Bridges Healthcare
949 Bridgeport Ave
Milford CT 06460-3142
Contact Information
Address 949 Bridgeport Ave
Milford, CT 06460-3142
Telephone (203) 878-6365 x
Fax 203-877-3088
E-mail mhotchkiss@bridgesmilford.org
Web and Social Media

Mission

Bridges mission is to provide a broad range of community based behavioral and healthcare services to the residents of our area. We respond effectively to the needs of adults, children and families with a comprehensive range of prevention, mental health and addiction recovery programs. We are committed to creating a Healthcare Home for all the people we serve.

We envision a community in which all people, regardless of age, race, gender, sexual preference, religious beliefs, disability or financial status have access to high quality and comprehensive behavioral and healthcare services.
 
We envision a community of compassion, which responds effectively and respectfully to the needs of all members of the community.
 
We envision a person-centered community support system to help families and individuals lead healthy, fulfilling and productive lives.
 
We envision a strong, dynamic and flexible organization that is a model in the provision of behavioral and healthcare services.
 
We envision Bridges as a leader in advocacy and education on behalf of our clients.
 
We value the individual: At Bridges, the dignity and the rights of each individual is respected. We believe that all people have the right to the best behavioral health services available, regardless of their circumstances. We believe that all people have the right to enjoy full and productive lives. We believe in empowering individuals to reach their full potential.
 
We value community and family: We strive to continually improve our programs, always maintaining our sense of accountability and responsibility to the community we serve. We develop new programs that respond the changing needs of our community. We give family members meaningful roles in the care of their loved ones. We collaborate and partner with other agencies, service providers and faith-based groups to realize our shared vision for a healthy community.
 
We commit to excellence and diversity among the board of directors, staff and volunteers.
 

 

A Great OpportunityHelpThe nonprofit has used this field to provide information about a special campaign, project or event that they are raising funds for now.
Bridges' Folks on Spoke Ride, Run, Walk for Mental Health takes place Sunday, Sept. 18, starting and finishing at Fowler Field in Milford. Join our team to show your support for family, friends, neighbors and colleagues who are meeting the challenges of mental illness and addiction disorders. Raise funds to help support Bridges community-based behavioral health services. Visit folksonspokesbridgesct.org for more information and to register.
A Great Opportunity Ending Date Sept 18 2016
At A Glance
Year of Incorporation 1957
Former Names
Milford Mental Health Clinic
Bridges A Community Support System
Organization's type of tax exempt status Public Supported Charity
Organization received a competitive grant from the community foundation in the past five years Yes
Leadership
CEO/Executive Director Ms. Barbara DiMauro
Board Chair Ms. Michelle LeMere
Board Chair Company Affiliation CT Fund for the Environment
Financial Summary
 
Projected Revenue $12,977,100.00
Projected Expenses $12,977,100.00
Statements
Mission

Bridges mission is to provide a broad range of community based behavioral and healthcare services to the residents of our area. We respond effectively to the needs of adults, children and families with a comprehensive range of prevention, mental health and addiction recovery programs. We are committed to creating a Healthcare Home for all the people we serve.

We envision a community in which all people, regardless of age, race, gender, sexual preference, religious beliefs, disability or financial status have access to high quality and comprehensive behavioral and healthcare services.
 
We envision a community of compassion, which responds effectively and respectfully to the needs of all members of the community.
 
We envision a person-centered community support system to help families and individuals lead healthy, fulfilling and productive lives.
 
We envision a strong, dynamic and flexible organization that is a model in the provision of behavioral and healthcare services.
 
We envision Bridges as a leader in advocacy and education on behalf of our clients.
 
We value the individual: At Bridges, the dignity and the rights of each individual is respected. We believe that all people have the right to the best behavioral health services available, regardless of their circumstances. We believe that all people have the right to enjoy full and productive lives. We believe in empowering individuals to reach their full potential.
 
We value community and family: We strive to continually improve our programs, always maintaining our sense of accountability and responsibility to the community we serve. We develop new programs that respond the changing needs of our community. We give family members meaningful roles in the care of their loved ones. We collaborate and partner with other agencies, service providers and faith-based groups to realize our shared vision for a healthy community.
 
We commit to excellence and diversity among the board of directors, staff and volunteers.
 

 

Background

Bridges was founded in 1957 by a group of concerned and forward-thinking citizens in Milford.  It provides quality and cost effective care encompassing a comprehensive range of outpatient mental health, addiction, community support, primary care and home-based services for both children and adults, including emergency services that are available 24 hours, 7 days a week. It serves nearly 7,000 people annually at sites in Milford, Orange and West Haven as well as surrounding towns. Home-based and mobile services extend this coverage to 14 communities in south central Connecticut. With the goal of assisting clients to lead healthy, fulfilling and productive lives, Bridges' recovery-focused services are available to adults, children, adolescents and families. Clients use their resilience to focus on their strengths and their ability to live a recovering lifestyle.

Bridges also plays a leadership role in advocacy and education on mental health and addiction issues at the state, regional and national level. 

Bridges is the DMHAS appointed Local Mental Health Authority for the towns of Orange, West Haven, and Milford, serving adults age 18 and older with severe mental illness with outpatient psychiatric services, vocational rehabilitation, social rehabilitation, case management, jail diversion and residential services. The West Haven Mental Health Clinic is an affiliated agency providing outpatient services and case management to this population. 

Our wraparound services for Young Adults are based in West Haven. They represent the most disabled population aging out of the Department of Children and Families and cluster into two groups: those with Pervasive Developmental Disorder, Schizophrenia and Developmental Disorders and those with histories of severe abuse and neglect, multiple foster home and/or institutional placements who suffer from Post Traumatic Stress Disorder and incipient personality disorders. We provide transition planning, supported living, vocational and/or educational supports, social/cultural/recreational skill training, peer advocacy and outpatient psychiatric support for the youth and, when available, the family support system.  

 

Our outreach and home-based services address the population of at-risk, fragile families and vulnerable individuals with complex problems. 

 

Bridges also maintains an annual Continuous Quality Improvement Plan, monitored by a Quality Council that as oversight of all policies and procedures.  

 
Impact

Bridges is proud of several notable accomplishments this past year, including recognition statewide for leadership in providing truama focused services to children.

Bridges was one of six community mental health agencies in Connecticut that received training and support, funded by the Connecticut Department of Children and Families, to deliver MATCH (Modular Approach to Therapy for Children with Anxiety, Depression, Trauma and/or Conduct Problems). MATCH is an effective intervention for children between the ages of 6 and 15 who are experiencing depression, anxiety, trauma/traumatic stress and conduct disorders. The learning collaborative is led by the Child Health and Development Institute and will continue through June 2016. MATCH synthesizes common elements found across dozens of evidence-based treatments into one evidence-based model that is flexible and responsive to the complex needs of children and families. Children experienced more clinical improvements from MATCH when compared to both evidence-based treatments for single diagnoses and usual care conditions for up to two years after starting treatment.
 
Bridges was recognized for having the largest number (5) of nationally certified trauma therapists (for Trauma Focused Cognitive Behavioral Therapy), in the state, and having the highest saturation (cases) of TFCBT trauma cases at 23%. The state required saturation point is 4%. This accomplishment is evidence of the commitment of staff and leadership to providing effective and quality services, despite increasing demands and limited resources.  

Bridges was chosen to participate in a one year training grant supported by the National Institute of Mental Health on Person Centered Care Planning as a Tool for Systems Transformation. This opportunity kicked off with an intensive 2 day training in January 2015, and continued through 2015 with the goal enhancing staff's skills in developing person-centered treatment plans and process.

In FY 2015, Bridges became a DMHAS/State designated Behavioral Health Home (BHH). This innovative model builds on existing mental health and addiction services, and further integrates physical healthcare in community mental health settings. Our BHH operates under a "whole-person" philosophy, providing a comprehensive array of prevention, health promotion, primary care, care coordination and care management, in conjunction with our currently existing services. Among the goals of the BHH are: the reduction of unnecessary hospital admissions and readmissions; the increase in the percentage of individuals who receive preventive care; the improvement of care transitions from inpatient to outpatient; an increase in client satisfaction with their experience of care.

CT Strong/Healthy Transitions is another pioneering new program that Bridges implemented in 2015. This initiative uses innovative approaches to improve rates of service engagement and outcomes with regard to housing stability, health and mental health, education and employment for youth and young adults aged 16-25 who are at risk for, or are developing a mental illness or addiction.

Bridges recently opened a Resource and Access Center for young adults ages 18-25, called Room 4. Based on a "drop-in model," the center aims to identify those young individuals who are not currently receiving mental health services, but who may be at risk for developing a mental health or addiction disorder. Room 4 offers young adults a comfortable, non-clinical setting where they may engage in healthy activities like yoga, art, music, games and conversation, have access to job and educational services, and ultimately be referred to critical behavioral and healthcare services.

Our goals as an organization remain constant and we continue to strive to achieve the best possible outcomes for the people and communities we serve. One area we are assessing is our ability to respond to the opioid crisis in our communities. Bridges currently does not prescribe the medications that can help an individual break and opioid addiction. These are complex, highly regulated medications that need regular and consistent monitoring. We have not had the capacity to provide that level of treatment and monitoring, but are exploring ways our organization can be part of the solution to this growing epidemic.
 1)      Bridges will continue to provide high-quality outpatient behavioral and healthcare services, including wraparound services, to a population of low-income adults in our community with a range of issues including serious and persistent mental illnesses, episodic emotional disturbances, and substance abuse and addiction disorders, in a timely manner.
2)    Bridges will continue to provide high-quality outpatient behavioral health and wraparound services to children and their families, through programs such care coordination, intensive home-based psychiatric services, and programs designed to keep families safely together, and allow children to remain safely in their homes rather than institutionalized.
3)      Bridges will implement an improved electronic health record to enable staff to accurately collect and analyze data, and review and report client outcomes.
 
Needs

Upgrade our electronic health record system that will enable Bridges to more accurately collect, analyze and report data and outcomes. This is a $200,000 project which Bridges is in the process of securing private funding for, and to date have about half committed.

Continue to build a network of support to increase client self-sufficiency and enable them to reach their fullest potential. Bridges safety net is one clients can depend on. With severe budget challenges, the state’s safety net funding is not as dependable. We must find new ways to ensure that Bridges’ clients receive the services they need to be successful in life.

 Obtain adequate reimbursement for health care costs from insurers/state and federal sources. In order to meet true financial needs, we much work with legislators and insurers to obtain payment for services Bridges provides that reflect the actual cost of the service. 

 Seek additional collaborations with other providers to increase cost effectiveness and provision of services with maximized benefits.

 

Broaden our private and public funding base to include a more diversified base and larger, multi-year gifts that ensure sustainability for the future.

CEO Statement
Nearly 20% of U.S. adults experience some type of mental illness; approximately 11 million U.S. adults had a serious mental illness, with 25% of those having a co-occurring substance dependence or abust issue. Approximately 1 in 8 U.S. adults received some form of mental health treatment. Four million children in this country suffer from a serious mental disorder that cause significant functional impairments at home, school and with peers. Half of all lifetime cases of mental disorders begin by age 14. Despite effective treatments, there are long delays, sometimes decades between the fist onset of symptons and when people seek and receive treatment. An untreated mental disorder can lead to a more severe, more difficult to treat illness and to the development of co-occurring mental illnesses. In any given year, only 20% of children with mental disorders are identified and receive treatment services. People come to Bridges dealing with a wide spectrum of challenges. At one end it can be as simple as young parents dealing with child rearing issues, but can range to discipline problems, out of control anger and child abuse,  or to the heartbreak and challenge of substance abuse and depression in a teenager. Couples may be in conflict over finances or work schedules, causing angry conflicts that result in domestic violence. For some, the challenges are chronic and lifelong struggles. At the far end of the spectrum we see life threatening challenges resulting from traumas inflicted by sexual abuse, abandoment and neglect. That is why over 7,000 individuals, children, teens, parents, adults, siblings, foster parents grandparents and family friends have a contact of some type with Bridges each year. From an appointment only service system we have moved to providing the largest percentage of our services in the community, in settings like home and school. Bridges social workers, psychiatrists, psychologists, case managers, social rehabilitations and vocational specialists, counselors, nurses, prevention specialists, crises and emergency workers, child therapists, receptionists, administrative personnel, over 160 dedicated staff strive to assure that quality care is available when needed on a 24/7 basis. No matter the challenges and their severity, Bridges offers the most comprehensive range of mental and healthcare services, including substance abuse services available in Milford and its surrounding towns.
Service Categories
Primary Organization Category Mental Health & Crisis Intervention / Substance Abuse Dependency, Prevention & Treatment
Secondary Organization Category Health Care / Community Health Systems
Tertiary Organization Category Human Services / Children's and Youth Services
Areas Served
Milford
Orange
West Haven
Ansonia
Bethany
Derby
Seymour
Shelton
Woodbridge
Lower Naugatuck Valley

Bridges' Home Based Services for Children and Families, including our Intensive In-Home Child and Adolescent Psychiatric Services, extend Bridges coverage beyond Milford, Orange and West Haven to include Ansonia, Bethany, Derby, Seymour, Shelton, Woodbridge.

 Under our CommuniCare partnership we also operate a statewide Tobacco Cessation program, and provide Lation Behavioral Health Services in Ansonia,  Bethany, Branford, Derby, East Haven, Guilford, Hamden, Madison, Milford, N Branford, N Haven, Orange, Oxford, Seymour, Shelton, West Haven, Woodbridge.   
Programs
Description
Promotes recovery and improves the quality of life of persons with behavioral health/substance use disorders by providing resources for understanding and managing a disorder. Services provided are recovery oriented and include crisis intervention, outpatient therapy and clinical support to acute care clients and CT Dept. of Mental Health and Addiction Services target populations including people with substance abuse problems and their significant others, people with severe and prolonged mental illness, persons with co-occurring mental illness and substance abuse, people at-risk of hospitilization. Approximately 85% of these people are low-income.  Links to primary care providers is a key component to this program. The agency’s Central Access and Central Intake Department provides triage, evaluation and assessment, mobile crisis and crisis intervention and Walk in Clinics. Adult and Child treatment and case management teams provide ongoing support to an individual or family, with the availability of multiple skill building, support, and psychotherapy groups, case management, a social club, vocational supports and medication management. Our goal is to ensure that the activities of Family and Children’sService, and Adult/Addiction Services are closely linked, ensuring that a service plan is comprehensiveand reaches all members of a family in need.Our outreach and home-based services address the population of at-risk, fragile families and vulnerable individuals with complex problems and continue to be important resources to improve the quality oflife for persons in our communities. Our ACT Team and Mobile Crisis Clinicians are able to engage and stabilize adults with serious and persistent psychiatric disorders who previously have not been connected to services.
Population Served Adults / Children and Youth (0 - 19 years) / Families
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.
100% of clients will  co-develop a treatment plan with their service team and establish goals for their recovery. These goals vary greatly from person to person.  
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
The ultimate goal of Bridges' Adult Services programs is that all consumers will lead healthy fulfilling and productive lives and are empowered to be the best they can be. Specific program successes include:
100% of clients will receive needed care promptly.
88% of clients will increase their overall ability to manage their lives.
91% of clients will express positive opinions about services and results.
75% of clients will remain in the program until their treatment/service plan objectives are met.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.
 We continue to commit to evidence based best practices by continuing our involvement in the IDDT (Integrated Dual Diagnosis Treatment) State-Wide Consultation group. This included a co-occurring group designed for family members of clients to participant. Trauma Focused Cognitive Behavioral Treatment (TF-CBT) also continued through active participation in on-going training. In addition, we are cooperating with DMHAS in utilizing the supported employment fidelity model from Dartmouth as well as successfully converting the case management services to Community Support Program (CSP) and Recovery Pathways (RP). Also, IICAPS had another credentialing visit in May 2011 and the Yale staff that reviewed the program commented that the site visit was the best by far of the other 9 sites they reviewed. We use the following tools to measure success:
Annual Consumer Satisfaction Survey
Continuous Quality Improvement Plan
Evaluation and monitoring under external agency contracts with  DPH, DCF, DMHAS, RMHB, HMO’s and CARF.
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.  
Consumer comments from Annual Consumer Survey help illustrate program success:
"As a chronic, intractable pain patient and a prior student of DBT/CBT, the therapy I get at Bridges is invaluable. My therapist  is a very intelligent, capable and perceptive woman."
 "The parking isn't good but I love my counselor and doctor and believe they can help me get better."
 "Because of my husband's loss of employment our family eventually also lost  medical coverage. I have been suffering from depression and was under a doctor's care. My doctor referred me to Bridges when my insurance coverage ended. From my first meeting, paperwork, counseling appointments, medications- from receptionists to doctors-all have treated me with friendly, respectful behavior. Bridges has helped a broken-hearted, depressed woman understand her value. You have helped me to understand that I count on this earth and have some worth."
Description

Assists young adults, ages 18 - 25 whose lives are affected by mental illness, to help them  reach their fullest potential and improve the quality of life. Prepares young adults who are transitioning out of DCF/foster care for independent living by offering a variety of community-based supportive services, with sensitivity to individual needs and strengths. The program offers young adults the opportunity to achieve independence by providing clinical, vocational and social rehabilitation services that are tailored to meet their unique needs. Clients may choose to join the residential program and reside in an apartment on-site, or may live in the community with family or significant others while utilizing any/all of the services that are available.

Population Served At-Risk Populations / People/Families with of People with Psychological Disabilities / Poor,Economically Disadvantaged,Indigent
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
The ultimate goal of the YAS program is that these young people who have experienced severe trauma, neglect abuse and abandonment will develop the skills, resources and support systems that will enable them to fully integrate into the community and live healthy, fulfilling and productive lives.  
 
100% of clients will maintain or increase stability within the community.
80% will develop skills to maximize independence.
100% obtain appropriate educational/vocational services.
80% obtain employment.
95% develop a reliable social support system.
100% become actively involved in their own treatment and recovery.
85%  increase their overall ability to manage their lives.
 
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.
YAS is a CT Dept. of Mental Health & Addiction Services contracted program which is monitored by DMHAS with specific tracking and recording requirements. In addition, Bridges YAS staff monitor each client's progress through assessments, progress notes and interviews.
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.

Excerpt from letter written by YAS client transferred to a higher level of care:

I  wanted to tell everyone that I am fine –  I’m better, or at least getting better. It’s been close to two weeks that I have been clean and sober – no booze, no dope, no pills. Just me.  I am meeting me without the crutch and I’m a little scared – no a lot scared! I have a temper, and some anger issues and I’m not always nice to people, especially those who are trying to help me. I’d like to say that I’m sorry for my past behavior, I’d like to blame it all on the drugs, but that wouldn’t be the truth – the issues are there and I need to work on them. I’m going on my next step in my recovery, another new place with new people and staff. I’m really scared but also really excited and happy that I have a chance to work on me, get to know me, and try to make me the person I want to be. I know I have people in my corner, some are new and some have been there a long time. Thank you for staying.  It helps to know that I am not alone. It’s not easy to ask for help or even expect it when you have done the things that I have, but I’m asking and I’m praying that I have the strength to do this. It’s not my first time trying, I’m just hoping that it will be my last time  and that I can remain clean and sober and then maybe work on why I’m so angry. Clinician said to think of this as a gift, she always says things like that, to make me think. I don’t always do the thinking right then, but I do later. It’s not easy listening to ya all, growing up, making your own decisions – but mostly, it’s not easy moving on. It feels like stepping off a cliff.  Thank you Case Manager for being a pain – you believed in me when I did not believe in myself. Thank you Staff for not giving my apartment away, I’m scared to come back, but I’m glad I have a place to come back to. You were right about the medical detox – I could have never made it through without the help. Thank you all for giving me a chance – again."

Description
The Child and Family Outpatient Treatment Program (Child Guidance Clinic) provides behavioral health services to children, adolescents and their families living in the communities of Milford, West Haven and Orange. Services are designed to promote the social and emotional well-being of children and their families. The goal is to enhance the ability of the family to remain intact and support the safety and well being of the child in the least restrictive treatment environment. All services are provided in partnership with children and families, by encouraging participation in service planning, maintaining a recovery model and providing services that are culturally competent. Families may include children and their biological, foster, adoptive parents or significant adults with whom they live.Our Intensive In-home Child and Adolescent Psychiatric Service Program (IICAPS) functions to to divert large numbers of children and adolescents with serious psychiatric disorders from frequent hospitalization and/or residential treatment. Care Coordination provides high fidelity ―wraparound‖ through the use of the child and family team process. Wraparound is defined as an intensive, individualized care management process for youths with serious or complex needs and is a means for maintaining youth with the most serious emotional and behavioral problems in their home and community.
 Prevention programs for youth and their families, including resiliency training,asset building, peer counseling and peer and adult mentoring of youths in our local schools.

 

Population Served Children and Youth (0 - 19 years) / People/Families with of People with Psychological Disabilities / Poor,Economically Disadvantaged,Indigent
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.
 93% of families served will not experience an incident of repeat maltreatment druign a six month period beginning with the date home based services are initiated.
93% of familes served will not experience the removal of a child or children during a six month period beginning the date home-based services are initiated.
Annual consumer survey will show a that 85% or more children and families served are satisfied or more than satisfied with services recieved at Bridges, in all domain areas.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
 The ultimate goal is for all children and families to live safe, healthy and productive lives.
50% of cases will show a 5-point increase in Functioning between Intake and Discharge or 50^% of cases will show a 5-point decrease in Problem Severity between intake and discharge.
80% of children will not recieve placement in a more restrictive setting during the course of their participation in IICAPS.
75% of children will not show a decrease of more than 5 points of the GAF
75% of children will maintain or increase school attendance
The nuber of juvenile justice arrrests for 75% of participating children is maintained or decreased.
100% of families in Care Coordination program will recieve wraparound services.
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.
The Dept. of Children & Families has databases and reporting requirements to track Bridges' outcomes for the programs and services we provide under contract.  
Bridges' conducts an Annual Consumer Satisfaction Survey, Post-Discharge Follow-up Survey, Continuous Quality Improvement Plan, Suggestion Boxes, Complaint/Grievance process and collects and responds to informal and often unsolicited feedback
 
Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.
"Its been calming for my son to recieve treatment here. Stress has been somewhat reduced due to treatment. I appreciate the services."
"IICAPS have been a real help to myself and my family. A great support group for me (mother) while coping with teenagers trauma and anxiety."
Description  Integrated Primary & Behavioral Healthcare provides primary care and wellness services to participants in order to increase access and integrate behavioral health treatment with medical care. The program offers a range of services from which participants choose the most appropriate based on their health and wellness goals. Participants are provided with care management and peer support to assist with meeting wellness goals and identifying areas that may need further improvement.The program’s philosophy is based on research that suggests those with chronic mental illness die 25 years earlier than the average. This, along with the increased risk for other illnesses such as heart disease and diabetes, created a framework from which the program was established, addressing physical health and wellness as part of an overall plan of treatment. This integrated approach to behavioral and medical care increases the likelihood for successful recovery by offering support, opportunities and choice in improving health status.
Services include: access to primary health care that is available one day per week at each of the LMHAs; access to a 10-week health curriculum that focuses on various wellness and recovery topics; individualized wellness goals developed in collaboration with a nurse care manager or clinician during participation in the 10-week health curriculum.
Clinicians, case managers and the nurse care manager will offer support and assistance with wellness coordination. Additional support provided by a peer health mentor to assist participants in meeting wellness goals.
Behavioral Health Home is a State of CT designation enabling Bridges to provide healthcare services to clients who meet certain criteria including extensive use (+$10k/yr.) of emergency departments. Bridges coordinates care and services for these individuals.
Population Served Adults / Other Health/Disability / Alcohol, Drug, Substance Abusers
Program is linked to organization’s mission and strategy Yes
Program is frequently assessed based on predetermined program goals Yes
Short Term SuccessHelpOrganizations describe near term achievement(s) or improvement(s) that will result from this program. This may represent immediate outcomes occurring as a result of the end of a session or service.
All unduplicated clients, in conjunction with their wellness team will develop an intervention plan. All nurse care management screening data is entered into our electronic clinical record system, as well as primary care exam data including lab results. These variables, including but not limited to weight, blood pressure, BMI, medications and substance use will be assessed on a quarterly basis for changes in health status. Positive changes to these measures are an indicator of program success.
Long Term SuccessHelpOrganizations describe the ultimate change(s) that will result from this program. This may be far into the future and represent an ideal state.
The ultimate goal of HMSR is to lower morbidity and mortality of individuals with severe mental illness who are currently not receiving primary care services on a regular basis by linking them to adequate primary health care and wellness resources. Specific objectives for the next four years are:
to enroll 1,945 unduplicated clients with SMI per year into the program
to provide primary care services to 2,160 unduplicated clients
to enroll 1,945 unduplicated clients in appropriate helath promotion activities such as nutrition counseling smoling, drug and alcohol cessation, health and substance abuse education and prevention planning.
 
Program Success Monitored ByHelpOrganizations describe the tools used to measure or track program impact.
This is a SAMSHA funded program with contracted trackting and reporting requirements.  

Collected data will address the effectiveness of the program based on health indicators (baseline and follow-up labs on cholesterol and glucose, blood pressure, weight and BMI) as well as consumer satisfaction. A sub-contracted evaluation firm will run data and correlational analyses. Outcomes will measure the increase in access for clients leading to adequate follow-up and treatment, a better understanding of medical illnesses and greater proficiency in using health and wellness resources. 

Examples of Program SuccessHelpOrganization's site specific examples of changes in clients' behaviors or testimonies of client's changes to demonstrate program success.  
Case scenario: At age 19, Bridges’ client Shariece was diagnosed with Type 2 diabetes,the most common form of the disease that affects millions of Americans. Now 27, Shariece has been under the care of a doctor and is conscientious about taking her medicine and trying to control her blood sugars and her weight.  She continues to work hard to take care of her health and is seeing results from her renewed efforts, particularly her participation in HMSR.  Shariece says she has learned a great deal from her one-on-one sessions with Peer Health Mentor Lori. “I meet with Lori once a week. At each session, she shares information and articles with me about good nutrition. We talk about the food pyramid, food labels, fiber and how salt affects your blood pressure and weight,” said Shariece. Two major changes Shariece has made as a result of her new knowledge are already making her feel better. “I have really cut back on using salt and eating French fries. I now look at French fries as a treat I can eat just once in awhile,” she continued. “Lori and the HMSR program have given me knowledge I can act on,” Shariece concluded. “I can look back to the articles she prints for me when I need a reminder. It helps me stay on track and I am happy and I feel better.”
 
 

 

Description
Bridges is one of three agencies in CT to implement CT STRONG to engage and connect transition- age (16 - 25) young adults who have or area at risk for behavioral health disorders to high-quality care through the use of Wraparound Services. The Wraparound team includes Peer Specialists who offer a unique perspective and support for young adults having difficulty transitions into adulthood. Peer Specialists are willing to share what they have learned on their journey of recovery. They tailor their support depending on each person's individual needs. 
Room 4 Drop-in Center is open to area residents ages 18-25 and provides a safe, non-clinical environment for young adults who may need transition-focused support and services. Arts, recreation, yoga and other activities help individual explore their skills and talents. Free wi-fi and use of computers for jobs, vocational training or education services are available, as are peer counselors and staff. 
The Young Parent Program (YPP) assists teens and pregnant and parenting young women through comprehensive support, prevention and education services. 
Population Served At-Risk Populations / At-Risk Populations /
CEO/Executive Director
Ms. Barbara DiMauro
Term Start July 2014
Email bdimauro@bridgesmilford.org
Experience

Barbara DiMauro joined Bridges in 2006 as the Assistant Clinical Director and was appointed Chief of Services in 2011 to oversee clinical and administrative operations of all programs and services.

Barbara has led a number of trans formative initiatives to improve the quality and consistency of care clients receive, including restructuring departments to integrate all services with internal and external primary and specialty care providers.  She also led the implementation of an on-site full service pharmacy at Bridges.  

She  brings extensive background in the mental health field, blending both clinical and management expertise.  She worked for 8 years at St. Raphael's Hospital, serving as a Psychiatric Clinician in the Emergency Dept and then as the Director of Outpatient Psychiatric Services. 

She received her Master’s Degree in Social Work from Fordham University in 1987 and has held positions in various settings, including hospitals, community outpatient and child welfare over the past 28 years. 


 

Staff
Number of Full Time Staff 124
Number of Part Time Staff 16
Number of Volunteers 50
Number of Contract Staff 16
Staff Retention Rate 89%
Staff Demographics - Ethnicity
African American/Black 22
Asian American/Pacific Islander 2
Caucasian 113
Hispanic/Latino 19
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 33
Female 121
Unspecified 2
Senior Staff
Title Chief Financial Officer
Experience/Biography   
Title Chief Quality Assurance/Compliance Officer
Title Chief of Program Operations
Title Director, Community Support Services
Title Director, Human Resources
Title Director, Fund Development & Communication
Title Director, IT Services
Title Medical Director
Collaborations
CommuniCare, Inc. (CCI), recognized as the first regional collaboration of its kind in Connecticut, is a partnership between Bridges...A Community Support System, Inc. (Bridges), Birmingham Group Health Services, Inc. (BGHS) and Harbor Health Services, Inc. (HHSI). Since November 2009, Bridges as the lead and fiduciary for CommuniCare in collaboration with Cornell-Scott Hill Health Care (a Federally Qualified Healthcare Center) has been able to offer on-site primary health screenings, nurse care management, peer mentoring/support and access to a ten-week curriculum that is tailored around several evidence-based models. The Health Management Strategies for Recovery program was specifically designed to address the harsh reality that individuals with serious mental illness are dying 25 years earlier than the general population. Bridges collaborates and coordinates services with a wide variety of human resource systems in Milford, the surrounding communities, and in regional and state planning groups, along with close collaboration with each of its funding sources.
 
Bridges has collaborations with CAC6, RMHB II, Connecticut Community Providers Association, NAMI, CT Latino Behavioral Health Services, South Central Crisis Services, Milford Board of Education, Beth El Shelter, Milford Hospital, Catholic Family Services, Milford's Promise, Young Parents' Program, Yale Medical School, Department of Psychiatry and Child Study Center.
Awards
Award/RecognitionOrganizationYear
Connecticut Health Care InnovationConnecticut Business Group on Health2011
Board Chair
Ms. Michelle LeMere
Company Affiliation CT Fund for the Environment
Term Oct 2013 to Sept 2016
Board of Directors
NameAffiliation
Ms. Ellen Beatty Retired
Ms. Jacqueline Bontems Drazen Realty
Mr. Robert H. Boynton Attorney - Private Practice
Mr. Stephen Brown College Professor
Ms. Joan Cretella Social Worker
Mr. John DePalma Retired
Mr. Jorge Garcia NeoDirect
Ms. Margaret Jerrell Human Resources Professional
Mr. John P. McGill Retired Engineer
Mr. Shaun M. Mee Business Manager - Banking
Ms. Rachel Merva Financial Services Consultant
Mr. Charles Montalbano Commercial Designer
Mr. William J. Sidarweck School Teacher
Mr. Michael Storz Chapel Haven
Judge Beverly Streit-Kefalas Probate Judge
Mr. Raymond G. Vitali Retired School Principal
Ms. Ann B. Yost Social Worker
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 16
Hispanic/Latino 1
Native American/American Indian 0
Other 1 0
Board Demographics - Gender
Male 10
Female 8
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Executive
Finance
Endowment
Board Governance
CEO Comments

Bridges’ programs and services continue to grow and evolve to meet the needs of the community. We know that many disorders begin to emerge in the teen years, yet are often undiagnosed and untreated until a crisis develops. Early identification and treatment can change the course or severity of a mental illness or addiction. The lives of the affected person, their family and others may be significantly less disrupted when quality care and support is provided in the early phase of an illness or addiction.

Bridges is proud to be one of three agencies in our state to offer CT STRONG - Healthy Transitions, an initiative that engages and connects young people ages 18 – 25 to high quality behavioral healthcare, with the goal of improving housing stability, health and mental health, education and employment for teens and young adults. The agency also received state funding to establish a drop-in resource center for transition age (18-25) young adults, who are having difficulty progressing to the independence and responsibilities of adulthood. The drop-in center will offer a safe and private, non-clinical space for young adults to meet with peers and staff to discuss concerns, make connections to health or behavioral health services, and access assistance for educational and employment opportunities. The center will open at the end of 2015.

In FY’ 2015, Bridges provided direct services to 1,683 adults and 470 children in our area. When com­bined with services for family members in a treatment plan, and all other programs including prevention, community and employment support and young adult services, Bridges touched the lives of over 9,000 people in the past year alone.

Following a year when Bridges faced one of the most significant financial challenges in our 59 year histo­ry, we can report that we have stabilized our budget and further reduced our operating costs to meet revenue forecasts. While cost-cutting measures often mean diminishing the level of services, our fiscal health is the foundation for everything else we do at Bridges, and must be managed accordingly.

To that end Bridges’ joined an important advocacy campaign, #PeopleMatter. Organized by the CT Community Providers Association, this initiative was created to raise awareness of how all people are harmed by uninformed budget cuts to the mental health, addictions and other services that help thousands of people live safe and healthy lives.

When faced with the reality that cutting vital services would almost certainly result in lives lost and fami­lies broken, Governor Malloy and our CT State Legislators restored $17 million of the $25 million in proposed budget cuts to the Governor’s 2016-17 biennial budget. At Bridges, we breathed a short-lived sigh of relief and got on with our mission to help people recover and achieve their goals. We could not do this without the sup­port of the many individuals, businesses and community partners that help sustain this agency year after year.

Our legislators are still trying to remedy decades of financial missteps and the Governor has proposed budget rescissions once again. We continue to remind them that #PeopleMatter. We know the answers aren’t easy, but the solution cannot come at the cost of our most vulnerable citizens. The chronic underfunding of community behavioral health providers like Bridges impacts all residents of our area, and throughout the state.

We are hopeful the new year will bring positive changes,  and would like to note that in 2017, Bridges will celebrate 60 years of providing services in our community. We are planning a series of educational and community events on cur­rent trends and issues in mental health services, and will recognize the many who support us in our mission.  We hope our loyal and generous supporters and community members will join in this initiative to honor our past, celebrate our present, and  prepare for a strong future of helping children, families, adults and young adults live healthy and productive lives.

 
 
Financials
Fiscal Year Start July 01 2016
Fiscal Year End June 30 2017
Projected Revenue $12,977,100.00
Projected Expenses $12,977,100.00
Spending Policy Income Only
Credit Line Yes
Reserve Fund Yes
Other Documents
Other Documents 3
NameYear
2015 Annual Report2015View
2014 Annual Report2014View
Detailed Financials
Prior Three Years Total Revenue and Expense Totals ChartHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201520142013
Total Revenue$13,014,325$13,137,730$13,824,094
Total Expenses$13,024,797$13,662,947$13,366,696
Prior Three Years Revenue Sources ChartHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201520142013
Foundation and
Corporation Contributions
$59,871$136,288$306,014
Government Contributions$746,645$433,867$436,798
Federal------
State------
Local------
Unspecified$746,645$433,867$436,798
Individual Contributions$138,710$147,231$153,935
------
$11,983,433$12,312,064$12,749,801
Investment Income, Net of Losses$20,204$44,014$42,826
Membership Dues------
Special Events$34,610$38,153$42,910
Revenue In-Kind------
Other$30,852$26,113$91,810
Prior Three Years Expense Allocations Chart
Fiscal Year201520142013
Program Expense$10,598,373$11,357,730$11,284,747
Administration Expense$2,339,904$2,227,127$1,986,159
Fundraising Expense$86,515$78,090$95,790
Payments to Affiliates------
Total Revenue/Total Expenses1.000.961.03
Program Expense/Total Expenses81%83%84%
Fundraising Expense/Contributed Revenue9%10%10%
Prior Three Years Assets and Liabilities Chart
Fiscal Year201520142013
Total Assets$4,675,753$4,807,545$5,411,592
Current Assets$1,093,998$1,129,098$1,739,157
Long-Term Liabilities$1,864,741$2,050,296$2,040,800
Current Liabilities$635,805$488,859$658,928
Total Net Assets$2,175,207$2,268,390$2,711,864
Prior Three Years Top Three Funding Sources
Fiscal Year201520142013
Top Funding Source & Dollar Amount -- --The Communtiy Foundation for Greater New Haven $50,000
Second Highest Funding Source & Dollar Amount -- --United Way of Milford $50,000
Third Highest Funding Source & Dollar Amount -- --Milford Bank $25,000
Solvency
Short Term Solvency
Fiscal Year201520142013
Current Ratio: Current Assets/Current Liabilities1.722.312.64
Long Term Solvency
Fiscal Year201520142013
Long-Term Liabilities/Total Assets40%43%38%
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
Comments
CEO Comments
 Bridges services for  individuals,   families, children, youth and adults care lifelines for people who are facing life-altering behavioral health issues. We provide a comprehensive range of services, including crises services, counseling, prevention, referrals, Mental Health First Aid training and healthcare services. We are heavily funded by DMHAS and DCF grants, along with fees from state, federal and private insurance. United Way and local municipal funding are part of the complex funding streams that have made this a public and private partnership, which is replicated throughout this state by hundreds of non-profits.  
 
Our outpatient services are open from 8 AM until 7PM four out of five weekdays. We provide 24/7 wrap around care for a wide range of adults and children along with community based Emergency Mobile Psychiatric services. We are a DMHAS designated Local Mental Health Authority.  
 
State and Federal rates pay less that 50 % percent of cost of providing these services.  We have received minimal to no increases in over 15 years to State grants that account for almost 68% of Bridges revenue.    Our out- patient service capacity is shrinking and we currently have demand to fill at 4 clinical positions. We are holding vacant positions open. We are unable  to respond to all the service requests we receive each day. Cases are increasingly complex, requiring a variety of service modalities and coordination of care.
 
While state legislators have verbalized a  commitment to mental health services and the media publicizes new mental health initiatives that are being funded…..the reality is that few of those dollars will reach the core outpatient services that are on front line every day 24/7. With indefensible rates and grant funding levels that are now financially unmanageable we are forced to  terminate of services and programs.

 

We have reached the tipping point as DMHAS is once again confronted with the need to surgically cut adult outpatient grants. Cuts on already financially unstable outpatient services will create a community and statewide crises. Lives are at stake and thousands of adult clients will be at risk of having inadequate psychiatric care and medication management.  

 

 

Foundation Staff Comments

This profile, including the financial summaries prepared and submitted by the organization based on its own independent and/or internal audit processes and regulatory submissions, has been read by the Foundation. Financial information is inputted by Foundation staff directly from the organization’s IRS Form 990, audited financial statements or other financial documents approved by the nonprofit’s board. The Foundation has not audited the organization’s financial statements or tax filings, and makes no representations or warranties thereon. The Community Foundation is continuing to receive information submitted by the organization and may periodically update the organization’s profile to reflect the most current financial and other information available. The organization has completed the fields required by The Community Foundation and updated their profile in the last year. To see if the organization has received a competitive grant from The Community Foundation in the last five years, please go to the General Information Tab of the profile.

Address 949 Bridgeport Ave
Milford, CT 064603142
Primary Phone 203 878-6365
CEO/Executive Director Ms. Barbara DiMauro
Board Chair Ms. Michelle LeMere
Board Chair Company Affiliation CT Fund for the Environment

 

Related Information

Ensure Health & Wellness

A healthy community is a rich community. When we enjoy good health, when we engage in wellness activities – and when we support people living with disease or disabilities -- there are profound physical and psychological benefits. Simply put, we are all stronger and happier. To support the health and wellness initiatives in your community is to put good health within reach of all.