A Newsletter For NET Staff, Clients, and Friends CUA Press Conference On July 18, 2012, Terence McSherry, NET President and CEO, publically accepted the Community Umbrella Agency contract at a Press Conference at which Mayor Michael Nutter was in attendance. McSherry’s remarks demonstrated NET’s commitment and mission to community service. McSherry stressed that much of NET’s success is due to its highly respected, longtime Peer Specialist program, where individuals who themselves are in recovery aid those new to treatment. More recently, this idea of peer-to-peer support has been extended to the Youth Services programs. “Making sure that we hear and understand the voice of the people we seek to serve was so important to us that we extended that idea into the area of family services,” McSherry explained. “So, we also hired parent support specialists. These are parents who at one time needed a little extra support raising their children.” With this initiative, NET is proud to extend its touch to more communities and families, reaching further to those most in need. Fall 2012 You’ve heard the news bustling around the hallways... NET Gets CUA In August 2006, a tragedy occurred in Philadelphia. Danieal Kelly, age 11 and under the care of the Department of Human Services (DHS), died neglected and worse. In July 2012, through an initiative called Improving Outcomes for Children and catalyzed by Danieal’s tragedy, the Philadelphia DHS tapped NET to be the first agency to implement its new form of Case Management. This contract will establish NET as the first Community Umbrella Agency (CUA). It is no small thing for NET to be the first agency in the entire city to be given this contract. Community Umbrella Agencies are the definitive new DHS initiative. The idea of a Community Umbrella Agency is novel for Philadelphia. In years past, youth in need of child welfare services would have both a DHS worker and a caseworker assigned from an outside agency. As was demonstrated in the case of Danieal Kelly, this approach could lead to neglect. As DHS Commissioner Anne Marie Ambrose put it in an interview with WHYY’s Marty Moss-Coane, “When everyone is responsible, no one is responsible.” In other words, the practice of having two caseworkers, each thinking the other is responsible for the child, has led to preventable tragedies. No more. Since cultural competency and community cohesiveness is a central theme in Improving Outcomes for Children, each CUA will operate within a certain community. Within each community and each family, that agency Cultural competency and community cohesiveness is a central theme in Improving Outcomes for Children will provide a comprehensive set of services for that youth and his or her family. The communities are organized by police districts ; NET will be given the 25th Police District, serving Hunting Park, Fairhill, and Juniata Park/ Feltonville. In her interview with Marty Moss-Coane, Ms. Ambrose went on to further praise the agency. “NET has a tremendous continuum of services that include behavioral health supports and drug and alcohol supports, which are so essential for the families that we serve. A lot of times families are afraid and don’t want to go to DHS for the help. We want to encourage families to use them [NET] as the resource that they are intended to be.” According to the Philadelphia DHS, Improving Outcomes for Children is based on the premise that “positive (continued on back panel) www.net-centers.org 2 Continuing the Legacy: Interns and Fellows at NET As might be expected from an agency so committed to helping individuals better themselves, there is no shortage of unsung heroes at NET. Among these are our outstanding group of interns and fellows. Drawing from nearly every major university in the Philadelphia area and the state of Delaware, NET’s Internship Program has fostered hundreds of mutually beneficial relationships between interns and the organization during the past 10 years. “The program provides diverse opportunities for people of various backgrounds, from Social Work to master’s level Psychology,” explained Gene Derrick, who has long been instrumental in the internship program. “Our interns are able to develop their skills by working with staff members who also have diverse backgrounds. Our philosophy is to provide strong supervision to each of our interns. That is why so many of them later become employees.” Mike Bernstein began his NET internship in August 2011. He started by shadowing groups with different counselors. Eventually he began to notice the nuances that are not so obvious to the novice; learning about group dynamics and appropriate counselor client behavior is something that can only be gleaned from experience. He moved on to doing multiple one-on-one sessions and group sessions under Dr. Allan Lehrman. In September 2012, Mike became a Counselor. “I don’t know where I would be professionally were it not for the support and help of people like Gene Derrick, Allan Lehrman, Lauren Carone, and Sabrina Messina,” Bernstein said. “They allowed me to develop personally and professionally, and I’m extremely grateful for that.” Bernstein’s story, while different in specifics, is similar in spirit to others’ at NET. Many of NET’s Lead Clinicians began as interns. Family Focused Program Director Dr. Letitia Kouvatas remarked, “We consider ourselves to be a training agency.” This summer, NET partnered with the Psychiatry Department at Thomas Jefferson University Hospital. This relationship enabled doctors in the process of their fellowships to contract with NET to get the training necessary for their field. “Excited, energetic, and eager to learn” was how Dr. Kouvatas described these fellows. She began her own career as a pre-doctoral fellow. While NET’s interns express gratitude for the opportunity afforded to them, NET is grateful in return. The future of the agency is brighter in great part because of the talent and commitment of its interns and fellows. BIP: Incentivizing Accountability PA Adult Behavioral Services has long stressed the need for whole lifestyle changes on the way to recovery. Vice President Joseph Schultz knows that for people in recovery to truly realize their place in society, they must recognize that they are both being helped and are called to help others. One of the ways NET fosters personal accountability is through, conversely, group accountability. When people become accountable not only for themselves but also to one another, a sense of community and responsibility is engendered. In February, PA Adult Behavioral Services began its Behavioral Incentive Program to this end. It works like this: each week, any group that has a 65 percent or greater attendance record wins $50 to spend on a party. Each month, the group with the best attendance record per site will receive a $200 stipend that can be used for various purposes. Many have put their winnings towards charitable funds. One group donated $200 worth of food to a church’s food bank within the Family Focused community. Another gave their $200 to St. Christopher’s Foundation for Children while the Latino group has generously donated their winnings to a school supply drive. Through this program, clients become reliant on one another to attend sessions. If a peer misses a session, others within the group will engage their absent peer, calling him or her on the phone, pursuing and encouraging them in various ways to participate. In effect, both the group accountability and then putting the winnings to a charitable cause doubly emphasize this idea of reciprocity. As a perennial pioneer of new ideas designed to empower clients into helping themselves, NET’s new initiative in BIP exemplifies Adult Behavioral Health’s creativity and care. Such ingenuity in the service of others is truly something to be appreciated. Smoking Cessation: A NET Initiative Meets Personal Goals A common thread runs through many of the stories at NET: Some obstacles are best overcome through personal accountability, fortitude, and the support of friends. Along these lines, NET has adopted a new smoking cessation program whose goal is obvious but whose methods are less so. Each week for six weeks, the members of the program meet and tease out all the obstacles in the way of smoking cessation, all the excuses preventing them from stopping, and all the reasons that they should quit immediately. In this self-imposed intervention of sorts, group members are forced to confront their habits and make a decision. NET’s newest initiative in smoking cessation is provided by Meryl Wexler of Wellness Resolutions. Drawing on her many years of experience in this field, Wexler is able to impart wise insights for confronting the addiction. Her first step is to identify whether or not someone is actually okay with smoking. The vast majority of people who smoke, Wexler contends, do not like the fact that they are smokers. From this starting point, she can find out why – if you don’t like this thing about yourself – you still do it. Wexler described three ways in which someone can be addicted to cigarettes: physiologically, behaviorally, and psychologically. The smoking cessation program provides tools to combat one or all three of these addictions. “It’s not magic. We need to understand that we’re human beings. We need to get in touch with who we are as people and what makes us tick in order to make any change in our lives, whether it’s stopping smoking, changing jobs, getting married or having a baby.” After identifying the obstacles that prevent the individual from quitting, Wexler gives him or her the tools needed to fight the specific addictive tendencies. One individual who made the leap into a smoke-free lifestyle is Korinne Yannone. She had wanted to quit for some time, but the group setting made it possible for her to see it through. “Other people going through it with me helped provide the support I needed,” she said. She alluded to the fact that she didn’t want to have to go back to her group and admit defeat. She found this to be a powerful motivator. Our recent graduates, Gayle Reese (L) and Korrine Yannone (R) Gayle Reese is another success story. She too had wanted to stop smoking for some time; the program was the thrust that finally confronted her with doing it. “It put me in a place where I know I’m in control of myself,” Reese explained. “I’ve previously tried to quit but there was no support there.” Smoking cessation required her to change her lifestyle, but that change was unequivocally for the better, she said. Food tasted better, her house was cleaner, and her friends and family were all proud of her. In all, five NET employees have permanently changed their lives for the better as a result of the program. Wexler had a rather astounding revelation about this graduating class. “In all the years I’ve taught, I don’t think I remember 100 percent of the people quitting. That was absolutely amazing.” If you are interested in getting more information or in signing up for the smoking cessation program, contact HR Team Leader Meredith Moore. Congratulations! Gene Derrick - 25 years of service Gene Derrick, Director of Research and T raining, recently marked his 25th anniversary at NET. Terence McSherry, President and CEO, summarized Gene’s role as a sort of “safety valve in this organization.” Gene has worn many hats at NET. “He eventually ran Adult Services in Philadelphia, and he ran Delaware services for a little while,” McSherry explained. “For the last 12 years, he has been in training and research development. All of our Interns and Physician’s Assistant come through him.” Gene has touched the lives of many people; his tenderness has been a hallmark at NET for many years. Reginald Andrews - 20 years of service “The salt of the earth.” That was the phrase Vice President Regan Kelly had for Reggie, a NET Case Aide. Year after year and with a perennial smile, he was willing to help anyone who required it. “He has probably seen thousands, thousands of kids… he will do day and night, anytime, any place that they need,” said Terence McSherry. This type of devotion is rare to see, and any commendation would be trivial by comparison. Nevertheless, congratulations and thank you, Mr. Reggie, for all you have done for this agency and for the kids. NET Steps’ Mural Collaboration Depicts a Vision of Recovery On June 13, internationally renowned mosaic mural artist Isaiah Zagar came to Bridesburg to admire NET Steps’ own mosaic mural, which his work had inspired. “Visions of Recovery,” a 4 x 8 foot mural composed of recycled glass bottles, beads, mirrors and tiles, was designed and created by members of Sucheta Vyas’ Alternative Therapy Group at NET Steps, NorthEast Treatment Centers’ Medication-Assisted Recovery program. The artwork is permanently mounted on the exterior entryway to the building at 2205 Bridge Street. Alternative Therapy uses arts and crafts as a means to explore and express emotions. A mosaic mural, which Zagar describes as a “mirror of the mind,” was a perfect medium for that expression. The idea was initiated by Annette Carroll, who brought Zagar’s work to the attention of Vyas. Group members together chose the theme, collected the materials, and learned to use a tile cutter that was set up in the Serenity Garden, which they had created for an earlier group project. They selected images of dolphins, ocean, birds, trees and sky to represent hope, faith and freedom. “The pieces of glass in the trees could represent the rough, dangerous life of addiction, while the bird flying away from the tree into the sky, whose heart is depicted as a Narcotics Anonymous medallion, could symbolize that recovery must come first. The word ‘NET’ as a centerpiece indicates that Philadelphia mosaic mural artist Isaiah Zagar with the NET Steps mural that was inspired by his work. freedom from addiction was made possible because of this place,” wrote Jose H. DeLeon in NET Steps’ newsletter. “The project taught us that we are not limited in thinking. Anything is possible with God’s will,” said NET Steps’ Director John Carroll, addressing the crowd gathered for the mural unveiling. He presented a plaque to Vyas, honoring “her lifelong devotion to the healing of others.” At the end of June, Vyas retired from NET Steps and a lifelong career in addiction recovery. Although the patients and staff who participated in the project were thrilled with the outcome, they found even more satisfaction in the process. “Participating in this project inspired me to look at myself and my life and the freedom there is in being sober,” said Ed H. “During the mural project, I did 90 meetings in 90 days and remained abstinent from all drugs during this time,” said John M. Both men are patients in the Alternative Therapy Program. Also on hand at the event were Roland Lamb, Director, and Marvin Levine, Deputy Director, of the Office of Addiction Services; and Terence McSherry, NET President and CEO. “The mural is even more beautiful than it looked in pictures,” McSherry said. “We really appreciate the 2000 hours of service and loyalty and heart that went into this project.” From left: Terence McSherry, CEO and President of NorthEast Treatment Centers; Sucheta Vyas, NET Steps Therapist; and John Carroll, Vice President of NET Steps, in front of the “Visions of Recovery” mural that was created by Vyas’ Alternative Therapy Group. News &Notes DE ADULT BEHAVIORAL HEALTH NET Kirkwood Detoxification Center (KDC) has weathered many storms during the past several months including restructuring of the management team; development, revision, implementation, and monitoring of policies and procedures; recruiting, hiring, and training of staff; and extensive refinement of our comprehensive integrated custom Electronic Health Record system. Despite the adversities, NET KDC continues to provide quality services 24 hours a day, 365 days a year, averaging 10 admissions and discharges per day, and maintaining an average daily census of 50 consumers per day. NET KDC’s continued success to provide detoxification and co-occurring treatment services to adults for the entire State of Delaware is solely the result of dedicated staff that truly understand our mission and philosophy of empathy and compassion for those we serve. NET Steps and CAPE “NET Steps has a fundamental goal of breaking the intergenerational chain of addiction between parents and their children. Unfortunately it is common to have opiate-addicted parents inadvertently pass their addictions on to their children,” explained Annette Carroll of NET Steps. To address this issue and to help teach parents in its program how to be more effective, NET Steps turned to CAPE (Child Abuse Prevention Effort). Over a 15-week period, CAPE’s Lois Linden shared an abundance of positive, eye-opening, effective information with 12 women in Therapist Kenya Foster’s parenting track. “There are great challenges that everyone in recovery faces on a daily basis, and these are even greater if that person is a parent,” said Foster. The majority of women who completed Linden’s program continue to progress in their recovery and improve in their parenting skills. Because of its obvious success, John and Annette Parents who participated in CAPEs Positive Parenting 15-week workshop gather to celebrate their graduation. DIVISION UPDATES Carroll are currently working on an effective way to implement this Parenting Program for both their IOP and OP clients/parents. PA ADULT BEHAVIORAL HEALTH It is no secret that NET and its clients were affected by this year’s budget cuts. It may be foolhardy to always look for a silver lining, but in this case something special occurred that, when looked at carefully, demonstrates the power of NET’s mission. While the budget cuts were being debated in Harrisburg, NET’s clients rallied together and drove up to the capital to protest. This is a powerful image. These individuals have all suffered greatly in their lives, yet they were able to come together to fight for something that they know helped alter their lives for the better. Their efforts should be commended. Quality Corner Quality is the hallmark of outstanding performance. NET’s automated Performance Reporting System (PRS) is the primary vehicle for measuring quality and monitoring organizational performance for licensure and accreditation compliance. NET’s PRS has universal data collection indicators applicable to all administrative, clinical, program, and business processes conducted by NET. Currently, the PRS is undergoing a few revisions to comply with the recommendations from our most recent Commission on Accreditation of Rehabilitation Facilities (CARF) survey. These revisions include additions of the following: • Literacy assessment to be conducted within 72 hours of intake • Monthly review of the person-centered plan • Indicator to monitor encouragement of families of consumers to participate in educational opportunities • Customer Satisfaction Survey to include transition to home, school, or community for Child and Youth Services programs Quality service provision is a priority at NET and is the foundation for our continued success for the past 41 years. It is because of our commitment to quality that we emphasize its importance to our entire workforce, i.e. each and every employee. Therefore, it is imperative that everyone understands that their respective role is simply to do the best job they possibly can do every day and remember that you put the “U” in “quality!” A Newsletter For NET Staff, Clients, and Friends Credible and iCentrix Implementation Since its inception, NET has endeavored to be a standardsetting organization. The latest venture in electronic clinical charting exemplifies this goal. NET has begun to adopt Internet-based clinical record and billing systems: Credible Behavioral Health and iCentrix. Through these programs, NET intends to leap forward in providing the most comprehensive system of tracking the records and progress of our various clients. Both of these systems allow healthcare workers to run reports of the progress of clients, even those who have used services from multiple programs at NET. This ability to track clients across many different metrics will make it possible to analyze trends for individuals and programs. Since providing the best possible services to our clients is the goal, this will help NET analyze what works best for each individual. An additional advantage of using an electronic system will be to allow our employees to access and employ the records of clients while out in the field. In the age of digitalization, having this ability is key to providing the best possible access to care for our clients. This switch from paper to electronic charts has not been easy; this process has finally come to fruition after over five years of work. The rollout of electronic record keeping started with Delaware Detox and iCentrix. From there, different units in both PA Adult Behavioral Health and Youth and Family Services systematically got to work NET Gets CUA making the switch. Needless to say, the collective hours put in for each unit have been prodigious. A tremendous level of team effort was required to implement these systems. “It has really been a team effort,” said Melissa Harvey, Director of Operations for Youth Services. She specifically highlighted the efforts of Tony Debrowolski and Carrie Sagedahl as Youth Services’ technical liaisons, without whom this process would have gone nowhere. With Credible and iCentrix “going live,” the process of switching completely to an electronic records and billing system will require continued patience and diligence from NET employees. But with the way the staff has been working together, there’s much to be confident about. (continued from front page) outcomes are achieved through child welfare services that are family-centered, community-based, culturally competent, integrated, timely, and accountable for results.” NET’s successful proposal incorporated these elements. Working together with faith-based groups, other grassroots agencies, and existing community leaders, NET will help do its part to ensure better, more comprehensive, and more dependable child welfare services for the community. Congratulations to everyone who was and continues to be involved. NorthEast Treatment Centers 215.451.7000 • www.net-centers.org
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