Orchard Place is proud to release the 2016 Report Card which details the number of children served during July 2015 to July 2016.
Orchard Place continues to receive high marks from the clients we serve and outside accreditation agencies including The Joint Commission.
To read the Web version of the Report Card, click here.
Orchard Place 2016 Report Card
A MESSAGE FROM CEO ANNE STARR
Greetings from Orchard Place!
This annual report card is our opportunity to share with our valued partners the tremendous impact we continue to make, offering a glimpse into the programs supporting the community as well as outcomes achieved for these young people.
This past year we provided mental health services and support to almost 10,000 youth and their families. Of the 261 youth served in our psychiatric residential program this past year, 92% significantly improved their ability to manage their lives and were able to live with a less intensive level of care, typically moving back to their family homes. This is a phenomenal outcome for these youth, who came into the Orchard Place residential program after many other treatments had failed. It is an outcome that demonstrates our staff’s commitment to bringing state-of-the-art treatments, hope and healing to our youth and their families.
Other exceptional outcomes occurred throughout our outpatient services and programs, with 91% of children showing significant improvement in their ability to function within the community and enjoy a higher quality of life.
Creating opportunities for growth and healing for all youth regardless of their circumstances has been our goal since we began in 1886. The means to do so, however, is always in flux. There have been significant changes in the Iowa Medicaid program, which provides critical funding for more than 60% of our Orchard Place youth. We are eager to realize the opportunities promised in the new Iowa Medicaid plan, especially in expanding key mental health crisis services currently missing in the continuum of care for youth. The mental health needs of Iowa youth are great and, as always, we will seek opportunities to leverage our expertise and resources to achieve the best outcomes possible for the children we serve.
For 130 years, developing strong futures has been our highest priority. Many thanks to you, our employees, volunteers, stakeholders and faithful donors, for all you do to develop strong futures for the young people we serve.
Anne Starr, MSW | Chief Executive Officer
THE MISSION OF ORCHARD PLACE
Along with their families, Orchard Place works with children and youth who experience mental health and behavioral challenges. By intervening early with appropriate care, we build stronger futures for our young clients.
To fulfill this goal, we operate Orchard Place/ Child Guidance Center, an outpatient community mental health center for children, adolescents and their families; Orchard Place Campus, a residential
Psychiatric Medical Institute for Children; Orchard Place/PACE Juvenile Center, our community-based division that provides skill-building, substance abuse treatment, Juvenile Court follow-up and summer
programming; and the Orchard Place/ Integrated Health Program, our home health division that provides care coordination services to children with severe emotional disturbances.
IN 2016, ORCHARD PLACE:
- Provided care to 9,903 Iowa children and youth.
- Employed 370 staff members and utilized the services of 439 volunteers.
- Operated on a budget of $22 million, supported by a diverse funding base.
- Limited management and general expenses to only 8.48% of our total budget.
- Benefited from the charitable support of a large network of individuals, groups, businesses and foundations.
ORCHARD PLACE/CHILD GUIDANCE CENTER
Children need a safe and nurturing family environment to achieve healthy development. Sometimes families face challenges that affect their ability to provide a stable and safe living situation. A variety of traumatic events, including natural or man-made disasters and family or community violence, have a profound impact on families, and often result in children acting out through negative behavior.
Realizing the immediate and long-term health consequences of adverse childhood experiences, Child Guidance Center clinical staff members work to alleviate the effects of parental and family stress and trauma on children’s social and emotional development, behavior and well-being. With a welcoming environment, Child Guidance Center’s highly qualified staff engages families in a strength-based treatment process that renews hope, resolves problems and builds resilience.
IN 2015, CHILD GUIDANCE CENTER:
- Provided care to 5,156 children and youth.
- Conducted 53,820 outpatient treatment and psychiatric visits.
- Provided 936 childhood mental health consultations for 17 early child care centers and schools.
- Served 134 families through the Functional Family Therapy program. 96% of those completing the program remained in their homes or with family, and 91% showed an improvement in family relationships.
- Trained 2,582 professionals and community members on the effects of trauma on children, families and organizations through the Trauma Informed Care Project. 94% of participants responding reported an increase in their knowledge of child trauma and its impact.
OF THE CHILDREN COMPLETING TREATMENT:
- 91% of children who received outpatient mental health services stabilized or improved overall functioning.
- 94% of children ages 6-18 receiving outpatient mental health services reduced their risk of harming themselves or others, and 90% stabilized or improved their behavior and their ability to function appropriately.
THROUGH THE CHILD CARE RESOURCE AND REFERRAL PROGRAM:
- Families were provided information on selecting quality child care through 3,695 referrals to various child care programs.
- 2,940 on-site consultations were completed for child care programs.
- Child care programs contacted our Child Care Resources and Referral program 4,598 times for technical assistance sessions.
- 3,584 child care providers attended our Child Care Resources and Referral training sessions.
ORCHARD PLACE CAMPUS
When a child or adolescent’s mental health problems require more than outpatient treatment, he or she may be referred to Orchard Place Campus, home to our Psychiatric Medical Institute for Children, for a temporary residential program providing intensive treatment. Orchard Place Campus seeks to satisfy all of our clients’ needs with individualized treatment, including services from master-level therapists; bachelor-level milieu treatment counselors; psychiatrists; a pediatrician; nursing staff; a recreational therapist; a dietician; and other professional staff.
Treatment includes individual and family therapy, medication management, group therapy, skills training, recreational therapy activities, alcohol and drug prevention education and substance abuse evaluations and treatment. Regular attendance is required at our on-campus school, accredited through the Des Moines Public School system for both general and special education students. We utilize a trauma informed care model with our residents and their families.
The goal is to improve and stabilize each child, making him or her mentally healthier and able to return to his or her family, friends and school as quickly as possible.
OF THE STUDENTS WHO RESIDED AT ORCHARD PLACE CAMPUS FOR 90 OR MORE DAYS:
- 80% of students maintained or improved one full grade level in math from the pre-test to the post-test.
- 81% of students maintained or improved one full grade level in reading from the pre-test to the post-test.
THIS YEAR AT ORCHARD PLACE CAMPUS:
- 92% of youth improved functional status from intake to discharge.
- 85% of youth decreased their risk of harming themselves or others.
- 92% of youth were successfully discharged to a lower level of care.
IN 2016, ORCHARD PLACE CAMPUS HELPED 261 CHILDREN. THE AVERAGE LENGTH OF STAY WAS 6.1 MONTHS.
ORCHARD PLACE/PACE JUVENILE CENTER
Orchard Place/PACE Juvenile Center is our community-based division, providing skill-building services for a diverse population of youth and families struggling with mental health and/or substance abuse issues. PACE works to enhance the services of mental health professionals, educators and the Juvenile Court Department of the Iowa Department of Human Services by collaborating with care providers and families to alleviate behavior issues and encourage accountability. Our mental health professionals at Orchard Place/Child Guidance Center and others in the community work as partners in the treatment process, helping youth and families develop skills that improve function and relationships.
PACE also provides outpatient substance abuse services and alcohol diversion/education classes to youth struggling with abuse or misuse of substances. Assessments, group and individual therapy, and interventions provide alternatives in helping to stop destructive patterns of behaviors.
PACE provides outreach services to the Latino community by helping families access necessary resources, support and mental health services. PACE’s Enrichment program and Kids’ Club strive to advance literacy and provide children access to the arts, sciences and culture. Through community partnerships, the Enrichment program and Kids’ Club provide social learning opportunities youth may not have in an everyday setting.
IN 2016, PACE JUVENILE CENTER SERVED 3,049 YOUTH AND FAMILIES.
THIS YEAR AT ORCHARD PLACE/ PACE JUVENILE CENTER:
- 80% of youth served were successfully discharged from services.
- 94% of youth/families served reported satisfaction with services received.
- PACE’s school-based partnerships in six area high schools served 498 youth on behalf of Juvenile Court Services and the Des Moines Public Schools.
- 743 youth received skill-building services from PACE case managers working in conjunction with their therapists.
- 213 youth received substance abuse services during the year and 18 attended substance abuse educational classes.
- 55 youth participated in after-school enrichment programming, which included cultural, educational and recreational activities, and 96 youth attended our PACE Kids’ Club summer program.
ORCHARD PLACE/INTEGRATED HEALTH PROGRAM
Our Integrated Health Program (IHP) helps children facing behavioral and emotional challenges to be successful at home, in school and in the community. Our IHP team works alongside families to develop whole-health goals for their children that focus on physical, emotional and social well-being. Each family has a care team consisting of a coordinator, nurse manager and family peer support specialist to ensure services are matched to each child.
On behalf of each enrolled family, IHP serves as a bridge to services across multiple providers, creating less fragmented and more integrated care for children. This service coordination provides families more voice in the delivery of support for their children.
THIS YEAR, ORCHARD PLACE/INTEGRATED HEALTH PROGRAM:
- Provided care coordination services to 1,437 youth and families, including both Medicaid and non-Medicaid care coordination services through our partnership with Magellan Health Services and the Iowa Department of Human Services.
- Provided services with the help of a diverse team of care coordinators, family peer support specialists and nurse care managers.
- Tracked key indicators for clients, including body mass index (BMI), follow-up to hospital discharges and attendance at annual doctor appointments, then used this information to help guide care coordination services.
- Received a satisfaction rating of 86% from clients who responded to our survey regarding the services they received from our Integrated Health Program.
SURVEY RESULTS & FINANCIALS
HERE’S HOW 1,998 PARENTS AND CHILDREN PARTICIPATING IN OUR TREATMENT PROGRAMS RESPONDED IN OUR LATEST SURVEY:
- 96% agreed with the statement “Staff provided a safe environment.”
- 96% agreed with the statement “I was treated with respect.”
- 93% agreed with the statement “I am satisfied with the services I received.”
- 93% agreed with the statement “I felt comfortable calling with questions and concerns.”
- 90% agreed with the statement “I received services that were helpful.”
ORCHARD PLACE AND OUR RELATED FOUNDATION HAD AN OPERATING BUDGET OF $22 MILLION IN THE LAST FISCAL YEAR. DISTRIBUTION OF THIS AMOUNT WAS:
- 89.03% PROGRAM EXPENSES
- 8.48% MANAGEMENT AND GENERAL EXPENSES
- 2.49% FUNDRAISING AND MARKETING EXPENSES
THIS YEAR, 9,903 CHILDREN AND YOUTH WERE SERVED BY THESE RESOURCES:
- 60% Medicaid
- 13% Other State/Federal Contracts
- 9% Third Party and Private Pay
- 7% Philanthropy and Other
- 5% United Way of Central Iowa
- 3% Juvenile Court
- 2% Schools
- 1% Polk County
ORCHARD PLACE EXECUTIVE OFFICERS
Chief Executive Officer: Anne Starr, MSW
Chief Financial Officer: Val Saltsgaver, CPA
Vice President, Development: Nancy Bobo, CFRE
Vice President, Orchard Place/Child Guidance Center: Nicole Beaman, LISW
Vice President, Orchard Place/PACE Juvenile Center: Mark Cowan, LISW
Vice President, Orchard Place Campus: Amber Rand, LMHC, IAADC
Vice President, Orchard Place/Integrated Health Program: Sonni Vierling, MA
ORCHARD PLACE BOARD OF DIRECTORS
President: Mike C. Gartner
Vice President: John Parmeter
Secretary/Treasurer: Marcus Miller
Kara Tollett Oakley
FOUNDATION BOARD OF DIRECTORS
President: TJ Amos
Vice President: Kim Berthusen
Secretary/Treasurer: Jayme Fry
HONORARY BOARD OF DIRECTORS
Elizabeth J. Ruan
Orchard Place completed a triennial accreditation process with The Joint Commission examining more than 1,200 areas throughout the organization. In 2016, Orchard Place received the Commission’s Gold Seal of Approval® and is proud to remain accredited by The Joint Commission for meeting and exceeding standards.