Mount Rogers Community Services 21-22 Annual Report

Mount Rogers

COMMUNITY SERVICES

Table of Contents Table of ontents

3 Message from the Chief Executive Officer 5 Financial Status 7 Building our Community Infographic 9 Crisis Receiving Center 10 Geriatric Transition Home 11 Prevention & Wellness Impact 13 Individual Success Story 14 Locations 3 Message from the Chief Executive Officer 5 Financial Status 7 Building our Community Infographic 9 Crisis Receiving Center 10 Geriatric Transition Home 11 Prevention & Wellness Impact 13 Individual Success Story 14 Locations

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Who are We? Mount Rogers Community Services provides a wide array of community services for individuals with mental health, intellectual and developmental disabilities, and substance use disorders. All services include the use of person-centered planning and embrace concepts of self-determination, empowerment, and recovery as core principles in supporting individuals to achieve their highest possible level of participation in work, relationships, and all aspects of community life. Founded in 1972, Mount Rogers serves the communities of Bland, Carroll, Grayson, Smyth, and Wythe Counties, as well as the City of Galax. As a not-for-profit organization governed by a 14-member Board of Directors, Mount Rogers’ mission is to serve the behavioral health needs of the individuals and communities it serves.

Mount Rogers Community Services is dedicated to improving the quality of life for people with mental, physical, and substance use intervention needs and committed to respecting people’s right to live in their home communities by promoting hope for the future and providing services and supports that promote self-determination, empowerment, recovery, resilience, health, and the highest possible level of participation in all aspects of community life including work, school, family, and other meaningful relationships. Serviceswill be provided for people to resume or continue participation in community life in as independent a manner as possible. Mission Statement

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A message from the Chief Executive Officer

Mount Rogers Community Services experienced a year of growth and change during fiscal year 2021-22. The agency served more individuals, developed new services, expanded existing services, and created more jobs. During Fiscal Year 2022 (July 1, 2021 - June 30, 2022), our agency served 9,317 unique individuals in behavioral health services, with even more individuals served in employment and prevention services. That is a 4.6% increase year-over-year. We continue to expand services and make outreach into our communities to guarantee every individual receives top quality care. The expansion of Geriatric Services is one of my biggest priorities. Mount Rogers serves a catchment area that is rapidly aging. The localities we serve have populations with 20-25% of the people more than 65 years old. The behavioral health needs of geriatric populations are unique. This year, Mount Rogers opened a state pilot project to transition individuals from state psychiatric hospitals to community settings. After opening Virginia’s first 23-hour walk-in Crisis Care Center almost 3 years ago, Mount Rogers continues to innovate in the area of Emergency Services. Mount Rogers’ Smyth County Crisis Care Center is now Virginia’s first Crisis Receiving Center. In addition to the existing services at the Crisis Care Center, the Receiving Center can accept transfers of custody for individuals under Emergency Custody Orders (ECOs). This creates a more therapeutic environment for individuals in crisis, reduces the strain on local hospitals, and gets law enforcement back on the road. Prevention & Wellness services are essential to the long-term health of our community. We served more people than ever at a wide array of Prevention & Wellness events and continue to provide trainings such as REVIVE!, Mental Health First Aid, and ASIST (Suicide Intervention) to our stakeholders. During Fiscal Year 2021-22 we also celebrated our 50th anniversary. Half a century of providing behavioral health services to our communities demonstrates Mount Rogers’ deep commitment the the individuals we serve. Mount Rogers enters Fiscal Year 2022-23 in a strong and stable financial position, with a wide array of services worthy of being one of only three Certified Community Behavioral Health Clinics (CCBHCs) in the state, and a workforce dedicated to our mission.

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MRCS Leadership Our Board Leadership Team

Board Officers Chairperson – Barbara Bartnik Vice Chairperson – Susan Sneed Treasurer – Mary Coulson Secretary – Joanne Groseclose Bland County Kathy Havens Carroll County Mary Coulson Gerald Goad Sandy Worrell

Sandy Bryant - Chief Executive Officer Patty Belcher - Chief Financial Officer Kathy Cressel - Executive Office Operations Samantha Crockett - Prevention & Wellness Services Laura Davis - Chief Continuous Quality Improvement Officer Bob Gordon - Chief Human Resources Officer Wendy Gullion - Chief Residential Officer KJ Holbrook - Chief Clinical Officer Lakesha Mayes - Grant Writing & Agency Advancement Dr. Bobby Miglani - Chief Medical Officer Logan Nester -Marketing & Communications Richie Pack - Chief Manufacturing Officer Kim Wells - Nurse Practitioners

City of Galax Susie Dixon Garner Grayson County Teena Bishop Kathy Cole Smyth County Joanne Groseclose Susie Jennings Kris Ratliff Susan Sneed Wythe County Barbara Bartnik Angeline Saferight Lloyd Jamie Smith *Board Members as of January 1, 2023

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Financial Status July 1, 2021 - June 30, 2022

1% 1%

Revenues

Fees Fees

13%

State Revenue

Fees

35,253,663 16,730,465 6,860,763 9,133,820

State Revenue Federal Revenue Contract Sales

Federal Revenue

10%

51%

Contract Sales

Local Gov’t

24%

Local Gov’t

620,831 740,798

Misc and Other

Misc and Other

Total

69,340,340

Bl

1% <1% 3%

Expenses

Fees Personnel Staff Development Facilities Equipment/Supplies Travel Contract Services Miscellaneous

Personnel 37,336,918 Staff Development 169,703 Facilities 3,003,513 Equipment/Supplies 4,714,284 Travel 434,897 Contract Services 12,848,844 Miscellaneous 473,458 Depreciation 1,707,896 Interest Exp 192,340 Total 60,881,853

21%

1%

61%

8%

Depreciation Interest Exp

5%

<1%

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Human Impact Penetration Rates Percentage of Total Population Served by County Travel Contract Services Miscellaneous Depreciation Interest Exp 674,739 Services 9,317 Individuals

Fees Personnel Staff Development

Facilities Equipment/Supplies

Bla 3.6

Receiving

..

..

land

Wy

Area-Wide 7.4%

Penetration Rates Percentage of Total Population Served by County

by County

Population Served

7.0

Bland 3.6% Smyth 8.2%

Galax 10.5%

Smyth

Wythe 7.0%

8.2%

Smyth 8.2%

Carroll 5.8% Grayson 5.6%

Grayson 5.6%

Gr

Building our 916 employees in salaries 51 receiving supervision for licensure. employees

9,317 Unduplicated individuals served in FY 22

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Community earning $37.5 million and benefits. $86,038,416 Total economic impact on the region during FY 22 94% of individuals participating in CHATS (Connecting Humans And Telling Stories) say they have an increased connection to their community.

Building

Mount Rogers Community Services continued to be innovative this year, opening several new programs including Virginia’s first Crisis Receiving Center (pictured above left) and Geriatric Transition Home (pictured above right). The Smyth Crisis Receiving Center is an evolution of Mount Rogers’ existing Crisis Care Center. In addition to the walk-in, voluntary Crisis Care Center, law enforcement can now transfer custody of individuals under an Emergency Custody Order (ECO) to the Receiving Center. These individuals will receive high quality behavioral health services in a comfortable, calm environment. Additionally, this transfer of custody allows law enforcement to get back on the roads, as well as clearing beds in local emergency departments. It adds up to better quality of care, and less strain on community resources. The Crisis Receiving Center is located in Marion, Virginia and operates 24/7/365. The Crisis Receiving Center can operate around the clock and treat medically complex individuals due to behavioral health staff, medical staff, peer supports, and 24/7 pharmacy access. In addition to the Crisis Receiving Center, Mount Rogers continues to operate Crisis Care Centers in Wytheville, Virginia and Galax, Virginia.

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Programs

Mount Rogers also opened Virginia’s first Geriatric Transition Home this year. The pilot project is a place for geriatric individuals with behavioral health concerns to transition to community settings from psychiatric hospitals. The Geriatric Transition Home takes discharges from state psychiatric hospitals and prepares them to return home or live in other community settings such as nursing facilities. Additionally, the Geriatric Transition Home can divert individuals in nursing facilities from entering state psychiatric facilities. In addition to treating geriatric individuals, Mount Rogers employs a geriatric team that works with psychiatric hospitals to discharge individuals and nursing facilities to find placements and provide training. Currently, the Geriatric Transition Home houses 4 individuals and will expand to 10 in the upcoming year. Both the Crisis Receiving Center and Geriatric Transition Home were made possible through state and federal funding in addition to a sustainable billing model. Mount Rogers continues to expand behavioral health services in Southwest Virginia. We are expanding our Regional Youth Crisis Stabilization Unit to 12 beds and expanding services to the new Galax Campus in the upcoming year.

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Building Bu l n Mount Rogers Community Services’ Prevention & Wellness Team connected wellness and nature for more than 1,500 people this Summer. The ‘Forest Fridays’ initiative began in May of 2022 with the 5 Bridges Wellness Fair hosted by Mount Rogers in Hungry Mother State Park. The Wellness Fair boasted 67 vendors, wellness activities, and free food. All together, more than 1,500 people connected with nature, their community, and their own health and wellness. Following the Wellness Fair, Mount Rogers kicked off weekly ‘Forest Fridays’. ‘Forest Fridays’ were co-hosted by Hungry Mother State Park and Mount Rogers staff. The hour long sessions focused on the 5 Bridges approach, a nationally recognized model for community building and wellness. The 5 Bridges are Bond - How You Connect, Fuel - What Goes In, Move - What You Do, Rest - When You Recover, and Give - Your Positive Output. Each session began with an overview of one of the 5 Bridges, then park staff led participants in outdoor activities related to that week’s bridge. All told, there were 11 sessions this year, featuring participants fromMount Rogers’ services, park visitors, and members of the wider community. There are plans to expand this program to another state park in the Mount Rogers catchment area in order to reach even more people in 2023. With the program’s upcoming expansion, Mount Rogers’ Prevention & Wellness team will engage participants each Friday from April through November.

Utilizing one of Southwest Virginia’s strongest resources, beautiful outdoor recreation areas, to promote healing and resiliency has been one of Fiscal Year 2021-22’s biggest successes. We look forward to even more opportunities to connect with nature and one another next year. Check out some other Prevention & Wellness initiatives from this year.

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Resiliency

Other Prevention & Wellness Initiatives CHATS - Connecting Humans And Telling Stories (CHATS) is a social emotional learning (SEL) experience to enhance participants’ emotional intelligence. Roughly 1000 people participated in CHATS this year. Mental Health First Aid REVIVE! (Opioid Overdose Training) ASIST (Applied Suicide Intervention Skills Training) t ’ y y . R er s t ti ll ess Initiatives C ATS - Connecting Humans And Telling Stories (CHATS) is a social emotional learning (SEL) experience to enhance participants’ emotional intelligence. Roughly 1000 people participated in CHATS this year. Mental Health First Aid REVIVE! (Opioid Overdose Training) ASIST (Applied Suicide Intervention Skills Training)

One Day At A Time Resource Boxes - Personal care items and materials with information and education related to health and wellness. H(Appys) - Safe and supportive activities, resources, and food for people in recovery. m n i t c One Day At A Time Resource Boxes - Personal care items and materials with information and education related to health and wellness. H(Appys) - Safe and supportive activities, resources, and food for people in recovery.

Trauma Informed Care Training ACEs (Adverse Childhood Experiences Training) a Trauma Informed Care Training ACEs (Adverse Childhood Experiences Training)

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Building Independence

Ryan Black loves his job. When you ask him what makes his days at Food Lion’s Wytheville location so great, his answer is simple, “Everything.” Black is a custodian for Food Lion through Mount Rogers Community Services’ Supported Employment Program. Supported Employment facilitates employment opportunities for people with disabilities who need support in finding and keeping a community job. Black works two days each week with the assistance of a Mount Rogers Job Coach. “I take out the trash, I sweep, I do

whatever they want me to do,” Black says. Job Coaches shadow individuals like Black and provide initial job skills training to support the employee in becoming proficient with a community job. The Job Coach can gradually reduce the level of support as the employee gains proficiency in their job. Following the period of on-the-job training, follow-along services are provided to support the individual in maintaining successful community employment. Black has received an array of services through Mount Rogers for much of his life. He became involved with the Supported Employment program two years ago. “I love it. I like to see everybody. I have friends here,” he says. Each department Black visits to empty their trash, he’s greeted by familiar faces that he wouldn’t know without this chance for commuity employment. The paycheck Black receives is great, but the opportunity Food Lion provides for Black to engage with his community is invaluable. As one of Black’s coworkers walks by, Black stops him to ask what kind of pizza they’re serving today. Then, he asks if he can get a slice. They both smile and laugh. It’s easy to recognize the type of personal interactions that are so valuable to individuals like Black. It’s even easier to recognize the value Black’s big smile and contagious laugh contributes to his coworkers and community.

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Here to Help

Walk-In/Same Day Access Locations E. W. Cline Jr. Building (Wythe/Bland) Counseling Center 770 West Ridge Road (Suite 220) Wytheville, VA 24382 Phone: 276-223-3202

Twin County Crisis Care Center 1102 East Stuart Drive Galax, VA 24333 Phone: 276-236-4263 Wythe Youth and Family Services 540 West Main Street Wytheville, VA 24382 Phone: 276-223-3291 Riverchase (Smyth Youth and Family Services) 121 Broad Street Marion, VA 24354 Phone: 276-781-5900 Fernwood Center – Youth & Family Services 6999 Carrolton Pike (Suite 2) Galax, VA 24333 Phone: 276-238-5600 ext. 2 Grayson Youth and Family Services 108 Bedwell Street Independence, VA 24348 Phone: 276-773-3515 or 276-236-6194

Lisa H. Moore (Smyth County) Counseling Center 216 Hospital Avenue, Marion, VA 24354, USA Mailing – P.O. Box 968 Phone: 276-783-8185 Fernwood (Carrol/Grayson/Galax) Counseling Center 6999 Carrolton Pike (Suite 1) Galax, VA 24333 Phone: 276-238-5600 ext. 1 Smyth Crisis Receiving Center 1590 North Main Street Marion, VA 24354 Phone: 276-783-7499 Wythe Crisis Care Center 750 West Ridge Road, Wytheville, VA 24382 Phone: 276-223-3201

Complete list of facilities available at www.mountrogers.org/locations

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Mount Rogers

COMMUNITY SERVICES . .

770 West Ridge Rd, Wytheville, VA 24382 www.mountrogers.org 276-223-3200