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        <FormAndLineReferenceDesc>Schedule D, Part V</FormAndLineReferenceDesc>
        <ExplanationTxt>The board has designated net assets without donor restrictions to be available as an operating reserve for general expenditures. Although the Summit does not intend to spend these funds as part of its annual budget, these funds could be made available if necessary. The balance of these funds is $1,133,692 as of June 30, 2023.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Summit is exempt from federal and state income taxes under Revenue Code Section 501(c)(3). Accordingly, no provision for incomes taxes has been made. The Summit annually evaluates all federal and state income tax positions. This process includes an analysis of whether these income tax positions the Summit takes meet the definition of an uncertain tax position under the Income Taxes Topic of the Financial Accounting Standards Codification. Management believes the Summit is no longer subject to income tax examinations for tax years ending before June 30, 2020.</ExplanationTxt>
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        <ExplanationTxt>The Summit provides counseling services for free or at a discounted rate based on financial need of the individual.</ExplanationTxt>
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        <ExplanationTxt>In an effort to care for those who cannot afford the full cost of services, the Summit provides a pro bono discount to services before applying any additional subsidies or grant funding to clients who qualify. By providing pro bono discounts, The Summit materially participates in the care of those who cannot afford the cost of services. For more information about the subsidies and grant funding available through The Summit's client assistance fund, see Schedule O.</ExplanationTxt>
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        <ExplanationTxt>The number of recipients represents the number of sessions provided at a pro bono or discounted rate. Records of individual usage are not maintained.</ExplanationTxt>
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        <ExplanationTxt>Organization Mission continued from Part III, Line 1 ...integrative approach to treat the whole person body, mind, spirit, and relationships. The Summit provides services for all family members including adults, teens, and children to address a wide variety of mental health and substance use concerns and to promote awareness and wellness within communities in North Metro Atlanta. The Summit is committed to providing a therapeutic relationship, an integrative approach to healing, high-quality services provided by state licensed providers, multiple areas of specialization, evidence-based practices, partnerships with community stakeholders, community service, and accountability to our Board of Directors and to our accrediting agency, The Solihten Institute. The Summit maintains a strong commitment to removing barriers to mental health services and making our services accessible and affordable to those who cannot afford the full cost of our services. This commitment is expressed through the availability of our client assistance funds, pro bono discounts, partnerships, grants, and additional fundraising support to ensure that anyone who needs our services can access these services without income being a barrier. Services are provided at our 6 community-based office locations, 30 public schools and 1 private school in Fulton, Dekalb and Gwinnett counties.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Programs (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>Program description continued from Part III, Line 4a ...21,688 hours of therapy and served 3,035 unduplicated clients in 2022-23. Specialized programs include suicide risk screenings, play therapy for children, dialectical behavioral therapy and skills groups. Additionally, associate licensed clinicians are provided clinical supervision from certified mental health supervisors at no charge for clinical quality assurance. Specialized Child and Play Therapy Program for children aged 3-12: Mental health is a crucial aspect of children's overall well-being. It encompasses their mental, emotional, and behavioral health, influencing how they think, feel, and act. Additionally, it plays a role in how children handle stress, relate to others, and make healthy choices. Nearly 1 in 5 children experience mental health challenges each year. These issues can impact their daily lives, relationships, and overall well-being. Recognizing and addressing these concerns early is essential. Children with mental, emotional, or behavioral disorders, such as anxiety, depression, ADHD, autism spectrum disorder, or disruptive behavior disorder, benefit significantly from early diagnosis and treatment. Access to mental health care during this critical developmental period can help address issues promptly and improve long-term outcomes. Play therapy is a specialized form of psychotherapy &amp; counseling designed to harness the power of play to help children express feelings, learn coping skills, gain interpersonal skills, and resolve blockages to achieve optimal growth and development. The Summit's certified clinical supervisors and trained play therapists incorporate evidence-based practices and techniques. The Summit provided 675 sessions of Specialized Child and Play Therapy Services in Office-based settings and served 115 unduplicated clients. Client assistance pro bono discounts and fee subsidies ensure that those in need receive the help they need. Dialectical Behavioral Therapy (DBT) Program: Dialectical Behavior Therapy (DBT) is a structured program of psychotherapy with a strong educational component. It equips individuals with skills for managing intense emotions and navigating social relationships. Originally developed to address self-destructive impulses in chronically suicidal patients, DBT is also effective for treating borderline personality disorder, emotion dysregulation, and various psychiatric conditions. When appropriate, DBT can be administered in an outpatient setting, allowing individuals to attend therapy sessions and skills groups while continuing to live at home, attend school, and continue to work. The Summit utilizes therapists and clinical supervisors who have received Advanced Training to provide DBT therapy and DBT education groups that train clients in mindfulness practices, distress tolerance, emotional regulation and interpersonal effectiveness. Educational groups are provided for adults, teens (and family members of teens). The Summit provided 481 hours of outpatient DBT programming and served 39 adults, adolescents and family members. Client assistance pro bono discounts and fee subsidies ensure that those in need receive the help they need. Psychological Testing Program The Summit also provides psychological and psycho-educational testing, screenings and assessments for adults, children and adolescents. The Summit developed cost-effective, early intervention screenings for mental health, learning disabilities and attention problems. When screenings indicate a need for more extensive testing, The Summit provides the full battery of psycho-educational or neuro-psychological testing. Nationally, the health, well-being and academic performance of children and adolescents is significantly hampered by undiagnosed mental health disorders, learning disabilities (and differences), and behavioral conditions. The Summit worked with area pediatricians to develop a screening protocol to provide more cost-effective mental health and neuropsychological screening tools to provide physicians and parents with effective means to identify these conditions. Early, cost-effective identification of mental health disorders allows physicians to ethically proceed with any needed pharmacological treatment without unnecessary additional testing. When screening tools detect the likelihood of a more significant underlying condition, additional testing can be administered while obtaining financial credit for the previous screening. Complete psycho-educational assessments allow parents, physicians and educators to more effectively address student challenges and create a plan for academic success and greater overall well-being. In 2022-23, The Summit's neuropsychologist and psychometrist provided over 2202 billable hours of screenings and assessments to 212 clients and their families. Suicide Risk Assessments The first step in effective suicide prevention is to identify anyone who is in need of help. By educating our community on the risk factors and warning signs of suicidal ideation and offering suicide risk assessments at no charge, we are removing the barriers that prevent those at risk from receiving the services they so desperately need. The Summit provides free suicide risk assessments in our community when a person has been identified experiencing suicidal ideation. Our team of clinicians have completed AMSR (Assisting and Managing Suicide Risk) and use the Columbia Protocol to address the full range of suicidal thoughts and behaviors that point to heightened risk. The assessment identifies risk not only if someone has previously attempted suicide, but also if he or she has considered suicide, prepared for an attempt (for example, buying a gun, collecting pills, or writing a suicide note), or aborted plans for suicide because of a last-minute change of mind or someone's intervention. This protocol allows our team to efficiently and effectively determine next steps for a safety plan ranging from counseling services, community supports, and/or hospitalization. Summit provided 66 suicide assessments in 2022-2023. Telehealth Services As the need for mental health services has increased, The Summit is finding ways to bring individual and group therapy to individuals where they are. Telehealth has emerged as a crucial tool in expanding access to mental health services. By removing the barrier of accessibility, clients can receive services privately and conveniently from home, work, and school. This allows clients the option of receiving therapy in a virtual setting or a hybrid of virtual and in person combined. It has proven to be a beneficial resource for our school-based therapists to use when meeting with parents or guardians, allows for a continuum of care with students attending college, adults who travel for business and couples/families to receive therapy when they are not able to be at the same location. Summit provided 1262 telehealth hours in 2022-2023. The Summit First Responders Counseling Program: As first responders, these dedicated individuals face immense challenges while safeguarding our communities. Their roles involve confronting life-threatening situations, trauma, and emotional stress daily. Despite training for extreme conditions, resources for addressing post-response mental health needs are not always met. The Summit partners with the cities of Johns Creek, GA and Milton, GA to serve their First Responders through the First Responder Counseling Program. First Responders can receive individual, couples or family counseling that is confidential and anonymous. Services are provided at each of Summit's office-based locations as well as via Telehealth. No pre-approval is required and there is no need to involve the employee assistance program. First Responders receive 10 complimentary (subsidized) sessions per year while their family members receive 5 complimentary (subsidized) sessions per year. In 2022-23, this developing program provided 295 sessions and served 31 First Responders and their family members.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b Programs (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>Program description continued from Part III, Line 4b ...the United States faced significant challenges. 1. Mental Health and Suicidality: - In the 12 months before the survey, 42.3% of students grappled with persistent feelings of sadness or hopelessness. - Over one in five students (22.2%) seriously considered attempting suicide, and 10.0% made actual suicide attempts. 2. Gender Differences: Female students, LGBQ+ students, and students who had any same-sex partners were more likely than their peers to experience poor mental health and suicidal thoughts and behaviors. - Nearly 60% of female students and nearly 70% of LGBQ+ students experienced persistent feelings of sadness or hopelessness. - 10% of female students and more than 20% of LGBQ+ students attempted suicide. 3. Substance Use Behavior: High school students reported engaging in substance use: - 18% of students used electronic vapor products in the past month. - 23% of students consumed alcohol during the same period. - 12% of high school students had ever taken prescription pain medicine such as codeine, Vicodin, OxyContin, Hydrocodone, or Percocet, without a doctor's prescription or differently than how a doctor told them to use it. 4. Georgia Statistics Mental and behavioral health statistics for high school students in the state of Georgia increased dramatically from 2019 to 2021 in the following categories: - Feeling of sadness or hopelessness increased from 29.9% to 43.5% - Suicidal ideation increased from 18.5% to 26.5% - Current alcohol use rose from 17.5% to 24.7% - Current vaping rose from 17.0% to 18. - Georgia was above the national average for each of these categories. By removing the barriers of stigma, accessibility and affordability, this program allows The Summit therapists the flexibility to quickly intervene, by serving students onsite during regular school hours. This intervention increases early identification of mental health needs, openness to help and an increase in skills and resources to address these issues. In 2022-2023, The Summit provided 8,203 hours of counseling to students in 14 elementary schools, 8 middle schools and 9 high schools and served 790 students through on-site services. During the July 2022- December 2022 timeframe, the Summit partnered with the Fulton County Department of Behavioral Health and Developmental Disabilities and CHRIS 180 to ensure high quality services and increase sustainability. In January 2023, Fulton County formed the new Fulton County Behavioral Health Network (FCBHN) to provide behavioral health and developmental disabilities services to Fulton County residents. With the establishment of this new network, the Summit was awarded a contract to provide School-based Behavioral Health Services to our same 28 schools in northern Fulton County as a directly contracted Community Behavioral Health provider. This innovative new network contract was for one calendar year and is renewable for an additional 9 years. Client assistance pro bono discounts and fee subsidies ensured that those in need receive the help they need. Services include two pro bono sessions at the beginning of service for parents to ensure their engagement in their child's care. Suicide Risk Assessments The first step in effective suicide prevention is to identify anyone who is in need of help. The Summit provides free suicide risk assessments when a student has been identified experiencing suicidal ideation. Suicide Risk assessments are provided at both school and off-site locations. Our team of school-based clinicians have completed AMSR (Assisting and Managing Suicide Risk) and use the Columbia Protocol to address the full range of suicidal thoughts and behaviors that point to heightened risk. The assessment identifies risk not only if a student has previously attempted suicide, but also if he or she has considered suicide, prepared for an attempt (for example, buying a gun, collecting pills, or writing a suicide note), or aborted plans for suicide because of a last-minute change of mind or someone's intervention. This protocol allows our team to efficiently and effectively determine next steps for a safety plan ranging from counseling services, community supports, and/or hospitalization. By educating our school community on the risk factors and warning signs of suicidal ideation and offering suicide risk assessments at no charge, we are removing the barriers that prevent those students at risk from receiving the services they so desperately need. Telehealth Services As the need for mental health services has increased, The Summit is finding ways to bring individual and group therapy to individuals where they are. Telehealth has emerged as a crucial tool in expanding access to mental health services. By removing the barrier of accessibility, clients can receive services privately and conveniently from home, work, and school. It has proven to be a beneficial resource for our school-based therapists to use when students are not able to attend school due to school closure, holiday breaks, or other academic disruptions. It is also a convenient method of meeting with parents or guardians during school hours.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c Programs (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>Program description continued from Part III, Line 4c ... - Understanding Eating Disorders - Positive Discipline Skills for Parents - Relationship Building for Couples - Well-Being in the Workplace - Building Self-Confidence - Postpartum Anxiety &amp; Depression - Talking to Teens About Grief - Intersection of Faith and Mental Health - Identifying the signs of Anxiety - How to Be a Trusted Adult (Recognizing the Signs of Suicide) The Summit was the primary founding and sponsoring organization of the North Fulton Mental Health Collaborative. The mission of the NFMHC is to connect and catalyze stakeholders to cultivate an accessible life span behavioral health system to improve mental wellness for our community. It is open to all behavioral healthcare stakeholders in our community, including: faith communities, public and private schools, law enforcement agencies and personnel, local government, civic organizations, non-profit organizations, behavioral health providers, healthcare organizations and providers, and friends and family members of behavioral health consumers. Through expert panel discussions and shared experiences, our quarterly meetings serve as a catalyst for creating lasting connections and fostering a supportive network that actively contributes to the betterment of mental wellness in North Fulton.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Other Program Service 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>The Summit Counseling Network on behalf of CURE Childhood Cancer: The Summit partners with CURE whose mission is to conquer childhood cancer through funding targeted research while supporting patients and their families. Since 2013, The Summit has been a key partner in supporting patients and their families through this innovative counseling network. The Summit acts as a third-party administrator to recruit and contract with select therapists in the Metro Atlanta area, Savannah and beyond to provide CURE patients and their families with a first session at no charge and up to 9 additional sessions at a subsidized reduced copay. Following the initial 10 sessions, additional subsidized sessions are approved as needed to ensure all families receive necessary services. This network of therapists continues to grow to serve CURE families through both in person and telehealth counseling services. In fiscal year 2022-2023, 86 new families enrolled in the program bringing the total of families utilizing the program to 183. A total of 468 sessions were conducted and 27 new therapists were onboarded to the program and added to the CURE network of providers.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>Mt. Pisgah United Methodist Church has the ability to elect 51% of the board of directors upon the expiration of a term or vacancy for any reason. This includes positions created by an increase in the number of Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board may amend or repeal the bylaws, or adopt new bylaws, provided, that any such change must be approved by the charge conference of Mt. Pisgah Methodist Church. If deemed necessary, the charge conference of Mt. Pisgah Methodist Church may amend or repeal the bylaws, or adopt new bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>The Finance Committee reviewed and approved the 990. The final version is provided to the Board of Directors prior to the filing of the return.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>The conflict of interest policy is monitored as needed by the governing board. All conflicts are discussed and reviewed by the governing board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Director's compensation is reviewed annually by the governing board. All adjustments are reviewed and approved by the board. Compensation for all other employees is set based on comparable market statistics, and is evaluated annually. Board Members are not compensated.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Public Disclosure copies of the Organization's Form 990 and exempt status application materials will be provided immediately upon requests, when made in person during normal business hours at the organization's address. Copies will be provided within 30 days of receipt of written requests.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A</FormAndLineReferenceDesc>
        <ExplanationTxt>Helen Caudill serves on the board of directors at The Summit Counseling Center, Inc. All compensation was paid by a related organization. No compensation was paid from The Summit Counseling Center, Inc. MOUNT PISGAH UNITED METHODIST CHURCH PAYS 100% OF BETH GIDDES'S SALARY, W-2 REPORTING, AND BENEFITS, BUT THE SUMMIT COUNSELING CENTER CONTRACTS MOUNT PISGAH UNITED METHODIST CHURCH TO PROVIDE SOME OF HER TIME TO DELIVER THEIR OWN EXECUTIVE MANAGEMENT SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has not changed any selection or oversight processes from previous years.</ExplanationTxt>
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