St. Joseph's Villa

Children's educational services is comprised of dooley school at St. Joseph's Villa (including the elementary school program), dooley center for alternative education, and career and transition services dooley school at St. Joseph's Villa ended the school year having served 38 students from 17 different localities. Three dooley students earned an applied studies diploma. 2 students were successfully returned to public school. Also, students continued to participate in both fall and spring sports with the richmond alternative schools sports league. Finally, students could participate in college tours and other activities through career and transition services. The dooley center for alternative education ended the 2022-23 school year with one student graduating from hanover county. Dcae increased its population to 20 students and fully returned to in-person classes. Five students transitioned back to public school. During the school year, dcae provided students with ipads and new imac computers for sol remediation and online learning opportunities through edgenuity. Students were able to recover credits and improve success using a blended model for instruction and learning. Also, all students received weekly food deliveries through the cats program, and many participated in cats activities such as college tours, job training and mentoring on and off campus.career and transition services (cats) prepares our students for college workforce, and connects the community to our campus. Cats served 119 students from the Villa's education program during the 2022-2023 school year. 5 students got and maintained a job. Virginia commonwealth university student mentors and provided more than nearly 700+ volunteer hours with our students both on-campus and at the university. Through our on-campus work training programs, cats participants and staff processed over 20 tons of shredding and recyclables in the campus-wide recycling programs and produced 10,872 snacks for Villa clients. The cats Villa grocery received and distributed over 50,000 lbs. Of donations. We continue to look to create innovative opportunities for our participants and grow our partnership with the community

Sarah dooley center for autism is a fully licensed (vdoe) and accredited (vaisef) school providing academic instruction, behavioral interventions, and career and transition services. Our current enrollment is 81 students, which represents 24 school divisions in the central Virginia region. We operate a highly structured clinically based private day school serving students with a wide range of cognitive impairments including autism spectrum disorder, emotional disability, intellectual disability, multiple disabilities, other heath impairment and speech or language impairment. We incorporate an integrated speech and language model to help facilitate comprehensive language and social skill opportunities. Our system is primarily designed to serve students with disabilities whose behavioral challenges are a result of communication and social skills deficits. We conducted our 1st annual sdca autism conference for public school teachers and administrators. We also conducted two autism specific training courses for local law enforcement agencies.day support for children serves individuals between the ages of 5 and 22 years with developmental and intellectual disabilities. Some exhibit challenging behaviors that may be self-injurious, aggressive, oppositional and disruptive. Due to the current pandemic, we have been able to offer more hours to help work with clients on their transitioning skills and life skills. The after-school program has been in operation for numerous years and served twelve clients in the 2022-2023 fiscal year.day support for adults launched in september 2015 to offer a continuum of services for a very vulnerable population. The program is a center-based service delivery model, located on the Villa campus. Services are all structured to meet each individual's physical and emotional needs; provide protection, guidance, and supervision; and meet the objectives of the individualized service plan. Community partnerships with local organizations such meals on wheels enable clients to build social and vocational skills. The clients participate in an array of volunteer and skill enhancements on and off campus. We work with the Villa shoppe to continue to enhance the clients prevocational and life skills. The program served 49 clients in 2022-2023.outpatient behavioral therapy (obt) our outpatient behavioral therapy program has established a solid reputation for providing quality services. This reputation has positioned obt as a preferred provider within the medical and central Virginia communities. The program's ability to adapt to changing circumstances and maintain its commitment to delivering effective therapy services has contributed to its continued success. This year, in obt, we served 32 people in the region iv area. The average length of stay for these individuals was approximately 1-1/2 years. Client outcome indicators were used to measure program performance, primarily focusing on the development of appropriate skills. Clients made progress on 95% of their target goals overall, despite challenges posed by subsequent restrictions and staffing/client changes. 94% of clients demonstrated valid generalization of skills during the year, often in natural teaching environments, reflecting the program's efficacy in real-world scenarios. A notable achievement that we are all extremely excited to share was the active involvement of all our 32 families receiving services, highlighting the significant impact of family engagement on individual progress.

Day treatment school based provides therapeutic services to children and adolescents whose behaviors make them at risk of being taken out of their homes and schools. The children learn strategies to manage their behaviors to maintain in their school and/or home. The program will use psychotherapeutic interventions combined with education and mental health treatment. Clients in the program will receive a variety of services including, but not limited to: group therapy, individual therapy, educational groups, and recreation. The program's goals are: (1) developing more effective social, coping, and daily living skills, as well as improved communication and adaptive behaviors to improve interpersonal skills. (2) enhancing functional level (3) to improve community awareness and give opportunities for community integration. * seventy-three percent of clients made 80% or better progress towards their treatment goals. * eight clients were served. * seventy-five percent of clients passed their classes with a c or better. Mental health skill-building:the mental health skill building (mhsb) program served a total of 50 adults. Our (mhsb) services proved to be a supportive resource to the adults we serve. We also remain excited about the collaboration between flagler housing and homeless services and mental health skill-building, in 2023 we have provided coordinated-care to (12) unique individuals, to stabilize, support and improve their overall quality of life. This type of care coordination will continue to aid community-based services in identifying and closing service gaps to provide the most comprehensive support for our adult community. Also, during this year we were pleased to report that 100% of the clients served increased their natural support at the time of their discharge. Another vital component of the work we do in mhsb is the prevention of hospitalization and at the time of discharge likewise, we are excited to report 100% of our clients were discharged in a less restrictive environment.community crisis stabilization:this will be our 5th year of community stabilizations (cs) existence, here at St. Joseph's Villa. Our cs program continues to be an invaluable lifeline, preventing acute hospitalizations and fostering client stabilization through a holistic and clinically sound approach. Our program served 26 individuals. The diverse range of individuals we serve underscores the program's ability to meet the unique needs of our community. An impressive 85% of our clients were able to develop and improve their internal and external coping strategies. This clearly shows the program's effectiveness in bolstering our clients' resilience in times of crisis. In addition, more than 87% of clients served during the reporting period significantly increased their natural and community support at the time of their discharge. This highlights our programs' success in building a robust network of care around our clients. Furthermore, at the time of discharge, an impressive 92% of our clients transitioned to a less restrictive environment, effectively preventing acute hospitalization. This speaks to our program's ability to provide timely, targeted interventions that ensure long-lasting stability. Intensive in-home services:during the year intensive in-home (iih) service services celebrated significant achievements; empowering our clients to overcome challenges and flourish in their communities. A staggering 94% of all intensive in-home clients avoided acute psychiatric hospitalization, thanks to our tailored interventions and dedicated team of clinicians and counselors. Through our goal-oriented approach, active clients tackled a remarkable 269 skill development goals. We also witnessed outstanding progress as 91% of them demonstrated improvement, setting them on a path to success. We are proud to share that 88% of all active clients showcased significant improvement in their child behavioral checklist (cbcl) scores, a testament to our effective cognitive-behavioral approach. Parenting with confidence is also a treatment emphasis of the services we provide to our families. During this year alone, 88% of active parents/guardians reported a remarkable improvement in their overall parenting skills, thereby strengthening the family unit and promoting long-term success. Our intensive in-home reflects our commitment to helping children and families maintain their community placements by providing targeted clinical interventions and support.

The behavioral health system is comprised of crisis stabilization services and outpatient counseling services. Crisis stabilization services (css) operates in partnership with rbha region iv and is designed to divert the number of hospitalizations of youth ages 5-17 who experience mental health crisis. Css served 138 unduplicated youth with total of 145 admissions in fy23 and diverted 97% from hospitalization, with a total of 1,435 bed days. Youth served mainly in region iv, consisting of henrico, hanover, rbha, chesterfield, d-19, crossroads, and goochland-powhatan. A child psychiatrist consulted via telehealth with 195 youth and their families and community providers to ensure continuity of care upon discharge. 87% of youth made progress on their goals and objectives; 76% of clients and 85% of parents/guardians reported being fully satisfied with their services. End of year goals for csu regarding clients: * participants will increase the number of community-based linkages made to keep the child and family together or to reunite the family. O 80% of participants enrolled in csu * 100% of clients received services for making effective linkages at discharge (60 participants' increase linkages, 51 participants' linkages remained the same) * participants will learn more effective and healthier coping skills o 80% of participants enrolled in csu * 87% of clients learned more effective and healthier coping skills * participants will demonstrate overall satisfaction with the program. O 80% of participants enrolled in csu * 76% of clients were satisfied, 85% of parents/guardians were satisfiedoutpatient counseling services (ops) provides confidential individual and counseling. Clinicians serve children, youth, adults, couples, and families with a wide variety of emotional and social needs. The goal of the program is to help clients improve their overall quality of life. 83% of clients reported an improvement of their personal well-being and 81% improved interpersonal relationships as well as improvement in social and academic settings. 82% of clients reported improvement in their overall sense of well-being. Ops served 16 clients, including children, adolescents, and adults. End of year goals for ops regarding clients: * 70% of clients will improve scores in individually (personal well-being). O 70% of clients improved * 70% of clients will improve scores in interpersonally (family, close relationships). O 68% of clients improved * 70% of clients will improve scores in social/academic dimensions (i.e. Work, school, friendships). O 70% of clients improved * 70% of clients will improve scores in the overall sense of well-being. O 70% of clients improved

Flagler housing & homeless services provides assistance to households experiencing the crisis of homelessness. Services provided include information and referral, housing search, permanent supportive housing, short-term rental assistance (rapid re-housing), case management, prevention/diversion (petersburg office only) and youth outreach. During fy 23, the flagler program (comprised of offices in richmond and petersburg) assisted 385 households, comprising 778 individuals. Community based services are provided in two separate geographic regions; the greater richmond continuum of care (hanover, goochland, powhatan, chesterfield, henrico, new kent, charles city, and the city of richmond), and the crater area coalition on homelessness (cach - petersburg) region (prince george, dinwiddie, surry, sussex, emporia, greensville, hopewell, and petersburg). Young adults aged 18-24 continue to experience rates of homelessness at greater frequency than their older counterparts. Flagler's youth programs in richmond and petersburg continue to serve this population regularly. Rapid re-housing and youth specific outreach is provided in both locations. In the cach region, flagler participates in a pilot program with petersburg city schools and communities in schools, and the fostering futures program in petersburg. In the cach region, youth did not need to be literally homeless to participate in rapid rehousing services, but instead only experience housing instability. The school pilot program in particular has been instrumental in serving an additional youth population. While this program is focused on youth, it is also beneficial to the youth's caretaker(s) and sibling(s). Eligibility criteria for this program includes youth who are currently experiencing homelessness (with or without their families) - lacking a fixed nighttime residence, couch surfing, doubling up, staying outside, in a shelter, or hotel, or living in a place not meant for human habitation. In addition, youth who have entered the program, whose caretaker(s) and sibling(s) are also experiencing homelessness will receive rapid rehousing and case management services.st. Joseph's Villa began providing permanent supportive housing during the 22-fiscal year. In fy 23, flagler continued to serve six households in their psh program. Permanent supportive housing is offered to individuals experiencing chronic (long-term) homelessness and who also have a documented disability. While only a small percentage of those experiencing homelessness meet the qualifications for this program, these individuals typically are heavy users of the "system and over utilize expensive interventions including emergency rooms, hospitals, jails, and ambulance rides. Research has shown that by providing a long-term rental subsidy and intensive, community based, person focused services, these individuals stabilize and greatly reduce their reliance on these more expensive options. During fy 23, flagler remained a lead provider of rapid re-housing services in the richmond region, and the only provider of these services in the crater region. This best-practice intervention effectively ends homelessness for the single individuals and families who participate in this program. Flagler continued to work closely with richmond, hopewell, and petersburg housing authorities to assist with executing emergency housing vouchers. When vouchers became available in all areas, case managers worked with participants to have all necessary documentation ready. Additionally, case managers provided guidance on securing housing if they were presently in a rooming house. These vouchers could not be used for this type of housing. The emergency housing vouchers allowed participants who could not sustain long-term housing due to housing costs and/or financial barriers to be housed at an affordable rate. The need for services provided by flagler continues to soar as the number of persons experiencing a housing crisis has steadily increased in the past year. During fy 23, flagler received a total of 3125 unique requests for service, representing a 17% increase from the year before.

Community training: in april 2023, the Villa began a formal community training program to provide professional training both to Villa staff members and community members. We have conducted trainings in trauma-informed care, autism, mental health, among other topics and have served law enforcement agencies and other first responders, educators and administrators, childcare professionals, and others to help them interact safely and compassionately with youth and adults experiencing a wide variety of challenges. Our goal is to educate and help prepare Villa staff and community members to better serve those in crisis. Since the program's inception, we have reached more than 1,000 individuals both on our 82-acre campus and out in the community.

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