Guild

“The finance committee and full board of directors review the form 990 before it is filed. Key staff and the external auditor attend the meeting to explain information and answer questions. Approval to file the form 990 is captured in the board minutes.”

“The board of directors and key staff complete annually a conflict of interest information form to disclose conflicting activity or declare no conflicting activity. The board determines whether the transaction is just and fair and is in the best interest of the organization. The board's concern must be the welfare of guild incorporated and the advancement of its purpose.”

“The board of directors performs an evaluation and determines compensation for the president based on performance and salary market analysis. Employees receive a performance assessement each year at the time of their anniversary date of hire or entry into a new position. This annual review focuses on both assessing and discussing performance, and on reviewing the employee's base salary with consideration for a salary increase.”

“The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public.”

“Mental illnesses are more common in the united states than most people think and happen to people regardless of economic status, gender, age, race, or background. One in 17 americans has a serious mental illness, according to the national institute of mental health, which also identifies these illnesses as the leading cause of disability in the united states. Guild incorporated exists to help individuals living with these serious mental illnesses counter the devastating effects of poor physical health, chronic homelessness, high unemployment, extreme poverty and other health and social complexities that are often experienced; seeing strengths, creating options, and restoring health, all toward the goal of helping people lead quality lives. Services are successful when those served: live in safe, affordable housing and homelessness is prevented; maintain their optimal physical and mental health; find suitable employment or pursue education; have recreation and socializing opportunities; and, report a sense of satisfaction with their quality of life.”

“Community treatment services: integrated & intensive case management, and care coordination services help individuals who have psychiatric illnesses of a serious nature gain access to medical, social, education, vocational, financial, and other necessary services related to individuals' mental and physical health needs. Stability in housing, optimal health, and connections to one's community are the desired results of these services. Assertive community treatment (act), an intensive outpatient service, helps individuals living in the community who experience severe, hard to manage symptoms of mental illness. The goal of act is to decrease or prevent recurring acute episodes of illness. Over half of guild incorporated's work is in the community treatment services area. Known as a "hospital without walls" model, the services are mobile, delivered where needed, most often in individuals' homes, using a team-based model. A new, specialty act team was launched in february 2014 to serve transition-age youth, ages 16-20, with diagnosed serious mental illness and substance use disorders. Early intervention with community-based treatment is designed to prevent mental health conditions from becoming disabling. In 2014, 1,059 individuals received community treatment services. On december 31, 2014, 78 percent of individuals served were living in their own home and maintained stable housing (as measured by the housing movement table administered during the last six months of 2014). Collaborations with two health plans, implemented in 2012, enhance the organization's ability to coordinate and assure care for both medical conditions such as hypertension and diabetes and mental health conditions, and help ensure that individuals served get the treatment they need for their medical conditions. This is especially important as the life-span for people who have serious mental illness is shortened by twenty-five years, largely due to treatable medical conditions. A record number of people (outside the usual referral sources) called guild directly for help. In 2014, guild's resource navigator responded to 641 calls within one business day, a seventeen percent increase over 2013. Known as community access, the resource navigator addresses immediate needs, identifies appropriate options, and helps to secure ongoing services.”

“Residential services: crisis stabilization residential services (maureen g. Heaney guest house) help individuals in psychiatric or other crises stabilize in the community without becoming homeless, and, whenever possible, without high-cost hospitalization. Intensive residential treatment services (guild south) assist individuals to develop and enhance psychiatric stability, personal and emotional adjustment, self-sufficiency, and skills needed to live in a more independent setting. Permanent, supportive housing provides 24/7 on-site services for residents who need a higher level of care to assure stability in housing and optimal health (rick's house). In 2014, 179 individuals accounted for 191 admissions to the 4-bed crisis stabilization services. The average length of stay was 6 days. Ninety-two percent (174/190) of individuals, leaving their home to be admitted for services, stabilized their situation without hospitalization for psychiatric care. Sixty individuals were served in the 9-bed intensive residential treatment services program, with an average length of stay of 52 days. Six individuals were served by rick's house in 2014. Three individuals moved to other living settings during the year.”

“Delancey services: guild's delancey street services engage people who have histories of long-term homelessness compounded by problems of mental illness, substance use, and chronic medical conditions. Delancey street takes a "housing first" approach, assisting participants to establish and maintain housing; improve their health; and, increase their quality of life through meeting desired goals. Initially begun in 2003 as a pilot project to demonstrate the potential to end homelessness for the "most marginalized single adults", guild's delancey street is now a provider for the metro long-term homeless supportive services project in the seven-county metropolitan area in minnesota. In 2014, 50 individuals were served in this "housing first", continuous-care model, 100 percent of capacity. Seventy-seven percent of those served for one year of more kept continuous housing in 2014. Delancey apartments opened in of 2009, resulting from collaboration between guild incorporated and project for pride in living. It provides 13 units of permanent, supportive housing for people experiencing chronic homelessness who have had difficulty maintaining their housing; and features easy access to things like nursing and employment support. Seventeen individuals benefitted from this housing in 2014. Guild is demonstrating, in partnership with regions hospital, hearth connection, and the division of healthcare research and quality within the state department of human services, reduction in avoidable high-cost health services while increasing stability in health and housing for low-resource homeless individuals with complex healthcare needs who turn to hospital emergency departments for ongoing health concerns. Wilder research conducts the on-going evaluation of this initiative, which expanded in 2013. The most recent client outcome report was published in february 2015, incorporating outcome data through april 2014. Emergency department use has consistently decreased over time (68% after enrollment). Clinic use has decreased and rebounded overall, while varying for individual participants based on their health needs. Participants accessed medications more consistently after enrollment, including stabilizing the number of pharmacy claims overall and accessing more of the same medications repeatedly. Despite long histories of homelessness, all participants moved into stable housing within four months of enrollment in the initiative. A new supportive housing initiative in partnership with dakota county community services was implemented in 2012 and expanded in 2013. One hundred fifteen formerly homeless individuals are now housed and have access to on-going housing supports to aid in maintaining stable housing. Additionally, guild served 75 medica members through the delancey "housing first" model. This initiative is a collaboration with hearth connection and medica. Medica recognizes the inextricable relationship between health and one's living arrangement, and partnered with hearth connection to assist specialized providers meet the need for supportive services for medica members who are homeless.”

“Employment services: employment services promote work as part of the recovery process. Services help individuals who have serious mental illness pursue education or find, get, and keep suitable employment that meets their abilities and preferences. The services take a person-centered approach to help individuals participate in the competitive labor market. In 2014, 109 people received employment services such as job seeking skills training, individual job development, job coaching, and job support. The number of participants achieving a competitive employment outcome puts guild's employment services in the top 25% of similar programs in the nation that use the evidence-based individual placement and support model.”

“Rehabilitation services: when living and coping with mental illness, it can be difficult to keep up with everyday demands and reach goals. Rehabilitation services help individuals develop, restore and enhance their psychiatric stability, social competencies, personal and emotional adjustment, and community living skills. The agency's community support member center is a component of rehabilitation services. A variety of support and socialization activities are available as well as classes and workshops in areas of interest such as illness management and recovery, nutrition, wellness workshops, etc. Many classes are led by peers. Individuals can also just "drop-in" for help with a particular problem. One hundred seventy-nine individuals made 6,821 visits to the center, participating in both center-based and community-based activities.”

“Supported housing services: guild administers housing subsidies to facilitate access by individuals served to safe, affordable housing. Guild also provides shared housing in which individuals who share similar circumstances choose to live together in a permanent, supportive living arrangement to counter social isolation.”

“Volunteer services: more than 229 community members help guild incorporated meet its mission and purpose through volunteer service. Be a friend to someone who is isolated, drive someone to the grocery store, play sports or card games, help raise funds - there's something for everyone to do.”

“Increase in beneficial interest in assets held by others 45,247.”

“The oversight process or selection process did not change during the tax year.”