TREATMENT TRENDS, INC.

ANNUAL REPORT

FISCAL YEAR 2014-2015

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Executive Director’s Message

For over 45 years our agency has quietly served thousands of people struggling to get their lives back on track. We’ve remained in the trenches doing very difficult work. Multiplying the challenges of working with people struggling with complex addiction and mental health conditions are shortened paid length of stays and ever-shifting requirements from funders. The communities we serve are weathering a rapidly increasing rate of heroin addiction. We salute efforts that are educating our communities about Naloxone to prevent overdose deaths from the heroin epidemic. Synthetic drugs, such as K2, are a scourge as well. Many of our clients are in trouble with the law due to their addiction to drugs and alcohol. Keenan House is increasingly referred clients whose criminal behavior can impede the treatment process. As a contracted service provider with the Department of Corrections, Keenan House must constantly revise its treatment model to serve a much different population than it served even 5 years ago. To the credit of its staff, Keenan House maintains a stellar reputation within its referral network in central and eastern Pennsylvania. I am ever confident in our abilities to evolve as we need to do to remain a key solution to the problems of addiction and alcoholism. One specific area where we are meeting a critical need is providing ready access to treatment for veterans. With a grant from the Pennsylvania Department of Military and Veterans Affairs, we’ve incorporated elements of the veteran-specific services utilized at Veterans Sanctuary into our residential programs. Thanks to this funding, 24 veterans received treatment this past fiscal year, without the funding barriers we experienced at Veterans Sanctuary. Our outpatient program Confront also stepped up to the plate when the Lehigh Valley Intake Unit closed its Allentown office. Since July of 2014 Confront provided over 800 assessments for individuals needing treatment. As the only assessment provider in the downtown area, we are a crucial partner doing critical work. We are grateful for consistent guidance from our Board of Directors, and input from trusted advisors. We continue to seek support from our community to fill those gaps between what treatment actually costs and what we are allocated to provide those services. We maintain our emphasis on education and training for our staff, and for Quality Assurance examination of our services. Treatment saves lives. Every day our staff intervenes in the lives of individuals who may never have had an opportunity to grab the gold ring of recovery. It’s thrilling to receive positive news from someone who is doing well in recovery. Thanks to the dedication of our staff, and their wisdom and compassion, we are alleviating suffering. There is no higher calling.

Respectfully submitted,

John E. Dillensnyder III

Executive Director

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TREATMENT TRENDS, INC. Treatment Trends, Inc. (TTI) is a private, non-profit 501(c)(3) corporation. We seek to lessen suffering caused by addiction to alcohol and other drugs by providing compassionate inpatient and outpatient treatment services in partnership with the criminal justice and human service systems. Our goal is to help individuals gain long-term recovery from their addiction and related self-destructive behavior. Services are delivered through the divisions of Treatment Trends:

Keenan House Halfway Home of the Lehigh Valley Confront Richard S. Csandl Recovery House Treatment Continuum Alternative Program

TREATMENT TRENDS FOUNDATION, INC.

The Treatment Trends Foundation assists in carrying out the mission of the corporation. This includes providing a continuum of care for addiction treatment, violence prevention and sexual abuse treatment and prevention. The corporation and foundation provide direction and assure funding for the varied programs available within the Treatment Trends continuum.

TREATMENT TRENDS TRAINING INSTITUTE

The Treatment Trends Training Institute coordinates the delivery of in-depth, quality training for professionals working in the fields of substance abuse, mental health, criminal justice, and child welfare. Treatment Trends also co-sponsors Pennsylvania Department of Drug and Alcohol training with Lehigh County. In January 2014 Treatment Trends received a grant of $113,000 from the Pennsylvania Commission on Crime and Delinquency to plan and implement the “Building Capacity in Trauma-Informed Care” project, emphasizing the delivery of high quality training, through the TTI Training Institute.

QUALITY ASSURANCE PROGRAM

The goal of the Quality Assurance Program is to assure the quality of client care consistent with the Treatment Trends, Inc. mission and the policies and procedures of all Treatment Trends, Inc. programs. The Quality Assurance Program activities and committees assure compliance with state licensing requirements and accreditation standards.

2014/2015 BOARD OF DIRECTORS CHAIRPERSON Bruce Groner VICE-CHAIRPERSON Jack Bury 2nd VICE CHAIRPERSON Robert Alpert, Esq TREASURER/SECRETARY Nancy Kahn BOARD MEMBERS Carla Hess Thomas Johns Eric Johnson Maureen McManus Daniel J. Meehan Vanessa Taylor _

FOUNDATION CHAIRPERSON E. Michael Feller VICE-CHAIRPERSON Anita Goldman SECRETARY/TREASURER Ralph Stolz MEMBERS Maynard Cressman Michael Harle Anne Hills Diana Laudenslager Teri Ulaner _ BOARD OF ADVISORS Martha Abbot Rebecca Arnold Ed Bachert Robert Blanchard Tom Cain Wilma Cooney Vicki Coyle Carol Davidson Constance Dent Joe McClaine Diefenderfer Lillian Dote Micki Fine Charles Folks Jim Freund Alexis Gadsen Scott Hoke Roy Kearse Joanne Krug Vicki Liberto Linda Lobach Gallagher Paul Griffin Richard O’Donnell Anita Paukovits William Prendergast Jerry Richards Vince Rossi Mary Lou Scarf Marilyn Stein Gloria Stellar William Stauffer Pam Wallace Thomas Whiteneck Teresa Whitney

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Treatment Trends offers comprehensive treatment for addiction to alcohol and other drugs through a continuum of care at its facilities: Keenan House, Halfway Home of Lehigh Valley and Confront. Keenan House Keenan House is a residential Therapeutic Community (TC) for adult men and women. Many residents have chronic, multiple drug addictions, involvement in the criminal justice system, and mental health conditions. A licensed inpatient, non-hospital addiction treatment program (with 95 beds), Keenan House contracts with Single County Authorities, Medicaid Managed Care organizations, and with the PA Department of Corrections and Probation and Parole to provide services. Keenan House offers varied lengths of stay. A strict daily regimen is provided with clearly stated behavioral expectations. Routines include morning and evening house meetings, job assignments, group sessions, seminars, scheduled personal time, recreation, and individual counseling. As they progress through orientation and treatment stages of the TC, residents are assigned particular tasks or jobs that help teach responsibility and the importance of work, respect, and self-reliance. ADMISSIONS/REFERRAL SOURCE: Keenan House served 567 unduplicated clients during the year. Of these, 90 were enrolled prior to July 1. For FY 2014-2015 Keenan House had a 71% completion rate compared to a 62% the previous year. Higher completion rates could possibly be due to the integration of trauma-informed policies, practices and interventions at Keenan House. Referral sources were: 25 voluntary, 131 stipulated, 1 pretrial, 63 IPP (Intermediate Punishment Programs), 294 PBPP (PA Board of Probation and Parole) and 53 DOC (Deparment of Corrections). Status of the total of 476 discharges is outlined below.

339

3

74

4415 1

Discharges

Completed LWFA LAFA NCFR Referred Admin

4

22.9%

1.2%

6.5%

11.1%

42.5%

6.5%

4.8%

0.2%

3.6%

0.5%

21.3%

6.6%

18.0%

44.3%

4.9%

3.3%

1.6%

0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0% 50.0%

Alcohol

Benzodiazepine

Cannabis

Cocaine/Crack

Heroin

Opiates

K2/Spice

MDMA (Ecstasy)

Methamphetamine

Phencyclidine (PCP)

Primary Drug of Abuse

F% M%

AFTERCARE/FOLLOW UP: Keenan House has increased referrals to outpatient treatment, as reflected by the following: There was an increase of 33% of clients keeping their initial appointment and an increase of 56% of clients continued their aftercare plan after one (1) month of discharge.

66%

36%

55% 54%66%

41%

75%

43%

96%

33%

90%

49%

95%

41%

95%

39%

7%

24% 21%8% 11% 11% 13% 9%

0%

20%

40%

60%

80%

100%

120%

1st QtrCurrent

1st Qtr Prio 2nd Qtr 2nd Qtr Prior 3rd Qtr 3rd Qtr Prior 4th Qtr 4th Qtr Prior

Aftercare Follow‐Up

Kept Initial Appt Attending After 1 mo Unknown

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CHALLENGES: The heroin and K-2 epidemic in the Lehigh Valley is challenging Keenan House staff to educate residents as they battle an increasingly lethal lifestyle. ACCOMPLISHMENTS: Keenan House residents provided 440 volunteer hours working with Lehigh Fish and Game Commission assisting officials to stock local rivers and maintain the fish hatchery infrastructure. The residents also grew their own produce by participating in the Allentown Community Gardens project throughout the summer of 2015. Keenan House residents learned that it is better to give than receive when they gave a big hand to Conference of Churches over the 2014 holidays sorting, wrapping and delivering toys to children who would otherwise go without gifts.

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Halfway Home of the Lehigh Valley The Halfway Home of the Lehigh Valley is a licensed 40-bed inpatient, non-hospital residential addiction treatment facility with services tailored to fit client needs as they develop the skills and resources to transition into self-regulated recovery. The treatment program emphasizes individuals’ involvement in the 12-Step community; obtaining employment to sustain financial needs; and establishing a safe recovery-oriented environment for themselves and their families following completion of residential care. Clients entering this level of care are required to have had a previous addiction treatment experience. A halfway house is a “live in/work out” environment with a typical length of stay of three to six months as delineated in the Pennsylvania Client Placement Criteria. ADMISSIONS/DISCHARGES: There were 213 clients served in the program and 174 discharges, which are outlined below. Fiscal year 2014-2015 showed a 41.4% completion rate compared to a 46.9% in the previous year.

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REFERRAL SOURCES: Halfway Home of the Lehigh Valley contracts with Single County Authorities in Central and Eastern Pennsylvania and Medicaid Managed Care Organizations.

AFTERCARE/FOLLOW UP: Halfway Home clients need to develop social and recovery supports to maintain long-term, self-regulated recovery. The development of these supports is a central focus of treatment with the modality. Surveys are administered to clients upon admission and completion to assess progress of social supports and financial stability.

0

10

20

30

40

50

Financial Self‐Sufficency Scale

Admission Completion

0

5

10

15

20

25

30

35

40

Recovery Resource Scale

Admission Completion

The program goal is to have 85% of clients self-report a recovery support system that is stable. 99% of the clients completing the program indicated they had achieved a stable or above rating.

The program goal is to have 90% of clients self-report a recovery support system that is stable. 100% of the clients indicated they had achieved a Stable or above rating.

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CHALLENGES: There have been a few challenges this fiscal year at the Halfway Home. Among them is the ability to provide ethical and responsible treatment with reductions in lengths of stay. It is also challenging to secure feedback from residents about their treatment experience after they leave and to keep alumni engaged post-treatment. ACCOMPLISHMENTS: The Halfway Home Trauma-Informed Workgroup has been developing strategies to create a more trauma-informed environment for residents and staff. A newly-hired veteran case manager is helping to coordinate services for veterans in treatment at Keenan House and the Halfway Home, including accessing community-based assistance when needed. This position is funded by a grant from the Pennsylvania Department of Military and Veterans Affairs. The Halfway Home staff is also working to integrate social media and other online avenues into their relapse prevention education groups and individual sessions.

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Confront Confront provides comprehensive outpatient addiction treatment services for adolescents and adults. A therapeutic combination of group, and individual counseling is utilized. These act to promote both drug and alcohol abstinence, and to enhance or develop a variety of skills necessary to sustain recovery. These skills were either never learned, were underdeveloped, or were maladapted as a result of the addiction lifestyle or prison culture.

Due to the closure of the Allentown Lehigh Valley Intake Office in April 2014, Confront began providing drug and alcohol assessments. Assessments determine what level of treatment is needed. Understanding the nature and extent of substance use, abuse, or addiction is essential to make sure an individual receives the proper level of care.

Team approaches with a variety of stakeholders such as Probation, Parole and the Office of Children and Youth Services are deployed to enhance the accountability and responsibility of the clients served at Confront.

ASSESSMENTS Confront began offering assessments in April of 2014. During FY2014-2015, 814 assessments were completed.

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ADMISSIONS/DISCHARGES: There were 417 clients admitted into the program and 303 discharges, which are outlined below. FY 2014-2015 saw a 30% completion rate compared to 35% in the previous year.

REFERRAL SOURCES: Confront receives referrals from the following sources:

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POSITIVE RESULTS DURING TREATMENT Confront uses several indicators to chart a client’s progress during treatment. The outcomes measured are (total of 275 adults): safe/stable housing (270 adults), violence-free (269 adults), drug-free (207 adults), crime-free (252 adults).

CHALLENGES: The Confront staff have observed an increase in heroin use in the community which has resulted in an increased need for assessments as well as the challenges of treatment with these individuals. The increase in the use of synthetic marijuana (K2), the difficulty in testing clients for this substance and the increase in overdoses related to K2 use in the community has been an additional challenge. The lack of available beds for clients needing detox remains an issue. ACCOMPLISHMENTS: Confront has been able to complete 15-25 assessments per week, placing clients in the appropriate level of care. Individuals on standby to receive assessments are seen as soon as possible and placed quickly into appropriate level of treatment. Connections have been enhanced with the Department of Corrections and the Bureau of Community Corrections to provide treatment for State inmates returning home after lengthy periods of incarceration.

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Treatment Continuum Alternative Program (TCAP)

TCAP, now in the sixteenth year of funding from PCCD, is a program that gives eligible level three and four, non-violent offenders the possibility of diversion from jail to treatment. It requires offenders to make a significant commitment to a 22-month treatment continuum, consisting of the following: up to: 6 months of residential addiction treatment, 4 months of halfway home treatment, and 2 months of intensive outpatient treatment. This is followed by 8 months of traditional outpatient treatment. In addition to treatment and habilitation, the continuum is supported by a regimen of accountability and management aimed at public safety, utilizing intensive probation supervision, electronic monitoring, a dedicated case manager and urine testing services. The model provides a solid foundation for recovery while effectively excluding those simply seeking leniency from the criminal justice system. Throughout this fiscal year: 27 completed the residential phase including re-entry (HWH) 29 completed the outpatient phase. 29 completed the entire 22 month program Richard S. Csandl Recovery House Treatment Trends owns and operates the Richard S. Csandl (RSC) Recovery House, an 11-bed, all male transitional living facility created and developed to facilitate continuing recovery for individuals who have completed intensive treatment. The Recovery House does not provide treatment, but does provide a safe, substance-free environment. This environment is conducive to sustaining recovery, aftercare plans, and employment responsibilities, while keeping living expenses and housing responsibilities minimal. While living at the RSC Recovery House, residents are strongly encouraged to participate in community support groups (AA, NA, CA). Residents are required to work, if able; and remain current with rent payments; fulfill their aftercare plans as developed prior to admission; and to participate in activities and chores in the house. During this fiscal year, The Recovery House served a total of 30 individuals, an increase of 2 residents compared to last year. This number represents an average utilization of 84%, an increase of 6%. The average length of stay for FY 2014-2015 was 112 days, an increase of 1 day.

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Fiscal Year 2014– 2015 Donors to Treatment Trends, Inc.

Anonymous Jesse Larrimer

Marianne Bartos Diana Laudenslager

Kelly Blanar Lehigh Valley Health Network

John Bury Dan Meehan

Greg Cunningham Robert Motley

John and Leslie Dillensnyder Luanne Pawelka

Annabelle Dittbrenner Mike and Linda Rosenfield

Dun Rite Electrical Services, Inc. Mary Lou Scarf

Bruce Feldman and Wendy Engelson Peter Sher

Francis Hartman Cynthia Shicora

Diana Heckman Garold Tennis

Nancy Kahn David Thor Straten-Mohr

John Krisch (in Memory of Brian Rotkowski) United Health Group

Joanne Krug

Fiscal Year 2014 – 2015 Grants Received

Lehigh Valley Community Foundation

Lehigh Valley Military Affairs Council

Schyler Kemps Foundation

 

Treatment Trends gratefully accepts donations to help defray costs of client care, including medications which are not always covered by insurance. Donors may also elect to designate their gift in memory of a loved one or to honor an individual’s recovery.

Contributions can be sent to: Treatment Trends, Inc.

24 South 5th Street PO Box 685 Allentown PA 18105

Or online at: http://www.treatmenttrends.org/index.php/donate1

The official registration and financial information of Treatment Trends, Inc. may be obtained from the Pennsylvania Department of State by calling toll‐free, within Pennsylvania, 1‐800‐732‐0999. Registration does not imply endorsement. 

 

 

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