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Transitions, Inc2
Long-Term Residential Programs
Non-Medical Detoxification
Outpatient Counseling
CLIENTS SERVED IN 2013
Residential
Non-Medical Detoxification
Outpatient
Housing
Day Care
DAYS OF CARE138,362
3,30317,299
1,697628792146
40
(Continued)
Although 2013 continued to be financially
challenging – due to the budget cuts passed
along from various governmental entities
and other funding sources – Transitions
is truly grateful to celebrate still another
new “First.”
In December 2013, Transitions opened
the Healthy Newborns House, the first
sober living house for pregnant and
addicted women in Northern Kentucky. In
general, when women enroll in Transitions’
Women’s Residential Addictions Program
(WRAP), they go through 90 to 120 days
of residential addiction treatment. From
2011 through 2013, pregnant and addicted
women were able to stay clean and sober
throughout the duration of their pregnancy.
Although slightly drug affected, all 55 babies
born to women in WRAP have gone direct-
ly home from the hospital with their moth-
ers, avoiding a costly stay in the Neonatal
ICU. Therefore, Transitions decided to
expand the program for pregnant women
and created the Healthy Newborns House.
Northern Kentucky’s Collective Response
to the Heroin Epidemic – Our Plan for
Recovery was released on November 14,
2013 by The Northern Kentucky Heroin
Impact Response Workgroup, which was
co-founded by Transitions. One of the
report’s findings was the increased need
FROM THE EXECUTIVE DIRECTOR
Executive Director, Mac McArthur
for treatment in an era of declining
government funding.
In response to the extremely long waiting
lists for detox and treatment due to the
heroin epidemic and changing environment
created by the expansion of Medicaid,
Transitions identified the need for us to
expand capacity and hire more specialized
staff. We hired a Major Gift consultant to
perform a feasibility study to help us de-
termine if the community would support
us as we moved forward to transform
the agency. Thankfully the answer was a
resounding “YES!”
We appreciate all of your support in
the past and look forward to working
together as we work to meet the challenges
presented in the current environment.
Gratefully,Mac
2013 PROGRAMS AND SERVICES
141,665 DAYS AND NIGHTS OF CARE IN 2013
• Intensive outpatient counseling • Rehab continuing care • Sober group homes• Men’s therapeutic community • Drug aftercare program • Homeless Services Project• Residential addiction treatmentt • Drug court treatment • Supportive housing apartments• Halfway house services • Non-medical detoxification • PLANKS (homeless services)• Children’s daycare • START (parents of foster children) • GAPS (for homeless women)• Medication assisted treatment
(Suboxone and Subutex) • Transitional housing for
pregnant women and new mothers
Annual Report 2013 3
Contract Services Rendered
Client fees
Rent
Investment return
Contributions
Other Client Revenue
Income
Programs
Administrative
Fundraising expenses
Expenses
Deficit
Fund Balance (ending net assets) (accumulated assets including buildings, facilities, furnishings, vehicles, etc . since 1969)
INCOME$5,989,610
$386,903$214,927
$54,286$185,483$465,348
$7,296,557
EXPENSES $6,731,928
$598,101$16,488
$7,346,517$49,960
2,694,914
On November 14, 2013, the Northern
Kentucky Heroin Impact and Response
Workgroup, co-founded by Transitions,
publicly unveiled a 4-year, $16 million plan
to combat the region’s heroin epidemic to
a standing room only crowd in Covington.
Comprised of various professionals, several
organizations, and concerned citizens, the
Impact and Response Workgroup has a sin-
gle purpose – to save lives and communities
in Northern Kentucky. In the plan,
the Workgroup outlined how to
accomplish this through steps such as:
• Adding 200 residential treatment beds
for adults;
• Opening the region’s first residential
treatment program for adolescents;
• Increasing the number of physicians
trained to offer medically assisted
treatment from 9 to 40; and
• Informing the public about heroin
issues through social media, public
service announcements, and
other means.
The event and the plan received extensive
media coverage, partly because Northern
Kentucky was the first region in Greater
Cincinnati to produce such a plan.
Numerous people, including Director
of the Office of Drug Control Policy
Van Ingram, later said they referred to
the plan for ideas to address the heroin
epidemic in other regions or statewide.
Interact for Health (formerly The Health
Foundation of Greater Cincinnati) pro-
vided support for the planning phase and
generously offered a matching grant for the
plan’s implementation phase.
Transitions’ Executive Director Mac
McArthur served as the Treatment
Committee chairperson during the
preparation of the plan. Staff members
Charlotte Wethington, Jason Merrick,
and Bruce Ripley also played significant
roles in the development of the plan.
2013 INCOME & EXPENSES
WORKGROUP REVEALS BOLD PLAN TO COMBAT THE HEROIN EPIDEMIC
2013 PROGRAMS AND SERVICES
The Workgroup’s plan can be viewed on Transitions’ website www.transitionsky.org
• Intensive outpatient counseling • Rehab continuing care • Sober group homes• Men’s therapeutic community • Drug aftercare program • Homeless Services Project• Residential addiction treatmentt • Drug court treatment • Supportive housing apartments• Halfway house services • Non-medical detoxification • PLANKS (homeless services)• Children’s daycare • START (parents of foster children) • GAPS (for homeless women)• Medication assisted treatment
(Suboxone and Subutex) • Transitional housing for
pregnant women and new mothers
Transitions, Inc4
When Northern Kentucky’s heroin
epidemic became apparent a few years
ago, Transitions saw a sharp increase in
the number of young pregnant women
addicted to heroin. Over a three-year
period, all 55 babies born to mothers in
treatment could leave the hospital with
their mothers and did not need to be
“detoxed”, avoiding a costly stay in the in
the Neonatal ICU. But the sharp increase
placed a strain on the existing services
at our Women’s Residential Addiction
Program (WRAP) in Covington because
the pregnant mothers stayed longer in the
program, creating a long waiting list for
women to enter treatment. Transitions had
to do something immediately to increase
our capacity.
In 2013, we began converting one of our
buildings in Covington into a transitional
program for pregnant women and new
mothers participating in treatment at
WRAP. This transitional unit became
known as the Healthy Newborns House.
Unlike our other programs, the Healthy
Newborns House receives no government
funds – the program depends entirely on
the generosity of the community.
Women move into the Healthy Newborns
House during the later stage of their
pregnancies and stay 2 to 4 months after their
babies are born. Pregnant women
participate in the treatment program at
WRAP, unless pregnancy complications
prevent them from doing so. New mothers
resume treatment at WRAP once they
can participate again. Transitions began
admitting pregnant woman to the Healthy
Newborns House in December 2013.
At the Healthy Newborns House, the sole
focus is the health of the newborn babies
and relapse prevention for their mothers.
The Healthy Newborns House provides
a safe, stable place for more mothers and
their babies to undergo this process.
Residents of the Healthy Newborns House
are still held accountable, as if they were
at the WRAP House. They continue to be
drug tested, alcohol tested, and subjected
to a curfew. In addition, they are assigned
a Case Manager, who will help them find
employment, sign up for assisted / afford-
able housing, and help them further their
education. Nursing students getting their
Masters Degree at NKU attend weekly
house meetings to answer questions and
provide support in the areas of pregnancy,
breast feeding, newborn care, nutrition and
parenting skills.
TRANSITIONS GIVES BIRTH TO HEALTHY NEWBORNS HOUSE
Since its opening in December 2013, the Healthy Newborns Home has housed 10 pregnant and addicted women and 6 healthy babies have come home from the hospital without being severely drug affected and needing additional hospitalization.
Annual Report 2013 5
There are as many roads to recovery as
there are people in recovery.
Some hit bottom, stop drinking or using,
and never do so again - but many must
travel a road with more twists, turns, and
valleys in order to reach a more enduring
recovery. Lindsey traveled such a road to
get where she is today.
“My childhood was the same as most people’s,” she said about growing up in Lexington as the youngest of 6 children. “I had everything I needed, much of what I wanted, and my parents were successful.”
Like most kids, Lindsey tried alcohol in
order to fit in and deal with peer pressure,
but her life unraveled with continued
alcohol use. Every aspect of her life suffered
and she entered her first residential treat-
ment program as a teen. She stayed for a
while, but did not complete the program.
Afterwards, Lindsey stayed clean for a
while, returned to school, and moved to
Northern Kentucky. But the “geographic
cure” (moving in order to get or remain
sober) did not last. She began associating
with the wrong crowd again. Alcohol,
drugs and arrests soon consumed
Lindsey’s world.
Lindsey eventually entered Transitions’
Women’s Residential Addiction Program
(WRAP) to pull her life together. For a
while, it did seem she was on the right track.
She completed WRAP’s residential and af-
tercare programs…lived in Transitions’
Oxford House for women…got married
and had her second child…bought
a house…but relapsed after 3½ years
of sobriety.
“I wasn’t working, had too much time on my hands, and my relapse went from zero to 100 so fast,” Lindsey recalled. “My disease had progressed even while I was sober.”
Soon she was back in the system and
served 16 ½ months in the Grant County
Jail. “I had become someone I didn’t know
anymore,” she said of that time.
Lindsey’s turning point occurred on
January 2, 2004 when she took someone
else’s sleeping pill and had what she calls a
“spiritual awakening.” She soon resolved
to do whatever it took to get in, and stay
in, recovery. She was still determined to
recover by the time she entered
Transitions’ Intensive Outpatient Program
(IOP) in Covington, which she completed
successfully. Slowly but surely, pieces of
her life came back together: she obtained
her own apartment, had her daughter living
with her and was working at McDonald’s,
eventually becoming a manager.
During this time, a chance encounter with
a Transitions employee resulted in Lindsey
getting a 3rd shift job at WRAP. Today, she
is the administrative assistant at IOP. “I’ve
met some of the most awesome people
ever working at Transitions,” said Lindsey.
“I’ve met life long friends here.”
Lindsey leads a busy, full life outside of
Transitions. In addition to her work at
Transitions, she participates in a self-
help program for people in recovery and
attends school at Northern Kentucky
University, with a projected graduation
date in 2016. Lindsey and her long-term
partner have 5 children between them.
What made the difference the second
time around? “The spiritual side,” replied
Lindsey. “It was a rude wake-up call. I had
to change everything – people, places,
things. While I was incarcerated, no one
gave up on me. My family still supported
me. A lot of people from church supported
me too.”
As for Lindsey’s advice to a newcomer
at Transitions, “Be open-minded and follow the rules, because they’re there for a reason. Stay sober so you can hear the message.”
LINDSEY’S ROAD TO RECOVERY
There are as many roads to recovery as there are people in recovery.
Transitions, Inc6
Johnny AlexanderPaul AnglinJoan ArlinghausJerry ArrasmithJo AshbournRaymond & Nancy BeilGreg & Susan BoatrightMary T. BraffordMary BraunBromley Christian ChurchStuart and Mary BuchananBusald, Funk & ZevelyButler FoundationStephen CainPat CaldonBryce CalvertKaren CampbellAlexandria CardosiRobert J. CardosiCharities Guild of Northern KentuckyTheresa CicchinelliJeff and Lesley CooneyElizabeth CorbettJB CorbettLeslie CorbettClub Masters LLCDonald & Sue Corken, Jr.Steven and Pamela CrawfordVicky DansberryHolly DaughertyMike DeMarsJeanne DemlerMary DetersKaren DunnCheryl DurbinRC Durr FoundationPam EasterlingMr. & Mrs. Rodney EldridgeJeremy Engel, MDEventbriteEvergreen Advisors, inc.Michael EwingHenry & Elaine Fischer
THANK YOU:Transitions, Inc. is a nonprofit organization which provides substance abuse related services to those who cannot obtain them elsewhere.
In order to do this, we count on the generosity of others. We thank the following individuals, companies, foundations, and agencies which have
recently contributed to Transitions:
Randie & Terry FlaigPatrick FogartyVirginia FordJeff FoscoFour Leaf Family Foundation, Inc.Lynn FoutsMatthew FranksLinda FrederickJoseph FrickeCary FriedlyJoe GallagherGarden of HopeRobert and Candace GardinerGatherwright, Freeman & Associates, PSCGetMeRegistered.com, LLCGE FoundationTimothy Gold & Mary Pat BehlerMichael and Diane GoldschmidtDavid GoodmanKurt GrannanGriffin IndustriesJoe GrkmanMike GrkmanMargo GrubbsEric HaasChristopher and Emily HarrisJuanita HannaKaren HargettMr. & Mrs. Richard HedgerMr. & Mrs. Donald HeebRene HeinrichLarry & Debra HeinzelmanHudson HenryJeffery HeroldHighland United Methodist ChurchDavid HillRonnie HolmesTheresa Holstein, MDThomas Hoppenjans
Sharon HoppenjansSandy HuntJTM Provisions Co., Inc.Cathy JacksonJohn JonstonTim and Mary Ellen KegelLaura KennedyKentucky Bar FoundationKentucky Partnership for Families and Children, Inc.Sara KieffnerBrian KinnePamela KinneyMarlene KooperAndrew & Jennifer KordenbrockCasey KramerAshel KreutzkampLaura Kruthoffer-BrownClarence LassetterDon LeeNeil & Pearl LeonardMark LesterCresta LewisCarolyn LonglandMike & Lynne ListCharles J. MachockJeannine MackeMatt MagerScott & Kimberly MalofMac McArthurJohn & Carrie McCoyKaren McCrackenMilton and Irene McCrackenJ. Scott McKinleyBrian & Judy McKinneyMarlene MeisterGary and Vicki MertzJim MillsTheresa MohanJeffrey and Stacie NanceRuth NeltnerTina NiemerAudrey Nobbin
Mark OgleOld Pogue Master’s SelectJane OliverOmega Phi Tau XI ChapterTeresa ParkerStephen and Brenna PenrosePenrose Law PLLCRob PetreyDaniel and Susan Pfau FoundationGale PierceHeather PinsonLorinda PlappMatt PlappDebra PleatmanFred PughMary RadenheimerRon RadenheimerJeffrey & Patricia RainesJimmie RankinArthur ReckmanJames RecktenwaldRonald McDonald House CharitiesHon. Ann RuttleJames St. ClairSt. Elizabeth HealthcareSt. Henry District High SchoolSt. Walburg MonasteryA.D. SandersBill ScheyerTimothy and Lori SchlarmanLouis and Melba Schott FoundationServpro of Northwest CincinnatiGeorge & Tara SharpStephen ShuppAnn SilversMary SkahanDouglas SmithMatthew and Glenda Smith John SpenceAmy Spero
Glenn and Karen StansberryBeth SteelKathy SturwoldStith Funeral HomeDr. David and Tessie SuetholzSutphin Family FoundationTJX FoundationKimberly TaneyLisa ThalThe Bank of KentuckyThe Greater Cincinnati FoundationThe Spirit of Cincinnatus, Inc.Shirley Thompson ToyotaBurr TravisDarla TravisSue TravisTina VolzJeffrey and Molly WallaceDavid WatersRobert and Susan WatsonSue WatsonWilliam and Terry WatsonCharlotte WethingtonCamilla WhitmanKelley WilliamsRichard and Elaine WilliamsAmbrose and Karen WilsonAnthony C. Wirtz IIIMichael and Shirley WithrowWohlgemuth Herschede FoundationWood & Lamping LLPNorman Nicholas Ziegler
Annual Report 2013 7
Transitions is extremely grateful for the donations made in honor of (IHO) and/or in memory of (IMO) your loved ones. Thank you for thinking of us.
In Honor of Dr. David Suetholz Michael and Sharon Strunk
In Memory of Anthony Cardosi David and Marion CroweSusan FlachChristine Hollenkamp and Jerry NesbittRichard and Joan MaierStewart and Joy Riche
In Memory of Keith CookBlanche GaynorJeffery HeroldViola & Nancy KinnmanJill NeltnerCharlotte QuinnRiver’s BreezeGeorge and Tara SharpMichael and Saundra Smith
In Memory of Adam GiffordRobert and Marguerite Schabell
In Memory of John HatfieldBernard and Beverly Meese Jr.
In Memory of Kayla HaubnerRandi & Terry Flaig
In Memory of Pauline KennedyMichelle BagbyBen and Dottie BuergerSara KieffnerNancy Works
In Memory of Colin LewisMary AlfordPatricia DayStephen & Charee GallantJames GeorgeRichard & Theresa HageeElizabeth KrummelShirley PollockRobin Vogel
In Memory ofCharlas KrutzkampGood Sam Angels
In Memory ofKeith LillardThomas & Laura CardosiDavid & Julie KishNicholas and Monica LowryRichard and Joan MaierBarry & Carol PeperRobert & Christine RushmanHenry & Nina SellmeyerLonnie & Rose Sirks
In Memory ofJohn and Norene MartinDonald and Megan Heeb
In Memory ofMary McKinneyMargie GreenJohn and Lynn HicksCharlotte WethingtonGerald and Lois SchultzThompson Living Trust
In Memory ofTabatha RolandThomas & Laura CardosiShannon DebraBrian and Jeri RafflerPaul and Paula RitterGeorgia Steres
In Memory ofZachary SmithSteve EgbersMillay and Company, Inc.
In Memory ofMarjorie SmootMelvin & Glenda AblesD. Michael and Roxanne ArgenbrightRW and Margaret Ann BachmeyerMichelle BagbyBen and Dottie BuergerRobert and Bonnie CarterJim CorbettBill and Helen DixonSusan DukeTimothy Gold & Mary Pat BehlerKaren HargettBarry & Brenda Hartman
Betty Jo HensonTerry and Caroline HuffmanSara KieffnerLevi Strauss FoundationMary Lou LoomisJoann MaxwellVerner and Carol McKinleySandra McMillanLee Mitts and Betty Stephens EstillMarjorie Fay NorrisTerry and Sherry OttLori PurcelBruce RipleyMary Skahan and Jean SilversteinUnited Methodist ChurchRobert & Susan WatsonBetty WheelerBeulah WolfNancy Works
In Memory ofNicholas SpechtRaymond & Susan BacherLori BrowneThomas & Laura CardosiGary and Mary ChafinCaryn DemannGood Sam AngelsJohn & Vaughntia KleierMichael and Betsy LoughnaneNancy MaloneJames MastersChristine NiemerCharles and Gayle ParnellKathy M Reedy, LLCChristian SpechtTerry and Lisa Beth WagnerCharlotte WethingtonWhite DesignB. Willson
In Memory ofCasey WethingtonJames and Betty LawrenceGary and Tina Volz
2013 ANNUAL REPORT
TRANSITIONS, INC. MISSIONThe mission of Transitions is to help people transition from the pain of addiction to the gratitude of recovery through comprehensive support services. Transitions helps individuals, families, and communities, break the cycles of substance abuse, family abuse, violence, crime and poverty.
Transitions, Inc. was founded in 1969 by volunteers concerned about the lack of substance abuse treatment for the uninsured in Northern Kentucky. Today, we offer women and men a holistic continuum of care comprised of nonmedical detoxification, residential substance abuse treatment, outpatient substance abuse treatment, and supportive housing.
We assist the indigent, the uninsured, the homeless and the working poor of Kentucky.
FUNDINGTransitions’ services are funded and/or administered in part by the U.S. Dept. of Housing and Urban Development; the
Kentucky Dept. of Corrections; Kentucky Housing Corporation; the Northern Kentucky Mental Health/Mental Retardation Board; the
fiscal courts of Kenton, Campbell, and Boone Counties; the Northern Kentucky Area Development District; the Kentucky Justice
Cabinet; other government agencies; private foundations; and individual donors.
2013 AWARDSTHE 2013 110% AWARDS WERE PRESENTED TO (from L to R): Charlotte Wethington,
Recovery Advocate; Lisa Waible, Administrative Assistant for York Street House & the Two
Rivers Center; Donna Sprague, Human Resources Assistant; Shana Tucker, Associate
Operations Director; and Dr. George Kent, Grateful Life Center volunteer. Each person
receiving the 110% Award has displayed dedication and commitment above and beyond what is
asked for or expected.
www.transitionsky.org
Administrative Offices
700 Fairfield Avenue / Bellevue, KY 41073
Phone (859) 491-4435
FAX (859) 491-6598
TDD (859) 491-4436
Editor
Bruce Ripley
E-Mail bripley@transitionsky.org
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