Annual Report | 2017 Every Child. Every Service. Every Effort.
marked another year of growth, change, and opportunity for Children’s Advocacy Centers of Texas as the depth and breadth of services provided to children and families continued to increase. This was achieved through:
children’s advocacy centers (CACs) serving almost 48,000 children, by partnering with: • over 1,000 law enforcement jurisdictions; • every Department of Family and Protective Services (DFPS) region in the state; • numerous sexual assault nurse examiners and pediatricians; • countless therapists; and • more than 230 district and county attorneys.
children served reflects: • an 11% increase in new clients over FY16; • a 20% increase over FY15, marking a 2-year period of unprecedented growth; • the highest volume of clients seen by our network in a single year; and • a historic 48% increase over a two-year period in the referral of physical abuse cases, demonstrating growth in the CAC network’s capacity to serve children involved in these challenging cases.
IT ALL MATTERS The CAC model has its greatest impact when applied across the entirety of each child’s experience, from outcry to restoration. While we are proud of our teams’ achievements in delivering on each of the following elements, the full impact of our model’s rehabilitative capabilities will not be felt until every child victim of abuse is able to fully participate in every element of our system. In 2017, we marked progress in that direction with increases in each of our six core services:
children receiving forensic interviews
children receiving forensic medical services
children receiving trauma-focused mental health services
families receiving advocacy and victim support services
children’s cases reviewed by CAC multidisciplinary teams
statewide intake reports of child abuse reviewed
NUMBERS Ages of Children Served: 1% 18+
Types of Abuse:
70% sexual abuse 14% physical abuse 7% child witness to crime 4% neglect 3% other 2% sexual & physical abuse <1% fatality
CACs increased staff capacity by 30%, leading to more children served, including:
47,893 total children served 36,161 children forensically interviewed 39,271 families received family advocacy services 28,479 cases reviewed by CAC multidisciplinary teams 19,142 children received mental health services 8,175 adults (protective caregivers) received mental health services 6,601 children received child abuse medical exams 86,465 trauma-focused mental health sessions provided to children 224,178 statewide intake reports of child abuse reviewed
SOURCES OF OUR
GROWTH A renewed investment in the Multidisciplinary Team (MDT) approach to working these cases •
In FY17, more than 224,000 statewide intake reports of child abuse were reviewed by CAC staff (a 48% increase over FY16). This mechanism ensures that children fitting the protocol for a CAC-facilitated joint investigation and recovery services are referred for help.
Through this process, 71% of CACs reported timelier referral of cases to the joint investigation process.
80 new CAC staff positions were dedicated to facilitating the functions of a MDT and handling case referrals. CACTX dedicated three professionals to supporting these positions and the MDTs through training and technical assistance.
A commitment to using data to inform services and the investment of resources •
Through a new Strategic Vision Advancement Initiative at CACTX, individualized gap analysis and benchmarking reports are produced to help centers identify where children are being missed.
45 strategic expansion workshops were provided to help centers effectively target new federal dollars toward identified gaps in order to maximize impact.
100% of CACs elected to transition to a uniform case management system that will allow for greater data integrity and information sharing among CACs and between CACs and investigative partners.
Ongoing CACTX support to local CACs •
Delivered 118 trainings on 35 training topics to 1,733 child abuse professionals: a 15% increase in participants and 20% increase in training topics over last year.
Hosted CACTX Capitol Day and successfully advocated for the passage of Senate Bill 1806, which reinforces the investigative protocol drafted by MDTs and facilitated by CACs.
Honored Senator Jane Nelson at the biennial Partners in Courage Dinner and heard from survivor Shelby Morrison. 282 people attended and more than $150,000 was raised.
Launched a Statewide Multidisciplinary Team to identify and develop solutions to systemic challenges faced by all partners (child protection, law enforcement, prosecution, medical, and mental health).
Raised more than $50,000 through Women of Courage membership commitments, allowing 41 CACs to restore a child’s living space after abuse. Over 60 families and 169 children were impacted.
Processed 1,648 requests for reimbursement totaling almost $37,000,000 in funding as the pass-through administrator of state and federal funding for CACs.
Worked with individual CACs to craft and operationalize effective and efficient budgets related to delivering direct services to children and families at the local center level.
Conducted 17 site visits to review compliance with both grant management standards and the Texas Standards for CACs.
LOOKING AHEAD Closing the Gaps: • Even in a record year, we only participated in 65% of DFPS sexual abuse investigations. This means 16,294 cases never reached our network of CACs in 2017. • Far too many cases deserving referral — specifically those involving physical abuse or child fatalities — still do not receive a MDT response. • Cases that fall exclusively within the jurisdiction of law enforcement and require CAC services (DFPS cases focus only on caregiver-related offenses) often go unreached. • Once these cases are identified, children will need as many as six CAC core services: joint investigation coordination, forensic interviews, family advocacy and victim support, trauma-focused therapy, medical evaluations, and MDT case review. This will further stress the system, as many centers have service waitlists for current clients.
FY18 Solutions and Goals: • Emphasizing data-informed practices from the newlydeveloped CACTX Strategic Vision Advancement Department and pursuing network-wide leadership cultivation. • Ensuring 100% of CACs transition to our shared case management system, enhancing data-integrity and providing the ability to integrate data with partner agencies such as DFPS. This will also allow for better data sharing among CACs, increasing precision and accountability of our collective efforts.
FY18 Solutions and Goals (Continued): • Supporting the Parker County community as they open the 71st CAC in Texas. • Continuing the expansion of CACs reviewing DFPS statewide intake reports of child abuse until CACs have the capacity to review 100%. • Working alongside Sam Houston State University to quantify the number of cases involving only law enforcement. • Equipping CAC management and leadership with a new series of training and technical assistance offerings intended to fortify the essential components of organizational capacity required for sustainable growth. • Developing and launching an online grants management system to enhance our role as a fund administrator. • Engaging community leaders, donors, stakeholders, and the general public in our goal to move from awareness into action. • Applying the proven approach of our model to child sex trafficking cases. • Scaling our training programs to ensure that all CAC employees have access to training required to provide quality services to children and families.
Corporate and Foundation Support Swalm Foundation T.L.L. Temple Foundation Texas Bar Foundation The Meadows Foundation Shield-Ayres Foundation KCL Foundation AT&T CenterPoint Energy, Inc. Direct Energy Patricia Dedman Foundation The Hildebrand Foundation Alliance For Children Amerigroup BNSF Railway Foundation Charter Communications Children’s Hospital Association of Texas Children’s Safe Harbor Dallas Children’s Advocacy Center DYONYX Gray Reed & McGraw, LLP
Jackson Walker, LLP KP Energy Linebarger Goggan Blair & Sampson, LLP Locke Lord LLP Norse Partners, LLC PhRma Shapiro Linn Strategic Consulting Strasburger & Price, LLP SuperiorHealth Plan Texans for Lawsuit Reform Texas Association of Health Plans Texas Council of Community Centers The Children’s Assessment Center The Texas State University System Foundation The University of Texas at Arlington
JA Jackson Construction
TXU Energy UTHealth UnitedHealthcare
Supporting Public Partners
Office of the Governor—Criminal Justice Division Office of the Attorney General—Crime Victim Services Division Texas Children’s Justice Act Texas Health and Human Services Commission National Children’s Alliance Southern Regional CAC
Special Thanks We are humbled by the generosity of our Women of Courage who make the My Safe Space: A Room Makeover Project possible through their $1,000 annual membership commitment and who raise funds and awareness through the annual Women of Courage Luncheon.
STATEMENT OF FINANCIAL ACTIVITIES
For the period September 1, 2016 through August 31, 2017 SUPPORT AND REVENUE Grants and Contracts * Fundraising Membership Dues Other Income/Investment Income TOTAL REVENUE FROM OPERATIONS
$40,257,989 $306,025 $124,300 $752,001 $41,440,315
EXPENSES Program Services Management and General Fundraising TOTAL EXPENSES FROM OPERATIONS
$39,776,528 $552,736 $459,830 $40,789,094
STATEMENT OF FINANCIAL POSITION ASSETS Cash and Short-Term Investments Receivables, net Prepaid Expenses/Other Land, Building, and Equipment, net Endowment/Investments TOTAL ASSETS LIABILITIES Accounts Payable and Accrued Expenses Deferred Revenue TOTAL LIABILITIES NET ASSETS Unrestricted Temporarily Restricted Permanently Restricted TOTAL NET ASSETS TOTAL LIABILITIES AND NET ASSETS
$175,389 $5,972,385 $58,424 $1,825,685 $8,444,540 $16,476,423 $5,830,346 $0 $5,830,346 $3,180,271 $2,465,806 $5,000,000 $10,646,077 $16,476,423
CACTX benefited from additional revenue from endowment distributions and prior year contributions. * 92%, or over $37 million, of the grant and contract revenue received by CACTX is awarded to local CACs for the delivery of services in their communities.
FY18 BOARD OF DIRECTORS Executive Committee: Jeff Jeter, President James Kimbell, President-Elect Gina DeBottis Metts, Vice President Lindsay Mullins, Secretary Blaine Brunson, Treasurer Lasse Wagene, Past-President Board Members: Cary Baker Elizabeth Brock Michelle Carter Joe Cosgrove, Jr. Julie Evans Cleve Glenn Michael Kelsheimer Tracy King Revlynn Lawson April Leming Jessica Mahaffey Dave McGee Billy Millwee Doug Mueller Rhonda Pierce Denise Rose Terri Smith Marion Tanner Monica Vargas-Mahar Leslie Ward Ex-Officio: Lee Hon, Polk County District Attorney
CACTX LEADERSHIP TEAM Joy Rauls Chief Executive Officer Sally Allen Chief Operating Officer Catherine Bass Chief Strategy Officer Cherisse Robison Chief Financial Officer Irish Burch Director of Strategic Initiatives Alex Cantu Director of Financial Initiatives Kaley Friedenthal Director of Grants Administration Christina Green Director of Public Affairs The achievements reflected in this report were made possible through the hard work and commitment of an extraordinary team of professionals working on behalf of our Mission and Vision each day as members of Team CACTX. We are honored that these professionals have chosen to dedicate their talents to ensuring justice, healing, and hope for Texas children. To learn more about the CACTX team, please visit www.cactx.org/staff.
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