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Adolescent Consultation Services2016 Year-End Report www.acskids.orgMoving court-involved kids in a positive direction a

Adolescent Consultation Services supports and empowers court-involvedchildren and families by providing mental health prevention andintervention services to help them move forward in a positive direction.b

TYvthsowuiaktmweauolnnianlteifdlolheteckuhhtorodasgtoadunvftutbmsehorthgitelideaenrerctoaefo,uhhhcfnuafaeaihesatcgtnAiltetlphiddgsonCAictrecftthShepfhChrdieneorceeiSosydtuoyiahrvmibllnbntni,eddryeladeaiyoelgekiienovntdvhedcdreri.toottssstahiYuubunoroleobererwftitetucclr-hheheairolenderiiuurhvivvvvksnfefeeeoeueasdsrlwlpmt.yvarotueeiTnhftafirddlhahdeeilyelsmeo.ocosssuoWhwuuhiulatfiyp!iclstegdycpwAharoecoelheuCoyrndot.uSld June 6th marks my one-year anniversary as ACS’s Executive Director! I am, if anything, even more passionate today about our mission than I was a year ago. It has been a privilege to succeed Rebecca Pries, who leaves a remarkable legacy of leadership and a steadfast commitment to the vulnerable children and families of the Commonwealth. Throughout this year of transition, I have been sincerely grateful for the support and guidance of ACS’s exceptional staff and committed board and for Rebecca’s ongoing counsel. And we are all in debt to you, our extraordinary supporters, without whose generosity and concern we would not be where we are today. At ACS, we are committed to ensuring that children and families who become involved in the juvenile court system have access to the critical mental health resources they need to move forward in a positive direction. Unfortunately, the need for our services is growing. Last year, ACS served 581 court-involved children and their families, a 10% increase from the previous year. I continue to be grateful for your extraordinary support and concern as we face these challenges and believe that together we will ensure a strong future for the clients we serve and for our organization. Leah M. Kelly, Psy.D. Executive Director 1

Ryan: driving through chaosRyan was raised amidst the chaos and violence structure and support of this setting, paired withthat seemed to follow his mother, Cheryl. The men the self-esteem he gained from playing his favoritein their lives had been abusive and Cheryl was sport, proved to be a winning combination. Becausehospitalized more than once with severe injuries. Ryan had made such strides, the school systemThey’d had to move around a lot so it had been began to plan for his return to the mainstream highdifficult to put down roots. school. Ryan’s clinician strongly advised against this plan, explaining that Ryan was at significant riskCheryl eventually found a stable job, a safe place to for losing the ground he had gained and revertinglive, and it seemed like things were looking up. But to old behaviors.Ryan had trouble adjusting to this new life. He beganto exhibit emotional and behavioral outbursts. By After the clinician completed her evaluation, the judgethe time Ryan entered high school, these outbursts approved the clinician’s recommendation that thehad become quite serious. Ryan disobeyed rules and report be distributed to everyone who was investedroutinely skipped school. Cheryl began to fear that she in Ryan’s continued progress. His clinician is workingcould no longer keep her son safe. She filed a Child with the Department of Children and Families toRequiring Assistance (CRA) application with the court. advocate for an expansion inThat’s when Ryan was referred to ACS for a mental the services Ryan and Cherylhealth evaluation. receive. The family’s attorney informed theAn ACS clinician met at length with Ryan and clinician that readinginterviewed his family members. She reviewed his her evaluation helpedschool and medical records and consulted with his him develop greaterteachers. It became clear that Ryan’s behaviors were empathy for Cheryl.delayed symptoms of the chronic trauma he and Ryan now hasCheryl had experienced. a larger team supporting himRyan began the new school year at an alternative and rooting forhigh school designed to support his needs. In time, his continuedhis behavior stabilized, and he began to thrive. He success.even joined the high school basketball team. TheTo protect confidentiality, ACS does not use the names,photos, or identifying features of clients.2

Your support in actionACS provided mental health services at no cost to 581 court-involved “ The most helpfulchildren and families. We intervene at critical points in a child’s life when part was learning topositive outcomes are still possible. Our staff composed of social workers, recognize unhealthymental health counselors, and psychologists, provided 1,981 services to thinking styles. I likedchildren and families in FY16. learning how to deal ”with my thoughts.Diagnostic Evaluations Treatment - participant in theACS clinicians interview the ACS staff provide individual, Motherhood Enrichmentchild and family, gather school family, and group treatment to Programand health records, and prepare children and families at no cost,a report for the Juvenile Court thus removing one of the most 3with their findings. The report significant barriers to care. Manyto the court explains the child’s of these children are not able tobehavior—taking into account access these services elsewhere duehow the child’s family history, to long waiting lists and limitationsschool performance, and medical with insurance companies. Groupand mental health history have counseling focuses on problemaffected the child—and concludes solving, anger management, andwith recommendations that training in life skills. ACS operatedwould benefit the child and family. Young Men’s, Young Women’s, and Motherhood Enrichment112 same-day emergency groups in FY16. Both short- andevaluations completed long-term individual counseling focuses on the specific concerns606 comprehensive psychosocial and needs of the child.evaluations completed 109 kids received individual orFUNDED BY: group treatment- Massachusetts Trial Court- Department of Mental Health FUNDED BY:- You (our private donors) - You (our private donors)“ I was able to open up about myself more and feel comfortable sharing. I also learned a lot about becoming” more responsible about my behavior.- 17-year-old young man in the Young Men’s Group

Analisa: transforming conflict into understandingAnalisa is a 14-year-old young between Analisa and her mother, was not yet scheduled due towoman who became involved Elena. Analisa was functioning long waitlists. An ACS clinicianwith the District Attorney’s well in all other areas of her life, intervened at a critical time,Diversion program. Her charge but she and Elena had a difficult providing family therapy at no cost.was domestic assault and battery, relationship. Elena had soughtthe result of a physical altercation family therapy, but treatment Because even trivial conversations would quickly escalate, the clinician immediately focused on helping Elena and Analisa improve the safety of their communication. As their relationship improved, they both learned new skills and began to practice compromise. The clinician helped Elena to better understand normal adolescent behaviors and to see how her feelings of guilt about being a single mother were affecting her parenting. She helped Analisa learn to understand and gain control over her anger. Both mother and daughter worked hard in treatment and made meaningful strides. Analisa successfully completed the Diversion program. She was truly diverted from the court: She has no delinquent charges and no permanent court record. Analisa remains at home with her mother, where they continue to build on their progress.4

Your support in actionEducation & Advocacy for • Education of children and families about issues identified in theChildren and Families evaluation process, such as special learning needs or mental illness.The Education & Advocacy • Advocacy for clients and assistance linking them with appropriateProgram builds on the community services, such as medical care, mental health treatment,comprehensive psychosocial and in-home support for the family.evaluations of children andtheir families and provides • Follow-up with clients and providers to help ensure that clients arethe following services: actually receiving the recommended services.FUNDED BY: 228 kids and families received Education & Advocacy services- You (our private donors)Outcomes 83% 82%Compliance with 83%treatment School attendanceimprovement Increased familyinvolvement Education & Advocacy for the Court and CommunityACS has close ties with court a variety of topics ranging from court-involved children andpersonnel, schools, and basic court procedures to how advocate for enhanced servicescommunity providers, who often to access mental health services. and support for families.turn to us with questions to We educate providers abouthelp them better understand the needs of high-risk, FUNDED BY: - You (our private donors) 5

Who you help581 Gender Female Male 39% 61%children received help from ACS clinicians in FY16.637152+64 Race Hispanic number 25% of clients African- 250Mental Health Conditions American Caucasian 17% 46% 20016030zADHD 63% Asian 3% 41+ 30+3899+150Anxiety 69% 61090z Other 3% 75% 71050z Mood Disorder 21010zSelf-injurious behavior 21% Unknown 6% 21070zSubstance Use Disorder 27% 37% 31070z Suicidality Age 100 50 0 4% 10% 38% 39% 9% under 7 7 to 12 13 to 15 16 to 17 18 and over6

(ACEs)The Centers for Disease Control and Prevention (CDC) examines the connectionbetween childhood exposure to ten types of trauma and stressors that can leadto significant and potentially deadly health risks.Adverse Childhood Experiences Number of ACEs in national youth vs. ACS populationPercentage of people Prevalence of Adverse Childhood Experiences 50% Emotional abuse Physical abuse10+36+2163+163+103+5225% Sexual abuse Emotional neglect Physical neglect 0% Mother treated 0 1 2 3 4+ violently Number of ACEs Household substance abuse National average* Household 2016 ACS population** mental illness Parental separation/divorce * Based on Centers for Disease Control ACEs Study Incarcerated ** 141 Total ACEs questionnaires from ACS clients household member 0 50% 100% ACEs, such as: • emotional abuse • physical abuse • sexual abuse • family dysfunction If untreated, can08+07+58+57leadto…What is the link between these ACEs and adverse health and social outcomes? Mental health Maladaptive coping Long-term issues, such as: strategies, such as: outcomes, such as: • anxiety • self-injurious behavior • anger • alcohol and drug use • suicide attempts • depression • high-risk sexual • chronic health which can behaviors conditions result in… increasing the risk of... • premature deathACS interventions engage clients in services to help them develop healthy ways to manage difficult pastexperiences and move their lives in a positive direction. 7

Dr. Leah M. Kelly:5 things you  Memorable Experience  Childhood Memorydidn’t knowabout ACS’s I was a mental health responder When I was 3 and my brothernew Executive to the Columbine High School was 5, he decided it would beDirector tragedy. This event forever a good idea to flush a jumbo impacted how I think about box of 64 crayons down the the social and emotional needs toilet. As the bathroom began of troubled youth and our to flood, my mother appeared. responsibility as a society to care My brother blamed me, with a and to act. straight face, and I insisted our dog was responsible. Perhaps  Valuable Lesson the earliest of many lessons about mistakes, accountability, One of the many things I and forgiveness. learned from my seven years working in the adult prison  Favorite Children’s Book system is that there are these critical windows in a young My favorite children’s book was person’s life. This is where ACS “Little Bear” by Else Holmelund intervenes. We hope to shift the Minark. There was something course of their future. so patient and wise about Little Bear’s mother. She would  Hidden Talents indulge Little Bear’s imagination and earnestness, including his I worked part-time as a struggle to find the right outfit fitness instructor for 20 years. to wear in the snow. She let him My experience as a coach figure out in his own time that complimented my clinical work. his fur coat was all he needed. Both roles involve overcoming psychological obstacles and helping people to become the best version of themselves.8

ACS’s 2016 Fall EventOn October 27, 2016, ACS friends, donors, and supporters gathered to honor Edward J. Dolan, Commissionerof the Massachusetts Probation Service, and Stephen L. Allsopp, Chief Probation Officer of Middlesex CountyJuvenile Court, for their commitment to helping court-involved children and families. L eah Kelly and Stephen L. Allsopp  Edward J. Dolan and Stephen L. Allsopp Edward J. Dolan and Jay D. Blitzman, First Justice of the Middlesex County Juvenile Court  Rebecca Pries, Co-Chair of the Massachusetts Alliance of Juvenile Court Clinics (MAJCC), Bill Paine, ACS Board Chair, and Leah Kelly 9

MAJCC: sustaining essential servicesACS is proud to be a member of the MassachusettsAlliance of Juvenile Court Clinics (MAJCC). Below aresome of the many highlights from the past year:NEW! MAJCC Website: www.majcc.orgCheck out the newly designed MAJCC website. Theenhanced website is easier to navigate and effectivelyhighlights MAJCC’s advocacy efforts. Sustained Funding in FY17 State Budget Our ongoing efforts to educate legislatures and policy makers of the importance of funding for the Juvenile Court Clinics continue to prove successful as we’ve been able to expand beyond the $2 million funding goal achieved in 2015 despite a contracting state budget. Vulnerability Resources ACS and MAJCC developed resources to educate the public about the vulnerabilities facing court- involved children. Participation in Subcommittee Report In FY16, MAJCC received a request from Representative Carolyn C. Dykema to participate in a subcommittee she formed to address the needs of Dual-System Youth.10

FinancialsFrom the most recent audited fiscal year: FY 2016 (July 1, 2015 - June 30, 2016)Operating Revenue 69752+1 FY16 Funding SourcesPublic Sector Contracts $1,033,745 Individual Corporate andCorporate and Foundation Grants $524,533 Contributions 7% Foundation GrantsIndividual Contributions $126,474In-kind $94,000 29%Other Income $32,939Investment Income $9,741 In-Kind 5%Total $1,821,432 Other Income 2% Public Sector 48+13InvestmentIncome1% Contracts 56%Operating Expenses $1,352,114 FY16 Program EfficiencyProgram Services $217,880Management and General $64,794 Fundraising 4%Fundraising ManagementTotal $1,634,788 and General 13% Program Services 83% I was able to learn how to cope with my anger and stress“ better and how to identify when others may be angry.” - 15-year-old young man in the Young Men’s Group 11

Fiscal Year 2016 Donor ListThank you for empowering court-involved children and their families. ACS is extremely grateful for all of our generoussupporters. This list highlights supporters whose financial contributions were received during FY16 (7/1/2015-6/30/16).LEADERS Public Sector Marilyn and Mike Priscilla Damon James Beck(Gifts of $5,000+) Grossman Foundation Susan R. Berger Dept. of Mental Health Thomas Dupree Jay BlitzmanC.F. Adams Mr. and Mrs. Alice Blodgett Charitable Trust MA Juvenile Court Stephen P. Heney Anne Ellsworth Leslie Boden and Judith YanofJohn W. Alden Trust CHAMPIONS Daniel Jacobs and Joseph Figueriredo Jane and John Bradley (Gifts from Susan Quinn and Linda Stewart Jody BradyAnonymous (3) $2,500 to $4,999) Joan M. Broadmeadow Barbara Lee Charles and Sara Katie and PaulRonald M. Ansin Anonymous (2) Goldberg Buttenwieser Edward H. Mank Marcia CamacBennett Family Judith Aronstein Foundation Terrie Graham Sandra and Emile Caron Foundation Lynn and Trustees of the Ayer Martin Fund at The Jonathan Hecht Lawrence CetruloMarion F. Boynton Trust Home Boston Foundation and Lora Sabin Esther Chen John ChuBushrod H. Campbell Carolyn and James Middlesex Savings Alison P. and Grace R. Conway and Adah F. Hall Birmingham Charitable Foundation Daniel G. Jaffe Alice DeLana Charity Fund Sue and Jonathan Diehl Cosette Charitable Fund Richard P. and Claire W. Missy and Elaine DunnJim and Lois Champy Morse Foundation Christopher Lipsett Mary K. Eliot Foundation M Alejandro EluchansCogan Family William and Joseph and Rachel Richard Enfield Foundation Thomas and Barbara Margaret Paine Martin Margaret S. Fearey Leggat Dan H. FennCummings Foundation Katharine and Tony Pell Fran and Hugh Miller Kate S. Flather John Petrowsky Peter and KathleenMary W.B. Curtis Trust Gary and Mary Timothy and Forbes Beth K. Pfeiffer Pforzheimer Joanne Oyer Malcolm and SheilaNancy Donahue Foster Karen F. Richards Deborah Porter Jonathan and Pamela W. FoxFish Family Foundation Amy Poorvu Terri Fried Frederick E. Weber Laura M. Prager and Nancy and RichardForest Foundation Charities Frederick H. Millham Adele Pressman Fryberger Gail GaringerSwanee Hunt Family David Wilcox and Mary and David Shahian Rebecca and Monique Garrity Foundation Charlotte Pierce Weldon Pries Dori Gerber Eric M. ShankRoy A. Hunt Foundation A D V O C AT E S Abby Rockefeller (Gifts from Shoolman and Lee HalprinJaney Fund $1,000 to $2,499) Charitable Fund Rebecca andJonathan Kutchins Aquidneck Foundation Jane and Ben Siegel Preston SaundersKlarman Family Rhoda Baruch Stevenson Family Richard Wenger Foundation Charitable Trust Cambridge Trust Irvin and Marilyn YalomLudcke Foundation Company Robert and Molly Tarr Charitable Foundation SUPPORTERSTheodore Edson Parker Anne Covert (Gifts up to $500) Foundation ALLIES Susan Culman (Gifts from AmazonSmileLia G. and William $500 to $999) Foundation Poorvu Family Robert W. and Foundation Evelyn H. Doran Richard Barnum Alice AndrusWendy Shattuck and East Cambridge Molly S. Beard Sandy Bakalar Sam Plimpton Savings Bank Pete and Sara Caron Prudence BaxterGardiner Howland Shaw Eastern Bank Foundation Charitable Foundation Barbara H. Clark Thomas and Barbara BealTJX Companies12

Owen and Miriam Linda P. Myers Lucretia Slaughter In honor of Pete Caron Marcia Camac Gingerich Sherif and Mary Nada Elizabeth and Sandra and Emile Caron John Chu Andrew Navarette Claude Smith Sue and Jonathan DiehlE. James and Kara Gruver Donna Newman- Prudence L. Steiner In honor of Alejandro Eluchans Bluestein Robert B. Straus Rebecca Pries Richard EnfieldAlexandra Hajduk Bridget Nichols Judy and John Styer Carolyn and James Dan H. Fenn Clara and Peter and Birmingham Pamela W. FoxSuzanne and Easley Geoffrey Nunes Charlotte Temin Terri Fried Hamner Katherine Page Katharine Thomas Elaine Dunn Monique Garrity Shirley F. Partoll Mary Tinetti Alexandra HajdukHoward Hiatt Gladys Paul Sophie Wadsworth Mary K. Eliot Katherine and Mathilde Pelaprat Ruth Whitney Ralph HughesDebe and Nick Holland Robert Pozen Anita Wolf Bill and Kay Hudgins David and Emily Helene Presskreischer Mark and Lynne Wolf HutchesonGerald and Nisha Holton Jane Price Prager Michael Yogman Katherine and Elizabeth Kaden Miriam Rahav Ralph Hughes Naomi LeavittJulian Houston Laurie Raymond HONORARY GIFTS Missy and Neva Reiner Joseph and Rachel Martin Christopher LipsettBill and Kay Hudgins Helen Reinherz In honor of Lenore and Elliot Lobel Catherine Riffin Jane and Ben Siegel Andrew Navarette Donna Newman-BluesteinKatherine and Ralph Max Riffin Dori Gerber Bridget Nichols Hughes Natalie H. Riffin Pam and Tom Riffin Gladys Paul Pam and Tom Riffin In honor of Lia G. Mathilde PelapratDavid and Emily David Riley and Poorvu David Riley and Lia G. and William Poorvu Hutcheson Nathan Darvish Anonymous Nathan Darvish Helene Presskreischer Linda Roemer Pete and Sara Caron Rebecca and Weldon PriesJudith Hyatt Carol Rosensweig Alison P. and Carol Rosensweig Neva Reiner David and Deirdre Daniel G. Jaffe Helen ReinherzTheodore Jacobs Rosenberg Judith R. Klau Jane and Ben Siegel Natalie H. Riffin Mimi Ross and Barbara Lee Catherine RiffinJames L. Cooney Howard Goldstein Richard P. and Claire W. Robert and Molly Tarr Max Riffin Real Estate Agency Dan Sanford Morse Foundation Charitable Foundation David Riley and John and Rhoda Schwarz Sherif and Mary Nada Nathan DarvishJill Janows and Melvin Scovell Katharine and Tony Pell David Wilcox and Linda Roemer Joshua Rubenstein Lolly Selenkow John Petrowsky Charlotte Pierce Mimi Ross and DJ and Andrea Shah Karen F. Richards Howard GoldsteinElizabeth Kaden Robert N. Shapiro Wendy Shattuck Anita Wolf Lolly Selenkow Francine Sherman and Sam Plimpton DJ and Andrea ShahVirginia L. Kahn and Scott Tucker Shoolman In memory of George Jane and Ben Siegel Robert Silberman Charitable Fund Macomber Mary TinettiRudolph and Catherine Sinnott Robert Silberman Lia G. and William Poorvu Ruth Whitney Helen K. Kass Mark and Lynne Wolf In memory of 13Jacquie Kay In honor of Thomas Leggat Nancy Donahue Thomas and Barbara BealMichelle Kinberg and Ronald M. Ansin Christopher Patti Alice BlodgettJudith R. Klau Joan M. BroadmeadowLawrence Kotin Grace R. ConwayThomas and Vera Priscilla Damon Kreilkamp Kate S. FlatherSamuel and Emily Leadholm Lia G. and William PoorvuNaomi Leavitt Rebecca and Weldon PriesLenore and Elliot Lobel Miriam RahavKristin and John D. Rebecca and Macomber Preston SaundersJoseph and Julia McOsker In memory of Tom Riffin Prudence BaxterSusan and Pieter Mimno Jody BradyEllen G. MootGale Munson

ACS Service Area–Middlesex County ACS Juvenile Court - Cambridge The Massachusetts Trial Court Clinics serve the four Juvenile Court locations - Framingham provides ACS with in-kind office in Middlesex County: - Lowell space in Cambridge, Lowell, and - Waltham Framingham. We serve children and families from all 54 cities and towns in the County. Board of Directors Executive Director, Advisory Council Leah M. Kelly President, Frances H. Miller Gerald Chertavian Chair, William H. Paine * Roxann C. Cooke Treasurer, Jacquie L. Kay ** Nancy L. Donahue Clerk, Jane R. Siegel Robert Gittens Terrie Graham * Joel Goldstein Daniel H. Jacobs Silvia M. Gosnell Elizabeth Keating Jill Janows Michael A. Lafleur Fatinha R. Kerr Lia G. Poorvu Barbara Leggat Laura M. Prager Charles J. Ogletree, Jr. Mary M. Shahian Kathy Pilarski Charles K. Storey (“Chip”) Jorge Quiroga David K. Wilcox Eggert Ragnarsson Katharine E. Thomas Kathan Tracy Adolescent Consultation Services, Inc. 189 Cambridge Street Fax: 617-494-0136 Cambridge, MA 02141 Email: [email protected] Phone: 617-494-0135 Facebook: /acsinckids Twitter: @acsinckids14

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