, social skills with working with this population and was again by adding two new Child First teams and and behaviors, 79% showed an all-time presented to key local and state stakeholders 3rd Clinical Supervisor to support the existing improvement in communication skills, 88% for potential replication. catchment area and expand service availability showed an all-time improved with social Q Typical success not only involves reduction to children and families. This brings the program functioning and 72% showed an overall in reoffending but also improvement to 12 total Child First teams across New Hanover, reduction in problem behaviors. in employment status, educational Pender, Brunswick and Columbus counties. Our Q In the last year, 78% of caregivers advancement, increased involvement Child First program is honored by continued experiencing depression at baseline in the community and improved family recognition from Trillium Health Resources displayed a reduction in depressive cohesiveness. and the National Program Office at Child First symptoms and improvement in functioning by as a leading service provider in the Child First discharge. 88% of primary caregivers showed Child First affiliate network. Within the Child First program, a reduction in parent stress as evidenced by Child First is a nationally recognized, evidenced- standardized and validated assessment the Parent Stress Index-4. based, infant and young child mental health measures are administered with children and Q Over 95% of children served in the last fiscal treatment and prevention program that uses a Alternatives to Commitment: Intensive Family families at baseline, 6-months and discharge to year remained in a family setting during their stress and trauma focused approach to support Preservation Services track outcomes. episode of care. the highest risk families. Child First decreases Coastal Horizons provides Intensive Family stress within the home, increases child and Accomplishments & Outcomes As a result of meticulous dedication to collecting Preservation Services through additional funding family stability, facilitates the child and family’s Q As of this report, the Child First program data and providing Child First services with high from the Division of Juvenile Justice. Services connection to growth-promoting services is serving 147 families in New Hanover, fidelity to the model, our Child First program are provided in both Pender and New Hanover and community resources, and supports the Brunswick, Columbus and Pender counties, has been invited to participate in a Randomized County. The Alternatives to Commitment development of healthy, nurturing, protective and the program has served 253 families in Controlled Trial to substantiate effectiveness. program is designated for Juveniles returning relationships between children and their the last fiscal year (18/19). The program collaborated with local and from Youth Development Centers or other caregivers. Services are conducted in the Q This year, the program has sent our newest national partners to implement the trial, and roll- Mental Health facilities with a level II youth at- home setting with the child, parents, and/or group of clinicians to participate in the out began in May 2019. At the time of this report, risk identification. The IFPS specialist provides other primary caregivers. Any child from birth program’s 3rd Learning Collaborative in the program has enrolled 22 families in the support for the youth as well as his or her to five-and-a-half years, who has challenges Child Parent Psychotherapy. In addition, program and is on track to achieve total needed family to assure a safe and productive return. related to their emotional, social, and/or our second cohort has worked diligently enrollments for the study period. The program These youth are referred by court counselors. physical development, may be referred to the toward continued Learning Collaborative is grateful to contribute to the building research This grant was one of ten competitive grants Child First program. Children are also eligible objectives. In the coming fiscal year, these base for infant and young child mental health, awarded in the state to provide evidence-based for services if they have been exposed to a staff will join the rest of the Child First clinical as well as demonstrate the effectiveness of the services for the highest offending youth in a traumatic event(s), caregivers with mental illness, team as nationally recognized Child Parent Child First intervention. community. In 2018-2019 a total of 12 youth and substance use, domestic violence, chronic Psychotherapy providers. their families were served. poverty, incarceration, separation from primary Q The program continues to train Family Q Coastal Horizons worked with all youth caregivers, or other risk factors that would create Resource Partners in the Abecedarian returning from Youth Development Centers, chronic, toxic stress for the child and/or family. Approach, to support child development and initial data supports a significant and improved communication skills decrease in both re-offending and the level of The Child First program at Coastal Horizons through language enriched caregiving and severity of future offenses. has now been in place since July 2016 and has conversational reading.

11 (continued from last page) OUTPATIENT TREATMENT

programming. Staff have begun implementing into primary care services as well. Efforts in Zones of Regulation, an evidenced based increasing access to care through this program cognitive behavioral approach designed to were recognized when Coastal Horizons help students become more aware of and was awarded the Breaking Barriers through independent in controlling their emotions and Telehealth Award given by the Mid-Atlantic impulses, manage their sensory needs, and Telehealth Resource Center. Telehealth services improve their ability to problem solve conflicts. are now expanded throughout all Coastal Staff have also completed training in Cognitive Horizons outpatient locations, to eliminate any Behavioral Interventions for Trauma in Schools. geographical barriers patients have to getting necessary treatment. Telehealth services Despite serving children with significant mental serve not only children and adolescents, but and behavioral health issues, while at Lake adults for psychiatric evaluations, medication Forest 86% of students were treated in their management, and addiction medicine needs. home community and did not require emergency Through the obtainment of a grant provided psychiatric care such as assessment in the Day Treatment Accomplishments & Outcomes: from the U.S. Department of Agriculture, Coastal emergency department or placement in an acute The Day Treatment Program acts as part of a This year, Lake Forest Day Treatment served a Horizons has been tasked with providing office- psychiatric hospital. Of the young people who multidisciplinary team in conjunction with the total of 84 students, with a typical length of stay based, opioid treatment for an additional 125 have completed treatment during this year, 84% public school system to serve students whose in the program for 6-12 months. 16 students were patients in Pender County and Brunswick County were able to step down to lower level of care mental health or substance use symptoms are served at Elizabethtown Middle School, and 12 through telehealth services. Through the same, and return to a regular school setting. leading to serious disruption or withdrawal were served at Elizabethtown Primary School U.S. Department of Agriculture grant, Coastal and preventing them from participating in the during the 2018-2019 fiscal year. The over- Telehealth Horizons will provide primary care services to 275 educational environment. Students who have arching goal for all students is to learn skills and Coastal Horizons began a new initiative, in 2017, , unduplicated patients, in Pender County had prior interventions by both the school strategies to manage mental health symptoms offering psychiatric services to children and and Brunswick County, to expand on treating the and mental health providers that have not so they will be able to be succeed back in their adolescents in rural, under-served communities physical health needs of rurally located patients. ameliorated symptoms can be referred to Day community school. When school is in session, through telehealth technology. Beginning in late This will allow for more high-needs, at-risk Treatment. Day Treatment provides immediate mental September 2017, Psychiatric Nurse Practitioners individuals susceptible to opioid dependence, to health and behavioral support in the classroom and Physician Assistants were able to complete receive high-quality treatment without traditional Lake Forest Academy is run and maintained to reduce the impact of mental health symptoms psychiatric evaluations and medication geographical limitations. by New Hanover County Schools. Instruction on school performance and learning. Staffing management services to children and is provided by licensed New Hanover County is comprised of licensed therapists and direct adolescents enrolled in our Community Based school teachers. The program currently has service staff who are designated as Qualified Family Services Programs both in Jacksonville, one classroom for each grade starting in Mental Health Professionals. School and day NC and Elizabethtown, NC. With the success Kindergarten going through 8th grade. Class treatment staff work closely together to support of this pilot, services were expanded through sizes are small and typically average 8 students. students. partnership with the Department of Juvenile In this past year, Coastal Horizons has added Justice to offer the same telehealth services 2 day treatments in Bladen County, one at Day Treatment services are offered52 weeks to individuals at the Stonewall Jackson Youth Elizabethtown Primary School and the other at a year and when school is not in session, Day Detention Center in Concord, NC. In the Elizabethtown Middle School. Treatment staff continue to provide therapeutic upcoming year, telehealth services will expand

12 SUBSTANCE USE, MENTAL HEALTH AND CARE INTEGRATION SERVICES PREVENTION AND OUTDOOR ADVENTURE

Proven Strategies and Innovative Ideas Accomplishments: Prevention Services provide a wide range of Outdoor Adventure Best Practices and age appropriate, culturally relevant, and proven Programs effective programs and strategies. Programs, 587 participants were served through Outdoor such as our parenting education services are Adventure Programs including: designed to support families and promote Q 80 youth served in Elements Gang Task healthy choices while preventing problems Force Program through a partnership with the associated with alcohol, tobacco and other drug New Hanover County Sheriff’s Department. use. Community Strategies are chosen based Q 14 middle school students in the Project on needs identified through surveys, listening Venture program, a nationally recognized sessions and data. Many strategies are designed year-long Prevention Program focusing on to have the greatest impact on the largest skill building and service projects. number of people in a community by providing Prevention Proven Effective Programs support to existing systems. Our merchant Q 32 families were served with Parent Skill education program which supports merchants Building Programs such as Strengthening checking identification for tobacco and alcohol Families or Systematic Training for Effective purchases reduces underage access. This wide Parenting (STEP)/Teen. range of services make our community stronger and healthier. Education Outcomes: Prevention priorities have shifted from an Here is a sample of just some of our program individual direct service to a public health outcomes. population level service. Focus areas include Parent Programs strategic planning with community stakeholders, Q 90% of parents/caregivers referred to the policy education advocacy, community program successfully completed the program. mobilization and targeted media messaging. Q 100% of families completing the program This affects how numbers served are counted demonstrated improvements in target skills. and how outcomes are measured. Research has Q 100% of families completing the program shown this approach provides greater long-term demonstrated enhanced family functioning. impact with limited resources and funding. Outdoor Adventure programs offer an Youth Interventions 137 opportunity for participants to experience a Q youth received substance use dynamic learning environment that reinforces assessments at the Juvenile Detention communication, trust, teamwork, and decision- Center. 69 making skills. Best practice models and industry Q youth were referred to treatment standards are followed for these programs. and received Brief Challenges or Seven Challenges.

13 (continued from last page) PREVENTION AND OUTDOOR ADVENTURE

Strategies to Address Risk Factors Q Merchant Education on proper age initiatives involve mobilizing and training Q 29% fewer opioids dispensed in New Environmental and Policy Change: Compliance identification checks was provided to 291 volunteers to create grassroots level Hanover county in 2018 than in 2016, with or changes to laws, policies, and practices Retail Stores to support local merchants and solutions that fit. according to state data. help communities address the root causes of increase age identification checks for the Q A Youth Leadership Summit was held last Q Most prescribers surveyed also report problems such as teen tobacco use, underage purchase of alcohol and tobacco products. Spring to train and empower high school routinely talking to patients about safe drinking, impaired driving, and misuse or non- This prevents underage access to age students on creating positive community opioid use, safe storage and safe disposal. medical use of prescription drugs. Prevention restricted products. change through youth action. 35 teens Medication Lock Box and staff provide training and technical support to Q Coalition efforts with community partners and youth leaders representing 7 local Medication Disposal volunteers such as coalition members or teen and volunteers included initiatives such as counties attended an all-day summit leaving Home Medication Lock Boxes and Medication advocates. A coalition is not a program, it is a Alcohol Purchase Surveys to observe store with action plans to do good works in the Disposal Methods prevent unwanted medication community empowered strategy to mobilize compliance with age identification checks community. Examples of their youth led misuse and pilferage from persons without people around central issues that can create prior to purchase of alcohol; Community projects included a teen art contest, social permission. Over 768 home medication lock positive change and reduce risk factors for Event Scans to determine risk factors for media awareness, and community education boxes were distributed to community partners substance misuse. Coastal Horizons provides underage drinking at festivals and other initiatives. such as health departments, social services, fiscal support and technical assistance for public events; and Prevention Education Q Opioid Misuse Prevention initiatives targeting senior centers, community living complexes, coalitions in New Hanover, Brunswick and initiatives to encourage parents to monitor safe medication storage and disposal were recovery homes, and care coordinators. Over Pender Counties. alcohol access in the homes of families with conducted to impact home medication use, 100 medication disposal bags were distributed children. These community empowered community partnerships and healthcare to community partners such as end of life resource use including referrals to treatment. caregivers, home meal delivery, and burial/ While less than 1/3 of residents safely secure cremation services, serving people who may be and dispose of medications, community unable to drop off unused medications at drop surveys did find an increase in positive boxes or take back events. These strategies behavior. reduce the volume of unused medications Q 65% of residents surveyed say they have available for misuse by persons without a recently begun to take more interest prescription. in how they store and dispose of their medications. Community Awareness Campaigns 23% Q increase in residents safely disposing Q Public Service Educational Messages were of their medications through either delivered through shopping carts, ballparks, community drop-off events, permanent magazines, billboards, radio, and direct medication drop-boxes or medication home mailers on Locking Medications for disposal kits. Safety, Monitoring Alcohol and Not Providing 43% Q increase in residents safely securing to Youth, Parent/Child Communication medications in the home. and Prescription Take Back Events. Other 71% Q of prescribers surveyed now believe media messages include Website Blogs and they have adequate resources to make Facebook posts on alcohol and medication patient referrals for drug intervention and safety, access to services and national treatment. awareness campaigns. This broad format has a media reach of over 300,000 regional residents. 14 Special Initiatives Statewide & National Leadership Anger Management Program Q NC Substance Abuse Prevention Providers Due to increasing demand from courts, Association (NCSAPPA), Board of Directors, attorneys and Department of Social Services, Secretary and Legislative Advocacy Prevention Services developed a fee-based Committee program to meet this referral need. This 6-hour Q NC Substance Use Disorder Federation, program meets the requirements set by the Legislative Advocacy Committee referring agencies with focus topics such as; Q Addiction Professionals of NC (APNC) Board changing negative self-talk into positive self-talk, of Directors and Secretary identifying physical cues of anger, relaxation Q NC Association for the Treatment of Opioid exercises, resolving conflict appropriately, Dependence (NCATOD) - Chair appropriate communication skills and general Q American Association for the Treatment of wellness. 13 participants have enrolled in the Opioid Dependence (AATOD), Board program with a 100% completion rate. Follow up Q Statewide Integrated Care Steering support is available as needed. Committee, Member Q NC Opioid and Prescription Drug Abuse School Campus Initiatives Advisory Committee (OPDAAC), Member Secondary and Higher Education Campus Q NC Chapter of National Association of Social events to promote Safer Holiday Celebrations Workers, Board of Directors with festive non-alcoholic beverage events and Q NC Substance Abuse Professional Practice lower risk drinking guidelines; faculty training on Board (NCSAPPB) Regional Priorities drug trends and resources available; community (New Hanover, Brunswick & Pender) resource events for students and faculty. Root Cause Data collected includes Focus Groups, Surveys, Local/Regional Data and Interviews with Community Leaders All private, charter and public schools were surveyed to ensure secure medication storage on campus and locking cabinets were provided Low Perception Favorable Social Easy Access Parental Provision of Harm Norms to those without secure storage options. Community (At Home) (*Rite of Passage) (Disregard for (Conditions Behavioral Health Equity Risk Factors (Retail Sales/Events) (**Sharing Meds) Consequences) Promoting Use) Service Provider Training to increase service Underage Drinking* XXXX inclusivity and responsiveness for special needs in the community, including persons identifying Prescription Drug as LGBT+. Misuse & XXXX Non-Medical Use**

Tobacco X

Vaping & Electronic XXXX Cigarettes

15 HEALTH AND INTEGRATED CARE

Horizons Health Q Prescription Assistance Primary Care Integration Services Q Specialty referrals & Accomplishments Q Health Coaching Coastal Horizons was awarded funding via a Q Diabetes Education State grant (PIPBHC) to provide integrated, team Q Cholesterol Management based primary health care services over a 5-year Q Weight Management period. The goal of this grant is to promote Q Nutrition Workshops achievement of Advanced Medial Home, Tier Q Tobacco Recovery 3 status for Medicaid recipients. Additional Accomplishments: funding from Office of Rural Health and from Q Creating open walk in/ same day a partnership with New Hanover Regional appointments slots on Monday-Friday to Medical Center and the Duke Endowment improve access for our patients. has allowed us to provide health services to Q Implementing the Collaborative Care Model those uninsured individuals who do not meet to provide resources to integrate primary care the criteria for a grant, resulting in increased Nutritional counseling. and mental health/substance use. organizations and provides greater opportunities Q patient volume in terms of both visits and Q Treatment for acute and chronic conditions Q Reducing Emergency Department Services. for efficiencies in delivering primary medical wellness encounters. We offer a Self-Pay Fee (e.g., asthma, diabetes). Our data indicates that established patients and mental health care, along with preventative for Service schedule to assist non-CHC insured/ Laboratory tests. have a lower rate of emergency department services to adolescents and young adults in Q uninsured patients the opportunity to receive Alcohol and substance abuse screening and utilization compared to new patients. On New Hanover County and the surrounding area. Q medical and wellness services at a reduced counseling. average for the past year, approximately 19% WHAT remains the only integrated school- rate. We have also contracted with Dominion Screening and referral for dental and eye of new patients had an ED visit while only based health care provider in Wilmington, Q labs to provide low cost laboratory testing for exams. approximately 11% of established patients North Carolina exclusively for adolescents and our patients that would not be able to afford Chronic disease management (e.g., asthma, had an ED visit. ED utilization has consistently young adults, and continues to build strong, Q testing otherwise. To eliminate barriers for our diabetes). shown decreases since the inception of the collaborative relationships within the community, uninsured consumers to be eligible to receive Risk-reduction health education, outreach project. the region and statewide. Q Charity Care, we continue have an Enrollment & and prevention. Q Continuing our offering of excellent WHAT Services Eligibility Specialist from Cape Fear Health Net Q Referrals for non-medical services to ensure preventative primary care to the uninsured WHAT’s integrated, multi-disciplinary team of in the primary care clinic to provide assistance. optimal well-being. and underserved patients of Coastal Horizons providers offers a range of primary medical care, Funding was also awarded through a USDA Q Insurance eligibility and enrollment for from New Hanover Regional Medical Center, mental health, and prevention services – all Telemedicine grant to develop programs to Medicaid and other public health insurance United Way, and The Office of Rural Health under one roof – that is adolescent and family- expand telemedicine into Brunswick and Pender plans. funding. counties. centered. Q We are improving health outcomes and the School-based health care is widely considered Services are designed to meet the unique needs Horizons Health – Primary Care Services consumer experience with our open access, one of the most cost-effective strategies for of the adolescent and young adult population, Include: patient centered integrated care model. delivering integrated health care, including and include: Q Physical examinations mental health and prevention services, to Wilmington Health Access for Teens Q Wellness physicals for sports, school and Q Medical and Diagnostic Testing adolescents – an often hard-to-reach population On July 1, 2016 WHAT merged with Coastal employment. Q PAP Smears with many diverse health needs. Services are Horizons Center, Inc. to become WHAT of Q Vaccinations and immunizations. Q Preventive Medicine convenient – located on school campus – Coastal Horizons Center, Inc. The merger Q Mental health counseling. recognized a common mission of both affordable and confidential, minimizing many of 16 the barriers to health care access for students, Q Collaborating with schools, local primary care school hours at our school linked health center. Now, with our SAMHSA Targeted Capacity such as scheduling, transportation and financial practices, and other community agencies. We work as an integrated team to meet their Expansion (TCE) grant, we are expanding and barriers. In 2018, Coastal Horizons has partnered Q Reducing overall health care costs. psychosocial and medical needs. enhancing services to increase engagement with New Hanover County Schools, Charter of those with substance use disorders and co- Accomplishments: Continuum of Care (COC) – including HIV & Schools, and community partners to expand our occurring substance and mental disorders who Q We obtained grant support through the Hepatitis Outreach, Testing, & Education services to 16 campuses. are at risk for HIV or are HIV positive. Through North Carolina Office of Rural Health With our SAMHSA Continuum of Care Minority this grant we have 317 individuals that we Our School Based Health Centers (SBHCs) Community Health Grant Program during FY AIDS Initiative grant (CoC), we expanded our have enrolled into care with our peer support offer numerous benefits and potential benefits 18-19 which allowed us to continue to work tri-county reach to bring persons at highest specialists and are continuing to monitor them to students, families, schools and communities towards increasing access particularly to risk for HIV and hepatitis into a system of regularly. including: the underinsured and uninsured as well as care. We engaged in developing stronger Q We provided 259 HIV tests (utilizing OraQuick Q Providing convenient, age-appropriate, enhancing our quality improvement work. community partnerships and expanding testing Rapid HIV antibody tests) and 242 Hepatitis C confidential care in a familiar setting to many Q Funding was obtained from the NCCF Louise to more locations, the goal was to promote tests (utilizing OraQuick Rapid HCV antibody adolescents, especially males, who may be Oriole Burevitch Endowment Grant to support integrated care and improve service delivery for tests) in the fiscal year. Tests are consistently reluctant to use traditional medical care. administrative costs associated with the communities at highest risk for chronic disease. showing at 15% positivity for HCV in the Q Improving access to care for students who SBHC programs. This grant ended in September of 2018 and population, with 37 persons testing positively may not otherwise receive care elsewhere. Q WHAT Programs served over 2,329 overall the CoC team enrolled and kept data on this year. Staffs have found17 HIV+ persons Q Connecting students and their families to unduplicated patients during FY 18-19 over 650 persons, in line and slightly ahead of since grant inception (6 were identified this primary care practices/medical homes. resulting in the delivery of over 10,584 patient the overall grant goal. fiscal year). Q Improving students’ academic performance visits. Of those patients seen cumulative and school attendance, and reducing student across all sites: discipline referrals. Q 33.14% received a BMI (body mass index) Q Encouraging parental/caregiver participation screening. in their children’s health care. Q 42.17% received a mental health Q Serving as a resource for the health care screening. needs of adolescents. Q 91.31% of patients reporting tobacco Q Minimizing lost classroom time for students use were provided a clinically proven and lost work time for parents. effective intervention (counseling and/or Q Improving follow-up compliance with care. medication). Q Providing an opportunity for adolescents Q Psychiatric nurse practitioner services were to seek out or take advantage of services, provided at our Oleander location allowing whereas they may not otherwise in traditional for enhanced medication management as settings. well as continuity of care for our patients Q Providing behavioral risk assessments and receiving mental health services. Provision ongoing preventive strategies, especially of services are scheduled five days a week through on-site mental health services, in with 3,539 visits provided from July 1, 2018 to collaboration with school staff. June 30, 2019. Q Providing schools with a valuable resource WHAT locations are meeting the needs of young during emergencies/crises with trained adults in New Hanover county. We meet the medical and mental health staff on-site. students where they are, in the schools and after 17 (continued from last page) HEALTH AND INTEGRATED CARE

Q Staff continues to provide direct support and Medicine, MedNorth and Cape Fear Clinic) Q Quick Response Team (QRT) A new various HIV/AIDS workshops, trainings, care management to individuals diagnosed and one in Brunswick County (New Hope partnership with the Community Paramedics community events, etc. with HIV, as well as to those in other CHC Clinic) who are now treating uninsured and and the City of Wilmington was started the Q Duke Partners in Caring continues to provide programs who are HIV and HCV positive, underinsured HCV positive persons, where beginning of July 2018. In the first year regional coordination for the distribution of linking them to services and providing none existed before. CoC provides education the team which consists of Peer Support federal funds made via Part B of the Ryan information. and support for individuals in treatment, as and Licensed Clinicians have met with 148 White Act. We work closely with Partners in Q We provided 1,528 peer support services to well as getting them linked to Charity Care individuals and 122 of them successfully Caring, bridging the gap between patients, 1,456 individuals. as necessary to help cover the costs of entered into treatment. The team continues families, communities, resources and Q The Hepatitis Working Group, comprised treatment. to provide outreach to at-risk populations educational opportunities for our clients. of community medical service providers Q Jail Diversion with the New Hanover County and is actively training different members Q We work closely with the New Hanover HIV interested in services for HCV treatment at Detention Facility continues to provide of the community to increase referrals for Care Clinic to ensure our group members the local level convened by CoC in 2016, now weekly screening services for identified assistance. get comprehensive care beyond medical HIV has 3 providers in Wilmington (Coastal Family individuals who have a history of incarceration Q HIV Early Intervention – The State continued treatment. for behavioral health and substance use to provide testing supplies for HIV, HCV Q Since January 2017, staffs have performed Emergency Department Utilization issues. Staff interview individuals and set and Syphilis. HIV Early Intervention services over 866 rapid HCV tests and 418 rapid 2018-2019 up potential service plans for them upon include: syphilis tests.

40 release. This year 105 individuals have Q Medical Diagnostic Testing and Counseling Q Staff within the CoC program have written New Patients with ED Visits been screened and there have been 28 for HIV in New Hanover, Brunswick and multiple grants this year and are now actively Est. MAP Patients with ED Visits 30 successful diversions by getting individuals Pender counties (utilizing the OraQuick working on a new initiative with HRSA, it is into treatment. and Clearview Rapid HIV Antibody Tests). the RCORP-Planning Grant. The grant is a

20 Q The first syringe exchange program in Q Risk Reduction Counseling and Education. one-year planning grant to expand opioid Brunswick County at the Shallotte office Q Support group for those living with HIV. services to rural counties including: Pender,

10 continues to provide clean syringes to Brunswick, Columbus and Bladen. The team Accomplishments: individuals who request this. Clients needing began working in June of 2019 to connect Q We have reached 1,438 individuals in the 0 these services talk with the nurse care consortium members in the four counties. Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Tri-County and regional areas with HIV testing manager; receive clean syringes and “works” They will complete a needs assessment in – along with pre and post-test counseling. kits, personal sized sharps containers, the four counties and then they will work Q Our HIV/STD education has expanded to resource lists for community services, as on sustainability and workforce plans with Options for Care – Past Year include New Hanover and Brunswick MRT well as an opportunity to have HIV and HCV community members. 2018-2019 classes, which are offered through our testing and discuss any health or other issues Q We continue to maintain 5 apartments as part 90 Recidivism Reduction Services (RSS). Go to Hospital ED 98 80 with a team member. Currently individuals of our HUD Horizons Housing (HHH) Program. Go to Other Medical Provider 1,330 Q Our HIV Early Intervention support group, the 70 Go Without Care have made exchanges, and syringes We continue to work to reduce barriers longest continuously meeting group of its 60 have been distributed. We are now also and expand access to provide permanent kind in the area, continues to meet weekly. 50 providing this service at the New Hanover supportive housing to individuals and families We continue to welcome new members to 40 Primary Care office. with behavioral health and substance use the group with referrals from local partners 30 Q Continued partnerships with Cape Fear issues who are also chronically homeless. 20 and with the help of existing members who Community College, UNCW, and Brunswick 10 reach out to people in their communities also Community College to offer testing and 0 affected by the HIV virus. We continue to Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July education events on campus for students and assist our group participants with accessing Kenny House, LCAS, CCS staff. Vice-President of Clinical Services 18 CRISIS INTERVENTION SERVICES OPEN HOUSE YOUTH SHELTER AND RESIDENTIAL SERVICES

Open House Youth Shelter is committed to Foundation and the Landfall Foundation) and improving the safety and well being charitable donations. of displaced abused, neglected and vulnerable Program Operations FY 18-19: youth. Children and adolescents ages 6-18 who Q 62 total youth (52 unduplicated), including 6 are in need of a safe place to stay can receive long-term sibling groups, were provided with shelter in the 24-hour, 9-bed facility. Open 1,753 days of service. House does more than just meet youth’s basic Q 41% of youth served were male; 59% were needs for food, clothing, and shelter. Personal female. growth is encouraged through counseling Q 72% of shelter stays resulted in reunification services, vocational/educational opportunities, with family or legal guardian upon discharge. life skill building, and recreational activities. All Q 0 youth were charged with a crime during confidential services are provided at no cost to their shelter stay at Open House. youth and their families. Q 91% of youth made progress on or met their Referrals are accepted 24 hours a day, 7 individual goals while staying at the shelter. days a week from local agencies such as The Q 92% of youth stated that they had a positive Department of Social Services, law enforcement, experience while staying at Open House. Juvenile Justice, school personnel, and other Q 100% of youth receiving long-term residential New Hanover County Resiliency Task Force youth serving organizations and professionals. services stated that they learned three or Q Community Relations Advisory Committee Self-referrals and those from parents/legal more life skills (such as cleaning, cooking, Q New Hanover County Disaster Coalition – guardians are also accepted. Open House is doing laundry) while staying at the shelter. Q Child Welfare Committee licensed biennially through the North Carolina Q 92% of youth stated that they felt supported Division of Social Services for temporary by one or more adults during their time at Program Achievements FY 18-19: “You have staff members Emergency Foster Care placements as well as Open House. Q The Open House shelter experienced some for long-term Residential/Foster Care services. much-needed renovations in Fiscal Year Program Affiliations FY 18-19: that are very respectful This specialized dual-licensure allows Open 2018-2019. A huge thank you goes out to the Q Community Child Protection Team (Pender House to adapt services to the unique needs Landfall Foundation for enabling us to replace to us, my opinions, County and New Hanover County) of each youth. All of the free and confidential the worn kitchen and dining area flooring with Q New Hanover County Child Abuse Prevention beliefs. They were here services offered through Open House are brand new laminate. It improved the look of Coalition made possible via the support of the City of the shelter dramatically and is much easier to Q Juvenile Crime Prevention Council (Onslow, for me to talk to, and Wilmington, New Hanover County, United Way clean. Open House also received a beautiful Jones, Duplin and Sampson Counties) of the Cape Fear Area, Federal Emergency courtyard renovation, including the installation they cared.” Q National Runaway Switchboard Management Assistance, the North Carolina of rubber playground surfacing, thanks to Q FEMA Emergency Food and Shelter Local Department of Health and Human Services, the Work on Wilmington. Board North Carolina Department of Public Safety, the Q Open House was very successful in Q Tri-County Homeless Interagency Council Administration of Children and Families-Family facilitating community outreach and education Q Community Crisis Response Team (New and Youth Services Bureau, foster care and in FY 2018-2019. Wave Transit generously Hanover County) Child/Adolescent Crisis Respite reimbursements provided 6 months of free advertising for the Q North Carolina Homeless Management from the Department of Social Services, local shelter on all of its transit buses. The Youth Information System foundations (such as the Cape Fear Memorial Advocate collaborated with the Wilmington 19 Open House Youth Shelter Client Age Breakdown 2018-2019 (continued from last page) 11% 6-9 Years OPEN HOUSE YOUTH SHELTER 13% 10-12 Years AND RESIDENTIAL SERVICES

41% Police Department to update protocols 600 hours of educational and vocational Q Open House is fortunate to have a full-time 16+ Years 36% 13-15 Years in order to best serve the homeless and activities, which likely contributed to the Licensed Clinical Social Worker on staff. The runaway youth they encounter. In total, 72 successful academic achievements of youth Crisis Intervention Services (CIS) Director youth and 657 adults were provided with who received services during this past year. was available around-the-clock this year to Open House Youth Shelter community education about Open House Q Open House is enormously grateful for provide Solution-Focused Brief Treatment Client Length of Stay and Cognitive Behavioral Therapy on site 2018-2019 services and issues affecting homeless youth partnerships with FEMA, Live Oak Bank, St. 2% in our area. Jude’s MCC and the Food Bank of Central for Open House youth and their families. In 4% 6-12 Months 17% Q Open House has always emphasized the & Eastern NC, which allowed Residential addition to therapy provided during their stay 3-6 Months 1+ Year 15% importance of education as a core element Counselors to provide healthy snacks and at Open House, the CIS Director also sees 1-3 Months of the program. The result was that in FY serve 5,259 nutritious, family-style meals to youth and their families for a period of three 2018-2019, 100% of youth receiving long-term shelter youth in Fiscal Year 2018-2019. With a months after discharge. In this fiscal year residential services improved their grades weekly grocery budget of only $170 to feed alone, the CIS Director provided over 400 62% > 1 month and 83% reduced truancy (school skipping) up to 9 youth, these partnerships are crucial hours of free and confidential counseling to behaviors. Open House staff facilitated almost to the program. youth and their families. Q Thanks to generous support from the community in the form of in-kind donations and foundation grants (such as the Cape Fear Memorial Foundation and Broadway for a Better World) staff at Open House were able to provide shelter youth with a variety of educational and recreational experiences. “What you have done This included trips to the Asheboro Zoo, Myrtle Beach, the NC Aquarium and Fort exceptionally well is Fischer, Airlie Gardens, the NC Battleship, allow me to expand my Wilmington Sharks games, Broadway shows and gourmet dining experiences. Youth also support network, while enjoyed arts and craft activities courtesy of Kids Making It and attended several local allowing me to still have summer camps. In total, youth staying at a somewhat normal year. the shelter participated in over 2,000 hours of cultural experiences and recreational Thanks for everything activities this year. you guys have done for me and my family.”

20 CRISIS INTERVENTION SERVICES RAPE CRISIS CENTER

The Rape Crisis Center of Coastal Horizons volunteers on any given month who provided Brunswick County Pender County Center is the only stand-alone rape crisis a total of 15,988 hours of on-call coverage in Q 118 new victims of sexual violence sought Q 51 new victims of sexual violence sought center in Southeastern North Carolina. FY 18-19. The RCC would not be able to help services through the Rape Crisis Center. services through the Rape Crisis Center. Serving New Hanover, Brunswick and Pender the high number of sexual assault victims who Q The RCC served 53 new family members, Q The RCC served 6 new family members, Counties, the Rape Crisis Center provides seek services each year without the unwavering friends and spouses of rape victims. friends and spouses of rape victims. free and confidential services to victims of support of our funders, donors, and volunteers. Q 27 crisis hospital responses were provided Q 16 crisis hospital responses were provided sexual violence in our community. The RCC with 85% of victims filing a preliminary law with 88% of victims filing a preliminary law Program Operations FY 18-19: staff, interns, and volunteers provide 24-hour enforcement report and 77% participating in enforcement report and 69% participating in New Hanover County crisis response to victims via the hotline and in the evidence collection process. the evidence collection process. Q 260 new victims of sexual violence sought person at hospital emergency rooms. The RCC Q 76 sexual assault victims received almost Q 16 sexual assault victims received over 70 services through the Rape Crisis Center. staff also provide criminal justice advocacy for 350 hours of individual therapy conducted by hours of individual therapy conducted by Q The RCC served 103 new family members, sexual assault victims, offering support through licensed clinicians. licensed clinicians. friends and spouses of rape victims. law enforcement interviews, meetings with the Q The RCC clinicians facilitated 22 support Q An average of 10 individuals per month Q 87 crisis hospital responses were provided district attorney’s office, and throughout the groups for child, adolescent and adult utilized the RCC’s services. with 76% of victims filing a preliminary law duration of any criminal or civil court proceeding. survivors of sexual violence. enforcement report and 82% participating in Additionally, the RCC provides free individual Q An average of 41 individuals per month the evidence collection process. therapy and weekly support groups for sexual utilized the RCC’s services. Q 87 sexual assault victims received over 450 violence survivors who would not otherwise hours of individual therapy conducted by have access to these services due to barriers licensed clinicians. such as being uninsured or having a high co-pay. Q The RCC clinicians facilitated 56 support All therapy services are facilitated by licensed groups for child, adolescent and adult clinicians utilizing evidence based treatments survivors of sexual violence. such as Eye Movement Desensitization and Q An average of 72 individuals per month Reprocessing (EMDR) and Trauma Focused utilized the RCC’s services. Cognitive Behavioral Therapy (TFCBT).

In Fiscal Year 18-19 the RCC provided services to a total of 753 survivors of sexual violence. “I have come a long way All of these free and confidential services were made possible via the support of the from the troubled little NC Governor’s Crime Commission, the NC girl I was three years ago. Council for Women, the NC Coalition Against Sexual Assault, the United Way of the Cape To the woman I am now that Fear Area, the NC Department of Health and Human Services, the City of Wilmington, New is not afraid of being myself. Hanover County, the St. James Foundation, and Letting someone help me generous financial and in-kind contributions from donors and volunteers in the community. For when I need it.” example, the RCC had an average of 13 active – RCC Client 21 (continued from last page) RAPE CRISIS CENTER

Rape Prevention Education Q Adolescent Parenting Program Community Q After receiving Shifting Boundaries, almost Q Over 1,000 middle school students from 6 Advisory Committee 65% of students stated that they had learned schools in New Hanover County completed Q Coalition for Drug Free Tomorrow new skills that they plan to use in forming the multiple session, evidence-based Q New Hanover County Partnership for healthy relationships. sexual violence prevention program Shifting Fatherhood Q After participating in sexual violence Boundaries. Q Latino Alliance prevention workshops, 75% of parents and Q 37 parents and caregivers participated in Q New Hanover County Resiliency Task Force caregivers reported that they were more sexual violence prevention workshops. Q New Hanover County Schools Title IX likely to initiate discussions about healthy Q 3 UNCW students were trained to become Committee sexuality in an accurate and timely manner. health educators. These health educators Q Active community participation was Program Achievements FY 18-19: in turn delivered almost 100 hours of FREE maintained on the Sexual Violence Direct Victim Services classroom instruction on sexual violence Prevention Task Force, which is currently Q The RCC received funding this year to prevention in New Hanover County Schools. comprised of 27 members representing expand its provision of sexual assault a diverse range of local agencies and Program Affiliations FY 17-18: services to include Duplin County in addition organizations. Q North Carolina Coalition Against Sexual to New Hanover, Brunswick, and Pender Assault Counties. Q North Carolina Victim’s Assistance Network Q Due to continued growth of the program, the Q New Hanover & Pender County Sexual RCC’s New Hanover office was relocated to a Assault Response Team larger space in the Barclay Commons Office Q Brunswick County Sexual Assault Response Park. 91% Team Q of surveyed victims stated that they were Rape Crisis Center Q RV Sexual Assault Response Team (UNCW) satisfied with the services they received at Relationship of Victim to Offender Q New Hanover County Community Child the RCC. 2018-2019 17% 90% of surveyed victims felt that they made Protective Team Q Stranger 28% Q Brunswick County Community Child progress in coping with their sexual trauma Family Member Protection Team through utilization of the RCC’s services. “You guys are Q Pender County Community Child Protection Q 100% of surveyed victims said that they would Team recommend the RCC to a friend or family 20% wonderful. Every person Intimate Partner 35% Q Multi-Disciplinary Team (Carousel Center) member if they needed help. Acquaintance Q Adult Protective Services Interagency I’ve encountered is Sexual Assault Prevention and Outreach Q Sexual Violence Prevention Task Force Rape Crisis Center Q The RCC staff facilitated 265 community exceptional and I cannot Q UNCW Violence Prevention Collaborative Client Age Breakdown outreach programs reaching almost 5,500 2018-2019 Q Domestic Violence Action Coalition 4% 17% imagine getting through potential victims of sexual assault in New 5% Q UNCW Women’s Resource Center Advisory 60+ Years Unknown Hanover, Brunswick and Pender Counties. 19% 0-12 Years this trauma without the Board 41-60 Years Q The RCC staff provided 15 victim response 10% Q New Hanover County Schools Student Health trainings, reaching almost 300 community 13-17 Years help of RCC.” Action Coalition 30% professionals. 26-40 Years – RCC Client 15% 18-25 Years

22 CRIMINAL JUSTICE SERVICES

The Criminal Justice Services (CJS) Coastal Horizons Center are responsible for component of Coastal Horizons Center ensuring that standardized TASC services are provides a continuum of services to people provided throughout the 53 counties served. involved in the criminal justice system in 53 The RCEs received 18,147 referrals in this past counties of North Carolina and training statewide fiscal year. Additionally, of the 11,695 individuals for staff providing similar services. The primary that were admitted to TASC this year, 61% or goals of CJS are: 7,129 completed the programs successfully. Q To assist the individual in accessing the North Carolina TASC Training Institute treatment and community support services The NC TASC Training Institute provides needed in their local community to ultimately evidence- based training to TASC staff statewide reduce recidivism. via regional trainings and virtual learning Q To provide advocacy within the criminal environments in order to improve the delivery of justice system. services to the offender population across North Q To provide state of the art training to staff Carolina. involved in Treatment Accountability for Safer Communities (TASC) programs and their Drug Education School (DES) partner agencies. DES is a state certified course designed for TASC (Treatment Accountability for Safer first time offenders who have been charged Communities) with misdemeanor possession of Schedule I through VI and/or drug paraphernalia or Felony TASC is a critical link between the criminal Possession of Cocaine (less than one gram). justice system and treatment services. TASC provides: Recidivism Reduction Services (RRS) Re-Entry Systems of Effective Treatment Q Screening and assessment for those referred. RRS provides core services that are comprised (RESET) Q Referral and linkages to treatment services of cognitive behavioral interventions (CBI) and RESET serves adults over 18 years old who are needed. a community based continuum of substance assessed as high risk - high need and having a Q Access to wrap around services in the local abuse services. These substance abuse substance use or co-occurring disorder and who community. services include outpatient, intensive outpatient, are incarcerated in the New Hanover County Jail Q Monitoring and reporting treatment progress and aftercare/recovery management services. or a North Carolina prison. RESET offers housing to the referring agent. The eligible populations for these services are assistance through partnership with many 53 adult offenders under supervision of the NC These services are provided in the eastern recovery homes in the Wilmington community. Department of Public Safety and deemed to be counties in North Carolina. high risk and high need. During FY 18-19 Coastal This fiscal year (FY 18-19) RESET received 105 TASC RCE (Regional Coordinating Entities) Horizons Center, Inc. provided RRS services in referrals, of these 67% were admitted into the The TASC RCEs serve as the management thirteen counties: Brunswick, Craven, Duplin, program. Of the 29 discharges during the fiscal infrastructure for the effective delivery Greene, Jones, Lenoir, New Hanover, Pamlico, year 7 were successfully discharged. The total of substance abuse and other treatment Pender, Pitt, Sampson, Tyrell and Wayne County. number of participants served during the Fiscal interventions to the offender population in North Year was 93, with some remaining enrolled at Carolina. The Region 1 and Region 2 RCEs under the end of the fiscal year and thus carried over to FY 19-20. 23 (continued from last page) CRIMINAL JUSTICE SERVICES

Over the past year, Our Children’s Place has conducted 48 workshops and presentations with 763 professionals, organized two Parent Days at Orange Correctional Center (with the next one scheduled for late October), confirmed Parent Day at Lincoln Correctional Center also for late October, and met with and/or provided printed materials to staff at four other prison facilities and one jail interested in hosting their own Parent Day.

In addition, staff and volunteers organized two 12-session pre-release courses (fall and spring), also at Orange Correctional Center, for men who are part of the facility’s re-entry initiative.

Our Children’s Place hosted the first North Carolina screening of Tre Maison Dasan, a film about three boys whose parents are or were incarcerated, at the Carolina Theater in Durham in late March. The film was shown again at Orange Correctional Center a few weeks later with CHC staff leading a post-film discussion with the men who attended. Staff also hopes to Recidivism Reduction Services (RRS) Brunswick, Craven, Duplin, Greene, Jones, Our Children’s Place lead similar conversations at the 12 Department The RRS programs of Coastal Horizons Center, Lenoir, New Hanover, Pamlico, Pender, Pitt, Our Children’s Place of Coastal Horizons of Public Safety re-entry facilities as they show Inc. provide core services that are comprised Sampson, Tyrell and Wayne County. Center is a statewide program that serves the film. of cognitive behavioral interventions (CBI) and as North Carolina’s leading advocate and Accomplishments in Client Services for RRS: a community based continuum of substance education resource focused on children of Q 1,608 clients were served during fiscal year Our Children’s Place – Professional abuse services. These substance abuse incarcerated and returning parents. The work 2018-2019. Workshops, Community Presentations & services include outpatient, intensive outpatient, of Our Children’s Place centers on educating Q Of the 980 individuals that completed RRS Resource Tables and aftercare/recovery management services. professionals about the impacts of parental 2018-2019 services this year 75% were positive program The eligible populations for these services are incarceration; supporting the relationships exits. 40% adult offenders under supervision of the NC between these children and their parents; and Presentations Department of Public Safety and deemed to be Statistical Information for RRS: identifying and promoting policies, programs, high risk and high need. Q Of the clients referred for services 28% were and practices which improve the outcomes for During FY 18-19 Coastal Horizons Center, Inc. supervised at Level 1 (highest), 47% Level 2 these children. 54% provided RRS services in 13 counties within (high) and 18% Level 3 (moderate) levels of 6% Resource Professional Trainings Eastern North Carolina these counties: supervision. Table/Poster/Panel

24 Our Children’s Place RRS Admissions 2018-2019 Workshop Participants 2018-2019

20% 13% Children/Youth Health Care Providers/ Services Public Health 6% School Counselors/ Social Workers/ 44% Teachers State/National Conferences; 16% Webinar 1% Child Care Court Counselors, Corrections, Providers SC

Starting in January 2019, Our Children’s Place began facilitating a pilot of Parenting Inside Out (PIO) at Carteret Correctional Center, a minimum custody men’s facility also with a re-entry focus. PIO is an evidence-based parenting program RRS Successful Completion 2018-2019 for justice-involved parents. Fourteen men volunteered for the 48-hour course which was held twice a week (two hours a session) over the course of 12 weeks, with 12 men successfully completing the course. A graduation celebration was held at the end for the men and their families.

Melissa Radcliff, Program Director of Our Children’s Place, continues to serve on both the Family Reunification and Support Workgroup for the State Re-entry Council Collaborative and the Orange County Local Reentry Council.

25 CRIMINAL JUSTICE SERVICES REGIONS I AND II – REGIONAL COORDINATING ENTITY (RCEs)

The TASC RCEs provide an objective and Accomplishments in effective bridgebetween two separate systems: Client Services for Region I: justice and treatment. The justice system’s legal Q 6,039 clients were assessed by Regional sanctions reflect the community’s concern for TASC staff during fiscal year 2018-2019. public safety, while the treatment community Q 61% percent, or 3,627 of clients successfully emphasizes therapeutic relationships as a completed TASC services. means for changing behavior and reducing the Accomplishments in personal suffering associated with substance Professional Development for Region I: abuse and mental illness. Under TASC Q All Region 1 TASC staff are registered either supervision, community-based treatment is with the NC Substance Abuse Professional accessed for drug-involved and/or mentally ill Practice Board or have already received their offenders. The TASC RCE staff provides clinical LCAS, CCS, CSAC or CCJP certification. 2 substance abuse assessments, mental health TASC Care Managers obtained their CSAC screening and access to quality services for certification, and 1 TASC Care Manager drug-involved and/or mentally ill offenders. obtained their LCAS certification. Q 2 TASC Care Managers and 1 Clinical Director The Coastal Horizons Center TASC RCEs Q Region I TASC Care Managers participated a workshop at the 2019 National TASC from Region 1 TASC attended the National continue to provide administrative and in the following trainings offered through Conference in Cleveland, Ohio. TASC Conference in Cleveland, Ohio. managerial supervision within Region I and the North Carolina TASC Training Institute: Q New Hanover County TASC continues to participate in the Law Enforcement Assisted Region II. The TASC RCEs are responsible for TASC on-line clinical series, Drug Education Accomplishments in Diversion (LEAD) program; it has become quality improvement and quality assurance School Instructor, DSM 5, ASAM Placement, Regional Development for Region I: a key partner in helping the Wilmington throughout the Region with several key goals Treatment Planning and Motivational Q Quality assurance procedures continue Police Department access mental health that include; standardized clinically sound Interviewing. statewide with quality assurance reviews and substance abuse treatment for at-risk practice; standardized protocols for treatment Q Region 1 TASC Care Managers obtained performed by the RCE Director and the TASC 2,533 individuals they meet during their daily work. access and tracking; utilization management and training hours through the NC TASC Training Institute Director. review; quality and outcomes management; and Training Institute. Q Clinical Director Candace Small presented Regional Statistical Information for Region I: information management. Q 84% of clients referred by Community Corrections scored in the Level 1 (extreme), TASC Region I – Successful Completion Rate TASC Region I – Admissions & Discharges TASC Region I – Attendance Level 2 (high) and Level 3 (moderate) need 2018-2019 2018-2019 2018-2019 level at intake. 80% 700 40 Q Of clients referred by Community Corrections Admissions Not Eligible 35 70% 600 Discharges No Show 16% were supervised at Level 1 (extreme), Assessment Only 60% 30 24% at Level 2 (high) and 44% at Level 3 500 50% 25 (moderate) risk level. 400 40% 20 Q Of clients enrolled in TASC 50% were 300 30% 15 supervised at care management Level 1, 200 35% 20% 10 were supervised at care management 12% 10% 100 5 Level 2 and were supervised at care

0 0 0 management Level 3. July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June

26 Accomplishments in addition to the TTI trainings, Region II Care Client Services for Region II: Managers completed 414 hours of training Q 6,411 clients were assessed by Regional through Relias. TASC staff during fiscal year 2018-2019. Q 1 Care Manager; 1 Clinical Coordinator and Of those, 5,839 were admitted for TASC the Regional Director from Region II attended services. the National TASC Conference in Columbus, Q 70% or 3,862 clients completed TASC Ohio. services successfully. Q 6 Region II staff members attended the North Carolina School for Alcohol and Drug Studies Accomplishments in in Wilmington, NC in August 2018. Professional Development for Region II: Q 5 Region II staff members attended the Fall Q This year Region II TASC has had 2 staff 2018 APNC Conference in Wrightsville Beach, members receive their Certified Substance NC. Abuse Counselor (CSAC) certification. There is 1 staff member in Region II that is in active Accomplishments in preparation to test for CSAC certification. Regional Development for Region II: Varela is the Coordinator for the Southern Training Institute Director. Staff members attend monthly study groups Q Region II still maintains three areas to allow Area which is comprised of Cumberland, Q TASC Care Managers and Area Coordinators with their clinical supervisor to assist them in for more direct supervision of the care Hoke, Scotland, Robeson, Bladen, Columbus provide training about TASCs purpose, preparing for the test. In addition, there are managers within each area. Le’Creasha and Brunswick Counties. Melinda Thompson- policies and procedures to new Probation 22 staff members who are working toward Brown is the Coordinator for the Northern King, former Interim Regional Director for Officers and update probation officers in meeting certification requirements in order to Area which is comprised of Caswell, Person, Region II TASC was promoted to Regional regular probation unit meetings. take the CSAC certification test. Franklin, Granville, Warren, Vance, Chatham, Director for Region II TASC in August of 2018. Q An additional Field Specialist position, filled Q Region II currently has 5 staff members who Durham, Orange and Alamance Counties; Q Quality assurance procedures have by Derrick Turner, has been added to the have CSAC certifications; 2 staff members Christian Davis is the Coordinator for the been implemented statewide with quality northern area of Region II. In addition, Mr. who have CSAC/CCJP certifications; 2 who Central Area which is comprised of Wake, assurance reviews performed by the Clinical Turner is the current TASC Care Manager have CCJP certifications; 2 who are Licensed Harnett, Lee, and Johnston Counties; James Coordinator, RCE Director and the TASC serving in Granville County. Clinical Addictions Specialists (LCAS); 1 who has LCAS and CCS certifications. Q All Region 2 TASC staff are registered either TASC Region II – Successful Completion Rate TASC Region II – Admissions & Discharges TASC Region II – Attendance with the NC Substance Abuse Professional 2018-2019 2018-2019 2018-2019

Practice Board or have already received 80% 1000 400 Admissions Not Eligible their LCAS, CCS, CSAC or CCJP certification. 900 350 70% Discharges Assessment Only 1 800 No Show One (1) TASC Care Manager and Area 60% 300 700 Coordinator obtained their CSAC certification 250 50% 600 this year. 40% 500 200 The majority of Care Management staff Q 30% 400 150 have attended all trainings within the Region 300 20% 100 offered by the TASC Training Institute. TASC 200 10% 50 Care Managers earned a total of 1,101 hours 100 0 0 0 of TTI sponsored training during FY 18-19. In July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. Mar. Apr. May June

27 (continued from last page) REGIONS I AND II – REGIONAL COORDINATING ENTITY (RCEs)

Q Region II continues to partner with Brunswick County Drug Treatment Court (DTC) to provide TASC services for the targeted DTC population. Q Area Coordinators and Staff attended JDM, Chiefs and Unit meetings to develop and maintain communication and coordination of TASC services with probation. Q Cumberland County TASC continues to participate in the Law Enforcement Assisted Diversion (LEAD) pilot program, it has become a key partner in helping the Fayetteville Police Department access mental health and substance abuse treatment for at- risk individuals they meet during their daily police work. Former Probation Officer, and current TASC Care Manager, Randall Besser, represents TASC in the LEAD Program. Q Cumberland County TASC continues to provide office space for Coastal’s Intensive Family Preservation Services (IFPS) program.

Regional Statistical Information for Region II: Q 78% of clients referred by Community Corrections scored in the Level 1 (extreme), Level 2 (high) and Level 3 (moderate) need level at intake. Q Of clients referred by Community Corrections 9% were supervised at Level 1 (extreme), 24% Level 2 (high) and 47% Level 3 (moderate) levels of supervision. Q Clients admitted to TASC during FY 18-19 were supervised at the following TASC Levels of Care: 11% were supervised at care management Level 1 (high); 40% were supervised at care management Level 2 (medium); and 49% were supervised at care management Level 3 (low).

28 CRIMINAL JUSTICE SERVICES NC TASC TRAINING INSTITUTE

Treatment Accountability for Safer QNC Association for the Treatment of Opioid staff members help DWI facilities improve Communities - TASC Training Institute Dependence Annual Conference education and treatment services to clients The TASC Training Institute provides evidence- QNC Opioid Misuse and Overdose statewide through quality improvement based training to TASC staff statewide, with Prevention Summit consultation to DWI facilities. Consults NC TASC Training Institute regional classroom and online learning, in QMcLeod Addictive Disease Center’s focus on implementation of DWI facility best Training Totals • 2018-2019 order to improve the delivery of services to the Professional Training Series practice standards and promotion of Alcohol 1,980 Individuals Trained Earning offender population across the state of North QNational TASC Conference on Drugs, and Drug Education School curriculum fidelity. 12,001.25 Continuing Ed Hours Carolina. Crime and Reentry TASC Training Institute Accomplishments Q The Institute provides TASC Clinical Series Q The Institute provides certified curriculum TASC On-line Clinical Training During FY 18/19 Online Training for new staff, the TASC/Relias trainers for Motivational Interviewing, Child Total Trained 193 Q TTI awarded 5,333 credit hours for the Online Course Library, NC Drug Education and Adult Level Of Care Utilization System (929 courses completed for completion of 2,476 online courses in FY School (DES) Instructor training, DWI Services (LOCUS), Adult, Rural, and Law Enforcement 2,633 Continuing Ed Hours) 18/19. technical and continuing education training Mental Health First Aid, and How Being Q Provided 4,957 credit hours in conference, TASC-Relias Online Clinical Training via regional and online learning, and other Trauma-Informed Improves Criminal Justice webinar, and classroom continuing education Total Trained 146 Institute sponsored events. System Responses for Law Enforcement and (1,538 courses completed for such as Co-Occurring Disorders, Principles of Q The Institute provides speakers and technical Case Managers, and facilitators for NC local 2,283 Continuing Ed Hours) Care Management, Motivational Interviewing, support for training events and conferences government Sequential Intercept Mapping. Pharmacology, ASAM, Ethics, and others. TASC Continuing Education including: Q The Institute’s websites provide information, Q “E 508” DWI Certificate of Completion Web Total Trained 848 QAddiction Professionals of NC Fall and online training, training event information and Application Training was held monthly, (3,115 Continuing Ed Hours) Spring Conferences registrations for the NC TASC Network, NC training 141 participants and awarding 775 QNC Foundation for Drug and Alcohol Drug Education School providers, the NC DWI NCTTI Conference Scholarships credit hours. Studies Summer and Winter Schools treatment provider community, and online Total Trained 75 Q NC DWI New Provider Orientation and (1,493.25 Continuing Ed Hours) QEastern AHEC’s Annual Substance Abuse Ethics Education for NC Substance Abuse “Rewind” Provider Update Training was State of the Art Conference Professionals. DWI Services E508 Application Training provided to 186 DWI Treatment Facility Q The Institute administers the Instructor Total Trained 141 owners and operators, awarding 935 credit Certification programs for the NC Drug (775.5 Continuing Ed Hours) hours. Education School and NC Alcohol and Drug Q TTI certified 28 new NC Alcohol and Drug DWI Services Rewinder Provider Update Training Education Traffic School (ADETS) programs. Education Traffic School Instructors (ADETS), Total Trained 121 Q The Institute provides administrative and and renewed the certification of 113. (610.5 Continuing Ed Hours) technical support, training and consultation Q TTI certified 19 new NC Drug Education for NC Division of Mental Health, DWI Services New Provider Training School Instructors (DES), and renewed the Developmental Disabilities and Substance Total Trained 65 certifications of 41. (325 Continuing Ed Hours) Abuse Services DWI Programs Office, Q All TTI sponsored training totaled over 12,000 including DWI New Provider Orientation, DWI Services Online Clinical Training continuing education hours awarded. E508 Certificate Of Completion training and Total Trained 42 administration. The Institute’s online DWI (139 Courses completed for Training and Support Center provides a portal 417 Continuing Ed Hours) for information and training for the State’s Dale Willets DWI Services Webinar Training nearly 500 DWI treatment facilities. Institute Director, NC TASC Training Institute Total Trained 349 (349 Continuing Ed Hours) 29 QUALITY IMPROVEMENT AND CORPORATE COMPLIANCE

The Quality Improvement Training Department The Quality Improvement Training Department The Quality Improvement Training Department and insure that senior management is kept continued evaluating and managing provided leadership, support, and assistance also conducted an on-going program of internal informed about achievements and needs for organizational risk with efforts focusing on with the preparation for numerous external audits where paper charts and electronic improvement. Internal program audits included: safety, fiscal and regulatory compliance audits, audits and reviews encompassing: Division medical records were reviewed. The intention Q Outpatient services at all 3 office locations workforce education and preparedness, and Block Grant audit, Brunswick and Pender DWI of these audits is to determine quality and Q Electronic desk audits of Intensive In-Home employee credentialing. program reviews. compliance of CHC’s multitude of programs Services (IIH) Q NCTOPPS compliance for Enhanced Services Q Medication Management clients Q Substance Abuse Intensive Outpatient Electronic Note Compliance Q Office Based Opioid Treatment - OBOT

Quality Improvement has been involved in several special projects this year. One of those was the re-licensure of the Pender program. When an additional building was added the town of Burgaw required Coastal to begin using a new address – 309 Progress Dr. The change in the address required a new Mental Health License, a new National Provider number, a new entry in NCTRACKS, and all the usual inspections and reviewed for a new program. The Quality Improvement department also assisted with the licensure of a Substance Abuse Intensive Outpatient location at 613 Shipyard. In order to offer substance abuse groups at that location Trillium required that Coastal have it licensed as a separate site. The Quality Improvement Director has been directly involved in the contracting with the new Pre-paid Health Plans (PHPs) that are one of the key elements of the Medicaid reform being launched. This process has required interfacing with the five PHPs, learning an entirely new way of providing health coverage, and attempting to insure Coastal maintains its position as the pre-eminent provider of mental health and substance abuse services in eastern North Carolina.

30 Quality Improvement has continued its from managers to insure credentialing of staff is working with the other trainers and IT Planning sessions for participating in the Health management of Virtual All Staff Meetings is proceeding in an efficient and satisfactory Department to improve the functions of our Information Exchange were begun to identify covering a variety of topics such as: The manner. training tracking data base so that we will have client data that would be eligible for inclusion Substance Abuse and Addiction, Confidentiality an even better tool to track who needs training, versus deemed sensitive for opting out due to Quality Improvement has provided the following & HIPAA, Active Shooter training, Community communicate those needs to the staff involved, various privacy regulations Coastal Horizons direct trainings: First Aid/CPR, Blood Borne Based Services, Blood Borne Pathogens, and and insure that managers are kept informed must follow to ensure patient confidentiality. Pathogens, Crisis Prevention Intervention, Cultural Competency. about individual and department training needs. Person Centered Thinking, and Narcan/ With the addition of new services and many Naloxone Training. Provision of these trainings The medical records department is continuing Eric Luttmer T. Lindsay Joines additional staff, Quality Improvement has sought has saved CHC significant funds and allowed its focus to ensure all offices are managing Vice President, Quality Improvement to ensure that all necessary steps are followed for training to be more easily coordinated documents and data entry in a uniform manner. Medical Services & Training Director so that there will be no interruptions in billing for with Program Directors. Additionally, Quality The centralized electronic medical record (EMR) Corporate Compliance services. As the need for credentialing continues Improvement has worked with CHC trainers implemented at the start of last fiscal year has to grow, Coastal Horizons Center’s credentialing to develop and implement a training calendar assisted each mental health/substance abuse specialist not only maintains records to a high that will be posted to the SharePoint. Quality treatment location to follow tailored workflows standard, but they also guide clinicians through Improvement has facilitated a CPI train the to maintain compliance. Additional efforts were the complex processes to ensure that they are trainer training locally to increase the number of formulated to digitize client paper documents, credentialed and affiliated in as quick a time as staff who are certified trainers. This will better beginning in FY 19-20 to achieve paperless possible. Towards fulfilling those goals Quality serve in making sure that CPI certifications are operations. Improvement frequently solicits feedback kept up to date. Lastly, Quality Improvement

Youth Intensive In-Home Services Adult Outpatient Services Parent Perception of Care Perception of Care • 2018-2019 Perception of Care • 2018-2019 2018-2019

100% 100% 100%

90% 90% 90%

80% 80% 80%

70% 70% 70%

60% 60% 60%

50% 50% 50% with the services I received. with the services Overall, I am satisfied with me no matter what. The people helping me stuc were right for me. that I received the services wanted. I got the help respect. Staff treated me with 40% 40% grow, recover. Staff believe I can change, information I needed. Staff helped me get the responsibility for how I live my life. Staff encouraged me to take I thought needed. services I was able to get the to a friend or family member. I would recommend the agency to deal with crisis. I am better able 40% my child received the services Overall, I am satisfied with stuck with us no matter what. The people helping my child family received were right for us. my child and/or The services respect. Staff treated me with handling daily life. My child is better at k

31 EXTERNAL OPERATIONS

Coastal Horizons Center continues to be a waiver was submitted by the Department to The focus was to: additional counties. Our Children’s Place (OCP) leader in the provision of evidence-based the federal Centers for Medicare and Medicaid Q Create a State Reentry Council Collaborative. is further expanding the services provided. OCP practices in criminal justice, crisis intervention, Services. This was approved and requests Q Develop detailed implementation of the completed a pilot program with the Department substance use disorders and mental health for proposals for PHPs were developed and Reentry Action Plan. of Public Safety to provide Parenting Inside Out, services within a continually evolving behavioral four companies were chosen. The entire Q Provide Capacity Building and Technical an evidence-based practice, in prisons and has health system. Systemically the changes within process is to begin in the coming fiscal year Support for local Reentry Councils. now been asked to provide it in the Pitt County the mental health and justice systems have been with notifications to Medicaid recipients and Q Expand and formalize faith-based and Detention Center. OCP is also expanding the and continue to be dramatic. selections of plans. community engagement. number of Parent Days within prisons due in part Q Resolve Warrants and Pending Charges prior to the generous contribution by the William R. The legislature, due to frustrations with Medicaid The Governor established a Task Force on to release. Kenan, Jr. Charitable Trust. overruns in the past, required the Department Reentry Services with a report completed in Q Address Major Reentry Barriers such as of Health and Human Services to move towards 2018. Several of Coastal Horizons staff have At the same time, Coastal Horizons was housing, transportation, employment, and managed care with a Medicaid overhaul. A served on committees within the Task Force. expanding its continuum and footprint of substance misuse and mental health. children’s services. This year adding Day The reentry effort within Coastal Horizons Treatment programs in multiple counties. Coastal has been bolstered by a $2.125 million grant Horizons currently has 24 IIH teams and four from the Substance Abuse and Mental Health clinics in area high schools. Planning is on-going Services Administration and additional funding to also expand the Open House Shelter to from New Hanover County. The federal funding provide a Transitional Living program for youth has enhanced the expansion of the successful between the ages of 18 and 21. Reentry Systems for Effective Treatment (RESET) The Rape Crisis Center provides evidence- program to include men with substance use or based services to primary and secondary victims co-occurring disorders. The county funding is of sexual assault in New Hanover, Brunswick assisting with much needed services including and Pender Counties. This year the RCC was transportation and incentives for the individuals asked to expand services to Duplin County. The in RESET. RCC continues to enhance its professionalism Locally, statewide and nationally there has with licensed clinicians to provide services in all been a focus on opioid addiction due to the counties and enhancing services to men. The ever-increasing number of deaths related to New Hanover RCC also has a new home which the disease. Locally a Quick Response Team is a standalone office in Wilmington. (QRT) has been developed with assistance As we enter the new fiscal year it is my hope that from the state and city of Wilmington. This may Coastal Horizons will continue to be a leader become a program highlighted statewide for locally, statewide and nationally to enable us to implementation. enhance our corporate mission. The Department of Public Safety issued bids for the Recidivism Reduction Services programs statewide in 2019. Coastal Horizons currently Karen V. Chapple operates these programs in thirteen counties in Executive Vice President of Operations eastern North Carolina. and placed bids for two 32 HUMAN RESOURCES

Coastal Horizons Center continues its growth Coastal Horizons and HR have continued our in terms of the expanding quality of services support of the importance of being able to offer and programs we provide to our communities, our staff members the most robust health care all by our highly talented employees and benefit plan available, at affordable rates for our volunteers. This past year has been another employees. Coastal Horizons and HR have been of continued growth for our organization, as successful managing these areas, maintaining we continue to support the mission of Coastal plan quality and cost containment, with our Horizons Center, which provides a continuum of continued commitment in this area in the coming professional services to promote healthier lives, years. stronger families and safer communities. These These are just some of the highlights of the services are provided to make a significant year that occurred in addition to performing our impact on the physical, emotional, and social regular day to day operational requirements that development of children, adults, and families in are vital to all of our employees! I encourage the communities we serve. you to read this full report to review some of our Human Resources works with multiple highlighted activities for the 2018-2019 year and department leaders to successfully recruit, learn more about our upcoming plans. Employee Totals hire, orient and develop our new and existing 2018-2019 We know a lot of work has yet to be employee members of Coastal Horizons in both accomplished and we are committed to full and part time employment capacities – each achieving success. Carolyn and I, along with of whom are making important contributions to 2018 the support of our program administrators, are -2019 our organization. committed to Coastal Horizons and look forward 2017 Please see chart to the right for our staffing growth to working with our employees in providing -2018 over the past 10 years. We are also pleased quality service in the upcoming year. I personally 2016 to report on significant accomplishments and would like to thank our Program Directors, -2017 our ongoing commitment to Coastal Horizons Supervisors, Coordinators, and administrators 2015 -2016 Center’s long-term strategic plan, as we continue (including recognizing our New Hanover County to look at our future growth and plans to provide front desk staff, Courtney, Delores, Marva, and 2014 -2015 a solid base for expansion. HR will continue to Rose, who help me every day!) within Coastal be actively involved in our facilities management Horizons for all their support. It is because of 2013 -2014 development, as well as in establishing and their dedication, commitment and support to all 2012 developing our community partnerships. As we of our employees and clients, which engages -2013 continue to look forward, HR will work closely those of us in HR every day in providing you with Total 2011 with the leadership of Coastal Horizons to what we hope to deliver, which is our very best. -2012 Full-Time move forward in our strategic direction, as well Part-Time 2010 as improving our performance management -2011 and development systems, talent acquisition/ succession planning, and improving and Bob Jalbert 0 50 100 150 200 250 300 350 400 450 500 550 updating key human resources’ policies. Human Resources Director

33 FINANCIAL AUDIT REPORT YEAR END JUNE 2019

Sources of Revenue Coastal Horizons Center, Inc. 2018-2019 Statements of Operations and Changes in Net Assets Years Ended June 30, 2019 and 2018 1% 1% Program 21% 3% Other   Service Fees Government 5HYHQXHDQGRWKHUVXSSRUW Foundations 3DWLHQWVHUYLFHVQHWRIFRQWUDFWXDODGMXVWPHQWV   Contracts & Grants /HVVSURYLVLRQIRUEDGGHEWV     & Donations 1HWSDWLHQWVHUYLFHUHYHQXHOHVVSURYLVLRQIRU EDGGHEWV   *RYHUQPHQWVHUYLFHV   *RYHUQPHQWJUDQWV   &RQWULEXWLRQVDQGQRQJRYHUQPHQWDOJUDQWV   7RWDOUHYHQXHDQGRWKHUVXSSRUW  

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34

DEVELOPMENT

In September 2019, I walked through the permanently taken from her and why she now We want to share with you our gratitude for doors at 615 Shipyard Boulevard to start knows how to set proper boundaries. We are the your generosity and investment in our mission. my first day as Coastal Horizons’ new reason she is no longer a victim, but a victor. You enthusiastically gave each time you were Development Director. I thought I knew and asked, whether it be at Power of the Purse, Since that first day, I have heard countless understood the depth and breadth of Coastal Duck Derby, or our Annual Luncheon. On these stories of how our dedicated and professional Horizons and it’s impact on the community. pages, you will find the names of the persons staff have created a worthwhile and necessary Frankly, I had grossly underestimated the power and businesses who make our work possible. change in the lives of people who have of your gifts to change lives. As I sat at my desk Thank you. I look forward to speaking to each withstood some of the ugliest things life can that first day, a call came in from a woman who one of you over the coming year as we continue throw at you. Despite the complexity of the many wanted a ticket to our Annual Luncheon. In a to partner and positively transform lives. services offered by Coastal Horizons, the impact voice that sounded weathered, yet rich with joy of your generous donations is simple to define: and hope, she carefully explained to me how they mean more people – young and old - can Coastal Horizons had saved her life. Coastal benefit from the comprehensive care Coastal Elizabeth Redenbaugh Horizons was the reason she was able to be Development Director Horizons provides. By leveraging your love for zealous about life. We held her hand as she your neighbors, together we have made an conquered her depression. We are the reason extraordinary impact. why she regained power she felt had been

35 COASTAL HORIZONS CENTER CONTRIBUTORS

Funders/Grantors Alliance Behavioral NC Coalition Against Office of Juvenile US Department of Healthcare Sexual Assault Justice & Delinquency Housing & Urban Brunswick County NC Council for Women/ Prevention (OJJDP) Development (HUD) Brunswick County Domestic Violence Office of National US Department of Juvenile Crime Commission Drug Control Policy Justice - Prevention Council NC Department of Health (ONDCP) - Drug Free Office on Violence (JCPC) & Human Services Communities Against Women Brunswick County Drug, - Injury & Violence Pender County DWI & Mental Health Prevention ABC Board Treatment Courts NC Department of Health Pender County Juvenile Cape Fear Memorial & Human Services – Crime Prevention Foundation SPF-SIG & Center for Council (JCPC) Prevention Resources Cardinal Innovations SAMHSA Center for NC Department of Health Substance Abuse City of Wilmington & Human Services - Prevention (CSAP) - Eastpointe SAPTBG / Block Grant Primary and Behavioral Eshelman Foundation NC Department of Health Health Care Integration FEMA - Emergency Food & Human Services – SAMHSA - Minority AIDS & Shelter Program Juvenile Detention Continuum of Care Good Shepherd Center (CoC) Pilot Ministries NC Department of Public Sandhills Center Landfall Foundation Health Trillium Health Resources New Hanover County NC Department of Public United Way of the Cape Safety New Hanover County Fear Area Department of Social NC Governor’s Crime US Department of Health Services Commission & Human Services New Hanover County NC Preventing Underage - Administration for Drug & DWI Treatment Drinking (NCPUD) Children & Families- Courts New Hanover County Family & Youth Sheriff’s Office – Gang Services Bureau Task Force

36 Donors A. M. Lamm Ashley LeBlanc Burney & Jones, PLLC Claude Bridger Aaron Ellis Ashley McCormack C & J Welding Claude Morgan Abraham Glandon Ashley Nursey Caitlin Fenhagen Clinton Howlett Acquenetta R. Jackson Ashley Weber Campbell & Covington Coastal ID Consultants Aimee Williams Ashly Smith Orthodontics Coastal Mds Aitza Galarza Asta Crowe Candace Miller Coastal Mobile Storage Alan Efting Atlanta Bread Wilmington Cape Fear Community Cody Freeman Albert Elrod Barbara Hamilton College Colin Hackman Alexandra R. Ebelherr Barbara Kahn Cape Fear Delivery, LLC Colleen Haller Alexis Wall Barbara Nettesheim Cape Fear Roller Girls Connie Jordan Alli Luckadoo BB&T Carly Triche Connie Mullinix Allison Richter Ben Merritt Carol Chappell Conrad Wessell Alma B. Moore Benjamin Eisenberg Carol Drury Constance Parker Althea Mitchell Benjamin H. Baggett Carol W. Ellis CopyPro Alyssa King Benjamin Vann Carol Wormwood Corning Amanda Baker Betsey Young Caroline Pucillo Corning Credit Union Amanda K. Hellmann Betsy Fenhagen Carolyn E. Boddie Craig Snow Amanda K. Lind Betty Lanier Carolyn Ikenberry Craige & Fox, PLLC Amanda Maris Betty Vermillion Carrie Felkl Cranfill Sumner & Amanda Rieman Bill Jayne Cassie Smith Hartzog, LLP Amy Elmore Bill Kawczynski Cat Marinich Cristin Gizdic Amy Feath Bill Shriver Catha Grace Rambusch Crystal Stamey Amy Lindberg Bill Van Lew Catherine Cairns Cynthia Mobley Ana Brown Billie Jones Catherine Sanford Cynthia Pierson Andrea B. Bennett Binkley Baptist Church Cathy Luna DAE Building LLC Andrea Daniels Blockade Runner Resort Celisa Lehew Dale & Annie Baggett Andrea L. Talley Hotel Century 21 Sweyer & Dan Lewis Andrea & Jack Winterton Brad Hudson Associates Dana Fisher Andrew Jones Bradley Erbes Chapel Hill Restaurant Dana O’Donovan Angela Ballentine, PhD Brandon Guthrie Group Daniel Emery Angela Gangemi Brandon Marquez Charles Kidder David McLemore Angela Peterson Brandon Noel Charlie Maddox David Morris Angela Williamson Brenda Miles Charlie Rivenbark David Pearce Ann Shields Brenda Wolff Chief Chris C. Blue David Pearce Anna Lester Brent and Beth Dixon Child Care Services David W. Starling Anna Russell Brian Dickey Association Dawn Robinson Anne Thomas Brianna Small Chrissy Denoyer Dayma Edwards Annie Garriga Brittany Parish Christina Fulford Debbi Snyder Anonymous Bron Skinner Christina Greene Deborah Bennett Anthony Shook Bruce Kabat Christine Hook Deborah Gilmore Antoinette A. Gray Bruno Stargell Christine Point Debra Stonehouse Ashley H. Miller Bryan Schnell Cindy Pierson Debra Vuocolo 37 (continued from last page) CONTRIBUTORS

Deeanna H. Holland Eric Hickman Harrison Foust Jasmine Hawk Delandria Mclaughlin Eric Luttmer Heather Braithwaite, MD Jean Lawler Delaney Radiology Erika Menius Heather Pigott Jeffrey Chambers Denise Neal Eshelman Foundation Heather Reynolds Jeffrey Noecker Denise Szaloky Evelyn Cook Helen Gabert Jenifer Burns Dennis R. Musser Exchange Club of Lower Henry Cherry Jennifer Boger Diane Eilber Cape Fear Henry S. Woodbridge Jr Jennifer Bullock Diane Guida Fanny Chestnut-Hairston Hillsborough Bar Group- Jennifer Chisholm Diane Miller Farah Boyce Foy Hot Tin Roof Jennifer Cranford Don Betz Faye S. Brock Holly Grange Jennifer Gustafson Donald Wiggins Felisha Ravello Holly Tree Racquet Club Jennifer Jackson Donna E. Hurdle First Citizens Bank Inc Jennifer Loper Donna Shiro Flo Stein & Worth Bolton Home Again Wilmington, Jennifer Marino Doronda Stroud-Garm Forrest Firm PC LLC. Jennifer Mitchell Dorothy Swallow Frances H. Goodman IBM Employee Charitable Jennifer Mitze Doug Bevell Frances Hawk Contributions Jennifer Pagliei, MD Douglas Zinn Frances L. Downing Immaculate Conception Jennifer Rendleman Drea Adgent Frances Weller-Durham Catholic Church Jennifer Saphara Drew & Petra Sheaffer Francesca Fazzolari Irene Hathaway Jennifer Saucier East Carolina Emergency Frieda & Tom Harrington It’s Go Time, Inc. Jennifer Warren Physicians Gail Wood Jaclyn Guillory Jerri L. Ball Ed Sullivan Garret Harrell Jacqueline Foster Jesse McGill Edward D. McDowell GE James Flaherty Jill A. Truitt Edward Hackman GE Foundation James Gabriel Jill Wilson Edward Lawler Geoff Honaker James Green Jimmy Hopkins Eileen McEntegart George Fadok James Nero JNC Partners, LLC Elaine Werner George Scontsas James Stuit Joanie Morris Elana Roberts Geri Mattson James Vest Joanne Lee Elette Owen Gina Baran Jamie Bass Joe Apkarian Eleven 56, LLC Gina R. McKim Jamie K. Thompson Joe Choi Photo and Elizabeth Hays Glad Loreen Jan Halle Video Elizabeth & Jamie Governor Locklear Jana S. Albritton Joe Durham & Associates Redenbaugh Grace United Methodist Janalynn Beste LLC Elizabeth Vinal Church Jane A. Kulesza Joe Owen Elizabeth Wallace Grand Cru Food & Wine Jane Stein John Ballance Elizaida Velez-Olan Greg Burnett Jane Williams John Blackwell Elle Woods Gregory P. Gianoplus Janet B. Allen John Canzanella Ellen J. Solomon GriffinEstep Benefit Janet Fagan John R Smithwick Elsie L. Ryals Group Janet Flowers John Taggart Elwood Burch Grover Tharp Janet Grubber Johnny’s Gone Fishing EmergeOrtho Hana Baskin Janet Stephens Jonathan Barfield Emmily F. Wilson Harold W. Trammel Janice Freedman Jonathan Markow 38 Jonathan Swart Leshonda T. Wallace Mark Brown Nancy Tunnessen Joni Mitchem Leslie A Gura Martha K. Young Naomi Flock Joseph Durham Lillian S. Bright Marvin Neuwirth Natalie-Anne Reinhart Joy L. Murrell LINC, INC Mary E. Miliotis Nathan C. Sims Judith Lebda Linda Bywaters Mary Ellen Naylor National Association of Julie Brown Linda Franklin Mary Hall Social Workers – Julie Donlon Linda J. MacRae Mary Laders-Haller NC Chapter Julie Marie Linda Vernon-Rayno Mary Lou Kueffer NC Chapter of P.E.O Jungle Rapids Water Park Lindsay Joines Mary Margaret Vann Sisterhood Kara Boyd Lindsay McKee Mary Miller Neuwirth Motors Karen Blanks Lisa T. McDow Mary Wakeford New Hanover County Karen Chapple Lisa Noecker Matt Skelly Schools Karen Hyatt Lisa Wagoner Maureen Murray New Hanover Regional Karen Parkin Lisa Windell McAdams Homes, LLC Medical Center Karine Eason Live Oak Bank McGriff Insurance NHCS Southern Division Katen Lampkin Liz Wood MegaCorp Logistics LLC Transport Katherine McCann Liza Villaflor Megan Johnson Nick Rhodes Kathryn Burgess Logan Homes Megan Tarver Norma J. McDowell Kathryn Gresham Lois Huggard Meghan Sweeney North Carolina Kathryn Nixon Lucie Branham Melisa Gallison Community Foundation Kathy R. Hodge Lucien Wilkins Melissa J. Meglin Oak Island ABC Board Kathy King Lumina Gem Melissa Radcliff One Digital Katie Wakeford Lynne Shiftan Michael & Bev Kawalac Orange County Keith Strawn Mabel Matinez Michael A. Arcaro Pamela Morrison Kelley Evans, PhD Madeline Rackley Michael S. Brown Papa Murphy’s Kelly B. Batson Mako Medical Michael D. Clark Parkway of Wilmington Kelly Schmidt Laboratories Michael Davenport Pat Fontana Kenneth Byrd Mann & Watters, Inc. Michael Eakins PATH (Pender Alliance for Kenny Caperton Marcia Morey Michael Searson Teen Health) Kenny & Yolanda House Marcia Morgan Michael T. Murphy Patricia Daggett Kevin K. O’Grady Margaret Brill Michele Moran Clancy Patricia Kaufman Kevin Scott Margaret Eisenson Michelle Clark Patrick Kolenile Khalilah Olokunola Margaret Haynes Michelle Turner Paula Oathout Kim Brandau Margaret Pratt Mike & Patty George Peggy Baddour Kimberly Gammons Margaret Weller-Stargell Mindy Douglas Peggy Oettinger Knit One, Pray Too Margee Herring Modern Rock 98.7 Peggy OLeary Kristen Beckmeyer Maria E. Williams MoMentum Companies Phil Jewett Kristina Durham Maria Postupak Monica Rohena Phil Pestone Kristy Maddox Marie Raynor Nancy Griesmer Philip Ley Lauren Ballard Marilyn Elrod Nancy J. Gonzales Phillip Marsh Lauren Eaves Marilynn A. Prince-Fiocco Nancy J. Rambusch Phyllis S. Alderman Lauren Itzkowitz Marisol Perez Nancy Scott-Finan Pierre Naude 39 (continued from last page) CONTRIBUTORS

Pineapple Studios Inc Ryan Skuce Stillpoint Counseling and Travis & Kim Robinson PNC Bank Sallie P. Reamer Wellness, PLLC Trisha Murrill Point Clan, LLC Salt Air, Inc. Sunrise Broadcasting UNCW Police Department Prima Day Spa Samantha Dooies Susan Arredondo U’Nique Community Fund Rachel Daniel Samuel R. Sacco Susan Bell Veronica Godwin Rachel Mascarenas Samuel Rose Susan Buck Veronica McCluskey Rachel Petrosky Sandra Enos Susan Henson Vicki G. Parkinson Rakhee Patel Sandra Ray Susan Kreamer Vicki Jack Ramona Jackson Sandra Spiers Susan Nance Virginia Johnson RE/MAX Executive Sandy Rowe Susan Sweney Virtual OfficeWare Rebecca Newton Sarah Dobens Susan & Dave Tyson Healthcare Solutions Rebecca Varner Schree Chavdarov Suzanne Davis WECT Wilmington Reeds Jewelers Scott Hansberry Sydney Westmoreland Wells Fargo Advisors Regina Norris Scott Sherman Tanya Turner Wells Fargo, N.A. Reid Murchison Scott Summers Tela Kayne Wendy Littlefield Relias Sean Estes Terri DeWees Will Roden Renee Garber Shannon Burns Terri Simmons William A. Norris Rheba Heggs Sharon Allan The Ben Eisenberg William Ginna Rhonda Hutson Sheila Evans Group of ReMax William Mellon Richard D. Lytle Sheri Stroud Essential William & Frances Richard J. Ellman Sherry Black Designs The Fortunate Glass McMillan Rima Baltutis Shirley Chafin The Murchison Group of Wilmington Convention Rita Bigham Shirlyn Morrison-Sims Wells Fargo Advisors Center Rite Aid Foundation Smithfield Foods Thom & Lois Potratz Xi Online River Bluffs Realty, LLC Sonya C. Johnson Thomas & Mary Brown Xpress Image Rob A. Zapple Sound Harbor Wealth Thomas Conant Yum! Brands Rob and Beth Hollis Partners Tides, Inc. Robert T. & Susan Jalbert St. Francis of Assisi Tiffany Jackson Robert Wishnew St. James Service Club Tiffhany Dubose Robin Ange Inc. Tim S. Gardner Robin Harper St. Matthew’s Episcopal Timothy Baker Ron and Ginny Woodruff Church Timothy Jones Ron Proper St. Thomas More Catholic Tina Lewis Roost Home Building, LLC Church Todd C. Perry Rose Hoban Stacy Bryn Todd Dillon RSM Stanley Finch Tom Bennett Russell Miller Stephanie Haley Tom Gunn Ruth Stanton Stephanie Heller Tommy Mann Ruthie Trammel’s Stephen Coggins Toni B. & James Finan Champions for Stephen L. DeBiasi Top Shelf Waste Systems Compassion Steve Bilzi Tracey Torello Ryan Estes Steve Krasnipol Tracy Seagle 40 41 Coastal Horizons Center, Inc. Willie Stargell Office Park 615 Shipyard Boulevard Wilmington, NC 28412 910.790.0187 phone 910.790.0189 fax www.coastalhorizons.org