ACS FY18 Year End Report

ADOLESCENT CONSULTATION SERVICES 1973-2018 Celebrating 45 years of finding positive directions for court-involved kids and their families.

FRAN MILLER BOARD PRESIDENT Growing up can be tough business these days, and the young people in our community face incredibly complicated problems. The extraordinary staff at ACS go above and beyond to help these children learn how to cope with the immense challenges they face and to believe that their futures can and will be brighter. Our dedicated clinicians can’t do it all alone – we depend on the support of wonderful people like you who understand the priceless gift of offering hope to children in troubled circumstances. Thank you from the bottom of my heart for all you do for ACS. Frances H. Miller LEAH M. KELLY EXECUTIVE DIRECTOR 2018 marks the 45th anniversary of ACS and our work with thousands of court-involved children. This incredible milestone is a testament to the dedication and hard work of all of YOU, our donors, partners, allies, and friends. While creating the timeline included in this report, I reflected on how our remarkable team of staff, Board members, community leaders, and donors continued to respond to and support the changing needs of the children we have served over four decades. Our work is focused on providing the right interventions at the right time to help kids and families who have become court-involved. I look forward to seeing how our timeline grows as we maintain our deep commitment to serving the most vulnerable members of our community. Thank you for your commitment to supporting this work! Leah M. Kelly, Psy.D.

Who You Help GENDER 65% 34% 1% 438 kids received help BOYS GIRLS TRANSGENDER/ from ACS in FY18 NON-BINARY 28% 14% UNDER 7 1% 15% 1551% 7-12 HISPANIC AFRICAN AGE AMERICAN 13-15 16-17 8% 31% AVERAGE AGE 18+ 2% RACE OTHER/ UNKNOWN 45% 5% CAUCASIAN ASIAN 88% 74% Mood Disorder 68% Anxiety and Trauma-related Disorder were struggling with at least 66% ADHD one psychiatric condition 42% Suicidality 26% Substance Use Disorder 21% Self-injurious behavior 1

JUVENILE COURT HISTORY Juvenile courts and juvenile US Supreme Court Department of Youth Services Commissioner, delinquency code enacted decision, In re Gault, Jerome G. Miller, removes youth from reform in Massachusetts established due schools and places them in a range of process and equal community settings in what became known as 1906 protection in juvenile the “Massachusetts experiment” court cases 1967 Juvenile Justice and Delinquency Prevention Act provides funds to enforce core protections related to the care and treatment of youth in the justice system 1972 1974 1973 1978 ACS HISTORY Program begins as the 1975 Rebecca Pries, LMHC, Learning Disabilities Project named first Funding received from Executive Director Cambridge Public Schools supports services for special needs and court-involved kids 2

Kaiser Permanente and the Centers for Disease Control and Prevention begin studying Adverse Childhood Experiences (ACEs) MA legislature establishes statewide juvenile court system Due to increase in juvenile crime and 1992 1995 “super-predator theory,” states enact “ zero tolerance” policy and new laws related to juvenile crime 1993 1986 1995 1980 ACS obtains nonprofit tax exempt designation and the Advisory Board 1979 1982 becomes Board of Directors ACS launches its First treatment group for graudate student young men formed training program Program changes ACS Advisory Board name to established Adolescent Consultation Services 3

JUVENILE COURT HISTORY Juvenile Justice Reform Act of 1996 establishes delinquency as a mixed system with elements of punishment and rehabilitation US Supreme Court rules it DYS Commissioner establishes unconstitutional to execute the Juvenile Detention juvenile defendants Alternatives Initiative (JDAI) to institute detention alternatives 1996 Judgement in 1996 and diversion Rosie D v. Massachusetts 2005 establishes Children’s Behavioral Health Initiative 1998 2006 (CBHI) which provides in-home and school-based mental health services for children 2007 ACS publishes the first 2002 2006 2008 edition of “Kids and the Law: A User’s Guide to ACS awarded the state Education and Advocacy First ACS Fall Event at the Union contract to provide juvenile Program launched Club of Boston honors Prof. Charles the Court System” in English/Spanish court clinic services Massachusetts Alliance of Juvenile Court Clinics Ogletree and Hon. Gail Garinger throughout Middlesex (MAJC) established, a statewide advocacy group that County. ACS establishes court clinic sites in Lowell, represents the interests and goals of the Cambridge, Framingham Juvenile Court Clinics and Waltham. ACS HISTORY 4

Legislation raises the age of New criminal justice reform bill is signed juvenile court jurisdiction to into law. Children under 12 can no longer include 17-year-olds and the Massachusetts Supreme Judicial be criminally prosecuted, greater focus Court strikes life sentences without is placed on diversion programs, minor offenses committed by persons under 21 parole for juveniles are more easily sealed or expunged, and A new law replaces “Child in Need juveniles cannot be placed in of Services” (CHINS) statute with solitary confinement. “Child Requiring Assistance” (CRA) 2018 2013 2012 2016 2018 2010 2009 Leah M. Kelly, Psy.D., A new drop-in group treatment joins ACS as second program is launched entitled, Executive Director “Get out of the Court System ACS sponsors Kids and and on with Your Life!” Judges Day The 4th edition of ACS kicks off Cultivating Youth “Kids and the Law: A User’s Guide Voices (CYV) project to give to the Juvenile Court” is published voice to court-involved youth 5

“Thank you for taking FY18 IMPACT “The Court Clinic (ACS) [the] time to care for staff are the unsung my family. It was such ■ 438 kids received help from ACS in FY18 heroes of the a pleasure speaking ■ 508 comprehensive diagnostic evaluations completed juvenile court. with you about Carter’s* ■ 98 same-day emergency evaluations completed I always feel smarter homework. He is being ■ 209 hours of no-cost treatment provided after reading one of cooperative and trying ■ 44 kids and their families received treatment services their reports.” very hard in school.” ■ 237 kids and families received Education & Advocacy services - Juvenile Probation Officer - A mother’s update to the ACS clinician OUTCOME of her 12-year-old son 89% of families became more engaged in treatment 83% of children increased their compliance with treatment and recommendations 79% of children improved their attendance at school or an alternative educational setting *To protect confidentiality, ACS does not use the names, photos, or identifying features of our clients 6

Fall Event OCTOBER 11, 2018 HEAL, GROW, & THRIVE ACS friends, donors, and supporters gathered to honor An evening to support court-involved youth. REBECCA PRIES, founder of Adolescent Consultation Services, and DR. JUDITH HERMAN, Professor of Psychiatry at Harvard Medical School and Award-Winning Author Hon. Amy L. Nechtem, THRIVE Chief Justice of the Mass. Juvenile Court and Rebecca Pries & , W Hon. Kenneth J. King, G Paul Nwokeji, and R Hon. Jay D. Blitzman O HEAL, 45C E L E B R A T I N G of finding positive directions Dr. Leah M. Kelly and Dr. Judith Herman for court-involved children Dr. Judith Herman and families. 7

MAJCC: sustaining critical services ACS is proud to be a founding member of the Massachusetts Alliance of Juvenile Court Clinics (MAJCC). Below are some of the many highlights from the past year. PASSAGE OF CRIMINAL JUSTICE REFORM LEGISLATION Criminal Justice Reform Legislation passed in April 2018, changing the age of Juvenile Court jurisdiction on delinquency matters from age 7-18 to 12-18, expanding Diversion and Restorative Justice programs, and providing for expungement of juvenile records. These changes reflect advances in understanding adolescent brain development and the need to divert youth from court involvement in order to disrupt the school to prison pipeline. Our lobbying efforts in support of the Criminal Justice Reform Legislation included multiple meetings with legislatures, serving on a panel of experts, and providing testimony at a Legislative Hearing. INCREASED FUNDING IN FY19 STATE BUDGET MAJCC lobbied and advocated for an increase in funding for the Juvenile Court Clinics. These efforts were successful and funding for the juvenile court clinics increased by an unprecedented $1.5 Million! EDUCATE NEW STATE REPRESENTATIVES AND SENATORS Last year was one of unprecedented change in the Senate. MAJCC representatives and our lobbyists met with legislators to educate them on the needs of children and families involved in the court system and the critical importance of funding for the juvenile court clinics. INCREASED ADVERSE CHILDHOOD EXPERIENCES (ACES) DATA COLLECTION In FY18, juvenile court clinics across the Commonwealth collected ACEs data on 658 children. This information strengthens MAJCC’s advocacy platform and provides conclusive evidence of the extraordinary needs of this population. 8

Financials FY2018 From the most recent audited fiscal year: July 1, 2017 – June 30, 2018 FY18 FUNDING SOURCES OPERATING REVENUE Public Sector $1,073,238 Corporate and Foundation Grants $245,452 Individual Contributions $85,401 Investment Income $153,740 In-kind $98,800 Other income $25,741 TOTAL $1,682,372 FY18 PROGRAM EXPENSES OPERATING EXPENSES $1,342,002 $196,486 Program Services $73,392 Management and General Fundraising $1,611,880 TOTAL 9

ACEs: Adverse Childhood Experiences The Centers for Disease Control and Prevention (CDC) examines the connection between childhood exposure to ten types of stress and trauma that can lead to significant and potentially deadly health conditions. 50% Number of ACEs in youth PERCENTAGE OF YOUTH 25% nation-wide vs population served by ACS 0% 12 3 4+ National Average* 0 Population served by ACS** NUMBER OF ACEs *Based on ACEs Study conducted by the CDC **170 total ACEs questionaires from ACS clients Emotional Abuse Physical Abuse Sexual Abuse Prevalence of Emotional Neglect Adverse Childhood Experiences Physical Neglect Mother treated violently Household substance abuse Household mental illness 50% 100% Parental separation/divorce Incarcerated household member 0% 10

FY18 Donor List Thank you for empowering court-involved kids and their families. ACS is extremely grateful to all of our generous supporters. This list highlights donors whose financial contributions were received during FY18 (7/1/2017-6/30/2018). LEADERS Robert W. and Evelyn H. Doran Daniel Jacobs and Susan Quinn Fish Family Foundation Amalie Kass GIFTS OF $10,000+ Forest Foundation Margo Kelly Orville W. Forte Charitable Foundation T. Ross Kelly John W. Alden Trust Foundation M Barbara Lee Bank of America Charitable Foundation Roy A. Hunt Foundation Gerard Leone, Jr. Marion F. Boynton Trust Elizabeth Keating Edward H. Mank Foundation Cabot Family Charitable Trust Barbara Leggat Martin Fund at the Boston Foundation Cogan Family Foundation William and Margaret Paine Fran and Hugh Miller Cummings Foundation John Petrowsky Gary and Mary Pforzheimer Nancy Donahue Beth K. Pfeiffer Deborah Porter and The Janey Fund Gardiner Howland Shaw Foundation Nicholas Negroponte Klarman Family Foundation Trustees of the Ayer Home Carolyn and Frank Reynolds Lia G. and William Poorvu Frederick E. Weber Eric Shank Family Foundation Charities Corporation Wendy Shattuck and Sam Plimpton Public Sector Jane and Ben Siegel Department of Mental Health A D V O C AT E S Taylor Snook Massachusetts Juvenile Court Stevenson Family Charitable Trust GIFTS OF $1,000-$2,499 Charles K. “Chip” Storey CHAMPIONS David Wilcox and Charlotte Pierce Judith Aronstein GIFTS OF $2,500-$9,999 Rhoda Baruch “The problems they face Baupost Group, LLC are not simple, nor are Anonymous Cosette Charitable Fund Ronald Ansin Anne Covert the right solutions.” Frederick A. Bailey Trust; BNY Mellon, Susan Culman - Leah M. Kelly, Psy.D. N.A., Corporate Trustee Thomas and Andrea Dupree Bennett Family Foundation Eastern Bank Charitable Foundation Cambridge Community Foundation Mr. and Mrs. Stephen P. Heney Bushrod H. Campbell and Swanee Hunt Family Foundation Adah F. Hall Charity Fund James Champy 11

FY18 Donor List Katharine and Tony Pell Megan Campbell Joan H. Perera Andre Caron ALLIES Jonathan and Amy Poorvu Emile and Sandie Caron William and Helen Pounds Esther Chen GIFTS OF $250-$999 Laura Prager and Frederick Millham Colleen Clinkscale Adele Pressman Ellen Cohen and Daniel Haber Anonymous Rebecca and Weldon Pries Alison Cohen Ashurst Foundation Abby Rockefeller and Lee Halprin Grace Conway Richard and Bonnie Barnum Rosen Family Fund at the Wendy Cook Boston Foundation Boston Foundation Priscilla Damon Paul and Katie Buttenwieser Robert Silberman and Nancy Netzer Elaine Denniston Pete and Sara Caron Susan Stoddart and Chris Snook Dorothy DiMarzo Barbara Clark Wells Fargo Advisors Robyn Eastwood Ann Collier Richard Wenger Eleanor Edelstein Ron and Debbie Eastwood Marilyn and Irvin Yalom Mary K. Eliot Anne Ellsworth Judy Ellenzweig Jeffrey Horvitz SUPPORTERS Margaret S. Fearey Julian Houston and Holly and Christopher Ferguson Susan Levine Houston GIFTS UP TO $250 Fiduciary Trust Company Stephen Kay Lauren Fiorentino Leah M. Kelly AmazonSmile Foundation Nancy and Richard Fryberger Marcia Leavitt and Andrew Cohn Anonymous Gail Garinger Martha Leggat and Steve Barr Alice and Colby Andrus Monique Garrity John and Kristin Macomber Carina Badalamenti Jacques and Margaret Gelin Joe and Rachel Martin Sandy Bakalar Dori Gerber Susan and Pieter Mimno April Barton Owen and Miriam Gingerich Martha Minow BGR Hospitality Robert Gittens and Donna Latson-Gittens Dale and Robert Mnookin Jay Blitzman Shayne Goldberg Gale Munson and John Lewis Leslie Boden and Judy Yanof Bill and Grace Gregor Linda Myers Joanna Bonventre Bethany Hadley Northeast Association of Realtors Ava Bry Penman Suzanne and Easley Hamner Scott O’Gorman Josh Buckley Tim and Joanne Oyer Jeff Cabral David and Shirley Parish 12

Laura Hechtman Sara Morris Robert Straus Lora Heims Tessman Kevin Moynihan John and Judy Styer Martin and Susan Heyman Mary and Sherif Nada Charlotte and Peter Temin Lissa and Melville Hodder Andrew Navarette Jane Thorbeck William and Kay Hudgins Matthew Nikkel-Dumyahn William Thorndike Katherine and Ralph Hughes Susan Oker Victor Troncoso Emily and David Hutcheson Katherine Page and Alan Hein Felicity Turgeon Judith Hyatt and Fred Goldstein Shirley Partoll Nancy Tye Theodore and Bernadine Jacobs Mathilde Pelaprat and Kristen Van Damm Soledad Valenciano Jill Janows and Joshua Rubenstein Jean-Michel and Sylvie Pelaprat Cait Van Damm Rudolph Kass Jim and Ellen Perrin Rhiannon Varmette Jacquie Kay Michael Radz Sophie Wadsworth Jonathan Kelly Eggert Ragnarsson Natalie Waggaman Laura Khoshbin Emily Restivo Chelsea Walsh Michael and Susan Kilkelly Pam Riffin Stephanie Warburg Kilkelly Law Offices Max Riffin Bayard Waring Kathryn Kirshner Natalie Riffin Nicole Williams Rona and Michael Knight David and Deirdre Rosenberg Howard Wishnie and Catherine Mitkus Lawrence Kotin Carol Rosensweig Mark and Lynne Wolf Thomas and Vera Kreilkamp Eleanor Rubin Anita Wolf Cheryl Kyle Dan Sanford David Woodrow Michael Lafleur and Johanna Benotti Kim Schultz Norma and Arnold Zack Samuel and Emily Leadholm Maggie Schulz Amy Linsky Mary and David Shahian Thank you! Missy and Christopher Lipsett Edward A. Shapiro and Debbie Benik Leonore and Elliot Lobel Robert N. Shapiro 13 Franklyn MacLean Elizabeth Shepherd Elizabeth Maglio Thomas and Margaret Quinn Simons Liza Mazo Lucretia Slaughter Joseph McOsker Claude and Elizabeth Smith Robert Millar Maura Smith

Mission BOARD OF DIRECTORS ADVISORY COUNCIL Statement Frances H. Miller, President Gerald Chertavian William H. Paine, Chair Roxann C. Cooke Adolescent Consultation Services Jacquie L. Kay, Treasurer Nancy L. Donahue supports and empowers Jane R. Siegel, Clerk Robert Gittens Terrie Graham Joel Goldstein court-involved children and families Daniel H. Jacobs Silvia M. Gosnell by providing mental health prevention Elizabeth Keating Fatinha R. Kerr and intervention services to help them Leah M. Kelly Barbara Leggat Michael A. Lafleur Charles J. Ogletree, Jr. envision and work toward Lia G. Poorvu Kathy Pilarski a better future. Laura M. Prager Jorge Quiroga Mary M. Shahian Eggert Ragnarsson 189 Cambridge Street Charles K. “Chip” Storey Katharine E. Thomas Cambridge, MA 02141 David K. Wilcox Kathan Tracy T 617.494.0135 FY2018 Year-End Report F 617.494.0136 www.acskids.org /acsinckids @acsinckids