Community Alternatives Fiscal Year 2008

C o m m u n i t y a l t e r n a t i v e s • P r o v i d i n g I n n o v a t i v e M e n t a l H e a l t h S e r v i c e s To T h o s e M o s t I n N e e d .

R e p o r t To T h e C o m m u n i t y F o r T h e Ye a r E n d i n g D e c e m b e r 3 1 , 2 0 0 8

a n n u a l r e p o r t

W h e n D r e a m s B e c o m e R e a l i t y …

Thanks to the generous support from a variety of sources — private donors, foundations, and local, state, and federal government — Community Alternatives brought necessary, effective mental health and social services to more than 2,000 persons in 2008.

The vast majority of the people we served are individuals with serious mental health disorders who have fallen through the cracks of the mainstream mental health and social service systems. For many such people, Community Alternatives is a last source of hope. Each person we served has his or her own unique strengths and stories, and yet almost everyone was battling multiple hardships, including poverty, co-morbid health conditions, and difficult life circumstances on top of serious mental health disorders.

Among our clients are:

• People who are homeless with severe (and often untreated) symptoms of mental illnesses

• Youth with mental health disorders who are experiencing serious problems at school and in the community

• Immigrants and refugees from other countries who have survived war-trauma or torture

• People living with life threatening HIV/AIDS as well as mental health disorders

• Low-income, high-risk families struggling to ensure a better future for their young children

Unlike some other agencies, CA serves a broad, diverse group of families and individuals — and we do so with a unique blend of compassion, caring and science. CA offers seven “evidence-based practices” — mental health services that have been shown by scientific research to be effective and cost-effective treatments. Our evidence-based practices are tailored to the particular needs of the person. For example, these treatment approaches range from The Incredible Years — an effective program for preventing future mental health disorders in young children — to Assertive Community Treatment, a comprehensive program helping adults who have struggled with schizophrenia for years to recover from their illness and to live productive lives.

In 2008, Community Alternatives was fortunate to receive ten new grants and contracts from funders to help support our array of effective and compassionate mental health services (see page 7 for

full details). These new grants and contracts include:

• A $2 million, five-year grant from the federal government to initiate the Community Reinforcement Approach. The Community Reinforcement Approach is another evidence-based practice that is effective for helping people to recover from substance abuse disorders. This program, the first of its kind in St. Louis, addresses a huge unmet need in our local community.

• A grant from the Missouri Foundation for Health to provide effective school-based services to adolescents with mental health problems;

• Funding from the Mental Health Board of the City of St. Louis and the Department of Justice to assist juveniles in trouble.

Our services are continuing to expand, but our commitment remains the same: to provide a safety net of effective services so that people may recover from mental illness and realize their personal dreams.

Thank you helping us to make these dreams a reality.

n o t e s f r o m t h e C e o a n d B o a r d p r e s i d e n t

• 1 •

Gary Morse, Ph,D.

CEO

Genevieve Frank

Board President

Prov iding Innovative Mental Health Serv ices To Those Most In Need.

OUR Vision: We envision a community where every person — regardless of income,

diagnosis, disability or race — can realize their dreams.

C o m m u n i t y a l t e r n a t i v e s a n n u a l r e p o r t • y e a r e n d 2 0 0 8

• 3 •

O u r C o r e S e r v i c e Te a m s :

Outreach & Engagement

The OUTREACH Team: Reaches out and provides a welcoming hand and includes services to individuals who are

homeless or at risk of becoming homeless and who have a disabling mental health (and often a co-occurring

substance use) disorder. Our outreach efforts encompass potential clients of all teams that are in desperate need

of services.

Our outreach specialists work across our broad spectrum of services to find individuals who are in need of service. To find and engage the “hidden homeless,” we frequent the venues that homeless individuals and families also frequent: shelters, soup lines, drop-in centers, parks, on the streets, abandoned buildings and under bridges. Our initial contacts with both homeless and other potential clients are brief encounters where the Outreach Team worker creates opportunities to develop rapport by keeping the focus on those issues of most concern to the individual. Once the person has begun to accept this informal relationship (which sometimes can take months), an initial step might simply be to secure a State I.D., which is frequently the first step to other resources and services. With each challenge the caseworker helps the person to overcome, the engagement relationship develops. Each contact creates the opportunity to build trust and eventually allow the caseworker to connect the client with sustainable resources. The goal is for the person to improve his or her life in terms of: housing, mental health, physical health and employment.

Assertive Community Treatment

The ACT Teams: Provide comprehensive, community-based treatment

for high-risk, high-need targeted groups of people with severe and

persistent mental illness.

Assertive Community Treatment (ACT) is a service-delivery model based on extensive research. It is designated as an evidence-based practice recommended by a consortium of national organizations including the federal Substance Abuse and Mental Health Services Administration (SAMHSA), The National Association of State Mental Health Program Directors (NASMHPD) and the Robert Wood Johnson Foundation.

• 2 •

O u r C o r e P h i l o s o p h y :

We start with the assumption that

those we serve are people of

intrinsic value and considerable

potential. We respect their voices.

Perhaps “befriend” is a better word

for what we do.

At Community Alternatives, we provide and create services for those who have fallen through the cracks of most social service systems of care. We serve both the “hidden” as well as the literally homeless: people who suffer from mental illness and often substance abuse disorders, individuals who are HIV infected, men and women who are survivors of torture, at-risk and impoverished youth, people who are often living on the streets because of their multiple and complex problems.

Rather than applying one approach, we begin with careful assessments of each client’s needs and goals. We listen to what each person wants his or her life to be like and help with achieving personal goals. We assist people with finding housing and we provide medication, recovery, therapy and whatever else the person may need to live successfully in the community.

o u r C o r e S e r v i c e t e a m s

• 3 •

ACT treatment plans emphasize consumer strengths and individualized services to meet the unique needs of each consumer. ACT programs are staffed by inter-disciplinary teams with specialists from psychiatry, nursing, mental health, substance abuse, occupational therapy, vocational therapy and social work. Staff members work with consumers in community settings (rather than office-based appointments) where the need for treatment and support is greatest. Services are offered 24 hours every day and are open-ended for as long as there are unmet needs. ACT focuses on promoting recovery, independence and integration into the community. Treatment plans are holistic and designed to address each of the client's unique recovery needs. Tailored to the individual, ACT has created astonishing levels of success.

*** Research by university-based scientists and studies by Community Alternatives' own staff have shown that the ACT model effectively ends homelessness and reduces the symptoms of people with severe mental illness.

Pathways to Change (HIV/AIDS) Treatment Services

The PATHWAYS Team: Provides comprehensive

services to people with HIV or AIDS and co-occurring

substance abuse and mental health disorders.

PATH Team professionals provide in-home and community care, cognitive behavioral therapy, substance abuse counseling, HIV wellness interventions, sexual risk reduction, healthcare coordination and practical psychosocial assistance. Our goal is to advance the health of those we serve by improving mental health, decreasing substance abuse, and improving access to overall healthcare.

To serve this targeted group more effectively, we have developed collaborative working relationships with the St. Louis City Department of Health; the Ryan White Case Management; St. Louis University’s New Hope Clinic; Washington University Infectious Disease Clinic; and the Department of Psychiatry at St. Louis University.

Community Alternatives’ Pathways to Change Team is the only Ryan White provider in the state to provide the Assertive Community Treatment model to people with HIV and severe mental illness.


Immigrant and Refugee Outreach and Case Management

The SURVIVOR’S PROJECT and OUTREACH Team: Provides services to immigrants, refugees and

survivors of torture with a particular focus on

their mental health needs.

St. Louis is a major resettlement area for immigrants and refugees from war-torn countries. Imagine finding yourself in an utterly alien environment, unable to process even the simplest new activities of everyday life in a foreign country let alone the torture and trauma suffered before arriving, while facing language and culture barriers. Community Alternatives provided mental health and social services to individuals and families from 33 countries last year.

Survivors of torture need case management services for a wide array of issues: health care, psychiatric and mental health services, transportation, housing, legal services, language and interpretation services and employment. And it is for this great need that Community Alternatives' Survivor's Project exists. The caseworkers of the Survivor's Project are outreach specialists, reaching out to those who may be hesitant, unable, or fearful to seek help. When language differences create another barrier, Survivor's Project caseworkers call on interpreters or use the multi-lingual skills of our own staff.

For those who have escaped the danger but not the memories, Community Alternatives strives to smooth the rough road and light the darkness along the way.

Multi-Systemic Therapy (MST)

The MST Team: Provides home-based services to

lower-income families with youth who have

mental health disorders and are involved in the

juvenile justice system.

Our MST team assists families that have been referred to us by the City's Juvenile Court and, most recently, the St. Louis City Public Schools. The MST model is an intensive, family and community-based treatment that addresses the multiple factors that are known to be related to serious antisocial behavior and delinquency. MST helps families access the key settings in which youth are embedded: individual, family, peer, school and community.

MST caseworkers work in the natural context of the family, using the individual’s family’s own community strengths as levers for change. The major goal of MST is to empower parents with the skills and resources needed to independently address the difficulties that arise in raising teenagers and to empower youth to cope with family, peer, school and neighborhood problems. The MST model is based on the principle of family preservation and is designed to engage the family as full participants in treatment.

*** Research by university-based professors and CA’s own staff has demonstrated that Multi-Systemic Therapy (MST) prevents juvenile delinquency and reduces mental health symptoms, while saving taxpayers money.

The Incredible Years

The INCREDIBLE YEARS Team: Provides services

to parents with children ages two to eight.

The Incredible Years is a nationally-recognized program which is based on well-established social learning principles and research. This program was developed as a cost-effective early intervention and prevention method that can be used by families of young children to prevent serious behavioral problems before they develop. At the core of this approach is the

idea that adults and children can change behaviors as a result of regular, effective communication. When children are disobedient and families become disrupted, it is necessary to change the parent’s responses to behaviors as well as the child’s behaviors.

*** Models such as ACT and MST are not only humane and highly effective, but cost about one tenth of institutional care or incarceration.

• 4 •

T H E R A P Y: CA therapists provide individual and group psychotherapy that teaches effective daily symptom and mood management skills and helps clients cultivate a healthy, stable sense of self. Clients can focus on responding effectively and meaningfully to the circumstances in their life.

In 2008, CA provided 2,609 sessions to individuals or families from CA grant program referrals and 296 individual and family sessions from HMO referrals. In addition, group therapy was provided once a week for 26 referrals.

H O U S I N G : Housing is a major barrier for clients across our agency. We use a “housing-first” approach that views housing as a basic human need, rather than a goal for treatment. While some of our clients need emergency shelter or transitional housing, we focus our energy on developing community partnerships and resources that lead to permanent housing.

Many of our clients secure housing vouchers through our partnerships with other community service providers. These vouchers require a tenant to pay a percentage of income towards rent. This gives clients’ flexibility and autonomy in living independently in the community. Our Housing Coordinator builds relationships with area property managers in order to facilitate this process.

We also work with the Missouri Department of Mental Health to link many of our clients to Shelter Plus Care (S+C), a state voucher-based program for homeless individuals who have a disability. In 2008, we secured twenty S+C vouchers in partnership with DMH and St. Louis County. In addition, through a partnership with the City of St. Louis and HUD, we manage a Supportive Housing Program (SHP) for families who had previously been homeless.

C O M M U N I T Y S E R V I C E S : In addition to services for mental health consumers, Community Alternatives provides consultations, conducts training and education, and conducts research and program evaluation to improve mental health services and community awareness.

C o r e S e r v i c e s ( c o n t i n u e d )

• 5 •

The hardest thing about being homeless was not knowing if I would

be a victim of violence, but rather when I was going to be. Several

times throughout fourteen

years of homelessness I came

to within an inch of my life.

What helped me the most was

that the people at Community

Alternatives managed to find

me, even when I didn’t want

to be found. Some of us need

that extra encouragement and

CA has always gone the extra

mile to give it. —Kirby

Community Alternatives

approach is Pro-covery…

They teach you how to move

forward to live. “Just start anywhere,” is their motto and they

give you the encouragement to do just that! —Bernadette

Providing Innovative Mental Health Services To Those Most In Need.

w w w . c o m m u n i t y - a l t e r n a t i v e s . o r g


• 6 •

p r o g r a m H i g H l i g H t S : mending Safety nets

A s s e r t i v e C o m m u n i t y T r e a t m e n t :

Looking Back, Looking Forward

Throughout the 1980’s, research efforts were beginning to show that a significant number of homeless individuals were suffering from mental illnesses that were undiagnosed and under-treated. In 1995, with a federal demonstration grant from National Institutes for Mental Health, CA launched its first team in order to serve a newly-recognized population: those who are homeless and mentally ill. The team‘s experience convinced them that community-based, intensive, focused, and integrated services worked better than referrals and offices that relied on clients dropping in or setting up appointments. This team used a well researched model called Assertive Community Treatment with Integrated Treatment for Substance Abuse (ACT/IT for short). In 2003, CA received funding to begin a second ACT/IT team to provide further pioneering research and evidence of the efficacy of the ACT model for people with dual diagnoses of mental illnesses and substance abuse disorders.

In 2008, The Missouri Department of Mental Health officially recognized the efficacy of the Assertive Community Treatment approach and approved funding for five sites in the state to pilot the approach. In February 2008, Community Alternatives’ new Assertive Community Treatment Team, ACT 1, was launched and the agency began serving even more adults with untreated psychiatric disorders who also have a history of substance abuse, chronic homelessness and frequent psychiatric hospitalization.

Community Alternatives currently operates two ACT/IT teams, ACT 1 and the Tikkun Anashim (Heal the People) Teams. Both teams strive to reach the highest level of fidelity to the ACT model, including the core assertion that employment is a key element to fostering recovery. Community Alternatives’ ACT Teams envision a future where our clients' lives are purposeful and employment is a tool used by all to reach their full potential.

C R A :

Another First

We are very excited to be the first provider in Missouri to provide Community Reinforcement Approach (CRA) services to our consumers. CRA is a comprehensive behavioral program for treating substance-abuse problems. It is based on the belief that environmental contingencies can play a powerful role in encouraging or discouraging drinking or drug use. Consequently, it utilizes social, recreational, familial, and vocational reinforcers to assist consumers in the recovery process.

Its goal is to make a sober lifestyle more rewarding than the use of substances.

Oddly enough, however, while virtually every review of alcohol and drug treatment outcome research lists CRA among approaches with the strongest scientific evidence of efficacy, very few addiction clinicians are familiar with CRA. It is one of the only evidence-based substance abuse treatment programs that has shown to be effective with a variety of populations and in a variety of settings including inpatient, outpatient, and family therapy.

*** In study after study, consumers receiving CRA services have better outcomes than

their counterparts receiving traditional substance abuse services.

Specifically, CRA has been found to be more effective than standard community treatment approaches for homeless people with alcohol problems on several key outcomes like the number of drinks per week, the number of days drinking per week, and blood alcohol levels. CRA was also found to be more effective for helping homeless people to become housed quicker and to obtain permanent housing.

In October of 2008, CA began a five-year, 2 million dollar grant from SAMHSA to serve homeless people with alcohol dependence/abuse disorders. We are using the funds to expand and strengthen treatment services and improve the system of care for this often overlooked and underserved group. We are very excited to add CRA as another cutting edge approach to our scientific, compassionate and research-based services.

N E W G R A N T S I N 2 0 0 8

Source Amount To cover

Substance Abuse and Mental Health Administration – $399,364.00 Each year for 5 years: Treatment for Homeless ($1,996,820 total) Centers for Substance Abuse Treatment

Missouri Foundation for Health $124,530.00 3 years School-based MST Services ($373,590 total)

City of St. Louis Mental Health Board and the Department of Justice $91,500.00 2 years for MST services to divert youths from jail ($183,000 total)

Health Resources and Services Administration/Ryan White $56,000.00 Psychiatry for people with HIV/AIDS through the City of St. Louis

Missouri Department of Mental Health $43,000.00 Crisis Intervention Training (CIT) outreach services to metropolitan police departments

Missouri Foundation for Health / Non-Profit Services Consortium $19,008.00 Financial management software and consultation

Health Resources and Services Administration / Ryan White $12,000.00 Through Washington University and Ryan White Foundation

MO Dept. of Economic Development $4,051.00 Through the University of Missouri – Columbia, training with MIMH on Motivational Interviewing

Boeing Employees Community Fund (of the Boeing Company) $3,000.00 Outreach assistance. Including psychiatry, bus passes and medication for clients

Missouri Department of Mental Health (DMH/ACT) with BJC $681,023.00 Expansion of Assertive Community Treatment for people with severe mental illness

p r o g r a m H i g h l i g h t s : m e n d i n g S a f e t y n e t s

• 7 •


• 9 •• 8 •

Revenue 2007 2008 Grants/Contracts Income . . . . . . . . . . . . . . .$ 3,664,003.00 $ 3,919,103.00

Contributions . . . . . . . . . . . . . . . . . . . . . . . . 21,040.00 5,581.00

Special Events . . . . . . . . . . . . . . . . . . . . . . . 20,706.00 33,860.00

Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,321.00 25,765.00

Total Revenue . . . . . . . . . . . . . . . . . . . . . . . . . 3,719,070.00 3,984,309.00

expenSeS

Management & General . . . . . . . . . . . . . . . $ 666,170.00 $ 716,872.00

Special Events/Fundraising . . . . . . . . . . . . 13,899.00 22,308.00

Grants/Contracts Programs Fulfillment . . . 2,798,180.00 3,052,270.00

Total expenses . . . . . . . . . . . . . . . . . . . . . . . 3,478,249.00 3,791,450.00

net Income/Loss. . . . . . . . . . . . . . . . . . . . . . 240,821.00 192,859.00

STATEMENTS OF ACTIVITIES: Income Statement STATEMENTS OF FINANCIAL POSITION: Balance Sheet

CoMMunITY ALTeRnATIveS 2008 pRogRAM enRoLLMenTS

FInAnCIAL STATeMenTS

2,215 Program Enrollments • 2,035 Unduplicated Clients

306 • Immigrant/Refugee

1017 • Outreach

127 • Assertive Community Treatment

214 • Incredible Years & Multi-Systemic Therapy

551 • HIV Services

Independently Audited for the fiscal years ending December 31, 2007 and 2008

ASSeTS 2007 2008

CuRRenT ASSeTS:

Cash and Cash Equivalents . . . . . . . . . . . . $ 400,718.00 $ 509,890.00

Grants and Contracts Receivable, net . . . . 278,335.00 353,568.00

Prepaid Expenses . . . . . . . . . . . . . . . . . . . 15,409.00 15,464.00

Client Funds Advanced . . . . . . . . . . . . . . . n/a 2,080.00

Total Current Assets . . . . . . . . . . . . . . . . . . . . . 694,462.00 881,002.00

Fixed and Other Assets . . . . . . . . . . . . . . . . . . . 40,101.00 37,692.00

Total Assets . . . . . . . . . . . . . . . . . . . . . . . . . 750,183.00 918,694.00

LIABILITIeS AnD neT ASSeTS

CuRRenT LIABILITIeS:

Accounts Payable. . . . . . . . . . . . . . . . . . . . $ 33,266.00 $ 41,573.00

Deferred Revenue . . . . . . . . . . . . . . . . . . . 87,444.00 56,889.00

Payroll Liabilities. . . . . . . . . . . . . . . . . . . . . 111,519.00 109,419.00

Total Current Liabilities . . . . . . . . . . . . . . . . . . . 232,229.00 207,881.00

Total Liabilites. . . . . . . . . . . . . . . . . . . . . . . . 232,229.00 207,881.00

Total net Assets . . . . . . . . . . . . . . . . . . . . . . 517,954.00 710,813.00

Total Liabilities And net Assets . . . . . . . . . 750,183.00 918,694.00

B l u e M o o n J u n e

Two fabulous homes on historic Westminster Place hosted the 2nd annual BLue Moon June CIRque D’ SoLSTICe with an array of performance artists from fire blowers to belly dancers! All proceeds from the evening went directly to client assistance for things like rent deposits, help with utilities and bus passes.

C o o l s p e c i a l e v e n t s i n 2 0 0 8

• 9 •


• 11 •• 1 0 •

C o c k t a i l s f o r a C a u s e :

More than 200 people turned out for CoCkTAILS FoR A CAuSe hosted by The Riverfront Times at the Jive and Wail in Maplewood. Proceeds from the evening went to client assistance funds.

a s a f e t y n e t f o r t h e m o s t v u l n e r a b l e a n d d i s a b l e d

• 11 •

• Mr. Edward Adams

• Ms. Azra Ahmad

• Pete & Cheryl Allison

• Mr. Frank Amos

• Mr. Hans Ansermann

• Mr. Michael Arnette

• Dick and Nancy Arnoldy

• Mr. Andrew Aschinger

• Mr. William Aschinger

• Ms. Sandra Ashkonzz

• Ms. Amy Auffenberg

• Dan & Jan Auffenberg

• Mr. Francis Auffenberg Jr.

• Mrs. F. H. Auffenberg

• Mike & Katie Auffenberg

• Tom & Dale Auffenberg

• Carole & Bob Avery

• Thomas & Diane Baldetti

• Ms. Subie Banaszynski

• Ms. Bonnie Barbareck

• Bob & Carol Barnes

• Ms. Phyllis Basen

• Ms. Gwen Bauer

• Ms. Mary Bauer

• Tim & Lorraine Bauer

• Mr. Eric Bayers

• Jack & Donna Beck

• Ms. Deborah Beckett

• Mr. Glenn Beckmann

• Bruce & Jill Bernstein

• Elise & Lee Bernstein

• Mr. Herb Bilinsky

• Ms. Julia Blanco

• Ms. Mary Blegen

• Mr. Hank Blodgett

• Sr. Marian Boberschmidt

• Denise & Robert Bogard

• Ms. Judith Boren

• Ms. Sondra Boren

• Mr. Jeremy Bradshaw

• Mr. Bob Brady

• Dr. & Mrs. Harry Brady

• Ms. Katherine Brandt

• Gail & James Breaugh

• Rev. Don Brinkman

• Allen & Ronnie Brockman

• Mr. Boyd Brown

• Mr. Edwin Brown

• Ms. Teri Brown

• K. & L. Buchmeier

• Mr. Jim Burdick

• Michael & Lee Burlison

• Ms. Debra Bush

• Tim & Mary Beth Bussen

• Ms. Betty Cabral

• Mr. Bob Calsyn

• Mr. Scott Carothers

• Ms. Cheryl Carrico

• John & Julie Casper

• Mr. Harry Charles

• Ms. Janet Chazelle

• Mr. David Clark

• Mary Ferguson & Larry Clark

• Ms. Nancy Clark

• Ms. Adele Coble

• Ms. Dernay Coley-Torres

• Jim & Rose Collier

• Ms. Alicia Conway

• Mr. Stephen Conway

• Mr. John Cook

• Rev. Tim Cook

• Ms. Jacqueline Corn

• Ms. Mary Ellen Cotsworth

• Ms. Rosemary Counts

• Ms. Shanika Coverson

• Gene and Myra Crandall

• Norman Crasilneck & Judy Leonard

• Ms. JoDenise Crawford

• Mr. Robert Crowe

• Ms. Marjorie Cune

• Mr. Billy Cunningham

• Ms. Norma Cunningham

• Ms. Desley Custer

• Ms. Deborah Dahms

• Mr. Jeff Dales

• Ms. Jeanenne Dallas

• Ms. Michele Davis

• Ms. Julia Day

• Ms. Marianna Deal

• Ms. Chrissy Decker

• Jay & Katie Delmez

• Ms. Kathryn DeForest

• Joseph & Carolyn Dickmann

• Ms. Nancy Dillahunt

• Mr. Jerome Dobson & Carolyn Goss

• Ms. Cathy Dodson

• Ms. Amelia Doll

• Ms. Chris Dougher

• Ms. Christina Dougherty

• Ms. Margaret Dougherty

• Ms. Judith Drake

• Ms. Mary Duffield

• Ms. Karen Duffy

• Ms. Amy Ebert

• Mr. Brett Egger

• Mr. Paul Ehresman

• Ms. Peggie Eidelman

• David & Barbara Elam

• David & Judith Ellison

• Mr. Brian Elsbernd

• Ms. C. Frances Emerson

• Ms. Carol Engelmann

• Carl & Heather Epperly

• Christy Estrada

• Ms. Judith Ewbank

• Mr. Leon Farrar

• Victor & Gail Farwell

• Ms. Michelle Fassler

• Mr. Randy Fleisher

• Ms. Terry Fleming

• Larry & Susan Fletcher

• Jim & Nanette Ford

• Richard & Josephine Fox

• Ms. Kristi Francis

• Joe & Genevieve Frank

• Mr. Timothy Gardner

• Mr. Dan Garland

• Ms. Patsy George

• Ms. Maria Gianino

• M. Terri Gilbert

• Ms. Lori Ginsparg

• Scott & Jan Giovanetti

• Mr. Robby Giunta

• Mr. Andrew Glassbrenner

• Mr. Tom Glick

• Ms. Lynn Goldstein

• Seymour & Joan Goldstein

• Ms Carolyn Goss

• Ms. Linda Griffin

• Ms. Linda Grunwaldt

• Darrel & Kathleen Gustin

• Mark & Angie Hagemann

• Ms. Victoria Haight

• Ms. Suzanne Haining

• Ms. Sharon Hall

• Mr. David Halpern

• Ms. Valerie Jean Hambley

• Paul & Wendy Hamilton

T H A N K Y O U , F R I E N D S !

The following reflects gifts made to Community Alternatives through the end of 2008.

I N D I V I D U A L C O N T R I B U T I O N S


• 1 3 •

• Richard & Holly Hampton

• Ms. Emma Hand

• Ms. Kelly Hand

• Ms. Gloria Handlang

• Ms. Katie Hanson

• Tom & Julie Harig

• Ms. Theresa Harrah

• Robert & Claudette Harshberger

• Ms. Jo Hart

• Ms. Paula Hawkins

• J.A. Hearst

• Erin & Dan Heaton

• Daniel & Mary Lee Henroid

• Dale & Carrie Hermeling

• Terrance & Deborah Hickey

• Mr. Jeffrey Higgins

• Mr. John Higgins

• Ms. Molly Higgins

• Metra & Jim Hobbs

• Greg & Mary Ann Hodits

• Ms. Mary Hoffner

• Ms. Nancy Hooper

• Mr. Phil Hotop

• Mr. Jim House

• Ms. Miriam House

• Ms. Janet Howard

• Ms. Paula Huffman

• Mr. Chien-Yuan Hung

• Mr. David Hutti

• Ms. Maria Ingino

• Ms. Paris Jackson

• Ms. Penny James

• Ms. Patricia Jarvis

• Rajtha Goli & Charles Johnson

• Myles & Suzanne Jones

• Mr. Sean Jones

• Maxine & Murray Kalina

• Rick & Ellen Kalina

• Ms. Carolyn Keim

• Ms. Lynnsie Kantor

• Ms. Caroline Keim

• Mr. Jim Kellog

• Ms. Rita Kelley

• Ms. Ann Kennedy

• Terence & Jennifer Kenniston

• Mr. Tom Kenyon

• James & Nan Kern

• Ms. Gerry Kessler

• M. Khawla Khan

• Pete & Jeanne Kielhofner

• Mr. James King

• John and Ann King

• Mr. Oliver King

• Donald & Denise Kirkham

• Ms. Laurie Klein

• Mr. Ron Klutho

• Mr. Mark Koch

• Ms. Emily Kohler

• Ms. Brittany Kootman

• Mr. Dan Kopman

• Ms. Janet Kourik

• Donald and Janet Kriss

• Mr. Stephen Kroll

• Ms. Nancy Lammers

• Mr. Mike Lamping

• Sylvan Landau

• Mr. Nate Landsbaum

• William and Karen Lane

• Rich & Tammy LaPlume

• Ms. Cynthia Larouge

• Brian Elsbernd & Cheryl Levine

• Emily Folkman & Joe Levine

• Ms. Pat A. Levine

• Ms. Maxine Levy

• Ms. Susan Linkul

• Ms. Laura Lock

• Tina and Allen Loeffelman

• Ms. Karen Loeffelman

• Mr. Brian Logan

• Mr. Steve Lopez

• Ms. Janel Loucks

• Mr. Mark Loucks

• Ms. Jacqueline Lowery Corn

• Mr. Bud Luepke

• Henry & Judith Luepke

• Paula & Henry Luepke

• Ms. Marsha Luhrs

• Ms. Jackie Lukitsch

• Mr. Michael Lydon

• Gary & Ann Maassen

• Ms. Denise Macjac

• Ms. Kelly Madden

• Mr. William Madosky

• Ms. Diane Maguire

• Ms. Olivia Maguire

• Dr. Jothika Manepalli

• Dr. Marlon Mangahas

• Mr. Chuck Manganelli

• Ms. Liz Mantyeh

• Marin & Mirela Marcu

• Jeff & Ann Mardis

• Ms. Karen Mariani

• Mrs. Linda Markel

• Ms. Angela Martin

• Mr. Bill Maula

• John & Nancy Maxwell

• Mr. Timothy Maxwell

• Ms. Louise McAliney

• Peg & Dick McBride

• Laura & Tom McCallister

• Ms. Amy McCleurer

• Ms. Sharon McClinton

• Mr. Scott McCuaig

• Ms. Kathy McDaniel

• Ms. Rita McElhany

• Ms. Judy McGee

• Ms. Michelle McGrath

• Ms. Kathleen McMullan

• Mr. Michael McMurtrey

• Mr. Christopher McPherson

• Ms. Chrissie Meecham

• Mr. Tom Meecham

• Mr. Jim Meehan

• Ms. Susan Meredith

• Angela & Steve Mestres

• Mr. Jim Metz

• Mr. Rick Metz

• Ms. Mary Ann Meyer

• Mike & Carol Seevers Meyer

• Mr. Robert Meyer

• Rondo & Kathy Middleton

• Mr. Daniel Milam

• Mr. Joris Miller

• Philip Minden & Julie Birkenmaier

• Ms. Teresa Mithen

• Mr. Geoff Moeller

• Mr. Ahmed Mohamed

• Ms. Christina Moore

• Mr. Ken Moore

• Ms. Deborah Moormann

• Ms. Mary Morgan

• Mr. Gary Morse

• Ms. Madeleine Morse

• Mr. Ron Moser

• Mr. Byron Moser & Janet Eto

• Ms. Lana Moss

• Ms. Jennifer Mueller

• Ms. Trina Muhammad

• Mr. Edward Murphy

• Michael & Beverly Murphy

• Thomas & Shirley Murphy

• Mr. Tim Murphy

• Ms. Vicki Myers

• Ms. Liz Naito

• Rev. Susan K. Nanny

• Chris Dougher & Rita Navarro

• Diego & Heather Navarro

• Richard & Virginia Navarro

• Mr. Dale Neely

• Ms. Rochelle Nevels

• Ms. Janan Nimock

• Ms. Ann Noland

• Ms. Persis Oberreither

• Ms. Kassi O’Brien

• Ms. Marlene O'Brien

• Robert and Joyce Olshan

• Mary & Larry O'Neill

• Mr. Joe Orellana

• Mr. Danny Orlet

• Mina & Richard Overton

• Paul & Lynne Pagano

• Ms. Judy Panus

• R.J. Sauget & Jerry Pastore

• Ms. Deborah Patton

• Jennifer Pautsch & Chad Stockel

• Michael & Leah Parkinson

• John & Michelle Pawloski

• Mr. Paul Payne

• Darren & Adia Perry

• Mr. Jerome Peters

• Mike & Jane Piasecki

• Mr. Douglas Pickard

• Ms. Lyn Pickel

• Ms. Amy Pitti

• Mr. Dean Porter

• Mr. Marty Powers

• Andrew & Sondra Prydybasz

• Ms. Helen Prydybasz

• Ms. Maria Pulizzo

• Ms. Lee Quackenbush • 1 2 •

• Don & Lois Quest

• Mr. Thomas Quistorff

• Mr. Brian Radzom

• Mr. Christopher Rank

• Ms. Brenda Rascoe

• Ms. Barbara Rascoe

• David Krojanker & Daria Redel

• Steven & Jane Reed

• Ms. Helen Reid

• Thomas & Linda Reis

• Ms. Karen Reynolds

• C.W. Riehlman

• Mr. Joseph Rigel

• Mr. Reuben Rigel

• Ms. Dina Rinder

• Anagene & Boyd Roberts

• Mr. Willie Robertson

• Ms. Patricia Robinson

• F. Roguel - Lawren

• Mr. Anthony Rothert

• Rodney & Loree Rowe

• Carol & Brendon Ryan

• James & Geralyn Ryan

• Mr. David Salter

• Ms. Kay Sandweiss

• Ms. Barbara Sapienza

• Ms. Anna Savu

• Steve and Michelle Scheipeter

• Ms. Mary Lou Schicker

• Rabbi Janine Schloss

• Ms. Becky Schmidt

• Mr. Bruce Schmidt

• Gregory & Katherine Schmiedeke

• Mr. Thomas Schmiedeke

• Ms. Suzanne Schoomer

• Ms. Mary Pat Schreiner

• Ms. Saskia Schuman

• Mr. Nate Scudieri

• Ms. Laurel Sgan-Kibel

• Mr. Bill Sharpless & Debbie Hartman

• Ms. Dawn Sherrod

• Ms. Alicia Shipp

• Don & Gretchen Shipp

• Ms. Michelle Shockley

• Douglas & Lisa Fordyce Sidel

• Mr. Bill Siedhoff

• Ms. Michele Siler

• Renee & Sam Silverstein

• Ms. Darlene Simpkins

• William & Lisa Sinak

• Gregory & Jane Smith

• Mr. Lakeefe Smith

• Ms. Ruth Smith

• Ms. Laura Snell

• David & Mary Claire Sorensen

• Kenneth & Monita Sowell

• Richard & Elizabeth Spilker

• Ms. Danielle Spurrell

• Ms. Erica Stacy

• Mr. Greg Starrs

• Ms. Sharon Stecher

• Sage Taber & Becky Steckler

• Ms. Brenda Steelman

• Margaret & Justin Stein

• Ms. Peggy Stein

• Andrew & Lynn Stewart

• Mr. Teresa Stogsdill

• Mr. Charlie Stroud

• Ms. Kate Sweeney

• Ms. Jen Sweet

• Lloyd & Norma Taaffe

• Margaret Taber & Becky Steckler

• Kayo Takatori

• Mr. Peter Tarby

• Ms. Jane Tarlow

• Ms. Marie Taylor

• Ms. Jean Terry

• John & Penny Terry

• Mr. Tommy Thomas

• Ms. Barbara James Thomson

• Ms. Janice Thorup

• Ms. Kim Traylor

• Ms. Sandra Tremmel

• Ms. Mary Trueman

• Ms. Liz Tucker

• Mr. & Mrs. John Tucker

• Rev. Rebecca Turner

• David & Cynthia Van Camp

• Ms. Lorna Vaughn

• Mr. & Mrs. Vaughn

• Leonard & Deborah Vines

• Mr. James Wahl

• Mr. Charlie Waite

• Mark & Claudia Wall

• Ms. Kendra Wallace

• Mr. Roderick Wallace

• Ms. Cynthia Walsh

• Ms. Margaret Walsh

• Martin & Jill Walsh

• Ms. Linda Walton

• Ms. Marilyn Sue Warren

• Ms. Naomi Warren

• Rich & Ann Watters

• Ms. Diane Wehking

• Harold & Elaine Wehking

• Maxine & Roark Weil

• Sr. Paulette Weindel

• Mr. Alan Weisman

• Ms. Sharon Weissman

• Brian & Patricia Wells

• Chris Wells

• Mr. Dennis Wells

• Mr. Kevin Wells

• Ms. Laurie Wenzel

• Ms. Geraldine Werner

• Mr. Kevin Werner

• Ms. Pat West

• Ms. Jan Westrich

• Ms. Gloria Wetzel

• Ms. Caroline & John Williams

• Mr. Karl Wilson

• Mr. Bill Wing

• Mr. John Winn

• David & Michelle Wirick

• Lori & Joel Wishne

• James & Elaine Woelich

• Ms. Allison Wohl

• Ms. Toni Womak

• Ms. Jean Woodard

• Mr. Joseph Worth

• Lawrence & Sarah Wortz

• Joe & Paula Yancey

• Mr. Omar Yossef

• Ms. Barbara Zawier

• Ms. Mary Ann Zawier

C o n t r i b u t i o n s : t r i b u t e s : g i f t s

• 1 3 •


• 1 5 •

B U S I N E S S , O R G A N I Z AT I O N a n d F O U N D AT I O N S T R I B U T E G I F T S :

H o n o r a r i u m s

M e m o r i a l s

• Allegra Print and Imaging

• Arthur J Gallagher Foundation

• ASC Foundation

• Bailey's Chocolate Bar

• BJC Healthcare

• Bellon's Market

• Boeing Corporation

• Botanicals On the Park

• Bridgeway Behavioral Health

• Build A Bear Workshop

• Bryan Cave LLP

• Center of Clayton

• Chase Park Plaza Cinema

• Christopher Rank, DDS

• Cole & Associates

• Congregation Shaare Emeth

• Crider Health Center

• Dance St. Louis

• Daughters of Charity

• Deaconess Foundation

• Dierbergs Markets

• Duff’s Restaurant

• Elleard B. Heffern, Inc.

• Erker's Fine Eyewear

• Express Scripts, Inc

• Fiserv Health

• Fitz’s American Grill and Bottling Works

• Fourth Friday Jazz Ensemble

• Feasting Fox

• Funny Bone Comedy Club

• Gannett Foundation

• Gateway Vincentian Volunteers

• GoodSearch

• Good Works

• Guido's Tapas & Pizzeria

• Halo Investments

• Imo’s Pizza

• Islamic Foundation of St. Louis

• Incarnate Word Foundation

• Jenny Soh Agency

• John Burroughs School

• John Marcinio Restaurant

• J.W. Terrill

• Landmark Theatres

• Lemmon’s Restaurant and Bar

• Life Medical Company

• LoRusso’s Cucina

• M Brady & R Martin Charitable Eye Foundation

• Medicine Shoppe

• Mental Health Association of Greater St. Louis

• Mid America Clinical Research

• Midtown Printing

• Missouri Department of Mental Health

• Missouri Foundation for Health

• Missouri Religious Coalition for Reproductive Choice

• Missouri State Bank

• NAMI St. Louis

• Oceano Bistro

• Okinawan Karate School

• Panera Bread

• Party Broker

• Pasta House Company

• Phillips Professional Home Health

• Preferred Family Healthcare, Inc

• Qdoba Mexican Grill

• Royale Food & Spirits

• Sage Urban American Grill

• Scandals

• Scandals Day Spa

• Schlafly Beer

• Schnucks Markets

• Shop N Save

• Southern Commercial Bank

• Speedway Automotive

• St. Catherine Laboure Parish

• St. Louis Brewery and Tap Room

• St. Louis Cremation

• St. Louis Mental Health Board

• St. Louis Symphony

• St. Pius V Church

• St. Vincent's Social Ministeries

• Stafflink

• Starbucks Coffee

• Steve's Cookware

• Straub's Market

• Studio Red

• Substance Abuse and Mental Health Services Association

• Tax & Business Services

• Tenet Healthcare Foundation

• The Riverfront Times

• The Magic House

• The Time Fashion-Salon-Accessories

• The Tin Can Bar and Grill

• Three Monkeys Restaurant

• Trattoria Marcella

• Urban Eats

• White Castle

• Whole Foods Market

• Willert Home Products

• Yahoo!

In honor of: Susan Harris

Gift by....... Janet Kourik

In honor of: Aneisha Manepalli’s Graduation

Gift by........ Jothika Manepalli

In honor of: Tim Maxwell’s Birthday

Gift by........ Tom & Diane Baldetti

Marjorie Cune

Terrence & Deborah Hickey

Don & Denise Kirkham

Karen Mariani

John & Nancy Maxwell

Tom & Linda Reis

In memory of: Gift by

Bliss Lewis.......... Marie Taylor

Harold Levy........ Maxine Levy

David Markel...... Brenda Steelman

Rbt. Bonetti......... Leonard & Deborah Vines

Mark Wehking.... Amy Auffenberg

David & Barbara Elam

Darrel & Kathleen Gustin

Robert & Claudette Harshberger

F. Roguel – Lawren

Bud Luepke

Tax & Business Services

Diane Wehking

Harold & Elaine Wehking

• 1 4 •

B o a r d o f D i r e c t o r s

• Genevieve Frank, President

• Ellen Kalina, Vice-President

• Lorna Vaughn, Secretary

• Mina Overton, Treasurer

• Kellie Blackmon

• Tim Cook

• David Hutti

• Hillary Klein, M.D.

• Laura Lock

• Anthony Rothert

• Loree Rowe

• Dennis Wells

Community Alternatives is a 501(c)(3)charitable organization. Donations are tax deductible as allowed under law

Community Alternatives • 3738 Chouteau Ave, Ste. 200 • St. Louis, MO 63110-2546 • www.community-alternatives.org

OUR Mission: Community Alternatives’ mission is to provide hope, care and cost-effective services to people

with mental health disorders for the purpose of helping them achieve their highest potential.

officers:

Members:

Documents

Community Alternatives Fiscal Year 2008