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
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.
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
ORCHARD PLACE FOUNDATION BOARD OF DIRECTORS
President. . . . . . . . . . . . . . . . . . . . . . . . . . Kim Berthusen
Vice President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Jayme Fry
Secretary/Treasurer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jackie Johansen
ORCHARD PLACE HONORARY BOARD OF DIRECTORS
PAGE 11: Orchard Place Back Page
2116 Grand Ave.
Des Moines, IA 50312
ORCHARD PLACE CAMPUS
925 S.W. Porter Ave.
Des Moines, IA 50315
CHILD GUIDANCE CENTER
808 Fifth Ave.
Des Moines, IA 50309
INTEGRATED HEALTH PROGRAM
620 Eighth St.
Des Moines, IA 50309
PACE JUVENILE CENTER
620 Eighth St.
Des Moines, IA 50309
ORCHARD PLACE FOUNDATION
925 S.W. Porter Ave.
Des Moines, IA 50315
FIND US ON FACEBOOK