Resources For Human Development Inc

RHD'S MISSION IS TO EMPOWER PEOPLE AS THEY BUILD SELF-DETERMINATION.

RESIDENTIAL, DAY, EMPLOYMENT AND COMMUNITY-BASED SERVICES FOR INTELLECTUALLY/DEVELOPMENTALLY DISABLED - SEE PROGRAM SERVICE ACCOMPLISHMENTS DESCRIBED IN SCHEDULE O.RHD OFFERS COMMUNITY-BASED RESIDENTIAL, SHARED-LIVING, COMMUNITY INTEGRATION/PARTICIPATION, CASE MANAGEMENT, AND ART-BASED DAY SERVICES TO INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. THESE SERVICES ARE OFFERED IN OVER FIFTY RHD PROGRAMS IN THE FOLLOWING STATES: CONNECTICUT, DELAWARE, FLORIDA, MASSACHUSETTS, MISSOURI, NEBRASKA, PENNSYLVANIA, AND SOUTH DAKOTA. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: CENTER FOR CREATIVE WORKS (CCW), AN ARTS-BASED DAY PROGRAM FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES IN MONTGOMERY COUNTY, PA, WORKED WITH CLOTHING DESIGNERS AT URBAN OUTFITTERS TO CRAFT AN EXCLUSIVE SERIES OF PRODUCTS USING ARTWORK FROM FIVE CCW ARTISTS. THE DESIGNS WERE SOLD IN URBAN OUTFITTERS' 2021 SPRING LINE. OUTSIDE THE LINES STUDIO, AN ARTS-BASED DAY PROGRAM FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES IN BOSTON, MA RECEIVED A $50K GRANT FROM THE STATE OF MASSACHUSETTS FOR A PROJECT THAT WILL FOCUS ON BARRIERS PARTICIPANTS FACE WHEN UTILIZING TECHNOLOGY AND HOW TO PROVIDE STAFF AND INDIVIDUALS WITH MORE STRUCTURED SUPPORT IN LEARNING HOW TO EFFECTIVELY INTEGRATE TECHNOLOGICAL DEVICES INTO EVERYDAY LIFE. RHD CONNECTICUT PROVIDED IN-HOME AND COMMUNITY-BASED SENIOR SUPPORTS FOR OLDER INDIVIDUALS, OR INDIVIDUALS WHO HAVE NEEDS LIKE THOSE OF AN OLDER PERSON. THE SUPPORT WAS INTENDED TO FACILITATE INDIVIDUALIZED ACTIVITIES TO PROMOTE INDEPENDENCE AND COMMUNITY INCLUSION, WHILE PREVENTING ISOLATION. IMAGINE THAT!, AN ARTS-BASED DAY PROGRAM IN KANSAS CITY, MO HAD TWO ARTISTS SELECTED FOR AN INTERNATIONAL EXHIBITION, HOSTED IN YORKSHIRE, ENGLAND. OUT OF 1,000 INTERNATIONAL ENTRANTS, ONE ARTIST WAS SELECTED AS A TOP NINE WINNER. THE SOUTH DAKOTA CASE MANAGEMENT TEAM HELPED CONNECT VOCATIONAL REHABILITATION (VR) WITH A FAMILY WHO NEEDED ASSISTANCE IN DEVELOPING A CUSTOMIZED PAPER SHREDDING BUSINESS. A LOCAL NEWS STATION REPORTED ON THE SUCCESSFUL OUTCOME. FINE LINE STUDIOS, AN ARTS-BASED DAY PROGRAM IN ST. LOUIS, MO, HAD AN ARTIST WIN 4TH PLACE IN THE MISSOURI MENTAL HEALTH FOUNDATION'S ANNUAL DIRECTOR'S CREATIVITY SHOWCASE FOR HER PAINTING TITLED "NEW HOPE."

RESIDENTIAL AND SUPPORTIVE HOUSING SERVICES FOR PEOPLE WITH MENTAL ILLNESSES - SEE PROGRAM SERVICE ACCOMPLISHMENTS DESCRIBED IN SCHEDULE O.PEOPLE WITH MENTAL ILLNESSES LEARN TO LIVE AS INDEPENDENTLY AS POSSIBLE WITHIN THEIR COMMUNITIES THROUGH RESOURCES FOR HUMAN DEVELOPMENT'S (RHD) RESIDENTIAL SERVICES. OFFERINGS RANGE FROM SIMPLE RESIDENTIAL GROUP LIVING TO INDEPENDENT HOUSING - RESIDENTS LIVE WITHIN THE COMMUNITY, LEARN TO MANAGE THEIR MEDICATIONS, AND TAKE CHARGE OF THEIR OWN LIVES. SOME OF THE LIVING ARRANGEMENTS OFFER A HIGHER LEVEL OF GUIDANCE AND PROVIDE CARE FOR PEOPLE WITH DUAL DIAGNOSES OR FRAGILE MEDICAL CONDITIONS. RHD'S BEHAVIORAL HEALTH AND HOUSING DIVISION HAS OVER 100 PROGRAMS LOCATED IN IOWA, LOUISIANA, NEW JERSEY, DELAWARE, PENNSYLVANIA, AND NORTH CAROLINA. THE BEHAVIORAL HEALTH AND HOUSING SERVICE LINES INCLUDE BEHAVIORAL HEALTH, ADDICTION RECOVERY, HOMELESSNESS, YOUTH DEVELOPMENT, AND VETERAN'S AFFAIRS. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: COORDINATED HOMELESS OUTREACH CENTER AND CRITICAL TIME INTERVENTION STRENGTHENED THEIR PARTNERSHIP DURING THE COVID-19 PANDEMIC TO ENSURE INDIVIDUALS EXPERIENCING HOMELESSNESS IN MONTGOMERY COUNTY, PA ARE SAFE AND HAVE ACCESS TO HOUSING. THE PROGRAMS IDENTIFIED THE MOST VULNERABLE RESIDENTS IN THE CONGREGATE SHELTER SETTING AND PROVIDED THEM WITH HOTEL ROOMS WITH MOBILE SERVICES, A VARIETY OF SAFETY PROTOCOLS, INCLUDING SOCIAL DISTANCING, AND WEEKLY COVID-19 TESTING. THE PROGRAMS WERE ABLE TO REMAIN HOUSING FOCUSED AND DECREASED THE LENGTH OF STAY IN THE SHELTER BY 40%. THE POSITIVE OUTCOME DECREASED THE SAFETY RISKS AND PROVIDED PERMANENT HOUSING SOLUTIONS FOR INDIVIDUALS WHO WERE HOMELESS. NEW PERSPECTIVES WAS AWARDED TWO GRANTS TO ENHANCE SERVICES IN CARBON, MONROE, AND PIKE COUNTIES. THE FIRST GRANT WAS A COLLABORATIVE EFFORT WITH ST. LUKE'S HEALTH NETWORK TO DEVELOP AND SUPPORT AN INNOVATIVE WALK-IN CENTER FOR CRISIS, DESIGNED TO SUPPORT INDIVIDUALS EXPERIENCING A MENTAL HEALTH CRISIS, THAT SERVED TO REDUCE EMERGENCY ROOM VISITS WHILE PROVIDING CARE. THE SECOND GRANT WAS A SHORT-TERM PROJECT SUPPORTING UNINSURED INDIVIDUALS WITH SUBSTANCE ABUSE AND MENTAL ILLNESS IN NEED OF TREATMENT, RESOURCES, AND OTHER SERVICES. CAFE THE LODGE HOSTED SECRETARY OF LABOR MARTY WALSH AND CONGRESSWOMAN SUSAN WILD AS HONORED GUESTS AT THE SITE IN BETHLEHEM, PA. THEY ENJOYED A TOUR AND LUNCH IN THE MINDFULNESS GARDEN. THEY ALSO ENGAGED IN DISCUSSION ABOUT THE VOCATIONAL AND RESIDENTIAL PROGRAMS, THE IMPORTANCE OF SUPPORTING THE LODGE'S POPULATION, AND THE NEED TO ADDRESS THE LACK OF AFFORDABLE HOUSING. THE DELAWARE BEHAVIORAL HEALTH GROUP HOMES, IN THE GREATER WILMINGTON AREA, HAD A VIRTUAL GAME NIGHT ONCE A MONTH IN WHICH VARIOUS HOMES COMPETED AGAINST EACH OTHER. GLASSPORT ENCLOSED THEIR OUTSIDE VISITING SPACE TO ALLOW RESIDENTS TO VISIT WITH FAMILY MEMBERS AND COMMUNITY PROVIDERS WITH PPE AND SOCIAL DISTANCE GUIDELINES. RESIDENTS CONTINUED TO HAVE PHONE ACCESS AND THE OPTION FOR TELEHEALTH VISITS, WHILE NURSING STAFF PROVIDED ONGOING COVID-19 SUPPORT, SCREENING, AND EDUCATION TO RESIDENTS AND FAMILIES. THE PROGRAM MADE ADDITIONAL ACCOMMODATIONS, INCLUDING PLANNING STAFFED COMMUNITY OUTINGS TO ALLOW RESIDENTS SPECIAL SNACKS AND MEALS; INVITING FAMILY MEMBERS TO MEET TREATMENT TEAM MEMBERS VIA TELEPHONE; AND ACQUIRING VACCINES FOR PROGRAM RESIDENTS. PLEDGE FOR INDEPENDENT EMPOWERMENT & RECOVERY (PIER, A CONTRACTED PROGRAM THROUGH BUCKS COUNTY MENTAL HEALTH/DEVELOPMENT PROGRAMS FOR BUCKS COUNTY RESIDENTS), OPENED ITS DOORS IN SEPTEMBER OF 2020. PIER WELCOMED ITS FIRST ADMISSIONS IN OCTOBER, AND BY DECEMBER, WAS AT FULL CAPACITY WITH EIGHT RESIDENTS. THE STAFF AND RESIDENTS ALSO WORKED TOGETHER TO CREATE A TRANQUIL AND FUN OUTDOOR SPACE INCLUDING COVERED SWINGS, OUTDOOR TABLE TENNIS, A BASKETBALL COURT, A 60-FOOT BOCCE BALL, A MINI GOLF COURSE, AND THREE 20-FOOT RAISED GARDENING BEDS FILLED WITH VEGETABLES. THIS SPACE ALLOWED THE RESIDENTS TO STAY ACTIVE DESPITE THE CHALLENGES AND SOCIAL LIMITATIONS CAUSED BY THE PANDEMIC.

PRIMARY CARE, BEHAVIORAL HEALTH, AND OTHER OUTPATIENT SERVICES - SEE PROGRAM SERVICE ACCOMPLISHMENTS DESCRIBED IN SCHEDULE O.RHD PROVIDES A VARIETY OF BEHAVIORAL HEALTH, ADDICTION TREATMENT AND RECOVERY SERVICES, RANGING FROM INTENSIVE INPATIENT THERAPY, OUTPATIENT MENTAL HEALTH COUNSELING, ASSERTIVE COMMUNITY TREATMENT, AND INTENSIVE CASE MANAGEMENT, TO INPATIENT TREATMENT FOR PEOPLE DIAGNOSED WITH CO-OCCURRING MENTAL ILLNESSES AND ADDICTIONS. THE ADDICTION RECOVERY SERVICES ARE PROVIDED TO INDIVIDUALS IN 6 STATES, IN 44 PROGRAMS. RHD ALSO OPERATES A NATIONALLY RECOGNIZED NETWORK OF HEALTH CENTERS. FAMILY PRACTICE & COUNSELING NETWORK (FPCN), A PROGRAM OF RHD, IS A NETWORK OF FIVE FEDERALLY QUALIFIED HEALTH CENTERS THAT HAS BEEN PROVIDING PRIMARY CARE, INTEGRATED AND OUTPATIENT BEHAVIORAL HEALTH, DENTAL, PRENATAL CARE, NUTRITION COUNSELING, ADVOCACY AND MORE IN UNDERSERVED NEIGHBORHOODS IN PHILADELPHIA FOR 29 YEARS. THE HEALTH CENTERS ARE NURSE-MANAGED AND OPERATE WITH THE VISION THAT QUALITY HEALTHCARE IS A RIGHT, NOT A PRIVILEGE. FPCN PROMOTES RESILIENCY AND WELL-BEING AMONG PATIENTS, STAFF, AND SURROUNDING COMMUNITIES, SERVING OVER 22,000 PEOPLE ANNUALLY.PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: FASST/CONNECTIONS (F/C) WORKED WITH RHD'S BUSINESS DEVELOPMENT TEAM TO PROVIDE CELL PHONES TO PARTICIPANTS WHO DID NOT HAVE THEM, WHICH ALLOWED THE PROGRAM TO MAINTAIN ONGOING VERBAL, AND SOMETIMES VIDEO CONTACT, WITH PARTICIPANTS THROUGHOUT THE PANDEMIC. F/C MADE EMERGENCY CALLS TO THOSE IN CRITICAL EMOTIONAL DISTRESS AND PROVIDED FOOD, CLOTHING, AND MASKED FACE-TO-FACE VISITS WITH SAFETY PROTOCOLS IN PLACE. F/C MAINTAINED A LIMITED AND SOCIALLY DISTANCED OFFICE PRESENCE, SO PARTICIPANTS HAD A "WARM NUMBER" TO CALL WHEN NEEDED. RESOURCE COORDINATORS SPOKE WITH PARTICIPANTS REGULARLY TO ASSESS THEIR WELL-BEING THROUGHOUT THE PANDEMIC AND INCREASED FACE-TO-FACE CONTACT AS THE CDC RESTRICTIONS LOOSENED AND RE-ADJUSTING WHEN THEY INCREASED. LOWER MERION COUNSELING AND MOBILE SERVICES (LMCMS) PARTNERED WITH GENOA HEALTHCARE TO OFFER IN-HOUSE PHARMACY SERVICES AT THE LMCMS LOCATION IN BRYN MAWR, PA. THE MEDICATIONS PROVIDED BY GENOA HEALTHCARE WERE MAILED OR PICKED UP CURBSIDE AT NO EXTRA COST, SAVING PATIENTS A TRIP TO THE PHARMACY. MORRIS HOME (MH), THE FIRST RESIDENTIAL RECOVERY PROGRAM IN THE COUNTRY TO OFFER COMPREHENSIVE SERVICES SPECIFICALLY FOR TRANSGENDER-VARIANT AND NON-CONFORMING INDIVIDUALS, COMPLETED A SIX-WEEK TRAINING COURSE IN HARM REDUCTION PSYCHOTHERAPY THROUGH THE CENTER FOR OPTIMAL LIVING. THE CLINICAL TEAM INTEGRATED PRINCIPLES FROM THE TRAINING INTO DAILY PROGRAMMING GROUPS. THE PARTICIPANTS ALSO HAD THE OPPORTUNITY TO ENGAGE IN HOLISTIC TREATMENT OPTIONS INCLUDING YOGA, MINDFULNESS, AND ART THERAPY. MH CONTINUED TO PROVIDE WEEKLY SEEKING SAFETY GROUP SESSIONS, USING THIS EVIDENCE-BASED PRACTICE THAT EXPLORES THE INTERSECTION OF SUBSTANCE USE AND PTSD. MH ALSO FOCUSED ON PROVIDING TRANS-AFFIRMING CARE, UTILIZING TRANS RESILIENCE MODELS AND INCORPORATING TRANS HISTORY AND TRANS JOY AS GROUP TOPICS. ADDITIONALLY, THE DRUG AND ALCOHOL SERVICE LINE PROVIDED LGBTQ COMPETENCY TRAINING TO ALL PROGRAM STAFF WITH THE GOAL OF PROVIDING OPTIMAL CARE TO THE MANY INDIVIDUALS SEEKING OUR SERVICES. PATHWAYS IN HARVEY, LA, USED THE COMPANY VAN AS A COOLING STATION FOR PROGRAM PARTICIPANTS WHO WERE WITHOUT ELECTRICITY FOLLOWING THE LANDFALL OF HURRICANE IDA. SUSSEX ICM IN SEAFORD, DE HAD A TEAM-BUILDING EVENT IN WHICH INDIVIDUALS DREW NAMES AND THEN CREATED TIE-DYED T-SHIRTS FOR THE INDIVIDUAL CHOSEN. WOMANSPACE PHILADELPHIA CONTINUED TO OFFER QUALITY, IN-PERSON CLINICAL CARE DURING THE COVID-19 PANDEMIC WITH INCREASED FOCUS ON EMOTION MANAGEMENT TO SUPPORT PARTICIPANTS WITH THE EMOTIONAL IMPACT OF A RAPIDLY CHANGING WORLD. THE PROGRAM MAINTAINED THEIR COMMITMENT TO QUALITY SERVICE BY USING EVIDENCE-BASED PRACTICES, INCLUDING MOTIVATIONAL INTERVIEWING, DIALECTIC BEHAVIORAL THERAPY, SEEKING SAFETY, AND COGNITIVE THERAPY. IN ADDITION, THE PROGRAM OFFERED VIRTUAL MUSIC THERAPY AND YOGA TO SUPPORT PHYSICAL WELLNESS, AND THE NURSING STAFF SUPPORTED PARTICIPANTS BY ADDRESSING THEIR PHYSICAL HEALTH AND WELLNESS NEEDS THROUGH DAILY DIALOGUE, EVALUATION, AND COVID-19 EDUCATION. THE STAFF OFFERED VIRTUAL RESOURCES TO ADDRESS RECOVERY AND BUILD COMMUNITY BY CONNECTING INDIVIDUALS ONLINE WITH AA, NA, ALL RECOVERY, AND SMART RECOVERY MEETINGS, AS WELL AS RELIGIOUS SERVICES TO SUPPORT SPIRITUALITY. CLIENTS WERE GIVEN INSTRUCTION ON USING TECHNOLOGY TO BUILD CONNECTIONS OUTSIDE OF THE PROGRAM. FPCN IS A NETWORK OF FIVE FEDERALLY QUALIFIED HEALTH CENTERS PROVIDING PRIMARY CARE, INTEGRATED AND OUTPATIENT BEHAVIORAL HEALTH CARE, PRENATAL CARE, FAMILY PLANNING SERVICES, DENTAL CARE, MIND/ BODY SERVICES, COMMUNITY OUTREACH, ADVOCACY, AND MORE. IT'S THE LARGEST NURSE-LED HEALTH CARE NETWORK IN THE COUNTRY, OPERATING UNDER THE PREMISE THAT QUALITY HEALTHCARE IS A RIGHT, NOT A PRIVILEGE.FPCN WORKED DILIGENTLY TO HELP SLOW THE SPREAD AND FLATTEN THE CURVE OF COVID-19 IN A VARIETY OF WAYS.- TESTED OVER 11,000 PEOPLE AT CLINICS AND MOBILE TESTING EVENTS.- VACCINATED OVER 10,000 PEOPLE AT CLINICS AND MOBILE VACCINE EVENTS, INCLUSIVE OF CHILDREN.- INTEGRATED HEALTH EDUCATION AND OTHER DISCIPLINES, INCLUDING BEHAVIORAL HEALTH, DENTAL SERVICES, AND OUTREACH TEAMS AT TESTING AND VACCINATION SITES.ADDITIONAL PROGRAM HIGHLIGHTS:- AWARD RECIPIENT OF FUNDING FROM DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS (DDAP) TO SUPPORT PRENATAL CARE AND MEDICAL ASSISTED TREATMENT INTERVENTIONS FOR PREGNANT WOMEN WITH SUBSTANCE ABUSE CHALLENGES. - AWARD RECIPIENT OF FUNDING FROM HRSA TO COMBAT THE HIV EPIDEMIC BY WAY OF A MOBILE UNIT AND OUTREACH TEAMS TO FURTHER ENHANCE HIV CARE PROGRAM.- IMPLEMENTED AN ELECTRONIC PATIENT PORTAL TO ENHANCE SCHEDULING ACCESS FOR PATIENTS.- SUCCESSFULLY ESTABLISHED TELEHEALTH AS A NEW WAY OF DELIVERING SERVICES IN ALL CLINICAL DISCIPLINES.- OPTIMIZED ELECTRONIC HEALTH RECORDS TO CAPTURE SOCIAL DETERMINANTS OF HEALTH TO BETTER TAILOR PLANS OF CARE FOR PATIENTS. - OPTIMIZED PATIENT TABLETS TO STREAMLINE REGISTRATION, ASSESSMENTS, AND ADMINISTRATIVE ELEMENTS OF THE PATIENT APPOINTMENT.- COMPLETED SITE STRUCTURE AND OPERATIONALIZED INTEGRATED HEALTH SERVICES WITHIN TEMPORARY SPACE FOR HEALTH ANNEX PATIENTS. - LEVERAGED ANTIRACIST AND TRAUMA-INFORMED PRACTICES INTO NETWORK OPERATIONS.

RESOURCES FOR HUMAN DEVELOPMENT'S COMPREHENSIVE SOCIAL SERVICES PROGRAMMING ALSO INCLUDES HOMELESSNESS, VETERANS, CHILDREN, EMPLOYMENT, AND MORE. THESE SERVICES ARE PROVIDED FOR INDIVIDUALS IN 51 PROGRAMS ACROSS FIVE STATES. PROGRAM SERVICE ACCOMPLISHMENTS INCLUDE: IDEATE IN PHILADELPHIA CREATED AN ASSISTIVE TECH LAB WHERE INDIVIDUALS WITH DISABILITIES SAMPLE ASSISTIVE TECHNOLOGIES THAT HAVE THE POTENTIAL TO INCREASE THEIR INDEPENDENCE AND IMPROVE QUALITY OF LIFE. HEALING AJAX, A UNIQUE PEER-TO-PEER PROGRAM FOR VETERANS, HAS SERVED THE POPULATION FOR 12 YEARS. THE PROGRAM UTILIZES THE EVIDENCED-BASED TRAUMA RECOVERY EMPOWERMENT MODEL (TREM), WITH THE GOAL OF ASSISTING VETERANS IN LEARNING TO BETTER COPE WITH ADVERSE EXPERIENCES THEY MAY HAVE HAD DURING THEIR LIFETIME AND DURING THEIR SERVICE. HEALING AJAX PROVIDED SERVICE TO 58 VETERANS, MANY OF WHOM WERE REFERRED BY THE PHILADELPHIA VETERANS TREATMENT COURT; 36 WERE NEW VETERAN REFERRALS. THREE SEPARATE GROUPS, INCLUDING ONE FOCUSED ON THE NEEDS OF FEMALE VETERANS, WERE HELD VIRTUALLY ON DIFFERING DAYS WITH ADDITIONAL PROGRAM MODIFICATIONS TO COMPLY WITH THE COVID-19 HEALTH AND SAFETY GUIDELINES. EACH OF THE VETERAN PARTICIPANTS UNDERWENT A FULL ASSESSMENT AND ATTENDED A MINIMUM OF THREE TREATMENT SESSIONS. OF THOSE THAT ATTENDED GROUP SESSIONS, SIX PEOPLE ALSO ENGAGED IN INDIVIDUAL THERAPY ON A WEEKLY BASIS. PA IDD COMPLETED A SURVEY ASSESSING INDIVIDUALS WHO WOULD BENEFIT FROM SEVEN DIFFERENT INTEGRATED APPROACHES (IAS). IAS ARE NON-TRADITIONAL APPROACHES TO ASSESSMENT AND TREATMENT - SUCH AS ART THERAPY, MUSIC THERAPY, AND ASSISTIVE TECHNOLOGY - INTENDED TO COMPLEMENT TRADITIONAL APPROACHES TO ASSESSMENT AND TREATMENT AND PROVIDE A VARIETY OF OPPORTUNITIES TO SEEK TREATMENT AND HEAL. THE SURVEY RESULTS INDICATED THAT 71% OF THE INDIVIDUALS SUPPORTED IN THE PA IDD REGION CURRENTLY RECEIVE AT LEAST ONE IA AND 95% OF ALL PA IDD RESIDENTS EXPRESSED A DESIRE TO RECEIVE MORE IAS SHOULD THEY BE MADE AVAILABLE. THE SURVEY RESULTS ALSO INDICATED THAT WHEN SOMEONE RECEIVES AND BENEFITS FROM AN IA, THE STAFF TENURE IN THEIR HOME INCREASED BY AN AVERAGE OF 4.4 MONTHS AND THEIR HOME REPORTED AN AVERAGE OF 0.5 FEWER INCIDENTS OVER A 6-MONTH PERIOD. THE OVERALL RESULTS SHOW THAT AN INCREASE IN STAFF TENURE AND A REDUCTION OF INCIDENTS HAD A HUGE IMPACT ON QUALITY OF CARE FOR THE INDIVIDUALS WE SUPPORT, OVERALL OPERATIONS, FISCAL PLANNING, AND QUALITY OF EMPLOYEE EXPERIENCE.