Trauma-Informed Healing New Paths to Success

Annual Report 2013

Our Mission “To provide quality mental health services to a community in great need by ensuring easy access and promoting early intervention”

Who We Are Los Angeles Child Guidance Clinic empowers the children and young adults of South and Central L.A. to get on track to success – to reach goals in school, build healthy relationships, and enjoy emotional well-being. Our team of compassionate professionals offers behavioral counseling and support to individuals and families.

To Our Friends & Supporters: “Go confidently in the direction of your dreams. Live the life you have imagined.” Henry David Thoreau’s words capture what is so uplifting about young people who follow their dreams, building future careers through hard work and lofty aspirations. That’s especially true here in South and Central Los Angeles, where in order to succeed too many young men and women must overcome shockingly high rates of academic failure, poverty, and community violence.

Shelly Holmes, Chairperson

How truly remarkable then are client success stories such as that of Rodrigo, who has invested years in healing the trauma of childhood abuse and neglect, and whom you will read about in these pages. We salute and celebrate Rodrigo’s confident pursuit of his dreams, and thank him for generously sharing his journey to healing. Insights like Rodrigo’s help to promote a growing awareness nationwide that untreated childhood trauma is often at the root of school failure in high-needs communities such as ours – trauma that results in recurrent shame, guilt, rage, isolation, and disconnection. Researchers and practitioners have validated the effectiveness of trauma-informed approaches that acknowledge the debilitating impact of dehumanizing, shocking, or terrifying experiences on young lives. Accordingly, the Clinic employs nationally recognized trauma-informed practices to ensure we provide the most effective clinical interventions.

Elizabeth W. Pfromm, M.S., MPA, President/CEO

Ever inspired by the successes our young clients share with us, in 2012/2013 we enhanced evidence-based, trauma-informed services throughout all Clinic programs, and increased specialized training for community providers who work with vulnerable children ages 0-5. Recognizing that boys and young men of color in our community suffer homicide as the leading cause of death, we created services specifically designed to help them overcome trauma and “live the life they have imagined.” There remains much to do, with new opportunities for effective, trauma-informed solutions in large part supported by the 2014 rollout of the Affordable Care Act. We plan to continue exploring new options to co-locate our services with health care providers, in schools, and in other community settings. And we will continue our 2012/2013 initiatives advancing public policy and advocating for increased access to high-quality mental health services in partnership with public agencies and private benefactors. We take this occasion to thank the Board of Directors for giving generously of their time, skills, and resources to carry out the Clinic’s mission. We are grateful to the Clinic staff for their dedication and talent. We thank Rodrigo and his fellow clients of all ages for trusting, engaging, and inspiring us with their dreams. And, finally, we offer heartfelt thanks to you, our supporters, for your dedication to the children and families we serve. To find out more about how you can be a part of our mission, please visit us at www.lachild.org. Shelly Holmes Elizabeth W. Pfromm, M.S., MPA Chairperson of the Board President/CEO Trauma-Informed Healing | 3

Rodrigo's fashion creations.

Now a successful community college student, Rodrigo studies fashion design and dreams of continuing his education in London. His passion: couture fashion, with its intricate hand-crafted designs. “I just want to help myself and become something better,” he says. “I’m working toward my goals.” 4 | Trauma-Informed Healing

Overcoming Early Childhood Trauma Helping young people build a stronger future starts with establishing trust and giving them new skills to embrace life. At 21, Rodrigo is the picture of confidence—well-spoken, succeeding in college, and committed to his goal of becoming a fashion designer.

was so terrified of his teachers and classmates, he rarely spoke in class. This trend continued in high school, and he fell behind.

It’s difficult to see him the way he sees himself only a few years ago— isolated, disconnected, painfully shy, afraid to speak to his teachers, and so depressed he would either sleep through his classes or never show up at all.

When his mother encouraged him to seek help at the Clinic, Rodrigo was ready to try. He was nervous when he first met with Clinical Therapist Jeff Chudnofsky, MFT. “But Jeff didn’t want to change me,” says Rodrigo, “he wanted to help me understand and help myself.”

Then, in 2011, he enrolled in the Los Angeles Child Guidance Clinic’s Life Learning Program for transitional-age youth from ages 15 to 25. Rodrigo had been to counseling before, but something clicked this time. What helped was the connection and trust his entire Life Learning team worked to establish from the start. “The program made me wake up. I realized I needed to change,” says Rodrigo. “I wanted a different kind of life. I didn’t want to be the same kid.” That kid had experienced the trauma of domestic violence at a young age, just four years old. He felt like “the extra one”—left out of in a family that included four step-siblings. He witnessed angry fights and remembers trying to physically defend his mother when he was only 8. Some memories come to him in flashbacks, like scattered pieces of a puzzle. Rodrigo spent time in foster care, where his sense of isolation increased. He returned to his mother’s home a few years later, but by middle school,

Rodrigo has taken advantage of the Life Learning Program’s career-related lessons on resume writing and school applications, among other services designed to support high aspirations. All Life Learning participants have a case management team and can take part in group therapy; workshops in job hunting, interview skills, and money management; and relationship, life, and social skills workshops. Trauma-informed practice infuses Life Learning therapy, ensuring that underlying traumatic stress is addressed. Weekend outings—including beach-going, movie nights, hiking, and karaoke—build social connectedness, explore healthy recreation, and are often first-time experiences. “It’s a joy to work with our clients and see their transformation across the board,” says Chudnofsky. Now a committed and hardworking student, Rodrigo is studying fashion

“Jeff didn’t want to change me,” Rodrigo says of his Life Learning Program Therapist. “He wanted to help me understand and help myself.” design at Los Angeles Trade Technical College and has dreams of continuing his design education in London. His passion: couture fashion, with its intricate hand-crafted designs. “I love everything about it,” he says. He’s inspired in part by his mother’s long association with the fashion industry and pleased that their relationship is better than ever. In another antidote to shyness, he has even volunteered to organize events and raise funds for a local nonprofit. “I just want to help myself and become something better,” says Rodrigo. “I’m working toward my goals.”

Life Learning Clinical Therapist Jeff Chudnofsky, MFT

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Access Center staff assess client need, and then engage a spectrum of evidence-based, trauma-informed practices as appropriate. These include: • Child Parent Psychotherapy • Trauma-Focused Cognitive Behavioral Therapy • Seeking Safety • Managing and Adapting Practices 6 | Trauma-Informed Healing

Opening Doors to Well-Being About 1,700 children and family members used the Clinic’s walk-in Access Center last year to start a journey to a healthier life. Alma arrived bright and early one morning at the Clinic’s walk-in Access Center, with three-year-old granddaughter Rosa in tow, along with her brother, Manuel, 6*. A longtime area resident, she heeded the advice of a trusted neighbor as she sought help for Rosa. The bright-and-curious baby she had known was now perpetually moody, irritable, and unruly since Alma had been awarded custody. Having raised two of her own children, Alma was now overwhelmed by the preschooler’s tantrums and use of profanity—and unsure how much longer she could handle the stress. The Access Center team met with Alma and the children that same day, and learned of a long history of trauma endured by the children. Terrible fights between mother and father, fueled by substance abuse, ended only with the father’s incarceration and mother’s death. Grief-stricken herself, Alma needed all the help she could receive. Fortunately, the no-appointment, no-fee Access Center in the Clinic’s Exposition Park Office at 3787 S. Vermont Avenue is dedicated to ensuring that children and caregivers get the help they need as quickly as possible—including the Clinic’s expert mental health services. “The Access Center was created in 1994 as a way to open our doors to the community and make mental health * Names changed for confidentialty.

services more accessible to everyone,” says Andrew Kurtz, LMFT, Access Center Director. The Atlas Family Foundation has been a long-standing partner in underwriting Access Center services. This year, the Access Center became a separate division in the Clinic, and will soon keep its doors open for an additional two hours daily, from 8 am-2 pm on weekdays. While anyone can just drop in, often families are referred by schools, the court, other government agencies, or community physicians. Bilingual child care is provided free to make access easier. By creating this familyfriendly “port of entry,” the Clinic hopes to diminish the anxiety and cultural barriers that may impede use of behavioral health services. Family Advocates provide the first line of service, screening families to pinpoint what services they need. Therapists and Family Advocates have special training to assess the needs of young children and to provide traumainformed services. “Frequently, a person will tell me, ‘This is the first time I’ve told what happened to me. Thank you for listening.’” says Belinda Beltran, Family Advocate. “Or a parent will say, ‘This is the first time I’ve gone anywhere to get help for my son.’” Beltran works to make that initial visit as welcoming as possible.

Andrew Kurtz, LMFT, Access Center Director; Demitri Richmond, Clinical Therapist; Belinda Beltran, Family Advocate; Anet Khechoumian, Clinical Therapist; Claudia Reddy, Clinical Therapist.

“We are often the first resource,” says Clinical Therapist Claudia Reddy, ACSW. “Sometimes caregivers aren’t sure where to begin or they hope their child is just in a phase. It’s gratifying we are able to be here when a family needs us.” Rosa, Manuel and Alma are doing much better since they first visited the Access Center. Early Intervention and Community Wellness Division services have offered Rosa support tailored to children 0-5, while her brother receives outpatient services. A Family Advocate is helping Alma identify additional family resources. Best of all, Rosa smiles more, her naturally bright personality emerging daily.

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Seeking Safety team, left to right: Ernie Limon, Cesar Porcayo-Morales, Eric Bailey, Jeremy Atterman, Johnny Morataya, and Bill Valdez Cifuentes

"The strength of our society depends on whether young men of color have the opportunity to become healthy adults who contribute to their communities and society” – Investing in Boys and Young Men of Color, The Robert Wood Johnson Foundation, February 2013

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Seeking Safety, Seeking New Futures An innovative, evidence-based program reflects the Clinic’s commitment to teens suffering trauma, including boys and young men of color. Eric Bailey grew up in South L.A., so he knows the kinds of stresses and trauma that many area teens are exposed to from a very young age. That awareness—and a desire to make a difference—inspired him to join the Seeking Safety team at the Los Angeles Child Guidance Clinic to help teens experiencing trauma gain coping skills and improve their futures. “We’re essentially telling each teen, ‘You’re not alone. We’re available if you need us. This isn’t a 9-5 job for us,’” says Bailey. The evidence-based program, launched in 2012/2013, represents a renewed effort by the Clinic to reduce barriers to treatment faced by boys and young men of color. Studies show that young males in low-income communities and communities of color are the hardest hit of any group. They have the lowest life expectancy rates, highest unemployment rates, fewest high school and college graduates, and one of the highest homicide rates.* The Seeking Safety team, all Bachelor-level professionals, includes the demographic the Clinic wants to impact: young, Latino, African American, and male. Each team member brings a background in such trauma-related issues as domestic violence, substance abuse, and family dynamics.

Working in local high schools, the team spreads the word about Seeking Safety’s proven strategies among teachers, counselors, social workers, and parents. “Our young people deal with very high rates of gang and community violence directly,” says Eric Inouye, Clinic Community Access Coordinator. “School is a safe, positive place for most of them, which makes it the perfect setting for this program.” Seeking Safety is designed to help clients obtain safety from trauma, substance abuse, or post-traumatic stress syndrome. Its principles recognize the impact of long-standing trauma, but focus on here and now—an emphasis that works with the teens the Clinic seeks to help.

Atterman agrees. As teens gain more self-confidence in facing the future, “they view themselves differently,” he says. Positive coping skills often zero in on the teen’s interests. “I try to gauge what each kid is into, and show how he or she might use that interest to cope better with negative encounters,” says team member Johnny Morataya. In one recent example, he guided 16-year-old Diego** in combining his love of music with deep breathing techniques to reduce stress. As a result, the Seeking Safety team has seen successes—in teens who stop injuring themselves, de-escalate their outbursts, and improve their grades or family relationships. The goal, says Porcayo-Morales: “We all want to help kids reach safety.”

The team members have teens sign contracts, develop plans of action, role play positive behaviors, and draw up “safe lists” of friends and family to contact in a crisis. “Seeking Safety’s coping techniques are really useful,” says team member Ernie Limon. “Often, teens need help controlling their anger or pain, or the alternative can be doing harm to themselves or others.” These techniques are flexible enough to adapt to different situations, “so our clients feel empowered,” says Bill Valdez Cifuentes. Fellow team member Jeremy

* Centers for Disease Control and Prevention **Client name changed for confidentiality. Trauma-Informed Healing | 9

Left to right: Dr. Quinton James, Keris Myrick, Dr. Jack Barbour, and Dr. Evis Coda. Myrick was awarded the Clinic’s 2012 “Evis Coda Award for Building Hope for Families,” while Dr. Barbour accepted the “Quinton James Award for Making a Difference” on behalf of the Empowerment Congress Mental Health Committee.

“At every step of the roll-out of health care reform in Los Angeles, public mental health services should be an equity partner . . . The Empowerment Congress Mental Health Committee sees much hope on the horizon for improving the health and mental health status of some of our County’s neediest individuals.” Los Angeles County Mental Health Services 2014 White Paper 10 | Trauma-Informed Healing

Leading the Way for Integrated Care The Clinic works on behalf of improved mental health access at the policy level, bringing together many constituents in its far-reaching efforts. With national health care reform poised for full implementation in 2014, the Los Angeles Child Guidance Clinic redoubled its efforts in 2012/2013 to increase access to quality mental health services, especially for high-needs children and families dependent on publicly financed care. For the past six years, Clinic President/CEO Betsy Pfromm, M.S., MPA, has co-chaired the Mental Health Committee of the Second Supervisorial District Empowerment Congress alongside Jack Barbour, MD. Formed in 2006 by Los Angeles County Supervisor Mark RidleyThomas, the Mental Health Committee serves as a monthly forum that enjoins mental health providers, allied public and nonprofit organizations, consumers, advocates, concerned citizens, and others to discuss and share ideas addressing mental health-related issues and advancing policy and other important initiatives. In 2012/2013, the Mental Health Committee crafted an influential White Paper that envisions the Los Angeles County public mental health service system of 2014 and creates a path for integrating those services as an equal partner with primary medical care. This year, the Clinic and allied advocates devoted countless hours to move this initiative forward. As a

result, the Los Angeles County Department of Mental Health (DMH) Executive Management Team formally agreed to adopt and advance the White Paper’s key concepts as DMH policy, and DMH Director Marvin Southard, DSW, presented the model at the 2013 National Council Mental Health and Addictions Conference. The original blueprint for the transformation of mental health services was contained in the 2004 Mental Health Services Act in California, also known as Proposition 63. “The question is, how can we take what we know works from the 10-year transformation created by the Mental Health Services Act and ensure that health care reform includes all participants in its broad umbrella?” says Pfromm. As early as 2010, the Mental Health Committee began looking at how best to integrate public mental health services into the care model envisioned by the Affordable Care Act. “The communities of South and Central Los Angeles have inherent strengths, including informed stakeholders and caring families, which contribute as we go forward with integrated services,” says Dr. Barbour. “The genius of the Empowerment Congress model is that we leverage those strengths to safeguard and expand access to mental health services for our county’s neediest individuals.”

The Clinic is putting its policies into action with a partnership that brings mental health services to the primary care setting. Under a three-year pilot program, now in its second year, Clinic therapists are stationed at the South Central Family Health Center’s Central Avenue site. The project is supported by DMH Innovation Funding generated through the Mental Health Services Act. In this way, the Clinic continues to turn policy into cutting-edge practice.

Access to trauma-informed integrated care is a key component of the Mental Health Committee White Paper. Echoing that priority, the Clinic completed its year-long membership in a Trauma-Informed Learning Community funded by the National Council for Community Behavioral Healthcare. Throughout 2012/2013, our Early Intervention Training Institute also offered workshops on the impact of trauma and underwrote the participation of Partnership for Community Wellness agencies. Trauma-Informed Healing | 11

EARLY INTERVENTION AND COMMUNITY WELLNESS The Clinic’s innovative and nationally recognized specialized services for families with children ages 0–5 comprise the Early Intervention and Community Wellness Division Programs, which offer support at the earliest stages of life—when such services can have the biggest impact on long-term success in school and in life.

First Steps Our nationally recognized First Steps home-visiting model assists parents and caregivers to develop healthy attachment bonds with their very young children—bonds demonstrated to reduce the likelihood of future mental health problems. The program’s mental health professionals offer prevention services demonstrated to help children build resiliency, stimulate developmental skills, increase their ability to overcome obstacles, and develop healthy relationships throughout their lives. Families in the program have faced high exposure to intense stressors like violence and poverty, which in turn negatively impact healthy early development for children. First Steps stellar services earned the American Psychiatric Association 2006 Advancing Minority Mental Health Award.

Early Intervention Outpatient Services Outpatient services for children ages 0-5 address the specific behavioral and emotional problems of very young children, including defiance, aggression, inattention, hyperactivity, depressed mood, anxiety, and difficulty with attachment to caregivers. A 12 | Trauma-Informed Healing

spectrum of highly responsive services includes family therapy, skill-building rehabilitation, case management, and relationship-based services. Evidencebased practices include Child-Parent Psychotherapy and Positive Parenting Program. Our strengths-based program builds on family and cultural assets, empowering parents through skills development and education. Service locations respond to client needs, and include the Clinic, clients’ homes, day care centers, and preschool/kindergarten classrooms.

Early Intervention Day Treatment Intensive The Day Treatment Intensive Service program meets the needs of children two-and-a-half to five years old who have severe emotional and behavioral disorders. These disorders often interfere with family functioning, and many times result in expulsion from preschool and disruption in home settings. Day Treatment Intensive focuses on putting very young children back on track to success, reinforcing appropriate behaviors and relationships, while preparing children for future social and educational challenges via a highly structured environment, intensive therapeutic interventions and services within a nurturing and corrective framework. Multiple clinical modalities are utilized including art therapy, music and movement therapies, and sensory interventions. Parents and caregivers participate in family therapy, parental/caregiver support groups, and therapeutic services provided during home visits.

Multidisciplinary Assessment Team (MAT) Services MAT provides timely feedback to the court system on the needs of children entering foster care in a program that partners the Clinic with both the County’s Department of Children and Family Services and Department of Mental Health. Individual mental health, developmental, social, educational, and medical needs are evaluated to ensure optimal care. Biological parents, foster parents, and relative caregivers are interviewed and assessed according to their strengths and needs. Resources are offered to enhance their ability to meet children’s needs, and reduce the likelihood for multiple outof-home placements.

Family Resource Center With the support of First 5 LA and philanthropic partners, the Family Resource Center provides familyfocused, community-based, culturally and linguistically competent assistance to parents who often face extreme financial distress. The FRC offers concrete supports to bridge urgent crises, with a goal of developing self-sufficiency, especially as parents navigate their child’s welfare, special education, and mental health services and resources. Center services include specialized workshops, family night events, case management, a clothing closet, and child care during Clinic visits. Donated items ranging from car seats to strollers to baby bottles and diapers are offered. The Center partners with community-based organizations to leverage local assets and expand access beyond the Clinic’s client base.

OUTPATIENT SERVICES School-Based Services Undiagnosed and untreated mental health disorders stand as a barrier between students and academic success. The Clinic’s team of behavioral health professionals bridges those barriers directly at school, in support of classroom success. Students find the Clinic’s therapists at 21 Los Angeles Unified School District elementary, middle, and high schools. This easy access to on-site, high-quality mental health services ensures students benefit from an array of strategies such as group and family treatments designed to directly address mental health-related problems including trauma.

Access Center Honored recently by the Los Angeles County Commission on Disabilities, the Clinic’s Access Center Walk-In Clinic is our major “port of entry,” offering no-fee, no-appointment mental health screening for children and youth. Crisis intervention and linkages to community resources are included. Located at our flagship site on South Vermont Avenue near Exposition Boulevard, a team of therapists and family advocates address immediate needs and initiate appropriate services. Services are available in English and Spanish every weekday from 8:00 a.m. to noon, with child care provided.

Family Preservation

Outpatient Services

When children come to the attention of the County Probation Department or Department of Children and Family Services (DCFS), Family Preservation works toward a goal of preventing removal from parental care at home. The program is operated by lead agencies under contract to DCFS. As a partner, the Clinic provides mental health services to children and families to improve family unity, build on strengths, and find alternative means to manage stressors.

Our comprehensive diagnostic, treatment, and crisis intervention services for children, adolescents, and their families are offered at the Clinic or in the home by our highly skilled team of behavioral health professionals. Staff is trained in a spectrum of evidence-based practices, with detection and treatment for trauma at the heart of interventions that assist caregivers to improve their ability to manage the stressors that negatively impact the well-being of their children. Services include individual, group, and family therapy; case management; skillbuilding rehabilitation; and medication services.

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Life Learning Program Employment services, rehabilitation, case management, and medication services are blended in our Life Learning Program, which serves adolescents and young adults ages 15 to 25 who have significant mental health needs. The program equips youth with essential skills and experiences to transition successfully to independent community life. Staff assist in developing positive peer relationships, obtaining stable housing, higher education, job opportunities, and access to other community resources. Special weekend and evening recreational and cultural enrichment activities expose clients to opportunities outside their daily life experiences. The Clinic partners with the State Department of Rehabilitation and the County Department of Mental Health Cooperative Program to provide Life Learning, which is nationally accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).

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INTENSIVE SERVICES Full Service Partnerships Intensive, coordinated services for underserved, high-risk children exhibiting severe behavioral and emotional problems are offered through Full Service Partnerships, which is supported by California’s Mental Health Services Act. A team of therapists, parent partners, family advocates, and psychiatrists offer parents and caregivers therapy, skill-building rehabilitation, case management, medication services, and substance abuse treatment. Special funding underwrites support services for children and families. With active family involvement a key agent of change, parent partners engage families and assist to access community resources. Services are offered in locations that are best suited for each individual family.

Wraparound This Department of Children and Family Services (DCFS) initiative utilizes a nationally recognized model of service delivery to serve families with a child who has been in or is at risk of high-level residential placement. Family-assigned teams include professional staff, family members, and other community members. With flexible DCFS funding, services are tailored to provide what is necessary to help a family keep their child in the community. Interventions typically include mental health and other supportive services, as well as activities that promote youth involvement. Parent partners provide primary support and work to strengthen families for a better, brighter future.

TRAINING Early Intervention Training Institute Benefiting from capacity-building support provided by First 5 LA, the Early Intervention Training Institute offers specialized training to providers who work with children ages 0–5, with a goal of assisting “gatekeepers” to identify, refer, and intervene with children at risk for emotional, behavioral, or social delays, as well as other obstacles. The Clinic’s social enterprise, the Institute offers trainings throughout the year, with a focus on enhancing knowledge of early childhood development, as well as competencies in addressing emotional and behavioral challenges. Trainings are also offered in effective and evidence-based interventions in settings that include mental health agencies, Early Head Start, Head Start, day care centers, and child welfare organizations. The Institute’s highly-regarded trainings feature nationally recognized leaders in their respective fields and draw trainees from throughout Southern California.

Child Psychiatry Residents Training Our long-standing affiliation with the University of Southern California’s Keck School of Medicine, Division of Child Adolescent Psychiatry, provides residents with on-site psychiatric training in the diagnosis and treatment of children ages 0-5. Psychiatrists receive specialized training during a four-month rotation, while the Clinic benefits by having additional psychiatrists infused in our early intervention services. With the availability of these additional psychiatrists, the Clinic increases the number of families and children served by highly qualified staff.

The Early Intervention Training Institute offers specialized training, such as interactive sensory-based interventions, to providers who work with children ages 0-5.

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Trauma Exposure: A Special Challenge The Los Angeles Child Guidance Clinic serves the historic neighborhoods of South and Central Los Angeles, which have played a vital role in the city’s cultural richness but also experience great challenges. The National Center for PTSD lists the following factors among those that heighten risk for childhood trauma: living in an inner-city neighborhood, involvement with gang activity or substance abuse, exposure to domestic violence. As the data below shares, local children and families are disproportionately exposed to trauma on a daily basis—and in need of the accessible mental health services, trauma-informed resources, and compassionate assistance for which the Clinic has garnered national recognition. We begin from the knowledge that each of our client families brings its own strengths. Then we work with our community partners to build upon those strengths, developing resilience, health and well-being, and such protective factors as parenting skills, social connections, and concrete support.

3rd-Graders Proficient or Advanced in Reading *

20%

26% 32%

South LA

Central LA

LA County

High School Graduation Rate *

Children Living Below 100% Federal Poverty Level *

39%

South LA

58%

36%

Central LA

23% LA County

Children 0-17 Years With Difficulty Accessing Medical Care **

LA County

44% A Central LA

20% South LA

21% Central LA

12%

LA County

35%

South LA Homicide Rate Among Teens & Young Adults ** (Ages 15-34 years, per 100,000)

Children Placed in Out-of-Home Care* South LA Central LA LA County 4,173 1,448 20,454

65

South LA

20

Central LA

28

LA County

* LA County 2008 Children’s Scorecard, Children’s Council of LA County ** LA County Department of Public Health (DPH)

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Bringing Well-Being to Where Need is Highest Vermont 21 16

19

11

La Cienega Blvd.

10

12

20

4

9

14

13

24

17

23

22

5

Alameda

Western

Slauson Ave

15

18

6

St.

7

Manchester Blvd

8

Los Angeles Child Guidance Clinic Offices

School-Based Services Partners

1.

University Park Site 3031 S. Vermont Ave., Los Angeles

2.

Exposition Park Site 3787 S. Vermont Ave., Los Angeles

3.

Leimert Park Site 4401 Crenshaw Blvd., Los Angeles

4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

28th Street Elementary School 52nd Street Elementary School 68th Street Elementary School 75th Street Elementary School 95th Street Elementary School Alexander Science Center School Bradley Elementary School Dorsey High School Foshay Learning Center Manual Arts High School ML King Jr. Elementary School Nevin Avenue Elementary School

16. 17. 18. 19. 20. 21. 22. 23.

Norwood Elementary School Obama Global Preparatory Academy MS The Accelerated School Vermont Avenue Elementary School Weemes Elementary School West Adams Preparatory High Schooll Western Avenue Elementary School William and Carol Ouchi High School

Other Service Site Partners 24. South Central Family Health Center 25. Good Shepherd Shelter (location not disclosed)

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Service Highlights Fiscal Year 2012/2013 (7/1/2012 – 6/30/2013) Clients Served

children and family members benefited from Clinic services.

Access Center Services

children, family members, and caregivers received immediate help at the walk-in center.

Outpatient Visits mental health outpatient visits were provided at three community-based Clinic offices, and on-site at 21 local schools, in clients’ homes, and other community sites.

Days of Service Provided

days of service were provided through our intensive day treatment program. 18 | Trauma-Informed Healing

USC Medical Residents

residents from the University of Southern California’s Keck School of Medicine served rotations at the Clinic through the Child Psychiatry Residents Training

We are grateful to our public sector partners for their support.

Program, receiving specialized training in the diagnosis and treatment of very young children.

Public Sector Partners • Los Angeles County Department of Mental Health • Los Angeles County Department of Children and Family Services Los Angeles Unified School District campuses where Clinic staff are providing mental health services onsite

• California Department of Rehabilitation • First 5 LA

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Celestial Donors For their cumulative and outright giving in support of Clinic programs and ongoing operations, our heartfelt thanks to these good friends, our angels. It is through this generous support that our program efforts bring hope and help to children and families. DIAMOND ANGELS $1,000,000 AND UP The Hulen C. Callaway Trust First 5 LA – Proposition 10 Commission Mrs. Charles Luckman Ruth Russell Shelby RUBY ANGELS $500,000-999,999 Richard and Lezlie Atlas and The Atlas Family Foundation The California Endowment The Ralph M. Parsons Foundation The Rose Hills Foundation The United Way of Greater Los Angeles EMERALD ANGELS $250,000-499,999 The Robert Wood Johnson Foundation S. Mark Taper Foundation SAPPHIRE ANGELS $100,000-249,999 The Ahmanson Foundation Anonymous California Community Foundation The California Wellness Foundation Carl and Roberta Deutsch Foundation Carrie Estelle Doheny Foundation Mr. and Mrs. David L. Hirsch Mr. and Mrs. Mark S. Louchheim Dwight Stuart Youth Foundation UniHealth Foundation Weingart Foundation Adrianne and Robert Zarnegin

The Kenneth T. and Eileen L. Norris Foundation Ms. Monica C. Petrucci The Skirball Foundation Lon V. Smith Foundation Sweet-Friedlander Family The Flora L. Thornton Foundation The Walt Disney Company Foundation Ms. Virginia M. Wilson Robert and Joyce Zaitlin PLATINUM ANGELS $25,000-49,999 The Angell Foundation The Bice Passavant Foundation Chapman and Associates Charitable Foundation Confidence Foundation The Everhealth Foundation – Honoring the Memory of Frederick I. Frischling George Hoag Family Foundation The Hearst Foundation, Inc. Dr. and Mrs. Quinton C. James Kaiser Foundation Hospital Southern California Region George C. Page Mr. Carlos Perez Ms. Elizabeth W. Pfromm SHARE, Inc. Mr. Bernard P. Smith Sidney Stern Memorial Trust J. B. and Emily Van Nuys Charities The Victor Family Whitecap Foundation

GOLD ANGELS $15,000-24,999 Anonymous PEARL ANGELS Ms. Elaine Carey $50,000-99,999 The Cleveland Foundation Anonymous Cotchett Pitre & McCarthy The Auxiliary of the Los Angeles Child Ms. Martha C. de la Torre Guidance Clinic Employees Charity Organization of Nancy and Bob Brachman Northrop Grumman Crail-Johnson Foundation Bernard and Ellyn Gelson Les Dames de Champagne of Los Angeles Mr. and Mrs. Larry Hochberg Dignity Health Kaiser Foundation Hospital of Los Angeles Joseph Drown Foundation The Thomas and Dorothy Leavey Foundation Victoria Erteszek Foote for the Erteszek Morelle Lasky Levine Family Foundation Los Angeles Times Summer Camp Fund First 5 LA / Families In Schools The Harold McAlister Charitable Foundation The families of John R. Liebman and Bonnie A. Ronald McDonald House Charities Kohl, and the late Marilyn Liebman Ms. Sonia Mercado William S. Louchheim Robin and Tom Moody Mr. and Mrs. Kenneth Moelis Pfaffinger Foundation

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Mr. and Mrs. Stephen D. Royer Wendy and Ken Ruby Shamrock Holdings of California, Inc. Toyota Motor Sales, U.S.A. Transamerica Foundation Carl E. Wynn Foundation SILVER ANGELS $7,500-14,999 Bank of America Foundation BP Foundation Cactus Classic Golf Tournament California Children and Families Commission Employees Community Fund of Boeing California The David Geffen Foundation Diane and Guilford Glazer Ms. Shelly Holmes Adriana and Marvin Karno KTLA Charities Lions Club of Los Angeles Los Angeles Times Family Fund Mr. and Mrs. Robert Neary PacifiCare Foundation Adrienne and Kenneth Pingree Dr. Ruth Sinay and Mr. Joseph Sinay Nancy and Craig Smith Society of Young Philanthropists Robert J. Stransky Foundation The Times Mirror Foundation Dr. Thomas F. Trott Union Bank of California Kay and Richard Van Horn R.S. Zarnegin Continuation Ltd. BRONZE ANGELS $2,500-7,499 Anonymous Mrs. Howard Ahmanson American Psychiatric Foundation Mr. and Mrs. Kenneth A. August The Aron Warner Fund The R. C. Baker Foundation Mr. Howard and Mrs. Jackie Banchik Frank G. Binswanger III The Brotman Foundation of California Mrs. Cecil Brown Dr. and Mrs. Evis J. Coda Rolland and Yoshie Cooper Mary and Tom DeMund Noelle and Jeff Donfeld Mr. and Mrs. Roy Essakow

Betty J. Friedlander and Robert D. Haines Mr. and Mrs. James Gallagher Mr. and Mrs. Todd and Terry Gilman Mr. Emerson Glazer Ms. Erika Glazer Governor’s Book Fund, California State Library Foundation Adrienne Grant and Paul Jennings Ms. Jane Hefflefinger Hollywood Park Racing Charities, Inc. Audrey and Sydney Irmas Charitable Foundation Mr. and Mrs. Robert M. Jason The Kennedy/Marshall Company Kleiner-Cohen Foundation Nancy and Jim Krasne Ms. Susan R. Levin Marlene and Sandy Louchheim Wayne Moore Alexander Moradi Ilene and Jeff Nathan Peter Norton Family Foundation Oak Tree Charitable Foundation Mr. and Mrs. Daniel P. Paduano Mr. Keith W. Renken Anthony P. Ressler and Jami B. Gertz The Riordan Foundation The Honorable and Mrs. Maxwell Hilary Salter Mr. and Mrs. Joseph Sanders Mr. Brion R. Sasaki Ms. Helen L. Scharps Mr. Brad Scott The SKETCH Foundation Mitchell J. Stein Foundation Mr. and Mrs. Michael W. Stoddard Mrs. Leonard Straus Raeann and Steven Talavera Mr. Edgar Twine, Esq. Universal Studios Torrey Webb Charitable Trust Wells Fargo Foundation Mr. and Mrs. Frank Sanford Whiting ENDOWMENT ANGELS The Steve Neuman Special Fund The Charles A. and Margaret W. Pollak Trusts ENRICHMENT ANGELS The Marilyn Liebman Arts Enrichment Fund The Pfromm Fund

Annual Honor Roll of Donors Fiscal Year July 1, 2012 – June 30, 2013 We are deeply grateful for gifts received this past fiscal year from old friends and first-time supporters alike to support our comprehensive array of programs and services. Your philanthropic partnership is a vital contribution to the Clinic’s ongoing efforts to offer help and hope for children and their families.

CHAMPIONS $25,000 AND UP First 5 LA / Families In Schools The Rose Hills Foundation

FRIENDS $250-499 Mrs. Cecil B. Brown Ms. Kathleen Drummy

LEADERS $5,000 – 24,000 The Bice Passavant Foundation Confidence Foundation Dignity Health Carrie Estelle Doheny Foundation Judith Sweet and Gene Friedlander Ms. Adrienne Grant and Mr. Paul Jennings Kaiser Foundation Hospitals, Los Angeles Kaiser Foundation Hospitals, West Los Angeles Mrs. Cathy and Mr. Mark S. Louchheim Ms. Virginia M. Wilson

ASSOCIATES $100 – 249 AT&T Employee Giving, United Way Dr. and Mrs. David Bender Dr. M. Christina Benson Mr. and Mrs. Marvin M. Chalek Mr. and Mrs. James J. Gallagher Dr. Timothy Hayes Ms. Margaret Howe Mr. Sheldon H. Levy Ms. Michelle Lopez Mr. and Mrs. Peter Nylund United Way, California Capital Region United Way, Greater Los Angeles Mr. Gary Williams

BENEFACTORS $1,000 – 4,999 Anonymous Mr. Robert S. Brachman Ms. Martha de la Torre The California Endowment Mr. and Mrs. David L. Hirsch Ms. Shelly Holmes Dr. and Mrs. Quinton C. James Kleiner-Cohen Foundation Morelle Lasky Levine Ms. Sonia Mercado Mr. Carlos Perez Ms. Elizabeth W. Pfromm Mr. Keith W. Renken Mrs. Wendy and Mr. Ken Ruby Sidney Stern Memorial Trust Nancy and Craig Smith Ms. Elizabeth Tabita Dr. Thomas F. Trott UniHealth Foundation Ms. Joyce Zaitlin PATRONS $500 – 999 Dr. and Mrs. Evis J. Coda Mr. and Mrs. Todd Gilman Ms. Shelly Holmes Ms. Robin Moody Mr. Wayne Moore Dr. and Mrs. John S. Wells

SUPPORTERS $25-99 Anonymous Mrs. Anne L. Arend Ms. Susan Coates Mr. Edwin Cornett Mr. M.Y. Garcia Ms. Alyson Goodall Give with Liberty Mr. Arthur Padilla Truist Altruism, Connected Mr. and Mrs. Frederick R. Waingrow Mr. and Mrs. Henry S. Weinstock Mr. O. Wilson

Dr. Areta C. Crowell In Honor of Dr. Quinton C. James and Elizabeth W. Pfromm Mrs. Audrey and Mr. Donald Humphries In Honor of Dr. Quinton and Mrs. Agnes James Dr. Marvin and Mrs. Adriana Karno In Memory of Gary Garcia Mr. and Mrs. Frederic Kessler In Honor of Mr. Rocket McDonald on his Birthday Ms. Jane Petipas In Honor of Mr. Tom Moody Mr. César Portillo In Memory of Mr. Mariano and Mrs. Rosa Rodriguez In-Kind Gifts Asian Pacific American Dispute Resolution Center Baby2Baby Ms. Suzanne Charity L.A. SHARES TechSoup Ultra PRO Neuman Fund Contributors Mr. Robert S. Brachman Judith Sweet and Gene Friedlander Pfromm Fund Contributors Mr. and Mrs. David L. Hirsch

TRIBUTE AND MEMORIAL GIFTS Ms. Debbi Winter In Memory of Ms. Victoria Ertezsek Foote Joanne Marie and Marcel George Foundation In Honor of Mr. Marcel George Mr. Kenneth and Mrs. Jane Brown In Honor of Dr. Quinton C. James

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With your gift to the Los Angeles Child Guidance Clinic, you can reach out to children and families in the high-need, resource-poor communities of South and Central Los Angeles and help them build a brighter, healthier future. Contribute Your contribution, in any amount, will help ensure the Clinic can effectively disrupt the cycle and consequences of trauma and continue our advocacy on behalf of generations of children and families.

Online: www.lachild.org/donate By phone: (323) 766-2360 ext. 3360 By mail: Los Angeles Child Guidance Clinic, Advancement Office, 3031 S. Vermont Ave., Los Angeles, CA 90007. Your contribution can be designated as a memorial or tribute gift. Our donors are gratefully acknowledged in our annual Honor Roll. You also can donate a vehicle you no longer need—whether car, motorcycle, boat, trailer, or plane—to our Car Donation Program by visiting www.lachildcar.org.

Donat e yo ur car!

In-Kind Donations To help high-needs families create safe and nurturing homes, the Clinic’s Family Resource Center (FRC) provides direct help, ranging from diapers and clothing to parent workshops. The FRC welcomes your help. Current high-priority needs include: • Disposable diapers, any size, with particular need for 4, 5 and 6 • Strollers • Car Seats (must be new and include expiration date or date of manufacture on one of the tags) • Cribs (new and unused) • Bassinettes • Pack ‘n Play travel play pen Thank you. The Los Angeles Child Guidance Clinic is a private nonprofit organization. Donations are tax deductible to the extent allowed by law.

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Clinic Leadership The Los Angeles Child Guidance Clinic is indebted to the governing leadership of our Board of Directors and the guidance and assistance of our Advisory Board. These individuals, working in close partnership with Executive Staff, give generously of their time, talents, and resources in carrying out our mission.

Officers Shelly Holmes Chairperson Rogers Finn Partners Wayne Moore Chairperson-Elect and Treasurer Southern California Association of Governments, rtd. Carlos Perez Vice Chairperson and Secretary Immediate Past Chairperson Deloitte & Touche, LLP, rtd. Elizabeth W. Pfromm, M.S., MPA President/CEO Los Angeles Child Guidance Clinic Directors

David L. Hirsch, Esq. Advancement Committee Chairperson MASCO Corporation, rtd. Quinton C. James, M.D. Los Angeles Unified School District, rtd. Robin Moody Tom Moody, Inc. Robert J. Neary Clinical Op. & Tech. Committee Chairperson TechGnosis, Inc. Peter Nylund Telepacific Communications Elizabeth Tabita The California Endowment

Advisory Board Robert Zarnegin, Co-Founder Barbara Bice Victoria Erteszek Foote, Co-Founder Mark S. Louchheim Cynthia Ann Telles, Ph.D. Keith W. Renken Barry Sacks Samuel M. Victor Executive Staff Elizabeth W. Pfromm, M.S., MPA President/CEO Tiffany T. Rodriguez, LMFT Vice President of Programs

Thomas F. Trott, M.D., Ph.D. A Medical Corporation

Steven Talavera Vice President of Finance and Administration

Robert S. Brachman Wilshire Insurance Agency

Gary Williams, Esq. Audit Committee Chairperson Loyola Law School

Teresa Leingang, M.A., J.D. Vice President of Human Resources and Risk Management

Martha C. de la Torre El Clasificado

Virginia M. Wilson TIAA-CREF

César Portillo Vice President of Clinic Advancement

Scott Bice, Esq. Governance and Nominating Committee Chairperson USC Gould School of Law

Eugene Friedlander Ken Ruby Construction Company

A nnual R eport 2013 César Portillo, editor Jonathan Lorenzo, assistant editor Candace Pearson, writer HUTdogs, graphic design Photography: Jonathan Lorenzo, pages 7, 8 César Portillo, page 4 Carolyn Wang, page 5 Raul Flores, page 15

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3031 South Vermont Avenue Los Angeles, CA 90007 (323) 373-2400

www.lachild.org

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