The Counseling Center of Columbiana County

We have approximately 140 employees (120 full-time equivalents), a $7 million dollar budget, and we serve between 4,500 and 5,000 individuals and families each year, including 1,800 to 2,000 new clients. During fiscal year 2015, we provided mental health services to 4,261 clients and substance abuse services to 632 clients. At any given point in time, we see approximately 3,200 active, unduplicated clients. We see people of all ages, individuals, families, and groups; we provide 24-7 crisis response services for all of Columbiana County. We work with around 700 adults with Severe and Persistent Mental Illness (SPMI) and 400 youth who are Severely Emotionally Disturbed (SED). Our medical staff sees approximately 1,500 clients, including around 600 youths. Our youth services include intensive home-based, early childhood, and school-based care. Increasingly, our youth providers see younger clients; over the past several years, approximately 24% of youth community support referrals have been for youth ages 3-5; if we add in the 6 & 7 year olds, the percentage increases to over 42%. Our case managers have caseloads of approximately 35 clients each and our therapists each have caseloads of about 150. Annually, we subsidize the housing of approximately 100 families and individuals and assist 200 to 225 people concerning their vocational needs. We serve all of Columbiana County. We have three sites: Salem, Lisbon, and East Liverpool. We are also in the Juvenile Justice Center in downtown Lisbon. We have a 6 bed, homeless shelter facility on our main campus, called the Kendall House, staffed 24/7, housing homeless urgent care adult clients; our Hand-in-Hand House allows us to provide housing to four formerly homeless mental health clients in the community; we own four other scattered-site apartment duplexes and another one bedroom house across Columbiana County and we own Apple Grove Homes I and II, three 10-unit townhouse apartments in Lisbon. We are in the schools and jails, serving clients. We work with all the local social service agencies, law enforcement, and the courts. We provide services for a number of groups, serving individuals, parents, teachers, and families with support, mentoring, education, and provide an intensive outpatient program (IOP) as an alternative to hospitalization for a number of individuals suffering from a chemical dependency. We have affiliation agreements with Columbiana County Community Action Agency, Family Recovery Center, and the Lisbon office of Children's Hospital Medical Center of Akron. We have a contract with the Columbiana County Job and Family Services, a number of schools throughout Columbiana County, and the Columbiana County Jail. We work with the Columbiana County Mental Health and Recovery Services (MHRS) Board as a gatekeeper for psychiatric hospitalizations for the county. The Board maintains contracts with several hospitals for emergency adult psychiatric beds, including the State Psychiatric Hospital (Heartland Behavioral Health), Saint Elizabeth's Hospital, Turning Point Crisis Stabilization, Akron General Hospital, St. Thomas Hospital and The Crisis Intervention and Recovery Center in Canton. The Board contracts with Neil Kennedy Recovery Clinic and Trinity Hospital for adult detoxification. We also use Belmont Pines in Youngstown (youth) and Akron Children's Hospital (youth), as needed. Our clinical staff consist of: 1 psychiatrist 3 advanced practice nurses 3 nurses 2 psychologists 15 mental health therapists 4 Families Together therapists 4 AoD therapists 4 Parent Project providers 2 Early Childhood consultants 13 adult community support providers 12 youth community support providers 2 IDDT (mental health/chemical dependency) community support providers 6 After-Hours Crisis workers and 3 Crisis workers during regular hours 6 vocational specialists 6 residential workers, working at our Kendall House 4 counseling/psychology/social work interns, and 2 Payeeship specialists 3 Recovery Coaches Three years ago, the vast majority of our funding came through a contract that we had with the local Columbiana County Mental Health and Recovery Services (MHRS) Board. While we continue to receive funding for non-Medicaid services through this Board, the percentage of our budget that we receive is considerably less and the amount funded by Medicaid has increased by 15-20%.