A Newsletter For NET Staff, Clients, and Friends NET Welcomes Best Nest On March 3, NET began an affiliation with Best Nest Care, Inc. Founded in 1987, Best Nest was one of the first agencies in Philadelphia to address the needs of children affected by HIV in the child welfare system. Best Nest provides foster care and adoption services, matching children with significant physical, emotional and health care needs to caring families in Philadelphia, Bucks and Montgomery counties, and in-home protective services. “In this challenging environment for nonprofit providers of community-based social services, our two organizations can enhance the reach and effectiveness of the other,” said Terence McSherry, NET President and CEO. The immediate effect of the affiliation has been to preserve employee jobs and maintain continuity of services for the more than 200 children and their families that Best Nest serves each year. Best Nest’s services are a complement to NET’s highly respected Child Welfare programs. “This affiliation gives us additional resources to focus on medically oriented case management, a vital specialty service that we have been preparing to offer,” explained Regan Kelly, Division Director of NET’s Youth & Family Services. From 2009 to Jan. 31, 2012, Public Health Management Corporation (PHMC) served as the parent corporation for Best Nest. Now, NET will help the agency continue in its mission to provide high-quality services to children and families and manage its further growth. www.net-centers.org Spring 2012 “With a little help from my friends. . .” NET’s Peer Support Programs With its innovative peer support programs in both adult and youth services, NET draws on the experience and wisdom of “those who have been there.” Peer Specialists, Recovery Specialists, Parent Support Specialists, the Peer Action Committee, and the Parent Support and Advisory Committee serve as a bridge between the persons served at NET and professional service providers. Through these initiatives, NET encourages persons in recovery and parents or caretakers of youth served to take an active role in achieving their goals and gives them a strong network of support as they move forward. In 2000, PA Adult Behavioral Health became the first addiction program to have certified Peer Specialists. Their Consumer Council, which gives persons in recovery a voice in their own treatment and in the direction of the agency, was founded in 2006. Building on the success of peer support in adult treatment models, NET adapted this concept to integrate similar support into youth- and family-oriented programs. ... “Parent Support Specialists are parents who previously needed to get behavioral health services for their children,” said Regan Kelly, Division Director of NET’s Youth and Family Services Division. “When they speak to parents, they are speaking from personal experience. That’s what sets this program apart.” “We assist parents by providing support, understanding, information and hope,” said Glenda Fine, Program Supervisor. “I’m a parent who has had similar concerns, and I have a background as a special education advocate. I let parents know that I’m there to assist them in any way possible.” “It’s my job to connect with parents,” added Melodie Jackson, a Parent Support Specialist. “I am the parent of a former recipient of these services, so I understand how it feels to be navigating the system. I enjoy helping people based on my experience, empowering them to be their children’s best advocate.” Jackson and Fine help parents navigate the complex world of social services. They will accompany parents to meetings at their child’s (continued on back panel) 2 By All Measures, NET Excels at Putting People First Time and again, both internal and external evaluations show that NET is true to its mission of putting people first. as extraordinary and we were asked to present our playroom concept to other providers.” ... “While our internal measures of performance and satisfaction with our services are important metrics, we value the information we get from our partners who do licensing and credentialing and from the Consumer Satisfaction Team, said Terence McSherry, NET President and CEO. “Our recent results, which feed into our performance improvement process, have been especially gratifying as reflections of quality.” NET’s Adult Behavioral Healthcare Division is particularly proud of the changes at NET-North and NET-West. “In May 2010, two months after NET took over management, Community Behavioral Health (CBH) visited NET-North and NET-West and reported that the error rate had dropped from 80-90% to 1.6%,” explained Bonnie Wright, Clinical Program Director of NET’s West and Spring Garden Street sites. (Error rate, which identifies incorrect or inconsistent documentation, averages around 40-50%, according to Wright.) Regan Kelly, Division Director of Youth and Family Services, is pleased with how NET fared in recent Department of Human Services reviews, but is even more pleased by the expertise and dedication of her team. “This,” she said, “is hard to measure. Staff members are very committed to quality services; they care about having good outcomes for children and families and treat each client with respect.” Kelly attributes consistent high scores in all DHS reviews (many above 95%) to her “very experienced management teams – particularly in the Foster Care, In-Home Protective Services, Henry House, and In-Home Detention programs – who are knowledgeable about the requirements. We have good systems in place to monitor the details and to ensure compliance with the standards for each level of care,” she said. ... “We scrapped Riverside’s old-school medical model – If you looked at 10 charts, you would see that 10 people had the same goals and progress notes – and implemented the Recovery-Oriented Systems of Care (ROSC) model. CBH complimented us for focusing on clients’ strengths to help them achieve their goals,” Wright said. As an opiate treatment provider, NET Steps has to navigate an additional set of stringent regulations. “The Drug Enforcement Agency (DEA) comes in unannounced to check our medication inventory and medical practices,” explained John Carroll, NET Steps Director. “On the spot, they ask to check our inventory on two specific dates and months apart – all our medication dispensed, all our shipments, all our error reports, etc. They want it to come within 2 percent, and we came in around 0.5 percent.” In addition, NET Steps was accredited with commendation status from SAMSA, the Substance Abuse and Mental Health Services Administration. “No matter what licensing body comes out, we excel because of the massive amount of teamwork utilized by the supervisors and their staff,” said Gary Frankowski, Clinical Program Director of NETNorth and NET-Frankford. “Everyone collaborates to make sure that everything is done correctly. When outside bodies come into the former Riverside sites, the charts look exactly like the charts at Spring Garden Street. We strive for uniformity.” “We focus on quality, and I put a lot of importance on compliance. We have a Performance Improvement Department with a full-time director and a separate Medical Records Department,” Carroll said. “Last year we were told, off the record, that we had the highest score in the state among providers of opiate treatment. And after a recent Performance Improvement review, our division was selected Other achievements: “Instead of a provisional license, NET-North and NET-West now have a two-year and a three-year credential. It’s the (continued on back panel) Introducing NET’s Newest Board Members Whether they have served for 30-plus years, like Chairman Lawrence Devlin, or joined the board in recent months, NET’s directors bring a wide range of experience and a deep commitment to the table. They are passionate supporters and advocates of NET’s work and mission. We welcome the following individuals who have joined the board in the past year. Phinorice Boldin With over 25 years of experience as a litigator, Phinorice Bolden began to understand the importance of organizations like NET early in her career. “Living in Boston and working as a public defender, I dealt with a number of people with substance abuse issues. At that time, our only resource to help people stay out of the criminal justice system was the Salvation Army and its programs,” she reflected. Boldin, who is a “product of the Philadelphia public schools” and also attended Colgate University and Boston College Law School, serves as counsel to the Philadelphia School Reform Commission. When a friend introduced her to NET President and CEO Terence McSherry at a luncheon, she was immediately interested in getting involved with what she calls “an organization that is doing such important work. This is a way I can be involved with an organization that truly helps those in need.” William North After many years of involvement with NET, Bill North has joined the Board of Directors. “Many years ago, I dealt with Lower Kensington Environmental Center (NET’s forerunner),” he said. He was a part of NET’s banking team at Wilmington Trust for 13 years; in 2010 he became Market Executive for First Niagara Bank. In addition, North has worked with various nonprofits through the years. “NET’s work is very meaningful to me, especially on the Youth Services side,” he said. “Foster care and other services – like education and counseling – benefit youth who face challenges. These programs are saving and shaping the people who will take care of our world in the future.” Magdalena Ramos Magdalena Ramos has personal and professional connections to NET. She is Staff Supervisor for the Consumer Satisfaction Team, Inc., where Terence McSherry is a board member. “When Terry sought me out to be on the board of NET, I had been aware of the organization for a long time. I had attended NA/AA meetings that met at NET. As a person who has ‘been there,’ I see how NET helps people firsthand, and I have always held the organization in high regard.” Ramos has been consistently impressed with the success of NET’s consumers. “They are content with the services they receive, due largely to the staff – which delivers. When I was in the field, there was so much satisfaction among the people being helped at NET. At NET, you feel like the staff wants to give you your due; they don’t rush you through the system.” Lucia Williams Lucia Williams is a 34-year veteran of Philadelphia’s Behavioral Health system. For the past three years she has served as the Director of Planning & Development for Shalom Incorporated, a nonsectarian, nonprofit drug and alcohol prevention, intervention, and treatment agency. “I have known about NET since its beginnings,” she said. Williams appreciates the tremendous respect NET employees have for the people they serve. In her experience, it is not an accident that someone finds success in recovery. “It takes support in many forms. The wonderful leadership at NET combines their resources to truly provide what people need. The staff does a great job of showing clients that they have the power to plan and carry out change. And in the city, NET stands out as a leader in both clinical practice and concern for the people with whom they work.” In addition to the new members noted above, NET’s Board of Directors includes: Lawrence J. Devlin, Chairman; Richard J. Cohen, Ph.D., Secretary; William G. Smith, Treasurer; Herman Mattleman, Esq., Vice Chairman; Bart Blatstein; Robert V. Caruso, Ph.D., James Junikiewicz, Hon. Eugene Edward J. Maier, Terence M. McSherry, David S. Owens, Jr., Jack A. Thalheimer, and Arthur Brandolph, Counsel. News &Notes DE ADULT BEHAVIORAL HEALTH Kirkwood Detoxification Center was the first program in the NET organization to go electronic. “We designed and developed a comprehensive custom system that includes electronic health records. We’re working on the final two phases of development – billing and state reporting,” said James Larks, Director. “The end result will be increased efficiency and no paper whatsoever.” To accommodate the system, Kirkwood upgraded all of its hardware; staff members were trained to use the new system and now have remote access from web browsers; they will eventually also have excess via smart phones and tablets. The first new licensure standard requirements in 20 years from the Division of Substance Abuse and Mental Health (DSAMH) have required Kirkwood to restructure its staff, policies and procedures. “This has meant some changes in our staff, with new job descriptions and upgraded qualifications and competencies for each position,” Larks explained. “It’s an exciting transformation which will equate to quality service provision to persons served.” YOUTH & FAMILY SERVICES NET, in partnership with SPIN, has been selected to implement an Autism Center for Excellence. “We’ll be developing a whole range of services for children who are diagnosed with autism. This includes supporting children in their homes and classrooms by developing specialty teams in our existing in-home services and offering social skills groups, after-school programs, and therapeutic camps” said Regan Kelly, Division Director of NET’s Youth & Family Services. The Department of Human Services has launched an initiative entitled “Improving Outcomes for Children.” With this, DHS is moving toward a single case management system to be provided by agencies that are embedded in the communities they serve. In 2012, DHS will be selecting two lead or Community Umbrella Agencies (CUA) to implement the first stage of this initiative. By 2016, all regions of the city will have a CUA. NET will be applying to become a Community Umbrella Agency. The Firehouse, NET’s residential program for males ages 10 to 21 awaiting disposition by the Philadelphia family court system, has DIVISION UPDATES closed. “The need for the program had diminished and the census was chronically down,” said Jonathan Solomons, NET CFO. “In many ways this is a sign that the system has moved in a positive direction and developed better options for these youth,” Kelly added. “More youth are being served in their homes and in community settings as opposed to residential settings.” NET STEPS NET Steps is unveiling Chance to Change (C2C), a specialized track for people who would be dismissed from traditional programs because of bad behavior. “Our goal is to help them modify their behavior without terminating them,” explained John Carroll, Director of NET Steps. NET Steps’ Peer Action Committee is sponsoring a series of ongoing workshops to educate family members (parents, spouses, adult children) about the brain disease concept of addiction and medication assisted recovery. Each workshop meets for four consecutive Saturdays from 10 a.m. to noon. PA ADULT BEHAVIORAL HEALTH PA Adult Behavioral Health Services has started a trauma program at its Frankford, Spring Garden, NET-North and NET-West sites. The program is under the supervision of Dr. Allan Lehrman, Clinical Supervisor. “Trauma is one of the most underreported and least discussed issues in D&A treatment,” said Gary Frankowski, Clinical Program Director of NET-North and NET-Frankford. “We launched the program in July 2011 after months of researching best practices. It’s a collaborative process with the clients, who either make a self-referral or are identified by their counselors.” Trauma specific groups meet every Friday at each location. “Whether they experienced neglect, violence or sexual abuse, clients get added support in these groups; they discover that they are not the only one who is suffering.” NET continues to host study tours from care providers who are interested in learning how to implement the ROSC model and set up a clubhouse so that their consumers can access available resources. They meet with NET Peer Specialists as well as supervisors. Recent groups have come from as far as Wales and China. Joseph Schultz, Director of PA Adult Behavioral Healthcare, is working closely with providers; along with John Rocco he traveled to Texas to share his expertise. On Dec. 7, 2011, the NET team traveled to Maryland to provide an all-day training to more than 100 people. Presenters included Sonya Mendelovich, Gary Frankowski, Sabrina Messina, Angelo Colon, John Rocco and Wanda Hudson. On March 2, NET teamed up with Community Behavioral Health to lead a training program for the Forensic Intensive Recovery (FIR) Program, a prison deferral and early release initiative. “More than 40 people attended, including all of the programs’ evaluators and case managers,” said Sonya Mendelovich, NET’s Director of Integrated Recovery Services. Mendelovich participated in the training, as did Wanda Hudson, Jake Fleming, and James Somerville and Angelo Colon, NET Peer Specialists. On March 24, NET participated at a Men’s Health Fair at Enon Tabernacle Baptist Church in Mt. Airy, which was co-sponsored by Einstein Healthcare Network, where they screened 87 men for HIV. Peer Specialists Sheila Sanders and James Smith distributed literature; Derrick Scott screened 87 men for HIV. Community outreach: “With Peer Specialists and volunteers, we’ve established a strong relationship with Ready, Willing & Able, a vocational training program. We are conducting meetings and supporting recovery activities within their programs, as we transition consumers to treatment at NET,” Mendelovich said. Peer Specialists speak at their facility weekly and coordinate admission of people to NET treatment sites. “We’ve also made arrangements to do this with local hospitals, including Friends, Temple, Episcopal, and Eagleville; local shelters; and treatment programs as far away as Chester and Reading,” she added. NET is also partnering with local hospitals and halfway houses to facilitate what the city calls a “warm handoff ” of people stepping down to a lower level of care. Now That’s Commitment! Norma Martinez, Accounts Payable Coordinator, was recently honored for 25 years of service to NET. She began her tenure with NET at the Firehouse; within a year, she moved to Spring Garden Street and worked for the late Pat Henry until 2003. “She’s worked for me for about nine years,” said Dennis Hess, Controller. “Her biggest attribute is her dedication. Even on her day off, she would come in to work if someone in the department called out sick.” Her attention to detail is equally impressive. “She produces 175 checks a week, totaling $370,000 in accounts payable – which adds up to 9000 checks and $19 million a year. With just one assistant, she produces those checks accurately and seamlessly,” Hess added. Terence McSherry, NET President and CEO, presents a plaque to Norma Martinez in honor of 25 years of service to NET. NET Volunteers Keep Frankford Avenue Litter Free NET and the Frankford Community Development Corporation have entered into a new partnership aimed at keeping the Frankford Avenue commercial corridor litter free, in light of the recent disbanding of the Frankford Special Services District. Three days a week, four NET clients, with assistance and supplies from the Frankford CDC, will walk from Womrath Park to the Frankford Transportation Center, picking up litter and sweeping the sidewalk. The program is designed to be a sustainable means for regular cleanings of the Avenue, as well as an employment training mechanism for NET clients. The NET volunteers who man this program will be taught both “soft” and “hard” job skills, assisting them to secure good-paying, fulfilling positions in the fields of their choosing. A Newsletter For NET Staff, Clients, and Friends NET’s Peer Support Programs school, at NET, or at other agencies, helping families and caregivers find their voice in their interactions with these systems. They run a Parent Support group and offer workshops. The committee also advises NET on various systems issues. For example, after hearing from many parents that decisions about psychotropic medication were very difficult to make, the committee planned and implemented parent training on this topic. “We’re always looking for innovative ways to make sure that parents have the information and support they need to make the best decisions for their child,” Kelly explained. At NET Steps, Director John Carroll encourages patients to participate in various ways. Consumers collaborate with staff to produce their own newsletter, which features articles, poems, and supportive advice from staff and from members of the Peer Action Committee (PAC). PAC members also helped collect over 1,000 gifts in this year’s toy drive, and spent much of the winter handing out coats to the homeless. (continued from front page) have nine people in the role of Recovery Specialist,” Carroll explained. “As both a patient and a staff member, they have a dual role and must separate their employment responsibilities from their personal treatment/recovery responsibilities. “John and other people at the NET really went to bat for me, because hiring me was a challenge with some of my personal history,” said De Leon, who affectionately calls NET Steps his ‘home away from home.’” As members of the Peer Action Committee, “it’s our job to educate family members and spouses about treatment and addiction, so they better understand why their loved ones go through what they go through,” De Leon said. “We also have our Recovery Walk and a Women’s 12-Step group. We are starting a P90X workout group run by clients for clients, and we also teach computer skills and help each other get resumes together.” As NET Steps’ success has shown, peer recovery strengthens resolve and commitment and helps build a community of support. Two years ago, Carroll enlisted Jose De Leon as a Recovery Specialist. “Because opiate treatment may be lifelong, and because people who are doing well stay in treatment, that’s who we hire. We NET Excels at Putting People First first time in the NET’s history that this has been achieved,” Wright said. “In addition, Spring Garden IOP went from 17 percent to 0.8 percent in compliance.” ... (continued from front page) and the innovative strategies we employ to stay on the cutting edge. We also recruit and hire dedicated staff members who are passionate about what they do and committed to supporting our mission. That’s a key component,” Larks said. In a review by the Commission on Accreditation of Rehabilitation Facilities (CARF), NET was recognized for “exemplary conformance to standards” for its automated Performance Reporting System (PRS) that was designed by James Larks, Division Director of Delaware Adult Behavioral Health Services. “The system has key performance indicators, and we collect data on a quarterly basis,” Larks explained. CARF also acknowledged the custom Electronic Health Record system at Kirkwood Detoxification Center and applauded NET for its efforts. To what does Larks attribute Kirkwood’s routinely good reviews? “We shine because of our state-of-the-art evidence-based practices NorthEast Treatment Centers 215.451.7000 • www.net-centers.org
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