CARROLL COUNTY YOUTH SERVICE BUREAU

ANNUAL REPORT - FY2014

“It Starts With the Heart.”

Carroll County Youth Service Bureau is an outpatient mental health clinic and substance abuse treatment center. We are licensed by the Department of Health and Mental Hygiene (DHMH) and certified by AN the Department of Juvenile Services (DJS). Carroll County Youth OVERVIEW Service Bureau has provided outpatient mental health services in Carroll County since 1972 and has grown into a multi-disciplinary OF behavioral health practice that offers a range of outpatient mental CCYSB health and substance abuse treatment options. Therapists utilize a family-systems approach that incorporates the child, adult and family within their community and recognizes and values their impact on one another. This approach reinforces individual and family strengths, addresses identified family needs, and utilizes community resources.

A HEARTFELT MESSAGE FROM THE PRESIDENT & DIRECTOR

Dear Friends of Carroll County Youth Service Bureau:

Reflecting back on the past year, gives us pause to celebrate the many successes of the people we serve: a family who begins to communicate with each other in a more respectful and effective manner, an adult who gains the skills necessary to obtain employment and become self sufficient, an adolescent who learns about his depression, seeks help and thrives; the goal for health and well-being has many paths.

We would like to acknowledge our talented staff who demonstrate their expertise and dedication to mental health and substance abuse treatment each and every day. We applaud our board of directors who give generously of their time and proficiency to advise and guide us in our goal of providing excellence in our service to our clients.

We are fortunate that our local partnerships in programming are many: Carroll County Public Schools, Department of Social Services, The Local Management Board, The Department of Juvenile Services, The Judy Center, etc. We have recently forged partnerships with other non-profits in the community, allowing us to better welcome and serve people with challenges other than the ones in which we are skilled.

This year we are highlighting our Assertive Community Treatment (ACT) Program. Our ACT team reached the status of a fully-certified program and now provides intensive and highly-integrated services for the seriously mentally ill in our community. Please read about the many ways our ACT clients are helped in obtaining work, improving social relationships, gaining residential independence, increasing skills in money management, and improving their physical health and wellness. This experienced team provides services in all these major life skills.

Many of our generous donors are listed in our annual report; we are thankful for the many different ways we are supported by our community. Please consider joining us at one of our annual happenings: The Chocolate Ball or Bingo!

Sincerely, Richard Simmons, Board President Lynn Davis, Executive Director

2014 ANNUAL REPORT — PAGE 2 CONTINUUM OF COMMUNITY BASED SERVICES

Outpatient Mental Health Clinic for Children, Adolescents & Adults Outpatient services include: Individual Therapy, Couple Therapy, Consultations, Family Therapy, Medication Management, Information & Referral, Psychiatric Evaluations, Group Therapy, Psychosocial Evaluations, liason with school and local service agencies.

Substance Abuse Services CCYSB provides a full range of assessment and treatment services to meet the needs of individuals and families experiencing the negative impact of addiction. Our objective is to provide comprehensive services with the goal of intervention, education, treatment and recovery of substance abuse and/or dependence.

Psychiatric Services CCYSB offers psychiatric services (evaluation and medication management) to clients who are receiving psychotherapy services within the Clinic, Family Preservation, and the Assertive Community Treatment (ACT) program. These services are provided by licensed psychiatrists and Psychiatric Nurse Practitioners.

Violence Assessment Program This program is a partnership with Carroll County Public Schools for students referred following a suspension for serious threats or acts of violence. Services includes a licensed clinical social worker interview with child and parent, verbal recommendations to principal followed by a written report to principal, parents, and Pupil Services Department.

Graduate and Undergraduate Internship Training Program This program provides intensive training, supervision, and on-the-job experience to master’s level clinical interns and undergraduate students. Interns have come to CCYSB from the University of School of Social Work, Towson University, Loyola College, McDaniel College, Hood College, University of Pennsylvania, and Johns Hopkins University.

Adventure Diversion Program The Adventure Diversion Program is an alternative intervention program for juveniles who have probation and are at risk for out-of-home placement. It is a mandatory supervised evening program coupled with recreation, experiential learning, pro-social skill development and conflict resolution. The program is a collaborative effort between CCYSB, the Carroll County Department of Juvenile Services, the Carroll County Local Management Board, and the Boy Scouts Venturing Crews.

Suicide / Self-Injury Intervention Program During school hours, an on-call therapist provides clinical assessment services for Carroll County Public School students at risk of suicide or self-harm, ideation or behaviors.

Business and Employment Resource Center (BERC) This program focuses on counseling services to BERC participants who are dealing with the emotional, psychological and interpersonal challenges associated with unemployment.

Interactive Group Therapy This program focuses on a variety of problems and issues relevant to adolescents, using action-based methods to overcome barriers in teens and work on family, peer, school, and community issues in a more action oriented way. This program serves youth 14-18 years old at risk or currently involved with Department of Juvenile Services in Carroll County and from Carroll Center's Partial Hospitalization Program.

Parents as Teachers (PAT) Program Parents-as-Teachers is an evidence-based program which provides home-based school readiness curricula to families with young children (0-5 years old). The PAT Mental Health Consultant trains PAT Educators in early childhood mental health. The PAT consultant provides direct in-home services (consultations, clinical assessments) to families and consultations (face-to-face, phone, email) with PAT Educators to assist families in improving social and emotional well-being.

Family Preservation and Safe & Stable Family Preservation Both are short-term, home-based programs that provide family therapy designed to preserve and improve family relationships, and prevent out-of-home placement for a child in the family. Some families will enter into Parent Child Interactive Therapy (PCIT), an evidence-based treatment for young children and their families.

PAGE 3 — 2014 ANNUAL REPORT CONTINUUM OF COMMUNITY BASED SERVICES (CONTINUED)

Use of Evidence-Based Interventions Improve Outcomes The use of evidence-based interventions is aligned with our vision to be the foremost mental health provider for youth, adults and families in Carroll County by providing innovative, culturally sensitive, and highly-effective treatment. Four treatments which are evidence-based models requiring fidelity to the model are:

 Assertive Community Treatment (ACT) Outreach, counseling, psychiatric, nursing, housing, employment and other support services provided in the home and the community for chronically-ill adults who cannot be served in traditional outpatient settings. Round-the-clock on-call services are an essential component of the service.

 Brief Strategic Family Therapy (BSFT) This program is a short-term, problem-focused, evidence-based model which serves youth 6-18 years-old and involves the entire family in the counseling process. BSFT targets children with conduct problems, problematic family relationships, substance abuse, oppositional defiant behavior, delinquency, aggressive & violent behavior, risky sexual behavior, and anti-social peer involvement. BSFT focuses on problematic interactions within the family, replacing them with healthier interactions. BSFT is endorsed as a model program by the Office of Juvenile Justice and Delinquency Prevention (OJJDP) and the Substance Abuse and Mental Health Administration (SAMHSA).

 Parent Child Interactive Therapy (PCIT) This program is an empirically supported treatment for young children (ages 2-7) with disruptive behaviors. Developed by Shelia Eyeberg at the University of Florida, PCIT integrates concepts from social learning theory, traditional play therapy, and attachment theory to en- hance the parent-child relationship, increase children's pro-social behaviors and increase parent's behavior management skills.

 Trauma Focused Cognitive Behavioral Therapy (TFCBT) This program is a clinic-based psychotherapeutic intervention designed to help youth and their parents overcome the negative effects of traumatic life events such as child sexual or physical abuse, traumatic loss of a loved one, domestic, school, or community violence, or exposure to disasters, terrorist attacks, or war trauma. Treatment focuses on parent-child interactions, parenting skills, therapeutic treatment, skills development (e.g.: stress management, cognitive processing, communication, problem solving, and safety), and parental support.

CONTINUUM OF SERVICES BY AGE

2014 ANNUAL REPORT — PAGE 4 PARTNERS IN PROVIDING SERVICE

Boys and Girls Club of Westminster Carroll County Department of Maryland Department of Health Business & Employment Resource Center Rehabilitation Services and Mental Hygiene Carroll Hospital Center Carroll Citizens for Racial Equality Maryland Department of Human Resources Governor’s Office for Children Carroll County Bureau of Preventions, Maryland Department of Juvenile Services Governor’s Office of Crime Control and Wellness and Recovery Maryland State Police Carroll County Commissioners Prevention McDaniel College Carroll County Department of Citizen Services Human Services Programs of Carroll County Medical Community/Primary Care Physicians Carroll County Department of Johns Hopkins University Partnership for a Healthier Carroll County Management & Budget Loyola College of Maryland - Pastoral Terra Rubra Lions Club Counseling Program Carroll County Department of Towson University Maryland Association of Community Juvenile Services United Way of Central Maryland Carroll County Department of Social Services Mediation Centers Maryland Association of Youth Service University of Maryland County Carroll County Grants Office Bureaus University of Maryland School of Social Work Carroll County Local Management Board Maryland Department of Budget Westminster Elks Lodge #2277 Carroll County Public Schools and Management IT TAKES A COMMUNITY

Carroll County is a beautiful, rural area and we are so proud to call it home.

With only 165,000 County residents, and the largest employer being our public school system, there are a limited number of resources we have available to make our non-profit community thrive.

So we support each other — proudly. Many of our YSB employees volunteer or serve on Boards and committees for other non-profit organizations including: CHANGE, Inc., the South Carroll Business Association, Habitat for Humanity, the Carroll County Chamber of Commerce, and The Arc Carroll County, just to name a few. In return, we volunteer and Support each other in ways to help us all succeed, including at each others’ fundraising events.

Carroll County Youth Service Bureau would like to express its sincerest gratitude for our friends who help us in so many ways!

Photos: Top Left: (from Left to Right) Mary Honeman — Carroll County Public Library, Teresa Perrera — CHANGE, Inc., and Eva Minton — City of Westminster Parks & Rec Department. Top Right: Don Rowe — Executive Director at The ARC Carroll County and Lynn Davis — YSB Executive Director and President of the Board at The Arc Carroll County. Bottom: Andie Luchini — Youth Service Bureau and Marcia Hoffman — Carroll County Grants Office.

PAGE 5 — 2014 ANNUAL REPORT ASSERTIVE COMMUNITY TREATMENT PROGRAM

Assertive community treatment, or ACT, is an intensive and highly integrated approach for community mental health service delivery. ACT programs serve patients whose symptoms of mental illness result in serious functioning difficulties in several major areas of life, often including work, social relationships, residential independence, money management, and physical health and wellness.

Important characteristics of ACT Programs include:

 ACT serves clients with severe and persistent mental illnesses that are complex, have devastating effects on functioning, and, because of limitations of traditional mental health services, may have gone without appropriate services.

 The client group is often over -represented among the homeless, in jails and prisons, and has been unfairly thought to resist or or more of avoid involvement in treatment. % ACT services 75  ACT services are delivered by a group of multidisciplinary are provided outside of psychiatric, nursing, behavioral staff who work as a team and our offices in locations provide the majority of the treatment, rehabilitation, and support that are comfortable and services clients need to achieve their goals. convenient for clients.

 Services are individually tailored and address the preferences and identified goals of each client. The approach with each client emphasizes relationship building and active involvement in assisting individuals with severe and persistent mental illness to make improvements in functioning, to better manage symptoms, to achieve individual goals, and to maintain optimism.

 The ACT team is mobile and delivers services in community locations to enable each client to find and live in his or her own residence and to find and maintain work in community jobs rather than expecting the client to come to the program.

 ACT services are delivered in an ongoing framework to aid the process of recovery and ensure continuity of caregiver. Many ACT clients benefit from the availability of a longer-term treatment approach and continuity of care.

For more information about our ACT Program, please contact Shari Bowman, LCSW-C ACT Team Leader at 443-244-8677.

2014 ANNUAL REPORT — PAGE 6 YSB BOARD OF DIRECTORS

Carroll County Youth Service Bureau is a non-profit organization governed by a volunteer Board of Directors.

Our board members represent a cross-section of citizens throughout our county, including business and educational professionals, legal and financial advisors and other community leaders and volunteers.

We thank them for their leadership and support!

Front Row, from left to right: Judith Stull, Rose Lambert and Richard Simmons. Back Row, from left to right: Jodi Lupco, Gary Honeman, Allan Butler, Lynn Davis, Patrick Scheper, Martha Hankins, and Alex Myers. Missing from Photo: Jennifer Hill Bubczyk, Amy Feldman, Kenneth Hoefer and Beth Sergott.

WHAT ON EARTH IS SOMATIC CARE?!

Wikipedia defines ‘somatic care” as: “The term somatic means 'of the body'— relating to the body.” For Carroll County Youth Service Bureau, it means so much more than that.

Many of the clients we serve have

complex medical issues along with

“mental health or substance abuse

issues.” said Pamela Haines, YSB’s new Behavioral Health RN. “Integrating medical and mental health is crucial for our clients’ recovery.” Shown above are, from left to right, Joyce Agatone, Clinical Pam Haines, RN Supervisor and Program Director with Pamela Haines, RN.

This year, CCYSB received a grant from The Governor’s Office of Crime Control and Prevention which allowed us to further our efforts towards the integration of mental health, substance abuse and the final piece of the puzzle: somatic care. Our overall goal is to improve the link between a patient’s primary care physician with our behavioral health recovery efforts. This year, we are thrilled to announce the addition of Pamela Haines, RN as the new “Community Behavioral Health Nurse” to our staff!

PAGE 7 — 2014 ANNUAL REPORT REQUESTS FOR SERVICES IN 2014

New Referrals Received Requests for Services by Source of Referral: by Disposition:

CCYSB SERVED 3,241 INDIVIDUALS IN 2014

Total Individuals Served from 2011-2014:

Presenting Problems Categories:

Aggression — Anger — Child Neglect — Chronic Family Conflict — Delinquent-Like-Behavior Depression — Grief — Inadequate Social Skills — Physical Child Abuse — Self-Injurious Behavior Separation/Divorce — Sexual Child Abuse — Social Withdraw — Suicidal Thoughts Substance Use/Abuse — Suspensions/Expulsions Teen Pregnancy — Truancy — Violence Towards Others

2014 ANNUAL REPORT — PAGE 8 REVENUE AND EXPENSES IN FY2014

The FY14 expense figures are final figures based on the result of a financial audit completed in October 2014. CCYSB had a 4.3% increase in expenses. This increase in expenses was offset by a 10.5% increase in revenue. Salaries continue to be the largest expense category at 73.6% of total expenses. Employee benefits were 14.2% and occupancy was 2.9%.

The FY14 revenue figures stated are final figures based on the result of a financial audit completed in October 2014. CCYSB had a 10.5% increase in revenue in part due to both an increase in the number of clients served within the ACT program and an increase in contractual therapists hired in FY14. Fee collections continue to be the largest source of revenue at 53.4%, a 22.5% increase over FY 2013. Grant funding and County funding comprise 26.1% and 17.7% respectively.

FLOWER & JAZZ FESTIVAL FUN RUN/WALK FUNDRAISING EVENT

On Mother’s day weekend each May, The City of Westminster’s Recreation and Parks and Carroll County Youth Service Bureau partner to bring this event to the County.

The event features a free 200-yard dash for all children aged 6 and under, a free 1-mile ‘Fun Run’ for children aged 7 and up, and a 5K Run/Walk. The event is held along the lovely Wakefield Valley Community Trail and includes both medals for each child and a t-shirt and awards ceremony for the runners. Additionally, each 5k participant receives a beautiful flower pot, created by our friends in CHANGE, Inc.’s Aktion Club.

Both our organizations would like to thank this year’s event sponsors and participants for their support!

PAGE 9 — 2014 ANNUAL REPORT FUNDRAISING EVENTS

The 6th Annual CHOCOLATE BALL This year’s Chocolate Ball, sponsored by Kairos Wealth Management, was held on Saturday, February 8th, 2014 at the Portico of St. John, Westminster. Over 285 guests filled the beautiful “Winter Won- derland” themed ballroom and enjoyed a gourmet buffet provided by Uptowne Caterers while live music was performed by Standard Delivery Jazz.

Through sponsorships, ticket sales, raffles and auctions, we raised $30,000 after expenses, benefitting both Carroll County Public Schools and CCYSB. We are extremely grateful for the generous support from our community!

Photos: Above Right: Terry Smack and Jack Haden; Left: Donna Lewis and Kim Bloodsworth O’Connor.

Our 2nd Annual Longaberger© and Vera Bradley© BINGO

On Saturday, November 2, 2013, we held our BINGO fundraising event. Over 175 participants filled the Westminster Moose Lodge to enjoy 25 games of bingo to win our fabulously overfilled bags and baskets, raising close to $7,000 in support of our mission!

For more information about supporting or attending any of our fundraising events, including sponsorship opportunities, please contact Andie Luchini, Director of Development at Youth Service Bureau at [email protected].

2014 ANNUAL REPORT — PAGE 10 OUR GENEROUS FY2014 DONORS

Thank you to each of the individuals and companies who have supported Carroll County Youth Service Bureau during our 2014 fiscal year. Please know that your generosity has made a tremendous difference in the lives of those we serve!

Adelberg, Rudow, Dorf & Hendler, LLC Mr. John Fleetwood New Windsor State Bank Ms. Anna Altieri Mr. Matthew and Mrs. Kelly Fogle Mr. Bernie and Mrs. Joan Palm Apple Plumbing & Heating, Inc. Mr. Robert and Mrs. Rachel Getis Mr. Christos and Mrs. Helen Panagiotopoulos Aquino Financial Group, LLC GFWC Junior Woman's Club Penguin Random House Ms. Pat Arnold Mr. Richard and Mrs. Rachel Glaser Mr. George and Mrs. Ruth Perkins Mr. Glen S. Bair Gorfine, Schiller, & Gardyn, P.A. Pessin Katz Law, P.A. Barnes-Bollinger Insurance Services, Inc. Ms. Susan Graefe PNC Foundation Mr. Barry Friedland and Mrs. Kathryn Mitchell Greenmount Mary & Martha Society Mr. Terrence and Mrs. Victoria Powell Mr. Gary and Mrs. Dena Bauer Greentech Landscape Management Mr. Marcus and Mrs. Louna Primm Mr. William Baylor and Mrs. Jennifer Teeter Ms. Patricia Griffith Mr. Stephen and Mrs. Renee Rada BB&T Investments Mr. Brian and Mrs. Kim Haga Raymond James Financial. Inc. Mr. Larry and Mrs. Clare Berent Mr. Leonard and Mrs. Gwen Hanson Mr. Carlton and Mrs. Laura Rhodes Mr. Philip and Mrs. Shirley Berringer Mr. Charles and Mrs. Virginia Harrison Mr. Lynn Rill Bill Rohrbaugh's Charter Service, Inc. Highlight Construction Company, Inc. Robin Ford Building & Remodeling, Inc. Mr. Michael Billingslea and Mrs. Jackie Johnson Hill Development Group, LLC Rotary Club of Bonds Meadow Westminster Mrs. Nanette Billingslea Mr. Kenneth Hoefer Mr. Don and Mrs. Christine Rowe Mr. Steve and Mrs. Alicia Bitzel Hoffman, Comfort, Offutt, & Scott, LLP S.H. Tevis & Son, Inc. Mrs. Dena Black Mr. R. Neal and Mrs. Nancy Hoffman Mr. Robert and Mrs. Jill Schultz Mr. Robert and Mrs. Carolyn Boner Mr. Timothy P. Hopkins, State Farm Insurance Scott, Pitrone, Sorkin & Jarvis Orthodontics Dr. Niel and Mrs. JoAnne Borrelli Mr. Gary and Mrs. Mary Honeman Dr. Robert and Mrs. Carolyn Scott Bounds Accounting & Tax Services, LLC Ms. Lori Hyder-Carter Mr. Dale and Mrs. Linda Sears Bruchey Builders, Inc. JRJ, LLC / DBA Rafael's Mr. Stephen and Mrs. Jennifer Seidel Mr. Jeffrey and Mrs. Jennifer Bubczyk Kairos Wealth Advisors of Raymond James Mr. Gary and Mrs. Beth Sergott Mr. Kenneth and Mrs. Gretchen Bullock & Associates Mr. Clark and Mrs. Stacy Shaffer Carroll Community College Mr. Brian and Mrs. Debra Katz Mr. Haven and Mrs. Patricia Shoemaker Carroll County Chamber of Commerce Mr. Dan and Mrs. Jan Kennedy Mr. Robert and Mrs. Barbara Shreeve Carroll County Times Mr. Ken and Mrs. Marty Hankins Silberstein Insurance Group, LLC Carroll Hospital Center Mr. Jeff and Mrs. Marjorie Kimble Mr. Richard and Mrs. Margaret Simmons Carroll Hospital Center Foundation Kite Technology Mr. Michael Smith & Mrs. Andie Luchini Smith Carroll Lutheran Village KJP Towing & Recovery Mr. Andrew and Mrs. Cheryl Snyder Carroll Occupational Health, LLC Mr. Richard Bowie Ms. Dolores Snyder CCYSB Board of Directors Mr. Howard and Mrs. Francis Kramer Mr. William and Mrs. Sandra Soyke Cedar Ridge Counseling Centers Mr. Bill and Mrs. Rose Lambert Ms. Marie Speck Mr. Franklin and Mrs. Michele Chinskey Lehigh Cement Company Mr. Walter and Mrs. Karen Speck City of Westminster - Parks and Rec. Department Mr. Nick and Mrs. Donna Lewis Springfield Hospital Center Ms. Vicki Cook Mr. Wayne and Mrs. Bonnie Lockard St. Paul's United Methodist Church Mr. Michael and Mrs. Donna Crafton Mr. Michael and Mrs. Jodi Lupco Mr. Richard and Mrs. Gerry Stimmel Crawford Yingling Insurance M&T Bank The Honorable Nancy R. Stocksdale Mr. Jack and Mrs. Sabrina Crawmer M&T Charitable Foundation Sturgill & Associates LLP Custom Wreaths N' Décor Maggie's Restaurant Susquehanna Trust & Investment Co. Mr. David and Mrs. Janet Flora Main Street Advisors, LLC Ms. Mallory Sutphin Davis Library, Inc. Marcia Duffy Insurance Agency, Inc. Terra Rubra Lions Club Mr. Richard and Mrs. Lynn Davis Mr. William and Mrs. Sarah Marks Terry's Tag & Title Service, LLC Deer Park Lions Club Mr. Jim Martinson and Mrs. Amy Harshfield The Baltimore Cribbage Club Deer Park United Methodist Women McDaniel College The Upton School Foundation Mr. James and Mrs. Janice Doolan Mrs. Lyndi McNulty Thomas, Bennett & Hunter, Inc. Dr. Mark and Mrs. Anne Blue Medical Billing Solutions, Inc. Mr. John Tomko Dr. Charles and Mrs. Peggy Ecker Ms. Carrie Medlin Ms. Cheryl Trent Mr. Emmet and Mrs. Mindy Eckman Ms. Andrea Miller Mr. Kevin and Mrs. Carla Trump Delegate Donald B. Elliott Dr. Judith Milliken Mr. James and Mrs. Brenda Van Keuren Mr. Wayne and Mrs. Stacey Erich Montessori School of Westminster, Inc. Visual Integrators Evapco, Inc. Mount Garage Doors, Inc. Mr. Stephen and Mrs. Kathy Wantz Farmers & Merchants Bank Mr. Richard and Mrs. Jennifer Pagano Mr. Patrick and Mrs. Rhonda Ware Fire-Mak, Inc. Mr. Robert and Mrs. Patricia Scrivener Mr. Mark and Mrs. Janine Wilson First Financial Federal Credit Union Mr. Robert and Mrs. Kelli Nelson Zion United Methodist Church Mr. Stephen and Mrs. Carol Nevin

Every effort has been made to assure accuracy and include all donations to CCYSB for FY2014. We sincerely apologize for any errors, and request that you notify us of any omissions and /or incorrect information. Donations are of $25 or more and for the period 7/1/2013 through 6/30/2014, including in-kind contributions.

PAGE 11 — 2014 ANNUAL REPORT CARROLL COUNTY

YOUTH SERVICE BUREAU 59 KATE WAGNER ROAD WESTMINSTER, MD 21158

LOCAL: 410.848.2500 TOLL FREE:1.888.588.8441 FAX: 443.244.8839

WWW.CCYSB.ORG

ADDRESS SERVICE REQUESTED

We, Carroll County Youth Service Bureau, commit ourselves to provide a continuum of community-based mental health and substance abuse services for children, adults, and MISSION families in Carroll County. We use a multi-disciplinary approach to deliver prevention, intervention, and treatment services in the least restrictive and most cost-effective manner. In the true spirit of the helping profession, we are dedicated to excellence in service, innovation in programming, and responsiveness to our community.

 We will continue to be the foremost mental health and substance abuse provider for Individuals and families of Carroll County.  We will offer state-of-the-art treatment, while increasing the population we serve. VISION  We will create innovative programs to serve the community and encourage diversification of job roles for our staff.  We will share our expertise through training, research, and continuing education.  We will be financially sound.  We will maintain a joyous work environment through our respect and caring for each other.

“It Starts With the Heart.”