1. Michelle L. Monnat, LMHC Jeremy Felice

4. Founded as an orphanage in 1859 Transitioned to a Residential Treatment Center in 1970s Expansion of Foster Care in 1990s and 2012 Addition of several community based services through the 1990s and 2000s Updated Residential Model of Care in 2009 Establishment of OMH Article 31 Mental Health Clinic in 2011 – Community Clinic of Jefferson County Balancing Incentive Program 2014

6. Tri-County Initiative Youth ages 10* through 17 Short Term Respites Aftercare

7. CANS Assessment Referral to Mental Health Services School Partnership and Advocacy Family Support and Supported Visitation Psychiatric Assessment and Neurofeedback Psychological Evaluation Connection to Community Services

8. Clinical Group Family Support Group Parenting Education Life Skills Crisis Intervention Therapeutic Recreation Yoga, Meditation, Deep Breathing, etc. Psychoeducation Academic Support including tutoring Supported Visitation

9. Parenting Group Six Week Program Topics Include: Three C’s: Caring, Consistency and Consequences Discipline Versus Punishment Parent and Youth Relaxation Techniques Self-Care Behavioral Support Techniques Rules and Routines Parenting Styles Treatment Team Meetings Initial Return Home Final Discharge

10. 90 Day Connection to Services Phase Out “Warm Hand Off” Method Continuous Crisis Intervention Services

11. Program Director Care Coordinator – Outreach and Engagement 24/7 Awake Staff Bachelor’s or Master’s degree in psychology, education or a related field Minimum of two staff per shift at all times Registered Nurse Licensed Clinicians Psychiatrist Psychologist

12. Three Week Intensive Training Week One: Team Building – Project Adventure Clinical Training - Building Positive Attachments Clinical Training - Working with Traumatized Children Clinical Training – Why It Matters – Advanced attachment training Child Sexual Abuse Medication Training Supported Visitation Training Behavior Management Training

13. Week Two Therapeutic Crisis Intervention Week Three Staff Observations Columbia –Suicide Severity Rating Scale (C-SSRS) training Ongoing Training Continuous staff development at least monthly

14. Child Trauma Academy (CTA) Trauma Informed “Way of thinking about youth” Brain Mapping Informed Clinical Practice

15. Community Services Boards Local Departments of Social Services Local Probation Departments St. Lawrence Psychiatric Center (SLPC) and Mobile Integration Team Community Clinic of Jefferson County Samaritan Medical Center and Carthage Area Hospital Northern Regional Center for Independent Living (NRCIL) YMCA and SoZo Teen Center North Country Family Health Center School Districts North Country Prenatal/Perinatal Council Volunteer Transportation Community Action Planning Council (CAPC) Single Point of Access (SPOA) Cornell Cooperative Extension Many More…

19. Goal 1: Assist families in identifying their strengths and needs through administration of the Child and Adolescent Needs and Strengths (CANS) assessment tool: Performance TargetCompliance Rate Staff Training100% - Target Met CANS-NY Utilization at admission93% - Target Met Benefit of CANS-NY to family100% - Target Met

20. Goal 2: Decrease recidivism of emergency room and preventable hospital utilization: Performance TargetCompliance Rate Client specific historical data collected 92% - Target Met Youth will be offered intensive intervention/ youth participation 100% offered / 100% Participation - Target Met “High Risk” youth offered aftercare services 100% - Target Met “High Risk” youth aftercare participation 86% - Target Met Post Discharge Emergency Room Visits 7% - Target Met - Therefore 93% of youth have not had a mental health emergency encounter with the ED.

21. Goal 3: Decrease symptoms and behaviors, family stress and functional impairment from the time of admission through discharge: Performance TargetCompliance Rate Offering of family engagement services100% - Target Met Family participation in family engagement services 89% - Target Met Demonstration of improved behaviors at discharge 90% - Target Met

23. We brought our son to you and you cared for him as we would, and you may very well have saved his future. I could see my son heading towards a darker place - maybe self harm or rebelling into deeper trouble. We were able to participate in the two week respite program. I'm unsure of your official verbiage for the program but I call it a savior! By allowing our family time to decompress, we were able to reset. What a simple idea!”

24. “TCRP helped me with my addiction to tobacco products. It helped me realize there is more to life then being a mess up. TCRP helped with my depression by doing rec and activities. TCRP helped me with my social skills because I made multiple friends there and it helped my life at home with my parents. My parents and I get along much better now.”

25. “When the behaviors started, I often felt isolated, embarrassed and helpless. I didn't know who to turn to for help. The Children's Home Respite staff offered me consolation, validation and support. I was given several agencies and professionals to contact and seek help from. I was able to share information with the rest of my family providing comfort and a direction for us all to move in.”

26. “The Care Coordinators and staff kept excellent contact with our family and pointed us in the right direction for psychological assessments, medical attention and counseling. The transition back into our home was well planned beginning with short supervised home visits and then an occasional overnight until our family could regroup.”

27. FAMILY ENGAGEMENT Incorporate Groups Initial Assessments Remain flexible - but never lose site of the vision!