Kedren Annual Report 2011-2012

KEDREN COMMUN

ITY

HEA

LTH CENTER, INC

Annual Report |2011-2012 FACES OF KEDREN

Kedren Community Health Center, Inc.

The concept of community-based mental health services has greatly expanded since its inception and Kedren has been actively involved in this evolutionary process. Consequently the Agency has recognized and developed a new and non-traditional treatment methods which are required to address the unique problem of the inner city in this complex sociological era.

Additionally, the past, present and future objectives of the agency include, among others, the provision of comprehensive mental health services which are effective, acceptable, complete, accessible,

and which meet the need of the target population. The Center further focuses on minimizing the need for acute inpatient hospitalization.

Kedren, with almost 50 years’ experience providing programs and services that address the diverse mental health, education, prevention, wellness and resource needs of the community, is recognized as a leader in delivering quality mental health, Head Start State Pre-school and family-focused services. Our staff of over 700 embrace a "do whatever it takes" approach to achieving positive outcomes, building stronger, healthier communities.

Our programs serve almost 10,000 children, transitional-aged youth, adults, older adults and families annually. We have three locations specializing in the delivery of mental health-focused services to consumers in Service Planning Area Six, including an acute psychiatric hospital serving 55 adults (18 and up), and 17 children from (5-12) years of age.

Kedren operates twenty-seven quality Head Start Pre-school sites throughout Los Angeles County, in South Los Angeles, mid-Wilshire, Los Angeles, Cypress Park and Burbank, with an extensive array of family services supporting over 2,300 children and their families.

Our Kedren Board is committed to the delivery of efficient and effective service to the community.

Kathy Gibbons ChairpersonKedren Community Health Center, Inc.

MESSAGE FROM KATHY GIBBONSChairperson, Kedren Community Health Center, Inc.

MESSAGE FROM DR. JOHN GRIFFITH

The corporate vision for Kedren Community Health Center, Inc., is to reduce disparities in access to healthcare services in communities of color and reduce poor health outcomes in chronic/acute illnesses that disproportionately affect economically disadvantaged and ethnically diverse children, youth, individuals, and families.

Kedren will develop and implement research-based, best clinical practices in targeted treatment using cost-effective and

efficient approaches. Kedren's Integrated Health Care Collaborative utilization of these strategies will result in successful health care outcomes for residents in Service Area 6 and the surrounding, neighboring communities.

In the fields of mental health and education, early intervention and sustainable support is key to permanent success.

We have recognized this and implemented a holistic approach, hiring staff extensively educated and well versed to handle all the needs that Kedren Community Health Center, Inc. is undertaking.

I could not be more proud of the staff we have here at Kedren. In this report, you will hear directly from them as they detail the motivations and hard-work that make up the spirit of Kedren.

John H. Griffith, Ph.D.President/CEOKedren Community Health Center, Inc.

President/CEO, Kedren Community Health Center, Inc.

FACES OF KEDRENWe have built the pillars of a Holistic Approach

Our skilled staff is passionate about our holistic approach, from the moment a patient arrives they are cared for by a full multidisciplinary team. This team addresses care from an integrated standpoint; comprising of mental health, primary and pediatric care, substance abuse, faith-based and non-traditional therapies.

We are connecting patients to our community partners, providing employment, education and other resources that give each patient leaving Kedren a sense of empowerment.

VELTA STROUBLEChief Operations Officer – oversight of the Early Head Start, Head Start and State Preschool Programs

How do you feel you can uniquely impact the growth and development of Kedren? By keeping the focus on children and families continuously looking for ways to improve services making them more efficient, more effective, and very responsive to the needs of the families.

Can you briefly describe your previous experience and/or education that relates to your job today? 17 years of Head Start experience as a Management Consultant and Program Manager. 10 years experience as a Federal Head Start Reviewer. Masters Degree in Special Education, Masters Degree in Public Administration, and a Bachelor’s Degree in Psychology.

What are you most passionate about - when it comes to working for Kedren? Completely focusing on providing the best quality care.

The concept of community-based mental health services has greatly expanded since its inception and Kedren has been actively involved in this evolutionary process. Consequently the Agency has recognized and developed a new and non-traditional treatment methods which are required to address the unique problem of the inner city in this complex sociological era.

Additionally, the past, present and future objectives of the agency include, among others, the provision of comprehensive mental health services which are effective, acceptable, complete, accessible,

and which meet the need of the target population. The Center further focuses on minimizing the need for acute inpatient hospitalization.

Kedren, with almost 50 years’ experience providing programs and services that address the diverse mental health, education, prevention, wellness and resource needs of the community, is recognized as a leader in delivering quality mental health, Head Start State Pre-school and family-focused services. Our staff of over 700 embrace a "do whatever it takes" approach to achieving positive outcomes, building stronger, healthier communities.

Our programs serve almost 10,000 children, transitional-aged youth, adults, older adults and families annually. We have three locations specializing in the delivery of mental health-focused services to consumers in Service Planning Area Six, including an acute psychiatric hospital serving 55 adults (18 and up), and 17 children from (5-12) years of age.

Kedren operates twenty-seven quality Head Start Pre-school sites throughout Los Angeles County, in South Los Angeles, mid-Wilshire, Los Angeles, Cypress Park and Burbank, with an extensive array of family services supporting over 2,300 children and their families.

Our Kedren Board is committed to the delivery of efficient and effective service to the community.

Kathy Gibbons ChairpersonKedren Community Health Center, Inc.

LISA GARCIADirector, Adult Systems of Care

What is your role at Kedren?In 2007, I assumed the position of Senior Coordinator for the Full Service Partnership Program. In 2012, I transitioned into the role of Director, Adult Systems of Care. During this time, I was also asked by Dr. Griffith to coordinate the implementation of the Kedren's Wellness/Peers project. This included creating a holistic and comprehensive Wellness program of activities that targeted Kedren clients who had been released from incarceration and providing activities such as Yoga, Aerobics, Drama, Literacy, Self Defense, Fitness and Dance as well as opportunities for education and work resources.

Why are you proud to work at Kedren?I am so proud to be a part of Kedren's team. The daily impact of the work that we do is tangible and immediate for our clients and is something I always take great pride in observing. Kedren's aim and mission is consistent with my own personal goals of serving the community.

How do you feel Kedren is uniquely providing health care and education?During the PEERs project that I was able to work on, Kedren provided funds to clients and client advocates so that they could pursue their vocational and educational goals. To support this goal and initiative, Kedren also has a full-time Vocational rehab specialist who is available to all clients for consultations and input. Kedren also makes important and strategic moves to ensure that the agency is successfully and uniquely providing for its clients.

As an example, in preparation for the Behavioral Health Care Reform that will integrate primary care with mental health and substance abuse, Kedren has created partnerships in the community with primary care facilities and doctors in order to steamline the referral process so that clients can be accommodated as quickly as possible.

EARLE CHARLES EMBA, PH.D., CEM, CBS Chief Information Officer

Can you briefly describe your previous experience and/or education that relates to your job today? My previous experience covers a range of business areas which include - being a business owner; senior executive staff in a number of technology firms, as well as a technologist over the past 40 years. These experiences have prepared me well for the contributions that I enjoy making at Kedren.

Currently we are deeply involved in implementing an enterprise-wide software system that will support Kedren's business mission for years to come, I am very eager to call upon my past experiences to assure that Kedren's implementation is successful.

How do you feel you can uniquely impact the growth and development of Kedren? - If we are to measure Kedren's growth and development in terms of enhancing its delivery of services to its consumers, I feel uniquely positioned to help make that difference. I am fully aware of the direction of healthcare support systems in the United States of America and how they will impact the delivery, user satisfaction and effectiveness of such services. I will continue to do my utmost to make sure that Kedren never falls behind in implementing contemporary tool-sets that are integral in the delivery of services to our consumers.

What are you looking forward to in your future with Kedren? In order to meet the service needs of tomorrow, Kedren is going through a transformation and transition today. We are taking a close look at all of our processes to make sure that they continue to align with the demands.

We are fortunate to have great staff, both Clinical and Support. Between the two sets of staff we will continue to provide the excellent services that support the tenets of our mission.

DR. ALANN SALVADOR Director of Rehabilitation Services

Can you briefly describe your previous experiences and how it relates to your job today?After utilizing my undergraduate degree to pursue travel writing and hospitality, I developed a strong interest in the human condition. I returned to school for a master's in Occupational Therapy at USC. Occupational Therapy promotes independence and participation in meaningful activities and productive life roles, which is a foundation for the work I do here at Kedren.

What is your day to day role? My day begins as part of a treatment team in the adult inpatient unit to discuss the progress of clients as observed during groups and through one-on-one collaborations. Along with social workers, nurses, and physicians, we outline the recovery plan for clients. Depending on the day, I will supervise or lead a group in the adult inpatient unit, children's inpatient unit, or in the Wellness Center, or meet with individuals on my caseload to help them progress towards treatment goals. I convene with my staff daily at lunch time to go over the clients and learn of any issues to be discussed as a team.

Why are you proud to work at Kedren?I am proud to work at Kedren due to its support of students and willingness to evolve with changing times. I see the value of ensuring such goals are client-driven, client-activated, and client-enabling. I constantly ask myself if the assistance I am providing serves the purpose of promoting independence versus kindly enabling unwanted behaviors.

Without a doubt, I believe Kedren is providing a service to the grossly underserved and vulnerable-which aligns with our mission and founding principles.

Our success will be measured by the personal satisfaction our clients experience as they participate in a life that celebrates unique physical and mental gifts, and brings them personal meaning.

SHAUN ALLEN, LCSWProgram Director, Children & Youth Services, System of Care

Can you briefly explain what your day-to-day is like?A typical day consists of overseeing, coordinating and planning the daily operations of Children and Youth Services which consists of both the Children's Outpatient and Children's Day Treatment Programs.

My daily tasks include quality review of documentation to ensure that documentation is in compliance with DMH standards, monitoring customer satisfaction, staff development, inter-agency and intra-agency collaboration.

Why are you proud to work for Kedren?I am most proud of the commitment that Kedren has to the community and in providing quality holistic, culturally competent, integrated and evidence based services to the community. Our services promote hope and recovery by assisting clients in reaching their potential. We believe that people are resilient and we are here to support their endeavors and personal goals.

How do you feel you can uniquely impact the growth and development of Kedren?I feel I can uniquely impact the growth and development of Kedren by supporting its mission in my thoughts, actions and deeds. My motivation is to see our community grow and to effect change in people's lives is directly correlated to my sense of commitment, dedication and work ethic. I expect no less than the best from my staff when working with our clients and in providing quality services.

How do you feel Kedren is uniquely providing health care and education?Kedren offers a variety of services and programs which take a holistic approach in treating an individual. Kedren strives to provide comprehensive services to our clients and as such have embarked on developing collaborative relationships and partnerships with primary care providers, social service agencies, and pediatricians. Our focus is on integrating mental health and primary care to enhance the lives of our clients. Kedren provides ongoing training and development opportunities to ensure that we remain cutting edge and acquire the necessary knowledge in the provision of quality services.

ADULT INPATIENT PROGRAMThe program provides comprehensive, integrated, culturally and linguistically-appropriate 24-hour psychiatric services for patients, ages 18 to 64, who are deemed to be imminent danger to self and/or others, and/or gravely disabled.

The primary goal of the program is to stabilize the patient by reducing frequency and intensity of psychotic symptoms and suicidal and assaultive behavior/ideation that render the patient a danger to self and/or others, and unable to function in the community.

ADULT OUTPATIENT PROGRAMThe program provides comprehensive mental health and linkage services to adults with severe or moderate psychiatric symptoms and behaviors that interfere with their ability to function. Services include but are not limited to: assessment, crisis intervention, medication support, individual psychotherapy, and case management services.

A multi-disciplinary team of psychiatrics, psychologists, nurses, psychiatric social workers and case managers provide services and linkages to meet all the mental health needs of the target population. Seeking Safety, Cognitive Behavioral Therapy and CORS interventions are delivered by staff trained in those evidence-based practices.

ADULT SERVICES IN 2011-2012WE SERVEDOVER 467 PATIENTSWITH OUR ADULTINPATIENT PROGRAMS

PATIENTS WEREHELPED BY OUROUTPATIENT PROGRAMS INCLUDING OUR FULL SERVICE PARTNERSHIP,WELLNESS PROGRAM, &INTERVENTION PROGRAM

9,043

CHILDREN INPATIENT

The program provides comprehensive 24- hour psychiatric services for children ages 5 to 12 who are deemed to be an imminent danger to self and/or others, and/or gravely disabled, who have severe behavioral disturbances unmanageable in the community.

The primary goal of the program is to stabilize the child by reducing frequency and intensity of psychotic symptoms and suicidal and assaultive behavior/ideation that render the child a danger to self and/or others, and unable to function in the community.

CHILDREN AND YOUTH OUTPATIENT PROGRAM

The program provides comprehensive, individualized, child and family centered mental health and linkage services to seriously emotionally disturbed children and adolescents ages 0 to 18 who reside in Service Area Six (6) of Los Angeles County and who present with impairing psychiatric symptoms stemming from a functioning etiology and/or co-occurring substance abuse problems, which contribute to maladaptive community functioning. Said services are delivered by therapeutic teams which embody unconditional care, flexibility, creativity, child and family centered services delivery, school focused services, and strength based assessments and interagency collaboration.

In general, the delivery of mental health services for children and youth is geared toward functional restoration through learning, development, family and communal living and enhanced school participation; enabling recipients to maintain family socialization and to engage in productive activities and daily

CHILD SERVICES IN 2011-2012 WE SERVED OVER 548CHILDREN ANDTEENS WITHOUR OUTPATIENT PROGRAMS

CHILDREN AND TEENSWERE HELPED BY OUROUTPATIENTS PROGRAMS,INCLUDING OUR FULLSERVICE PARTNERSHIP,WELLNESS PROGRAM, &INTERVENTION PROGRAM

17,18627% INCREASE

FROM2010-2011

HEAD START

Head Start is a federal program that promotes the school readiness of children ages birth to five from low-income families by enhancing their cognitive, social, and emotional development.

Head Start programs provide comprehensive services to enrolled children and their families, which include health, nutrition, social, and other services determined to be necessary by family needs assessments, in addition to education and cognitive development services. Head Start services are designed to be responsive to each child and family's ethnic, cultural, and linguistic heritage.

EARLY HEAD START

The Goals of Early Head Start

To provide safe and developmentally enriching caregiving which promotes the physical, cognitive, social and emotional development of infants and toddlers, and prepares them for future growth and development.

To support parents, both mothers and fathers, in their role as primary caregivers and teachers of their children, and families in meeting personal goals and achieving self sufficiency across a wide variety of domains.

To mobilize communities to provide the resources and environment necessary to ensure a comprehensive, integrated array of services and support for families.

To ensure the provision of high quality responsive services to family through the development of trained, and caring staff.

HEAD START IN 2011-2012 OUR EARLY HEAD START PROGRAM SERVED 120 CHILDREN

CHILDREN WERE SERVEDBY OUR HEAD START PROGRAM IN2011-2012

2,265

PARENT ACTIVITIESFamily Services Staff work in partnership with parents to assist them in mobilizing community resources to promote their leadership skills; help them to develop personal goals and to design a plan for education or employment.Partnerships are forged with local community agencies, hospitals, clinics, WIC programs, dental offices, employment programs, schools and organizations that provide free and low-cost services for families. Staff work diligently to develop and match resources that meet the specific needs of the families served. Highlights:

HEAD START BUDGET$ 22,268,975FEDERAL FUNDS

78%PERCENT OF ENROLLED CHILDREN RECEIVED MEDICAL EXAMS Family Assessments and Family Partnership

Agreements developed for each family to assist them with resources and to plan family goals.

Parent Center meetings held monthly Parents participate in the development, review and approval of program policies, budgets and personnel decisions.

Parents are offered opportunities to volunteer in the classroom.

Annual community program for all children and families promoting parents as the first teachers of their children and providing access to community resource providers.

Male Involvement program to encourage fathers’ participation,

Employment Preparation Workshops and job fairs for families.

Parent education on a variety of topics including understanding developmental milestones, parenting, health and nutrition for family wellness, addressing children with special needs, advocacy skills, and more.

82%PERCENT OF ENROLLED CHILDREN RECEIVED DENTAL EXAMS

Kathy Gibbons, MSChairperson

Dorothy Tucker, Ph.D.Vice Chairperson

Lupe RossSecretary

Robert E. Lawson, CPATreasurer

Vera Patterson, MS

Carlita Hester, RN

Rebecca Bravo

Rev. James McKnight

Renee Woodruff

BOARD OF DIRECTORS

EXECUTIVE STAFF

Frank L. Williams, MDExecutive Vice PresidentMedical Director

Madeline Valencerina, M.D.Director of Mental Health Services and Chief of Staff, Kedren Acute Psychiatric Hospital

Berta Ortiz, Ph.D.Director of Integrated Care Services

Norma J. CookChief Operations Officer, Administrative Services

Marilyn Campbell, BSN,RNDirector of Quality Assurance & Continuous Quality Improvement

Essie Adams, MBA, BSNChief Nursing Officer

Earle Charles, Ph.D.Chief Information Officer, Information Systems

Samuel Qiu, CPAChief Financial Officer

Velta StroubleDirector, Early Head Start, Head Start and State Preschool and Family Services Program Brian Kamel, Esq.Corporate Counsel

AS OF JUNE 30, 2012ASSETS

Total assets............................................................................................................................. $13,913,742

LIABILITIES

Funded Vacation Liabilities.......................................................................................................Other Liabilities.......................................................................................................................Other Long-term Liabilities....................................................................................................... Total Liabilities...................................................................................................................

706,8185,262,7822,734,8347,997,616

NET ASSETS

Unrestricted...........................................................................................................................Temporarily Restricted............................................................................................................. Total Net Assets................................................................................................................. Total Liabilities and Net Assets............................................................................................

-5,916,1265,916,126

13,913,742

Summary of Statement of Activities and Changes in Net Assets For the Fiscal Year Ended June 30, 2012

REVENUE

County, City, and other Contracts..............................................................................................Federal Grants........................................................................................................................State Grants............................................................................................................................Other Revenue........................................................................................................................ Total Revenues and Supports .............................................................................................

----

53,024,961

EXPENSES

Salaries and Wages.................................................................................................................Payroll Tax..............................................................................................................................Employee Benefits...................................................................................................................Other Program Costs...............................................................................................................Management and General........................................................................................................ Total Expenses...................................................................................................................

-----

52,875,180

TOTAL REVISIONARY EQUIPMENT

Total Revisionary Equipment................................................................................................ 149,781

CHANGES IN NET ASSETS

Net Income......................................................................................................................... (112,743)

NET ASSETS, BEGINNING OF YEAR

Net Assets, Beginning of Year............................................................................................... 6,028,869

NET ASSETS, ENDING OF YEAR

Net Assets, Ending of Year.................................................................................................... 5,916,126

“Our success will be measured by the personal satisfaction our clients experience as they participate in a life that celebrates unique physical and mental gifts, and brings them personal meaning.”

DR. ALANN SALVADORDirector of Rehabilitation Services

LOCATIONSCorporate Headquarters &Mental Health Services4211 S. Avalon Blvd.Los Angeles, CA 90011

Mental Health Services2160 W. Adams Blvd.Los Angeles, CA 90018

Mental Health Services231 W. Vernon Ave.Los Angeles, CA 90011

Mental Health Services4322 S. Western Ave.

Los Angeles, CA 90062

Mental Health Services3761 Stocker Street

Los Angeles, CA 90008

Head Start Programs710 East 111th Place

Los Angeles, CA 90059

www.kedrenmentalhealth.com

KEDREN COMMUN

ITY

HEA

LTH CENTER, INC