Bridges A Community Support System
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 bdimauro@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.
 

 

At A Glance
Year of Incorporation 1957
Former Names
Milford Mental Health Clinic
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 $12,506,475.00
Projected Expenses $12,506,475.00
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 continues to undergo a period of change, challenge and opportunity.

We have completed the transition and implementation of the new building space and an onsite pharmacy, but continue to fine-tune logistical issues to ensure the most efficient use, as well as the comfort and safety of clients and staff.

 In 2013-14, the agency implemented a CommuniCare initiative for the State’s Court Support Services Division (CSSD), which included an Intensive Outpatient Program (IOP) for men, and most recently a Women’s IOP. This program has placed significant demands on Bridges operations, finances and staff, and we are working closely with the State of CT CSSD to develop more effective and efficient protocols and reporting procedures. This program serves a very challenging population of probationers with broad and intensive needs.

 Bridges was also awarded a partnership in a new program called CareGivers Support Team. Working with Family Centered Services of CT, the program is designed to prevent the disruption of child placements and increase the stability and permanency of placements by providing in-home interventions with the Department of Children and Families (DCF) kinship, foster and pre-adoptive children and families.

 As the Local Mental Health Authority, the State recently designated Bridges as a Behavioral Health Home (BHH). As a BHH, Bridges is required to establish an integrated service network to coordinate care to persons with serious mental illness and/or co-occurring addiction both within and outside its geographic area.

 The goals of Connecticut’s BHH initiative align with the triple aim of the Affordable Care Act: improved experience in care, improved health outcomes and reduction of health care costs.

The six core BHH services include: care management, care coordination, health promotion services, comprehensive transitional care, individual and family support services, provision of or referral to community and social support services.

While Bridges has already established an integrated model of care, the new designation and additional funding will allow for expansion of this model and a more comprehensive approach to addressing the whole health of each client. 

In terms of leadership, Michelle LeMere replaced Claire Phelan as Board President in 2014. Michelle has served on Bridges’ Board for nearly 10 years and has established several goals for the agency to meet under her tenure. Barbara DiMauro was named the new CEO and President of Bridges effective July 1, 2014 upon the retirement of long-time CEO Barry Kasdan.  Barbara brings extensive background in the mental health field, blending both clinical and management expertise. 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.

Barbara and Michelle, along with the Board and staff share a vision for the agency that entails the following goals in FY15:

 1. Broaden service delivery system to include more integrated care to become a whole health provider, particularly for un- and under-served populations. Estimates suggest there are approximately 5,800 Milford residents who are currently receiving no primary healthcare services, which very likely means those that require behavioral health services or at least screenings are not receiving those services. There is proven need and opportunity to serve more people in each of the three primary towns we serve.

2.      Obtain adequate reimbursement for health care costs from insurers/state and federal sources. Despite ongoing advocacy efforts, non-profit community providers like Bridges are still reimbursed at about 60% of the cost to provide services.

3.      Broaden and diversify our base of funding and secure multi-year donations to ensure sustainability.

4.      Improve our ability to use collected data to demonstrate service outcomes and attract new funding partners.


 

Needs

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.

 Build capacity and increase effectiveness in order to meet demand.  We are expanding our Bridgeport Avenue facility to include the building next to us purchased a few years ago with state assistance. We need more funds to complete the renovation. We will then be able to accommodate more clients in a new, state-of-the-art facility.

 

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
Why do people come to Bridges? What do we do and who does it? First, let's keep in mind that 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 recieved 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 recieve 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' Emergency Mobile Psychiatric Services and 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.

 
CommuniCare's Tobacco Cessation program is statewide. Its other programs serve: Ansonia, Beacon Falls, 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 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  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 illnessdie 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 byoffering 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.
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.”
 
 

 

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 118
Number of Part Time Staff 12
Number of Volunteers 47
Number of Contract Staff 25
Staff Retention Rate 89%
Staff Demographics - Ethnicity
African American/Black 23
Asian American/Pacific Islander 2
Caucasian 95
Hispanic/Latino 10
Native American/American Indian 0
Other 0 0
Staff Demographics - Gender
Male 30
Female 100
Unspecified 0
Senior Staff
Title Chief Financial Officer
Experience/Biography   
Title Chief Quality Assurance/Compliance Officer
Title Director, Children & Family Services
Title Director, Community Support Services
Title Director, Human Resources
Title Director, Fund Development & Communication
Title Director, IT Services
Title Medical Director
Title Director of Adult & Crisis Services
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
Email mlemere@cfenv.org
Board of Directors
NameAffiliation
Mr. Robert H. Boynton Attorney - Private Practice
Mr. Stephen Brown College Professor
Mr. Donald Civitello Retired Educator
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. Robert J. Russo Business Manager - Banking
Mr. William J. Sidarweck School Teacher
Mr. Michael Storz Business Manager - Nonprofit Organization
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 12
Female 6
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Executive
Finance
Endowment
Nominating
Community Outreach / Community Relations
 
 
Financials
Fiscal Year Start July 01 2014
Fiscal Year End June 30 2015
Projected Revenue $12,506,475.00
Projected Expenses $12,506,475.00
Spending Policy Income Only
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 Year201320122011
Total Revenue$13,824,094$13,359,105$12,963,684
Total Expenses$13,366,696$12,891,212$13,327,918
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 Year201320122011
Foundation and
Corporation Contributions
$306,014$242,095$77,594
Government Contributions$436,798$418,269$420,053
Federal------
State------
Local------
Unspecified$436,798$418,269$420,053
Individual Contributions$153,935----
--$154,641$141,668
$12,749,801$12,432,454$12,191,977
Investment Income, Net of Losses$42,826$30,714$48,596
Membership Dues------
Special Events$42,910$7,247$23,095
Revenue In-Kind------
Other$91,810$73,685$60,701
Prior Three Years Expense Allocations Chart
Fiscal Year201320122011
Program Expense$11,284,747$10,809,702$11,145,616
Administration Expense$1,986,159$1,943,151$2,014,842
Fundraising Expense$95,790$138,359$167,460
Payments to Affiliates------
Total Revenue/Total Expenses1.031.040.97
Program Expense/Total Expenses84%84%84%
Fundraising Expense/Contributed Revenue10%17%25%
Prior Three Years Assets and Liabilities Chart
Fiscal Year201320122011
Total Assets$5,411,592$3,874,836$3,478,030
Current Assets$1,739,157$1,315,229$1,313,289
Long-Term Liabilities$2,040,800$957,959$980,038
Current Liabilities$658,928$737,356$758,925
Total Net Assets$2,711,864$2,179,521$1,739,067
Prior Three Years Top Three Funding Sources
Fiscal Year201320122011
Top Funding Source & Dollar AmountThe Communtiy Foundation for Greater New Haven $50,000United Way of Milford $142,999United Way of Milford $135,500
Second Highest Funding Source & Dollar AmountUnited Way of Milford $50,000Milford Bank $25,000The Community Foundation for Greater New Haven $25,000
Third Highest Funding Source & Dollar AmountMilford Bank $25,000TD Bank $13,920Milford Bank $10,000
Solvency
Short Term Solvency
Fiscal Year201320122011
Current Ratio: Current Assets/Current Liabilities2.641.781.73
Long Term Solvency
Fiscal Year201320122011
Long-Term Liabilities/Total Assets38%25%28%
Capitial Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? No
Comments
CEO Comments
 Last year over 8,400 individuals and families including children, youth and adults came to Bridges seeking community based treatment, 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 8PM 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.   This year’s budget is already in deficit. Our out- patient service capacity is shrinking and we currently have demand to fill at least 3 clinical positions. We are holding vacant positions open. Last year we were forced to terminate a DDS contract due to reimbursements that no longer met cost, forcing us to eliminate 4 positions. We are no longer able to respond to all the service requests we receive each day. The growing severity of illness we see with adults and youth sends fear through our staff as they recall the Newtown tragedy and contemplate the worst scenario.  
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.  

 I have been working in the system for almost 45 years…and have never seen it this fragile…….with a looming state surplus in excess of a half billion dollars, and growing, it would be unconscionable, unforgiving and simply unacceptable to allow thousands of our residents to go without the mental health services they so urgently need.
We are actively pursuing other funding sources and continually looking to diversify our funding streams, while demonstrating improved outcomes that make the organization attractive to investors and funders.  

 

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

 

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