Legislative Issues
WAMHSAC Supports:
• Maintaining existing funding to support access to critical
mental health and substance abuse services for all
individuals, including those in rural areas where services
might not otherwise be available.
• Implementation of behavioral health homes – integrating
and treating both primary and behavioral health care
needs
• Changes in the Title 25 statutes to include designating
Community Mental Health Centers as “gatekeepers” in
the process, to increase use of convalescent leave, to
add a component for involuntary outpatient commitment
and to add crisis stabilization facilities in the Central and
Northeast regions.
• All Wyoming residents having access to quality behavioral
healthcare regardless of their ability to pay.
Vi s i t o u r we b s i t e a t
www.WyomingWellness.com
2015
WYOMING ASSOCIATION
WAMHSAC
OF MENTAL HEALTH &
SUBSTANCE ABUSE CENTERS
Legislative Report
WAMHSAC Map
Illnesses We Treat
Other Nonpsychotic
Disorders/Conditions
8.99%
Other
0.02%
Organic Mental
Disorders
0.66%
Substance Abuse
Related Disorders
11.39%
Schizophrenia and
Other Psychotic
Disorders
3.38%
Affective Disorders
28.81%
Alcohol Related
Disorders
17.87%
Adjustment Disorders
9.77%
Personality Disorders
0.09%
Anxiety, Dissociative,
& Somatoform
Disorders
9.20%
Childhood Related
Disorders
9.81%
Notes
Table of Contents
Letter from our President . . . . . . . . . . . . . . . . . . . . . . . . .
1
About WAMHSAC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
WAMHSAC Outpatient Services . . . . . . . . . . . . . . . . . . . .
3
Statewide Outpatient Hours . . . . . . . . . . . . . . . . . . . . . . .
4
Mental Health Residential . . . . . . . . . . . . . . . . . . . . . . . . .
5
Substance Abuse Residential . . . . . . . . . . . . . . . . . . . . . .
6
Emergency Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
Cost of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
Outcomes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
What Our Clients Say . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
WAMHSAC Regional Map . . . . . . . . . . . . . . . . . . . . . . . .
11
Member Centers - Northwest and Northeast Regions . . .
12
Member Centers - West and Southeast Regions . . . . . . .
13
Member Centers - Central Region . . . . . . . . . . . . . . . . . .
14
Illnesses We Treat . . . . . . . . . . . . . . . . . . Inside Back Cover
Legislative Issues . . . . . . . . . . . . . . . . . . . . . . . Back Cover
15
Letter from our President
Dear Friends,
WAMHSAC Member Centers
Mercer Family Resource Center, Inc.
County Served – Natrona
This last year has been full of challenges in the field of healthcare and even more
so for behavioral healthcare. Wyoming is just beginning to navigate through the
implementation of health care reform and what that means for Wyoming residents.
One in four individuals is dealing with some sort of mental illness. As the population
ages, the numbers move closer to one out of two. One half of adults and one third
of the children in need will not seek services due to affordability and stigma. These
are your friends, neighbors, loved-ones and employees. Without available services,
individuals are delegated to hospitals and jails and are at risk for early death.
The Wyoming Association of Mental Health and Substance Abuse Centers (WAMHSAC) have been working together for over 40 years to serve the mental health
and substance use needs for Wyoming citizens providing access affordability,
prevention and education. WAMHSAC agencies are passionate and committed to working together with
stakeholders to provide a continuum of care, including a safety net of crisis services
around the state. Services are individualized, affordable, accredited, and include
outpatient, residential and support services. We provide this care in a compassionate and professional manner that helps our clients to live healthy, productive lives.
Deidre Ashley, LCSW
President, WAMHSAC Directors Association
1
Director: Cori Cosner-Burton, MSW, LCSW
535 W. Yellowstone
Casper, WY 82601
Phone: 265-7366
Board of Directors
Steve Hendricks, President
Bob Turner, Vice President
Lane Sorensen, Treasurer
Natalie Betcher, Secretary
Dr. Mike Harris
Dina Kamboris-Betts
Jadee Kroeger
Carissa Marak
Sheri Postel
Larame Pope
Jeremiah Volk
Volunteers of America
County Served - Fremont
President: Jeff Holsinger
223 West Adams
Riverton, WY 82501
Phone 307-856-5632
Board of Directors
Galen Chase, Chairman
Robert Miller, Vice Chair
Charles Whiton, Treasurer
Barb Skelton, Secretary
Jeffrey Holsinger, Pres./CEO
Helen Warpness
Ron Blumenshine
Jennifer Heermann
Bridgette Gill
Mark Gordon
Robert Leibrich
James Nelson
Del Acker
Ric Paul
Mary Underriner
CENTRAL REGION
Fremont Counseling Service
County Served – Fremont
Director: Jerry McAdams, MS , LPC, NCC
748 Main Street
Lander, WY 82520
Phone: 332-2231
Board of Directors
Jere Hudak, President
Kay Kellner, Vice President
Diane Lehto, Treasurer
Jan Hubenka , Secretary
Barbara Green
Beverly Andrews
Charles Krebs
Central Wyoming Counseling Center
County Served – Natrona
CEO: David Monhollen, M.S.W., A.C.S.W.
1430 Wilkins Circle
Casper, WY 82601
Phone: 237-9583
Board of Directors
Louis Roussalis, MD, President
Ed Opella, Vice President
Dennis Howard, Treasurer
Carol Chapman, Secretary
Larry Bean
Samantha Benton
Brian Scott Gamroth
Michael E. Huber
John Patterson
John Roussalis, MD
Mary Lynne Shickich
Jamie Woolsey
14
Solutions For Life
Counties Served – Converse & Niobrara
Director: Peggy Hayes, LMFT
1841 Madora Ave.
Douglas, WY 82633
Phone: 358-2846 or 358-2868
Board of Directors
Cathy Feezer-Jones, President
Kerry Steward , Vice President
Ron Sullivan, Secretary/Treasurer
Alice Kirn
Stephanie McCawley
WAMHSAC Member Centers
WEST REGION
Curran-Seeley Foundation
County Served – Teton
Director: Ed Wigg, MBA, LAT
PO Box 11390
Jackson, WY 83002
Phone: 733-3908
Board of Directors
Ed Renken, President
Callie Peet, Vice President
Dan Land, Secretary/Treasurer
Penny Mohan
Ron Reaves
Sharon Walls
Southwest Counseling Service
County Served – Sweetwater
Director: Linda Acker, MA, LPC
1124 College Drive
Rock Springs, WY 82901
Phone: 352-6680
Board of Directors
Debbie DeBarnardi, Chair
Tim Robinson, Vice Chair
Bridget Giovale, Treasurer
Richard Craver, Secretary
Pam Ostdahl
Connie Hollin
Danielle Moore
Reid West, Ex-Officio Member
High Country Behavioral Health
Counties Served – Lincoln, Sublette & Uinta
Director: Kipp Dana, L.P.C., L.A.T.
389 Adams Street / PO Box 376
Afton, WY 83110
Phone: 885-9883
Board of Directors
Robert Stahl, VP & Acting President
Susan Fiscus, Secretary/Treasurer
Bill Hoopes
Yvonne DeGraw
Tiffany Hogue
Carol Hamilton
Shirley Deason
Jackson Hole Community Counseling
Center
County Served – Teton
Director: Deidre Ashley
PO Box 1868
Jackson, WY 83001
Phone: 733-2046
Board of Directors
James Lewis, Ex-Officio
Jacques Dubois, President
Karen Connelly, Secretary
Anne Schuler, Treasurer
Mary Kay Werner
Laura Harrison
Rebecca Minion
Becket Hinckley
Jim Little Jr.
Laurent Roux
SOUTHEAST REGION
Carbon County Counseling
County Served – Carbon
Director: Patrick Gonzales, M.B.A.
721West Maple Street
Rawlins, WY 82301
Phone: 324-7156
Board of Directors
Tim Hofmann, President
Cindy Bauman, Vice President
Rose Haldorson, Secretary
Shannon Seely
Fletcher Turcato
Peak Wellness Center
Counties Served –
Albany, Goshen, Laramie & Platte
Director: David H. Birney, Ph.D.
510 W. 29th Street
Cheyenne, WY 82001
Phone: 632-9362
Board of Directors
James Murphy, President Endra Moen
Jerry Smith, VP
Lynette Saucedo
Jennifer Anderson, Secretary Lynda Lenz
Roger Rapp, Treasurer
Tammy Martin
Beth Young, Past Pres.
Robert Fecht
Mark Holder
Jan Cartwright
Mitchell Cushman
Jana H. Ginter
Patty Romero
Mike Helenbolt
13
About WAMHSAC
WAMHSAC is an association of 19 private non-profit community mental health and
substance abuse agencies from around Wyoming that provide services through
contracts with the Wyoming Department of Health. WAMHSAC centers offer care
on a sliding fee scale based on each client’s ability to pay.
During FY2014, WAMHSAC centers served over 25,000 clients from all
circumstances, age groups and economic levels. Upon admission, each was
suffering from a clinically diagnosed mental illness, substance use disorder or both. WAMHSAC Centers work closely with other agencies and are available around the
clock to support the emergency needs of our communities including law enforcement,
jails, hospitals, child protection, adult protection, and early childhood centers. WAMHSAC Centers are accountable to our clients, our communities, our
accrediting bodies and to the State of Wyoming.
• Nationally accredited to ensure high quality services.
• Have an annual certified public accountant’s audit, thereby ensuring good
stewardship of state funds.
• Governed by local Boards of Directors which ensure that centers are responsive
to local needs and operate in a businesslike manner.
• The clinical staff are all State licensed or certified.
• Operate in accordance with the State of Wyoming Rules and Regulations
for Mental Health and Substance Abuse Standards, and are certified under
these Rules through on-site compliance audits. WAMHSAC centers are also
regularly audited by third party payers including Medicaid, Medicare and private
insurance.
• Earn funding by meeting extensive contractual requirements including
productivity and the regular reporting of service and outcome data.
2
WAMHSAC Outpatient Services
Outpatient
Service Hours
FY2014
Total 616,722
Substance Abuse
206,436 - 33%
Mental Health
410,286 - 67%
Outpatient
Clients Served
FY2014
Total 24,301
Substance Abuse
6,985 - 29%
Mental Health
17,316 - 71%
3
WAMHSAC Member Centers
NORTHWEST REGION
Big Horn Basin Counseling Services
County Served - Big Horn
Director: Darwin Irvine, LAT/LPC
1114 Lane 12
Lovell, WY 82431
(307)548-6543
Board of Directors
Mike Laird, Chair
Lynette Murray, Vice Chair
Susan Wiley, Secretary/Treasurer
Brian Dickson
Ken Blackburn
Connie Werbelow
Steve Sutherland
Cloud Peak Counseling Center
County Served – Washakie
Director: Mark Russler, LCSW
206 South 7th Street
Worland, WY 82401
Phone: 347-6165
Board of Directors
Kathryn Koch, President
Paul Keller, Vice President
David Nicholas, Secretary
Nancy Federick
Margie Molitor
Rev. Scott Longwell
Chris King
Dennis Colbrese
Reba Neumann - Ex Officio
Cedar Mountain Center
County Served – Park
Director: Ivan Kuderling, LAT
707 Sheridan Ave.
Cody, WY 82414
Phone: 578-2421 or 1-800-775-6016
Board of Directors
Melissa Fraser
Graham Jackson
Linda Seaton
Alan Swenson
Jeff Parsons
Peggy Rohrbach
Chris Edwards
Adair Bowley
Kirk Bollinger, M.D.
Yellowstone Behavioral Health Center
County Served – Park
Director: Mark Russler, L.C.S.W., Exec. Dir.
2538 Big Horn Ave.
Cody, WY 82414
Phone: 587-2197
Board of Directors
Jan Eldredge, President
Chief Roy Eckerdt, Vice President
David Fike, Treasurer/Secretary
Colin Simpson
Janie Denning
Dr. Kyle Beau de Lomenie
Chuck Hewitt
Paul Keller
Kevin Mitchell
Hot Springs County Counseling
County Served – Hot Springs
Director: Allan Braaten, M.A.
121 South 4th Street
Thermopolis, WY 82443
Phone: 864-3138
Board of Directors
Ranae Baldes, President
Sharon Skiver, Secretary/Treasurer
Bobbi Overfield
Rev. Charles Cooper
Alan Rossler
Melene Mierzejewski
NORTHEAST REGION
Northern Wyoming Mental Health Center
Counties Served – Crook, Johnson,
Sheridan & Weston
Director: Lynne Whittington, MA, LPC
909 Long Drive, Suite C
Sheridan, WY 82801
Phone: 672-8958
Board of Directors
Bob Hartley, Chair
Mark Demple, Vice Chair
Nikki Ellis, Treasurer
George Schafer, Secretary
Rex Arney
Beth Reilly
Les Engelter
Ann McColley
Gypsy Petz
Lynn Moller
Behavioral Health Services at
Campbell County Memorial Hospital
County Served – Campbell
Interim Director: Mike Purcell, MS, LPC
501 S. Burma Ave.
Gillette, WY 82717
Phone: 688-5000
Board of Trustees
Dr. Sara Hartsaw
Dr. Alan Mitchell
Harvey Jackson
Mike Dugan
Randy Hite
George Dunlap
Allen Todd
12
Volunteers of America
Counties Served – All
President: Jeff Holsinger
1876 S Sheridan Ave.
Sheridan, WY 82801
Phone: 672-0475
Board of Directors
Galen Chase, Chairman
Robert Miller, Vice Chair
Charles Whiton, Treasurer
Barb Skelton, Secretary
Jeffrey Holsinger, Pres./CEO
Helen Warpness
Ron Blumenshine
Jennifer Heermann
Bridgette Gill
Mark Gordon
Robert Leibrich
James Nelson
Del Acker
Ric Paul
Mary Underriner
WAMHSAC Map
Statewide Outpatient Hours
Northwest
Big Horn Basin Counseling Services
Cedar Mountain Center
Cloud Peak Counseling Services
Hot Springs County Counseling
Yellowstone Behavioral Health Center
Total
Northeast
Northern Wyoming Mental Health Ctr
Behavioral Health Services-Campbell Cty
Total
West
Curran-Seeley Foundation
High Country Behavioral Health
Jackson Hole Community Counseling
Southwest Counseling Service
Total
Central
Central Wyoming Counseling Center
Fremont Counseling Service
Mercer Family Resource Center
Solutions for Life
Total
Southeast
Carbon County Counseling Center
Peak Wellness Center
Total
TOTAL
11
4
MH
SA
Total
5,887
N/A
11,190
3,875
28,557
49,509
3,170
6,567
10,109
1,755
N/A
21,601
9,057
6,567
21,299
5,630
28,557
71,110
47,830
32,551
80,381
28,900
8,055
36,955
76,730
40,606
117,336
N/A
22,013
17,800
51,877
91,690
19,453
5,505
N/A
43,563
68,521
19,453
27,518
17,800
95,440
160,211
43,943
14,514
203
8,376
67,036
27,967
7,400
1,369
3,079
39,815
71,910
21,914
1,572
11,455
106,851
8,540
113,130
121,670
3,819
35,725
39,544
12,359
148,855
161,214
410,286
206,436
616,722
What Our Clients Say
Mental Health Residential
Northwest
Cloud Peak Counseling Services
Yellowstone Behavioral Health Center
Total
Northeast
Northern Wyoming Mental Health Ctr
Behavioral Health Services-Campbell Cty
Total
West
Southwest Counseling Service
Total
Central
Central Wyoming Counseling Center
Fremont Counseling Service
Solutions for Life
Total
Southeast
Carbon County Counseling Center
Peak Wellness Center
Total
TOTAL
# MH
Clients
# Total
Days
65
29
94
4,603
1,799
6,402
13
6
19
3,395
2,190
6,185
122
122
17,415
17,415
8
23
18
49
2,801
6,829
993
10,623
4
172
196
1,163
24,009
25,172
460
65,197
“The services provided were very comprehensive, and have been very thorough and
helpful. Thank you to everyone for everything. You helped me on my journey in life.”
“The mental health staff has always been there for me and my family; they are professional,
non-judgmental, warm & comforting.”
“This is an excellent program for anyone to get started on the right road to early recovery,
and I couldn’t have asked for a more attentive counselor.”
“Not only do they show great care and concern for every person that comes in, they truly
want a better life for you.”
“I think that the Family Reflections in IOP has a lot to offer; there are things that get my
attention because I can relate.”
“Love the staff and counselors! I enjoy every time I come in, look forward to my
appointments and always leave in a better mood! They do great working around my
schedule.”
“All of your staff made me feel welcome, especially since I didn’t want to go in the first place.”
“I feel I can lead a clean and sober life because of the help I have received here.”
“My therapist has been so awesome, helpful and a huge part of the reason that I had
confidence to find a job. They are so empathetic, helpful, and friendly; and they genuinely
care. I don’t know what I would have done without their help!”
“Thanks for not judging me by my past. You listened to me.”
In FY2013, many additional clients were provided community
based housing in independent apartments that were
supported by WAMHSAC Centers.
5
“I learned a great deal about alcoholism, the effect it has on me, and coping skills.”
“I am a happier person and have a better outlook on life.”
“I am highly impressed with the level of care and concern of many staff members. All of
these folks are well educated and I have been more than happy with all of them. I would
rate them a 10 out of 10.”
10
Outcomes
Substance Abuse Residential
#
Total
Clients Days
2014 Mental Health Consumer Survey Results
The Wyoming Department of Health provides a data dashboard of outcomes to
WAMHSAC centers. Below are excerpts from the dashboard for FY2014:
Clients Upon Discharge
Mental Health Substance Abuse
NOT Homeless
Employed
Students in School
Showed Improvement (GAF)
99%
66%
94%
82%
98%
65%
90%
82%
The full survey is available through the Wyoming Department of Health.
Men’s
Cedar Mountain
Central WY Counseling
Peak Wellness Center
Southwest Counseling
Volunteers of America
Total
Women’s
Cedar Mountain
Central WY Counseling
(Plus their children)
Peak Wellness Center
(Plus their children)
Southwest Counseling Service
(Plus their children)
Volunteers of America
Total
Dual Diagnosis
Peak Wellness Center
Total
Youth
Central WY Counseling
Total
Totals
9
89
308
85
94
140
716
2,131
17,085
8,398
10,070
10,200
47,884
47
202
13
22
19
103
34
90
530
1,511
9,823
326
3,049
1,585
10,459
3,676
7,513
37,942
19
19
2,814
2,814
46
46
2,420
2,420
1,311 91,060
6
Emergency Services
Emergency
Contacts
Hospital/Jail
Diversions
116
84
28
131
359
2
73
18
113
206
188
560
748
84
448
532
216
105
483
804
186
98
355
639
680
568
220
1,468
*
458
177
635
117
728
845
35
718
753
4,224
2,765
Northwest
Big Horn Basin Counseling Services
Cloud Peak Counseling Services
Hot Springs County Counseling
Yellowstone Behavioral Health Center
Total
Northeast
Northern Wyoming Mental Health Ctr
Behavioral Health Services-Campbell Cty
Total
West
High Country Behavioral Health
Jackson Hole Community Counseling
Southwest Counseling Service
Total
Central
Central Wyoming Counseling Center
Fremont Counseling Service
Solutions for Life
Total
Southeast
Carbon County Counseling Center
Peak Wellness Center
Total
TOTAL
Cost of Treatment
Cost Per Episode is the cumulative cost of treatment during the time period between
the client’s initial intake and their discharge. The cost of an average episode of
outpatient mental health care is less than 2% of hospital or prison care. The cost
of community based crisis stabilization is less than 5% of hospital care. It makes
sense to invest in community mental health!
Outpatient* Crisis Stabilization
Residential Substance Abuse
Residential Mental Health
WY State Hospital Care
Prison Care
* Average of individual and group therapy
* Psychiatric assessments contracted to WBI
7
8
Cost
Per Day
Cost
Per Episode
$82
$533
$141
$144
$1,050
$131
$2,016
$3,948
$12,324
$28,371
$135,450
$128,428