Dr. Carol Tavani, Psychiatrist




“In the old days, the thinking in 12 step mentality was
‘I drink because I drink.’ In more modern thinking, however, we realize that the coexistence of a primary psychiatric disorder with substance abuse is not the exception, but the rule. “


40% of new admissions have cooccurring addiction and mental illness
Statewide COSIG initiative removes barriers to treatment through process improvement.
All sites reduced wait time for psychiatric services by 4 to 5 weeks, by prioritizing wait list and shifting more stable patients to physician and nurse practitioner.
Newark site reduced wait time for psychological assessments by 9 weeks.
Staff-wide training on co-occurring disorders prepared us to better serve our customers’ complex needs.
Alpha improved collaboration with psychiatric hospitals and inpatient facilities.
Annual Report 2008




Opioid Treatment
Program serves 550 patients at Lancaster site,
357 at Newark.
480 patients have stayed in the program 1 year or more.
109 patients have stayed in the program 4 years or more.
“When a client comes to my window and tells me that they're going to a job interview, I enjoy encouraging them, ‘Think positive! Hold your head up, and smile, smile, smile!’ “
Kim Ortiz, Nurse
Annual Report 2008


100
80
60
40
20
0
Opioid Treatment Clients by Amount of Clean Time
94
77
81
60
40
60
3 months 6 months 1 year 2 years 3 years 4 years or more
Annual Report 2008







353 participants enrolled in needle exchange since startup in 2007
Over 10,000 syringes exchanged.
8 sites in operation.
132 participants were referred by another participant.
17 have entered drug treatment.
“In order for us to engage with these clients, we have to show them that we care. We have to show them that we love them, and I think that surprises a lot of them.”
621 have consented to an
HIV test. 7 positives have been identified.
Dianna Dorsey, Outreach Worker
Annual Report 2008




“Everybody’s got those two or three clients that they’re always going to keep with them. That type of reward and internal satisfaction that you get, I don’t see how you could possibly get that at any other job.”

Safety Net Services seamlessly transitioned 75 clients to treatment for severe substance abuse and mental health issues.
42 clients received medication management at Christiana Care
“one-stop shop” clinic.
100% of Safety Net clients remained in treatment 6 months or longer. Two-thirds reported no drug use, half reported no alcohol use, and 40% reported no alcohol or drug use.
NSAFE provided HIV case management to 110 clients.
Jeremy Zane, Therapeutic Supervisor
Annual Report 2008



.
“I think if we can keep an open mind, and learn to listen to the client, and have the ability to go where they are, then we can perhaps bring them to where they can be.”
Marty Nagy, Counselor
Annual Report 2008

“Children need to see a change, and mothers can do that for their children, to break that cycle.
It’s about changing your quality of life.”




Perinatal Program is helping
61 pre and post-natal care consumers with housing, childcare, medical care, and transportation.
35 presentations on Fetal
Alcohol Syndrome provided prevention and education to
520 individuals.
Focus on Families prevention program started 13 th cycle with
12 participants. 4 individuals obtained full employment.
DFS liaison work with
Department of Children, Youth,
& Families
Brenda Harris, Records Clerk
Annual Report 2008






To conduct agency-wide training with co-occurring disorders expert Dr. David Mee-Lee as part of statewide COSIG project.
To implement telephone coaching as a therapeutic tool.
To offer Focus on Families prevention program to outside agencies such as shelters.
To continue as an alumni member of the Network for the
Improvement of Addiction
Treatment (NIATx).
To maintain census, accreditation, and licensing
Annual Report 2008

“I wanted to have an office that was full of serenity, where people would feel comfortable.
Instead of an office setting, a homelike, warm setting.”
Cindy Pence, Counselor




Newark Center: 5% increase in number of patients served.
Increased our clinical staff to accommodate increased census.
25% increase in patients remaining in opioid treatment for 1 or more years.
Excellent quality care shown in
State licensure audit.
Improved patient flow for medication with SMART computer kiosk.
Annual Report 2008





To provide on-site psychiatric services.
To further reduce wait time for psychological assessment.
To begin group to address needs of patients on psychotropic medication.
To maintain census, accreditation, and licensing.
Annual Report 2008

“Probably 80% of our clients are homeless. But a lot of them are strong willed. They’re really strong people. They can fall flat on their face, and they get up and they try it again.”
Krystal Cooper, Receptionist






Over 70 patients active in
Georgetown homeless program.
Original grant was for 30.
Screened 321 individuals and admitted 216 in the past year.
Partnered with Crisis House to assess all homeless in shelters in
Georgetown.
Partnered with Megan, Corinthian, and Tau halfway houses to provide aftercare.
Construction underway to add reception area, 3 offices, new bathroom, and doctor's exam room.
Expected completion by end of
2008.
DFS liaison work with Department of
Children, Youth, & Families
Annual Report 2008







The Lighthouse Women’s and
Children’s Program opened in
December
Dedication by Governor Minner
All beds filled. Expanding capacity to 14 from 10.
5 persons in GED program, 1 has received diploma.
2 women have moved into reentry house; 2 more soon to follow.
Volunteer network teaches sewing, ceramics, self-esteem, computers
“To watch the faces of children who are spared the suffering that comes with active addiction is a joy unparalleled.”
Shay Lipshitz, Site Director
Annual Report 2008









To complete the addition to the
Georgetown site.
To begin Suboxone treatment; to plan process to dispense methadone.
Full integration of co-occurring care.
To start up intensive outpatient level of care on-site.
To graduate the first round of
Lighthouse clients.
To increase Lighthouse capacity from
10 to 14 residents.
To work on permanent housing and sustainability.
To maintain census, accreditation, and licensing.
Annual Report 2008






40% of Alpha Drug Free clients completed all or some treatment goals.
Telephone continuing care with recovery coaching aims to prevent relapse and reduce readmissions.
27 clients enrolled and 74% of phone contacts successful.
Readmissions declined 5%.
Meet & Greet means clients receive services 3 days sooner.
Motivational incentives for attendance dropped no-shows to a two-year low.
“Seeing the light bulb go off over someone’s head, when they find themselves again and they start realizing that there is hope, that’s such a great thing to see.”
Monalee West, Senior Counselor
Presented Drug Awareness
Workshops locally.
Annual Report 2008





North Wilmington site moved to
Edgemoor Community Center.
Client census increased from 28 to 60 in a month.
On-site orientation at Kirkwood
Detox helps to engage a challenging population.
1859 Probation & Parole clients assessed; 231 completed all groups.
Educated new probation officers on BCI services and introduced them to the assessment teams.
Annual Report 2008









To do training and case conferencing with co-occurring disorders experts as part of
COSIG project.
To continue Evidence Based Practices such as Motivational Incentives and
Telephone Based Continuing Care.
To work with Crisis Intervention to serve clients needing more intense intervention.
To further reduce wait time for psychiatrist assessment.
To continue to increase North Wilmington
Center’s census.
To work more closely with Christiana Care to increase census at Alpha.
To provide Anger Management groups.
To maintain census, accreditation, and licensing.
Annual Report 2008

“I just recently described my job here at
Brandywine to someone, and I said, ‘I can’t call it work, because it’s something I like to do.’”





Lighthouse Program fully accredited by Joint Commission.
All sites maintained compliance through Periodic Performance
Review.
Electronic signatures in use at all sites to save paper and time.
Electronic forms and paperwork in use as we prepare for move to electronic records.
Virtual Private Network makes it easier to transfer information between sites.
All policies and procedures reviewed and/or updated where needed.
James Harrison, Site Director
Annual Report 2008





To complete migration to electronic patient records.
To maintain best possible patient care using Joint
Commission and State monitoring tools.
To continue proactive identification and resolution of problems through quarterly
CQI audits at all sites and
Human Resources.
To continue to measure reallife outcomes for people in recovery by collecting
National Outcome Measures data.
Annual Report 2008

CENSUS BY SITE
N = 2088
Newark
357,
17%
Lighthouse
9,
0%
Alpha
316,
15%
Edgemoor
60,
3%
Georgetown
64,
3%
Lancaster
1282,
62%
Annual Report 2008


Increase of 6¾% from 2007
BCI Year-End Census
2500
2000
1500
1000
500
1145
1403 1580
1686 1698
1878 1958 1980 1954 2088
0
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Annual Report 2008






“I didn’t even know what a methadone clinic was.
There were many people telling me, ‘You’re not gonna like it. You’re gonna regret taking that job.’ You can’t go on hearsay. If I’d really listened to people, I might not be here today.”

Human Resources implemented
Halogen E-Appraisal for competency-focused performance evaluation.
Maintained compliance with Joint
Commission requirements.
Employee Handbook revised and available to staff online.
New Vision Care plan added to benefits.
Standard new hire orientation checklists developed.
Counselors and Case Managers trained in time management.
Chris Zebley, Nurse Practitioner
Annual Report 2008




To maintain compliance with Joint Commission requirements.
To reduce the time it takes to fill vacant positions.
To continue use of
Halogen software to develop employee training programs.
Annual Report 2008


Donors helped build a children’s playground at Lighthouse.
Fundraising exceeded its goal with over $19,500 raised.
 BCI Blog continues to tell firstperson stories from staff and volunteers. Took part in Non-
Profit Blog Exchange and
“Addiction” DVD Tour.
“I was struck by the young women[‘s] engagement in achieving goals which would lead them to being productive, accomplished, self-sustaining parents and individuals. As programs provide opportunities for growth, this makes our world a better place for all.”
Miriam Zadek, Lighthouse Program donor
Annual Report 2008





“I saw the real improvements in most women as weeks go by. I see smiles on most women there.
Sometimes I hear them sing.”
Eul Lee, Lighthouse Program Volunteer
Annual Report 2008

 Assisted with grant writing and direct mail for playground campaign.
 Met with staff to increase knowledge of programs.
 Wrote guest blog post.
 Welcomed 3 new members.
Annual Report 2008




To invite personal involvement by our supporters through tours, content sharing, and social media.
To inspire support by making success stories an integral part of our message.
To increase our use of audio and video in telling our stories.
Annual Report 2008

“The job that I do is like information central. I try to just be in a million different directions, while standing in one spot. As nasty and argumentative as it is, it’s still one of the most enjoyable things in my life.”
Karen Barker, Account Manager
Annual Report 2008



Audit report for 2007: one finding, and it was resolved.
Fraud prevention audit conducted; no findings.
Receipts cash journals compared; no discrepancy.
Plan to contract with a major private insurance company to provide services to members.

Donat ions
$24,391
0%
Client Fees
$2.8 M M
33%
Revenue 2008
Int erest and
Invest ment
Income
$9,212
0%
Grant s
$5.7 M M
67%
Rent,
Occupan cy, and
Utilities
$0.5 MM
6%
Supplies and
Equipmen t
$0.9 MM
11%
Benefits
$1.1 MM
13%
Expenses 2008
Other
Operating
Expenses
$0.2 MM
3%
Personnel
$5.5 MM
67%
* Fiscal Year 2008 is October 1, 2007 – September 30, 2008
Annual Report 2008

Donors:
Anonymous
Sally Allshouse
Mayor James Baker
Pamela Baker
The Bank of America
Charitable Foundation
Karen Barker
Rebecca Beale
Maria Bedolla
Claudette Bell
Rochelle Booker
Reanard Britt
Stephen Burns
LaShawn Carter
Frank Cassidy
Rep. Michael Castle
Abraham Cheluget
Anita Closic
Krystal Cooper
Dionne Cornish
Linda Cote
Rosemary Cybak
Tracy Dale
Lisa deBrabander
Dianna Dorsey
Lorina Dryden
Lynn Fahey
Joe and Carole Franzoni
Matt Friedman
Phyllis Friedman
Morris Gardner
Renee Gill
Susan Hammond
Kathleen Heacock
Aleshia Hill
Frankie Hill
Clarence James
Kathy Kelley
David Lakin
Mark Lanyon
Florence Levy
Shay Lipshitz
Cindy Lobis
The Longwood Foundation
Carol Ludwig
Emily Maguire
Edna Maldonado
Bob and Kay Malone
Sylvia Martin
Dawn Mason
The Miriam and Robert Zadek
Charitable Gift Fund
Kefa Mongare
Tiffany Mormon
Marty Nagy
Daniel Norvell
John Okada
Linda Palmer
Eileen Pavlic
Pepco Holdings, Inc.
Linda Phillips
William Powell
Margaret Pratt
Rockford Center
Ruth Rono
Stanley Salaam
Justin Shane
Lisa Sherwood
Basha Silverman
Michele Smelstoys
Janice Sneed
Suzanne Squires
Mary Starkweather-White
Rhonda Swanson
Thomas Sweeney
Ann Weinsteiger
The Welfare Foundation
Monalee West
Lyn White
Luther Whiting
Wilmington Trust
Wanda Wyatt-Furrowh
Jeremy Zane
In kind donations:
Acme
Mary Argo
Bear Hugs for Babies
Cathy and Dennis Kitson
Joseph Collis
Deb Griffin and Greer Maneval
Lisa DiFebo-Osias
Loretta Hayes
Home Solutions 123
Kara Baird and family
Kids’ Ketch
Kitty Harrison and Terri Hamm
Marjorie Koburn
Florence Levy
Panera Bread
Barbara Perkins
Janet Ray
Lauren Rose
Saltwater Mama
Ella Savage
Seasons Pizza
Joel Sullivan
Super G
The Glade Quilters
The Mill Outlet
Geri Vota
Dottie Vuono
Jennifer Wagner
Rev. James White
Volunteers:
Sarah Bergamo
Caelen Bird
Nancy Bloom
Chase Card Services
Felecia Doyle
Jennifer Fletcher
Walter Frazier
James Kennedy
Eul Lee
Loretta Legg
Ann Morrow
Manduri Parikh
Jennifer Wagner
Nathan West
Mallory Wilson
Annual Report 2008



Annual Report 2008

Annual Report 2008
2008