Linda DeShields, A Pioneer of Addiction Treatment in Delaware, Dies at 63

Linda DeShields, a steadfast advocate for Delaware's most disadvantaged citizens who helped build programs for treatment, prevention, and rehabilitation, died on Tuesday in Wilmington, Delaware. She was 63.

Linda was one of the pioneering black females in Delaware’s treatment services. She opened the doors for people of color to enter this field, and is thought of as “the Harriet Tubman of treatment” for the state’s African American women and men. This legacy continues today, as many of the outreach workers she hired have ascended to supervisory positions. Her daughter, Rochelle Booker, is the supervisor of Delaware’s first needle exchange program.

In the late 1980’s, Linda started her career at Brandywine Counseling, Inc. (BCI) as Delaware's first HIV/AIDS outreach worker. Later, as Director of Outreach Services, she hired a team of indigenous outreach workers who were in recovery themselves, and often recently released ex-offenders. She had a strong work ethic, often working 10-12 hours a day when it was necessary to get the job done. She passed on these values to her team, many of whom had never held a job. Throughout her career, she became the voice for her clients in the community and diligently worked on behalf of them to ensure better access to the services they needed.

Linda recognized that addicted persons face interrelated challenges such as housing, crime, and domestic violence. In addition to her full-time job, she worked with numerous community organizations that dealt with these social ills. She was a liaison with the Wilmington Housing Authority for drug and alcohol services, a position that was the impetus for the creation of the NSAFE HIV case management program at BCI. She also worked with Mayor Sills’ administration as a community liaison focusing on substance abuse and related problems. Linda also appeared on the cable TV show “Women 2 Women” on channel 28 to interview women on women’s issues. She highlighted successful business owners, struggling domestic violence victims, as well as those addicted to drugs, and offenders.

One of the populations Linda was most passionate about was inmates, particularly women. For nearly 20 years, she volunteered at the Women’s Correctional Institution. She would go to WCI on a daily basis, meet with inmates about to be released, and prepare them for what to expect and to meet important goals like rejoining the workforce. She was also a very dear friend to the staff and often called to just check in on them. The staff remembers her as “an inspiration [who] always had a listening ear, and never turned away.” The way she touched the lives of the offenders and so many officers was like “being touched by an angel.”

Linda also volunteered at the Plummer Center, coming to the dining hall to have lunch with ladies who did not get family visits or any money. Her heart was in this work and she genuinely cared for the inmates. She continued her visits even after suffering a stroke that left her in a wheelchair.

Linda was also a member of the Police Advisory Board, and went to many parole board hearings to advocate for ex-offenders. She did substance abuse evaluations on offenders who had been referred to the Public Defenders office, and made recommendations for treatment as well as for pre-sentencing investigation.

Another passion of Linda’s was children in at-risk situations. She did weekly prevention and education interventions with arrested youth at Bridge House and Ferris School. She also worked with organizations seeking mentors, such as Eighth Street Baptist Church’s "Magic and Minds Together," which developed therapeutic drama skits for kids. The program was the result of a faith-based partnership with Brandywine Counseling, a connection Linda initiated before such partnerships were mainstream.

Rev. Ty Johnson recalls that Linda “was way before her time. She made the connection between the power of spirituality and power of recovery and knew it was vital to success and healing.” She knew that once she connected Eighth Street Baptist, whose board members were ex-offenders in recovery, to the recovery community that had resources, that things could change.

Linda DeShields was an inspirational and influential figure at BCI. She laid the groundwork for many of the services we provide today, and positively affected the lives of countless Delawareans. She will be greatly missed.

Funeral services will be held Monday July 14 at 12 Noon at Ebenezer Baptist Church, 2300 N. Claymont Street, Wilmington, 19802, with viewing from 10 am - 12 pm only.

Friends & Families Picnic to Reunite Formerly Homeless Men with Their Families

You are invited to the Gateway House/Brandywine Counseling

Don Hofmann Memorial

FRIENDS AND FAMILY PICNIC

Saturday, July 19, from Noon until 5 pm

At Wilmington's Brandywine Park

(Next to the Wilmington Zoo)

BRING YOUR CHAIRS AND BLANKETS!!

If you would like to bring your favorite party dish

to share with the group that would be great!! (This is strictly optional)

The Friends and Family Picnic is a free, public event open to the community. The picnic gives Gateway House residents an opportunity to bring their families into their life in a non-threatening situation. Many residents need to mend relations with their families because of mistakes they made during their drug and alcohol addiction. The picnic is a welcome opportunity for friends and families to join in a resident’s new life.

Gateway House provides long-term, permanent housing for homeless men who are willing/ready to address the issues that caused or contributed to their being homeless. An estimated 29% of Delaware’s homeless report chronic substance abuse. With housing and treatment programs, many are able to overcome their addiction and become productive members of the workforce and society. Brandywine Counseling is proud to partner with Gateway House to put on this event.

Looking forward to seeing all our Friends and extended Family!!

Support Delaware's 10 Year Plan to End Chronic Homelessness

John Baker of AIDS Delaware has written an editorial to draw attention to the need for more housing for people with HIV/AIDS in our state. "A Wealthy State Fails to House Its Sick" describes how we could fill the need for hundreds of beds if the state would fund a plan that has been brought before the legislature. The cost of this plan would be offset by reducing the burden on our emergency rooms and hospitals. Studies show that the stability that comes with housing enables patients to improve their health.

Your help is needed for this plan to become law.

The state of Delaware has a responsibility to invest the money needed to house people with AIDS and others who are chronically ill. Right now, we are all paying far too much.

Please contact your legislators and ask them to support and fund the "10-Year Plan to End Chronic Homelessness."

Alpha Program Shortens Wait Time, Reduces No-Shows

The BCI Alpha Drug Free Program is seeing our clients engage in treatment more quickly after admission. At the same time, we see the fewest no-shows we've ever had for appointments. These are our latest successes in Paths to Recovery, patient-focused process improvement without additional costs or staff.

In the month of April, our clients progressed from admission to their first unit of service (individual or group) in an average of 9 days, which is the fastest in two years. Our average had been 12 days.

These results came after we introduced a new service called the Meet & Greet. This is the first time the client returns after admission. On average, it's 4 days afterward. They meet their assigned counselor, review the program rules, view a ten-minute orientation video, and schedule their first individual appointment. It’s a much more streamlined version of how we used to do orientation. Previously, clients would not meet their counselor until the first individual, nearly a week later. Knowing how important it is to establish the therapeutic alliance, we made it a priority to push this meeting up as early as possible.

Also in the month of April, our no-show rate dropped to 19%, which is our lowest in two years. This is for individual appointments for all active clients. Our average had been 26%. Client retention is also better, with more people staying in the program past the 45 day benchmark.

This came about because of our new, retooled motivational incentives. Since February 2008, each client draws from the fishbowl once at every individual and every group. They can win credits of $1, $5, $10, or $50 which they can bank and redeem for prizes including gift cards, bus passes, and 12 Step items.

This is a real turnaround after we had used motivational incentives for a year without seeing improved no-shows. Before, there were fewer chances to win since draws were not done in groups. There were also “Good Job” certificates mixed in with the prizes which had no value in dollars, only as motivation. Turns out, they weren’t very motivational! So the “Good Jobs” are now gone, and every draw wins something. And the best part is, the cost to the program is about the same. Banking of credits is also new, giving clients a choice to cash in right away or save up for something they really need.

Both of these projects took a long time to fine tune and perfect. The Alpha change team worked at this week after week at our lunchtime meetings. Our ideas made sense, and we expected them to work, but if the numbers didn’t show it, it was back to the drawing board. In terms of the PDSA cycle, it seemed like we were stuck on "A" for “adapt.” It just shows that process improvement in addiction treatment is hard work. It doesn’t get any easier just because you’ve been working at it for nearly5 years.

So it is all the more rewarding when we do get the great stats we’ve been waiting for. Good Job! I mean, Good Work, team!

5 Questions for Monalee West, Senior 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: Monalee West
Job: Senior Counselor, Alpha North Wilmington Center
Time with BCI: 2 years

1. The Claymont Center is BCI’s smallest office, with 3 staff and 49 clients. How does that affect your treatment environment and your role as supervisor?
Because we’re small, it’s really family-oriented. [Our clients] seem to be very motivated. They just seem more connected, and I think it’s because our groups are smaller. Within three weeks of clients attending groups and getting involved with Claymont Alpha, they exchange numbers, they get involved with 12 step programs, they set up transportation. It’s very supportive here. If a staff member goes out sick for even a few days, the clients are very worried! “Are they okay?” And they’ll leave get well cards, it’s kind of funny!

My job here is unusual, because it’s a first. I’m a senior counselor, and it’s the first time that BCI has had a senior counselor position. It’s kind of unique, but basically it’s similar to a supervisor. I monitor the day-to-day flow of the work that we do here, urines, I do training, and one of the major job responsibilities I have is staff morale.

Communication and patience have always been my two greatest challenges. As people will say, I hit the door moving 190 miles an hour and I never stop! I have to remind myself, “Slow down, you’re not only person here! You don’t have to do it all by yourself!” And my staff is great at reminding me of that.

2. You were very involved in rolling out Alpha’s motivational incentives program last year. You wrote the training manual, you were the first counselor to do a test run, and you ran a focus group to get feedback from the counselors. Why was it important to you to be so involved in this project?
I understand the difficulties with motivation. I’ve found that it’s not that people don’t have the desire to achieve abstinence, there’s just a lot of life factors that get in the way. And I know that anything we can do as professionals to help encourage or support motivation makes a world of difference. When the motivational program was explained to me, I thought, oh, this is great! This is just something else we can do as treatment providers to help clients accomplish their goal of becoming abstinent. And I find it’s been a great help. I’ve seen a big difference in clients. They really like it! And when they come for their assessment, and you explain it to them, and they get to draw that first bead, it really does encourage them to come back.

3. Many of our staff decorate their office with personal items. Tell us what you have in your office.
As soon as someone walks into my office, they know exactly what my ethnic background is. I have a lot of Native American artifacts on my wall, including my Medicine drum. That seems to draw everybody’s attention the most, and they usually ask me about it. When I explain it to them, they really like the concept of what it represents, and how they can use it in recovery. I have actually been asked on more than one occasion to bring my drum into group and to explain it in group, because it talks about the Four Elements of Self, in relation to the four elements of the environment, and how that helps serve as a support network.

And, I had to order a bookcase to hold all of my family pictures, because I have pictures of all my children and my grandchildren. Because I have to have them with me, that’s my family. And everybody likes that I’m family-oriented, and they can tell when they walk in and see my bookshelf with all my pictures.

4. If you had $30,000 to donate to BCI, what would you do with it?
One thing would be a scholarship program. There are quite a few clients who would like to continue their education and cannot. Something as simple as a GED program, they don’t have the money for that. Finding other ways to enhance motivational programs for clients, would be another thing.

5. Tell us your favorite client success story.
It was a gentleman who had been using marijuana every day, about a half an ounce daily. He smoked it like most people smoke cigarettes, for twenty years. He had a lot of medical problems, and he got involved with [BCI] because his doctor said, “If you’re using marijuana, we can’t give you your pain medication.” When he first came into treatment, his view was, “Marijuana should be legalized, I don’t see it as a problem.”

And as he stopped using, and started coming to groups and learning, and as he got education in his individual sessions, it was nice to see that light bulb go off, and hear him be able to tell us what he had learned, and why he felt that he was glad his doctor had said he needed to stop using marijuana, and just getting his life back together. And getting more involved with his son, who he didn’t have a good relationship with when he first started treatment. When he left, he was going fishing with his son, he was doing a lot of activities, and it was really great to see him have that.

Seeing the light bulb go off over someone’s head, when they find themselves again and they start realizing that there is hope, that’s such a great thing to see. That’s a great feeling, and no amount of money can replace that for me.

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.”

Video of The Lighthouse Opening

Two excellent pieces on the program:

WHYY Delaware Tonight: Residential Treatment

WBOC: Unique Program Helps Women Keep Clean and Keep Kids

Also, our photo gallery is now up. So please enjoy while we're stuck inside during this winter storm!

The Lighthouse Program Open House

Today we celebrated a very special event for Delaware, the opening of the first women's and children's residential treatment program. This morning's ceremony was wonderful. We'd like to say thanks to Governor Minner, Renata Henry, Jack Kemp, and Bishop Major Foster and his staff from Philadelphia Pentecostal Church and Delmarva Clergy United in Social Action.

It was an honor to be in attendance for today’s event, and there will be future posts to come on that, but for now here’s a few pictures. I also had the opportunity to sit down for an extended conversation with Shay Lipshitz and Bishop Foster. They had much to say about how this whole program came together, but just to give you a taste, here are their thoughts on today's celebration:

Shay: “It’s been a wonderful day for Brandywine, a wonderful day for the church. 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.”

Bishop Foster: “Words can’t express how we feel, 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. To me it’s without words, what Shay and Brandywine have come in here to help us do what God wants us to be doing. So it’s overwhelming, and it was nice today.”

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.

5 Questions for Jenn Kutney, 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: Jenn Kutney
Job: Counselor, Bridge Perinatal Program
Time with BCI: 2 years

1. Tell us about your job and the clients you work with.
I’m a counselor for pregnant women, [and] women with young kids, that have a lot of case management issues, a lot of people with dual diagnosis. I wanted to work with families, and women in particular, women with children. That’s really why I came here.

A lot of our clients are coming in with problems with Health and Social Services. They’re coming in pregnant. [They] don’t really understand methadone and how it reacts with pregnancy, that whole interplay. A lot of women need housing help.

These are people that are coming from very chaotic backgrounds. They bring a lot of that chaos here to get it out, and it makes it chaotic here sometimes, and if you take it personally, it’s gonna burn you out.

2. What is your biggest challenge in doing your job?
There aren’t a lot of services for women with young children. There’s not a lot of housing programs available for women with young children. There’s not a lot of treatment programs available for women with young children.

You can get a single woman into treatment a lot easier than you can get a woman with children into treatment. You have to deal with finding a place for the children to go while she’s in treatment. I’m so grateful for The Lighthouse Program, because it’s desperately needed! It’s a great concept for a treatment program and I think it could do wonderful things if it continues.

And also, one of the biggest challenges is providing addiction services to women with open Division of Family Services cases, because sometimes they don’t quite understand what addiction is, the disease of addiction, and things like relapse.

3. What has been the most rewarding moment for you at BCI?
I started as a case manager, and I had a client on my caseload from day one when I walked in the door. DFS had taken her kids, and terminated her rights to one of her children, and taken the baby right from the hospital. She was discharged almost a year ago now. And I actually hear from her now, and she’s doing wonderfully. She’s clean, she’s moving out of state to get away from everything, and she’s doing very, very well.

4. Many of our staff decorate their office with personal items – tell us what you have in your office.
I like to hold things for clients, apparently! Right now I have strollers, and clothes, and all sorts of stuff. I wasn’t originally in this office, so a lot of the things I have are inherited. I inherited a picture from Kathy Kelley. I have kids draw me pictures, I have pictures of the babies, and of my nieces and nephews, hand drawn pictures.

5. What is something people would be surprised to know about your job?
How dedicated a lot of these women are to their families. The biggest stereotype I’ve heard since I started working here is that these women really don’t care about their kids. And they really, truly do care about their kids, and how their kids are doing, and making their life better, so that their kids don’t have to go through a lot of the things that they went through.

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.

The Lighthouse Program Opens Its Doors

Delaware's first Women and Children's Residential Addiction Treatment Program, dubbed The Lighthouse Program, opened December 10 in time for the holidays. Two guests are prepared to move in by the end of the week, and referrals are now being accepted.

Women interested in receiving treatment can get an assessment at any of the Substance Use Treatment centers in Delaware. An assessment appointment can be set up over the telephone.

For more information on the program and how to apply, click here.

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