Orchard Place Releases 2018 Annual Report Card


Each year, Orchard Place produces the Orchard Place Report Card for the year ending June 30.  

Our Report Card shows the impact in numbers our organization continues to have on the lives of Iowa's children, youth and families.  

A PDF of the Orchard Place 2018 Report Card is now available.  

Report data is also included in this article. 

PAGE 1: A Message from CEO Anne Starr

Recently, one of our residential treatment staff found a sidewalk chalk drawing while walking

the campus. It simply said, “OP Saved Me.” She was so moved by this drawing that she took a

photo and shared this message of gratitude and hope with her colleagues across the campus.

“This is why we work here,” she said, “When the kids first come, they don’t know it can get

better. They feel hopeless and defeated. Then they start to realize their life can be so much

better. What we do here is life changing.”

 

This past year Orchard Place helped more than 8,000 children and their families experience

hope and wellness. The positive impact of our work is powerfully illustrated by the outcomes

data contained in this report.

 

What you cannot see in the data are the real stories of children and families who are better

off today than they were a year ago. This could be a child who has overcome depression and

anxiety, a parent who attends family support groups and finds they are not alone, a teenager

who is going to graduate from high school this year because they’ve conquered their traumatic

past and achieved academic success.

 

We cannot do this work alone. If you are reading this, you’ve contributed in some way to the

success of a child. You can continue to help us create life-changing experiences through

volunteering, donations and advocacy.

 

We look forward to the coming year. With the help of all of you, we will continue to build

strong futures.

 

Sincerely,

Anne Starr, MSW | Chief Executive Officer

 

*Orchard Place is proud to have received the Gold Seal of Approval® from The Joint Commission for meeting and exceeding standards.*GOLD SEAL LOGO**

 

PAGE 2: The Mission of Orchard Place

 

Orchard Place works with families who have children and youth experiencing mental health

and behavioral challenges. This includes anxiety disorders, ADHD, autism spectrum disorders,

eating disorders and mood disorders, such as depression and/or bipolar disorder.

 

By intervening early with appropriate care, we build stronger futures for our young clients.

Our partnerships with community organizations have helped Orchard Place become an essential

resource for Iowa communities.

 

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

branch providing skill-building, substance abuse treatment, Juvenile Court follow-up and summer

programming; and the Orchard Place / Integrated Health Program, our health home branch providing

care coordination services to children with severe emotional disturbances.

 

VITAL STATISTICS IN 2018, ORCHARD PLACE:

• Provided care to 8,347 Iowa children and youth.

• Employed 368 staff members and utilized the services of 839 volunteers.

• Operated on a budget of $21.4 million, supported by a diverse funding base.

• Limited management and general expenses to only 9.3% of the total budget.

• Gained accreditation by being audited and licensed through more than 10 entities, including the Joint Commission, by meeting or exceeding more than 800 standards of operation, safety and management.

• Benefited from the charitable support of a large network of individuals, groups, businesses and foundations.

 

PAGE 3: Orchard Place Child Guidance Center

Orchard Place/Child Guidance Center in downtown Des Moines has provided child and

adolescent mental health services in central Iowa for more than 80 years. Our Child Guidance

Center is a federally accredited outpatient mental health center for children and serves

as a safety net service provider for children battling psychological health disorders.

 

This year, Orchard Place/Child Guidance Center began collaborating with Youth Homes of

Mid-America in Johnston, IA. Many of the youth seeking care have a compelling mental illness

and require medication assessment and management. This partnership provides ongoing

medical medication management for approximately 50 youth.

 

In 2018, Child Care Center

• Provided mental health care to 4,376 children and youth.

• Conducted 50,027 outpatient treatment and psychiatric visits.

• Served 99 youth through the Functional Family Therapy Program. Of the families who completed the program, 100% of their children remained in the home and 88% showed an improvement in family relationships.

• Increased the number of staff and community partners who are trained in evidenced-based interventions.

• Trained individuals in the following fields: 83 in Trust Based Relational Intervention, 10 in Eye Movement Desensitization and Reprocessing, and 33 in Trauma-Focused Cognitive Behavior Therapy.

•  Hosted more than 300 individuals from across the nation at the 8th Annual Trauma-Informed Care conference, expanding attendees’ knowledge in trauma and mental health, and 10 clinicians were rostered nationally in Child Parent Psychotherapy.

• Of the children completing outpatient treatment, 93% stabilized or improved overall functioning.

• Of the children age 6-18 completing outpatient treatment, 90% reduced their risk of harming themselves or others, and 88% stabilized or improved their behavior and ability to function appropriately.

 

THROUGH THE CHILD CARE RESOURCE AND REFERRAL (CCRR) PROGRAM:

Child care consultants provided 3,126 on-site consultations to child care programs, totaling more than 4,100 hours.

• We offered 1,357 hours of training to child care providers in central Iowa, with 2,634 child care providers attending these training sessions.

• We provided 720 families with assistance regarding choosing quality child care from a CCRR parent referral specialist.

• We matched 5,814 individual technical assistance contacts with child care providers.

 

PAGE 4: Orchard Place Campus

*In 2018, Orchard Place Campus helped 268 children. The average length of stay was 5.7 months.*

 

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 of our Psychiatric Medical Institute for Children

(PMIC), for a temporary residential program providing intensive treatment. Individualized treatment includes services from masters degree-level therapists, bachelor degree-level milieu treatment counselors, psychiatrists, pediatricians, nursing staff, recreational therapists, dieticians and other professional staff.

 

In 2018, Orchard Place named Dr. Stephen Mandler as Chief Medical Officer. Previously, he was the medical director for a 103-bed residential facility for severely mentally ill children in Billings, Montana. Mandler is an advocate for early intervention, noting that this approach saves time, is less expensive

and works to get children back to enjoying learning and their childhood.

 

His perception of children’s mental health care in Iowa is that often it is very reactionary. He adds, “It’s unfortunate that it takes a major event to initiate caregivers to seek help for their child’s mental health

issue.” He provides expertise to pediatricians and family practice professionals in Iowa on a regular basis noting that there are not enough child and adolescent practitioners in Iowa to meet the ever-growing demand.

 

OF THE STUDENTS WHO RESIDED AT ORCHARD PLACE CAMPUS FOR 90 OR MORE DAYS:

• 82% of students maintained or improved one full grade level in math from pre-test to post-test.

• 78% of students maintained or improved one full grade level in reading from pre-test to post-test.

 

THIS YEAR AT ORCHARD PLACE:

• 85% of youth showed a decrease in total difficulties from intake to discharge.

• 92% of youth successfully discharged to a lower level of care.

• 88% of youth showed a positive change in emotional regulation from intake to discharge.

 

PAGE 5: Orchard Place PACE Juvenile Center

Orchard Place / PACE Juvenile Center is our community-based branch, providing skill-building

services for a diverse population of youth and families struggling with mental health and/or

substance use issues. PACE works to enhance the functions of mental health professionals,

educators, Juvenile Court Services and the Iowa Department of Human Services by collaborating

with care providers and families to alleviate behavior issues and encourage accountability.

 

In 2018, Orchard Place was approached by the Child Abuse and Neglect Prevention Council

to undertake the coordination of community-wide parent education classes. Since the council

decided to disband earlier in the year, council members chose Orchard Place to carry on this

valuable community resource, given our quality reputation and dedicated mission to the wellbeing

of children and families. PACE is pleased to begin offering community-wide Love and Logic

classes from this new funding source starting fall 2018.

 

These classes complement the existing Love and Logic classes offered by PACE’s Early Services

Project for parents of youth involved in the juvenile justice system to divert future incarceration.

Participant surveys indicate 100% satisfaction with class content with a high degree of

appreciation for learning new parenting strategies. One participant expressed, “I can’t wait to be

able to enjoy my kids again. Thank you.”

 

The contract for the Kindergarten to 3rd-grade attendance initiative that began in 2017 was

renewed. The funding for this program comes from Des Moines Public School districts.

The program improved K-3rd-grade attendance by 70%. Research shows that absenteeism

dramatically increases the chances of a student dropping out of school.

 

PACE continues to provide vital outreach services to the Latino community in helping

families access necessary resources, support and mental health services.

 

IN 2018, PACE JUVENILE CENTER SERVED 2,411 YOUTH AND FAMILIES. THE RESULTS WERE PROMISING:

• 76% of youth served were successfully discharged from services.

• 90% of youth/families served reported satisfaction with services received.

• PACE’s school-based partnerships in six area high schools served 483 youth on behalf of Juvenile Court Services and the Des Moines Public Schools.

• 590 youth received skill-building services from PACE case managers, working in conjunction with their therapists.

• 201 youth received substance use services during the year and 16 attended substance abuse educational classes.

• 26 youth participated in after-school enrichment programming, which included cultural, educational and recreational activities, with 45 youth attending our PACE Kids’ Club summer program.

 

PAGE 6: Orchard Place Integrated Health Program

Our Integrated Health Program (IHP) helps children facing behavioral and emotional challenges

to succeed at home, in school and as a part of the community. Our IHP team works with families

in developing whole-health goals that focus on their children’s physical, emotional and social

well-being. Each family is assigned a team consisting of a care coordinator, a nurse care

manager and a family peer support specialist to ensure services are matched to each child.

 

Like PACE, IHP also supplements programming with quality parent support classes. In 2018, IHP

launched Strengthening Families, an evidence-based seven-week course focused on interactive

skill building for both parents and youth ages 10-14. After program completion, all families

reported significant improvements in many areas, including problem-solving at home, rule-setting,

and follow-through, listening to each other when upset and much more. Parents also said their

children had fewer melt-downs and learned how to better identify when they were feeling upset.

 

Strengthening Families is offered in English and Spanish and was provided in partnership with

Iowa State Extension and Outreach. IHP offered Strengthening Families two times in 2018,

and based on parental interest, is pleased to offer it again in 2019.

 

THIS YEAR, THE ORCHARD PLACE/INTEGRATED HEALTH PROGRAM:

• Provided care coordination services to 1,292 youth and families, including both Medicaid and non-Medicaid clients through our partnership with our Medicaid funders 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 follow-up to hospital discharges and emergency room visits, then used this information to guide care coordination services.

• Received 95% satisfaction rate from clients responding to our survey about the services they received from our Integrated Health Program.

 

PAGE 7-8

IN 2018, ORCHARD PLACE HELPED MORE THAN 8,000 CHILDREN AND THEIR FAMILIES EXPERIENCE HOPE AND WELLNESS.

 

PAGE 9: Survey Results & Financials

HERE’S HOW 2,095 PARENTS AND CHILDREN PARTICIPATING IN OUR TREATMENT PROGRAMS RESPONDED IN OUR LATEST SURVEY:

• 92% were satisfied with the services they received.

• 92% felt comfortable calling with questions and concerns.

• 88% thought the services they received were helpful.

• 95% thought the staff provided a safe environment.

• 95% felt they were treated with respect.

 

ORCHARD PLACE AND OUR RELATED FOUNDATION HAD AN OPERATING BUDGET OF $21.4 MILLION IN THE LAST FISCAL YEAR. DISTRIBUTION OF THIS AMOUNT WAS:

88.0% PROGRAM EXPENSES

9.3% MANAGEMENT AND GENERAL EXPENSES

2.7% FUNDRAISING AND MARKETING EXPENSES

 

THIS YEAR, 8,347 CHILDREN AND YOUTH WERE SERVED BY THESE RESOURCES:

Medicaid. . . . . . . . . . . . . . . . . . . .  57%

Other State/Federal Contracts . . . 14%

Third Party and Private Pay. . . .  . 12%

Philanthropy/Other. . . . . . . . . . . . . 6%

United Way of Central Iowa. . . . . . 5%

Juvenile Court. . . . . . . . . . . . .  . . . 3%

Schools. . . . . . . . . . . . . . . . . .. . . . 2%

Polk County . . . . . . . . . . . . . . . . . . 1%

 

PAGE 10: Orchard Place Executive Officers

Chief Executive Officer - Anne Starr, MSW

Chief Financial Officer - Val Saltsgaver, CPA

Chief Medical Officer -  Stephen Mandler, DO

Vice President, Development - Wendy Ingham

Vice President, Orchard Place/Child Guidance Center - Nicole Beaman, LISW

Vice President, Orchard Place Campus - Amber Rand, LMHC, IAADC

Vice President, Orchard Place/Integrated Health Program and PACE Juvenile Center - Sonni Vierling, MA

ORCHARD PLACE BOARD OF DIRECTORS

President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mike C. Gartner

Vice President. . . . . . . . . . . . . . . . . . . . . . . .  John Parmeter

Secretary/Treasurer. . . . . . . . . .. . . . . . . . . . . . . . Marcus Miller

 

Members

Andrew Boscaljon

Robert Brownell

Christy Cownie

John Danos

Joe DeJong

Danielle Foster-Smith

Josh Ingalls

Reginald Jackson

Mic Jurgens

William Ketch

Jan Koder

Brenda Mouw

Nancy Norman-Uhl

Kara Oakley

Toby O’Berry

Shane Percival

 

ORCHARD PLACE FOUNDATION BOARD OF DIRECTORS

President. . . . . . . . . . . . . . . . . . . . . .  . . . . Kim Berthusen

Vice President. . . . . . . . . . . . . . . . . . . . . . . . . . .  . . . . .Jayme Fry

Secretary/Treasurer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jackie Johansen

 

Members

TJ Amos

Kevin Bannister

Kelsey Cervantes

Corby DeBord

Andrew Hall

Kristen Hall

Bill McDonough

Ben Rempe

Andrea Woodard

 

ORCHARD PLACE HONORARY BOARD OF DIRECTORS

Hobie Bannister

Wesley Boldt

Nancy Bone

Martha Buenneke

Patricia Crispin

Paula Duncan

Barbara Gartner

Phyllis Hansell

Ken Haynie

Catherine McGarvey

Cynthia Rehm

Wes Ritchie

Charlotte Stickler

 

PAGE 11: Orchard Place Back Page

ADMINISTRATIVE OFFICE

2116 Grand Ave.

Des Moines, IA 50312

Phone: 515.246.3514

Fax: 515.246.3599

 

ORCHARD PLACE CAMPUS

925 S.W. Porter Ave.

Des Moines, IA 50315

Phone: 515.285.6781

Fax: 515.287.9695

 

CHILD GUIDANCE CENTER

808 Fifth Ave.

Des Moines, IA 50309

Phone: 515.244.2267

Fax: 515.244.1922

 

INTEGRATED HEALTH PROGRAM

620 Eighth St.

Des Moines, IA 50309

Phone: 515.256.3450

Fax: 515.256.3451

 

PACE JUVENILE CENTER

620 Eighth St.

Des Moines, IA 50309

Phone: 515.697.5700

Fax: 515.697.5701

 

ORCHARD PLACE FOUNDATION

925 S.W. Porter Ave.

Des Moines, IA 50315

Phone: 515.287.9610

Fax: 515.287.9695

 

ORCHARDPLACE.ORG

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