time for treatment - tn.gov · winter | spring 2015 newsletter staff mike machak, director of...

V O L U M E 1 7 N O 2 W I N T E R | S P R I N G 2 0 1 5

THIS ISSUEMEET OUR CRISIS SERVICES OUTSTANDING EMPLOYEE 16PROVIDER NEWS 26

ART FOR AWARENESS 31

FAITH HOPE AND RECOVERY IN LETTERS 41

The Men of Morgan CountyResidential Recovery Court pg 3

Time forTreatment

T D M H S A S Q U A R T E R L Y P U B L I C A T I O N

2 TDMHSAS Update News | Winter 2015

I am excited that the Governor has allowed me tocontinue serving during the 2nd term of hisadministration Irsquom proud of all we have accomplishedin the first four years and excited to report on someof our Departmentrsquos key achievements

Yoursquoll see some of these successes highlighted on thepages of this newsletter

Wersquove greatly improved the operations of our state hospitals to beeven more patient-centered Our dedicated RMHI staff operatesunder the philosophy of treating every patient as if treating theirown mother

Our more than 250 community not-for-profit and faith-basedorganizations are going the extra mile helping us serve our mostvulnerable citizens

And by collaborating with other state agencies most notably theDepartments of Health and Safety Tennesseersquos Prescription forSuccess initiative is dramatically reducing substance abuse in our state

Many of you have stepped up to help secure discretionary federal grantfunds which are helping our veterans reducing the incidence of suicide andaddressing other critical needs

Irsquom especially proud of our Creating Homes Initiative which since itsinception in 2000 has served an estimated 50000 individuals in recoverywith safe and affordable housing

My hope for us all is that we continue building on our success and remainfocused on serving our most vulnerable citizens with compassion and hope

Sincerely

E Douglas Varney Commissioner

Winter | Spring 2015

Newsletter StaffMike Machak Director of Communications

Leslie Judson Assistant Director of CommunicationsRichard Martin Department of General Services

Printing amp Media Services Designer

PhotographersAndre GibsonLeslie JudsonMike Machak

Tony Young His Image Design

Editorial AssistanceMelissa Pinhal

Published quarterly by theOffice of Communications

Dept of Mental Health amp Substance Abuse Services6th Floor Andrew Jackson Building

500 Deaderick StreetNashville TN 37243

Please send feedback queries and corrections toLeslieJudsontngov or call (615) 770-0466

Update is published online athttpwwwtennesseegovmentalby the Tennessee Department of

Mental Health and Substance Abuse Services

Published online at httpwwwtngovmental by theTennessee Department of Mental Health and SubstanceAbuse Services Publication Authorization 339454

Pursuant to the State of Tennesseersquos policy of nondiscriminationthe Department of Mental Health and Substance AbuseServices does not discriminate on the basis of race sex religioncolor national or ethnic origin age disability or military servicein its policies or in the admission to or treatment oremployment in its programs services or activities

Contact the departmentrsquos EEOAA Coordinator at 615-532-5680 the Title VI Coordinator or the ADACoordinator at 615-532-6700 or 1-800-560-5767 for inquiriescomplaints or further information

TENNESSEE DEPARTMENT OF MENTAL HEALTH amp SUBSTANCE ABUSE SERVICES

Our VISIONTo be one of the nationrsquos most innovative and proactivestate behavioral health authorities for Tennesseans dealing

with mental health and substance abuse problems

Our MISSIONProvide plan for and promote a comprehensive array of

quality prevention early intervention treatmenthabilitation and recovery support services for Tennesseans

with mental illness and substance abuse issues

TDMHSAS Update News | Winter 2015 3

COVER STORY

Morgan County Residential Recovery Court is a big idea A big idea with a big name a bigpurpose and a big mission You may not have heard of Morgan County Residential RecoveryCourt or MCRRC but yoursquore probably familiar with drug court ndash also called recovery court ndash aservice for people with substance abuse problems who have broken the law Itrsquos an opportunityto get clean and stay out of prison Itrsquos a cost-saving measure for governments and it saves lives

Morgan County Residential Recovery Court is like drug court 40 Itrsquos a place where non-violent felony offenders deemed ready and able to successfully complete treatment can go for achance at a new drug-free life Emphasis on free After the men complete the program not onlyare they free from incarceration but it is also hoped (and proven thus far) they can be free fromthe bonds of addiction Itrsquos criminal justice treatment and support in one

MCRRC is the only program of its kind in Tennessee When it opened in July 2013 it wasconsidered the only such program in the United States Governor Bill Haslam a proponent ofTennesseersquos drug court system cut the ribbon Now 14 drug courts across the state refer mento Morgan County Generally these men have not been successful in a local drug court but needadditional treatment They need more support more intensive treatments Once they completethe program (the time frame is different for everyone) the men will transition back to theirhome court to complete the final phases

MCRRC is a collaboration between the Tennessee Departments of Mental Health andSubstance Abuse Services and Correction Both work to build partnerships with recoverycourts public agencies and community-based organizations across the state to generatesupport and increase impact

Big ideas take a little getting used to

continued )))

One Super Bowl commercial has gotten a lot of attention this year It showed footage of a young Katie Couric and Bryant Gumbel on a1994 broadcast of the ldquoToday Showrdquo The hosts were debating what the sign meant in an email address asking ldquoWhat is theinternet anywayrdquo Then the commercial flashes forward to present day as Couric and Gumbel cruise down the street in an electric BMWndash this time debating what makes the car go A fan A turbine A turbine fan Funny But it was the words on the screen that stuck

Morgan

County

Residential

Recovery

Court

Story and photographyby Leslie Judson


Ellen Abbott TDMHSAS Director of Criminal JusticeServices has been on the MCRRC team from the beginningldquoEveryone came together and just did what needed to bedone to get the doors open [We] believed in the conceptand made it happenrdquo said Abbott

Located in Wartburg beside Morgan County CorrectionalFacility MCRRC still has some razor wire remnants of itspast as a prison annex but itrsquos been given a new life and anew purpose

ldquoThe program takes men from all across the state and bringsthem together to live and work in a community It is theircommunityrdquo Abbott said ldquoThe whole community is workingtogether to get their lives back on track They are all differentbut they come together as one unit It is amazing how muchthe guys come together and want each other to get betterand move forward in a positive direction in their livesrdquo

Big ideas takea village

Above Maurice (left) and Brian work to beautify the MCRRC campus

ldquoThis is a community

We hold each other accountablerdquo

continued page 6)))

This MCRRC crew worked to prepare this dorm building which will serve as a residence for veteranscoming into the program They cleaned the space and built each bed and locker Pictured front rightis crew leader Robby Crew members left to right are Paul Nick Matt Matt David and Andy

Photo subm

itted


Daniel comes to Tennessee from asmall town in Georgia just outsideMacon He started smoking marijuanaat age 11 Daniel says it wasnrsquot longbefore he began abusing alcohol andpills ultimately leading to multiplemisdemeanors and felonies starting asa teenager When his father wasawarded custody Daniel moved toTennessee where he began work Itwas at an automotive factory wherehis drug problem became mostapparent and dangerous

ldquoI had a lot of back-breaking jobsrdquoDaniel said He would use drugs andalcohol to self-medicate and make thework bearable ldquoI felt like I wastrapped in a mad manrsquos bodyrdquo Danielrsquoslifestyle caught up to him He went tojail at 20 and stayed there for threeyears Like many who first get theopportunity to participate in drugcourt and get clean Daniel wasnrsquotsuccessful ldquoI really didnrsquot want tochangerdquo he said ldquoPeople would plantseeds but they didnrsquot stick I kept onmessing uprdquo

When he had the chance to enterMCRRC Daniel says he saw the lightand for the first time in a long whilehe felt hopeful and ready to do thework to turn his life around ldquoI reallystarted getting into my step work Istarted soul searching I was on firefor life I felt like I could do anything Ireally believed it and I still dordquo

Daniel was among the first menadmitted into the MCRRC programPart of his early days of recoveryincluded working to ready andimprove the facility He and the othermen were an integral part of creatinga recovery environment ndash a safecomfortable place to live and learnhow to live in recovery ldquoWe weregonna start something I was excitedWe had a chance to make adifferencerdquo

Residents take on everything fromconstructing beds and lockers topreparing meals and shopping lists torepairing dilapidated buildings and

Daniel

ldquoI wish I could talk to the person I was years agordquo

building new structures Daniel took an interest in cooking and was drawn to thekitchen where he was responsible for cooking breakfast lunch and dinner ndash in the earlydays - with a hot plate and microwave ldquoWe made it workrdquo he said After he graduated from MCRRC Daniel turned his experience cooking for his fellowresidents in recovery to full-time work at a Nashville sandwich shop In the fall Danielplans to enroll in the culinary program at Nashville State

He is currently living in a halfway house and saving his money to buy a car In his freetime he attends meetings with his sponsor of two years and has returned to weightlifting - one of his childhood passions ldquoMy mission for life is to be happy I feed my souldaily Instead of feeding into the negative there are a million more things to be positiveabout Most of the world is not in recovery Yoursquore either going to go down a good roador a bad road If yoursquore doing good good things are going to comerdquo


Men at MCRRC are not idle While the program allows timefor personal learning and reflection there is a dailyschedule and the men are expected to participate inactivities which include maintaining a clean safe andrecovery-oriented environment Set up on a crew systemand led by their peers crews focus on leadership safetycommunity service education building maintenance dormmonitors gardening amp landscaping and food service Atypical day at MCRRC includes small group time lecturescommunity and crew meetings and meals in the dining area

Days begin at 6 am with meditation and journaling morningchores and breakfast Medications are dispensed to some ofthe men who are being treated for physical and mentalillness People addicted to drugs often do not take care ofthemselves and once in treatment can face a variety ofconditions and ailments Folks at MCRRC monitor the menand transport them to doctor appointments when neededPhone time is considered a privilege and comes at the endof the day Curfew is at 9 pm Lights go out at 1030

The men are expected to ldquopay it forwardrdquo One way to dothat is to help others At MCRRC that means working on-site to improve the facility On site projects have includedbuilding a greenhouse beds and lockers for the dormrooms and property signs as well as doing electrical workremodeling bathrooms landscaping and more

Service work reaches into the community At the local DeerLodge Community Center a crew of eight worked forseveral weeks to replace the rotting floor in the gym Theyreplaced the roof at Wartburg Rescue Mission and builtstorage sheds for Habitat for Humanity They also replaced aroof and did repair work on an elderly manrsquos home andrecently several did much-needed renovation work for anarea church Smaller projects have included clearing an oldfamily cemetery and raking leaves

Residents have come from 22 counties and 14 judicial districtsfrom all walks of life and backgrounds and include young menolder men veterans professionals husbands fathers grandfathers27 have successfully completed the long-term program manyothers are in various stages of the program

ldquoThe MCRRC program has only been in operation for about 18months but the outcomes are very promisingrdquo said Judge SethNorman Criminal Court Division 4 Judge who presides overcourt at MCRRC and was instrumental in establishing bothMCRRC and DC4 Nashvillersquos first drug court ldquoIf you do nottreat an addict who has been convicted of a crime statisticsshow that over 50 of them will be back in the judicial systemwithin three years of release Of those who receive long termtreatment while serving their sentence only about 25 of themreturn While it is early in the MCRRC program their currentrecidivism rate is less than 20rdquo

ldquoThis place saved my life It has been a blessing for meand my family Theyrsquore seeing a new merdquo

Richie a father to two sons and a daughter is18 months clean He enjoysworking on small engines in the MCRRC mechanics shop and teachingothers what he knows

Jason (left) and Will prepare lunch

continued from page 4)))

continued page 11)))


Britt constructed this wooden holder and filled it with informationalbrochures It hangs in one of the entrances at Morgan County ResidentialRecovery Court

ldquoI feel like drug addiction has robbed meof so muchrdquo At 48 years old Britt isdetermined to have another shot at lifeAs a young man he wanted to be adoctor In 1992 when the state had ashortage of dentists Britt had theopportunity to join a pilot program dentalschool He jumped at the chance ldquoTherewasnrsquot a semester I didnrsquot make the Deanrsquoslistrdquo he said

Britt says he turned to pot to help himdeal with the stress of school He wasarrested for possession and his life took anose dive When the would be dentist hadto get some dental work done himselfBritt says he was prescribed drugs for thepain and soon built up a tolerance ldquoTheyboost your energy levelrdquo

ldquoYou feel indestructibleBut then you arenrsquotrdquoAt some point when the opportunitypresented itself Britt turned to morphineto ease the pain He says at one point hewas using up to 3000 mg day A habit thatleft him fatigued and sick much of thetime ldquoThe physical sickness is what keepsyou stuckrdquo

Britt found himself in a vicious cycle

Britt didnrsquot grow up with much directionfrom family but in his 20s he received aninheritance ldquoIt was more of a curse than ablessingrdquo he said and used the money tofund his habit ldquoI sold a farm that had beenin my family for over 100 yearsrdquo Everyonein his small town knew about his troublesldquoI went from being someone who wasliked and respected to being a drugaddictrdquo Britt says he applied to drug courtthree times and was denied ldquoMy addictionacceleratedrdquo It was his lawyer he saidwho convinced the court to give Britt achance in drug court

Britt has been at Morgan County for eightmonths ldquoI feel hopeful today Thatrsquos whatdrug addiction takes from you You donrsquothave any desire to live anymore You donrsquottake care of yourself When you come inyoursquore just existing Yoursquore not living Yoursquorenumb Itrsquos like yoursquore in a hazerdquo

Britt

Britt tries to mentor new men who walk through those doors He remembershow he felt during his first days ldquoI was a mess I had given up on myself I wasbeat up in a lot of ways ndash physically mentally and spirituallyrdquo Britt credits hiscounselor for helping him turn a corner ldquoI didnrsquot know how to deal with myemotions Sometimes I didnrsquot know what I was feeling But I knew I wanted tolive differently Now I feel better physically I have goalsrdquo

Britt hopes to grow closer to his children who are 9 12 and 16 years old Healso thinks about going back to school Hersquos always been interested in scienceand contemplates how he can utilize his experiences with addiction andrecovery in his future studies He would like to make a difference

ldquoGetting clean is like beingrevitalized The longer you getclean the further you can seerdquo


At 30 years old Matt (left) says he has been through four or fivetreatment programs Morgan County was the one that actuallyworked ldquoThis has been a life-changing experience Itrsquos been a reliefrdquohe said Matt doesnrsquot know when he will be ready to leave MCRRC butdreams of a day when he will be reunited with his son Levi 3

Matt

Richie (left) and Ben stand on the concrete path that winds throughout the property from the dormitories to the dining hall to theworkshop to the courtroom In December this path led them out ofthe gate and to their new lives in recovery

Graduates Richie amp Ben

Danny 43 from Mt Juliet once owned a successful vinyl sidingbusiness even though he grew up in an alcoholic family and left homeat 15 His addiction almost killed him more than once

ldquoI have flatlined three times Irsquom tired of fighting I have surrenderedrdquoDanny has been at MCRRC about 8 months ldquoI was broken I was veryangry This place has showed me how to deal with all of my angerrdquo hesaid ldquoI can learn from everyone who comes in hererdquo

Danny


Judge Seth W Norman is currently the Judge of Division IVCriminal Court but his work and its impact are felt

statewide Elected to the bench in 1990 Judge Norman hasbeen reelected without opposition three times In additionto Division IV Criminal Court he also presides over the13th Judicial District Drug Court Davidson County DrugCourt (also known as DC4 which he founded in 1996) andMCRRC which he helped to establish in 2013 JudgeNorman is a recovery court believer ldquoThere is no doubt inmy mind of the fact that Tennessee needs more treatmentbeds and a curtailment in the building of more prison bedsrdquohe said ldquoThere is a great need for treatment beds forwomen At the present time there are a total of 160treatment beds for men but only 30 for womenrdquo

Treatment over hard time makes sense fiscally JudgeNorman said ldquoI hate to see my tax money spent foolishly Ifpeople who are not familiar with addiction do not careabout addicts they should care how their tax money isspentrdquo he said The average cost of housing and treating anindividual either in Nashville or MCRRC is about $50day vs$75 per dayindividual in jail ldquoAlmost all of the individualswho are placed in one of the treatment facilities would beincarcerated for at least three years if they went to prisonthey normally finish the residential portion of theirtreatment in about 18 months Ten years of statistics showthat the State of Tennessee saves about $33000 for everyperson who completes one of the treatment programsrdquo

ldquoI donrsquot want you to justtalk the talk I want you towalk the walkrdquo Judge Seth Norman

Stacy (right) is on the kitchen crew a job hetakes very seriously In this photo he andBrandon are preparing to honor theretirement of Sue Young a beloved staffmember Stacy said hersquos inspired by the staffwho are also in recovery and teach byexample ldquoIf they can do it I can do itrdquo hesaid ldquoI want to give myself the best chance Ican when I get out of hererdquo

Stacy 37 had a problem with opiates Hersquosbeen in prison and he has no intention ofgoing back ldquoTherersquos not much humanity inprison I was alone I was feelingdisconnected This place has allowed me tofind a hope that I can count on to help me tofind out who I really amrdquo Stacy is preparedto keep working toward a life of recoveryldquoHow can I come here and think that itrsquos notgonna take a lot of hard work If it is so easywhy isnrsquot everyone doing itrdquo

ldquoI just want the secondpart of my life to bebetter than the firstrdquo

Residents gather often for community meetings Leading thisone is Program Director Brad MacLean who is sitting in thewitness stand of the judgersquos bench MacLean has spent muchof his life in a courtroom He practiced law for 25 years at aNashville law firm In 2007 he retired from the firm to devotehis time to capital cases and to represent death row inmatesHe served for 20 years as an adjunct professor of law at

Vanderbilt Law School MacLean walked away from the activepractice of law when Judge Norman gave him the opportunityto serve as director at MCRRC ldquoI chose to work at MCRRCbecause I believe that our criminal justice system needs todevelop different ways of addressing the underlying causes ofcrimerdquo he said ldquoThe drug court movement represents achange in approach which I believe is badly neededrdquo

Stacy


ldquoI am learning a new way of liferdquo

The success rate has caused other states totake notice looking to MCRRC as a model fortheir own residential recovery courts Some ofthe achievement is dependent on support afterthe men leave the facility

ldquoWhen they leave here they lose some of thesupport We take that transition veryseriouslyrdquo said Program Director BradMacLean ldquoDeveloping a support system is oneof the most important things we can do andthe most difficult thing the men can dordquo

One of the requirements of graduation is thatthe men find a sponsor who walks alongsidethem in recovery Many travel several miles toAANA meetings daily from MCRRC filling avan with eager 12-steppers each on his ownpath MacLean says he hopes to get an AAmeeting started in Wartburg to serveresidents and the community

Yes big ideas take alittle getting used toBut it only takes a peek inside MCRRC to seethe good that is happening here The recoveryThe healing The growth MacLean and his staffand the men at MCRRC have dug in This bigidea is no longer an idea The seed has beenplanted And just like the gardens (right) thatthe men plant and tend each spring fruit andflowers now bloom New lifesprouts from the dust A newseason has begun The visiongrows

Ellen Abbott has been on teamMCRRC from day one from theground up She hopes the statebuilds on this communityrecovery model and expands toinclude a program for womenldquoMCRRC saves lives and familiesand gives men who complete theprogram an opportunity toreturn to their community andget their lives back on a positiveproductive trackrdquo



Brothers in recovery Terry Michael JJ Andy Drew Matt and Richard following a morning of

service work in the community Photo subm

itted


DEPARTMENT NEWS | HOSPITALS

Middle and Western were first recognized asTop Performers in 2012 and again in 2013The staffs continue to demonstrate theirability to maintain high standards inpatient care

ldquoItrsquos with great pride that I extendcongratulations and thanks to ourdedicated professionals for theircommitment to excellencerdquo saidCommissioner Varney ldquoItrsquos reassuringto know that our patients and their

loved ones can count on us to provide thevery best in personalized behavioral health

diagnosis and treatmentrdquo

Western and Middle Tennessee Mental HealthInstitutes continue to earn high marks inexcellence Both were named a ldquoTop Performeron Key Quality Measuresrdquo by The JointCommission the leading accrediting body forhealth care organizations in the United States

ldquoOur priority is putting our patients first byensuring they receive the highest quality careand treatment to help them manage theirindividual behavior health challengesrdquo saidCommissioner Varney ldquoIrsquom especially gratefulfor the commitment our professionals makeevery day to the health wellbeing and recovery ofthe patients in our carerdquo

Always striving for perfection

Hospitals Earn Gold Seal of Approval

Hospital Services in TennesseeIn 2014 at our four Regional Mental Health Institutes

9218 Admissions 527 were first admissions 47718 Average daily census 59 days Average length of stay (acute) 80 of patients reported they were satisfied with services

Western Mental Health Institute



Middle Tennessee Mental Health Institute

Top Performers

The leadership team at WMHI front row (sitting) Donny Hornsby Clara Manley Rita Kennedy Front row (standing) Tammy Gammel Renee AndersonDebbie Spencer Ruby Harvey Lisa Roy Demetrick Wellington Pat Sewell Dorothy Prather Amy Weaver and Kelly Martin Second row (standing) JohnldquoJeffrdquo Coons Mike Murley Kevin Turner MD Jeffrey Robbins MD Luzone Dickerson DeBora Murphy MD Shirlene Talarico Barrett Stevens Cindy Droke CEO Roger Pursley Elaine Kirk Dell Ann Cossar Ronald Bruce James Varner MD Stairs by the bannister Sandy Malone Marvin Shawand Carrie McGowan Stairs middle row Earl Bates and Melvin Ewell Stairs by the wall Eddie Kessler Harley Smoot III MD and Jessica Russell


The leadership team at MTMHI front row Valentin Nanev Lisa Brown Lance Morgan M S Jahan Joyce Kovacs Lesa Hall Sharon Hamby Margie DunnKalyn McCoy Jamma Law Cheryl Bohan Lori Abriola Sherri Gentry Patricia Harris Barbara Nightingale and CEO Bob Micinski Back row Greg BoldenNancy Kirby Mark Stanley Kathy Sanchez Marsha Cooprider Steve Blair Mac Schrimsher Ted Salyers LaWanda Jenkins and Sharon Mays

Advancing Patient CareFrom recordkeeping to medication

distribution the Division of HospitalServices is seeking to enhance the abilityof its mental health professionals tobetter monitor and manage the careprovided to patients

ldquoThe days of hand written notes oncharts and prescription note pads arenumberedrdquo said John ArredondoAssistant Commissioner of HospitalServices ldquoGoing electronic with ourrecordkeeping and automating thedispensing of medications will significantlyreduce errors and improve patientoutcomesrdquo

Last fall a team of students fromVanderbilt University embarked on aproject to access the implementation ofan automated medication dispensingsystem Eliza Stedman Sara Bowman andSami Kopinskyrsquos evaluation offered anindependent analysis and findings thatsuggest many benefits ndash such as ensuringpatients get the correct medication andsavings of time and money for Tennesseersquosregional mental health institutes

ldquoWe were very impressed by the studentsrsquo evaluationrdquo saidArredondo ldquoIt confirmed many of our own findings that anautomated approach will benefit our patients as well as theclinical staffrdquo

Following a thorough assessment phase Hospital Servicesanticipates implementing the automated system throughoutTennesseersquos mental health institutes

Eliza Stedman Sara Bowman and Sami Kopinsky

Medical students and residents from the Universityof Tennessee Health Science Center (UTHSC) inMemphis are resuming their clinical rotations atMemphis Mental Health Institute (MMHI) Therenewed partnership with UTHSC will includeclinical rotations for nurse practitioner studentsfrom UTrsquos Advanced Practice amp Doctoral Studiesprogram within the College of Nursing with thefocus on individual group and family therapy ldquoThesestudents will be actively involved in our TreatmentMall where they will be exposed to groupcounseling skills from more than 100 different

psycho-educational groupsrdquo said Lisa A DanielCEO MMHI ldquoAdditionally they will be exposed tonew insights skills and techniques from Dr VijayaChandel MD who recently joined the staff and istrained and experienced in family therapyrdquo



UT Students MMHI Score a Win-Win


DEPARTMENT NEWS

Lifeline Project Coordinators 2015The Tennessee Department of Mental Health and Substance Abuse Services hosted the Semi-Annual meeting forthe Lifeline Peer Project coordinators on January 26 The Lifeline Peer Project is a statewide initiative that was establishedto reduce stigma related to the disease of addiction and to increase community support for policies that providefor treatment and recovery services

Representing the state are front row left to right Drew Lester (Region 6 North) Dave Hodges (Region 3 South) Ashley Davis (Region 6 South) Lynda Loftis(Region 3 North) Danny Spano (Region 5 North) Jason Abernathy (Region 1) and Kirk Johnson (Region 4) Second row left to right Jack Wyatt (Region 7)Allen Burnette (Region 5 South) and Stan Grubb (Region 2)

Staff Give BackDepartment staff from the Hospital ServicesDivision Information Technology and the Office ofCommunications participated in the 4th annualCollege Prep Day held October 4 at WatsonGrove MB Church in Nashville The seminarldquoEverything You Need to Know to Prepare forCollegerdquo included Speed Networking in whichstudents in grades 8-12 were given theopportunity to meet with professionals and askquestions about their chosen field of studiesParticipating from Central Office were (front row)Laura Young DNP Rachel Bauer PharmD and JasonCarter PharmD and (back row) Leslie JudsonGwen Hamer who also served as an eventcoordinator and Richard Zhu

Drum roll please Our first Crisis Services OutstandingEmployee is Rick Duncan Crisis Clinician RidgeviewPsychiatric Hospital and Center Inc in Oak Ridge

The Tennessee Department of Mental Health and SubstanceAbuse Services is proud to announce a new initiative inspiredby the wonderful work of our statersquos crisis teams Beginning inthis edition of Update we will recognize outstanding employeesin the field of Crisis Services

Why are we doing thisldquoWe appreciate the dedication commitment and compassiondemonstrated by professionals who are working in the crisisservices systemrdquo said Melissa Sparks Director of Crisis andSuicide Prevention Services ldquoFor individuals experiencing aparticularly difficult time the interaction one has with theprofessional responding to them in crisis can make all thedifference in the world If the interaction goes well it can aidthe road to recovery for that individual but if it does not gowell the person in crisis may never be incentivized to seekmental health services again Crisis services staff must be willingto work all hours of the day and night travel through all typesof weather and have a mountain of patience as they attempt tonegotiate care with insurance carriers andor family membersrdquo

The NominationAnyone working in Crisis Services inthe state of Tennessee can nominatesomeone for this honor Rick wasnominated as an OutstandingEmployee by his colleague DavidMorgan

ldquoRick is a diligent worker with apositive attitude and alwaysmaintains a sense of humor even indifficult situationsrdquo Morgan said ldquoHeworks the weekend overnight shiftwhich tends to be the busiest shiftRick has actually seen up to eightface-to-face evaluations in a singleshift which is a record for RidgeviewMobile Crisisrdquo

Mobile Crisis Team Coordinator Julie Upham said she is proudof the quality work accomplished by the 13-member staff ldquoWeare a small close-knit grouprdquo Upham said ldquoRick has worked areally tough busy weekend night shift schedule for years andyears It is a relief to know there is a steady dependable andseasoned clinician working those shifts When he takes avacation the covering clinician can bank on hearing lsquoWherersquos

Rickrsquo from ERs jail staff and other referring agencies Rick letsvery little stop him He is valued by his co-workers throughoutRidgeview for his experience and his work ethicrdquo

Meet our Crisis ServicesOutstanding EmployeeRick 56 is happy to be providingservices in Oak Ridge where he grewup He works 40 hours a week manningthe overnight shifts on FridaysSaturdays and Sundays He also has asecond job as a case manager with theDepartment of Intellectual andDevelopmental Disabilities

About his role at Ridgeview Rick says ldquoIassess adults who are experiencing acrisis in their lives These assessmentsare completed in area hospitals andjails My goal is to find suitable services

for these individuals which can range from follow-up with acurrent provider hospitalization or assistance with entering themental health system for the first timerdquo

Rick spends a lot of time at work helping others but he alsomakes himself a priority too ldquoIf we donrsquot take care of ourselveswe are at risk for burnout which would affect how weapproach our clients First and foremost is that I try never totake my work home with me I also spend a lot of time with my

DEPARTMENT NEWS


Introducing the TDMHSAS Crisis Services

Outstanding employee | By Leslie Judson

Rick Duncan Outstanding Employee

ldquoUnless yoursquove walked inthe shoes of someone incrisis itrsquos impossible to

know exactly what theyrsquorefeeling but you can showempathy and listenrdquo

Rick Duncan

Photo subm

itted

three kids and granddaughter andrelaxing with my girlfriendrdquo

Rick got a new perspective on lifeand self-care following a serioushealth scare in 2013 ldquoI wasdiagnosed with a grapefruit-sizednon-malignant tumor I wasactually at Methodist MedicalCenter in Oak Ridge assessing aclient when I passed out

I had no symptoms whatsoever Igave myself three months to livewhen I was first informed LuckilyI was given a second chance whenthey diagnosed it as aMeningioma Ten days after mydiagnosis I was at VanderbiltHospital undergoing brain surgeryfor six hoursrdquo Rick was back atwork 2 months after surgery

ldquoMy experience showed me howquickly life could end It changedme in ways that only I and othersthat have been there can understand I no longer take life for granted and appreciate thelittle things in life that had become mundane It changed my personality to a large extentThe little things donrsquot really seem to bother me anymorerdquo


DEPARTMENT NEWS

Rick Duncan hard at work

Tennessee Statewide Toll-Free Crisis Line 1-855-CRISIS-1Confidential help 24 hours a day 7 days a week

116891 Crisis Calls (adults)11388 Crisis Calls (youth)

54333 Face-to-face Assessments (adults)7046 Face-to-face Assessments (youth)

9469 Admissions to Crisis Stabilization Units

Each year 40000+ Tennesseans are provided suicide prevention education

Crisis Services in TennesseeFrom 2011-2013

High Praise from NAMI


DEPARTMENT NEWS

My Health My Choice My Life 2014 Model Project Award

The National Alliance on Mental Illness NAMITennessee offered special recognition to a

department initiative at the state conference inSeptember 2014

NAMI honored My Health My Choice My Life withits 2014 Model Project Award The program is uniquein that it focuses on improving mental health andwellness by encouraging and teaching participants tomake healthier choices that result in improvedwellbeing and outlook on life

ldquoThe clients as well as theirfamily members have reallybenefited from this approachrdquosaid Katie Lee Program ManagerConsumer Wellness andEmployment Programs ldquoWe aredeeply grateful for NAMITennesseersquos award and for theopportunity to be a part of aproject that is helping our fellowTennesseans live healthy andmore productive livesrdquo

Pictured left to right Mark Bresee (AIM Center Inc Peer WellnessCoach) Tiffany Claiborne (Pathways Peer Wellness Coach) Lindsey Johnson(Pathways Peer Wellness Coach) Richard Baxtor (Past President of NAMITN Board of Directors) Sue Karber (TDMHSAS Director of ConsumerWellness and Employment Programs) Katie Lee (TDMHSAS ProgramManager) and Donald Williams (Centerstone Peer Wellness Coach)

Fun from last yearrsquos My Health My Choice My Life Championship Games

Marie Williams NAMI Professional AwardFor making a significant impact on mental health care and forserving as a model of hope and tenacity DeputyCommissioner Marie Williams received the 2014 NAMITennessee Professional Award Executive Director JeffFladen NAMI Tennessee presented the award whichrecognizes Deputy Commissioner Williams for her ldquotirelesseffort and selfless commitment to the mental wellbeing ofthe people of Tennesseerdquo


DEPARTMENT NEWS

Back by demand the Tennessee Departmentof Mental Health and Substance AbuseServices rebooted last summerrsquos statewidePrescription for Success tour for an audiencein Rutherford County

Billed as the Prescription Drug AbuseSummit legislators as well as selectindividuals from law enforcement the courtsanti-drug coalitions providers and people inrecovery assembled for the meeting anddiscussion about how to tackle theprescription drug abuse epidemic facingTennesseersquos citizens and leaders

Commissioner Varney led the gathering heldat Saint Thomas Rutherford Hospital inMurfreesboro which attracted news mediafrom the local Gannett-owned Daily NewsJournal and Nashvillersquos Fox 17 News

From the Great Smoky Mountains to the Mighty Mississippi andall places in between therersquos a group of Tennessee citizens whoare dedicated to ensuring and advancing mental health andsubstance abuse services for all who need them They make upthe departmentrsquos planning councils

In 2014 the seven Regional Councils as well as the StatewideCouncil engaged hundreds of people with an interest inservices The councils which include providers consumersfamily members of consumers and stakeholders let their voicesbe heard on what services are most needed

ldquoThe councils play a unique and powerful role indetermining the goals of the Tennessee Departmentof Mental Health and Substance Abuse Servicesrdquo saidDr Paul Fuchcar Chair of the Statewide Council andExecutive Director of CADAS ldquoInformation emergesfrom every member of each of the RegionalCouncils which becomes essential in the planning ofstatewide initiativesrdquo

Members of the Statewide Council convened at MiddleTennessee Mental Health Institute in December

Attendees to the Murfreesboro Prescription Drug Abuse Summit included Sen Jim Tracy (R) ShelbyvilleSen Bill Ketron (R) Murfreesboro TDMHSAS Commissioner E Douglas Varney Rep GA Hardaway(D) Memphis and Rep Mike Sparks (R) Smyrna

Prescription for Success The Sequel

Itrsquos All About the Planning


DEPARTMENT NEWS

More than 200 gathered at the Murfreesboro EmbassySuites Hotel in December for the Tennessee

Association of Mental Health Organizations TAMHO annualconference and awards program Commissioner Varney andDeputy Commissioner Williams along with otherdepartment staff joined in to recognize those serving theneeds of Tennesseans

The 2014 conference Time for Change placed emphasis onsuicide prevention Speakers and participants spoke to theneed for more resources and services with the continuedmessage and state goal of ZERO suicides

Among the special recognitions were the DistinguishedService Award presented to Charles Good former CEOFrontier Health and the Frank G Clement CommunityService Award bestowed on the Honorable Douglas HenryJr former Tennessee Senator who was lauded as a longtimeunsung hero of the behavioral health community during hismany years of service in the legislature

Stars Turn Out for the TAMHO Awards

Douglas Henry Jr and Commissioner Varney

Below Sejal West Assistant Commissioner of Mental Health Services speaking on a panel about suicide prevention in the state of Tennessee


DEPARTMENT NEWS

Commissioner Varney presented seven community behavioralhealthcare providers with a special certificate signed byGovernor Bill Haslam stating that each had earned thedistinction of being a Tennessee ldquoSame Day Access FacilityrdquoThese providers were deemed to have ldquotransformed thecustomer experience by streamlining their access-to-careprocesses Staff reduced waiting time for appointmentsincreased client engagement and improved overall access tocare These changes have made a significant impact on the livesof those who seek behavioral health services in Tennesseerdquo

Commissioner Varney addresses the conference

Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak

Congratulations CareyCounseling Center Centerstoneof Tennessee Professional CareServices of West TN Volunteer

Behavioral Health AllianceHealth Services Ridgeview andQuinco Mental Health Center

Community Services in Tennessee

The Tennessee Department of Mental Health and Substance Abuse Services managesapproximately 750 contracts with more than 250 private non-profit andor faith-basedagencies In 2014 nearly 400000 adults and children were served

Mental Health Substance Abuse Services281330 Adults served (18-24) 41875 Adults served (25 +)

57425 Youth served (0-17) 17347 Youth served (0-24)

From 2010-2014 35 million received information about mental health and substance abuse

October Chili Cook-Off


DEPARTMENT NEWS

With a chill in the air and appetites engaged theheat was on in the Andrew Jackson Hearing

Room last October as the departmentrsquos Top Chefsput their best chili recipes to the test An esteemedand experienced panel of chili judges was assembledwhich included Deputy Commissioner Marie WilliamsAssistant Commissioner Sejal West Katie Ledbetterand the recently-retired Rodney Sanders

Several chilies were entered in the cook-off atestament to the fierce competitive spirit inTDMHSAS Others were just there for the party andjoined the ldquoChili Wanna Have Funrdquo category In theend there would be just one chili worthy of theGolden Bean award

Congratulations to top chili chef Debra Cunninghamand all of the competitors ldquoItrsquos always a good daywhen you winrdquo said Cunningham

Photos by Andre Gibson and Mike Machak

Chili good enough to standin line for said LindaMcCorkle and Alexis Lacy

continued )))


DEPARTMENT NEWS

Danette Wilson (left) and Edwina Chappell (right)pose with Melissa McGee former Wellness Councilchair who led the Chili Cook-Off effort

Chili and corn chips brought out the silly in Kurt Hippel and Kevin Dillehay

Mesina Bullock Middle TN Regional Wellness Coordinator (left) and Kathryn Hallrepresentatives from Working for a Healthier TN were greeted by Deputy CommissionerMarie Williams

DEPARTMENT NEWS

Happy staffers Richard Pottsand Micheal Jones


Judge Sejal West

The Wellness Council served up a side of fitness Monty Burks Mike Machak and Sarah Sanders performedfitness demonstrations throughout the event

DEPARTMENT NEWS

Deputy Commissioner Williams presents Deb Cunningham with the Golden Bean Award for best chili

Winning Recipe

Debrsquos White Chicken Chili

2 tablespoons olive oil 2 onions chopped 4 cloves garlic minced 4 cooked boneless chicken breast half chopped 3 (145 oz) cans chicken broth 2 (4 oz) cans canned green chile peppers chopped 2 teaspoons ground cumin 2 teaspoons dried oregano 1 12 teaspoons cayenne pepper 5 (145 oz) cans great Northern beans undrained 1 cup shredded Monterey Jack cheese

Heat the oil in a large pot over medium heat Add theonions and garlic and saute for 10 minutes or until onionsare tender Add the chicken chicken broth chili pepperscumin oregano and cayenne pepper and bring to a boil

Reduce heat to low and add the beans Simmer for 20 to 30minutes or until heated thoroughly Pour into bowls and topwith the cheese

Debrsquos recipe tips ldquoI typically use more cans of beans andgreen chiles than what are called for I steam my chickenbreasts I add the onions to the soup instead of sauteacuteingwith the garlic I also add 3 Tablespoons of flour (optional)and mix with a half cup of the chicken broth to thickenrdquo



PROVIDER NEWS

Cutting the ribbon on December 15 is Randy BoydRadio Systems Corporation now serving asCommissioner of Economic and CommunityDevelopment for the State of Tennessee He standsalongside CEOPresident Jerry Vagnier Helen RossMcNabb Center

New Veteransrsquo Housing Opens in Knoxville

Parent Place a supervised visitation programhas a new home at the Helen Ross McNabbCenter

Prior Parent Place served 135 families a yearthrough Catholic Charities of East TennesseePartnering with the Helen Ross McNabbCenter allows Parent Place to expand andserve more and also provide supportiveservices like parent education family therapyand case management

About the change Catholic CharitiesExecutive Director Sister Mary ChristineCremin said ldquoWe wonrsquot let any program gounless it is going to the right place and wefeel that the Helen Ross McNabb Center isthe right placerdquo

Helen Ross McNabb Center Presidentand CEO Jerry Vagnier said ldquoThe goal ofParent Place fits nicely into [our] mission

and will increase our ability to providewraparound services to children andfamilies in our communityrdquo

Parent Placersquos new location is 2455Sutherland Ave on the Helen RossMcNabb Centerrsquos John Tarleton Campusin Knoxville

Family Visitation Program Moves to Helen Ross McNabb

The Helen Ross McNabb Foundationheld a ribbon cutting ceremony for

eight new units constructed on CosterRoad in Knoxville

The new units are called Cedar Crossingand are part of a project started byHelen Ross who has raised $183 millionto develop and sustain housing facilitiesthat serve homeless veterans withmental illnesses andor behavioral healthdisabilities In addition to theconstruction of Cedar Crossing 15 unitson Washington Pike have been renovatedto serve the veteran population

National studies indicate that one inevery five people who are homeless alsoserved in the military Veterans of thewars in Iraq and Afghanistan are goingfrom serving their country to life on thestreets much faster than the generationof veterans who served in Vietnam

The Helen Ross McNabb Centerunderstands that veterans who are eitherhomeless or at-risk of becominghomeless need access to integratedservices to ensure the best possibleoutcomes for recovery and resilienceSupportive housing can be the first step in

addressing complex factors like mentalillness addiction and job loss thatcompound a homeless veteranrsquos ability tobe healthy and successful

In order to qualify for housingprospective residents are homeless onintake and are likely to have little to noincome The Helen Ross McNabb Centercollaborates with the VeteransAdministration through the use ofVeterans Affairs Supportive Housing(VASH) vouchers for placement at bothlocations

TAADAS Recognizes Excellence


PROVIDER NEWS

Award recipients from left to right were Rep David Hawk Laura Berlind Kathleen Thomas accepting on behalf of her father Sen Doug Overbey Daryl Murray andBoomer Brown

TAADAS celebrated National Recovery Month with a concertand banquet held in Nashville last September

Rep Hawk of Greeneville and Sen Overbey of Maryville won theVoice of Recovery Award for a 2014 budget amendment whichcalled for additional funding for alcohol and drug addictiontreatment to those who are indigent Both serve regions ofTennessee affected by increases in substance abuse

Laura Berlind CEO of Renewal House received the Volunteer of theYear award Berlind has served as an officer on the ExecutiveCommittee of TAADAS for the past four years and will becomePresident this July

Daryl Murray CEO of Welcome Home Ministries received the CEOof the Year award Murray founded Welcome Home Ministries 22years ago and has served as CEO since Murray serves as Chair ofthe TAADAS Recovery Support and Criminal Justice Committee Hehas helped launch an association of recovery residences with theinception of the Tennessee Association of Recovery Residences

Boomer Brown received the Lifetime Achievement award inrecognition of 25 years as a counselor mentor and advocate Brownhas served as President of TAADAS and held various Chairpositions He advocates for meeting patientsrsquo recovery needs andprofessionalization of the field at local and statewide committeehearings TAADAS said it is because of his personal relationshipswith those in recovery that define his legacy of lifetime achievement

TN Providers Chosen for National Substance Abuse InitiativeThe National Council for Behavioral Health has selected 29community behavioral health organizations from across sixstates to participate in an initiative to reduce adolescentsubstance abuse Four of the 29 providers selected are fromTennessee Alliance Healthcare Services Carey CounselingCenter Inc Frontier Health and Helen Ross McNabbCenter

The Reducing Adolescent Substance Abuse Initiative is a two-and-a-half year project that benefits adolescents ages 15-22who receive services for emotional disturbance or

psychiatric disorders The project is designed to helpproviders implement a protocol that includes screening briefintervention and referral to treatment for adolescentsubstance abuse

The project also addresses how Medicaid can pay for theseservices The other providers selected to participate in thisinitiative are from California Colorado Kansas New Yorkand Rhode Island Learn more about the project andproviders at wwwTheNationalCouncilorg

28 TDMHSAS Update News |Winter 2015

PROVIDER NEWS

Suicide Prevention Awareness Day

Knoxville Community Day

Tennessee SuicidePrevention Network

(TSPN) held its annual SuicidePrevention Awareness Dayevent at Trevecca CommunityChurch in Nashville onSeptember 10 2014Commissioner E DouglasVarney presented aproclamation on behalf ofGovernor Bill Haslam namingSeptember as SuicidePrevention Awareness Month TSPN has received aproclamation from the Office ofthe Governor each year since2001 Scott Couchanchorreporter withNashvillersquos FOX 17 Newsemceed the event

Commissioner Varney presents theproclamation to Jennifer Harris TSPNAdvisory Council Chair and TSPNExecutive Director Scott Ridgway

Despite the rainy weather people of allages turned out for the Community

Awareness Celebration on KnoxvillersquosMarket Square on the afternoon of FridayOctober 10 The free event scheduledduring Mental Illness Awareness Week isan opportunity to raise awareness ofmental illness to reduce stigma and tocelebrate diversity It featured food door prizes a pie eating contestdancing and a performance by country singer Laurel Wright Local radiopersonalities Krisha and Opie Joe from Q1003 FM emceed TheCommunity Awareness Celebration is presented by Helen Ross McNabbCenter and Behavioral Health Awareness Coalition of East Tennessee

Want to be featured in an upcoming issue of this newsletter Next deadline April 6Send your information andor photos (in jpeg format) with caption information to Leslie Judson at LeslieJudsontngov

PROVIDERS SHARE YOURNEWS AND AWARDS


PROVIDER NEWS

Frontier Healthrsquos CEO Charles E Good Retired

Hawkins County Mental Health Begins Intensive Outpatient

Hawkins Co Mental Health Center a division of FrontierHealth launched an intensive outpatient program in

August 2014 for individuals with substance use disorders andco-occurring mental health and substance use disorders

Individuals in the program receive the same level of intensivealcohol and drug treatment available in larger communities

They may self-refer to the program or may be referred byfamily members a physician a professional peer associationthe emergency room jail or a parole officer

Frontier Health also offers intensive outpatient services atJohnson Cityrsquos Watauga Behavioral Health KingsportrsquosHolston Counseling and Bristol Regional Counseling Center

Good played an integral role in the development of mental health services in Northeast Tennessee and Southwest Virginia ldquoCharlie sawadvantages in local mental health and community organizations cooperating to meet regional needsrdquo said Gary Mabrey Chair of

Frontier Health Board of Directors Good ldquowas one of the leaders who made sure services continued despite turbulent health care changerdquo

Good received the Tennessee Association of Mental Health Organizations Distinguished Service Award in December He was recognized forhis work beginning in 1972 at the Johnson City Education Youth Center working with severely emotionally disturbed adolescents to his roleas CEO of Frontier Health the not-for-profit 501(c)(3) he helped unite

ldquoCharlie dedicated 42 years serving some of our most vulnerable citizenscreating new programs launching initiatives refining existing ones and under hisleadership helped lay the foundation for a behavioral health care system thattruly provides a continuum of care for individuals in Northeast Tennessee andSouthwest Virginiardquo said Frontier Health President and CEO Teresa Kidd ldquoHishonest and direct approach in delivering behavioral health services led to asystem that strives to leave no one behindrdquo

Good held vital leadership roles to ensure delivery of quality services andfinancial viability of what would become Frontier Health and was directlyinvolved in the development of TRACES Therapeutic Foster Care Sullivan Houseadolescent residential SAFE House domestic violence shelter Link Houserunaway program residential treatment and group homes for those mentally illor with intellectual disabilities and Kingsport Center of Opportunity for thosewith intellectual and developmental disabilities

As CEO Charlie led two successful CARF accreditations and continuesinvolvement in community initiatives He served on the TAMHO Executive andQuality committees and was 2013 TAMHO Board of Directors President He ison Southwest Virginiarsquos ONE Care and the Southwest Virginia Health AuthorityrsquosBoards of Directors He was affiliated with Tennessee Psychological AssociationMidwestern Association of Behavioral Analysis and the American Association forMarriage amp Family Therapy

Good has volunteered with the Boy Scouts for many years He is President ofSequoyah Council BSA for 16 counties in Northeast Tennessee and SouthwestVirginia


SPREAD THE WORD

What is Day on Capitol HillThe 14th annual Behavioral Health Day on Capitol Hillsometimes called ldquoDay on the Hillrdquo is an event focusing oneducation advocacy training and visits with legislators Theevent is free however registration is required Lunch isprovided with registration

What is the schedule of eventsRegistration begins at 830 am on Wednesday March 18The program begins at 930

Speakers include Paul Gionfriddo CEO of Mental HealthAmerica and author of ldquoLosing Timrdquo As a legislator inConnecticut he says he helped to create a healthcaresystem that failed his son Tim who has schizophrenia Hewill be discussing the importance of self-advocacy

Sita Diehl National Alliance on Mental Illness will discussthe importance of concisely sharing your lived experiencewith legislators and will provide self-advocacy tips

Attendees can also look forward to several testimonialsincluding one from Tennessean reporter Brad Schmitt aformer representative for Lifeline the State of Tennesseeinitiative working to reduce stigma and encourageprevention treatment and recovery in the field ofsubstance abuse

Where is Day on the Hill being heldDay on the Hill will be at War Memorial Auditorium in theheart of downtown Nashville steps from the CapitolBuilding and Legislative Plaza Past participants have takenthe opportunity to sightsee and learn more about ourstatersquos capital

Who can attend Day on the HillAnyone Last year about 400 people attended includingconsumers and family members of consumers professionalsin the fields of mental health and substance abuse servicesadvocates and legislators Those interested in learningabout and advocating for mental health and substanceabuse services in Tennessee are encouraged to attend

Day on the Hill

To register for Behavioral Health Day on the Hill visit this link

18

ldquoIf someone asked me lsquoshould I attend

Day on the Hillrsquo the answer would

definitely be yes because it is a great

way to make a difference and explain

the real issues of mental health in

Tennessee by putting real stories in

front of legislators It is often the only

time that those living with mental

illnesses get an opportunity to

advocate and tell their own stories to

legislators It is an organized approach

for advocates to ensure that state

leaders hear a consistent message

regarding the importance of preserving

mental health dollars and services for

mental health treatmentrdquo

Ann MAdvocate volunteer concerned citizen

SPREAD THE WORD

Each spring approximately 150people throughout Tennesseebring their original artwork to

Nashville for display at LegislativePlaza The event called Art forAwareness gives people in recoveryfrom mental illness or substance usedisorder a chance to share theircreations with state legislators andothers while at the same timeraising awareness

Co-sponsored by TennesseeDepartment of Mental Health and

Substance Abuse Services and theHealing Arts Project Inc (HAPI) Artfor Awareness includes a keynotespeaker and a time for attendees toshare what art means to themParticipating artists are awardedgoody bags filled with art supplies After the event each personrsquosartwork is displayed in the halls ofLegislative Plaza with a card thatincludes the artistrsquos namehometown and a quote describingthe art or expressing what the artmeans to them Some artists haveeven sold their artwork

HAPI helps people find this creativeoutlet by providing art teachers artclasses and art supplies to people inrecovery from mental illness orsubstance use disorder HAPI thenexhibits artwork in community sitessuch as public libraries churchesand galleries helping to raiseawareness combat stigma andpromote understanding acceptanceand success

Lisa Ragan Director of Consumer Affairs and Peer Recovery Services

Libby Byler Amerigroup Wellness and Recovery Lead speaks at last yearrsquos event

Barbara Shirley

John Butts Clarksville Reconnect Peer Support Center

18

For more information and todownload a registration form

Click here

Creating art helps people inrecovery from mental illnessor substance use disorderfind a way to expressthemselves Art encouragesself-expression self-discovery and emotionalgrowth and can be an outletfor expressing feelings ofisolation rejection loss andalienation that canaccompany mental illness orsubstance use disorder

Lisa Ragan


ldquordquo


WELLNESS AT WORK

Ways to Rock Your Health in 2015 | By Katie Lee Division of Mental Health Services

You work hard At your workplace at home in thecommunity you are rocking it But for many of us we are

not rocking our physical health Studies show most of us arenot eating healthy enough and we are not getting as muchphysical activity as recommended This year letrsquos make ourphysical health a priority because you are a priority

1 Eat your veggies and fruit Fill frac12 of your platewith vegetables and fruit Thatrsquos right half your plateAim for variety and lots of color These foods canlower blood pressure reduce risk of heart disease andstroke prevent some types of cancer lower risk ofeye and digestive problems and have a positive effectupon blood sugar which can help keep appetite incheck

2 Give me some grains Make frac14 of your platewhole grains Try whole wheat bread brown rice andwhole wheat pasta Get adventurous and try quinoa ifyou havenrsquot ndash itrsquos a superfood

3 Add some protein It is recommended that only frac14of our plate is protein Get your protein from a

variety of sources like fish chicken beans and nutsMix them into salads or pair them with your veggies

4 Get some ldquogoodrdquo fat Foods high in ldquogoodrdquo fatsinclude nuts seeds fish and vegetable oils (such asolive canola sunflower soy and corn) Making smallchanges such as switching from butter to vegetable oilwhen cooking or eating salmon instead of steak willhelp us get more of the ldquogoodrdquo fats into our bodies

5 Drink up Drink water tea and coffee Skip thesugary beverages Have one or two portions of milkor other dairy products per day

6 Carbohydrates are not a bad wordWe needcarbohydrates Letrsquos switch our focus from countingcarbs to being fully aware of the quality ofcarbohydrates we ingest People with diabetes orwho are at risk for diabetes do need to watch thenumber of carbohydrates they eat but they still needto consume carbohydrates So letrsquos focus on thecarbs that come from healthier sources like veggiesfruits whole grains and beans

10

Even vacations include physical activity for TDMHSAS Wellness Council Chair Katie Lee Here she is hiking Mayan ruins on a family Christmas cruise

7 Make sure you are moving Ten minutes at a time is fine It isrecommended we get 150 minutes of moderate physical activity each week Ifwe arenrsquot in the routine of being active this amount can seem impossibleStart small break it up into 10-minute increments and work your way to150 minutesa week over a few months If your endurance level is low andyou can only do 5-10 minutes at first thatrsquos OK Itrsquos 5-10 minutes morethan you did yesterday

8 Donrsquot forget muscle strengthening In addition to doing aerobicsor endurance activities we need to make sure we are doing muscle-strengthening activities It is recommended we do these 2 or more days aweek that work all major muscle groups (legs hips back abdomen chestshoulders and arms) You donrsquot need a gym membership for thishellipgrabsome water bottles or cans of food to use as weights

9 Flexibility isnrsquot just for kids Flexibility helps with balance andcoordination It is recommended we do 10 minutes of stretching each day

10 Have funTaking care of our physical health does not have to be adreadful boring or painful experience Start with what you like to do Tryone new healthier food a week Involve others Experiment ExploreReward yourself for successes even if they seem small Happy NEW Year

Sources Harvard School of Public Health Centers for Disease Control and Prevention andhealthypeoplegov


WELLNESS AT WORK

Katie Lee is a Program Manager in the Office ofConsumer Wellness and Employment Programsand works primarily with My Health My ChoiceMy Life - a health and wellness initiative forTennesseans with mental health and substanceuse conditions Last fall she was appointed Chairof the TDMHSAS Wellness Council Outside workKatie loves spending time in the kitchenexperimenting with new healthy recipes visitingnew and unique restaurants and going forwalkshikes with her husband at many of theparks in the Nashville area

PIO and ACE certified personal trainer Mike Machakcommunicates how to use arm bands in a workout Here thebands add resistance as he performs a shoulder press

Talk about stress relief At the Chili Cook-Off with help from fellow Wellness Council members Sarah Sandersand Mike Machak Monty Burks leads a fitness demonstration he calls ldquoFight 2 B Fitrdquo Andre Gibson DeputyCommissioner Williams and James Moore join the fun and work off some calories to boot

Fight to Be Fit

continued )))


WELLNESS AT WORK

ldquoAfter smoking for 33 years and several failedattempts to quit I succeeded in June of 2003 Ihave now been smoke-free for the last 11 yearsMy advice to those of you who smoke neverstop trying to quit If you fail keep trying Becausewhen you succeed you will be so happy that youquit I canrsquot tell you how many times I failed but Irefused to give up and finally made it

You will toordquoRoy Chance Information Specialist 5

HEALTHY HEROFor making a healthy life change and for sharing his story Roy Chance is this issuersquos

COMING NEXT ISSUEFeaturing Our Mental Health Institutersquos

Wellness Warriors

Thanks to the membersof the 2014 TDMHSASWellness Council forpromoting a healthierworkplace

Back row Liz Ledbetter Vivian Verran Monty Burks DeputyCommissioner Marie Williams Debbie Shahla Kevin Dillehay Deb Cunningham and Sarah Sanders

Front row Leslie Judson former Chair Melissa McGee and Tonya Black

Not pictured Alex King Tony Jackson Katie Lee Laura Young Mike Machak BobbyGolden Charles Taylor Diane LaffertyGerald LaCourse and Jamma Law


WELLNESS AT WORK

One Step at a Time

Central Office staff joined in aldquoClimb to the Top of the AndrewJackson Buildingrdquo last fall followedby a Turkey Trot in Novemberand a Holiday Hike just beforeChristmas One part fun one partfellowship another part fitnessWorthy of a group selfie

Participants for our first stair climbing included Sejal West Katie Lee Neru Gobin Trang Wadsworth Sarah Sanders Sue Hunt Kevin Dillehay Jackie Holcomb Vik Moore Monty Burks Natalie Jeffers Melvin Smith Mike Machak and Benita Hayes

Wellness Councilmembers MikeMachak Monty Burksand event organizerSarah Sanders posefor a top-of-the-stairsselfie

Check out these lsquoStairClimbingrsquo Facts

bull Stair climbing expends 8-9 timesmore energy than sitting and about 7times more energy than taking theelevator Challenge yourself to takethe stairs at least once a day

bull You burn about one calorie for every10 steps going up and another caloriefor every 20 steps going down

bull Just 7 minutes of stair climbing a dayover a 10-year period has beenestimated to reduce the risk of aheart attack by 50 percent

Who says living a healthylifestyle canrsquotbe fun

Welcome AboardJackie YokleyDirector of Sub-recipient Monitoring and AuditAdministrative Services

Jackie Yokley is our new Director of Sub-recipientMonitoring and Audit in the Division ofAdministrative Services Jackie graduated from theUniversity of Tennessee with honors receiving herBS in Accounting Jackie joins us from ALSACStJude Childrenrsquos Research Hospital where sheworked as an Internal Auditor as Director ofInternal Audit and Safety Officer and as CorporateCompliance Officer She is a Certified Complianceand Ethics Professional a Certified Internal Auditor aCertified Public Accountant and a Chartered GlobalManagement Accountant She is CorporateSecretary of AEPX Professional Services Corp andserves on the Board of Directors of Safeways Inc

Dr Susannah Taylor Williams MDClinical DirectorMemphis Mental Health Institute

Susannah Taylor Williams MD Board Certified inPsychiatry was appointed Clinical Director at

Memphis Mental Health Institute in October 2014 She isa graduate of the University of Alabama Medical Schooland completed her Psychiatric Residency at theUniversity of Tennessee Health Science Center MemphisDuring her tenure at UTHSC Dr Williams was ChiefResident for Psychiatry Her career has included workingwith the Veteranrsquos Administration Hospital in Memphisserving as Assistant Professor of Psychiatry for UTHSCand as Chief of Psychiatry at Regional One Hospital inMemphis Dr Williams also works in the StudentCounseling Center at Rhodes College


COMMISSIONERrsquoS CORNER

Dr Solomon Meltzer MDForensic PsychiatristMiddle Tennessee Mental Health Institute

Dr Meltzer is the ForensicPsychiatrist at the Forensic Services

Program at Middle Tennessee MentalHealth Institute He is a fellow of theAmerican Psychiatric Association and theAmerican Academy of Psychiatry and theLaw Prior to joining MTMHI Dr Meltzerserved as a forensic psychiatrist at SaintElizabethrsquos Hospital in Washington DCalong with working in private practiceAs the father of three children ages 10to 4 he stays busy and is active in themartial art of Aikido and running



Dr Nancy Kirby EdD Director of Forensic ServicesMiddle Tennessee Mental Health Institute

Dr Nancy Kirby was recently appointedDirector of Forensic Services at Middle

Tennessee Mental Health Institute where shepreviously served as a psychological examiner inthe early 1990s Most recently Dr Kirby wasClinical Director of Mental Health Services atRiverbend Maximum Security Institute for theDepartment of Correction and served as theForensic Director in the Department ofIntellectual and Developmental Disabilities

continued )))



Alex R King Assistant DirectorOffice of Licensure

Alex R King joined the Office ofLicensure as an Assistant Director in

August 2014 Prior he served as theExecutive Assistant to CommissionerVarney and Deputy CommissionerWilliams Alex is a UT-Chattanooga alumwith a bachelorrsquos degree in PoliticalScience and a concentration in LegalStudies He is pursuing his Doctorate ofJurisprudence at the Nashville School ofLaw where he is currently in his third yearAway from the office Alex enjoys spendingtime with his wife and taking in the manyoutdoor splendors of Tennessee

Pictured with Commissioner Varney and Deputy Commissioner Williams and listed with years of service are front row left to right Cathy Benhamed 35 andJanice Tomlinson 10 Second row left to right Dave Farmer 10 Ardana Miller-Foxx 25 Avis Easley 20 Carrie Kissner 25 Gina Young 10 SawSan Habib 10 andRodney Sanders 25 Back row left to right Kurt Hippel 5 Charliy Nash 10 Freeman Ramsey III 20 Andre Gibson 25 and Roy Chance 20 Not picturedDennis Temple 25 Patricia Manners 20 Ken Horvath 15 Julie Ann Ratledge 10 and Rod Bragg 10

Adam BelcherMiddle TN CoordinatorOffice of Licensure

Adam Belcher was born and raised inrural Indiana and has spent his

career working in social services most

recently in Ohio as a trainer and jobcoach for a treatment center inCincinnati Adam has also worked forChild Protection with the State ofIndiana as an admissions and programcoordinator for a residential treatmentcenteracute care hospital in Indianapolis

and at a juvenile residential treatmentcenter In his free time Adam is an avidreader and enjoys running and cookingHe is a graduate of Ball State Universitywhere he met his wife Heidi Theycurrently share their home with two catsand a dog

Service Awards 2014

Adam Belcher (left) and Alex King



Central Office

Dennis BerryDesirae Pratt Katherine DriskillDiane TaylorNancy GreenwaltRobert Martin Jr Martha SneedRoy UptonLinda BarnesDan YatesRodney Sanders


Sally Gatlin James JonesDebra JordanPaz CabatuGordon SchrimsherOlivia WhiteDelores BoyerCheryl HagewoodMary TowryCarolyn EwingShirley Watkins Anthony Sweeney Ramona MasonLamar Perry SrShirley EdmondsonMichelle OrensteinJanie OsborneAnnie Dillard


Donna ThompsonDonna ErvinRoy GranthamDanny DouglasRonnie ForsheaTracy BuggsSusan WechJanette MossHilary LinderAmanda WoodsMartha ClifftJeannette JoyElma WoodsRuth LakeJo GibsonSilas Robertson JrDouglas Beard

Moccasin Bend Mental Health Institute

Malinda Hardy Joe McreynoldsSamuel McnabbJack MasonJohn ParkinsonJeffrey JeffersonPatricia Frazier Catherine NorrellEldridge MathisMamie RedmondGloria BullochYvonne LasterBrenda JordanWinifred Allen-CodyAngelina SupanBobby Brooks

Memphis Mental Health Institute

Mary BriganceAnthony AlexanderRuthie HancoxMarzee ShortKatherine MerriweatherSusan MurleyLillian McgheeSallie PowellBarbara EvansEugene WilliamsCynthia McintoshEtta ScurlockLois MacklinElizabeth JonesShirley GreenJennifer Newell

Best Wishes to our 2014 Retirees

ldquoKnow that you are helping I feelhonored to have served with all of yourdquo

Commissioner E Douglas Varney addressing Central Office at the

2014 Service Awards


VOICES

Wisdom from Rick DuncanCrisis Services Outstanding Employee

Rick relaxes with Henry

Rick with his children

(Caitlin Kimberly and

Andrew) and granddaughter

Olivia in New York City

Rickrsquos encouragement for fellow crisis workersldquoNever take anything a patient in crisis says to you personally and try your bestto leave work at work Donrsquot blame yourself if patients refuse to follow up withtreatment for whatever reason We do the best we can to give people assistancein ways that could improve their lives We canrsquot blame ourselves if they choosenot tordquo

Rickrsquos encouragement for friends or family members of a loved one in crisisldquoAlways try and be supportive and non-judgmental Many people donrsquot believe inlsquomental illnessrsquo Unless yoursquove walked in their shoes itrsquos impossible to knowexactly what theyrsquore feeling but you can show empathy and listen Contact yourlocal mental health center and consider the options that may be appropriate forsomeone that you care aboutrdquo

Why do you do this workldquoThough it can be frustrating and difficult at times I gain a certain satisfactionwhen I see that clients have received the help they need to live and getenjoyment out of their lives that they may not have gotten otherwise Irsquod like tothink that I played a small role in their successrdquo

What would you like to tell the folks yoursquove served if you knew theyrsquod be readingldquoTheyrsquove taught me more than theyrsquoll ever knowrdquo

Thank you Rick for the work that you do

To nominate a colleague as a Crisis Services Outstanding Employee download a nomination form here Completed forms submitted by April 6 will be considered for the next recognition

In our ldquoVoicesrdquo for this winter issue we are pleased to offer you acollection of illustrations poems and essays from Tennesseans inmental health and addiction recovery

The poems were originally published by the Healing Arts Project alsoknown as HAPI in the booklet ldquoFaith Hope and Recovery in Letters2014rdquo through funding from the UnitedHealthcare Community Plan

The beautiful and moving assortment of winter scenery comes fromthe 2014 collection and ldquoChallenged Lives Artistic Visionrdquo an art bookfeaturing 27 artists and their work also published by HAPI

Our hope is these works offer you pause and a rich reflection on yourown inner life the peace and stillness of the season and the promise ofrenewal coming in the spring

I Raise

My Voice

by Various Tennessee Artists


VOICES

After SunriseBarbara Shirley

I wake each day and start brand new thinking to myself if people only really knew I throw onsome clothes and stumble around looking for that magic pill that will make me feel normal Ipop one then two more My mind begins to race and all I want to do is hide my face The voicesin my head scream they are wanting out I block out the images they are spewing out The clockstrikes twelve and it is time once more to pop the pill that can make me feel normal if only fora few

The shadows fade the voices quieten itrsquos been so long I had almost forgotten These pills havemy mind in such a haze I gotta find my way out of this maze I hear the voices they are backagain sometimes I wished for me life had never begun

I grab a bite to eat lowering my head in defeat Itrsquos time for bed I pull down the covers readyto rest my head but my mind just races instead I close my eyes and pray to God to give mestrength to keep fighting this fight Let me be normal let me be sane Oh Lord please helpme with all of this pain

I say good night to all of my worries thinking to myself does anyone believe all of my stories

I wake each day and start brand new hoping today I can feel normal for a few

NORM

AL

Brandy Boyd


VOICES

PHEASANTS Clinton Toy

Hope is that sparkling of light on a dark night Hope is what

gives you the desire to try again after a hard fall Hope is

what helps you dust yourself off and get up and try again

Hope sneaks up on you when you least expect it but it is

always there when needed

You will never be alone as long as Hope is around and today

I can try again because Hope found me I can fight this hard

fight because Hope prevails

what is hope Shonda Parks


VOICES

Whisper and glances can you get the gist

Why we have diagnosis back on the list

Depression bipolar the list is long

A Recovery Tool is one long song

That breaks the barrier to dealing with it

Mental illness is more than a casual myth

Irsquom afraid to go out Irsquom afraid to stay in

There is no doubt it could come from our kin

I try my best to be upbeat and proud

Irsquove survived the past let us shout it out loud

I have the Victory Center to thank for my knowledge

What I have learned isnrsquot far from my college

My family supporters with the help from my friends

Make me never give up the strength never ends

WIN

TER

SCEN

EAnita W

ilson

The Strength Never EndsJulie Kinder-Gilg


VOICES

The Healing Arts Project Inc also known as HAPI is a non-profit organization that provides an avenue for personsin mental health and addiction recovery to express their creativity through a wide range of artistic endeavors

For more information about HAPI visit wwwhealingartsprojectincorg

I am loved I am freeI am working on where I want to beI made it through yet scars remainThey are reminders of all the painFaith Hope Joy Peace and Love

Raining on me from the heavens aboveHow did it happen How can it beAll of these feelings are confusing me

I like the freedom I like the songYet sometimes it still feels so wrongI canrsquot understand it I wonder why

I continue to transform like a butterfly

I am loved I am freeI am working on who I want to be

BUTTERFLY MEMarjorie Diefenbach


VOICES

I have been out of the hospital for fourteen years I have had struggles

and stairs I had to climb I love to read and I love to write My journey

is difficult and I had to fight Progress is in the future recovery is

definite Wellness is on the way Good times are here to stay No more

mood swings or grandiose ideas Just preparing for the future and

reaching for the sky Leaving bipolar ideas way behind and living in

reality Completing goals that you would never believe

MISTEAL FOREST Donald McFarland

My Recovery

Ray Dean Cox

Do you have writing or artwork yoursquod like to share with Update readersPlease email LeslieJudsontngov or call 615-770-0466

I Will Survive Wanda Bennett

I Will SurviveYou taught me well

I will surviveYou showed me the way

I will surviveWhen life looked bleakYou showed me hope

I will surviveYou taught me life skills

I will surviveYou taught me to breathe

I will surviveYou taught me to focus

On the positiveI will surviveYou taught meTo love myselfI will survive

My commitment to youI will survive

Frosty Morning by Anonymous

Tennessee Department of Mental Health and Substance Abuse Services


I am excited that the Governor has allowed me tocontinue serving during the 2nd term of hisadministration Irsquom proud of all we have accomplishedin the first four years and excited to report on someof our Departmentrsquos key achievements

Yoursquoll see some of these successes highlighted on thepages of this newsletter

Wersquove greatly improved the operations of our state hospitals to beeven more patient-centered Our dedicated RMHI staff operatesunder the philosophy of treating every patient as if treating theirown mother

Our more than 250 community not-for-profit and faith-basedorganizations are going the extra mile helping us serve our mostvulnerable citizens

And by collaborating with other state agencies most notably theDepartments of Health and Safety Tennesseersquos Prescription forSuccess initiative is dramatically reducing substance abuse in our state

Many of you have stepped up to help secure discretionary federal grantfunds which are helping our veterans reducing the incidence of suicide andaddressing other critical needs

Irsquom especially proud of our Creating Homes Initiative which since itsinception in 2000 has served an estimated 50000 individuals in recoverywith safe and affordable housing

My hope for us all is that we continue building on our success and remainfocused on serving our most vulnerable citizens with compassion and hope

Sincerely

E Douglas Varney Commissioner

Winter | Spring 2015

Newsletter StaffMike Machak Director of Communications

Leslie Judson Assistant Director of CommunicationsRichard Martin Department of General Services

Printing amp Media Services Designer

PhotographersAndre GibsonLeslie JudsonMike Machak

Tony Young His Image Design

Editorial AssistanceMelissa Pinhal

Published quarterly by theOffice of Communications

Dept of Mental Health amp Substance Abuse Services6th Floor Andrew Jackson Building

500 Deaderick StreetNashville TN 37243

Please send feedback queries and corrections toLeslieJudsontngov or call (615) 770-0466

Update is published online athttpwwwtennesseegovmentalby the Tennessee Department of

Mental Health and Substance Abuse Services

Published online at httpwwwtngovmental by theTennessee Department of Mental Health and SubstanceAbuse Services Publication Authorization 339454

Pursuant to the State of Tennesseersquos policy of nondiscriminationthe Department of Mental Health and Substance AbuseServices does not discriminate on the basis of race sex religioncolor national or ethnic origin age disability or military servicein its policies or in the admission to or treatment oremployment in its programs services or activities

Contact the departmentrsquos EEOAA Coordinator at 615-532-5680 the Title VI Coordinator or the ADACoordinator at 615-532-6700 or 1-800-560-5767 for inquiriescomplaints or further information

TENNESSEE DEPARTMENT OF MENTAL HEALTH amp SUBSTANCE ABUSE SERVICES

Our VISIONTo be one of the nationrsquos most innovative and proactivestate behavioral health authorities for Tennesseans dealing

with mental health and substance abuse problems

Our MISSIONProvide plan for and promote a comprehensive array of

quality prevention early intervention treatmenthabilitation and recovery support services for Tennesseans

with mental illness and substance abuse issues


COVER STORY






continued )))


Morgan

County

Residential

Recovery

Court










continued page 6)))


Photo subm

itted







Daniel
























Britt






Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














COVER STORY






continued )))


Morgan

County

Residential

Recovery

Court










continued page 6)))


Photo subm

itted







Daniel
























Britt






Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox





















continued page 6)))


Photo subm

itted







Daniel
























Britt






Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox



















Daniel
























Britt






Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox

































Britt






Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox















Matt





Danny











Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox























Stacy












itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox






















itted

















Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox





























Top Performers

















DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox


























DEPARTMENT NEWS















DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox
























DEPARTMENT NEWS







Rick Duncan

Photo subm

itted






DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox


















DEPARTMENT NEWS










DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox















DEPARTMENT NEWS










DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














DEPARTMENT NEWS












DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














DEPARTMENT NEWS









DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














DEPARTMENT NEWS



Tony You

ng

Tony You

ng

Tony You

ng

Mike Machak










DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox















DEPARTMENT NEWS







continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox













continued )))


DEPARTMENT NEWS




DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox













DEPARTMENT NEWS



Judge Sejal West


DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox













DEPARTMENT NEWS


Winning Recipe








PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














PROVIDER NEWS



















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox















PROVIDER NEWS












PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














PROVIDER NEWS











PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














PROVIDER NEWS
















SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














SPREAD THE WORD








Day on the Hill


18


















SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox













SPREAD THE WORD








Barbara Shirley


18


Click here


Lisa Ragan


ldquordquo


WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














WELLNESS AT WORK











10








WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox



















WELLNESS AT WORK




Fight to Be Fit

continued )))


WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














WELLNESS AT WORK





Wellness Warriors






WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














WELLNESS AT WORK

One Step at a Time
























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox




























continued )))












Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox
























Service Awards 2014




Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox















Central Office













2014 Service Awards


VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














VOICES

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox

















I Raise

My Voice



VOICES







NORM

AL

Brandy Boyd


VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














VOICES












VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














VOICES















WIN

TER

SCEN

EAnita W

ilson



VOICES










VOICES









My Recovery

Ray Dean Cox














VOICES










VOICES









My Recovery

Ray Dean Cox














VOICES









My Recovery

Ray Dean Cox













time for treatment - tn.gov · winter | spring 2015 newsletter staff mike machak, director of...

Documents