ANNUALREPORT

2 0 1 9

. a b . g

BRIO HEALTH GLOBAL

VISION

MISSION

METHOD

Mental health liberation led by the world’s vulnerable communities.

We equip community leaders to design and scaleeffective mental health care that transforms their

neighborhood, city, and country.

Through our partnership program, we provide a mentalhealth design process, expertise, evaluation, and

leadership support to develop effective community-owned models of mental health care.

Letter from the Founders........................... 2Brio's Partnership Program........................ 4Ecuador........................................................ 5Mexico.......................................................... 6Peru.............................................................. 7Successes & Failures................................... 8Financials..................................................... 9Leadership & Support................................ 10

TABLE OF CONTENTS

01B A R 2019

LETTER FROM THE FOUNDERS

Dear friends, n August 2018, a phone conversation changed everything. Our friends

Alicia Durán-Ballén and Dan Gheorghita, experienced community leadersin Ecuador, told us they wanted to respond to the neighborhood's direneed for addiction prevention and care. "We can't do this alone," they said,"and no one has really stepped up to help us figure this out." With a visionfor healing and a commitment to community ownership, Brio was bornthat day. Because of your support, Brio has grown to become a nonprofit offering apartnership program for experienced local leaders to design andimplement community-owned models of mental health care. Throughthese partnerships, we do more than address the need forcontextualization, capacity building, and evaluation in delivering effectivemental health care and education. We are acompa an es to our partners,who face both the challenges of collective action in vulnerable contextsand the results of years of inaction against poverty, violence, andmarginalization. Everyday we are reminded that they are heroes; theircourage inspires us to be brave and faithful.

02B A R 2019

The year 2019 was marked by several major points of validation: ourgrowing impact in Ecuador; our new partnerships in Mexico and Peru; andour expanding network of supporters and friends like you. We are excitedto tell you more about these developments in the following pages. Theyreflect what so many of you have shown us all along— that any work worthdoing will be one of true collaboration, yielding results far richer and moreeffective than going it alone. As we look back over the past year and ahead to the next, we thank you forall the ways you have been our acompa an es, believing in us and in flourishing communities despite powerful injustices and suffering. Thankyou for walking with us. We could not do this without you. With gratitude, Daisy Rosales & Aaron RosalesCo-founders, Brio

B A R 2019 03

O r par nership program

We ork i h he par icipan and heir comm ni o assess and definehe problem he hope o sol e. This incl des ini ial needs assessmen s,

foc s gro ps, and in er ie s. Using o r findings and principles of h man-cen ered design, e helpde elop a pilo program. D ring he program, par icipan s ha e access oo r s ra eg and clinical e per ise. f needed, par icipan s can appl forsmall gran s for he pilo .

Each s bseq en ear, e crea e clear goals for he par nership o helpe pand on he pilo . This s age depends hea il on he comm ni sspecific needs. Each par nership is req ired o meas re effec i enessand adap . As he par nership s impac gro s, e s ppor long- erm s ra eg ingro ing a eam, genera ing re en e, appl ing for larger gran s, rainings akeholders, and more. Thro gho he par nership, e s ppor par icipan s b con ening like-minded leaders, e per s i h rele an e perience, and o r o ne per ise.

Brio orks i h comm ni leaders in La in America o design andimplemen las ing men al heal h sol ions. Thro gh o rpar nership program, e pro ide a men al heal h design process,oolki , cons l a ion, e al a ion and seed f nding for b ilding

comm ni -o ned models of care.

He e h .

Year 1: Pilo Year

Years 2-5: mplemen a ion and E pansion

B A R 2019 04

ECUADOR

C : Q i o Pa e : F ndaci n Casa Vic oria S a da e: A g s 2018 C f c : San Roq eneighborhood; 80% indigeno scomm ni ; lo -income C a : Addic ion,ra ma, domes ic iolence

Q F Ab he a e : Alicia D r n-Ball n and Dan Gheorghi aha e been ser ing in a high-crime, lo -reso rceneighborhood of San Roq e for 10+ ears hro gh ad namic child de elopmen and famil ed ca ion program.Dan is a cer ified addic ion co nselor and rainer bNAADAC, he Associa ion for Addic ion Professionals. Alicia isan Ec adorian na i e, skilled local ac i is and comm niorgani er ho fo nded Casa Vic oria o ransform he SanRoq e neighborhood. O er he pas 10 ears, he ha eser ed more han 500 children, engaged more han 2000comm ni members, and become one of he onl r s ednonprofi organi a ions in San Roq e, par ic larl amongindigeno s families. O r par nership foc ses on de elopingaccessible and scalable addic ion pre en ion, co nselingraining, and posi i e promo ion s ra egies a he ci and

na ional le el.

Partnership mpact

50local leaders & prac i ioners

rained in addic ion co nseling(140 o 270 ho rs)

3ne addic ion co nseling

reso rces ransla ed &con e ali ed for he firs ime

(2000+ pages)

B A R 2019 05

1000+indi id als recei ed free addic ion

care or co nseling hro ghpar nership- rained prac i ioners

900+comm ni members (paren s,

s den s, eachers, e c.) engagedin a areness e en s, foc s

gro ps, and rainings

4con rac projec s la nched,incl ding Q i o m nicipali ,pri a e ni ersi , Ec ador

minis r of ed ca ion and minis rof heal h

MEXICO

C : Me ico Ci Pa e : Lekil K lejal S a da e: A g s 2019 C f c : H man righ sdefenders, families of disappearedpersons, or re ic ims C a : B rno ,ra ma

Q F Ab he a e : Pablo Romo, Mar ha Elena WelshHerrera, and Feli Enriq e Garcia Y Ace es r n a consor i mof h man righ s ad ocac projec s foc sed on holis ic

ellness and he prac ice of peace. Brio s ppor s heir c rrenprojec of de eloping a b rno care & pre en ion programfor h man righ s defenders, s all families of disappearedpersons. H man righ s defenders connec ed o heorgani a ion bear he b rden of ad oca ing agains corr plocal and na ional j s ice s s ems; searching for he remainsof hose disappeared; and repor ing o heir localcomm ni ies on in es iga ions rela ed o disappearances.Pablo spen 30+ ears in he h man righ s arena here he

as recogni ed as an Ashoka fello . Mar ha Elena ses here perience as a dancer o help h man righ s defendersaddress ps chosoma ic s mp oms of ra ma and s ress. Felio ersees he ar is ic enrichmen elemen s of heir program.

Partnership Progress

B A R 2019 06

V -ca g & -b d g

P g a a ga he g

P e- a d - e a a

Af er a fr i f l firs - ime lis ening session in Me ico Ci , e orked o b ildr s i h he Lekil K lejal eam. This r s -b ilding process in ol ed aision cas ing and e plora ion session d ring hich e iden ified

oppor ni ies for es ing, impro ing, and e panding heir c rren ne modelfor holis ic b rno pre en ion and care.

n Oc ober 2019, 15 b rno program al mni ga hered in Me ico Ci oreflec on heir e periences and share heir needs. For his e en , Brioresearched and de eloped appropria e scales o meas re le els of s ress,emo ional ellness and capaci . Each par icipan comple ed he s r e .

Gi en he posi i e e perience i h he Oc ober s r e , he eam has agreedo cond c a f ll pre- and pos -e al a ion for he Febr ar 2020 i era ion ofheir b rno pre en ion and care program, hich ill allo for da a-dri en

adap a ions, e pansion on he mos impac f l elemen s of he program, andoppor ni ies o i era e he program across more comm ni ies.

Ab he a e : Alber o M no Najar is one of he co-fo nders of Y n a, and also Dais 's MBA colleag e a Yale. n2013, af er eaching children li ing in rban po er , he ando her co- eachers la nched Y n a o pro ide s ppor andmen oring o s den s from lo -income backgro nds. Sincehen, Y n a has e panded i s men orship program o par neri h schools across Per , concen ra ing in Lima and Areq ipa.

Since heir fo nding, Y n a has s ppor ed 1300+ s den s.Upon learning abo Brio's par nership program, he Y n aeam applied in la e 2019 o e plore oppor ni ies o de elop

s ronger, more e plici program fea res o respond o hemen al heal h crises s den s face. S ar ing in 2020, Brio ill

ork i h Y n a o de elop ne fea res o pilo in he schoolear ha begins in March.

PERU

C : Lima & Areq ipa Pa e : Y n a S a da e: Jan ar 2020 C f c : School-agedchildren li ing in rban po er C a : social-emo ional skills, ra ma

Q F

Partnership Potential

B A R 2019 07

As his par nership is j s no beginning, e are e ploring op ions i h he Y n a eam for heirfirs men al heal h projec . Based on he in er ie s and research e' e cond c ed, here are afe op ions e en ision.

S c a / E aLea g

T a a- f edP g a g

G h M d ea d G

B A R 2019 08

SUCCESSES

FAILURES

"N e fe a f e e a a B a . Y ' e ade a e d ffe e ce." - Da , Ec ad a eOf all o r s ccesses, e o ld name r s -b ilding across local con e s, c l res, and lang agesas he one e're mos pro d of. While o r par ners' ork is of en c ing-edge, he are nos rangers o US-based organi a ions ha fail o recogni e local e per ise or impose prac ices hadisparage local al es or reali ies. As an organi a ion, e are commi ed o lis ening before eins r c , o demons ra ing f ll ransparenc and a illingness o apologi e, and o al ecomm ni o nership o er claiming credi for o r con rib ions.

1) Local leaders trust us.

2) We're gaining recognition and support.Since A g s 2018, e ha e been largel s ppor ed b ario s s den a ards a ailable a Yale.Pri e so rces ha e incl ded: Yale Medical School; Yale School of Managemen ; nno a eHeal hYale; Tsai Cen er for nno a i e Thinking a Yale. We ere also recen l selec ed in o a ne s denaccelera or hos ed b he Rockefeller Fo nda ion and Ac men. We are hankf l ha f nderspercei e al e in o r collabora i e approach o men al heal h care design. Mean hile, indi id als

i h al able e per ise ha e con rib ed heir ime o Brio as ell. We are so gra ef l.

1) We over-used the word "fund".When e firs s ar ed, e ho gh he ke missing componen in de eloping comm ni -o nedmodels of men al heal h care as access o capi al. While capi al is indeed limi ed, e ha e sincedisco ered ha a s r c red process, addi ional e per ise, and emo ional s ppor are j s asimpor an o o r par ners. Ho e er, in o r comm nica ions abo o r ork e sed "Brio F nd"for q i e some ime. ga e po en ial donors he impression ha e ere in es ors, and i ga elocal par ners he impression ha e ere a fo nda ion o hich he co ld appl for large s ms.We ha e since had o co rse-correc as e learn abo o r al e-add in he collabora i e process,and no se program lang age o e plain ha e do.

2) We launched Brio in an already busy season.Wi h he e cep ion of J l 2019, e ha e been orking on Brio in addi ion o o her er f ll- imedemands, hich has made i nearl impossible for s o isi o r par ners as of en as e o ldlike. We e pec his o change half a hro gh 2020, b o r grad a e s den s a s (Dais 'sMBA and Aaron's PhD) has made i challenging o s ppor o r par ners as horo ghl and q icklas e o ld like. This has led o dela s in o r o n rnaro nd ime, hich is onl compo nded bhe slo er pace of s akeholder collabora ion.

P og am81.8%

Admini a i e18.2%

P og am85%

Admini a i e15%

FINANCIAL INFORMA ION

Brio Ann al Repor 2019 09

2018 201

N.B. $12,500 - , C . T 2019 .

Brio Ann al Repor 2019 10

LEADER HIP & PPOR

B

A & M

D RA R J GJ PJ G A

C - & E D C - & D P N F F & S S MC P & J S G AD M P , F ;P L F M

S A G , H R M C R C , P O B S M T C , F S E S M N K , S M & S P H M K , P S P H J L , C U S P A C U : A , S A F & S F A R , F B N