Maine Behavioral Healthcare

What it reported doing in 2018

In addition to our three largest programs, Maine Behavioral Healthcare offers many other programs to provide a full spectrum of care. Here is a brief description of some of these important services: Case Management ServicesCase management for adults, also called Community Integration, is a MaineCare funded support service designed to improve the quality of life for individuals who have behavioral health or special developmental needs. Case managers determine the person's strength and needs and then help identify and access resources and services to promote independence and integration in the community.We work with our clients to develop treatment plans that meet the goals they identify, and then develop action steps with them to assist in achieving their goals. Our full range of services are tailored to each individual's needs and include mobile outreach, client advocacy, maintenance of basic living needs, assessment of benefits, and linking and monitoring services. We can help adults thrive at home, at work and in their communities by:-Connecting with natural supports and community resources-Helping navigate the systems of behavioral and medical care-Coordinating services and streamlining communication between multiple providers-Developing and monitoring individualized service plansTargeted case management for children and adolescents (up to age 20) is a MaineCare funded service to support mental or behavioral health needs. Working closely with families, the case manager determines the child's strengths and needs and then helps identify and access resources and services in the community. The goal is to help the child or adolescent thrive in the home, school and community. Targeted Case Management is grounded in the Wraparound process, a highly individualized planning process aimed at helping people meet their unmet needs both within and outside of the formal social service system. Wraparound is a holistic process that meets needs across a wide range of life domains.Behavioral Health Homes are a MaineCare service designed to help people with chronic conditions, such as diabetes, heart disease and lung disease manage their mental and physical health needs together. This specialty service helps people address all of their health needs by collaborating with their doctor and arranging services. Case managers work with the individual, a nurse, a clinical team leader and a peer support specialist to provide a whole person integrated approach. The Behavioral Health Home team and primary care providers work together to improve health. Developmental Disorders Program for ChildrenChildren in the developmental disorders program at Spring Harbor Hospital receive educational services from Spring Harbor Academy, a private, special-purpose school located at the hospital. Each student receives developmentally appropriate educational programming. The child's current Individual Education Plan (IEP) is followed, and ongoing educational needs are assessed through the IEP team process. Spring Harbor Academy also works with the child's home school to ensure the student's successful transition after leaving the hospital. An extension of the developmental disorders program at Spring Harbor is our Center for Autism and Developmental Disorders (CADD), an outpatient clinic, offering Maine children, adolescents and their families a comprehensive, coordinated day treatment program with primary care consultation. Each child receives an assessment to identify target behaviors, mental health needs and developmental challenges. The evaluation explores psychiatric, speech, occupational, medical, family and environmental factors that may be contributing to the problems.Crisis ServicesWe serve individuals experiencing an acute behavioral health emergency, along with support for their families. These include a 24/7 Crisis Hotline, Mobile Response Services, Crisis Response Services and a Crisis Stabilization Unit, a short-term alternative to hospitalization.Assert

Financial Efficiency

• Mission deployment rate: 88.2%; rating input score 88
• Program expense ratio: 87.4%; rating input score 87
• Fundraising efficiency: $6.78 raised per $1 spent on fundraising; rating input score 35; 35th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 88.9%; rating input score 89; 22nd percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -0.9%; rating input score 26; 26th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 12.6%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: -14.5% per year; rating input score 0; 2nd percentile among comparable filings
• Revenue growth: 8.8% per year; rating input score 100; 75th percentile among comparable filings
• Asset growth: 0.1% per year; rating input score 100; 20th percentile among comparable filings