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, brook road academy, and career and transition services the 2021-2022 school year at dooley school at St. Joseph's Villa ended with a wonderful graduation and a celebration of all of our students with awards. The principal of dooley school is on extended sick leave and the senior director of ces has taken on the role of principal. It was a very unique year due to the pandemic and staffing issues but was a very positive year for our students with most students making both academic and behavioral progress. All of our students made progress on their iep goals and 96% passed 2 or more subjects to achieve academic success. Although attendance continues to be an issue, all of our children made behavioral progress as well with the largest majority of the students being at level 3 and 3 students at level 5. Two students made sufficient progress and returned to public school and one student graduated from dooley school in jun, 2022. The 2021-2022 school year got off to a late start at dooley center for alternative education. Our first student of the year came on 11/22/21. Our localities let us know that they had a back log of hearings and that more students would be coming. Students were admitted to the program in december, january, march, april and may. At the end of the year we had served 14 students. Three successfully returned to their home school at the end of the year. Of the eleven remaining students ten made academic progress and behavioral progress. Career and transition services (cats) prepares our students for college and the workforce, and connects the community to our campus. Cats served 111 students from the Villa's education programs during the 2021- 2022 school year. 6 students got and maintained a job. Virginia commonwealth university student mentors provided more than nearly 800+ volunteer hours with our students at the university. Through our on-campus work training program, cats participants and staff processed over 20 tons of shredding and recyclables in the campus-wide recycling program, and produced 10,000 snacks for Villa clients. The cats Villa grocery, received and distributed over 50,000 lbs of donations and at the Villa grocery. 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. Day support for children serves individuals between the ages of 5 and 22 years with developmental and intellectual disabilities. Some of the individuals 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 six clients in 2021-2022 due to covid restrictions. Community service boards (csb) have been the primary source for referrals. Funding for services comes mostly from medicaid waiver services and csbs. 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 as 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 37 clients in 2021-2022. Outpatient behavioral therapy program (obt) served (30) individuals. All of the individuals served resided in the region iv area with an average length of stay between 1-1/2 years. Our client outcome indicators that measure program performance include the development of appropriate skills, data indicates that clients made progress on a majority of their targets during this reporting period. Year to date totals indicate that clients made progress on 94% of targets overall. Data this year continues to be skewed by the covid-19 pandemic, subsequent restrictions, and overall staffing/client changes. Generalization data during this year indicates that 91% of clients showed valid generalization of skills during this year. Clients and clinicians have not been able to target many skills for generalization specifically; though it should be noted that the skills that have been generalized are often done in the natural teaching environments. Maintaining a high level of active family involvement can sometimes be the driving force in impacting an individual's progress; for this reason, obt has been tracking and monitoring this program outcome very closely. This year we were pleased to report that 86% of our families were actively engaged in their treatment process. Also, other exciting news to share during this fiscal year, we were excited to announce opening our doors to an aba clinic here on the Villa's campus, in which we are currently serving (18) clients. Over the course of the year, outpatient behavioral therapy (obt) averaged 13 employees despite the inherent obstacles associated with covid-19 and the lack of available/reliable qualified applicants-working within the aba industry. In-spite of those challenges obt's solid reputation for quality services and our person-centered approach continues to make us a preferred provider to the medical and central Virginia community.

Day treatment school based provide 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 in order to maintain in their school and/or home. The program will utilize a combination of 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. Goals of the program 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. * fifty percent of clients made 80% or better progress towards their treatment goals. * zero clients enrolled in the program experienced a school suspension. * eight clients were served. * eighty -seven percent of clients passed their classes with a c or better.mental health skill-building as we move further and further away from virtual learning platforms and the ill effects that covid-19 has brought to the human services community. We now can see the value of in-person service delivery as the primary treatment modality. In fy 2021-2022 community-based services which is comprised of intensive in-home (iihs), outpatient behavioral therapy (obt), mental health skill-building (mhsb) and community stabilization (cs) served 177 individuals in total. Intensive in-home services continues to rebound from the aftermath of today's current event's, we are now able to see a surge in client and family engagement within the home environments. Over the course of fy 21-22, the iih program served a total of 61 individuals residing in the greater richmond region with length of stays ranging between (3) months to 1year. It is noteworthy to mention that (95%) of discharges were considered successful and/or transitioned to a less restrictive environment. The breakdown of funding for iihs is as follows: 64% of clients served were funded through the department of medical assistance services (dmas), with the remaining 36% funded by our agency's partnership with the Virginia juvenile community crime control act (vjccca). The collaborative effort between intensive in-home services and vjccca, has further enhanced our clinical outcomes and its service delivery to juveniles and their families. Our intensive in-home program continues to operate on a triennial license until 2024, and the clinical management team remains confident and focused on providing sound and effective treatment to the client's we serve.

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 187 unduplicated youth with total of 174 admissions in fy22 and diverted 93% from hospitalization, with a total of 1,518 bed days. Youth served primarily reside in region iv, consisting of henrico, hanover, rbha, chesterfield, d-19, crossroads, and goochland-powhatan. A child psychiatrist provided consultations via telehealth with 195 youth and their families and community providers in order to ensure continuity of care upon discharge. 87% of youth made progress on their goals and objectives; 76% of clients and 87% of parents/guardians reported being fully satisfied with services. End of year goals for csu regarding clients: * participants will increase the number of community-based linkages make to keep the child and family together or to reunite the family results:80% of participants enrolled in csu.100% of clients received services for making effective linkages at discharge (94 participants' increase linkages, 73 participants' linkages remained the same) * participants will learn more effective and healthier coping skills results: 80% of participants enrolled in csu. 87% of clients learned more effective and healthier coping skills * participants will demonstrate overall satisfaction with the program. Results: 80% of participants enrolled in csu results:76% of clients were satisfied 87% 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 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 overall sense of well-being. Ops served a total of 16 clients, which include: children, adolescents, and adults. End of year goals for ops regarding clients: * 70% of clients will improve scores in individually (personal well-being). Results:83% of clients improved * 70% of clients will improve scores in interpersonally (family, close relationships). Results: 81% of clients improved * 70% of clients will improve scores in social/academic dimensions (i.e. Work, school, friendships). Results: 79% of clients improved * 70% of clients will improve scores in the overall sense of well-being. Results: 82% of clients improved

Flagler housing & homeless services provides homeless assistance, including information and referral, housing search, case management, prevention/diversion (petersburg office only) and youth outreach through our office in richmond and our housing resource center in petersburg. Together, the two offices served 307 households or 611 individuals by moving them from homelessness to permanent housing and providing supportive services to stabilize them in that housing. Flagler saw a steady and increase in motel participants and a strong steady increase in young adults served through our youth outreach service in richmond. We had an influx in youth participants in motels through additional funding from dhcd youth innovation grant. In fact, young adults have continued to be our largest subpopulation between the two programs for the second fiscal year in a row. This includes youth in rrh in both locations, as well as youth served through outreach, school pilot, and the fostering futures program. In the cach region, youth did not need to be literally homeless to participate in rapid rehousing services, youth only needed to experience housing instability. The school pilot program in particular has been instrumental in serving an additional youth population. This program is comprised of three partnerships, St. Joseph's Villa, petersburg city public schools, and petersburg communities in schools. 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. Permanent supportive housing is offered to individuals who are chronically homeless and/or have a documented disability. Chronically homeless households often cycle between life on the street, hospital emergency rooms, mental health facilities, and local jails. They are all expensive systems of care. Psh ends the costly cycle of homelessness, incarceration, and hospitalization by providing a stable home and supportive services designed to maintain housing stability and address health, employment, and other needs. In sjv's rrh richmond caseloads from july 1, 2021 to june 30, 2022, 66 of the 190 clients we served were chronically homeless. Of the 66 chronically homeless clients, 32 had a documented disability and therefore were eligible for psh. Flagler executed the richmond, hopewell, and petersburg emergency housing vouchers. When vouchers became available in all areas, case managers worked with clients 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. Finally, in the cach and greater richmond areas, between july 1, 2021 and june 30, 2022, flagler provided information and referrals to 2,674 individuals who were in a housing crisis or seeking housing related resources. Hollybrook apartments is a hud section 8 housing facility located in the greater richmond area featuring rental options designed for adults with physical disabilities and seniors age 62 and up. The community has 60 one- and two-bedroom apartments on the south side of the St. Joseph's Villa campus and is close to shopping, dining, and the lewis ginter botanical garden. Since 2015, St. Joseph's Villa has contracted with community housing partners (chp) to manage the property. The property has maintained an open waiting list since that time. From 7/1/21 to 6/30/22, hollybrook was able to find new and creative ways to complete unit turn post covid with many items on back order. They saw a major increase in the number of resident deaths on the property during this time as well. Many of those residents had lived in their units for over a decade and much work needed to be done. Most of the deaths were not covid related, but there were a few that were unexpected. Resident services did a great job making sure residents had access to any resources they may need for food, medical services or counseling.

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