2017-2018 ANNUAL REPORT
TABLE OF CONTENTS 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 A MESSAGE FROM THE BOARD PRESIDENT WHAT IS A CHILD ADVOCACY CENTER HOW DOES THE CAC MODEL WORK NORTH CAROLINA CAC LOCATIONS EVOLUTION OF CACs IN NC VICTIMS OF CHILD ABUSE IN NC SERVICES PROVIDED BY NC S CACs OUTCOMES MEASUREMENTS OUTCOMES MEASUREMENTS (MDTs) CAC STATEWIDE DIRECTORY CACNC - CHAPTER ORGANIZATION WHO WE ARE MEMBERSHIP BENEFITS STATEWIDE SYMPOSIUMS STRATEGIC PLAN FUNDING CACNC STAFF & BOARD PARTNERSHIPS & INVESTORS
A YEAR S OVERVIEW MESSAGE FROM THE BOARD PRESIDENT Thank you for taking time to review our first officially produced Annual Report. Among these pages you will find a wealth of information pertaining to an incredible period of successful training, service provision, and growth in both service and funding. We are proud to report that we have made more advancement in providing efficient and timely services to child victims and their families across North Carolina than any time in our history. We now have 35 fully accredited and four provisionally accredited Children s Advocacy Centers with eight additional Centers under development. That is an increase of 34% over just a few years ago. And to assist those Centers in providing the best service possible, CACNC has been instrumental in facilitating an amazing 52% increase in State and Federal funding for the individual Centers and the Chapter. Furthermore, the Chapter has recently increased support to all CACs with the addition of key staff who focus on training opportunities, expansion into underserved areas, data collection, and assistance with accreditation/standards, and ever-increasing legal issues and questions. Never in our history has there been a more exciting time to be a part of the NC Chapter of Children s Advocacy Centers. Nor has there been a more important time to be involved in this movement. With the tremendous spike in drug usage and the ongoing battle of abuse and neglect, children and families across the State are in more perilous situations than ever before. Never has the need for the services we provide and collaborative efforts we lead been more necessary than they are today. With that said, the recent growth outlined in these pages combined with new opportunities and funding possibilities for services and prevention efforts brings a ray of hope unlike any we have seen before. As you read these pages, I hope you experience the sense of pride all of us at CACNC; Board, Staff, and Member CACs, feel at this time in our history and I hope you join with us in the sense of urgency to learn more, grow more, and do more every day. Sincerely, Chris Jernigan CACNC Board President CACNC 2017-2018 3
WHAT IS A CAC? A Children s Advocacy Center is the ONE place that provides a safe, child-focused environment where law enforcement, child protective services, prosecution, medial and mental health professionals may share information and develop a coordinated strategy that seeks justice while also meeting the unique needs of each child and non-offending family member. WITHOUT CACs WITH CACs CACNC 2017-2018 4
HOW DOES THE CAC MODEL WORK? Core Function of CAC Function Provided by a Team Member LAW ENFORCEMENT CHILD PROTECTIVE SERVICES The role of local law enforcement is grounded in public safety If not criminal in nature, law enforcement may not take action The role of CPS is to ensure that a child s home is safe If the family/caretaker is not the alleged abuser, CPS may not take action Immediate Response Priority Assigned (24-72 hours) Child is brought to children s advocacy center Joint Investigation Begins Forensic Interview Evidence Collected Photos Taken Witness Interview Medical Treatment & Exam CAC coordinates Case Review with all team members, including law enforcement, prosecution, Child Protective Services, the forensic interviewer, a mental health provider, a medical professional, and a family advocate Case presented to District Attorney Suspect Charged or Case Refused Child & family receive mental health services. Family advocate works with family to assess critical resources and provide support as the case moves through the justice system. Child Removed from Home or Case Opened for Services or Case Closed CACNC 2017-2018 5
NORTH CAROLINA CAC LOCATIONS Accredited CAC Location Provisional CAC Locations Developing Counties Counties with an MOU with an Accredited CAC Counties that may request services from a specific CAC ALAMANCE/CASWELL COUNTIES BUNCOMBE COUNTY BURKE COUNTY CABBARUS COUNTY CALDWELL COUNTY CATAWBA COUNTY CHEROKEE/CLAY/GRAHAM COUNTIES CLEVELAND COUNTY CUMBERLAND COUNTY/ FORT BRAGG DAVIE/DAVIDSON COUNTIES FORSYTH COUNTY GASTON COUNTY GUILFORD COUNTY GUILFORD COUNTY (HIGH POINT) HAYWOOD COUNTY HENDERSON COUNTY IREDELL/ALEXANDER COUNTIES JACKSON COUNTY LINCOLN COUNTY MACON COUNTY MCDOWELL COUNTY MECKLENBURG COUNTY NEW HANOVER COUNTY ONSLOW COUNTY / CAMP LEJEUNE PASQUOTANK / 7 OUTER BANK COUNTIES PITT / 15 EASTERN COUNTIES RANDOLPH COUNTY ROCKINGHAM COUNTY ROWAN COUNTY RUTHERFORD COUNTY SAMPSON COUNTY STANLY COUNTY CHEROKEE RESERVATION UNION COUNTY VANCE COUNTY WAKE COUNTY WATAUGA COUNTY WILKES COUNTY YANCEY COUNTY CACNC 2017-2018 6
EVOLUTION OF CACs ACROSS NORTH CAROLINA Guilford County (High Point) 1992 Pasquotank / 7 outer bank counties 1993 1995 Rutherford County 1994 Haywood County Jackson County Macon County Cleveland County 1997 Alamance & Caswell Counties Pitt County & surrounding eastern counties 1998 Cherokee Tribal Reservation Burke County 1999 2004 Cumberland County & Fort Bragg 2003 Catawba County Iredell & Alexander Counties 2005 Cherokee, Clay, & Graham Counties Union County 2006 Guilford County Mecklenburg County Stanly County 2007 2009 Cabarrus County 2008 Gaston County Lincoln County Forsyth County Rowan County 2012 Caldwell County Davie & Davidson Counties McDowell County Onslow County & Camp Lejeune Rockingham County Watauga County 2013 2015 New Hanover County Buncombe County Henderson County 2017 DEVELOPING COUNTIES Randolph County Sampson County Vance County Wilkes County 2018 CACNC 2017-2018 7
VICTIMS OF CHILD ABUSE IN NORTH CAROLINA GENDER AGE Unknown 1% Other 6% ETHNICITY Native American Undisclosed 1% 1% Asian <1% Male 37% Female 63% 13-18+ 27% 7-12 39% 0-6 33% Latino 11% African American 24% Caucasian 57% WHY ARE CHILDREN REFERRED? Sexual Abuse 6,434 Physical Abuse 2,016 Neglect 749 Witness to Violence 689 Drug Endangered 256 Other 554 0 1,000 2,000 3,000 4,000 5,000 6,000 7,000 CACNC 2017-2018 8
SERVICES PROVIDED A YEAR S OVERVIEW CAC s provide a constellation of services to victims that are evidence informed with tracked outcome performance measures. 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 CME s Therapy Forensic Interviews Case Review In addition, CAC s are making a concerted effort to work proactively, thus reducing the future number of child abuse victims. Prevention Adults Prevention Kids 0 10,000 20,000 30,000 40,000 50,000 60,000 70,000 80,000 CACNC 2017-2018 9
OUTCOMES CAREGIVERS North Carolina CAC s utilize an Outcome Measurement System that tracks both client and partner outcomes. Target: 90% of caregivers will report that the CAC facilitates healing for the child and caregiver. Result: 96.2% of caregivers report that the CAC facilitated healing for the child and caregiver. INITIAL CAREGIVER SURVEY FOLLOW-UP CAREGIVER SURVEY 100% 95% 90% 99.3% 99.5% 99.9% 99.8% 98.7% 99.0% 99.1% 97.4% 96.1% 95.5% 95.0% 93.9% 93.6% 94.2% 90.3% 90.4% 97.1% 97.7% 98.3% 85% 87.6% 80% 75% 70% I believe my child felt safe at the center. My child s questions were answered to my satisfaction. The center staff made sure I understood the reason for my visit to the center today. When I came to the center, my child and I were greeted and received attention in a timely manner. I was given information about the various services and programs provided by the center. My questions were answered to my satisfaction. The process for the interview of my child at the center was clearly explained to me. I was given information about the possible behaviors I might expect from my child after we leave the center today and in the days and weeks ahead. Overall, the staff and/or volunteers at the center were friendly and pleasant. After our visit at the center today, I feel I know what to expect with the situation facing my child. My child felt safe at the center. My child s questions were answered to our satisfaction. My child received services that have helped him/her since our first visit. Overall, the staff and volunteers at the center have been friendly and pleasant. As a result of our contact with the center, we knew what to expect in the days and weeks that followed. Since my first contact with the center, my questions have been answered to my satisfaction. Overall, the services that we have received from the center thus far have been helpful to me and my child. I feel that I have received information that has helped me understand how I can best keep my child safe in the future. I feel that the center has done everything it can to assist my child and me. If I knew anyone else who was dealing with a situation like the one my family faced, I would tell that person about the center. CACNC 2017-2018 10
OUTCOMES MULTI-DISCIPLINARY TEAM MDT members include: Law Enforcement, Child Protective Services, Prosecution, Mental Health, and Medical professionals. Target: 90% of the MDT members will report that the CAC process results in more collaborative & efficient case investigations. Result: 96.7% of the MDT members report that the CAC process resulted in more collaborative & efficient case investigations. MDT SURVEY 100% 95% 90% 99.4% 98.5% 98.5% 97.8% 97.2% 97.5% 95.2% 95.9% 96.0% 96.4% 96.3% 95.9% 95.0% 94.0% 85% 80% 75% 70% Team members willingly share information relevant to our cases. I can provide input during the forensic interview process. Members of the MDT demonstrate respect for the perspectives/ informational needs of other team members. The CAC model fosters collaboration on the MDT. Team meetings are a productive use of my time. Case review team meetings help me with my work on cases. Other team members understand my role on the team. I believe clients served through the center benefit from the collaborative approach of our MDT. My supervisor/agency is supportive of the CAC concept and the work of the MDT. All members of the MDT are actively involved in cases relevant to their role. Resources provided by the center help improve work on our team s cases. The center provides an environment where I feel safe expressing my concerns or making suggestions about the functioning of the MDT. I can get information I need to fulfill my areas of responsibility on cases. Other team members turn to my agency for info, expertise and direction. CACNC 2017-2018 11
NC CAC DIRECTORY ACCREDITED Alamance/Caswell Counties CrossRoads: Sexual Assault Response & Resource Center 336-228-0813 Buncombe County Mountain Child Advocacy Center 828-213-9824 Burke County Gingerbread House 828-430-9949 Cabarrus County CAC at Jeff Gordon Children s Hospital 704-403-1736 Caldwell County The Robins Nest CAC 828-754-6262 Catawba County Children s Advocacy & Protection Center of Catawba Co. 828-465-9296 Cherokee/Clay/Graham Co. HAVEN 828-837-5872 Cleveland County Children s Advocacy Center of Cleveland County 704-600-6024 Cumberland County/Ft. Bragg Child Advocacy Center 910-486-9700 Davie/Davidson Counties Dragonfly House Children s Advocacy Center 336-753-6155 Forsyth County Vantage Pointe - Famiy Services, Inc 336-724-3979 Gaston County The Lighthouse CAC 704-862-6761 Guilford County Greensboro CAC, Family Service of the Piedmont 336-889-6161 Guilford County (High Point) Hope House, Family Service of the Piedmont 336-889-6161 Haywood County KARE 828-456-8995 Henderson County Believe Child Advocacy Center, Mainstay 828-693-3840 Iredell/Alexander Counties Dove House 704-883-9814 Jackson County AWAKE 828-586-3574 Lincolnton County Lincoln County Child Advocacy Center 704-736-1155 Macon County KIDS Place 828-524-3199 McDowell County Lily s Place 828-659-5565 Mecklenburg County Pat s Place 704-335-2760 New Hanover County The Carousel Center 910-254-9898 Onslow County/Camp Lejeune Child Advocacy Center of Onslow County 910-353-5000 Pasquotank & 7 Outerbanks Co Kids First 252-338-5658 Pitt & 15 Eastern Counties Tedi Bear Children s Advocacy Center, ECU 252-744-8334 Rockingham County Kaleidoscope Children s Advocacy Center 336-342-3331 Rowan County Terrie Hess House 704-639-1700 Rutherford County Wanda Paul Children s Center 828-247-0366 Stanly County The Butterfly House 704-984-4625 Cherokee Reservation Heart to Heart Children s Advocacy Center 828-359-6313 Union County Tree House 704-290-0163 Wake County SAFEchild Advocacy Center 919-231-5515 Watauga County CAC of the Blue Ridge 828-263-3034 Yancey County Ally s House 828-675-1508 PROVISIONAL Randolph County Emmy s House 336-626-5040 Sampson County Sampson County CAC 910-592-4200 Wilkes County Safe Spot CAC 336-838-9169 Vance/Franklin/Granville/ S.A.M CAC 252-572-4112 Warren Counties CACNC 2017-2018 12
CACNC 2017-2018 13
WHO WE ARE Children s Advocacy Centers of North Carolina is a statewide membership organization dedicated to helping local child advocacy centers and their communities respond to allegations of child abuse in ways that are evidence informed, collaborative, and effective. OUR MISSION To support local communities by promoting and assisting in the development, growth and continuation of accredited children s advocacy centers in order to better serve abused and neglected children and their families. CACNC helps local centers identify and meet the needs of their communites by: Providing Technical Assistance Soliciting and administering funding for active and developing centers. Training for multi-disciplinary teams, CAC staff, Boards and Volunteers. Building awareness among professionals and communities about Child Advocacy Centers and child abuse. CACNC 2017-2018 14
MEMBERSHIP BENEFITS TECHNICAL SUPPORT & ASSISTANCE MDT Training Protocol Development NCA Accreditation Training & Review Organizational Development & Structure Board Development Training Strategic and/or Succession Planning Crisis Planning Fund Development TRAINING Annual Statewide Symposiums Child Medical Exam Provider Training Physical Abuse Simulation Lab Forensic Interview Training COORDINATION & PARTNERSHIPS Link to/from NCA and SRCAC Partner with CMEP, NCCASA, NCCADV, NCHTC, NCVAN, PCANC Representation at Governors Crime Commission, Project No Rest, Child Fatality Task Force CONSULTATION Center Specific Issues Legislative Consultation Legal Consultation NETWORKING OPPORTUNITIES Annual CACNC Directors Summit Network Meetings Regional Meetings Mentoring Coordination ADVOCACY & AWARENESS Legislative Representation Solicitation for Funding Presence at local CAC events RESOURCE TOOLS Statewide Website CAC Toolkit Statewide Social Media Statewide Standards Weekly Informational Blast CACNC 2017-2018 15
STATEWIDE SYMPOSIUMS REFLECTIONS Annually in September Lake Junaluska TAKING CHILD ABUSE INTERVENTIONS TO NEW HEIGHTS Annually in April Kitty Hawk Mental Health/ School Counselors 3% Legal 5% Medical 7% Law Enforcement 27% Other 4% CAC Staff 29% Child Protective Services / DSS 25% Legal 4% Mental Health/ School Counselors 5% Other 8% Medical 11% Law Enforcement 17% CAC Staff 27% Child Protective Services / DSS 28% TESTIMONIALS This was probably the best training that I have been to. I really walked away with more knowledge and a renewed spark to make our community better for our children and families. TESTIMONIALS Great, educational symposium. I learn something new at each one. I thoroughly enjoyed this symposium. It broadened both my knowledge and networking. I am looking forward to seeing the symposium grow. CACNC 2017-2018 16
STRATEGIC PLAN ORGANIZATIONAL CAPACITY & STRUCTURE CACNC is committed to recruiting, retaining, and recognizing qualified, dedicated staff and maintaining a cost-effective, productive staffing structure designed to capitalize on the strengths of its employees and meet evolving needs of the organization. CACNC is committed to maintaining a strong, diverse governance structure capable of legally, ethically and proactively fulfilling its mission as the leader of the statewide CAC movement and preserving its commitment to supporting and protecting the best interests of its membership. MEMBERSHIP SERVICES CACNC will continue to collect, compile and distribute relevant data reflective of (1) core services provided by local centers throughout the state; (2) demographic profiles of the children and families served; (3) activity levels/involvement of requisite partner agency representatives that make up CAC multidisciplinary teams. CACNC is committed to ensuring its membership and the MDTs have access to relevant, affordable and accessible technical assistance and training opportunities. ADVOCACY & PUBLIC POLICY CACNC will continue to expand and strengthen its role in advocating for initiatives with the potential to impact the lives of child abuse victims and/or the ability of agencies/professionals involved in the child abuse field to effectively protect and provide for those children. CACNC is committed to instituting a proactive vs. a punitive approach to ensuring accountability and working with local member centers struggling to meet the NCA/State Standards, while still maintaining its commitment to protecting the integrity of the children s advocacy center model on behalf of all of its member centers and the children they serve. COMMUNITY AWARENESS CACNC is committed to development and implementation of evolving community awareness efforts and related tools that focus on defining the local CAC model and its services and that celebrates diversity and differences among CACs across North Carolina. FUNDING CACNC is committed to maintaining a fund development strategy that diversifies its funding stream beyond membership dues, NCA funds and voluntary donor opportunities. CACNC is committed to the implementation of strategies intended to maintain and, as opportunities allow, grow the legislative appropriation in an effort to meet the expanding needs of its membership. GROWTH & DEVELOPMENT CACNC is committed to developing and implementing a relevant growth plan for the establishment of new centers and teams and the expansion of existing centers and team service areas as needed, so that eventually every child in the state will have access to the full array of quality care and services available through an accredited children s advocacy center. CACNC 2017-2018 17
BUDGETARY ITEMS FISCAL YEAR 2017-2018 EXPENSES Professional Fees 4% Operating 2% Communications 1% Training & TA 20% Equipment 37% Personnel 36% INCOME State Grants 9% Membership Dues 3% Fundraising & Contributions 1% Training Income 37% Foundations 37% Federal Grants 32% CACNC 2017-2018 18
STAFF & BOARD OF DIRECTORS CACNC STAFF Executive Director: Deana Joy Quality Assurance & Growth Coordinator: Suzan Evans Staff Attorney: Audra Padget (not pictured) Subcontracts & Special Projects Coordinator: Angie Brown Training Coordinator: Ken Wooten CACNC BOARD OF DIRECTORS Officers: Board President: Chris Jernigan Board Vice President: JoAnn Lamm Board Past President: Ashlie Shanley Board Treasurer: Sherry Reinhardt Board Secretary: Kathleen Holbrook Members: Andrew Oliver Harold Bost Bobby Boyd Chris Carney Deb Flowers Dana Hagele Robert Holland Nancy Lamb Rhonda Morris Amy Yow CACNC 2017-2018 19
PARTNERSHIPS & INVESTORS PARTNERSHIPS Child Medical Exam Program Child Fatality Task Force Conference of District Attorneys NC Coalition Against Domestic Violence NC Coalition Against Sexual Assault NC Pediatric Society Committee on Child Abuse & Neglect NC Human Trafficking Commission NC Victim Assistance Network Prevent Child Abuse NC NC Department Of Health & Human Services INVESTORS Duke Endowment Governor s Crime Commission National Children s Alliance Southern Regional Children s Advocacy Center State Employees Combined Campaign NC General Assembly CACNC 2017-2018 20