Organization Name: Day One

Program Name: Residential Treatment Program at Hinckley

Program Contact: Missy Cormier, Chief Clinical Officer
Email: missyc@day-one.org     Phone: (207) 767-0991

UWMM has funded this program for 2 years.

Amount Requested: $5000
Is this an increase from what your program received for the current funding cycle? 
Yes

Received: $2000 Requesting increase because:We have asked for an increase in funding because we have hired a Psychiatric Nurse Practitioner to provide medication management to help our clients that have co-occurring mental health issues. We have also recently hired a dedicated mental health counselor to provide trauma-informed mental health counseling to these clients. While these positions will increase overall program costs, it will significantly improve our ability to treat youth with significant trauma, mental health and substance use issues and improve continuity of care, leading to more successful client outcomes.

Twenty-five word summary of this program’s purpose:

The Residential Treatment Program at Hinckley creates brighter futures for adolescent boys by providing substance use and mental health treatment, education and life skills training.

How your program is uniquely important to the community:

Day One provides the only residential substance use treatment program for youth in the state of Maine.  Girls are served in Buxton while Maine boys receive services in New Gloucester and Hinckley.  The location on the Good Will-Hinckley campus (related to this funding application) can accommodate up to 14 youth ages 13-20 at a time.  The program emphasizes community engagement through activities and projects that build resilience, develop leadership skills and encourages the formation of  natural bonds with adults.  A strong community connection reduces risk factors that contribute to criminal behavior.

 

This six month program delivers group, individual, and family substance use counseling. Counselors provide guidance in a residential setting to help youth learn how to recover from their substance use issues in a safe, nurturing, and substance-free environment.  Clients are offered group counseling thirteen hours per week and individual counseling one hour per week.  All clients are screened for mental health disorders, and receive weekly mental health counseling as needed.  Through screening our high-risk clientele for Adverse Childhood Experiences (ACEs), our treatment approach is informed by the traumatic histories and complex needs of each resident.  Day One’s psychiatric Nurse Practitioner, supervised by the Medical Director, provides assessment, medication management and psychiatric consultation. 

 

The residents participate in a community recovery atmosphere while receiving counseling and attending school, participating in healthy recreation and learning independent living skills, all while supporting each other and learning together.  School is offered daily and clients receive seven hours per week of rehabilitative groups to help increase life skills.  Clients attend self-help groups weekly and are exposed to numerous community educators.  Additional services include crisis intervention, case management, relapse prevention, discharge planning, connection to social supports, drug testing, medication administration, and transportation.

 

Day One receives referrals from a wide range of sources including schools, families, Day One outpatient services, health and human service agencies, probation and parole.  Maine Substance Abuse and Mental Health Services regulations require that we prioritize placement for IV drug users and homeless adolescents.  We do this by immediately placing them at one or our locations or moving them to the top of the waiting list if there is one.  If the client is homeless when they enter our program, our goal is to ensure that they have an appropriate place into which they can transition once they leave our program.  Discharge planning is a key component of the program for all clients.

Program Updates

Since last report (or in past two years):

We have changed the organizational structure so that oversight is performed by the same leadership staff across locations by the Medical Director, Chief Clinical Officer, Program Manager and Senior Operations Manager. We have hired a dedicated mental health counselor and psychiatric nurse practitioner.

Expected in the coming year:

In the next year mental health support will be more integrated due to the changes being made above, which are largely taking place towards the end of this fiscal year. Additionally, we may be adding case management services for more in-depth transitional planning.

Outcome your program most contributes to:
Health: All individuals in Mid-Maine are in safe and healthy environments with access to health supports and services.

How program contributes:
Provides a direct service in behavioral and/or physical health areas, Increases access/reduces barriers to direct services, Increases capacity/resources for direct services, Advocates for behavioral and/or physical health, Collaborates with other programs/services in behavioral and/or physical health

Define your year: July 1 – June 30

How much did we do? 30 (Total number served)

How well did we do it?

Performance measure: Percent of clients who remain in school or employed during treatment
Most recent year’s data: 100%
Previous year’s data: 100%

What was the difference made?

Performance measure: Percent of clients who made progress on their program/service goals
Most recent year’s data: 80%
Previous year’s data: 80%

Action Plan

Objectives for current year:

We have three main objectives for the upcoming year: 100% of clients are assessed and connected to integrated mental health programming; 100% of clients participate in formal education; and 90% of clients develop appropriate tools for maintaining a recovering lifestyle. 

Objectives and results from last year:Success Stories

The following story was written by a current client in March 2019: Since being here at Day One I have learned a lot about myself and I’ve been able to find ways to cope with my life and my problems without turning to drugs.

This is my second time here but if you actually want to change, this place will give you the help you need.  The counselors are all awesome.

This is the hardest thing I’ve ever done but it challenges me and my problems individually and that’s what I like most.  Treatment is individual.  And the staff here really want to see us succeed and get better.  They actually care.

One thing that I really like is being able to see the progress I’ve made since being here.  You won’t leave perfect but you’ll leave better.

Previous Year Actual Income and Expenditures

Government Funding UWMM Funding Other UWs Funding Fees/Dues Funding Other Sources Funding Total Income
698671 2000 0 0 0 700671

Total Actual Expenditures: $700671

Current Year Budgeted Income and Expenditures

Government Funding UWMM Funding Other UWs Funding Fees/Dues Funding Other Sources Funding Total Income
951312 5000 0 0 0 956312

Total Budgeted Expenditures: $956312

Anything remarkable about your program’s budget:

This budget reflects the residential program at Hinckley, which has received funding from the United Way of Mid-Maine.  Our two other residential locations in Cumberland and York counties receive a United Way investment from their respective United Ways.  The government sources of funding include our state DHHS contract and MaineCare.

 

Program funding has increased because we have hired more program staff to provide supervision to clients and to ensure we have the staffing models to treat more youth.  While these positions will increase overall program costs, it will significantly improve our ability to treat youth with significant trauma, mental health and substance use issues and improve continuity of care, leading to more successful client outcomes.

 
What else you’d like reviewers to know:
 

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