Improving opportunities and outcomes for children with complex mental
health needs
2015-16 ANNUAL REPORT
Our Vision To bring hope, optimism, and possibilities to the children and families we serve.
Our Mission To be leaders in mental health care for children and their families by combining prevention, treatment, research and education.
Our Values • Believe in our kids and know that it is a privilege to serve them and their families. • Seek knowledge, learn, and teach every day. • Embrace diversity. • Be a great partner. • Bring passion, energy and excellence to everything we do.
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Putting children’s mental health in perspective According to the World Health Organization, mental health will be the number one health concern by 2020. Here’s what we know about children’s mental health in Ontario today:
in 4 children and 1 youth have a mental health problem, yet only 1 in 5 of those who need help, will receive the care they need1.
Demand for children’s mental health services is increasing at a rate of 10% per year2.
More than 6,500 children and youth are currently waiting for mental health assessment and/or treatment; most wait more than one year for the help they need3.
E mergency department visits by children and youth seeking treatment for mental health issues have increased by 54% over the past 10 years4.
T he number of children and youth admitted to hospital for mental health conditions has similarly increased by 60% since 2006/075.
0% of mental 7 health disorders begin in adolescence: left untreated, these conditions tend to progress and get worse as young people age6.
S uicide is the second leading cause of death for children and youth between the ages of 10 and 24 years7.
While treatment is expensive, research indicates that early intervention and treatment can have a profound and positive effect on the mental health of children and youth. For every $1. spent to address mental health issues in childhood and adolescence, an estimated $7. are saved in future social and health care related costs which is why, at Hincks-Dellcrest Centre, we believe investing in children’s mental health today is critical. 1 - Mental Health Commission of Canada (MHCC) 2, 3, 6 and 7 - Children’s Mental Health Ontario (CMHO) 4, 5 – Canadian Institute for Health Information (CIHI)
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
CENTRE CHAIR AND PRESIDENT’S LETTER
Improving opportunities and outcomes for children with complex mental health needs
Dear Friends, This year’s Annual Report marks a period of transformation and transition for the Hincks-Dellcrest Centre. As we look back at 2015-16 and the preceding years, there’s no doubt our Centre has faced challenges. Of course, meaningful change and significant outcomes do not come easily. As we re-cap our progress, we’re proud that by staying true to our Vision, Hincks-Dellcrest has successfully overcome those challenges and emerged as a stronger, more efficient and innovative organization. We have renewed our commitment to service excellence and improved outcomes, defined our service areas of focus, strengthened our financial position, invested in the professional development of our staff, and entered into a number of innovative partnerships with like-minded institutional and community service providers. Looking to the future, there are certain people, principles and programs that will ensure Hincks-Dellcrest addresses challenges in the next phase of our journey.
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Our greatest asset – our people We are especially proud of what we’ve done together. Our achievements and future path have been built through the collaborative efforts of our staff, board members, donors and partners. Hincks-Dellcrest has a creative, courageous and curious staff team that has dared to move beyond dreaming to doing. From a leadership perspective, a team like ours is a rare gift. At the same time, the Hincks-Dellcrest Board of Directors has been instrumental in guiding our emergence as a leader in the children’s mental health sector. Under the Board’s leadership, Hincks-Dellcrest has a plan and a future vision for building integrated, comprehensive services around the people we serve. Most importantly, through all of our challenges, the Hincks-Dellcrest team never lost sight of who we were working for – children with complex mental health problems. Together, we’re building a place of hope, optimism and possibility for the children, youth and families we serve.
Transformation and transition 2015-16 marked the final phase of our five-year Strategic Plan. Over this period, we’ve stayed true to the course we set. We’ve been renewing our clinical programs, charting new internal pathways for kids and families to improve access to services, building new programs
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like our in-home treatment program that better meet the needs of the children and youth we serve, partnering on game-changing research projects and services, and committing to learning new clinical approaches.
Solid financial position The reality of today’s fiscal environment and the lack of any inflationary base funding increases is that managing resources takes hard choices. Over the past five years we have been focusing on how we can make the most effective and efficient use of scarce financial and highly-specialized professional resources. In 2015-16, we successfully achieved a balanced budget. Our balanced financial position gives us a firm foundation for 2016-17 and the next chapter.
Clinical transformation This year Hincks-Dellcrest implemented key parts of our clinical transformation, which began with a comprehensive review – looking both internally and externally – examining practices within our organization and throughout the sector. Through this process, we confirmed that Hincks-Dellcrest is one of very few organizations with expertise in supporting families and children aged from birth to 18. We also found we are one of only three community-based providers in the Greater Toronto Area (GTA)
that is truly inter-professional with psychiatrists, nurses, psychologists, social workers, art therapists, child and youth counsellors, and early childhood educators all in house.
expanded our in-home treatment program, previously focused on children aged 8 to 12, to support teenagers and their families.
We also have a clear academic mandate as a community affiliate of the University of Toronto, and we have the Gail Appel Institute, which has trained more than 8,000 professionals across Canada over the past decade.
Looking to the future
Innovative partnerships Our current and future successes are built on innovative and strong partnerships. This year, with generous support from the Sashbear Foundation, Hincks-Dellcrest has partnered with the University of Toronto and SickKids to conduct one of the world’s first neuroimaging studies of children with emotional dysregulation, a condition which later in life is often diagnosed as borderline personality disorder. Our Centre has also been leveraging our working partnership with MacLean Hospital, an affiliate of Harvard Medical School, to enhance our capacity to provide dialectical behavioural therapy (DBT). Hincks-Dellcrest is also supporting groundbreaking pharmacogenetics research, building a nutrition study into our programming, and expanding family skill building groups and family supports in partnership with Sashbear and Family Connections. We have also
This is an exciting time of innovation and the pursuit of excellence in children’s mental health care. Anchored by strong and meaningful partnerships with SickKids, CAMH, the University of Toronto, Sashbear, MacLean Hospital and others, we are only beginning to imagine the future for our field. Going forward, Hincks-Dellcrest will continue building on the successes we’ve achieved together, and continue leveraging innovative partnerships to guide us into our next chapter.
Ian Smith Chair, Board of Directors
Donna Duncan Centre President and CEO Photo by Hannah M. Cusimano
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“ The Hincks-Dellcrest clinical transformation is about creating a truly integrated approach to clinical service delivery.” – Roxana Sultan, Vice President, Strategy and Clinical Operations
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Clinical transformation at Hincks-Dellcrest – OUR COMMITMENT TO CONTINUOUS IMPROVEMENT In 2014, Hincks-Dellcrest launched a comprehensive clinical transformation initiative – a focused, thoughtful and deliberate process to determine our space in the children’s mental health sector while ensuring we prudently use our resources to deliver outcome-focused, client-centred services for the children, youth and families we serve. Our clinical transformation initiative began with a thorough review of practices within our organization as well as throughout the sector. We learned a lot. In fact, our lessons learned have already led to significant improvements in Hincks-Dellcrest services while providing a solid path for guiding our work into the future. “By creating an integrated model, we can address wait times, length of services, and create a truly supportive continuum of care for kids and families,” explains Roxana Sultan, VP, Strategy and Clinical Operations.
Lessons learned – understanding our role as a complex continuing care provider The foremost lesson from our review is that Hincks-Dellcrest occupies a unique space in the sector, and is an invaluable resource for children, youth and families struggling with complex mental health challenges. Specifically, Hincks-Dellcrest’s wealth of inter-professional clinical teams, its research and training mandates, and its breadth of services across the continuum of age and the continuum of treatment, positions the organization in a place of strength for the provision of complex continuing care. As a complex continuing care facility, our work stands on some key pillars: Our teams are integrated – we have interdisciplinary teams of psychiatrists, nurses, psychologists, social workers, child and youth mental health practitioners, early childhood educators and other professionals working together. Our programs are outcome-based – we used evidence-informed practice to ensure our work is effective and client-centred.
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Our partnerships are aligned – we work collaboratively with other world-class organizations – including SickKids and CAMH – to implement innovative approaches to treatment and research. Our work is targeted – among our programs are specific services for children aged 6-12 – the most vulnerable stages for the emergence of complex mental health issues.
Clinical transformation initiatives In 2015-16, Hincks-Dellcrest undertook the implementation phase of its transformation, and many of our key initiatives are underway. Emergency department pathways – Over the years, increasing numbers of children and youth have been utilizing hospital emergency departments as their primary point of access to mental health services in Toronto. These departments and hospitals are set up to provide a crisis response and acute stabilization, resulting in challenges for discharge or “step down” to longer-term services and supports. To address this issue, and under the leadership of the Toronto Central Local Health Integration Network (TC-LHIN) and the Provincial Council for Maternal and Child Health, Hincks-Dellcrest partnered with Toronto East General Hospital and SickKids to implement the Emergency Department Pathways initiative – an evidence-based approach and clinical support tool to guide the treatment pathways for children and youth arriving in emergency departments with mental health conditions.
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The Emergency Department Pathway developed a process to facilitate seamless transitions from emergency rooms into appropriate community-based treatment programs. As a forward-looking, longterm approach, our Pathways partnership also tracks children and youth as they move through the system to monitor outcomes over the long-term. Centralized intake – This year Hincks-Dellcrest instituted a centralized intake process. It provides integration – a single point of entry where Hincks-Dellcrest staff can take a long-term view of the client’s treatment path, preparing the client, family and program areas for the road ahead, and coordinating services every step of the way. The centralized approach replaces the traditional system where clients entered our facility through multiple, disconnected points. We’ve worked hard to make it happen. In 2015-16, Hincks-Dellcrest centralized team members, administrative processes, technology and infrastructure to support this coordinated approach to managing intake, assessment and transitions. Collaborative partnerships and leading research – In 2015-16, Hincks-Dellcrest collaborated with other leading organizations to stay at the forefront of research that aims to understand the basis for children’s mental health challenges, while testing and evaluating innovative interventions. This year Hincks-Dellcrest partnered with SickKids to establish the evidence base for a ground-breaking study, using multi-modal imaging of children’s sensory and cognitive functions to assess neurological differences associated with emotional dysregulation.
Furthermore, Hincks-Dellcrest is collaborating with CAMH and University of Toronto on a study called, Individualized Medicine: Pharmacogenetic Assessment and Clinical Treatment, or IMPACT. It’s an example of “targeted medicine” – using genetic testing to identify metabolic variants that can influence how clients may respond to various psychiatric medications. An enzymatic profile can be generated within as little as 48 hours to support clinician decision-making regarding medication selection and dosing. Hincks-Dellcrest has referred more than 40 children and youth to the study from both our inpatient and outpatient programs. Moving satellite centres into mobile units – In keeping with best practices for evidence-based treatment, Hincks-Dellcrest closed its Weston Rd. residential program for children ages 6-12 and re-directed its resources into a mobile, interdisciplinary clinical unit, allowing us to offer services to more clients and families using a high quality, childand family-centred approach to treatment. Providing DBT-informed services – Dialectical behaviour therapy (DBT) is a cognitive-behavioural approach that emphasizes the psychosocial aspects of treatment. With the support of staff from MacLean Hospital in Massachusetts (the largest psychiatric affiliate of Harvard Medical School), Behavioral Tech, LLC (the world-renowned training institution for DBT) and the Sashbear Foundation, Hincks-Dellcrest staff have been receiving training in DBT and Family Connections (a peer-led education, skills training, and support program for families of children receiving DBT), and are now delivering DBT-informed services and supports for clients and families.
DBT has already made great strides helping children and youth – read the first-hand experience from Georgia Moore later in this report. Intensive services re-design – This year Hincks-Dellcrest undertook an intensive services re-design initiative – a wide-ranging review that looked at our people, processes and spaces. The comprehensive set of recommendations has formed our blueprint for change for everything from treatment, quality improvement, collaboration, risk management, leadership, staff training and preparedness. Integrating the residential and farm programs – This year we worked hard to integrate and coordinate the residential and farm programs – ensuring that clients get the best of both opportunities. Many clients will benefit from both programs, so it’s essential to build on our strengths and coordinate the valuable lessons from both their residential and farm experiences.
Looking to the future Building on a long history of successful outcomes, Hincks-Dellcrest has reached a turning point in our history. Our clinical transformation initiative shows our commitment to continuous quality improvement. It’s our guide to future changes that will ensure we continue to provide innovative, outcome-based services to children and youth. Our partnerships have led to some meaningful projects – a small indication of what future collaborations could bring.
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Centralized Intake Our centralized intake process – building a seamless client experience For children entering the mental health system, the first step is often the most important. In many cases, it determines the path ahead. This year Hincks-Dellcrest completed the centralization of our intake process – integrating various entry paths into a single point where staff can take a long-term view of the client’s treatment path, preparing the client, family and program areas for the road ahead. Centralized Intake replaces the traditional system where clients entered our facility through multiple, disconnected points. It’s a significant step towards ensuring a more seamless client experience and getting kids and youth the right help at the right time.
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
Centralized intake team (from left to right): Christie Hayos, Anna Chouchkova, Amy Paul, Bree Brown and Artene Mehmetaj. Photo by Hannah M. Cusimano.
Supported teams. Committed resources. Standardized processes. To centralize our intake process, we brought our Clinical Services Intake team under one roof. Bringing the team together ensures our Intake Department can triage clients into the appropriate programs with a single phone call. Of course, a single phone call isn’t as simple as it sounds. The truth is that phone call relies on an organizational commitment of knowledgeable staff, dedicated resources and aligned processes. For example, this year we successfully: Supported multidisciplinary teams – Hincks-Dellcrest professionals come together in a unique set of multidisciplinary teams, and the centralized intake feeds directly into their expertise and care. In a centralized model, that starts right from the moment a child enters our front door, where they receive psychiatric consults so their journey begins with an informed, focused direction. Adopted standardized processes – Centralized Intake is also facilitated by a standardized set of program processes. We have now successfully implemented standard processes for: • Case review and assignment • Electronic records • Tracking client cases • Inter-program referrals
Different programs now speak a common language and follow the same protocols, minimizing the chances of children falling through the cracks. Established clear pathways – When a child walks through the door, where should we start? By establishing clear pathways for treatment needs and program referrals, decision-making is enhanced and much of the guesswork is gone. With an immediate assessment of the child’s needs, staff can make a decision on the spot, based on programs that are available or not available, both within Hincks-Dellcrest or from external partners. Invested greater resources – Our Centralized Intake process benefits from greater investment in our resources. Overall, Hincks-Dellcrest has continuously developed a comprehensive database of external resources to help connect clients with outside supports.
Sector-wide centralization Centralized Intake is also happening in Hincks-Dellcrest’s partner organizations. This year, SickKids also implemented a centralized intake for psychiatric services, and we have closely followed its process-mapping and templates.
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Intensive services redesign project PAVING OUR WAY FORWARD
Building a culture of continuous improvement means always striving to do things better. In 2014, Hincks-Dellcrest established the intensive services re-design project, a comprehensive initiative to review and revamp one of our most active areas. The results of this initiative yielded a comprehensive set of recommendations relating to our people, processes, places and programs. Under the leadership of co-chairs Patricia Chehowy and Kim Jaggers, the project committee turned the study’s recommendations into a detailed plan of action.
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Improving client outcomes Many recommendations from the intensive services re-design project are currently in place and the benefits are already being realized. Seamless integration of intensive services – First and foremost, three intensive services for latency-aged children (6-12 years) – the Intensive In-Home Treatment Program, Intensive Child and Family Services and Day Treatment Services – are now aligned under a single manager making a seamless pathway for children to access these services. Coordinated practices and philosophies strengthen continuity of care – Integrating services leads to stronger collaboration between programs, and gives children and youth a common language moving forward.
Increasing safety on our units – The physical facilities at both our city and farm residential programs have been renovated, focusing on enhanced safety in the facilities’ re-design. Advancing research on children’s mental health – Children and youth from our Intensive Services programs undergo review at SickKids – both pre- and post-participation. These findings help advance research on children’s mental health. Building on successes in treatment – By reviewing the successes of both the city and farm programs, we’ve discovered more creative ways to enrich the treatment experience by compiling the strengths of the different environments. Our goal is to always find ways to enhance the client experience and provide whole-patient care to the children and youth we serve.
Centralized intake – Rather than three pathways into intensive services, referral and intake pathways are now centralized. Supporting parents’ skills – All parents have good intentions, and strengthening their capacity to understand and support their children requires training. Hincks-Dellcrest teaches parents the necessary skills as they continue with their children’s care.
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Family Connections and the Sashbear Foundation – GIVING FAMILIES SKILLS FOR UNDERSTANDING AND CARING
In the children’s mental health sector, we gain inspiration from the hope and optimism we get from helping our clients and their families. And while our practices are clinically-focused and evidence-based, we never lose sight of one real truth – namely, that compassionate, effective care starts at home with parents and family. The Family Connections program, delivered by the Sashbear Foundation and hosted through the Hincks-Dellcrest facilities and network, is a leading example of how those evidence-based, family supports come to life.
Family Connections Founded in 2012, The Sashbear Foundation (www.sashbear.org) is an all-volunteer organization committed to enhancing Family Connections and building family skills.
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The Sashbear Foundation operates in loving memory of Sasha Menu Courey, an outgoing, athletic young woman who struggled with mental illness and succumbed to the pain in June 2011. Today, the organization is run by Sasha’s parents, Lynn Courey and Mike Menu. The program they are helping to disseminate – Family Connections – is innovative, progressive and effective. Family Connections is a 12-week skills training program for parents and individuals who have someone in their lives who suffers with emotional dysregulation and related problems. The program focuses on developing the skills parents need to help both themselves and their children. It’s an evidence-based approach that focuses on problem-solving, problem management, relationship
mindfulness, developing a true understanding of what children are going through and how to best relate to them. Much of the training builds on the dialectical behavioural therapy (DBT) insights developed in the United States by Dr. Alan Fruzzetti and Dr. Perry Hoffman. The teaching is peer-based and facilitated by people with similar experiences – an approach that enhances understanding, empathy and insight. Hincks-Dellcrest social workers also participate as observers, helping them grow as professionals and informing their therapeutic work.
Reaching Through partnership with Hincks-Dellcrest, Family Connections grew significantly in 2016. An initial session ran from February to May, with a second group running from May to August. Over 30 service providers and 40 family members across Ontario have been trained as facilitators.
Core principles Every great success is the result of some important breakthroughs. In the case of Family Connections, the program’s immediate success can be attributed to some important insights, including those outlined here. It’s more than good intentions – Parents of children need real professional guidance and evidence-based practices. “Every parent has the right intentions for their kids,” Mike explained. “But good intentions don’t solve these problems.”
Parents must feel validated. Young people must feel understood – Family Connections begins by making the families feel respected and comfortable. The facilitators acknowledge that the parents didn’t ask for their situations, and it almost certainly wasn’t what they expected when they started their parenting journey. This is an important step – Making people feel validated and understood. Most importantly, it sets the groundwork for a level of openness and comfort as a key step towards making positive change. Don’t fight the reality – At the same time, Family Connections stresses the importance of parents staying grounded in reality. “We must let go of our expectations,” Lynn says. “If you spend all your energy resisting the reality, then you won’t be able to help your kids. We must remove blame and acknowledge that we are here,” says Mike. “And the good news is we are moving towards positive change.”
Make self-care a priority Family Connections emphasizes the importance of self-care. “It’s just like the safety procedures on airplanes,” Lynn explained. “If something happens, put on your oxygen mask before you start helping others. You can’t help anyone if you’re knocked out.”
Learning from the past. Working towards the future. June 2016 marked the 5-year anniversary of Sasha’s passing. Her journal entries emphasize the effectiveness of dialectical behavioural therapy (DBT) and urge that DBT be made available for young people and families. Hincks-Dellcrest works closely with the Sashbear Foundation to honour Sasha’s memory and bring her vision for DBT to life.
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Migration Consultation Team HELPING REFUGEES SETTLE IN CANADA
Each year, our country welcomes new arrivals from around the world looking to call Canada home. Nationwide, Canadians open their arms to welcome these new residents as they begin a new chapter in their family’s future. Hincks-Dellcrest is part of this tradition, and our Centre has long been serving immigrants and refugees. In 2013, Drs. Debra Stein and Priya Raju – two Hincks-Dellcrest psychiatrists – created the Migration Consultation Team (CMT), a specialized service to support HDC colleagues in addressing the complex needs of newcomers to Canada. The team takes trainees within the Centre, but was able to expand its public outreach in 2015, thanks to $25,000 in funding from the Bernard and Norton Wolfe Family Foundation. The timing proved to be excellent when, in fall 2015, it was announced that families from Syria were set to arrive to Canada. The MCT quickly plugged into a network – participating in a CAMH symposium, consulting with The Hospital for Sick Children, and conducting workshops with organizations such as Toronto Public Health, the Canadian Mental Health Association and Humber River Regional Hospital.
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Focusing on basic needs Surviving a war and fleeing your homeland for a completely new country can be incredibly stressful. Hincks-Dellcrest’s Migration Consultation Team was mindful of the fact that refugee families tend to be resilient overall. Evidence states that it’s often the most basic day-to-day stressors in Canada that tend to cause mental health distress in this group. “The evidence on refugee mental health shows that what people experienced before coming to Canada does affect them psychologically, but whether they receive social supports and can meet their basic needs once they arrive here – those are the major determinants of their mental health,” explains Dr. Raju. While the team stood ready to provide psychological assistance, their primary focus was on settlement concerns. “We stayed focused on settlement concerns such as employment, housing, safe communities, access to language training and good quality schools for the children. If we advocate to get these things in place, then we see less problems on the psychological front,” says Dr. Stein.
Our facilities INVESTING SIGNIFICANTLY IN PHYSICAL UPGRADES
Dr. Stein emphasized something that Hincks-Dellcrest knows well: that a child’s mental health is embedded in the health of the entire family. “We treat the child, but if a child is struggling, then it can be a sign that the parents are having a hard time too,” she adds.
Seeking better outcomes Providing effective services for refugees requires an innovative approach. “The real long-term value comes from our ability to work creatively to help the families find their own solutions to their problems,” states Dr. Stein. “We have many stories that illustrate the need for mental health clinicians to think outside the box when supporting refugee families,” Dr. Raju conveys. “These resilient individuals are a gift to our city. This is an opportunity to think holistically about how we can welcome them,” she adds.
In 2015-16, Hincks-Dellcrest invested nearly $1 million in upgrades to each of our facilities and properties. The physical upgrades touched almost every part of our organization – including replacing the heating system at the Jarvis site, resurfacing the parking lot at the Sheppard site, completing building and water system upgrades at the Farm, and revamping our technology network. The children we serve will certainly notice the improvements. They include a transformation of the fourth floor city residence with newly-renovated bedrooms, kitchen and common area. Perhaps more importantly, each of our locations was revamped with a specific focus on improving safety features. “We did a lot of work last year,” said Annabelle Rocha, Hincks-Dellcrest VP Corporate Services and Chief Financial Officer. “They will help us provide better and safer services into the future.”
Above: Dr. Priya Raju (left) and Dr. Deb Stein (right) head up our Migration Consultation Team.
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Listening to children’s voices DEVELOPING A NEW CLIENT SATISFACTION TOOL
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Hincks-Dellcrest is committed to listening to feedback on the client experience. One of the ways we fulfill this commitment is through our client questionnaire which is used to solicit feedback from children, youth and parents/caregivers on their experiences. In fact, this constructive feedback tool comes to life through HincksDellcrest’s leadership, a focus on evidence-based practices and sectorwide collaboration.
Hincks-Dellcrest and four partner agencies lead a sector-wide initiative In 2012, Hincks-Dellcrest, along with the Child Development Institute, The Etobicoke Children’s Centre, George Hull Centre and YouthLink, received funding from the Ministry of Children and Youth Services (MCYS) to develop a tool to effectively assess client satisfaction while contributing to improved client response rates. The result was the client satisfaction and experience (CSE) project – a Toronto-wide initiative to determine the key elements of client satisfaction and develop a valid and reliable survey tool. HincksDellcrest, with our partners, conducted a comprehensive literature review, held stakeholder consultations within children’s mental health and other sectors regarding their current practices, obtained their current tools, and conducted focus groups with children, youth and parents/caregivers to help generate questions and methods, and then pilot tested these tools.
Giving clients a voice
iPad app, online discussion, and/or telephone. Hincks-Dellcrest has been interviewing clients by telephone and the results have been encouraging. “We’re interviewing children as young as six, and they are able to provide useful feedback,” explained Dr. Irene Bevc, HincksDellcrest Director of Evaluation and Clinical Outcomes.
A quality improvement tool The tool gives meaningful feedback on client experiences, and drives our commitment to continuous quality improvement in all parts of the organization – including at the senior leadership table, operations council, clinical leadership team and individual programs.
A collaborative effort Developing the CSE tool shows the benefit of partnership and sectorwide collaboration. Dr. Irene Bevc says, “the client satisfaction tool is truly a collaboration with other Toronto agencies. It sets the stage for future collaborative work across the sector.”
Expanding the project In fact, the collaborative effort is already leading to project expansion and the rolling out of new channels. For example, Youthlink is launching an online tool, that, if successful, could be available to agencies throughout Toronto. This initiative is improving quality and client satisfaction across the sector. Our commitment to innovative and collaborative partnerships is an encouraging trend as children’s mental health continues to evolve.
At Hincks-Dellcrest, we have been successfully using the CSE survey for four years. The CSE tool is flexible and can be administered using different methods: paper-pencil, game, web-based application,
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Hincks-Dellcrest research DRIVING LOCAL, NATIONAL AND INTERNATIONAL COLLABORATIONS TO IMPROVE CHILDREN’S MENTAL HEALTH Hincks-Dellcrest leads the children’s mental health sector in two important areas: delivering innovative treatment practices and driving ground-breaking research. In fact, those two areas are often directly linked – our treatment practices are developed through evidencebased programs, while our experience treating children and youth often lay the foundation for future research projects. Regardless of the area of focus, we never lose sight of who we are serving – children, youth and their families. The Hincks-Dellcrest Research Department, led by Dr. Nancy Cohen in collaboration with Dr. Fataneh Farnia, analyzes, communicates and implements local, national and international research findings. Department members are affiliated with the University of Toronto, offering Hincks-Dellcrest a unique opportunity to train students who will become the next generation of mental health investigators. In 2015-16, the Hincks-Dellcrest Research Department focused on certain key projects. Handle with Care – Dr. Cohen, Dr. Farnia, and mental health promotion consultant Bonnie Pape are leading a national mental health promotion project, Handle with Care, funded by the Public Health Agency of Canada. Handle with Care helps families with preschool aged children (birth to 6 years) living in communities at risk for mental health problems. With leadership from Hincks-Dellcrest, this strength-based program is currently active in Ontario, Manitoba,
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Alberta, Atlantic Canada (Prince Edward Island, Nova Scotia, New Brunswick, Newfoundland and Labrador) and the Yukon, and is soon expanding into Québec, Northwest Territories and Nunavut. The research team is analyzing the program’s outcomes and helping to quantify its social return on investment (SROI). Higher-order language testing tool – Drs. Farnia and Cohen are developing a new tool for measuring higher-order language abilities. This unique initiative was prompted by Hincks-Dellcrest’s experience that a significant percentage of the children and youth referred for mental health services have language impairments, often undetected. A tool for measuring higher order language skills is essential for providing comprehensive treatment services. This work is being done with collaborators from Trent University, the Ontario Institute for Studies in Education and the Toronto District School Board, and is supported with funding from the Social Sciences and Humanities Research Council (SSHRC). Learning Through Play – Learning Through Play is an international program aimed at enhancing infant-parent supports in developing countries. Hincks-Dellcrest is evaluating outcomes of this program in collaboration with multi-national organizations such as the Christian Children’s Fund of Canada and the Adventist Development and Relief Agency (ADRA). Significant funding comes from the Government of Canada through the Department of Foreign Affairs and Trade and through its Grand Challenges program.
The IMPACT Study TARGETED MEDICINE FOR YOUTH MENTAL HEALTH
An exciting part of future health care is the emergence of targeted medicine – a personalized approach that determines the right medication for each patient, based on their genetic make-up. At Hincks-Dellcrest, we’re doing exactly that for children’s mental health through our participation in the IMPACT study: Individualized Medicine: Pharmacogenetic Assessment and Clinical Treatment. Conducted in collaboration with the Centre for Addiction and Mental Health (CAMH) and University of Toronto, and led by Dr. James Kennedy at CAMH, it’s a ground-breaking study on pharmacogenetic testing – using genetic data to identify variants that can influence how clients may respond to various psychotropic medications, specifically, antipsychotic and antidepressant medication, based on their ability to metabolize these drugs. “This is paramount for our youth because it takes the guesswork out of prescribing and having to wait to see if they will experience adverse effects from the medication,” explains Rosalinda Ceci, Senior Registered Nurse with Hincks-Dellcrest. Hincks-Dellcrest is leveraging the strengths of the IMPACT Study to make better diagnoses for our clients and contribute to groundbreaking research on children’s mental health. Beginning as an ad hoc practice, IMPACT expanded rapidly from 2014 to 2016. It’s now part of the residential intake program and has expanded to the outpatient
program at our Sheppard site. HDC clients are able to participate in the study with a referral from one of our social workers. During the past two years, Hincks-Dellcrest has referred more than 40 youth into the IMPACT study and, in many cases, their parents have enrolled in the study as well. The results to date have been encouraging – prescribing psychiatrists have reported that the results have been beneficial in prescribing medication, and clients and clinicians have both said they see a positive difference in children’s reaction to medications. Hincks-Dellcrest will continue referring clients to the IMPACT Study (www.im-pact.ca) and improving outcomes for the children, youth and families we serve.
The Gail Appel Institute TRANSFORMING OUR RESEARCH AND EDUCATIONAL AFFILIATE This year the Hincks-Dellcrest transformation extended to our research and educational affiliate, the Gail Appel Institute. Established in 1986, the Institute was created to improve mental health care for children by providing advanced training and conducting research in children’s mental health. The Institute delivers workshops and certificate courses to staff, educators, direct service workers and parents looking to expand their knowledge and acquire new skills. Wylie Burke, the Institute’s Interim Director explained the Institute’s significance. “For years, professionals from the children’s mental health sector have been coming to the Gail Appel Institute to expand their professional development.” That trend continued in 2015-16. Last year the Institute delivered training to over 100 staff and close to 2,400 clinicians. We added these innovative new seminars, while retiring others. Minds on Mental Health – Building on the success of our parent seminar series, this year we expanded the series and changed its name to Minds on Mental Health. With a new brand and expanded reach, future Minds on Mental Health sessions will focus on anxiety, depression, bipolar disorder treatments and cognitive behavioural therapy (CBT). The series will also feature a session on “The Explosive Child” by Dr. Ross Greene, explaining his evidence-based methodology
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
that has already transformed thinking and practices in countless families, schools, inpatient psychiatry units, and residential and juvenile detention facilities throughout the world.
Public education programs – partnership with Young People’s Theatre Minds on Mental Health also draws on a unique partnership with the Young People’s Theatre – a friendly and fun place to host the sessions. This partnership is designed to teach parents and caregivers the practical skills they need to ensure children’s well-being and improve the lives of their families. Topics include dealing with anger, selfregulation, mindfulness and obsessive-compulsive disorder (OCD). In 2015-16, the Institute and Young People’s Theatre co-hosted six evening workshops for more than 250 attendees.
Expanding our reach Last year the Institute set out to share our vast knowledge on children’s mental health. According to Burke, the Institute team “is working hard to innovate our programs, connect with a broader audience, and develop communities of practice. At the same time, we are exploring different ways to start building core competencies in children’s mental health outside our sector to further meet community needs.”
Building our online presence – Last year the Institute had great results offering more content in an online format. The ABC’s of Mental Health, for example, reached a much broader audience online. “We’re excited about looking at innovative ways to expand our online presence,” says Burke. ABCs of Mental Health – The Institute continued developing a key resource – the ABCs of Mental Health. This unique program leverages the Institute’s knowledge and skills training to enhance skill-sets and increase mental health competencies. And it’s adaptable, allowing us to help develop core competencies in sectors beyond children’s mental health. Helping internationally – Last year the Institute took steps to extend a unique international program – Learning Through Play – by signing a four-year contract with the Adventist Development Relief Agency (ADRA) Canada to expand the program to four new countries – Cambodia, Myanmar, Philippines and Rwanda – over the next four years. Learning Through Play encourages the healthy growth and development of young children, aged birth to six years, by focusing on physical, intellectual, linguistic and socio-emotional development, and promotes attachment through active parental involvement in a child’s development. Since its launch in 2000, Learning Through Play has been delivered in 42 countries, translated into 35 different languages and reached nearly 75,000 families.
Gail Appel Institute – the next chapter As the Hincks-Dellcrest Centre enters a time of transition and transformation, the Gail Appel Institute remains committed to delivering innovative and advanced training opportunities.
New Training Opportunities The Gail Appel Institute will offer a series of innovative, new sessions in the upcoming year. • Adolescent Depression by Dr. Marshall Korenblum, Chief of Psychiatry, Hincks-Dellcrest • The Adolescent Brain: Under Construction by Dr. Jean Clinton • The Explosive Child by Dr. Ross Greene • Cognitive Behavioural Therapy (CBT) Master Class by Dr. David Tolin • The Neurobiology of Trauma by Dr. Lori Haskell • Cognitive Behavioural Therapy (CBT) and Psychosis by Dr. Noah Lazar
Find out more: www.hincksdellcrest.org
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Celebrating our compassionate volunteers
CIBC volunteers preparing a delicious lunch for the children.
Hincks-Dellcrest’s passion, strength and resourcefulness is evident in our greatest asset – our people. We are a results-based, patient-centred facility, but our mission comes to life through our commitment to providing children and youth with respectful and compassionate care. The heart of our mission can be found in our volunteers. In 2015, 60 volunteers – from high school students to retirees – shared their time, talents and good will with Hincks-Dellcrest serving the entire organization in treatment, administrative and support functions. On a typical day, you’ll find Hincks-Dellcrest volunteers helping with homework, acting as interpreters for families speaking Farsi, Spanish, Mandarin or Turkish, or serving as ambassadors at our Foundation’s fundraising events. “Our volunteers truly want to be here helping kids. They are truly selfless,” says Pilar Ramirez, Manager of Volunteer Services.
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
Our corporate volunteers Hincks-Dellcrest is also fortunate to have corporate and organizational volunteers who return to us each year. These wonderful volunteers and their generous efforts include: • Hilti Canada - painting our farm each year • Ontario Paint and Finishing School - painting the Early Years Centre and some therapy rooms at Sheppard Site • University of Toronto - civil engineers building small structures as an introduction to engineering with our Day School program • CIBC staff - preparing a great lunch for our children • BMO – preparing the BBQ at the June Family Fair • TD Canada Trust - preparing lunch for our teens • Great West Life - preparing lunch for our teens
To our dedicated volunteers – Thank you!
Meet Georgia Moore One of our dedicated volunteers – Georgia Moore – deserves special mention. Georgia began volunteering with HincksDellcrest in September 2015 and has continued her weekly commitment over the past year. Georgia works closely with the dialectic behavioural therapy (DBT) process by co-leading the weekly inpatient DBT meetings, and also taking time to spend with clients and show them how DBT skills can work. As a young person, Georgia speaks a language that connects with our clients. “I’m closer to the clients’ age,” Georgia explained. “They undoubtedly relate closer to me.” And as a DBT graduate herself, Georgia is a real example of DBT’s power to change young people’s lives. “I can show them what DBT can do. In a way, they are learning from my experience.” Georgia also emphasizes that teaching DBT skills has helped her own journey. “Teaching people DBT skills has helped me hone my own skills and better apply them to my own life. It’s really rewarding,” she said. Georgia is a high school student at Rosedale Heights School for the Arts, studying drama and theatre. Well done, Georgia. Your commitment to strength and compassion is inspiring.
Georgia with guest at the Raise a Child’s Smile Gala.
Getting creative! This year Hincks-Dellcrest benefitted from volunteer Rachel Duda, a student at the Ontario College of Art & Design (OCAD), who donated her time and artistic talents to design a brochure and bookmark for Hincks-Dellcrest.
ABOUT THE INTENSIVE IN-HOME TREATMENT PROGRAM The Intensive In-Home Treatment Program provides in-home mental health services for children aged 6-12 and their families/caregivers. Research in children’s mental health has shown that many children achieve better outcomes when treatment is delivered in the home. This is because In-Home treatment allows for customized approaches to everyday challenges, as well as moment-to-moment support which greatly improve the likelihood of maintaining gains.
HOW TO REACH US: REFERRAL INQUIRIES For further information on the Intensive In-Home Treatment Program, please contact Kim Jaggers, Latency Lead for Intensive Services (416) 924-1164 ext. 2199 External referrals should be made through Toronto’s Centralized Access to Residential Services (C.A.R.S) (416) 482-7884
The goal is to promote positive change in children and families by empowering and engaging caregivers to build on their strengths and to solve problems.
INTENSIVE IN-HOME TREATMENT PROGRAM
Our team consists of an inter-professional staff of Child and Youth Workers, Social Workers, a Psychiatrist and a Psychologist who will provide their individual expertise to the unique strengths and needs of each child and family/caregiver. For further information on The Hincks-Dellcrest Centre’s programs and services, please contact our Intake Department at (416) 924-1164 ext. 2133 or ext. 3250 or visit our website: www.hincksdellcrest.org
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Our successes are made possible by generous volunteers! Naimeh Abedinzameh Mobina Ahmad Kate Allan Zaina Al-Samrai Sarah Ateshin Amuna Baraka-Clarke Lianne Biggar Shari Cappe John Creech Christina Chew Lisa Clements Kristina Cordero Behewit Degefu Rachel Duda Ann Duong Aryan Ganji Muna Ashley Friedman Sudeepthi Govathott Nokrooz Hosseini Luna Huang Lore Jacobs Mary Jisha James Roail Kabani Manshid Khoeini Joseph Lipton Sarah Marks Adrian Martin Maureen Maguire Robin McGrath
Georgia Moore Phillip Muller Isabella Munoz Zoey-Ann Mullings Cathy O’Dorthey Gabriela Osorio Esra Perek Debby Riz Christoper Rojas Johanna Sarick Paul Slodornick Dave Southan Rachel Stewart Pathak Ahva Shirzadi Nick Stitt Randi Stoffer Carmen Tang Tahira Tasneem Benjamin Todd Joseph Viluan Rosanna Rupert Silvia Vukadinovic Evie Walton Vivian Zang
Hincks-Dellcrest volunteers help across the entire organization City Residential Out-Patient Services Institute Research The Farm Finance Ontario Early Years Centre Library Day School Program Information Technology Prevention Family Support Network Clinical Transformation Records Program Evaluation Services Talent & Culture Foundation Garden Intensive In-Home Program Transitional “Growing Together” Program
“ Our volunteers truly want to be here helping kids; they are truly selfless.” – Pilar Ramirez, Manager, Volunteer Services
Civil Engineering students from U of T lead a small structure building exercise in our Day Program.
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
ge
nd
er
59.5% MALE 0.5% OTHER
Clients
by
Key 2015-16 statistics
40% FEMALE
SERVICE ACTIVITY
Number of programs for mental health professionals
88
Number in attendance
2,395
Number of Public Educational Programs and Events
6
Number in attendance
257
TOTAL number of attendees
2,652
Number of Employees Part-time Full-time Number of Students
ents by age Cli gr
28.5% 11-14 years old
p ou
15.1% - 15-18 years old
49 133 113
Number of Volunteers/Hours Individuals/Hours Corporate/Hours
60/3,468 109/1,895
Client Satisfaction 10.2% - 0-5 years old
Response Rate % Positive
54.8% 86%
46.2% - 6-10 years old
IMPROVING OPPORTUNITIES AND OUTCOMES FOR CHILDREN WITH COMPLEX MENTAL HEALTH NEEDS
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TREATMENT CENTRE FINANCIAL SUMMARY
2014-15
Executive Leadership Team
2015-16
REVENUE Government funding United Way Grants and donations Recoveries/other Investment income Total Revenue
Donna Duncan
$14,029,174
85%
$13,243,094
83%
307,104
2%
$313,304
2%
1,165,114
7%
$1,402,259
9%
941,423
6%
$897,149
6%
Gail Appel Institute
42,525
0%
$25,965
0%
Dr. Marshall Korenblum
$16,485,340 100%
$15,881,771
100%
President & CEO
REVENUE
Wylie Burke Interim Director,
Psychiatrist-in-Chief Mary Pomanti Vice-President,
EXPENSES
Talent & Culture
Residential services
$4,381,432
25%
$4,076,577
28%
Non residential services
$5,349,353
31%
$5,700,540
38%
1,455,883
8%
$1,235,626
8%
The Hincks-Dellcrest Foundation
333,964
2%
$205,700
1%
Annabelle Rocha
2,712,357
16%
$2,586,443
17%
8,189
0%
$3,340
0%
Administration
1,528,454
9%
$780,471
5%
Restructuring costs
1,195,729
7%
$0
0%
Vice-President,
238,032
1%
$231,580
2%
Clinical Strategy & Operations
16
0%
Community support Open custody services Special projects Fundraising
Amortization Renovation and building/other
Excess / (deficit) of revenue over expenses
30
$17,203,409 100% -$718,069
HINCKS-DELLCREST 2015-16 ANNUAL REPORT
President & CEO –
EXPENSES
Vice-President, Corporate Services & Chief Financial Officer Roxana Sultan
0% -
Total Expenses
Anne Randell
$14,820,277 $1,061,494
100%
For more than a decade, The Hincks-Dellcrest Centre has been challenged - in the face of increasing demand and costs, and significant financial constraint - to continue providing high quality children’s mental health services. Over the past two years, the Centre has had to make difficult choices and a number of major operational and structural changes in order to balance its 2015-16 budget, and to ensure the organization’s financial sustainability going forward. For a copy of our complete audited financial statements please visit our website at www.hincksdellcrest.org.
GAIL APPEL INSTITUTE FINANCIAL SUMMARY
2014-15
Board of Trustees – Treatment Centre and Institute
2015-16
REVENUE Training fees
$1,587,301
78%
1,150,127
77%
Ian C. Smith (Chair)
Building rental
273,188
14%
279,354
19%
Blair Cowan
Programs - Grants and donations
105,568
5%
14,456
1%
67,061
3%
47,308
3%
$2,033,118
100%
1,491,245
100%
Other Total Revenue
REVENUE
Shaun Darchiville Chris Dingman Rob Graham Howard J. Kaufman Agnes Kazakos Mark Morency Dr. Molyn Leszcz Tom Little
EXPENSES Training
Hugh McKee (Vice-Chair)
$1,090,151
48%
700,390
42%
6,530
0%
6,085
0%
Administration
859,480
38%
703,163
43%
Building
218,957
10%
149,312
9%
1,200
0%
1,701
0%
91,997
4%
93,027
6%
$2,268,315 100%
1,653,678
100%
Research
Interest and bank charges Amortization Total Expenses Excess / (deficit) of revenue over expenses
-$235,197
Patrick Nelson Jan Rush (Vice-Chair) Sandy Walker Ex officio members:
EXPENSES
Donna Duncan Dr. Marshall Korenblum Calvin Younger
-$162,433
As more and more learning and professional development takes place on-line, and as the knowledge base in children’s mental health continues to evolve, the Gail Appel Institute has undertaken an extensive review of its many professional and public offerings over the past two years, updated its curriculum and restructured its operations. It is now working toward a break-even position for 2016-17.
IMPROVING OPPORTUNITIES AND OUTCOMES FOR CHILDREN WITH COMPLEX MENTAL HEALTH NEEDS
31
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
The Hincks-Dellcrest Foundation Our Vision
Our Mission
Our Values
We work to create a world where philanthropy and positive mental health go hand-in-hand, and it all begins with children.
We celebrate and support children’s mental health through ground-breaking philanthropy, volunteerism, and innovative funding for Hincks-Dellcrest.
• Children First – The children and families served by HincksDellcrest inspire our goals, strategies, operations and funding. • Giver-Centric – We are responsible to our donors and volunteers and grateful for their altruism, expressing our commitment to them through transparency, best practises, ethical code of conduct, service, stewardship and a donor-centric philosophy. • Joy of Giving – A genuine desire to give children their childhood guides our work and outreach, and provides fellow supporters with opportunities to realize their highest selves through their giving. • Innovation – We seek new ways for people to give, and provide opportunities for them to uniquely express their giving. • Game-changing – On behalf of our supporters, we are boldly invested in transforming the “system” in order to eliminate waiting lists, provide the best services and environment, overcome stigma, and give children and families a sense of hope, optimism and possibilities.
CREATING A WORLD WHERE PHILANTHROPY AND POSITIVE MENTAL HEALTH GO HAND-IN-HAND
33
FOUNDATION CHAIR AND CEO’S MESSAGE
Well on our way to becoming the charity of choice for children’s mental health INSPIRED BY THE CHILDREN AND FAMILIES SERVED BY THE TREATMENT CENTRE WE SUPPORT, THE HINCKS-DELLCREST FOUNDATION FOR CHILDREN’S MENTAL HEALTH HAD ANOTHER SUCCESSFUL YEAR IN FISCAL 2015-16. Our two signature events—the Raise a Child’s Smile Gala and One Night Stand: Take a Stand for Children’s Mental Health were record breaking once again! Together, these events brought in more than $840,000 from our corporate event partners and individual donors. Chaired by some of our most dedicated volunteers, who are featured in this year’s Annual Report, these events also serve to raise awareness about the significant challenges young people today experience as a consequence of mental illness, and the growing need for more and better children’s mental health programs and services to meet increasing demand for treatment. In addition to our ongoing commitment of funds to support the Centre’s clinical transformation initiative, which will make it easier and faster for children to access the care they need, we were pleased to contribute resources in 2015-16 to help fund two new and exciting projects with contributions from our valued donors.
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
With a $25,000 grant from Drs. Fred and Karen Leitner through the Bernard and Norton Wolfe Family Foundation, we provided seed funding to create a Migration Consultation Team (MCT) that focuses on the unique mental health needs of children and families new to Canada, particularly refugees who often arrive here having experienced some form of significant trauma in their countries of origin. Led by Centre psychiatrists, Drs. Priya Raju and Debra Stein, the MCT provides treatment, training and consultation services to other clinicians working with immigrant families. We were delighted when a number of people reached out to support the new service after hearing Drs. Raju and Stein interviewed on CBC Radio’s Metro Morning. Hincks-Dellcrest Foundation was also fortunate to be a recipient of Longo’s 26th Annual Fore Kids’ Sake Golf Tournament, which yielded $275,000 last year for children’s charities across the Greater Toronto Area. With proceeds from the golf tournament, Longo’s Children
Charity pledged $75,000 over three years to fund a nutrition program for the Centre’s city and farm residential programs. Longo’s support will enable Hincks-Dellcrest to develop and implement a formal nutrition program and study the impact of sustained healthy eating on the mental health of its teen residents with a view to integrating a nutrition program into all of its clinical programs. We are eternally grateful to all of our volunteers and donors for their generous gifts of time and resources, which enable us to do all that we can, in partnership with The Hincks-Dellcrest Children’s Centre, to alleviate the pain and confusion associated with mental illness so that young people have the opportunity to experience the fullness and wonder of their early years. Established just three years ago as a stand-alone organization with a Vision to create a world where philanthropy and positive mental health go hand-in-hand, beginning with children, the Hincks-Dellcrest Foundation has now achieved the goals set out in its inaugural 2013-2016 Strategic Plan. Much of what we have accomplished has been achieved with the steadfast support of Annabel Bassin, our outstanding Director of Development, and her dedicated team, all
of whom never cease to inspire and impress those who have the pleasure of working with them. While there remains much more to do, we are confident that with the continued support of our loyal volunteers, generous donors and energetic Board, we will, in time, become the charity of choice for everyone committed to children’s mental health. With our sincere thanks,
Calvin Younger Chair, Foundation Board of Directors
Anne Randell Foundation President and CEO
CREATING A WORLD WHERE PHILANTHROPY AND POSITIVE MENTAL HEALTH GO HAND-IN-HAND
35
Volunteer extraordinaire Gala Chair, Louise O’Brien Moving mountains for children’s mental health Don’t let this grandmother’s demure nature fool you. When it comes to children, Louise O’Brien is a passionate and energetic children’s mental health advocate who can, and does, move mountains to raise awareness about children’s mental health and funds for the mental health services they need. “Children nowadays experience so much stress,” says Louise who works full-time at Graywood Developments. “I just want to be there for them.” And ‘be there’ she has been – for the past 10 years working tirelessly to help the Hincks-Dellcrest Foundation stage its single largest fundraiser, the annual Raise a Child’s Smile Gala.
Raising close to $4 million As the Volunteer Chair and/or Co-Chair of the event for seven years*, Louise and her fellow Gala Committee volunteers have raised close to $4 million to support the development, delivery and expansion of critically needed children’s mental health services, leading edge research and advanced clinical training for the staff at The Hincks-Dellcrest Children’s Centre. Photo by Hannah M. Cusimano
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
A friend first introduced Louise to the Hincks-Dellcrest Foundation in 2006. Since that fateful day, Louise hasn’t looked back. She’s learned so much over the years she says—about fundraising, which she enjoys and is obviously very good at; about children, who she adores, gravitates to and actively supports; about the challenges they face at school and growing up in an online world; and about the desperate need for children’s mental health services. The whole experience, she says, has made her deal with kids differently. “I’ve become enlightened about children’s mental health issues. I’m more observant now and I’ve learned to listen with my whole self to their struggles. Kids just need to be heard,” she says.
Everyone knows someone who has been touched by mental illness
a challenge, but it’s a good problem to have! And, annual Gala revenue has increased by more than 100% since 2009. “I’ve met some wonderful people over the years,” says Louise who is quick to deflect accolades for the Gala’s success. “It’s definitely a group effort. The entire Gala Committee is very committed and works really hard,” she says. “We now have an event planner on board to help with logistics, and high profile people and known personalities are now speaking openly about mental illness. Our sponsors are very supportive. We have a lot of repeat donors now and we truly attempt to show them a good time. And Donna (Duncan, Hincks-Dellcrest Centre’s President and CEO) is marvellous. She speaks from her heart and soul. She really touches people and that makes all the difference.”
A privilege to serve
Louise is driven to do all that she does for the Foundation by her rocksolid belief that every child deserves a happy childhood. When she first started, she says it was a lot of hard work – knocking on doors, introducing herself and Hincks-Dellcrest, explaining the issues and making the case for support. But it wasn’t long before she discovered that “no one has been untouched by mental illness.”
Louise says she feels privileged to have come across Hincks-Dellcrest, and to have had the opportunity to serve as an ambassador for the children the organization serves. When asked about her favourite part of her decade-long volunteer commitment, Louise is quick to respond: “It’s all about the kids, and seeing all of the great work that is being done for them with the funds we’ve been able to raise.”
Gradually, doors—and wallets—began to open as she respectfully and persistently laid out her case for the kids. Raise a Child’s Smile Gala attendance has grown over the past decade from about 250 to over 550. Finding a venue to accommodate that many people has become
And that is what makes Louise O’Brien smile. Louise, the privilege is all ours! Thank you. * Louise took a year off from her Gala Chair duties in 2013 when Ann Sutherland kindly and ably took over the reins.
CREATING A WORLD WHERE PHILANTHROPY AND POSITIVE MENTAL HEALTH GO HAND-IN-HAND
37
Hot and steamy Havana Nights attract record crowd and raise countless smiles Our 18th annual Raise a Child’s Smile Gala held in May 2015 raised more than $730,000 and too many smiles to count last year. Funds raised at the event are being used to help get children and families off the wait list and into treatment. As Hincks-Dellcrest Centre President and CEO, Donna Duncan, explained to Gala guests, “there are currently more than 6,500 children and youth waiting for a mental health assessment or treatment in Ontario, and I know that, with your help, we can bring that number down.” Havana Nights was the theme of the evening extravaganza, which attracted a sell-out crowd of over 550 people. Guests donned quintessential Cuban fedoras and tropical flowers in keeping with the theme of the event, and were greeted at the entrance to the Liberty Grand by Tropicana dancers festooned with colourful, feathered headdresses and sequined costumes. With the pulsing beat of drummer J Stixx, things really started to heat up! Emcee Michael Landsberg, host of TSN’s Off the Record program, made everyone feel welcome under the swaying fronds of the palm trees located throughout the hall where Gala goers enjoyed Cuban-inspired cocktails and hors d’oeuvres while swaying to the sultry sounds of the el Quinto Salsa band before dinner. Michael told attendees about his own struggles with depression, the importance of getting help early in life, and his commitment to reducing the stigma of mental illness. His words touched everyone in attendance, including former clients of The Hincks-Dellcrest Centre who were inspired by his story.
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
The sense of hope, optimism and possibilities in the room more than doubled when Honorary Gala Chairs Megan Hagarty Smith and Geoff Smith took to the podium and explained what has inspired their commitment to improving mental health services for children. For the second year in a row, Geoff offered to match all donations made that evening up to $50,000 from the estate of his late father, Don Smith. And, in what seemed like a nano-second, over $110,000 was raised, increasing our net revenues. We are grateful to the Smiths, and to our amazing and energetic Gala Committee volunteers who, under the leadership of Gala Chair Louise O’Brien, organized last year’s event and made it our biggest and most successful Gala yet. Thanks also go to our generous Gala sponsors: Platinum sponsor, CIBC; Gold sponsor, Bell; Hope, Optimism and Possibilities sponsor, Hewlett Packard; and Silver event sponsor, Belden and Juniper Networks. Our sincere thanks to everyone who supported Raise a Child’s Smile 2015 —with its signature silent auction, crowd-pleasing conga line, salsa dancing and raffle, not to mention a fabulous dinner, we think it’s fair to say a good time was had by all! See you next year at our 19th annual which is bound to be another epic evening.
2015 Raise A Child’s Smile Gala Committee Louise O’Brien, Chair
Bob Harris
Robin Barstow
Shannon Holcomb
Annabel Bassin
Steph Mackie
Valerie Campbell
Pilar Ramirez
Nella Contardi
Claire Salsbury
Michael Dominic
Francesca Smirnakis
Stacey Evans
Cecilia Tement
IMPROVING OPPORTUNITIES AND OUTCOMES FOR CHILDREN WITH COMPLEX MENTAL HEALTH NEEDS
39
Long-time volunteer recognized At last year’s annual Raise a Child’s Smile Gala the Hincks-Dellcrest Foundation was pleased to announce the inaugural inductee of the Canadian Children’s Mental Health Award, which honours an individual who has made extraordinary contributions to both Hincks-Dellcrest and the children’s mental health field. HDC Foundation Board members, George Hardy and Barry Fenton, presented the award to none other than Foundation Board Chair, Calvin Younger. Calvin, whose day job at CIBC keeps him extremely busy, has championed the issue of children’s mental health for more than 10 years, first as the steadfast leader of The Hincks-Dellcrest Children’s Centre Board, and, more recently, as the Chair of the Hincks-Dellcrest Foundation. Calvin’s support has been unwavering. He shares his time, energy, and wisdom freely and generously. Calvin has become a go-to resource for staff, trustees, volunteers and families. In so doing, he has helped to steer the organization through some of its most challenging times, and led it to its greatest successes. Calvin, words cannot express how thankful we are for your guidance and support for more than a decade. Hats off to you!
Inaugural inductee of the Canadian Children’s Mental Health Award, Calvin Younger
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HINCKS-DELLCREST 2015-16 ANNUAL REPORT
Taking a stand for children’s mental health – one night at a time ONS Co-Chairs Nigel Smith (left) and Leila Weller (right). Photo by Hannah M. Cusimano.
Call them what you will—Gen X’ers and/or Millennials: they are today’s young urban professionals, the up-and-comers. Like generations before them, they want to make their mark— and a meaningful difference. Thankfully for Hincks-Dellcrest Foundation and the children’s mental health centre it supports, over 300 of these worldly and digitally savvy young philanthropists have been making their presence felt with an annual event called One Night Stand: Take A Stand for Children’s Mental Health (ONS) for six years now. Co-chaired for the past two years by Nigel Smith and Leila Weller, ONS caters to a younger demographic that prefers a fun night out in support of a good cause to a sit-down black-tie dinner. These two young professionals and their colleagues on the ONS organizing committee are deeply concerned about the serious lack of treatment options for children and youth today, and are committed to increasing awareness and raising funds to improve the status quo. Getting involved was an easy decision for Nigel, who is intimately familiar with the challenges people with mental illness experience as
well as the significant deficits in awareness and services for those who need them. “I was looking for an opportunity to get involved and to contribute in a way beyond the wallet,“ he says. Four years ago, a former Hincks-Dellcrest Foundation Board member approached Leila, who has a history of working with children and event planning, and asked her to join the ONS organizing committee. “I want people who I know to know that there is a dedicated facility that is doing great work and could do more with our help,” she says. While the two co-chairs have demanding careers—Nigel works in the financial sector, Leila in telecommunications—they make time for the cause they are both so passionate about. They are fortunate, they say, to work for large corporations that actively support their employees’ volunteer interests. Both Leila and Nigel encourage other companies to look at how they include young professionals in their corporate charitable activity, and how they could encourage employees to get involved with a charity of their own choice on a scale they can afford. It’s about grooming the next generation, they say.
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As leaders, Nigel and Leila try to make organizing ONS “an engaging and rewarding experience for everyone involved.” Focused on core principles, they try to tap into the creativity, skills and connections of everyone around the table to make it all come together. New volunteers are always welcome, they say, and “Foundation staff has been instrumental in supporting their efforts.” Since its inception in 2010, One Night Stand: Take a Stand for Children’s Mental Health has grown from a gathering of about 140 in its first few years to one that now attracts more than 350 people. The interactive event, which typically features a celebrity host, live entertainment, dancing, a silent auction and raffle prizes as well as refreshments, has also raised close to half a million dollars in just six years. Ticket prices range from $100 to $125 per person, making it a fun and affordable night out. Funds raised go to expanding and enhancing children’s mental health services, research and education at The Hincks-Dellcrest Children’s Centre.
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
“If we can get people to walk away with an understanding of the issues and the needs, as well as an awareness that by being there and participating, they are doing something to help, then I think we can say the event has been successful,” says Nigel. To help whoever may follow in their footsteps when the time comes, Leila and Nigel are keen to document the history of the event, their learnings, and build a template for the next team of young professionals who will take over the reins and, hopefully, take One Night Stand to the next level. But for now, they’re focused on ONS: Take A Stand for Children’s Mental Health 2017 and recruiting new committee members, especially people with skills and experience in the entertainment world and/or talent management, public relations and social media. If you’re interested in joining this dynamic duo and their energetic colleagues on the ONS organizing committee, please contact the Hincks-Dellcrest Foundation.
Next generation contributes more than $110,000 in just one night! 2015 One Night Stand: Take A Stand for Children’s Mental Health Committee
More than 350 young professionals took a stand for children’s mental health at last year’s 6th annual One Night Stand (ONS) extravaganza, raising over $110,000 in support of The Hincks-Dellcrest Children’s Centre. Comedian and Cash Cab host, Adam Growe emceed the soiree, which was held at the Design Exchange in the heart of Toronto’s financial district. Growe entertained the crowd with an ONS version of the TV show he hosts. Overseeing the gathering was a larger-than-life zebra centerpiece, complete with colourful stripes, cool shades and a message encouraging ONS attendees to help spread the word about the event and raise awareness about children’s mental health needs via their social networks.
Nigel Smith, Co-Chair
Tiffany Irwin
Leila Weller, Co-Chair
Heidi Keifer
Helen Barbalias
Jodi Katz
Annabel Bassin
Melanie Leckie
Ryan Bruce
Kate Mackay
Ally Contardi
Hailey Nemoy
Sanya Dacres
Pilar Ramirez
Michael Dominic
Elyse Silverberg
Christina Ford
Chris Smith
Shannon Holcomb
Gillian Younger
Guests were treated to a variety of New Zealand wines, Steam Whistle beer and finger foods as they mingled and placed their bids on the silent auction items. After two fabulous sets performed by singer/ songwriter Andria Simone, deejay Dennis R ratcheted up the energy on the historic trading floor as party goers danced to his beats long into the night. Our heartfelt thanks go to all who attended, members of our awesome event planning committee and to corporate sponsors: CIBC, Bell, Hewlett Packard, Belden, Juniper, Sun Life Financial, Deloitte, Pace and Sharp whose generosity and support we truly appreciate.
CREATING A WORLD WHERE PHILANTHROPY AND POSITIVE MENTAL HEALTH GO HAND-IN-HAND
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FOUNDATION FINANCIAL SUMMARY
Board of Trustees – Foundation
2015-16 REVENUE Donations and fundraising
914,255
97%
Interest and other revenue
26,510
3%
TOTAL REVENUE
940,765
100%
Calvin Younger (Chair) Bryan Baker Julie Bristow
REVENUE
Holly Coffill Julie Di Lorenzo Barry Fenton George Hardy
EXPENSES Salaries and benefits
214,073
44%
Office and general expenses
40,741
8%
Building occupancy
15,898
3%
Purchased services
25,053
5%
Fundraising activities
195,986
40%
TOTAL EXPENSES
491,751
100%
Net Revenue
$449,014
Pamela Jeffrey
Foundation Staff Anne Randell President & CEO Annabel Bassin
EXPENSES
Director of Development Shannon Holcomb Development Officer
For a copy of our complete audited financial statements, please visit our website at: www.hincksdellcrest.org
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HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
Thank you to our donors We are grateful to the many individuals, foundations and corporations who supported Hincks-Dellcrest Foundation in 2015-16.
$50,000 - $99,999 CIBC
The Doug and June Barber Family Foundation
RBC Foundation $5,000 - $9,999
Assistants
Pizzaville
Bunny Scott
Blair Cowan
Jan Rush
Seventy Six Davenport Limited
John Currie
Joel Scoler
Don Darroch
Alan Sellery
Scotiabank - GBM Finance
Partnership
$10,000 - $49,999
Anonymous
Ian C. Smith & Catherine Lyons
Julie Di Lorenzo
Sinalta Investments
Aird & Berlis LLP
Blake, Cassels & Graydon LLP
Sun Life Assurance Company of
Donna Duncan
David Sipkema
Airlie Foundation
Bratty and Partners, LLP
Dykeman Dewhirst O’Brien LLP -
Michael Sitzer
Avaya
Canada Clean Fuels Inc.
Torkin Manes LLP
Belden
Canderel Residential Inc.
Treasure Hill
Everyday Office Supplies Inc.
Carl & Jennifer Spiess
Bell Canada
CGI Information Systems and
Tridel Corporation
Bill Fielding
Jason Tafler
Bernard & Norton Wolf Family
Management Consultants Inc.
Urbancorp Toronto Management Inc.
Fuller Landau LLP
The Henry White Kinnear Foundation
Cisco Systems Canada Co.
The Barbara and Harvey Wolfe Family
John Gibson
Stephen Thuringer
Norman & Debbie Godfrey
Michael Varenbut
Sophia Hoang & Phong Vo
VCE
Ironbridge Equity Partners
Sandra Walker
Foundation
Canada
Charitable Foundation
Health Law
Nigel Smith
Bond Child & Family Development
Davies Ward Phillips & Vineberg LLP
Brookvalley Developments Inc.
Deloitte Foundation Canada
Canada Gives
Duflaw Realty Ltd
CIBC Children’s Foundation
EMC2 Corporation of Canada
$1,000 - $4,999
Howard J. Kaufman
Janis Weenen
Gowling Lafleur Henderson LLP
Fengate Capital Management
3Macs
Agnes Kazakos
John Whyte
Graywood Developments Ltd.
Genband Canada
727 Sales Solution Inc.
Susan Kee
Women’s Executive Network
Hewlett-Packard (Canada) Co
George & Kathleen Hardy
ALRE Properties Inc.
Vaso Maric & Roxana Sultan
Foundation
Huawei Technologies Canada Co. Ltd.
IBM Canada Ltd.
Bryan J. Baker
John Matheson
Jeremy Wubs
Ingram Micro
Imperial Capital
Bell Media Productions
Hugh McKee & Hillary Pounsett
Sandy Yuen
Juniper Networks
Mattamy Homes
Julie Bristow
James & Joan McKinlay
Tom Little & Ann Sutherland
McCarthy Tétrault
Sheila Brown & Doug Guzman
Ivan & Tasha Mihalijevic
$250- $999
Longo’s Family Charitable Foundation
Metrus Properties
Cabbagetown Mini Marathon
Thomas W. Murphy
Michael Apkon
Minto Group Inc.
Norton Rose Fulbright Canada LLP
Patrick Nelson
Lisa Applegath & Tom Trimble
North American Development Group
RBC
Caldwell Securities Ltd.
David Nicholson
Ron Armstrong
Purves Redmond Limited
RBC Insurance
Canadian Association of Physician
PACE Consulting Benefits & Pension Ltd.
Joe Arnone
Calvin Younger and Frances McIsaac
Foundation
IMPROVING OPPORTUNITIES AND OUTCOMES FOR CHILDREN WITH COMPLEX MENTAL HEALTH NEEDS
45
Helen Barbalias
Adam Forgione
Jennifer Lewis
Dave Richards
$100 - $249
A. Marguerite Coleman
Annabel Bassin
Freeze Flame Productions Inc.
Angelo Libertucci
Annabelle Rocha
Claire Adams
Ally Contardi
Marcus Bertagnolli
John Gibson
Marie MacDonald
Michael Rose
Anthony Albrecht
Megan Cowan
Borden Ladner Gervais LLP
Kevin Giffin
Allen MacInnis
Megan Rowney
Tricia Allen
Alberto Da Anunciacao
David Borg
William Giffin
Todd & Steph Mackie
Jomo Russell
Doron Almagor
Tanya Dacres
Daniel Botelho
Robert & Linda Gill
Ted Macklin
Johanna Sarick
Michael & Mari Anderson
Tanya Damjanoski
Andrew & Victoria Boukydis
Barbara Goldring
Gene Maida
Matthew Sarmento
Kim Arbus
Ted & Liz Davidson
Rob Brown
Ken Gordon
Michael Maillet
Warren Sawkiw
John Ardiel
Aaron de Boer
Stephan Brown
Michael R. Gouinlock
Ron & Sheila Matheson
Jeffrey Schwartz
Ayman Autoun
Geoffrey Deeth
Ryan Bruce
Susan Gouinlock
Allan McGlade
Sean Shirzadi
Adel Bazerghi
Stephen Derlick
Stephen Cameron
Jerry & Carole Grafstein
Andrew McGoey
Elyse Silverberg
Ted Bekhor
Ursula Deschamps
Joe Canavan
Cindy Greenough
Olinka Mece
Ryan Smith
Chris Bermingham
Maureen DeStefano
Steven Chackowicz
Joanna Heimbecker
Annette Mincer
Paul Spring
Katie Bermingham
Robin Dodokin
Eddie Chan
Nancy Hill & Todd Guglielmin
Gustavo Miranda
Julie Strassman
Michael Binnington
Domain Design Inc.
Viktor Chormopyskyy
Linda Hills
Morai Logistics Inc.
Barbara Stymiest
Jason Black
Jeffrey Downs
Civil Engineering Graduate
James Hunter
Kimberly Moran
Michael Sutherland
Kevin Blainey
Jennifer Drake
John Ing
Mark & Susan Morency
David Taub
Brian & Lyn Brewer
Emma Du Boisson
Nancy Cohen
Garth Issett
Gary Morgan
The Coffey Family Foundation
Richard Bryan
John Duco
Mark Collins
Blake Jeffrey
Phil Nanavati
Kate Thornley-Hall
Gregory Bubela
Darren Elligsen
Sydney & Florence Cooper
Alexandra Jenkins
Michael Nehall
Nadia Torresan
Ashley Burke
Kathryn Evans
Bill Junkin
Mardi Noble
Sheryl Trachter
Mary Campbell
Jennifer Ferguson
Geoff & Mariana Kereluik
John Oly
Edward Truant
Rob Campbell
Charlene Fitzgerald
Firas Kitmitto
OPTIMUS | SBR
Rashaad Vahed
Anonymous
Betty Fitzpatrick
Robert Cross
Nevil Knupp
Pivotal
Andrew Vassos
Mark Caruso
Violet French
Lauren Cutter
Marshall Korenblum
PNEWKO
Kenneth Vincent
Grace Chacon
Jessica Frutti
Gabriel Dimartino
Ashley Kowel
Paul Pogor
Murray Visser
Daisy Chan
Douglas Garbig
Chris Dingman
John LaCalamita
Navaid Qureshi
Michael Volpatti
Nick Chan
Steve Garmaise
Katherine Dominic
G Lange
Anne Randell
Thomas & Karen Von Hanh
Colleen Chance
Daniel Glazerman
Peter Dowse
Ted Larkin
Andrew & Joanna
Watchfinder
Tina Chimbos
Daniel Gonsenhauser
Ernst & Young LLP
Melanie Leckie
Aimee Yee
Gene Chkolnik
Diego Gonzalez
Merrick Falkenstein
Chi Lee
Edna & Cecil Reid
Douglas Younger
Trevor Clark
Lisa Grassa
Sean Foran
Brian Leon
Joel Reisman
Maggie Clarke
Tanya Groulx
Student Association
Foundation Crawford & Company (Canada Inc.)
46
Reesor-McDowell
HINCKS-DELLCREST FOUNDATION 2015-16 ANNUAL REPORT
Brooke Halpert
Biljana Lourakis
Robert Riopelle
Brian & Janet Watson
Tim & Judy Higgins
Andrea Love
Kyle Rodgers
Lisa Watts
Erin Hogan
Hang Lu
Ken Rosenstein
Nancy Webster
Yale Holder
Lizzy Luff
Gillian Rowney
Michael Weizmann
Gerry Holowachuk
Ryan Lumbers
Susan Sacchi
Leila Weller
Chris Holz
Laura MacAdam
Shea Seale
Joanne West
Luna Huang
George MacDonald
Melissa Senders
Sandra Wilder
Fotini Iconomopoulos
Ruth-Ann MacIntyre
Dave Shier
Eunice Wong
Caitlin Imrie
Andrew Mackay
Nicole Shinya
Andrew Wooldridge
Gina Izumi
Britlyn MacLaren
Robyn Shulman
Stephen Yee
Imran Jessani
Moira & Garth MacRae
Judi Siklos
Ross Yellowlees
Nick Kabitsis
Steve Mainguy
Jess Simons
Kyle Zien
Mindy & Ken Kadonoff
Marcon Pictures Inc.
Norman Skolnick
Steve Karan
Connor Marien
Jeff Slemin
J. T. & Janet Kennish
Graham Markham
Chris Smith
Kavita Khandelwal
Jennifer Matthews
Sherri Smolkin
Heidi Kiefer
Martha S. McLean
Leslie Smyth
Bruce Kirby & Elizabeth
Misty Meeks
Martin Sommer
Naumovski
Donna Milligan
Zachary Stadnyk
Scott Kish
Matt Mysak
Alexandra Stanley
Katelin Knopp
Brenda Nachla
Shannon Stewart
Kraft Berger LLP Chartered
Kellee O’Brien
Nick Stitt
Accountants
Louise O’Brien
Michael Stoutley-Henderson
Michael Krestell
Shane O’Doud Rutherford
Ian Sullivan
Nurfiza Ladak
Farialle Pacha
Laurie Taniguchi
Chris Lakich
Celecia Partap
Alex Thoms
Kyle Lane
Alexander Pattillo
Bon Tran
Kathy Leventakis
Diana Petrarca
U of T Civil Enginnering Club
Everton Lewis
Jordan Popper
Kyle Um
Jim Logan
Sonia Presotto
Miranda Urbanski
Luca Lorenzoni
PwC LLP
David Wade
Gerasimos Loukatos
Haven Renaud
Tessa Waisglass
CREATING A WORLD WHERE PHILANTHROPY AND POSITIVE MENTAL HEALTH GO HAND-IN-HAND
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Committed to Children and Families
Telephone: (416) 924-1164 Toll Free: 1-855-944-HOPE (4673) info@hincksdellcrest.org
The Hincks-Dellcrest Centre team comprises 295 full-time and part-time staff members and students/trainees. Our team includes psychiatrists, psychologists, social workers, child and youth workers, early childhood educators and community home visitors, along with administrative staff that support our work with children, youth and families.
hincksdellcrest.org The Hincks-Dellcrest Centre Treatment Centre (Sheppard) 1645 Sheppard Avenue West North York, ON M3M 2X4 Fax: (416) 633-7141 The Hincks-Dellcrest Centre Treatment Centre (Jarvis) and Foundation 440 Jarvis Street Toronto, ON M4Y 2H4 Fax: (416) 924-8208 The Hincks-Dellcrest Centre Gail Appel Institute 114 Maitland Street Toronto, ON M4Y 1E1 Fax: (416) 924-9170
Our team is dedicated to Hincks-Dellcrest and children’s mental health. Among our permanent and contract employees, more than half have been with the Centre for over a decade, while one-quarter have contributed more than 20 years of service. Hincks-Dellcrest is accredited by the Council on Accreditation. Hincks-Dellcrest is a United Way Member Agency.
To make a donation To support children’s mental health and The Hincks-Dellcrest Centre, please contact Annabel Bassin at abassin@hincksdellcrest.org, (416) 924-1164, ext. 3343, or 1-855-944-HOPE (4673). To volunteer To inquire about volunteer opportunities at The Hincks-Dellcrest Centre, please email volunteer@hincksdellcrest.org or call (416) 924-1164, ext. 2111 or 1-855-944-HOPE (4673).
Writing: Paul Lalonde | Writing & Project Management: Ferguson & Associates | Design: rubinered.ca