Western Tidewater Community Services Board Agency Revitalization SFY 2000 to Present

1. Western Tidewater Community Services Board Agency Revitalization SFY 2000 to Present

2. Message from the Executive Director Dear Community Member: It gives me great pleasure to provide you this summary report on the results of our ongoing agency revitalization plans. As you know, Western Tidewater Community Services Board (WTCSB) is your local agent of Public Mental Health, Mental Retardation and Substance Abuse Services Agency responsible for community behavioral healthcare to the citizens of Franklin, Isle of Wight, Southampton and Suffolk, Virginia. Each year, we provide access to Emergency Psychiatric and Crisis Services to over 140 thousand residents across a 1,500 square-mile geographic area. On average, WTCSB treats over 4,000 adults and children in ongoing Counseling, Medication, and Rehabilitation Treatment Services. In 2000, WTCSB began an aggressive revitalization plan to improve and expand its services under three very basic initiatives: Improve Customer Service, Promote Staff Excellence, and Modernize Business Practices. Today, our Board is privileged to oversee the results of these efforts, including the doubling of the amount of treatment services provided to our communities (200 to almost 500 thousand hours), the addition of over 150 new staff member positions (210 to 375) and a 250% increase in our annual operating service budget from $9.5 Million dollars in SFY 2000 to over $24 Million in 2009. This stellar accomplishment would not have been possible without the generous support of our distinguished Board of Supervisors and City Council Members and the dedication and compassion of the Board of Directors and Staff of the Western Tidewater Community Services Board. Most especially, we are grateful to those countless families and stakeholders who have entrusted their care and the well being of their loved ones to our services and who remain faithful to our vision that “The Purpose of Life, Is a Life with Purpose”. Thank you for your enduring support. Warmest regards, Demetrios N. Peratsakis Demetrios Peratsakis, PD,MS, LPC Executive Director

3. Western Tidewater Community Services Board is one of forty CSB’s that serve the Commonwealth As Members of Virginia’s Association of Community Services Boards (VACSB) CSBs are responsible for the public network of mental health, mental retardation and substance abuse treatment and support services within each community.

4. Suffolk Franklin Total Population: 81,332 (57% of CSB Area Population) Locality Funding: $293,810; (49% of Local Funding) Per Capita Spending by Suffolk: $3.61 Adults & Children Served: 3102 In On-going Services (61% of Total Average Annually Served ) Cost of Services: $10,496,575; 56% of WTCSB Expenses Return of Funding Investment: $1 = $35.73 Total Population 8,906 6% of Total Local Population Locality Funding $67,550 11% of Total Local Funding Per Capita Spending $7.58 Population Served 906 18% of Total Clients Served Value of Services $3,867,366 21% of Total Expenses Return of Funding Investment $1 = $57.25 • WTCSB service population: 142,927 residents • Total Operating Revenue FY 2009: $21,718,713 • 224% Increase from FY 2000 $9,704,789 • FY 2008 All citizens provided treatment: 5,058 • Average return on Local Funding Investment • FY 2008 : local contributions $1= $31.21 • in delivered services by WTCSB Southampton County Isle of Wight County Total Population 17,654 12% of Total Local Population Locality Funding $79,056 13% of Total Local Funding Per Capita Spending $4.48 Population Served 331 7% of Total Clients Served Value of Services $722,030 4% of Total Expenses Return of Funding Investment $1 = $9.13 Total Population 35,035 25% of Total Local Population Locality Funding $160,272 27% of Total Local Funding Per Capita Spending $4.57 Population Served 719 14% of Total Clients Served Value of Services $3,642,763 19% of Total Expenses Return of Funding Investment $1 = $22.73

5. WTCSB Services • The Center for Disease Control and the National Institute of Mental Health estimate that almost half (46.5%) of all Americans develop some form of mental health, mental retardation or substance abuse condition in their lifetime (Prevalence of psychiatric illness in the general population: 21% for MH, 10.5% SA, and 15% DD/MR). • At any given time as much as 20% of the community suffers from problems that greatly impact on family and friends, and places heavy demands on local government and community supports such as Health and Social Services (DSS), OBICI Hospital, local School, Police, Sheriff and Rescue workers, Corrections and the Regional Jail. • WTCSB provides a full range of mental health, mental retardation and substance abuse treatment and support services to children and adults, including • Emergency psychiatric & crisis management services • Medical, Nursing, and Medication Management • Housing and Complete Residential support • Counseling, Anger Management and Substance Abuse Groups • School-based services including Counseling, Tutoring and After-school • Parent Skill Development Workshops & Education groups • Jail Based services • Alcohol and Drug Free Counseling and Prevention services • Community-wide Youth Initiatives

6. Strategic Modernization Plans

7. FY 2000 Budget $10,636,731 FY 2010 Budget $23,689,208 Demand for Psychiatry, Counseling and other Mental Health, Intellectual Disability and Substance Abuse Disorder Services continues to grow in each local municipal area.

8. Western Tidewater CSB Services Provided to Children and Adolescents age 0-18 during FY 2000 to 2010 Growth in Service Hours to Age 0 - 18 Youth services include Psychiatry and Medication Management, Counseling, In-school and In-home Support, Anger Management and Specialized Prevention Activities, Drug & Alcohol Treatment and Juvenile Restoration and Criminal Justice Counseling

9. Promoting Staff Excellence Over 160 new staff positions have been created between FY 2000 and 2010; staff providing Youth Services has risen from approximately 18 positions to 65 FTEs. Training, Accountability and Customer Care are priority areas.

10. Modernizing Business Practices Total State General Funds (19%) $ 3,928,843 Local Funding from all localities combined (3%) $ 610,774 Reserve Funding to support and expansion of Services $ 847,093 Fees, mostly Medicaid, Accounts for 71% of the total operating budget $ 14,068,745 Federal Funding ( 3%) $ 670,082 Total Revenues $ 20,868,006

11. 2009-2010 Biennium Initiatives • Reconcile 5% 2009 SGF Cuts, Prepare for Deeper Cuts in 2010 and Advocate for Revocation of 2005 DRA Changes to CM & Rehab Services • Maximize Medicaid Revenue, Reduce Unnecessary Expenses, • Examine Uncompensated Care • Implement revised Civil Commitment criteria • MOT Treatment Outcomes • Consolidate Forensic Care Responsibilities • Expand Outpatient Counseling & Broaden Scope , including OP to SED & SMI and Wounded Warrior Program • Implement Comprehensive Services Act (CSA) ICC Directive and Expand Children and Youth Services • Implement Regional Project Initiatives, including SEVTC downsizing, ESH Center for Excellence plans and forensic restoration services • All Manager Training (Phase II) on Clinical Syndromes • Upgrade CCS 3 Reporting Requirements and Utilization Management for DMHMRSAS web-based Accountability & Outcomes Measures • Implement newly directed DMAS Prior Authorization requirements