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2 0 1 3 ARC COMMUNITY SERVICES, INC. A N N U A L R E P O R T RECLAIMING WOMEN’S LIVES BUILDING HEALTHY FAMILIES 2 A B O U T T H E O R G A N I Z A T I O N Specializing in Women-Responsive Services Since 1976, ARC Community Services, Inc. has been dedicated to helping women reclaim their lives, gain awareness of their personal self-worth, and be empowered to make the changes necessary to improve their welfare along with that of their children and families. ARC is a private, non-profit 501(c)(3) statewide agency based in Madison, WI serving high risk women and their families statewide. ARC specializes in the following service areas: Women-specific substance use disorders treatment, including residential, day treatment and outpatient services, focused on the mother-child bond, for adult women with their children and pregnant/postpartum women and their infants. Community diversion on a residential and outpatient basis of adult women as well as pregnant and postpartum women from the criminal justice system while providing for community safety. Diversion of adults and children from prostitution, sexual exploitation, and ARC helps women through commuhuman trafficking. nity-based, integrated, multidisciplinary services provided within the family context, especially the mother-child bond, along with advocacy to promote the system-wide adoption of women-responsive approaches to improve successful outcomes for women and their families. ARC has been successful in starting up and developing innovative, womenresponsive pilot and demonstration projects for high risk women based on State and Federal Best Practices and gender-responsive strategies informed by independent evaluations. In 2013, ARC Community Services, Inc. extended its residential services to Milwaukee, WI with an award from the Wisconsin Department of Corrections for a 13 bed residential, AODA treatment facility for women there. 3 A B O U T T H E O R G A N I Z A T I O N Values The following are key values that inform our services: Women-Responsive – Creation of an environment through site selection, staff selection, program development, context, and material that reflects an understanding of the reality of women’s lives and is responsive to their issues. Women-specific services address women’s specialized treatment issues/needs; barriers to recovery and participation in programming that occur for women; are delivered in a context that is compatible with women’s orientations and is safe from exploitation; takes into account women’s roles, socialization and relative status within the larger culture. Trauma-Informed – Programming that has a commitment to awareness and understanding of the prevalence of historical and current trauma; its impact on women served and commitment to not re-traumatize or do further harm through interventions, policies or procedures. Relational – ARC draws on this model of women’s self-development, pio- neered at the Stone Center, Wellesley College, to explain the importance of relationships in a woman’s life in the process of her recovery. It emphasizes the centrality of relationships for women, considers their role as caretakers/givers, develop women’s support networks in the community, stresses the use of positive peer group development and women’s strengths, and addresses current relationships, especially children and family, as a means to recovery. Family-Centered – This service approach acknowledges the influence and importance of family, especially children, to the recovery of women; encourages family involvement when appropriate and addresses family issues in the woman’s treatment program. Safety – Programming that provides for women and children’s safety by maintaining a women-responsive, child friendly treatment environment/culture/ climate that is welcoming, protective, respectful, diverse and empowering. 4 V O L U N T E E R S P O T L I G H T ARC VOC/ED SPECIALIST Betty Hart Betty Hart joined ARC Community Services in April 1997 as an LTE AODA Counselor for the ARC Center for Women and Children. She transitioned to the residential programs in July of 1997 as the full time Vocational/Educational Specialist for the Madison Halfway House Programs. Previous to her work at ARC, Betty graduated from UW-Oshkosh with a BS in Education, and with a Masters in Guidance and Counseling from UW Whitewater. Her previous employment has included work as an Elementary School Teach in Menasha, WI and work in Madison at MATC with adults striving to acquire their GED. Betty loves teaching adults and under her guidance, the vocational/educational program grew to include GED preparation and literacy work for ARC residential clients who were struggling to obtain their High School diploma and/or learn how to read. Betty is a talented teacher who has special skills for working with an adult learner. Her love for learning is catchy and infected many ARC women who never dreamed of being able to complete the GED process which had been a major obstacle in their lives until they met Betty. She has tutored and prepared hundreds of women during her tenure with ARC changes in funding, the “ARC School” program was closed in April 2014. However, that did not stop Betty from continuing to inspire women who never thought they could reach the goal of either reading or getting their high school degree. She continues to volunteer at ARC House offering her expertise and inspiration to motivate women to try again, and in the process, help them improve their self-esteem. While at ARC, she started the “school graduation party program” where everyone who completed their GED was granted a party after the graduation which included not only ARC residents, but families of the resident. She was able to get volunteers to participate in the party, including getting them to donate items needed for the party. After her presentation to the Church Women United Group, she so “infected” them with her zest for helping women “reclaim their lives”, that she was able to add a number of volunteers to her GED tutoring and literacy work with the ARC residents. 5 V O L U N T E E R S P O T L I G H T CHURCH WOMEN UNITED Audrey Hinger Audrey Hinger first started volunteering her talents for the women at ARC as a substitute for one of the women who used to help Betty Hart, former ARC Vocational/ Educational Specialist, throw graduation parties for ARC women who got their GEDs. She fell in love with the work and was soon coming up with new ideas to help the women. Audrey loves reading and wanted to help the ARC women develop a love for reading. Soon she delivered cook books to each halfway house. However, that was not enough. Audrey soon inspired other women at Church Women United to donate money to buy books for the ARC women to keep. Each year around Christmas, Audrey gets a list of all the women in the halfway houses, and a list of what book they would like to have for themselves. She has since expanded the list to include books for the women to give to their children. Each November, Audrey and her volunteers get a list from the three Madison halfway house programs and set off to all the book stores to acquire the books the women want. They carefully read each book to make sure that it is the “story” or material the woman wanted for herself or for her children. Hours are spent in book stores pouring over many books until the right book is found for each woman and child. The books are then delivered to the halfway house resident for their Holiday Parties. We are so grateful to have Audrey and her infectious spirit as she works to help our women develop the love of reading that she has. Audrey is very adamant to add that she does not do this work by herself. Although she is the Coordinator for the ARC Books Program, she has many volunteers who help by financial donations, by delivering books, and book selection. In addition to Shirley Robbins who is the President of Church Women United there are three other women who are instrumental in making sure this project happens: Jacquelyn Rodman, Marlene Lypert, and Janell Morehead. ARC is grateful to have the support of all the Church Women United participants who work to help the ARC women 6 E V A L U A T I O N H I G H L I G H T DR. THOMAS EBERT, Ph.D. I began consulting with ARC about 13 years ago performing various evaluations of different ARC programs and writing Executive Summaries for the then state BSAS. At that time I was an Associate Professor of Social Work at UW Oshkosh where I landed after I received my freshly minted MSSW from Madison and continued onto 11 years of social work practice in mental health and corrections. I earned my Ph.D. and began doing evaluation work about 1997. My work with ARC evolved into co-writing grants and conducting the evaluations for them. This has included a series of several sub-contracts spanning several years with Northrop Grumman’s FASD Center for Excellence (a SAMHSA contractor) which involved implementing an evidence based model for preventing alcohol exposed pregnancies across all ARC projects. Another major SAMHSA three year grant (from 2009 through 2011) was funded to implement a family-centered model in ARC projects called the Recovery Oriented Family Based Treatment (ROFBT). Currently, I am involved in a Department of Justice grant to provide services to victims of sex trafficking. All of the projects I have been involved with have demonstrated very positive outcomes for the Women at ARC, and stand as testimony to the great work that ARC does to change the lives of women and families for the better. “I am honored to be a part of the team of professionals at ARC , who from the administrators to line staff demonstrate a profound dedication to ARC’s mission, and who exhibit a client centered, strength’s based, strong sense of professionalism impacting the lives of so many women and families and the communities they serve.” FORWARD HEALTH GROUP Forward Health Group is a health management and measurement company providing health care institutions across the country with the software necessary to analyze data to assess patient populations and focus quality improvements. Forward Health Group (FHG) was founded in 2009 and has since partnered with leading health care providers and organizations including The Guideline Advantage™, an alliance of the American Cancer Society, the American Diabetes Association and the American Heart Association. Affiliated clinics use Forward Health Group’s Population Manager to identify and assess risk and drive meaningful, measurable improvements in their patient populations. In 2011, FHG consulted with ARC to develop software to assist substance abuse and mental health agencies assess treatment effectiveness, FHG’s first foray into behavioral health. Subsequently, under a grant from the Department of Health Services, we began administering three instruments weekly to all women in treatment: The Brief Addiction monitor, which measures risk and protective factors for substance use, the PHQ-9, a depression scale, and the GAD-7, a measure of anxiety. The results of the surveys are entered into the program and produce a chart tracking the client’s improvement in these areas. Known as Concurrent Recovery Monitoring, this is the state-of-the-art method for quality improvement. Rather than simply taking a measure at admission and discharge, this system enables the client and counselor, in their weekly individual sessions to identify specific areas and behaviors that need to be addressed for a successful outcome and modify the treatment plan accordingly. Both the client and counselor find this graphic representation of progress or areas where the client may be stuck to be an extraor7 dinarily helpful tool. E V A L U A T I O N H I G H L I G H T “PAID TO QUIT” A 2013 Innovators Award from WiNTiP Funded by a grant from the Wisconsin Nicotine Treatment Integration Project (WiNTiP), the goal of “Paid to Quit” was to get 16 women enrolled in First Breath or the tobacco Quit Line by December 31 of 2013 and to support women trying to quit or reduce their smoking by creating an alternative social environment during break times during the treatment day, and to practice alternative stress relief coping techniques by paying them to do so. Participants earned Walmart gift cards as incentives. Five dollar gift card were awarded for calling the tobacco Quit Line, or for completing the First Breath enrollment packet. Thirty dollar incentive gift cards were awarded when participants stayed in from breaks during the treatment day. If and when three rounds were completed there was an additional incentive of a $50 bonus card. Once enrolled, the Health Educator and the participant created a plan of what they would do on breaks rather than smoking. (i.e. developing a hobby to replace the smoking habit.) Supplies for those hobbies included origami, latch hook kits, cross stitch, exercise DVD’s, sugarfree candy and gum, nail polish, journals, and scrapbooking materials. We had great success and more than doubled our goal. 32 ARC clients who were ready to make a change in their smoking habits were motivated to call the Quit Line, twelve of whom additionally joined First Breath in 2013 as a result of the Paid to Quit WiNTiP Grant. This surpassed our goal by 100% in both categories of partnering, fostering growth in preestablished WI smoking cessation programs. 60% of participants reported reducing smoking by up to a ½ pack a day during their participation in the program. Some permanent changes made at ARC Emil Street because of the Paid to Quit project, in addition to being an Ambassador for Tobacco Integration Project team, are adding the DSM -V 305.1 nicotine dependence diagnosis to assessment, and adding smoking cessation to treatment plan goals as well as administering the Fagerstrom Test for Nicotine Dependence at the time of intake. Nicotine dependence diagnoses are then reported to the Health Educator who will continue to use the system of weekly motivational interviewing techniques to continue to discuss readiness, and plans to reduce and quit, including encouraging calls to the Quit Line for two weeks of free Nicotine Replacement Therapy 8 P R O G R A M S E R V I C E S TREATMENT SETTINGS Residential Treatment – five residential facilities with a total of 66 beds serves 233 women and up to 28 children and provides 24 hour care, seven days a week. Day Treatment – served 87 women for 29 hours weekly of group and individual services for an average of four months and allows women to remain in the community with their families. On-Site Childcare – for up to 44 children, birth through 5 years of age, as well as community childcare placement, child/family therapy, parenting for the mothers and AODA prevention services for the children. Outpatient Treatment – served 48 women for up to 10 hours weekly of individual and group counseling for an average of 4 months. Diversion Services – provided services for 185 women for up to 6 months. CHILDREN Pregnant, postpartum and parenting women are prioritized. Children can be placed in the on-site childcare center and/or infants up to one year of age with their mothers in residential. Services are not only women-specific, but also family-centered. Families received the following: FASD Education & Interventions Parenting education and child development evaluation (Ages & Stages) Health education including smoking cessation and nutrition Prenatal/postpartum medical care coordination and education Child centered play therapy Child/Family Therapy Family counseling and education groups 9 P R O G R A M S E R V I C E S AGENCY SERVICES AVAILABLE All services utilize Federal Best Practices Standards and Evidence-Based Models and are Women-Responsive. Pregnancy and Postpartum Care Coordination Fetal Alcohol spectrum Disorders Prevention and Intervention Parenting Enhancement Education (baby basics and young children) Individual case planning and counseling Parenting Group Mom and Me Group/Mother/Child bonding facilitation groups Developmental Assessments Child Visits Child/Family Therapy Child Care (licensed child care facility and Community Coordinated Child Care) Substance Abuse Recovery Pre-Entry Stabilization Education Assessment Treatment Planning Individual Counseling Group Counseling Relapse Prevention Skills & Training Family Education Continuing Care Planning Mental Health Services: Trauma Healing, Group & Individual Work Symptom Management Psychiatric Evaluation Medication Checks Education Facilitation of Client Prescription Assistance Programs Domestic Violence Sexual Abuse Sexual Victimization Cognitive Interventions & Skill Building Women’s Health Education Anger Management Healthy Relationships Groups and Individual Counseling Prostitution & Human Trafficking Educational Opportunities (GED) Vocational 10 P R O G R A M 11 S E R V I C E S AGENCY SERVICES AVAILABLE Case Management and Facilitation of Wrap-Around Meetings Financial Housing Medical, Mental, Dental Care Employment Legal Entitlements Criminal Friends; approval of contacts Transportation Community Monitoring Group and Individual Leisure Time Shared Living Responsibilities: menu planning and meal preparation Life Skills Training Problem Solving Financial Recovery Skills Criminogenic Factors Stage Process incorporating privileges and consequences Resident Council “This is a great treatment place. They are very caring and that really is necessary when you want help and in a dark or hard time in your life. They helped me feel self-worth that I have never felt before. I’ve never had a group of people (staff) that was on my side before them, and I really benefitted from this program and I thank the whole staff for working with me and hope that other people in the future will know this and benefit in their lives the way I know I can now. They have a place in my heart. Thank You!” F I N A N C I A L H I G H L I G H T ARC COMMUNITY SERVICES, INC. AGENCY REVENUE FOR YEAR ENDING JUNE 30, 2014 OTHER FUNDING $47,436 1% CITY OF MADISON $47,183 1% UNITED WAY $50,771 2% DANE COUNTY FUNDING $835,039 23% FEDERAL FUNDING $439,485 12% STATE OF WISCONSIN FUNDING $2,235,340 61% TOTAL FISCAL REVENUE $3,655,254 ARC COMMUNITY SERVICES, INC. AGENCY EXPENSES FOR YEAR ENDING JUNE 30, 2014 MANAGEMENT & GENERAL $337,367 9% PROGRAM EXPENSESDAYTREATMENT $1,143,725 32% PROGRAM EXPENSESOUTPATIENT $351,996 10% PROGRAM EXPENSESRESIDENTIAL $1,751,231 49% TOTAL FISCAL EXPENSES $3,584,319 12 FELICIA The following story is from a former resident of ARC House. On entering the program, Felicia described herself as a functioning alcoholic. She was a mother, wife, had a job at the post office, and was living a middle class life. She began using crack in 2004 and her life made a turn for the worst. Before she knew it she was no longer a wife, had given her children to a family member, was no longer employed at the Post Office, and on her way to being homeless. She eventually found her way to ARC House. Felicia said her first time at ARC House she had the attitude of an “arrogant drug addict”, but when she got there a second time, she stated she knew “I needed the structure, stability, and a way to get my mental health issues addressed”. “I knew I could do this at ARC House”. S U C C E S S “In October of 2003 from my bedroom window, I watched a man beating up a woman and dragging her out of his car. I ran out of my home as he was pulling off to see if the woman was injured. As she explained her situation, I thought that I could help her with her addiction. Instead, I became addicted due to her lacing my marijuana with crack cocaine without me knowing what she had done. I smoked my marijuana and had an extremely intense euphoric experience. I sat unable to talk when she asked how did I feel? I told her that I had never felt like this and that is when she told me what she had done. Even though I instantly enjoyed that feeling, I tried to fight it but started sneaking here and there getting high and my addiction took off. In 2004, I was 36 years old when my addiction began. I stopped paying my bills neglecting everything I loved and became an all out addict. My children were 15, 13, 10 and 3 when I made a decision to send them away. I never lost custody of my children because I had enough love for them to not let them go through what I witnessed other people’s children were going through due to their parent’s addiction. This was a new world for me. I tried seeking out help, but to no avail. I got involved in the criminal Justice system due to my crack cocaine addiction. One year later, I was arrested and placed on probation for writing someone else’s checks as well as theft of movable property due to my addiction. While getting high I always knew that I was not supposed to be doing this and how and why was I destroying my own life. I was getting beat, robbed, sexually assaulted and I became homeless. Once I was placed on probation, I had not met with my probation officer due to my addiction. I knew I had a warrant for my arrest for not meeting with my agent. I was arrested and put in Dane Co Jail. I asked for help and that is when the agent said she would put me in an inpatient treatment and referred me to ARC House. I did well in the program because I knew I wanted to return to the life I once knew as well as to my belief in God that I always had. I took the ARC House Program seriously. I looked at ARC as a treatment facility that I knew would give me the structure and stability I needed. In addition to the treatment program and from some of the Weekend staff. There was one S T O R I E S 13 S U C C E S S S T O R I E S weekend staff in particular who helped me. I saw a young African American woman in school working and treating all 15 of us women with dignity and respect. Watching and talking to her gave me hope and courage that I could turn my life around. From that, point on I took Trauma and our Women Issues groups as well as AODA groups personal and serious. I sought out the mental health doctors, medication and therapist to help me. I started going to AA 5-6 days a week, I got a sponsor started working the steps and principles off AA as well as becoming deeply involved in church. I dismissed all the people I used with because they were not my friends to begin with. I stayed away from those old places where I would indulge in drinking and getting high. I learned at ARC that you are only as sick as your secrets and that is when I decided no more secrets. My children were 18, 16, 13 and 6 when they returned home to me.” Felicia described her experience at ARC House as helping her to get along with other women, filter her thoughts, look at her underlying issues from child hood, her trauma issues, and get her mental health issues treated. Felicia’s secret to success is continuing to do everything she learned at ARC house, including, keeping to a schedule, attending community support meetings, regular contact with her sponsor, church, counseling and building support from others doing positive things with their lives. She believes you have to take life seriously, be honest with yourself, seek outside help, and disassociate with everyone who uses, even if it is a family member. Felicia continues to be challenged by getting a job with her past criminal record and having enough funds to continue her education, but she is not discouraged. Her long term goal is to get her Masters in Social Work from Edgewood College. Felicia Jones is now a Phi Theta Kappa, has earned college credits from the UWMadison Odyssey Project, and is one of the original participants in the Backyard Mosaic Women’s Project at St. Mark’s Lutheran Church. At Madison College she sat on the Fall 2013 – Spring 2014 Student Advisory Board, is a member of the TRIOOS Program (for first generation college students), has made the Dean’s List four times and carries a total GPA of 3.625. She also speaks at various community churches and other events including to current ARC House residents, spreading the word that people can change and have a different quality of life. Her latest accomplishment, along with 7 other student representatives, was having the opportunity to speak to Sen. Tammy Baldwin about barriers non traditional students face in getting a higher education. Felicia has a busy, fulfilled life and has been clean and off probation for seven years thanks to her new start at ARC House. “There are so many things I found helpful. The education, support, staff, and experience. All of it helped in so many different ways.” 14 P R O J E C T D E S C R I P T I O N ARC CENTER FOR WOMEN & CHILDREN ARC HEALTHY BEGINNINGS ARC COMPREHENSIVE OUTPATIENT SERVICES ARC TREATMENT ALTERNATIVE PROGRAM ARC DRUG TREATMENT COURT ARC PROJECT CHOICES ARC HOUSE ARC DAYTON ST. ARC MATERNAL & INFANT PROGRAM ARC FOND DU LAC ARC MILWAUKEE WOMEN’S PROGRAM RESPECT PROJECT ON PROSTITUTION ARC SERVICES FOR VICTIMS OF HUMAN TRAFFICKING 15 P R O J E C T D E S C R I P T I O N ARC Center for Women and Children The ARC Center for Women and Children is a licensed, community-based, womenspecific, alcohol and drug abuse day treatment program. Specific services for children of the mothers served, include: on-site child care for up to fifteen children, 0 through 6 years of age; community childcare placement; child/family therapy; and parenting for the mothers and AODA prevention services. Participants in the program receive educational and treatment services five days per week. Case management services that address stabilization needs prior to entry are provided and continuing care options are available. Services are designed to: address childcare and other barriers women face as they attempt to access treatment; provide AODA treatment within the family context, particularly the mother/child bond; increase successful treatment outcomes while improving the welfare of the children who may be in their care; address the needs of the family unit relating to those problems associated with second generational abuse; foster healthy family functioning and reduce out-of-home placements of young children; provide case management services to assist with the development of a stable lifestyle, including clothing, food, shelter, and medical attention; increase successful participation in economic initiatives (W-2); and improve employability/economic self-sufficiency. Opening in 1989, this project was originally the state demonstration project “Model Women’s AODA Treatment Program” and part of the 1989’s ACT 339 Omnibus Drug Bill. PROGRAM STATISTICS PROGRAM OUTCOMES During 2013, 44 women received 29 hours weekly of group and individual services. Typical length of stay is four months, but some women are with us for a year. CWC, based on the best practice Relational Model of women’s self -development, uses a wraparound model to coordinate a single case plan with other agencies with which the woman may be involved. During 2013 we held 149 wraparound meetings. Using the family-based treatment model, staff provided services to 61 family members of women enrolled in CWC. Seventeen children were served in the on-site therapeutic childcare. In order to be successfully discharged from CWC, women must be abstinent from alcohol or other drugs for a minimum of thirty days preceding discharge, have a safe living environment for themselves and their children, have no arrests while in treatment, be employed or actively seeking employment or enrolled in school or job training and have completed at least 60% of their treatment goals. Thirty women were discharged, Twenty-four completed successfully for a successful discharge rate of 80%. 16 P R O J E C T D E S C R I P T I O N ARC Healthy Beginnings Opened in 1994 as a Federal demonstration project to implement an ideal treatment model for the recovery of pregnant and postpartum women affected by chemical abuse, this program provides women with a full-time day treatment program. Women attend programming Monday-Friday, 8:30 AM - 2:30 PM for four months and then move into part time aftercare program. Transportation and noon meals are provided. Children 0 through 5 are enrolled in the on-site licensed childcare center during the period the mother is enrolled in the treatment program. Program services are designed to encourage recovery in a supportive manner while: addressing the mother/child bond; providing increased access to prenatal care and well child care to decrease the likelihood of birth complications; and enhancing maternal attachment and parenting support to assist in stopping the cycle of child abuse and neglect and to increase family intactness and healthy family functioning. Services include: women-specific day treatment AODA services for women who are pregnant or postpartum, licensed childcare provided on-site or through community childcare coordination, prenatal/postpartum care, well child care coordination, health education, parenting assistance and infant care classes that enhance the mother/child bond, case management services that improve independent living skills including vocational/educational assistance, mental health services that address abuse issues especially child and sexual abuse, and aftercare services on a step-down basis. PROGRAM STATISTICS During 2013, 41 women were served with each woman receiving 29 hours weekly of group and individual services for an average of 4 months with continuing care available. Thirty-five of their infants attended on-site therapeutic child care. Women enrolled in HB attended 227 medical visits for pre-natal and postpartum care and 82 well baby checkups coordinated by our Health Educator. All twenty-eight births occurring to enrolled mothers were healthy babies, unaffected by alcohol or drugs. HB uses a wraparound model to coordinate a single case plan with other agencies with which the woman may be involved. During 2013 we held 157 wraparound meetings. PROGRAM OUTCOMES In order to be successfully discharged from HB, women must be abstinent from alcohol or other drugs for a minimum of thirty days preceding discharge, have a safe living environment for themselves and their children, have no arrests while in treatment, be employed or actively seeking employment or enrolled in school or job training and maintaining regular contact with people supportive to their recovery. Eighteen of twenty-seven women were successfully discharged for a successful discharge rate of 67%. 17 P R O J E C T D E S C R I P T I O N ARC Comprehensive Outpatient Services for Women and Their Families This project was awarded in January of 2012 as one of six projects funded statewide by the Department of Health Services as a Statewide Urban/Rural Women’s Alcohol and Other Drug Abuse Treatment. This project provides comprehensive assessment services, case management, transitional housing, integrated AODA and trauma programs, intensive outpatient services and increased treatment flexibility to improve the success of women and their families in their ability to achieve healthy, intact family functioning and to recover successfully from their substance abuse problems. A Child and Family Therapist is a member of the on-site therapeutic childcare team that screens for and refers children with developmental delays in addition to providing therapy services. PROGRAM STATISTICS During 2013, 227 women were assessed for treatment for all three projects. Forty-eight were enrolled in the outpatient service and women receive up to ten hours a week of counseling and are with us for approximately four months. Women obtained safe housing at our Maternal Infant Program for 566 bed days. We provided 16,200 cab rides and bus tickets to enable women to attend treatment and medical appointments. COS uses a wraparound model to coordinate a single case plan with other agencies with which the woman may be involved. During 2013 we held a total of 287 wraparound meetings. PROGRAM OUTCOMES In order to be successfully discharged from COS, women must be abstinent from alcohol or other drugs for a minimum of thirty days preceding discharge, have a safe living environment for themselves and their children, have no arrests while in treatment, be employed or actively seeking employment or enrolled in school or job training and maintaining regular contact with people supportive to their recovery. Twenty six women of thirty-were successfully discharged for a successful completion rate of 86.6%. 18 P R O J E C T D E S C R I P T I O N ARC TREATMENT ALTERNATIVE PROGRAM Provides case management services for female substance abusing offenders enrolled in the Dane County Treatment Alternatives Program (TAP) administered by the Dane County Human Services Department since 1989. The TAP project provides for the diversion of drug dependent individuals from the criminal justice system, especially the Dane County Jail, and Probation & Parole through the provision of intensive case management and community-based AODA treatment services. PROGRAM STATISTICS 30 women were served in 2013 20 were discharged, 9 successfully “Having a women only based treatment center is THE smartest thing for our treatment.” PROGRAM OUTCOMES Participants must have completed primary substance abuse treatment, have maintained 60 consecutive days without alcohol or drug use prior to graduation, completed the cognitive interventions group, maintained compliance with all case management reporting requirements, made progress in meeting case plan goals, including actively seeking or obtaining legitimate employments, pursuing educational goals, remaining arrest-free, and obtaining safe and affordable housing. Successful completion rate of 66.7% ARC Drug Treatment Court Program This project provides women-specific case management services for women enrolled in Dane County Drug Treatment Court, under a grant from the U.S. Department of Justice. This program consists of a coordinated effort intended to interrupt female offenders criminality by coordinating criminal justice PROGRAM and addiction interventions in order to proOUTCOMES Participants must have completed primary vide a diversion program for women with substance abuse treatment, have mainAODA issues who would otherwise be jailed tained 60 consecutive days without alcoin the overcrowded criminal justice system. hol or drug use prior to graduation, comThis program is administered by Dane pleted the cognitive interventions group, County Human Services Department. While maintained compliance with all case manTAP and DTC have different admission, reagement reporting requirements, made porting and court appearance requirements, progress in meeting case plan goals, including actively seeking or obtaining lethey have identical criteria for success. PROGRAM STATISTICS 34 women served in 2013 22 were discharged, 17 successfully gitimate employments, pursuing educational goals, remaining arrest-free, and obtaining safe and affordable housing. Successful completion rate of 92.3% 19 P R O J E C T D E S C R I P T I O N ARC FASD PROGRAMS ARC Community Services was awarded two subcontracts from Northrop Grumman for Fetal Alcohol Syndrome. The first (Your CHOICE Program) was to do a prevention intervention for women who were at risk of an alcohol exposed pregnancy and in ARC outpatient programs. The second award (Screening and Modification to Treatment) was to doing screening of all residential clients to determine if they were on the FASD spectrum and needed modification to their treatment to be able to successfully complete their treatment program. The CHOICE Program was awarded in September 2012 and implementation began in January 2013. The Screening and Modification to Treatment Program (SMT) was initiated in January 2013 with training of all staff. However, just as both programs were getting started, the subcontracts were terminated after their “Base Year” in April 2013 when the Substance Abuse and Mental Health Services Administration (SAMHSA) reduced the original funding for the FASD projects from $11,000,000 to $1,000,000. The ARC programs continue to utilize the information and tools developed as part of program service delivery. SMT SCREENING TOOL YOUR CHOICE WORKBOOK “It’s not cool, and it’s not good, and learning about it because I didn’t know what I was doing. I had not heard of FASD, I thought you had to be drinking gallons to get really exposed. It was really enlightening to know the things I could have done and scary to think about. At the same time, it teaches me for the next time. 20 ARC House P R O J E C T D E S C R I P T I O N ARC House served 52 women in fiscal year 2013 with a 77% successful completion rate. In 2009, the national success rate for females in residential is 47% Wisconsin’s rate is 52% for females ARC House is the original project and flagship of the agency, and has been in continuous operation since 1976. ARC House is a 15 bed State certified Medically Monitored AODA Treatment Facility for women who are referred by the Wisconsin State Department of Corrections. These women have substance use disorders and are at a high risk of reoffending. The typical stay is 4 months with a 6 month follow up in the Aftercare group. ARC House is licensed both as a community based residential facility under DHS 83 and a treatment facility under HSF 75. All clients receive women specific program services which address substance use disorders, criminality, trauma which includes physical and sexual abuse, unhealthy or abusive relationships, physical and mental health problems, anger/ stress management, employment and money management, living skills, child custody and mother and child unification issues. This is delivered through individual and group sessions with treatment staff. ARC House is staffed 24 hours a day and consist of a Program Manager, Substance Use Counselor, Social Worker, AODA Case Manager and Support Staff. ARC Dayton ARC Dayton served 61 women in fiscal year 2013 with a 73% successful completion rate. 21 “I just wanted to say that I honestly feel like this program probably saved my life. I really felt like staff truly cared and believed in me and I would just like to say thank you to all of them.” ARC Dayton is a 12-bed residential facility for female correctional clients. ARC Dayton, which began in 1990 as a minimum-security residential facility for women, has evolved to serve women under supervision of the Wisconsin Department of Corrections who are referred as an alternative to revocation of community supervision or who are referred upon re-entry from prison. In addition to the eight beds under contract with the Wisconsin Department of Corrections, ARC contracts to provide four beds to the Federal Bureau of Prisons for women reentering the community from federal prison or women who are under the supervision of the U.S. Probation and Pretrial Office as well as a drug aftercare program. ARC Dayton is a licensed community-based residential facility. This facility’s primary purpose is to provide a gradual transitional living situation for women offenders as a bridge from institutional living to parole status in the community. ARC Dayton provides womenspecific program services addressing cognitive interventions, unhealthy or abusive relationships, health problems, employment and money management needs, alternative leisure time use, reunification with children after incarceration and parenting education, and substance use disorder education. Women participate in group counseling as well as individual treatment planning and case management. ARC Dayton has a full-time staff consisting of a Program Manager, a Social Worker, and two Case Mangers, including one with Substance Use Disorder specialty. ARC Maternal & Infant Program P R O J E C T D E S C R I P T I O N ARC Maternal & Infant Program served 50 women and 25 infants in 2013. 13 healthy infants were born in 2013. A licensed, community based residential facility for 8 adult pregnant/post partum women and their infants. Since 1993, MIP has provided parenting education, intensive case management as well as substance use disorders treatment for women offenders. MIP was designed to enhance the mother/child bond in a safe, supportive, and stimulating environment. MIP recognizes the importance of the early mother/child relationship for the long term recovery of the offender while also helping to address the patterns of intergenerational criminal involvement with the children. The MIP program is six months long, ideally starting in the woman’s last trimester of pregnancy through the first 3 months after birth. Women who have already delivered may still benefit from the program if their infant is less than one year of age on the date of entry into the program. MIP also has 4 beds to provide residential services to women participating in one of ARC’s licensed substance use disorder programs - day treatment, intensive outpatient program, the Dane County Drug Treatment Court or the RESPECT project for women involved in prostitutional behaviors. MIP’s staff includes the program manager, parenting specialist, social worker, and AODA case manager. ARC Fond du Lac ARC Fond du Lac served 63 women in fiscal year 2013, with a 81% successful completion rate. In Consumer Surveys filled out at program completion, 100% of clients stated that if someone they knew were referred, they would encourage her to enter this program and 80% of clients stated that they were “extremely satisfied” with their life at completion of this program. 22 ARC Fond du Lac is a 14-bed residential facility for female correctional clients under supervision by the Wisconsin Department of Corrections. ARC Fond du Lac specializes in serving women referred as an alternative to revocation. Almost all women served by ARC Fond du Lac have a substance use disorder. The program, like all ARC Projects, is designed in response to special needs of the female offender so as to empower women to make responsible life choices. In addition, it incorporates the residential elements of a structured living situation with accountability measures; case management emphasis with related phase system of increasing privileges; cognitive behavioral skills building program; and a community-based program to provide for the development of a strong community support system for each woman and her family. ARC Fond du Lac provides women-specific program services addressing each woman’s individual needs, including cognitive restructuring, unhealthy and abusive relationships, referrals for mental and physical health needs, employment and budgeting counseling, healthy leisure time activities, parenting education, substance abuse disorder counseling and relapse prevention, trauma and abuse education, and anger management. ARC Fond du Lac has 5 full time staff consisting of a Program Manager, AODA Counselor, Vocational Case Manager, Family and Relationship Counselor, and an Overnight Counselor. P R O J E C T D E S C R I P T I O N ARC Milwaukee Women’s Program In 2013, the Wisconsin Department of Corrections awarded ARC a grant to run a 13-bed residential AODA treatment facility in Milwaukee for women. ARC spent 2013 finding a site, renovating the facility, developing partnerships with other providers in Milwaukee, refining the program, obtaining city zoning approval and preparing for state licensure as a community-based-residential facility. ARC Milwaukee Women’s Program admitted the first residents in May 2014. The ARC Milwaukee Women’s Program facility is a renovated three-story duplex in the Walker’s Square neighborhood. ARC Milwaukee Women’s Program serves women who are 18 years of age or older; under supervision of the Wisconsin Department of Corrections; who have a substance use disorder and who need residential level care. The program length is three to six months. Successful discharge is contingent upon a resident achieving treatment plan goals. The program is staffed with a full -time Program Manager, AODA Counselor, Social Worker, Case Manager, and Overnight Counselor, as well as part-time weekend counselors. Program services include: AODA assessment; AODA groups (Intensive Treatment; Symptom Management, Stages of Change, Relapse Prevention and Weekend Plan); Individual AODA Counseling; Cognitive Interventions; Family and Relationships; Parenting; Child Visit Program; Trauma Education; Anger Management; Basic Living Skills; Case Management (includes housing, vocational, budgeting, health, independent living skills); Recreation; Community Referrals (including for physical or sexual assault and domestic violence); and Continuing Care Group. The program uses a stage process under which residents earn increasing privileges as they satisfy program requirements and individualized treatment plan goals. “I just would like to let you know how much I appreciate your program. I will forever be indebted to it for the many things I’ve learned. I am grateful to ARC for giving me my life back!” 23 P R O J E C T D E S C R I P T I O N RESPECT RESPECT addresses local prostitution in the City of Madison and Dane County by providing diversion services on an outpatient basis including outreach, counseling, intensive case management, crisis intervention, advocacy, peer support, transitional housing and referrals to vital services to victims of sexual exploitation and prostitution since 1981. RESPECT also emphasizes prevention and early intervention by encouraging community self-referrals. RESPECT is designed to do the outreach necessary to access this difficult to reach population, offer viable alternatives and move them into essential community services. A peer advisory group of formerly prostituted women assists with program design and functions as an advanced program activity. All activities focus on building self-care, awareness, empowerment and pride in accomplishments by offering viable alternatives to prostitution in order to RESPECT CORE VALUES build healthier lives. RESPECT facilitates a Coordinated Community Providing diverse and safe, nonjudgmental, accessible services are fundaResponse (CCR) addressing commental to social change regardless of race, mercial sexual exploitation of chilgender, age, sexual identification or relidren. RESPECT has developed an intensive trauma-informed, victimgious beliefs. centered peer support model that promotes safety and successful It is a basic human right to live free of sexutilization of community resources ual violence. through a multi-faceted response to their needs through intensive Collaborations are crucial for alliance buildcase management. ing. Social change does not occur in isolaSince the 1990’s RESPECT has been a member of the Coalition Against Trafficking in Women, a United Nation’s non-governmental organization that has led the effort to end sex trafficking. In 1998, CATW identified RESPECT, along with groups in Minneapolis, Chicago, San Francisco and Portland, as U.S. groups that truly work to help women out of prostitution and create sustainable alternatives to prostitution in women’s lives. OUTCOMES RESPECT consistently exceeds its target goal of 60% of all participants who successfully completing case plan goals & objectives. In 2013, RESPECT served 113 individuals. tion. RESPECT is driven by survivor’s voices. Survivors and all those affected by sexual violence deserve compassionate services, dignity, privacy and respect. Sexual violence is based in oppressive power relations based on gender and economic inequality. We promote social and economic justice. We believe in the power of advocacy, education, prevention, and driving public policy as agents of social change. “I never really knew what it was like to have people so involved & care so much about my well being & getting better. It’s amazing & I will be forever grateful. I truly feel blessed!” 24 P R O J E C T D E S C R I P T I O N COMPREHENSIVE CASE MANAGEMENT SERVICES TO DOMESTIC VICTIMS OF HUMAN TRAFFICKING This project, funded by the United States Department of Justice, Office of Victims of crime began in 2011, builds on Project RESPECT and is designed to identify local domestic victims of all forms of human trafficking and direct them into services, through intensive case management services, in Madison and surrounding areas; provide training and technical assistance regarding specific individuals and investigations to law enforcement; as well as build coordinated community response models and effective service provider networks in order to enhance and expand service delivery to victims of human trafficking – utilizing a service network of 49 collaborative partners including education, medical, mental health treatment, substance abuse treatment, employment assistance, family reunification, worker’s rights advocates, civil/immigration legal service providers, youth services. This service has an independent evaluation component and uses the TIMS Data System for outcome evaluation. WHAT IS PROSTITUTION HIGHLIGHT In 2013, ARC served 32 juvenile victims of human trafficking. Prostitution is violence against women. It is sexual exploitation, one of the worst forms of women’s inequality, and a violation of any person’s human rights. Prostitution is a system that includes casual, brothel, escort agency, mail order bride selling, sex tourism and trafficking in women. All prostitution exploits women, regardless of women’s consent. Prostitution is sexual exploitation that can prey on women and the children made vulnerable by poverty, and women who have been victims of childhood sexual abuse. It affects all women, justifies the sale of any woman, and reduces all women to sex. WHAT DOES HUMAN TRAFFICKING LOOK LIKE? Coercion & Threats: threats of physical harm; threats to harm family; threats to report victim to police Intimidation: harms or kills others to show force; destroys property; displays or uses weapons Emotional Abuse: makes victim feel guilt or blame for situation; plays mind games; creates dependence by convincing victim they’re the only one that cares about them Isolation: moves victim to multiple locations; keeps victim confined; denies access to children, family and friends Minimizing, Denying & Blaming: makes light of abuse or situation; blames victim for trafficking situation; denies anything illegal is going on Sexual Abuse: forces victim to have sex with multiple people in a day; uses rape as a weapon and means of control; normalizes sexual violence and selling sex; treats victim as an object used for monetary gain Using Privilege: treats victim like a servant; uses certain victims to control other victims; hides or destroys important papers Economic Abuse: creates debt bondage that can never be repaid; take some or all money 25 earned; forbids victim to go to school B O A R D O F D I R E C T O R S Board of Directors Karen Kinsey, CEO President Gerald Mowris, Stafford Law Firm Vice President Jan Froelich, Johnson Block & Company Treasurer Amy Bruchs, Michael, Best & Friedrich Secretary Erika B, Stafford Law Firm Member ARC Advisory Committees Coordinated Community Response to the Commercial Sexual Exploitation of Children Amy Nobel MMSD Transition Education Program Jan Lorch MMSD Transition Learning Center Kelly Anderson Executive Director, Rape Crisis Center Deb Anderson MMSD Metro Middle & High School—Dane County Jail JoAnn Gruber Hagen Founder, Slave Free Madison Dave Mahoney Dane County Sheriff Ismael Ozanne Dane County District Attorney 26 Sharyl Kato Executive Director, Rainbow Project Jen Burkel Volunteer Coordinator, Youth Services of Southern WI Patricia Hrubesky Director, Dane Co. Dist. Attorney Deferred Prosecution Unit Gretchen Kubnick Director, High Risk Juvenile Sex Offender Registry Program, DOC Jeanne Schneider Program & Clinical Coordinator, Youth Services of Southern WI John Bauman Dane County Juvenile Court Administrator Lt. June Groehler Madison Police Department Detective Maya Krajcinovic Madison Police Department A D V I S O R Y C O M M I T T E E S AODA SERVICES Sara Flugum Director of Services, Domestic Abuse Intervention Services Linda Preysz Policy Analyst, WI Dept. of Workforce Development Daniel Stattelman-Scanlan Nursing Supervisor, Public Health Dept. (Madison & Dane Co.) Julie Ahnen Dane Co. CPS Manager, Dane co. Dept of Human Services, NPO Blinda Beason Former Secretary of Transportation to SCAODA Flo Hilliard Director, WI Women’s Empowerment Network Cheryl Casey Grant Outreach Program Specialist, BadgerCare Plus Traci Stewart Liaison Event Coordinator, WI Voices for Recovery RESIDENTIAL—MADISON Gerald Mowris Stafford Law Firm Rick Badger New Beginnings Alliance Church Dan Nevers UW School of Social Work Emily Sampson Madison Police Department Jacqueline Redmer Neighbor Kristine Browder Neighbor 27 A D V I S O R Y C O M M I T T E E S Dr. Alida Evans Physician Tonya Jacobson Social Worker Heather Johnson Neighbor Joseph Sonza-Novera Neighbor RESIDENTIAL—FOND DU LAC Kristine Schaeffer UW Extension—Fond du Lac Doris Priesgen Social Worker, kettle Moraine Correctional Facility Linda Kroll Probation Agent, Division of Community Corrections Marcy Janz Nurse Practitioner Rev. Paul Zoschke Community Member Caryl Hartjes Sisters of St. Agnes Ellen Bestor Community Member DANE COUNTY FASD TASK FORCE Bernestine Jeffers Women’s Treatment Coordinator, Div. of Mental Health & Substance Abuse Todd Campbell Dane County Dept. of Human Services Lisa Hemauer Intake Worker, Joining Forces for Families Nancy DiBenedetto Division of Community Corrections Dr. Thomas Ebert Program Evaluator Georgiana Wilton Director, Family Empowerment Network Daniel Stattelman-Scanlan Nursing Supervisor, Public Health Dept. (Madison & Dane Co.) Kristi Obmascher UW Dept. of Professional Development & Applied Studies Dr. Alida Evans Physician 28 KEY STAFF POSITIONS Karen Kinsey Executive Director Judy Baldwin Assistant Director Norman Briggs Director of Addition Services Paulette Romashko Director of Program Development & Evaluation Robin Ryan Director of Community Justice Programs Peggy Bentley Senior Accountant K E Y In 2013, ARC Community Services, Inc. employed 77 full and part time staff. PROGRAM MANAGERS Celesta Miller, Program Manager, ARC House Jan Battle, Program Manager, ARC Dayton St. Linda VanTol, Program Manager, ARC Maternal & Infant Program Tania Rhoads, Program Manager, ARC Fond du Lac Kerry Stokes, Program Manager, ARC Milwaukee Women’s Program Laura Fabick, Program Manager, ARC Outpatient Services Jan Miyasaki, Program Manager, Project RESPECT Angie Wareham, Program Manager, TAP/DTC Case Management Services P E R S O N N E L PROGRAM POSITIONS Clinical Supervisors AODA Counselors Intake Specialist Family Therapist Health Educator Child/Family Therapist Parenting Specialist Women’s Community Specialist Director of Childcare Services Case Managers Outreach Workers Research Assistant Social Workers Trauma Specialist Childcare Workers Night/Weekend Counselors Overnight Counselors Vocational/Educational Specialist Medical Directors 29 S E L E C T E D C O M M I T T E E S SELECTED COMMITTEES OF WHICH ARC STAFF ARE PARTICIPANTS SCAODA designee to the Criminal Justice Committee of the Mental Health Council Dane County Recovery Coalition Executive Committee Great Lakes FASD Regional Trainers Center - Advisory Committee WI Alliance for Infant Mental Health Fond du Lac Coordinated Community Response Against Violence Fond du Lac Drug Free Communities Light Up the Night Committee Anti-Human Trafficking Task Force—US Federal Western District Wisconsin Council on Community Corrections - Executive Committee Dane County FASD Task Force Dane County Commission on Sensitive Crimes UW Stevens Point/Division of Mental Health and Substance Abuse Services Mental Health & Substance Abuse Training Conference Wisconsin Perinatal Depression - Task Force Wisconsin Trauma-Informed Care - Advisory Committee Dane County Safe Sleep Initiative Dane County Fetal and Infant Mortality Review Southern Region PNCC Work Group Dane County Homeless Consortium State Council on Alcohol and Other Drug Abuse State Council on Alcohol and Other Drug Abuse - Intervention and Treatment Committee State Council on Alcohol and Other Drug Abuse - Planning & Funding Committee State Council on Alcohol and Other Drug Abuse - Mental Health and Substance Abuse Needs Assessment Committee Recovery Coalition of Dane County - Executive Committee Parent Addiction Network of Safe Communities - Advisory Committee Wisconsin Nicotine Treatment Integration Project - Advisory Committee Great Lakes Addiction Technology Transfer Center - Wisconsin Local Advisory Committee International Community Corrections Association Wisconsin Coalition Against Sexual Assault Wisconsin Correctional Association Wisconsin Anti-Human Trafficking Consortium 30 G E T T I N G I N V O L V E D VOLUNTEER You can offer your time and talents to the agency or a specific program. DONATE Donate materials or gifts in-kind needed by our mothers and children to furnish their homes, clothe their infants and help them rebuild their lives. Make a tax deductible financial gift or pledge that allows ARC to address the needs of high risk mothers and their families. ADVOCATE Learn about the issues that impact our women’s lives and share this information. Invite our staff to give informational talks about the issues in our women and children’s lives. Connect ARC to community leaders, funding sources or foundations. VISIT Schedule a tour of ARC’s programs to learn more about our services or call (608) 278-2300 31 “THE GIFT OF GIVING” THANK YOU! G I F T S Blackhawk Evangelical Free Church Bethal Lutheran Church Medic Clinic Epic Cherry Blossom Events LLC John Deere Financial Ananda Marga Church Women United New Beginnings Alliance Church Heads Up Hair Salon Kiwanis R.S.V.P. St. Matthews New Life Church Laureen LaFrancois Melissa Witte Deb Martin Roselyn Baker Herman Wipperfurth Michelle Hoffner Katherine Kenig Kristine Browder Holy Family Congregation Covenant United Methodist Church Gannet Corporation Service League of Fond du Lac Holy Family Catholic Church Presentation Catholic Church UW Extension—Madison Employees Change.Org Holy Mother of Consolation Church First Baptist Church Monona Monday Quilters Blooming Grove Fire Department Marie Kress Dennis Brown Gwen Sayler Sandy Pertzborn Marie Kress B.K. Eaves Casey Nicks Constance Kaeser 32 C O N T A C T U S 2001 W. Beltline Highway Suite 102 Madison WI 53713 Phone: (608) 278-2300 Fax: (608) 278-2313 Web: www.arccommserv.com ARC Community Services, Inc. gives admission priority to pregnant women ARC Community Services, Inc. provides an equal opportunity in employment ARC would like to thank funders, donors, volunteers and community partners that make our services to improve the lives of women and their families possible. 33