FY 2017 Annual Report

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RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD FISCAL YEAR 2017 ANNUAL REPORT



HELP IS HERE. Since 1970, RACSB has provided quality services to the Fredericksburg community. We’ve tackled s gma, budget cuts and epidemics. We’ve weathered drama c changes to behavioral healthcare, funding structures and language. Through it all, we’ve stayed the course and offered topnotch care for people with developmental disability, mental health concerns and substance use disorder. In the near future, we face even more changes. We are determined to meet the new challenges ahead while con nuing to provide the services our community relies on. As in years past, we will rely on our talented staff and on partnerships with individuals and organiza ons that share our commitment to serving our community. In Fiscal Year 2018, we face decreased funding and increased requirements. It won’t be easy, but we will remain steadfast in our drive to fill gaps and provide help to individuals with nowhere else to turn. While our commitment will remain constant, you will no ce some changes to RACSB in the upcoming year. We con nue to tweak services to fight the opioid epidemic and are following research on suicide preven on and mental health. We are forging stronger community partnerships as we strive to address these issues. Through all of this, one thing will remain constant: Help is here, whenever you need it.


Director’s Message

In 1988, I first walked through the doors of Rappahannock Area Community Services Board, embarking on a career that would span decades. When I accepted a job as a Mental Health Residen al Counselor, I could not have imagined that one day I would be studying state budgets, mee ng with lawmakers, and naviga ng a 600-employee agency through substan al changes in the behavioral healthcare landscape. I am honored to lead RACSB. Through the years, so many things have changed: Licensing requirements, insurance mandates, best prac ces, and more. But one constant has remained: RACSB has always been dedicated to serving the most vulnerable individuals in our community. I started here working one-on-one with individuals who needed assistance. These days, my schedule is filled with mee ngs and conference calls, with discussions about financial realignment, managed care, and procurements. But I carve out me to meet with the individuals we serve, to remind myself that each new prac ce or policy impacts people’s lives. I am grateful that so many individuals choose RACSB to help in their me of need. I am also thankful for a community that supports us and aids our mission of providing behavioral health and developmental disability services.

Jane McDonald Yaun Execu ve Director

jyaun@rappahannockareacsb.org

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Creating a Community Where

everyone matt ers m en ta l h e a lt h

su bs tan c e a bus e

Emo onal well-being is the cornerstone of a full life. If you’re

We support individuals on the path to recovery. We offer help for

struggling with a mental health concern, help is here. From medica on

adolescents and adults, with priori zed treatment for pregnant and

management to counseling to residen al programs, RACSB offers

paren ng women. Our services include intensive outpa ent group

quality, compassionate care. Our mental health services include group

therapy, individual and family counseling, case management, drug-court

counseling, intensive care coordina on, crisis services, medica on

treatment, deten on-based treatment; and residen al detoxifica on.

management, recovery-based rehabilita on, and residen al care.

d ev e lopm en ta l disa bi lit y At

RACSB,

we

are

passionate

about

helping

individuals

prevention with

We seek to promote mental wellness while reducing the problems related

developmental disability lead full, ac ve lives. Our developmental

to alcohol, tobacco, or other drug use. We inform the community about

disability support coordinators help individuals and their families choose

the risks associated with these behaviors in a variety of ways, including

their future and link them to resources. In our day support programs,

workshops, educa onal campaigns, evidence-based curriculums, and

adults with developmental disability enjoy ac vi es, trips, and learning

collabora on with community groups. We recognize that achieving

experiences. Our residen al programs give adults with developmental

comprehensive community wellness requires a collabora ve approach

disability a place to call home—and a support system. Our respite

and we are proud to partner with other agencies and organiza ons to

services offer a mini-vaca on for guests and for their caregivers.

strengthen the health of our region.

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Invesাng in Community

$4.5 million Last year, we provided more than $4.5 million in financial assistance to individuals who could not pay for our services.

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T H E C I T Y O F FR ED ER I CK S B U RG A N D T H E CO U N T I E S O F C A RO L I N E , K I N G G EO RG E , S TA FFO R D A N D S P OT S Y LVA N I A A L LO C AT ED

$1 ,123 , 24 8 W H I CH W E U S ED TO P ROV I D E P RO G R A M S A N D S ERV I CE S TO 26 ,15 6 I N D I V I D UA L S AT A COS T O F

$ 42 , 414 , 0 29

3,000%

T H I S I S A R E T U R N O N I N V E S T M EN T TO LO C A L G OV ER N M EN T O F

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Our Work

Changing Lives Behind each number in this report is a person who now has the resources and tools to create a path forward. The work isn’t easy, but we’re honored to be invited into so many lives and to walk beside so many individuals as they embark on their journeys.

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We serve the residents of Planning District 16: The City of Fredericksburg and the counties of Caroline, King George, Spotsylvania, and Staord.

26 ,117

individuals received services from RACSB in FY 2017.

1,707

of those individuals lived in Caroline County.

4,981

individuals lived in the City of Fredericksburg.

1,953 individuals lived in King George County.

10, 286

individuals lived Spotsylvania County.

7, 2 0 2

individuals lived Staord County.

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Mental Health Whether struggling to fiind joy in everyday life or coping with a severe and persistent mental illness, we offfer an array of services to meet the mental health needs of our community. M ENTA L H E A LTH O U TPATI ENT A SSERTI V E CO MMUNIT Y TRE ATMENT PEER S ERV I CE S M ENTA L H E A LTH C A S E M A N AG EM ENT CHILD AND ADOLE S CENT SERV ICE S EMERG EN C Y S ERV I CE S JA IL BA S ED S ERV I CE S R E S I D ENTI A L S ERV I CE S P S YCH OS O CI A L R EH A B I L ITAT I O N S ERV I CE S C R I S I S S TA B I L IZ ATI O N

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BELOW:

Strong friendships develop in our Mental Health Residen al Program.

Mental Health

12,204

individuals received mental health treatment from RACSB in FY 2017.

1,872

individuals received mental health emergency services in FY 17.

113

a ended our day support program for adults with mental illness.

HIGHLIGHTS — We con nued to grow our Program for Asser ve Community Treatment, an intense grouping of services known as “a hospital without walls.” Forty-five individuals enrolled in this program in FY17. We also expanded use of tele-medicine so that more individuals could receive psychiatric services. We piloted an innova ve system at Rappahannock Regional Jail which allows us to iden fy inmates with mental illness more quickly. Sunshine Lady House, our crisis stabiliza on home, had one of the highest u liza on rates in the state.

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“The aim of art is to represent not the outward appearance of things, but their inward significance.” ARIS TOTLE

All of our mental health services have one thing in common: a focus on the whole individual. We have found art to be a powerful force for emo onal well-being. We use art therapy extensively in our crisis stabiliza on program. We also use art in our outpa ent therapy, support groups, and day services. Each year, we host the Art of Recovery to celebrate the role of crea vity in treatment. The show is open to ar sts with mental illness. A er one woman received rave reviews at the 2017 Art of Recovery exhibit, she enrolled in art classes at the University of Mary Washington. Her therapist reported, “She has a passion for art and it is very much a piece of her wellness.”

TA L E N T At Kenmore Club, members focus on their strengths and pursue passions and hobbies.

HE ALING Guests at the Sunshine Lady

E D U C AT I O N

House paint wellness toolboxes

The annual Art of Recovery exhibit

as a tangible reminder to use

shows the community a glimpse of

coping skills learned at the crisis

the beauty found in the recovery

stabiliza on home.

journey.

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IMAG E S BELOW

An emergency services therapist uses art to help a child recover from grief.

Mental Health OUR THER APISTS OFTEN USE ART TO HELP INDIVIDUALS COPE WITH TR AUMA AND FIND THEIR WAY TO HEALING.

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Substance Use Disorder We offfer a range of supports aimed at helping individuals recover from substance use disorders. We want individuals to overcome dependence and reclaim their lives. PROJ EC T LINK INTENSI V E OUTPATIENT S PECI A LIZED G RO U P THER A PY I N D I V I D UA L CO U N S ELIN G D E TOX I FI C AT I O N EMERG EN C Y S ERV I CE S D RU G T R E AT M ENT CO U R T R E S I D ENTI A L S ERV I CE S C A S E M A N AG EMENT M ED I C AT I O N A SS I S TED T R E AT M ENT

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BELOW:

Women in a substance abuse treatment group came together to paint a picture that represents recovery.

individuals received substance abuse treatment from RACSB in FY 2017.

1,036

individuals received outpa ent substance abuse services in FY 17.

117

used our detoxifica on services in FY 17.

HIGHLIGHTS ҅ In response to the opioid epidemic, we introduced Medica onAssisted Treatment, which is proven to be one of the most eec ve interven ons in opioid dependence. We con nue to serve as the treatment provider for the Rappahannock Regional Drug Courts for adults and juveniles. Our intensive therapy and outpa ent groups help individuals reclaim their lives.

Substance Use Disorder

2,506

1

Our Project LINK program helps pregnant and paren ng moms with substance abuse concerns.

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IMAG E S BELOW

We joined community partners to offer a town hall on the opioid epidemic, which

“In spite of everything, I shall rise again: I will take up my pencil, which I have forsaken in my great discouragement, and I will go on with my drawing.” ~Vincent Van Gogh

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When women begin our Nurturing Parent course for women with substance abuse issues, they create “Hope Trees” with their wishes for recovery. This course, offered by Project LINK, helps women with the unique challenges presented by motherhood and substance abuse.

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Developmental Disability Each day, we see individuals with developmental disability thrive in our community. We are thrilled to be a part of these successes and honored to support to individuals and their families. We create personalized plans using a wide spectrum of services. From case management to roundthe-clock care, we offfer choices designed to help individuals live full, active lives. S P O NS O R ED PL ACEMENT R E S PITE C A R E R E S I D ENTI A L S ERV I CE S DAY S ERV I CE S S U PP O RT CO O R D I N AT I O N S PECI A LIZED TR A N S P O RTATI O N

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A resident of one of our group homes enjoys a night out with a caregiver.

2 ,917

1

individuals received developmental disability services from RACSB in FY 2017.

186

individuals a ended our day support program for adults with developmental disability.

58

individuals lived in our group homes for adults with developmental disability.

HIGHLIGHTS — Our specialized transporta on program drove more than 240,000 miles. This is a pre y unique service that most programs don’t offer.

Developmental Disabilty

BELOW:

Our respite program helped 51 caregivers find relief—and helped individuals meet new friends, explore area a rac ons, and hone their bowling skills. Our intermediate care facili es provided 24-hour care to 12 individuals with intense needs.

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“I found I could say things with color and shape, things I had no words for.” GEORGIA O’KEEFE

Our community is stronger when everyone is included. We offer the supports needed to make sure individuals with developmental disability can thrive right here with us. Whether it‘s arranging daily transporta on to our day support program or snagging ckets for a Redskins game, we help each individual live the life they want.

GROUP HOMES In our group homes, we help individuals develop full, produc ve lives by suppor ng their goals and dreams.

D AY S U P P O R T

Web Design

Our day support program helps

SPONSORED PL ACEMENT

adults with developmental

Inissit quiasi aut in the at at a amillo

disability flourish in our

quiasi at as aborum aboritatur nost

Through sponsored placement, we do more than connect individuals

community.

in asea us.

with caregivers—we give them an extended family.

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EXPRESS THEIR HOPES AND DREAMS, E VEN WHEN THE Y STRUGGLE TO SPE AK .

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Developmental Disability

OUR SERVICES HELP INDIVIDUAL S

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Early Intervention Watching your baby learn new things is one of the most rewarding aspects of parenthood. When your infant or toddler doesn’t meet developmental milestones, you can’t help but worry. We’ll help you learn if your child does have a delay. And, if there is a delay, we’ll show you how to help your child progress to their fullest potential. Our special educators, speech pathologists, service coordinators and physical and occupational therapists come to your home to work with your infant or toddler—and to teach you techniques for encouraging your child to blossom.

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Early Intervenঞon

1,001 babies and toddlers received services through our Parent Educa on—Infant Development program.

“Every child is an ar st.” PA B LO PI C A S S O

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“Crea ve people are curious, flexible, persistent, and independent with a tremendous spirit of adventure and a love of play.” H E N R I M AT I S S E

Every child develops at their own pace, but some mes they need a li le boost. Our special educators, occupa onal therapists, speech language pathologists, and physical therapists help babies and toddlers with developmental delays reach their fullest poten al.

COMFORT

A rt Direc tion

We provide free assessments so parents can know if their child

Inissit quiasi aut in the at at a amillo

needs some extra help.

quiasi at as aborum aboritatur nost in asea us.

Web Design

SUPPORT Our Parent Educa on—Infant

WISDOM We also show caregivers how to

Development Program helps

Inissit quiasi aut in the at at a amillo

use simple play to help their child

youngsters ages 2 and under.

quiasi at as aborum aboritatur nost

thrive and flourish.

in asea us.

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Early Invervenঞon C R E AT I V I T Y I S A N I M P O R TA N T PA R T O F C H I L D D E V E L O P M E N T, O N E W E C E L E B R AT E D A I LY.

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Prevention We seek to promote mental wellness while reducing the problems related to alcohol, tobacco, or other drug use. We inform the community about the risks associated with these behaviors in a variety of ways, including workshops, educational campaigns, evidence-based curriculums, and collaboration with community groups.

DA R E TO B E YO U M ED I A D E TEC TI V E /MED I A R E A DY M ENTA L H E A LTH FIR S T A I D TR A I N I N G PRO G R A M FO R T EEN PA R EN T S R A PPA H A N N O CK A R E A K I DS O N THE B LO CK S ECO N D S TEP TO O G O O D FO R D RU G S A N D H A LO H E A LTH Y FA M I LIE S R A PPA H A N N O CK A R E A

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Prevenঞon Services

163 individuals received Mental Health First Aid training in FY 2017.

630 individuals par cipated in programs designed to prevent substance abuse.

62 puppet performances helped area residents learn to tackle tough topics like bullying, inclusion and substance use.

HIGHLIGHTS ҅ We started offering REVIVE! training in May 2017. In two months, we trained 43 individuals to respond to an opioid overdose. We added the public safety and higher educa on modules of Mental Health First Aid training. We received a Virginia Opioid Preven on Treatment and Recovery grant to help us combat the opioid epidemic.

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“We are all cups, constantly and quietly being filled. The trick is knowing how to p ourselves over and let the beau ful stuff out.” R AY B R A D B U R Y

RACSB Preven on Services seek to reduce the problems related to alcohol, tobacco, or other drug use while encouraging mental wellness. Efforts to inform the community of problems associated with these issues are combined with offering evidence-based curriculums in partnership with local schools, daycares, community groups, and non-profit organiza ons. Preven on Services work to reduce individual, family, and environmental risk factors while increasing resiliency and enhancing protec ve factors. We recognize that achieving comprehensive community wellness requires a collabora ve approach.

HE A LTH Y

TRAINING

FA MILIE S

We provide Mental Health First

YOUTH SERVICES

We are the fiscal agent for Healthy

Aid and REVIVE! training to

Families Rappahannock Area, which

help create a healthy, informed

local children to encourage

supports parents and provides

community.

them to make posi ve choices

brighter futures for babies.

Our preven on staff work with

and to stay away from harmful substances and behaviors.

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Prevenঞon Services

THERE IS AN ART TO CHAMPIONING HE ALTHY CHOICE S . FROM SE WING PUPPE TS’ CLOTHE S TO CRE ATING FOOD PYR AMIDS , WE USE CRE ATIVIT Y TO PROMOTE PRE VENTION .

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Our Board of Directors

R AC SB IS LED BY A REGIONAL GROUP OF MEN AND WOMEN W H O A R E PA S S I O N AT E A B O U T I M P R O V I N G O U R C O M M U N I T Y.

F Y 2017 BOARD OF DIREC TOR S The City of Fredericsksburg

Spotsylvania County

Karen Kallay The Rev. Lawrence Davies David Vaughn

Linda Ball Ken Lapin Ellen Sears

Caroline County

Stafford County

Linda Carter

Kheia Hilton Jack Rowley Ma Zurasky

Al Collins Warren Samuel

King George County Debbie Draper Beth Elkins

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FY 2017 Highlights RESPITE CARE “Some mes, raising a child with a disability can feel like being underwater, holding your breath for a very long me, living in fear of drowning,” said Debbie Draper, who represents King George County on the agency’s Board of Directors. “As parents, this gives us a chance to come up for air, while knowing he’s well-cared for. You really couldn’t want anything more for your child than what Myers provides.” In addi on to providing respite for caregivers, the home also offers social events, ou ngs and leisure ac vi es for the guests. “We’re here to support families, but we’re also here to improve the lives of the people we care for,” said Angela D’Angelo, program supervisor. “I’m a firm believer that doing something that puts a smile on someone’s face does the most good.” In Fiscal Year 17, we provided respite services to 51 families in our area. In Fiscal Year 18, we plan to expand respite services to people in neighboring locali es. When your child is full-grown but requires ‘roundthe-clock care, you can’t just call the teenager down the street when you need to get away. Vaca ons, weddings and date nights o en require strategic planning. The Rappahannock Area Community Services Board offers a solu on for parents of adult children who have an intellectual disability—The Myers Drive Respite Home.

Individuals interested in Myers Drive can schedule a tour of the respite home. For details, call 540/899-4670 or visit www.rappahannockareacsb. org.

RACSB opened its respite home in Stafford County in 2013. The agency partnered with philanthropist Doris Buffe to renovate a three-bedroom ranch into a six-bedroom respite center where guests can stay for up to 15 days at a me. Individuals could stay for a few hours or several nights.

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REVIVE! TRAINING The Fredericksburg area has not been immune to the escala ng opioid epidemic. In 2016, 72 people in Planning District 16 died from opioid overdoses. In an effort to stem the rising de of deaths, we provide REVIVE! training. The free training helps individuals learn how to recognize an opioid overdose and how to use naloxone to

reverse an overdose. Each a endee will receive a free REVIVE! kit provided by the Department of Behavioral Health and Developmental Services. The kit includes the supplies needed to administer naloxone. The opioid an dote can be purchased at pharmacies without a prescrip on in Virginia. “We see the impact of the opioid epidemic daily

at RACSB. Many of the individuals who come to us for treatment credit naloxone for saving their lives,” said Deputy Execu ve Director Jane Yaun. “It is important for community members to know how to use the an dote. A er individuals are revived, we hope they will come to RACSB to receive treatment to overcome addic on.”

I N M A Y 2 0 1 7, R A C S B B E G A N OFFERING FREE OPIOID OVERDOSE T R A I N I N G T O T H E C O M M U N I T Y. We h o l d R E V I V E ! t r a i n i n g s e s s i o n s s e ve r a l t i m e s d u r i n g t h e ye a r t h r o u g h o u t P l a n n i n g D i s t r i c t 16 . To s e e t h e s c h e d u l e d t r a i n i n g s , go to r a p p a h a n n o c k a r e a c s b.o r g . For details or to register for a class, c o n t a c t S h e r r y N o r t o n -W i l l i a m s a t 5 4 0 -374 -3 3 37, e x t . 10 2 o r s n o r t o n @ r a p p a h a n n o c k a r e a c s b.o r g .

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Re s e a r c h e r s b la m e t h e o p i o i d e p i d e m i c , w hi c h h a s l e d t o s o a r i n g r at e s of d r u g ove r d o s e d e a t h s , e sp e c i a l l y a m o n g yo u n ge r adult s. More than 63,0 0 0 A m e r i c a n s l o s t t h e i r l i ve s i n a n overd o s e in 2016 , a cco rding to t h e C e nter s fo r D is e as e C o nt rol a n d P r e ve n t i o n . M o r e t h a n 1, 4 0 0 p e o p l e di e d f ro m d r u g ove rd o s e s las t ye ar in V ir g inia . In t h e p a s t f e w ye a r s , m o r e p e o p l e d i e d f ro m d r u g ove r d o s e s t h a n c a r a cc i d e nt s . In an ef fo r t to reve r s e t h e s e t ren ds , we b e g a n p rov iding m e di c at i o n -a s sis te d t re at m e nt in F Y17. O p i o i d s c h a n ge t h e b r a i n i n u n i q u e w ay s , m a k in g i t d i f f i c u l t t o u s e o n e - s i ze - f i t s-a l l s u b s t a n ce ab us e t re at m ent . O p iate s rele as e a s u r ge of e n d o r p hi n s , w hi c h at t a ch to re cepto r s in t h e b r ain . Sy nt h e t i c o p iate s f l o o d t h e b r ain w i t h t h e s e e n d o r p hin s , c re at in g a n u n u s u a l l y i n t e n s e r us h —a n d , of t e n , a c r i p p li n g a d d i c t i o n w i t h a l e n g t hy, p a inf u l w i t h d r aw a l . B e c a u s e of t h e b r a i n c h a n ge s , p e o p le a d dic te d to h e roin e x p e r i en ce a 9 0 p e rcent relaps e r ate .

M e di c at i o n -a s sis te d t re at m e nt m i t ig at e s w i t h d r aw a l s y m p t o m s , diminish e s cr av ing s fo r o p iate s and helps the brain return to n o r m al. St u die s sh ow t h at t his is o n e of t h e m o s t ef fe c t i ve m e t h o ds fo r t re at ing o p ioid us e dis o rd er. R AC SB s t ar te d of fer ing M AT w i t h h e lp f ro m t h e V ir g inia D e p a r t m e nt of B e h av i o r a l H e a l t h a n d D e ve l o p m e n t a l S e r v i c e s , w hi c h p rov i d e d g r a n t s t o f ig ht t h e o p i o i d e p i d e m i c . R AC SB re cei ve d m o n ey fo r p revent i o n ef fo r t s an d fo r p rov iding s u b oxo n e t o i n d i v i d u a l s w i t h o p ioid us e dis o rd er. S u b oxo n e c o m b i n e s a c h e m i c a l t h at b l o c k s o p iate re cepto r s w i t h n a l oxo n e , w hi c h r e ve r s e s t h e ef fe c t s of o p iate s . R AC SB p rov i d e s t his m e di c at i o n in co mbinat io n w i t h intensi ve t re at m ent an d m o nito r ing . T his i n c l u d e s g ro u p a n d i n d i v i d u a l counseling, drug screens and m e di c at i o n co u nt s . “ We’ve alre a d y s e en many su cce s s s to r ie s ,” s a id P at B is c h of f, co o rdinato r of s u b s t a n ce a b u s e s e r v i c e s . “ I n di v i d u a ls w h o h ave s t r u g g l e d fo r ye ar s are re claiming t h eir li ve s an d wo r k ing tow a rd re cove r y.” To l e a r n m o r e a b o u t M AT s e r v ice s , c a ll 5 4 0 -373 -32 23 .

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Medicaঞon-Assisted Treatment

Fo r t h e s e co n d ye ar in a row, American life expectancy has d ro p p e d —a p h e n o m e n o n w hi c h h a s n’ t b e e n s e e n i n m o r e t h a n 5 0 ye a r s .

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A NEW DIRECTOR We finished the fiscal year with a change in leadership. A[er a months-long, naࢼonal search for someone to replace reࢼring Execuࢼve Director Ron Branscome, the Board of Directors chose Jane Yaun. She has worked at RACSB for decades, most recently serving as the Deputy Execuࢼve Director. “We interviewed a number of people from outside the organiza on, but when we looked at Jane’s strengths, she was a much stronger candidate than anybody else we interviewed,” said Board Member Jack Rowley, who headed the Execu ve Search Commi ee. “She is highly qualified, dedicated to RACSB and commi ed to helping people with mental illness, substance use disorder and developmental disability. In addi on, she has outstanding leadership skills which will help guide the organiza on going forward.” Rowley and Board Chairwoman Linda Ball announced Yaun’s promo on at the conclusion of the December 20, 2016 Board of Directors mee ng. “A er a comprehensive search process, we’re pleased to be promo ng from within RACSB an excellent candidate and leader for this key posi on,” Ball said. “Jane’s experience as an integral staff member of RACSB will help us make a smooth transi on in leadership while providing important services to our community.” Yaun began working at RACSB in 1988 a er gradua ng from Mary Washington College. She started her career as a Residen al Counselor in the organiza on’s first supervised apartment for people with severe and persistent mental illness. story con nues on next page

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She later headed the Mental Health Residen al program, provided Intensive In-Home therapy services to adolescents with serious emo onal disturbance, worked as an Emergency Services Therapist, served as Voca onal Manager at the Psychosocial Rehabilita on program and led the Quality Assurance department. Yaun also worked for the Virginia Department of Behavioral Health and Developmental Services, analyzing policies that affected mental health services. She returned to RACSB in 2008, serving as the Quality Assurance Coordinator before becoming the agency’s first Deputy Execu ve Director in 2014. Yaun completed her Master’s Degree in Rehabilita on Counseling from Boston University in 1992. In 2015,

she completed a 10-month Execu ve Leadership program with the Na onal Council for Behavioral Health. Yaun successfully led the RACSB through numerous, rigorous accredita ons through CARF Interna onal, including the most recent one this fall. “I am honored to be the next Execu ve Director of the Rappahannock Area Community Services Board,” Yaun said. “I am commi ed to con nuing our mission of providing quality behavioral health and developmental services to individuals residing in Planning District 16. I am grateful for having Ron Branscome serve as my mentor for more than 26 years and look forward to engaging the community, individuals served and stakeholders in fulfilling this mission.”

individuals in Fiscal Year 2016. With a staff of 600, RACSB provides behavioral health and developmental disability services, including outpa ent therapy, emergency services, day support, residen al programs, preven on, early interven on, crisis interven on and more. “In the past four decades, RACSB has con nually grown and evolved to meet the changing needs of our community,” Branscome said. “With her unwavering commitment to the organiza on, Jane will build upon a strong founda on of quality services and con nue RACSB’s work of providing excellent care for the people in our community.” Yaun resides in the City of Fredericksburg with her 10-year-old daughter, Kate.

Yaun will take over the helm of an organiza on that served more than 10,000

“With her unwavering commitment to the organiza on, Jane will build upon a strong founda on of quality services and con nue RACSB’s work of providing excellent care for the people in our community.” 35

annua l report



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