Strategic Plan
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Purpose of This Plan
The purpose of this plan is to establish and describe the strategies that will in the next five years enable Laurel House to expand its delivery of high-impact, recovery-oriented services to people with serious mental illness and create a training center at Laurel House to promote the growth and development of other clubhouse programs across the state.
Who We Are
Laurel House is a private for impact1 organization that creates opportunities for people with serious mental illness to work, attend school, have a place to live and experience improved health and an overall better quality of life. Since 1984, Laurel House has operated in Stamford, Connecticut, using a self-help approach commonly known as the "clubhouse" model. This is a community-based approach, which focuses on the individual strengths of people with serious mental illness to lead productive, meaningful and rewarding lives in the community. Participants in the program are referred to as "members" in order to emphasize the idea of their belonging to a vital and significant social organization that values their contributions while providing them with important supportive services.
1Laurel House is a 501(c)(3) organization and is fully eligible to receive tax deductible donations from its supporters. It uses the term for impact instead of the traditional "not for profit" to signal its commitment to results, over the method for obtaining income.
Our Vision
For all adult citizens of Connecticut with mental illness to enjoy the opportunity and hope of recovery, including a safe place to live, a job, educational opportunity, companionship, self-esteem and a life worth living.
Why We Do It
At Laurel House, we believe in the possibility of recovery for people with serious mental illness. By recovery, we mean getting back the things that were lost when one's life became disrupted by mental illness: a job, school, housing, social connections, self-respect and dignity. We believe that every person with mental illness has the capacity to achieve recovery, given the opportunity and appropriate support. It is Laurel House's vision to create that opportunity everywhere in the state of Connecticut where people with serious mental illness are struggling to overcome the lost opportunities and stigma associated with their disability.
How We Do It
A unique and important feature of Laurel House is the way in which a variety of vital resources and services are vertically integrated within one organizational structure. The "Clubhouse", as it is commonly called, acts as a general contractor for people needing a full range of psychiatric and mental health services. Those services which it does not provide directly, such as clinical care and medical monitoring of the wellness program, can be accessed through Laurel House's partner agencies. The result is "one-stop" shopping for members to access employment, education, housing, wellness and community support services, with quick and easy access to the other services and opportunities they require. In addition to the Supported Education Program, which has helped more than 130 members receive post-secondary school education, Laurel House operates: several levels of employment support, resulting in paid employment in the community for 110 people a year; safe and affordable housing for 70; and a clubhouse program where 375 members a year receive essential supportive services and, in return, participate in the running of these programs.
The Leadership Team
Laurel House runs as a partnership between its members, staff, board of directors, financial backers and other organizations in the community. Many of these roles are interchangeable. Members benefit from the opportunities created by the clubhouse, but also participate in the operation, administration and governance of the club. Our financial backers are people and organizations who believe in the mission of Laurel House and invest their money and other resources in making this vision a reality. The staff have a bottom-line responsibility for ensuring that Laurel House achieves its mission with efficiency and optimum results, while the board of directors provide expertise and responsible governance, as well as making a significant financial investment in the organization. Laurel House also partners with other “for impact” and governmental organizations in the community to share resources and expertise and provide complementary services.
The Executive and Associate Directors of Laurel House have a total of over 35 years with the organization and more than 50 years total experience with social impact organizations at home and abroad. The board of directors is composed of 10-15 skilled individuals from a variety of professional and career backgrounds, including finance, law, insurance, health, education, public relations, and sales, and includes representation by members and families.
The Market
Every five minutes another American is diagnosed with schizophrenia, a disabling mental illness that can cause disturbing hallucinations, bizarre delusions, and disorganized thinking. Diagnoses of other mental illnesses such as major depression and bipolar disorder are even more frequent. The prevalence of severe mental illness in the United States is estimated at 3.7 percent of all adults. Mental disorders are the leading cause of disability for Americans aged 14-44 and care for the mentally ill constitutes 7.3 percent of all health care funding, 63 percent of which is in the public sector. Adding up the additional costs of lost wages and tax revenues from unemployment, supplemental income supports, and co-occurring conditions such as substance abuse, homelessness and AIDS, the social cost of mental illness is immense.
Annual mental health spending in Connecticut alone is more than half a billion dollars a year for as many as 189,000 adult individuals with serious mental illness. In the catchment area served by Laurel House (Stamford, Norwalk, Greenwich, Darien, New Canaan, Wilton, Westport and Weston), there are an estimated 13,000 people with serious mental illness. Many of these individuals live in poverty and the most severely affected receive treatment and supportive services through the state-funded Department of Mental Health and Addiction Services (DMHAS). There are 1,576 adults with mental illness on the current DMHAS roles living in Stamford—3,749 in the catchment area. Every one of these individuals is potentially eligible for membership at Laurel House and could benefit greatly from its services.
Virtually all of the mentally ill individuals in this state have access to clinical care and services when they need it. Access to housing, employment and educational opportunities, however, is nowhere near adequate. In the last three years Laurel House has increased the capacity of its supported housing programs from 29 to 69. Yet nearly 200 mentally ill individuals continue to be homeless, living in the shelters and streets of Stamford due to a severe lack of affordable housing and adequately funded supportive services. Fifteen percent of people with serious mental illness are homeless at any given time and 30-50 percent of the chronically homeless have a severe mental illness. The unemployment rate for people with serious mental illness is estimated at 85-90 percent.
Our Members
Laurel House operates much like any voluntary association based in the community. Its members are its largest human resource. They answer the phones, cook the meals, write and produce the daily newsletter and participate in every aspect of the daily operation of the clubhouse, without which Laurel House would not exist. In return, they are entitled to use all of the resources, opportunities and services of the club.
Laurel House has an active membership of 375 individuals a year, all of whom have a serious mental illness. The most common diagnoses are schizophrenia/schizoaffective disorder (56%), major depressive disorder (15%), and bipolar disorder (12%). Nearly all members are poor and less than 1% carry private insurance. The majority now live in Stamford, but more than 25 percent have origins in other communities in Fairfield County.
Marketing
Laurel House asks its constituents to not just give money to charity, but to invest in a program for social impact. A major feature of this business plan is the creation of a development office to market the Laurel House product—“recovery”—to investors in the private, corporate and public sectors. The message will consist of an appeal to concerned individuals, businesses, foundations and community organizations to choose Laurel House because it offers the most comprehensive, effective solution to the problem at the most efficient price. It will make this claim on the grounds that a) it is based on a model which has proven effective at helping people obtain or regain a higher level of functioning through employment, education and social relationships; b) it can provide its members with a vertically integrated array of services; and c) the cost of delivering these services is far less than the alternative of allowing these severely disabled individuals to consume expensive medical and legal resources, while languishing in hospitals, prisons, shelters and the street. The marketing strategy will also need to address the theme of recovery, explaining it in terms that are easily understood, and relate to issues of real concern in the community. The Current Opportunity
Changing Support from Government. The State of Connecticut is currently undergoing a transition from grant-funded case management, community support and supported housing services to a fee-for-service reimbursement model under the Medicaid "Rehab Option" (MRO). Although this shift will present challenges to private, non-clinical providers like Laurel House, it will also serve to shake up the playing field and create new opportunity. Some of the current providers of supported housing, outreach and related services, may decide to opt out of MRO, creating an opportunity for Laurel House to expand its own efforts in this area. At the same time, Laurel House must prepare for the possibility of diminished government funding in other areas by pursuing private investment from individuals, foundations, corporations and community groups.
Changing Member Demographic. Laurel House members are getting older. The current average age of members is 46; in the first five years of club's existence it was 36. Meanwhile, referrals from the Department of Children and Families is growing at an accelerated rate: from only one in 1997; to 59 in 2004; to 4,244 in 2005. These young adults are at an age when they are most in need of housing, employment and education services. The fact that we are currently serving only 18 individuals under the age of 30 means that we are still not reaching many of this newest generation of potential members. But there is an opportunity here to reshape services in a way that will add to membership and improve the overall functioning of the club. In the first five years Laurel House's membership was 3 percent Hispanic; today it is 7 percent. As the membership continues to diversify, there is increased opportunity for growth by providing specialized services to niche groups within the clubhouse, such as Latinos, the homeless, substance abusers, elderly, smokers and people with weight and/or health concerns.
Inconsistent Implementation of the Clubhouse Model. There are 26 "clubhouse" programs in Connecticut, only 3 of which adhere to the International Clubhouse Standards and are certified by the International Center for Clubhouse Development (ICCD). As a result, there is a large discrepancy in the quality of services between these entities. A few, like Laurel House, have strong programs in employment, higher education, housing, wellness, and a structured "work-ordered day." Others are little more than social clubs, where clients meet over coffee, go on organized social activities during normal working hours, or sit in current events and "life skills" groups where they talk about activities of daily living instead of putting these skills to actual use. An exciting opportunity exists for Laurel House to partner with government and the academic community to formulate and promote a set of universal clubhouse benchmarks for Connecticut and to provide the training, consultation and financing to enable those standards to spread across the state.
Strategies
Two basic strategy options are proposed for the next five years at Laurel House (fiscal years 2008-2012). Implementation of Phase 2 would be contingent upon the successful implementation of Phase 1, by Year 5 of the plan.
Phase 1: Provide a comprehensive package of quality recovery services and opportunities accessible to all adults with serious mental illness living in Stamford and surrounding communities, by: perfecting core programs and filling gaps in the existing array of services; targeting niche groups of consumers both served and under-served by Laurel House; developing the administrative and financial capacity to sustain future growth and expansion into new geographic areas.
Phase 2: Upon successful implementation of Phase 1, establish a Center of Clubhouse Excellence to: 1) promote the formulation and acceptance of universal benchmarks for Connecticut clubhouses; 2) develop a "Laurel House model" which successfully integrates the clubhouse standards with emerging trends in wellness, MRO and community partnerships; 3) promote research demonstrating the success of the model; and 4) provide training, consultation and financing to enable groups and individuals to implement the model in other regions of the state.
Financing Laurel House has a current operating budget of $2.2-million a year. Phase 1 will cost an additional $1-million a year to implement by the end of Year 5. Phase 2 is estimated to cost $600,000 a year to operate, with the opportunity to recover about 33 percent of that in training and consultation fees. Financing for both options will largely depend on the efforts of the new Development Office. With the possible exception of supported housing, government grant funding of Laurel House programs is not likely to increase and may actually contract in coming years. The conversion to the Medicaid Rehab Option (MRO) by FY 2009 has the potential to result in loss of income for Laurel House, unless we invest now in infrastructure (specifically, information technology) and credentialing and training of program staff. By aggressively pursuing MRO contracts for the provision of community support services and reorganizing delivery of existing supported housing services, Laurel House can turn a potential loss to a positive source of revenues. But the principal financing for any new initiatives will require a greatly increased emphasis on private development: 1) raising the goals of the annual appeal; 2) cultivating major gifts; 3) producing a major fundraising event and several smaller cultivation events; 4) building endowments. Implementation of Phase 1 will require a 75 percent increase ($589,000) in private investment (i.e., non-governmental, "charitable" giving) in the first year and a 385 percent increase ($1.2-million) by Year 5. Additional financing for Phase 2 will require significant backing from several (5-10) large foundations and/or wealthy individuals.
Combined Statement of Activities Financial Projections for the 5-Year Plan
| |
Year 1 |
|
Year 2 |
|
Year 3 |
|
Year 4 |
|
Year 5 |
|
| UNRESTRICTED NET ASSETS |
2007-2008 |
|
2008-2009 |
|
2009-2010 |
|
2010-2011 |
|
2011-2012 |
|
| Unrestricted revenues and gains: |
 |
| State grants |
1,320,122 |
 |
1,359,726 |
|
1,362,385 |
|
1,403,256 |
|
1,445,354 |
|
 |
| Other grants/contributions |
571,734 |
|
754,286 |
|
872,065 |
|
1,075,227 |
|
1,268,783 |
|
 |
| Thrift shop sales |
192,610 |
|
198,388 |
|
204,340 |
|
210,470 |
|
216,784 |
|
 |
| Rental income |
362,061 |
|
361,015 |
|
359,954 |
|
358,876 |
|
357,782 |
|
 |
| Special events, food sales, and other |
50,500 |
|
64,635 |
|
79,524 |
|
95,417 |
|
113,815 |
|
 |
| Total unrestricted revenues and grants |
2,497,028 |
|
2,738,051 |
|
2,878,267 |
|
3,143,246 |
|
3,402,518 |
|
 |
| |
|
|
|
|
|
| Expenses: |
|
|
|
|
|
 |
| Salaries and benefits |
1,704,211 |
|
1,901,665 |
|
2,019,678 |
|
2,224,250 |
|
2,469,166 |
|
 |
| Operating expenses |
723,368 |
|
745,937 |
|
784,828 |
|
849,648 |
|
863,500 |
|
 |
| Interest |
63,672 |
|
63,672 |
|
63,672 |
|
63,672 |
|
63,672 |
|
 |
| |
|
|
|
|
|
 |
| Total expenses |
2,491,251 |
|
2,711,274 |
|
2,868,178 |
|
3,137,570 |
|
3,396,339 |
|
 |
| |
|
|
|
|
|
 |
| Change in unrestricted net assets before depreciation |
5,776 |
|
26,777 |
|
10,089 |
|
5,676 |
|
6,180 |
|
 |
| |
|
|
|
|
|
 |
| Accumulated Reserve |
9,637 |
|
36,414 |
|
46,503 |
|
52,179 |
|
58,359 |
|
 |
| |
|
|
|
|
|
Objectives
Laurel House's objectives for the next five years are:
- To demonstrate that the clubhouse model as practiced at Laurel House is effective at helping people with serious mental illness achieve their goals for recovery.
- To increase the number of people served by 35%, from the current 375 a year to 500 by 2012.
- To fill the gaps and increase the quantity and range of services available to the current and future membership and improve the quality, impact and effectiveness of existing programs and services.
- To continue the established trends toward quality improvement and vertical integration of services to provide members with a seamless, comprehensive support experience.
- To establish a Center of Clubhouse Excellence to provide training, consultation and access to funding for other communities in Connecticut looking to launch successful clubhouse ventures.
- To obtain $1-million a year in additional private, corporate, church and foundation funding, while building a reserve fund equal to three months operating expenses.
Mission
Mission Statement
Laurel House is a membership organization dedicated to providing resources and supportive services for people with mental illness to have a fulfilling life, including access to employment, education, housing, and health care, and the opportunity to be productive, contributing members of the communities where they live and work.
Vision Statement
For all adult citizens of Connecticut with mental illness to experience the hope of recovery, including a safe place to live, a job, educational opportunity, companionship, health, self-esteem and a life worth living.
Keys to Success
The success of this plan will depend on the management's ability to mobilize members, staff, board, volunteers and agency partners to:
- Expand outreach and specialized services to subgroups in the member population (homeless, young adults, Latinos, and dually diagnosed substance abusers).
- Upgrade, train and prepare the existing workforce to meet the demands of a more specialized, professional, accountable work environment.
- Develop an administrative core and infrastructure capable of supporting the proposed expansion of programs and services.
- Create a new Development Office which can rapidly leverage new funding from private individual, foundation, church and corporate investors.
- Build on and enhance the web of partnerships that currently exists between government, corporations, private investors, family members, community groups and churches, and other service providers.
- Cultivate an identity (brand) for Laurel House in the community of Stamford and lower Fairfield County.
- Establish a marketing and communications effort from existing resources that effectively spreads information about Laurel House's activities, aims, and accomplishments.
- Have the flexibility to adapt and take advantage of new opportunities in a changing, somewhat turbulent external environment.
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