The 2014 Childkind Annual Report

Childkind Advisory Board

Andrew Barclay Technical Consultant /Statistician

Melissa Carter, JD The Barton Law and Policy Center

Daniel Crimmins, PhD Center for Leadership in Disability, Georgia State University

Yvonne Fry-Johnson, MD, MSCR Morehouse School of Medicine

Veda Johnson, MD Emory University School of Medicine

Juarlyn Gaiter, PhD Behavioral Scientist

Idalia Gonzalez, MD Peach State Health Plan

Jordan Greenbaum, MD Children’s Healthcare of Atlanta

Kristen M. Lewis, JD Attorney at Law

Jana Morgan Physical Therapist

John Parker At-torney at Law

Georgina Peacock, MD, MPH Division of Human Development & Disability, CDC

David Tatum, VP, Government & Community Affairs Children’s Healthcare of Atlanta

Childkind Board of Directors

Thomas Carney Ameriprise Financial

June Cooley, D Psy. Metropolitan Atlanta Psychology Associates

Srdjan Gavrilovic SunTrust

Shelia Isbell Georgia Tech Research Institute

Erika Leonard Paul Hastings

Alan Mackie Get the Data

Polly McKinney Voices for Georgia’s Children

Yuri Okuizumi-Wu, MD Children’s Healthcare of Atlanta at Hughes Spalding

Gabriela Probst St. Joseph Foundation

Quintina Robinson Relay Health McKesson Corp.

Stuart Rosenthal, CPA Rosenthal & Kaplan

Stephanie Shapiro, MSW Habitat for Humanity

Wilma Wheeler, MSW Children’s Healthcare of Atlanta

at Scottish Rite

Childkind Staff

Karl D. Lehman

President & CEO

Stephanie Owens

Vice President & COO

Trisha Clymore Business Manager

Claudia Martinez PQI Coordinator

Placement Services

Kim Boykin Placement Services Director

Shanda Maiolo Administrative Support

Catherine Embry

Recruiting /Training Coord.

Genee Haynes Recruiting /Training Support

Sarah Smith Recruiting/Training Specialist

William Ward

Recruiting/Training Specialist

Nicole Woody

Recruiting/Training Specialist

Dionne Clarke Intake & Support

Aundretta Wood

Placement Supervisor

Tommy Hoang

Lead Family Service Coord.

Angela Burney Family Service Coordinator

Keri Dossett Family Service Coordinator

Brook Fraley Family Service Coordinator

K. Jamila Minnifield Family Service Coordinator

Dariea Stewart Family Service Coordinator

Darryl Davis Medical Support Specialist

Star Johnson Medical Support Specialist

Home Based Services

Christina Mahoney Intake/Assessment Specialist

Andrea Parker

SCC Case Manager

Sharon Greer SCC Medical Support

LaShanda Ellis-McCutcheon

FSS Case Manager

Developmental & Behavior Support

Francine White Dev. & Behavioral Coordinator

Shereen Terrell Dev. & Behavioral Specialist

Nursing Services

April Saffor

Director of Nursing

Shawauna King Staff-

ing & Recruiting Specialist

Tammy Duffy

Direct Care Nurse

Debra Jeffares Direct Care Nurse

Sandra Monroe Direct Care Nurse

Aimee Moudio Direct Care Nurse

Ezlene Nelson Direct Care Nurse

Arjulia Newton Direct Care Nurse

Sascha Torrence Direct Care Nurse

Lasting Imprints

These handprints were left by a family

some 23,000 years ago. They were found

next to the hearth where the family meals

were cooked.

The animal wall paintings shown on the

cover of this report and the handprints

seen here and on the previous page were

all found in a remote French cavern a few

years back. They offer us glimpse of family

life long before recorded history.

Fast forward to our era of Big Data. Instead

of animal wall paintings or handprints, re-

searchers learn about us by peering into

data files, where every service ordered or

purchase made is correlated to the other

digital imprints we leave behind.

Whether we like it or not, this is the hall-

mark of our era in the story of humankind.

At Childkind, data helps us give our donors

and stakeholders a clear picture of the

lasting imprint of our work on behalf of

children with complex healthcare needs

and developmental disabilities.

The fundamental question is, does Child-

kind truly make a lasting imprint in the

lives of children and their families?

Do we keep families together and lower

the number of medically fragile children

going into foster care? Do we improve the

ability of parents to manage complex regi-

mens of care and thus reduce hospital re-

admission rates?

In the pages that follow, we will share our

accomplishments from 2014. To those who

have supported our efforts, we want to

thank you by expressing our gratitude and

by showing you the results of your invest-

ment. If you have not yet made an invest-

ment in Childkind, we will show you the

imprint you can make when you do.

We no longer see our work “through a

glass, darkly.” Our imprint is clear, as is

our impact on children with complex

health care needs and developmental dis-

abilities.

Karl D. Lehman

Our Vision, Mission, and Values

The Childkind 2014

Annual Report

March 5, 2015

Childkind, Inc. 3107 Clairmont Road

Suite A

Atlanta, Georgia 30329

(404) 248-1980

(404) 248-1981 (fax)

www.childkind.org

Our Vision

Childkind envisions a world filled with endless possibilities, unconditional love, and

acceptance for children and youth with special healthcare and developmental

needs.

Our Mission

Our mission is to empower families caring for children with special healthcare and

developmental needs, promoting safe, stable, and nurturing homes.

Our Values

Our core values govern our work together: Integrity, Compassion, and Excellence.

Placement Services Program Placement Services Program

Building Community & Support

We wish to thank the following organizations for supporting our Placement Services program:

1) The Amerigroup Foundation which provided funding to expand our medical support for children in foster care

2) The Frances Hollis Brain Foundation which provided fund-ing for emergency medical and other supplies

3) Road Runner Sports and the participants in our annual 5K race for the money raised for emergency supplies.

A Real Millennial Child

It is easy for children like eight year old Annie to end up in a nursing home, or worse. Born with

atrial isomerism, polysplenia, heterotaxy, and dysphagia and more, she needs round-the-clock

care. Because of Childkind, she lives at home and is a beloved member of a skilled foster family.

Her health and wellbeing are far better for it.

Advances in medical care have made Annie part of an emerging population rarely seen prior to

the start of this millennium. Because of Childkind, Annie will have the services and care she will

need so that she can stay with her family well into her adult years.

Reforming Permanency for Children with Complex Care Needs

During 2014 Childkind initiated a project with the Office of the Child Advocate and DFCS to develop comprehensive child-specific permanency plans for children in foster care who have very complex medical care requirements. Our goal is to lay the foundation for a new way to approach permanency planning.

This project is designed to ensure that requisite services are always available for children with complex care needs, both now and in the future, as their health and wellbeing will always be dependent upon receiving appropriate daily skilled care, regardless of their age. It is critical, therefore, that parents who adopt or become their guardians are fully prepared and have the needed supports, Medi-caid Home and Community Based Services, and even estate planning to meet the child’s long-term needs.

2014 Program Highlights

Children with special health care needs and developmental disabilities served 134

Children with Special Health Care Needs & DD in placement, 12/31/14 74

Specialty family foster homes, 12/31/14 62

Percent of placements in high clinical risk group categories 77%

Placement Services Program

Long-term risks for children

with complex care needs:

Institutionalization

Isolation & depression

Neglect

Poverty

Early death

Specialty Foster Placement and Permanency

Planning for children with complex health care

needs and developmental disabilities

We wish to thank the fol-

lowing organizations for

supporting our Placement

Services program:

1) The Amerigroup Founda-

tion which provided funding

to expand our medical sup-

port for children in foster

care

2) The Frances Hollis Brain

Foundation which provided

funding for emergency medi-

cal and other supplies

3) Road Runner Sports and

the participants in our annual

5K race for the money raised

for emergency supplies.

Placement Services Program Placement Services Program Behavioral & Developmental Services (New Program)

Host family placement for individuals with developmental

disabilities, training for maladaptive behavior related to a

disability, and other behavioral support services.

Maladaptive behaviors on the part of a child with develop-mental disabilities can be the cause of much distress and even physical harm in families. Foster placement disrup-tion, failed adoptions, institutional placement, and state custody are common outcomes for this population.

Without the means to communicate anger and other com-plex emotions, children with developmental disabilities can resort to anti-social and even violent behavior.

With Childkind’s supportive teaching, parents and caregiv-ers can learn how to effectively manage their child’s disrup-tive behaviors.

What are Maladaptive Behaviors?

“Abnormal behavior of such intensity, fre-

quency or duration that the physical safety

of the person or others is placed in jeop-

ardy, or behavior which is likely to limit or

deny access to the use of ordinary commu-

nity facilities.”

From Foster Family to Host Family

Karen found her permanent home with a Host Family from Childkind.

Needing round-the-clock care and special adaptive equipment, she came to Childkind needing foster placement.

Amanda, her foster parent, made a life-long commitment

to Karen and decided to become her long-term Host Parent. This provides Karen with a more supported and more stable home than she would have found through a traditional adoption.

Two Hours, Four Times Per Day

This is not a regimen of care. It reflects the fre-

quency of violent tantrums of hitting, biting, object

throwing by Jimmy, a young boy with autism. His

parents simply could not manage his behavior; it

had been over a year since they could take the child

anywhere outside of the home.

Today his outbursts are limited to 15 minutes once

per week. What made the difference for the par-

ents was the training they received by Childkind

staff in managing his behavior.

2014 Program Highlights

Host Homes under supervision 2

Host Homes in process 4

Maladaptive behavioral intervention and training 10

Behavioral support services 17

Placement Services Program Placement Services Program Home Based Services

Program

In-home medical care instruction, advocacy, care coordination, case

management, and support services for children with complex health

care needs and their families

DFCS/CPS = Division of Family & Children Services—Child P:rotective Services

An intervention that works

According to a recent study by Children’s Healthcare of Atlanta, children with com-plex medical care needs spend less time hospitalized after receiving Childkind’s Home Based Services.

The study looked at families who completed

our Home Bases Services Programing.

Keeping Families Together An Intervention that Works

The table to the right reflects families served

through our most intensive intervention, Suppor-

tive Care Coordination (SCC) , 12 to 18 months

following successfully completing the program.

Our intervention works because we provide in-

home medical instruction and help parents build

an effective, sustainable family support system.

DFCS Involvement with Families after Discharge

from Home Based Services

Hospitals Referrals Childkind

DFCS/CPS Referrals to

Childkind

Services from Childkind not

Completed

DFCS Involvement After Discharge

6% 12% 50%

No DFCS Involvement After Discharge

94% 88% 50%

Foster Placement of Child After Discharge

0% 0% 17%

We wish to thank the following organi-zations for supporting our Home Based Services program:

1) Florence and Harry English Foundation

2) Imlay Foundation

3) Jane Smith Turner Foundation

4) Healthcare Georgia Foundation

5) Jackson EMC Foundation

6) Mary Allan Lindsey Foundation

7) The Rich Foundation

8) Promoting Safe & Stable Families

9) Governor’s Office on Children & Families

2014 Program Highlights

Families Served—Supportive Care Coordination (Intensive multidisciplinary in-home services) 53

Families Served—Family Support Services (In-home support and intervention services) 50

Families Served—Service Advocacy and Basic Support 127

Training Participants 175

Hospitalization Reduction Outcomes

Childkind Home Based Services

Patient Visits

to Hospital

Days in the

Hospital

Hospital Costs

-23.8% -70.1% -68.8%

Placement Services Program Placement Services Program Nursing Services (New Program) In-home direct care nursing services for children

with complex medical care needs

One Family’s Story

Olivia was born with Crouzon Syndrome, Chronic Repertory Failure and other

serious issues. She is trach dependent, receives oxygen as needed, and has

supplemental feeding through a g-tube. Her records indicate she has develop-

mental delays, though Childkind staff have concluded her cognitive abilities are

fairly advance, hidden by her physical disability.

In addition to providing direct care nursing, Childkind helped the mother enroll

her daughter in school, obtain an IEP plan, and establish supportive therapies

(physical, occupational, and speech) at school. The mother, a single parent,

could now shift her nursing hours to nighttime. Childkind social workers identi-

fied counseling services for an older daughter, adversely affected by the com-

plex nature of her siblings special care needs. Additionally, Childkind staff

helped the mother locate other programs in the community for Olivia. Olivia

had been receiving nursing services from a different stand-alone agency for

many years.

A Holistic Approach

The quality of the care and the compliance with

the doctor’s orders are exceedingly important.

But so are the social and environmental circum-

stances in which the child and family live.

Isolation, family stress, lack of support services,

insufficient household income—all of these

factors can contribute to poor health outcomes

for the child and his or her family as well.

Childkind’s Nursing Services program takes a

holistic approach, giving consideration to well-

being of each unique family we serve.

The following foundations provided start up funding for our new Nursing Program:

1) The Jesse Parker Williams Founda-tion ($125,000)

2) The Tull Charitable Foundation ($50,000)

3) The Harland Charitable Founda-tion ($20,000)

Program Highlights

2015 Service Goal—Hours of nursing care 18,000

2015 Service Goal—Estimated number of children 25-30

Provider Staff Trainings per quarter and skill labs per quarter 8

2014 Operating Information

Healthy

Selected Accounts—12/31/14

Cash $610,282

Debt $0

Fund Balance $917,338

Unrestricted $763,551

Temporarily Restricted $153,787

Gro

win

g

2014 Revenue Sources

Fees for Service $1,671,537

Per Deims/Pass-through $1,667,182

Foundations $315,000

Public Grants $271,068

Unrestricted $64,360

Total Revenue $3,989,147

For a copy of our 2014 Audited Financials: Please email Karl

Lehman at klehman@childkind.org

For a copy of our IRS Form 990 go to www.guidestar.org

For a copy of our Foster Care program’s state valuation, go to

https://www.gascore.com/content/page.cfm/265/ Click on

the RBWO Provider Profit Guide tab.

Information from our

business operations

2014 Supporters

Melissa Adams

Windsor Adams

Cheryl Anderson

Anonymous

Dale Arnold

Consuelo Bills

Katherine Alice Boelte

Kim Boykin

Jane and Ra Broaddus

Heather Brooks

Patricia Broullire

Kirk Broxton

Donald & Brenda Bryant

Tom Carney

Trisha Clymore

Christopher Colhard

Dr. June Cooley

Alan and Carol Dahl

Darryl Davis

Peter and Vivian De Kok

Antoinette Dempsey

Keri Dossett

Ivana Duric

Ellie Ellerbee

Catherine Embry

Mike Fleming

Brooke Fraley

Randolph S. Freeman

Dorothy & Al Gallagher

Srdjan Gavrilovic

Marion & Gail Glover

Ondina S. Gonzalez

Michael Himelstein

Tommy Hoang

Sheila Isbell

John & Iliana Jennings

Starlecha Johnson

Shawauna King

Margaret L. Kinnear

Joyce L. Kramer

Karl Lehman

Erika Leonard

Ryan Leonard

Bruce Mack

Alan Mackie

Diane Mahaffey

Richard L. Mangum

Heather & William McClain

Polly McKinney

Kathleen Jamila Minnifield

Janna & Jack Morgan

Jackie Naylor

Stephanie Owens

Andrea Parker

John & Helen Parker

Moneshiuna Perry

David Phan

Shauna Tameka Phillips

Hilary Popham

Gabriela Probst

Quintina Robinson

Ashley Roques

Patricia Roques

Stuart Rosenthal

Kevin & Nancy Ryan

Stephanie Shapiro

Lorri Sidoti

Gobind & Dagmar Singh

John & Pat Smith

Sarah Smith

Todd Smith

Asher Smith

Owen Smith

Carl Smith

David H Spencer

Elizabeth M. Spiegel

Hang & Milso Stankovic

Kate Stephens

Dariea Stewart

Erin Stewart

James Stewart

Melissa Tolson

Kenny Tran

Karen & Larry Tucker

Richard Tyler

Greek Unity

William Ward

Wilma Wheeler

Francine White

Michael Wolff

Gwen Wolfgang

Yuri Wu

Ind

ividu

als Fo

un

datio

ns

Florence and Harry English Foundation

Frances Hollis Brain Foundation

Healthcare Georgia Foundation

Imlay Foundation, Inc.

Jackson EMC Foundation, Inc.

Jane Smith Turner Foundation

Jesse Parker Williams Foundation

John and Wilhelmina Harland Foundation

Mary Allen Lindsey Branan Foundation

The Morgan Fund

The Rich Foundation, Inc.

Simmons Foundation

St. Joseph Foundation

Tull Charitable Foundation

Employee Groups

Local Independent Charities

Cobb County Employee Friendship Club

MARTA Employees Charity Club

Gwinnett County Employees

Congregations Friendship Community Church

Holy Comforter Church

Businesses and Organizations

Amerigroup Corporation

Ansley Green Hen, LLC

Citrix Systems, Inc.

GANG, Inc.

H&H Terminals, LC

Hewlett-Packard

A special thanks to the foundations, organizations

and people who make our work possible!

Horizon Restaurant Professionals,

Insperity

Anonymous

National Assn. of Social Workers - GA

Peace Design

Six Feet Under, LLC

Local Fu

nd

ing

Federal & State

Programs

Fulton County

Human Services

DeKalb County

Human Services

Promoting Safe & Stable

Families

Governor’s Office on

Children & Families

Childkind 3107 Clairmont Road, Suite A

Atlanta, Georgia 30329

(404) 248-1980

Childkind.org