Annual Report 2008 - Los Angeles Child Guidance Clinic

Annual Report 2008

“A child’s life is like a piece of paper onwhich every passerby leaves a mark.”– Chinese proverbA Message to Our Friends and Supporters:We are extremely pleased to offer you this glimpse into the importantwork of the Los Angeles Child Guidance Clinic in the pastyear — a multifaceted effort that is changing the lives of childrenand changing the world in which we live.Once again, nearly 5,000 children and family members benefitedfrom Clinic services in Fiscal Year 2008. In addition, our dedicatedstaff handled nearly 68,000 outpatient visits at our offices, local schools, and in clients’ homes throughout Central andSouth Los Angeles. Each encounter, each self-discovery, each step taken toward social and emotional well-being can havea profound impact on the individual and the community far into the future.Among other highlights of the year, the Clinic received a three-year accreditation from the Commission on Accreditationof Rehabilitation Facilities, known as CARF International. To pass muster by this independent, nonprofit reviewer,an organization must meet rigorous standards of quality and service.We would like to share some of the comments made by the CARF surveyors. They praised our staff as “an extremelytalented and dedicated group of individuals . . . all focused on the mission of the organization.” They lauded our longstandingand numerous community partnerships and professional affiliations, as well as our participation in communityforums, which have “fueled the creation of multiple points of entry to increase access to services" for the clinic's highneedsservice areas.We note these remarks not to sound our own horn, but to spotlight the need for a network of highly committed peopleto enact true change. This was perfectly demonstrated at our second annual Awards Luncheon in 2008, where we honoredthree groundbreaking leaders in the broader community. You can read more about these awards on p. 19.This has been a difficult year for the national economy. No one is immune from the impact, but nowhere is it harder feltthan in the neighborhoods we serve. Poverty, violence, family stresses all can combine to create a hopelessness, a pressurecookerfeeling that things may never be different. We are here to say otherwise. We know—with friends and supporterslike you by our side—we can make a positive mark on children's futures, one life at a time.We offer our gratitude to the Clinic’s staff and Board of Directors for their unstinting devotion to this important cause.Elizabeth W. Pfromm, M.S., MPAPresident/CEOThomas F. Trott, M.D., Ph.D.Chairperson of the BoardChanging Lives, Changing Worlds | 3

the factsYouth with emotional and behavioral difficulties are morelikely to be unemployed, under-employed, or employed inlower-skilled jobs than any other groups of the same age.Blackorby, J., & Wagner, M. (1996). Longitudinal Post-School Outcomes of Youth With Disabilities: Findings from theNational Longitudinal Transition Study. Exceptional Children, 62 (5), 399-4134 | Changing Lives, Changing Worlds

Changing Lives, Step by StepA few years ago, Lanise, 24, had an importantjob to do: caring for her grandmother.Then the elderly woman movedto a nursing home and later passed away.Lanise spent a tumultuous time, livingin a homeless shelter and later with hermother, with whom she has a volatilerelationship.Lanise wanted to find a quiet placeto live and a job. But she faced a majorstumbling block: she completed highschool, where she was in a special educationprogram, without really knowinghow to read. Job applications, directions,even “For Rent” signs are out ofreach. With no options, she often feltdepressed.Now, Lanise is learning valuable skills— including punctuality, responsibilityand follow-through — working two daysa week in supported employment at theUniversity Park office of the Los AngelesChild Guidance Clinic.As a consumer in the Clinic’s Life LearningProgram and Full-Service Partnership,Lanise’s life already has changed for thebetter. It’s about to change even more. “Iused to be ashamed that I couldn’t read,”she says. “But I’m not ashamed anymore.Because I’m getting help.”The Life Learning Program assistsadolescents and young adults, age 15-25,as they face the often tricky rite-of-passagefrom children’s services to independentcommunity life. The Full ServicePartnership, funded through the MentalHealth Services Act, provides intensiveservices for underserved, high-risk individuals,including mental health servicesand case management.Consumers receive one-on-one assistanceaimed at achieving independentinterviews. On Saturdays, staff takeconsumers on outings — such as bowling,bike riding, or a tour of Hollywood.“It offers our consumers an opportunityto use the skills they’ve been developingin workshops,” says Dr. Davis, “and ourstaff a chance to see how each individualdoes in the moment.”“I’m not ashamed anymore. Because I’m getting help.” – Laniseliving, employment or school readinessand understanding their mental illness.“Much of what we do is skill-building,”says Susie Davis, Ph.D., Life LearningProgram director and a licensed clinicalpsychologist. That can include timemanagement, concentration, relaxationand anxiety management, communication,and social skills. Staff are availablearound-the-clock to provide whateversupport is needed to help consumerssucceed.In the Clinic’s University Park office,there is space to learn and to grow,with a computer lab, homework area,recreation space, and clothing for jobthe factsSome, like Lanise, need to take smallbut significant steps before bigger onesare possible. Clinic staff helped her findan apartment for herself, her three-yearoldson and a baby on the way. Her son— recently diagnosed with attentiondeficithyperactivity disorder — uses theClinic services, too.Excited, she ticks off her apartment’sfeatures: a new refrigerator, clean carpet,and a stove. Most of all, it’s a place ofstability and hope, a place where she canbegin to create a new life. “Without thepeople at the Clinic, I don’t know whereI’d be. I’d be lost,” she says, then repeatsit. “I’d be lost.”Up to 44 percent of youth in high school withmental health problems drop out of school.Wagner, M. (2005). In Changes Over Time in the Early Post School Outcomes of Youth withDisabilities: A Report of Findings from the National Longitudinal Transition Study-2 (NTLS2)(pp.2.1-2.6). Menlo Park, CA: SRI InternationalChanging Lives, Changing Worlds | 5

“Los Angeles Child Guidance Clinic has a strong CalWORKsteam that is energetic, innovative, and dedicated to theCalWORKs program.”— Los Angeles County Department ofMental Health Site Visit Report, May 20086 | Changing Lives, Changing Worlds

Where a better future is a ‘work-in-progress’At first, she was reluctant to admit toany mental health issues because of whatshe calls a “stigma” in her community.Now, she freely says that such problemsrun in her family and is proud of herselffor accepting help.The Clinic’s CalWORKs programoffers at least four English-speakinggroups and four Spanish-speakinggroups weekly, in addition to individualizedcase management and counselingservices. Inside the groups, participantscoping skills. She received housing, casemanagement, and job readiness services.She still comes to the Clinic once a weekfor Trauma Group and has individualcounseling on an as-needed basis.On her way to her bachelor’s degree,something happened that once mighthave sent her into a tailspin: Isabelbecame pregnant. Her second child, aboy, is due later this year. Isabel is makingplans to job hunt full force after thatevent. In the meantime, she’s taking“Life isn’t just what’s here in front of me at any moment. It’s more.”This summer, Isabel, 26, earned herBachelor of Science in Criminal JusticeAdministration from the University ofPhoenix — a remarkable achievementfor a young woman who spent the pastsix years on welfare and a lifetime confrontingfeelings of anger and despair.As a single mom with an 11-yearolddaughter, Isabel once thought shecouldn’t shape her own future. Today,she happily calls herself “a work-in-progress.”Her goal: to become a Parole Officerand eventually inspire other younggirls to do more with their futures.Isabel is a participant in the LosAngeles Child Guidance Clinic’sCalWORKs program, which providesmental health services to adult participantsof the California Work Opportunityand Responsibility to Kids Welfareto-Workprogram. The primary focus:removing the barriers that mental healthissues pose to employment.“The sense of hopelessness is pervasiveamong the people we help at the Clinic,”says Katie Vernoy, M.S., L.M.F.T.,CalWORKs Coordinator. “Often, mybiggest job is instilling hope and teachingself-care, so that each person can seeoptions he or she couldn’t see before.”Before Isabel started coming to theClinic in 2006, she often responded tostress by shutting down, typically evenforgetting to eat, and reacting beforethinking. “I was very reactive,” shelaughs.help each other problem solve.Like many consumers who join theCalWORKs program, Isabel startedwith an intensive round of services,coming three times a week for a parentinggroup, case management, andone-on-one counseling, among otherservices. Gradually, she learned to identifythe triggers that might send her intodepression – along with all-importantchild development classes.She has learned she can make a differencein her life just by changing herthinking. “I can’t necessarily changewhat is happening. But coming tomental health services helps me thinkin a new way. I know now that life isn’tjust what’s here in front of me at anymoment. It’s more.”It is important that our youth realize the significant challenges they face arenot barriers to success in the workforce and that gaining employmentis essential to self-sufficiency. The youth we help are the nextgeneration of community partners in South Los Angeles. As a team, we arededicated to instilling hope and optimism in our young consumers in realizing theirown dreams and making a positive contribution to the fabric of the community.— Susie Davis, Ph.D., Life Learning Program Director &Leticia Vargas, Senior Vocational Rehabilitation Counselor,Department of RehabilitationChanging Lives, Changing Worlds | 7

School -Based Servicesthe factsStudents are substantially more likely to seek help whenschool-based mental health services are available.Slade, E.P. (2002). Effects of school-based mental health programs on mental health service use by adolescents atschool and in the community. Mental Health Service Research, 4, 151-166.8 | Changing Lives, Changing Worlds

Going to the Children Who Need CareEight-year-old Lucia had a hardstart in life. Born addicted, she wasremoved from her home at birth whenher mother tested positive for drugs.Lucia then lived with a series of fosterparents, who struggled to manageher excessive crying, severe sleepproblems, and her objection to beingheld—common for children with herbeginnings.At age three, Lucia was finally adoptedby an experienced foster motherwho was committed to sticking by her.Once enrolled at L.B. WeemesElementary School, however, Lucia’sunstable foundation revealed itselfin her classroom behavior. She wasfrequently disobedient, throwingdramatic tantrums. At other times,she became distraught with fears ofabandonment if separated from herteacher, crying even at recess.Christine Davis, M.F.T., WeemesElementary School counselor, calledthe Los Angeles Child GuidanceClinic’s School-Based Services, soboth Lucia and her adoptive mothercould get services and support. Theschool typically refers the most severecases – “the children whose needs wecan’t meet,” explains Mrs. Davis, alongwith cases that need family interventionor long-term, uninterrupted care.Those have included a suicidal nineyear-oldgirl who tried to run in frontof a school bus and a fifth-grader withextreme anger issues, who when askedto take out his book told his teacher,“Make me.”The Clinic’s network of servicesenables children and families to accessthe services they need when theyneed them. The School-Based ServicesProgram had its official launchin 1995, in partnership with the LosAngeles Unified School Districtand the Los Angeles County Departmentof Mental Health. Clinic“It’s terrific knowing that theClinic is here for us and our kids.” – Christine Davisstaff provide individual, family andgroup therapy; case management;and psycho-social services on schoolcampuses, plus crisis interventionand medication services at Clinicoffices—all at no cost to schools.As of 2008, school-based servicesare located at 18 schools throughoutthe agency’s service area in Centraland South Los Angeles. “It simplytakes someone at a school to say,‘Here are our concerns.’ Then we canguide them to the resources we have,”notes Eric Inouye, L.C.S.W., School-Based Services Coordinator.Clinical therapists and familyadvocates work on site for the Clinicat Weemes Elementary. “It’s terrificknowing that the Clinic is here for usand our kids,” says Mrs. Davis. “Sometimeswe just want to get anotheropinion.” In reflection of the valueshe places on the Clinic’s expertise,Mrs. Davis has even driven some childrento Clinic offices for immediateintervention.After 21 years at Weemes Elementaryand 13 years collaborating withthe Clinic, Mrs. Davis has seen manychildren’s lives transformed. Amongthem is the little girl who once wasso frightened of abandonment shecouldn’t enjoy playing with otherchildren at recess. Today, she is inthe third grade and “making amazingprogress”— a happier, growing girlwith a home to call her own.Changing Lives, Changing Worlds | 9

EARLY INTERVENTION AND COMMUNITY WELLNESSFirst Steps ProgramOur First Steps Program provides primary prevention services for at-risk families raisinginfants and toddlers in Central and South Los Angeles, where intense stressors negativelyimpact healthy childhood development. In the program’s home-visiting model, mentalhealth professionals support and partner with parents to help them develop healthy attachmentbonds with their children. This proven protective factor not only reduces the likelihoodof children experiencing future mental health problems, it builds their resilience,increases their ability to overcome challenges, stimulates their developmental skills, andhelps them to develop healthy relationships throughout their lives.Outpatient ServicesWe reach out to children five and under who have such behavioral and emotional problemsas aggression, temper tantrums, defiance, inattention, hyperactivity, depressed mood, anxiety,and difficulty with attachment to caregivers. Our relationship-based services includefamily therapy, skill-building rehabilitation, and case management—all of which focus onfamily strengths, embrace cultural diversity, and empower parents through skills developmentand education. We provide our services in a variety of convenient settings, includingthe Clinic, clients’ homes, and preschools.Early Intervention Day TreatmentIn this potentially life-changing program, we target children ages 2½ to 5 years old whofrequently display multiple problem behaviors so severe they interfere with family functioningand may have resulted in the child being expelled from preschool. Such childrenmost typically have experienced complex trauma and may have significant early attachmentdisorders. In a highly structured, nurturing environment, our trained staff use art, music,and movement therapies to engage children in self-expression directed toward reducingproblem behaviors. Parents and caregivers participate in family and support groups, withhome visits an integral component.Multidisciplinary Assessment Team (MAT) ServicesWe collaborate with the Los Angeles County Department of Children and Family Services(DCFS) and the Department of Mental Health to provide timely feedback on children enteringthe foster care system. Their mental health, developmental needs, and medical concernsare evaluated, as is the primary caregiver’s ability to provide optimal care. As part ofthis process, biological parents, foster parents, and relative caregivers are interviewed. Eachpotential caregiver is assessed in terms of available resources and strengths.The Clinic’s specializedMAT Services are so highly regarded, we have been asked by DCFS to train otherproviders to deliver these critical services. One of the program’s key goals is decreasing thelikelihood of multiple out-of-home placements for children.10 | Changing Lives, Changing Worlds

the factsResearch shows that babies can experience real depression asearly as three months of age. In addition, children in foster careare particularly vulnerable to mental health problems.Zero to Three Policy CenterChanging Lives, Changing Worlds | 11

12 | Changing Lives, Changing Worlds

OUTPATIENT SERVICESWalk-In/Access CenterOur Walk-In Clinic—with its no-fee, no-appointment mental health screenings forfamilies who decide they’re ready for such help— serves as our central easy-AccessCenter. Open from 8:00 a.m. – noon five days a week, the Walk-In Clinic enhancesour capacity to quickly respond to families’ emergent needs. Therapists are availableto assess and open cases as necessary, as well as to provide connections to such muchneededresources as enrollment in Medi-Cal or Healthy Families insurance plans.Outpatient ServicesOur comprehensive diagnostic, treatment, and crisis intervention services for children,adolescents, and their families include individual, group, and family therapy;case management; skill-building rehabilitation; and medication services, which areoffered at the Clinic or in the home. Treatment for trauma is often at the heart ofour interventions; many of the children we see have experienced physical or sexualabuse, neglect, or have been exposed to domestic or community violence. A primaryfocus is on helping caregivers improve their ability to manage the stressors that canimpact the well-being of their children.School-Based ServicesWe provide on-site mental health services to students at 18 elementary, middle, andhigh schools, in partnership with Los Angeles Unified School District. Individual,group, and family treatment help students address their mental health problems, whichoften become significant obstacles in their ability to appropriately interact in the classroomand to learn.We have enhanced our partnerships at many school sites by providing in-servicetrainings for school personnel and continuing our participation in a variety ofschool-based health, safety, and educational collaboratives. We have increased servicesto Latino immigrant families at Norwood Elementary School with support ofa significant Robert Wood Johnson Foundation grant. The goal is to improve accessto care and support earlier identification of emotional or behavioral problems whichinterfere with learning.Family PreservationThe goal of Family Preservation programsis to prevent children who havecome to the attention of the courts orDCFS from being removed from theirparents. These children may have experiencedabuse or neglect, exhibit seriousand difficult-to-manage emotional orbehavioral problems, or engage in frequentacts of delinquency. The Clinicprovides mental health services tochildren and families enrolled in FamilyPreservation programs operated by leadagencies under contract to the DCSF.Our goal: to support improved familycohesion by empowering families todraw on their strengths and find alternativeways of managing stressors.CalWORKsCalifornia Work Opportunity and Responsibility to Kids (CalWORKs) is a welfareto-workprogram designed to assist parents with minor children make the successfultransition to gainful employment. Our particular focus is on providing support forparents who experience barriers to employment due to mental health problems. Wework in partnership with the Department of Public Social Services, with the aim ofincreasing self-sufficiency while decreasing reliance on public support. Our servicesinclude individual and group treatment, medication support, and linkage to other communityresources, including childcare and English as Second Language (ESL) classes.Changing Lives, Changing Worlds | 13

the facts21% of low-income children and youth ages 6 through 17 havemental health problems. 57% of these children and youth comefrom households with incomes at or below the federal poverty level.Howell, E. (2004). Access to children’s mental health servicesunder Medicaid and SCHIP. Washington, D.C.: Urban Institute.14 | Changing Lives, Changing Worlds

INTENSIVE SERVICESSystems of CareOur Systems of Care Program assists families at risk oflosing a child to out-of-home placement with intensivemental health and case management services. We workin collaboration with the Department of Probation, theDepartment of Mental Health and the Department ofChildren and Family Services (DCFS) to provide mentalhealth and case management services to at-risk children.To qualify, they must receive services from two or moreof these public agencies; meet the criteria for a mentalhealth diagnosis; and be at risk of being placed in a higherlevel of care.To ensure access to care, we provide services in thehome and at the Clinic, multiple times per week. Inthis way, we offer support to caregivers in their efforts tostrengthen and preserve the integrity of their families andto help keep them intact.Full Service PartnershipThe Full Service Partnership (FSP), funded through theMental Health Services Act, gives the Clinic additionalflexibility to provide a more comprehensive array ofintensive, coordinated services for underserved, high-riskchildren who exhibit severe behavioral problems. Ourtherapists, case managers, and psychiatrists offer parentsand caregivers therapy, skill-building rehabilitation, casemanagement, and medication services, as well as mentalhealth and substance abuse treatment services. Such servicestake place at locations that work best for each family,whether at home, in school, or in the community.In addition, FSP funds nontraditional support services,such as one-time funds to help a family pay for costsassociated with moving to a safer neighborhood to supporttheir child’s mental health and pro-social behavior.FSP requires active caregiver/family involvement as theprimary agent of change. Services are planned by thefamily and child team based on its unique needs. ParentPartners help families “navigate” through the array ofsystems, such as special education, child welfare, mentalhealth, and probation. We make extensive efforts to linkfamilies to community resources.WraparoundA nationally recognized model of service delivery, Wraparoundis designed for families with a child who has been in(or is at risk of ) a high-level residential placement. Servicesin this DCFS initiative are driven by family-designatedteams that include professional staff, family members, andother community members. Flexible DCFS funding allowseach team to plan services to do “whatever it takes” to assistthe family in keeping a child in the community. This individualizedblend of interventions can include mental healthand other supportive services and activities—recreational,vocational, educational—that support the optimal functioningof the youth involved. Parent Partners play a vital role as aprimary support to parents and caregivers in building on theirfamily strengths to make a better future for their child.After-School Day Treatment ProgramOur intensive, five-day-a-week Day Treatment Programserves children ages 5-11 who have emotional and behavioraldifficulties too severe for remediation through outpatienttreatment. These children typically are referred for such issuesas defiance, aggression, poor impulse control, low frustrationtolerance, hyperactivity, social withdrawal, low-esteemand/or depressed mood. Such problems manifest at school,in the home and/or with peers. They place the child at riskfor school failure and out-of-home placement, making itdifficult for him or her to experience success in school or thecommunity.A multidisciplinary treatment team of therapists, mentalhealth rehabilitation specialists, milieu aides, and psychiatristspartner with parents and caregivers to identify specificgoals for each child and develop individual treatment plans.In a nurturing, supportive environment, we assist childrenin developing respect for themselves and others, acquiring asense of responsibility for their actions, and increasing positivesocial and coping skills. Treatment includes participationin skill-building activities, individual and group adjunctivetherapies, and psychotherapy.Changing Lives, Changing Worlds | 15

the facts75% of children and youth in need of mentalhealth services do not receive them.Kataoka, S.; Zhang, L.; & Wells, K. (2002). Unmet need for mental health care among U.S. children:Variation by ethnicity and insurance status. American Journal of Psychiatry, 159(9), pp. 1548-155516 | Changing Lives, Changing Worlds

TRAININGEarly Intervention Training InstituteThe Clinic launched the Early Intervention Training Institutein February 2008 to respond to the expanding needs formore early childhood mental health training in Los AngelesCounty and surrounding areas. Our goals are twofold: toincrease the capacity of community-based and educationalagencies and other key “gatekeepers” in identifying childrenat risk for emotional, behavioral, and social delays, and otherchallenges, and to train professionals in effective interventionswith these children and their families in such settings asa mental health agency, Head Start Center, day care center, orchild welfare organization.Child Psychiatry Residents TrainingThrough a long-standing affiliation with the University ofSouthern California’s Keck School of Medicine, Divisionof Child Adolescent Psychiatry, we provide residents withon-site psychiatric training in the diagnosis and treatment ofchildren ages five and younger. During a four-month rotation,psychiatrists receive specialized training. The Clinicbenefits by having additional psychiatrists infused into ourearly intervention programming. The community benefitsfrom our increased capacity to address the mental healthneeds of high-needs families and children.Psychology Intern ProgramFounded in 1998, the Clinic’s Psychology InternshipProgram provides training to doctoral students each yearfrom schools throughout the State. It has been a CaliforniaPsychology Internship Council training site since 2000.Students participate in a nine-month program of intensivesupervision, didactic seminars, and direct service to clientsand families.One of the hallmarks of our program’s success has beenthe desire of our interns to continue their relationship withus, as employees of the Clinic. Each year, this tradition hascontinued, providing the Clinic with the reward of well-educated,highly trained clinicians who have proven their skillsand demonstrated their commitment to providing strengthbased,culturally competent services.The Clinic continues to be a groundbreakingresource for thiscounty—and far beyond—as it takesthe lead in spearheading effective earlyintervention. Los Angeles County is trulyenriched by the work of the Clinic, andour children are immeasurably better offbecause the Los Angeles Child GuidanceClinic is here. Thanks and HATS OFF to theClinic and its dedicated staff.— Areta Crowell, Ph.D.,Mental Health Advocate,former Director of the Los AngelesCounty Department of Mental HealthChanging Lives, Changing Worlds | 17

LIFE LEARNING PROGRAMFor the past 13 years, we have partnered withthe State Department of Rehabilitation andthe County Department of Mental HealthCooperative Program to provide life skillstraining for adolescents and young adults, ages15 to 21, who have significant mental healthproblems.Our Life Learning Program aims to equipyoung adults with essential skills and experiencesto transition successfully to independentcommunity life. We blend vocational education,employment services, rehabilitation,case management, and medication services toprovide a wide range of needed services. Ourgoal: to assist these young adults in obtainingpositive peer relationships, stable housing,higher education, job opportunities, and accessto other community services and resources.We organize special weekend and eveningrecreational and cultural enrichment activitiesdesigned to engage of these young adults insociety at large, expose them to opportunitiesoutside their daily life experience, and helpbuild hope and optimism for their future. TheClinic’s Life Learning Program is nationallyaccredited by CARF.the factsThe dropout rate for students with severe emotional andbehavioral needs is approximately twice that of other studentsLehr, C.A., Johnson, D.R., Bremer, C.D., Cosio, A., & Thompson, M. (2004). Essential Tools: Increasing rates of schoolcompletion: Moving from policy and research to practice. Minneapolis, MN: University of Minnesota, Institute on CommunityIntegration, National Center on Secondary Education and Transition18 | Changing Lives, Changing Worlds

“Be the change you want to see in the world.” — Mahatma GandhiHonoring Three Agents of ChangeThe Los Angeles Child Guidance Clinic recognized three outstanding community leaders at its second AnnualAwards Luncheon April 25 — individuals who, as agents of change, have transformed the lives of children andfamilies for generations to come.The Honorable Yvonne B. BurkeDr. Marvin Southard with Dr. Areta Crowell,former director of the Los AngelesCounty Department of Mental HealthDr. Connie Lillas with Dr. Sam Chan of theLos Angeles County Department of Mental HealthThe Honorable Yvonne B. BurkeSpecial Recognition for Public Service andCommitment to Children and FamiliesMarvin J. Southard, D.S.W.The Quinton James Award forMaking a DifferenceConnie Lillas, Ph.D., M.F.T., R.N.The Evis Coda Award for Building Hopefor FamiliesIn this special recognition, the Clinicpaid tribute to a courageous pathfinder— Yvonne B. Burke — whoserved as a Los Angeles CountySupervisor, Second District, from1992-2008. She began her 40-yearcareer in public service with electionto the California Legislature in 1967.Among her many “firsts:” she wasthe first African-American womanelected to Congress from California.She is a tireless advocate for children,including children in foster care andin childcare centers.Dr. Marvin Southard has been creatingmeaningful change in Los Angelesfor the past decade as Director of theLos Angeles Department of MentalHealth. It is the nation’s largestpublic mental health system, servingmore than 20,000 clients annually.Under his visionary leadership, thedepartment has advanced the goalsof recovery, resiliency, and consumerempowerment. He is committed tothe prevention, early intervention, andtreatment for children under 5 — oneof his many distinctions.Over her long, stellar career as educator,author, lecturer, and therapist, Dr.Connie Lillas has made significantcontributions to the field of infantmental health. In addition to her esteemedprivate practice, Dr. Lillas hasdevoted countless volunteer hours insupport of professional developmentfor people working with very youngchildren. Among her many accomplishments,she is a national ZEROTO THREE Fellow.More than 150 guests attended the luncheon held at The California Endowment Center and emceed by Ted Chen of NBC4, partof a two-day professional development institute for service providers working with at-risk infants and toddlers and their families. Dr.Victor Bernstein from the University of Chicago, an expert in the field of parent-child interactions, was the institute’s presenter.Changing Lives, Changing Worlds | 19

Service HighlightsHelping children and families to reach their greatestpotential, the Clinic provided the following programmingand services:Clients ServedAlmost 3,500 individual children and family members benefitedfrom Clinic services.Each new hour holds new chancesFor new beginnings . . .The horizon leans forward,Offering you space to placenew steps of change. Here, onthe pulse of this fine day . . .— “On the Pulse of Morning"Maya Angelou, American PoetOutpatient Visits____ mental health outpatient visits were provided at threecommunity-based Clinic offices as well as on-site at 18 localschools and in clients’ homes.Walk-In Clinic Services1,126 children, family members and caregivers receivedimmediate assistance at the no-appointment, bilingual Walk-InClinic and Access CenterFirst Steps Program22 families were provided with intensive home-based servicesdesignated for at-risk families with infants and toddlers.Intensive Field-Based Services138 children benefited from Full Service Partnership, Systems ofCare and Wraparound servicesDays of Service Provided______ days of service were provided through the Clinic’sintensive day treatment programs.Youth Transitional Services75 young adults received transitional services through the LifeLearning Program.USC Medical Residents7 residents from the University of Southern California KeckSchool of Medicine served rotations at the Clinic through theChild Psychiatry Residents Training Program and receivedspecialized training in the diagnosis and treatment of children,ages 0-5.California Psychology Internship Council Training Site3 doctoral students participated in the Clinic’s PsychologicalInternship Program, providing clinical treatment services andreceived specialized training in the diagnosis and treatment ofyoung children.CalWORKs292 parents transitioning from public assistance to employmentreceived mental health related services.20 | Changing Lives, Changing Worlds

Service Areas and Clinic SitesIt can be difficult for someone to begin makingmeaningful changes. So we provide easy access toour services throughout our Central and SouthLos Angeles service areas. The Los Angeles ChildGuidance Clinic operates from three communitybasedoffices, as well as in preschool and HeadStart Centers, 18 Los Angeles Unified SchoolDistrict schools, and families’ homes.University Park OfficeChild and Youth Development Centerand Administrative Offices3031 South Vermont AvenueLos Angeles, CA 90007(323) 373-2400Exposition Park OfficeThe Harriet and Charles Luckman Building3787 South Vermont AvenueLos Angeles, CA 90007(323) 766-2345Leimert Park Office4401 Crenshaw Boulevard, Suite 300Los Angeles, CA 90043(323) 290-8360Service PlanningArea 6South Los AngelesService PlanningArea 4Central Los AngelesEntire County ofLos AngelesCommunity Need for ServicesTotal Youth Population 361,236 307,463 2,797,337Children Below Poverty Level 39% 35% 24%Child Abuse Referrals 26,385 15,729 154,993Children in out-of home placement 5,186 1,647 22,153Homicide rates per 100,000 children 0-17 13.3% 3.9% 4.2%Public school students fluent in English 51% 50% 68%High School Graduation Rate 62% 64% 79%Ethnic Composition of Youth PopulationHispanic/Latino(a) 71% 73% 60%African American 28% 4% 10%Asian/Pacific Islander

Celestial DonorsFor their cumulative and outright giving in support of Clinic programs, andongoing operations our heartfelt thanks to these good friends, our angels. It isthrough this generous support that our program efforts bring hope and help tochildren and families.Diamond Angels$1,000,000 and upThe Hulen C. Callaway TrustFirst 5/LA-Proposition 10 CommissionMrs. Charles LuckmanRuth Russell ShelbyRuby Angels$500,000-999,999The Atlas Family FoundationThe California EndowmentThe United Way of Greater Los AngelesEmerald Angels$250,000-499,999The Robert Wood Johnson FoundationThe Ralph M. Parsons FoundationS. Mark Taper FoundationSapphire Angels$100,000-249,999The Ahmanson FoundationCalifornia Community FoundationThe California Wellness FoundationThe Carl and Roberta Deutsch FoundationCarrie Estelle Doheny FoundationMr. and Mrs. David L. HirschDwight Stuart Youth FoundationUniHealth FoundationPearl Angels$50,000-99,999AnonymousAnonymousThe Auxiliary of the Los Angeles ChildGuidance ClinicNancy and Bob BrachmanCrail-Johnson FoundationLes Dames de Champagne of Los AngelesJoseph Drown FoundationVictoria Erteszek Foote for the ErteszekFamily FoundationThe families of John R. Liebman and BonnieA. Kohl, and the late Marilyn LiebmanMr. and Mrs. Mark S. LouchheimWilliam S, LouchheimMr. and Mrs. Kenneth MoelisThe Kenneth T. and Eileen L. NorrisFoundationMonica G. Petrucci and Robert ZarneginThe Rose Hills FoundationThe Skirball FoundationLon V. Smith FoundationThe Flora L. Thornton FoundationThe Walt Disney Company FoundationWeingart FoundationPlatinum Angels$25,000-49,999The Bice Passavant FoundationCatholic Healthcare WestChapman and Associates CharitableFoundationConfidence FoundationThe Everhealth Foundation-Honoring theMemory of Frederick I. FrischlingThe Hearst Foundation, Inc.Dr. and Mrs. Quinton C. JamesGeorge C. PageMs. Elizabeth W. PfrommSHARE, Inc.Mr. Bernard P. SmithSweet-Friedlander FamilyJ.B. and Emily Van Nuys CharitiesThe Victor FamilyWhitecap FoundationMs. Virginia M. WilsonRobert and Joyce ZaitlinGold Angels$15,000-24,999AnonymousMs. AnonymousMs. Elaine CareyThe Cleveland FoundationEmployees Charity Organization ofNorthrop GrummanBernard and Ellyn GelsonMr. and Mrs. Larry HochbergThe Thomas and Dorothy LeaveyFoundationLos Angeles Times Summer Camp FundThe Harold McAlister CharitableFoundationRonald McDonald House CharitiesMr. Carlos PerezPfaffinger FoundationMr. and Mrs. Stephen D. RoyerShamrock Holdings of California, Inc.Toyota Motor Sales, U.S.A.Transamerica FoundationCarl E. Wynn FoundationSilver Angels$7,500-14,999Bank of America FoundationBP FoundationCactus Classic Golf TournamentCalifornia Children and FamiliesCommissionGeorge Hoag Family FoundationMs. Martha C. de la TorreEmployees Community Fund of BoeingCaliforniaDiane and Guilford GlazerAdriana and Marvin KarnoKTLA CharitiesLions Club of Los AngelesLos Angeles Times Family FundMs. Sonia MercadoRobin and Tom MoodyPacifiCare FoundationAdrienne and Kenneth PingreeWendy and Ken RubyDr. Ruth Sinay and Mr. Joseph SinaySidney Stern Memorial TrustRobert J. Stransky FoundationThe Times Mirror FoundationUnion Bank of CaliforniaR.S. Zarnegin Continuation Ltd.Bronze Angels$2,500-7,499AnonymousMrs. Howard AhmansonAmerican Psychiatric FoundationMr. and Mrs. Kenneth A. AugustThe Aron Warner FundThe R.C. Baker FoundationMr. and Mrs. Howard BanchikFrank G. Binswanger IIIThe Brotman Foundation of CaliforniaMrs. Cecil BrownDr. and Mrs. Evis J. CodaRolland and Yoshie CooperMary and Tom DeMundNoelle and Jeff DonfeldMr. and Mrs. Roy EssakowBetty J. Friedlander and Robert D. HainesMr. and Mrs. James GallagherThe David Geffen FoundationMr. Emerson GlazerMs. Erika GlazerGovernor’s Book Fund, California StateLibrary FoundationMs. Jane HefflefingerHollywood Park Racing Charities, Inc.Audrey and Sydney Irmas CharitableFoundationMr. and Mrs. Robert M. JasonThe Kennedy/Marshall CompanyNancy and Jim KrasneMs. Susan R. LevinMorelle Levine and Ruth and Moses LaskyTrustMarlene and Sandy LouchheimWayne MooreIlene and Jeff NathanMr. and Mrs. Robert NearyPeter Norton Family FoundationOak Tree Charitable FoundationMr. and Mrs. Daniel P. PaduanoAnthony P. Ressler and Jami B. GertzThe Riordan FoundationThe Honorable and Mrs. Maxwell Hilary SalterMr. Brion R. SasakiMs. Helen L. ScharpsMr. Brad ScottThe SKETCH FoundationMr. and Mrs. Craig B. SmithMitchell J. Stein FoundationMr. and Mrs. Michael W. StoddardMrs. Leonard StrausRaeann and Steven TalaveraDr. Thomas F. TrottMr. Edgar Twine, Esq.Universal StudiosKay and Richard Van HornTorrey Webb Charitable TrustWells Fargo FoundationMr. and Mrs. Frank Sanford WhitingEndowment AngelsThe Steve Neuman Special FundThe Charles A. and Margaret W. Pollak TrustsThe Marilyn Liebman Arts Enrichment FundAnnual HonorRoll of DonorsFiscal year July 1, 2007-June 30, 2008The Clinic is deeply grateful for gifts received thispast fiscal year from old friends and first-timesupporters alike to support our comprehensive arrayof programs and services. This support is a vitalcontribution to the Clinic’s ongoing efforts to offerhelp and hope for children and their families.CHAMPIONS$25,000 and UpAnonymousThe Atlas Family FoundationFlora L. Thornton FoundationThe Ralph M. Parsons FoundationThe Robert Wood Johnson FoundationThe Rose Hills FoundationThe United Way of Greater Los AngelesLEADERS$5,000-24,999AnonymousCatholic Healthcare WestMs. Elaine CareyCarrie Estelle Doheny FoundationVictoria Erteszek Foote for theErteszek Family FoundationEugene Friedlander and Judith SweetGeorge Hoag Family FoundationLon V. Smith FoundationMr. and Mrs. Mark S. LouchheimMs. Virginia M. WilsonDr. and Mrs. Robert ZaitlinMr. Robert ZarneginBENEFACTORS$1,000-4,999AnonymousThe Bice Passavant FoundationBob BrachmanDr. and Mrs. Evis CodaMartha C. de le TorreEmployees Charity Organization ofNorthrop GrummanMr. and Mrs. David HirschMrs. Shelly and Mr. Randy HolmesDr. and Mrs. Quinton C. JamesKleiner-Cohen FoundationMorelle Levine and Ruth and MosesLasky TrustJohn Liebman and Bonnie KohlMs. Sonia MercadoRobin and Thomas B. Moody Jr.Mr. Robert NearyMr. Carlos PerezPfaffinger FoundationMs. Elizabeth W. PfrommMr. Kenneth A. RubySidney Stern Memorial TrustMr. and Mrs. Craig B. SmithThe Victor FamilyPATRONS$500-999Mr. Wayne MooreDr. Thomas F. TrottThe Rev. and Mrs. Richard S. Van HornFRIENDS$250-499Mr. and Mrs. Howard BanchikMs. Sandra BergMrs. Cecil B. BrownMrs. Yoshie CooperMs. Kathleen DrummyMr. and Mrs. Todd GilmanSue and Larry HochbergThe Honorable and Mrs. Maxwell Hillary SalterMr. and Mrs. Joseph SandersASSOCIATES$100-249Nancy and Russell BelinskyDr. and Mrs. David BenderM.C. Benson, M.D. and K.B. Wells, M.D.Mr. Victor J. Bernstein, Ph.D.Mr. Kenneth and Mrs. Jane BrownMr. and Mrs. Marvin M. ChalekMs. Monica ChongMs. Susan CoatesMs. Dona ColcaLyle and Elsie CripeMr. and Mrs. James J. GallagherMr. David W. HardacreMs. Victoria HillebrandMr. and Mrs. Donald HumphriesMs. Susan KaplanDr. and Mrs. Marvin KarnoMr. Kenneth LaMereMr. and Mrs. Herbert MorrisMr. Benno NelsonMark and Michele NelsonMs. Nanci NishimuraMs. Lois RosenMr. and Mrs. Henry S. Weinstock22 | Changing Lives, Changing Worlds

Clinic LeadershipThe Los Angeles Child Guidance Clinic is deeply grateful forthe governing leadership of our Board of Directors and theguidance and support of our Advisory Board. These Individuals,working in close partnership with Executive Staff, givegenerously of their time, talent and resources in carrying outthe Clinic’s mission.Board of DirectorsSUPPORTERS$25-99Dr. Irving H. Berkovitz.Mr. and Mrs. Brent D. BradleyMr. Stephen DamianoBetty Friedlander and Bob HainesMs. Isabel GarciaKatie, Jim and Krista HaigDr. Timothy HayesMs. Deanna JackmanMr. and Mrs. Fredric KesslerDr. Stanley J. LeikenMr. Sheldon H. LevyMs. Harriette H. Neal-SmithMr. and Mrs. Anthony RebamontanJaye R. Scholl BohemMr. and Mrs. Saadia M. SchorrMr. Tony ShaiferMr. Steven ShanksMs. Paula Smith-Marder, Ph.D.Mr. James F. SteinMs. Janet StewartMs. Sybil W. StollerMr. Gary WilliamsMr. Tony WuTRIBUTE AND MEMORIAL GIFTSDr. Irving H. Berkovitz.In honor of Areta CrowellDr. and Mrs. Evis CodaIn honor of Elena JuddDr. and Mrs. Evis CodaIn honor of Elizabeth W. PfrommMs. Patricia BloomfieldMr. Gabriel BrennerMs. Irene Y. HoSue and Larry HochbergDr. and Mrs. Quinton C. JamesSir and Lady Michael KadoorieMr. and Mrs. James LiptonMs. Elizabeth W. PfrommMr. Robert RodinMs. Joan SchroederThe Victor FamilyIn honor of the Adrianne and RobertZarnegin WeddingIN-KIND GIFTSAnonymousAquarium of the PacificBuild-A-Bear WorkshopThe Comedy & Magic ClubCubs for KidsEugene Friedlander and Judith SweetGreg and Steve ProductionsMr. and Mrs. David HirschThe Laugh FactoryLos Angeles DodgersGolf n StuffThe Gymboree CorporationIrwindale SpeedwayLawry’s – The Prime RibLEGOLAND California, Inc.Linens-N-ThingsLos Angeles ZooMacy’s WestMann TheatresPioneer Hotel & Gambling HallRiviera Hotel & CasinoSee's CandiesSouth Point CasinoStumbaugh and AssociatesTomidan Enterprises, Inc.UNIVERSAL StudiosWild Rivers WaterparkNEUMAN FUND CONTRIBUTORSBob BrachmanEugene Friedlander and Judith SweetSue and Larry Hochberg in honor of theZarnegin weddingOfficersThomas F. Trott, M.D., Ph.D.ChairpersonChild PsychiatristRobert J. NearyChairperson-ElectTechGnosis, Inc.Martha C. de la TorreVice-ChairpersonEl ClasificadoCarlos PerezSecretaryDeloitte & Touche, LLP, rtd.John R. Liebman, Esq.TreasurerMcKenna, Long & AldridgeMichael W. StoddardNominating Committee Chairperson &Immediate Past ChairpersonTrade Source InternationalElizabeth W. Pfromm, M.S., MPAPresident/CEOLos Angeles Child Guidance ClinicDirectorsScott Bice, Esq.USC Law SchoolRobert S. BrachmanWilshire Insurance AgencyElaine CareyControl Risks Group, LLCEugene FriedlanderKen Ruby Construction CompanyDavid L. Hirsch, Esq.MASCO CorporationShelly HolmesThe Roger’s GroupWayne MooreSouthern California Association ofGovernmentsAlexander MoradiICO Development, LLCPeter NylundTelepacific CommunicationCynthia A. Telles, Ph.D.UCLA School of MedicineVirginia M. WilsonWyndham Worldwide CorporationAdvisory BoardVictoria Erteszek Foote, Co-FounderRobert Zarnegin, Co-FounderBarbara BiceMark S. LouchheimKeith W. RenkenBarry SacksSamuel M. VictorExecutive StaffElizabeth W. Pfromm, M.S., MPAPresident/CEOElena Judd, Ph.D.Vice President of ProgramsSteven TalaveraVice President of Financeand AdministrationTeresa Leingang, M.A., J.D.Vice President of Human Resourcesand Risk ManagementDr. and Mrs. Quinton C. JamesIn memory of Agnes and Quinton JamesQuinton C. James, M.D.Los Angeles Unified School District, rtd.Sonia M. Mercado, Esq.Sonia Mercado & AssociatesRobin L. MoodyTom Moody, Inc.Annual Report 2008Candace Pearson, Lead WriterElizabeth W. Pfromm, EditorLisa Lennick, Editorial AssistantChanging Lives, Changing Emjay Creative Worlds Inc., Design | 23

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