2016 HCRS Annual Report

Hope takes flight... The Butterfly Effect: Even a seemingly insigificant act of kindness and caring can lead to unimaginable positive change in the world around us.

“Be the change you want to see.”

~Ghandi

We ENVISION a community where Our MISSION is to provide creative, people are inspired, empowered, and collaborative, and compassionate supported to lead healthy and health care services that are responsive meaningful lives. to the needs of our communities.

GUIDING VALUES Teamwork • Creativity • Integrity • Passion • Quality • Trust • Wisdom Governance & Leadership Board of Directors

(From left): SallyAnn Silfies, Harold Johnson,President, Diana Slade, Travis Weaver, Adam Pippin, Sarah Carter, Vice President, James Paradis, John Case, Judy Siler, Matthew Garcia, Keith Clark, Treasurer Not pictured: Carlotta Gladding, Secretary, Sharon Ayer, Nancy Birge, Michael Davidson

(From left): Warren Sergeant, MIS Program Director Will Shakespeare, Children, Youth, and Families Program Director Paul Boutin, M.D., Medical Director Emily Mastaler, Chief Operating Officer George Karabakakis, Ph.D., Chief Executive Officer Edmund H. Moore, IV, Chief Financial Officer Kate Lamphere, Interim Adult Mental Health & Addiction Services Director G. Roland Ransom, Chief Human Resources Officer Theresa Earle, Director of Developmental Services Senior Leadership Team From the C E O From the Dear Staff, Board Members, and Friends of HCRS,

As I look back over Windham and Windsor counties where every one con- Board President the past year and con- tributes to empowering others to live a life of value with sider our accomplish- self respect and dignity. Our vision is realized through ments, I am pleased the compassion, creativity, and advocacy of our staff and at how much we have the courage and determination of those we serve, their On Behalf of the Board of Directors achieved. families, and their supporters. of HCRS and our Staff, We have supported They say the beating of the wings of a butterfly in South staff with a range of outstanding benefits, wellness initia- America can affect the weather in Central Park. Just The people we have served across our communities come work staff co-located within the local police departments tives, and opened up lines of communication. We also imagine the power of one act of kindness, one person re- to us with many challenges. They may be dealing with a (four are staffed full-time). The police social work staff received the 2016 Governor’s Excellence in Worksite discovering their voice and a sense of hope leading to a range of mental health, substance abuse, and develop- effectively guide people with mental health issues away Wellness award. life with meaning and purpose. Let’s multiply that by the mental disability issues, they may be homeless, unem- from the criminal justice system and towards appropiate thousands we serve. The lives we change and reclaim, the ployed, dealing with poverty and chronic health condi- services within HCRS and other community providers. We successfully achieved Joint Comission re-accredita- impact we have on so many is a source of inspiration for tions. HCRS has been the safety net for our communities. This is but one of many innovative programs that HCRS tion representing the Gold Standard of quality in health me. We provide services that are a fundamental part of the has developed to address the needs of our community. care services - something we are very proud of. well being of our communities and make a difference to With gratitude, I thank our staff, our Board, and those thousands of individuals and their families every day. This year, we have initiated organizational changes to We have supported our clients with a range of creative we serve. I give particular thanks to our out-going Board improve productivity and reduce expenses. Human Re- and innovative programs such as In-SHAPE - a health President, Red Johnson, who has dedicatedly served on We are pleased to report that once again The Joint Com- sources has launched several wellness programs to im- promotion program recognizing the importance and im- our Board or a Board Committee since 2000. mission has accredited HCRS. The Joint Commission is prove staff health and awareness and help to reduce health pact of a healthy body on the mind and spirit. We have a national, independent organization which conducts an care expenses. expanded a number of programs including the Police ~ George Karabakakis, CEO extensive on site evaluation in order to accredit organiza- Social Worker, Intensive Family Based Services, Primary tions. Services and operations are reviewed every three In closing, I want to thank those members of the Board Pediatric Care Integration, and Supportive Housing pro- years to ensure that quality standards are met. Congratu- whose terms are expiring – Nancy Birge, Carlotta Glad- grams. We have recommitted to person-centered care lations to all our staff, team leaders, and our Senior Lead- ding, and Greg Kennedy – all of whom have served HCRS and peer support services. We have also faced financial ership Team on this accomplishment. so well during their tenure on the Board and various challenges and have taken extra care to do what is neces- “Something as small as Board committees. We sincerely appreciate their dedi- sary to remain financially stable despite statewide fund- the flutter of a butter- Recently the national media has been focused on law en- cation to the mission of HCRS and wish them well with ing challenges. fly's wing can ultimately forcement and how individuals with mental issues are their new endeavors. approached, physically detained, and arrested. There is a cause a typhoon halfway As we journey forward into our 50th year, we envision a move to educate and train law enforcement personnel in ~Harold (Red) Johnson, Board President community where people are inspired, empowered, and around the world.” this regard. HCRS has been a leader in collaborative rela- supported to lead healthy and meaningful lives. We are - Konrad Lorenz tionships with law enforcement agencies in Windsor and here to create a community both within HCRS and across Windam counties. HCRS currently has five police social H C R S Services HCRS UTILIZES A VARIETY OF CROSS-PROGRAM APPROACHES, EACH DESIGNED TO MEET THE NEEDS OF INDIVIDUALS AND FAMILIES IN OUR COMMUNITIES:

COMMUNITY OUTREACH Mental health, behavioral, and substance abuse issues af- “You all have changed my life and the only fect all of our citizens from the youngest to the oldest. way I would have made it this far in recovery HCRS case managers, including those in Intensive Fam- ily Based Services, Adult Services, Eldercare, Peer Sup- is with all the help and support from the staff port Services, and Interagency Community Supports, en- at HCRS. Thank you so much!” gage clients in their homes and communities to provide - HCRS client creative, recovery-oriented services which may include mement throughout the region. Additionally, we provide their natural family or need supported housing options. supportive counseling, problem-solving, behavior man- intensive, short-term crisis related services for adults, HCRS provides supported housing, shared living provid- agement, or skills coaching. Community outreach staff adolescents, children, and families. We have integrated er homes, therapeutic community residences, and crisis their mood, behavior, family relationships, and develop- meet people where they are, with compassion and hope, our Police Social Work Program with law enforcement stabilization for individuals with developmental disabili- mental needs. Services are strength based, individualized, to help them effectively navigate the system of services. and we work closely with them throughout our region to ties or serious mental illness. In addition, our Children’s family centered, and connected to a community system of support people to obtain the help they need. Our Crisis Mental Health Program coordinates out-of-home respite care. We provide services to children and families in their CLINICAL SERVICES Care Centers shorten client wait times for crisis services opportunities for families in need. home, in schools, at community agencies, and within our and ease the burden on the local Emergency Room so HCRS offers comprehensive, integrated services for in- office locations. HCRS utilizes a multi-disciplinary team people can access services more efficiently. Individualized residential placements are an important dividuals who are experiencing difficulties in their lives including child psychiatrists, clinicians, case managers, asset in assisting those we serve with life skills develop- resulting from mental health issues and/or their use of behavioral specialists, community outreach specialists, EMPLOYMENT SERVICES ment, progress towards self-sufficiency, and connection substances. Experienced, licensed clinicians provide and respite supports to help children, youth, and families HCRS provides employment services for individuals to community resources. These placements represent an education, assessment, psychotherapeutic outpatient cope with a multitude of challenges in order that children with serious mental illness or developmental disabilities ongoing success story for HCRS. counseling, intensive outpatient treatment for substance and youth in our communities may develop to their full as well as at-risk youth. Employment specialists work as abuse issues, and referral services for adults, youth, and potential. HCRS also offers an alternative education for part of a treatment team to assess the client’s goals and families. In a respectful and confidential manner, our students (grades 2-12) through our Kindle Farm School. WORKING WITH OUR COMMUNITIES staff seek to engage clients in setting their own treatment interests and to help match the skills of the client with HCRS recognizes that collaborations and partnerships available jobs. Staff work closely with employers and goals and providing the support to meet them. Staff psy- EMERGENCY RESPONSE are the cornerstone of an effective and comprehensive chiatrists and nurses provide evaluations, medication community partners and provide supports at the work- service delivery system. Our staff are embedded in com- HCRS provides a 24-hour, rapid response crisis hotline, management, and consultation when appropriate. place to ensure success. munity resource centers, hospitals, primary care offices, as well as comprehensive crisis evaluations on a 24/7 ba- shelters, parent child centers, and throughout the com- sis. We are an integral part of our communities’ response munity. To best meet the needs of our clients, HCRS col- HELPING CHILDREN AND YOUTH to crises through mobile outreach; we respond to four RESIDENTIAL/SUPPORTIVE HOUSING laborates with over 60 community organizations. HCRS provides comprehensive support to children, community hospitals and work closely with law enforce- HCRS offfers a variety of residential living opportunities youth, and families who are experiencing difficulty in for its clientele who are unable to continue living with MEASURING IMPACT Partners: • Brattleboro Buddy Walk Developmental Services • Brattleboro Retreat “I love working so much. Thank you for getting me this • Families First • Lincoln Street, Inc. job. I was so unhappy being home all the time, but now Supporting • Youth One of the primary goals of HCRS’ DS program I am so happy.” Theatre independence... • Office of Public Guardian is to ensure that clients have a voice and are given ~DS Employment Services client • Special Olympics opportunities to achieve their own goals. • Springfield Hospital One such client approached her HCRS team • Springfield Supervisory and gave voice to a new dream - “I’m an adult. I 97% Union want to do things on my own.” So a change was • Vermont Department of clients report Aging & Independent set in motion. Staff arranged for her to live with 538 “services are clients Living a Shared Living Provider and she liked it! While making a served • Vocational Rehabilitation this is a recent transition from living with family, difference” • Windham Southesat she is already experiencing greater independence 5% Supervisory Union increase and achieving some of her goals and dreams. • Windham Northeast in client Supervisory Union satisfaction • Windham Central With support from her Shared Living Provider Supervisory Union and her team at HCRS, she is cooking new and • Windsor Southeast healthier recipes, exercising, and going camping 84% Supervisory Union for the first time. Advocating for herself with a DS employment • Zack’s Place clients who truly supportive and collaborative team has re- found jobs sulted in a transformation! 87% stable home SSI savings environment $197,979 through employment ...and helping clients to identify program and reach their goals. Developmental Services Children, Youth & “HCRS helped me beyond explanation.” Families Program ~Client

Partners: A 15-year old youth named “Jeff” started re- MEASURING IMPACT • 6 School Districts in 5% 9 ceiving services at HCRS after two stays in Windham and Windsor inpatient psychiatric settings. He was experi- Counties “I like that my son has someone other than myself and his other encing anxiety as well as depression, suicidal • Brattleboro Memorial parent to talk to. I feel as if it opens up doors for him to be able Hospital, Just So Pediatrics to express his feelings without fear of hurting feelings, etc.” thoughts, and difficulties interacting with • Brattleboro Retreat, Anna people. Jeff lives with his mother and had ex- Marsh Clinic ~Client’s family member perienced childhood trauma. His mother was • Families First struggling to provide Jeff with a stable home • The Family Place 97% situation along with her own mental illness. • LIT/IFS Teams clients report HCRS was able to provide Jeff and his mom (Brattleboro and “services are 240 summer with Intensive Family Based Services to in- Springfield) making a 100% • Mt. Ascutney Hospital staff trained program clude trauma-focused therapy. This led to difference” participants Pediatric Services in trauma connecting mom with Adult service provid- • Northeast Family Institute informed ers at HCRS. • Springfield Area Parent care Child Center • VT Department for 95% A year later, Jeff is discharging from therapy Children & Families, living in a 1606 having made tremendous gains. He attends Family Services Division family setting clients school regularly, reports no depression, and (Brattleboro, Springfield, served is able to implement coping skills to over- and Hartford) come his feelings of anxiety. The relationship • VT Department of Public 20 between Jeff and his mother has made a sig- Health, Children with schools with Special Needs Program embedded nificant improvement and they now live ina • VT Vocational HCRS staff 110% stable home environment. Rehabilitation Services JOBS program “This place has saved my life, and 99,432 for youth • Winston Prouty Center for hours of exceeds Voc I’m grateful for these people.” Child Development service ~Client Children, Youth & • Youth Services Rehab goal Families Program AMHAS 67395885

MEASURING IMPACT Partners: • Agency of Human Services • AHS Field Services Adult Mental Health & “What I like most about the services I receive is that • Blueprint for Health I get to create a personal treatment plan with my • Brattleboro Community Justice Center counselor to help me focus on the goals in my life. • Brattleboro Housing Authority Addiction Services • Community Restorative Justice Center ~Client • Department of Aging & Independent Living A woman in her 30’s named “Sarah” was home- • Department of Corrections less and experiencing severe anxiety. As a re- 209,116 • Department of Mental Health sult, she was in and out of psychiatric hospitals, hours of • The Family Place • Groundworks Collaborative continually utilizing community resources, and service 126 • Morningside Shelter coming into contact with law enforcement. residential • NAMI clients • Our Place Drop In Center Sarah reached out to our Crisis Services for help. • SASH Professionally trained crisis staff met with Sarah • Senior Solutions • Springfield Family Center “My counselor and assessed her needs. They quickly connected 108 • Springfield Housing Authority really listens Sarah with HCRS’ Adult Program services, pro- gained 95% • Springfield Supportive Housing and cares...” viding her with needed therapy and case man- employment clients report • Turning Point Recovery Centers agement. “services are • Upper Valley Haven making a • Vermont Department for Children and ~HCRS client difference” In collaboration with the Windham and Wind- Families • Vermont Department of Health sor Housing Trust, staff were able to locate a 383 • Vermont Psychiatric Survivors one-bedroom apartment for Sarah along with homeless served • Vocational Rehabilitation the support she needed to maintain that hous- agencywide 2566 • Windsor & Windham Housing Trust ing, which has gone a long way towards reduc- clients • Winston Prouty Center ing her anxiety. Her ongoing therapy and com- served munity based supports have been instrumental in helping her to learn skills to manage other life stressors. Sarah now feels healthy and sup- 18% “Staff are friendly and ported for the first time in many years. Vermonters have non-judgmental.” a mental health ~Client concern Adult Mental Health & Addiction Services MEASURING IMPACT Partners: • Court Administrator’s Office Criminal Justice Programs “It [PSW Program] is the greatest thing that has ever been created • Police Social Work Program • Bellows Falls Police • Sparrow Program as far as I am concerned. They take the burden off the police officer, Department who investigates criminal offenses, and give us another avenue to • DUI Treatment Docket • Brattleboro Police travel” Department

~Police Chief Ron Lake • Hartford Police Department Following numerous DUI arrests, “Adam” came into • Public Defenders HCRS’ DUI Treatment Docket program in 2013. • Springfield Police He spent just under three years in the program; a 8 Department time that was riddled with struggles. successfully • Vermont Department of completed 100% Corrections Adam’s challenges included substance use, the Sparrow DUI treatment docket clients have • Vermont State’s Attorneys untreated mental health issues, a precarious Program not recidivated Office financial situation, limited employment, and a very • Windham District & volatile relationship with his ex-wife involving a Superior Courts custody battle for their son. Despite all this, Adam 88% Sparrow clients • Windsor District & Superior was determined to get his life back on track. without further Courts charges • Windsor Police Department Through regular therapy, Adam was able to work on some deep rooted issues and beliefs. He was able to start trusting in others and, most importantly, 1131 individuals supported himself, Adam now lives a life that is productive by Police Social Work and meaningful. He is free of all substances. He Program 8 successfully has a full-time job, is in a healthy, supportive completed the DUI relationship, and sees his son regularly. Treatment Program since 2014

Offering a bridge between “I am looking forward to community mental health, law getting back on track.” enforcement, and the Department ~Client Criminal Justice of Corrections Programs

75835449 MEASURING IMPACT Partners: Emergency Services • Brattleboro Memorial Hospital “I really appreciate the time that staff spend listening to • Brattleboro Retreat m e .” • Grace Cottage Hospital Our 24-hour Emergency line received a call ~Emergency Services Client • Mount Ascutney Hospital from the local police department. They were requesting mobile response to a standoff in- • Municipal Police of Windsor volving multiple police officers and a suicidal 372 and Windham Counties man named “Tom.” diverted from 1515 • Springfield Hospital the ER crisis • VA Medical Center Tom was locked in his home refusing to come situations out or talk with police about his concerns. • Vermont State Police Tom’s mother and sister had gone to the police 370 • Windham Center for diverted from department after they had received a number Psychiatric Care hospitalization of concerning text messages from him report- • Windham County Sheriff’s ing he was “going to kill himself, had nothing Department to live for.” The police were concerned that Tom would kill himself before they could get to him. $8.6 million • Windsor County Sheriff’s 927 estimated savings from Department individuals psychiatric settings Two of our professionally trained Crisis staff served went to the home. The staff were able to speak with Tom, offer support, and encourage him to engage with them. Fortunately for everyone involved, their efforts were successful and they were able to get Tom the help he so desperately “[HCRS staff] does a needed. really great job of putting 5 my situation/challenges local police into perspective.” departments with co-located ~Client 24/7 We’re always HCRS staff here for you... Emergency Services Partners:

• Bennington-Rutland Kindle Farm School Supervisory Union • Hartford School District • New Chapter, Inc. MEASURING IMPACT OF 2015-2016 Kindle Farm School works hard to prepare students • Sacred Seeds SCHOOL YEAR for their future in our transitional programs. We ei- • SAU #6 ther prepare our students to go back to their sending • SAU #29 “Well I haven’t gotten in a fight and the staff re- schools and transition to the least strict school envi- • SAU #43 ally helps with slowing that down, and if they see ronment possible or we prepare them to enter their • SAU #60 it coming on, then stopping it real quick. That is adult life with the academic, social and emotional • SAU #92 pretty helpful.” skills to be successful in their relationships, homes, • SAU #93 ~Kindle Farm Student communities and jobs. • SAU #94 • Southwest Vermont Supervisory “Sam” has made such behavioral progress both at Kin- Union dle Farm and in the community that he has begun a • Springfield School District 7 transition plan back into the public school environ- • Two Rivers School District after-school ment. Silas is taking a morning class at the neighbor- • United Plant Savers program ing public school in order to practice coping skills with participants • Vermont Food Bank public school norms such as traditional public school • Vermont Independent School 5 ratios and homework demands. Because he is so moti- graduates Association vated, he is taking a high preference meteorology class • Windham Central Supervisory 18 with upper level students. Kindle Farm is able to sup- Union sending port homework requirements and stay involved in any • Windham Northeast 495 schools emotional struggles that may arise. “Since I have come here, it has taught me to foodbank back- Supervisory Union packs sent home let things roll off my back and new strategies • Windham Southwest with students to behave better like taking breaks. I even Supervisory Union take breaks at home.” • Windsor Southeast Supervisory Union 38 73 ~Kindle Farm Student summer students Every kid deserves a chance program participants Kindle Farm School

73539303 Community Staff and Family Appreciation

Much is written about the need for balance between work and family. HCRS very much appreciates the need to have Partnership that balance and this year we wanted to recognize both our employees and their families at our first annual Employee and Family Recognition Day at Killington Adventure Center. It was a time to finally meet family members who up until that day were simply names, stories and maybe a picture on a desk or on an iPhone. Employees and their families Award gave a big thumbs up to the day and a vote to “let’s do it again next year.” We also included families in with staff to participate in Vermont’s Green Up Day. Recognizing an unswerving dedication...

Employee Appreciation Day Green Up Day We have developed a successful integrated approach with Just So Pediatrics, led by Dr. Valerie Rooney, by co-locating one of our HCRS Children’s Clinicians at Steven R. Gordon, CEO this practice to support children and families getting Brattleboro Memorial Hospital connected to our services. There has been great interest at Brattleboro Memorial Hospital’s primary care practices to build upon this successful model. The HCRS has enjoyed many effective collaborations with leadership and staff of the ER have been dedicated to individuals and organizations in our communities. working with HCRS to find creative ways to address the These partnerships involve recognizing the unique systemic challenges we all face in supporting individuals qualities and strengths of each partner. Each year, we “stuck-in the ER.” We are now looking at incorporating honor a community partner who exemplifies this type integrated peer support services into the ER to further of collaboration. support people in crisis.

Brattleboro Memorial Hospital has been a remarkable The dedicated leadership of Steve Gordon, Dr. partner with HCRS working on projects from prevention McGraw, Dr. Terwilliger, Brian Richardson, Dr. to emergency treatment. We have partnered with Rooney, Michelle Rowland, and Wendy Cornwell and Brattleboro Memorial Hospital as part of the Blueprint their teams has exemplified Brattleboro Memorial for Health’s Community Health Team. HCRS contracted Hospital’s commitment to creative collaboration, staff provide health coaching and home based behavioral honest conversations, and an unswerving dedication health services through this program. We have faced to partnership. These are just some of the reasons we many challenges with individuals “stuck” in the ER and are awarding Brattleboro Memorial Hospital and Steve have found creative ways to effectively communicate and Gordon, CEO, with our 2016 Community Partnership coordinate services for those individuals. Award. Recognizing Staff 944 20 YEARS Cause for SERVICE AWARDS Applause Recognitions in FY16 390 combined years ENCORE AWARDS of service The Encore Award is the top award given as the culmination of our annual employee recognition program titled “Cause for Applause.” This is an agency-wide, employee driven program in which any employee can recognize another employee who demonstrates one of HCRS’ Guiding Values (Creativity, Integrity, Passion, Quality, Trust, Amy Carrier Todd C. Roach Christine Wallace 15 YEARS Administrative Kindle Farm School Team Leader II Teamwork, and Wisdom). The Cause for Applause Program was developed in 2008 and has totaled an impressive Assistant Leadership Team/ 6,697 recognitions to date. Sueann Brown Residential Specialist Teacher Angela Fraser Crisis Intervention Specialist On a quarterly basis, a committee of employees reads all Cause for Applause awards sent during the previous Susanae Glovacki Children’s Clinician II three months and selects up to five employees anonymously who they feel went well above and beyond in dem- Nanci Nelson Case Manager II onstrating one or more of our Guiding Values. The winning entries receiving a Standing Ovation award. Lisa Northup Administrative Assistant 5 YEARS Andrew Painter Kindle Farm Para-Professional Linda Batchelder Respite Provider The final and top Awards are the Encore Awards which are presented to up to six employees annually. These Ingrid Sell Clinician II Elizabeth Bianchi School-Based Program Area Manager award winners are selected anonymously by a committee of employees and the Senior Leadership Team. William Shakespeare Children, Youth, & Families Program Cynthia Dale School-Based Program Area Manager Director Douglas Francis School-Based Clinician II Congratulations to these five staff on their selection for a 2016 Encore Award! Heather Fullam Community Outreach Specialist Timothy Gagnier Employment Specialist YEARS 10 Kayla P. Gendreau Shift Leader Supervisor Lisa Aubrey Respite Provider Heather Koledo Adult Area Manager Dawn Blom Access Coordinator Lori Lintner DS Adult Services Manager Michelle Emery Therapeutic Activities Coordinator Lori Macie School-Based Clinician II Roger Guest Clinician II Charlene Phillips Residential Specialist Elizabeth Hall Case Manager I Nelson Ramirez Respite Provider Zachary Husband Behavioral Interventionist Crystal Richter Service Coordinator Supervisor Dianne Langona Clinician II Michael Schneller Employment Specialist G. Roland Ransom Chief Human Resources Officer Kelly Selmer Residential Specialist I Mary Rasco Respite Provider Corey Wilkinson Program Development Manager Dylan Devlin Gerda Lenselink Heather Marquez Kristen Neuf Alexandra Sackett Heidi Spaulding Case Manager II Deborah Witkus Greater Falls Prevention Coalition Assistant DS Director School-Based Case Manager I Community Support Shift Leader Supervisor Sarah Taylor Crisis Intervention Specialist Outreach Coordinator Area Manager Specialist Julianne Vance Assistant HR Director “I have a great support network here and feel special I can experience this. Thank you staff!! My life is much By the Numbers better since I started coming here.” Statistics ~Client Financial Report NUMBER OF INDIVIDUALS SERVED IN FY 2016, BY TOWN

Athens ...... 14 Ludlow ...... 87 Weston ...... 13 Fiscal Year 2017 - Annual Budget Bethel ...... 14 Marlboro ...... 15 Whitingham ...... 16 Brattleboro ...... 870 Newfane ...... 41 Wilmington ...... 36 Developmental Bridgewater ...... 17 Norwich ...... 30 Windham ...... 54 REVENUE BY SOURCE Disabilities Cavendish ...... 35 Putney ...... 81 Windsor ...... 238 Medicaid Waiver Chester ...... 131 Reading ...... 20 Woodstock ...... 43 Outpatient Medicaid Fees $ 9,714,673 32% Dover ...... 24 Rockingham ...... 329 Other Towns in Developmental Disabilities Medicaid Waiver $15,380,000 Outpatient Dummerston ...... 31 Royalton ...... 20 Windham & Windsor Medicaid Fees CRT Medicaid CRT Medicaid Case Rate $ 5,854,641 20% Case Rate Grafton ...... 15 Sharon ...... 17 Counties ...... 37 State Grants & Contracts $10,144,166 12% Guilford ...... 42 Springfield ...... 819 Unknown ...... 157 Other Patient Fees $ 3,352,515 Halifax ...... 14 Townshend ...... 27 Out of Catchment Area . 388 Other Funding $ 3,942,022 State Grants & Other Funding Other Patient Contracts Hartford ...... 558 Vernon ...... 43 8% Fees 21% Hartland ...... 72 Wardsboro ...... 17 Total ...... 4504 Total Revenue $48,388,017 7% Jamaica ...... 18 Weathersfield ...... 48 Londonderry ...... 19 Westminster ...... 54 EXPENSES Clinical Clinical Programs: Salaries & Fringe $24,016,489 Programs: Salaries & NUMBER OF INDIVIDUALS SERVED BY PROGRAM Clinical Programs: Contracts $15,431,649 Fringe 49% Administration Salaries & Fringe $ 2,757,793 Adult Outpatient ...... 1435 Children, Youth & Operating & Program $ 3,277,913 Families Children, Youth, & Families Program . . . 1606 Adult Travel $ 1,013,865 Outpatient 30% Community Rehabilitation & 27% Facilities $ 1,890,308 Treatment Program ...... 423 Clinical Programs: CRT 8% Total Expenses $48,388,017 Buildings 4% Travel Administration Contracts Developmental Services ...... 538 2% Operating & Salaries & 32% Program DS Fringe Net Surplus (Loss) $ -- 7% 6% Emergency Services ...... 927 Substance 10% Abuse Emergency 8% Services Substance Abuse Program ...... 424 17% Donors - Thank You

Patrons Sarah Carter John & Laurie Chester, Jr. Donors ($1,000+) Katherine Cook Keith Clark (up to $100) Paul Boutin, M.D. J. Kimm Dittrich Joseph & Hilda Conn, in honor Anonymous Peter Brock Gurney Brothers Construction of Ginny Jenks Kathleen Allden, M.D. Counseling Service of Addison Robert & Honoré Hager Eric Dickson Sharon Ayer County Red & Adelaide Johnson Kathy Duhamel Kathryn Bailey & William Hoyt Michael & Rachel Davidson Heather Koledo Edward Esmond & Susan Michael Carrier Downs Rachlin Martin PLLC Joan R. Lang Chiefsky Mary & Kilborn Church Glad Rags Sales, Inc. Magellan Healthcare Sherry Goings Sandra Conant George Karabakakis, Ph.D. Mr. & Mrs. Oliver Manice Lisbeth & Lyle Hall Cathy Coonan Knights of Columbus Jeff Mobus The Hotel Pharmacy, Inc. Beth Ann & Phil Drinker Mascoma Savings Bank Edmund H. Moore, IV Mr. & Mrs. Airell B. Jenks Marjery Fields New Chapter, Inc. Miles & Patrice Mushlin Robert Kingman Louise Fowler People’s United Bank Norwich Congregational Sean Kuit Full Service Book Club The Richards Group Church, in memory of Clevie David Landry Carlotta Gladding, in honor of SoVerNet Communications White Geri Marasa Derek Gladding The Vermont Community Philadelphia Insurance Emily Mastaler Steve Gordon Foundation Companies John S. Moore Scott Gordon-Macey Vermont Federation of Families Principal Financial Group MVP Health Care Drew Gradinger for Children’s Mental Health G. Roland Ransom Jerry Oppenheimer Granite United Way River Valley Credit Union Don Pasini Green Mountain Tent Rentals Savings Bank of Walpole PC Connection Cliff Harper Supporters William Shakespeare Sigourney Romaine, Jr., in Lesa Hinkley ($500 - $999) The Vermont Country Store memory of Clevie White Charles Humpstone CIGNA Health & Life Insurance The Windham Foundation Matthew Russell William Ingalls Company June Sandleman JB Auto, Inc. CoreSource, Inc. Carolyn Scott Ralph Jones Melissa Cunningham Friends Dan Sherburne Abby Keehn Greg & Rita Kennedy ($100 - $250) SallyAnn Silfies Norwood & Joanna Long Richard Marasa, M.D. Anonymous Springfield Democratic Town Linda McCormick Pareto Captive Services The Abbey Group Committee Priscilla Millay, in memory of Red House Press Corporation Mary Stewart Baird, in memory Philip & Marcia Steckler Frank Silfies Matilda B.R. White, in memory of Perry Cossart Baird, M.D. UNUM Group Mobil Maid of Clevie White James Bartley Rick & Connie Van Arnam New Beginnings Young’s Furniture & Appliances Nancy Birge Weeks & Gowen Physical Gregg & Sarah Noble Alice J. Bradeen Therapy James Paradis Brattleboro Subaru WW Building Supply & Home Michael Przydzielski, M.D. Sponsors Bill Brown Center Theodore Robbins, M.D. ($250 - $499) Susan Buhlmann Peter Yanofsky Elaine Rogers Brattleboro Memorial Hospital John Carter, Jr. Peter Young Tina Rushton The Brattleboro Retreat John Case Nicole Sherburne Linda Simoneaux Harpoon Brewery State University of New York Vermont Lake Monsters Diana Slade Hazel’s Buffalo Vermont Teddy Bear Henry Smith Heritage Automotive Group, Stone Hearth Inn & Tavern VSP Jeannie Spafford Inc. Stowe Mountain Resort W.S. Badger Company, Inc. Orson L. St. John, Jr. Hildene, The Lincoln Family Cheese Board at Vermont Wachusett Mountain Brenda Stearman Home Farmstead Walmart Sophia Stone The House of Seven Gables Tito’s Handmade Vodka Weston Playhouse Theatre Robert Spzila Images Topnotch Resort Company Robert Tortolani, M.D. J&H Hardware Townshend Dam Diner WinCycle Annette Vagt John P. Larkin Country Club Traveler Beer Company Windham Hill Inn Julianne Vance Keene Country Club Trout River Brewery Windsor Wine & Spirits Travis Weaver King Arthur Flour The Woodstock Inn & Resort Janet Wilson Kringle Candle Company Verizon Wireless Mathew Wilson Lagunitas Brewing Company The Latchis Hotel Keryn LaVarnway Our sincere apologies to any of our kind donors In-Kind Donors Leaders Beverage inadvertently omitted or incorrectly listed. 56 Main Street Restaurant LupinePet Alberts Organics Matthews Altiplano Deborah McNeil Big Fatty’s BBQ Messenger Pharmacy Boston College Donna Nestle 9th Annual Golf Tournament Fundraiser New Hampshire Fisher Cats for Children’s Services Alice J. Bradeen Newfane Greenhouse Dawn Bradshaw Norman Rockwell Museum On Friday, June 19, 60 golfers enjoyed a beautiful Brattleboro Bowl North End Butcher day on the greens at Woodstock Country Club in Brattleboro Country Club Okemo Mountain Resort Brattleboro Tire Old Sturbridge Village support of our Children, Youth, & Families Pro- Bromley Mountain Ski Resort Papagallo’s Restaurant gram. Over $17,000 was raised, 100% of which will Bruegger’s Bagels Patriots go to support services for children and youth in Sandra Conant Penelope Wurr Windsor and Windham counties. Thank you to ev- Cranwell Spa & Golf Resort Peter Haven’s Restaurant eryone who particpated in this great event. Crown Point Country Club The Putney Diner Andy Dean Putney Food Co-op Deep River Snacks The Quechee Club Ron Delahanty G. Roland Ransom Laurel Denny Renaissance Fine Jewelry Linda Donnelly River Bend Farm Market Eastman Golf Links Ron’s Husqvarna Five Star Golf Tina Rushton Fullerton Inn & Restaurant Sam’s Outdoor Outfitters Golf & Ski Warehouse Shutterfly Scott Gordon-Macey Sidehill Farm Grafton Village Cheese Skydive New England Green Mountain National Golf Smugglers’ Notch Resort Course SoundView Paper Company Halladay’s Harvest Barn The Spirit of Ethan Allen Thank You HCRS Headquarters Hartford Regional Office Brattleboro Regional Office 390 River Street 49 School Street 51 Fairview Street Springfield, VT 05156 Hartford, VT 05047 Brattleboro, VT 05301 (802) 886-4500 (802) 295-3031 (802) 254-6028

Other HCRS Offices HCRS Group Homes Crisis Care Center Affiliated Programs

Brattleboro DS office Alternatives 386 River Street Hilltop Recovery Residence 29 Elm Street 10 Lincoln Street Springfield, VT 05156 94 Westminster Terrace Brattleboro, VT 05301 Springfield, VT 05156 (800) 622-4235 Westminster, VT 05101 (802) 257-5537 (802) 885-7280 (802) 732-8343

Bellows Falls Outpatient and Beekman House Meadowview Recovery DS Office P.O. Box 106 Residence One Hospital Court, Suite 2 Proctorsville, VT 05153 330 Linden Street Bellows Falls, VT 05101 (802) 228-5434 Alternative School Brattleboro, VT 05301 (802) 463-3947 (802) 275-4971 Woodstock Care Home Kindle Farm School P.O. Box 393 Windsor DS Office 476 Woodstock Road Newfane, VT 05345 14 River Street, P.O. Box 45 Woodstock, VT 05091 (802) 365-7909 Windsor, VT 05089 (802) 457-1845 (802) 674-2539

Health Care and Rehabilitation Services of Southeastern Vermont 390 River Street  Springfield, VT 05156 (802) 886-4500  www.hcrs.org