ACS FY22 Annual Report

ADOLESCENT CONSULTATION SERVICES FY22 ANNUAL REPORT acskids.org HELPING KIDS ENVISION AND WORK TOWARD A BETTER FUTURE

mission STATEMENT Adolescent Consultation Services supports and empowers court-involved children and families by providing mental health prevention and intervention services to help them envision and work toward a better future.

LEAH M. KELLY EXECUTIVE DIRECTOR At ACS, we see children at a time of crisis. These moments in time are critical windows of opportunity. They enable us to provide immediate help, while also instilling hope, and empowering a child and their family to envision and strive toward a better future. Our clinicians work carefully to understand the underlying causes of a child’s behavior, clarify their mental health and educational needs and strengths, and help them access the right services at the right time. A child’s engagement with a skilled ACS clinician could be the intervention that changes the trajectory of their life. None of this would be possible without our extraordinarily dedicated staff, and the generous support of our donors. With Gratitude, Leah M. Kelly, Psy.D. FRAN MILLER BOARD PRESIDENT You and I both know growing up can be tough business. It’s certainly more challenging for kids right now, as they face incredibly complicated problems. I have had the honor to watch ACS respond to the changing needs in our community over many years and evolve into an even more vibrant and vital agency. Our clinicians open windows of opportunity for hundreds of high-risk children each year, ensuring that all of our kids receive the help and hope they deserve. This is only possible because of, you, our incredible community of support. Gratefully, Fran Miller 1

The Challenges Our Kids Face • The mental health of children and adolescents has reached a national emergency, and the effects of the pandemic are still unfolding. • Feelings of persistent sadness and hopelessness, as well as suicidal thoughts and behaviors, increased by 40% among young people in the 10 years leading up to the pandemic. • Waitlists for mental health providers average 6-18 months. The kids ACS serves often face additional challenges 90% diagnosed with two or more mental health conditions 75% of the families served by ACS received insurance coverage under MassHealth, one common indicator of poverty 46% have 4 or more ACEs *see page 8 to learn more about ACEs 42% have a history of hospitalization due to a mental health condition 34% have at least one parent who had immigrated to the U.S. 24% experienced homelessness At ACS, rather than be discouraged by these challenges, we see opportunities to make an impact. 2

There is an Opportunity Adolescence is a critical developmental phase of life, a time during which children acquire the social skills they need to thrive as adults. Their brain is still a work in progress. We have a window of opportunity during these years to influence a child’s development and guide them toward a positive future. ACS is equipped to help children and teens during this critical time with our: • Highly-trained, dedicated clinicians • Individualized and evidence-based programs • Clinical flexibility and adaptability • Strong partnerships FY22 I M PA C T We respond quickly and effectively to the changing needs of the young people we serve. Children who engaged with ACS made significant progress in the following areas: 88% of family members became more engaged in their child’s treatment 81% demonstrated increased attendance or remote participation at school, alternative education, or a job 78% demonstrated improved compliance with treatment and recommendations 3

Who You Help AGE 7-12 13% 55% 13-15 15 16-17 28% 4% AVERAGE AGE 18+ RACE 315 CHILDREN SERVED WHITE 42% GENDER HISPANIC 28% 61% 38% BLACK/AFRICAN/ 17% 1% AFRICAN AMERICAN 8% BOYS GIRLS TRANSGENDER/NON-BINARY 7-12MULTI-RACIAL OTHER IDENTITIES 4% OR UNKNOWN 1% ASIAN/ ASIAN AMERICAN ACS serves kids and families across the 54 cities and towns of Middlesex County. We directly serve the County’s four Juvenile Courts. 4

Impact Anna* is 14 years old and was referred to ACS for a diagnostic evaluation after her school filed a Child Requiring Assistance application due to her excessive absences. She has been suffering from severe levels of anxiety since the age of six. During the pandemic, her anxiety escalated to the point where she became unwilling to leave her home. It became almost impossible for her to attend school once remote schooling ended. Anna desperately wanted her anxiety to go away, attend school, and “be like everyone else.” Our clinician assigned to the case recommended a therapeutic school placement for Anna, but the school was not immediately willing to agree to this due to the associated cost. Our clinician was a strong and effective advocate for Anna and was eventually able to secure a therapeutic school placement that would support Anna’s return to in- person schooling in an environment that would enable her to be successful. Anna is reportedly attending her new school and doing well. “We appreciate you going above and beyond on our son’s behalf. We got clear and direct information from you, and it has been tremendously helpful during this process. We’ve been living in a state of emergency for quite some time, until now.” – Parent of a 17-year-old “I felt heard, listened to, and respected.” – Summer*, 17 “I can talk about what is bothering me without being judged.” – Alex*, 13 *To protect confidentiality, ACS does not use the 5 names, photos, or identifying features of our clients.

Our Services DIAGNOSTIC EVALUATIONS ACS clinicians conduct comprehensive diagnostic evaluations aimed at getting to the heart of a youth’s difficulties and why they may continue to struggle, despite a range of interventions. Same-day emergency mental health and substance use evaluations are conducted for kids in crisis. I M PA C T “You always manage to give us hope because you show us 187 comprehensive diagnostic evaluations completed there is a step we can take.” 28 same-day emergency evaluations completed EDUCATION & ADVOCACY Parent of a 12-year-old FOR CHILDREN AND FAMILIES • Education of children and families about mental health concerns and the juvenile justice and child welfare systems. • Advocacy for clients and assistance linking them with appropriate community services, such as medical care, mental health treatment, and in-home support for the family. • Follow up, with clients and providers, to help ensure that the recommended services are in place. I M PA C T 94 kids and families received Education & Advocacy services COMMUNITY EDUCATION ACS consults with court personnel, schools, and community providers. We are a resource to help stakeholders better understand a variety of topics including the needs of high-risk children who are court-involved, accessing mental health services, and basic court procedures. 6

MENTAL HEALTH TREATMENT ACS offers individual and group mental health treatment to children who are court-involved or at risk for court involvement. Our Treatment Program is entirely funded by you, our donors. Your support enables ACS to offer these services at no cost to families, thus removing one of the most significant barriers to care. THRIVE Group Treatment Program (Teen Health, Relationships, Independence, Vision, Empowerment) is our primary group treatment service designed for teens who are court-involved or at risk for court involvement. I M PA C T 382 hours of no-cost treatment provided 88 kids and their families received clinical consultation 43 kids and their families received treatment services 30 teens enrolled in THRIVE “Treatment opened my eyes to a lot of things. I didn’t realize how deep in a hole I was, and now I am communicating with my mom, not fighting, and have earned some of her trust back.” – THRIVE participant STUDENT TRAINING PROGRAM ACS is a teaching clinic for behavioral health professionals. We maintain a longstanding training program for graduate students, medical residents, and post-doctoral fellows from prominent academic institutions in social work, psychology, and psychiatry. 7

ACEs and MAJCC 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. NUMBER OF ACES IN YOUTH NATION-WIDE VS POPULATION SERVED BY ACS PERCENTAGE OF YOUTH 46% National Average* 36% 26% 16% 16% 19% 14% Population served by ACS** 13% 12% *Based on ACEs Study conducted by the CDC 10% **80 total ACEs questionaires from ACS clients 0 1 2 3 4+ NUMBER OF ACES LsuocnhgM-atseA:rmJ oCuCtco:mSesU, S TA I N I N G C R I T I C A L S E R V I C E S scBAuheCirlcoSoidnwisiecaparhretoetsuaeodlmtmhtpoectbosoefntdahietfoiomunnasdniynhgigmhelimghbtesrfroofmthtehMe pasassatcyheuasr.etts Alliance of Juvenile Court Clinics (MAJCC). • • • prem• aMtuArJeCdCe’satahdvocacy efforts led to a $1.5 million increase in the FY23 State Budget for Juvenile Court Clinics. These funds are directed toward the recruitment and retention of specialized clinical staff with forensic expertise. • Educated new State Representatives and Senators on the needs of children and families who are court involved and the critical importance of juvenile court clinic funding. 8 • Increased statewide data collection of Adverse Childhood Experiences (ACEs).

Lucia* was 16 years old when she was referred to ACS through the District Attorney’s Juvenile Diversion program. Her charge was Assault and Battery after an argument with a peer escalated to a physical fight, and Lucia threw a rock at a peer. Engaging in mental health treatment at ACS was one of the conditions of her diversion contract. After Lucia and her mom participated in an intake session, their ACS clinician recommended that Lucia participate in both individual treatment and enroll in THRIVE, our psychoeducational group treatment program. Lucia began individual therapy sessions with an ACS clinician right away. She also began attending the weekly group. In time, Lucia came to trust her individual clinician. She gradually lucia’s came to discuss her feelings of anxiety, and how the inability to STORY cope with her feelings often triggered angry outbursts. In group treatment, Lucia was able to connect with other teens. She realized that she was not alone in struggling to understand and manage her emotions. She also learned some healthy coping skills that would help her when she did feel angry, anxious, or alone. Lucia sent a letter to her ACS clinician after completing the THRIVE program. She wrote, “My experience with the programs these past few months has been really helpful. I’ve learned how to cope with my emotions such as my anxiety, my depression and how to cope with my anger. I’m glad that I’m getting the right help for me mentally because I was lost.” Lucia attended 19 individual treatment sessions and all eight group treatment sessions. She successfully completed the Diversion program, which resulted in the dismissal of her charges and expungement of her criminal record. *To protect confidentiality, ACS does not use the names, photos, or identifying features of our clients. The children we served 82% Mood Disorder 71% ADHD 9 were diagnosed or had symptoms 44% Suicidality 80% Anxiety and 33% Substance Use Disorder of the following conditions Trauma-related Disorder

Financials FY22 From the most recent audited fiscal year: July 1, 2021 – June 30, 2022 OPERATING REVENUE Government Grants & Contracts $1,315,445 Corporate and Foundation Grants $474,101 Individual Contributions $159,683 In-kind $37,466 TOTAL $1,986,695 Investment Income* - ($421,077) *Investment income is unrealized gains. OPERATING EXPENSES $1,587,379 $225,234 Program Services $81,193 Management and General Fundraising $1,893,806 TOTAL “I can’t thank you enough. You went above and beyond for us, and I appreciate it.” - Mother of an ACS client 10

FY22 Donor List Thank you for believing in our mission and empowering high-risk kids and their families. ACS is extremely grateful for all of our generous supporters. This list highlights donors whose financial contributions were received during FY22 (7/1/2021-6/30/2022). LEADERS CHAMPIONS A D V O C AT E S GIFTS OF $10,000+ GIFTS OF $2,500-$9,999 GIFTS OF $1,000-$2,499 John W. Alden Trust Anonymous Judith Aronstein Bennett Family Foundation Frederick A. Bailey Trust; Marion B. Boynton Trust, BNY Mellon, N.A., Avidia Charitable Foundation Bank of America, N.A., Trustee Corporate Trustee Margaret Carr Cambridge Community Foundation Stewart and Patricia Chapin Charitable Gift Fund - General Fund, Bushrod H. Campbell and Bank of America, N.A., Trustee Adah F. Hall Charity Fund Cosette Fund Cogan Family Foundation East Cambridge Savings Bank Cummings Foundation Swanee Hunt Family Foundation Anne Covert Orville W. Forte Forest Foundation Charitable Foundation Foundation M Susan Culman Greater Lowell Barbara and Amos Hostetter Community Foundation Barbara Leggat Nancy L. Donahue The Janey Fund Edward H. Mank Foundation Justice Resource Institute MutualOne Charitable Foundation Robert and Evelyn Doran Elizabeth Keating John Petrowsky The Klarman Family Foundation Pfeiffer and Foster Fund Andrea Dupree Ludcke Foundation Reliant Foundation William and Margaret Paine Karen Richards Eastern Bank Foundation The William and Lia G. Poorvu Wendy Shattuck and Sam Plimpton Family Foundation Jane and Ben Siegel Debbie and Ron Eastwood Saab Family Foundation Susan Stoddart and Chris Snook Gardiner Howland Shaw Foundation Trustees of the Ayer Home Jon Hecht and Lora Sabin Yawkey Foundation The Frederick E. Weber Public Sector Charities Corporation Joseph E. & Frances E. Department of Mental Health Massachusetts Juvenile Court Heney Charitable Trust Daniel Jacobs and Susan Quinn Alison and Daniel Jaffe Margo Kelly T. Ross Kelly Fran and Hugh Miller Laura Prager and Frederick Millham Richard P. & Claire W. Morse Foundation Shirley and David Parish Pell Family Fund Alison Poorvu Jaffe and Daniel Jaffe Deborah Porter The Pounds Family Fund 11

FY22 Donor List Kristin and John Macomber SUPPORTERS Susan Mimno GIFTS UP TO $250 Adele Pressman Robert and Dale Mnookin Helen and Peter Randolph Neil Motenko and Hon. Kerry Ahern Frank and Carolyn Reynolds Mindy Margulies AmazonSmile Foundation Mary and David Shahian Linda Myers Anonymous (5) Eric Shank Nancy Netzer and Susan Ayers and Nancy Salonpuro Taylor Snook and Robyn Eastwood Robert Silberman Deborah Benik and Edward Shapiro Stevenson Family Charitable Trust Scott O’Gorman Stephen and Judith Bernstein Town Fair Tire Foundation Martha Ondras and Martin Pearlman Leslie Boden and Judith Yanof Rich Wenger Chanda Ouk Wolf Linda Braun David Wilcox and Charlotte Pierce Mathilde Pelaprat and Marianne Brown Kathy Woerner Kristen Van Damm Emile and Sandra Caron Jean-Michel and Sylvie Pelaprat Barbara Clark ALLIES Mary Pforzheimer Colleen Clinkscale and GIFTS OF $250-$999 Jonathan and Amy Poorvu Timothy Lynch Ellen Poss Ellen Cohen and Daniel Haber 4Imprint Rebecca and Weldon Pries Andrew Cohn Anonymous Max Riffin Christine Doratt Hon. Jay Blitzman and Sandra Jaffe Abby Rockefeller and Lee Halprin Gary Dube Katie and Paul Buttenwieser David and Deirdre Rosenberg Eleanor Edelstein Pete and Sara Caron Lucretia Slaughter Peter Egan Charles and Lael Chester John and Judith Styer Judy Ellenzweig Clark Downs VMware Foundation Jeff Ernst and Laura Dziorny Ann Wise Amanda Eastwood-Ernst Anne Ellsworth Kristen Wiwczar and Joshua Buckley Hon. Margaret S. Fearey Nancy and Richard Fryberger Lynne and Mark Wolf Peter and Kathleen Forbes Terrie Graham Kelli Fowle Sylvia Hammer Hon. Gail Garinger Julian and Susan Houston Monique Garrity Leah M. Kelly Dori Gerber Hon. Kenneth King Owen and Mariam Gingerich Thomas Kreider Ellen Golding Michael Lafleur and Johanna Benotti Sam and Emily Leadholm Franklyn MacLean 12

Grace and Bill Gregor Laurie Raymond Stephanie Ward Bruce Gretz David Reisen Kathryn Willmore Bethany Hadley Emily Restivo Margaret Witecki Penny Haney Deborah Reyes Norma and Arnold Zack Catherine Harris Hon. Daniel Roache Hon. Karen Hennessy Carol Rosensweig Ways to help Gerald and Nisha Holton Mimi Ross Katherine and William Hudgins David Rubin FOLLOW ACS Katherine Hughes Dan Sanford on social media for the latest David and Emily Hutcheson Gema Schaff Judith Hyatt and Fred Goldstein John and Rhoda Schwarz updates on our work. Mary Kassler Elizabeth Shepherd DONATE SUPPLIES Jonathan Kelly Greg Schwartz Visit our ACS Amazon Wishlist to Kilkelly Law Offices Margaret Quinn Simons and purchase supplies for our Robert Kinscherff Thomas Simons Kathryn Kirshner Lisa Smith Treatment Program. Judith Klau Maura Smith DONATE GIFT CARDS Rona and Michael Knight Laura Stephens and Amy Khoshbin Gift cards in increments of $25.00 to Cheryl Kyle Lora Heims Tessman stores like Target, Amazon, CVS, and Christopher and Missy Lipsett Jane Thorbeck local grocery stores are needed Elizabeth Maglio Joan Tuttle Albert P. Manzi, III Natalie Riffin for families. Janelle Mason Pam Riffin BECOME A SUSTAINER Dianne McCarthy Paul Rotkiewicz Make a commitment to support children Hugh Miller Robert N. Shapiro and families in need throughout the year Hon. Susan Oker Robert Straus by becoming a monthly donor. Katherine Page and Alan Hein State Farm Amanda Parkin Stop & Shop STAY INFORMED Gladys Paul Karen Tucker and Jerry Avorn Sign up to receive our email updates. Ava Penman Nancy Tye Jim and Ellen Perrin Bonnie Ulin WWW.ACSKIDS.ORG/WAYS-TO-GIVE Kathy Pilarski Soledad Valenciano Jane Prager Sophie Wadsworth and Regina Pyle Bruce Morgan Michael Radz Stephanie and Jonathan Warburg

FY22 BOARD OF DIRECTORS Fran Miller, President Catherine G. Harris Lia G. Poorvu William H. Paine, Chair Daniel H. Jacobs Laura M. Prager Elizabeth Keating, Treasurer Leah M. Kelly Mary M. Shahian Michael A. Lafleur Charles “Chip” K. Storey Jane R. Siegel, Clerk Chanda Ouk Wolf David K. Wilcox Terrie Graham www.acskids.org ADOLESCENT CONSULTATION SERVICES, INC. Cambridge Juvenile Court Clinic and Administrative Offices 189 Cambridge Street, Cambridge, MA 02141 T 617.494.0135 F 617.494.0136 Framingham Juvenile Court Clinic Lowell Juvenile Court Clinic 110 Mt. Wayte Avenue Lowell Justice Center Framingham, MA 01702 370 Jackson Street, Suite 4104 Lowell, MA 01852 /acsinckids @acs_kids youtube.com/@acskids /company/adolescent-consultation-services FY20 Annual Report