Fairwinds -- Nantucket's Counseling Center, Inc.
Renewal and Recovery
Programs and results
What we aim to solve
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
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. Once this has been completed the clinician will assist the family in creating their family goals and desired outcomes. Throughout the course of treatment, the clinician will facilitate the processes of communication, skills building, and boundary setting. Other therapeutic tools and treatment modalities will help the family build on their identified strengths as a way of successfully reaching the conclusion of family therapy.
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.
Couples Therapy
When couples are faced with difficult decisions or situations, they often struggle to have productive conversations and have difficulty viewing the situation through their partner’s eyes. Therapy helps by identifying where the unproductive patterns of communication that are creating barriers to possible solutions. The therapist will facilitate and teach alternative styles of communication to help the couple have a deeper understanding of, and the ability to meet, each other’s needs. The goal of couples therapy is not to determine the outcome for the couple. That is the choice of the couple. The goal is to help the couple reach the desired outcome in their relationship in a healthy and respectful way.
Testing for Children and Adults
Is your child experiencing difficulty in school? Does your child’s teacher comment that he or she has trouble focusing or is persistently daydreaming? These are common themes discussed in parent/teacher conferences. Testing can assist in identifying the source of your child’s current challenges, and, where appropriate, a diagnosis will facilitate the development of a comprehensive and individualized educational plan (IEP).
Is your teenager having social or behavioral difficulties at home or at school? Testing can be very useful in pinpointing the issues involved and helping to develop an effective treatment based on the individual’s strengths.
For adults experiencing problems at work or home, testing and assessment can assist in the development of an appropriate therapeutic treatment.
Fairwinds offers a wide range of psychological, diagnostic, psychoeducational and neuropsychological testing and assessment for all age groups.
Addiction and Substance Abuse Treatment
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.
Drivers Alcohol Education Class
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. To begin with, in order to better understand your current mental health, one of our counselors will perform an assessment. Once this has come to a conclusion, they will then make any recommendations that they deem necessary for your recovery.
The Driver’s Alcohol Education Class (also known as DAE) is a 17-week court-mandated class for first time Driving Under the Influence (DUI) offenders.
Students learn about the dangers of drunk driving by attending 40 hours of programming, as follows:
One individual intake session
Thirty-four (34) hours of psychoeducational group sessions (one 2- hour session each week for 17 weeks)
Four (4) hours of attendance at a community-based self-help meeting such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA)
One individual discharge (exit) session
In-Home Family Services
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.
Medication Management
Because medications are involved in 80% of all treatment plans, and therefore impact virtually every aspect of a patient’s life, it is a critical element of our services. Our team is trained to provide the right tools and age-appropriate information for adolescents, adults, and the aging population on how comprehensive medication management can best be integrated.
To ensure our patients’ complete well-being, our Medication Management services cover several aspects of medication use including:
Administration
Today, prescription drugs come in a wide range of forms other than oral. Thus, each requires a specific administrative regimen in order to ensure maximum effectiveness and minimal side effects
Adverse Effects
While all medicines have their side effects, some are more common. We always consider possible side effects when managing client medicine.
Procedure
Our trained professionals are extremely cognizant of the appropriate policies and procedures which are designed to ensure that medicines are used in accordance with Quality Use of Medicines (QUM) principles and relevant legislation.
Mentoring Youth Nantucket
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
Peer Recovery
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.
Urgent Behavioral Healthcare Clinic
Generously supported by a grant from the Town of Nantucket, Fairwinds offers a FREE drop-in Urgent Behavioral Healthcare Clinic 6 days per week outside of normal business hours. No appointment is needed and is designed for urgent care for individuals experiencing panic/anxiety attacks, feeling overwhelmed or depressed, those struggling with life stressors, and individuals unable to wait until their next appointment with a provider.
Where we work
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Our results
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.
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
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.
What are the organization's key strategies for making this happen?
We employ an (ever-growing) full-time staff of 34 (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.
What are the organization's capabilities for doing this?
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.
What have they accomplished so far and what's next?
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
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
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Connect with nonprofit leaders
SubscribeBuild 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 Counseling Center, Inc.
Board of directorsas of 09/16/2021
Mr. Christopher Gagnier
Ann Smith APRN
Dr. David Barlow PhD, ABPP
Abby Perelman, MEd, CAGS
Karen Rainwater
Eileen Shields-West
Christopher Gagnier
Mark Alderman, Esq.
Bruce Shear
Elizabeth Galvin
Phillips G. Smith
Fritz McClure
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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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
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
Gender identity
Sexual orientation
Disability
No data