Child Guidance Resource Centers

“The board finance committee completes a comprehensive review of the form 990 document which includes all related schdules and supporting documentation. At the completion of the review a copy of the approved 990 document and an executive summary are mailed to the full board.”

“Conflict of interest disclosures are signed annually by the board. Agency policy requires that all organization representatives dealing with clients, families, suppliers, contractors, competitors, or any persons doing or seeking to do business with cgrc shall act in the best interest of cgrc to the exclusion of consideration of personal preference or advantage. Such representatives shall make prompt, written discosure of conflicts or potential conflicts to the ceo, including but not limited to: significant financial interest in, or a broker relationship with a third party with, an outside firm seeking to do business with or in competition with cgrc. Conflict of interest/non-disclosure statement is retained in the personnel file for all employees.”

“1) approval by compensation committee 2) review form 990 of other organizations 3) review of compensation survey or study 4) approval by the board of directors”

“1) included in budget reviewed by finance committee & board of directors 2) set by ceo within guidelines established in step 1 above continued from form 990 part vi - line 2 the ceo of child guidance resource centers provides approximately 4 hours per week of financial management services to a company of which a board member is a key employee. This arrangement predates the employment of the ceo and predates the board member joining child guidance resource centers' board.”

“Documents are available upon request. Annual financial report is available on the website - www.cgrc.org”

“The child guidance resource centers' (cgrc) board of directors is a volunteer board. The board membership includes a broad mix of persons that is reflective of the communities which cgrc services. The individuals represent healthcare/consumer/business agencies and possess the knowledge/experience/expertise that provide for a diverse perspective relating to organizational planning and leadership. The board of directors is ultimately responsible for the quality of care and the financial viability of child guidance resource centers. Additionally, cgrc has community volunteers who provide assistance to the families in the outpatient waiting areas and administrative clerical support.”

“Family first (family based services) is a comprehensive clinical and case management program designed to work with at-risk children and their families in their own home and community setting. Family first program components include family therapy, individual counseling, parent education, intensive case management, interagency team leadership, family support services, 32 week course of treatment, 24 hour on-call other support, and services provided by the family first team of two masters level therapists. (narrative continued on page 1 of schedule o) (continuation from part iii - line 4a of 990) - the philosophy of family first is that a child's family is their strongest and most important life domain. Therefore, the most effective way of helping troubled children and adolescents is a family-focused, home-based model designed to recognize and build on family strengths. In this way, the natural supports of the child's life can be nurtured so that gains made can be maintained after family first services have ended. Additionally, the flexibility of the family first approach allows the team to learn about and incorporate all of the important elements of the child's life into the treatment experience. Family first services are recommended to a child or adolescent who is considered to be at-risk, that is, who is struggling with any of the following issues: severe emotional disorders or mental illness (such as childhood depression or adhd), intense parent/child conflict, difficulty adjusting to family and life changes, school problems (including poor performance, behavioral problems, or truancy), oppositional or defiant behavior, pdd in combination with family problems, or drug and alcohol use in combination with family problems. For some, family first may be the last intervention attempt before out of home placement. For others, family first acts as a bridge between residential care and living at home with family. The program serves approximately 200 families a year. At any one time, the active caseload is approximately 125 families. One highly successful initiative undertaken this past year was weekend parent and client training retreats. This was done in cooperation with another non-profit agency. The trainings were very well received. They also resulted in parent training groups being established for the parents who attended the weekend sessions.”

“Behavorial health rehabilitative services program (bhrs) is a community-based service utilized to assist the client and family address behavioral health needs through the use of strength - based goals and the integration of community services. Bhrs services are highly individualized services developed and approved by an interdisciplinary team. They are provided by specific clinicians who are recommended through psychological or psychiatric evaluation of the individual child and family. (narrative continued on page 2 of schedule o) (continuation from part iii - line 4b - 990) these clinicians include a behavioral specialist consultant (doctoral or master's level clinician), a mobile therapist (doctoral or master's level clinician), and a therapeutic staff support (bachelor's level clinician). The goal of the bhrs team is to work with the family to develop an appropriate treatment plan that utilizes behavioral modification, individual and / or family therapy, and one-on-one interventions that help improve problem-solving skills. In bhrs, the families are considered to be the best resources for working towards goal achievement. Bhrs is based on a well-defined set of principles. These principles are comprised of six core concepts: treatment which is child-centered, family focused, community based, multi-systemic, culturally competent, and least restrictive / least intrusive. The program serves approximately 450 cases a year. At any one time, there are 300 families receiving this service. The children served range in age from three to twenty-one. Services are provided in the home, school, and community. Clients come from three southeastern pennsylvania counties. Two significant initiatives are on going in the program. One uses the measurement tool cans (child and adolescent needs and strengths assessment) for clients with an emotional support diagnosis. For clients over the age of 11, the parent, clinician, and the client complete the assessment separately. For clients under 11, the clinician and the parent complete it. The second initiative is improving the number of hours provided to each client versus the number of hours prescribed. Both initiatives showed significant improvement in the results from the beginning of the year to the end of the year.”

“Outpatient services program - child guidance resource centers outpatient services helps children and adolescents with mental health difficulties, and their families, reduce behavioral symptoms and improve emotional well- being. To achieve this goal, cgrc offers an array of diagnostic and therapeutic services including individual, group, and family therapy, psychological evaluation and testing, psychiatric evaluation, and prescription of medication with psychiatric consultation and monitoring. Cgrc is licensed as an outpatient psychiatric clinic by the pennsylvania department of public welfare. It is a free-standing, private, non-profit community-based mental health center. Child guidance resource centers believes that these individuals have basic competencies that they can utilize to work toward and achieve treatment goals. The efforts focus on helping clients identify their strengths and assets in addition to their problems, because available coping skills are essential elements in the treatment process. We collaborate with clients to help them efficiently improve their functioning and ability to manage current social demands. This philosophy results in the use of short term, practical treatment methods that focus on symptom reduction and improving both psychological and social functioning. Cgrc is committed to providing high quality mental health services without regard to age, sex, race, religion, ethnic background, handicap, or sexual orientation. Services are provided by experienced therapists who have a graduate level training (masters or doctoral degrees) and clinical experience working with children, adults and their families. Prospective clients who need case management services, either primarily or in addition to therapy, are provided with options for this service, either at cgrc or other providers if cgrc is at capacity. Cgrc is committed to maintaining close relationships with the other child serving systems in delaware county in order to promote optimal collaboration and service. Cgrc maintains regular communication with the county offices and other mental health providers through attendance at a number of ongoing county meetings including the monthly children's coalition meeting. Coordination with school districts is promoted through regular calls and mailings to the various school districts. Any client who is identified as requiring emergency crisis service are referred to the nearest hospital for immediate evaluation and intervention because cgrc does not have a crisis center.”

“Adult residential services cgrc has three 24 hours a day full care community residential rehabilitation facilities for clients with mental health disabilities. The primary goal of these residences is to help consumers to develop everyday living and coping skills, to maintain socialization skills through a variety of strategies, to develop independence through setting realistic goals and ambitions, and to build self-assessment skills so they can handle stressors to prevent crisis situations and unnecessary hospitalizations. The staff will work cooperatively and creatively with all supportive services that our mutually shared consumer has. The list includes, but is not limited to: mast, intensive case managers, resource coordinators, administrators, case managers, partial hospital/misa programs, club house program, consumer satisfaction team, delaware county office of behavioral health, otc work program, and families. The consumer must possess basic living skills with the potential to develop them further. Depending on the particular residence, the consumers cook for himself/herself, or the staff may prepare common meals. Consumers maintain his or her apartment. We serve clients 18 years old and above who are delaware county residents. The program capacity is 23. The average number of residents is 22. A special tract for transition age (18-25) is offered within this program. Additionally, provisions are made for older adults who have co-occurring chronic medical conditions. A dsm-iv mental health diagnosis, the ability for self-preservations, and the ability to maintain him/her in an apartment setting with one or two roommates are all admission criteria. Over the past years, the program has focused on implementing the wrap protocol. This is the wellness recovery action plan. Each client now has one.”