William M. Denihan, Chief Executive Officer

September 19, 2012Volume 4 ♦ Issue 8

CEO Headliners

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“Progress comes from the intelligent use of experience.”

- Elbert Hubbard(1856 – 1915)

American writer, publisher, artist, and philosopher

Meeting with Director Plouck

♦I want to thank Tracy Plouck, Director of the Ohio Department of Mental Health (ODMH) and members of her Executive Team for traveling to Cleveland on Friday, September 7 to meet with me and my Executive Council. We discussed a variety of topics including 505 and Hot Spot Funding, SFY12 Bed Day Reconciliation Process and the Bridgeway transition. I still maintain that the 505 funding we received is inadequate. I request that she consider future public policy that will remedy this in the near future. I believe that she is open to more discussion and has great capabilities to resolve this issue. Director Plouck said that the consolidation of ODADAS and ODMH is a great time to discuss funding inequities and new funding for the entire system.

ODMH Provides Funding for 72-Hour Crisis Unit

♦ODMH Director Tracy Plouck awarded the ADAMHS Board of Cuyahoga County $1.8 million for the development of 72-Hour Crisis Unit(s). The 72-hour unit(s) will augment existing crisis services and stabilize individuals who are in psychiatric or substance abuse crisis and transition them to community services upon discharge.

♦Individuals in crisis related to substance abuse or psychosis often have nowhere to turn other than the emergency room. In that environment, it is difficult for clinicians to rapidly discern a primary diagnosis and determine the appropriate course of care.

♦The units will provide psychiatric stabilization and acute detoxification in conjunction with integrated medical services and connection to community services that will improve care for vulnerable people and decrease the use of services in other costly settings, like the emergency room.

♦Director Plouck and staff of the ADAMHS Board met with the Hospital Workgroup on September 7 to discuss the development of the unit(s). Hospitals will submit proposals to me and the Workgroup will meet again on October 17.

Seasons of Hope Update♦ We held a Ceremonial Key Transfer and Ribbon Cutting Ceremony on August 9 when Marc Stefanski, CEO and President of Third Federal Savings & Loan ceremonially passed the keys of the donated house to me and Mary Bazie, the Executive Director of Hitchcock Center, for the operation of the Seasons of Hope Safe House for women.

♦ About 35 people attended the event including neighbors, Seasons of Hope Advisory Committee members, Cleveland Councilman Kevin Conwell, Ward 9, County Councilwoman Yvonne Conwell, District 7, Board Members Mary Warr, Dr. Pythias Jones and Richard Folbert, and my Executive Team.

Marc Stefanski, CEO of Third Federal, officially gives the keys of the donated home to William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County.

Marc Stefanski, CEO of Third Federal, joins William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County, cut the ribbon on the new Seasons of Hope House for women while Mary Bazie, Director of Hitchcock Center and her staff, Councilman and Councilwoman Conwell and Valeria Harper, Chief Operating Officer of the ADAMHS Board, join in.

A tree sculpture created specifically for Seasons of Hope by art therapist Katie Kern-Pilch is shown by Mary Bazie, Director of Hitchcock Center and William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County.

DCFS Collaboration Continues♦ As part of our collaborative efforts with the Department of Children and Family Services (DCFS), we met on August 28 to continue our dialogue on improving services to children and their families. As part of providing ongoing education to DCFS staff, Dr. Christina Delos-Reyes, Chief Clinical Officer, will present Alcohol and Other Drug Addiction 101 training on September 25. She will discuss alcohol and other drug addictions; types of drugs that are abused; effects of drugs on the body; who is at risk of addiction and helpful screening tools.

DEFENDING CHILDHOOD Update ♦ The Defending Childhood initiative will host a press conference with Eric H. Holder, Jr., U.S. Attorney General, on September 28 to announce Community Access to services through United Way’s 2-1-1. Prior to the press conference the Governing Board will meet with the Attorney General.

♦ We were also requested to serve as fiscal agent for the initiatives evidence-based training activities.

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Board Member Spotlight: Reverend Benjamin F. Gohlstin, Sr.♦ Rev. Benjamin F. Gohlstin, Sr., Pastor of Heritage Institutional Baptist Church in Cleveland, has served as a member of the Alcohol, Drug Addiction and Mental Health Services Board since its inception on July 1, 2009, and last year was reappointed to serve a second term by the Ohio

Department of Alcohol and Drug Addiction Services through June 2015.

Previously, Rev. Gohlstin served as a Board member on the Cuyahoga County Community Mental Health Board, was the President and Co-Founder of the Board of Trustees of the Hunger Network of Greater Cleveland, was a Fellow of the Leadership Academy, Levin College of Urban Affairs, Cleveland State University and a Graduate of the National Center for Neighborhood Development Leadership Institute of Washington, D.C.

Rev. Gohlstin has been a leader and active supporter of many efforts within his community to help others. His extensive biographical sketch reflects that he has been instrumental in developing positive initiatives to support

children, youth and adults in our community throughout his career. Primary examples of his service include his active participation with the United Pastors in Mission and his leadership of the Ministerial Crisis Center.

Rev. Gohlstin’s sensitivity and desire to help people struggling with a brain-based mental illness and/or addiction is a by-product of his observation of the struggles faced by his brother who has since passed away. He stresses that “spirituality plays an important role in the personal recovery process from mental illness and addiction, and that people who are experiencing behavioral health problems often turn first to their faith-based organizations for help.”

He currently serves as Chairperson of the newly established ADAMHS Board’s Faith-based Outreach Committee. Rev. Benjamin F. Gohlstin, Sr., resides in Shaker Heights with his wife Elaine.

Rev. Benjamin F. Gohlstin, Sr.

♦ The Board’s Faith-based Outreach Sub-committee has met several times in August and September to discusses ideas and methods to advance spirituality in the recovery process. Sub-committee Chair, Karell T. McDaniel, LICDC, a professional addiction counselor who is also affiliated with the Olivet Institutional Baptist Church and Life Recovery Ministries, presented the group’s recommended goals to the Faith-based Outreach Committee on September 5. Here are the four goals that were presented:

1. Increase awareness and understanding of mental health/addiction in the faith community and to address societal stigma surrounding the illness.

2. Incorporate spirituality as a component of treatment.

3. Educate the faith community about mental health/addiction in order to help the congregation and the overall community.

4. Develop language and boundaries to clarify scope of practice for faith-based leaders/professionals within the treatment community and treatment professionals within the faith community.

Faith-based Sub-committee

County Stat Presentation♦ County Stat is a program used by the County Executive to track progress. I was asked to participate and presented on September 13. My Executive Team and I worked on the presentation and they attended the meeting with me. We included a background on the Board and a status update on the following four initial indicators:

1. State Hospital Civil & Forensic Bed Days 2. Central Pharmacy3. Consumers with Lapsed Medicaid4. Screening, Centralized Assessment, Levels of Care Assignment, and

Engagement (SCALE) or Central Intake

♦ I also presented possible future measures that included: Vocational Services/Employment; Reentry Services; Housing; Transitional Youth; DCFS Partnership on Team Decision Meetings (TDM), and Clients Rights/Grievances.

These are the some of the slides providing data on the measures we selected for County Stat.

Civil Bed Days

Forensic Bed Day Baseline

Central Pharmacy

SCALE

Lapsed Medicaid

♦ Rep. Marlene Anielski (R) District 17 visited with over 30 members of the behavioral health community on July 27 as part of our “Fourth Friday” series.

♦ Rep. Sandra Williams (D) District 11 was the featured legislator during our August Fourth Friday series on August 24 and she also spoke with over 30 attendees.

♦ Due to the ADAMHS Board cosponsoring the Cuyahoga County Local Opiate Task Force Conference on Friday, September 28, we will NOT host a “Fourth Friday” event this month. The Fourth Friday series will resume on October 26.

David E. Biegel, Ph. D. Rick A. Kemm, MNO Reginald C. Blue, Ph.D. J. Richard Romaniuk, Ph.D.Pastor Charles E. Brown Ericka L. ThomsRichard A. Folbert Mary R. Warr, M. Ed. J. Robert Fowler, Ph.D. Anngela Williams Rev. Benjamin F. Gohlstin, Sr.

Board of Directors

William M. Denihan, Chief Executive Officer

Harvey A. Snider, Esq., ChairEugenia Cash, MSSA, LSW, Vice ChairPythias D. Jones, M.D., Second Vice Chair

♦ Esmat Nasr, Adult Programs Specialist, ADAMHS Board; LaTonya Murray, Director of Administration and Janice Eaton, Manager of the Women’s Shelter, both from Mental Health Services, Inc., co-presented at the Cuyahoga County Board of Health on September 12. The presentation on Integrating Special Needs Populations in General Shelters was part of the Training Sessions for Emergency Volunteers. Participants of the training represented the Red Cross, Medical Reserve Corps, and Community Response Teams who might be assigned to shelters used during evacuations. The session was also Skyped to Ashtabula and Ashland counties.

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Emergency Volunteer Training

♦ Maggie Tolbert, RN, Utilization Review Specialist, held the meeting of the Psychiatric Emergency Services Providers (PESP) at Northcoast Behavioral Healthcare (the state mental health hospital) on September 13. Before the meeting the group was presented with renderings of the new hospital and toured a mock-up of a patient room.

PESP Meeting at State Hospital

Gathering Information aboutGambling Addiction

Fourth Friday Series Update

(l-r) John Lisy, Executive Director of the Shaker Heights Youth Center; William M. Denihan, CEO of the ADAMHS Board; Rep. Marlene Anielski, District 17 (R); Don Davies, Community Relations Coordinator of New Directions, and Pat Lyden, Executive Director of the Suicide Prevention Education Alliance of Northeast Ohio, after the Fourth Friday Series on July 27.

Rep. Sandra Williams

♦ Harvey A. Snider, Esq., Board Chair, Scott Osiecki, Director of External Affairs, and I met with the Plain Dealer Editorial Board on August 28 to talk about 505 funding. They were very receptive to hearing our issues about the lack of Non-Medicaid funding from the State and were provided with the resolution passed by the Board, as well as charts illustrating the lack of “parity” in 505 funding.

Plain Dealer Editorial Board Meeting

♦ Danei Chavez, Prevention Planning Specialist, and Scott Osiecki, Director of External Affairs, attended an Addiction Professional panel discussion on Gambling Addiction and Related Co-morbidities on August 9 that was hosted by Addiction Professional Magazine.

♦ Valeria Harper, Chief Operating Officer and Scott Osiecki, Director of External Affairs, participated in an Ohio Department of Alcohol and Drug Addiction Services (ODADAS) conference call about problem gambling on September 17. The call updated participants on ODADAS’ history with problem gambling and its plan to address increased gambling addiction with the opening of the casinos. ODADAS will share information about the plan within the next few months.

♦ Michael Doud, Adult Behavioral Health Services Administrator, and John Garrity, Director of QI/Evaluation & Research, will be attending the 13th Annual National Association of Responsible Gaming (NCRG) Conference on Gambling and Addiction on September 30 - October 2.

COG & SHARES Update♦The Alcohol, Drug and Mental Health Board of Franklin County (FCADAMH), the Hamilton County Mental Health and Recovery Services Board (HCMHRSB) and our Board are a Council of Government (COG) entity known as the Three C Recovery and Health Care Network (Three C).

♦ Harvey A. Snider, Esq, Board Chair and our Board representative on the COG, myself and Cassandra Richardson, Chief Financial Officer, participated in a meeting on August 2, when the bylaws were presented and approved. An update on SHARES, a new health care management information system, was presented and the members voted to have representatives of

each Board participate in vendor site visits that were conducted in person and via Webinar.

♦ I continue to meet regularly with our local court and judicial systems to discuss the implementation of HB 86: Prison Reform and the role of behavioral health. In CY11, through collaborative efforts, Cuyahoga County diverted more than 1,100 level four and five non-violent offenders from state prison. The Ohio Department of Rehabilitation and Correction (ODRC) became aware that Cuyahoga County is a leader in adopting the reforms of HB 86 because of the collaboration between the judicial system, the ADAMHS Board and the behavioral health system.

♦ On November 1, we will host an all-day meeting with ODRC Director Gary C. Mohr. We will highlight our accomplishments and he will hear about programs that keep people out of prison by receiving community services. He will meet with a group of judges that will highlight their efforts on sentencing reform by working with the behavioral health community. He will tour the Community Based Correctional Facility, where I am a Board Member, to talk about expanding the facility census and increasing outpatient programs. Goals of the meetings are to promote reentry programs, obtain feedback from Director Mohr, pursue collaboration of pilot efforts and attain funding to sustain and increase services.

Update: Criminal Justice & Behavioral Health

Northeast Ohio Recovery Celebration: September 7, 2012

♦ The ADAMHS Board of Cuyahoga County and the Northern Ohio Recovery Association (NORA) hosted the 9th Northeast

Ohio Recovery Celebration on Friday, September 7. The event was held at the Cleveland Hilton East in Beachwood. Over 200 people enjoyed dinner, the humor of Robert Walker, NORA’s Clinical Director, who was serving as Master of Ceremonies and the presentation of this year’s Advocacy Awards. For the first-time ever, Cuyahoga County had three recipients of the Advocacy Award: David Rodriguez, CDCA, Bob Garrity, LICDC, LISW, Esq., and Jim Joyner, LICDC, ICCS. The Lorain County award recipient was Joyce Pleasant, LICDC, ICCS, CADC, and Greer Kabb-Langkamp, RN, LICDC, LSW, was the Summit County Award Recipient. Congratulations to all of the award recipients who have overcome their own addiction issues and use their experience to help so many people in Cuyahoga, Lorain and Summit Counties. I served as co-host of the event with NORA’s Executive Director, Anita Bertrand. The ADAMHS Board was represented by Board Chair Harvey A. Snider, Esq., and members Anngela Williams and Richard Folbert. ADAMHS Board staff in attendance were Cassandra Richardson, Chief Financial Officer; Scott Osiecki, Director of External Affairs, and Tami Fischer, Director of Human Resources.

Anita Bertrand, Executive Director of NORA (l) and William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County, (r) with the Advocacy Awards recipients (l-r) Jim Joyner, Joyce Pleasant, Greer Kabb-Langkamp, David Rodriguez and Bob Garrity.

(left photo) Cuyahoga County Advocacy Award recipient David Rodriguez with Anita Bertrand, Executive Director of NORA.

(right photo) Cuyahoga County Advocacy Award

recipient Jim Joyner of Joyner and Associates with William

M. Denihan, CEO of the ADAMHS Board of Cuyahoga

County, and Anita Bertrand, Executive Director of NORA.

(top photo) Summit County Advocacy Award recipient Greer Kabb-Langkamp with William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County, and Anita Bertrand, Executive Director of NORA.

(left photo) Lorain County Advocacy Award recipient Joyce Pleasant with William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County.

(left photo) Cuyahoga County Advocacy Award recipient Bob Garrity with William M. Denihan, CEO of the ADAMHS Board of Cuyahoga County, and Anita Bertrand, Executive Director of NORA.

Robert Walker, Master of Ceremonies, getting the crowd going by telling one of his many jokes.

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CSEA StreetFest♦ Vivian Catchings-El, Children’s Program Specialist, staffed the Board’s information table at the Cuyahoga Support Enforcement Agency’s StreetFest on August 6. Vivian provided coloring books, pamphlets, service directories and other information focused on children’s behavioral health.

Drug Drop-off Box♦ I am working with Judge David T. Matia to expand the Prescription Drug Drop-off Box program from primarily the East Side to include the West Side.

MHAC Public Officials Breakfast

♦ Members of the Board, my Executive Council and I will be attending the Mental Health Advocacy Coalition annual Legislative Breakfast on October 12. It is a great opportunity to spread the word about behavioral health issues with our local public officials.

DD Advocacy Group♦ At the request of Rep. Kenny Yuko (D) District 7, I spoke and provided examples of our advocacy efforts to a group of citizens that advocates on behalf of people with developmental disabilities on August 18.