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Adolescent Consultation Services 2012 Year-End Report


To Our Donors

Lia Poorvu accepts a certificate of appreciation for her 10 years as Board President from new President Fran Miller at the November event.

Introducing the New ACS Board President Fran Miller holds professorships in law, health care

management, and public health at Boston University. She is an authority on health law and comparative healthcare systems and is passionate about all families having access to care. Fran has been an active member of the ACS Board for nearly 20 years.


and Colleagues You helped make it happen!

In this report...

Working together, we helped hundreds of children throughout 2012. Court-involved children came to us suffering from trauma, mental illness, learning disabilities, abuse and neglect. But it’s never just about the kids. In 2012, families of the kids were struggling financially; mothers and fathers were suffering from mental illness and substance abuse; families were experiencing the culture shock of recent immigration. With the help of our supporters, we were able to work with these children and families to achieve successful outcomes. We also worked at the state level to improve the laws that impact kids and families and to seek increased funding statewide to better serve them. You’ll see evidence of our work and children’s success in the pages that follow. Thank you for supporting these life-transforming services. 2012 was also a year of ACS leadership transitions: Lia Poorvu stepped down as President, but remained active on the Board. Fran Miller and Bill Paine became President and Chair respectively. Tom Leggat left his position on the Board and joined the Advisory Council. Dr. Dan Sanford, longtime ACS psychologist, succeeded Dr. David Wilcox as Clinical Director. Many thanks to all whose leadership continues to keep ACS strong. Thank you for joining in our commitment to bring the very best that we have to offer to kids and families who need it the most.

2 Valentina’s Story 3 Spectrum of Services 4 Client Demographics 5 Collaborations: Massachusetts Alliance of Juvenile Court Clinics (MAJCC) and Cultivating Youth Voices (CYV) 6 Henry’s Story 7 Adverse Childhood Experiences (ACEs) 8 A Conversation with Massachusetts Child Advocate, Gail Garinger 10 Honoring Lia 12 Treatment Groups 14 Financials 15 Donors

You helped make it happen!

Rebecca Pries Executive Director

About ACS Established in 1973, ACS evaluates, counsels and advocates for at-risk youth and their families. In partnership with the Juvenile Court, ACS clinicians work with court-involved children and their families to understand their needs and bring together the necessary resources to find real solutions to their underlying problems.

ACS serves all clients and families with the same goals in mind: to enable kids to stay out of locked settings while helping both clients and families develop valuable life skills and access the services they need to thrive and succeed.

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“Gracias por ayudar a mi hija” Valentina’s Story

Valentina was struggling. Her mother had recently passed away after a long illness. With her father working full-time, 14-year-old Valentina was responsible for the care of her little sister. It didn’t take long for Valentina’s sadness to bubble up with outbursts of anger at home, fights at school and substance use. When she was arrested for a substance-related charge, she was diverted from formal court involvement and referred to the ACS Young Women’s Group. Valentina’s father spoke no English. He desperately wanted to help his daughter, but the language barrier made him feel powerless to communicate with court officials and navigate the system.

An ACS clinician met with Valentina and her father before Valentina started the group. Fortunately, the clinician was bilingual and could explain in both Spanish and English the available resources and options. She helped Valentina and her father feel at ease through the sensitivity and clarity she brought to their very confusing situation. As Valentina’s peers helped her work through her sadness and anger in the Young Women’s Group, her father continued to seek help from Valentina’s ACS clinician. She helped him understand his daughter and find ways to advocate for her at school.

With time, ACS staff began to see real breakthroughs with Valentina, especially as she started to use her newly learned coping strategies to handle her anger and grief. Her father continued to check in with Valentina’s clinician to help her stay on top of how things were going at home and at school. By the end of the ACS group, Valentina had overcome her problems at school and with the law. And her relationship with her father had grown stronger. They were communicating better and had new understanding of each other. Six months later, Valentina’s father contacted ACS to proudly report that Valentina was free of her court involvement. He thanked ACS saying,

“Thank you for helping my daughter. God willing this experience will help her. Thank you.”

To protect confidentiality, ACS does not use the names, photos or identifying features of clients.

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Spectrum of Services Evaluations

Therapeutic Services

Specialized Testing

Evaluations of children and teens are the foundation of ACS services.

Through our unique partnership with the Juvenile Court and Juvenile Probation, ACS engages adolescents and families who would not otherwise receive treatment.

We routinely screen for learning difficulties. We also do testing of psychological processes, neuropsychological functioning or cognitive capabilities.

Emergency evaluations When there is a question if a child may require hospital-level care because of a risk of suicide or a risk of harming others. Comprehensive evaluations ACS interviews the youth and family, gathers collateral information, and submits a confidential report to the Judge with specific recommendations, identifying both strengths and problem areas. Funded by: - Massachusetts Trial Court - Department of Mental Health - You (our private donors)

Individual and Family Therapy ACS offers both short-and long-term counseling. Treatment Groups - Young Men’s Group - Young Women’s Group - Anger Management Group - Motherhood Group

Community Consultations

ACS has ties with hundreds of schools and community providers, who often turn to ACS for help: from basic court procedures to specific mental health services. Education and Advocacy

Groups focus on skills training and are usually co-led by a clinician and student intern.

Education and Advocacy is an ACSdeveloped service model that strengthens the resiliency of children and families. (see below)

Funded by: - You (our private donors)

Funded by: - You (our private donors)

Sustaining Positive Changes Education and Advocacy (E & A) helps children and their families sustain positive life changes. ACS clinicians leverage public and private resources to find services for vulnerable youth within their home communities. Individually tailored responses, which take into account the urgent and

Year after year, E&A has been a catalyst for positive changes for thousands of kids and families. These boastworthy results only exist because of the generosity of everyday people like you. ACS thanks its loyal donors for “giving legs” to these great outcomes!

comprehensive needs of the child and family, are what lead to their success. In the course of E & A, ACS clinicians: • Educate children and families about issues identified in the evaluation process—special learning needs, mental illness, substance abuse.

• Advocate for the clients and link them with community services – medical care, mental health treatment, in-home support for a family. • Follow up with clients and providers to help ensure that clients are actually getting the recommended services.

Outcomes Compliance with Treatment

82%

School Attendance

81%

Increased Family Involvement 80%

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Client Demographics All Clients: The 547 clients ACS served in 2012 represented the following:

Gender Race

Male 63%

13-15 44%

Hispanic 27%

Female 37%

Caucasian 48%

7-12 9% Other 4%

AfricanAmerican 15%

Age

under 7 3%

16-17 36%

Asian 6%

18 and over 8%

Mental Health Disorders

Out of all comprehensive evaluations mood performed in 2012: Mood Disorder, add ADD/ADHD, Anxiety and Suicidality anxiety are the four most prevalent mental suicidality health conditions found among ACS clients, leading to a high incidence hospitalization of hospitalization. graph

Mood Disorder

68%

ADD/ADHD

65%

Anxiety

Suicidality

35%

Hospitalization

44%

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The ACS Difference In 2012, ACS clients had a high prevalence of special education (SPED) needs—greater than ever before. SPED students are twice as likely* to drop out of high school. ACS interventions help these courtinvolved children stay in school. Greater educational attainment increases the likelihood of future employment and successful lives. *Thurlow, Martha L., et al. “Students with Disabilities who Drop Out of School – Implications for Policy and Practice.” Examining Current Challenges in Secondary Education and Transition 1.2 (2002).

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History of SPED Services

06

58%

08

01

School Attendance

70%

66%

66% 63%

62%

61% 60% 60%

58%

80%

54%

ACS Clients after E&A

50%

‘08 ‘09 ‘10 ‘11 ‘12

31%**

Other Courtinvolved Youth

**Bullis, Michael, et al. “Life on the “Outs”— Examination of the Facility-to-Community Transition of Incarcerated Youth.” Exceptional Children 69.1 (2002): 7-22

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Collaborations: MAJCC and CYV Massachusetts Alliance of Juvenile Court Clinics (MAJCC)

MAJCC’s Advocacy has led to increased public support for Juvenile Court Clinics statewide! In 2005, due to inadequate funding, the court clinics were in dire straits. Out of sheer necessity, ACS brought together the six agencies that run the Massachusetts Juvenile Court Clinics to form MAJCC to strengthen the court clinics statewide. Working together with a skilled advocate, MAJCC educates publicsector decision-makers about the vulnerabilities of court-involved kids and families and the need for increased funding to better serve them. ACS continues to administer and lead this group’s advocacy, outreach and communications.

DMH Funding for the Juvenile Court Clinics Still Short of Goal DMH and the Trial Court set $2 million goal in 2005 $2 m

$480,000 remaining funding gap $1.5 m

$1 m

Funding since 2008: $1,520,000 or 76% of goal

$.5 m

Funding increase Goal

1998 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

goal of $2 million set by DMH and the Trial Court in 2005. Limited gains in 2007 and 2008 increased funding by $1.186 million. In FY12 DMH added $126,000 to the clinics and in FY13 the Legislature appropriated an additional $224,655 in support. Despite these very welcome gains, the Juvenile Court Clinics still need approximately $480,000 to achieve the original goal. You can learn more about MAJCC at: www.kidsandthelaw.org/majcc.html.

MAJCC has been successful in working toward the increased funding

ACS receives separate funding for MAJCC from the Gardiner Howland Shaw Foundation and C.F. Adams Charitable Trust.

Cultivating Youth Voices (CYV)

Massachusetts, Citizens for Juvenile Justice, Health Law Advocates, and Salvation Army / Bridging the Gap.

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Empowering Youth to Speak Out! Court-involved youth had no platform to speak out about their experiences in the court system. Cultivating Youth Voices (CYV) formed in 2008 to address this problem. ACS serves as the lead agency, joining together with the Children’s Law Center of

CYV held the second annual Kids and Judges Day on April 26, 2012.* Courtinvolved youth from the Salvation Army’s Bridging the Gap Program met with Middlesex County’s First Justice Jay Blitzman to ask him questions: “Why did you want to become a juvenile judge? Do you enjoy it?” “What makes you determine whether or not you lock up a kid?” “Why do some judges talk down to you, while others talk to you in a nice tone?”

Kids and Judges Day promotes powerful reciprocal learning. Kids reported, “the judge was a cool and fun person.” Judge Blitzman commented that he not only enjoyed the experience, but this faceto-face interchange was a reminder that, as a juvenile court judge, it is “always important to talk to kids” to better understand them. The John W. Alden Trust supports Cultivating Youth Voices and believes in CYV’s mission to empower teens to speak out about their experiences, while maintaining confidentiality around the specifics of their court-involvement.

* Kids and Judges Day was launched in 2011 with the expert guidance of Kim Stevens from the North American Council on Adoptable Children (NACAC). For more information about NACAC, please visit www.nacac.org, or contact Kim Stevens at kimstevens@nacac.org. 

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Henry’s Story In 2012, ACS created its firstever animated video, directed by our Forest Foundation intern, Nural Hasan. The story below is an excerpt from that video.

One out of every 100 kids in Massachusetts will find themselves standing before a juvenile court judge before their 17th birthday—many due to mental health and family issues. Henry is one of those kids. At age 12, Henry was brought to court after repeatedly running away from home. Teachers and counselors had tried to help, but without success in the school setting. Henry found it difficult to trust the people who were trying to help him. The judge who took Henry’s case needed more information to fully understand him. She asked Katherine, an ACS social worker, to learn more about his specific circumstances. Katherine met with Henry and his father. She learned that Henry’s mom was in jail for abusing him and drug use; his dad couldn’t keep a stable home due to severe depression and chronic unemployment. Henry’s running away was a cry for help. At a crucial time, Katherine was there to listen and look beneath the surface. For the first time, Henry felt like he and his dad could get the help they so desperately needed.

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Katherine advocated for Henry by sharing his complicated story with the judge and recommending specific services to help him cope with the trauma he had endured. With this information, the judge thought it best for Henry to be in foster care while he and his dad got the help they needed. Several months later, Henry moved back home with his dad, who was taking medication to cope with his depression and finally had a good, stable job. Henry is still overcoming things from his past, but with professional and community support, he now has hope for a much brighter future.

To learn more about Henry and to see the video version of his story, please visit www.acskids.org.


Adverse Childhood Experiences (ACEs) Abuse and neglect, homelessness, mental and medical illness can lead to significant future risk. ACS intercedes at a critical point when positive outcomes are still possible—even for kids in the most adverse circumstances. A Center for Disease Control (CDC) study examined the connection between childhood exposure to ten types of trauma and dysfunction and both short- and long-term health and

social outcomes. The ACEs study, which totaled more than 17,000 participants, had remarkable results: As the number of ACEs increased, so too did the risk for several physical and mental health problems, such as obesity, depression, chronic obstructive pulmonary disease (COPD), illicit drug use and liver disease. You can read more about the results on the CDC’s website, www.cdc.gov/ace/.

In October 2012, ACS joined with other juvenile court clinics across the state to apply the CDC study by formally gathering information regarding ACEs within our unique population. ACS systematically notes ACEs in clients’ lives using the questionnaire developed for the CDC study. Early results show that, in a sampling of 60 cases, ACS clients have an average of 5.08 ACEs compared to the national average of 1 ACE.

ACEs Among ACS clients ACEs per client

Prevalence of ACEs

# of clients 10

Emotional Abuse 53.57% Physical Abuse Physical Abuse

46.43%

Sexual Abuse Sexual Abuse 14.29%

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Emotional Neglect 6

67.86%

Physical Neglect Physical Neglect 46.43%

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Mother Treated Violently

58.93%

Household Substance Substance Abuse Abuse

58.93%

Household Mental Illness Illness

2

50.00%

Parental Separation/Divorce Separation/Divorce

80.36%

Incarcerated Household Member Member 30.36%

0 0 1 2 3 4 5 6 7 8 9 10 # of ACES

Total # of ACEs Questionnaires 60

Average # of ACEs 5.08

What is the link between these ACEs and adverse health and social outcomes?

ACEs, such as: • emotional abuse • physical abuse • sexual abuse • family dysfunction If untreated…

Mental health issues, such as: • anxiety • anger • depression

Maladaptive coping mechanisms such as: • smoking • drug use • overeating • sexual promiscuity

Long-term outcomes: • heart disease • COPD • liver disease • early death

ACS interventions engage clients in services to help them develop healthy ways to manage difficult past experiences and move their lives in a positive direction.

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A Conversation Judge Gail Garinger spent 12 years on the Middlesex County Juvenile Court bench, with eight of those years as First Justice. She and Dr. David Wilcox, current ACS Board member and Clinical Director from 2003 to 2012, talked about her shift from Juvenile Court Judge to Child Advocate. From Juvenile Judge to The Child Advocate David Wilcox, Ed.D.: What was it

like moving from the juvenile bench to being the Commonwealth’s first Child Advocate? Judge Gail Garinger: My first year

was a tremendously steep learning curve. I thought I knew a lot about child welfare and juvenile justice, but I had been looking through the lens of an attorney and then as a judge. I became much better educated once I left the bench and had the time to talk to providers and treatment program staff. DW: Looking back, what are your

thoughts about your time as a juvenile court judge? GG: I wish I had known more

about the things that maybe weren’t working so well—like holding kids in detention, which is actually counterproductive, rather than keeping them at home or in their community. The Child Advocate is appointed by the Governor to ensure that every child involved with state agencies in Massachusetts is protected from harm and receives quality services.

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DW: Are there things you would have

done differently? GG: One area would have been to inquire more deeply of the attorneys who accept appointments to represent children. As we ask more questions, it has the Hawthorne effect: simply by asking for more information, we are influencing behavior. So I think I would have asked more focused

questions, especially around how different mental health and behavioral health issues might be playing into the child’s problems, like difficulties at school. For example, other states use checklists on court dates to monitor the child’s progress. I would have liked to pilot the use of that sort of checklist. Also, I would have asked for more options. For example, if a child was headed toward commitment to DYS (Department of Youth Services), I wish I had been more forceful in saying to the attorney, “Put together some alternative program that might work to support the child at home or in the community.” DW: What role did you see for

the court clinic in providing those alternatives? GG: The court clinic is a critical part

of the juvenile court team. I would look to the ACS clinicians as the experts who could help me identify whatever behavioral health problems the youth had, but also to bring me information about available options. The court clinic staff help the judges figure out how to advocate for those kids and connect them with the services they need.


with Gail Garinger Collaborative Model DW: If you had a wish list, what

would you like to see improved in the juvenile courts? GG: One of the things I’ve learned

since I left the bench is that in comparison with other states, we have a very adversarial model of juvenile justice. Many times as a judge, I just wanted to sit around a table with people to identify solutions. More and more states are moving toward that kind of collaborative model. They’re looking to protect a child’s rights, but also to engage the child and family in a much more meaningful way and to develop a support system for the child. We need to figure out how to make the juvenile justice system in Massachusetts a collaborative, family-focused approach to help move these kids on to successful lives and keep them out of the adult criminal system. FACES—Families and Children Engaged in Services DW: From a clinical perspective, the

families are 80% of where the services need to happen. In November 2012, Governor Patrick signed FACES legislation to replace the Child In Need of Services (CHINS) law with the Child Requiring Assistance (CRA) law. Is FACES the ground-shifting leglislation we expected? GG: I think the goals of the new

legislation are laudable and some of the language is really good. The legislation correctly urges that providing services for the family outside of court is the ideal for families who recognize that they need help and seek it voluntarily. That’s terrific.

But, it doesn’t do a great job of serving reluctant families, or implementing the intent of family-focused services. The problems we’ve had all these years about the CHINS measures being really unenforceable haven’t been addressed in the new law. For example, the court still isn’t able to address the parents’ needs – if a parent is depressed or suffering from a mental illness, the juvenile court doesn’t have the authority to require therapy for that parent. The focus is still on the child rather than the family unit.

blinders on that keep us from seeing the whole system. We don’t want to have people just looking at the juvenile justice side or just looking at the child welfare side because the juvenile court is a repository for all those kinds of cases and sometimes the label is totally arbitrary. We need to look for ways to integrate services so the kids benefit. All of us are in this business for one reason—we all really care about kids.

Future Directions DW: Looking ahead to 2013 and

beyond, what changes do you see? GG: There are so many things

happening. We’re looking at keeping 17-year-olds in the juvenile court through legislation that raises the age of juvenile court jurisdiction. Potentially juvenile murder cases will be coming back to the juvenile court as well. There are possibilities for developing Restorative Justice and life skills programs. ACS and some of the other court clinics around the Commonwealth are developing programs that are really effective in dealing with particular populations of kids. I certainly applaud that and hope we can expand these resources. We all have different roles to play, but it’s so critical that we not have An Act Regarding Family and Children Engaged in Services (FACES) eliminates Children in Need of Services (CHINS) cases and creates a new type of case called Child Requiring Assistance (CRA). A CRA application can be filed when a juvenile repeatedly runs away from home, disobeys the lawful and reasonable commands of a parent or school, has more than eight truancies in a school quarter, or is a sexually exploited child or human trafficking victim.

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Honoring Lia–10 Years of Inspired Leadership  On November 12th, friends, donors and colleagues joined together at the Union Club of Boston to celebrate Lia for her vision and passionate advocacy on behalf of court-involved children and families.

Roxann Cooke, ACS Development Chair, announced the Board’s decision to name a fund after Lia: the Lia G. Poorvu Fund for the Future.

“To say I’m overwhelmed is an understatement.” Lia Poorvu

galvanized the crowd of supporters while being honored for her 10 years of service as ACS Board President.

Probation Officer Paul Nwokeji and First Justice Jay Blitzman showed their support for ACS.

Fran Miller, ACS Board President, honored Lia’s tenure as president. Fran quoted Woodrow Wilson as an example of what Lia has meant to ACS: Rebecca praised Lia as a “lifetransforming agent of growth and change for ACS and a stalwart friend since 1981.”

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“You are here in order to enable the world to live more amply, with greater vision, with a finer spirit of hope and achievement.”


What on Earth were You Thinking?—Inside the Teenage Brain

Michael Lafleur, a lawyer and former ACS client, thanked Lia for ensuring that kids get the services they need to improve their lives.

Dr. Elizabeth Shepherd, ACS psychologist, presented the story of “Christopher,” highlighting issues of adolescent decision making.

Beth Klarman and Rebecca Pries talk about ACS groups with Janice Hrabovszky, ACS social worker.

Dr. David Urion, Associate Professor of Neurology at Harvard Medical School and keynote speaker, discussed the developing adolescent brain—pictured below with Silvia Gosnell, ACS Board member.

Ed Mank and Bill Poorvu joined in to celebrate Lia’s 10 years!

“Thank you, Lia, for giving ACS clients and their families breath, strength, vision and hope for over 30 years.”

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Treatment Groups ACS treatment groups expanded in 2012. Young Men’s, Young Women’s, Anger Management and Motherhood Groups received referrals from the Court and Diversion Programs. Over half of the kids in group treatment had been diverted from formal court proceedings; first-time offenders left without a court record. Here we highlight three of the powerful treatment groups ACS provided.

Motherhood Group The Motherhood Program is offered to court-involved mothers from all walks of life. The small-group setting allows each mother to share openly her individual struggles. Women reflect on their roles as mothers and develop skills in mindfulness and parenting. The group covers topics such as domestic violence and stress management and uses art to explore therapeutic issues. ACS clinician Leona Tevari works in partnership with group leaders from the Middlesex County Probate and District Courts.

Young Men’s Group

“The group was fun and it helped me say things that I don’t usually tell people.”

- Daniel age 16

The Young Men’s Group is an open and safe space where court-involved boys find validation as they share their experiences and struggles. Using the adjacent image as an aid, group leaders ask the boys during each session: How do you feel today? This exercise helps the boys increase awareness and understanding of their emotions. Exercises like these and frank discussions help them reframe their emotions and develop healthy coping mechanisms leading to improved behavior. The group covers topics such as gang involvement, drug use, relationships and anger management.

Young Women’s Group The Young Women’s Group provides a positive peer setting for teenage girls to talk about healthy relationships and to improve their decision making. The Group addresses the specialized needs of court-involved girls and helps them discover their untapped strengths.

“It’s good to speak in front of peers and not feel judged or be bombarded with opinions,” one mother shared. Another group member remarked, “It was inspiring. It let me know I’m not alone.”

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Young women, like Gabriela (see opposite page), are empowered to speak out about their experiences. Strengthened by diversity and mutual support, the girls tackle serious and


often sensitive issues such as “sexting” and other risky sexual behaviors, conflict with their parents, self-care, healthy eating and ways to reduce stress. In Lowell’s fall 2012 session, led by ACS clinicians Elizabeth Shepherd, PhD, and Kathy Simon, LICSW, all participants completed the program and half signed up to be peer mentors/ co-facilitators for future groups.

“It helped me to get out my feelings.”

- Gabriela

Gabriela’s Story 14-year-old Gabriela was staying out all night and cutting herself. Gabriela’s parents had been separated for years; her father had substance abuse problems and her mother had bipolar disorder and was a compulsive hoarder. Despite her own problems, Gabriela’s mother was desperate to help her daughter and she was worried that services in the community weren’t meeting Gabriela’s needs. She decided to file a Child Requiring Assistance (CRA, formerly CHINS) application in hopes that the court could provide additional services for her daughter. An ACS evaluation helped everyone understand why Gabriela was engaging in these behaviors despite the other services she was receiving. Her clinician and probation officer thought Gabriela would benefit by participating in the ACS Young Women’s Group.

“grown-ups who don’t twist my words.” The group provided a place that was truly confidential and allowed her to get support from girls who had similar experiences. The group helped her find her voice to advocate for herself. When the Department of Children and Families (DCF) decided to transition Gabriela to foster care, she used her newly found “voice.” She joined her DCF social worker in interviewing the prospective foster parents. During this process, Gabriela spoke out resolutely, “I want to find a foster home that will help me get back to my real home.”

ACS treatment groups are 100% funded by donors like you. Thank you for helping vulnerable teens like Gabriela find their voice!

Gabriela was wary about engaging in “one more service,” but her feelings quickly changed after the first couple of group meetings. For the first time, she felt that she was working with

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Financials From the Most Recent Audited Fiscal Year: FY 2012 (July 1, 2011 - June 30, 2012)

Income

FY 2012

FY13 Budget

Public Sector Contracts

$795,556

$797,000

Grants and Contributions

$449,640

$397,000

Other Income

$14,976

$53,000

MAJCC

$50,000

$56,000

In-kind

$94,500

$94,000

$1,415,731

$1,397,000

Total Income

FY12 Program Efficiency

Administration 13%

Program Services 81%

Fundraising 6%

Expenses Salaries, Benefits, Taxes

$998,120

$1,060,150

Occupancy (In-kind & Rent)

$137,331

$125,850

Professional Fees and Insurance

$112,435

$101,000

MAJCC

$48,560

$55,000

Other Expenses

$31,247

$55,000

$1,327,693

$1,397,000

Total Expenses

FY12 Funding Sources

Grants and Contributions 34% Public Sector Contracts 59%

Contributed Facilities and Services 7%

Serving vulnerable kids and families since 1973 ACS served only the Cambridge Court until 1998 when ACS was awarded the state contract to provide juvenile court clinic services throughout Middlesex County. The program developed expertise in serving court-involved teens and families and built strong linkages with community service providers, including schools, hospitals and other treatment facilities. Since 1999, the Department of Mental Health (DMH) has administered the contract that covers approximately 60% of ACS’s overall operating budget.

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Private sources allow ACS to provide services not covered by the contract, such as specially targeted treatment and follow-up services, and to respond to the diverse needs of the Juvenile Court sites in Cambridge, Framingham, Lowell and Waltham. In-kind office space at each of the juvenile court sites uniquely positions ACS to provide effective services to troubled youth and families from all 54 of Middlesex County’s urban, rural, MetroWest and Merrimack Valley communities.


Calendar Year 2012 Donor List Through a longstanding public/private partnership, we create successes for vulnerable kids and families. ACS has state contracts for a portion of our work. But it’s only with you – our individual, foundation and corporate donors – that we can make a real difference. We have transitioned to a new donor management system and have made every effort to record names, levels and loyalty accurately. Thank you for contacting us if you see an error or omission.

LEADERS

(Gifts of $5,000 and above) Private Sector

Anonymous (2) † • John W. Alden Trust * Amy and David Abrams Ronald Ansin * Frederick A. Bailey Trust * Rhoda Baruch * The Baupost Group, LLC † Marion F. Boynton Trust, Bank of America, N.A., Trustee † C.F. Adams Charitable Trust • Cogan Family Foundation • The Clowes Fund • Lois and Jim Champy * Mary W.B. Curtis Trust * Devonshire Foundation * Nancy and Richard Donahue * Eastern Bank Charitable Foundation Andrew Golden † Roy A. Hunt Foundation * Hunt Alternatives Fund • Klarman Family Foundation * Jonathan Kutchins • Lodge of Saint Andrew William Paine * Theodore Edson Parker Foundation *

“You are the only one who is really helping me with this. Can I give you a hug?”

- Client’s Mother to an ACS Clinician

Perpetual Trust for Charitable Giving, Bank of America, N.A., Trustee • Plimpton-Shattuck Fund • The Poitras Fund of the Foundation of MetroWest * Lia G. and William J. Poorvu *** Adele Pressman and Robert Gardner • Daniel Rothenberg ** Gardner Howland Shaw Foundation ** The TJX Foundation * Frederick E. Weber Charities Corporation ** Public Sector

Department of Mental Health * Massachusetts Juvenile Court * CHAMPIONS

(Gifts from $2,500 to $4,999) Cambridge Community Foundation *** Ann and Marvin Collier * The Cosette Charitable Fund * Forest Foundation • Joseph E. and Frances E. Heney Charitable Trust • Moses Kimball Fund * Thomas E. and Barbara B. Leggat Fund * Mr. and Mrs. James H. Lowell, 2nd Edward H. Mank Foundation • MENTOR Charitable Fund • Beth Pfeiffer • Robert C. Pozen Vivian M. Shoolman• Trustees of the Ayer Home *

† • * ** ***

First gift to ACS 5+ years of giving 10+ years of giving 20+ years of giving 30+ years of giving

“ACS does so much, for so many, on so little.”

- Tom Leggat

ADVOCATES

(Gifts from $1,000 to $2,499) Anonymous Judith A. Aronstein Fund * Adelaide Breed Bayrd Foundation • Donald and Ann Brown Cambridge Trust Company *** Pete Caron • Lynn and Lawrence Cetrulo † Fay Chandler Charles and Lael Chester Fund • John Donnelly Trust • Doran Family Foundation East Cambridge Savings Bank *** Fish Family Foundation • Terrie Graham † Barbara F. Lee • George Macomber • Middlesex Savings Charitable Foundation * Robert and Dale Mnookin Philanthropic Fund • Richard and Claire Morse Foundation † Katharine and Tony Pell • John Petrowsky Deborah Z. Porter Mary and David Shahian *

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Calendar Year 2012 Donor List (continued) SUPPORTERS

Barbara Stedman • Stevenson Family Charitable Trust • Ellie Svenson • Robert and Molly Tarr Charitable Foundation *

(Gifts up to $500) David Arriel † Sandra Bakalar † Joanne and Steve Bauer † Corey Bisceglia-Kane • Leslie Boden and Judy Yanof • Paul and Catherine Buttenweiser * Tsunming and Esther Chen Michael Collins and Beverly Freeman

ALLIES

(Gifts from $500 to $999) Richard Barnum Angela and John Bryant Barbara H. Clark ** Susan Culman • Thomas and Andrew Dupree * Charles and Sara Goldberg Charitable Trust * Julian Houston † Daniel Jacobs and Susan Quinn ** Mark Kritzman and Elizabeth Gorman • Joe and Rachel Martin Fran and Hugh Miller ** Tim and Joanne Oyer Dawn and Pete Polomski Laura Prager, M.D. and Frederick Millham, M.D. Abby Rockefeller and Lee Halprin Eric Shank • Rich Wenger • John Wilcox • Jane and James Wilson *

“I happily support ACS because they do vital, difficult work with compassion and integrity, work that resonates with me emotionally and otherwise.” - Rich Wenger

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Lissa and Melville Hodder † Deborah Holland • Gerald and Nina Holton William and Kay Hudgins † Katherine and Ralph Hughes • Theodore J. Jacobs • Jill Janows † Martin Kantrovitz • Helen and Rudolph Kass • Jacquie Kay • James G. Kitendaugh and Lynne M.

“As a board member and a former client, giving to ACS is but a joy and a must for me. It is an extension of what I believe in and what I know is needed for kids and families with limited resources.”

- Jacquie Kay

Grace Conway • Roxann C. Cooke Gabriel and Damelis Devisnyey Joshua Dohan and Patricia Garin † Mary C. Eliot * Mary K. Eliot • Anne Ellsworth David R. and Betsy B. Epstein • Margaret Fearey † Gary and Paula Fisher Shirley M. Fisher † Ellen and Franklin Fisher • Charles Flather • Sheila and Malcolm Foster Emily Frank Margaret and Jacques Gelin • Owen and Miriam Gingerich • Joel Goldstein and Judith Halperin Christopher Grief † Nancy Grossman E. James and Kara Gruver † Suzanne and Easley Hamner * Howard Hiatt

Cavanaugh † Judith Klau Lawrence Kotin Tom Kreilkamp • Seth Kritzman Ann LeVarn and David Greenbaum • Elizabeth Malia Joseph McOsker III Susan and Pieter Mimno * Martha L. Minow • Ellen G. Moot * Alex Moot and Nancy Roosa Gale Munson • Mary and Sherif Nada • Andrew Navarette The Newman Family Scott O’Gorman • Katherine Page and Alan Hein Jacqueline L. Parker Shirley Partoll Gary Pforzheimer • Jonathan H. Poorvu ** Ellen M. Poss **


Rebecca and Weldon Pries * Peter and Helen Randolph † CT Ransdell Laurie Raymond Pam and Tom Riffin * Carol Rosensweig • Mimi Ross and Howie Goldstein John and Rhoda Schwarz * Melvin Scovell and Lilla Waltch ** Robert N. Shapiro † Jane and Ben Siegel • Robert Silberman and Nancy Netzer • Thomas and Margaret Quinn Simons Lucretia Slaughter • Claude and Elizabeth Smith • Ed Stern, Esq. William Stewart † Robert Straus • John and Judith Styer Peter and Charlotte Temin † Katharine E. Thomas Jerry Avorn and Karen Tucker Bayard and Beatrice Waring † Mark and Lynne Wolf • Marilyn and Irvin Yalom • Michael Yogman Geraldine Zetzel *

“It is easier to build strong children than to repair broken men.”

- Frederick Douglass

HONORARY GIFTS

In honor of Joanne Bowman Joe and Rachel Martin In honor of Tom Leggat Abby Rockefeller and Lee Halprin In honor of Lauren Fisher Dawn and Pete Polomski In honor of Colleen Lynch Joanne and Steve Bauer In honor of Lia Poorvu Rhoda Baruch The Baupost Group, LLC Lois and Jim Champy Ann and Marvin Collier Lissa and Melville Hodder Julian Houston James Kitendaugh and Lynne M. Cavanaugh Judith Klau Barbara Lee Fran and Hugh Miller Robert and Dale Mnookin Philanthropic Fund Richard and Claire Morse Foundation Katherine Page and Alan Hein Katharine and Tony Pell (2) Robert C. Pozen Rebecca and Weldon Pries Peter and Helen Randolph Melvin Scovell and Lilla Waltch Robert N. Shapiro The Shattuck-Plimpton Fund (2) Vivian Shoolman Robert Silberman and Nancy Netzer (2) The Stevenson Family Charitable Trust Mark and Lynne Wolf Marilyn and Irvin Yalom In honor of William Poorvu Andrew Golden

In honor of Rebecca and Weldon Pries Lawrence Kotin In honor of Jane Siegel Alice Andrus James Beck Pete Caron Jim Champy Roxann Cooke Nancy Donahue Katherine and Ralph Hughes Faith Hyde Corey Kritzman Daniel Jacobs Tom and Barbara Leggat Fran and Hugh Miller Susan and Pieter Mimno Lia G. and William J. Poorvu Rebecca and Weldon Pries Laurie Raymond Tom and Pam Riffin Mimi Ross and Howard Goldstein Mary and David Shahian MEMORIAL GIFT

In memory of Diane H. Craig Edward H. Mank Foundation IN-KIND DONATIONS

Deborah Reeves † Dr. David Urion † Anita Wolf

“Stripped Bare” by Shirley Partoll, donated through The Art Connection

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ACS Service Area–Middlesex County

ACS Juvenile Court Clinics serve the four Juvenile Court locations in Middlesex County:

The Massachusetts Trial Court provides ACS with in-kind office space in Cambridge, Lowell, and Framingham. We serve children and families from all 54 cities and towns in the County.

- Cambridge - Lowell - Framingham - Waltham

*

Board of Directors

FPO To protect confidentiality, ACS does not use the names, photos or identifying features of clients. Report design by Anita Wolf Design and our team at ACS of Andrew Navarette, Natalie Basile, Peter Herzig and Rebecca Pries.

President, Frances Miller Chair, William H. Paine Treasurer, Jacquie L. Kay Clerk, Barbara E. Stedman James A. Champy Roxann C. Cooke Nancy L. Donahue Silvia M. Gosnell Terrie Graham Daniel H. Jacobs Lia G. Poorvu Laura M. Prager

* * Rebecca E. Pries * Mary M. Shahian Jane R. Siegel David K. Wilcox

Executive Director, Rebecca E. Pries Clinical Director, Dr. Dan Sanford HR and Finance, Pamela Riffin

Advisory Council Haley Bishop Gerald Chertavian Mary C. Eliot Tracy D. Gee Robert Gittens Joel Goldstein Fatinha R. Kerr Thomas E. Leggat Charles J. Ogletree, Jr. Jorge Quiroga Katharine E. Thomas Kathan Tracy

Adolescent Consultation Services, Inc. 189 Cambridge Street, Cambridge, MA 02141 Phone: 617-494-0135

Fax: 617-494-0136 Email: acs@acskids.org www.acskids.org


2012 Year-End Report