Adolescent Consultation Services 2014 Year-End Report Can you help my child To Our Donors and Colleagues The active ingredient thats having an influence on development is the quality of the relationships that children have with the important people in their lives. Thats what its all about. - Jack P. Shonkoff M.D. Fran Miller is ACSs Board President. An active member of the board for over 20 years Fran has held professorships in law health care management and public health at Boston University. She is an authority on health law and comparative healthcare systems and is passionate about all families having access to care. From the desk of Fran Miller To our donors So often the children ACS serves have survived repeated complex trauma. Their homes have not always been places of safety. Their relationships with the vital adults in their lives have been badly damaged. ACSs mission is nothing less than to begin the process of healing broken relationships provide reasons to trust again and restore hope to these kids and their families. There is great power in having just one person really listen and care. ACSs highly trained clinicians listen. The stories that they hear often begin as ones of struggle with mental illness with the effects of trauma with circumstances no one would choose. But with time and care treatment services education and advocacy these stories become ones of restoration and resilience. And that as Dr. Shonkoff says is what its all about. Your generosity and support make it possible. Thank you 1 2 What Do We Do 4 What are the Results 5 Karim Caught Between Cultures 6 We know Caleb is in good hands. 7 Section 35s 8 Adverse Childhood Experiences 10 The Community Gathers An interview with Amy Nechtem Chief Justice of the Juvenile Court 12 ACS honors Dr. Jack Shonkoff 14 Client Demographics 15 Treatment Groups 16 ACS Public Education 17 What is CYV to ACS 17 MAJCC 18 Financials 19 2014 Donor List Thank you You helped ACS serve hundreds of court-involved children and families in 2014. You helped us become their champions. Without you we could never have reached so many vulnerable kids suffering from - trauma - depression - anxiety - substance abuse - learning disabilities - immigration struggles. How did we help kids and families manage in these tough times We offered evaluation services to get to the root of their problems we followed up with recommendations and treatment services that were specifically tailored for what the child and family needed we advocated for them stressing the urgency of their needs. We maximized strengths and went the extra mile in accessing services. With your help we became their champions. In 2014 you helped us serve more children of immigrant families than ever before. These are kids whose families immigrated from so many different countriesAlgeria Nepal Brazil Cameroon Guatemala Pakistan to name just a few. About 25 of the families we served in 2014 had at least one person who was a recent immigrant. We helped them access culturally sensitive services and services in their first language. Karims story on page 5 demonstrates the challenges these kids face. There is never enough time. These kids and families have urgent needs that require our attention and care. And the systems of care are far from perfect. Often the role we play is to take a step back and ask why multiple services and systems have not really helped ourthis particular client and their family. You help us uncover the underlying issues find the right services bridge the gaps and encourage the various parts of the system to work together better. You help us do all this and more. So you can share in the satisfaction of progresskids improving at school engaging in services having their parents more involved. Thank you for your steadfast support. We couldnt have done it without you Rebecca Pries Executive Director In this report 2 What Do We Do ACS provides a range of therapeutic services for vulnerable court-involved youth and families who need help in achieving their childs healthy growth and development. ACS intervenes in a variety of ways at critical points when positive outcomes are still possible. ACS provides Evaluationsthe foundation of ACS services. Comprehensive Biopsychosocial Evaluations Evaluations of children and teens are ordered by the Judge. Most often children and families have already received services that fall short of meeting their needs. Clinicians interview the child and family gather school and behavioral health records to review past and existing services and submit a confidential report to the Court explaining the childs behavior to the Judge with specific realistic recommendations. For example 14-year-old Sara was referred following an extensive history of truancy and out-of-control behavior in her home and at school. The evaluation discovered untreated depression due to previously unknown trauma and recommended special trauma- specific services. Emergency Evaluations at times of crisis Many children appear before the Court with critical emergency needs. These include evaluations of children who may require hospital-level care because of a risk of suicide or harm to others. For example 14-year-old Christina returned to Court after having run away from home for six weeks. She told her court-appointed attorney that she wanted to kill herself because nobody cares. The ACS clinician evaluated Christina and arranged for immediate in-patient psychiatric care. Specialized Testing and Remedial Solutions ACS conducts specialized testing when there are questions of psychological processes neuropsychological functioning or cognitive capabilities. While evaluating Sam a 12-year-old boy from Malden who had stopped attending school the ACS clinician uncovered that he was suffering from anxiety and an undiagnosed learning disability. The clinician worked with the family school and community agencies to match Sam with the services needed to address behavioral issues at school while supporting him with an appropriate educational plan and finding a mentor in the community. Specialized Risk Assessments ACS has expertise in highly specialized areas where careful evaluations are necessary to protect the child and community. ACS conducts specialized risk assessments and evaluations of substance abuse fire setting sexual offending and violence risk typically related to a range of complex underlying problems. All evaluations include recommendations for appropriate treatment. Competency to Stand Trial Evaluations to assess Competency to Stand Trial are conducted when a childs attorney or a judge questions whether a child is capable of understanding and participating in Court proceedings. For example ACSs clinician was asked whether 13-year-old Christopher who was arrested for stealing could assist his lawyer in participating in his defense. The need for competency evaluations is rising as more youth come before the Juvenile Court with mental health issues cognitive limitations andor striking immaturity. Funded by - Massachusetts Trial Court - Department of Mental Health - You our private donors 3 Treatment Servicesspecially tailored for court-involved children and families Through our unique partnership with the Juvenile Court Juvenile Probation and the District Attorneys Diversion Program ACS engages adolescents and families who would not otherwise receive treatment services. Group Treatment Group counseling is one of the most effective ways to engage teens in treatment. Groups focus on problem solving and training in life skills such as self care and managing conflict. ACS offers the following groups based on referrals from the Court and the District Attorneys Diversion Program - Young Mens Group - Young Womens Group - Anger Management Group - Motherhood Group The groups are typically made a requirement of Probation and have increasingly been made part of Middlesex Countys Diversion Program. The groups provide a unique opportunity for the teens to express their concerns about the Court process as well as learn valuable life skills to turn their lives around. A recent graduate of the Young Womens Group said It makes you realize other people care about you because there are two people here who were strangers and they care about you. See more about our groups on page 15 of this report. Individual and Family Therapy ACS provides both short- and long-term counseling frequently focusing on a specific problem such as conflict with a parent. ACS works with family members to facilitate productive changes within a family that make the future success of the child and family possible. 15-year-old Julie for example was initially reluctant to meet with her ACS clinician but later she agreed she benefitted by learning how to understand her feelings that led to overeating and how to avoid escalating arguments with her mother. Funded by - You our private donors Community Consultations broad-based connections ACS has ties with hundreds of schools and community providers who often turn to ACS for help in understanding everything from basic court procedures to how to access specific mental health services. Consultation to families schools community providers and state agencies regarding the complex and rapidly changing service delivery systems may prevent a childs further court involvement or the need for more intrusive and extensive interventions. For example a school guidance counselor sought advice for Maria a 15-year-old girl who was hesitant to report violence at home for fear of being deported. Education and Advocacy linkages that sustain growth Education and Advocacy is an ACS- developed service model that includes follow-up services that strengthen the resiliency of children and families. See more about our Education and Advocacy service model and its success on the next page of this report. Funded by - You our private donors 4 What are the Results Outcomes Compliance with Treatment 89 School Attendance 86 Increased Family Involvement 91 Education and Advocacy EA helps children and their families sustain positive life changes. ACS clinicians leverage public and private resources to find services for vulnerable youth within their home communities. Individually tailored responses which take into account the urgent and comprehensive needs of the child and family are what lead to their success. In the course of EA ACS clinicians Educate children and families about issues identified in the evaluation process special learning needs mental illness substance abuse. Advocate for the clients and link them with community services medical care mental health treat- ment in-home support for a family. Follow up with clients and providers to help ensure that clients are actually getting the recommended services. Year after year EA has been a catalyst for positive changes for thousands of kids and families. These note-worthy results only exist because of the generosity of everyday people like you. ACS thanks its loyal donors for giving legs to these great outcomes About 25 of the families of ACS clients had at least one parent who was a recent immigrant. Language barriers cultural adjustment issues and a lack a familiarity with the juvenile justice child welfare and educational systems increase the vulnerability of these families. Serving Immigrant Families ACS client families come from many countries of origin. 5 Karim age 14 was struggling at school. His persistent truancy and aggressive outbursts led the school to file a Child Requiring Assistance CRA application with the Juvenile Court. Karim had immigrated with his mother Nour from Algeria when he was four. He was now fully bilingual but his mother still spoke mainly Arabic. The Court referred Karim to ACS for an evaluation knowing that it needed to understand him better before recommending services. Katherine Hughes the ACS clinical social worker met with Karim and his mother to piece together the threads of Karims story. In reviewing school and medical records she learned that his current behavior was part of a longstanding pattern. She learned that his father had been abusive to both Karim and Nour and continued even after the divorce. Katherine also learned that Nour had very limited education in Algeria which complicated communication with everyone. Katherine suggested testing to see if learning difficulties were at the root of Karims behavior problems and whether he might qualify for special education services. Nour objected vehemently expressing deep distrust of the school. She believed the school already singled Karim out unfairly and felt that special education services would result in further discrimination. Nour also distrusted the American mental health system. Instead she wanted Karim to attend a local Islamic afterschool program. Katherine supported Nours decision to enroll him in the program but Karim rarely attended and his behavior and school attendance didnt improve. In fact Karims behavior worsened. He sent sexually suggestive text messages to girls in his class and was repeatedly sent to the office for disrupting class with foul language and aggressive behavior. Nour and Karim both viewed these incidents as misunderstandings or innocent situations blown out of proportion. Katherine felt certain that at least some of Karims behavior was due to his early trauma. She also saw that Nour was distracted by her own trauma and struggle to earn a living. She was unable to provide consistent rules and discipline for Karim and was lost in cultural misunderstandings with service providers and the school. Having grown up in America Karim thinks of himself as American. He isnt interested in his mothers culture and the Islamic after-school program instead he connects with other alienated American peers. Karim and his mom needed home-based services to address the cultural divide that had developed between mother and son and had led to a serious deterioration in their relationship. This may be the one of the most difficult cases of my career explained Katherine. We always try to work within the wishes and understanding of the family. But the solutions Nour wanted werent working and what her son wanted wasnt acceptable to her. In a very real sense they are from different cultures. So progress has been slow. A break- through came when Nour accepted educational testing for Karim and the Court appointed an educational advocate. Nour also engaged in her own counseling and started reaching out to Katherine for support. The good news is Karims behavior at school has improvedand thats the beginning of real progress Karim Caught Between Cultures 6 We know Caleb is in good hands. Angela Foley was tense and anxious as she entered the Cambridge Juvenile Court. She didnt want to be there but honestly believed that what happened that day might determine if her 15 year-old son Caleb would live to be 16. Accompanied by a very reluctant Caleb she was seeking to file a petition with the court under Chapter 123 Section 35 of the Massachusetts General Laws to have her son involuntarily committed to a program for treatment of his very serious and increasingly dangerous substance abuse problem. She knew that once she filed the application the Court would order an evaluation by a Certified Juvenile Court Clinician. ACSs Dr. Dan Sanford was called to evaluate Caleb. He began by asking Ms. Foley her concerns. She said Caleb had been struggling with depression since he was 13 and had been taking anti-depressants intermittently since that time. She thought he had started using drugs about two years ago. Most recently Caleb had been at a residential substance abuse program on a voluntary basis but had checked himself out against the advice of the program. He returned home briefly but ran away after his parents discovered that he was trying to buy drugs online. When picked up by the police he was wildly intoxicated and admitted that he had been drinking heavily taking pills and smoking marijuana. In order to protect confidentiality ACS changes identifying features of clients. Dr. Dan Sanford ACSs Clinical Director 7 When asked about Calebs previous history of substance abuse his mother said that Caleb had admitted to her that at least one time when hed runaway he had overdosed on heroin. Dr. Sanford then spoke with Caleb. Initially he admitted only to some drinking and smoking marijuana with friends. Then he admitted that on several occasions he had been in a car driven by a friend who was intoxicated. Other drugs Dr. Sanford asked. Ecstasy Yes. Cocaine Yes. Heroin Yes. Finally Dr. Sanford stopped and Caleb said When I run I really party. But usually I only drink and smoke weed. In the court hearing Calebs court- appointed attorney said that his client was willing to enter voluntary treatment. Dr. Sanfords testimony urged a higher level of care. He testified that Calebs history of briefly engaging in treatment and then leaving running away from home and while away from home engaging in some of his most dangerous drug use suggested that Caleb was not likely to be successful in voluntary treatment. Dr. Sanford testified that Calebs impulsivity use of heroin and increasing use of multiple drugs at the same time placed him at great risk of overdosing as by his own admission he already had at least once. Calebs mother testified that Caleb had repeatedly promised to stop drinking and using drugs but that such promises however sincere in the moment had proven impossible for him to keep. The judge weighed all these statements and then decided to commit Caleb to a facility approved by the Department of Public Health for the treatment of juveniles with substance abuse disorders. With a resigned expression Caleb left the court in the custody of the Sheriffs department to be transported to the program. A few days later Dr. Sanford received an email from Calebs mother In our fight to get Caleb well I find myself navigating system after system often in real time. It is challenging and frightening to say the very least. I am very grateful for your methodical detailed gathering of information. While the facts behind the Section 35 are heartbreaking for our family I cannot thank you enough for helping us to achieve this necessary goal. We know Caleb is in good hands. Section 35s Massachusetts law allows the court to civilly commit a child to a treatment program for substance abuse following a court- ordered evaluation by a qualified psychiatrist psychologist or social worker. The court must determine that the childs substance abuse presents a likelihood of serious harm and warrants commitment to a treatment program for up to 90 days. Typically the childs parent petitions the court based on a fear that the childs life is at stake. In 2014 the number of Section 35 evaluations requested in Middlesex County and the number of children involuntarily sent to treatment increased significantly. In part this was due to the alarming statewide increase in heroin opiate abuse which by its nature is exceedingly high-risk. ACS clinicians conduct these evaluations rule out the need for in-patient psychiatric care and testify before the court. In the end the decision to commit a child belongs to the court. The child represented by an attorney may offer to go to treatment voluntarilyfrequently a preferred outcome. However in cases where previous voluntary treatment efforts have failed or the risk of harm is particularly high the court may determine that an involuntary commitment is warranted for the childs safety. Children who abuse substances often have other mental health issues or particularly difficult personal and family circumstances which require further attention upon their stabilization or discharge. MGL Chapter 123 Section 35 In our fight to get Caleb well I find myself navigating system after system often in real time. It is challenging and frightening to say the very least. I am very grateful for your methodical detailed gathering of information. While the facts behind the Section 35 are heartbreaking for our family I cannot thank you enough for helping us to achieve this necessary goal. We know Caleb is in good hands. 8 What is the link between these ACEs and adverse health and social outcomes ACS interventions engage clients in services to help them develop healthy ways to manage difficult past experiences and move their lives in a positive direction. ACEs such as emotional abuse physical abuse sexual abuse family dysfunction If untreated Mental health issues such as anxiety anger depression Maladaptive coping mechanisms such as smoking drug use overeating sexual promiscuity Long-term outcomes heart disease COPD liver disease early death What are ACEs A Center for Disease Control CDC study from the late 90s examined the connection between childhood exposure to ten types of trauma and dysfunction and both short- and long-term health and social outcomes. The ACEs study which totaled more than 17000 participants had remarkable results as the number of ACEs increased so too did the risk for several physical and mental health problems. In October 2012 ACS joined with other court clinics across the state to apply the CDC study by formally gathering information regarding ACEs within our unique population. ACS systematically notes clients ACEs using the questionnaire developed for the CDC study. ACS continues to collect ACEs data. Associated Health Outcomes Alcoholism and alcohol abuse Chronic obstructive pulmonary disease COPD Depression Fetal death Illicit drug use Liver disease Sexually transmitted diseases STDs Suicide attempts Early initiation of smoking Unintended or adolescent pregnancy Adverse Childhood Experiences ACEs of Court-Involved Children 9 Number of ACEs in National vs. Court-Involved Youth Populations Treys Story Trey is a 14-year-old court-involved boy. His story shows the negative effects Adverse Childhood Experiences ACEs can have on the life of a child. After his fathers suicide Trey grew up in a single- parent family. He saw his mother treated violently by her subsequent partners and was also the subject of physical and emotional abuse and neglect. His mother used alcohol to cope with her depression and had a hard time caring for her children. Treys traumatic home life led to many behavioral issues both at home and at school he used drugs set fires and physically assaulted family members and kids at school. Treys aggressive behavior towards others finally brought him to the attention of the court and to ACS. Realizing that his troubled history was driving his behavior Treys ACS clinician recommended that he and his mother complete a Fire and Home Safety Plan and engage in trauma- specific individual therapy to develop better coping skills. His ACS clinician also recommended that Treys mother get treatment for her depression and that Trey and his mother participate in Intensive Family Stabilization Services to work on setting and accepting boundaries and maintaining a safe household. Thanks to his clinicians understanding of Treys trauma history he is now safely living at home doing better at school and engaging in positive after school activities. 0 20 40 60 80 100 National Percentage of ACEs 2014 ACS Percentage of ACEs scale43210 Number of ACEs in National vs. Court-Involved Youth Populations percentageofpeople number of adverse childhood experiences Prevalence of Adverse Childhood Experiences Emotional abuse Physical abuse Sexual abuse Emotional neglect Physical neglect Mother treated violently Household substance abuse Household mental illness Parental separationdivorce Incarcerated household member 0 50 100 2014 court-involved youth National average 166 Total ACEs Questionnaires Based on Centers for Disease Control ACEs Study Percentage of clients Number of adverse childhood experiences 10 Rebecca Pries Congratulations Were so fortunate to have you as our new Chief Justice. Chief Justice Nechtem Its such an extraordinary opportunity to serve. My entire professional career has been in Juvenile Justice and Child Welfare. I started out as an Assistant District Attorney specializing in child abuse prosecution I worked for the Attorney Generals office I was in private practice and I sat on the Juvenile Bench in Essex County for 13 years. RP And you were President of the National Association of Women Judges So you have a national reputation and overview as well. CJN Im fortunate to still be chair of the Juvenile Justice and Child Welfare national committee. It all makes me see the Juvenile Court Department as uniquely positionednot as the first line of defense but as the first line of opportunity to intervene with our children and families and affect the wellbeing of society. If were successful we can curtail the penetration of juveniles into the juvenile justice system and strengthen families. But we dont do it alone. We have a great staff of dedicated professionals and we have extraordinary court clinics which are unique to Massachusetts. RP Looking at the big picture what are the responsibilities of the Chief Justice of the Juvenile Court CJN Theres an overarching responsibility to protect children from abuse and neglect and promote a stable secure and permanent living situation for themand at the same The Community Gathers A child really needs somebody who believes in them. An interview with The Honorable Amy Nechtem Chief Justice of the Juvenile Court for the Commonwealth 11 time to be mindful of strengthening families. The Juvenile Court also has to look at protecting public safety and at rehabilitating youth so they can adjust to society put whatever issues they have behind them and move forward as an adult. Another overarching part is to ensure access to justice which is fair and impartial. Our kids have attorneys they have jury trials they have an independent judiciary. Massachusetts is one of the few states without elected judges. I couldnt do any of this work without the 41 judges sitting in 11 counties across the Commonwealththey are exceptional at what they do and so dedicated. RP What do you see as a common misperception of the Juvenile Court CJN I dont think people understand how many different kinds of cases we hear. The Juvenile Court is not open to the public so it is important that we reach out to inform our community. We address abuse and neglect cases delinquency cases adoptions. We handle not only District Court-type cases but Superior Court cases. Very very serious cases. RP We see so many youth in the Juvenile Court with such difficult challenging lives. Do people ever ask you How do you do that work CJN They certainly do and I always say I wouldnt do any other workand I think I can safely say the other judges and staff would say the same. Its the most rewarding workchallenging and rewarding and uplifting. We get to change the trajectory of a childs life. What could be better I think you know nothings better than that. RP That desireto help make a childs life better and to strengthen the life of their familyis at the heart of what motivates the Juvenile Court Clinics as well. CJN Ive always seen the clinicians and clinics as valued partners in child welfare and justice. I cannot thank the clinicians enough for the work they do and their ability to access community programs. We benefit from their expertise. Often theyre the conveners to help people get to the table to provide for the safety and well- being of the child. We want to move these youth into programs right at the outset before they penetrate further into our system. Ive found that when it comes to kids the community gathers so weve been able to start some incredible initiativeslike diversion initiativesand outreach in our communities. I credit our first justices and judges for participating in these and getting out into the community. It is very exciting Were learning more about the brain sciencechildren are childrenand how best we can safeguard public safety and do our jobs in a way thats consistent with the law but also supports these youth. Were keeping more and more kids out of detention which is great and getting them into programs and helping the whole family as well as the child. Ive seen the impact we as judges and clinicians can have on a child. It is remarkable what some love and attention can do. A child really needs somebody who believes in them. RP In the end what would you say you like most about working in the Juvenile Court CJN Its the kids. These youth are like heroes. They have so many challenges to deal with and then you realize what strengths they have. They are courageous absolutely courageous. And like anyone else they want to feel appreciated and recognized. They want respect and kindnessboth go a long way. Its terrifying coming into court so terrifying. So to have a judge say I understand and to explain whats going on and recognize that what theyre going through is a really hard thing. And then to try to accentuate the positive and keep positive youth development in mind. As I said earlier we can change the trajectory of a childs life. 12 ACS Honors Dr. Jack Shonkoff On November 19 ACSs friends donors and supporters gathered to honor Dr. Jack Shonkoff Director of the Center on the Developing Child at Harvard University. ACS honored Dr. Shonkoff for his contribution to the understanding of the impact of trauma on brain development in children. Three pediatricians convene Dr. Michael Yogman Dr. Ben Siegel and Dr. Jack Shonkoff. Dr. Jack Shonkoff engages the crowd. Dr. Jack Shonkoff and Marylou Sudders LICSW now Secretary of Health and Human Services for the Commonwealth compare notes about trauma in children. ACS clinicians Chelsea White LICSW and Elizabeth Shepherd Psy.D. chat before the event. Gail Garinger Esq. the Child Advocate for the Commonwealth with members of her staff. ACS Clinical Director Dan Sanford Psy.D. and the Hon. Jay Blitzman First Justice of the Middlesex County Juvenile Court catch up. 13 ACS Executive Director Rebecca Pries chats with ACS board member Jane Seigel LICSW Dr. Shonkoff and ACS Board Chair William H. Paine Esq. ACS supporters Pete Caron and Bill Poorvu and ACS board member Lia Poorvu listen to Dr. Shonkoffs research. Manleen Singh and Courtney McClellen talk with ACS clinicians Bethany Hadley LICSW and Colleen Clinkscale LMHC Citizens for Juvenile Justice Deputy Director Gale Munson Esq. and Executive Director Naoka Carey Esq. supporters of positive youth development. The relationships that children have with the important people in their lives actually influence the emerging architecture of the brain. They sculpt the wiring of the brain. Dr. Jack Shonkoff Rebecca Pries thanks Marylou Sudders LICSW for introducing Dr. Shonkoff and for her long- standing support of the juvenile court clinics 14 Client Demographics The 562 clients ACS served in 2014 represented the following Mental Health Disorders Out of all the comprehensive evaluations performed in 2014 Mood Disorder ADD ADHD Anxiety and Suicidality are the most prevalent mental health conditions found among ACS clients leading to a high incidence of hospitalization. Overall 77 of ACS clients have at least one mental health disorder. Nationally 70 of youth in the juvenile justice system have at least one mental health condition and at least 20 live with a severe mental illness. Skowyra K.R. Cocozza J.J. 2007 Blueprint for Change A Comprehensive Model for the Identification and Treatment of Youth with Mental Health Needs in Contact with the Juvenile Justice System. The National Center for Mental Health and Jevenile Justice Policy Research Associates Inc. The Office of Juvenile Justice and Delinquency Prevention. Delmar N.Y. The National Center for Mental Health and Juvenile Justice Policy Research Associates Inc. 50231476A Asian 7 Black 14 White 50 Hispanic 23 Other 6 300 250 200 150 100 50 0 Age number of clients Race Gender d21394456646576under 7 7 to 12 13 to 15 16 to 17 18 and over Mood 76 ADDADHD 65 Anxiety 64 Substance abuse 56 Hospitalization 44 Suicide 39 Self-mutilating 21 Male 62 Female 38 15 Treatment Groups ACSs Young Mens Young Womens Anger Management and Motherhood Groups received referrals from the Court and Diversion Programs. Over half of the kids in group treatment had been diverted from formal court proceedings this kept them from getting a court record. Motherhood Enrichment Program The Motherhood Enrichment Program is offered to court-involved mothers from all walks of life. The small-group setting allows each mother to share her individual struggles. Women reflect on their roles as mothers and develop skills in mindfulness and parenting. The group covers topics such as domestic violence and stress management and uses art to explore therapeutic issues. Young Mens Group The Young Mens Group is an open and safe space where court-involved boys find validation as they share their experiences and struggles. Using a variety of exercises the group helps the boys increase awareness and understanding of their emotions. They learn to reframe their emotions and develop healthy coping mechanisms leading to improved behavior. The group covers topics such as drug use peer and family relationships and anger management. It makes you realize other people care about you because there are two people here who are strangers and they care about you. 14-year-old boy in the Young Mens Group Young Womens Group I feel better about myself. 15-year-old girl in the Young Womens Group The Young Womens Group provides a positive peer setting for teenage girls to talk about healthy relationships and to improve their decision making. The Group addresses the specialized needs of court-involved girls and helps them discover their untapped strengths. Young women learn new strategies for dealing with difficult emotions and stress. Strengthened by mutual support the girls tackle serious and often sensitive issues such as sexting and other risky sexual behaviors conflict with their parents self-care healthy eating and ways to reduce stress. Anger Management Group The Anger Management Group helps kids understand the basis and triggers for their anger and the roles played by substance abuse and family and peer relationships. Many of the youth have assault and battery charges or are referred as a diversion from court involvement. The Group focuses on helping the kids learn better ways of managing and coping with their strong feelings. Art from women in the Motherhood Enrichment Program 16 ACS Educates Dr. Elizabeth Shepherd shared her expertise on autism spectrum disorder as a guest lecturer at the Massachusetts School of Professional Psychology. Dr. Susan Flood R discussed competence to stand trial evaluations that she conducts for youth referred to ACS at a Wheelock College class on Juvenile Justice taught by Marlies Spangaard Esq. L Liza Berkowitz LICSW shared her expertise on identifying signs of domestic violence in court-involved youth and their parents with Juvenile Probation Officers at the Cambridge Juvenile Court. Janice Hrabovszky LICSW helped train new clinicians for the Commonwealths Juvenile Court Clinics in a training session on conducting biopsychosocial evaluations in November. Executive Director Rebecca Pries LMHC discussed School Avoidance at the Middlesex Partnership for Youth School Attendance Conference in October. Also presenting were L-R Richard Melillo Somerville Schools Tim Carey Juvenile Probation Tom Malone Esq DCF and Margie Daniels ED of Middlesex Partnerships for Youth. 17 Youth Voices Cultivating Youth Voices CYV is a coalition of agencies committed to serving court-involved youth. CYV sponsors a blog featuring powerful stories about kids struggles within the juvenile justice system as well as their battles with mental illness discrimination and trauma. These stories come from kids involved with the Coalition partners Childrens Law Center of Massachusetts CLCM Citizens for Juvenile Justice CfJJ Health Law Advocates HLA Salvation Army Bridging the Gap BTG and Adolescent Consultation Services ACS. CYV also sponsors Kids and Judges Day see picture a unique experience for court-involved youth where they are given a closer look at the court house including holding cells and the court room and meet with a juvenile judge. The kids come prepared with questions to ask the Judge in hopes of better understanding how the system they are involved in works. In August 2014 Judge Gloria Tan graciously hosted Kids and Judges Day at the Cambridge Juvenile Court House. The kids sat arms length from Judge Tan and asked their questions How do you separate your emotions from your judgment What are my rights as a juvenile when I come to court How do you feel when you commit a young person As a judge do you ever feel threatened. After the QA the kids felt comfortable enough to see how it feels to sit in the clerk jury and judges chairs. MAJCC Success The Massachusetts Alliance of Juvenile Court Clinics MAJCC finally reached the funding goal of 2 million in 2014. Since 2006 MAJCC has been educating public-sector decision makers about the vulnerabilities of court-involved kids and families and the need for increased funding to serve them better. MAJCC briefed legislators on key issues facing kids and families before the Juvenile Courttrauma substance abuse special education needs abuse and neglect difficulties due to recent immigration. After nine years of concerted advocacy the statewide alliance reached the 2 million goal set in 2005 for statewide increases. ACS Executive Director serves as Co- chair of MAJCC along with Dr. Gary Dube of JRI. ACS receives separate funding for MAJCC from the Gardiner Howland Shaw Foundation. Judy Evers Assistant Chief Court Officer Judge Tan and Ralph from Bridging the Gap. Release on file. 18 Financials Income FY 2014 FY15 Budget Public Sector Contracts 881554 881550 Grants and Contributions 445894 405450 Other Income 166278 53000 MAJCC 20800 19000 In-kind 94000 94000 Total Income 1608526 1453000 Expenses Salaries Benefits Taxes 1120255 1152000 Occupancy In-kind Rent 140178 121450 Professional Fees and Insurance 124197 107500 MAJCC 21937 28000 Other Expenses 20173 44050 Total Expenses 1426740 1453000 From the most recent audited fiscal year FY 2014 July 1 2013-June 30 2014 Jims devotion to ACS has sustained us and helped us thrive through- out his years on the board. His compassion and generosity have touched the lives of countless of the Commonwealths most vulnerable kids and families. -Lia Poorvu ACS President Emeritus It has been a privilege to work with ACS. I have never seen an organization manage its resources so well and do so much good. Its families and staff are inspiring. -Jim Champy ACS Thanks James A. Champy James Champy served ACS as a long-term member of the Board of Directors for over 30 years1983 through 2014. We cant thank him enough for his dedication and loyal years of service As the former Chairman of Consulting at Dell Perot Systems Jim is recognized throughout the world for his work on leadership and organizational change. Jim brought his business management and fundraising skills to benefit ACS. Author of Re-engineering the Corporation A Manifesto for Business Revolution a life member of the MIT Corporation which serves as the board of trustees for MIT Jim has also served as a member of the Board of Overseers of Boston College Law School. His dedication to ACSs clients and mission will continue beyond his board tenure. The ACS Board of Directors wishes to take this opportunity to express their sincere appreciation for his service. FY14 Program Efficiency 68212t Program Services 82 Fundraising 6 Administration 12 FY14 Funding Sources 6115528tPublic Sector Contracts 55 Contributed Facilities and Services 6 Other Investments 11 Grants and Contributions 28 19 LEADERS Gifts of 5000 and above Private Sector Anonymous 2 C.F. Adams Charitable Trust Ronald Ansin Frederick A. Bailey Trust Bennett Family Foundation Marion F. Boynton Trust Ann W. and Donald A. Brown Cambridge Community Foundation Bushrod H. Campbell and Adah F. Hall Charity Fund James and Lois Champy Cogan Family Foundation Mary W.B. Curtis Trust Devonshire Foundation Nancy and Richard Donahue Forest Foundation Roy A. Hunt Foundation Janey Fund Charitable Trust Klarman Family Foundation Jonathan Kutchins Lodge of St. Andrew Ludcke Foundation William and Margaret Paine James W. and Patricia T. Poitras Fund Lia G. and William Poorvu Family Foundation Karen F. Richards Gardiner Howland Shaw Foundation TJX Foundation Public Sector Department of Mental Health Massachusetts Juvenile Court CHAMPIONS Gifts from 2500 to 4999 Anonymous 2 Trustees of the Ayer Home Ann and Marvin Collier Cosette Charitable Fund Thomas E. and Barbara B. Leggat Fund John J. Petrowsky Beth K. Pfeiffer ADVOCATES Gifts from 1000 to 2499 Aquidneck Foundation Judith Aronstein Rhoda Baruch Pete Caron Fay Chandler Anne Covert Peter B. Culman Memorial Fund Doran Family Foundation Draper Laboratory Joseph E. and Frances E. Heney Charitable Trust Daniel Jacobs and Susan Quinn Barbara F. Lee George and Ann Macomber Edward H. Mank Foundation Middlesex Savings Bank Richard P. and Claire W. Morse Foundation Katharine and Tony Pell Gary and Mary Pforzheimer Deborah Z. Porter Mary and David Shahian Wendy Shattuck and Sam Plimpton Stevenson Family Charitable Trust Robert and Molly Tarr Charitable Foundation David K. Wilcox and Charlotte R. Pierce ALLIES Gifts from 500 to 999 Richard Barnum Lynn Cetrulo Barbara H. Clark Thomas and Andrea Dupree Joseph Figueiredo and Linda Stewart Charles and Sara Goldberg Charitable Trust Terrie Graham Virginia L. Kahn Mark Kritzman and Elizabeth Gorman Fran and Hugh Miller Tim and Joanne Oyer Jonathan and Amy Poorvu Ellen M. Poss Rebecca and Weldon Pries Abby Rockefeller and Lee Halprin Jane and Ben Siegel Richard Wenger Marilyn and Irvin Yalom SUPPORTERS Gifts up to 500 AmazonSmile Foundation Whenever I talk about ACS I find myself speaking in superlatives. Im impressed by the efforts to welcome and help a child and his family to find individually tailored services to assist families navigating the legal system through the production of Kids and the Law. Without a doubt ACS makes inroads that impact young people at a crucial juncture in their lives. -Judith Aronstein ACS donor Calendar Year 2014 Donor List Through a longstanding publicprivate partnership we create successes for vulnerable kids and families. ACS has state contracts for a portion of our work. But its only with you our individual foundation and corporate donors that we can make a real difference. We have transitioned to a new donor management system and have made every effort to record names and levels accurately. Thank you for contacting us if you see an error or omission. continued on next page 20 Alice Andrus Susan Ayers and Nancy Salonpuro Leslie Boden and Judy Yanof Lynda Schubert Bodman John and Jane Bradley Sara Bursac Paul and Catherine Buttenwieser Tsunming and Esther Chen Michael Collins and Beverly Freeman Anne Ellsworth Mary K. Eliot The Emery Bag Margaret S. Fearey Peter and Kathleen Forbes Emily Frank Nancy and Richard Fryberger Gail Garinger Jacques and Margaret Gelin Owen and Miriam Gingerich Robert P. Gittens and Donna Latson-Gittens Jamie and Kara Gruver Bethany Hadley Suzanne and Easley Hamner Herbert and Ann Hershfang Debe and Nick Holland Christopher Hollander Julian Houston Bill and Kay Hudgins Katherine and Ralph Hughes Daniel G. and Alison P. Jaffee Jill Janows and Joshua Rubenstein Kantrovitz Kantrovitz LLP Helen and Rudy Kass Jacquie Kay Lawrence Kotin Thomas Kreilkamp John and Kristin Macomber Joseph and Rachel Martin Joseph and Julia McOsker Susan and Pieter Mimno Ellen G. Moot Gale Munson Linda and Martin Myers Mary and Sherif Nada Andrew Navarette Martha Ondras Katherine Page and Alan Hein Shirley F. Partoll Mathilde Pelaprat Margaret Quinn and Thomas Simons Laurie and Peter Raymond Pam and Tom Riffin David Riley and Nathan Darvish David and Deirdre Rosenberg Stephen Rosenfeld and Margot Botsford Carol Rosensweig Mimi Ross Eleanor Rubin Dan Sanford John and Rhoda Schwarz Melvin Scovell Robert N. Shapiro Robert Silberman and Nancy Netzer Lucretia M. Slaughter Claude and Elizabeth Smith Prudence L. Steiner Edward Stern Robert Straus Judith and John Styer Peter and Charlotte Temin Katharine E. Thomas Soledad A. Valenciano Mark and Lynne Wolf Michael Yogman HONORARY GIFTS In honor of Pete Caron Prudence L. Steiner In honor of Nancy Donahue Ronald Ansin In honor of Elizabeth Houston Julian Houston In honor of Lia G. Poorvu Rhoda Baruch Ann W. and Donald A. Brown Ann and Marvin Collier Daniel G. and Alison P. Jaffee Barbara F. Lee Richard P. and Claire W. Morse Foundation Edward H. Mank Foundation Mary and Sherif Nada Katharine and Tony Pell John Petrowsky Karen F. Richards Robert Silberman and Nancy Netzer Mark and Lynne Wolf In honor of Pam Riffin Pete Caron Bethany Hadley Rebecca and Weldon Pries David Riley and Nathan Darvish In honor of Rebecca Pries Fran and Hugh Miller Bill and Kay Hudgins In honor of Cathy Schoen Christopher Hollander In honor of Jane Siegel Alice Andrus Eleanor Rubin Calendar Year 2014 Donor List My daughter was running away. I went to the juvenile court to get help I wanted to take that extra step to make sure what I was doing was right. But I was nave about the system. It was really comforting when we were referred to ACS. Someone was there to help. The clinicians were amazing and I didnt feel alone anymore. ACSs people were there for us. -Kathy Pilarski ACS Advisory Council continued from previous page Adolescent Consultation Services Inc. 189 Cambridge Street Cambridge MA 02141 Phone 617-494-0135 Fax 617-494-0136 Email acsacskids.org www.acskids.org ACS Service AreaMiddlesex County To protect condentiality ACS does not use the names photos or identifying features of clients. Read Karims story on page 5. For information about ACSs work and immigration see page 4. ACS Juvenile Court Clinics serve the four Juvenile Court locations in Middlesex County - Cambridge - Framingham - Lowell - Waltham Board of Directors President Frances Miller Chair William H. Paine Treasurer Jacquie L. Kay Clerk Jane R. Siegel Nancy L. Donahue Terrie Graham Daniel H. Jacobs Michael Laeur Lia G. Poorvu Laura M. Prager Rebecca E. Pries Mary M. Shahian David K. Wilcox Executive Director Rebecca E. Pries Clinical Director Dr. Dan Sanford HR and Finance Pamela Rifn Advisory Council Gerald Chertavian Roxann C. Cooke Tracy D. Gee Robert Gittens Joel Goldstein Silvia M. Gosnell Jill Janows Fatinha R. Kerr Thomas E. Leggat Charles J. Ogletree Jr. Kathy Pilarski Jorge Quiroga Katharine E. Thomas Kathan Tracy The Massachusetts Trial Court provides ACS with in-kind ofce space in Cambridge Lowell and Framingham. We serve children and families from all 54 cities and towns in the County.