It's Playtime! Thanks to You, Our Kids Have A Playground

We did it!!! Seven months ago, BCI appealed to you to help us build a playground at The Lighthouse Program. Today we have surpassed our goal of $17,000. To everyone who contributed, we appreciate it so much!

Take a look… the playground is here! And it's great that we've gone over our goal because now we can make it even better with benches, a sandbox, and toys.

We want to say a special thanks for a grant that put us over the top, from the Bank of America Charitable Foundation. Bank of America’s Local Grants support community organizations helping make their neighborhoods better places to live, in areas including affordable housing, arts councils, and children’s advocacy groups. The foundation awarded over $11 million to organizations in the Wilmington community in 2006.

Building this playground is a big deal – it’s not just about giving the kids a place to play. It’s about creating a cheerful, home-like environment for kids displaced from the comfort of their own home. It’s about giving them an outlet for relaxation and releasing stress while their moms work on their recovery. It’s about family bonding for families who need it.

Soon, we will announce a special event to honor all the donors and volunteers who have supported The Lighthouse Program. On behalf of our moms and kids, thank you again for your generous support. Celebration time!!!

BCI Alpha North Wilmington Center To Move to Edgemoor Community Center

Brandywine Counseling's Alpha North Wilmington Center will be moving to the Edgemoor Community Center effective July 16, 2008.

The program will move from its offices at 98 Harvey Road, which it has occupied since opening in 2002. The North Wilmington Center is a satellite site of the BCI Alpha Drug Free Program, which offers outpatient drug and alcohol counseling to Delaware residents.

Our new location within Edgemoor Community Center will make treatment services available to North Wilmington residents at a location that is well-known within the community and easily accessible by bus. The Edgemoor Comunity Center is a not-for-profit, community-based, multi-service agency that provides a broad range of educational, recreational, self-enrichment, and family support services.

Our new address is: 500 Duncan Road, Wilmington, DE 19809.

Our new phone number is (302) 225-8008.

Our new fax number is (302) 225-8010.

Faith and Recovery Strike a Match to Start The Lighthouse Program

Shay Lipshitz and Bishop Major Foster are an unlikely team. She is a strong-willed, outspoken, Jewish native of the Bronx, who overcame drug addiction to become a treatment program supervisor. He is an affable, modest Pentecostal preacher in rural Ellendale, Delaware, whose faith has moved him to nearly three decades of service to the underprivileged.

But after a chance meeting two years ago, they formed a partnership. The result was The Lighthouse Program for women and children, now open as a joint venture of Brandywine Counseling, Inc. (BCI), where Shay is Director of Sussex County Services, and Delmarva Clergy United in Social Action (DCUSA), where Bishop Foster is President.

The two found common ground in their passion for helping others in need. Both are quick to roll up their sleeves and get their hands dirty to get a job done. Shay first met the Bishop and his staff at Philadelphia Pentecostal Holiness Church when she was looking for temporary housing for her clients at BCI’s Georgetown Center. DCUSA, the non-profit arm of the church, had been running a shelter home for over twenty years, along with child care, computer classes, and a GED program, and were looking to expand their services.

“The great thing is, when we got here, they already had plans on the wall,” Shay recalls. “They had blueprints. They already had a vision. They already wanted to do something.” So when state funding became available to start a residential treatment program, the pieces quickly fell into place.

“It fit like a glove,” says Bishop Foster. “They needed the place, and we had programs that they needed, so everything fit. We didn’t have counseling, we didn’t have the money we needed, so those two pieces made it a fit. It made it come together.”

That compatibility was evident in the plan they proposed to the State of Delaware, and they were awarded the funding. The next four months were a whirlwind of work to get up and running. The aging DCUSA shelter home was extensively renovated and expanded, transforming it into a modern and inviting residence. Staff were hired. More partners were brought on board, including La Red Health Center. On December 10, 2007, the program opened its doors, and within weeks, six women and seven children were living there.

“Those families would have been shattered,” without a place like this to go, says Shay. Many of the women delivered their babies while incarcerated on drug charges. “They would have been separated. And we know that all bonding occurs in those beginning months. They might have lost their kids to foster care or permanent adoption.”

“We knew that locking them up and putting them in jail wasn’t the solution,” adds the Bishop. “They needed some treatment and love which the prison couldn’t give.”

Up to 15 women and 20 children per year from throughout the state of Delaware will now get that treatment at The Lighthouse Program. The mothers will get help for their addiction, trauma, and mental illness, while taking classes in life skills, computers, and parenting. Children will get assessments, counseling, health care, and a safe space to learn, grow, and heal. The program uses evidence-based practices, or models that are scientifically proven to produce successful outcomes. Shay explains, “Here, they get to practice how they’re living. We’re able to mirror back to people when their behavior is inappropriate. In traditional outpatient treatment, you go into an office, its over in an hour, and you go home. Here, you’re practicing all those things with your community.”

It is all designed to bring about some intensive behavior change in a short time of 9 to 12 months. The program has different levels, each with its own responsibilities and privileges. There are structured activities 24 hours a day, 7 days a week. At first, residents have limited contact outside the program so they can concentrate on their recovery. It may be up to six months before they may go out unsupervised. Before discharge, a transition plan ensures a return to the community with the strongest possible opportunity for continued recovery.

But as much as the program incorporates the science of addiction treatment, it also incorporates faith. Though their religious beliefs are different, Shay and Bishop Foster have passed on a strong sense of spirituality to the women of The Lighthouse. “We’re puttin’ a little God in ‘em!” says the Bishop with pride. “It’s a bad world out there, but they got God helping them.” Spirituality has a correlation with the 12 Steps of recovery, adds Shay. “The word God can scare people, and we tell people in the beginning, think of that as ‘Good Orderly Direction.’ You’ve been misdirected, you’re going all over the place. You need to rely on something else, something greater than you.”

On February 21, The Lighthouse Program was dedicated by Governor Ruth Ann Minner. Several of the residents spoke about how much the program meant to them. “This program has given me a second chance with my family,” said Sarah. “This program has helped me become a better woman and a better mother to my children.” Sherry expressed thanks for the opportunity to work on recovery while keeping her son. “When we’re here, we get to grow together. It’s very open, very loving. Everyone here is just here for us all the time.”

After the ceremony, Bishop Foster and Shay Lipshitz reflected on what they had achieved. “Words can’t express how we feel,” the Bishop said. “Because the fact is, we’ve done something that God wanted us to do, to help people. And when you do that, that’s the joy you feel inside, because you’ve just made somebody’s life happier.” Shay agreed. “It’s been exciting to see a dream, that was something that was thought about a few years ago, actually come to fruition, and today we gave birth to it, so it’s pretty exciting.”

“She’s the one that did it, I didn’t do nothin’, I was just here waiting for her to get here!” Bishop Foster laughed.

“Don’t let him fool you,” Shay replied. “He was on the backhoe! He raised up that building! I’ve never seen anybody work as much, and be a worker among workers. He’s been a real example to me. Something needs to be done, all you have to do is call the Bishop, and he’s on it.”

What they do agree on is that this partnership of a non-profit and a faith community was meant to be, and this is only the start of the good they can do. “We had a combined interest. They’ve been caring about people longer than I’ve been around in the field,” says Shay. “It’s just nice that we had matched missions and goals and worked together. There’s a wonderful church family here. They’ve been very supportive of our collaboration, and we’re excited.”

The Bishop believes higher forces brought them together. “We believe that it’s something that God did, because of the fact that I was missing something, and didn’t know what I was missing. When Brandywine told me, ‘Okay, let’s partnership together,’ hey, we didn’t know how it was going to work. But now, we can see, it fits. It fits.”


The Lighthouse services are funded by and are part of the system of public services offered by Delaware Health and Social Services, Division of Substance Abuse and Mental Health. For more information about The Lighthouse Program, please contact Denise Kitson at 302-424-8080.

Walk-Through At North Wilmington, Day 1

Our mock client had her intake this morning, and it actually went really well! My co-worker Nicolle gave an Oscar-worthy performance as "Nicole Jones," a dual diagnosed, divorced mom on Level 2 probation, addicted to alcohol and cocaine. She said afterward her story was a conglomeration of different things she's heard as a BCI assessor at Probation and Parole.

The staff were a little surprised to see us, so they kind of thought it was real at first. Everyone was very welcoming and friendly, and our intake counselor Maria was very thorough and genuinely interested in all that was going on. If that's how they treat a real client, they should pat themselves on the back!

There was not much that jumped out as far as needing process improvement. We thought the initial paperwork took too long, but that was our biggest complaint. "Nicole" signed up for a group next week and scheduled her first individual session, so maybe we will find something on our return trip.

The thing that really struck me as I sat and observed the assessment was how much courage it must take to walk into an office and talk to a stranger about all that is going wrong in your life and all the mistakes you've made. It gives me new respect for anyone who gets up the nerve to come in our door, as well as for the staff who listen to story after story every day. So, good job Maria, and kudos to all the clients who took that first step.

It's Walk-Through Time: A Day In The Life of the Customer

One of the most interesting things I've gotten to do while working at BCI has been a walk-through of our treatment program from the client's perspective. Not only does it give me a point of view I rarely get to see, but it yields all kinds of useful information you just can’t get any other way. It’s been four years since we last did one, but now it is time again.

Tomorrow, at the Alpha North Wilmington Center, one of my co-workers will pose as a client seeking admission, and I will be their family member/observer. The idea is to experience the admissions process in order to more fully understand BCI’s strengths and limitations. Is the process working as intended? How easy is it to get treatment when you want it? Do we do as good a job as we think we do?

When we did this before, the answer has been, sometimes yes, sometimes no. Check out some of our actual findings:

From our methadone program in 2003: “Samantha called the Lancaster office to schedule a methadone intake. The receptionist told her to call back at 12 noon because ‘that’s when I make appointments.’ Samantha called a second time and said ‘I need to get on methadone.’ She was put on hold again, then disconnected.”

From our drug free program in 2004: “Diana attended orientation group at the Alpha Program. The group started fifteen minutes late, and the room was too hot. The facilitator read directly from the client handbook, gave rambling explanations, and did not have control of the group. The clients became frustrated and made disruptive outbursts like, ‘This program will take 10 years – it’s ridiculous!’”

We, the staff, were shocked that things like this were actually happening at BCI, but we went to work to fix it. At the methadone clinic, we shifted the triage process from the receptionist to the nurses, who could pre-screen people over the phone and direct them where to go. The result was that the wait for an appointment was reduced by half. At the Alpha program, we standardized the curriculum for orientation group, reassigned it to a more skilled facilitator, and began a streamlining process that eventually turned a 90 minute group into a ten minute video. This was how we launched the Paths to Recovery process improvement effort that continues today.

These were huge changes, and that is the payoff of going through the walk-through exercise. It is a must for any treatment program that truly wants to better understand its customer’s needs and do a better job at meeting them.

What will we find at North Wilmington? It’s anyone’s guess. Sometimes, the truth hurts, but it is worth it if it leads to real improvement.

The Lighthouse Dedication by Governor Minner

It was a great honor to have Governor Ruth Ann Minner dedicate The Lighthouse Program on February 21. Our work would not be possible without her support. The following are her complete remarks at the Open House.

"Good morning. Thank you for coming out on a cold nasty morning when we see all that snow out there on the ground. I wish I could tell you it was going to be real nice weather, but look out tomorrow! Another day where we’re going to get snow, and they’re saying 3-4 inches, so get ready this afternoon so you won’t have problems tomorrow and having to go out in that snow. I have a feeling it’s going to be probably be our worst storm of the winter. So at least we know when we get it over, spring’s coming, it makes a difference.

“Thank you for inviting me to be here. Renata’s right, I have enjoyed very much interacting with the agency and what they do in the community, because it makes a difference. I can only say to you that every one of us, at one time in our life, has a time that we’re down, whether it’s just because of the death of a loved one, or some huge problem that I wouldn’t even comprehend to know what to tell you what to do. But we have that time we’re down. And I think Renata Henry is one of those people who always has the broadest smile. It sort of makes you feel better just to see her. And so I know that people in the community have that same exposure to her, and it is the same pleasure in knowing how deeply she cares. There is not a more compassionate person in our state than Renata Henry. We are fortunate to have her at the state facility.

“I remember some of the things that we’ve talked about over the years, and her saying to me, ‘We really need to do more, we really need to do more.’ And I’ve had to say exactly what a lot of you say every day, when it comes to, what can you do: ‘Do you have any more money?’ And so when it came to the point where they explained to me how they could just do some different things, and use money in different ways, I said, ‘Go do it. That’s fine with me.’ And so, they have made a lot of changes within the department that mean so much to our community. And that’s what government is all about. It isn’t about our jobs or what we do. It’s about what we do for the community, the impact that it has on those of you here. And boy, what an impact they have in our community, there is no question.

“Brandywine Counseling has made a tremendous difference in the lives of so many people. There is no way that we could simply stand here and say thank you to them, and it would mean enough. Because the lives they touch, touch other lives in the community. It’s not just the mother, it’s the mother and the children. They said it right, it affects a whole family. But it isn’t just a family, it’s a community, it’s your neighbor, it’s the people you work with. What they have done in this state is something we could never say enough thank yous for. They’ve been doing it a long time. Twenty years, that I know of. If you look at the people that they have touched, they have changed their lives. And see how much they have changed after they’ve gone through one of the programs and worked with some of the counselors. There’s no way that the state could have done that without the volunteer hours they give, as well as their daytime jobs. Because they give those hours if it’s 1:00 in the morning or if it’s 4:00 in the morning, and they know that one of their friends is in trouble. And I haven’t ever heard them call the people they work with their ‘clients.’ You’re not ‘patients,’ you’re not ‘those people who have trouble,’ you’re their friends. And they want to make sure you reach your goal, and that’s why they’re there working with you.

“Substance abuse is a powerful disease, and it can ruin lives, there is no question. But Brandywine Counseling saves those lives. It helps those people to achieve, to regain their self respect. Each one of us in our own way is very important to this state, and that self respect means a great deal. Think about it. It’s difficult. I know how difficult it is for some people to break that cycle. But they, working with you, cheering you on, making sure that you have the advantage of working with them, whatever hours of day or night, it makes a difference. The counselors are trained. They do their job well. Many of us can have all the compassion in the world, but we don’t know how to achieve what needs to be done and what needs to be said. And I say ‘done’ and ‘said’ because it isn’t always something clear.

“I had a gentleman one time, who told me that he was having problems, and he said, ‘You know, my neighbor just came and sat with me. Didn’t talk to me, just sat with me. I just knew there was someone who cared because he was there.’ But when I think of this church, that’s what I think of, the people who are always there, and continue working together. I know we will achieve great things. Bishop Foster has done an outstanding job in this community, and Brandywine Counseling will do even more. So we’ll look forward to their continuing at helping people to get themselves back on the right track. You never know what they might achieve.

“I always tell the story of a young man that I met when I was with the Board of Pardons, and he came before us to get a pardon. He had been in jail and just gotten out. And I said to him, ‘Well, now that you’re out, you’ve got your troubles behind you, what do you intend to do?’ And he said, ‘I want to become a lawyer. I was a good student. I want to become a lawyer, and I want to help - legally help - those people who can’t afford it, to pay for a lawyer.’ That young man is working in our public defender’s office today. He helps people who cannot. I feel good about that. The people who work for Brandywine Counseling must feel good about that a hundred times a day, and they help all of you who need it.

“Not everyone could do that. I don’t think I could do what they do, I would be depressed after about the sixth or seventh one I had to work for. But they’ve always got a smile. They’re always out there. They’re always ready. And let me tell any one of you who is in one of their programs, or thinking about going into one of their programs, they’ll be there. Anytime that you need them, just give them a call. It is amazing how much they can do to make you understand what your problem is. They don’t tell you, they help you understand what your problem is, and achieve your goal of changing your life. I know that every one of them goes home from work every day feeling good about themselves, and well they should. Our state, our country, in fact, our world is a better place because they’re there, because they reach out and help. Lives are changed. People are different, and they move forward with their lives as well.

“Congratulations on the opening of the new facility. Congratulations on the achievement that you have. And I’m sure that, this close to Reverend Foster, you’re going to have all the support you need, and a heck of a lot of prayer going on to make sure that you succeed. It makes a difference. Thank you to all of you, and congratulations.”

Telephone Continuing Care: A Recovery Management Program

Over the past year, the BCI Alpha Program has been using motivational incentives as part of the Advancing Recovery project. We’re about to start our second evidence-based practice, telephone continuing care. The incentives project is not going away; in fact, we’re rolling out a new and improved procedure next month.

Telephone continuing care is intended to prevent relapse and support recovery for clients who have done well in treatment. Our clients who would be successfully discharged will now have the option to remain in extended care. If they enroll, they will call their counselor on the phone at least twice a month for 12 weeks. The counselor will ask them a series of questions to assess their risk for relapse, identify and reinforce protective factors, and assess and refer for case management needs.

The questions include: Have you used any alcohol or drugs? Have you had cravings? Have you spent time around your “people, places, and things?” How many AA/NA meetings have you gone to?

In addition, every client enrolled in extended care will have access to a recovery coach from the 1212 Club who can drive them to appointments, help them with housing, or give them any advice they need. We’re thrilled to be working with 1212 on this, and we know their strong connections to the recovering community will supplement the treatment the clients get at BCI.

As with the motivational incentives, the Delaware Division of Substance Abuse and Mental Health is working in partnership with BCI and other Delaware treatment providers to make the changes necessary so we can provide this new level of care. We’ve also had as our consultant Dr. Jim McKay of the University of Pennsylvania, who has done much research on telephone care and its benefits.

How will we know if this is successful? One measure we will look at is our readmission rate. Presently, about 32% of our admissions each month were here previously. If we can reduce recidivism, we should see this number go down. We will also see if average length of stay in the program increases from its current value of 102 days. Our long term goals are to better serve the clients while reducing repeat use of higher levels of care.

Thanks to You, We’re On Our Way to Our Playground Goal

Last month, BCI invited all of you who support our work to help us build a playground for the children at The Lighthouse Program. Many of you answered our call with generous donations! So far, you’ve helped us raise a total of $1,782.37, nearly 18% of our goal!

We still have a ways to go to make our goal of $10,000, so let’s keep the contributions coming in! We accept donations using a printable mail-in form, or online through JustGive or American Express. Also, we can use your help in spreading the word, so please email this post to anyone who you think can help.

The Lighthouse Program has been open for just over a month now. Four women and five children are presently admitted and receiving services. Two of the babies are under six weeks old. Last week I had a chance to visit the program and meet all the staff. They are all set up in their offices at DCUSA, ready to move into our building (pictured) in a few weeks once renovations are complete. They are a great group of people who are excited to be starting up these important services.

Very soon, we’ll be announcing an open house during the month of February, so stay tuned for the details and make plans to join us!

5 Questions for Chris Zebley, Nurse Practitioner

5 Questions is our ongoing feature where we introduce you to the people who make Brandywine Counseling run, spotlighting a different staff member every two weeks.

Name: Chris Zebley
Job: Nurse Practitioner
Time with BCI: 4 years

1. What is your job at BCI?
I’m a board certified adult nurse practitioner and HIV specialist. I actually work for Christiana Care Health System. My department is the Community HIV Program. I collaborate with Dr. Szabo, who’s an infectious disease physician, and we run an HIV clinic here at the Lancaster site every Tuesday morning. The whole idea was to allow a one stop shop to get your mental health, your substance abuse treatment, and if you’re HIV positive, to get your HIV medical care under one roof. We call it “nested services.”

2. What services do you provide to BCI clients?
A nurse practitioner can treat acute and chronic illnesses throughout the lifespan, along with having prescribing privileges. I can practice independently, whereas a physician assistant must have supervision.

The services I provide include case management and treating acute illnesses. The clients who come in to see me generally present with maybe a tooth abscess, bronchitis, a skin infection, sprains or strains. The client may be unable to see their primary care physician, or worse yet, because of their addiction, might not see it to be a priority to take care of their health. I make referrals to dentists, PCP’s, foot and eye appointments. On occasion I’ll refer them to the ER, and I can call people that I know in the emergency room. There’s many, many things that I’ve done for people as part of referrals and such.

In my HIV clinic I have around 35 clients. I get referrals from my department, from NSAFE upstairs, Outreach, or by word of mouth. The medical management of these clients is very intense, because the majority have “advanced disease,” so it’s my duty to assist them in maintaining optimal health. We treat patients with very, very heavy co-morbid conditions - Hepatitis C, heart failure, vascular problems. I may do pill planners to aid in the adherence of their medicines, treat any acute illnesses that may arise, and also provide health maintenance by making sure they have their necessary screenings, such as a colonoscopy, Pap smear, or mammogram.

On Fridays I usually do annual physicals for Dr. Glick, as well as intake physicals for methadone, Suboxone or Revia. I do part time work with the Medical Maintenance Level 2 program at Newark where the people come in once a month for their methadone.

I’ll be working hand in hand with Outreach on Safety Net Services. I’ll be providing case management, HIV medical care, and psychotropic medication management.

3. What drew you into a career in the addiction treatment field?
This is something that I grew into. In the hospital we’d always have people that were disadvantaged, and stigmatized in society - IV drug users, the homeless, HIV infected individuals. These were real people with real illnesses who never asked for anything, and were very appreciative of the care they received. And I always thought, I’d like to work with these individuals, because they had a lot of needs, simple needs, that could be fulfilled.

This was a job posting with Christiana Care. I was working in employee health as a nurse practitioner at the time. I happened to see this posting, and it was for the Riverfront. An HIV clinic, but you would be working in a methadone clinic. I didn’t even know what a methadone clinic was, really. I didn’t realize how many people actually go to these places.

There were many people telling me, “You’re not gonna like it. You’re gonna regret taking that job.” You can’t go on hearsay. If I’d really listened to people, I might not be here today. I would not even have taken the position. I had to experience that for myself. And from day one, it was fine, it was nothing like what people told me it was going to be. I enjoyed it from day one. Because we’re able to meet the people’s needs, that’s a big thing.

4. If you had $30,000 to donate to BCI, what would you do with it?
Certainly the Outreach. They’re the ones that get people in here. They do so much good, whether it’s the food closet, or the clothes closet, and to help for that needle exchange to grow. As we see the research and the data come down, I’m sure the federal government and the state will allow us to expand. But that’s been a plus here for Brandywine Counseling. I’ve done intakes and I asked them, “Well, how did you know to come here?” And they said, “Well, it was the needle exchange.” That’s an indicator that it’s working.

I’d also open more transitional housing, because recently the CDC announced that homelessness is now the single largest contributor to HIV infectivity.

5. What is it like to work with these clients?
You’ve really got to like people in their worst condition, and in their good condition. And that’s what nursing is about, the human response to illness.

These people are survivors. They’re very, very smart. They could be executives if they could put their mind to more positive things. Some of these people could have been very, very wealthy and rich, the way they’ve been able to hustle, to get money for drugs. People have written about, if we could only find out how these people, the disenfranchised, tick, and how they’ve been able to survive these harsh illnesses, without a lot of medicine, then we could treat a lot of other illnesses cost effectively without using medications.

My first patient that I ever saw [now] comes here for take-homes twice a week, so they’ve been drug free for almost two years. I have them come in for support, and they’re part of my HIV clinic too. To me that’s a success story, because they know that they can come in at any time, whether they can see their counselor or not. To really see this person get out of the deepest, darkest abyss, where they were constantly using, and she’s not now, so she’ll continue in her recovery. That was pretty cool, to actually see that.

BCI Welcomes New Board Members

The Brandywine Counseling Board of Directors announces the election of two new members on January 15, 2008.

Krista Dowling of Wilmington works for Nemours Health and Prevention Services as Special Assistant to the Senior Vice President/Intermediate Program and Policy Analyst. She received her Ph.D. in Drug Dependence Epidemiology from Johns Hopkins University in 2007, and her Bachelor’s in Foundations of Behavior from George Washington University in 2001. Krista looks forward to applying her extensive experience in substance abuse and infectious disease to support such a wonderful and important organization.

Sanjay Kotha of Middletown is a Product Development Engineer with Rohm and Haas. He received a Master’s degree in Polymer Science from Clemson University in 2001, and a Bachelor’s degree in Petrochemical Engineering from Pune University in 1999. Sanjay is excited to be a part of our board and looks forward to using his background in engineering and business development to help make a difference in our society.

The BCI Board supports our treatment services through fundraising activities and promotion of our mission to the community. We know that both of these new members will add much to the organization. Please join us in giving them a warm welcome to BCI!

Potholes in the Road to Treatment (Literally)

Happy New Year, BCI Blog readers! As we move into our second year, we’ll continue to bring you an inside look at how we provide treatment to people who need it, and show you how you can be a part of the work we do.

A couple of weeks ago, the News Journal drew attention to something that’s been a longtime problem for our Newark Center:

Fix It: Brookhill Drive at South Chapel Street

“PROBLEM: Brookhill Drive near Newark. Potholes about 50 feet from South Chapel Street are so bad that drivers are traveling onto the private parking area of a building to avoid the rough road. Potholes cover the entire width of the road and stretch for at least 40 feet. Morning traffic between 7-9 a.m. is treacherous.

“WHO'S RESPONSIBLE: The News Journal thought this road would fall under the jurisdiction of the Department of Transportation, but representatives from the Canal District maintenance staff said it is a private road leading into an industrial park. That means it is not the responsibility of the state to maintain it, they said. The map shows the land is in the South Chapel Industrial Park.”

What the story doesn’t mention is that this road is the only way to access the BCI Newark Center at 24 Brookhill Drive. The people affected include over 200 BCI patients who must travel this route every day to get their medication. I personally travel this road about once a month, and I can tell you, it’s some of the worst driving conditions I’ve ever experienced. I can’t imagine having to do it every day. I’ve heard from other staff here who have had damage to their vehicles.

BCI has tried for years to get the responsible party to repair this road, to no avail. Our patients do not deserve to deal with these hazardous conditions day in and day out. So, perhaps by mentioning the issue here, we will get the attention of someone who can do something about it.

Annual Door Decorating Contest

One of our holiday traditions at BCI is our staff decorating their office doors. At the Lancaster Center, this always gets the staff and clients into the spirit of the season. I was asked to be a judge this year to pick the winner of the contest. Most of the entries came from the Bridge-Perinatal unit. There was lots of creativity this year, but in the end we went with the most original and the most fun.

The winner: Valerie Brown

Besides incorporating lights, Val’s Santas sing “Jingle Bells” in a motorized, yet cheerful voice to the patient waiting room. Scary? Perhaps. But it brought a smile to our faces, and isn’t that what Christmas is all about?

Honorable Mention: Dawn Mason and Robin Stewart
Dawn and Robin also get points for including lights in their display. We could tell they put a lot of time into the attractive flowers as well.

The rest:

Teresa Evans
Only a month on the job, and she shows she can decorate like a veteran!

Kathy Kelley
She wins the cultural competency award for incorporating several major religions.

Darniese Banks
Darniese conveys the theme of love, peace, and joy with a two-sided display.

Jenn Kutney
Check out the great ribbon. Duct tape – is there anything it can’t do?

Thanks to all who participated this year. From the BCI family to yours, have a wonderful holiday!

5 Questions for Steve Burns, Housing Coordinator

5 Questions is our ongoing feature where we introduce you to the people who make Brandywine Counseling run, spotlighting a different staff member every two weeks.

Name: Steve Burns
Job: Housing Coordinator, Project Return Transition House
Time with BCI: 13 years

1. Tell us about your job at BCI and the clients you work with.
I’m the House Coordinator for the transitional residential program, where we have six individual Brandywine clients for housing. We help them get jobs, we help them save money, we help them get different skills, we help them go to school. Whatever they want to do, we try to help them better themselves, so when they leave, they’ll be in better shape than they were before they came.

We try to get clients that are already clean and already have some kind of positive outlook or some kind of direction. But sometimes, when a person’s in a homeless situation, none of that’s possible. So first, we try to stabilize the client with their methadone dose. Whatever street drugs they’re using, we get them to stop doing that. Then, in the first 30 days, we try to find out which direction they want to go in. Do they want to go to school, do they want to get a job? But this is not a shelter, it’s not emergency housing, this is a transition house, and we’re trying to help you do something more positive in your life.

2. What advice do you have for someone who would like to do the job you do?
You have to have patience, and you have to have knowledge of what it’s like to be homeless. You don’t have to be homeless, but at least have some knowledge, some background, some schooling, some conversation. Just being able to understand and identify with a homeless person. Because a lot of times, people are homeless for a reason, they’re not just homeless because they don’t have a job and money. 75% of people who are homeless have either alcohol or drug addiction problems. 80% of them have mental health issues. A lot of them come from broken homes, no parent in the home, abuse of some kind. It’s just a lot of things that factor into a person being homeless. So on any given day, you may find out something about one of your residents that you never knew, but now you see why they act the way they act.

3. Tell us about your favorite client success story.
We had a female client at the transition house who was there when I came. We didn’t get along. Being in recovery and doing this as long as I’ve been doing it, I can kind of see different behaviors. And so I always addressed her on her behaviors, because I thought that that would be one of her downfalls, as far as her staying clean or relapsing, and she could never understand.
But in the end, she graduated from the program. She has a job, she has an apartment, she has a bank account, and she’s still doing good. And we’re great now, because through it all, now when she sees me, she says, “Thank you for staying on me. You know, I couldn’t see it then, but I had never saved money, never had my own place, I’ve never had my own job. Now I have all those things. I have recovery, I have a sponsor.”

4. Your involvement with the recovering community goes beyond your job at Brandywine. You’re also the President of the 1212 Club. What does it mean to you to be involved in that work?
Being the President of the 1212 Corporation is very rewarding, because it’s a place where people can come. It’s a safe haven. You can just come, relax, look at TV, play cards, have meetings, get yourself something to eat. I have some other people that are in recovery that are on the board with me. We work together because we want the 1212 to be a place where it’s safe to come. We want people from Brandywine to come. We’re doing something right now [with Advancing Recovery and clients from the Alpha Program], where we’re going to do some recovery coaching stuff, to see how it works.

The majority of our people don’t have skills, they don’t have education, so they need housing, they need education, they need jobs. We have a job training program. It’s not just 12 Step meetings -- that’s the most important part -- but a lot of times people say, “What’s the purpose of me staying clean if I don’t have a job, if I don’t have affordable decent housing. If I have to go back to the projects where I came from, I’m doomed.” So at the 1212, we try to help people to get to that next level in their recovery.

5. If you had $30,000 to donate to BCI, what would you do with it?
I probably would put it into transitional housing and the great work that we do with HIV and AIDS. I think those are two important parts right now.

The transition house used to just be open to Hope clients, Assertive Treatment Team clients. Now, since it’s open to anybody who qualifies, it has broadened the scale, and I would like to see us get more houses, get more space. Because I’m filled now, but every day there’s another counselor asking me, “Steve, do you have a bed? Steve do you have a bed?” People leave me messages, “Steve, do you have a bed?” So I think would be another great feat for Brandywine if we could expand that program.

Project Hope: 5 Years of Serving the Triply Diagnosed

Brandywine Counseling, Inc. (BCI) recently wrapped up Project Hope, a 5 year CSAT-funded project that provided integrated substance abuse treatment, mental health treatment, and medical care to substance abusers with or at risk for HIV/AIDS in Wilmington, Delaware. Project Hope was successful on many levels.

Project Hope continued BCI’s partnership with Christiana Care Health Services to provide integrated nested services. Also known as a “one stop shop,” this approach proved very effective for a chronically ill population with multiple needs. Nesting services in a single clinical home within our on-site infectious disease clinic increased communication among clinicians, increased the comfort and safety of patients, and strengthened confidentiality. We first used this model in 1999 as part of the Aegis program for minority women. In 2002, Project Hope expanded the approach to serve both men and women.

Most Project Hope clients were between 35 and 45 years old with no employment history, little education, and multiple treatment failures. Half of the client population was triply diagnosed with substance abuse, mental health and HIV diagnoses. With this in mind, Project Hope’s achievements are impressive.

• We treated 151 clients, our target capacity.
• 75% of clients remained in treatment for six months or longer. The average length of treatment, regardless of discharge status, was 10 months.
• While in the project, 36% achieved and maintained sobriety.
• Clients complied with mental health and HIV medications. Many (44%) improved their income and many (40%) reduced their risk of HIV by participating in the program.

These achievements may seem modest for many substance abuse programs, but they are remarkable for a program treating the triply diagnosed. In sum, Project Hope demonstrated the effectiveness of integrated nested services for the dually and triply diagnosed.

Though Project Hope has now ended, all clients continue to receive appropriate treatment from other BCI programs. In 2007, BCI received a new CSAT grant to provide treatment and pre-treatment services. Safety Net Services will continue the engagement, linkage activities, and case management found effective with Project Hope.

On a personal note, Project Hope was one of the first federal grant proposals I wrote for BCI. I remember working with Shay Lipshitz to put it together, and trying to translate her vision for the program into a coherent written plan. We knew that if we were successful, we could make a difference for people who really needed these services. As a grant writer, it’s especially gratifying to see a project through from conception to reality. So to the staff who provided these services, I say thanks for a job well done.

5 Questions for Karen Barker, Account Manager

5 Questions is our ongoing feature where we introduce you to the people who make Brandywine Counseling run, spotlighting a different staff member every two weeks.

Name: Karen Barker
Job: Account Manager, Lancaster Center
Time with BCI: 13 years

1. What is your job at BCI and what do you enjoy about it?
The job that I do is like information central. I take the money from the clients, but also, I try to keep everybody informed of what’s going on, including clients, staff, anybody that needs anything. [When a client comes to the window,] first they have to pay. Then they may need to see their counselor, so I page the counselors. They may have a doctor’s appointment, or they have lab work, or they need to go up front for some other reason. I try to just be in a million different directions, while standing in one spot.

As nasty and argumentative as it is, it’s still one of the most enjoyable things in my life.

2. What advice do you have for someone who would like to do the job you do?
Be patient, and understand that every person that steps up to your window is not the same person who was there thirty seconds before, and everybody deserves to be treated on their own basis, not in the space of someone else.

3. You give out a “thought of the day” to the clients on slips of paper. How did you get that idea and where do the thoughts come from?
I’ve done that for the past 15 years. I got the idea because one of my very favorite clients, when he first came on, said, “Miss Karen, I need to be told what to do every day.” And I just laughed at him, and so that actually became the first daily reading the next day. The very first reading said, “Sometimes I need direction, though I don’t like being told what to do.”

From that point on, I tried to do one every day, and they get very upset if there’s not one every day! “Yo, Miss Karen! Where’s my reading?” And the readings come from either my mind -- I think of something in the middle of the day, write it on a slip of paper, tape it on the wall – or someone says something to me that I know they need to hear again, come back at them, and I’ll just make that one of the readings.

4. What has been the most rewarding moment for you at BCI?
One specific client, and him finding the sobriety that he looked for, is always something that I carry around. When it gets tough and you think no one can do it, I just think back to that first person whose urine was clean.

He came directly from the hospital, and he was in the kind of state that, both mentally and physically, he was a beaten man. But he knew that it was up to him to pull himself up on his feet -- we’d stand behind him if he fell backwards -- but he had to pull himself up. And when I saw the kind of strength from how far down he was, I knew that, just being there for when they get straight, but also when they fall -- because he fell many times -- but every time he came up, he was ready to do it again, wholeheartedly. And it’s very emotional to watch, you get very attached.

5. If you had $30,000 to donate to BCI, what would you do with it?
I would start out with $10,000 straight off to the Bridge Perinatal division. I would take another $20,000 to start an outreach that is equal to the methadone piece, because I find that when people first come on the clinic, that’s the hardest time. They’ve already hit bottom. They are so done that their own mother is done with them. They have no one to borrow 4 dollars from, they have nowhere to find 4 dollars. But the clients willingly help the clients. And so I would start that to be available for clients during their first 30 days of treatment, and make it easier for them to stay in treatment.

Lighting The Path Home: Help Us Build a Children’s Playground

Dear Friends,

Season’s Greetings from Brandywine Counseling!

On behalf of the Board of Directors, the staff and those we serve, I would like to take this opportunity to wish you all the best this Holiday Season and say thank you for your support!

In the spirit of giving that permeates the holiday season, won’t you consider a gift of a donation to Brandywine Counseling?

This year, we have a very special project you can help with. Soon we will celebrate the opening of a first-of-its-kind program for Delaware, The Lighthouse residential program for women with children. We hope to be able to build a first class playground for the children, but the price tag is over $10,000. We need your help.

For the first time, parenting women in need of long term residential treatment will have a place to go, and their children can come with them. The Lighthouse Program will help families entrenched in a drug using lifestyle learn a healthy way of life. The mothers will get help for their addiction, trauma, and mental illness, while taking classes in life skills, computers, and parenting. The children will have a safe space where they can learn, grow and heal, including on-site licensed day care, therapeutic interventions, education, and recreation. For these families, Brandywine will truly be lighting the path home.

As 2007 winds to a close, The Lighthouse Program is under construction in Ellendale. Families will soon move in and begin their new life. Imagine a child seeing their new home, with a bright, colorful playground. Your gift will make their eyes light up!

Your gift will help the mothers and children in so many ways. And, you could solve the dilemma of those “hard to buy for” people in your life with a monetary gift in their honor. The moral and financial support of friends like you has made a difference in our patients’ lives. Today, your year-end gift can help ensure these important services continue. You may use a printable form or donate online on our web site. All donations are tax-deductible.

On behalf of the Board of Directors, the staff and especially those we serve, I wish you all the joys of the holiday season, and thank you in advance for your generosity.


Sincerely,

David A. Oppold, President
Board of Directors

5 Questions for Dana Foster, Counselor

5 Questions is our ongoing feature where we introduce you to the people who make Brandywine Counseling run, spotlighting a different staff member every two weeks.

Name: Dana Foster
Job: Counselor, Newark Center
Time with BCI: 5 years

1. What is your job at BCI and what do you enjoy about it?
I basically educate clients on the disease concept of addiction, and then I help them identify their goals, what they want to work on. I help them identify their triggers for relapse, help them develop a relapse prevention plan, and address any issues that might be hindering them from progressing in their recovery.

Every day you learn something new about a person. You learn another person’s perspective about life and their experiences. I enjoy just seeing anyone who really feels happy with themselves - that, to me, just puts a smile on my face and makes me feel like I was a part of something.

2. What led you to a career in addiction treatment and to your present job?
I always knew that I wanted to be counselor. I come from a family of addiction, and I’ve seen how recovery changes a person. I’ve seen people in addiction, and then I’ve seen them progress in their recovery. I know that it changes them completely, and I wanted to be a part of that transformation.

I started at BCI as an intern through DelTech on the Bridge-Perinatal unit. Then I was hired on as the VIP counselor - they’re known as the Medical Maintenance 1 clients now - but I had all the clients with four and five bottles [of take-home medication, which they earned after 1-2 years clean.] That’s where I started, at Riverfront. Then when Riverfront closed, I went to Lancaster Avenue, and then I came here to Newark. Now I’m a Core counselor, plus I still have some of my old Methadone Maintenance 1 clients.

3. What would people be surprised to know about your work?
That the clients aren’t just methadone addicts. They didn’t switch their addiction from heroin to methadone. That’s the stereotype that I hear a lot, and that the clients experience on a regular basis. They’re constantly being judged about, “Oh, you’re not clean, you’re on methadone.” But that’s really not true. For the clients that are clean, they’ve really worked on some things. There’s plenty of clients that are on methadone but switch [from heroin] to alcohol, or switch to cocaine. So the ones that are actually abstinent of all drugs or alcohol really have worked hard to get where they are. And it does take work, it’s not just about switching the physical addiction.

4. Tell us about your favorite client success story.
There was a client that had been here for probably 15 years. She had the type of reputation that no one wanted to deal with her, she was a very difficult client. When she was transferred to me, she had already been clean for about a year and had come a long way. She was on a low dose of of methadone, but was very dependent on the support she received from BCI. It was no longer a physical withdrawal, but she was scared to death to detox.

I worked with her for about three years on a lot of personal issues, and she finally detoxed off of methadone, and she’s doing beautifully. She still calls once in awhile and says how well she’s doing. She has a mortgage on a house, she got married, she found an inner peace and developed positive coping skills. She’s just doing really well. It’s just a total turnaround from what she was.

5. What advice do you have for someone who would like to do the job you do?
Education is important, knowledge about addiction is important, but really, the most important thing is the ability to have empathy for others. Clients don’t care where you went to school. They don’t care how far you got, they really don’t. What they care about is that you’re understanding, you’re not judging them, and that you’re able to connect with them.

Thanksgiving at BCI

Thanksgiving is always a special time at Brandywine Counseling.

On Tuesday we gave out around 150 Thanksgiving baskets to clients in need. Baskets were supplied by the Basket Brigade of Delaware, a volunteer organization that delivers food to families most in need, in time for Thanksgiving. The baskets contain turkey and other holiday staples such as stuffing, green beans, and cranberry sauce.



Today was the Lancaster Center’s annual Thanksgiving meal for our clients. James Harrison has said to me for years that if the weather would cooperate, he wanted to have an outdoor café. Well, we finally got our wish! It was sunny and 60^o so picnic tables were set up outside the Outreach Center as well as inside.

BCI staff prepared and served dishes including turkey, stuffing, cranberry sauce, rolls, greens, ham, potatoes, macaroni and cheese, yams, corn, pies, and cakes. An estimated 60 clients enjoyed the feast.








Finally, BCI will be closed this Friday as we staff enjoy a vacation day we earned for over 90% participation in our United Way campaign. 130 of us contributed a total of $9,708 this year – great job as always.

Everyone have a safe and happy holiday!

Needle Exchange Van Ribbon Cutting Ceremony

Today Delaware dedicated a new needle exchange van fully equipped to serve injection drug users at risk in the City of Wilmington.

Since February, Brandywine Counseling, the contracted vendor for the Division of Public Health, has been using two small vans, including an ambulance donated from Wilmington’s Public Safety Department. Now, with the new 2007 Ford E450 van with a "Utilimaster" body, we'll be able to carry more supplies, and offer people more privacy and more services.

A client who wants to exchange needles will come to the door of the van. Inside the door is a container where they can drop their used needles. Staff will sit inside the door to dispense syringes and first aid kits. If the client wants to get tested or wants counseling, they will step into the back of the van, where there is seating and a table. Supply cabinets give us ample space to store first aid kits, personal sharps containers for clients, safe sex kits, and HIV testing materials. There are also restroom facilities. We expect that with this better privacy and safety, we will now see even more participants, and greater willingness to access more services like HIV testing.

At today’s dedication ceremony at Delaware Health and Social Services’ Herman Holloway Campus, several key figures spoke about the program. Director of Public Health Dr. Jaime Rivera called the program “incredibly successful. It’s the result of ten years of planning and pushing to make this happen, and we finally got it done.” Senator Margaret Rose Henry, who was primarily responsible for getting the bill passed, thanked everyone who helped convince the community it needed to happen. “Our goal is to have the best five years ever so that we can show the rest of the state this is a good thing, we need to do it statewide,” she said.

BCI Director of HIV Prevention Basha Closic recognized her Needle Exchange team: Rochelle Booker, Sharon Brown, Claudette Bell, Dianna Dorsey, Morris Gardner, and Lolisa Gibson. “Day in and day out they sit with people and they counsel them about the importance of taking a HIV test and knowing their status, and if they are positive, not infecting another person and taking responsibility. Those conversations are really hard to have, especially with strangers. These people have really, really amazing personalities and spirits. This who you hired to carry out the job.”

Delaware HIV Consortium Executive Director Peter Houle reminded us of how AIDS has left an indelible mark on Delaware and on the world over the past 25 years. He described how Delaware has become a model for other states in HIV service delivery, and now this pilot program has enhanced our already nationally acclaimed continuum of care.

The van was dedicated to the late Dr. Robert Jackson of the Division of Public Health, who was recognized at the ceremony for his strong support of needle exchange and advocacy for HIV prevention. The ribbon was cut by Senator Henry. Participants then had the chance to tour the van.

The van makes weekly stops to four sites in Wilmington, with more soon to be added. Since startup, we've enrolled over 140 clients, and they have exchanged over 1,800 needles. We've referred 31 clients to alcohol, mental health, or drug treatment centers for further treatment. Our goal is to enroll 200 clients by February 2008.

To view more pictures of the van and the dedication ceremony, click here.

BCI is truly grateful to have this van. We will continue to provide high quality, safe services for this five year pilot program and beyond. What a long way we've come in ten years!

5 Questions for Kay Malone, Medical Reviewer

5 Questions is our ongoing feature where we introduce you to the people who make Brandywine Counseling run, spotlighting a different staff member every two weeks.

Name: Kay Malone
Job: A former Nurse, Supervisor, and Director of the Medical Department. Now a retired consultant who conducts internal audits of client charts.
Time with BCI: 32 years

1. You’ve been with Brandywine Counseling for over 30 years. How have the agency and our clients changed in that time?
When I came, we had 12 employees and 55-70 clients. Right now we have somewhere in the neighborhood of 145 employees and 2000 clients. The clients are much younger [today] than they were when we first started. They’re a great deal sicker than they were then.

When I first came I was part time. I was just a Staff Nurse. At that time we were in the annex across the street from [Wilmington] Hospital. We had a wonderful time. We went through nurses really quickly. When we hired them, they didn’t last very long.

In 1984 we became a private nonprofit and moved to 12th Street. At that time, I was the Nursing Supervisor. We really had a strange arrangement there. Very small areas, we opened out into an alley, it was very strange. Then, we left there and went to 4th Street - much bigger place. We had more nurses and we had a larger area. Each time we have moved it’s always been to a nicer place, a better place.

It’s been quite a ride! We’ve had a lot of fun with it, and a lot of growth. Lots of different programs started, the Outreach and Perinatal. It’s really been something else. I’m very proud that I was involved in it, and I thoroughly enjoyed it.

2. What has been the most rewarding moment for you since you’ve been at BCI?
One time, my husband and I want to a wedding of a [former] client who [later] worked here, and in his receiving line was a man who was a client at one time. And as were going through the receiving line, he stopped me, and he grabbed my husband Bob, and said to him, “This lady saved my life! She threw me out of Brandywine! I hated her!” It was so funny! Bob didn’t know what to do or say. And he said, “And thank God for her, because if she hadn’t done that, I’d have been dead by now for using drugs.”

That’s very rewarding. That makes me feel really good about the fact that I was able, with the help of God and all of the staff here, to have some measure of influence on people. I know there were so many people that often thought I was so mean, but a lot of them have come back and said, well, you did the right thing at the right time. I loved them. I did not want them to kill themselves, so if that means tough love, then that’s what you use.

3. What advice do you have for someone who would like to work in this field?
You have to have a feel for people, and you have to be extremely nonjudgmental, but you also have to have a sense of that tough love. I think sometimes, when people first come [to work] here, it might scare them. This isn’t easy, but if you have in your heart what you really want for the clients, [you can do a lot of good]. There has been a lot of recovery over the 30-some years I’ve been here. It’s not routine nursing, and if a nurse comes here t