ANNUAL REPORT 2013-2014 www.elcentrodeamistad.org
Message From the president of the board Greetings to all ECDA Staff, Donors, and Supporters We are glad to present the ECDA 2013-14 Annual Report. As the Board President, I would like to extend my gratitude and appreciation to the Department of Mental Health for entrusting ECDA with the funding to provide much needed services in our community. The many Programs that ECDA has been able to extend to our clients has provided them the assistance and support to enrich their lives and their families’ lives. There are many success stories that illustrate the hard work of our committed staff in serving and guiding our clients into more productive and wholesome futures. The Board has invested their time and experience to oversee that the funding, services and staff are appropriate in fulfilling the Mission and the Strategic Plan of the Agency. I invite you to read through our Annual Report to see how the dollars were transformed into proactive actions and life-changing practices. Respectfully, J. Irene Smerigan, Board President
Tamika Farr, MBA Executive Director
Board of Directors j. Irene Smerigan, Board President Retired Principal
Luis Cervantes, Board Vice President Youth Policy Institute, Chief Financial Officer
Jerry Fox, Board Secretary Retired
Doug Barnett, Board Treasurer
Coldell Banker Quality Properties, R.E. Broker Agent & Lender, Property Management
Rich Golisch, Board Member The Irvine Group, Managing Partner
Jose Montes, Board Member
California State University Northridge, UCS - Staff Psychologist
Rebecca nelson, Board Member School Psychologist
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About Us 4
MISSION STATEMENT
El Centro de Amistad, Inc., is a multilingual, cross cultural organization providing a comprehensive range of mental health services, anticipating the ever-changing needs of families and individuals in the San Fernando Valley. El Centro de Amistad, Inc. is committed to assisting children, adults and families.
El Centro de Amistad History
In 1977, a group of residents from the impoverished Canoga Park “Barrio� community grew concerned about the needs of the predominantly Latino families that struggled with unemployment, crime, poverty and drug abuse. They were particularly concerned about the youth in the area. With the encouragement and financial support of San Fernando Mental Health Centers Inc. and their Board of Directors, this group of activists founded El Centro de Amistad. El Centro began as a storefront program with three staff, targeting the large community of at-risk, gang-involved youth by providing substance abuse treatment and related services. In 1984, El Centro became an independent self-governing entity. Since that date, we have provided FREE mental health services to more than 100,000 low-income individuals, and we serve over 700 lowincome, primarily Latino children, adults and families in the San Fernando Valley every year.
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ecda leadership TAMIKA FARR, MBA
EXECUTIVE DIRECTOR
TANIA FALLERT-DEL GATTO, MA, LMFT ASSOCIATE DIRECTOR
CARLA ESPINOZA-BAIRES, MPA
INFORMATION SYSTEMS SUPERVISOR
KATHERINE M. FLEISHER, MA, LMFT PROGRAM DIRECTOR
Amanda coover, ma, lmft
CLINICAL SUPERVISOR, WEST VALLEY
HOWARD GROSSMAN, MA, LMFT
CLINICAL SUPERVISOR, EAST VALLEY
SONYA CHA, MS, LMFT
MAT PROGRAM MANAGER
GINA GUERRERO, MA, LMFT
CALWORKS PROGRAM MANAGER
SARA PINEDA, MA, LMFT
QUALITY ASSURANCE SUPERVISOR
WENDY AGUILAR MEDINA, BA INTAKE SUPERVISOR
rebecca hall, ba
ACCOUNTING HUMAN RESOURCES MANAGER 6
MEET OUR TEAM
programs & Services Adult Outpatient Services The Adult Outpatient Program provides ongoing adult mental health (individual, family and group therapy, and rehabilitation), case management and medication support services to adults who are chronically mentally ill and on Med-Cal or uninsured. The goal of these services is to stabilize clients and link them to community resources to develop appropriate transitional plans to maintain clients in the community. Services range for individuals from aged 21 – 64 and may be either short-term or long term.
CalWORKS Program The CalWORKS Program provides intensive treatment; therapy (individual, family and group), case management, medication support and outreach to CalWORKS recipients referred through Department of Social Services (DPSS) GAIN office. The main focus of the Program is to resolve issues that are barriers to employment. Participants are all adult individuals with persistent or severe mental health disabilities to individuals with mild to acute emotional problems, such as anxiety or situational depression. The CalWORKS team works tirelessly to develop treatment plans that focus on interventions to reduce symptoms and strategies to develop job skills. CalWORKS recipients have obtained a number of jobs through mentorship from their employment specialist.
Children’s Outpatient Programs (Clinic, School & Field Based) The Children’s Outpatient Program treats children with a wide range of mental health disorders; between the ages of 0-21 whom are uninsured or have Medi-Cal. Services may be provided in the clinic, school or field in order to meet the needs of the client. ECDA utilizes a multi-disciplinary treatment approach to diminish impairments and barriers that are causing difficulties in the home, school or community. Services include individual and family therapy, rehabilitative services, case management and medication support. Services focus on improving daily living skills and healthy social development.
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Field Capable Clinical Services (FCCS) Program FCCS services broadens our reach by providing services for Medi-Cal and uninsured adults between the ages of 26-59 and youth between the ages of 5 -15. Many FCCS clients have mental health and medical issues that are barriers to attending treatment sessions consistently. To address these barriers, the FCCS Program provides mental health services in various non-traditional settings such as the client’s home, client’s place of employment and community centers or parks. The focus of the FCCS Program is on helping clients increase their practical living skills and effectively deal with daily activities and challenges
Multidisciplinary Assessment Team (MAT) The MAT Program is a collaborative program between the Los Angeles Department of Mental Health (LADMH) and the Department of Children and Family Services (DCFS). Referrals are filtered through DCFS and provided to the Agency and assigned to an Agency MAT Assessor. The children (ages birth – 17) referred through the MAT program have been removed from their home environment and placed in foster care due to abuse or neglect. Upon intake, The MAT Assessor conducts a comprehensive and detailed assessment on the child. Many of the children have experienced trauma and other symptoms in relation to the detention. The main goals are to identify the child’s current psychological/social-environment/emotional functioning and the needs and resources the child/family will need in order to support stabilization and functioning in the home, community and school.
Case Management Case Management assists with linkage and support services to access medical, educational, social, vocational, rehabilitative services and community resources.
Medication Support Psychiatric medication support offers evaluations and monitoring of medication needs.
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Edivence based practices 10
Crisis Oriented Recovery Services (CORS) A short-term intervention that promotes the development of coping strategies for individuals and assist them to return to their previous level of functioning. Serving: Children, TAY (Transitional Age youth), Adults, and Older Adults.
Interpersonal Psychotherapy for Depression (IPT) IPT is a short-term therapy that focuses on one or more interpersonal problem areas, including interpersonal disputes, role transitions, and grief and loss issues. Serving: TAY (Transitional Age youth) ages 16-21.
Managing and Adapting Practice (MAP) MAP is designed to improve the quality, efficiency, and outcomes of children’s mental health services by giving administrators and practitioners user-friendly monitoring tools and clinical protocols from an online database. Serving: Children ages 0-15 and TAY (Transitional Age youth) ages 16-21.
Seeking Safety (SS) Treatment is intended for individuals or groups who are trauma-exposed, experiencing symptoms of trauma(s) and/or abusing substance. Serving: Children ages 13-15, TAY (Transitional Age youth) ages 16-20, and Adults.
Trauma Focused CBT (TF-CBT) TF-CBT is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events. Serving: Children ages 3-15 and TAY (Transitional Age youth) ages16-18.
Triple P Positive Parenting Program (Triple P) Triple P is intended for the prevention and early intervention of social, emotional and behavioral problems in childhood, the prevention of child maltreatment, and the strengthening of parenting skills. Serving: Young Children ages 0-5 and Children ages 6-15.
Individual Cognitive Behavioral Therapy (Ind. CBT) Ind. CBT focuses on changing an individual’s cognitive patterns in order to change his or her behavior and emotional state. Serving: Adults. 11
EL CENTRO DE AMISTAD’S 2014 COMMUNITY MENTAL HEALTH DAY A SUCCESS 12
May is National Mental Health Month El Centro de Amistad raised awareness of the role mental health plays in our lives and provided tips and resources so anyone can take steps to promote good mental health.
El Centro de Amistad’s 2014 Community Mental Health Day was held May 17, 2014 at 566 South Brand Boulevard San Fernando, Ca 91340 and featured FREE fun for the entire family which included: Arts and crafts, face painting, bouncers, refreshments, music/entertainment, San Fernando Police Department, chiropractic services, holistic medicine, El Proyecto del Barrio, WorkSource California, Providence Hospital, Phoenix House, San Fernando Parks and Recreation, Valley Family Center, Jewish Family Service and much more. Tamika Farr, El Centro de Amistad Executive Director “We are thankful to our sponsors and community partners that helped make our event a success. Together we can eliminate the stigma associated with mental illness and decrease the number of individuals that live without proper mental health care.” Event sponsors: Hamer Toyota, Los Angeles County Supervisor Zev Yaroslavsky, City of San Fernando.
Success Maria, is a 38 year-old married Latina mother with two children, reported that she recently lost her job; she was injured at work and was placed on disability. Maria had been unemployed for four years which caused her depressive symptoms. She also reported diminished interest in activities, including spending time with family and engaging in pleasurable activities. Maria stated that since she lost her job she had feelings of sadness and hopelessness, difficulty sleeping and unstable eating habits, as well as low self-esteem. Maria enrolled in therapeutic services with El Centro de Amistad and was seen on a weekly basis in the office setting. Additionally, Maria was seen by an ECDA staff Psychiatrist and was able to follow recommendations given, to take natural supplements to assist with symptoms. Maria was cooperative and willing to participate in discussions during treatment and was able to follow through with weekly commitments. She expressed and verbalized her thoughts and feelings and would present an open communication during discussions throughout treatment. Case management services were implemented upon her request (e.g. food banks, employment assistance, medical assistance, educationa assistance). Maria completed her treatment goals. At the end of treatment she was able to share progress and motivation to increase her well-being, as well as increase her assertive communication skills and coping skills developed during treatment. Maria stated, “Now I feel more confident and empowered�. She conveyed that she has better sleeping and eating patterns and was motivated to engage in activities with her family in community settings. Maria agreed to continue utilizing skills developed during treatment to continue progress and was thankful for all the education provided through her treatment from El Centro de Amistad.
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Stories Steven, a 10 year old male, was referred to El Centro de Amistad by his school due to his refusal to go to school. Steven’s mother stated that he would tantrum (e.g. screaming and crying) when his routine changed. His mother also stated that his aunt recently died from Cancer. Steven’s mother said that he became increasingly angry and has been anxious since 4 years old. Mother stated that he was scared to sleep in his room and would want to sleep in mother’s bed 2-3 times a week. Steven and his mother met with an El Centro de Amistad therapist and created the goal, “Steven will increase relaxation techniques, (e.g. deep breathing, progressive muscle relaxation, grounding, creative visualization) from 0x’s a day to 3x’s a day.” The ECDA therapist met with Steven at school once a week and would meet with his mother for family sessions at the office. Steven and his mother were compliant with treatment and were consistent with attendance. During course of treatment, the mother requested parenting classes, social activities, mental support groups, summer camp and Spanish class referrals. By the end of treatment Steven’s mother stated that he had eliminated his tantrums and would listen to her. He was attending school and was able to self-regulate as needed. Steven stated that he learned to manage his fears at home and at school and he felt that therapy had been effective. Mother stated that Steven has been calmer at home and has been helpful to family members. He at times would continue to ask to sleep with mother, but was much less anxious.
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Clients Served Population Total
90.00% 78.13%
80.00% 70.00% 60.00%
Ethnicity
50.00%
African-American Hispanic
40.00%
Other
30.00%
White
20.00% 10.00% 0.00%
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8.51%
4.51% Total
8.85%
Age Group Clients
70.00% 60.00%
58.76%
50.00%
41.24%
40.00%
Age Group
Children
30.00%
Adults
20.00% 10.00% 0.00%
Total
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quality improvement calls made to clients Quality Improvement Calls Made to Consumers
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Question
Average Rating
Max Rating
How often does your therapist arrive on time?
3.99
4
y g y Normally, how long are your sessions?
3.91
4
How satisfied are you with services provided?
3.63
4
How would you rate your therapeutic progress?
3.37
4
How would you rate your therapist?
3.79
4
Total Score:
18.68
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client satisfaction Client Satisfaction Sur l survey f
Client Satisfactio e Sa s a o
20‐18 Excellent 17‐16 Good 15‐14 Satisfactory 13‐0 Unsatisfactor
Client Satisfaction Survey l f Client Satisfaction Score e Sa s a o S o e
Satisfaction Survey f
20‐18 Excellent 17‐16 Good 15‐14 Satisfactory 13‐0 Unsatisfactory
Client Satisfaction Score e Sa s a o S o e
20‐18 Excellent 17‐16 Good 15‐14 Satisfactory 13‐0 Unsatisfactory
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financial Statement
Unrestricted Net Assets Revenues and Other Support: Contributions Fundraising Revenue Program Revenue: Department of Mental Health United Way Family Development Network L.A. Family Housing Interest Income Other Revenue Total Unrestricted Revenues Net Assets Released from Restrictions Total Unrestricted Revenues
2014
2013
$207 2,800
$16,122 -
3,371,412 130 65,150 3,142 3,441,844 189,377 3,631,221
3,406,612 253 108,776 66,150 2,226 3,631 3,603,770 220 3,603,990
3,081,312 350,341 3,855 3,435,508
3,286,180 323,164 1,499 3,610,843
195,713
(6,853)
(189,377)
(220)
(189,377) 6,336 1,069,426 1,075,762
(220) (7,073) 1,076,499 1,069,426
Expenses Program Management and Administration Fundraising Total Unrestricted Expenses Total Increase (Decrease) in Unrestricted Net Assets Temporarily Restricted Net Assets Net Assets Released from Restrictions Total Increase (Decrease) in Temporarily Restricted Net Asset Total Increase (Decrease) in Net Assets Net Assets at Beginning of Year Net Assets at End of Year
Our Partners
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Our sponsors
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Visit us online: www.elcentrodeamistad.org East Valley Location 566 S. Brand Blvd. | San Fernando, CA 91340 Phone: (818) 898-0223 | Fax: (818) 361-5384
West Valley Location 7038 Owensmouth Ave. | Canoga Park, CA 91303 Phone: (818) 347-8565 | Fax: (818) 347-0506