Presentation Overview

•	California Perspective

•	Agency History

•	Our Residential Program Today

•	Key Issues in Change

Children In Foster Care
CWS/CMS
Child Welfare Children 
In Group Homes

Current Issues in California

•	Changing Role for Residential
•	State

•	State Residentially Based Services (RBS) stakeholders workgroup
•	Legislation – Allowing up to four Counties to do Demonstration Rates
•	Under funding of Foster Care – FFA’s & Residential
•	Lawsuit on Inadequate Rates
•	Title IV-E Waiver – Los Angeles & Alameda Counties
•	Opportunities with the Waiver
•	Federal eligibility at point of entry not an issue
•	Prevention
•	Reduction of group care to produce cost savings

•	Los Angeles
•	RBS Workgroup
•	Rate reform – IV-E Waiver

Current Issues continued

•	Mental Health Services Act
•	Prop 63
•	Implementation
•	FSP – Children & TAY
•	Prevention & Early intervention - EBP’s in Los Angeles
•	Housing

•	Katie A Lawsuit
•	Mental Health Services for Foster Children
•	Treatment Foster Care
•	Wraparound Services
•	Sued LA County & State
•	LA settled
•	State appealed & special master working on a settlement

Pasadena’s First Orphanage
Founded in 1902

       The Sycamores’ History

	At the beginning of the 20th century, a visionary named Fannie Rowland met with 30 of her friends to address a troubling social ill – homeless children – and together in 1902 these women took action to found Pasadena’s first orphanage, The Pasadena Children’s Training Society.  

	A two-story yellow Craftsman bungalow at the corner of Wilson Avenue and Del Mar Boulevard served as a welcoming place for babies and children who needed a home.  For six decades The Pasadena Children’s Training Society remained at the same location.  In the mid-1960s a larger, more residential setting was required to care for the increasing number of displaced children and adolescents in the community.  An ideal site was found in Altadena and in 1967 The Society relocated and became The Sycamores.  

	Today this site, with mountains nestled in the background, provides residential treatment, special educational, and mental health services. 

 History of Program Development
1902     Founded as the first Orphanage in Pasadena – boys & girls

1960s     Evolved into Residential Treatment Facility 
•	        Relocated to Larger Campus in Altadena – began serving only boys

1976-87   Expanded From 30 to 60 Boys 

1985        Developed Nonpublic School
1987        Began DMH Day Treatment Program
1990        Became an RCL 14
•	        Began providing Aftercare

•	         Board Initiated a Strategic Planning Process ($5.8M operating budget – 150 staff)
		
1995        Opened First Community Group Home 
1996        Opened Community School 
1996        Opened Second Community Group Home

 History of Program Development
1997     Opened Foster Family Agency 
1997     Developed Intensive In-Home Services – wraparound-like MH funded services

1998     Opened Third Community Group Home 
1998     Opened Family Resource Center 
1998     Began School Based Mental Health Services 
1998     Approved for Intensive Treatment Foster Care  - never successfully implemented in LA until 2010

1999     Began Hospital Diversion Program 
1999     Opened Adoption Agency

2000     Opened RCL 14 group home in community – on grounds of a psychiatric hospital
2000     Began Transitional Living Program
•	 Selected for County Wraparound Program - SPA 3 with Vista Del Mar – Connections
2000     Became JCAHO Accredited

•	Selected for County Wraparound Program – SPAs 4 & 5  with Vista – Connections
•	Selected to Expand Transitional Living Program
•	Became a Founding Member of the Los Angeles Training Consortium
•	Began ResWrap (Homeward Bound) Project

The Sycamores Profile in 2004
Organizational Size
•	$30,000,000 budget
•	425 Staff

Services
•	Residential and Day Treatment
•	Family Resource Center
•	Special Education Services
•	Wraparound
•	Transitional Living Program
•	Psychological/Psychiatric Services
•	Community Services
–	In-Home Services
–	Foster Family Agency/Adoption Agency
–	Therapeutic Behavioral Services
–	School-Based Services

                 

        Hathaway History

    
     In 1919, the Kiddie Koop orphanage was founded in the rapidly growing metropolitan area of Los Angeles to meet the needs of children whose mothers were deceased, or incapacitated either physically or financially.  

     This home, originally located on East 28th Street, moved in 1924 to more spacious quarters on South Catalina Street in Los Angeles and again in 1928 to an almost two-acre site in Highland Park.  “Paradise Ranch” became home to these children in 1963 when the Trust of legendary filmmaker, Cecil B. DeMille, bequeathed his 300-acre estate, located in Sylmar, to what had become Hathaway Children and Family Services.  
    
	The ranch – renamed the “Children’s Village” – offered a scenic setting in the Angeles National Forest for children to receive residential treatment, mental health services, and special education in a nurturing environment. 
Hathaway Profile in 2004
Organizational Size
•	$ 24,770,791 operating budget
•	375 staff

Services
•	Residential and Day Treatment
•	Family Resource Center
•	Special Education Services
•	Vocational Education
•	Psychological/Psychiatric Services
•	Community Services
–	In-Home Services
–	Foster Family Agency
–	Outpatient Services
–	Therapeutic Behavioral Services
–	School-Based Services
–	Dual Diagnosis

Programs Offered Today

          Activity Since Merger
2005      Merger Effective 11/1/05
2005    Submitted Mental Health Service Act (Prop 63) RFSQ response - December
2005	Submitted Wraparound RFSQ response - December

2006	Began strategic planning process
•	Notification of Wraparound Expansion – SPA’s 1-2- 3-4-5-7-8 with Vista Del Mar – Connections
2006    Entire organization accredited by JCAHO in March
2006	Created an office in Lancaster
2006	Created an office in Commerce
2006	Board approved merger with Center for Grief & Loss for Children

2007	Exploring NPS on grounds of public school
2007	Established School-based services in Lancaster Public School

•	Began First Response Program in South Los Angeles

•	Received Funding to do Crisis Counseling in 9 Schools
2009 	The Joint Commission Reaccredited Hathaway-Sycamores

2010    Opened NPS on grounds of Glendale Public School
2010    Began Performance Excellence Project – quest for state/national quality award
2010    RBS to begin shortly

And the Journey Continues

Number of Individuals Served
Fiscal Years 1994/95 – 2009/10
Revenue Change
Fiscal Break Down
in 1994 - The Sycamores
Fiscal Break Down
in 1994
Fiscal Break Down
 Start of FY’ 2011
Fiscal Break Down
 Start of FY’ 2011
Personnel 
Our Residential Program Today

•	Closed 100 bed facility 14 months after merger
•	Philosophical shift to deliver services in community
•	Overall size of residential services needed
•	Decline in referrals – Los Angeles phenomenon
•	Location of facility and extraordinary site costs

•	Closed 24 Community Based Group Home Beds (6 bed facilities)

•	Reduced Remaining Residential Campus from 60 – 34 beds

•	Demographics/Outcome Results Today – see additional resource section

Length of Stay (LOS) Trend

Expert determined need and strategy

Problem focus

Deficits

Services 

Fit family to available service 

Client focus 

Relatively fixed roles & service provision

React to crisis	

Environmental changes
•	Lack of fiscal resources
•	Lawsuits
•	Rate Reform
•	Growth in community based services

National Accreditation – JCAHO
•	Changed our organization
•	Data driven decision making
•	Performance Improvement focus
•	2010 began Performance Excellence Project – quest for state/national quality award

Agency-wide implementation of Wraparound Philosophy
•	Wrap started in 2000
•	Strength based
•	Families as partners
•	Development of Child and Family Team
•	No difference from kids in residential – getting better outcomes in community

Building Bridges Initiative
•	Values and Principles continued to drive change
•	Adapted by state Association
•	Adapted into RBS in Los Angeles

Introduction of Parent Partners
•	From 1 to 40

Res/Wrap – Homeward Bound Pilot
•	 Combining a RTF with Wraparound Philosophy – importance of Child and Family Team
•	 Implemented Res/Wrap in LA County in 2004
•	 Four agency pilot
•	 Each model varied slightly in approach, but contained core elements
•	 Funded through agency wraparound reserves
•	 Achieved LOS of 9 months

Family Search and Engagement
•	Detective to identified staff

Directive Supervision
•	Focus on precision of intervention

Contact Information

William P. Martone
President & CEO
Hathaway-Sycamores Child and Family Services
210 South De Lacey Ave. Suite #110
Pasadena, CA   91105
Phone: 626-395-7100
Fax:     626-395-7270
E-mail: williammartone@hathaway-sycamores.org

Additional Resource Information
El Nido RCL-14 
Program Review/Outcome Data
Fiscal Year 2009-10
Demographic & Census
Ethnicity

Fiscal Year 2009-10
Demographic & Census

Age Range
CAFAS Client Intake Type
Residential Youth Improve Behavior Across Multiple Settings
Residential Youth are 
Higher Functioning at Discharge 
Residential Youth Experience
 Less Symptoms by Discharge
Residential Youth Exhibited More 
Pro-Social Behaviors by Discharge
Youth Leave Residential to Return Home 
After Leaving Residential Services, Youth Continued to Thrive

•	Twelve Residential caregivers participated in a follow-up study and shared how their child was currently doing after receiving residential services. 

–	Since discharge, 92% of caregivers reported that as a result of Residential services:
•	they noticed positive changes in their child. 
•	believed their child’s mood had improved.
•	their child has had no encounters with the police.

Families Share How El Nido RCL-14 Changed their Child’s Life
  
 “I am very happy with the services that he received!”

 “They helped my son a lot!”

 “They helped my son and supported him to change. His behavior is much better.” 

 “They gave him some tools to work with and some coping skills.”