A Novel Approach to Wellness: Pikes Peak Behavioral Health ... · PDF filenot by companies,...

26
PIKES PEAK BEHAVIORAL HEALTH GROUP A Novel Approach to Wellness Introduction by Morris L. Roth, CEO with a forward by Board Chairman David Lord Well-written novels have a clear beginning, middle and end. There is continuity among the thoughts, the chapters, the message the author intends to impart. In much the same way, we hope this annual report conveys the continuity of Pikes Peak Behavioral Health Group – the continuity of its mission, its services, and the experiences of those we serve. What began 135 years ago as a group that provided food, clothing and coal to destitute families in this region is now an integrated system of care to meet the mental, physical, educational and occupational needs of some 21,000 individuals per year. Today, we work to achieve greater synergy within, while forging new community partner- ships to simplify access, enhance recovery, and empower men, women and children to achieve their highest levels of living. “A Novel Approach to Wellness” shares this year’s advances toward our strategic goals. All are essential to our mission. But, more importantly within these pages, we present the stories of real lives transformed. We hope you enjoy the read. AN INTRODUCTION BY MORRIS L. ROTH, CEO A YEAR OF LIFE, HEALTH AND STRATEGIES FOR WELL-BEING IN THE PIKES PEAK REGION

Transcript of A Novel Approach to Wellness: Pikes Peak Behavioral Health ... · PDF filenot by companies,...

P i k e s P e a k B e h a v i o r a l h e a l t h G r o u P

A Novel Approach to Wellness

Introduction by Morris L. Roth, CEO

with a forward by Board Chairman David Lord

Well-written novels have a clear beginning,

middle and end.

There is continuity among the thoughts,

the chapters, the message the author intends

to impart.

In much the same way, we hope this annual

report conveys the continuity of Pikes Peak

Behavioral Health Group – the continuity of

its mission, its services, and the experiences

of those we serve.

What began 135 years ago as a group that

provided food, clothing and coal to destitute

families in this region is now an integrated

system of care to meet the mental, physical,

educational and occupational needs of some

21,000 individuals per year.

Today, we work to achieve greater synergy

within, while forging new community partner-

ships to simplify access, enhance recovery,

and empower men, women and children to

achieve their highest levels of living.

“A Novel Approach to Wellness” shares this

year’s advances toward our strategic goals. All

are essential to our mission.

But, more importantly within these

pages, we present the stories of real lives

transformed.

We hope you enjoy the read.

a n i n t r o d u c t i o n B y m o r r i s l . r o t h , c e o

a y e a r o f l i f e , h e a l t h a n d s t r a t e G i e s f o r

w e l l - B e i n G i n t h e P i k e s P e a k r e G i o n

We provide behavioral healthcare solutions

for people and communities in need.

We envision a mentally-healthy community

in which the worth and dignity of every

person is promoted and encouraged.

o u r v i s i o n

o u r m i s s i o n

P i k e s P e a k B e h a v i o r a l h e a l t h G r o u P

2 0 0 8 - 0 9 a n n u a l r e P o r t

c o l o r a d o s P r i n G s , c o l o r a d o

A Novel Approach to Wellness

PPBHG

P i k e s P e a k B e h a v i o r a l h e a l t h G r o u P

525 North Cascade Avenue

Suite 100

Colorado Springs, CO 80903-5318

Phone:

(719) 572-6100

Toll Free:

(800) 285-1204

Fax:

(719) 572-6199

www.ppbhg.org

© 2009 Pikes Peak Behavioral Health Group

PPBHG For the past decade, there has been a growing movement in the mental health field toward healing and recovery beyond the brain. Health care providers understand with greater clarity that our emotional, physical and mental well-being are much more intricately connected than previously thought. And that healing and health in these matters requires a holistic and collaborative approach.

Pikes Peak Behavioral Health Group is on the cutting edge of this recovery model. We understand that, for people to start on the path of recovery, we must first help them find purpose, find a home, find a job, find community.

And, we cannot do it alone. With this in mind, we have spent the last year strengthening our current collaborations and building new partnerships in the community.

We organized a collaborative to help faith leaders recognize signs and symptoms of combat stress disorders and inform them of available community resources where the members of their congregations can seek help.

We hosted a suicide prevention forum to address Colorado Springs’ alarmingly high suicide rate. The forum served as a launching pad for a new suicide prevention hot line and community efforts aimed at curbing this devastating community health problem.

We are embarking on a neighborhood stabilization project to buy foreclosed properties, put veterans to work and sell the renovated homes at an affordable cost to returning soldiers.

We sent a delegation of staff, a board member, advocates and clients to Washington, D.C., to advocate on behalf of mental health reform, putting names and faces to the issues our clients face and furthering our efforts at dismantling the stigmas associated with mental illness.

We spearheaded efforts at creating a pilot trauma court to take into consideration the unique issues soldiers face when reintegrating back into civilian life.

We launched our innovative Peer Navigator model in which we offer veterans and their families an individual – a fellow veteran – who helps them navigate the often overwhelming challenges of day-to-day life and the numerous, complex systems available to support them.

But, there is still work to be done. This will require great effort not only from Pikes Peak Behavioral Health Group employees and consumers, not only from board members and dedicated volunteers, but also from everyone in our fine community.

f o r e w a r d B y d a v i d l o r d , c h a i r , B o a r d o f d i r e c t o r s

J ust a few months ago, clients walking into our adult mental health services

facility were greeted by a pleasant but uniformed guard. Now, that

security representative wears civilian attire. This simple act changed the aura

and the first impression many have after walking through the front doors. It is

adjustments like this that affect our brand. A brand is not simply a name; it is

who we are and, more importantly, how we are perceived by others.

“A brand is a person’s gut feeling about a product, service or company…

because we are all emotional, intuitive beings, despite our best efforts

to be rational… because in the end the brand is defined by individuals,

not by companies, markets, or the so-called general public,” says Marty

Neumeier in The Brand Gap. “Each person creates his or her own version

of it. When enough individuals arrive at the same gut feeling,

1

c h a P t e r o n e

In a Word…Branding: The positive community image and

customer experience we strive to achieve.

“A brAnd thAt cAptures your mind gAins behAvior. A brAnd thAt cAptures your heArt gAins commitment.” –Scott Talgo

a company can be said to have a brand. In other words, a brand is not what you

say it is. It’s what they say it is.”

And what are people saying?

In 2008, 300 people were surveyed to gauge knowledge of Pikes Peak Behavioral

Health Group and its subsidiaries. An alarming 75 percent had no idea our

organizations were connected: Aspen Diversified Industries (ADI), Connect

Care, Pikes Peak Mental Health, Lighthouse, Workout Limited and Pikes

Peak Behavioral Health Group. Of the 74 people who thought there might be a

connection, 43 percent did not know what the connection was and another 42

percent could only connect the two groups with “Pikes Peak” in the title.

Other results suggest the community has little or no understanding of the myriad

services provided by Pikes Peak Behavioral Health Group other than direct

clinical mental health services.

virtuAl lobby

As we move toward a more integrated approach to wellness and purpose, it is

essential that no matter what door our clients enter, they have access to all of

our services. For many, that first door is a virtual door. With this in mind, we

consolidated seven Web sites into one seamless site that walks users through

our many services. In addition to presenting these services with a unified

“voice,” the site serves as a “one-stop shop” for wellness news and events,

programs and resources.

It is our intent through branding, not to merely change a name or create a

logo, but to transform our clients’ experiences. Our lobby must be a “one-stop

shop.” A “Wellness Committee” has worked diligently to map our services in

a way that creates the most access for our clients and constituents.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t i n A w o r d

2 3

54

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

Justin sensed something was wrong as his unit headed to Baghdad, Iraq, to pick up supplies on Jan. 18, 2006, and the nearest civilians were about 200

yards from the road.

The 24-year-old from Puerto Rico grew more alarmed as cars started to clear the road before being given the order to do so.

He was sure something was awry when a lone 8-year-old boy holding a cell phone on the side of the road waved to the troops as they passed.

What Justin didn’t know was that, within seconds, his life would change for-ever: A road-side bomb killed two of his fellow soldiers and knocked him

c h a P t e r t w o

No Wrong DoorIntegration: “Horizontal” cross-utilization

of services internally and merging behavioral/

physical health care externally.

gestAlt: noun: A structure, configurAtion, or pAttern of physicAl, biologicAl, or psychologicAl phenomenA

so integrAted As to constitute A functionAl unit with properties not derivAble by summAtion of its pArts.

2008 – 09 brAnding Accomplishments

• Launched a new PPBHG Web site that enhances client access to the wide array

of services available throughout our organization. The Web site reflects our holistic

approach to the needs of our clients.

• Continued our emphasis on Depression Care Management (DCM) by providing

trainings at local, state and national levels, which reinforced the need for intensive

case management (TLC), the Access to Recovery federal program (ATR) and

community collaboration.

• Completed more than 366 face-to-face screenings for depression with the City of

Colorado Springs and its Reach Your Peak campaign/wellness fairs.

• Featured in several prominent news sources: The New York Times and The Denver

Post for neighborhood stabilization efforts and the Peer Navigator model;

National Public Radio for our suicide prevention forum; and several local stations

and newspapers for our outreach and collaborations in the community.

• Continued the development of a robust branding strategy specifically designed

to improve client access to care. A well-established brand will help communicate

“who” we are and “what” services we are best positioned to provide to our

community.

A brAnd is A person’s gut feeling About A product, service or compAny. it’s A gut feeling becAuse we’re

All emotionAl, intuitive beings, despite our best efforts to be rAtionAl. when enough individuAls Arrive At the sAme gut feeling, A compAny cAn be

sAid to hAve A brAnd. in other words, A brAnd is not whAt you sAy it is. it’s whAt they sAy it is.”

–Marty neumeier in The Brand Gap.

• Mental Health Care

• Trauma Recovery

• Suicide Prevention

• Substance Abuse Help

• Support Groups

• Crisis Stabilization

• Psychiatric Services

• Disease Management

• Primary Care

• Physical Rehabilitation

• Brain Injury Care

• Dental Care

• Housing

• Child Care

• School

• Finances

• Food & Clothing

• Legal Issues

• Jail Diversion

• Faith-Based Care

• Public Assistance

• Recreation

• Career Exploration

• Job Preparation

• Job Placement

• Skill Training

• Basic Education

• Post-Secondary Education

• Technical Training

• Volunteering

unconscious for hours. He woke with a traumatic brain injury (TBI) – what experts are calling the “signature wound” of the war in Iraq.

Justin struggles to remember details and has trouble focusing on multiple tasks. He’s always on guard. Something as simple as a car backfiring sends him into a dizzying flashback.

An estimated 150,000 U.S. veterans have been diagnosed with TBI, according to a report released by the Congressional Brain Injury Task Force.

“It’s really hard,” Justin said. “We got all these programs and people that want to help the troops out, but we need help finding the programs.”

That’s where Rich Lindsey and our Peer Navigator program come in. Lindsey is a retired Air Force chief master sergeant who now spends his days helping people like Justin transition back into civilian life and get the mental health treatment they need.

Peer Navigators simplify civilian systems for former military personnel. They are a “friendly face” who guide veterans and their families down meaningful pathways to improve their lives.

For Justin, that means navigating through culinary school applications, con-necting with local supply companies for employment, and continuing therapy for the brain injury and post-traumatic stress disorder he developed in Iraq.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

6

This model of recovery, one designed to connect consumers to whatever they need to reach their full potential, is a model we intend to replicate throughout our systems of care.

It is no longer enough to treat the identifiable symptoms an individual is experiencing. Rather, we must address each individual’s recovery as a whole. If one suffers from depression, he or she may also struggle to find a job or achieve education goals. If one struggles to find a job, he or she may also struggle to keep a home. It is through this lens that our employees now view every client who walks through the door – any door.

With Lindsey’s help, Justin hopes to find permanent work and enroll in a culinary school to pursue his dream of being a chef specializing in interna-tional foods.

“I wanted to make my dad proud of me,” Justin said. “He is proud, but sad that I have to live with this brain injury the rest of my life. They notice I am different now. I notice I am different.”

n o w r o n g d o o r

Spc. Justin F.

7

98

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

Seventeen-year-old Matthew Bennett “had it all,” but sometimes that is not enough.

The popular and intelligent teenager had good looks, a loving family and success at school. Yet, in 2002, he took his life.

“Silence allows suicide to continue,” said Jane Bennett, Matthew’s mother and an advocate for suicide prevention efforts in schools and elsewhere.

More than 300 people gathered in Colorado Springs in May to break that silence. The community forum, sponsored by Pikes Peak Behavioral Health Group and the Pikes Peak Suicide Prevention Partnership, has become the

c h a P t e r t h r e e

Deepening Our RootsCommunity Relevance: providing value

that makes our organization indispensable

to our community.

“coming together is A beginning; keeping together is progress; working together is success.”

–Henry Ford

2008 – 09 integrAtion Accomplishments

• Expanded collaboration with Peak Vista Community Health Centers by providing

a new behavioral health consultant at the Peak Vista Immediate Care Clinic.

This person also is responsible for consulting clients seen in the Ronald McDonald

Care Mobile clinic, as needed, to address behavioral health issues.

• Provided behavioral health services at two physical healthcare clinics – one a

high-traffic clinic for Medicaid recipients and the other a rural clinic.

• Provided needed mental health services at the local jail, which allows early

identification of inmates with mental health problems, engagement into treat-

ment before leaving the jail, and follow-up services once the consumer is back in

the community. This Jail Diversion Program is targeted to prevent “recidivism” –

repeating the behaviors that led to their arrest.

• Successfully implemented the Peer Navigator model, created to serve the military

population of the Pikes Peak region, with 72 veterans served to date.

• Strengthened partnership between PPBHG Career Services and the Child and

Family Network to assist adolescents more holistically in their recovery.

“sometimes veterAns need help with their tAxes, or understAnding their benefits – things thAt to us seem simple, but cAn be A dAunting tAsk for A re-

turning soldier. And if we cAn’t help them with their problems, we’ll get them to the people who cAn.”

–Rich Lindsey, Peer navigator

launch pad for enhanced suicide prevention efforts in El Paso County using an innovative suicide model as the framework for discussion.

Florida State University Professor Thomas Joiner, Ph.D., a leading suicide expert, says a perfect storm of three components must collide for people to develop the capacity for suicide: burdensomeness, lack of belonging and a developed fearlessness of pain and death.

“When people get used to dangerous things, that’s when the groundwork for catastrophe gets laid,” Joiner said. He authored the book “Why People Die by Suicide,” and his research is being used across the country and by military psychologists to develop new prevention efforts.

The event coincided with the release of a statistical analysis of El Paso County suicide rates and risk factors authored by Pikes Peak Behavioral Health Group Research Director Dale Terry, Ph.D., and Annette Fryman, Senior Advisor to the CEO.

Terry’s research shows that El Paso County’s suicide rate during much of the last decade closely mirrors the state of Colorado’s, which is more than 50 percent higher than the national average. A focus of the forum was veterans, who comprise an estimated 18 percent of the county’s population but account for one-third of its suicides.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

10

Veterans are a high-risk group because the very nature of their work desensi-tizes them to pain, lethality and death, experts say. Their sense of belonging is shaken when returning from war zones, and they often feel burdensome if they return with physical or mental illness.

“You can see the pain they are in,” said Peter Gutierrez, Ph.D., lead psycholo- gist with the Denver Veterans Administration. “These are folks who were fighting for our country; they believed in what they were doing. When they return, there is this sense that they are not connected the way that they used to be.”

Outreach efforts like this forum have become a leading priority for Pikes Peak Behavioral Health Group. In addition to sponsoring this forum with the Suicide Prevention Partnership, we hosted a faith collaborative aimed at en-gaging faith leaders in identifying combat stress disorders; spearheaded the creation of a pilot trauma court to address the unique needs of soldiers who have committed crimes; and continued to work with, and provide funding to, the community detox collaborative to ensure detox services remain available in Colorado Springs.

Fort Carson’s Maj. Gen. Mark Graham and his wife, Carol, lost one son to suicide and another to the war in Iraq. Several years later, Graham said, he still wakes up hoping it is all a bad dream.

The Grahams were honored at the forum for bringing mental illness to the fore-front of care for soldiers. A new suicide crisis line was dedicated in memory of their sons. Graham said his son’s suicide, which came after he stopped taking prescribed medications, has been incredibly difficult from the beginning.

“Our sons died fighting different battles,” Graham said. “If we can prevent one person, just one person, from dying by suicide, then it’s all been worth it.”

d e e p e n i n g o u r r o o t s

11

Maj. Gen. Mark Graham

2008 – 09 community relevAnce Accomplishments

• Hosted and sponsored a community forum addressing suicide and authored a

white paper analyzing local, state and national statistics.

• Sponsored the Fourth Annual Methamphetamine Community Forum.

• Hosted and collaborated in two full-day Faith Community Education Collaborative

seminars to train the faith community to recognize combat stress disorders.

• Hosted a community discussion on PTSD with presentations by Mark and

Marshele Waddell.

• Hosted a luncheon to meet – and increase dialogue with – leaders of our faith

community.

• Spearheaded the creation and implementation of a pilot trauma court to address

the unique needs of returning service members who commit crimes.

• Expanded counseling programs to best meet the complex needs of the military

family – including treatment for substance abuse and adjunctive services for

PTSD, including sleep hygiene, family therapy groups and art therapy.

• Worked closely with the El Paso County Sheriff ’s Office to secure detox services

for this community.

“if we cAn prevent one person, just one person, from dying by suicide, then it’s All been worth it.”

–Maj. Gen. Mark Graham

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

12 13

L ike so many people and organizations before us, representatives from Pikes Peak Behavioral Health Group arrived at Capitol Hill in June with

hands extended.

The difference, as CEO Morris L. Roth explained to Colorado Democratic Senator Mark Udall, is that Pikes Peak Behavioral Health Group wasn’t there for a handout.

Rather, we were looking for a handshake — a “partnership” that will help provide better mental health solutions to a growing number of Coloradans in need, especially the state’s military men and women and their families.

“We’d like to be a partner,” Udall responded. “And an advocate.”

c h a P t e r f o u r

Heading for the HillCulture of Excellence: Setting, achieving,

and maintaining a standard of excellence

and “best practices.”

“we Are whAt we repeAtedly do. excellence, then, is not An Act, but A hAbit.” –Aristotle

Udall was one of four Colorado delegates who spent time with our representa-tives discussing national and local issues. Staff, clients and a board member were in Washington, D.C., with 350 people from other mental health care organizations from 40 states for the National Council for Community Behavioral Healthcare (NCCBH) “Hill Day.”

“Americans are living in the harshest economy in years, and our safety net is in danger of collapsing,” said Linda Rosenberg, President and CEO of the NCCBH. “Healthcare reform must give Americans access to the care they need – effective mental health and addiction services keep us strong, safe and productive.”

Pikes Peak Behavioral Health Group representatives also met with Democratic Senator Michael Bennet as well as Rep. Doug Lamborn, R-5th District (El Paso, Teller, Park, Fremont, Chaffee, Lake counties) and Rep. Michael Coffman, R-6th District (Douglas, Arapahoe, Elbert, Park, Jefferson counties).

Consumers Connie and Jennifer captivated members of Congress with their personal stories of success through the Pathways ACCESS Center. “It’s nothing short of a miracle that I am here,” said Jennifer, who suffered from depression, substance abuse and thoughts of suicide for decades before turning her life around.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

14

Connie urged the delegates to ensure that mental health issues aren’t forgotten as Congress attempts to reform health care.

“I don’t want to die 25 years early,” she said, referring to the life expectancy discrepancy of persons with mental illness.

Veteran advocates and Pikes Peak Behavioral Health Group friends Mark and Marshele Waddell spoke about the importance of supporting and helping to expand Pikes Peak Behavioral Health Group’s Peer Navigator Program, which helps our wounded warriors transition back into society.

With thousands more soldiers with combat stress disorders coming to nearby Fort Carson, it’s going to be like a “flood through a funnel,” Mark Waddell said, explaining how the Army will not be able to handle the influx of mental health patients.

“Colorado’s finest are the ones to do this in the private sector,” he said.

Pikes Peak Behavioral Health Group representatives also discussed the eco-nomic, social and human costs of mental health and addictions disorders with members of Congress. According to NCCBH:

• Mental illness drains our economy of more than $80 billion every year – 15 percent of the total cost of all disease.

• Alcohol and drug abuse contribute to the death of more than 100,000 Americans and cost more than $500 billion a year.

• 25 percent of all Social Security disability payments are for individuals with mental illness.

Pikes Peak Behavioral Health Group is committed to excellence. The under- standing that we all play an integral role in the success of the mission involves every staff member, and every client. With this excellence also comes responsibility – a responsibility to advocate for the causes and issues our clients and staff face each and every day.

h e A d i n g f o r t h e h i l l

15

CEO Morris L. Roth and COO Kelly Phillips-Henry walking with other

PPBHG delegation members through the halls of the Capitol in June.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

2008 – 09 culture of excellence Accomplishments

• Successfully implemented and trained staff for using a new electronic health record (EHRNIE)

• Implemented a Code of Conduct, establishing a baseline of expected behavior for employees of Pikes Peak Mental Health.

• Received re-accreditation from the Colorado Department of Behavioral Health after a March, 2009, on-site audit.

• Earned Kite Site status and recognition for Incredible Years Parenting Group for the parents of young children.

• Improved our collaborative partnership with the National Institute for the Severely Handicapped (NISH) by providing employment opportunities for people with disabilities. The quality of our programs resulted in passing the NISH Quality Audit with a 2.65 (out of 3.0).

“i don’t wAnt to die 25 yeArs eArly.” –Connie (client), referring to the life expectancy discrepancy

of persons with mental illness.

Cindy Jenkins helped prevent a “disaster.” Not a disaster in her Colorado Springs backyard, but one in Oregon. Jenkins is a care manager for Pikes

Peak Behavioral Health Group’s Depression Care Management services. The licensed therapist recently transferred from clinical therapy to oversee a new PPBHG contract with PacificSource in Oregon.

A bus driver in his 60s called in with symptoms of depression. Through the anonymous, telephonic session, Jenkins was able to gain the trust of the Vietnam veteran and learned he was having suicidal and homicidal thoughts.

c h a P t e r f i v e

Crossing State LinesGrowth with Purpose: The expansion

and/or acquisition of targeted programs,

services or business lines.

“the greAt thing in the world is not so much where we stAnd, As in whAt direction we Are moving.” –oliver Wendell Holmes

16 17

“He told me his ‘fuse is nonexistent,’ and did not feel safe driving himself or others,” Jenkins said.

The man felt angry and depressed. Jenkins immediately informed his physi-cian, who then made adjustments to the client’s medications and helped enroll him in anger management classes and therapy.

“The doctor thanked me for helping ‘diffuse a time bomb,’” Jenkins said.

Depression Care Management is confidential program, often funded by em-ployers, that provides professional and compassionate one-to-one outreach and ongoing support to employees and eligible family members with depres-sion. The program is proven to improve treatment outcomes, help individuals feel better about themselves, improve their quality of life at home and in the workplace, and be more productive at both.

Because the care is telephonic and requires minimal resources, disease management is one area of great potential for growth and impact. And, Vice President Michael Allen and his staff have developed protocols to replicate the program for clients with diabetes, asthma and cardiovascular disease.

Not only does depression management greatly improve the lives of clients, but it also bestows impressive rewards to employers who fund the program.

The hidden costs of depression in American business are staggering – and far surpass the treatment costs employers absorb. Depression costs American businesses $63 billion each year – $36.6 billion of which is due to reduced productivity and increased absenteeism, not treatment costs. Depression Management has proven to decrease these costs considerably.

After several sessions with the bus driver, Jenkins said his mood improved and language changed. He began to talk about retiring and ultimately did retire from his position.

“When people are very, very depressed, they sometimes can’t figure out what to do,” Jenkins said. “They are kind of just stuck. We help give them direction, some help to get through the crisis. This man felt helpless, and I was able to connect him to the care he needed.”

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

18

c r o s s i n g s t A t e l i n e s

“when people Are very, very depressed, they sometimes cAn’t figure out whAt to do. they

Are kind of just stuck. we help give them direction, some help to get through the crisis.”

–Cindy Jenkins, Care Coordinator

2008 – 09 growth with purpose Accomplishments

• Opened a new GED testing and prep site in Jefferson County.

• Developed a collaborative relationship with the Pikes Peak Workforce Center

that resulted in $250,000 in federal Department of Labor stimulus money tar-

geted to provide local teens job skills, job training, and job coaching. The long-

term goal is to help teens maintain meaningful employment.

• Finalized three new depression/chronic care management contracts: Pacific-

Source, the regional Behavioral Health Organization, and Pikes Peak Mental

Health.

• Developed clinical protocols for telephonic management of new diseases – asthma,

diabetes, heart disease, and PTSD – to help clients monitor care for these

illnesses.

• Contracted with three new managed service organization providers.

• Expanded mental health screenings and services to schools across El Paso and

Teller counties.

• Began two on-site STEP Parenting Programs at the El Paso County Depart-

ment of Human Services utilizing existing staff.

• Began Neighborhood Stabilization Project designed to put veterans to work and

secure affordable housing for returning soldiers.

19

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

20 21

consolidated & combined statement of operations*

REVENUES & SUPPORT: 2008 2009

Subcapitated premium revenue $20,888,672 $20,764,825 Net client and third-party revenue 3,300,332 3,456,359 State/federal revenue 6,678,015 13,779,548 Local government contracts 4,871,733 4,353,944 Public support 1,863,345 1,090,469 Other revenue 2,410,615 2,253,741 Contract service revenue 2,751,684 5,671,044 Investment income 1,229,319 (487,859)

Total revenues & support $43,993,715 $50,882,071

ExPENSES: Personnel $24,198,991 $25,215,043 Client related 275,088 330,150 Provider services 4,734,358 10,788,334 Occupancy 1,294,399 1,272,496 Operating 6,297,435 9,922,763 Professional fees 906,903 182,780 Depreciation and amortization 1,284,775 1,750,231 Interest expense 359,533 118,338 Value-in-kind (client medications) 860,710 762,693

Total expenses 40,212,192 50,342,828

Net change in assets $3,781,523 $539,243

* Statement is unaudited and does not contain potential BHO adjustment.

Client Count PercentGENDERMale 4954 50.06%Female 4859 49.10%

Client Count PercentETHNICITYAmerican Indian 86 0.87%Asian 72 0.73%Black African American 922 9.32%Hispanic 1 0.01% Multi Ethnic 1,524 15.40% Native Hawaiian 36 0.36% White Caucasian 5,690 57.50%Other Ethnicity 218 2.20% Unknown 1,347 13.61%

Client Count PercentAGEOlderAdult 449 4.54% Adult 6,634 67.04% Adolescent 1,546 15.62% Child 1,202 12.15% Unknown* 65 0.66%

* NOTE: These clients had no birthdate in the system.

c l i e n t s t A t i s t i c s

total clients: 21, 662

Through career development, education, restorative justice, substance abuse,

mental health, disease and care management services, Pikes Peak Behavioral

Health Group served 21,662 clients last year. The following numbers reflect

unique visits for mental health and substance abuse services.

A

B

C

D

EFG

A

BC

DE

FG

revenues & supportA: Subcapitated premium revenue 41%

B: Net client and third-party revenue 7%

C: State/federal revenue 27%

D: Local government contracts 9%

E: Public support 2%

F: Other revenue 4%

G: Contract service revenue 11%

expensesA: Personnel 50%

B: Client related 1%

C: Provider services 21%

D: Occupancy 3%

E: Operating 20%

F: Depreciation and amortization 3%

G: Value-in-kind client medications 2%

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

22 23

t h e pA t h w A y s A c c e s s c e n t e r

K im Nguyen knows firsthand about the long-term effects of trauma. When she was a mere 13 years old, her family piled into a tiny fishing boat on

an ill-fated attempt to flee Communist Vietnam.

After three days of weathering storms in the vast South China Sea, the vessel’s engine, designed for small-scale excursions, failed and Nguyen’s father fash-ioned a sail to keep the boat moving. But in the middle of the night on Dec. 21, 1975, the sail broke under the strong winds and Nguyen’s father fell overboard trying to repair it in rough conditions.

“The waves were like mountains,” Nguyen recalled. “I saw his head for a few minutes. We were crying and praying. We were helpless.”

s P o t l i G h t

From Darkness to LightArt therapy provides an unexpected outlet

for teacher and students alike.

At the mercy of the current, Nguyen and the others arrived on the shores of Malaysia on Christmas Day as fatherless and husbandless refugees. The holiday became a day of sorrow for the family.

Several years later she found herself pursuing a fine arts degree at Louisiana State University and, inadvertently, pursuing healing.

“Everything I painted was very dark,” Nguyen said. “I was doing self art therapy. Looking back, I was depressed and suicidal. The art got me through.”

Since then, Nguyen has dedicated her life to helping others heal with art. The Pathways ACCESS Center is a consumer-driven community center for clients of Pikes Peak Behavioral Health Group. In addition to art therapy, the center provides a safe place for clients to utilize career development services, train for job placement, seek support from peers and work toward self-sufficiency.

Guided by Nguyen, the creative program at the Pathways ACCESS Center strives to assist individuals with gaining awareness through reality-based orientation, problem solving, revealing unconscious thoughts, catharsis, and working through conflicts.

“Sometimes people associate mental illness with crazy ideas; treat it as a neg-ative,” Nguyen said. “But (the clients) are full of creativity and an abundance of beauty. With the right direction, they can flourish.”

During a recent Art Therapy Class at the ACCESS center, Carolyn Mencini painted her own storm and wrote a poem about her tumultuous journey toward healing. Nguyen recalled the storm 35 years ago that forever changed her life: “For years, I lived in the shadow of his death… now I live in the light.”

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

24 25

t h e pA t h w A y s A c c e s s c e n t e r

“Happiness is Floating in the Air” by Tisha G.

“Through a Soldier’s Eye” by Spc. Ralph Z.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

26 27

t h e pA t h w A y s A c c e s s c e n t e r

“Tranquility” by Deb S.

“Serotonin” by Kim N.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

28 29

t h e pA t h w A y s A c c e s s c e n t e r

“Spectacular Vision” by Rudy M.

“The Pure Joy of Being” by Cherie K.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

30 31

t h e pA t h w A y s A c c e s s c e n t e r

“Schizophrenia” by Christine C.

“Anxiety” by Abby M.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

32

d o n o r s

33

OrganizationADD STAFF, Inc. Adolph Coors Foundation Agilent Technologies Gerald AlbrentKaren AldertonMichael and Elizabeth AllenPaul AllenSue AllenIvalene AmideiJennifer AndersonJudith AndersonBonnie AngottiAnna K. Ackerman Fund of El Pomar Anschutz Foundation Kristin Arnett-AlessiAstraZeneca Pharmaceuticals Sue Autry Carla AustinRobert BachusCheryl BaezaRobert BallRebecca BarrCarrie BartellCarl BauerMaria BergerBKD, LLP Lori BlackInes BlackburnLawrence BoydKathleen BrandtPatricia BrewerCarolann BronkoBrookside Asst. Living Facility (Eldercare, Inc.) Queen E. BrownDonna BrummerMeg BunkaShane BurnsStacey BurnsAnna BuskeMarilyn CaleTyler CarpenterChristina CarrilloRegina Carson

Deborah CenterHeather ChambersChapel of Our Saviour Myrtle CharanzaTom ChaseCynthia ClarkJill CobbCindy CokerColorado Health Networks Colorado West Regional Mental Health, Inc. COMCOR, Inc. Patricia ConeCynthia ConleyClaude CowartDennis and Sherry CrippsAnn CrosseyCharles D’AlessioAudrey DaltonDon and Stacy DavidsonDeborah DavisJoni DavisVictoria DavisDr. Randall and Diana De PryJason DeaBuenoSharon DeleonDiane DeMallieLarry M. Dewell, M.D. and Carol LeMonds DewellJames DoakStephen DojcakCynthia DotyRichard DuCharmeDwan Family Foundation Berttis DysartEl Pomar Foundation Aileen EllisBeth ElstonEON Office Supply Steve and Donna EversonNancy FaunceChris FergusonFerrand Fund of El Pomar Rebecca FlemingTammy Fogall

Jim FosterDawn FrautschyBarry FriederAnnette and Doug FrymanRoger FurryLarry GaddisMargaret GagnonHeidi GamerYvonne GardnerRoberta GaschoGE Johnson Construction Co. Julia GebbenTraci GiffordLena GladinJohn GoldenPeggy GonderRudy GonzalesGoodSearch Krystyna GrabskiDavid GreenbergPaulette GreenbergGriffis Blessing Griffis Group of Companies Jason GrimmCarolyn GrossellHaline GrublakJudith HalsteadJohn HansenVictoria HarleyDebbie HartleyJoyce HartungTabitha HatchKathleen HattenKevin HawkinsBrandi HawsDeborah HeltonJeffrey HengelShaundra HillKelly HipolitoJeannine HoltAndrea HowellJoseph HubbardAnn HulskerSharon HunnicuttRebecca Hurley

IMA Financial Group Paul IsenstadtDavid IversonSonia JacksonPatricia JacobsChristine JacobsonDotti JohnsonNikita JohnsonRobin JohnsonAngela JoslynGreg KalkwarfBrandt KathyChristopher KeithGretchen KelloggSteve KellyShelly KennedySue KiernanDiana KirtleyCynthia KnappKnights of Columbus, Council 582 Sonja KoenigJudith and Tony KorenSarah KorkowskiJudy KosiaraRolene KosteckaSue KuiperKenneth KuricaBill and Cindy LandsbergSarah Marie Natalie LangLani Langley-GendronTina LaraAlicia LaValleeNewell LedbetterCyndia LeePete and Lynn LeeVivian LefebvreLewan & Associates Steven LewisMina and Jonathan LiebertKevin LightRichard LindseyCeleste LippyLucinda LobatoBethany LohseThomas LombardyKatherine LooDavid LordCharlene LouzonLuther T. McCauley Charitable Trust Rob MacDonaldRick and Lynn MackJudy MackeyBill MandellKeith MarcantelKayla MariettaCharles MartinMichael MartingJennifer MartsConnie MasottiMeredith Masse

Aletha MayesAngela MazeVictoria McAdamsJohn McCaaMariah McCartyDennis McCormackThomas McKayMary McNallySusan McPhersonLaura MedlowFran MenaRebecca and Joe MichaelsFred Michel, M.D.Richard MidtboMarge MilneMaria MirandaJanice MitchellDan MolnerRita MontourSteven MoodyCheryl MorfordNorma MorrellJoan MorrisLaura MuirRichard MyersMyron Stratton Home Trustees Charon NelsonLonnie NelsonBarbara NisenoffNunn Construction, Inc. Anne O’RourkeDanny OldfieldKimberly OrtizKenneth PaceTamera ParkinsPascoe Professional Peak Vista Community Health Ann PearsonKelly Phillips-Henry and Gary HenryPhyllis McCoy Realty Pi Beta Phi Alumna Chapter - Colorado Springs Pikes Peak United Way Jdemetria PowellRuth PretlowLiz PriceBlake PurintonPatricia RandleSandy RaskinJacqueline ReadnourMatilda ReedPatty ReisingerDiana RhodesConnie RickardDavid RileyCarol RochePeggy RodgersLaura RogersRussell RomeroMorris and Jan RothMary Pat Sall

Orwyn SampsonMary Lynn ScheckWilliam ScholtenSchuck Corporation B. J. ScottPaul and Donna SextonCari and Larry ShafferMatthew ShepherdMike SiebenCatherine and Richard SkilesGurney SloanStuart SmithCarli SmytheMary SpragueElizabeth SteadCarolena Steen, Ph.D., and Steve MillerStephen J. and Robin Ellen Reiser Spaulding Trust Angela StevensRev. John StevensLila SteyertCheryl StineLaura StoeberSherrianne StreeterLinda StuartRichard StuckeyRichard M. SullivanSummit Container Corporation Geri SymonsCol. Heidi TerrioDinesha TerryRhonda TerryThe Retired Enlisted Association Chapter 1 Auxiliary The Gazette Diane ThompsonNancy TrosperKay TuschenJeremy UtterLeroy ValdezMichael Van DeCasteeleSteven VelaSarah VincentRosalie WalkerYolanda WalkerWells Fargo Bank Thomas and Nancy WenzlauCullen WheelockGary and Brenda WhitlockKristin WillieRobin WiningerGail WolfNancy WoltersSue WoodmanDoug WoodsHerberta WoslagerBarbara YoungPat YuhaszMary ZesiewiczMerri Ziebell

donors

Between July 1, 2008 and June 30, 2009, our generous donors gave gifts totaling $168,975.

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

34

b o A r d o f d i r e c t o r s A n d c o r p o r A t e l e A d e r s h i p t e A m

35

David Lord Board Chair

Bill Crouch, M.D.

Cathy Skiles Treasurer

David DiBari*

Camille Blakely Debbie Hartley, Past Chair

Bonnie MartinezVice Chair

Randy L. De Pry, Ph.D.

Bonnie Angotti Charles F. Emmer

Queen E. Brown* Fletcher Howard

*Pikes Peak Mental Health board members.

Carolena Steen, Ph.D. Secretary

Larry Dewell, M.D.

Sue Autry Steve Everson

Denny Cripps Pete Lee*

board of directors

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

36

b o A r d o f d i r e c t o r s A n d c o r p o r A t e l e A d e r s h i p t e A m

37

Laura McGuire Connie Rickard* John H. Stevens, D.D.*

Dick Sullivan Diane Wengler Gary Whitlock

Stacy Lutz Davidson John McCaa* Phyllis McCoy

board of directors (Continued)

corporate leadership team

Morris L. Roth President & CEO

Shelly E. Kennedy Executive Assistant to the President & CEO

Kelly Phillips-Henry Chief Operating Officer - Clinical Operations

Paul D. Sexton Chief Operating Officer - Business Operations

Kevin Light Chief Financial Officer

Fred H. Michel, M.D. Chief Medical Officer

Annette Fryman Senior Advisor to the President & CEO

Michael Allen Vice President, Connect Care/ProCare

Jonathan Liebert Vice President, Aspen Diversified Industries

Bill Landsberg Legal Counsel

Rick Mack Vice President, Human Resources

Joe Michaels Vice President, Marketing & Communications

*Pikes Peak Mental Health board members.

reGional

p i k e s p e A k b e h A v i o r A l h e A l t h g r o u p | 2 0 0 8 - 0 9 A n n u A l r e p o r t

38

CRIPPLE CREEKAspen Mine Center166 E. Bennett AvenueCripple Creek, CO 80813(719) 689-3584Fax: (719) 689-2426 DENVEREducation Center445 Union, Suite 124Lakewood, CO 80028(303) 914-9000 DIVIDE34 Hybrook RoadDivide, CO 80814(719) 687-1105 FOUNTAINLorraine Community Center301 East Iowa StreetFountain, CO 80817(719) 382-8176Fax: (719) 382-8271

PARK COUNTY: BAILEY460 County Road 43aBailey, CO 80421(303) 838-5013Fax: (303) 838-5867 PARK COUNTY: FAIRPLAY295 Fifth StreetFairplay, CO 80440(719) 836-9087Fax: (719) 836-2812 PUEBLORecovery Center at Spanish Peaks2003 East Fourth StreetPueblo, CO 81001(719) 544-6373Fax: (719) 545-5405 WOODLAND PARK400 West Midland Avenue, Suite 275Woodland Park, CO 80863(719) 687-2880Fax: (719) 686-0738

Co-Locations PEAK VISTA COMMUNITY HEALTH CENTERSDivideFountain Providers CANON CITYCOLORADO SPRINGSFAIRPLAYLEADVILLESALIDASILVER CLIFFWOODLAND PARK

CASCADE525 North Cascade Avenue, Suite 100Colorado Springs, CO 80903(719) 572-6100Fax: (719) 572-6199Administration MORENO875 West Moreno AvenueColorado Springs, CO 80905(719) 572-6200Fax: (719) 572-6299Adult Services,Pathways ACCESS Center,Café Moreno and Culinary Training PARKSIDEChild and Family Services179 Parkside DriveColorado Springs, CO 80910(719) 572-6300Fax: (719) 572-6399Acute Care and Emergency Services115 Parkside Drive Colorado Springs, CO 80910(719) 572-6340

PHOENIx TOWERFirst Choice Counseling Center2864 South Circle Drive, Suite 620Colorado Springs, CO 80906(719) 572-6190Fax: (719) 264-6616Care Management ServicesDisease Management Services2864 South Circle Drive, Suite 1000Colorado Springs, CO 80906(719) 572-6133Fax: (719) 572-6089 RUSKIN220 Ruskin DriveColorado Springs, CO 80910(719) 572-6100Fax: (719) 633-3673Career DevelopmentEducation CenterRestorative Justice

TERMINAL5867 Terminal AvenueColorado Springs, CO 80915(719) 591-2966ConstructionMaintenanceFurniture Warehouse Co-Locations FAMILY MEDICAL PRACTICE OF CHARLES JOHNSON, D.O155 Printers Parkway, Suite 230Colorado Springs, CO 80910(719) 492-0106Fax: (719) 635-5657 PEAK VISTA225 South Union BlvdColorado Springs, CO 80910(719) 632-5700

facilities

colorado sPrinGs

P P B h G

Facilities Map

h i k i n G t h e P i k e s P e a k c h a l l e n G e

In May of 2003, I was a passenger in a co-

worker’s SUV that slid out of control on an icy

curve on Interstate 70 and crossed the median.

We were struck by another vehicle and the force

left me with traumatic brain injury. I lost a

year of my life and the intimacy of the first two

years of my only child’s upbringing.

After three months in the hospital and out-

patient rehabilitation, I was introduced to the

Pikes Peak Challenge. I immediately became

hooked on the idea that I could climb this

behemoth in my backyard to raise awareness

and increase prevention to an injury that turns

thousands of lives a year into an abyss. I have

now done it six times.

I have been impressed on every one of those

climbs by the amazing fellowship everyone has

on the mountain. The trail up is 13 miles long

and rises more 7,200 feet – enough to bring

any group of strangers close! The people who

hike in the Challenge are all dedicated to a

purpose they feel strong about, much like the

people at Pikes Peak Behavioral Health Group.

Hiking Pikes Peak has brought thousands

of people, including myself, new friends, an

annual highlight in achieving a tremendous

goal, and a huge sense of purpose for helping

those who are a lot less fortunate than myself.

– Bill Tassey, MAEd

Peer Navigator, USMC Honorable Discharge

a B o u t t h e c o v e r

Editors Note:

The cover art is a picture taken from the Pikes

Peak Challenge, a fundraiser for traumatic

brain injury awareness and prevention efforts.

Pikes Peak Behavioral Health Group approaches

recovery and healing much like the participants

approach the summit: Pushing ourselves and

others to achieve greatness despite obstacles.

P i k e s P e a k B e h a v i o r a l h e a l t h G r o u P

c o l o r a d o s P r i n G s , c o l o r a d o

PPBHG