Annual Report Fiscal Year 2012

SojournerRecoveryServices

LETTER FROM THE PRESIDENT This year marked 27 years of service by Sojourner Recovery Services to women, their children, adolescents and men who suffer from the disease of addiction. During that time our success and community support has allowed for continuous growth of our organization and evolution in our mission to meet the needs of those we serve. Despite ongoing funding cuts, Sojourner was able to increase our services to women by six beds, provide innovative programming and generate additional funding sources.

During the last fiscal year, Sojourner provided treatment services to 159 adolescents, 233 women, 37 men and, helped provide for the birth of 33 drug free babies. Sojourner assured its goal of providing high quality, state-of-the-art client programming by maintaining its accreditation with CARF International. We obtained an additional three-year certification in 2012.

With the support of community members and Walmart, we established the Sisters of Sojourner program to provide a welcome basket to each inpatient client as they enter treatment. These baskets provide the basic needs for those with little or no resources. We entered our second year of an acupuncture program designed to compliment our recovery processes and launched our DUI Assessment program, which provides confidential drug and alcohol evaluations over the phone or internet to DUI offenders.

We held several special events to generate funds for our much needed services. Our first 5K Race for Recovery was in June and with over 300 participants, exceeded all expectations. This event was made possible by the generous support of ThyssenKrupp Bilstein and many other sponsors.

We also continued, for the sixth year, our annual Sojourner Concert Series, which was once again a huge success, thanks to the help of Mercy Health – Fairfield Hospital, PNC Bank and others.

There is no doubt that the many accomplishments of Sojourner Recovery Services are a result of the endless work and commitment of the staff, Board of Directors, and volunteers. For that, and as always, we are very grateful and extend our thanks.

Sincerely,

Amy Erhardt

President & CEO

Providing Help and Hope

SuccessAmanda* was referred to treatment by Butler County Children’s Services after she failed a drug screen. A residential client, she began participating actively in her recovery. She worked diligently on her treatment plans, started attending 12 step meetings and became involved in service work. She and her mother attended family sessions and the SAFE program (Substance Abuse Family Education) while she was in treatment. She is working towards reunification with her two children.

Amanda graduated from residential treatment, has obtained a part-time job at Burger King and continues active involvement in her recovery. She has enrolled in classes at Miami University in Hamilton for the fall. Amanda is grateful for her treatment experience and believes other women who want to change their lives should turn to Sojourner.

*Client’s name changed for confidentiality.

OUR SERVICESSojourner provides help and hope, utilizing holistic, individualized treatment programs

designed especially for people who want to overcome the disease of addiction.

The mission of Sojourner Recovery Services is to provide our clients quality, comprehensive services for primary substance abuse and/or related mental health issues in a caring and compassionate manner.

Sojourner Recovery Services is accredited by CARF International, the Commission on Accreditation of Rehabilitation Facilities.

AssessmentAll outpatient and residential clients receive our assessment service. In a face-to-face session, certified addiction counselors determine the nature and extent of the individual’s abuse, misuse and/or addiction to alcohol and/or other drugs. All clients are assessed utilizing the Global Appraisal of Individual Needs (GAIN) or the Addiction Severity Index (ASI) to determine whether they meet the criteria for substance abuse. This session is crucial as the counselor uses information obtained and the Ohio Department of Alcohol and Drug Addiction Services (ODADAS) clinical protocols, to determine the appropriate level of care.

OutpatientSojourner operates one outpatient facility that serves adolescents and women. Services include assessment review, individual, family and group counseling, crisis intervention, case management and discharge planning. We offer Non-Intensive Outpatient (NIOP) and Intensive Outpatient (IOP) services. Adolescent IOP patients receive structured alcohol and drug addiction services a minimum of four days and eight total hours per week. Adolescent NIOP is offered two days per week, with a minimum of four hours weekly.

Women’s IOP is five days a week, with a minimum of three program hours a day. Childcare is provided at the same location free of charge.

ResidentialSojourner has five residential treatment facilities that serve men, women, and adolescents. Residential treatment programs provide structured alcohol and drug addiction services and activities. Program components include, but

are not limited to: assessment review, individual, family counseling and group counseling, crisis intervention, case management, and discharge planning.

Programming for adults is at least thirty hours per week and for adolescents at least twenty hours. Individual and/or group counseling services are provided at least five days per week. During the academic year, adolescents also receive fifteen hours of in-facility schooling. Housing and food are provided for clients.

Medication Assisted TreatmentSojourner offers the opportunity to be assessed by a physician for medication assisted treatment. The medications relieve withdrawal symptoms, reduce cravings, and bring about a biochemical balance in the body.

Discharge Recovery PlanningSojourner’s discharge planning services start at the point of admission and are an integral part of our recovery programs. We strive to provide clients with the skills and tools necessary to successfully transition once treatment is completed. Focus is placed on developing a recovery action plan which includes, among other things, sober support, housing, medical needs, employment, parenting and education.

PerinatalSojourner operates a prevention program focused on women of child-bearing age. We utilize a holistic approach to provide services to drug dependent and high risk pregnant and post-partum women before, during, after, or in lieu of treatment in a variety of settings. We strive to help women achieve abstinence and maintain sobriety throughout the last trimester of their pregnancy, thereby delivering a “drug free baby” and improving the quality of life for both mother and infant.

Clients Served by Program

Residential and Outpatient Programs

Women’s Residential 161

Men’s Residential 37

Adolescent Residential 39

Adolescent IOP 62

Adolescent OP 58

Women’s IOP 72

Male 183

Female 246

Total 429

Perinatal Program

Perinatal Clients Served 109(Educated and received intervention services)

People given face to face info

317(Received face-to-face written or oral education)

Male 0

Female 109

Total 426

Total All Agency 855

OUR CLIENTS Demographics

13-1735%

18-2523%

26-3531%

36+11%

Age

Ethnicity

Caucasian: 91%

African-American: 7% Hispanic: .5% Other: 1.5%

Age

Ethnicity

18-2564%

13-1721%

26-35:13%

36+: 2%

Caucasian: 77%

African-American: 12% Hispanic: 3% Other: 8%

Residential and Outpatient Programs

Perinatal Program

**Demographic data from perinatal program is reflective of the 109 clients who received education and follow up intervention services.

Men Women Total Agency

Opiate Clients

Total Clients

Percent Opiate Clients

Total Clients

Percent Opiate Clients

Total Clients

Percent

2009 44 87 50.6% 48 95 50.5% 92 182 50.5%

2010 65 86 75.6% 59 79 74.7% 124 165 75.1%

2011 63 93 67.7% 80 109 73.4% 143 202 70.8%

2012 29 37 78.4% 126 162 77.8% 155 199 77.9%

Total 201 303 66.3% 313 445 70.3% 514 748 68.7%

Men Women Total Agency

Opiate/Co-occuring Clients

Total Clients

Percent Opiate/Co-occuring Clients

Total Clients

Percent Opiate/Co-occuring Clients

Total Clients

Percent

2009 28 44 63.6% 29 48 60.4% 57 92 62.0%

2010 40 65 61.5% 41 59 69.5% 81 124 65.3%

2011 42 63 66.7% 64 80 80.0% 106 143 74.1%

2012 22 29 75.9% 114 126 90.5% 136 155 87.7%

Total 132 201 65.7% 248 313 79.2% 380 514 73.9%

TrendsOpiate Addiction on the Rise: Since 2009, we have seen a steady and significant increase in the number of clients with an opiate addiction. This year opiate users comprised a record-breaking 77.9% of the total client population, marking a more than 25% increase over the past four years.

Co-occurring Disorders:Another trend we have observed is the increase in co-occurring disorders – individuals impacted by opiate addiction and a mental health disorder. As an overall agency, 85.9% of people served had co-occurring disorders in 2012.

Notably, this increase was more significant in the women’s population, rising 30% since 2009. In the men’s population, the four year increase was less than 10%. A significant number of clients in our adolescent population continue to face co-occurring disorders.

To meet this changing client demographic, we reconfigured how we provide treatment. Our use of Medication Assisted Treatment has helped alleviate the withdraw process and allowed clients to move into the treatment aspect much quicker. The medication also assists in eliminating cravings – a major asset in helping clients remain in treatment.

Our therapy models are designed to treat co-occurring disorders and address psychological development, trauma and substance abuse. We have a consulting psychiatrist who provides assessment, diagnosis, medication management and guidance with treatment planning. We are currently vesting our energy into engagement and retention projects to aid these clients in being able to smoothly transition and securely remain in treatment.

“What I liked best was the staff [who are] caring and confidential.” – Sojourner client

“[My counselor] is awesome. I am so glad I had her and she was a part of my recovery.” – Sojourner client

“[My counselor] is a wonderful person who was always honest with me about what he thought. He helped me see a lot that I didn’t see before.” – Sojourner client

“Sojourner Recovery Services is very proud of our

results. The number of our clients successfully

completing residential treatment was

17.4% above the national average as compared to the most recent report of the

Substance Abuse and Health Services Administration

(SAMSHA)1. Outpatient and perinatal program

results also exceed national averages.”

– Art Lantman, Vice President of Performance Improvement

OutcomesSojourner Program Success Rate

Women’s Residential: 61.7%Men’s Residential: 56.8%Adolescent Residential: 76.9%Adolescent IOP: 66.1%Adolescent OP: 65%Women’s IOP: 61.1%

Total Agency: 429 63.7%

1SAMSHA is a public health agency within the US Department of Health and Human Services. SAMSHA’s most recent report is based on 2009 data.

Client SatisfactionOur Services• 99% of agency clients responding to the survey said they were “mostly satisfied” or “very satisfied” when asked if

Sojourner programs met their needs.• 98% of agency clients responding to the survey said they were “mostly satisfied” or “very satisfied” when asked if

Sojourner programs help them more effectively deal with their problems.• 97% of agency clients responding to the survey said “Yes” when asked if they would recommend Sojourner

programs to others. • 94% of agency clients responding to the survey said “Yes” when asked if they would come back to Sojourner

again if they needed to seek help again.

Our Staff• 99% of agency clients responding to the survey said they were “mostly satisfied” or “very satisfied” when asked if

Sojourner staff treated them with respect.• 100% of agency clients responding to the survey said “Yes” when asked if they felt listened to and cared for by

their counselor.• 100% of agency clients responding to the survey said “Yes” when asked if their counselor was available when

they needed them.

“Treatment was very helpful. I [learned] a whole new way of life that I never thought I would. I [learned] how to be around other sober people and how to have fun with sober people without wanting to use or drink.

I have a whole new perspective in life, such as being a better mother, a better daughter, and a better sister. I’m very happy to have this new life ahead of me now. I hope to accomplish the things I want to do with my life.

I thank everyone at Sojourners for the help they gave me and for saving my life. Thank you from the bottom of my heart.”

– Sojourner client

97% of babies born in the Sojourner Perinatal Program in

FY 2012 were drug-free!

Programming UpdatesAuricular Acupuncture, “Acu Detox”:Through funding from the Health Foundation of Greater Cincinnati, we added Auricular Acupuncture to our programming in three of our residential locations. Commonly referred to as Acu Detox, it is a five point ear acupuncture protocol for recovery.

Clinical studies show strong evidence that this type of acupuncture improves patient outcomes. We are in year two of this service and seeing positive results. Demonstrated benefits include: assistance with detoxification needs, decrease in cravings and anxiety, and an increase in client retention.

Sisters of Sojourner Basket ProgramSojourner now provides each new inpatient client a welcome basket containing new bedding, towels, personal items and a journal. Though it can be hard to imagine, many come to us with few or no amenities. We want our clients to feel at home and begin the road to recovery with a positive step. This was made possible by the support of community members and Walmart.

DUI Assessment ProgramWe launched the DUI Assessment Specialist program, a service that provides confidential alcohol and drug evaluations via telephone and internet.

Specifically geared for DUI offenders, each assessment is done by a licensed and certified Addiction Counselor, takes 50 to 60 minutes and is accessible by anyone in the United States. Clients receive their Evaluation Reports and Referral Reports within three working days.

“Acupuncture was overall a great experience. It really helped with the withdrawals and also with my anxiety...” – Sojourner client

“I think acu worked for me when I was detoxing and when I was stressed...” – Sojourner client

“After coming here to Sojourner and receiving the treatment of acupuncture, I am a true believer.” – Sojourner client

FY 2012 Operating Expenses $3,930,000

83 cents of every dollar received goes directly to the treatment of clients.

FINANCIALS

FY 2012 Revenue and SupportJuly 2011 – June 2012

12%Adolescent Residential

45%Women’sResidential

17%Administration4%

Perinatal Prevention Program

11%Men’s Residential

5%Adolescent IOP and NIOP

6% Women’s IOP

“...[T]he most efficient charities spend 75% or more of their budget on their programs and services...”

– Charity Navigator

The BBB Wise Giving Alliance Standards for Charity Accountability require a charity to spend at least 65% of its total expenses on program activities.

5% Hamilton County Mental Health and Recovery Services Board

11% Butler County Childcare Services

3% Medically Assisted Treatment Clinic & Program Fees

2% Support (Fundraising and Special Events, Foundations, Contributions, United Way)

6% Other

38% Medicaid

35%Ohio Departmentof Alcohol and DrugServices (ODADAS)

COMMUNITY OUTREACHSojourner is committed to educating the community about the often misunderstood disease of addiction and helping remove the stigma that can be wrongly attached to individuals who suffer from it.

Special EventsConcert SeriesAs in years past, the sixth annual Sojourner Concert Series sold out. Since its inception, over 2400 people have attended the series.

Mark Farner �February 4, 2012

Founder, Grand Funk Railroad

�Jimmy WebbMarch 10. 2012Hall of Fame Singer/Songwriter

Rick DerringerApril 28, 2012

Rock n’ Roll Hall of Fame

Sojourner Board member Greg Ossmann, MercyHealth, with Jimmy Webb

Academic InstitutionsSojourner provides on-site internship and practicum opportunities in the fields of social work, nursing, psychology and family studies for Miami University and Galen College of Nursing students, among others. Our staff members also routinely serve as guest lecturers in the classroom setting and are interviewed for student projects.

5K Race for RecoveryOver 300 people participated in our inaugural 5K race. We look forward to making this an annual Sojourner event.

Professional Agencies and Medical ProvidersIn 2012, Sojourner provided education to 114 organizations, which included hospitals, homeless and domestic violence shelters, state agencies and local physicians. We provide information about chemical dependency and co-occurring disorders, as well as the services Sojourner provides. This information sharing helps ensure that individuals are correctly diagnosed.

THANK YOUDonors, Sponsors, Supporters and Volunteers:

We are extremely grateful for your compassion and generosity in 2012. Whether you donated time, talent or treasure, your collective assistance was integral to Sojourner’s 2012 successes.

On any typical day, thousands of people in our area are affected by drug and/or alcohol abuse - abuse that often leads to damaged lives, broken homes, missed career opportunities, separation from children, and most importantly, loss of direction and self-respect.

Fighting the bonds of drug or alcohol addiction isn’t easy, simple or quick. But it is possible, especially with support and assistance from those who understand. Your generosity allows Sojourner to help people confront their chemical dependency and start a journey on the road to recovery. There is no doubt your help ensures good things happen in our clients’ lives.

Thank you again for your support and for understanding the need for Sojourner’s services! Warmly, The Staff of Sojourner Recovery Services

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