Child Guidance Resource Centers Inc.

“A complete copy is provided to all board members prior to filing.”

“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.”

“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.”

“Adults and families have basic competencies that they can utilize to work toward and achieve treatment goals. In addition, to improve access to care, cgrc has licensed outpatient sites within multiple schools throughout these counties including schools in upper darby school district, william penn school district, coatesville area school district, owen j roberts school district, twin valley school district and norristown school district. Additionally, to promote greater access and the integration of physical and behavioral healthcare, cgrc has an outpatient clinic co-located within chop's largest outpatient pediatric practice, karabots, in west philadelphia. Our 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 to children, adolescents, and families without regard to age, sex, race, religion, ethnic background, handicap, or sexual orientation. Services are provided by experienced child, adult and family therapists. Therapists have graduate level training (masters or doctoral degrees) and clinical experience working with children, adults and their families. Referrals can come from any number of sources including other mental health providers, county offices of mh/mr and c&y, schools, pediatricians and other primary physicians, bmco's, and the parent. Cgrc follows an open access model which means that clients and their families can come in any time to our main offices between the hours of 9 and 2 for an initial intake. The initial intake consists of a two-hour meeting between the child/family/adult and a therapist. During the intake the therapist completes the biopsychosocial assessment, the medical history form and the comprehensive mental status exam) (cmse). Once these are completed the therapist develops a clinical formulation and recommendations which she then shares with the family. Recommendations can include such things as a referral for outpatient services, a referral for a higher level of care, a referral for other evaluations such as a psychiatric evaluation, and so on. All intake packets are reviewed and approved by an outpatient supervisor and a medical professional. The outpatient treatment model can vary depending upon the expertise of the supervisor and the treating clinician. Of note, cgrc's outpatient programs have incorporated a number of evidence based practices over the years including trauma focused cognitive behavioral therapy (tf-cbt), parent child interaction therapy (pcit), pivotal response therapy (prt), and the incredible years (tiy). Cgrc is committed to quality and tracks a number of quality measures including length of stay, time between referral and first appointment, client show rates, outcomes as measured by the cans, the child and adolescent needs and strengths assessment, and many others.”

“Located in havertown was licensed on july 24, 1998 and the montgomery county school location was licensed on august 21, 2009. Child guidance's private school program is committed to providing complete academic programming for children requiring emotional/behavioral/autistic support that will be cost-effective and outcome-oriented. Our primary goal is to provide each of our students with the tools necessary to help them function in a less restrictive environment within their own school district. Our program is an academic environment, much like a school district's emotional support classroom, with a strong emphasis on social, emotional, and behavioral development. Our children receive a quarterly report card, ieps, access to individual academic charts, the opportunity to consult regarding emotionally challenged children, transition help, and our commitment to follow the same academic standards established by the state of pennsylvania. A comprehensive testing program to measure reading, math, spelling, and comprehension was instituted. 100% of the students made significant progress. Client satisfaction studies showed an overall high degree of satisfaction, but indicated the need to strengthen the homework assignments. For fiscal 09-10, a researched based protocol covering homework assignment will be instituted for all grades. The behavior modification program is based on 1-2-3 magic developed by thomas phelan. 2.school based contracted services that provide districts with an array of services that cover all three tiers of the positive behavioral support model. Staff are placed directly in schools with the goal of maintaining students in the least restrictive environment. Nine school districts in three southeastern pennsylvania counties contracted for these services. Services were provided to over 1,300 children and adolescents. School-based services are individualized and include participation in instructional support teams, individual therapy, groups, specialized interventions in regular classroom settings and emotional support classes. Services are governed by each student's treatment plan, which is developed in conjunction with the individual education plan and in cooperation with parents and families. A school based mental health worker provides one-on-one and group interventions to a child or adolescent in school when the child or adolescent's behavior without this intervention would require a more restrictive treatment or educational setting. School based workers provide specific therapeutic support services including but not limited to crisis intervention techniques, immediate behavioral reinforcements, emotional support, time-structuring activities, time-out strategies, and psychosocial rehabilitative activities. School based mental health workers work as part of a treatment team. School based mental health workers work in elementary, middle, and high schools. Child guidance's vision has always involved the concept of providing the necessary tools to children to enable them to function in the least restrictive environment. 3.training and consultation services - since 1960, cgrc has provided consultation to a variety of school systems in the form of training and education. We are certified to grant continuing education credits that meet the requirement of pennsylvania law governing teacher recertification. We have a trainer certified in the olweus bullying prevention model.”

“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.”