Wraparound Logo with large 2016

2016 Message


The evolution of Care Management Organizations (CMOs) and FACT, in particular, reflects the changing attitudes and beliefs about what makes children into successful adults, and how best to help those kids who have fallen behind because of intellectual, developmental, emotional or behavioral challenges.

Sadly, children with developmental or intellectual disabilities may only receive help in school and, even then, only in specialized, self-contained classrooms. There just aren’t many services to help these children, and their families, learn the skills to help them be more independent in their homes. Then the CMOs took on the role of care management from NJ’s Division of Developmental Disabilities and a fresh approach was begun.

Several years ago, many believed that inadequate nurturing and support from parents caused children to rebel. Then there was a long stretch when removing a child from their home to “fix” them and provide guidance and discipline was the answer. New residential treatment centers appeared everywhere and massive amounts of medication were prescribed to tame the behaviors of children suffering with emotional challenges.

But now, research on trauma has taken us in a different direction. While we all realize that frightening and violent experiences can leave a damaging imprint on the brains of children, we also now know that with consistent exposure to positive, supportive, and loving actions their young minds can be helped to rebalance and flourish. In fact, we believe that many ‘negative’ and ‘acting out’ behaviors can be effectively reversed through a carefully coordinated, family inclusive model of care that reinforces and rewards positive behavior.

In some respects, it is the simplest, least intrusive, and least expensive approach of all that often has the greatest positive impact on our youth in the long run.

As FACT embarks on its path towards the Nurtured Heart Approach, we are learning that both parents and children can improve their prospects without blaming, without out-of-home care, and even without medication. This is the bright future that we are now embracing.

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Board President

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Executive Director

 

Together We Make Caring Count

  Mission

  • To help Union County children with complex emotional and behavioral problems succeed at home, in school and in the community.
  • To partner with children, families and the community to provide an integrated, strength- based, comprehensive, accessible and accountable system of care management for children with emotional and behavioral challenges.

  Values

  • Families will be equal partners in the development and delivery of their plan of care.
  • FACT will be respectful of a family’s culture, values, strengths and preferences.
  • All children are resilient and can grow, improve and become healthy, contributing members of our community.

  Principles

  • FACT strives to find innovative and creative solutions to the problems families face.
  • FACT advocates for families and participates actively in efforts to improve behavioral health services in the community.
  • FACT works with professional partners who share our philosophy to develop an effective plan of care.
 

New Programs in 2016

Graphic of wraparound people in the shape of a heart

FACT wraps new services around a Nurtured Heart

We've been reformulating and simplifying our programs of care to help keep our children closer to home.

To address the seemingly epidemic rise of families with children dealing with autism and other intellectual and developmental disabilities, FACT has expanded its specialized services and care management to not only assume the growing caseload formerly handled by the NJ Division of Developmental Disabilities, but to do so in a way that seeks to improve the quality of life for families in Union County.

Read 2016 Executive Message

Image of autistic boy working with caregiver at home

Caring comes home to Union County

In response to overwhelmed parents and caregivers, FACT now offers services in the comfort of a family's home.

Intensive-In-Home (IIH) services are two specialized care programs intended to complement pre-existing services in schools or outpatient clinics. Rehabilitation services are restorative, short-term efforts aimed at stabilizing behaviors and lessening the need for hospitalization or out of home living arrangements. Habilitation services are longer-term, functional supports to improve a child's adaptive skills, self-help and social interactions. FACT's model now includes these IIH services to help advance a child's success at home, in school and within their community.

2016 Statistics

1,237

Families Served

633

2016 Referrals

48

Care Managers

7.7%

Annual Growth

Where Our Enrollees Live

Map of Union County showing where enrollees live

In 2016, we also served 77 youth whose hometowns are outside Union County. These youth are their own guardians and are in Out of Home Treatment outside Union County or are open to DCP&P office in Union County.

Monthly Enrollment Comparison

 

Ages

 

Gender

 
Image of girl at peace in park staring off into the distance

Our unique wraparound care management philosophy continues to have a positive impact on the lives of young people across Union County.

Read Jessica's Story

Sixteen year-old Jessica remembers a time when her life was anything but peaceful. Battling the intense challenges of autism while living in a chaotic home with her single mother and several step-siblings, Jessica struggled desperately with feeling confused, overwhelmed, misunderstood and, sadly, unloved much of the time.

Photo of frustrated and defiant young woman

Lashing out at her family became the only outlet for her frustrations.

Unfortunately, crisis after crisis at home quickly became too much for her mother to handle and routinely resulted in visits by the local police. She refused to go to school, take her medication or comply with any of the household rules. Things culminated in an incident that landed Jessica in a hospital and totally decimated any sense of security and stability in her life.

After a brief hospital stay, Jessica was referred to FACT's innovative, new care management program.

In 2016, FACT took over local care management for kids with intellectual and developmental disabilities from New Jersey's state agency. Jessica was assigned a FACT Care Manager who quickly convened a Child & Family team including her mother and several staff members from the hospital that treated her. All of the clinicians and team members agreed that Jessica needed out of home treatment to help her readjust to a more comfortable routine that offered the structure and therapeutic support that she needed.

2016 Enrolled Youth Referral Sources
Mobile Response & Stabilization Services 230 36.3%
County Crisis Intervention Services 80 12.6%
Self (incl. recommendation of school / FS&E) 72 11.4%
Division of Child Protection & Permanency 71 11.2%
Mental Health Providers 43 6.8%
14 Day Plan 38 6.1%
Inter-County CMO Transfer 27 4.3%
Juvenile Justice Commission 23 3.6%
Partial Hospital Programs 21 3.3%
Children's System of Care 12 1.9%
Other 16 2.5%
Total 633 100.0%
Image of three girls working together in their dorm room

The specialized group home was a challenge at first, but Jessica slowly acclimated and soon blossomed.

While a friendly, predictable routine and stable surroundings helped, things were obviously new, different and unfamiliar which hampered her progress at first. However, with prompting and assistance, Jessica quickly regained her interest in school and soon began visiting her home on weekends without incident. So, things were definitely improving.

But upon returning home, things unexpectedly fell apart which undermined Jessica's excellent progress.

No sooner did Jessica arrive home then her mother was abruptly evicted, resulting in Jessica being forced to stay with multiple friends and relatives for days at a time. The sudden elimination of a stable home, combined with losing the structure that had helped her recover much of her independence, Jessica was left emotionally devastated. The constant shuffling between make-shift homes often left her disheveled, dirty and without any food to eat. Her school finally contacted DCP&P, whose investigation resulted in her immediate placement in a resource home.

2016 Out of Home Treatment Admissions
Residential Treatment Center 114 44.4%
Specialty Bed 45 17.5%
Treatment Home 28 10.9%
Psychiatric Community Home 25 9.7%
Group Home 20 7.8%
Intensive Residential Treatment 10 3.9%
Emergency Diagnostic Residential Units 5 1.9%
Out of State Residential Treatment 4 1.6%
Respite I/DD 2 0.8%
Special Skills Home 2 0.8%
Detox - Substance Use 1 0.4%
Detention Alternative Program 1 0.4%
Total 257 100%
Image of loving mom with arm around foster daughter on park bench  at sunset

Those storm clouds, though, had a silver lining and a new day dawned for Jessica.

For Jessica, her new resource Mom was just what the doctor ordered. As soon as she moved into the house, she gained back not only the much-needed stability, structure and focus for her daily routine, but something else she needed much more -- love, compassion and understanding. Her FACT team expanded to include DCP&P and her resource Mom and together they decided Jessica could benefit greatly from Intensive-In-Home (IIH) services to help her continue her progress. She still loves her mother, but is happier and more independent in her new home. There's still a long road ahead but Jessica's future now looks peaceful and bright.

Reasons for Transition

522 Enrollees Transitioned in 2016
 

2016 Financial Statements

Statement of Activities & Changes in Net Assets

For the Years Ended June 30, 2016 and 2015
    Unrestricted   Temporarily Restricted   2016 Total   Unrestricted   Temporarily Restricted   2015 Total
Support & Revenue                        
Contract revenue $ - $ 1,116,918 $ 1,116,918 $ - $ 1,141,908 $ 1,141,908
Contract revenue prior year   -   -   -   -   48,429   48,429
Medicaid revenue   4,186,050   -   4,186,050   3,730,650   -   3,730,650
Miscellaneous income   4,033   -   4,033   13,751   -   13,751
Interest income   78   -   78   104   -   104
    4,190,161   1,116,918   5,307,079   3,744,505   1,190,337   4,934,842
Net assets released from restrictions due to satisfaction of time and purpose restrictions   855,587   -855,587   -   819,500   -819,500   -
Total Support & Revenue   5,045,748   261,331   5,307,079   4,564,005   370,837   4,934,842
                         
Expenses                        
Program services   4,322,314   -   4,322,314   3,882,732   -   3,882,732
Management and general   730,442   -   730,442   667,418   -   667,418
Total Expenses   5,052,756   -   5,052,756   4,550,150   -   4,550,150
                         
Change in Net Assets   -7,008   261,331   254,323   13,855   370,837   384,692
Net Assets - Beginning of Year   190,014   611,061   781,075   156,159   240,224   396,383
Net Assets - End of Year $ 163,006 $ 872,392 $ 1,035,398 $ 170,014 $ 611,061 $ 781,075
See Accompanying Notes.

Statements of Financial Position

June 30, 2016 and 2015
    2016   2015
Assets        
Cash $ 114,970 $ 255,980
Medicaid receivables   895,821   663,084
Prepaid expenses   20,837   21,453
Property and equipment - net   364,191   209,498
Security deposits   23,000   23,000
Total Assets $ 1,418,819 $ 1,173,015
         
Liabilities & Net Assets        
Liabilities        
Accounts payable and accrued expenses $ 383,421 $ 391,940
Total Liabilities   383,421   391,940
         
Net Assets        
Unrestricted   163,006   170,014
Temporarily restricted   872,392   611,061
Total Net Assets   1,035,398   781,075
         
Total Liabilities & Net Assets $ 1,418,819 $ 1,173,015
See Accompanying Notes.
 

Board of Trustees

Lisa Kearney, President
William Webb, Vice-President
Walter Kalman, Treasurer
Jane Cabildo, Secretary
Sidney Blanchard, Trustee
Pamela Capaci, Trustee
Lois Kahagi, Trustee
Ziad Shehady Trustee

Administration

Richard Hlavacek, Executive Director
Gina Woodson, Finance Director
Jo Ponticello, Director of Operations
Tricia Russo, Quality Assurance Director
Felicia Frazier, Community Resource Manager
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