Annual Report - Community Bridges

Annual Report - Community Bridges






Annual Report


Community Bridges is dedicated to providing community

building services to the mainstream public through our

education efforts and quality treatment for substance use

disorders for men and women. We believe addiction

is a disease that carries tremendous consequences for

individuals, families, the workplace, and the community as

a whole. Prevention and treatment are the keys to

combating substance abuse.

Where We Serve

Our Mission

and Values

The mission of Community Bridges

is to provide the highest quality

Clinical Treatment, Family Preservation,

Prevention, and Education services

to reduce the negative impact

of alcoholism and drug addiction.

We Value Human Life

The Sustaining of Human Life

And the Recovery of Human Life…

Always with Dignity.

A Message from the President/CEO

A few words come to mind as we reflect on this past year

at Community Bridges, Inc. (CBI): opportunity, challenge

and change. All three have helped us to grow, and yet

remain true to our mission despite the economic impact

battering our behavioral health system.

Community Bridges continues to provide a wide variety

of services with dignity and respect thanks to the many

dedicated men and women who represent this

organization. Today, Community Bridges employs over

300 individuals in programs providing services at 16

locations across Maricopa, Gila, Pinal and Navajo


In 2009, our services have reached farther than ever

before. Our clinicians provided emergency Crisis Care

services to 19,207 men and women, while a total of 3,845

adults received lifesaving Medical Detoxification

treatment services.

Our Outpatient programs also saw tremendous change

this past year with the creation of our newest Outpatient

Services Center, Journey—A New Beginning, located in

Gilbert. This new 7,000 square foot facility provides cooccurring

disorder treatment, outpatient opiate medical

detoxification and model treatment programs for young

adults. In 2009, more than 600 men and women received

tens of thousands of hours of individual and group therapy

throughout the State.

New to Community Bridges this year was the design,

construction, and launch of four Rural Stabilization

Recovery Units (SRU’s) in Payson, Globe, Winslow, and

Holbrook. These new programs provide crisis stabilization,

triage, social detox, outreach, and transition

management. Heavily supported by our Peer Support

staff, they have already served over 1,500 men and


The Prevention Department delivered valuable services

to over 20,000 students, their families, teachers, school

administrators, and support personnel this year alone.

The Center for Hope continues to be recognized as a

national model “best practice” long-term residential

treatment program dedicated to changing the lives of

pregnant women and saving the lives of their babies. The

20,000 square feet of living and learning space is home

to 24 women and 32 children. As I write this letter, a

milestone is fast approaching as we anticipate the birth

of our 100 th healthy baby at the Center for Hope later in


All of these clinical and prevention/education programs

are supported by an army of administrative site

managers, maintenance, housekeeping, landscaping,

and transportation specialists who keep our programs on

target 24 hours a day, seven days a week.

I am personally very proud of each of our employees.

Twice each year (Summer Picnic and Holiday Luncheon)

we, as an extended family take a day to recognize their

impact and say “thanks”. Thanks for your sacrifices, your

blood, sweat and tears, your early morning arrivals, and

your late night missed dinners. I have a personal

commitment to say “thanks” and “keep doing good stuff”

to every employee I meet every day. Whether they are

saving lives in Detox or clearing away fallen trees after a

storm, THEY are Community Bridges. And I’m grateful they


Dr. Frank Scarpati




Our Board of Directors


President Vice President

David Shumway, Psychotherapist Michael Whalen, Owner

Mesa Counseling Center Centurion Security

Secretary Treasurer

John Meza, Asst. Chief Brandon Harrington, VP

Mesa Police Department Cohen Financial

Front row, left to right: John Meza,

Patricia Miller, Kerry Ramella.

Back row, left to right: Kevin Kotsur, Larry Rodriguez,

Brandon Harrington, David Shumway, Michael Whalen,

Bill Mast, Jeri Williams, Kyle Jones.

Not pictured: Kathleen Kelly, Kirsten Lundell.

Left to right: Brandon Harrington, David Shumway,

John Meza, Michael Whalen.


Kyle Jones, Vice Mayor • City of Mesa

Kathleen Kelly, Retired • City of Mesa

Kevin Kotsur, Chief • Avondale Police Dept.

Kirsten Lundell, Vice President • Brock Supply Co.

Bill Mast • Community Volunteer

Patricia Miller, MSW • Retired Social Worker

Kerry Ramella, Community Assistance Mgr. • Phoenix Fire Dept.

Larry Rodriguez, Chief • Tolleson Police Dept.

Jeri Williams, Assistant Chief • Phoenix Police Dept.


Honorable Fulton Brock • Maricopa County Supervisor

Greg T. Fowler, Chief of Police • Northern Arizona University

Honorable Tom Freestone, Retired • Arizona State Senator

Honorable Karen Johnson, Retired • Arizona State Senator

Honorable Michael Johnson • Phoenix City Councilman

Honorable John Ore • Justice of the Peace

Honorable Don Stapley • Maricopa County Supervisor

Major Outcomes & Achievements

■ Received a new three-year certificate of national accreditation

for all of our clinical programs (including our seven new

programs) through 2012 from the Commission on Accreditation

of Rehabilitation Facilities (CARF).

■ All of our programs are now certified as integrated alcohol and

other drug/mental health (AOD/MH) programs.

■ Expansion of services beyond Maricopa County: Opened four

licensed Rural Stabilization and Recovery Units (SRU’s) in Payson,

Globe, Winslow and Holbrook, AZ.

■ Relocated and expanded outpatient programs in the East

Valley to Gilbert, now called Journey-A New Beginning.

■ Implemented the first co-occurring enhanced, medically

monitored buprenorphine outpatient treatment model in the

state of Arizona.

■ Provided more than 140 community education seminars and

professional trainings to over 6,000 individuals.

■ Maintained a nationally recognized Peer Support program

funded by SAMHSA in 2009 that provided services to 1,992 men

and women.

■ Selected to be the sole provider of Drug Court and pre-trial

services for Maricopa County.

■ Delivered culturally enhanced services utilizing the White Bison

“Wellbriety Model” in collaboration with the Navajo Nation and

Hopi Tribes specifically for individuals entering into care at our

Level IV facilities in Winslow and Holbrook, Arizona.

■ The Center for Hope opened a new outpatient location in

Mesa. This location offers on-site child care to women

participating in our Continuing Care Outpatient Program.

■ Secured new CDBG funds to develop a housing program for

Center for Hope graduates.

■ Successfully launched the Mesa Prevention Alliance. In the first

year, over 50 community volunteers became active members

committed to developing environmental strategies to combat

the negative effects of substance abuse in Mesa.

Stepping Stones in 2009


The Center for Hope

Since opening its doors in

January 2005, over 90 infants

have been born to women

residing at the Center for

Hope. All 90 newborns have

had a negative toxicology

screen at birth. As we

approach our 5 year

anniversary, we are

expecting our 100th Since opening its doors in

January 2005, over 90 infants

have been born to women

residing at the Center for

Hope. All 90 newborns have

had a negative toxicology

screen at birth. As we

approach our 5 year

anniversary, we are

expecting our 100 baby to

be born by the end of 2009.

th baby to

be born by the end of 2009.

Residential Treatment

The Center for Hope (CFH) program is a unique and nationally recognized best practice

residential treatment program, providing gender specific services to pregnant and parenting

women. Services offered at the Center for Hope are provided within a 20,000 square foot campus

designed to provide a safe, supportive and structured environment while the residents develop

the skills they will need to sustain long-term success, mental and physical health, and family


■ Numbers Served — In 2008, the Center for Hope provided state-of-the-art gender specific

treatment services to a total of 88 women. Fifty-four of those women received services in our

residential program, the remaining 34 women participated in weekly outpatient services as a

part of their continuum of care.

■ Children — 24 babies were born to women residing at the Center for Hope in 2008. Thirteen

toddlers, age 4 or under, resided at the Center for Hope with their mothers and participated

in our on-site Child Development Center programs, designed to address their developmental


Continuing Care Program

The Center for Hope’s Continuing Care program is designed to meet the ongoing needs of

women who have graduated from our residential community. As part of their continuum of care,

this program provides gender specific group and individual counseling, on-site child care,

transportation, in-home visits, peer support, and intensive case management services to women

and children who have transitioned into permanent housing.


Center for Hope

Program Outcomes

The Center for Hope is committed to improving outcomes. In 2008-2009

we experienced significant gains in the following areas:

Increased Program Retention and Longevity

■ Women entering the CFH program are staying engaged in

services for a longer period of time and are completing the

program successfully.

■ 78% of the total discharges in 2008 were the result of meeting

their treatment plan goals and objectives.

■ In 2008, 68% of the women receiving services at the Center for

Hope had been in treatment 7 months or more.

■ 95% of the women completing the program in 2008-2009 went into permanent supportive housing

at the time of discharge.

■ The Center for Hope provided housing assistance to more than 21 families in 2008-2009.


■ 78% of the women who completed the program in 2008-2009 were employed full-time with

income at time of discharge.

■ 18% of the successful completions were enrolled in school or vocational programs and the

remaining 4% were receiving disability benefits.


■ Eight women in the program in 2008-2009 completed and received their GED.

We believe all women

and children have

value and worth.

We save generations

one life at a time

with unique programs

designed to empower

women, help them

overcome barriers

and restore their hope

for a new life.

Our Commitment for a Healthy Community



Our impact in 2008-2009

Over 20,449 (11,283 youth and 9,166 adults)

individuals were served by the Prevention

Partnership over the past year.

Between July 2008 and June 2009, the

Prevention Partnership provided over 140

educational workshops for parents, teachers,

law enforcement, the faith community and the

community at large. Our dynamic presentations

elevate awareness of local substance abuse

trends among youth and young adults, provide

education on signs and symptoms of abuse and

offer immediate resource information.

The Mesa Prevention Alliance is a community-based coalition that was established in July 2008 by the Community Bridges Prevention Partnership.

As we celebrate the undertakings of this first year, the Alliance is now focused on:

Addressing youth substance use through education, prevention and healthy alternatives.

In one year, the Mesa Prevention Alliance began conducting a comprehensive community needs assessment facilitating 13 focus groups, nine

community forums, and concentrated 4,633 staff hours on interviewing, researching and collaborating in Mesa to create a strong prevention plan

for the city’s youth and families.

With over 50 registered coalition members representing 13 community sectors*, the coalition will focus on two overarching goals in the upcoming

2009-2010 fiscal year:

1. Increase and strengthen collaboration among community groups and organizations.

2. Increase awareness of youth substance use in Mesa.

“Healthy communities refers

to an environment where

people come together

to make their community

better for themselves, their

family, their friends, their

neighbors, and others.

It fosters an environment

that creates ongoing

dialogue, generates

leadership opportunities

for all, embraces diversity,

connects people and

resources, fosters a sense

of community, and shapes

its future.”

Center for Substance Abuse

Prevention (CSAP), 2009

*Schools ■ Hospitals ■ Media ■ Private Health Organizations ■ Businesses / Financial Institutions ■ Community Colleges / Universities ■ Residents

■ Primary Care ■ Faith Community ■ City / Tribal Government ■ Law Enforcement ■ Nonprofits ■ Local Civic / Ethnic / Neighborhood Groups

Crisis Stabilization services at East Valley Addiction Recovery Center (EVARC) and Central City Addiction Recovery Center (CCARC) provide

emergency crisis intervention. Our program offers medically monitored stabilization, triage, evaluation, assessment, and transitional services to

individuals who are experiencing a substance or co-morbid related crisis (acute withdrawal, seizures, DT’s, convulsions, drug-induced psychosis,

overdose, etc.).

This service provides relief for hospital emergency rooms and emergency

psychiatric centers when an individual’s primary issue is related to

substance abuse.

All patients receive a brief assessment based on the American Society of

Addiction Medicine (ASAM) criteria to ensure that patients are

immediately transitioned to the most appropriate level of care.



Arizona Bridge to

Recovery (ABR)

Central City Addiction Recovery

Center (CCARC)

East Valley Addiction Recovery

Center (EVARC)

Number of Individuals

Served in Medical Detoxification

■ 3,845 Admissions

■ 15,640 Bed Days

Crisis Stabilization and Medical Detoxification

■ 82.9% Average Completion Rate



Numbers of

Individuals Served

in Crisis Stabilization

■ 19,207 Admissions

■ 199,578 Hours of Care


■ 87% Average

Completion Rate

Our inpatient medical detoxification centers utilize a physician-directed protocol (generally

3-5 days) designed to prevent the loss of life that can occur when individuals attempt to

withdraw from alcohol or drugs.

Community Bridges physicians use medical procedures and protocols nationally recognized

as “Best Practice” approaches for medical detoxification. These medical protocols are

directed by licensed medical practitioners and supported by our clinical team of Registered

Nurses (RN’s), behavioral health technicians, peer support specialists and transition


Our RN’s and transition coordinators work closely with the medical practitioner and other

professional and social supports in developing a comprehensive discharge plan that will take

into account all of the dimensions of the American Society of Addiction Medicine.

We continually monitor admission rates, bed utilization, access to care timelines, recidivism

rates, and the general demographic make-up of our patients to ensure that the most

efficient and clinically appropriate care is provided.



Peer Support Services

Peer Support Outreach Teams are focused on engaging individuals in the community before

and/or after they have been to any of our clinical programs. Community Bridges has built strong

relationships and an ongoing presence with local law enforcement and other community groups

to engage homeless individuals who are in crisis or living on the streets.

Community Bridges now has a team of over 50 Peer Support specialists who can assist an

individual by bringing someone to a 12-step meeting, taking them to their outpatient group,

following up with them at their home to “check-in”, or bringing them to one of our facilities.

Blueprints to Life is a Substance Abuse and Mental Health Services Administration (SAMHSA)

funded program that is a unique collaboration between Community Bridges, the Central Arizona

Shelter System (CASS) and the Phoenix Police Department. Blueprints to Life is based on the theory

that utilizing peer to peer services will increase the credibility and availability of existing resources

within the greater community.

Peers serve as community-based outreach specialists supported by the Phoenix Police in

identifying those areas of the city that have traditionally been absent of outreach efforts. Our

peers then provide supportive services, which can include linkage to behavioral and mental

health crisis, medical detoxification, substance abuse treatment, and shelter services. At CASS,

Peers serve as Case Management and Vocational Specialists assisting in the development of

case plans that are unique to the needs of homeless substance abusers.

In 2008-2009, the Blueprints to Life team reached

out to 1,992 men and women on the streets.

856 individuals entered into group counseling and

over 60 enrolled into Intensive Outpatient Services.

Blueprints to Life

A Project Funded By

When the world says,

“Give up,” Hope

whispers, “Try it one

more time.”

—Author Unknown

Rural Stabilization & Recovery Units (SRU’s)

Community Bridges now operates four Stabilization and

Recovery Units in Gila, Pinal, and Navajo Counties. These

licensed Level IV facilities provide triage, crisis stabilization, and

short-term recovery services to those in need.

In addition to crisis stabilization and recovery support, our

clinical team determines the following individualized needs:

■ Personal Care Services

■ Continuing Care/Coordination of Care

■ Outpatient Services

■ Crisis Stabilization and Medical Detoxification

■ Transition and Transportation

A total of 3,588 bed days were provided

at all 4 sites from 2008 to 2009.

Number of Patients Served

in Rural Level IV Programs

■ Globe 299

opened November 2008

■ Holbrook 284

opened April 2009

■ Payson 475

opened August 2008

■ Winslow 493

opened April 2009

Community Bridges has obtained Behavioral Health Outpatient Clinic licenses

for the Level IV facilities located in Payson and Globe. We have the ability to

provide many of the services that will occur before, during, and after the

individual is in our care. All four facilities currently provide peer support services,

community-based outreach, crisis intervention, and counseling services to

include traditional healing methods at our Winslow and Holbrook locations.

Our clinical model in Winslow and Holbrook is based on Native American culture

and beliefs around healing. This clinical model implements the White Bison

“Wellbriety Model” and utilizes the Talking Circle to introduce and process the

12-Steps, as well as Relapse Prevention Planning. White Bison also offers a

“certification” and “train the trainer” program for individuals to become

Recovery Coaches, enabling them to provide ongoing training and

certification to staff that will be working at the Level IV Loma Puh’ Tah Vi



Outpatient Behavioral Health Services

■ Center for Excellence

(North Phoenix)

■ Journey — A New Beginning


■ Day Resource Center (DRC)

■ Steele Commons (Phoenix)

■ Payson SRU

■ Globe SRU

Community Bridges operates four licensed Behavioral Health Outpatient Clinics located in

Gilbert, Phoenix, Payson and Globe, Arizona. Each facility is staffed with Licensed Behavioral

Health Professionals, as well as Paraprofessional staff. Our staff has extensive training in crisis

intervention techniques, cognitive behavioral therapy models, such as Matrix, Motivational

Interviewing, treatment of co-occurring disorders, and the Community Reinforcement and

Family Treatment (CRAFT) Model. Our programs are all co-occurring enhanced and can

either be utilized as a step down from a higher level of care, such as Medical Detox, or the

primary source of treatment.

■ Our programs utilize nationally recognized best practice modalities as a standard basis for

all of our treatment.

■ Our Outpatient teams coordinate an effective continuum of care with existing

professional services involved in the individual’s life to ensure successful outcomes.

■ Every clinic also has access to our Board Certified Addictionologist and Psychiatric

medical professionals for both consult and referral.

New to outpatient in 2008-2009 at the Center for Excellence in Phoenix & Journey in Gilbert

Ambulatory Detoxification


Community Bridges now offers medically monitored ambulatory detoxification using buprenorphine combined with intensive outpatient

treatment. Adding this level of care has allowed us to meet the community need for opioid medical detoxification services in the least restrictive


Our efforts have made an impact by:

■ Decreasing recidivism among 18 to 30 year olds being discharged from inpatient medical detoxification facilities by offering a step down taper

(4-7 days).

■ Creating an additional triage capability for our Level I Sub-Acute crisis stabilization facilities while increasing capacity to meet public need.

■ Offering an additional “front door” for the community and providers seeking these highly specialized services.

■ Implementing the first co-occurring enhanced, medically monitored buprenorphine outpatient medical detoxification program in the State of


Clinical Services


Screening, Assessment, & Triage ■ Our team of clinical assessors

provides comprehensive screening and assessment to determine

the most appropriate level of care utilizing Motivational Interviewing,

as well as the American Society of Addiction Medicine (ASAM)

Patient Placement Criteria. Results assist in the co-development of a

Crisis Plan, which will identify immediate steps to take in the event of

a relapse or crisis event and an initial treatment plan that will design

the course of treatment. This may be immediate placement into one

of our Outpatient Programs or a referral to another level of care. If it

is determined that a co-occurring or medical condition exists, the

Clinical Assessor will coordinate the appropriate level of care.

Substance Abuse/Mental Health Outpatient ■ This level of service is

designed for the individual who requires a lower intensity or

specialized treatment based upon their assessment, as well as their

current level of risk according to the ASAM Patient Placement

Criteria. Outpatient Services may consist of individual sessions, family

sessions, or group counseling (6 hours or less). Medication services

are available, in addition to primary counseling, as well as individual

appointments with our Addictionologists and/or Psychiatrists.

Intensive Outpatient Programs (IOP) ■ Utilizing cognitive behavioral

modalities, IOP offers a minimum of 9 to 12 hours of treatment per

week in the form of group, individual, and family treatment. All of our

IOP models are co-occurring capable and focus on the core areas

of addiction, relapse prevention planning, and recovery planning.

Random urinalysis is used therapeutically throughout the course of

treatment and patients are continually assessed on their level of

functioning (anxiety, substance use, relapse potential, depression,


“Believe more deeply. Hold your face up to the light,

even though for the moment you do not see.”

—Bill Wilson, Alcoholics Anonymous Co-Founder

Methamphetamine Specific Treatment ■ Community Bridges offers

an interdisciplinary treatment model developed by the Los Angeles

based Matrix Institute. Participation in the program is considered to

be part of our IOP model. Each individual is assigned a Peer Support

Specialist who are themselves in recovery and available to assist in

building the bridge from addiction to recovery. The Center for

Excellence also utilizes the “best practice” approach of

Contingency Management to provide positive rewards for positive

actions and for negative results in urinalysis drug screens. We

continue to host the Center for Applied Behavioral Health Policy

(CABHP) of Arizona State University to monitor program efficacy and


Young Adult (18-30) Opioid Specific Treatment ■ This treatment

approach focuses on engaging young men and women who are

either coming out of an inpatient detoxification facility or in lieu of

inpatient treatment. A special focus is paid to engaging family as

active participants in treatment.


Our new playhouse

donated by The Home Depot




Our Generous Supporters

We change lives with your help...

Boeing Employees

Chase Employees

City of Chandler

City of Mesa

City of Scottsdale

City of Tempe

DeFalco Family Foundation

Dewaree Trust

Discount Tire Corporation

Freeport McMoRan Foundation

Great American Title

*Contributions from July 1, 2008 to June 30, 2009.

Jones, Skelton & Hochuli

Mesa Police Alumni Association

Mr. Leonard Torres

Ms. Judy Tapscott

Ms. Kathleen Kelly

Ms. Kirsten Lundell

Ms. Michelle Arguedas


The Home Depot

Valley of the Sun United Way

Veryl Law Firm

Contracts held with the following

Regional Behavioral Health Authorities (RBHA’s)

Magellan Health Services

Cenpatico Behavioral Health

Northern Arizona Regional Behavioral Health Services (NARBHA)

Community Partnership of Southern Arizona (CPSA)


Regional Behavioral

Health Authorities (RBHA’s)


Our Financial Report

Federal Grants


Valley of the Sun

United Way


Operating Costs




Prevention Grants,

Cities & Other


Fee for Service



Direct Costs,

Salaries &

Expenses (ERE)


Community Bridges

is a private nonprofit

organization whose sole

mission is to provide the

highest quality care to

our consumers and the

community. All of our

programs are dedicated

to providing the highest

prevention and

treatment impact.

During 2008-2009,

Community Bridges

had over 300 employees

serving more than

45,000 individuals.

Community Bridges

runs an effective

administrative operation

at or below 8% of its

total operating budget.




1550 North Stonehenge Drive,

Suite 104-108

Gilbert, Arizona 85233


Center for Excellence

8825 North 23rd Avenue, Suite 100

Phoenix, Arizona 85021


Day Resource Center (DRC)

1125 West Jackson Street

Phoenix, Arizona 85007


Steele Commons

1735 Northwest Grand Avenue

Phoenix, Arizona 85007




Center for Hope

Residential Treatment

554 South Bellview

Mesa, Arizona 85204


Center for Hope

Continuing Care Program

1811 South Alma School Road,

Suite 285

Mesa, Arizona 85210




Arizona Bridge to Recovery (ABR)

554 South Bellview

Mesa, Arizona 85204

866.910.1141 or 480.649.1141

East Valley Addiction Recovery

Center (EVARC)

560 South Bellview

Mesa, Arizona 85204


Central City Addiction Recovery

Center (CCARC)

2770 East Van Buren

Phoenix, Arizona 85008




803 West Main Street

Payson, Arizona 85541


105 North Cottonwood Avenue

Winslow, Arizona 86047


5734 East Hope Lane

Globe, Arizona 85501


993 Hermosa Drive

Holbrook, Arizona 86025




1811 South Alma School Road,

Suite 160

Mesa, Arizona 85210


Magellan of Arizona thanks you for

Visit us online

your continued support for high-quality

recovery outcomes delivered where people

live, work and play.

Warmest thoughts and best wishes

for a wonderful holiday season!

Printed on Recycled Paper with Soy inks.


Northern Arizona Regional Behavioral Health Authority

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