Fiscal Year:

Reach of Services Annual Reports - Reach Of Services
3,410 community members received services in 2023

2,221

adults (ages 18-59)

813

children & adolescents (ages 0 - 17)

376

seniors (ages 60+)

2,221
813
376
adults (ages 18-59)
children & adolescents (ages 0 - 17)
seniors (ages 60+)

574

individuals received developmental disability services

1,754

individuals received emergency or other services

2,282

individuals received mental health services

1,210

individuals received substance use disorder services

574

individuals received developmental disability services

1,754

individuals received emergency or other services

2,282

individuals received mental health services

1,210

individuals received substance use disorder services

Annual Reports - Interactions Stats

66,881*

total interactions between CBH staff and individuals, families, and groups served

Annual Reports - Appointments Stats

45,510*

total number of individual, family, and group appointments

* includes face-to-face and telehealth services (video and telephone contacts)

Individuals Served By Resident Locality

956

Other Areas

790

York County

1,288

James City County

248

Williamsburg

128

Poquoson

1,288

James City County

248

Williamsburg

790

York County

128

Poquoson

956

Other Areas

Budget Annual Reports - Budget
$20,212,000 total budget in 2023

Spending

Revenue

David Coe 2007
David A Coe
Dr. Brassel2
Dr. Alfred Brassel, Jr.

Executive Director and Chairman's Message

We here at Colonial Behavioral Health celebrated our 50th year of service delivery in
2021, making us one of the longest-standing service organizations in our four jurisdiction
service area. Those members of our community who made up that first, small group of
staff, first Board, and other “first” groups may look with some amazement as what has
occurred since January 1971.


If we could walk back through those years a few at a time, we would most certainly
experience times of exciting growth, but also just as many days of frustration, impatience
and uncertainty about some legislative, regulatory, funding, or staffing change. The
experiences of those days could be exhilarating one day and exasperating the next. But
when viewed across the span of years, it has been quite a remarkable journey so far.


It is always tempting to allow our vision to be governed by the “tyranny of the urgent,”
dealing simply with each crisis point in turn. However, while we must always deal
effectively with crises as they occur, we must also address the issues that created the
crisis – or determine how to avoid or minimize their reoccurrence. This is certainly true
in clinical applications, but it applies to workplaces and communities as well. Moving
forward requires us to take the “long view,” looking beyond the immediate crisis.


New strategies are required to implement new models of care, improve technology and
facilities across our agency, and impact our community’s Social Determinants of Health
(SDOH). We know that the solutions of yesterday (and even of today) are not sufficient
to sustain our future. When we strike that position of balance between the “short” and
“long” views, we will see our communities grow healthier and more resilient – one life
at a time, one family at a time.

David A Coe Signature

David A Coe

Executive Director

Alfred Brassel Signature

Dr. Alfred Brassel, Jr.

Board Chair

Reach of Services Annual Reports - Reach Of Services
3,847 community members received services in 2022

2,513

adults (ages 18-59)

930

children & adolescents (ages 0 - 17)

404

seniors (ages 60+)

2,513
930
404
adults (ages 18-59)
children & adolescents (ages 0 - 17)
seniors (ages 60+)

571

individuals received developmental disability services

1,828

individuals received emergency or other services

1,615

individuals received mental health services

496

individuals received substance use disorder services

571

individuals received developmental disability services

1,828

individuals received emergency or other services

1,615

individuals received mental health services

496

individuals received substance use disorder services

Annual Reports - Interactions Stats

71,370*

total interactions between CBH staff and individuals, families, and groups served

Annual Reports - Appointments Stats

48,946*

total number of individual, family, and group appointments

* includes face-to-face and telehealth services (video and telephone contacts)

Individuals Served By Resident Locality

1,028

Other Areas

869

York County

1,528

James City County

290

Williamsburg

132

Poquoson

1,528

James City County

290

Williamsburg

869

York County

132

Poquoson

1,028

Other Areas

Budget Annual Reports - Budget
$18,864,310 total budget in 2022

Spending

Revenue

David A Coe man with short hair cut in a suit with yellow tie
David A Coe
Dr. Brassel2
Dr. Alfred Brassel, Jr.

Executive Director and Chairman's Message

We all entered Fiscal Year 2022 with high hopes that the COVID pandemic would be over, and that we would all look back on the pandemic memories of the upheaval through our rear view mirrors. Once again, that was not the case! Certainly, we appear to be much closer to the end than the beginning, but the impacts of COVID are only diminishing instead of ending.

However, the primary challenges of FY 2022 were not medical, but generational. CBH has long enjoyed very stable leadership in terms of senior management at our agency, but nothing lasts forever. Between May 2021 and June 2022, we experienced either the actual retirements or retirement announcements of five senior and long-tenured staff. Those staff represented 192 years of combined experience at CBH.

We are pleased to report that each of these positions were filled with internal applicants, happily providing us with both continuity and fresh perspectives. Since 2019, another ten staff have also retired, representing another 273 years of CBH experience. Many of those positions were also filled internally. We could not have asked for a better outcome.

Like everyone else, we are faced with serious workforce challenges at a time when the behavioral health and developmental service needs of our community are becoming more demanding and complex. In preparing for that future, we stand proudly on the development of our staff as a strength of CBH. We have not been, are not, and will never be perfect – but we are honored to provide the strong array of services to individuals, families and our community. Your continued support makes it possible.

David A Coe Signature

David A Coe

Executive Director

Alfred Brassel Signature

Dr. Alfred Brassel, Jr.

Board Chair

Reach of Services Annual Reports - Reach Of Services
3,923 community members received services in 2021

2,596

adults (ages 18-59)

746

children & adolescents (ages 0 - 17)

581

seniors (ages 60+)

2,596
746
581
adults (ages 18-59)
children & adolescents (ages 0 - 17)
seniors (ages 60+)

255

individuals received developmental disability services

2,224

individuals received emergency or other services

1,737

individuals received mental health services

472

individuals received substance use disorder services

255

individuals received developmental disability services

2,224

individuals received emergency or other services

1,737

individuals received mental health services

472

individuals received substance use disorder services

Annual Reports - Interactions Stats

96,643*

total interactions between CBH staff and individuals, families, and groups served

Annual Reports - Appointments Stats

52,644*

total number of individual, family, and group appointments

* includes face-to-face and telehealth services (video and telephone contacts)

Individuals Served By Resident Locality

1,213

Other Areas

736

York County

1,687

James City County

153

Williamsburg

134

Poquoson

1,687

James City County

153

Williamsburg

736

York County

134

Poquoson

1,213

Other Areas

Budget Annual Reports - Budget
$17,651,323 total budget in 2021

Spending

Revenue

David A Coe man with short hair cut in a suit with yellow tie
David A Coe
Dr. Brassel2
Dr. Alfred Brassel, Jr.

Executive Director and Chairman's Message

Fiscal Year 2021 was not the year we expected. We had hoped for the COVID-19
pandemic to fade out and have our world return to “normal.” We hoped to be
able to celebrate our 50th Anniversary with a large community event. We
hoped that some long-term strategic initiatives would come to reality in that
year. We hoped . . .


The reality of Fiscal Year 2021 was that COVID was far from ready to release us,
that we would have to wait to celebrate 50 years of community service, and
that long-term initiatives don’t always resolve on a strict timeline. We also
learned that many of the lessons learned during the stressful early days of the
pandemic were actually helpful in future planning. We learned . . .


The new service methodologies, technologies and facility needs initiated at the
outset of the pandemic became central to our core operational plans. We
consolidated office locations as the beginning of a new work reality that will
remain for years to come. We began to adjust our approaches to
administrative functions. We experienced the beginning of changes in our
senior agency leadership as the result of long tenures. We adjusted our
approach to agency governance. We changed . . .


Entering Fiscal Year 2022, we don’t know what direction the pandemic will take,
and what timetable we may face moving forward with long-held plans for the
future. We still want to celebrate 50 years with you, even if it may come a year
late. Our future plans remain in place. The foundations laid over the past several
years remain in place and are more than sufficient to support an exciting future.
So no matter what circumstances face us all in Fiscal Year 2022, we will continue
to hope, to learn and to change.

David A Coe Signature

David A Coe

Executive Director

Alfred Brassel Signature

Dr. Alfred Brassel, Jr.

Board Chair

Reach of Services Annual Reports - Reach Of Services
4,138 community members received services in 2020

2,708

adults (ages 18-59)

886

children & adolescents (ages 0 - 17)

544

seniors (ages 60+)

2,708
886
544
adults (ages 18-59)
children & adolescents (ages 0 - 17)
seniors (ages 60+)

545

individuals received developmental disability services

1,934

individuals received emergency or other services

1,986

individuals received mental health services

586

individuals received substance use disorder services

545

individuals received developmental disability services

1,934

individuals received emergency or other services

1,986

individuals received mental health services

586

individuals received substance use disorder services

Annual Reports - Interactions Stats

108,470*

total interactions between CBH staff and individuals, families, and groups served

Annual Reports - Appointments Stats

51,678*

total number of individual, family, and group appointments

* Includes 15,240 Telehealth (phone and video conferencing) appointments from March 19 - June 30, 2020.

Individuals Served By Resident Locality

1,054

Other Areas

845

York County

1,894

James City County

210

Williamsburg

135

Poquoson

1,894

James City County

210

Williamsburg

845

York County

135

Poquoson

1,054

Other Areas

Budget Annual Reports - Budget
$17,651,323 total budget in 2020

Spending

Revenue

David A Coe man with short hair cut in a suit with yellow tie
David A Coe
Dr. Brassel2
Dr. Alfred Brassel, Jr.

Executive Director and Chairman's Message

When we here at Colonial Behavioral Health thought about and planned for 2020, we did not include a pandemic among the possible scenarios. When the COVID-19 pandemic emergency arrived in March 2020, almost everyone was caught somewhat “off guard,” and we were no exception. We were all forced to modify our operation to a primarily telehealth model, have most employees begin to telework, and rethink the way we approached services and work in general.


Those first few days and weeks were admittedly difficult, and we found ourselves in need of friends and flexibility. Fortunately, we were provided with both. Local and state agencies, friends, neighbors, family members and private groups worked to donate masks and other Personal Protective Equipment. Flexibility in the use of some types of funding was provided locally and at the state level. Additional flexibility in support of telehealth services was (and still is) provided by Federal and state government, and also by insurers. All of this, coupled with support from our own staff and Board of Directors, added up to an operational model that has worked. We are deeply grateful to each of you.


So now we find ourselves in the middle of the pandemic, and are able to begin looking to the day when the COVID-19 pandemic emergency will be a memory. We are thinking about how healthcare will be reshaped, how behavioral health and developmental services will evolve, and how we need to adapt in order to thrive in that environment. What we are discovering is that our pre-COVID plans – for improved service mobility, integrated healthcare, consolidated facilities, and improved technology to enhance access to higher-quality services – have not changed. In some cases, COVID has accelerated change to a pace we would not have imagined.


Fiscal Year 2021 will be our 50th in providing services. We have been privileged to support our communities since 1971. As we anticipate our second half-century, we will remember COVID-19 as a devastating virus that disrupted the lives of individuals and families, brought loss to many, and changed our culture permanently. The need for improved access to healthcare for everyone has been clearly demonstrated, and we look forward to meeting that challenge head-on. Together, we will make it a reality.

David A Coe Signature

David A Coe

Executive Director

Alfred Brassel Signature

Dr. Alfred Brassel, Jr.

Board Chair

Reach of Services Annual Reports - Reach Of Services
4,459 community members received services in 2019

2,972

adults (ages 18-59)

1,002

children & adolescents (ages 0 - 17)

485

seniors (ages 60+)

2,972
1,002
485
adults (ages 18-59)
children & adolescents (ages 0 - 17)
seniors (ages 60+)

490

individuals received developmental disability services

2,177

individuals received emergency or other services

2,212

individuals received mental health services

643

individuals received substance use disorder services

490

individuals received developmental disability services

2,177

individuals received emergency or other services

2,212

individuals received mental health services

643

individuals received substance use disorder services

Annual Reports - Interactions Stats

109,301*

total interactions between CBH staff and individuals, families, and groups served

Annual Reports - Appointments Stats

55,342*

total number of individual, family, and group appointments

* includes face-to-face and telehealth services (video and telephone contacts)

Individuals Served By Resident Locality

1,240

Other Areas

963

York County

1,874

James City County

234

Williamsburg

148

Poquoson

1,874

James City County

234

Williamsburg

963

York County

148

Poquoson

1,240

Other Areas

Budget Annual Reports - Budget
$17,737,487 total budget in 2019

Spending

Revenue

David A Coe man with short hair cut in a suit with yellow tie
David A Coe,

Executive Director Message

Colonial Behavioral Health has been around a long time – since January 1971! Yes, that means we are beginning to think about our 50th Anniversary providing behavioral health and developmental disability services to our community – and we will certainly shout that message from the rooftops over the next couple of years.


As we approach that “hallmark” fiftieth year, it is important that we recognize that the first 48 years has been (and is) a team effort. No single individual or group is responsible for the existence or success of a sustained organization. Colonial Behavioral Health is the product of a community that has consistently bonded together to provide for its citizens with many disability challenges. We have been blessed with four highly-supportive local governments, local funding partners such as the Williamsburg Health Foundation and Williamsburg Community Foundation, and individuals who have donated their personal resources.


We are grateful to our many community agency service partners, local businesses that have supported us and those we serve, as well as our advocacy partners and legislators. We have been supported by hundreds of local citizens over the years who have donated their time to serve on our Board. Our staff has been and is dedicated to providing quality services of ever-growing complexity to meet the needs of our community. Most of all, we are indebted to the individuals and families who have given us the privilege of working to provide needed services. Colonial Behavioral Health would not exist without them.


To each of those named above, and to all who read this Annual Report, we say THANK YOU.

David A Coe Signature

David A Coe,

Executive Director