CHIL

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2017 Annual Report

The staff has been a very positive

influence on us. “

They are very insightful and have an understanding of our problems. My son has had a multitude of negatives in his past and their understanding of how these negatives have affected him is a real plus because many people do not take all these things into consideration. Our team is top-notch, and they have my sincere gratitude. Many thanks to Child Guidance.

“Jay, CGRC Parent

At Child Guidance, we take pride in delivering high quality behavioral healthcare services to meet the needs of the families who reach out to us for help. This requires us to continually assess the complex issues that affect our local communities. I’m so proud of our staff’s ability to bring attention to the impact of trauma, violence, bullying and drug and alcohol abuse on children’s behavior and relationships. In 2017, Child Guidance began providing Alcohol, Tobacco and Other Drug Prevention Services in Delaware County. These pro-grams target the risk factors that increase a child’s probability to engage in substance abuse by working with parents and care-givers to build more connected and attentive families. We are working with many stakeholder groups in Delaware County to educate and engage them in this new initiative and we are confident that it will make a real and lasting difference in the future.

Child Guidance’s staff works tirelessly everyday to highlight the issues of children in need of care. Children who, through no fault of their own, face struggles that most of us cannot imagine. I know that many of the profiles and stories of the children that we share with you throughout the year are not easy to hear, and yet, it is the dedication of our talented staff that helps thousands of these children envision a brighter, healthier future for themselves. By bringing these stories to you, we are helping you understand their needs and how important it is to support access to behavioral healthcare services. Our objective to reduce the stigma surrounding behavioral healthcare is advanced when more people understand that reaching out for help requires courage.

Please join us by sharing our message and our mission. We could not do what we do without you, and we are honored to have you in the Child Guidance family. Please visit our website, attend one of our events, or arrange a personal visit. I’m sure you’ll gain a better understanding of the profound impact we can make by working together to help children and families.

Dear Friends of Child Guidance Resource Centers,

Sincerely,

President and CEO

I took care of Arie from the time he was 6 months old due to neglect, abuse and a lot of physical fighting between his mother and father. When he was one, his mom came back and lived with us. I got up one day and they were gone. When I found him, things were just a mess and my daughter was given the choice to either surrender Arie and get treatment for her addiction or go to jail for assault.

She agreed to surrender Arie, and he lived with me while she had visitations. During one of her visits, the father of her other two children, Chris and Anthony, assaulted Arie. At this point, visitation was cut off and I was given custody of all three of the children. When Arie was 5, he started to act out. He had severe meltdowns and the rage in him was just beyond my comprehension. He broke things in the house, busted my lip open, blackened my eye, and this was repetitive every day. Our whole house was in crisis. I realized I needed help. Arie was seeing therapists at a different mental health agency and was losing massive amounts of weight because of his medication. He was 5 years old and weighed 22 pounds. One day, he had a meltdown and I collapsed at his school and, thankfully, they referred us to Child Guidance’s Family First program.

It was like I could finally breathe. I had help. Before, I was in this by myself. So to have help was beyond my wildest dreams, therapists are going to come help me in my house? Wow! We built a relationship with our therapy team, and the kids loved them. Things were stable and good. The kids truly had a relationship, they formed a bond that was so close it was beyond my comprehension because prior to that they did nothing but fight. Plus, Child Guidance was able to properly medicate Arie. When we ended services, we went to dinner every other Friday night. We played games, had conversations, were able to watch movies together, there was no tension. No friction. It was awesome.

A couple years passed, and their Mom was clean and came to live with us. She was 10 months clean, but then she started to use drugs again and went back to jail. Their Dad was consistent, visiting every weekend, but then Dad also began using and went to jail. With all that trauma and loss, something snapped in Anthony’s head, Chris went off the rail, and Arie started busting stuff again. I knew instantly that I needed help. I was ready to walk. We worked so hard! I didn’t have it in me to do this again. I can’t continually pick up pieces, I’m running out of superglue.

But Child Guidance’s support makes me keep going when I don’t want to. They are very supportive. It takes somebody sitting down to help me filter through the chaos in my head to help me find the tools and show me I know what to do. When you are in the middle of the chaos, it’s hard to dig in that bag and get out the tools and that’s when I bring out the superglue and start trying to glue things and it doesn’t work because you put water in it, and it still leaks.

I learned a lot from Child Guidance. Our life was in chaos when we started. My grandchildren were setting fires, escaping the house in the middle of the night and the cops were bringing them home because they were looking for mom and dad. I just didn’t understand their behavior. When I spoke to them in anything but a perfect tone they automatically flinched. Even now, if I reach for them even 4 years later, they still put their hands up. Child Guidance helped me understand that this was because of their trauma. They’re little people in an adult world. If we can’t figure it out, how can we expect them to figure it out? Trauma affects a child’s brain. Simple as that. Most of the kids in Child Guidance have suffered in some way or another, or they wouldn’t be there.

A Letter from a Child Guidance FamilyA Letter From a Child Guidance Family

I also learned how to set boundaries. Now I know I don’t have to settle for something I’m not comfortable with and I know the kids aren’t comfortable with. If Arie doesn’t want to talk to his mom, that’s okay. They have a right to express what they feel, respectfully, angrily, however they want to do it. Before Child Guidance, I would tell them to stay in your place, stay in your lane, she’s your only mom. Now, while it’s true that she is still their mom I acknowledge now that she has hurt them over and over again and they have the right to feel the way they feel and no one can take that from them. We don’t have a right to tell little people “you can’t be upset” and that was hard for me because growing up I was taught “don’t think, don’t cry, don’t speak, don’t talk, children should be seen and not heard.” I don’t want to do that to my grandchildren. They have a right to speak what they feel. Child Guidance has given me a totally different perspective on life. Now, I’m going to school for child behavioral specialist because I want to give back what was given to me.

I can honestly say I would not be where I am today if it were not for God and the people he positioned in my life to help me get where I am and I attribute all of that to Child Guidance. At the previous agency, nothing changed. At Child Guidance, things have changed for the better. My prayer is that the people who read this will take heart and know that their work is very needed for families who are struggling with mental health and behavioral issues. Without Child Guidance, I probably would not have succeeded.

When we first came to Child Guidance, the therapists would suggest we go to the park, go outside. But I would say we can’t go to the park! There was as time I just couldn’t take them out. They would fist fight, throw food, it was just impossible. Now, they go to karate, we go out all the time and it’s great. We’re a different family. They have trinket boxes now that have their favorite candy and dollar store toys in it and they have to earn treats from it. Every day, they get to go in their box after school and get the thing they want. One night, Arie got one thing, and Chris got the same thing, and Anthony got something else. Anthony wanted what Arie and Chris had and Arie graciously gave Chris the one he had because Chris really wanted it and Chris gave the one he had to Anthony. They traded, nicely, and graciously, all by themselves. That’s something that never ever would have happened before, and it’s small, but I think shows just how far we have all come, thanks to Child Guidance and our hard work.

Chosen by Delaware County to provide Alcohol, Tobacco and

Other Drug education and prevention services to residents

through two programs and community outreach.

Created and launched an Autism Friendly Business training video starring parents of our clients, an employee, and a local advocate.

This video will expand our community outreach through educating business-

es on the needs of families with someone diagnosed with autism.

Hosted our first Prom for children with autism at our

Southwest Philadelphia location. We had 50 attendees join us for a

night of dancing, dinner, and celebrations for families who

otherwise could not experience a traditional prom celebration.

Held our annual 5kat a new location, Williamson College

of the Trades, with an Alcohol, Tobacco and Other Drug Abuse Prevention theme. 132 racers

registered to join us to decrease stigma at the One Stride at a Time 5k.

Raised over $10,000 in our Shine a Light on Mental Health end of year campaign

thanks to the generosity of our supporters.

2017 Highlights

Provided services in five counties for 9,600 children, adolescents and families.

Thanks to our generous donors

we helped 334 children have presents during the holiday season through our Holiday

Wish List campaign.

Received a grantthat will allow our therapeutic

support staff to implement evidence-based treatment model

with our families.

As Chairman of the Board of Directors of Child Guidance Resource Centers, I’m honored to write to you about the amazing work done by our staff to help children and families across Southeastern Pennsylvania during fiscal year 2017. A vital element in our success is our ability to engage and educate the community about the positive impact that behavioral health services can have on changing lives and futures. Our medical personnel, therapists and case managers work with parents and caregivers to help them understand the issues that affect their child’s thoughts and behaviors. This assessment work is followed by a treatment plan to build communication and behavior skills that can rebuild relationships, increase personal attachments and help families develop plans for their future.

This work is never easy and it requires a commitment from Child Guidance’s staff and our client families. Parents and caregivers who take the first courageous step to access help for their children deserve our encouragement and support. All of us at Child Guidance are working against the stigma associated with mental health care needs, and every time we share our mission with someone, we help bring those issues out of the shadows. We invite you to support our efforts to help children and families build positive healthy futures.

A Letter from our Board Chair

Sincerely,Ronald Eyler

Programs and Services

Applied Behavior Analysis is an effective evidence-based treatment for individuals diagnosed with autism spectrum disorder. The treatment assists with the development of needed skills and the reduction of behavior symptoms that prevent the individual from fully functioning in their environment.

Applied Behavioral Analysis

Our ATOD program provides drug abuse education and prevention services in Delaware County through two evidence-based programs and community engagement. Strengthening Families is an outpatient program held throughout the year for children and families. Toward No Drug Abuse is a curriculum for adolescents implemented in schools.

Alcohol, Tobacco and Other Drug Prevention Program (ATOD)

BHRS is an in-home service that assists families in addressing behavioral health needs by using strength-based goals and integrating community services. This "wrap-around" service supports the child at home, school, and in the community because progress accelerates when the child's entire environment is consistently engaged.

Behavioral Health Rehabilitation Services (BHRS)

Case managers empower families and help them gain access to support services within their community. Home and community based, case managers work with and advocate for families to ensure they have necessary resources, information, and guidance to grow.

Blended Case Management

Child Guidance offers a licensed private elementary school as an alternative for children in grades K-8 who are struggling in their home districts. The program teaches an academic curriculum with an emphasis on emotional support. Students aim to transition back to their school district as soon as appropriate.

Elementary School

CREATE (Creating Relationships and Emotional Adaptability in a Therapeutic Environment) is a year round, innovative group service for children and young adults with a diagnosis of autism. Participants build social and communication skills, improve problem solving and emotional regulation, and enhance flexibility and motivation using evidence-based interactive therapies including Applied Behavior Analysis, Pivotal Response Training, Hidden Curriculum, QuestTM, Social Thinking, social stories, and behavior mapping. Family therapy and parent workshops are also a component of CREATE.

CREATE

EAS is an up-to-60-day process that takes an in-depth look at a child at school, home, and in the community. We identify the most appropriate services for addressing the child's emotional, behavioral or developmental needs, including autism. EAS offers a full breadth of tools for more complex cases to determine various diagnoses and appropriate treatment options.

Extended Assessment Services (EAS)

During this 32 week program, a team of two master's level clinicians works closely with children and their families in their home, school, and community. The ability to engage with the family in their home and community allows the therapists to address more intense family mental health and functioning needs, and develop plans to create long-term positive change. Services may include individual, family, group counseling, case management, parent education, and 24-hour support.

Family First

The PCIT service addresses emotional and behavioral issues for children ages 2-7. A therapist coaches the caregiver through an ear-piece while watching the parent and child through a one-way mirror. PCIT is proven to be very effective for ending undesirable behaviors and strengthening the parent-child bond.

Parent Child Interactive Therapy (PCIT)

The ESY program is designed for children who need ongoing behavioral and educational support between school years. The summer program focuses on helping children improve cooperative social interaction and reinforces positive educational skills.

Extended School Year (ESY)

This 3-6 month evidence-based program is designed for children who exhibit troubling and difficult to manage behaviors, including substance use and legal involvement. MST works with families in the home, school, and community through an intensive therapeutic process to proactively address current behaviors as a way to help children move in a positive directionin their life.

Multi-Systemic Therapy (MST)

Next Steps Center provides psychological and neuropsychological evaluations across the lifespan where there are concerns regarding learning, cognitive, developmental, or social functioning. We offer a private-pay option for a high quality evaluation in a convenient community setting to meet needs in a timely manner. Our goal is to provide a comprehensive and holistic understanding of strengths, functioning, and diagnosis, which will be used to guide recommendations for treatment and supports.

Next Steps Developmental and Neuropsychological Services Center

Our outpatient therapists are trained to help with challenges like depression, anxiety, stress, anger, self-esteem, ADHD, grief, divorce, and other issues. Additionally, we offer psychiatric services and medication management as needed. After an initial assessment, our clinicians meet weekly with children ages 3-21 to address their ongoing needs. We teach both children and families how to eliminate negative behaviors and encourage positive change. Group therapy and social skills groups are also included in outpatient services.

Outpatient Counseling Services

Created for children with autism spectrum disorder aged 18 months to 17 years, PRT uses motivational strategies in the child's natural environment and incorporates objects chosen by the child for optimal results. The three-phase program comprises parent/child training, consultation, and support sessions.

Pivotal Response Training (PRT)

Truancy Prevention is designed to work with students who exhibit behavior problems and are either chronically late, absent or unprepared for school. Services may include family counseling and support, individual therapy, and behavior management programs provided in the student's home, school, and community.

Truancy and Delinquency Prevention Partnership

This program provides weekly educational and entertaining social events for intellectually disabled adults. Every event is designed to encourage socially appropriate behaviors and skills through interaction with peers.

SERVICES FOR ADULTSIntellectual Disability Socialization Program

This residential program assists developmentally delayed adults in achieving independent living skills. The program offers a transitional setting with therapeutic support where residents aim to move to independent living.

Meson Community Residential Rehabilitation Program

This specialized residential program assists intellectually disabled individuals in a community setting after long periods in a state hospital. Staff members provide support for all residents as they develop the social and life skills to live safely and collaboratively.

Meson Specialized Community Residential Rehabilitation

PHRIEND helps adults learn how to manage their own recovery and advocacy process. The program helps participants develop independent life skills through a peer-support model including a trained mentor who is on his/her own recovery journey.

Peer Help in Recovery in an Effective New Dimension (PHRIEND)

Financial Highlights

Service Fees

Government Contracts

Tuition

Donations

Miscellaneous

Total Program Revenue:

$24,713,560(per draft of year-end

6/30/17 audit)

70.07%

13.06%

15.92%

0.94%

0.01%

Revenue

Program

Administration

Fundraising

86.41%

12.59%

1%

Expenses

Expenses

Featured Accomplishments

This year, we were chosen to provide ATOD advocacy, education and prevention services to Delaware County residents, which includes implementing two evidence based programs for families and youth. We will share prevention education at health fairs and community gatherings and at our 5K run which has an ATOD prevention theme. The two evidence-based programs are called Strengthening Families and Towards No Drug Abuse. Strengthening Families is a 14 week program that teaches parenting skills, children's social skills, and family life skills. Parents and children meet in groups separately and together to learn about strengthening the protective factors that guard against youth substance use and abuse, while also working on reducing the risk factors that increase the probability of that behavior. Towards No Drug Abuse is a 12 session curriculum provided to middle or high school students. We are very excited to have entered the ATOD prevention world and look forward to ongoing initiatives in the future.

Alcohol, Tobacco and Other Drug Abuse Prevention (ATOD):Child Guidance developed a video starring parents of our clients, an employee, and a local advocate to expand our community outreach by educating businesses on the needs of families which include someone diagnosed with autism. This fifteen minute video provides educational information about autism, including personal experiences told by the family members, and information for businesses on how to support patrons. Businesses will share this video with their employees to increase their understanding and awareness of autism as well as to decrease stigma. Following that, they can display an “Autism Friendly” sticker in their window and be listed on CGRC’s website as a business that welcomes people with autism. This recognition and support from the community will help to decrease stigma and create a more welcoming environment for all.

A Family Friendly Business Initiative:

We were chosen to receive access to Registered Behavior Technician (RBT) training for our Therapeutic Support Staff (TSS) to implement ABA treatment plan goals with children. Applied Behavior Analysis is an evidenced-based treatment available for individuals diagnosed with an autism spectrum disorder. The treatment assists with the development of needed skills to decrease the behaviors that prevent the individual from fully functioning in their environment. Child Guidance was one of three providers designated to receive this training in the City of Philadelphia. We will begin providing this specialized service in early 2018.

Applied Behavioral Analysis:The Employee of the Year is a person who is committed to and passionate about the services CGRC provides to individuals and families. This person serves as an Ambassador of Child Guidance Resource Centers, is an active participant in the community and is an inspiration to others. He or she exhibits consistent performance in his or her position. This person connects programs, people and systems in a way that contributes to and sustains the effectiveness of the organization. We congratulate Noel Bradley for her selection as CGRC’s 2017 Employee of the Year. Noel’s positivity, care for our clients, and support of our therapists is an asset to our team.

Employee of the Year:

Mission and VisionTo provide high quality, community-based therapeutic, supportive, and preventive behavioral healthcare services to assess, treat, and empower children, adolescents, and families with mental health, developmental disability, and residential needs.

Our Mission

Our Values

We recognize the worth, quality and importance

of each other, the people we serve, and

our organization.

RespectWe care about others

and respect their feelings.

CompassionWe are honest and

forthright, and meet the highest ethical

standards.

IntegrityWe meet society’s

expectations and our own responsibility to be prudent with our

resources.

Efficiency ExcellenceWe continue to see an

environment where suggestions for continual improvement and innova-tion are solicited, ideas are

shared, and teamwork flourishes.

QualityWe work together to be the best that we

can be.

Our VisionChild Guidance Resource Centers operates multiple innovative programs for mental health and developmentally disabled children, adolescents, and families in the Tristate area. Child Guidance provides services at a wide variety of community sites, partnering with education, juvenile justice, children and youth, healthcare, and other community organizations. The agency delivers care, acknowledging the client’s personal worth, dignity, rights, and responsibilities. We are leaders and innovators in the community-based behavioral healthcare arena. Child Guidance continually expands, and proactively searches for, evidence-based services and protocols.Child Guidance will be the preferred site for master’s and doctoral level students doing clinical work. We will recruit and retain educated Board members based on their expertise and willingness to contribute.

LeadershipChild Guidance Resource Centers understands the concept of leadership to be a relationship in which those in leadershippositions are entrusted to serve and support their constituents. We understand the measure of successful leadership to be the growth of those being served toward autonomy, professionalism, capability, and the emergence of their own leadership potentialities. Through this application, a culture of service toward one another, Child Guidance stakeholders, and Child Guidance customers, will be realized and furthered.

The philosophy of Child Guidance Leadership follows these seven principles

1. Leadership Accountability

2. Leadership Development

3. Employee Development

4. Maintaining a Culture of Recognition and Reward

5. Creating and Maintaining a Shared Vision

6. Reviewing and Improving the Process

7. Maintaining a Culture of Recognition and Reward

R. Gregory ScottCarl SchultzRobert FarringtonChristine ReutherDr. Margarita LorchJames Wiley

Roger NautRichard KronLucille Arslanian Eric TraugottDr. George JamesMegan Schmidt

Back row, left to right: Terry Clark, Chief Financial Officer, Amy Meadows-Martella, Vice President of Operations, Kevin Olivo, Clinical Director, Colleen McNichol, President and CEO, Dr. Andrew Kind-Rubin, Chief Clinical Officer. Seated, left to right, Aimee Salas, Chief Innovations Officer, Dr. Brianna Matey, Clinical Director.

Board of DirectorsRonald Eyler, Board ChairCarol Hanson, Vice ChairCatherine DorricottTim DillonHon. Jack LippartKevin Dolan

Child Guidance Resource Centers’ Administrative Council

CHIL

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RESOURCE CEN

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MAIN OFFICE:2000 OLD WEST CHESTER PIKE HAVERTOWN, PA 19083484-454-8700

CHESTER COUNTY OFFICE:744 E. LINCOLN HIGHWAYSUITE 420COATESVILLE, PA 19320610-383-5635866-799-3325

PHILADELPHIA OFFICE(CHOP) Pediatric and Adolescent Careco-location4865 Market StreetPhiladelphia, PA 19139215-590-0413

PHILADELPHIA OFFICE2901 Island AvenuePhiladelphia, PA 19153267-713-4100

EMAIL: INFO@CGRC.ORGwww.cgrc.org

Child Guidance Resource Centers is a private, non-profit organization registered with the Pennsylvania Bureau of Charitable Organizations, licensed by the Commonwealth of Pennsylvania The Department of Human Services and accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Child Guidance Resource Centers is a United Way participating agency, a member of the Rehabilitation and Community Providers Association, the Better Business Bureau, and the Delaware County Chamber of Commerce. Child Guidance Resource Centers participates in state medical assistance programs and most major commercial insurance offerings. Admissions and referrals are made without regard to race, sex, color, national origin, ancestry, religious creed, handicap, age, sexual identity, affectional preference or AIDS. Any complaints in this area can be filed with the Office of Civil Rights (WHS), Bureau of Civil Rights (DPW) and/or the Pennsylvania Human Relations Commission.