Annual Report – FY 2016

FY 2016 Service and Funding Summary

Burke’s mission is to provide the highest-quality and most compassionate and comprehensive mental health and developmental disability services. To meet this mission, Burke has established Strategic Initiatives to direct the work of Burke leadership and staff, review the FY 2017 Strategic Initiatives.

To inform clients, community members, elected officials of our performance, impact and financial management, we periodically provide snapshots of our various departments. The following information is current as of January 2017.

Service Area

Burke provides award-winning mental health and intellectual and development disability services to anyone that needs them in 12 East Texas counties: Angelina, Houston, Jasper, Nacogdoches, Newton, Polk, Sabine, San Augustine, San Jacinto, Shelby, Trinity, and Tyler.

In FY12, Burke provided services to 7,700 East Texans. This last fiscal year, Burke served 12,719, a 56% increase.

 

Mental Health Services

 

 

Capacity for mental health services has more than doubled since FY10. For adults, Burke saw a 150% increase in service capacity and a 164% increase in children’s mental health services. This increase correlates with our constant and increasing efforts to provide more services. These include new clinic sites, an enhanced telemedicine network and additional staff at all locations. Additionally, the same energy has been put into promoting mental health awareness through our REAL campaign which has led new clients to our doors.

Burke has experienced funding increases over the last few years two years due to increases in mental health funding from previous legislative sessions and through the implementation of the Texas 1115 Medicaid Transformation Waiver Program. This additional funding has allowed Burke to increase service capacity by adding new clinic sites, enhanced telemedicine network, and staff at all locations. Our expanded service capacity has eliminated waiting lists for mental health care.

Developmental Disabilities

Burke developmental disabilities services are tailored for each client’s personal and unique needs. We work with each client and family member to develop the most appropriate course of care that will help achieve individual goals.

 

Burke Industries provides some clients an opportunity to obtain job skills training and ongoing employment. Developmental disability services at Burke require an intake appointment at which the individual’s history, diagnoses, and needs are evaluated.

New Intellectual and Developmental (IDD) Crisis Intervention Services

In 2016, Burke began providing Crisis Intervention Services to support individuals with intellectual and developmental disabilities (IDD) with significant behavioral and psychiatric challenges. These individuals often have substantial needs that require additional support beyond the array of services typically provided within our community programs. Resources are expanded to address crisis situations with individuals who have IDD.  Crisis Intervention staff also work closely with Service Coordinators to identify people at risk of crisis and reviewing supports currently in place to see if they are effective.

Early Childhood Intervention (ECI) Services

 

Burke Early Childhood Intervention Services help children from birth to age three overcome difficulties in early development. Together, parents and staff work to improve the child’s physical, cognitive, social and adaptive development in an effort to build a stronger foundation for the child’s future.

While changes in program eligibility criteria have reduced annual service figures, children now enrolled in care receive more intensive services and focus is placed on babies with greater impairments.

REAL Campaign – Mental Health Awareness

In 2015, Burke launched the REAL campaign to improve the general public’s awareness of mental health issues.  In 2016, the campaign focused on recruiting Burke clients who have recovery success stories to share. These clients are then interviewed, and their stories are shared in local newspapers and featured on TV newscasts, our website, and social media platforms. Thousands of East Texans have been exposed to these personal stories of hope and recovery; they are able to see that people like them are affected by mental illness and that help is available.

For added mileage, the REAL stories are posted on Burke’s Facebook page and promoted as sponsored (paid) advertisements. In total, Facebook ad campaigns yielded 257,473 total impressions to 63,924 individual Facebook users in 2016.

For REAL-related content on Burke’s website, unique page views increased nearly twenty-fold from 1,100 in 2015 to 20,500 in 2016. As a percentage of myburke.org’s total unique page views, that’s an increase from less than 2% of unique page views in FY15  to 10% in FY16. Between the two years, unique page views for the entire site tripled, from 79,000 to 203,000.

Burke Funding

Burke receives state and federal funds administered by the Texas Health and Human Services commission to provide services in the East Texas area. Insurance payments including Medicare, Medicaid and commercial policies for client services are an additional source of funds. Burke staff and clients earn funds from Intellectual and Development Disability (IDD) enterprise activities and contracted services. Additional funds include contributions from county governments and hospitals for special projects, local donations and other in-kind sources.

 

Funding by Division

 

1115 Medicaid Transformation Waiver

Following are specific project areas / objectives for which Burke received funding via the 1115 Medicaid Transformation Waiver.

1. Expand Capacity:  Adding staff and resources to serve more people needing mental health services.  Burke has doubled mental health capacity since 2001 and served over 10,000 individuals in FY16.

2. Expand Telemedicine:  Upgrading equipment and adding telemedicine to new sites in Jasper, Woodville, and Trinity. Burke provided 7,570 telemedicine services in FY16.

3. Primary Care Integration:  Partnering with the Angelina Cities/County Health District to create a primary care clinic in our Lufkin facility to provide needed medical treatment for those we serve. Mental health specialists placed in the Health District clinic provide behavioral health support, serving over 1,000 individuals in the last year.

4.  Specialized Teams:  Focusing services on persons with complex or re-occurring needs by creating a team of experts to closely provide and coordinate their care.  This means home visits, frequent contacts and specialized programs to reduce repeated crises or criminal justice involvement. Specialized services have been provided to over 600 individuals each year. Overall, symptom improvement rates of 70% were demonstrated for individuals served in this project. Service engagement for persons with substance use disorders increased.

5.  Peer Support:  Hiring individuals who are recovering from mental illness to provide services and supports in our programs.  Research has shown that their experience and encouragement helps others on their recovery journey and can significantly improve outcomes for those they serve.  Burke has served over 250 individuals with this initiative, with a focus of improving mental and physical health care needs.

6.  Detox and Treatment:  Adding a detoxification component to our Mental Health Emergency Center partners with the Alcohol and Drug Abuse Council (ADAC) to provide ongoing recovery support and treatment. Burke provides detoxification services to over 250 individuals each year.

7.  Mental Health Education, Outreach, and Engagement:  Implementing a public education and outreach program using a variety of media platforms to improve engagement in behavioral healthcare services and promote mental health.  We will incorporate proven on-line and social media resources as an adjunct to care for those we serve. Burke’s multimedia REAL campaign has served millions of impressions that have sent thousands of individuals to Burke’s website.

 

Burke Employees

As of October 2016, Burke employed 659 individuals; 422 full-time and 237 part-time.

Over the past five years, staff turnover ranged from 15-22%; the FY16 turnover rate was 18.9%.  The average employee tenure was 5.33 years.

More than half of Burke employees reside in Angelina County, 17% live in Nacogdoches County, 6% live in Polk County and 6% live in Jasper County. The remaining 21% live in other Burke region counties.