ANNUAL REPORT

2013 - 2014

MissionMissionMissionMission

Pathways Health Centre for Pathways Health Centre for Pathways Health Centre for Pathways Health Centre for Children will deliver defined Children will deliver defined Children will deliver defined Children will deliver defined services to children, youth services to children, youth services to children, youth services to children, youth and young adults with and young adults with and young adults with and young adults with physical, developmental and physical, developmental and physical, developmental and physical, developmental and communication needs, to communication needs, to communication needs, to communication needs, to help them achieve their help them achieve their help them achieve their help them achieve their potential for a better quality potential for a better quality potential for a better quality potential for a better quality of life. of life. of life. of life.

VisionVisionVisionVision

Supporting children, youth Supporting children, youth Supporting children, youth Supporting children, youth and young adults to achieve and young adults to achieve and young adults to achieve and young adults to achieve their potential through their potential through their potential through their potential through effective partnershipseffective partnershipseffective partnershipseffective partnerships

P A G E 2

Message from the

Board Chair and the Executive Director

A N N U A L R E P O R T

2 0 1 3 - 2 0 1 4

Jenny Greensmith Executive Director

Chris de Jourdan Board Chair

Strength lies in differences, not in

similarities ― Stephen R. Covey

Every child is

gifted.

They just unwrap

their packages

at different times.

We are building on a vision for a community that supports children and youth with special needs – that is what Rotarians began to do over seventy years ago when they transported children with primarily physical disabilities to appointments locally and in London, culminating in the opening of Lambton County’s own Children’s Treatment Centre in 1975. Our community, our Centre and the needs of children and youth we serve have changed greatly since then. Yet the original vision of the Rotary Club of Sarnia for a caring community where everyone can participate to the best of their ability, lives on. It is what we are all about at Pathways; it drives the choices we make and the effective partnerships we build. This past year has seen Pathways support the consolidation of existing community-based initiatives and develop new programs as we continue to be guided by the three pillars of our Strategic Plan: Integration, Advocacy & Collaboration, Service Delivery and Quality. A renewed focus on effective partnerships with families has fostered the growth of our Parent Advisory Network, with the introduction of informal gatherings and programs of interest where parents feel comfortable to share information and swap good ideas. Pathways now hosts two thriving support groups. The next building block in this partnership will be arranging for the necessary child care so that even more families can participate. As part of the community educational opportunities we provide for our parents and community partners, we again worked with Autism Canada to stream their live conference webcast onsite at Pathways. Community feedback has been very positive for this event that is freely available to all our community. Partnering with our families means providing quality care grounded in research and best practice. Research has shown that parent involvement in therapy programs improves outcomes, and makes effective use of therapy resources. Building on this, we have begun to ask families to commit to attending a proportion of therapy sessions, when and wherever it is most convenient for them to attend. As a result we have begun to see an increased number of parents engaged in their children’s programs, with correspondingly improved outcomes. This focus on effective partnerships with our families allows for a wider spread of the limited therapy resources available in our community. We are now able to work through families in addition to other significant caregivers, community program staff, and school boards as well as with our municipalities in our effort to build a community that supports all those with special needs. Every year, despite Sarnia-Lambton’s stable birth rate and declining school enrolment, there is an increase in the numbers of children who are identified early as requiring support in integration into day care and in accessing the curriculum at school. Their needs may be in one or more areas, they range from mild through complex and they are often accompanied by behaviours and mental health issues that require the collaborative efforts of our community to address. This fiscal year, we received additional funding for Occupational Therapy and Speech-Language Pathology which enabled us to begin to address the needs of the increasing number of children being identified with difficulties in those areas. The new funding came with targets that we surpassed – in total, 307 additional children and youth received assessments and began receiving therapy.

P A G E 3

Chris de Jourdan Board Chair

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FACTS

TOTAL NUMBER OF VOLUNTEERS

258

●

TOTAL NUMBER OF VOLUNTEER HOURS

4,500

●

TOTAL NUMBER OF CO-OP STUDENTS

37

●

TOTAL NUMBER OF CO-OP STUDENT HOURS

3,270

Volunteers are the only human beings on the face of the earth who reflect this nation's compassion, unselfish caring, patience, and just plain love for one another. — Erma Bombeck

Board Chair and the Executive Director...continued

We are pleased at this time to provide an update on the community capacity development that has been possible through a $138,500 grant from the Ontario Trillium Foundation. This funding spread over two years has developed, promoted and distributed the new Lambton Kent Teen Transition Resource Guide, developed the Lambton Kent Teen Transition Website, in partnership with Ability On Line; made local presentations to parents, School Boards and their Special Education Advisory Committees to promote these two new resources. A formalized Teen Transition process is now a reality for Pathways clients who are referred to the Teen Transition Team at age twelve and invited to meet with their therapist to begin mapping out their own unique transition plan. This process is guided by the teen and his/her parents. Our Community’s Teen Transition Journey is the subject of a presentation proposal submitted to OACRS 2014 Conference – and generally increased the programs and support we provide to teens and their families through strengthened partnerships with our schools and community transition partners. In partnership with the Jumpstart Lambton Kent Teen Transition Committee, Pathways hosted the “Clarity, Please! Conference in the Lambton Room in October 2013. Now we are looking beyond August 2014 as to ways to sustain this essential support to our community’s teens and their families. This year saw us take the initial steps to prepare our organization for a focus on integration and the ability to sustain services that has long been signalled by our Ontario government, most recently in the Drummond report. To date, Pathways has been fortunate not to receive a percentage cut in its global Ministry budget, although the absence of annualized funding makes it hard to absorb cost of living and other increases (such as utilities) over which Pathways has no control. The initial steps we took were to consolidate all our clinical services under single management, separate from our community services. This has set the stage for a focus on consistency of integration, service delivery and quality of care across all clinical services. Our community services are those which have cost recovery or revenue-generation potential. They include the C.A.C.H.É. child care; the aquatic centre including therapeutic pool and Lambton Room, and the Special Services at Home we provide to eligible families under contract. The streamlining of our clinical and community services will allow our Board and senior leadership to prepare Pathways for possible hard times ahead, when we will need to sustain our own programs beyond what traditional fundraising has been able to do. Year after year we are grateful for the community support Pathways receives – from the many volunteers who donate hours of their time to enhance the services we provide, to the personal and corporate donations we receive that ensures we can sustain the programs we deliver. We are thankful for the support of the families of our children for without their involvement the success of the various treatment programs would be much diminished. We would also like to acknowledge the dedication and expertise of our staff as they strive to enable the children, youth and young adults that come to Pathways to reach their full potential. Governance of our centre is also important and to that end we thank our volunteer Board of Directors and the work of various committees. All this is very necessary for the numbers of children and youth in our community who depend on the essential rehabilitation and support services that we provide.

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Jenny Greensmith Executive Director

P A G E 4

A N N U A L R E P O R T

2 0 1 3 - 2 0 1 4

Like all young people, youth with disabilities and their families face a number of “stage of life” transitions as they begin planning and preparing for life after high school. Everyone looks forward to an engaged and active lifestyle in their community. This can be an exciting and invigorating time for youth with disabilities and their families but it can also be a very stressful time. Families must learn to navigate the many new funding supports and resources that change when their child turns eighteen and transitions into adult services. On behalf of the Lambton Kent Teen Transition Committee, we are proud to present to our community the new “Getting Started” Teen Transition Resource Guide to help families navigate through the transition years of life as an adult living in the community. For families wanting to explore more transition planning supports, we have now launched our new Lambton Kent Teen Transition Website: teentransition-lk.org This guide and website would not have been possible without the support of the Ontario Trillium Foundation, feedback from our families and our local partner agencies who support young people with disabilities. Thank You!

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Navigating the Teen to Adult Transition Years

Funded By

Providing Opportunities

Pathways

Lambton Kent

District School Board

St. Clair Catholic

District School Board

Autism Ontario –

Sarnia Lambton

Children’s Treatment

Centre of Chatham Kent

Community Living

Sarnia-Lambton

Family Counseling

Centre

Lambton County

Developmental Services

Ministry of Children &

Youth Services

St. Clair Child & Youth

Services

Goodwill Industries

St. Francis Advocates /

Stepping Stones

Walpole Island Social

Services

Community Living

Jobstart

Community Living

Wallaceburg

Community Living

Chatham Kent

Learning Disabilities

Association of Lambton

County

AGENCIES

presentspresentspresentspresents

Providing Opportunities

P A G E 5

Augmentative Communications…

What’s New? The Augmentative Communication clinic has shown many changes over the last year. Apple apps such as Proloquo2Go, and TalkRocket now provide an affordable means of accessing speech generating devices for many individuals. The clinic (available to all ages birth through adult) at Pathways is also making use of new lower technology systems such as the Pragmatic Organization Dynamic Display. This paper based system provides clients with a ready-made symbol-based language to help advance communication and encourage social participation. The ACS clinic at Pathways is committed to making the community more aware of how communication devices can help children and adults overcome barriers in their communication. To help this, we hold Community Information Sessions every third Tuesday of the month. During these sessions families, caregivers, educators, other professionals and community members can come to ask questions and learn more about this unique service in our region.

New Volunteer Square Program Pathways Health Centre for Children is offering a new and exciting Community-based volunteer opportunity for teens of our Centre. A Pathways client participant will be partnered with another outstanding volunteer of our Center to represent Pathways at local events. Volunteer² is an opportunity for the teens to complete their 40 hours of community service while having fun, meeting new friends and working on people skills in a non-threatening environment.

BY THE BAYBY THE BAYBY THE BAYBY THE BAY

New Fundraising Events create awareness of what

Pathways does while raising funds for services and programs.

Thank you Sarnia Lambton for your continued support!

Assessment

wait time:

3 months

Individual

clients seen:

2,378

P A G E 6

BALANCE SHEET

(as of March 31, 2014)

Here are some more numbers for 2013-14

The Auditor’s Report of BDO Canada LLP, Chartered Accountants, dated June 17, 2014 is appended to the comprehensive financial statements from which this financial summary was obtained. A complete set of audited financial statements are available upon request from Pathways Health Centre for Children.

2014 2013

(in thousands of dollars)

Operating Fund $

Cash/Short-Term Investments $ 497 $ 406 Receivables 172 239 Prepaid Expenditures 72 49 Long-Term Investments 0 0 Current Liabilities -559 -511 Fund Balance 182 183 Property and Equipment Fund 3774 3933 Capital Fund 750 445 Net Equity $4706 $4561

A N N U A L R E P O R T

2 0 1 3 - 2 0 1 4

AUDITOR’S REPORT

107 Different locations throughout Sarnia Lambton where Pathways staff ran programs and provided service to clients and families

17 % of children in Sarnia Lambton from birth to age 5 who accessed Pathways

programs and services 12 % of children in Sarnia Lambton from six through eleven years of age who

accessed Pathways programs and services 95 % of clients who wait less than 30 days between assessment and receiving

service 86 % of overall satisfaction rating from families with Pathways services

for their children and youth 100 % of families who receive a Pathways Parent Resource Guide at intake

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On behalf of our

children and families,

thank you to our

annual donors, friends

and sponsors

who have given so

generously of their

time and resources

in 2013-2014.

P A G E 7

STATEMENT OF OPERATIONS

for the year ended March 31, 2014 Good business leaders

create a vision,

articulate the vision,

passionately own the

vision, and relentlessly

drive it to completion.

Source of Funds

How Funds were Spent

In thousands of dollars

Operating Fund 2014 2013

Income

Ministry Grants $ 3399 $ 3397 County of Lambton 1224 1273 Rotary Foundation 54 54 Contracted Services 238 287 Other 791 708 $ 5706 $ 5719 Expenditures Salaries, Benefits and Employee Expenses $ 5059 $ 5049 Supplies 280 302 Facility Expenditures 147 159 Other 212 213 $ 5698 $ 5723 Excess of Revenue over Expenditures $ 8 $ -4 Transfer from Capital Fund 51 26 Transfer to Property and Equipment Fund -59 -22 Change in Fund Balance $ 0 $ 0 Property and Equipment Fund

Expenditures Therapy/Other Equipment $ 28 $ 10 Computer/Telephone Equipment 49 31 Furnishings and Fixtures 0 5 Building Expansion 15 18 92 64 Deferred Contributions 59 59 Amortization -311 -291 Net Change in Fund $ -160 $ -168 Capital Fund

Income Gifts, Bequests, Fundraising and Donations $ 480 $ 537 Interest and Other Income 12 -6 492 543 Expenditures Operations $ 103 $ 105 Excess of Revenue over Expenditures $ 389 $ 438 Expenditures Transfer to Operating Fund $ -51 $ -26 Transfer to Property and Equipment Fund -33 -41 -84 -67 Change in Fund Balance $ 305 $ 371

BOARD OF DIRECTORS April 1, 2013 to March 31, 2014

Chris de Jourdan - Board Chair John Baragar Adrienne Lee Geoffrey Moore - Vice Chair Patricia Dwyer Katherine Scimmi John McNeil - Treasurer Dean Edwardson Godfrey Stevens Paul Beaudet - Secretary Kevin Hazzard Dr. Mark Taylor Dr. Michael Stoesser* Jenny Greensmith* *ex-officio

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Our Donor Wall Our Donor Wall honours those who have given $1,000 or more cumulatively to Pathways Health Centre for Children. The Donor Wall displays names of generous individuals, companies, organizations and private foundations.

For information on how to advance on the Donor Wall please contact: Tracy Drysdale, Fund Development Officer.

If you are interested in Planned Giving, please contact your Lawyer or Financial Planner.

Cumulative Donations to 2013-2014 Pathways Health Centre for Children is very honoured to have the support of the following organizations, businesses and foundations who are recognized on our Donor Wall for having contributed more than $15,000 over the years:

The Rotary Club of Sarnia The County of Lambton Ontario Trillium Foundation (2-year commitment) The Sarnia Street Machines RBC OPG TransAlta Imperial Oil Sarnia Construction Association St. Clair Township Shell Canada Chemfab Industries Inc. Kelgor Limited LANXESS Inc. Cabot Corporation Foundation CIBC Community Investments Mike & Cynthia Blanchard Foundation Cargill Limited Scotiabank c/o JP Bickell Foundation Sarnia Concrete Suncor Energy Foundation Lambton Mutual Blue Water Bridge Duty Free Shop Freedom 55 DTA & Friends