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Fairwinds -- Nantucket's Behavioral Health Center

Renewal and Recovery for Nantucket

aka Family & Children's Services of Nantucket   |   Nantucket, MA   |  www.fairwindscenter.org

Mission

Fairwinds--Nantucket's Behavioral Health Center provides confidential, quality professional care to adults and youth on Nantucket who seek mental health and addiction services. All are welcome, regardless of ability to pay.

Ruling year info

1964

Interim Executive Director

Mr. Philip Salerno, III

Main address

20 Vesper Ln Unit L1

Nantucket, MA 02554 USA

Show more contact info

Formerly known as

Family & Children's Services of Nantucket County Inc.

EIN

04-2308993

NTEE code info

Mental Health Treatment (F30)

Health Treatment Facilities (Primarily Outpatient) (E30)

Children's and Youth Services (P30)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

As an isolated community, thirty miles out to sea, Nantucket faces unique challenges, particularly regarding issues of mental health, substance-use disorders, as well as co-occurring conditions including a disproportionally high suicide rate. A community health needs assessment conducted in 2015 identified Alcohol and Substance Use Disorders as Community Health Priority #1, and Mental Health Disorders as Community Health Priority #4, affecting 63.4% and 35.5% of individuals respectively. The reality is, however, that these are universal challenges, affecting 100% of our community. Everyone has a family member, a friend, or a coworker who is struggling. What hurts one, hurts all. Fairwinds works to serve our community to treat and alleviate these challenges.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Family Therapy

The focus of family therapy is to consider the goals of the family as a whole. A clinician assists in establishing family goals and identifying desired outcomes. Throughout the course of treatment, the clinician facilitates the processes of communication, skills-building, and boundary-setting. Other therapeutic tools and treatment methods will help the family build on its strengths as a way of successfully reaching satisfactory outcomes.

Population(s) Served
Families

Couples often struggle to have productive conversations, and find it difficult to see situations through their partners eyes. Our therapists help identify the unproductive patterns of communication that are creating barriers, and present alternative approaches that help couples gain a deeper understanding of each others needs and how best to meet them.

Population(s) Served
Adults
Families

Proper assessment can be a valuable tool for adults and children. We have two specialists (an MD and a PhD) who provide testing to determine your childs strengths and challenges, how best to support their learning, and which, if any, treatment or medication protocol is best. If teachers report that your child struggles to focus, has difficulty self-regulating, or is not getting the most out of school, a proper diagnosis may lead to the development of a comprehensive Individualized Educational Plan (IEP) for your child. Fairwinds also offers a wide range of psychological, diagnostic, psycho-educational, and neuro-physical testing and assessments for adults as well.

Population(s) Served
Adults
Children and youth

Fairwinds works in collaboration with Nantucket schools, off-island rehabilitation centers, primary care physicians, and self-referring individuals to provide an Intensive Outpatient Therapy program (IOT). The IOT program was developed in 1973 by Dr. George Kolodner, an addiction psychiatrist based in the Washington, D.C. area. The program helps those with an addiction to connect to a comprehensive and continuing therapeutic program following discharge from a rehabilitation facility or hospital.


This service engages individuals who still live at home and maintain employment. In addition to group therapy, the individual may receive one-on-one psycho-therapeutic treatment for concurrent conditions such as depression, anxiety, or other mental health concerns. As a partner to the courts for decades, providing alcohol and drug addiction treatment, rehabilitation, and training, we ensure swift and accurate reporting of attendance and requirement fulfillment. Our organization has a long history working alongside third parties. We ensure swift and accurate communication among all who are involved.

To better understand your current mental health, one of our counselors will perform an assessment. Once this has concluded, they will then make any recommendations that they deem necessary for your recovery. We offer both group and individual counseling sessions to better accommodate our clients’ needs. By providing multiple treatment options we are able to better formulate an individualized plan that will help you begin the healing process.


Our Intensive Outpatient Therapy program (IOT) provides structured programming for approximately 6 hours or more per week spread over 3 – 5 days. Relative to traditional outpatient treatment, IOT provides an increased frequency of contact and services that respond to the chronicity and severity of problems caused by substance use disorders. The actual number of hours and days per week in which individuals participate in IOT varies depending on one’s needs.

The recommended minimum duration of the IOT phase is usually 90 days. Low-intensity outpatient treatment over a longer period may be a cost-effective means to enhance treatment outcomes because this approach is associated with less substance use and better social functioning in individuals. Duration of treatment can be increased or decreased based on one’s clinical needs, support system, and psychiatric status, among other factors. Typically, a longer duration of care is related to long-term sobriety, improved coping, and healthier relationships.

Population(s) Served
Adults
Substance abusers

In collaboration with Nantucket Cottage Hospital, Nantucket Police Department, Nantucket Fire Department, the Town of Nantucket, the Schools and other community partners, Fairwinds has established a mental health Crisis Response and Crisis Stabilization system. This support system is for those facing mental health crises, regardless of who they are, how long they have been on island, where they are on island, or their financial circumstances. The significance of such services in this remote setting cannot be overstated; the isolated nature of the island makes accessibility to care challenging, particularly during times of crisis. Through a Crisis Hotline, available 24/7, 365 days per year individuals in distress can receive immediate mental health assessments, treatment planning, stabilization support, and grief counseling. The heart of Fairwinds efforts lies in Crisis Stabilization an immediate intervention designed to alleviate distress, ensure safety, and restore stability.

Population(s) Served
Adults
Substance abusers

Often our services are sought out when a child or adolescent is experiencing behavioral health problems. Fairwinds provides an in-home family therapy service to assist the entire family. A master’s level clinician and a paraprofessional work together with the child or adolescent and the family to offer a structured, consistent, family-centered, strength-based therapeutic model. The goals of this service seek to improve the family’s ability to provide effective support for the youth while also enhancing the overall functioning of the family.

Population(s) Served
Children and youth
Families

Proper medication administration is a crucial aspect of many treatment plans at Fairwinds. Our triple board-certified staff psychiatrist and psychiatric nurse practitioner can both prescribe and manage medications as appropriate to people of all ages, and our developmental pediatrician can prescribe and manage medications for children and adolescents.

If medication management services are to be a part of your treatment plan for recovery, it is critical to find a medication that feels right to best treat your symptom profile. You will work in collaboration with your medication provider and therapist to monitor medication progress, any adverse side effects that may arise, and make changes as needed to your medication plan to find the best solution that works for you. Our professionals are thoroughly trained to follow the appropriate policies and procedures for medication management, in accordance with Quality Use of Medicines (QUM) principles and relevant local and federal legislation.

Population(s) Served
People with diseases and illnesses
Adults

Mentoring Youth Nantucket (MYNantucket) improves and enriches the lives of island children through the friendship and guidance of our caring, responsible, volunteer mentors through four key programs.

Traditional 1-to-1 Mentoring: Island children are matched with supportive adult mentors who share their interests. Mentors and mentees meet at least 2 days each month to spend quality time together. They enjoy activities that range from throwing a baseball to baking cookies to doing science experiments.

MYNantucket regularly consults with other local non-profits and Nantucket Public Schools staff to identify children who would benefit from a 1-to-1 mentor relationship.

Breakfast Buddies: For more than a decade, this program has provided an early drop-off opportunity and a free daily breakfast to hundreds of elementary school children who often skip breakfast at home. Nantucket High School students volunteer to share a healthy breakfast, talk, play games, help with homework, and spend time with their elementary school buddies.

Breakfast Buddies not only benefits the elementary school children by providing them with companionship and role models, but proves equally beneficial to the high school students, who learn responsibility and leadership skills.

Homework Club: Local High School students volunteer as Academic Mentors to students at the Nantucket Intermediate School (3rd-5th grade) two afternoons per week after school, working together on specific assignments and also to build study and reading skills

Population(s) Served
Children and youth
Adolescents

The Peer Recovery program at Fairwinds – Nantucket’s Counseling Center was introduced in the fall of 2017 in an effort to create a community on Nantucket that supports those in recovery and professionals providing treatment.

Fairwinds currently offers two (2) Peer Recovery coaches – one male, one female. Our Peer Recovery coaches promote recovery by serving as a guide and mentor for individuals with alcohol and other substance use dependency. Our coaches empower the individual in their personal journey towards recovery by offering hope, while providing advocacy, guidance, support, and knowledge.

While Peer Recovery coaches at Fairwinds do not provide clinical services, they often become a very important member of a person’s recovery support network. Recovery coaches help motivate and encourage recoveries during times of struggle, and may be called on to support individuals when they are experiencing difficult emotional states.

Population(s) Served
Substance abusers
Adults

Need to talk to someone immediately? Schedule a same-day remote appointment through our Urgent Behavioral Healthcare Clinic (UBHC) services. Appointments are offered at 5:00 pm every weekday, and should be made via phone call or text message in the morning to ensure a same-day consultation. We recommend our UBHC if any of the following apply to you:

Are you feeling anxious and need to talk?

Struggling to make it to your next appointment?

Is there an urgent matter you need to discuss with a therapist?

Do you feel sad and are not sure what to do next?

Are you concerned about your sobriety?

Do you need help connecting to resources like fuel or housing assistance?

Population(s) Served
Adults
People with diseases and illnesses

Where we work

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Average number of service recipients per month

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This metric is a conglomerate total of clients served monthly for each year averaged by each month in the CY.

Number of direct care staff who received training in trauma informed care

This metric is no longer tracked.
Totals By Year
Type of Metric

Context - describing the issue we work on

Direction of Success

Holding steady

Context Notes

This is currently not an a cumulative number of total current staff from year to year.

Number of people who received clinical mental health care

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This number includes all patients that had an appointment without reoccurring appointments for each CY

Number of free programs offered to the community monthly.

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

These are a combination of community training, speakers, films, and other free community events. We also provide immigration legal consulting.

Average number of days between a request for services and an actual meeting with a service provider

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Decreasing

Context Notes

Our free urgent behavioral health clinic available for patients that required to be seen historical hours 5pm-7pm Monday-Friday 10am-2pm on Saturdays and is currently 5pm-6pm.

Number of new clients within the past 12 months

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Total number of counseling sessions performed

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

This is not reflective of time spent with clients as appointment times vary.

Hours of no-cost treatment provided

This metric is no longer tracked.
Totals By Year
Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

Contrary to the rest of the metric data these hours are reflective of the companies fiscal year vs calendar year. FY runs from July 1st through June 30th.

Number of clients referred to other services as part of their support strategy

This metric is no longer tracked.
Totals By Year
Type of Metric

Input - describing resources we use

Direction of Success

Increasing

Context Notes

All Fairwinds clients that need additional assistance are referred to services within Fairwinds or to additional services at other agencies.

Number of practicing medical doctors

This metric is no longer tracked.
Totals By Year
Type of Metric

Input - describing resources we use

Direction of Success

Holding steady

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Sixty years ago, members of the community gathered to discuss the critical need for an organization that could serve as a source of healing and hope for those islanders affected by mental health issues. First as Family and Children’s Services, and now as Fairwinds – Nantucket’s Counseling Center, we strive to provide the best clinical and community-based care possible to foster mental health. As we grow we’ve expanded our service offerings to meet the needs of an ever-changing island population. Our goal is to drastically lower our rates of deaths by suicide and overdose as well as to eliminate barriers to care such as stigma, poverty, lack of insurance, and our waitlist. Among many other services, we have a free urgent behavioral health care clinic and we offer our in-home and outpatient services on a sliding scale that goes down to zero.

We employ an (ever-growing) full-time staff of 36 (both full and part-time) who work tirelessly to serve our community, including a full-time Suicide Prevention and Outreach Coordinator. We also have a remarkably strong, working board that is devoted to ensuring the health and longevity of the agency for the benefit of the island residents, The agency conducts trainings, is the island's provider for court-ordered services, has a (previously mentioned) free, after hours clinic for people in urgent need, and reaches out to the community with awareness-raising events about mental health and substance misuse on the island, to break stigma and ensure that no one falls between the cracks.

In 2016 Fairwinds adopted the Baldrige Performance Excellence Framework, which is designed to improve an organization’s overall performance and get sustainable results. After a full transition to electronic record keeping through our Advanced MD software, Fairwinds continues to strive for performance excellence using this model so that we may continue to provide the best service possible to the most members of our community. The agency has streamlined many processes, from insurance billing to development planning and grant writing. We recently hired a full time clinical director who, in partnership with the current clinical director who is going to half-time, will add her expertise and background as a Boston-based crisis provider to management and clinical supervisions. We are using new strategies for marketing ourselves to ensure our services are known far and wide, and that those who need them, or who know others who do, will know how to reach out and what to expect.

Thus far, we have provided over sixty years of excellent clinical service. We’ve established an Urgent Behavioral Healthcare Clinic providing free walk-in opportunities outside of general business hours, allowing clients to rapidly connect to care as needed and to receive referrals for continued care. We have added Peer Recovery Coaching which assists people seeking recovery from addiction or substance misuse in an evidence-based program that supports people where they are. We see our agency used increasingly as the number of people seeking care goes up every year. We have recently hired three new clinicians and three new paraclinicians. These hires will allow us to meet the rising demands for our behavioral health services on the island.

Financials

Fairwinds -- Nantucket's Behavioral Health Center
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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Build relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.

  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.

Fairwinds -- Nantucket's Behavioral Health Center

Board of directors
as of 05/03/2024
SOURCE: Self-reported by organization
Board chair

Mr. Christopher Gagnier

Mark Alderman, Esq.

Dr. David Barlow, PhD, ABPP

Kaeyllane DeLima Dias

Christopher Gagnier

Elizabeth Galvin

Frederick McClure

Christina McHenry

Kevin Mullins

Abby Perelman, MEd, CAGS

Bruce Shear

Janet Sherlund

Eileen Shields-West

Ann Smith, CNM

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 4/30/2024

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Male, Not transgender
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

Transgender Identity

Sexual orientation

No data

Disability

No data