Performance Analysis

Fiscal Year 2005-2006

Liberty Centre Services, Inc. (LCS) offers services to adults age 19 or over through the following programs: Clubhouse Day Program, Crisis Prevention Program, Park Place Residential, Willow Park Apartments I, Willow Park Apartments II, and Chestnut Park Apartments.

Liberty Centre Clubhouse: structured day rehabilitation program that offers an array of services to members: services include, but not limited to, employment, transportation, and case management, social opportunities, and medication compliance.

Crisis Prevention Program: community support services offered to consumers; services offered include, but not limited to, transportation, grocery shopping, independent living arrangement, budgeting, medication compliance, and keeping appointments.

Prior to being admitted to an LCS program, individuals must meet a particular set of admission criteria, which is common to all programs. The criteria are as follows:

1) The individual must be 19 years of age or older.

(a) Daily living skills

(b) Community living skills

LCS continues to offer competitive wages and benefits. Our organization prides itself in being a family-friendly employer. Management offers flexibility in scheduling whenever possible while still meeting the needs of the organization and those it serves. Management also monitors workloads and performance to ensure that staff is compensated for their work and that responsibilities are appropriately and evenly distributed within each LCS progr

An employee survey was conducted, with a 68.6% response rate, prior to annual budget preparation. The board finance committee reviewed results of the employee surveys during their annual meeting regarding employee retention planning efforts, and benefit and salary schedule review.

(1.) In May 2005 the U.S. Treasury Department and the Internal Revenue Service issued a notice which modifies the "use it or lose it" rule in flex benefit plans. Under the new rule, Flex Spending Accounts (FSA) can be amended to provide a grace period, giving employees up to two and one-half extra months to spend their FSA contributions. The LCS Board of Directors approved to amend the LCS FSA plan to allow reimbursement of expenses incurred through March 15^th of the following year.

(2.) Beginning July 2005, full-time employees receive two personal days and regular part-time (30 hours or more per week) receive one personal day annually. These days can be scheduled with supervisor approval similar to vacation days.

(3.) As of July 2005, LCS has a contract with Best Care Employee Assistance Program through Nebraska Methodist Health System. This partnership provides a variety of services to employees and their dependent family members to help balance the daily challenges of work and home. The Employee Assistance Program (EAP) is a confidential program that addresses a variety of personal and workplace issues such as: stress, family concerns, depression, childcare/eldercare challenges, marriage/relationship concerns, substance abuse, anxiety, and financial pressures/wealth building strategies. All LCS employees are eligible for services through the EAP with no waiting period. Employees are given information during their orientation regarding the EAP and how to access its services.

(4.) As of August 1, 2005, staff required to be on call are paid a daily stipend for days they are on call. Salaried Community Support Workers receive pay in addition to their salary for their hours worked whiled responding to on call duties. Clubhouse Case Managers are hourly employees and thus are paid regular or overtime wages, as appropriate, for any hours worked while responding to on call duties.

(5.) As of July 1, 2006 an additional employee assistance program will be available for employees eligible for the Standard long term disability/life policy. All full-time employees who have completed their initial orientation period are eligible.

(6.) As of August 1, 2006, full-time and regular part-time (30 hours per week or more) employees receive a $400.00 Wellness Stipend at the beginning of each fiscal year. The intention of the wellness stipend is to encourage employees to make lifestyle and health improvements including employee fitness memberships and equipment; and employee or dependent health expenses, such as vision and dental.

(7.) Again this fiscal year an innovative health insurance management plan was implemented. This plan will make it possible to continue offering employee health insurance with employees making no contribution to premium costs. The insurance plan that the LCS Board chose has a higher deductible and higher out of pocket maximum, which makes the increase in premiums less. LCS has set aside money to assist employees in paying their deductibles and a portion of the increased out of pocket expenses. This makes it possible for both LCS and employees to avoid increased insurance premium costs. The Board of Directors will continue to research options for maintaining as competitive as possible health insurance plan with as little cost to employees as possible for the next fiscal year.

Previously, only new hires at Park Place were required to pass a drug screening, due to their access to medications at the group home. Our policy has now changed to include drug screening on new hires for all LCS programs. All current employees have now been screened and we will continue screening all new hires.

Ongoing staff training and education remains a priority. Our goal is to ensure that all staff is competent to carry out their job responsibilities. All LCS staff is offered training in the following areas: Code of Ethics, defensive driving, CPR and first aid, cultural awareness, psychiatric disorder overviews, confidentiality and HIPPA regulations, internet usage policy, conflict management, documentation requirements, and Clubhouse Model philosophy. Whenever possible, training is provided in-house utilizing our own staff and contract trainers. Professional development training has been provided through a contract with MK Consulting. Whenever available, seminars and workshops also offer training opportunities for LCS staff.

BOARD of DIRECTORS

Jeff Hrouda was re-elected to the LCS Board of Directors in October, 2005 after the Building Futures III, Inc. final closing on the Chestnut Park Apartments (funded through HUD - Section 811).

In April, 2006, the board held their annual strategic planning meeting. At that time they also completed board evaluation surveys. The results were compiled and discussed by the full board. Overall, the surveys were positive with few areas needing significant improvement. Areas to address were assigned to appropriate board committees.

RISK MANAGEMENT

LCS Board of Directors evaluated possible risks of fraud during the annual strategic planning meeting. Management and program representatives (both staff and persons served) gather information and review related policies to ensure that employees and persons served are aware of the risks and consequences of misconduct and fraud. Management staff review policies and procedures at least annually to ensure that they are accurate, thorough and understandable. Areas reviewed include fiscal management, corporate compliance, misconduct and computer access and usage.

Internal quality assurance procedures are revised as needed to ensure that accuracy is achieved. Outside program and financial audits are scheduled annually to assess the fiscal management and solvency of LCS.

CARF and ICCD (International Center for Clubhouse Development) accreditation reviews are scheduled for September 2006.

Receivables are recorded by the person retrieving them from the mail and a copy is made. All deposits are counted by two people in the unit in which it is collected and then is counted again by two people outside that unit. All checks require a voucher prior to being dispersed and two signatures are required on the voucher. These signatures include the review by the Associate Director and final approval by the Executive Director. Two signatures are required on all checks. There is a clear division of duties between the persons managing and dispersing funds and those reconciling the bank accounts monthly.

Staff and members receive training regarding what types of computer usage is allowed at Liberty Centre and what is not. Review of our policies on "computer and internet usage" is included in staff and member training. Staff and members sign "Internet Usage Policy Acknowledgment" forms to show that they are aware of the policies and they are in compliance with them when using the computers.

Security cameras are in all three areas (Business Unit, Snack Bar and Membership Services Unit) where money is handled. Security cameras are also located above the front and back doors on the outside of the building.

Management and the Board developed a disaster preparedness policy and procedures to ensure that business and service functions could be adequately resumed in a timely manner following a disaster. The "Region 4 Behavioral Health All-Hazards Disaster Response and Recovery Plan" is also now attached to our disaster preparedness policy.

INVESTMENT

Last fiscal year, following the sale of the property at 112 S. Birch, the Board of Directors invested funds with Olsen, Goeken and Associates. Their objective was to obtain a higher rate of return on the money and to ensure that only money not received from state and federal funds were a part of the investment. The Board met with Chuck Olsen of Olsen, Goeken and Associates and decided to invest at a low to moderate risk level, which they have continued with throughout this fiscal year. Chuck provides regular updates to the board regarding the rate of return on the investment. He also attends board meetings as requested to make presentations and answer questions.

MEMBER SCHOLARSHIP

The Liberty Centre Services McIntosh scholarship was awarded this year to a member who was completing a Business Administration degree at Northeast Community College. The Liberty Centre member received a $750.00 scholarship, $350.000 each for the fall 2005 and the spring 2006 semesters. He graduated in May 2006 with an Associate of Arts Degree in Business Administration.

MEMBER HOUSING

Chestnut Park Apartments were completed and Building Futures III was granted occupancy on June 1, 2005. Tenants began moving in during July 2005. LCS is the management agent for theses apartments, as well as Willow Park I and II Apartment complexes.

PROPERTY and BUILDINGS

The house at 408 East Norfolk Avenue was sold in March 2006. The house had previously been used as office space for the Crisis Prevention Program. That program moved on October 3, 2005 to leased space in the Centrum Building at 123 N. 4^th Street.

TREND ANALYSIS

Behavioral Health Reform continues throughout the state. Our Region has not seen any significant increase in types or capacity of community services during this fiscal year. Our region continues to have more demand for outpatient psychiatrist services that there is capacity. The Region 4 Behavioral Health System is assisting appropriate providers in recruiting psychiatrists and determining methods of minimizing loss of revenue. The negative financial impact of providing outpatient psychiatrist services is due to the high cost of the service provision compared to the reimbursement rate.

The Region 6 area of the state reportedly has increased their community behavioral health services. If there is increased capacity in that region, that will assist the Norfolk Regional Center in discharge options for patients who are residents of that area of the state. Lack of services and/or capacity has historically been stumbling blocks for the Behavioral Health System and for individuals desiring discharge to their county of residence in the Region 6 area.

Referrals to LCS programs have remained consistent. The next phases of Behavioral Health Reform have not been fully defined. We will monitor them as they are announced to determine if there are additional services we can provide through program development or expansion. Eligibility for Medicaid continues to be a determining factor in rate reimbursement by the federal government. LCS staff assists persons served in applying for Medicaid, but not every person referred to or currently served in our programs are eligible. The LCS Board of Directors will assist management in determining the number of units of service that can be provided without Medicaid reimbursement. Our Region 4 Behavioral Health contract allows for state reimbursement for eligible MRO services for persons not eligible for Medicaid. There is a limit on the number of units of service that the Region can purchase, however. All LCS services continue to have capacity to accept referrals, with the occasional exception of Park Place Residential Rehabilitation when it is at full capacity with eight residents.

Reimbursement rates for MRO services increased effective July 1, 2005:

Community Support monthly rate increased from $245.10 to $252.45.

Day Rehabilitation daily rate increased from $47.30 to $48.72.

Vocational Support hourly rate increased from $45.15 to $46.50.

Day Support daily rate increased from $10.75 to $11.07.

 Residential Rehabilitation daily rate increased from $96.75to $99.65.

Residential Rehabilitation (Park Place) monthly rent increased on March 1, 2006 from $950.00 to $971.00.

The Clubhouse is purposely focused on work. The work of the Clubhouse is divided among departments or units, with each unit responsible for an integral part of the functioning of the organization. In the units, staff and members work side by side as peers to accomplish the work. In the process of work, members not only brush up on their skills and learn new skills; they are continually communicating and interacting with other members and staff. The end result is increased self-confidence, a strong feeling of accomplishment and self worth, and a sense of ownership and pride.

During this fiscal year LCS served 170 individuals in the Clubhouse Day Program. As a complement to the day program, an evening and weekend program provides the opportunity for individuals to socialize and increase their relationship building skills. LCS recognizes the importance of its members having reliable transportation to work, doctor appointments, pharmacy, meetings, to and from Liberty Centre and various other community activities. LCS helped meet that need by providing 25,743 rides to members during this fiscal year. The need for additional transportation was identified and researched by the transportation committee. Liberty Centre applied for a grant for a mini van with the Department of Transportation. LCS received notification in October that the grant had been awarded, but instead of a mini van the vehicle will be a 12 passenger van. This 12 passenger van was not delivered during this year, but should be delivered by July of 2006. Liberty Center also purchased two additional cars, to be used for transportation.

The Clubhouse received 65 referrals for membership. Of those, 28 individuals became members; 19 individuals did not meet admission criteria; and the remaining 18 individuals did not enter the program either because of hospitalization, relocation, or a decision not to pursue services. Individuals that meet the admission criteria start services within a week.

The main goal of LCS is to provide opportunities to individuals with mental illness to regain their lives and stay out of the hospital. Liberty Centre provided case management services to 141 individuals last year and of those individuals 23 were hospitalized, with an average length of stay 4.7 days.

Over a decade ago Liberty Centre recognized a need for a number of members regarding financial management. In response to that need a member bank was created in the Clubhouse. The function of the bank is to provide assistance to members who wish to have help with budgeting and payment of bills. There were 89 accounts in the member bank this year. The member bank assisted 71 members with their banking needs. The Clubhouse also has a loan program, made possible by a community fundraiser. These funds are loaned to assist members in the transitioning process. This could mean buying clothes for a new job, or paying deposits and/or utilities for an apartment. It has also been used to purchase medication, while awaiting Medicaid or insurance coverage. The flexibility of this fund has greatly benefited the members. This year there were 16 new loans made, and 14 loans paid in full. There are 13 existing loans.

LCS strongly believes in enabling individuals to regain control of their lives and achieve independence. A key component in achieving this is to help the person rebuild their self-confidence and enhance their employment skills. Liberty Centre’s Employment Program helped accomplish this by providing an opportunity for all members to gain employment within the community. LCS provides individual assistance in finding a job to match the individual’s skills and interest, and then provides continuous on the job training and support for that individual. A priority this year was to increase and develop a variety of new transitional employment placements. In-house employment meeting were held twice a month during the year. The purpose of these meetings was to instill an ongoing excitement and interest in employment. Monthly employment dinners will be initiated by the first of the year. These will add another dimension to the momentum of employment. Current placements will be nurtured and new placements will continue to be developed in the next fiscal year. Seventy-eight different individuals were employed during this fiscal year.

The availability of educational opportunities and the support needed to access those opportunities has been an area that the Clubhouse has enhanced this year. Liberty Centre has partnered with Northeast Community College to provide these opportunities. The Liberty Centre Services McIntosh scholarship was awarded this year to a member who was completing a Business Administration degree at Northeast Community College. The Liberty Centre member received a $750.00 scholarship, $350.000 each for the fall 2005 and the spring 2006 semesters. He graduated in May 2006 with an Associate of Arts Degree in Business Administration.

This year 20 Clubhouse Members were students in Adult Basic Education Classes at the college. Liberty Centre will continue to provide transportation to members pursing educational opportunities.

Education conducted at the Clubhouse throughout the year included such topics as: Contagious diseases, CPR, computer training, nutrition, driver’s safety, first aid, cultural diversity, personal hygiene and blood-borne pathogens, hepatitis, employment placement manager training, unit leader training, leadership development, diabetes, safe food preparation and diagnosis of mental illness.

Liberty Centre recognized the fact that mental heath can greatly affect physical health, and that physical health can also affect mental health. The purpose of the program is to provide educational opportunities to members for living a healthier lifestyle. There were several outside speakers that came to Liberty Centre and provided nutritional and exercise education. There have been 39 individuals that have participated in the wellness activities. The clubhouse provides transportation to the YMCA five times a week so members have the opportunity to participate and develop a strong routine of exercise and receive the support of others participating.

Safe and affordable housing is another key step for individuals to successfully achieve independence. LCS has addressed the independent housing needs of its members by applying for and receiving three housing grants from HUD to build 36 independent living apartments.

Chestnut Park Apartments celebrated their one year anniversary in June. All apartments have been fully occupied this year. At the end of June 2006 there were 24 individuals on the waiting list for an apartment.

Twenty individuals applied for housing in LCS apartments during the year.

Community Support Services

There are countless individuals in the community that are not necessarily involved in the Clubhouse Day Program but are in need of community support services to reduce the chance of relapse and hospitalization. The Crisis Prevention Program is available to meet these persons’ needs. This program offers a comprehensive team approach to ensure that adequate support and services are available to them so they can achieve their goals and aspirations. Support is offered 24 hours a day so that individuals have the opportunity to live an enriching life outside hospital walls. Community support services were rendered to 131 individuals this fiscal year. Liberty Centre has increased the number of consumers served over thirty percent this year. In preparation for the expansion three additional community support workers were hired. Community support services are customized according to each individual’s need. These services can include transportation, medication, finances, residential support, leisure activities, illness education, symptom management, and assistance with basic needs such as food, clothing, and shelter.

The Crisis Prevention Program received 56 referrals this fiscal year. Of that number, two individual did not meet the admission criteria and 44 individuals entered the program. There are one referral pending. The remaining referrals did not enter the program either because of hospitalization, relocation or a decision not to use the services. Once the referral information was received there was immediate access to services. Eighty-two percent of consumers that received community support services were not hospitalized during this fiscal year. Of those hospitalizations that did occur, the average length of stay was 5 days.

The Park Place Residential Program is a home that is designed to assist persons who are disabled with a severe and persistent mental illness to establish the skills needed to live in the community. Park Place is a 24–hour staffed home where residents receive room and board, medication management and independent living skills education. Park Place is operated in a manner in which residents take an active role in their own rehabilitation. Services are individualized. Park Place served 19 individuals this year. Park Place served an additional 18 individuals in respite care. It is our belief that individuals can live successfully in the community with the proper support. Park Place had 23 referrals for residential services. Of that number 12 individuals became residents, three did not meet admission criteria, and five did not pursue services. Once the referral information was received services were made available to all referrals. Ninety-five percent of Park Place Residents had no hospitalizations this year. When hospitalized the average length of stay was 4.5 days.

Liberty Centre Services, Inc. is dedicated to providing quality services in the most efficient manner. By utilizing the Clubhouse Model of day rehabilitation we were able to serve 170 individuals at the cost of $ 11.37 per day, per person. This enabled LCS to offer financial help for community support, employment, and residential services. The Park Place Residential Rehabilitation Program served 37 individuals (including 18 individuals in respite care) at $118.95 per day, per person. Employment support services were given to 78 individuals for the cost of $6.30 per day, per individual. Community Support services were rendered to 131 individuals for a cost of $283.72 per month, per individual. Nursing services were provided to 136 individuals for a cost of $2.58 per day, per person. The average member utilized four types of services during the year.

Removing Barriers to Service

Liberty Centre Services

2005-06

Barrier: A member of Liberty Centre that lives in Willow Park, who has a physical disability, was having difficulty getting to the clubhouse. She was falling when she attempted to walk over.

Outcome: Liberty Centre provided transportation to and from her apartment at hours other than the normal transportation times.

Barrier: Members on a very limited income being able to buy and prepare food for a balanced diet.

Outcome: Because we have identified a funding source to pay for meals prepared at the clubhouse. Members have to opportunity to have breakfast, and lunch every week day.

Barrier: Individuals that wanted to attend AA support groups would miss lunch served at the clubhouse. This also was a problem for members that were working part of the lunch hour.

Outcome: Members that were at the clubhouse prior to their noon commitment are encouraged to eat at an earlier time with the servers before they leave. Those coming to the clubhouse after noon that would like a lunch saved need to let the production unit know that they would like a lunch saved.

Barrier: Individuals with mental illness have a higher rate of health problems and a higher rate of obesity.

Outcome: The production unit offers a low fat menu alternative daily. Menus have intentionally limited the amount of fried and pre-prepared foods. In addition healthier items are being offered at the snack bar. The clubhouse also encourages physical exercise and purchases an annual membership to the YMCA. This gives members the opportunity to use the Y’s facilities. Individuals may check the pass out to use and for those who prefer exercising with others, a group goes to the Y daily after the work order day. Liberty Centre provides the transportation for this group.

Barrier: Cab tickets, stamps and transportation tickets were only available during the member bank hours.

Outcome: The stamps, cab tickets and transportation tickets were moved to snack bar, so they would be available more times during the day.

Barrier: Suitable employment opportunities for individuals with physical disabilities.

Outcome: We continue to look for employment opportunities for individuals with additional disabilities. We have secured employment for an individual that is very limited in what that can and want to do. We are still pursuing employment opportunities for a member with several physical disabilities.

Barrier: Individuals that were being hospitalized after leaving Park Place.

Outcome: Follow up services was provided for residents discharged from Park Place, to insure and assist with medication compliance. The intent was to keep individuals out of the hospital. There were no hospitalizations in this population after this was initiated.

Barrier: Former Clubhouse members that are still served by LCS community support services, still wanted to keep the accounts in the member bank, for the extra assistance it provided.

Outcome: The member bank accommodates those individuals at hours the bank would otherwise be closed.

Following is a description of the incident reports that were filed with Liberty Centre. One report was filed due to a member fainting on the Liberty Centre bus. The staff driving the bus called 911 and the member was taken to the hospital and later picked up there with no injuries. Two reports were filed due to members tripping and falling with no apparent injuries. One report was filed when a member stapled her finger. Unit staff removed the staple, cleaned the wound and put a band aid on the member’s finger. One report was filed after a staff member spilled boiling water on her shoe. She put her foot under cold water and then applied Neosporin to the burned area. Another report was filed after a member shut her fingers in a swinging door in the kitchen. The nurse at Liberty Centre examined the injury and told the member to apply ice to the wounded fingers. One report was filed after a staff member broke the side window of a Liberty Centre van with the mirror of the Liberty Centre bus. No one was injured in the accident. One report was filed when a member cut his finger on the meat slicer while cutting meat in the kitchen. One of the unit staff took the member to the emergency room where he received two stitches, a prescription for antibiotics, and a tetanus shot. Another report was filed due to member slipping on the ice in the parking lot. He was taken to Urgent Care where his hand was x-rayed. Three fingers were sprained during the fall and the member’s hand was wrapped. One report was filed when a staff member cut her finger with a knife while preparing lunch. The staff member cleaned the wound and applied a band-aid. Another report was filed after a member splashed herself in the eyes with disinfectant spray. The member rinsed her eyes in the eye wash station and had the nurse examine her eyes. The nurse determined that no further treatment was needed. Another report was filed when a member drove through gravel in the parking lot, lost control of his bike, and fell off the bike. He drove himself to the hospital to be examined after consulting the nurse at Liberty Centre. The member sprained his right hand and broke a rib. He received treatment for his injuries at the hospital. In order to prevent further incidents of the same kind, members and staff are encouraged to take extra precaution especially on ice and wet floors and general safety is discussed on a regular basis.

Following is a description of the incident reports that were filed with Park Place. One report was filed when a resident fell out of bed with no apparent injuries. The resident was later taken to the hospital for blood work and a chest x-ray. A med change was also ordered. Another report was filed after a resident fell on the steps with no major injuries. One report was filed when a resident fell off of a step and burnt his neck with a cigarette. No treatment was listed in the report. Another report was filed when a staff member hit a vehicle parked on the street with the white bus. No one was injured in the accident. In order to prevent further incidents from occurring, safety issues are discussed at house meetings. Park Place staff will continue to encourage residents to participate in drills, conduct outside and self- inspections, and complete monthly safety checks.

Following is a description of the two incident reports filed with CPP. One report was filed after a staff member fell on the stairs at the CPP office. The staff member applied ice to her sore shoulder but received no major injuries. The other report was filed when a staff member fell while stepping off of the van. She wrapped her ankle at home and went to the convenient clinic the following day to have it examined. The doctor determined that her ankle was sprained. In order to prevent further incidents from occurring, members and staff at CPP are encouraged to take extra precautions especially on ice and wet floors and general safety is discussed on a regular basis

Following is a description of the incident reports that were filed with the Willow Park Apartments. During one incident report a resident refused to let another resident use their phone so the resident hit the screen door, breaking a bracket on the screen. This incident was reported to the on site apartment manager and to the Liberty Centre apartment manager who talked with the resident who hit the screen door about his behavior. The apartment manager also talked to the resident who reported the incident and advised him to call the police to report any further actions if necessary. Another incident was filed when a resident came in the front door of another resident’s apartment bleeding from the chin. Two residents helped lay the injured resident down and called 911. The injured resident was taken to the hospital and received treatment for her wound at the hospital. In order to prevent further incidents from occurring, safety issues are discussed at apartment meetings. Apartment managers will continue to encourage residents to participate in fire drills, conduct outside and self-inspections, and complete monthly safety checks.

During this fiscal year, there were 29 drills held. Of the 29 drills held, Liberty Centre held 8 drills, Park Place held 12 drills, CPP held 8 drills, and the Willow Park Apartments held 1 drill.

Liberty Centre held 4 fire drills and 4 tornado drills during this fiscal year. Three recommendations during one tornado drill were to take emergency weather radio into shelter during drills and to encourage members to take drills more seriously, and meet in the dining room to take attendance after the drills are over. During one fire drill, one recommendation was to assign someone to pick up the attendance sheet and during each of the four fire drills, recommendations were to encourage all members to sign in and out every day and to come out of the smoke hut to take attendance. Liberty Centre will continue to hold drills regularly and encourage all members and staff to participate so that everyone knows the correct procedures.

Park Place held 5 tornado drills, and 7 fire drills during this fiscal year. There were no recommendations during any of the drills. Park Place will continue to hold drills regularly and encourage all residents and staff to participate so that everyone knows the correct procedures in case of an emergency.

Liberty Centre Services, Inc has worked hard this year to provide a variety of services to individuals in a timely manner. Liberty Centre has made a conscious effort to foresee and address the needs of consumers to assist them in staying out of the hospital. This is reflected in the high percentage on individuals that did not experience any hospitalization. If hospitalizations occurred in any on the programs the average length of stay was just days. The average consumer served by LCS, Inc. received 4 types of services from LCS, Inc. There was little or no waiting time to access services once referral information was received. In reviewing all the programs outcomes it was decided the common goals regarding reduced hospitalizations and access to services will continue in all programs. Below you will find the program goals of each of the programs. Liberty Centre will continue to be diligent in foreseeing and meeting the needs of the consumers we currently serve or that we may serve in the future.

Liberty Centre Services, Inc. recognizes the importance of a well trained staff, with opportunities for input and training. Liberty Centre received no grievances from employees or consumers during this year. Liberty Centre will continue to seek ways to encourage and assist employees in resources they may need to do their job well.

Liberty Centre will continue with their commitment to educate and partner with the community of Norfolk, to provide all members with a community environment that is receptive to individuals with mental illness. Through this effort members will have many opportunities for employment and community involvement.