Exploring New Waters From the Board Chair and the CEO

02 On January 20, 1969, an Englishman named John But it’s also critical for people who are not, and have Fairfax set out, alone, from the in a traditionally not been, our consumers. Nationally, 75 rowboat. Six months later, he landed in — the percent of people with behavioral health disorders are first man to row, solo, across the . receiving some kind of active medical treatment — but His achievement was little noticed by the world. Only not for their behavioral health disorders. hours after Fairfax rowed ashore, Neil Armstrong put We must remember that behavioral health disorders the first human footprints on the moon. include not just schizophrenia, bipolar disorder and We see a similar overshadowing today. For six years, other serious and persistent illnesses. They include a we have been overwhelmed with news coverage, long list of other conditions: from anxiety disorders, commentary and discussion about nationwide depression, gambling addictions, eating disorders and healthcare reform. It has obscured what may be an substance abuse disorders ... to post-traumatic stress even larger, more fundamental and more impactful disorder and the long-term effects of stress — whether change: redefining what “healthcare” truly means. And it’s from a high-paying job or from living on the street. in that arena, SCCMHA is, like John Fairfax, exploring Without treatment, these disorders will not take care new waters. of themselves. And they are likely to interfere with the The ocean we’re crossing is called Population Health patient’s physical wellness. Management (PHM). It is a way to bridge the gap What we bring to the intersectoral table today is between two traditional systems. Our individual not only our expertise in treating mental health and healthcare system identifies and treats illness and addiction disorders, but our mastery of consumer- injury in a single person. Our public health system centric support services and our expert navigation works to improve the health of the whole population, of the human services landscape in the consumers’ in part through preventive medicine. neighborhoods and communities. We are the The success of PHM depends on what the World facilitators between traditional healthcare service Health Organization calls “intersectoral” action and other non-healthcare services that, when offered planning — impacting factors that, while outside the together, will increase positive outcomes. traditional healthcare delivery system, affect the health Together with our partners in education, law of people. enforcement, faith-based community, human services Over the last several years, our organization has and healthcare, we have mature and purposeful begun to master intersectoral action planning ... in collaborations that have become, if we may boast a bit, part because behavioral health is so closely linked to the envy of the state. And while those collaborations physical health. make us proud, more importantly, they offer better services and improved outcomes for those we serve, We’ve seen that type of planning in the roles for their families, and for our community and the we’ve played in the Saginaw MAX System of Care, region. our Primary Behavioral Health Care Integration Transformation, the Saginaw Community Care HUB It’s not rowing across the Atlantic. It’s not setting foot and affiliated programs, Saginaw Pathways to Better on the moon. But it is, we believe, a giant leap for the Health, the Early Childhood Home Visiting partners people of Saginaw County. and the newly funded Michigan Children’s Health Access Program — all of which you can learn more about in this report. Some of these activities seem like a departure from what one might think of as “mental health.” And that’s Sandra M. Lindsey, the point. Mental health services must be oriented and CEO, SCCMHA integrated with primary healthcare like never before. Not only because a more holistic approach better meets the total needs of a consumer … but because we all realize the extent to which behavioral health affects physical health. Addressing physical and behavioral Philip Grimaldi, health needs concurrently improves outcomes for Chair, SCCMHA Board of Directors both. And it helps consumers access, activate and engage with primary healthcare. This is critical for SCCMHA’s traditional consumers — people with serious and persistent mental illness and intellectual and developmental disabilities. On average, they die 25 years earlier than average, mostly because of preventable and untreated chronic diseases.

03 Innovative Healthcare, Practices and Philosophies

Saginaw County Community Mental Health Authority consumers might understand that getting healthier (SCCMHA) understands that many of the people we may mean more activity, making better food choices serve are at risk of dying an average of 25 years earlier and decreasing or stopping smoking. At the same than the general population. While most people might time, we recognize that being healthy means the think this may be due to a person’s mental illness, consumer’s medical provider and SCCMHA must statistics are clear that adults with mental illness are remain jointly focused on both mental and physical dying from preventable and treatable conditions. health needs. This model is called “Health Home” and SCCMHA is partnering with consumers to lead is recognized in Michigan as a model that provides healthier lives. We recognize that being healthy means an array of services such as care coordination, health that when a person seeks care from a primary care education and support for individuals with serious provider, the provider understands that person’s mental illness and substance use disorders that have physical and mental health needs. SCCMHA’s chronic health care conditions. innovative effort in developing integrated care for SCCMHA’s longstanding partnership with Health consumers was recognized by being awarded a four Delivery, Inc. (HDI) and Advanced Care Pharmacy year grant from the Substance Abuse and Mental makes our home base at 500 Hancock the perfect Health Services Administration (SAMHSA) in October place to launch an initiative like Health Home 2014. The grant, Primary Behavioral Health Care in Saginaw County. By bringing together Integration, is intended to support SCCMHA’s ongoing the quality healthcare of HDI and the commitment to identify, monitor and assist consumers innovative behavioral healthcare in managing their chronic health conditions such options through SCCMHA, as heart disease, diabetes and high blood pressure, consumers are able to receive including coordination of their care in our community. “whole person” healthcare — SCCMHA is also working to support consumers in primary and mental health achieving better health by helping them to develop care, as well as prescriptions a personal wellness goal and to follow their doctor’s — all in one location at advice. We are working together as a team so SCCMHA.

04 Health Home isn’t the only integrated care resource Care HUB umbrella, works exclusively with children housed at SCCMHA. The Saginaw Community Care on Medicaid and is designed to create a system for HUB, which is operated by SCCMHA, serves as the children to access quality coordinated preventative central access point for support through Saginaw care through medical homes. Pathways to Better Health, Early Childhood Home Integrating healthcare means that we not only take Visiting partners, and soon, the Michigan Children’s strides in our own programs but that we reach out Health Access Program. Adults across the age and create partnerships with providers and resources spectrum (18 to seniors) in Saginaw and adjacent in the community as well, meeting consumers where counties who are eligible for or enrolled in Medicare they are and making services more accessible to and/or Medicaid who have two or more chronic those who need them the most. SCCMHA has been conditions. Clients are assigned a Community committed to building relationships throughout the Health Worker who will help educate them about community to provide the most comprehensive care their conditions, promote healthy behaviors and possible at all stages of life. Through collaborations facilitate access to needed health and social services with HDI, Partners in Pediatrics, area hospitals like such as housing, food and transportation. The Early Covenant HealthCare, St. Mary’s of Michigan, McLaren Childhood Home Visiting partners provide families Bay Region and many more healthcare providers, as with prevention and intervention services, help well as specialized support providers, we are working families understand specific developmental towards a larger system that will assess and address milestones and help children reach them, mental health needs of patients of all ages at the ensure children are kindergarten same time they are receiving care for other general ready and provide overall health or chronic health purposes. The success of a healthy screenings throughout their community rests on our ability to provide quality care formative developmental years. and supports to those most in need, and SCCMHA is The Michigan Children’s proud to be leading the charge toward integrating Health Access Program, the best behavioral healthcare with the best primary which will soon be coming healthcare in Saginaw County and beyond. under the Community

05 06 Successful healthcare integration needs innovative severe mental illness. Consumers who visit this drop- practices as well, to keep the movement evolving to in center have a variety of activities available to them meet the diverse needs of our population in Saginaw. to improve their overall health and wellness, including SCCMHA has long been a leader in innovative classes on yoga, healthy cooking, financial budgeting practices, and has recently implemented new models and a variety of other health and wellness topics. that are not only groundbreaking for the mental health Bayside Lodge Clubhouse is a psychosocial field across the state, but across the nation. rehabilitation program following the clubhouse model For the past year, Medical Director Ann Marie Tadeo, first introduced in at Fountain House. M.D. and her staff have been utilizing a technology It is currently managed by Training and Treatment called GeneSight by Assurex Health at SCCMHA to Innovations, Incorporated (TTI), a non-profit agency assist in medication reviews with consumers. Using under contract with SCCMHA. The Clubhouse is this system, the medical staff sends cheek swabs of designed around a member-driven Work Ordered participating consumers to a GeneSight lab where they Day where consumers receiving mental health are analyzed. Based on the genetics of the individual services invest their time and talents, so that the tested, the report outlines which medications are entire clubhouse community becomes more confident going to be the most effective, which ones should be and competent in their employment, independent approached with caution and which ones should be living and educational goals. Through working to avoided altogether. “The goal of this technology is to achive these goals in the Clubhouse’s Administration, reduce the trial and error time for finding the right Boutique, Kitchen and Snackbar work units, many treatment plan for consumers and cutting down on the Clubhouse members have obtained both supported expensive hospital costs due to visits for unexpected and independent employment, moved into more side effects and ineffective medications,” explained Dr. independent living environments and housing, and Tadeo. “The future of individualized healthcare is here have built meaningful relationships with each other and we are ahead of the curve in Saginaw.” and others in the community. One key feature of Another new practice that SCCMHA is excited to be Bayside is the focus on assisting members in becoming implementing is the Living Room model for people job ready and the Transitional Employment Program experiencing a mental health crisis. This model, (TE), in which the Clubhouse obtains employment relatively new to the mental health field in general, positions in the community, worked and supported, creates a more comfortable, less formal place for solely for Clubhouse members. people to go who are experiencing a mental health SCCMHA firmly believes that every person deserves a crisis. Historically, an individual experiencing a mental belief in potential, a right to dream and an opportunity health crisis had few options for support through the to achieve, regardless of mental or physical health immediate situation and many often wound up in challenges. It’s a vision that we keep in the forefront emergency rooms or interacting with law enforcement. of everything that we do and use as a guide in The Living Room model is designed to be a resource developing partnerships and initiatives that help us that catches people before a crises becomes so achieve this goal. It’s a vision that we can’t accomplish severe that emergency medical attention is needed by alone and are proud to share with our numerous providing a more calming environment for someone community and business partners. Times are changing to retreat to and talk with a mental health professional and the face of healthcare is evolving to meet the throughout the crisis. The Living Room crisis model at individualized needs of patients like never before SCCMHA is expected to be fully operational by May — we are excited to be at the forefront of these 2015 and will be staffed by peers and mental health changes in our community and in our professionals who will be able to provide medical own practices, and are determined to intervention if necessary. help create a system of care that Perhaps one of the most important models we adhere establishes a platform for all to at SCCMHA is the peer support and recovery health consumers to have movement that can be found throughout all aspects a voice in how they receive care. of our agency, but most especially at the Friends for Recovery Center and Bayside Lodge Clubhouse located in the Bayside Plaza on Genesee Avenue. The Friends for Recovery Center operates as a 100-percent consumer-run facility designed to serve adults in Saginaw County who have been diagnosed with

Innovative Living Supports To live a healthy, happy, independent life is a dream and guardians more control over the use of the shared by many and SCCMHA fully believes that it is Medicaid dollars that are set aside for consumer care, a dream that should be accessible to all, regardless with the support and coordination of SCCMHA staff. of physical, mental, behavioral and substance With Self Determination, the consumer or guardian use challenges one might face. We have made a is able to look at the services and supports they are commitment to providing services and supports to already receiving or that they might need and decide all consumers to help them achieve independent if there is a different or more creative way of meeting lifestyles, whatever that independence looks like to the consumer’s needs. them. From independent living and housing supports “With Self Determination, the first question we to residential group homes, supported employment like to ask consumers is ‘What kind of life do you and self-determination, consumers have the ability to want to live?’” explained Nancy Clark, SCCMHA Self determine how they receive care and how they will live Determination supervisor. “Our mission is to empower their life to the fullest in the community. individuals who may never have had a chance before SCCMHA’s Supported Employment unit, responsible now to live life like everyone else. We are built around for helping consumers seek and maintain competitive being creative with funds to achieve the dreams and part-time and full-time employment in the community, goals that consumers set for themselves. They are currently provides support to approximately 70 telling us what they want their life to look like, and we consumers. Referrals come from case management are listening and figuring out how to try to make that teams at SCCMHA but also from contracted case happen.” management teams at Saginaw Psychological Services Having a place to call your own is a dream many and Training and Treatment Innovations. The staff at consumers also have, and SCCMHA is happy to the Supported Employment unit keeps up-to-date lists connect these individuals to resources that enable of employment opportunities, helps consumers build them to live with a level of independence that is resumes and apply for open positions, performs mock right for them. Sometimes that means living in a interviews and researches and coordinates any needed residential care setting, other times it means living training for consumers. Most recently, SCCMHA with roommates, while some flourish living in a purchased new vending machines to be used solely place of their own. SCCMHA’s Salter Place Housing for the purpose of providing transitional temporary Resource Center is run by a team of dedicated staff jobs that teach consumers to be responsible for that assists consumers who are ready to take the step ordering and stocking food items, managing inventory of living independently in the community, and helps and the like. 100% of all proceeds from the vending these individuals find resources to make the transition machines are used to fund consumer wages, training, successful. maintenance of machines and additional product supply. Salter Place primarily administers three different The Self Determination team at SCCMHA is rental assistance grants through the U.S. Department currently working with approximately 90 of Housing and Urban Development and the Projects consumers who have decided they are for Assistance in Transitions from Homelessness grant ready for the freedom, authority through the Substance Abuse and Mental Health and responsibility of living a Services Administration. When individuals identified more independent lifestyle. as disabled or having mental health and substance use The model gives challenges request housing support, Salter Place staff consumers helps them locate an adequate apartment or house to rent based on their needs, get set up with utilities, find furnishings for their new home and locate employment opportunities through referrals to SCCMHA’s Supported Employment program and other resources like Michigan Works. Currently Salter Place assists 82 household units with housing supports. Of those 82 households, 52 are individuals and 30 are family units. Of the 30 families, there are an additional 73 dependents that reside in the supported housing units. Innovative Resources Innovative Recovery to Help in a Crisis Through the Courts A crisis, by its very nature, suggests that there are Court systems are designed to oversee the justice some circumstances that just can’t be planned for. process for society as a whole, determining fair and SCCMHA recognizes that even the most thought-out just penalties for crimes that have been committed treatment and care plans can’t prepare consumers, in the community. However, traditional penalties for families and professionals for the twists and turns individuals with mental illness and substance abuse of life, and has taken great strides in improving the challenges who commit minor to severe offences don’t understanding and available resources for mental always fit the crime. SCCMHA, the Saginaw County 10th and behavioral health crisis situations. The goal is Circuit Court, and 70th District Court have joined forces to have supports in place that continue to promote to create innovative alternatives for these individuals, the recovery process despite the immediate crisis offering options that emphasize accountability and situation. Despite the best plans, crises still emerge for recovery as opposed to incarceration. consumers with mental illness and other disabilities. A The Saginaw County 10th Circuit Adult Felony Drug significant amount of the time the crisis intersects with Court, established in 2012, aims to improve the overall law enforcement. quality of life in the community by providing a court Perhaps one of the most significant partnerships supervised program for substance use offenders with SCCMHA has continued to develop is with the police goals of enhancing public safety, reducing crime, serving the Saginaw community. Over this past year, more effectively holding offenders accountable and 65 Saginaw law enforcement officers attended and transforming offenders into positive contributing participated in mental health awareness training which members of the community. aims to help them better understand how to safely “SCCMHA has been a very supportive aspect of our and effectively interact with mental health consumers Drug Court here in Saginaw,” said Court Coordinator in the community. Additionally, Crisis Intervention Susan Smith. “During the planning stages, they staff at SCCMHA regularly attend shift roll calls with provided direction as far as available substance Saginaw City Police where they discuss methods to treatments and identified resources in our community de-escalate challenging behavior when approaching as well. From the beginning, SCCMHA has been consumers with acute mental health symptoms, represented on our Advisory Board.” national trends and helpful information. Keeping first responders informed on effective mental health Since the Drug Court became operational in October practices is the first step, and possibly one of the most 2013, nine participants have graduated from the important, in ensuring that mental health crisis in the program. In the 2014 calendar year, 43 participants community are handled in the most effective and safe were also involved in the treatment program at varying manner for everyone involved. stages. Drug Court intervention has three stages with an average duration of five months for each stage. SCCMHA is also proud to offer MUTT (Mobile Urgent There is an expectation and plan for the participant to Treatment Team) services to youth and families in the relapse along the way so some stages may take longer, community that need support during crisis situations. but on average the intervention lasts for 20-24 months. Designed as a prevention and crisis intervention service for children and families involved in services The Saginaw County Mental Health Court; a through SCCMHA or their partners, MUTT has multiple partnership of the Saginaw County Sheriff ’s teams and is made up of staff from the Family Services Department, the Office of the Saginaw County Unit and Wraparound SCCMHA and the local juvenile Prosecutor, 70th District Court, 10th Circuit Court and justice system. SCCMHA; is a diversion opportunity for misdemeanor offenders and some felony offenders who are mentally When a child who is receiving mental health services is ill and have not been successful in their compliance experiencing a crisis, day or night, MUTT is available as with treatment. It removes defendants from the an alternative resource to support the child and family crowded courtrooms and places them in a new through the situation and avoid costly hospitalizations courtroom environment — an environment where or unnecessary involvement with juvenile justice. The they undergo treatment and counseling, make regular service is being utilized by area schools as well, to appearances before the judge and are monitored help children who experience a crisis during classroom closely for program compliance. hours avoid as much lost educational time as possible. The MUTT team on duty visits the child where the The Mental Health Court in Saginaw became crisis is happening, whether at home or school, and operational in May 2013 and currently has 20 active helps them through the immediate situation. This participants who are involved at varying stages. summer, MUTT staff will also be available to provide Since beginning operations, Saginaw Mental Health supports to summer camps while school is out of Court has had seven successful graduations from the session. program. The mental health court intervention on average runs 12 months. Currently there are 26 families actively receiving MUTT services during the evenings and weekends, and six families actively receiving daytime MUTT services.

11 Innovative Progress Through Education Nelson Mandela once said “Education is the most • Michigan State Police powerful weapon which you can use to change the • Bay County Circuit Court world.” While we may not change the world, SCCMHA is determined to make positive changes in our • Saginaw County Court System community, and that starts with educating people who • Saginaw County Veteran’s Court work, live, lead and play here about the intricacies of • Saginaw County Juvenile Justice System mental illness, substance abuse and developmental • First Ward Community Center disabilities. • CAN Council Great Lakes Bay Region The Continuing Education Department at SCCMHA oversees a wide variety of internal and community • Saginaw County Department of Human Services trainings that aim to shed light on what mental illness • Substance Abuse Treatment and Prevention Services really looks like and how each of us in our individual • Saginaw County Sheriff’s Department roles can make an impact on the health and wellbeing • Saginaw County Commission on Aging of our community. There can be no progress without shared understanding and knowledge. • Child and Family Services of Saginaw Over the past year, SCCMHA has provided numerous • HealthSource Saginaw open classes for Community Safety, Cultural and • Parents, Families, Citizens of Saginaw County Linguistic Competency, Mental Health Ambassador • Saginaw Pathways to Better Health Training, Youth Mental Health First Aid, Adult Mental • Faith-Based Community Health First Aid, System of Care 101, Post Traumatic Stress Disorder (PTSD), Substance Abuse Disorder Notable training numbers from the past year include: and much more in addition to internal trainings that • 866 people trained in CPR are required for all staff and providers. Listed below • 883 people trained in First Aid are just some of the community partners who have actively participated in SCCMHA facilitated trainings • 645 people trained in either Adult Mental Health over the past 12 months: First Aid, Youth Mental Health First Aid or both • Saginaw County Drug Court • 70 people became Mental Health Ambassadors • Saginaw City Police • 44 community partners attended PTSD and Substance Abuse Disorder training • STARS Transportation • 2,204 people trained in Recipient Rights • Saginaw Public Schools • 87 community partners attended a seminar with • Saginaw Public Libraries Saginaw City Police on Community Safety • Saginaw Intermediate School District • 65 Saginaw law enforcement officers trained in • Covenant HealthCare Mental Health Awareness • St. Mary’s of Michigan

12 FY 2014 Financial Information

Revenue Summary

n Medicaid: $50,493,501 n Healthy Michigan: $2,191,763 n General Fund: $6,346,267 n Grants: $6,277,397 n Local: $1,615,568 n Other: $1,882,955

Total: $68,807,451

Expenses Summary

n Adults with Mental Illness: $26,170,391 n Adults with Intellectual and Developmental Disabilities: $25,481,764 n Children with Serious Emotional Disturbance: $8,427,889 n Children with Intellectual and Developmental Disabilities: $2,976,743 n Other Programs: $4,166,065 n HRA/PA530/Provider Tax: $887,265

Total: $68,110,117

Performance 95% Target Key Performance Indicators

% of persons receiving a pre-admission screening for psychiatric inpatient care for whom the disposition was 99.95% completed within 3 hours % of persons receiving a face-to-face assessment with a professional within 14 calendar days of a non-emergent 98.93% request for service % of new persons starting any needed on-going services within 14 days of a non-emergent assessment with a 96.04% professional % of persons discharged from a psychiatric inpatient unit that were seen for follow-up care within 7 days 95.50%

13 FY 2014 Service Information

The Consumers We Serve Number of Consumers Served 2014 Unduplicated

Race

n White: 56% n Black or African American: 33% n Other: 11%

n Adults with Mental Illness: 3,228 (50%) n Children with Serious Emotional Disturbance: 892 (14%) n Persons with Intellectual and Gender Developmental Disabilities: 1,049 (16%) n Female: 49% n Persons with Substance Use Disorder: 1,316 (20%) n Male: 51%

Types of Services Provided/ Numbers of Persons Served

Ethnicity Assertive Community Tx 52

n Hispanic or Assessment 3,168 Latino: 7% Case Coordination 2,514 n Non Hispanic or Community Living Supports 808 Latino: 77% Crisis 2,325 n Unknown: 16% Enhanced Health Services 404 Family Training 190 Housing Assistance 128 Inpatient Hospitalization 567 Medication Management 519 Peer Support Services 566 Age Respite 293 291 n 0-17: 21% Specialized Residential Substance Use Disorder Tx 1,316 n 18-39: 36% Therapy 989 n 40-64: 35% Vocational Supports 521 n 65+: 8% Wraparound 100

14 2014 Network Service Providers

Specialized Residential Krasinski Independent Inpatient Clubhouse/Employment/ Alternative Community Open Arms, Inc. BABH-Physician Services at Skill Building/Drop-In Living, Inc. dba New Bay Reg. Medical Center Center Community Living Support Passages McLaren/Bay Regional Friends for Recovery Center (CLS) Angel’s Place Corporation BCA StoneCrest Center SCCMHA Community APS Employment Services Ties North Bay Human Services Havenwyck Hospital Bethesda Lutheran Beacon Harbor Homes, Inc. SCCMHA Community Communities, Inc. HealthSource Saginaw Ties South Beacon Specialized Living Marina Coats McLaren Bay Psychiatric STEP – Services To Services, Inc. Associates Stella Edwards Enhance Potential Bethesda Lutheran MidMichigan Medical Communities, Inc. Alyssa Elasivich St. Mary’s Guardian Angel Center–Midland Respite & Adult Day Services Bright Vision Services LLC Emily Hoffman Pine Rest Christian Mental SVRC Industries, Inc. Caldana Adult Care Jayden Transitional Housing Health Services Services, Inc. JSP Homes Training and Treatment The Memorial Hospital dba Innovations, Inc. CAC for the Deaf and Hard Rex Kingsbury Memorial Healthcare of Hearing Lutheran Social Services Trinity Health-Michigan dba Pharmacy Central State Community of Michigan St. Mary’s Health Care Advanced Care Pharmacy Services, Inc. Services, Saginaw, L.L.C. Maxim Healthcare Children’s Outpatient Clinic/ Holy Cross Children’s Services, Inc. Children’s Case Management Advanced Care Pharmacy Services Medication Drop Service Matt Miller Saginaw Psychological HomeLife, Inc. Program Mackenzie Modrall Services, Inc. Hope Network Behavioral Kayla Redmond SCCMHA Family Substance Abuse Health Services Jodi Stalsberg Services Unit Prevention Providers Hope Network Southeast Samantha Turner SCCMHA Wraparound Unit First Ward Community Hope Network West Westlund Guidance Clinic Center Michigan Respite Hearth Home c/o Health Hopkins AFC Homes, Inc. APS Employment Services Crisis Delivery, Inc. Independent Living Lutheran Social Services Alternative Community Prevention & Youth Services Solutions, LLC of Michigan Living, Inc. dba New Passages Sacred Heart Rehabilitation Inter-Disciplinary Maxim Healthcare Center Advantage, Inc. Services, Inc. APS Employment Services Saginaw City Police Jayden Transitional Housing St. Mary’s Guardian Michigan Center for Positive Treatment Providers Kneaded Angels Adult Living Angel Respite Living Supports-MCPLS SCCMHA Centralized Dot Caring Centers Krasinski AFC, Inc. Choice Voucher/Enhanced 52 Access Intake Harbor Hall Treatment Lighthouse, Inc. Health SCCMHA Crisis Intervention Services 3,168 New Beginnings AFC William Leichner, LLMP Services HealthSource Saginaw 2,514 Patton AFC New Horizon’s Rehabilitation Adult Outpatient Clinic Kairos Healthcare Pine Rest Services, Inc. 808 (OPC)/Case Management Professional Psychological & Paramount Rehabilitation Resident Advancement, Inc. (CSM)/Assertive Community Psychiatric Services 2,325 Services ResCare Premier Treatment (ACT)/Support Sacred Heart Rehabilitation 404 Ann Raphael Coordination (SC)/ St. Louis Center Saginaw Odyssey House SCCMHA Choice Voucher Independent Facilitation (IF) 190 Schiavone Enterprises, Ltd. Saginaw Psychological SCCMHA Enhanced Health Case Management of Services 128 Sunnyside Home Services Michigan Ten Sixteen Recovery 567 The Prosperity House Daniel Tranberg, Ph.D., L.P. Disability Network Network Valley Residential 519 Saginaw Psychological Services, Inc. Autism Services, Inc. Wedgewood Christian Services 566 Wallace Street Partners ABA Pathways, LLC SCCMHA Community ABC Resources, PC Supports Services Fiscal Intermediaries 293 Supported Independent Autism Center of Central 291 Housing (SIP) SCCMHA OBRA/ Stuart Wilson, CPA, P.C. Michigan PASARR Unit Beacon Harbor Homes, Inc. Limited English Proficiency 1,316 Children’s Therapy Corner SCCMHA Support Bethesda Lutheran Coordination Services Interpretalk 989 Communities, Inc. Saginaw Psychological Services, Inc. Training and Treatment V.O.I.C.E. 521 Bright Vision Services, LLC Westlund Guidance Clinic Innovations, Inc. 100 Independent Living Solutions, LLC

15 Board Meeting and Other Locations Committee Schedules Albert & Woods Professional Development & Business Center Full Board Meeting, second Monday, 5:15 p.m. 1 Germania Platz Ends Committee, second Tuesday, 5:00 p.m. Saginaw, MI 48602 (989) 797-3400 Recipient Rights Advisory Committee, third Wednesday, 5:00 p.m., bi-monthly Community Ties North Executive Limitations Committee, 3830 Lamson St. fourth Wednesday, 5:00 p.m. Saginaw, MI 48601 (989) 272-7208 Governance Committee, meetings quarterly, to be determined by established calendar Community Ties South 17940 Lincoln New Lothrop, MI 48460 Contact Information (989) 845-7336

SCCMHA Main Location Towerline Supports Coordination 500 Hancock St. 1040 Towerline Rd. Saginaw, MI 48602 Saginaw, MI 48601 (989) 797-3400 (989) 754-2288 SCCMHA General Information/Switchboard (989) 797-3400 SCCMHA Child, Family & Youth Services 3875 Bay Rd., Suite 7N Service Authorization and Access Saginaw, MI 48603 (800) 258-8678 (989) 797-3400 Office of the CEO (989) 797-3501 TDD (Hearing Impaired) (989) 797-3460 Recipient Rights Office & Customer Services (989) 797-3452 Crisis Center: Crisis Receptionist (8 a.m. – 5 p.m.) (989) 797-3476 Crisis Center (24 hours/after hours) (989) 792-9732 Toll Free (24 hours/after hours) (800) 233-0022