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MHSACM Annual Report

Strengthening community-based care, building relationships, advocating effectively.

Mental Health and Substance Abuse Corporations of Massachusetts, Inc. MHSACM, Inc

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MHSACM1 n. 2. A statewide association representing the primary providers of publicly-funded behavioral health care services in the Commonwealth.

MHSACM2 v. 1. To strengthen community-based care. 2. To build relationships. 3. To advocate effectively.

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Vic DiGravio, President/CEO

Ellen Attaliades, Board Chair

Dear Colleague: It is with great pride that we submit to you the Annual Report of Mental Health and Substance Abuse Corporations of Massachusetts, Inc. and MHSACM, Inc. for fiscal year 2008. We started off the year with a transition in leadership as longtime President & CEO Betty Funk stepped down after many years of wonderful service to our members. Fortunately, MHSACM did not miss a beat during the transition phase. MHSACM and our member organizations shared in many triumphs during the course of the past year. The passage of Chapter 257 of the Acts of 2008 (formerly S. 65), An Act Relative to Rates for Human and Social Service Providers was the product of a tremendous grass-roots advocacy campaign by MHSACM members, their staff, and our colleagues in The Collaborative. Many long-time human service advocates have noted that this new law, which will reform how human service reimburse-ment rates are set, is the most significant legislative achievement our industry has seen in over twenty years. We also participated in other significant legislative victories in 2008 including a major expansion of the state’s mental health parity law to include coverage of substance use disorders and the enactment of the Children’s Mental Health law which will improve the quality and coordination of services provided to children with mental health needs. While these are tremendous achievements, MHSACM also experienced many other successes. The on-going strength of our robust committee system is a source of pride for us. The MHSACM committees, consisting of program and opera-tional staff from our diverse membership, in many ways led the way for MHSACM in identifying issues and offering solu-tions to challenges confronting the community-based system of care in Massachusetts. The active participation of our member organizations is one of MHSACM’s greatest strengths. The success of the Massachusetts Standardized Documentation Project (MSDP) is the classic embodiment of MHSACM’s leadership in innovation. By pulling together diverse stakeholders in the community-based system of care, MHSACM cre-ated a forum for a project which will lead to improved care for individuals receiving services, better compliance with state and federal payers, and modernized business practices for our members. In the following pages you will read about these successes and more. We hope you enjoy this report and share our pride in what we achieved together in fiscal year 2008. Thank you.

Sincerely

Ellen Attaliades, Chair Vic Di-

Gravio Board of Directors President & CEO

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Susan Ayers, The Guidance Center Arlene Birch, The Brien Center for MH & SA Services

Edward Blain, Community Health Care, Inc. Scott Bock, Riverside Community Care

Maurice Boisvert, Youth Opportunities Upheld, Inc. Gerard Desilets, SMOC

Lyndia Downie, The Pine Street Inn Gail Enman, CASPAR

Charles Faris, Spectrum Health Systems Norma Finkelstein, Institute for Health & Recovery

Janice Kauffman, North Charles, Inc. Mark Kennard, Project COPE, Inc. Gary Lamson, Vinfen Corporation

Eric Masi, Wayside Youth & Family Support Network Jackie Moore, North Suffolk Mental Health Association

Daniel Mumbauer, High Point Treatment Center

MHSACM Board of Directors

Ellen Attaliades, The Edinburg Center, Inc., Chair

Deborah Ekstrom, Community Healthlink, Vice-Chair Kevin Norton, CAB Health & Recovery Services, Treasurer

Steven Hahn, NFI Massachusetts, Inc., Clerk

Vic DiGravio, President and CEO

Paul O’Shea, Health & Education Services, Inc. Nancy Paull, SSTAR

Andy Pollock, Cutchins Programs for Children and Families Randal Rucker, Family Service of Greater Boston

Frank Sacco, Community Services Institute Al Scott, Mental Health Association of Greater Lowell

Jonathan Scott, Victory Programs Philip Shea, Community Counseling of Bristol County Harry Shulman, South Shore Mental Health Center

Ronnie Springer, Bay Cove Human Services Susan Stubbs, ServiceNet

Kenneth Tarabelli, Bay State Community Services William Taylor, Advocates, Inc.

Barry Walsh, The Bridge of Central Massachusetts Kathy Wilson, Behavioral Health Network, Inc.

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Legislative Accomplishments

MHSACM monitored over 700 bills and testified on a wide range of legislation during the 2007-2008 session which concluded on July 31, 2008. Below is a glimpse of some of our major legislative accomplishments over the past year.

Chapter 257 of the Acts of 2008 (formerly S. 65/S. 2764) An Act Relative to Rates for Human and Social Service Programs MHSACM named purchase of service (POS) reform its number one public policy priority for FY 2008. Over the course of the past year, MHSACM, the Association of Developmental Disabilities Providers and the Massachusetts Council of Human Service Providers, partners in The Collaborative, formed The Campaign to Strengthen Human Services and focused an incredible amount of energy to ensure passage of the bill. Marking a tremendous victory, the bill unanimously passed both the House and Senate and was signed into law by Governor Patrick at the end of the legislative session. The new law will reform the rate setting process for human service providers to more accurately and fairly reim-burse providers for the cost of delivering care. This bill, when fully implemented, will allow human service provid-ers throughout the Commonwealth to pay their employees a higher wage, thereby minimizing staff turnover and providing even better care to the state’s most vulnerable populations.

The Campaign to Strengthen Human Services: A Glance at the Numbers

168 endorsements 5,000 postcards

2,303 letters to the editor 5,565 emails and faxes to the Legislature 1,322 emails and faxes to the Governor

Governor Patrick signs S. 2764 (formerly S. 65) into law as MHSACM Board Member Bill Taylor, CEO of Advocates, Inc., looks on.

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CHAPTER 256 OF THE ACTS OF 2008 (formerly H. 4423) An Act Relative to Mental Health Parity

Chapter 256 will significantly improve the current parity law by expanding the list of mental health and substance use disorders that must be covered on a nondiscriminatory basis to include substance abuse, eating disorders, post-traumatic stress disorders, and autism. Most state chartered health plans will now be required to cover these behavioral health disorders in the same way that they cover other medical con-ditions. The law also gives the Commissioner of Mental Health the authority to require coverage of addi-tional disorders listed in the Diagnostic & Statistical Manual of Mental Disorders (DSM). CHAPTER 321 OF THE ACTS OF 2008 (formerly S. 2804) An Act Relative to Children’s Mental Health

MHSACM joined providers, advocates, families, educators and consumers in The Children’s Mental Health Campaign in order to reform the children’s mental health system in Massachusetts. This new law will strengthen the children’s behavioral health system by ensuring early identification, providing for treatment in the most appropriate setting, improving insurance coverage, and restructuring oversight and coordina-tion of the Commonwealth’s children’s behavioral health system. CHAPTER 305 OF THE ACTS OF 2008 (formerly H. 2863) An Act to Promote Cost Containment, Transparency and Efficiency in the Delivery of Quality Health Care

Language included in this new law will reduce current paper medical record retention laws from 30 years to 20 years for clinics and hospitals licensed by the Department of Public Health. It also modernizes the current definition of a medical record to allow electronic/digital medical records.

To learn more about MHSACM’s legislative priorities, accomplishments, and action alerts, visit MHSACM’s Legislative Action Center at www.MHSACM.org.

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In addition to our legislative accomplishments, MHSACM strove to ensure that our priorities were included in the final FY 2009 budget. Here’s a snapshot of the results:

$23 million for the POS Human Services Salary Reserve for employees earning less than $40,000 annually.

Consumer protection language barring unilateral reassignment of MassHealth members to other health plans.

$2.7 million increase above FY 2008 levels for the Bureau of Substance Abuse Services (BSAS).

Inclusion of $5 million for post-detox step-down services.

$5 million in new funding for “pre-arraignment jail diversion” services for individuals with substance use disorders.

$25 million for a reserve to fund the roll-out of services associated with the Rosie D. court order.

$20 million to help implement the Community First waiver for elderly or disabled adult Mass-Health members.

$4 million for 60 new rental subsidies for consumers of Department of Mental Health (DMH) services.

MassHealth coverage until age 21 for children who have aged out of Department of Social Services (DSS) custody.

$1 million from unclaimed lottery prizes for the compulsive gamblers' treatment program.

Fiscal Year 2009 State Budget

MHSACM keeps members informed of budget devel-opments through regular

correspondence, including Community Conversations, conference calls designed to brief members on key items included in the budget and their impact on MHSACM

members.

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The Federal File

While we spent a great deal of time focusing on policy issues at the state level, there are a myriad of issues that impact our providers at the federal level as well. Over the past year, MHSACM: Worked tirelessly to reverse cuts to partial hospitalization programs and encouraged

the Centers for Medicare and Medicaid Services (CMS) to revise its rate setting methodology to more accurately capture the cost of providing this service.

Supported S. 2182, The Community Mental Health Services Improvement Act. Advocated for increased mental health and substance use disorder funding. Submitted testimony to CMS on the Proposed Rule for Coverage for Rehabilitative Ser-

vices under the Medicaid program. Advocated for mental health parity legislation sponsored by Senator Ted Kennedy

(D-Massachusetts). Hill Day 2008 In June, a delegation of MHSACM members joined the National Council for Commu-nity Behavioral Healthcare at its fourth annual Hill Day. There, MHSACM members met with members of Congress and their staff to discuss opposition to rules proposed by CMS relative to case management and rehabilitative services option, recent funding cuts to partial hospitalization program rates, and the need for Medicare parity. Mem-bers also had the opportunity to talk about their programs and services and the impact that federal policy has on operations, client services, and staff.

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Working in Coalition

In striving to promote community-based mental health and substance abuse services as the most appropriate, clinically effective and cost-sensitive method for providing care to individuals in need, we have been fortunate to work with a variety of organizations. We are thankful for our coalition partners, including, but not limited to the following:

Affordable Care Today!! (ACT!!) Aging and Disability Resource Centers Advisory Group

Association of Developmental Disabilities Providers Bureau of Substance Abuse Services Workforce Development Task Force

Department of Mental Health/Department of Public Health Emergency Room/Emergency Department Working Groups Children’s Mental Health Campaign

Children’s Professional Advisory Committee (Kids PAC) Health Care for All

Join Together Parent/Professional Advocacy League (PAL)

Massachusetts Council of Human Service Providers Massachusetts Aging and Mental Health Coalition

Massachusetts Association for Behavioral Health Systems Massachusetts Behavioral Health Partnership Access to Care Stakeholder Group

Massachusetts Coalition for Addiction Services Massachusetts Mental Health Transformation Committee (TRANSCOM)

Massachusetts Organization for Addiction Recovery (MOAR) Massachusetts People/Patients Organized for Wellness, Empowerment and Rights (M-Power)

MassHealth Provider Advisory Group Medical Care Advisory Committee

Medicare Part B/NHIC Provider Advisory Group National Alliance on Mental Illness - Massachusetts (NAMI-MASS)

National Council for Community Behavioral Healthcare Registry of Motor Vehicles Interagency Drunk Driving Committee

State Associations of Addiction Services (SAAS) State Mental Health Planning Council

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Vic DiGravio, Gary Blumenthal, Executive Director of the Association of Developmental Disabilities Providers, and Michael Weekes, President/CEO of the Massachusetts Council of Human Service Provid-ers look on as Governor Patrick signs S. 2764 (now Chapter 257 of the Acts of 2008) into law.

Former Governor Dukakis speaks at the National Council’s annual conference in Boston.

Massachusetts Coalition for Addiction Services (MCAS) In FY 2003, substance abuse services suffered deep, devastating budget cuts. In response, MHSACM successfully organized the Massachusetts Coalition for Addiction Services (MCAS), a group of advocacy organizations that could speak with one voice for the restoration and ex-pansion of funding. MCAS is made up of five advocacy organizations committed to improving substance use disorder funding and services: The Boston Public Health Commission, The Mas-sachusetts Association of Alcoholism and Drug Abuse Counselors, The Massachusetts Housing and Shelter Alliance, Massachusetts Organization for Addiction Recovery, and MHSACM, Inc. MCAS has been extremely successful with helping to promote budget increases and as of FY 2009, state funding for BSAS has risen to $90.5 million, a $54.1 million increase since FY 2003.

Coalition for Our Communities In 2008, MHSACM joined Coalition for Our Communities, a broad coalition of non-profits, businesses and individuals opposed to the November 4th ballot initiative proposed to eliminate the income tax. If this initiative were to become law, the state would lose approximately $12 billion a year in revenues (40% of the state budget). This would have devastating effects on behavioral health services and the state as a whole. MHSACM is committed to ensuring that the 2008 proposal does not succeed.

National Council for Community Behavioral Healthcare 2008 National Conference in Boston The National Council for Community Behavioral Healthcare held its 38th annual national con-ference in Boston this past May, providing MHSACM members with an opportunity to attend engaging workshops and plenary sessions, give presentations, meet providers from across the country, and interact with leading state and national policy makers. Through the efforts of MHSACM, former Governor and Mrs. Dukakis presented at a plenary session. On the same day, Senate President Therese Murray took part in a workshop on legislative advocacy at the invitation of MHSACM.

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Health Care Reform

MHSACM has continued to promote comprehensive public policy development and payment mechanisms related to Massachusetts health care reform. MHSACM’s focus has been to ensure adequate coverage, affordability, and reimbursement for behavioral health services and community-based providers in component parts of the new health care system. In doing so, we have successfully advocated for lower co-payments for behavioral health services covered under Commonwealth Care (the state’s subsidized insurance program for individuals below 300% FPL). Effective July 1, 2008, co-pays for mental health and sub-stance abuse outpatient services for individuals between 200% and 300% FPL were decreased. This is the only Commonwealth Care co-payment that decreased. Moreover, this is the second time that the Connector has demonstrated a willingness to recognize the im-portance of ensuring access to behavioral health services. In January 2007, the Connector eliminated co-payments for methadone ser-vices for all Commonwealth Care plans. This most recent change means that the new co-payments for behavioral health outpatient services are now the same as those charged for primary care visits.

Children’s Behavioral Health Initiative

In response to the Rosie D. court order the Commonwealth has created the Children’s Behavioral Health Initiative (CBHI). MHSACM has devoted much time and resources in an effort to help shape a system which best meets the needs of the children who will be served by the CBHI. MHSACM’s Children’s Policy Committee and Children’s Services Committee have been central to our efforts to impact the crea-tion of this new system of care. MHSACM’s response to the Commonwealth’s Request for Information on CBHI was written after extensive input from the Children’s Policy Committee and the full MHSACM membership.

MHSACM has also been working with state officials to ensure that the voice and experience of commu-nity-based providers is heard as the Commonwealth plans the new system of care for children. Addition-ally, MHSACM’s Children’s Policy Committee is meeting with the Rosie D. Court Monitor on a regular basis to make sure that the Court fully understands the opportunities and challenges regarding the CBHI from the providers’ perspective.

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Massachusetts Standardized Documentation Project Electronic Health Readiness

The Massachusetts Standardized Documentation Project (MSDP) was convened in April 2007 to move beyond historic documentation models that recorded only the minimum level of information to a documentation process that supports a person-centered/recovery-oriented service delivery model in community settings. The purpose of the MSDP is to improve the readiness of community-based men-tal health and substance abuse treatment providers to implement electronic health records (EHRs). A broad array of stakeholders have participated in the MSDP to help design this new standardized documentation process with a clear focus on the goals of (1) improved quality of care; (2) increased administrative efficiencies; and (3) full legal, regulatory, and accreditation compliance. Among the stakeholders contributing to the ongoing success of the MSDP are: MHSACM provider organizations Executive Office of Health and Human Services Department of Mental Health MassHealth Department of Public Health/Bureau of Substance Abuse Services Massachusetts Behavioral Health Partnership

Pilot Study: The MSDP Standardized Documentation Team designed specific documentation processes for mental health and substance abuse pro-grams serving children, adolescents, and adults. This culminated in a formal, six-week pilot study during March and April of this year. A total of seventy different programs representing twenty-six different MHSACM provider members participated in the pilot study and pro-vided essential feedback on the standardized forms. It is anticipated that the revised forms will be completed in mid-FY 2009. Training manuals to help providers with the use of each form will be available at that time.

Medicaid Managed Care Organizations (MMCOs): BMC HealthNet Plan Neighborhood Health Plan Fallon Community Health Plan Network Health

Consumers/Families and Advocacy Organizations

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The Dawning of a New Day! MHSACM’s 8th Annual Provider Celebration

MHSACM’s 8th Annual Provider Celebration was a resounding success and nearly 400 providers were in attendance to celebrate the accomplish-ments of this year’s award winners. This year’s theme, A New Day, was especially fitting as we were honored to hear from many of the key state health policymakers who play a large role in determining the present and future of community-based mental health and substance abuse services. Governor Deval Patrick topped off MHSACM’s 8th Annual Provider Celebration as the day’s featured guest speaker. Calling providers “the face and the hands and the heart of state government,” the Governor thanked providers for the work that that they do and “for being a part of the healing community in Massachusetts.” Every year, we are more and more inspired by the award winners. Thank you for all that you do every day to improve the lives of individuals with mental illness and substance use disorders! A hearty round of applause from all of us at MHSACM!

DPH/BSAS Director Michael Botticelli, DMH Commissioner Barbara Leadholm, Representative David Linsky, MHSACM’s President/CEO Vic DiGravio, Governor Deval Patrick and MHSACM Board Chair Ellen Attaliades.

Moe Armstrong and Vinfen CEO Gary Lamson celebrate the MHSACM Moe Armstrong Award for Adult Peer Leadership.

DPH Commissioner John Auerbach gives providers a round of applause.

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Annual Meeting: The Executive View MHSACM’s annual meeting in May featured Department of Mental Health Commissioner Barbara Leadholm and Department of Public Health Commissioner John Auerbach. Both took the opportunity to discuss the important role that providers play in the provision of behavioral health services across the state, the challenges facing their respective departments, and the goals that they have set for the near future.

Member Meetings:

Rosie D. Federal Court Order: The State’s Implementation Plan Emily Sherwood, Director of Children’s Behavioral Health Interagency Initiatives at the Executive Office of Health and Human Services (EOHHS), provided MHSACM members with an update on the implementation of the Rosie D. Remedy. Emily reviewed the lawsuit and remedial plan and then discussed the implementation schedule, the work teams, and the consultation process. Purchase of Service Reform: Providers’ Stake in the Future Patricia Lynch, one of MHSACM’s lobbyists on Beacon Hill, joined us to talk about purchase of service reform and what we needed to do as an Association to help get S. 65 (now Chapter 257 of the Acts of 2008) passed and signed into law. This meeting served as an important step in our grassroots campaign to convince the Leg-islature to pass S. 65. Statehouse Perspective Senator Karen Spilka, Chair of the Joint Committee on Children, Families and Persons with Disabilities, ad-dressed the need for S. 65 and discussed other issues of concern to human service providers, such as mental health parity and the Children’s Mental Health bill.

More Than Just a Meeting

MHSACM President/CEO Vic DiGravio greets Department of Mental Health Commissioner Barbara Leadholm.

Throughout the year, MHSACM hosted many exciting events that brought MHSACM members together with many of the leaders in the Massachusetts public policy arena.

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The depth, breadth and complexity of our members’ services power our flexible, responsive committee system. Participation on most committees is open to our full membership, and participants range from agency executive directors to program managers to administration and finance staff to front-line workers. Our committees are essential to setting MHSACM’s agenda. They identify the pertinent policies or programmatic issues to be discussed or addressed. They establish the priorities for our annual work plan, advise the Board of Directors, take action to assure positive out-comes, ensure that appropriate interface occurs with the relevant state agencies, and inform our entire MHSACM community of actions taken on behalf of all providers. Over the past year, our committees: Commissioned a statewide poll examining public perception of behavioral health ser-

vices.

Educated members about the new federal requirements and “incident to” billing under Medicare Part B.

Worked to facilitate the implementation of the National Provider Identifier (NPI) as it relates to billing and reimbursement.

Educated members about MassHealth’s planned implementation of its new Medicaid Management Information System (New MMIS).

Worked with MassHealth MCOs to standardize expectations around open referrals, number of authorized visits, processes and communication.

Worked with private insurers to address complex authorization issues, claims, and other issues.

MHSACM Committees

MHSACM’S EXECUTIVE TEAMS

● The MHSACM/Department of Mental Health Executive Team has worked diligently to impress upon DMH Com-missioner Barbara Leadholm and her senior staff the importance that com-munity-based providers play in serving DMH clients.

● MHSACM has also developed a strong working relationship with the leader-ship at the Department of Public Health/Bureau of Substance Abuse Services. The MHSACM/BSAS Ex-ecutive Team works closely with Com-missioner John Auerbach and BSAS Director Michael Botticelli.

● MHSACM successfully created a MHSACM/MassHealth Executive Team that meets regularly with Suzanne Fields, the Director of Behavioral Health for MassHealth.

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MHSACM committees’ accomplishments, continued Participated in the Emergency Department/Emergency Room working group to give

feedback to the state on emergency room services.

Responded to the Department of Mental Health Commissioner’s Task Force on Safety and Risk Management.

Conducted a study of the extent of tasks and time required for Medication Administration Program (MAP) activities. Developed and submitted specific proposals relative to MAP to the Department of Mental Health.

Reviewed and commented on the Bureau of Substance Abuse Services’ draft regulations.

Addressed Acute Treatment Services (ATS) reprocurement issues and advocated for an increased rate for ATS.

Sponsored a comprehensive training on hepatitis for ATS providers.

Reviewed and commented on the Department of Public Health’s Tuberculosis policy.

Worked with the Department of Public Health/Bureau of Substance Abuse Services on methadone take-home issues.

Developed a brown bag networking forum for methadone nurses.

Met regularly with the Rosie D. Court Monitor, the state Compliance Coordinator, and plaintiffs’ counsel regarding the implementation of the Rosie D. remedy.

Member Services:

Monthly E-Update

Regular operational issues updates

Annual Provider Celebration

Member meetings

Trainings

Committee meetings

Legislative updates

State budget tracking

Action alerts

Legislative and budget testimony

Regulatory testimony

Updates on regulation changes

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MHSACM Members — 2007-2008

Adcare Education Institute Addiction Treatment Center of New England Advocates, Inc. Amesbury Psychological Center, Inc. Bay Cove Human Services Bay State Community Services Behavioral Health Network Boston ASAP Boston Health Care for the Homeless Boston Public Health Commission Bridgewell Bridge of Central MA Brien Center for MH & SA Services Brookline Community Mental Health Center CAB Health & Recovery Services Cape Cod Human Services CASCAP, Inc. CASPAR Catholic Charities Center for Human Development Child and Family Services, Inc. Children's Friend, Inc. Clinical & Support Options, Inc. Community Care Services Community Counseling of Bristol County Community Health Care, Inc. Community Healthlink Community Services Institute Cutchins Programs for Children and Families, Inc. Dimock Community Health Center Eliot Community Human Services Family and Community Solutions Family Service Assoc. of Greater Fall River Family Service of Greater Boston Fenway Community Health Center

Gandara Mental Health Center Genesis Counseling Services, Inc. George B. Wells Human Service Center Gosnold on Cape Cod Habit Management, Inc. Harbor Counseling Center Hawthorn Services, Inc. Health & Education Services, Inc. Henry Lee Willis Community Center, Inc. High Point Treatment Center, Inc. hopeFound Human Relations Service Institute for Health and Recovery Jewish Family & Children's Services Judge Baker Children's Center Justice Resource Institute Key Program, Inc. Lifeline - St. Anne's Hospital Lowell Community Health Center Luk Crisis Center Mass General Hospital, Addiction Services Mental Health Assoc of Greater Lowell MSPCC NFI Massachusetts, Inc. North Charles Mental Health Research and Training Foundation, Inc. North Shore Counseling Center North Suffolk Mental Health Association Old Colony Y Mental Health Clinic Phoenix Houses of New England Pine Street Inn Project COPE, Inc. River Valley Counseling Center Riverside Community Care ServiceNet

Sisters of Providence Hospital SMOC Behavioral Health Services Somerville Mental Health Association South Bay Mental Health Center South Shore Mental Health Center Span, Inc. Spectrum Health Systems, Inc. SSTAR Steppingstone, Inc, TEAM Coordinating Agency The Carson Center for Human Services, Inc. The Edinburg Center, Inc. The Family Center The Guidance Center The Home for Little Wanderers Valley Psychiatric Service, Inc. Victory Programs, Inc, Vinfen Corporation Wayside Youth & Family Support Network Youth Opportunities Upheld, Inc. Associate Members Alexander, Aronson, Finning & Company, P.C. Delta T Group Doherty, Ciechanowski, Dugan and Cannon, P.C. Health Enhancement Services Hill Associates Kalandavis Mass. Council on Compulsive Gambling Medical Reimbursement Systems, Inc. Robinson and Cole, LLP STM Technology Telamon Insurance and Financial Network

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MHSACM Staff

Vic DiGravio President/CEO

Sara Hartman Vice President for Mental Health

Constance Peters Vice President for Substance Abuse

Lydia Conley

Vice President for Public Policy

Stephanie Hirst Director of Policy and Research

Rosemary Santini Administrative Assistant

Ellen Caliendo Business Manager

Mental Health and Substance Abuse Corporations of Massachusetts, Inc. 251 West Central Street, Suite 21

Natick, MA 01760 508-647-8385

www.MHSACM.org

strengthening community-based care...building relationships...advocating effectively