Coastal HorizonsCenter, Inc. 2010 2011 Annual Report Promoting Choices for Healthier Lives and Safer Communities Our Mission... Coastal Horizons Center, Inc. promotes choices for healthier lives and safer communities by providing a continuum of professional services for prevention, crisis intervention, sexual assault victims, criminal justice alternatives, and treatment of substance use and mental health disorders. Inside This Report Board Chair’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 President’s Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Financial Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Program Operations & Service Area. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 External Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Human Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Criminal Justice Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Regions I & II Regional Coordinating Entities (RCEs). . . . . . . . . . . . . . . . . 9 NC TASC Training Institute . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Substance Abuse & Mental Health Services. . . . . . . . . . . . . . . . . . . . . . 11 Outpatient Treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13 HIV Early Intervention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Prevention & Outdoor Adventure . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16 Medical Services & Corporate Compliance . . . . . . . . . . . . . . . . . . . . . . 17 Hotline Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Rape Crisis Center. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-21 Open House Emergency Youth Shelter . . . . . . . . . . . . . . . . . . . . . . . 22-23 Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24-25 A. Farah Boyce, Editor-In-Chief 2 Board Chair’s Message 2010-2011 Board of Trustees Richard Ogle, PhD Chair Richard McGraw Vice Chair Beth Quinn Secretary Clyde Stunson Treasurer On behalf of the Board of Trustees, New Hanover Delegation to the North Carolina Annual Report for Coastal Horizons Center, Inc. At General Assembly. We also hosted NC Division its core, Coastal Horizons Center is a collection of of Mental Health, Developmental Disabilities and dedicated individuals who actively choose to be part Substance Abuse Services Director Steve Jordan of the solution to many of the problems impacting for a day long visit to Coastal Horizons Center’s our community. The last few years have challenged us in this endeavor, and this year was no exception. planning for the organization through the with courage, tenacity and creativity. development of a Strategic Planning Committee The credit for meeting these challenges, while still providing the vital services for which we are known, goes to the staff, management team and our CEO, Immediate Past Chair Margaret Weller-Stargell. Their tireless efforts have President & CEO Virginia Adams, PhD Simon Britton Mary Brown Tom Brown Benjamin David L.S. “Bo” Dean, Jr. William L. Ginna, Jr. Margee Herring Hal Kitchin Steve Krasnipol Gina McKim Craig Michael Nora Noel, PhD Thomas Potratz Jeff Simmons Gaines Townsend Ken Weeden Jonathan Weiss New Hanover Office. n The Board continued to focus on strategic However, as always, we have faced these challenges Howard Loving Margaret Weller-Stargell n The Board hosted a breakfast briefing for the it is a privilege to present the Fiscal Year 2010-2011 both kept us afloat in difficult economic times of the Board. With the guidance of this Committee the Board approved the decision to explore merger opportunities with other organizations and support the CEO through this process. and allowed us to pursue plans to make ourselves These items represent the commitment of the stronger. In an agency of our size and budget, there Board of Trustees to supporting this phenomenal is much activity outside of daily operations that organization as well as to the strength of our we undertake to support the mission of Coastal relationship with those who come to work every day Horizons – too much to catalogue with due justice. in order to make our community healthier, safer, and However, there a few notable ones I wish to more connected. highlight as examples of how the Board of Trustees actively supported Coastal Horizons this year. Lastly, on behalf of the Board of Trustees, we would like to acknowledge the individuals, foundations, n The Board conducted our second annual Coastal grant providers and government agencies that have Horizons Fundraising Luncheon. A Board of provided funding to Coastal Horizons Center. Your Trustees Fundraising Luncheon Committee support and heartfelt investments have enabled the coordinated all aspects of this successful event organization to continue to assist some of the most which raised over $40,000. Generous sponsors, vulnerable and valuable members of our community. community partners and guests enthusiastically supported this fundraising initiative which increased the region’s understanding of Coastal Horizons’ goals and the diversity of services provided to area residents. The luncheon held at UNCW’s Warwick Center included a keynote address from NC Attorney General Roy Cooper. Richard Ogle 2010-2011 Board Chair 3 President’s Message Fiscal year 2010-2011 forty four percent (44%) in the second quarter of promoting choices for healthier lives and safer can best be described as one in celebration of staff. 2011 from the first quarter and up sixty one percent communities. Indeed, it is a time to celebrate our While this year has been no less challenging than (61%) from this same quarter in 2010. professional and enthusiastic staff! Statewide, Local Managing Entities (LMEs) will Along with our dedicated staff, Coastal Horizons also make fundamental changes which will create Center has a very tenacious and committed Board business combinations for them as well. The North of Trustees. In these challenging times, it is critical Carolina General Assembly passed a bill this year to have an effective board that can provide a authorizing the Department of Health and Human foundation to fulfill the mission of the organization Services to implement additional 1915 (b) (c) waiver while providing a framework of support which any other, staff at Coastal Horizons Center have persevered, stayed true to the mission and remained firmly committed to meeting the ongoing needs of the clients we serve. They have been open and receptive to our rapidly changing industry, which has included further mental health reform, health care reform, and economic changes. sites to operate Medicaid-funded services through ensures our continued success and viability. We are Coastal Horizons Center, like many other provider a prepaid inpatient health plan (PIHP). As a result, very fortunate to have just that kind of Board. I am organizations, has been asked to continue to share LMEs were encouraged to merge with each other appreciative of the expertise and guidance they have the burden of a distressed economy with increased and submit applications to become a part of the provided to me and to all staff. I remain enormously cost sharing and decreased reimbursements. It has waiver site expansion. This expansion to cover proud to work with such a highly professional meant that staff had to assume more responsibility all one hundred counties is to be completed by Board and a staff that is respected throughout our in their respective positions, sometimes taking on 2013. Coastal Horizons Center currently provides field, both nationally and statewide, providing a additional responsibility for a position that had been services in fifty three of those one hundred counties. continuum of quality behavioral health services to left vacant, or worse, one that had been eliminated. Moreover, these specific changes will undoubtedly the citizens of Eastern North Carolina. It has meant finding alternative ways to provide have an impact on all those who work in our services to clients in need, when there were no industry, whether at the state level, at an LME, or for funds to cover the service. a provider organization like Coastal Horizons Center. The emerging net effect on agencies like Coastal With the steadfast trajectory of mental health Horizons Center will ultimately grant a competitive transformations, the enormity of these changes advantage to those who can demonstrate a could be seen as overwhelming and too daunting strong profit margin with a large landscape for for staff, since after all, most chose this field with service delivery. This fact has created increasing the simple desire to help others in need. Rather, opportunities for business combinations. Mergers we have seen an unwavering commitment by and acquisitions in the health and human service Coastal Horizons Center staff members to endure industry are on the rise nationwide. They were up these changes while staying firmly committed to Margaret Weller-Stargell President and CEO 4 Financial Audit Report Year End June 2010 Sources of Revenue – 2010-2011 &RDVWDO+RUL]RQV&HQWHU,QF Foundations & Donations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overnment Contracts & Grants 20% Local Management Entities Funding 68% &RDVWDO+RUL]RQV&HQWHU,QF 6WDWHPHQWVRI$FWLYLWLHV <HDUV(QGHG-XQHDQG &RPPLWPHQWVDQG&RQWLQJHQFLHV1RWHVDQG 1HW$VVHWV 8QUHVWULFWHG 7HPSRUDULO\UHVWULFWHG1RWHVDQG 7RWDOQHWDVVHWV 7RWDOOLDELOLWLHVDQGQHWDVVHWV Program Other Service Fees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lan Waller Chief Financial Officer 8QUHVWULFWHG 7HPSRUDULO\ 5HVWULFWHG 7RWDO 1HWDVVHWVEHJLQQLQJ 1HWDVVHWVHQGLQJ 5 Coastal Horizons Center, Inc. Program Operations and Service Area Substance Abuse Services / Crisis Intervention Services / Eastern Center for Prevention Resources / TASC Region 1 / NC TASC Training Institute Substance Abuse Services / Crisis Intervention Services / Eastern Center for Prevention Resources / TASC Region 2 / NC TASC Training Institute Eastern Center for Prevention Resources / TASC Region 1 / NC TASC Training Institute Eastern Center for Prevention Resources / NC TASC Training Institute TASC Region 2 / NC TASC Training Institute NC TASC Training Institute Only Board of Trustees President & CEO Administration Substance Abuse & Mental Health Services Prevention Eastern Center for Prevention Resources (CPR) Crisis Intervention Services Hotlines (Crisis Line/First Call for Help and NC 2-1-1 Database Management) Open House Emergency Youth Shelter & Residential Services Outdoor Adventure Rape Crisis Center Outpatient Treatment Substance Abuse Intensive Outpatient Program (SAIOP) DWI Assessments & Services Clinica Latina Child Mental Health Therapy Adolescent Treatment Intensive In-Home Targeted Case Management Psychiatric Services Adult Therapy – Individual, Group, & Family Horizons Adult Regional Residential Treatment Services (HARRTS) Program HUD Horizons Housing Adult Treatment for Opioid Dependence Medication Assisted Treatment (Methadone, Suboxone) Research & Clinical Trials Health & Integrated Care Services HIV & Early Intervention Primary Care Clinic Criminal Justice Services TASC (Treatment Accountability for Safer Communities) Drug Testing Day Sentencing Center TASC Statewide Training Institute Training & Curriculum Development Creative & Technical Development Credentialing Department 6 External Operations Coastal Horizons Center continues to be a leader in the provision of SA waiver (1915 (b) (c)) that will be managed by evidence based practices in criminal justice, by seven LMEs and Eastpointe, Pathways, and substance abuse, crisis intervention and mental Smoky Mountain Center were selected. These health services within an ever evolving behavioral LMEs will join the previously selected LMEs Eastern health system. There have been dramatic changes Carolina Behavioral Health, Sandhills Center, within my tenure with Coastal Horizons. During the PBH (for expansion), Mecklenburg, and Western past ten years the agency has more than doubled Highlands Network who have been working on the number of employees, quadrupled the agency waiver implementation during the past year. budget and expanded services to 50 additional counties. LMEs. Applications were submitted to the Division On the regional level, expansion of services continued to be the key to success during this fiscal To maintain our leadership position staff have year. Coastal Horizons was awarded the contract attended multiple meetings on a local, state and for TASC Region 2 services by Eastern Carolina national level. These include North Carolina Behavioral Health the end of August. All employees Legislative Committee meetings, the National TASC and operational items transitioned effective October Board, the American Association for the Treatment 1, 2010. Coastal Horizons Center’s TASC services of Opioid Dependence Board, The North Carolina now span 53 counties in North Carolina. Substance Abuse Professional Practice Board, the Statewide TASC Executive Leadership and Management Team meetings, plus multiple other boards with state and national scopes. The 2011 National Treatment Accountability for Safer Communities conference was held in Denver where I was honored and humbled to receive the 2011 President’s Award. The Chief Justice Sarah The North Carolina Legislature had a difficult Parker has also recently appointed me to the new budget session due to the economic conditions State Community Corrections Advisory Board which both nationally and locally. As a result, the budget will oversee the implementation of the Justice did include a nonrecurring $20 million reduction Reinvestment Act. This Act is an important change to MH/DD/SA state service dollars. In addition, the in the way people in the criminal justice system will budget also included a direct reduction to Local be supervised and the services they receive in North Management Entities (LME) of $25 million based on Carolina. fund balance availability and unspent single-county reserves for fiscal year 2011-2012. These funds were to be moved from reserve accounts and to be used to offset reductions in state service dollars. As we enter the new fiscal year it is my hope that Coastal Horizons Center will continue to be a leader locally, statewide and nationally to enable us to enhance our mission. One of the most significant actions the legislature took this session was the passage of HB 916, the Medicaid Waiver bill. This bill allows for the current Piedmont Behavioral Health Medicaid waiver to expand statewide. This will be a combined MH/DD/ Karen V. Chapple, Executive Vice President of Operations 7 Human Resources The Human Resources function within the Agency is primarily despite the distances. Not only does this positive responsible for recruitment and selection of be able to deliver the highest level of care to our employees, partnering with Management Team clients, it also makes Coastal Horizons Center a members on business issues concerning the Agency, special place to work. working atmosphere allow our staff members to maintaining compliance on employment laws and Supporting the direction and growth of the Agency requirements for the Agency (FMLA, FLSA, ADA, falls on those in Agency leadership, as well as on COBRA, AFLAC, Workers Comp, etc.), managing those who’s continued years of dedication and employee development and performance, benefit service to the Agency who set the measure and administration, relationship management with standards for newer employees. Coastal Horizons third party service providers, and as a consultative Center benefits from both the ability to attract resource for employee relations management. highly qualified candidates, as well as sustain Through the course of any given year, the emphasis leadership offered by those tenured staff members. on any one human resource focus to another can The following chart reflects the commitment and shift, and importance can be provided to the human dedication our staff members bring to the Agency resources service area which best supports the over the years. Agency at the time of need. During the past fiscal year, the Agency experienced its mission to provide choices for healthier lives and slight but steady growth in terms of our overall safer communities, the new, as well as tenured employee population. A significant event that employees who support that mission, remain key to supported this growth was the addition of two the success of all we can accomplish. groups of TASC employees; in the central part of the Managers who joined us from Orange, Person, and Chatham Counties. The Agency now administers Bob Jalbert TASC services throughout central and eastern North Human Resources Director Carolina. Employee Totals • 2010-2011 The chart to the far right continues to show the consistent growth of our overall staff 2010-2011 2010-2011 Staff members with Coastal Horizons Center 2009-2010 describe their working atmosphere, regardless 2008-2009 of the component in which they provide their 2007-2008 services in, as one being supportive, respectful, 2006-2007 beneficial, and caring. And while many of 2005-2006 our staff members are spread out across 2004-2005 numerous counties in our state, they feel 2003-2004 connected, and “together” with the Agency, 0 – 5 years 128 6 – 10 years 27 11 – 15 years 10 15 – 25 years 5 25+ years 5 state known as Region 2, as well as 3 TASC Care members over the past few years. Coastal Horizons Center, Inc. Employee Tenure Totals As Coastal Horizons Center continues forward on Total Full-Time Part-Time 0 20 40 60 80 100 120 140 160 170 180 8 Criminal Justice Services Correctional Alternative Programs The Criminal Justice Services (CJS) component of Coastal Horizons TASC RCE (Regional Coordinating Entities) Center provides a continuum of services to people infrastructure for the effective delivery of substance involved in the criminal justice system in fifty-three abuse and other treatment interventions to the counties of North Carolina and training statewide offender population in North Carolina. The RCE is for staff providing similar services. The primary goals responsible for ensuring that standardized TASC of CJS are: services are available throughout the 53 counties n To assist the individual in accessing the served. The RCE’s received 10,810 referrals in this The TASC RCEs serves as the management treatment and community support services past fiscal year. Additionally, of the 8,638 individuals needed in their local community to ultimately that completed TASC services this year 55.5% or reduce recidivism 4,796 completed the programs successfully. n To provide advocacy within the criminal justice system n To provide state of the art training to staff involved in Treatment Accountability for Safer Communities (TASC) programs and their partner agencies. TASC (Treatment Accountability for Safer Communities) TASC is a critical link between the criminal justice system and treatment services. TASC provides: n Screening and assessment for those referred; n Referral and linkages to treatment services needed; n Access to wrap around services in the local community; n Monitoring and reporting treatment progress to the referring agent. North Carolina TASC Training Institute The NC TASC Training Institute provides evidence based training to TASC staff statewide via regional and virtual learning environments in order to improve the delivery of services to the offender population across North Carolina. New Hanover County Day Sentencing Center The New Hanover County Day Sentencing Center is a highly structured, intermediate punishment program designed to provide risk control, punishment as well as rehabilitation opportunities to substance abusing offenders. Drug Diversion A 12-month voluntary program for first time felony offenders in need of substance abuse services. These services are provided in 53 counties in North Drug Education School (DES) Carolina. DES is a state certified course designed for first time offenders who have been charged with misdemeanor possession of Schedule I through VI and/or drug paraphernalia or Felony Possession of Cocaine (less than one gram). 9 Criminal Justice Services Regions I and II – Regional Coordinating Entities (RCEs) The TASC RCEs provide an objective and effective bridge between two separate institutions: justice and treatment The justice system’s legal sanctions reflect the community’s concern for public safety, while the treatment community emphasizes therapeutic relationships as a means for changing behavior and reducing the personal suffering associated with substance abuse and mental illness. Under TASC completed the TASC on-line Clinical Series Accomplishments in Regional Development for Region II: Training. n Quality assurance procedures have been n Care Management staff from the Region have n The majority of Case Management staff have implemented statewide with quality assurance attended all trainings within the Region offered review performed by RCE Director’s and the by the TASC Training Institute. TASC Training Institute Director. Accomplishments in Regional Development for Region I: offenders. implemented statewide with quality assurance for drug-involved and/or mentally ill offenders. The review performed by RCE Director’s and the assessments and mental health screening and access quality services for drug-involved and/or mentally ill n 40% of all admissions were Intermediate level n Quality assurance procedures have been supervision, community-based treatment is accessed TASC RCE staff provide clinical substance abuse Regional Statistical Information for Region II: n 64.73% of clients were employed at discharge. TASC Training Institute Director. n The RCE has purchased and is implementing an automated client appointment reminder system. offenders. Regional Statistical Information for Region I: The Coastal Horizons Center TASC RCEs continue to provide administrative and managerial supervision within Regions I and II. The TASC RCEs are responsible for quality improvement and quality assurance throughout the Regions with several key goals which includes; standardized clinically-sound practice; standardized protocols for treatment access and tracking; utilization management and review; quality and outcomes management; and Information management. Accomplishments in Client Services for Region I: n 4,201 clients were referred to Regional TASC services in fiscal year 10-11. n 51%, or 2,206, of clients completed TASC services successfully. n The Addiction Severity Index Multimedia Version (ASI-MV) continues with positive results. Accomplishments in Professional Development for Region I n All Region I TASC staff are either registered with the NC Substance Abuse Licensure Board or has already received their LCAS, CCS, CSAC or CCJP certification. Wes Stewart Andy Miller TASC RCE Director TASC RCE Director Region I Region II n 48% of all admissions were Intermediate Level Offenders. Active Cases at Month End – 2010-2011 n 66.4% of clients were employed at discharge. Accomplishments in Client Services for Region II: n 6,609 clients were referred to Regional TASC services in fiscal year 2010-2011. n 61%, or 2,590, of clients completed TASC services successfully. n The Addiction Severity Index Multimedia Version (ASI-MV) utilization continues with 3,000 2,500 2,000 1,500 1,000 500 0 positive results. Accomplishments in Professional Development for Region II: n All Region II TASC staff are either registered with the NC Substance Abuse Licensure Board or has already received their LCAS, CCS, CSAC or CCJP certification. n Care Management staff from the Region have completed the TASC on-line Clinical Series Training. n The majority of Care Management staff have attended all trainings within the Region offered by the TASC Training Institute. July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2010 2010 2010 2010 2010 2010 2011 2011 2011 2011 2011 2011 Admissions & Discharges – 2010-2011 600 Admissions Discharges 500 400 300 200 100 0 July Aug Sept Oct Nov Dec Jan Feb Mar Apr May June 2010 2010 2010 2010 2010 2010 2011 2011 2011 2011 2011 2011 10 Criminal Justice Services NC TASC Training Institute Treatment Accountability for Safer Communities - North Carolina TASC Training Institute n The TASC Training Institute provides evidence- North Carolina TASC Training Institute Accomplishments During FY 10-11 n The NC TASC Clinical Training Series is certified by the National Association of Alcoholism and based training to TASC staff statewide, via Drug Addiction Counselors (NAADAC) as an on- regional and virtual learning environments in line training series. TASC staff completed 1,954 order to improve the delivery of services to the online courses in FY 10/11 for a total of 5,213.5 offender population across the state of North Carolina. n The Institute provides TASC Clinical Series Online credit hours awarded. n Continuing education in NC TASC Standard Operating Procedures, Clinical Supervision, Training for new staff, NC Drug Education Treatment Planning, Prescription Drug Abuse, School (DES) Instructor training, DWI Services Former Offender Employment Services, Mental technical and continuing education training Health First Aid and Identifying and Responding via regional and state conferences, and other to Mental Health Issues in Offender Populations Institute sponsored events. was provided to 764 TASC and Criminal Justice n The Institute continues to develop distance learning modules including, “TASC Clinical Series Online”, and “TASC Continuing Education” online presentations. n The Institute’s websites provide information, partner agency staff awarding 3,487.5 credit hours. n North Carolina Drug Education School Instructor Pre-Certification Trainings were held, training 29 participants and awarding 159.5 credit hours. online training, training event information and n “E 508” DWI Certificate of Completion Web registrations for the NC TASC Network and the Application Trainings were held, training 205 NC DWI treatment provider community. participants and awarding 1,127.5 credit hours. n The Institute administers the Instructor n NC DWI New Provider Orientation Training was Certification programs for the NC DES and provided to 78 participants and awarding 858 NC Alcohol and Drug Education Traffic School credit hours. ADETS programs. n The Institute provides administrative and n A total of 11,008 continuing education hours were awarded during FY 10/11. technical support, training and consultation for NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services DWI Programs Office, including DWI New Provider Orientation, E508 Certificate Of Completion training and administration, and quality improvement consultation for DWI treatment providers. The Institute’s online DWI Training and Support Center provides a portal for information and training for the State’s nearly 500 DWI Treatment Providers. Dale Willetts Director, NC TASC Training Institute 11 Substance Abuse and Mental Health Services The Substance Abuse and Mental Health Services of Coastal Horizons n Research & Internship Partnerships: n Clinical Trials Network (CTN) of the National n UNCW – Psychology Department and School n Webster University – Mental Health Institute on Drug Abuse (NIDA) provides a continuum of prevention, outpatient treatment, and health-related services to individuals of Social Work in the eastern region of North Carolina – with primary emphasis being in New Hanover, Pender, & Counseling Program Brunswick counties. The purpose of our services is threefold, to: n Adolescent Services (for Teens & their Parents) n Engage individuals with substance use and n Program for Adjudicated Youth & their mental health disorders (and those communities Families – utilizing Seven Challenges, at high risk); Cannabis Youth Treatment (CYT) and other evidence based treatment approaches n Equip them with skills and resources needed for healthier living; and n Encourage those individuals and their families in the recovery process. n Intensive In-Home services n Adolescent specific treatment Our Outpatient Treatment facilities are now in three (3) locations: New Hanover County 615 Shipyard Blvd Wilmington, NC 28412 (910) 343-0145 Pender County 803 S Walker St Burgaw, NC 28425 (910) 259-0668 Brunswick County 120 Coastal Horizons Dr Shallotte, NC 28470 (910) 754-4515 n Horizons Adult Regional Residential Treatment Services (HARRTS) Program Outpatient Treatment n Services for those with Substance Use and problems of homelessness, substance abuse, n Individual, Group, & Family Counseling and co-occurring mental illness Program (SAIOP) – structured group, n Health & Integrated Care Services individual and family addiction treatment HIV & Early Intervention activities (New Hanover and Brunswick) n Education, Medical Diagnostic Testing & n DWI Assessments & full service array n Clinica Latina – Specialized Outpatient Services in Spanish n Child Mental Health Therapy Services n Adult Drug-Free Treatment n Adult Treatment for Opioid Dependence collaborative services to address the Mental Health Disorders nSubstance Abuse Intensive Outpatient n Integrated model of coordinated and n Medication Assisted Treatment Referrals in eastern North Carolina n Rapid & Standard HIV Testing n HIV & Early Intervention Support Group Primary Care Clinic n “Medical Home” services provided by a Nurse Practitioner to our Outpatient clients n Services ranging from physical exams to • Methadone Therapy (New Hanover) treatment of acute and chronic illnesses, health • Office Based Suboxone (New Hanover education, and referrals and Brunswick) n HUD Horizons Housing Program n Targeted Case Management n Psychiatric Services n Other Supportive Services Prevention & Outdoor Adventure n Mobilizing communities to prevent, reduce, or delay use of alcohol, tobacco, and other drugs n Serving as the Eastern Center for Prevention Resources (CPR) n Utilizing Best Practice Strategies and Programs proven effective in delivering quality outcomes Kenny House, LCAS, CCS Vice-President of Clinical Services 12 Substance Abuse and Mental Health Services (continued) Outpatient Treatment What Has Outpatient Treatment Services Accomplished In The Past Year? We are a comprehensive, affordable outpatient treatment program for adults and adolescents – fully operational in the counties of New Hanover, Pender and Brunswick! New Hanover County… We continue to serve over 500 active clients. New Hanover Services & Accomplishments: n Our Opioid Treatment Program maintained an average client population of 160 throughout the year. n We provided assessment and treatment services by contract with Federal Probation and Parole, with an ongoing caseload of 45 of clients. n We continued providing Office-Based Suboxone services in both New Hanover and Brunswick Counties program, with an ongoing caseload of 60 clients. n Our Substance Abuse Intensive Outpatient Treatment Program (SAIOP) has continued to serve up to 60 clients at any given time, with five separate sections of SAIOP. SAIOP is offered each Monday, Wednesday and Friday without exception (holidays included). n Through our Adolescent services, we continued to provide evidence-based treatment interventions for adolescents. Staff utilize the Seven Challenges Model of therapy. n We maintained a full census in the 5 apartments of permanent housing as part of our HUD Horizons Housing (HHH) Program for homeless clients from the Opioid Treatment Program. The renewal grant for the 2011-2012 fiscal year will allow us to maintain a census of up to 6 individuals or families, in a total of 5 apartments. n We continued our relationship with various graduate school programs, with graduate Interns serving as a valuable resource for the Agency. n All staff members are Licensed, Certified or Registered with either the North Carolina Substance Abuse Professional Practice Board or with another discipline (NC Psychology Board; NC Board of Licensed Professional Counselors, NC Social Work Board). n With a grant from the Cape Fear Memorial Foundation, we were able to continue to support leadership positions in New Hanover, Brunswick and Pender counties. n With a grant from the Kate B Reynolds Charitable Trust, we have had our 3rd successful year of “Clinica Latina” services – providing professional mental health and substance use disorder treatment services in Spanish and in a culturally comfortable setting for Latinos and their families. Some of the highlights of these services include: • We served 83 new Spanish-speaking clients in this past year, bringing our total to 203 Spanish-speaking clients since Clinica Latina opened in May 2009. • Represented CHC at local, state and national levels regarding Latino issues – including presenting a poster session at the Behavior Health Services Research Conference in Washington, D.C. • Bilingual-Bicultural staff to serve clients • Liaised with NHRMC as well as Rape Crisis in order to provide services to trauma victims • Established partnerships with other agencies in need of Latino Services. n With an additional grant from the Kate B Reynolds Charitable Trust, we have launched into our first year of medical home services, creating a Primary Care Clinic to address the physical health needs of our clients. This is often referred to as “integrated care”, and since we have a Nurse Practitioner providing these services at our treatment location, this is also sometimes referred to as “reverse co-location.” Some of the highlights from our first year include: • 167 patients were seen throughout the year, with the majority of issues being hypertension, diabetes, and hyperlipidemia (elevated cholesterol). • 81 flu vaccines were administered over a 4-day flu clinic period – most of the patients had never before received a flu vaccine. • Received training in nationally recognized smoking cessation model – “Freedom from Smoking.” • Conducted free health screenings for patients at our Pender & Brunswick facilities n The full array of DWI Services are available – assessments, ADETS classes, and all levels of treatment. HARRTS… The HARRTS program was developed as an innovative treatment approach to engage clients who otherwise do not follow-up with outpatient services after either acute hospitalizations or inpatient treatment. We serve clients with primary substance use disorders as well as co-occurring mental health and medical issues. n HARRTS services include: • Substance Abuse Intensive Outpatient Treatment • Individual Counseling • Residential placements through local recovery houses in the Wilmington area • Case Management for coordinated access to community services such as DSS for food stamps, Medicaid, Services for the Blind, medical care through the new Primary Care Clinic located at Coastal Horizons Center, clothing, Vocational Rehabilitation, prescription assistance, transition planning, and Employment Security Commission Classes etc. • Psychiatric Services • Purchase of psychotropic and other medications, and connection to prescription assistance programs to assure medical and mental health stability. • Provide transportation to and from treatment and bus tickets to assist in accessing community resources. Accomplishments: n We maintained Memorandums of Understanding and Business Associates Agreements with 6 Recovery and Halfway Houses in the community to provide the residential beds - Hope House of Wilmington (one male and one female house), PORT Human Services – Stepping Stone Manor, Full Circle Ministries, LINC, Launch Pad (one male and one female house), and All Family Recovery. n We have continued to work closely with agencies throughout the Eastern Region for referrals; Wilmington Treatment Center, Walter B Jones ADATC, RHA/ Harbor Facility Based Crisis, 13 PORT Human Services Detox and Outpatient, local outpatient providers, Pitt Memorial Hospital, Department of Corrections, and other referral agencies across the state. Through out the fiscal year, we have received referrals from 23 LMEs. n We received 414 referrals from numerous sources this year with a total of 160 admissions. During the last quarter of this fiscal year, we have tracked completion percentages as well as overall length of stay in the program. HARRTS overall completion rate for the 4th quarter of fiscal year 2010-2011 was 48%, or 77 individuals. For that population, the average length of stay was 120 days. For the clients that did not complete the program, the average across the quarter was 35 days length of stay. Coastal Horizons Center provided 12,985 hours of service across the year including SAIOP, intake, counseling, psychiatric, and residential services. Most recently we have developed an outcome tracking form for clients postgraduation. Brunswick County… Brunswick County services continue to grow as we utilize our 7,000 sq. ft. outpatient treatment facility in Shallotte. Brunswick Services & Accomplishments: Coastal Horizons Center - Brunswick now serves 250 active clients every month, and served 500 unique clients over the past year. n Substance Abuse Intensive Outpatient Program (SAIOP); n An Office Based Suboxone Treatment Program for opioid dependent clients; n Outpatient therapy and groups to assist individuals in treatment for both Mental Health and Addiction disorders; n Adolescent programming included a second year contract with the Department of Juvenile Justice and Delinquency Prevention to operate the Life Skills Coaching Program for 25 youth, CHC-B was awarded a second grant which began in July 2011 to operate the new Coastal Challenges Program which offers assessment and counseling for adolescents at the office of Brunswick County Juvenile Probation, and also initiates our 7 Challenges groups. n Classes offered at the facility include Anger Management, Recovery 101, Parenting, and a brand new group called Life Launch. Life Launch is supported by a grant from the Good Shepherd Foundation, and is wellness program targeting individuals new in recovery, and assisting them to discover positive life directions, and uncover hidden strengths, n The full array of DWI services are available assessments, ADETS classes, and all levels of treatment; n Staff participates in the Brunswick County Drug Court, Mental Health Court and Alcohol Intervention Court staff meetings, and are actively involved in providing treatment resources to these clients; n We are paneled with two Employee Assistance Programs. CIGNA EAP is the program offered to County employees, Lowes Foods, and employees of Verizon. Novant EAP covers employees of Brunswick Community Hospital; n We participate, along with Prevention services, as a member of the Alcohol Fatality Grant committee to bring Alcohol / DWI education to the community; n We engage interns from UNCW, Capella, Webster, and Francis Marion; n We are paneled with Medicaid, Medicare, Tricare, Blue Cross, and CIGNA; n We were supported by grants from Department of Juvenile Justice, and Good Shepherd and Brunswick County. n The CHC-B Multipurpose Room has served as the site for several community events including The Child Abuse Month program Broken Promises: Children of Addicted Parents, several community agency gatherings and twice weekly NA meetings. n The lobby and waiting area has been modified to be more child friendly with the addition of a TV, children’s movies, and toys; and, n Art for the lobby was purchased with a donation from the children at Virginia Williamson Elementary School. Pender County… Pender County services have been operated by Coastal Horizons Center for 5 full years! Pender Services & Accomplishments n In Pender County we now serve over 500 active clients who receive treatment for mental health and/or substance use disorders, medication management services, or a variety of classes. n We continue to provide individual, group, family and couples counseling for all ages, a women’s support group, and an adolescent substance use disorder group specializing in the evidencebased 7 Challenges Curriculum. n When one of our partners PSC Med Supply, who provided reasonably priced medications for consumers, went out of business, we established a relationship with Pender Adult Services to ensure that consumers were able to get needed medications. n We have expanded our Intensive In-Home services – we now have 2 teams available and are providing services for youth and families in Pender, Brunswick and New Hanover counties. Intensive In-Home services utilize specialized family therapy to prevent out of home placement and support family reintegration for young consumers. n We continue to provide Recovery 101 and Anger Management classes to the community. n We continue to provide DWI services including Assessments, Short Term and Long Term Treatment. Continued on bottom of next page Outpatient Treatment Clinic – Treatment of Clients by County 2010-2011 New Hanover 40.4% Pender 36.4% Brunswick 23.2% 14 Substance Abuse and Mental Health Services (continued) HIV Early Intervention We continue to work with individuals who are already in treatment – in our Tri-County area. Our focus has been on individuals at high risk for HIV/AIDS and communicable diseases, and to provide free HIV related testing and counseling services. HIV Early Intervention services include: n Medical Diagnostic Testing and Counseling for HIV, TB, and Syphilis n Risk Reduction Counseling and Education n Referrals for other medical services n RV (Mobile Field Station) services n Early Intervention HIV support group n Regional testing and counseling in various other SA treatment centers located in eastern North Carolina. Accomplishments: n We have reached 742 individuals in the TriCounty area with HIV testing along with pre and post test counseling. Also, we have reached 491 individuals through our regional testing which totals 1,233 individuals reached this year. Our HIV Early Intervention support group continues to meet weekly and has grown this year with several referrals from local case managers. We also continue to assist our group participants with accessing various HIV/AIDS workshops, trainings, community events, etc. n We continue to use the OraQuick Rapid HIV Antibody Test. n ACES (AIDS Care and Educational Services, Inc.) is regarded as a comprehensive community resource for HIV/AIDS education, referral, and support services. ACES provides regional coordination for the distribution of federal funds made available by Part B of the Ryan White Act. ACES is responsible for receiving and administering funds made available for our regional area. We continue to attend monthly meetings and collaborate with ACES to better serve the needs of those infected with HIV. n Onslow County held their first ever Veterans Stand-down and our team was invited to participate by providing HIV testing services. It was a great success and we have been invited back for 2012. Outpatient Treatment (cont.) n We provide the community with walk in crisis counseling, court assessments and drug screens. n We provide weekly brief counseling and suicide assessments for the Pender County Jail. n We provide Hospital Discharge appointments for consumers leaving hospital placements and assist them in obtaining continued treatment and referrals. n We continue to support Pender County Schools by participating on the Core Management Team for the Safe Schools Healthy Students grant, and provide for them Crisis Risk Assessments to help determine when a child is safe to go back to school. n We continue to offer internships and practicums to graduate and undergraduate students of various disciplines and colleges, ensuring quality supervision and a variety of experiences/training. n We offer Targeted Case Management services that help consumers connect to housing, food, transportation, and employment services. n We continue to serve on several committees in the Pender Community - coordinating with other agencies to assess the needs of the community and provide for these needs. New Outpatient Treatment Initiatives: n We will continue to pursue opportunities to offer comprehensive services to Veterans and their families and obtain training on the special needs of this population. n We plan to expand provision of Child Mental Health services in New Hanover County. n We will provide trauma-focused counseling services – including integrated treatment of trauma-related issues and substance use disorders - in partnership with the Rape Crisis Center of CHC and the Cape Fear Area United Way. Services will be provided in a co-location model at various Domestic Violence and Rape Crisis locations in New Hanover, Pender and Cumberland Counties. n We are increasing our capacity and expertise in providing psychiatric and mental health treatment services in Brunswick County. n We are enhancing DWI services by adding dedicated staff in all 3 counties. 15 Prevention and Outdoor Adventure Best Practice Strategies and Programs Proven Effective Prevention Services provide a wide range of age appropriate, culturally relevant, and research-based programs and strategies designed to promote healthy choices and prevent problems associated with alcohol, tobacco, and other drug use. There are six types of service: 1) information, 2) education, 3) alternatives, 4) problem identification and referral, 5) community based processes, and 6) environmental changes. There are five “best practice” steps to providing services: 1) needs assessment, 2) capacity development, 3) planning, 4) implementation, and 5) evaluation. Outdoor Adventure programs offer an opportunity for participants to experience a dynamic learning environment that reinforces communication, trust, teamwork, and decision-making skills. Best practice models and industry standards are followed for these programs. Accomplishments: Prevention Best Practice Programs Youth n 1,325 youth were served with Protecting You, Protecting Me (3rd grade Skill Building Program) or I’m Special (4th grade Skill Building Program) through the Pender County Safe Schools Healthy Students Grant. n 65 youth were served with Project Toward No Drug Abuse (Skill Building Program for 8th-12th graders). nOver 305 youth were served at the Juvenile Detention Center through assessments or during 92 education and skill-building sessions. n 138 students were referred from New Hanover, Pender, and Brunswick County Schools through the School Policy Violation Program. n 47% of students received Prevention Services n48% of students were referred for Additional Services or Treatment n 5% of students chose Other Options (noncompliance, own provider network, etc.) Adults n 72 families were served with Parent Skill Building Programs such as Guiding Good Choices or Staying Connected with Your Teen. Prevention Best Practice Strategies Environmental and Policy Change: Changes to laws, norms, policies, and practices help communities address the root causes of problems such as teen tobacco use, underage drinking, impaired driving, and other drug use. n Staff worked with the Cape Fear Coalition for a Drug Free Tomorrow to identify youth access to alcohol challenges and survey area merchants using Alcohol Purchase Surveys to determine the rate of merchant compliance with Pre-Purchase Identification Checks (ID Checks); after surveying 129 stores, 64% of stores were compliant with the law and 36% of stores surveyed were non-compliant; compliant merchants were thanked for their efforts to reduce youth access to alcohol; Coalition members and staff will continue to work with non-compliant stores to improve compliance rates. n A Safe Homes Pledge Campaign is underway in partnership with the Cape Fear Coalition for a Drug Free Tomorrow; to date 37 homes have signed the Safe Homes Pledge stating alcohol will not be provided to minors in their home. n Provided training, technical assistance and guidance for Youth Empowerment Groups in the region to present at local and statewide legislative forums on tobacco-free locations, ABC Commission Hearings, alcohol-free family events and other policy work. Community Awareness Campaigns: nOver 262 people attended the Recovery Month Celebration Awareness Event with music, food and family friendly fun; consumers and community partners were involved in the planning and implementation of the event. A Jazz Music Fund Raiser helped cover the cost of the event. nOver 546 youth at local area schools attended Red Ribbon Celebration presentations or programs. nOver 443 youth attended Alcohol Awareness Month and 3D Prevention events with media coverage and partnerships. 16 How Prevention Makes a Difference in our Community Pender County (continued) Brunswick County Community Coalition Building Community Awareness I’m Special No Fumo Tobacco Prevention Outdoor Adventure Programs Reach Out Now (Underage Alcohol Prevention) State Incentive Grant (Impaired Driving Initiative) Staying Connected with Your Teen Toward No Tobacco Use TRU Tobacco Prevention Prevention and Outdoor Adventure (continued) Pender County Community Coalition Building Community Awareness Guiding Good Choices I’m Special Outdoor Adventure Programs Project Venture Protecting You, Protecting Me Reach Out Now (Underage Alcohol Prevention) Staying Connected with Your Teen Outdoor Adventure Best Practices and Programs Capacity Building and Technical Assistance in the Region: n 953 participants were served through Outdoor Adventure Programs including: n 169 youth served in after-school Teambuilding Programs in Brunswick, Pender, and New Hanover Counties. n 16 young adults were served through weekly Youth Build sessions with the Wilmington Housing Authority. n 34 youth were served in Program Elements through a partnership with the New Hanover County Sheriff’s Department. n Based on school performance the following outcomes were achieved: • 86% of participants’ school attendance improved • 83% of participants had improved school conduct •86% of participants showed progress in school n Based on participant and group leader surveys the following outcomes were achieved: • 25% reported increased communication with peers • 40% reported improved peer interactions • 40% reported an increase in self-esteem • 100% reported an increase in teambuilding skills • 100% reported an increase in positive attitude • 100% reported that they would recommend this program to others n 96 youth and adult participants worked together in adventure based family bonding programs such as GET REAL (Growing and Experiencing Together through Ropes and Experiential Adventure Learning). n Staff from the Eastern Center for Prevention Resources (CPR) received training in specialized strategies for addressing Teen Prescription Drug Abuse and Fetal Alcohol Spectrum Disorders; strategies to address these issues include media campaigns, presentations and training for professionals. n The Eastern Center for Prevention Resources Staff worked with Brunswick County stakeholders to build community capacity by developing a comprehensive strategic plan for addressing the problem of impaired driving. n The Eastern Center for Prevention Resources (CPR) gave out 207 scholarships to statewide conferences and training for professionals, community coalitions and youth empowerment training (50 of those scholarships were for youth). n In conjunction with the NC Centers for Prevention Resources, the Eastern CPR hosted training portals for 8 free webinars that qualified for professional credit. n Community Story of Success… We helped build active coalitions in each of the 6 target communities within our region to reduce youth access to alcohol. Coalitions learned to develop plans and build partnerships with key stakeholders such as Law Enforcement, Hospitals, Businesses, Schools, Faith Organizations and other Non-Profits. Community members became empowered to speak at government meetings, train youth advocates, run media campaigns and increase visibility impact of compliance checks. During one city council meeting, a citizen present persuaded the council to change plans that Counties Served Beaufort, Bertie, Brunswick, Camden, Carteret, Chowan, Craven, Currituck, Dare, Duplin, Edgecombe, Gates, Green, Halifax, Hertford, Hyde, Jones, Lenoir, Martin, Nash, New Hanover, Northampton, Onslow, Pamlico, Pasquotank, Pender, Perquimans, Pitt, Sampson, Tyrell, Washington, Wayne and Wilson Strategies Utilized Community Environmental Scans to assess factors contributing to the problem Community Mobilization, Training and Empowerment Policy Advocacy Work to change laws, policies, or social norms and practices Support for Law Enforcement of existing policies or laws Community Awareness Campaigns Market Tested Media Campaigns through billboards, newspaper, theater slides, and a variety of print Toward No Drug Abuse TRU Tobacco Prevention New Hanover County Alcohol Purchase Surveys Community Coalition Building Community Awareness Guiding Good Choices I’m Special No Fumo Tobacco Prevention Outdoor Adventure Programs Program Elements Reach Out Now (Underage Alcohol Prevention) Staying Connected with Your Teen Toward No Drug Abuse would increase the likelihood of youth access to alcohol. n iContact is working closely with the North Carolina Centers for Prevention Resources as part of their corporate giving program to increase our email and social marketing capabilities. This includes providing free training, building space for meetings, email database systems and information sharing platforms. Statewide Leadership: n NC Substance Abuse Prevention Providers Association (NCSAPPA) Board of Directors, Secretary/Communications Officer; Executive Committee; Policy and Advocacy Committee; Quality Assurance and Standards Committee; Workforce Development Committee. n Addiction Professionals of NC (APNC) Board of Directors, Prevention/Education/Intervention Committee Chair and Medication Assisted Treatments Sub-Committee - Chair. n NC Substance Abuse Federation representing the NC Centers for Prevention Resources. n NC Cooperative Agreement Advisory Board (CAAB). n NC State Epidemiological Workgroup (SEW). n NC Sustainability Leadership Team. n NC Partnerships, Alliances, Coalitions, and Collaboratives (PACC) Coordinating Committee. n Governor’s Academy of Prevention Professionals Leadership Institute Mentor. n NC Association for the Treatment of Opioid Dependence (NCATOD) - Chair. n American Association for the Treatment of Opioid Dependence (AATOD) - Board member. n Our Prevention Director, Deeanna Hale-Holland, enjoyed a well-deserved Sabbatical via a grant from the Z Smith Reynolds Foundation, and then returned to the workplace full of renewed energy. New Prevention Initiatives: • Organizing training certification and implementing an evidence-based Workplace Wellness model to address substance abuse prevention and wellness in a corporate, nonprofit and organizational setting. Our quality services continue to be recognized by CARF, as evidenced by again being awarded the highest 3-year accreditation status. 17 Medical Services and Corporate Compliance Coastal Horizons Center devoted much time and energy towards they had to wait to receive services. A performance the accreditation review by CARF which took place this issue. on February 7 and 8, 2011. We were pleased and A couple of comments made on the surveys include, proud that Coastal Horizons Center received CARF’s “It saved my life! It can’t get any better than that!” highest accreditation, the 3 year accreditation. That and “Coastal has been awesome in helping me deal means that CARF endorses Coastal Horizons Center with my recovery – it is my home away from home.” improvement team has been assigned to address as a quality provider of substance abuse and mental achieve CARF accreditation. Certification as both a The Consumer Satisfaction Survey for 2010-2011 from all three locations had the following collective responses: CABHA and a CARF provider solidifies our forty-one Of Outpatient Substance Abuse & Mental Health year history of quality service to our community. Treatment consumers surveyed: health services. As a Critical Access Behavioral Heath Agency, Coastal Horizons Center is required to n 87% indicated that “employees are sensitive to Information Technology has developed in-house applications to manage client information for my ethnic/cultural background”, n 98% indicated that “I have felt comfortable Open House, Rape Crisis, employee training and development, staff performance and productivity asking questions about my treatment”, n 96% indicated that “I feel safe in and around and a Microsoft Sharepoint™ information database for Coastal Horizons staff. These applications are this agency when I arrive or leave”, n 96% indicated they “would recommend this internally hosted on our web secure applications server. Additionally, significant enhancements have agency to a friend or family member”, n 95% indicated that “I am making progress with been made to the in-house developed applications that manage client information for our Pender, recovery”, n 93% indicated that “I am able to get the kind of Brunswick and Latino Clinic offices. Continuous Quality Improvement (CQI) remains services that I need”, n 93% indicated that “I am able to talk to my counselor when I need help”, and a central theme in day to day activities at Coastal Horizons Center. This is in line with Coastal Horizons n 94% indicated that “Staff are responsive to my needs and concerns”. Center’s commitment to excellence and our dedication to building a quality culture. Our Board n “When I was referred to Coastal Horizons, I did not have to wait long to get services” of Directors and entire staff have been trained and oriented to the philosophy of CQI and there is a clear understanding among all of our dedication to Pender County Facility = 88%, Brunswick Facility = 83%, New Hanover Facility = 71% providing the very best possible quality of services. This has been borne out in our consumer satisfaction survey which was just completed in Eric Luttmer, July of this year. Some of the statistics are quoted Vice President, below; all of our results show improvement with Medical Services & Corporate Compliance the exception of a slight drop in those who felt like 18 Crisis Intervention Services Hotline Services: Crisis Line and First Call for Help Hotlines Coastal Horizon Center’s Crisis Line & First Call for Help Hotlines provide 24-hour crisis, suicide intervention/ prevention hotline counseling services. Information and referrals are also provided to facilitate linkages with available, needed resources, with walk-in crisis intervention counseling and pregnancy testing offered. Trained crisis intervention/information and referral specialists and community volunteers maintain Hotline Services, available for the Brunswick, New Hanover and Pender county region, and beyond; in cooperation with additional funding support provided through Cape Fear Memorial Foundation, City of Wilmington and New Hanover County. Program Operations In Fiscal Year 2010-2011: n Crisis Line Hotline processed 3,097 crisis hotline contacts, requesting crisis counseling, or information and referral services. n First Call for Help Information and Referral Hotline provided services for 1,373 citizens in the tri-county area. n Hotline staff and volunteers provided over 1,253 hours of free crisis intervention counseling and information and referral linkages. Program Affiliations: Crisis Line & First Call for Help staff and volunteers maintain active membership in and are the primary community contact for: n American Association of Suicidology n National Lifeline Suicide Prevention Hotline n Community Crisis Response Team n Interagency Council of New Hanover County n Tri-County Homeless Interagency Council n Cape Fear & Brunswick County Volunteer Centers n Brunswick Resource Coalition n North Carolina 2-1-1 n Southeastern Center for MH/DD/SA – Community Crisis Collaborative Fiscal Year 2010-2011 Achievements: n Hotline Services maintain after-hours crisis intervention support and on-call dispatch services for Domestic Violence Shelter and Services, Families First, Inc., Coastal Horizons’ Mental Health and Substance Abuse programs’ first responder duties for Brunswick, New Hanover and Pender facilities, as well as for Rape Crisis Center – New Hanover & Brunswick Counties. n In partnership with United Way of the Cape Fear Area, Hotline Services serve as primary database manager for NC 2-1-1 human services agencies and programs serving in Brunswick, Columbus, New Hanover, and Pender counties. NC 2-1-1 is part of the national and statewide United Way initiative to create a streamlined, easy-to-access, up-to-date mechanism for quality information & referral services. The local four-county NC 2-1-1 service area netted 2,686 calls to the state’s 2-1-1 Call Center for access to agency information and linkages to available services. n First Call for Help, in partnership with the 10-Year Plan to End Chronic Homelessness, Brunswick Family Assistance, The Salvation Army, Good Shepherd Center, and Pender Housing Department facilitated the Homelessness Prevention/Rapid Re-Housing federal grant. HPRP is designed to assist qualifying citizens and families in New Hanover, Brunswick and Pender counties, when they are nearly homeless or recently homeless. Once interviewed and accepted into the HPRP program, case managers from the community partner agencies work on a comprehensive plan toward preventing the family from becoming homeless OR to quickly assist the family to obtain housing and successfully achieve longlasting self-sufficiency. First Call For Help Hotline provides the initial screening for 1,320 potential HPRP candidates. HPRP Partners successfully assisted over 600 households in maintaining or regaining permanent housing. n Hotline Services maintain participation/ facilitation of community efforts for the New Hanover County Emergency Management, Community Crisis Response Team and IC3 Emergency Management Team, to maintain seamless services for community response to weather events, mass casualties or other disasters, in cooperation with United Way of the Cape Fear Area and the Cape Fear Volunteer Center. n Of First Call for Help Information & Referral Hotline’s total contacts in 2010-2011, 71% of callers were submitting to an initial screening for the Homelessness Prevention/Rapid Re-Housing Program (HPRP); 10% requested cooking and heating wood supplies through the Salvation Army’s Woodlot Program; 2% of callers requested financial assistance; and 1% of callers needed housing/shelter assistance. n Hotline Services implented a Caller Satisfaction Survey to better measure program effectiveness. Callers were asked to rate their level of “feeling distressed” at the beginning and ending of contact (1=”I’m feeling highly distressed!” to 10=”I’m feeling great - no distress!”). From March-June, 2011, of the 862 callers surveyed, data indicated that 39% of participating callers reported a higher number (“I’m feeling better!”) after utilizing Hotline Services. Amy L. Feath Director, Crisis Intervention Services First Call for Help 2010-2011 Information & Referral Hotline Issues Woodlot Program 11% Homelessness Prevention & Rapid Re-Housing Program (HPRP) 72% Financial Concerns 3% Relationship Issues 2% Other Issues 2% Phone Number Assistance 2% Housing Issues 1% Frequent Callers 1% Shelter for Adults 1% Family Issues 1% Depression 1% Substance Abuse Concerns 1% Parent/Child Issues 1% Crisis Hotline 2010-2011 Crisis Line Hotline/Walk-In Issues Parent/Child Issues 3% Substance Abuse Concerns 4% Depression 5% Other Issues 5% Domestic Violence 17% Sexual Assault/Abuse 6% Shelter for Youth 5% Linea De Ayuda 3% Youth Follow-Up 1% Family Issues 5% Phone Number Assistance 6% HPRP 14% Woodlot Program 7% Relationship Issues 9% Frequent Callers 12% 19 Crisis Intervention Services Rape Crisis Center – New Hanover & Brunswick Recognized by the state victim service organizations, such as NC Coalition Against Sexual Assault and NC Victim Assistance Network as a premier victim service provider, Rape Crisis Center of Coastal Horizons Center is frequently consulted by other rape crisis service providers for technical assistance and guidance to replicate the success of its expanding regional services. The Rape Crisis Center provides free and confidential, 24-hour crisis response, followup individual counseling, information and referrals, court/law enforcement advocacy and accompaniment, and support groups for victims of rape, sexual assault and child sexual abuse. Community awareness and primary rape prevention education is promoted through school and community-based programming, and victim response training for professionals. The Rape Crisis Center remains on the forefront of statewide primary prevention initiatives, representing one of only 13 funded programs, and is developing effective strategies to reduce sexual violence in the Cape Fear area. Free and confidential, 24-hour services are made possible through the support of the NC Governor’s Crime Commission, the NC Council for Women/Domestic Violence Commission, the NC Coalition Against Sexual Assault, United Way, Z. Smith Reynolds Foundation, the NC Department of Health and Human Services – Injury and Violence Prevention Branch, the City of Wilmington, New Hanover County, and generous financial and in-kind donors and volunteers from the Brunswick, New Hanover and Pender communities. New Hanover – Program Operations in Fiscal Year 2010-2011: n 401 new sexual violence victims/survivors sought Rape Crisis Center services – an 18% increase from FY 09-10 n 75 family members, friends and/or loved ones of victims received services n 20% of new victims served were under the age of 18 n 13% of new victims served were male n 20 Latina/Hispanic victims through collaborations with Clinica Latina and the addition of a bilingual advocate/counselor nOver 1,700 hours of clinically competent services were provided to community victims/survivors n Rape Crisis Center staff or trained volunteers responded to 83 victims at local hospitals to provide information, advocacy and support. 90% of these victims reported the crime to law enforcement Program Affiliations: n Community Child Protection Team – New Hanover and Pender Counties n Community Crisis Response Team n New Hanover Sexual Assault Response Team n UNCW Relationship Violence and Sexual Assault Response Team n Domestic Violence Advocacy Council n National and NC Association of Social Workers n NC Coalition Against Sexual Assault n NC Victims’ Assistance Network n New Hanover High School Student Support Team n New Hanover County Child Watch n New Hanover Community Sexual Violence Prevention Task Force n Blue Ribbon Commission Violence Prevention Committee n Leading Into New Communities (LINC) Roundtable Fiscal Year 2010-2011 Achievements: n Rape Crisis Center remains the only victims’ services agency in Coastal, Southeastern North Carolina with direct services staff certified as Victim Services Practitioners, through the NC Victim Assistance Network. n The Sexual Assault Response Team, facilitated by the Rape Crisis Center, marked a milestone for victims of sexual violence and those committed professionals who respond to sexual violence in our community. After nearly 11 years in development, response protocols were signed by community leaders at a special event on April 15th. This event, in collaboration with Child Watch, hosted leaders, including District Attorney Ben David, Wilmington Police Chief Ralph Evangelous, a representative for NHC Sheriff Ed McMahon, Mr. Warren Lee, Director of Emergency Management and 911 Communications, Mr. LaVaughn Nesmith, Director of the Department of Social Services and Chiefs and Directors of other community agencies. n Rape Crisis Center provided 12 training sessions for professionals in victim response, reaching 185 future members of law enforcement and current social services/mental health providers. nOver 1,500 youth and adults received sexual violence awareness programming in cooperation with: New Hanover High School, Noble Middle School, the WIRE Community Center, the Salvation Army, Good Shepherd Center, New Visions Women’s Program. An estimated 1,200 additional community members received information about our services at area health fairs. Crisis Intervention Services 2010-2011 County Breakdown – 5,042 Total CIS Clients Other/Unknown Counties/States 10% Pender 8% New Hanover 74% Brunswick 7% 20 Rape Crisis Center (continued) “My counselor is very attentive to my needs and experiences. She really listens and offers realistic solutions.’ n Rape Crisis Center continues to depend on dedicated community volunteers to provide 24/7/365 hospital response. In 2010-2011, program volunteers provided over 4,600 hours of on-call coverage. n Rape Crisis Center actively reaches out to underserved populations - populations at increased risk of sexual violence - who are often not able to access services, due to their circumstances. These victim outreach efforts include: programming for clients of New Hanover County Juvenile Detention Center, Salvation Army Homeless Shelter, and NHRMC Behavioral Health Center. In addition, RCC advocates provided information and support to 78 patients at the Wilmington Treatment Center. n In collaboration with the Carousel Center and with funding from the United Way, 3 (6-session) Support Group series were offered to Nonoffending parents of children who have been sexually abused. 25 parents participated and services were also provided to 23 children. n The first ever Arts for Awareness raised $1,200 and community members filled the seats in the Upper Room of St. Mary’s Church. The event was full of a variety of talent coming from local church groups, school dance teams, UNCW and artistic community members. All who have been affected by sexual violence and/or abuse were honored through dance, music, song and narratives. n RCC participated in two productions of the “Vagina Monologues” this year. One was sponsored by the UNCW Women’s Studies and Resource Center, its 10th performance, celebrating V-DAY 2011 in February, with proceeds benefiting the Rape Crisis Center and The Carousel Center. The other was a Community Production at the historic Hannah Block USO Building. The Rape Crisis Center received over $5,000 from these annual fundraisers. n 9th annual Port City Rock Against Rape Music Festival was held at Capt’n Bills Backyard Grill. Even with severe weather warnings, RCC managed to raise $4,800! Thank you to all that courageously attended and supported RCC even with the threat of bad weather! Special thanks to our musical performers and our collaborating partners: Jermaine Bozier, Director of UNCW Catering Operations; Ellie Craig, Marketing Manger of Front St. Brewery; Sandy and Joy of N. Kerr Spaloo; Staff of Port City Sports Performance; and the staff of Capt’n Bills Backyard Grill. n Other Sexual Assault Awareness Month activities in April included: Proclamations by both the New Hanover County Commissioners and the Wilmington City Council; Teal Tuesdays at UNCW, featuring teal hair extensions and information about sexual violence; “Generation M” Viewing and Reception at UNCW, cosponsored by CARE and the Women’s Studies & Resource Center; and the 4rd Annual Teal Ribbon Mailing. Special thanks also goes to the Cape Fear Rollergirls for their continued support and generous donations to the Rape Crisis Center. Rape Prevention 2010-2011 Achievements: n The Rape Prevention Education Program is excited to announce that the first semester of their partnership with University of North Carolina Wilmington’s CARE Office and New Hanover County Schools in implementing a new peer education program using Safe Dates, a healthy relationship curriculum, was very successful. Over 170 New Hanover County 8th graders benefited from the nine week, UNCW mentor facilitated program. n The previous Rape Prevention Education Program Coordinator, Lauran Arledge, M.Ed., Prevention Educator/Advocate, Lindsay Husch, n n n n and the Domestic Shelter and Services’ Violence Prevention Specialist, Rick Houston, are excited to present the curriculum “Our Voice: Redefining Masculinity and Power,” a young men’s mentoring program. This program pairs an adult male leader with young men, ages 14-18 and provides a safe way to discuss issues surrounding health and masculinity. Through continued collaboration with Pender County Schools, the Rape Prevention Education arm of Rape Crisis Center continued facilitation of Safe Dates with (Rape Crisis Center developed) Enhancements to all Pender County High Schools, to fulfill a portion of the Healthy Schools/Safe Students Federal Grant initiative. This initiative, a 9-session curriculum, focuses on students improving healthy relationships, conflict resolution skills, and recognizing and challenging the effects of gender stereotyping. It is proven to reduce the risk of sexual violence victimization and perpetration. The resounding success of this effort led to a renewed contract with Pender County Schools for the 2011-2012 school year. The former RPE Coordinator, Lauran Arledge, M.Ed., along with the Community Sexual Assault Prevention Task Force, initiated development of a comprehensive plan to prevent sexual violence in the Cape Fear region. The task force recently unveiled its new mission statement: “The New Hanover County Community Sexual Violence Prevention Task Force gathers individuals from diverse local populations to increase knowledge and reframe social norms around sexual assault prevention through education, media advocacy, and community partnership and outreach.” Prior to her relocation to Colorado, Lauran Arledge, M.Ed. participated in the North Carolina Sexual Violence Prevention Team. This committee maintains responsibility for the strategic primary rape prevention plan for the entire state of North Carolina, to ensure a cohesive plan to eradicate sexual violence across the state. If you were in downtown Wilmington on the morning of Saturday, November 7, 2010, you 21 might have been surprised to see men walking down the street in high heels! “Walk a Mile In Her Shoes – Men’s March Against Rape and Gender Violence.” organized by Lauran Arledge and a dedicated planning committee, brought out over 200 men, women and children, including UNCW students, New Hanover County Sheriff Ed McMahon, District Attorney Ben David, Mayor Bill Saffo, Councilman Kevin O’Grady, Coastal Horizons Center employees, and other community members who walked one mile in women’s high-heeled shoes (or wore them around their neck) to protest rape, sexual assault & gender violence. This annual awareness/fundraiser continues to successfully show the community that men are involved in the movement, with over $5,000 in proceeds raised to support Rape Crisis Center’s Prevention Education Program. n The ever-expanding Rape Prevention Education Program learned it was selected by Z. Smith Reynolds Foundation to be the recipient of a one year $30,000 grant to expand Safe Dates prevention programming in Pender and Brunswick counties. Rape Crisis Center – Brunswick Rape Crisis Center – Brunswick provides 24-hour victim response services for Brunswick County rape victims/survivors and continues to expand program services. Rape Crisis Center – Brunswick offers free and confidential rape crisis services for victims of sexual violence, of any age, as well as their families, friends and loved ones, who struggle to provide victims with support and care. Rape Crisis CenterBrunswick began providing services in 2007 and since that time has seen growth in services and also in community support. Rape Crisis Center – Brunswick partners with Hope Harbor Home, Inc. and the Office of the NC 13th Prosecutorial District Attorney to facilitate services in Bolivia and Supply. As the Rape Crisis Center – Brunswick continues to expand services and to build community partnerships, Brunswick County victims now have rape crisis services accessible across Brunswick County, including services and programs in Supply, Bolivia, Oak Island, and Shallotte. BRUNSWICK - Program Operations In Fiscal Year 2010-2011: n 78 new sexual violence victims/survivors sought Rape Crisis Center-Brunswick services. n 28 family members, friends and/or significant others of victims sought services. n An average of 7 continuing victims/survivors utilized Rape Crisis services per month. n 31% of new victims served were under the age of 18. n 21 hospital crisis interventions were provided with 80% of victims filing a preliminary law enforcement report of the assault. Program Affiliations: n Brunswick County Resource Coalition n Brunswick County Sexual Assault Response Team n Brunswick County Domestic Violence Response Team n Brunswick County Community Child Protection Team n Cape Fear Human Trafficking Rapid Response Team n North Carolina Coalition Against Sexual Assault n North Carolina Victim’s Assistant Network Fiscal Year 2010-2011 Achievements: n Rape Crisis Center - Brunswick presented 17 community rape awareness programs to 463 Brunswick County residents and professionals. n Rape Crisis Center – Brunswick has established partnerships with community agencies to provide regular awareness presentations about sexual violence in our community. These presentations include: The Brunswick County Sheriff’s Office Citizen’s Academy, Head Start of Brunswick County and Brunswick Community College. n In honor of April’s Sexual Assault Awareness month, the Rape Crisis Center – Brunswick held its second annual “Jeans for Justice” awareness campaign and fundraiser. Community partners embraced this fundraiser with agencies such as Dosher Memorial Hospital, the 13th Judicial District Attorney’s Office and Brunswick County DSS participating. This marked the second successful fundraising effort for the Brunswick program and $815 was raised. n Rape Crisis Center-Brunswick received funding for the 2nd straight year from Brunswick County, demonstrating the community’s support of the services that are provided to victims of sexual violence in Brunswick County. n Rape Crisis Center-Brunswick continues to depend on dedicated community volunteers to provide 24/7/365 hospital response. In 2010-2011, the program expanded from 1 to 6 community volunteers who provided 2,029 hours of service. n A Rape Crisis Center-Brunswick staff member attended the National Victims Assistance Academy Professional Skill Building Institute via scholarship, which focused on assisting victims of Elder Abuse and Child Trauma, in Albuquerque, New Mexico. “My counselor has helped me tremendously. She has opened my heart and eyes to a lot of things that I didn’t know how to.” Rape Crisis Center 2010-2011 Client Age Breakdown 41-60 Years 15% 61+ Years 1% Unknown 6% 26-40 Years 26% 18-25 Years 24% 0-17 Years 28% 22 Crisis Intervention Services Open House Emergency Youth Shelter Open House Emergency Youth Shelter provides 24-hour access Program Operations In Fiscal Year 2010-2011: to temporary, emergency shelter for runaway, n Open House provided 1,831 days of shelter homeless, street, displaced, abused and neglected youth ages 6 to 18. Open House receives referrals from Departments of Social Services, law enforcement, Juvenile Justice, school officials, other service, for 93 unduplicated youth, aged 8-18; n 56% of youth served were female; 44% were with 33% of youth utilizing Open House Shelter self- and parent/legal guardian referrals. Open for 10 days or longer. years, through the North Carolina Division of Social Services for Emergency Foster Care placements for periods of up to 90 days. Funding support through City of Wilmington, New Hanover County, U.S. Department of Health and Human Services – Family and Youth Service Bureau, Federal Emergency Management Assistance, foster care, and Child/ Adolescent Crisis Respite reimbursements all support all shelter services. n Open House Shelter’s Clinical Supervisor, a Licensed Marriage and Family Therapist, provided 119 individual therapy sessions and 81 family therapy sessions, thus affording shelter youth and their families with nearly 150 hours male. n Average length of shelter stay was 12.6 days, youth serving professionals, as well as through House’s nine-bed, co-ed facility is licensed, every two Fiscal Year 2010-2011 Achievements: of free and confidential clinical services in a 12 month period. n Open House successfully received licensure for n 86% of youth were reunified with parents or long-term residential placements through the NC Division of Social Services. Open House can family members at discharge. n 99% of youth remained in their inital discharge placements at 30 days post-discharge. now provide a full spectrum of services from emergency shelter and foster care to long-term residential services for Cape Fear youth and Program Affiliations: Open House Residential Team maintains active memberships and participation on: n New Hanover County Community Child Protection Team n North Carolina Child Fatality Review Team n New Hanover County Child Abuse Prevention Coalition families. n A Bi-monthly Teen Empowerment and Education Group are facilitated by in-house Rape Crisis Center staff. n Substance Abuse Prevention Group and substance abuse assessment and treatment plans are facilitated through Coastal Horizons’ Adolescent Substance Abuse and Prevention n National Runaway Switchboard n FEMA Emergency Food and Shelter Local Board n Tri-County Homeless Interagency Council n WIRE Center for youth services. n New Hanover County Gang Task force partnered with Open House to educate the staff about how to identify and refer youth to their services n Youth Action Coalition for prevention and intervention. n In order to make the stay at Open House Emergency Youth Shelter a bit more like home, Open House Emergency Youth Shelter 2010-2011 Youth Age Breakdown Age13 13% Open House Emergency Youth Shelter 2010-2011 Referral Sources Age12 11% DSS 31% are complete with night light, private book nook Other Youth Services Agency 10% Age11 2% Age 15 23% Age18 4% Age 17 14% Age 16 15% Self Referral 11% Other Coastal Program 1% Other Organization 10% from Corning hand crafted nine shelving units for each of the nine beds. The shelves/cubbies Parent/Relative/ Legal Guardian 13% Age 9 2% obtain various donations from community members. This year a special team of women Other Street Outreach or Shelter 4% Other Adult/Youth 2% Age 14 16% residential staff works tirelessly to identify and Juvenile Justice/ Law Enforcement 8% School 10% and area to post notes and hang art. 23 n Residential staff also place high value on cultural n Over a 12-month period, Open House and special recreational activities for the youth Emergency Youth Shelter provided over 677 to experience, the residential team reaches out hours of health and wellness activities thanks to the community to acquire access to these in-part to the Wilmington YMCA who has special events. Again, the Cape Fear community drastically reduced the price of an annual lent a helping hand by donating passes to Mayfaire Cinemas, Ten Pin Alley, and Jelly Beans membership for the 2nd year in a row. n Open House Emergency Youth Shelter has to help the days pass with a bit more adventure. been developing ongoing collaborations Johnnie Mercer’s Fishing Pier provided an annual with community agencies to increase the fishing pass for the 4th YEAR!! Lanier Parking youth’s exposure to the arts and humanities. generously provided a seasonal beach access Throughout the school year; DREAMS of parking pass! Wilmington joined the youth at the shelter n In the stressed economy this past fiscal year, Open House Emergency Youth Shelter looked for every way to stretch their food budget to weekly to teach everything from sculpture, weaving cloth and painting. n Cameron Art Museum graciously included the limit to make sure growing teenagers have the Open House Emergency Youth Shelter in sufficient nutritious food available. The Open monthly visits allowing shelter youth to work House Shelter residential team would like to along side of Master artist Hiroshi Sueyoshi in thank the Coastal Horizons Center Board of the clay studio, complete with an outdoor kiln Trustees for donating yummy home-made meals and goodies for the youth. n The Open House Emergency Youth Shelter and fully-equipped, on-site studio. n The more positive role models the better… Open House Emergency Youth Shelter increased is committed to educating the youth on fun its “people power”, (from 0 to 7 volunteers, and easy ways to avoid obesity. Thanks in-part allowing one additional adult per day) providing to the Landfall Foundation we will be able to more supervision, support, and interactions for continue facilitating the 2nd year of our health and wellness program, “Apple-A-Day” which the youth. n In April of 2011, Open House Youth Shelter exposes and educates the youth to a variety of received the great honor of being awarded healthy activities, such as: yoga on the beach, the UNCW-Watson School of Education weight lifting, laser tag, tai-chi in the park, “Youth Razor Walker Award” in recognition of swimming, ice-skating, karate and basketball. distinguished service to the youth and children of North Carolina. “Open House has given me a home...there are people who care about you, regardless your background. Everyone is warn and loving. I’m so grateful to be here. Open House has given me a new attitude, heart, mind and life. I love this place with all my heart.” 24 Contributors Funders/Grantors Brunswick County Brunswick County Criminal Justice Partnership Program (CJPP) Brunswick County Juvenile Crime Prevention Council (JCPC) Brunswick County Drug, DWI & Mental Health Treatment Courts Brunswick Community Foundation Cape Fear Memorial Foundation City of Wilmington Communities in Schools of Cape Fear CVS Caremark Dolphin After-School Enrichment Program Enforcing Underage Drinking Laws (EUDL) FEMA - Emergency Food & Shelter Program Good Shepherd Ministries iContact Kate B. Reynolds Charitable Trust Katherine Kennedy Home Landfall Foundation SAMHSA National Institute on Drug Abuse – Clinical Trials Network (NIDA-CTN) - via Duke University New Hanover County New Hanover County Department of Social Services New Hanover County Drug & DWI Treatment Courts NC Coalition Against Sexual Assault NC Council for Women/Domestic Violence Commission NC Department of Public Health NC Department of Health & Human Services - Injury & Violence Prevention NC Department of Health & Human Services – SPF-SIG & Center for Prevention Resources NC Department of Health & Human Services - SAPTBG / Block Grant NC Department of Health & Human Services – Juvenile Detention Center NC Governor’s Crime Commission New Hanover County Sheriff’s Office – Gang Task Force Pender County Schools - Safe Schools/Healthy Students Office of Juvenile Justice & Delinquency Prevention (OJJDP) Pender County Juvenile Crime Prevention Council (JCPC) SAMHSA Center for Substance Abuse Prevention (CSAP) Drug Free Communities Southeastern Center for MH/DD/ SAS East Carolina Behavioral Health United Way of the Cape Fear Area US Department of Health & Human Services Administration for Children & Families-Family & Youth Services Bureau US Department of Housing & Urban Development (HUD) Wells Fargo / Wachovia Foundation Z. Smith Reynolds Foundation Business A Boxed Event ABRA Auto Body & Glass Alpha Phi Alpha Alpha Tau Omega America’s Mattress Antioch Holy Church A Tent Event Azalea Limousine Barfield & Associates Realty Blivet Blockade Runner & Resort Bruester’s Real Ice Cream Brunswick Electric Brunswick Memorial Hospital ED Cape Fear Roller Girls Capt’n Bills Backyard Grill Carousel Center for Abused Children Catlin Engineers & Scientists Channel Methods The Charleston Group Chik-Fil-A-Mayfaire Chow Bella Cooks, LLC The City Club at de Rosset Codington Elementary School The Community Arts Center Community Boys & Girls Club Comprehensive Medical Associates, PLLC Corning Davis Funeral Home-Jordan Chapel DDT Outlet Dosher Memorial Hospital Drug Safety Alliance, Inc. East Carolina Bank El Cerro Grande Elijah’s Encore Magazine Enterprise Holdings Foundation Enterprise Rent-A-Car The Fairy Circle Farmers Supply Finkelstein’s Music First Citizens Bank Fisher & Company, CPAs Front Street Brewery The George on the Riverwalk Game Giant Garris & Gregory Greeks United Hanover Men’s Cuts Hanover Rehabilitation Hardwire Tattoo Hedrick Gardner Hendrick Honda Hibachi Bistro Hilton Garden Inn Illia designs Image Promotions Indochine Inner Solutions The Ivy Cottage JackJack180 Jamaica’s Comfort Zone Jellybeans Family Skating Center Johnny Mercer’s Fishing Pier Katy’s Grill and Bar Ken Weeden and Associates Landon & Company Hair Studio Landscapes Unique Laney High School Lanier Parking Lia Limited Editions, Inc. Light House Company Little Cesar’s Pizza-University Machine Gun Mama Lou’s, Inc. Rachel Mann Massage Therapy Margot in the Nightbox Maxim Healthcare MCO Transport McKay Healing Arts McKim & Creed Modern Music Moe’s Southwest Grill Moxie Floral Design Studio Murchison Taylor Naturally Captured Studio, LLC NC Collision Solutions, Inc. Neuromuscular & Postoperative Pain Relief Therapies The New Dinosaurs New Hanover County Health Department-Clinic Team New Hanover County Sheriff’s Office New Hanover Printing New Hanover Regional Medical Center North Kerr SPALON Ocean City Chevrolet Old Brunswick Store OUTImpact.com Paint & Play Palm Garden Panic Attack-Haunted House Panoramic Phrase PAWN USA, Inc. The Penguin Perry’s Emporium Pine Valley Market Pine Valley Methodist Church Plast-O-Matic Valves, Inc. Port City Java Port City Sports Performance PORT Human Services PPD. Inc. 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