1997 ctf annual report

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.)art.. .In an
Our Future...PBS

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History
The Children'sTrust Fund wascreatedby the
Missouri GeneralAssemblyin 1983 asa fund
dedicatedsolelyto support child abuseand
neglectprevention programsthroughout the
state.The organizationwasauthorizedto enter
into contractswith public or private agencies,
schools,or qualified individuals to establish
community-basededucationaland servicepro-
gramsfocusedon preventing child abuseand
neglect.The Children'sTrust Fund wasalso
directedby the establishinglegislation to facili-
tate information exchangebetweengroupscon-
cernedwith child abuseprevention programs
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and to provide statewidepublic education about
the problemsof families and children.
No generalrevenuefunds areappropriatedfor
child abuseprevention. Funding is obtained
from salesof the specialChildren'sTrust Fund
licenseplate, dedicatedfeeson marriagelicenses
and vital records,voluntary contributions desig-
nated on Missouri stateincome tax returns,
other voluntary contributions and interest
income from the trust fund. The Children's
Trust Fund alsoadministerssomeFederalgrants
for child abuseprevention.
Children's Trust Fund special license plate
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"Child abuseis a preventable tragedyand
in all likelihood we will neverhave the
resourcesto treat theproblem after thefact.
Prevention is a much more viable solution
in the long run. Theproblem is that most
of the resourcesare allocated to investiga-
tion, which doesnot increasethe safetyof
children.Wt> needa systemthatpromotes
preventionand treatment."
1995 American Psychological Association Report on Child Abuse
In Missouriin 1996...
There were 52,590 reportsof child abuse/neglect
involving 83,905 children.
More than 17,000 children wereconfirmed as
abusedor neglected.
Missouri ranked 33rd comparedto all other states
for child well-being.
More than 14,000 births were to motherswith
fewer than 12 yearseducation.
More than 10,000 teensages15 through 19 gave
birth.
More than 16,000 studentsleft public high
schoolswithout graduating.
More than one-third of studentsin public schools
were poor enough to qualifY for free or
reducedlunches.
558 infants died beforetheir first birthday.
More than 5,500 infants had low birth weights,
putting them at risk.
More than 6,600 children enteredfoster homes,
group homes,relativeor residentialcare.
1,
t'
ect
Family CharacteristicsAmong Missouri's
ProbableCauseVictims of Child Abuse and
Neglect
a. singleparenthousehold
b. lackof parentingskills
c. amenableto services
d. heavychild careresponsibility
e. insufficient/misuse of income
£ crowded living conditions
g. marital problems
h. domesticviolence
i. recentor frequent relocation
j. alcohol or substanceabuseproblem
k. new baby in home/pregnancy
1. socialisolation
m.loss of employment
n. homeless
o. lack of utilities
p. teenparent
q. mental retardation
r. illnessor incapacity due to a physicalhandicap
Source: Missouri Division of Family Services,1994
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Factsabout child abuseand
National Research Council Recommendations
on Preventing Child Abuse
. Statesshould examinecurrent reporting lawsto
determinewhether and how early detection
leadsto improved outcomes.No research
provesthe superiority of mandatory reporting
overvoluntary reporting.
. Courts needearlywarning systemsto detect
intervention failures, in light of the absenceof
research-backedeffectivenessfor most interven-
tions.
. Health careand socialservicesproviders should
strengthendocumentation of abuseand family
violence in individual and group records.
. Law enforcementneedsto collaboratewith
other agenciesto testwhether a "web of social
control" approachto offenderscan deter fur-
ther maltreatment.
. Officials should considerhome-visitation ser-
vicesonly for first-time parentswith high risk
factorsfor family violence.
. Officials should considerintensivefamily ser-
vicesonly for somefamilies, and not for every
one involved in a child out-of-home place-
ment.
Source: Violencein Families: AssessingPrevention
and Treatment Programs
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ct
Prevention makes $ense
$1 investedin prenatal carecan save$3 on long-term
medical costs.
$1 spent on pre-schooleducationcan save$5 on the
costsof specialeducationand public assistance.
$3,000 investedin a home health visitor cansaveup
to $21,000 annually on incarceratinga juvenile.
$600 spenton remedialeducationcan save$4,000 in
the costof a singlerepeatedgrade.
"Whenfamilies are exposedtoprograms
that nurture and provide support, society
benefitsby a decline in drug addiction,
welfaredependency,crime and delinquency,
schooldropout rates,teenpregnanciesand
child abuseand neglect."
Justice Mark Kennedy, Alabama Supreme Court
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Typesof Prevention
Primary prevention of child abuseand neglect
refersto thoseefforts aimed at positively influencing
individuals and groups beforeabuseor neglect
occurs.Primary prevention servicescan addressboth
health and human serviceneedsof client families.
The key aspectsof primary prevention efforts are: it
is offered to all membersof a population, it is volun-
tary, it attempts to influence societalforceswith neg-
ative impact on families and children, and it seeksto
promote positive individual/family/group function-
ing. Primary prevention servicesarebestprovided
during pregnancy,not after the birth of an infant,
and should include home assessmentservices,home
visitation services,parent education, child develop-
ment education, and referralservices.
Secondaryprevention of child abuseand neglect
refersto thosesupportive servicesoffered to families
and individuals who areconsidered,becauseof life
circumstances,to be "at risk" of child abuseand
neglect.While child abuseor neglectmay not have
taken place,the probability that it may at sometime
is greaterthan in the generalpopulation. "At risk"
factorsinclude, but arenot limited to, poverty, single
parenting, adolescentparenting, parentsof special
needschildren, history of a parent having been
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abusedasa child, heavychild careresponsibilities,
educationallevel of parents,etc. The major compo-
nentsof secondaryprevention are: it is offered to
predefined "vulnerable" membersof a population, it
is voluntary, it is more problem/solution focused
than primary prevention, and it seeksto prevent
future problems by focusingon particular identified
stressesand by enhancingthe family's strengths.
Tertiary child abuseand neglectprevention ser-
vicesareaimed at preventing further incidents of
child abuseand neglect,or correcting the parents'
abusivebehavior, or therapywith abusevictims.
Treatment servicesarenot consideredtertiary preven-
tion.
"Wecannot moveforward by looking to the
pastfor easysolutions.Instead our chal-
lengeis to arrive at a consensusof values
and a common vision of what we can do
today,individually and collectively,to
build strongfamilies and communities. The
true testof the consensuswe build is how
well wecarefor our children."
HillaryRodhamClinton,1996
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Board of Directors
The Children'sTrust Fund is governedby a 15-
memberboard of directors, 11 of which are
appointed by the governorwith the adviceand
consentof the senate.Two membersof the
Missouri houseof representativesareappointed
by the speakerof the houseand two membersof
the Missouri senateareappointed by the presi-
dent pro tem of the senate.Membersof the
board of directorsareknowledgeableabout child
abuseprevention, representthe demographic
composition of the state,and generallyrepresent
the business,education,religiousand legalcom-
munities, organizedlabor, health, mental health
and socialservices,and professionaland volun-
teer prevention serviceproviders.
1997 BOARD OF DIRECTORS
Chair
Linda Doolin Ward
KansasCity
LindaWardisdirector
of investorrelationsfor
PaylessCashways,Inc. She
isagraduateof the
Universityof Missouri-
Columbiaandtaughtsec-
ondaryEnglishin KansasCity. In 1997sheserved
on theGovernor'sCommissionon EarlyChildhood
CareandEducation.Shewasrecipientof theKansas
City SpiritAwardin 1996andreceivedtheKansas
City TomorrowDistinguishedLeadershipAwardin
1997.Sheserveson numerousboardsincluding:
vice-presidentof development,Women'sFoundation
of GreaterKansasCity; WestminsterCollege,chair,
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faculty and curriculum committee of the board of
trustees;City of Fountains Foundation; advisory
board of the NortWand Community Fund; and co-
chair, education task force and member of the steer-
ing committee of the Partnershipfor Children. She
wasthe first woman everto serveaspresident and
chairman of Boysand Girls Clubs of Greater Kansas
City. Sheand her husbandhaveone son.
Vice chair
Richard C. Dunn,
ACSw, LCSW
St. James
Richard C. Dunn is
executivedirector of Boys
and Girls Town of
Missouri. He earneda
bachelorof arts degreein
sociologyand psychology
'"
from Drury Collegein Springfield and a mastersin
socialwork from the University of Missouri. He has
servedasa consultant to St. Louis University School
of Psychiatry,Annie Malone Children's Home, Lives
Under Construction, Good SamaritanBoysRanch,
Youth EmergencyService,EasternKentucky Mental
Health Clinic, St. Louis Metro Ministries,
EvangelicalChildren's Home, Missouri Baptist
Children's Home and SalemChildren's Home. He is
a graduateof the Academyof Cenified Social
Workers, and a licensedclinical socialworker. He
and his wife havetwo sons.
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5

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RichardC. Goldberg
MarylandHeights
Richard Goldberg is the
principal in The Goldberg
Group. He is a graduateof
the University of
Wisconsin, Lindenwood
College and Washington
University. He holds mas-
tersdegreesin socialsciencesand businessadminis-
tration. Goldberg hasbeenexecutivedirector/CEO
for a nationally affiliated health organization, corpo-
ratevice president-human resourcesfor a bank hold-
ing company,and director of marketing in two med-
ical specialtycompanies.He currently is engagedin
training, human resourcedevelopment,management
development,strategicplanning and marketing/sales
development.He hasservedasan adjunct faculty
member at severaluniversitiesand collegesand is
activein local government, servingasan elected
municipal official. He and his wife havethree
children.
Martha Karlovetz
Lake Sherwood
Martha Karlovetz is a
graduateof Washingron
University and the
University of Missouri, St.
Louis. Shewasan elemen-
taty readingspecialistfor
17 years.Sheservedas
president of the Missouri National Education
Associationand playeda key leadershiprole in revis-
ing the original draft of the Outstanding SchoolsAct
1,
"
of 1993. Shehasservedascommissioner,Education
Commission of the States,and wasnamedto the
National TeachersHall of Famein 1995. Currently
sheserveson the board of directors of Lake
SherwoodEstates,the Missouri NEA-retired, and the
ParkwayRetired Association.Karlovetz and her
DanielJ. "Duke" .
McVey
Jefferson City
Daniel "Duke" McVey
is presidentof the Missouri
AFL-CIa. He serveson
numerousboardsand com-
missionsincluding the
Missouri Training and
Employment Council, the
board of trusteesof Blue Crossand Blue Shield of
Missouri, the Commission on Managementand
Productivity, the Missouri StateCouncil on
Vocational Education, and the Governor's
Partnershipon the Transition from Schoolto Work.
He is board president of Literacy Investment for
Tomorrow (LIFT) and a member of the Missouri
Global Partnership.He is a graduateof St. Louis
University High Schooland the Harvard Trade
Union Program. He and his wife have23
grandchildren.
husbandhaveone daughter.
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Board of Directors
Dudley McCarter
Clayton
DudleyMcCarter,part-
nerin thelawfirm of
Behr,Mantovani,
McCarterandPotter,P.
c., St.Louis,isagraduate
of KnoxCollege,
Galesburg,Illinois andthe
University of Missouri-Columbia Schoolof Law. He
haspublished numerousarticlesfor the Missouri and
St Louis BarJournalsaswell asother publications.
Currently McCarter serveson the board of directors
of KWMU, the public radio station licensedto the
University of Missouri-St. Louis. He is a pastpresi-
dent of the Missouri Bar. He hasreceiveda Citation
of Merit from the University of Missouri-Columbia
Schoolof Law and the Faculty Alumni Award from
the Alumni Associationof the University of
Missouri-Columbia. He and his wife havethree chil-
dren.
Carlos E. Salazar
Kansas City
Carlos Salazar,city and
county affairsrepresenta-
tive for KansasCity Power
and Light, is a graduateof
the University of Missouri-
KansasCity. His experi-
enceincludeswork asa
community affairs representative,compensationana-
lyst and equal opportunity analystfor KCP & L,
work with the city of KansasCity, a counselorfor the
Leagueof United Latin American Citizens and the
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University of Missouri-KansasCity, and asa police
analystfor the KansasCity Missouri police depart-
ment. He hasservedon the boardsof the Hispanic
Development Fund, the GuadalupeCenter, Inc.,
Friendsof MOCSA, and Friendsof Alvin Alley. He
and his wife havetwo children.
Kansas,and hasobtained continuing education from
the American College of Health Care Executives.He
is responsiblefor governmentaland regulatory affairs
in Missouri and Illinois and for Medicaid issuesat
the federallevel. He serveson the government, legal
and advocacycommittee and the children's presi-
dent's council of St. Louis Children's Hospital, and
on the public policy committee ofBJC Health
System.He hasservedaspresident,chairman and
member of the board of directors of the Leadership
Missouri Alumni Associationand hasbeenan active
member of numerousadvisorycommitteesfor health
careorganizations.He and his wife havetwo
children.
Charles P. Swisher
St. Louis
CharlesP. Swisher,
director, staterelationsfor
BJC Health Systemand a
registeredlobbyist in
Missouri and Illinois, is a
graduateof Washburn
University, Topeka,
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1,
Representative
Donovan
Florissant
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Board of Directors
SenatorHarold 1.
Caskey
Buder
Harold Caskey,
Democrat senatorfrom the
31st district, is a graduate
of Central Missouri State
University and the
University of Missouri-
Columbia School of Law, Order of the Coif. He was
formerly the prosecutingattorney in BatesCounty
and hasbeenelectedto three terms asa statesenator.
He hasservedasassistantmajority floor leader,
majority caucuschair and majority floor leader.He
chairsthe Senatecivil and criminal jurisprudence and
ethicscommittees,is vice chair of the judiciary com-
mittee and serveson the agriculture, conservation,
parksand tourism, education, statebudget control
and waysand meanscommittees. He hasbeenthe
principal sponsorof most major criminal legislation
and protective legislation for children passedin the
last eight years.He and his wife haveone child.
Senator Betty Sims
St. Louis
Betty Sims,Republican
senatorfrom the 24th dis-
trict, is a graduateof
Washington University
and Southern Illinois
University and attended
Smith College. Sheserves
on the following Senatecommittees: aging, families
and mental health, civil and criminal jurisprudence,
elections,pensionsand veterans'affairs,insurance
,
.,
and housing, labor and industrial relations,and pub-
lic health and welfare.Sheservesaspresident and
chair of the board and chair of the nominating and
long rangeplanning committeesand vice chair for
corporateaffairsof the Girl Scout Council of Greater
St. Louis. For the United Way of Greater St. Louis
sheservesasvice chair of the board of directors, vice
chair-campaign,chair- planning council, community
servicescouncil, admissionscommittee and day care
panel, and is a member of the allocationscabinet and
taskforce for personnelevaluation. Sheservesassec-
retary to the executivecommittee of the Salvation
Army and on the boardsof the Arts and Education
Council, Missouri Botanical Garden, Repertory
Theater, and St. Andrews Episcopal-Presbyterian
Foundation. Sheand her husbandhavetwo children.
BOARD OF DIRECTORS RETIRED (1997)
Muriel Battle
Columbia
Karen Goodman
St. Louis
Dr. SusanNoaker
O'Fallon
STAFF
ExecutiveDirector:
SarahA. Grim, MHA, CHE
Public Affairs Coordinator:
Dianne Larkin
Program Coordinator:
Kirk Schreiber
Administrative Assistant:
ShelleyCarter
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Children's Trust
"The citizens of Missouri are entitled to a govern-
ment that isfUlly accountable and responsiveto the
people through clearly defined goals, objectives,
strategies,and the measurementofperformance. "
Governor Me' Carnahan, 7996
In 1997 a strategicplan for the Children's Trust
Fund wascompleted using the state'sadopted
processknown asCOMAP and consideringrecom-
mendationscontained in an evaluationof CTF that
wascompleted by consultantsfrom the University of
Missouri Health ServicesManagementGroup.
Members of the board of directors, staff, representa-
tivesfrom government departmentsand other child
advocacyorganizationsmet over a five month period
to createthe final strategicplan that wasadopted by
the board of directors.A critical part of the COMAP
planning processwaslinking the CTF plan to the
Show-Me Results(seechart on page 14). Following
is an executivesummary of the strategicplan.
VISION: The Children's Trust Fund envi-
sions children and families free to grow
and reach their full potential in a nurtur-
ing and healthy environment free from
child abuse and neglect.
MISSION: The Children'sTrust Fund will
preventor alleviatechild abuseand neglect
for the Stateof Missouri'schildren and
families by: 1) planning and policy devel-
opment; 2) ensuringappropriatefunding
of results-orientedprograms,training pro-
gramsfor prevention professionals,and
research;3) promoting public awareness
and education;and 4) assistingin the inte-
gration of statewideprevention efforts.
"'If', '~ii
Fund Strategic Plan
STRATEGIC ISSUES
StrategicIssueI: Planning, Policy
Development and StatewideCollaboration
Goal]: Improve the measurementof Missouri's
child abuseand neglectprevention pro-
grams'effectivenessby developingmet-
riesthat quantitatively measurethe
linkage betweenprevention processes
(procedures)and changesin outcomes
(reductionsin child abuseand neglect
behaviors).
Objective 1: Improve the performanceof
selectedcategoriesof child abuseand
neglectprevention programsby identi-
fying or developingbetter outcome
measuresand distributing these"best
practices"or metriesto child abuseand
neglectprevention programs.For fiscal
year 1998-2000 focusupon Shaken
BabySyndromeprevention; communi-
ty-basedfamily resourceprogram
demonstrations;and comprehensive
home visitation services.
Goal2: Reducethe incidenceand rateof child
abuseand neglectthrough collaborative
relationshipswith public and private
organizationsactivein child abuseand
neglectprevention.
Objective 1: Identify and establishcollaborative
arrangementswith other private and
public entities to carry out public
awarenessand educationprograms,
10

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conduct researchand training programs,
engagein planning and policy develop-
ment, and support the developmentof
integrateddelivery systemsfor families
and children.
Goal3: Develop the Children'sTrust Fund's
competenciesnecessaryfor it to provide
leadershipin child abuseand neglect
prevention
Objective 1: Identify essentialcorecompeten-
ciesfor CTF to carry out its mission
and goalsand compareexistingstaff,
information/database,and physical
facilities and equipment capabilitiesand
capacities,and developplansto address
identified gaps.
Objective 2: Identify CTF Board competencies
and relationshipsthat arenecessaryfor
the Children'sTrust Fund to achieveits
mission and goals,compareexisting
Boardcompetenciesand relationships,
and developplansto addressidentified
gaps.
Objective 3: Identify opportunities to integrate
Children'sTrust Fund into the Office of
Administration (OA) strategicand oper-
ational planning processes.
Strategic IssueII: Developing Guidelines and
Processesfor Fund-Raising and Fund
Distribution
Goal}: Increasefunding sources'support by
assessingand documenting needsfor
child abuseand neglectprevention.
1
Objective 1: Assessthe targetedareasof child
abuseand neglect(i.e., ShakenBaby
Syndrome,home visitation, and
CBFRPs)to determinethe magnitude
of the child abuseproblem inherent in
eachand inventory the funding and ser-
vice capacityemployedto combat each
area.Convert findings into a recom-
mendedresourceallocation plan to be
presentedto funding sourcesand part-
ners.
Objective 2: Develop a knowledgebaseof "best
practice" child abuseand neglectpre-
vention modelsor interventions around
ShakenBaby Syndromeprevention,
comprehensivehome visitation, and
CBFRPs.
Goal2: Develop methodsfor establishingfund-
ing priorities and processesfor distribut-
ing Children'sTrust Fund funding.
Objective 1: Annually reviewand revisethe
Children'sTrust Fund'sfunding guide-
lines for training, the annual confer-
ence,researchand public policy and
integratedmodels.
Objective 2: Identify other areasof serviceto
which the Children'sTrust Fund should
provide funding, suchasinformation
and technical assistanceto the
Community-basedFamily Resource
Programsand other granteesor
contractors.
11

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Goal3: Increasefunding sources'and the gen-
eral public's awarenessof the work of
the Children'sTrust Fund.
Objective 1: Increaseprivate/public fund-rais-
ing productivity using the CTF License
PlateMarketing Campaign by: a)
establishingannual fund-raising goals;
b) developingand funding appropriate
promotional activities;and c) assuring
statewideparticipation in the Campaign
among public-private collaborations
who arepositioned to advanceaspects
of the Show-Me Results.
StrategicIssueIII: Child Abuse and Neglect
Prevention and Promotion Campaigns
Goal]: Promoteand fund effectiveChildren's
Trust Fund child abuseand neglectpre-
vention awarenesscampaigns.
Objective 1: Increasepublic awarenessand edu-
cation around a specifictarget area
designedto reducechild abuseand
neglect(i.e., ShakenBabySyndrome,
home visitation, Community-based
Family ResourcePrograms,SafeCribs,
etc.).
Objective 2: Enhancethe visibility and promo-
tion of child abuseprevention policy
among Missouri policy-makersand par-
ents.
Objective 3: Evaluatethe effectivenessof the
public awarenessand public policy cam-
paign strategiesin increasingpublic
awarenessof child abuseand neglect.
~~
"
an
StrategicIssueN: Integration of
Community-based Child Abuse and Neglect
Prevention Services
Goal1: Develop integrated,comprehensive
family/child servicedelivery modelsand
demonstratethe model'sefficacyin
improving the well-being of families
and children.
Objective 1: Administer implementation of the
Community-BasedFamily Resource
Program(CBFRP) in Missouri and
monitor the grantees'compliancewith
the termsand conditions of the grant.
Objective 2: To the extent Children'sTrust pro-
gram funds and Community-Based
Family ResourceProgramfederalfunds
areavailable,provide technicalassis-
tanceto grantees.
Objective 3: Evaluatethe planning and imple-
mentation of the Community-Based
Family ResourceProgramsin the fund-
ed demonstrationsites.
Objective 4: As CTF funds areavailable,plan
to expandthe Community-Based
Family ResourceProgramto additional
targetedcommunities within threeyears
(year2001).
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Children's Trust Fund Strate
1997 CTF STRATEGIC
PLANNING COMMITTEE
SuzanneAlewine
MO Department of Heatlh -
CHART
JeffersonCity, Missouri
Dr. Muriel Battle
CTF BoardMember
Columbia, Missouri
Doris Boeckman
Missouri Hospital Association
Andre Coffer
MO Office of Administration
Division of Budget and
Planning
RichardC. Dunn
CTF BoardMember
BoysandGirlsTown of
Missouri
St.James,Missouri
RichardC. Goldberg
CTF BoardMember
The GoldbergGroup
MarylandHeights,Missouri
KarenGoodman
CTF BoardMember
AmericanRedCross
St.Louis,Missouri
Beth Griffin
Citizen's for Missouri's
Children
St. Louis, Missouri
1,
,.
an
Carlos E. Salazar
CTF Board Member
Judy Jarmon
GraceHill Neighborhood
Services
St. Louis, Missouri
KansasCity Power & Light
KansasCity, Missouri
Lucia Erikson-Kincheloe
PreventChild AbuseMissouri
Barb Sanders
ParentsAs Teachers
St. Louis, Missouri
Fred Simmens
MO Department of
SocialServices
Division of Family Services
Maria Labarca
GuadalupeCenter
Linda Luebbering
MO Department of Elementary
and SecondaryEducation
MelissaSmith
Hem of America
Family Services
KansasCity, MissouriCarol Mertensmeyer
Parentlink
Columbia, Missouri Linda Ward
CTF Board Chair
GlendaMiller
raylessCashways
KansasCity, MissouriMO Departmentof Health
Springfield,Missouri
StrategicPlanning Consultants
Dr. Kenneth D. Bopp
Health ServicesManagement
Group
University of Missouri
Columbia, Missouri
EdMorris
MO Departmentof
MentalHealth
Dr. DanMueller
BJCHealthCareSystems Dr. Bill Holcomb
BehavorialHealthConcepts
Columbia,Missouri
St. Louis, Missouri
13

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Office of Administration
links Between FY99Budget and Sho
Results DecisionItem
ECONOMIC SECURITYAND PROSPERITY:
1.00 Increasethe number of new jobs created paying greater
than $1O/hour + benefits.
2.00 Increasethe number of dollars of new investment in
Missouri firms and farms.
3.00 Increasethe productivity of Missouri firms and farms.
4.00 Decreasethe percent of Missouriansobtaining public
income support at any time during a year. CTFProgram Core
5.00 Increasethe percent of Missourianswith health insurance. CTFProgram Core
6.00 Increasethe percent of families that spend lessthan
10%/20% of their income on day care. CTF Program Core
7.00 Increasethe percentof Missourianswith incomesabove
100% 150% of the overt level. CTFPro ramCore
EDUCATED MISSOURIANS:
8.00 Increasethe percentof 25-year-oldswith a high
schooldiploma(GED).
9.00 Increasethe percentof 25-year-oldscompleting
14yearsof education. CTFProgramCore
10.00 Increasethe percentof studentsannuallythat persistto
high schoolgraduation. CTFProgramCore
11.00 Increasethepercentofindividualswhoachievetargeted
skilllevelsat: 3-year-olds,5-year-olds,3rdgrade,
8th rade,and10th rade. CTFPro ramCore
HEALTHY AND PRODUCTIVE MISSOURIANS:
12.00 Increasethe percentof pregnancieswhichresultin CTFProgramCore,
healthybirth-weightbabies. GeneralServicesCore
13.00 Decreasethe rateof hospitalizationsanddeathsof
children from infectious diseases.
14.00 Decreasethe rateof infantmortalityper 1,000births. CTFProgram Core
15.00 Decreasethe pregnancy rate per 1,000 females up to
age17. CTFProgram Core
16.00 Increasethe percentof Missourianslivingwhereair meets
overnment air uali standards.
SAFE MISSOURIANS:
17.00 Decreasethe number of crimes against persons per
100,000 Missourians.
18.00 Decreasethe numberof crimesof domesticviolenceper
100,000Missourians. CTF Program Core
19.00 Decreasethenumber(orrate)ofalcoholand
drug-relateddeaths.
20.00 Decreasethe numberof childrenunderthe ageof
18abusedper1,000. CTFProgramCore
21.00 Decreasethe lossof lifeand propertyresultingfrom
naturaldisasters.
COST-EFFECTIVE RESULTS:
22.00 Decreasethe ratioof stateoperatingexpendituresto B&PCore,Census2000
Missouripersonalincome. Core,TaxReportCore,
SpecializedResearchCore,
Officeof Excellencein
CustomerServiceCore
23.00 Increasethepercentofminoritiesandwomen
participatingin Stateof Missouriprocurement D&CCore,PMMCore,
andemployment. PMMExpandMBE
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~esuIts
14

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Financials
t
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Income for FY97
Grants
LicenseFees
Vital Records
Income Tax Contributions
Interest
Private Donations
InterAgency Receipts/
Home Visitation
Other Registration Fees
$1,029,396.43
804,413.00
653,831.00
162,006.48
163,948.00
24,830.72
Vendor Refunds
0.00%
Other Registration Fees
0.17%
~~~~~gti~,;eiptsl
0.22%
Private Donations
0.87%
Interest
5.75%
Votal Records
22.94%
6,263.64
4,885.00
20.00
$2,849,594.27
Vendor Refunds
Total Revenue
Expensesfor FY97
Programs
Personnel
Expenses&: Equipment
Total Expenses
$1,512,996.11
144,706.26
112,240.35
$1,769,942.72
Program Breakdown
Public Awareness
Training/Evaluation
Research
Integrated Delivery Service
Projects
Total Programs
$ 86,284.19
162,709.16
52,039.99
1,211,962.77
$1,512,996.11
Expenses & Equipment
Office Expenses
Travel
Communication Expense
Office & Communication
Purchases
ProfessionalServices
Other Expenses
Data ProcessingExpense
Institutional & Plant
Expense
Total E&E
$ 35,155.08
15,674.76
13,494.50
7,809.50
7,093.85
14,426.05
4,065.64
14,520.97
112,240.35$
15

~
""ii
,~
Y~l~'
~
CTF Grant Distribution Proc,
In 1996, the Children'sTrust Fund complete-
ly revampedits prior processfor funding child
abuseand neglectprevention activities.
Eliminated wasthe annual Invitation for Bid
(IFB) processusedto fund individually-spon-
soreddirect servicestrategiesto preventchild
abuse,many of which werenot research-based
nor outcome-driven.
Using information gleanedfrom the evalua-
tions of the Children'sTrust Fund and its pre-
vention programs,the CTF board of directors
approvedthe following strategyand policy: the
majority of CTF dollarswould support integrat-
ed delivery systemsreform efforts sponsoredby
community collaborationsrather than individual
agencyservices;contractswould be lengthened
from threeyearsto five yearsfor large-scale
demonstrations;outcomes,performancemea-
sures,and accountability would drive all futUre
contracts;and all prevention strategieswould
emphasizethree targetedareasof child abuse
prevention. For statefiscalyear 1998 - 1999,
thesethreeareaswill be ShakenBabySyndrome,
comprehensivehome visitation services,and
community-basedfamily resourceprograms.For
the former two targetedareas,funding will be
limited to research,training, and public aware-
nessstrategiesadoptedby the board of directors.
Six major grantswereawardedin 1997 for
community-basedfamily resourceprogram
demonstrations.Thesegrantswill receive
$250,000 per siteper yearfor up to five years.
Barring any infusion of new funds into CTF,
further expansionof the CBFRP pilots is not
expecteduntil after fiscalyear2002.
"
CTF discretionarygrantsfor up to $3,000
areavailableto support child abuseprevention
initiatives. Thesegrantsmay be applied for any
time during the year.Preferenceis given to
applicationsreceivedfrom collaborationsfor
which the discretionarygrantsarepooledwith
other private and public funding streams.
Projectspreviouslyfunded through this process
include stipendsfor collaborationsto participate
in the CHART LeadershipInstitute, support for
the Family Support NetWork and Healthy
FamiliesMissouri conferences,and Safe
Crib/Home RiskAssessmentpilots. For infor-
mation about the discretionarygrant process,
pleasecontact the CTF office.
CTF funds will support specialprojectsrelat-
ed to research,training, and technicalassistance
to the Community-basedFamily Resource
Programdemonstrationsin collaboration with
the CTF partnerson an annual basis.
The latestCTF strategyto increasefunds for
the prevention of child abuseis the CTF license
plate campaign.Thirty-four contractswere
awardedin 1997which areexpectedto generate
salesof 3,400 or more licenseplates,for a total
revenuebaseof $85,000. CTF expectsthese
partnersto raisemore than $7 million in new
funds overthe next five years-with all funds
raisedgoing to specialprojectssponsoredby the
partners.Licenseplate campaigncontractsare
still availableto support child abuseprevention
strategiesin a number of Missouri counties,
most notably the Boothill and extremenorth-
westMissouri. Eachcontractor must sellat least
100 CTF licenseplatesin order to usesalesrev-
enuesfor their projects.Contact the CTF office
for more information.
16

~
CTFGrant Distribution Proc
FY97 PROGRAMS FUNDED
Programsarefunded accordingto type: E. Otherprogramssuchasneedsassessment,
A. Educationfor childrenandadolescents research,publiceducation,professional/volun-
B. Support/counselingfor childrenandadoles- teereducation
cents Following is a list of the agenciesadministering
C. Parent/familyeducationtargetingthegeneral th th f th I. e programs, e name 0 e program, oca-
population
D. Parentfamilyservicestargetingapopulation
identifiedasat highriskfor childabuse ing availableby CTF during FY97.
Blue Springs School District Blue Springs
"William YatesWingspan Program" $40,137.00 D
Boys and Girls Club of Greater KansasCity KansasCity
"SMART Movesof the Boys& Girls Club of GreaterKC" $21,638.40 A
Center For Family Resources(formerly Dunklin Co. Comm. Council) Malden
"Family Support Services" $26,577.00 0
Central Missouri Counties Human Development Corporation Columbia
"Empowering Parents,StrengtheningFamilies" $22,795.20 0
Central Missouri Counties Human Development Corporation Columbia
"Parenting In The 90's" $20,175.60 0
Warrensburg
$6,860.00 E
Independence
$27,696.00 0
WestPlains
$6,419.60 D
Sedalia
$10,171.20 D
Central Missouri StateUniversity
"Workshop On Wheels"
Child Abuse PreventionAssociation
"The ParentingProject"
Christos House
"Parenting/Life Skills Program"
Citizens Against SpousalAbuse
"Being Better ParentsWorkshop Series"
Clay County Health Department
"Growing With Your Child"
Clay County Health Department
"Helping Parents"
Community Health In Partnership Services(CHIPS)
"Young Moms Parenting: Non-Violence Through Literacy"
DeLaSalleEducation Center
"ParentingSkills and Childcare Program"
1
~
tion, the program type and the amount of fund-
Liberty
$6,374.68
Liberty
$13,728.00
St. Louis
$17,693.62
KansasCity
$24,872.40
17

~~
CTF Gran
Lafayette House Family Self-Help Center
"SecondaryPreventionServicesFor FamiliesTroubled By Violence"
Lewis County Health Department
"Project WeeCare"
Literacy Council of Macon County
"Family WholenessThrough Outreach"
Metropolitan Organization To Counter SexualAssault (MOCSA)
"Young Mothers ParentingOurselvesand Our Children"
National Center For Violence Prevention
"Family Violence Informational Campaign"
North Central Missouri Mental Health Center
"Project Healthy Families"
Economic Security Corporation
"At Risk Families-StrengtheningFamilies"
Edgewood Children's Center
"PreventionThrough RespiteServices"
Family Counseling Center of Missouri
"Capital ParentHelp"
Family Counseling Center of Missouri
"Rural ParentHelp"
Family ResourceCenter
"School FocusedChild AbusePrevention"
Heart of America Family Services
"Family Empowerment"
Hilltop Day Care Center
"Project SafeTouch"
Hope House
"AbusePreventionProjectForTeens"
Jewish Family and Children's Services
"Let's PreventChild Abuse"
Kids In The Middle, Inc.
"Building Healthy Families"
Northeast Missouri Community Action Agency
"Family PreventionNetwork"
~'I
t Distribution Proc
Joplin
$36,068.90
St.Louis
$37,350.00
JeffersonCity
$18,072.00
Columbia
$16,878.96
St. Louis
$41,128.00
KansasCity
$43,044.48
St.Louis
$24,075.00
KansasCity
$6,729.75
St. Louis
$39,309.94
St. Louis
$10,162.80
Joplin
$5,809.92
Monticello
$3,613.68
Macon
$35,715.00
KansasCity
$13,296.15
St. Louis
$11,056.00
Trenton
$24,414.20
Kirksville
$11,648.00
18

~
Nurses For Newborns Foundation
"Bridge To The Future"
"Rural SafeHomecoming Program"
"Teen Moms Program"
ParentLink
"ProjectFamilySupport:A RuralCommunityModel"
ProgressiveYouth Center
"Operation Care: A SchoolWide ApproachTo Violence Reduction"
Randolph County Health Department
"Caring For Kids"
RankenJordan Home
"H.E.L.P. Home BasedEnabling and Learning For Parents"
RollaPublicSchoolDistrict
"STAC: SuccessThroughAttendingClass"
Rose Brooks Center
"Project SAFE"
SafeHavenof KansasCity
"PowerThrough Choices"
ShelbyCounty Health Department
"Project WelcomeHome"
St. Louis Crisis Nursery
"Crisis Nursery - St.Charles"
St. Louis Crisis Nursery
"Crisis Nursery South"
St.Vincent's Family Services
"The HarambeeCenter"
Southwest Missouri StateUniversity
"Parenting Life Skills Center"
SynergyHouse
"Working TogetherFor A New Beginning"
The Children's Mercy Hospital
"GenerationsProgram"
The Children's Place
"Circle of Safety"
1,
.,
St.Louis
$59.402.00 D
D
D
E
St. Louis
$20,220.00
St. Louis
$41,564.25
Columbia
$123,180.48
St. Louis
$14,966.56
Moberly
$11,080.00
St.Louis
$6,663.79
Rolla
$7,417.20
KansasCity
$20,758.02
KansasCity
$5,818.56
Shelbyville
$14,414.40
St. Charles
$28,676.03
St.Louis
$50,520.00
KansasCity
$53,216.80
Springfield
$54,144.48
KansasCity
$8,681.31
KansasCity
$24,468.96
Kansas City
$11,961.60
19

~
CTF Grant Distribution Procf
Today and Tomorrow Educational Foundation
"Kids Rights Child AbusePrevention"
University of Missouri Extension Services
"ResourceMothers"
Webster GrovesSchool District
"Even Start"
Whole Health Outreach
"Parenting Resources For High Risk Families"
~1,
"
St.Louis
$22,035.00
Columbia
$26,377.20
WebsterGroves
$57,439.00
Ellington
$40,000.00
St.Louis
$14,772.00
St.Joseph
$32,981.34
$1,500,000.00
20

~
Missouri Chapter - NCPCA
"Healthy Families Conference"
Missouri Chapter - NCPCA
"WH.a. Curriculum"
"CTF LicensePlateCampaign"
"Grant Writing Proposal"
ParentsAs Teachers
"Grant Writing Proposal"
St. JosephSchool District
"ParentPartnershipProject"
St.LouisChildren'sHospital
"SafeSleepProgram"
St. Louis County Department of Health
"SafeSleepProgram"
St. Louis County Division of Family Services
"ParentingClasses"
St. Louis County Division of Family Services
"SafeSleepProgram"
St. Louis City EmergencyMedical Services
"SafeSleepProgram"
"Male Batterers- Support Group Project"
"National Conference-ResourceMothers"
Washington County C-2000
"CHART LeadershipInstitUte"
West Central MO Community Action Agency
"VISTA Training"
Total: 22 programs,
,
"
$3,000.00
$3,000.00
$3,000.00
$1,000.00
$1,000.00
$3,000.00
$3,000.00
$3,000.00
$1,000.00
$3,000.00
$3,000.00
$1,000.00
$1,000.00
$2,200.00
$2,130.00
$50,530
21

~
III~CTF Grant Distribution Process "
~
1997 CTF PROGRAM
COMMITTEE
Chair
Richard Dunn
CTF BoardMember
BoysandGirlsTown ofMO
St.James,Missouri
Doris Boeckman
Nela Beetem
MO Department of Health
Connie Brooks
University of Missouri
Sinclair Schoolof Nursing
Columbia, Missouri
Rep. Pat Dougherty
CTF Board Member
St. Louis, Missouri
Ruth Flynn
MO Department of Elementary
and SecondaryEducation
PaulGemeinhardt
OzanamHomefor Boys
KarenGoodman
CTF BoardMember
AmericanRedCross
St.Louis,Missouri
DianePeal
UnitedWayof Greater
St.Louis
St.Louis,Missouri
Mary Hoke
JewishFamily & Children's
~ervlces
St. Louis, Missouri
Dr. LynnPike
ResourceMothers
Columbia,Missouri
Ila Irwin
MO Departmentof Health
Divisionof MedicalServices
Jim Silsby
GreeneCountyJuvenileOfficer
Springfield,Missouri
Dr. Andrea Jacobs
United BehavorialSystems
St. Louis, Missouri
Fred Simmens
MO Department of
SocialServices
Division of Family Services
Nancy Litzinger
St. Louis Children's Hospital
St. Louis, Missouri
SuzanneMcCune
StateTechnical AssistanceTeam
St. Louis, Missouri
CharlesSwisher
CTF Board Member
BJC Health System
St. Louis, MissouriDr. CarolMertensmeyer
ParentLink
Columbia,Missouri Elma Warrick
SwopePark Health Center
KansasCity, MissouriKathieMiller
Centerfor FamilyResources
Malden,Missouri Bob Whittet
Family Counseling Center
Columbia, MissouriEdMorris
MO Departmentof
MentalHealth
JayWood
Missouri JuvenileJustice
Association
JeffersonCity, Missou'Dr. SusanNoaker
CTF BoardMember
O'Fallon,Missouri
22

~
Highlights of 1997
TRAINING
CHART LeadershipInstitute
CHART (Community Health Assessmentand
ResourceTeam)is an initiative of the Missouri
Department of Health, the Missouri Hospital
Association,CTF, and 20 plus other organiza-
tions. It is designedto improve the health of
Missouriansby helping communitiesdevelopa
community health plan that will identify and
addressproblems,assessthe communities assets
and developa plan for meetingneedsand
improving the community's health status.CTF
provided funding that enabledeight community
partnershipsrepresentingmore than 40 agencies
and organizationsto attend CHART Leadership
Institute training. The eight teamsincluded the
Benton ParkWest Neighborhood Hub, and the
community partnershipsof CallawayCounty,
Clay County, Columbia/Boone County, Henry
County, Maplewood/Richmond Heights,
Rolla/PhelpsCounty, andWashingtonCounty
Community 2000. CTF staffalsoparticipatedin
the Institute.
Sarah Grim received the first CHART
Partner of the Year award.
:i"
Healthy Families Training
The Children'sTrust Fund, in partnership
with the Missouri Division of Family Services
and the Missouri Department of Health, award-
ed funding to the National Committee to
PreventChild Abuse-MissouriChapter to pro-
vide statewidecoreand advancedtraining to
home visitors around the Healthy Families
Model. More than 180 hours of training were
attendedby 650 home visitors in 19 two-day
workshopsin Columbia, Independence,Joplin,
St.Joseph,St. Louis, and Sikeston.Training top-
icscoveredprofessionaldevelopment,domestic
violence,sexualabuse,child development!
growth!health, working with fathers,legalissues,
high risk families, teenageparents,family health,
and supervisortraining.
Participantsreportedan increasedunder-
standing of confidentiality, documentation, legal
issues,and mandatedreporter lawsand guide-
lines. By increasingknowledgein theseareas,
home visitors protect themselves,their agencies,
and the familieswith which they work.
Participantsareobservingan increasein the use
of appropriateparenting skills and more positive
parent-child interactionsin the families,which
leadsto healthier infants and a greatersatisfac-
tion among parents.
Scalesand LaddersTraining
Scalesand Ladderstraining, an introduction to
ROMA: ResultsOriented Managementand
Accountability, wasprovided to the six coalitions
receivingfunding for the CBFRP.The training
provided an overviewof the national
23

~
Highlights of 1997
Community ServicesBlock Grant proposed
goalsand outcome measures,and incremental
measuringsystemsto capturechangein families,
agenciesand communities. It wasprovided to
help the grant recipientsunderstandoutcome-
basedevaluationprocessesfor community-based
organizationsservingfamilies and children.
National datatrends on Scalesand Laddersand
information about the useof Scalesand Ladders
asan evaluationmethod wasdiscussed.
Linda Ward and justice Kennedy preside at the Child
Abuse Prevention leadership and Policy Conference.
Child Abuse Prevention Leadership and Policy
Conference
More than 200 prevention enthusiasrsgatheredin
JeffersonCity for the first Children's Trust Fund
Child Abuse Prevention Leadershipand Policy
Conference.HigWighrs of the conferenceincluded
remarksby Alabama SupremeCourt JusticeMark
Kennedy and a responsefrom statedepartment
heads,findings of the ShakenBaby Syndromesur-
vivors study that wasfunded by CTF, and informa-
tion about the collaborativeefforrs throughout the
United Statesin developing community-basedfamily
resourceprogramsand networks. Conferenceatten-
:i'I
deeshelped identify and prioritize top agendaitems
for CTF work for the next threeyears.
1997 Alternative Care Conference
Working in cooperationwith the Missouri
Department of SocialServices,Division of Family
Servicesand the Missouri JuvenileJustice
Association,CTF provided funding for nationally
known speakersand trainers to presentinformation
at a statewideconference.The conference,Partnering
for Permanency: The Mission Is Possible,attracted
more than 600 foster parentsand professionalswho
areinvolved in making decisionsabout permanency
for children. The conferencefeaturedmore than 25
interactive workshops,severalkeynote addressesand
an appearanceby Charlotte Lopez, former Miss Teen
USA and author of Lostin theSystem
RESEARCHAND EVALUATION
In 1997 the Children'sTrust Fund contracted
with outsideentities to conduct researchand
evaluationof issuesand programsin the interest
of child abuseand neglectprevention.
24

~
Highlights of 1997
Economic Consequencesof ShakenBaby
Syndrome Survivors in Missouri
StudyconductedbyHealth ServicesManagement,
Universityof Missouri-Columbia
PresentedbyDr. KennethD. Bopp,Lori Frasier,MD.,
pediatrician, UMC Departmentof Child Health, and
Dale Fitch, MSW, LCSW, UMC ChildrensHospital.
The study included all Missouri Division of Family
Services'probablecausechild abusecasesthat
occurredbetWeenOctober 1, 1986 and September30,
1991which met SBScriteria. 214 caseswereidenti-
fied and the costsincurred by statefunding sources
overa ten yearperiod asa resultof theseSBSsur-
vivorswerecalculated.Expendituresand the percent-
ageof the total were: Medicaid, $4,030,097, nearly
60 percent;Division of Family Services,$1,895,940,
27 percent;Department of Mental Health, $997,940,
14 percent;and Department of Health Bureauof
SpecialHealth Care,$33,524, lessthan one percent.
Data on private costs,personaland commercialinsur-
ance,and educationalcostswasnot available.
Researchersestimatethat up to one third of the
reportedvictims of SBSsuffersignificant injury, often
including blindness,brain damage,paralysis,mental
retardation and seizures.The socialcostsof providing
servicesto thesesurvivorshasnot beenadequately
documentedor communicatedto the public or to pol-
icy makers.This study illuminates the impact of SBS
beyondthe tragic deathof infants and suggeststhat
investmentin preventionwill reduceinfant mortality
and is lessexpensivethan paying for survivors.The
study alsouncoveredinconsistentdocumentation of
SBSin medicalrecordsand the needfor educationto
improve the ability of medicalcareprovidersto diag-
noseand document SBS.
~
"
CTF Program Evaluation-What Works to
Prevent Child Abuse and Neglect
StudyconductedbyDr. KennethD. Boppand Deborah
Oliver, Health ServicesManagement,Universityof
Missouri-Columbia
CTF funded programs,which can be grouped
into four categories,were assessedto assistCTF in
focusingfuture funding on programsthat havethe
greatestopportunity to influence the incidenceand
prevalenceof child abuseand neglectin Missouri.
. Programsfocusing on increasingparents'
knowledgeabout child development,increasing
parenting skills in generaland increasingthe
useof community resourceshavebeenthe
most prevalentprogramsfunded by CTF.
Researchindicatesthat home visitation pro-
gramsthat target high risk populations and are
more intensiveand longer than six months in
duration aremost effective.
. Although data on the effectiveness of programs
that seekto empower children with knowledge
and skills to ward off sexualabuseand improve
interpersonalskills to prevent teenviolenceis
limited, researchsuggeststhat someform of
child-focusededucation is an important com-
ponent of efforts to reducethe likelihood that
a child will submit to ongoing sexualabuseor
other violent behaviorand should be part of
broaderchild abuseprevention efforts.
. Researchof literature suggeststhat time-limited
crisisintervention serviceshaveconsistently
beenviewedascost-effectivemethodsof sup-
porting parentsunder stress.CTF funded pro-
gramsthat provided servicesto help prevent
parentSfrom releasingstressinappropriately on
children. However, it is widely thought that
preventing abuserequiresmore extended
interventions.
. CTF hashistorically funded single-servicepre-
vention programs.There is growing research
25

~
Highlights of 1997
evidenceof a needfor comprehensive,integrat-
ed netWorksof servicesand supportsto over-
come family dysfunctions that leadto child
abuseand neglectbasedon the premisethat
child abuseand neglectbehaviorstemsfrom a
combination of economic and socialfactorsas
well asfamilial and individual factors.
Community-based modelsarebasedon the
philosophy that providing for a child's welfare
restsnot on one program, but in a netWorkof
coordinated services.
Basedon this research,recommendationswere
madefor future funding directions for CTF. Broader
integratedapproachesto child abuseprevention are
indicated. Theseapproachesinclude working with
other stateand local human serviceorganizationsto
reconfigurethe positioning of human serviceagencies
and programsinto coordinated servicedelivery net-
works that can dealwith the economic and socialfac-
tors aswell asfamilial and individual factorsthat
causechild abuseand neglect.Working with
providers to developcommon outcome measure-
ments that can be usedto evaluatethe costeffective-
nessof prevention and influence policy makersto
realizethat prevention is an economicalway to
improve quality of life for children and families was
recommended.
Long-term home visitation hasthe bestsuccessas
documented in current research,is the fastestgrow-
ing and hasthe most potential for successful,long-
term outcome measurement.Coordination of home
visitation programsand the standardizedmeasure-
ment of their outcomesin order to assesslong-term
impact is needed.Various research-basedmodelsof
home visitation, such asHealthy Familiesand the
David aIds model, should be brought together to
explorehow activities can be coordinated to avoid
1,
~
duplication and better meetthe needsof families.
Researchwill enablethe Children's Trust Fund
board of directors to makedecisionsthat canestab-
lish the fund asan expert in child abuseprevention
which can assistpolicy makersin refining and
improving public policy addressingchild abuseand
neglectprevention.
CHART Evaluation
EvaluationconductedbyProfessorsEric Williams and
Karl McCleary,Departmentof Health Management
and Informatics, Universityof Missouri Schoolof
Medicine.
The Department of Health Community Health
AssessmentResourceTeam (CHART) providestech-
nical assistanceto coalitions in 95 Missouri counties.
CTF funded the evaluationof CHART becauseof a
desireto 1) require the community-basedfamily
resourceprogram granteesto usethe CHART plan-
ning/needsassessmentprocess,2) to understandthe
statusof family and children's programsin the com-
munities with CHART coalitions, and 3) increase
the sensitivity of CHART coalitions to family and
children's issues.
Data wascollectedthrough two surveys.One was
of coalition membersregardingtheir activities and
how the coalition operated.The other wascompleted
by leadershipof the community coalition regarding
the quality of technical support provided by
CHART, the processthe coalition wasundertaking
to addresscommunity health issues,and programs
that wereoperational or planned to addresscommu-
nity health issues.A specialsectionwasdedicatedto
gathering information about the prevalenceof child
abuseand neglectin the community, the perception
26

~
Highlights of 1997
of it asa problem, what factorswereseenasits caus- "Kidsbetweentheagesof9 and12who
es, and what programs were planned or in place to have beenabusedor neglectedare 67 times
address it, morelikely to bearrestedand enterthe
The surveys revealed that in 39 percent of com- juvenile justice system than other children,
munities, the level of understandingof children's New OfficeofJuvenileJusticeand
issueswas poor, fair in 50 percent and excellent in 11 Delinquency Prevention (OJJDP) early
percent, Sixty-eight percent responded that child intervention and prevention strategiesseek
b " fi bl ' h , La k to restructure 10cal J'uvenile J'ustice svstemsa use was a speci c pro em In t e commUnity, c J'
f ' kill d faro ' l b akd and coordinate them with child welfare,
0 parenting s s an lyre own was report- , , , ,
d h " I f h' ld b d I Those strategIes Include nurse home vlslta-
east e pnnclp e cause0 c I a usean negect ,
tzon programs to expectant mothers or those
by 50 percent, and only 22 percent reported that , h h '
ld d h cCC',I:.. V: dWIt. young e I ren an t. e Jaie L.I s,
child abuseand neglectwasbeing addressedin their Sa'l:.. C'- t. '" 't 'at ' h' h ' 1 J
a'i"f! JH'ee J 1m I we, w Ie maUaes
community, Surveys indicated that the most widely pilot project in Jackson County, Missouri, "
availablechildren's servicesin the respondingcom- December77,7991ChildProtectionReport.
munities were Head Start (95%), early developmen-
tal screening(88%), and child day careservices
(85%), Mentoring programs (49%) and respiteser-
vices(34%) were the leastcommonly availableser-
Vices,
The evaluation showedthat community health
coalitions were becoming increasinglyorganizedand
more focusedon developing long-term objectives,A
wide variety of programsto addressthe community
health issueswasidentified, Lack of money, time,
and cooperationwere cited asthe causesof difficulty
in addressingcommunity health needs,Training was
, , Front Porches participants demonstrate a renewed
reported to be of major benefit to community health sense of community,
coalitions, and there wasnearly universalpraisefor
Federally funded demonstration grant
the technical assistanceprovided to community
evaluation
health coalitions by CHART.
"Front Porches: bringing families together" wasa
three-yeardemonstration project replicating a family
empowerment model that had proved successfulin
KansasCity, in housing developmentsin Clinton
~~
"
27

~
I
Highlights of 1997
and St. Louis. Evaluation wasconducted by Resource
Development Institute, KansasCity.
A qualitative evaluation of the program wascon-
ducted to determine the successof the project in
reachingits statedgoalsand mission and to identify
important lessonslearned.The conclusionsfocused
on the third year.
Overall the evaluation found evidencethat the
program had impacted the housing authorities in St.
Louis and Clinton positively. The ability of residents
to parent in healthy wayswasaddressedby offering
parenting classes;a reduction in socialisolation was
demonstratedthrough Kitchen Clubs; neighborhood
volunteerswho were recruited to help designand
carry out activities showedincreasedself-confidence
and self-sufficiencyover time. VISTA volunteers,
who were an integral part of the program, exhibited
growth in personalawarenessand self-confidenceand
better job skills.
The program alsoimpacted factorsthat effect
family functioning and child abuseand neglect.
Youth aswell asadults becameincreasinglyinvolved
in community activities.A decline in schooltruancy
and child abuseand neglectcallswasdocumented.
Parentswhosechildren had beenremovedfrom the
home wereableto havethem returned after success-
fully completing parenting classesoffered by the pro-
gram. Schooland police officials indicated a belief
that the program had a positive effect on residentsof
the housing authorities.
The evaluation alsoidentified important consider-
ations for otherswho wish to replicatethe program.
Theseinclude the needfor program implementersto
understandthe settings,including pre-existing ten-
sionsdue to demographicor historical factors;to dif-
1,,.
ferentiatethe program from other administrative or
political bodies;and to rely asmuch aspossibleon
trained volunteerswho reflect the diversity of resi-
dentsto carry out person-to-personactivitieswith
residents.Frequent communication among adminis-
trators, professionalstaff and front line workers is
essentialto encourageownership of the program by
residents.
"Statesare being askedto movethe concept
of sharedresponsibilityfor the safetyof chil-
dren in their families and neighborhoodsto
a higher level.In times of scarceresources
and categoricalprograms with overlapping
andfragmented services,the mosteffective
way toprevent child abuseisfor all public
and private programs to work in concert
with eachother to achievethis common
goal."
National Center on Child Abuse and Neglect
andChildren'sBureau,7997
INTEGRATED DELIVERY SYSTEMS FOR
FAMILIES AND CHILDREN
"The CBFRPgranteesare in a unique
position of leadershipastheydevelopand
implement an integrated health and
human servicesdelivery systemthat pro-
videsa comprehensive,costeffectiveand
mana!l:edcontinuum of servicesfor families
and children. "
TheChildren's Trust Fund, 1998
Community-based Family Resource Programs
In 1997 the Children's Trust Fund awardedsix
grantsto local community collaborationsto develop,
28

~
Highlightsof1997 ...
implement, and evaluateintegrateddelivery systems
for families and children. Using funds derivedfrom
Public Law 108-252, Amended Title II of the Child
Abuse Prevention and Treatment Act, CTF grantsof
$250,000 per site per yearfor up to five yearswill be
utilized to:
. establishand expandstatewidenetworks of
CBFRPs;
. promote child abuseand neglectprevention
activities;
. promote the establishmentand operation of
statetrust funds for integrating child and fami-
ly servicesfunding streamsin order to provide
flexible funding for CBFRPs;
. encouragepublic and private partnership in the
establishmentand expansionof family resource
programs;and
. increaseand promote interagencycoordination
among stateagenciesand encouragepublic and
private partnershipsin the establishmentand
expansionof family resourceprograms.
The Children's Trust Fund partneredwith the
Missouri Division of Family Servicesto developcom-
munity-based family resourceprogramsin certain
geographicareasof the state.The only areaseligible
for a CBFRP grant included the following counties
or zip codes: Barton, Boone, Callaway,Cedar, Dade,
Jasper,Jefferson,Maries, Newton, Phelps,Pulaski,
St. Charles,Texasand Washington Counties, the
63104 and 63118 zip codes(22ndJudicial Circuit
only) of St. Louis City and the municipalities of
Maplewood-Richmond Heights, Olivette, and
University City.
Sitesselectedincluded: Columbia/Boone County
Community Partnership; Rolla/PhelpsCounty
11
'I
Community Partnership;Washington County 2000;
Barton-Cedar-Dadecounties;Maplewood-Richmond
Heights; and Benton ParkWest Neighborhood Hub.
Federaland CTF guidelinesdefine a community-
basedfamily resourceprogram asa program that pro-
vides:
. education and support services,to assistparents
in acquiring parenting skills, learning about
child development,and responding appropri-
ately to the behaviorof their children;
. early developmentalscreeningof children to
assessthe needsof suchchildren and to identi-
fY thetypesof supportto beprovided;
. outreach services;
.early child careand education (Head Start);
. respiteservices;
. job readinessand counselingservices(including
skill training);
.education and literacy services;
. nutritional education;
.life managementskills training;
. peercounselingand crisisintervention and
family violencecounselingservices;
. referral for health (including prenatal care,
family planning, dental and pharmacy) and
mental health services;
.referral for substanceabusetreatment;
. servicesto support families of children with
disabilities that aredesignedto prevent inap-
propriate out-of-home placementand maintain
family unity;
. infant and child CPR training for parents
(CTF):
. a plan for meeting the transportation needsof
client families (CTF);
29

~
I
~
Highlights of 1997
. the CTF SafeCrib and Home Risk Assessment
programs (CTF)j
. community referral servicesto assistfamilies in
obtaining community resources;and
. follow up services.
Each CBFRP granteeis required to utilize the
Missouri Department of Health's CHART process
for community-basedneedsassessmentand program
planning processand the Stateof Missouri's
COMAP strategicplanning processto developopera-
tional CBFRP plans.
Comparable to a Social/Health Maintenance
Organization (S/HMO) for families and children,
granteeswill focus upon developing multi-level link-
agesbetweenthe health and human servicesdelivery
systemswithin their respectivecommunities.
Development of uniform and standardizedmanage-
ment information systems,client assessmentand
referralsystems,financial managementsystems,and
client charting areamong the priorities for the six
sitesduring the first two yearsof the project.
Enrollment of families is expectedto begin in
September,1998. The CBFRP will be marketed to
the private sector,including insuranceand managed
careorganizations,aswell asto employers.
Community-based Family ResourceProgram
(CBFRP) Demonstration Performance
Measures:
EachCBFRPcollaborationshalldemonstratethe
capability and capacityto:
a. work with other stateand community-based
agenciesin a fashion that doesnot duplicate
existing processesfor developingcollaborative
efforts to better servechildren and families in
Missouri;
~~'I
b.serve children and families througha compre-
hensive system of primary and secondary pre-
vention strategies, not just crisis and treatment
interventions, staning prenatally for all preg-
nant women where applicableand through, at
a minimum, age tWo of all newborns;
c. createan organizational structUrethat includes
asa minimum, a governing board, a CBFRP
provider netWorkcouncil, and a CBFRP con-
sumercouncil of client families and their chil-
dren;
d. makea commitment to parental participation,
especiallypregnantwomen and parentsof chil-
dren with disabilities, in the designand imple-
mentation of family resourceprograms,;
e. define the intended scopeof the local CBFRP
demonstration, the population to be served,
the manner in which the program will be oper-
ated, including attention to cultUral competen-
cy and cultUral diversity (asdefined in the fed-
eralguidelines),and anticipated systemchanges
in servingfamilies and children asa result of
the CBFRP demonstration;
f. develop,operateand finally integrateindivid-
ual community-based,prevention-focused,
family resourceprogramsusing public and pri-
vate, nonprofit provider organizations,into a
netWorkof family-centered,holistic, preventive
servicedelivety systemfor families and chil-
dren;
g. identifyan objective processthat the applicant
will useto develop,or select,and fund, indi-
vidual community-based,prevention-focused,
family resourceprogramsaspan of netWork
development,expansionor enhancement;
h. committo developacommunity-wide manage-
ment information and casemanagementsys-
tem;
i. addressthe needto standardizeparent educa-
tion, early childhood developmentand educa-
tion, and infant/child assessmentand develop-
mental screening,training, curriculum, and
evaluationwithin the applicant's proposed
30

~
Highlights of 1997
CBFRP provider delivery system;
j. developthe abiliry to identify issuesof confi-
dentialiry, privacy and informed consentthat
may ariseduring the developmentof the
CBFRP demonstration, including the needfor
new proceduresthat will ensureclient privacy
and confidentiality on an interagencybasis;
k. produce a written strategicplan that includes
measurablegoalsand objectivesfor the estab-
lishment and continuation of the local CBFRP
using public and private sourcesof financial
suppon;
1. developa processfor generatingcashmatch,
in-kind match, and other local investment sup-
ports for eachyearof the grant demonstration;
and
m. developa processfor involving appropriate per-
sonnel in the development,implementation
and evaluation of the CBFRP including par-
ents, health and mental health providers,
schools,business,local and stategovernment,
prevention advocates,housing, the couns, dis-
abilities community, and child welfare.
~
,.
1997 CTFCBFRPIMPLEMENTATION
PANEL
Chair
RichardDunn
CTF BoardMember
BoysandGirlsTownof Missouri
St.James,Missouri
Jim Braun
YouthIn Need
St.Charles,Missouri
Jim Burns
MO Departmentof SocialServices
David Carson
MO Department of Health
Richard Goldberg
CTF Board Member
TheGoldbergGroup
St.Louis,Missouri
Julian Hargus
MO Depanment of Labor and
Industrial ,Relations
EdMorris
MO Departmentof MentalHealth
Deborah Scott
MO Department of Elementaryand Secondary
Education
Anna Stone
Fred Simmens
'-----
Joan Garrison
MO Department of SocialServices
31

~~
Highlights of 1997
~
Shirley Willcockson
West Central MO Mental Health Center
Warrensburg, Missouri
SarahGrim
DianneLarkin
Kirk Schreiber
Children'sTrust Fund
BESTPRACTICESMODELS
Home Visitation
Home visitation programsareone of the most
costeffectivechild abuseand neglectprevention
strategiescurrently being implemented, reporting
excellentoutcomesand the ability to be replicatedat
a minimal cost.In FY97 CTF provided more than
$400,000 to support 16 prevention programsthat
incorporated a home visitation component asthe
common element. Sevenof theseprogramsprovided
a community health nurseto complete the home visit
and reachout to families in need.CTF funded home
visitation programsreachingmore than 5,400 par-
ents,young children, and other family members.
At a minimum home visitation should include an
initial evaluation and assessmentof the well-being of
the child by a nurse.The assessmentshould include
information about appropriategrowth and develop-
ment, immunizations, home and environmental safe-
ty, nutrition, and parental bonding and interaction.
Parenteducation should be provided asneededand
could include how to perform CPR on an infant,
how to cleara blocked airway, etc. Home visitation is
a way of effectivelylinking families to a full systemof
informal and formal support. It canbe usedasa
vehicleto link families to a health careprovider or
,,.
systemto assure timelyimmunizations andwell-child
care, as well as to other services, based upon need.
Families receive parenting information while nurses
set up safe cribs.
Safe Sleep Program
In partnership with the GreaterSt. Louis Child
Fatality Prevention Coalition, the Children's Trust
Fund awarded$15,000 in funding support to five
organizationsto continue the successfulSafeCrib
Project in FY97. Barnes-JewishHospital, St. Louis
Children's Hospital, St. Louis County Department
of Health, St. Louis County Division of Family
Service,and the St. Louis City EmergencyMedical
Serviceeachreceived$3,000 to purchasenew cribs
and mattressesfor St. Louis areafamilies in need
with an infant at risk. Home risk assessments,deliv-
ety and assemblyof the cribs, and one-on-oneparent
educationwasprovided by registerednursesfrom
Nursesfor Newborns Foundation and the St. Louis
County Health Department.
The buying power of BJC Health Systemshas
beenusedto purchasecribs and mattressesfor the
program that meet the highestsafetystandardsat the
lowest possibleprices.Eligibility for the program is
32

~
Highlights of 1997
basedon financial needand risk to the infant. Risk is
basedon parental and environmental factorsaswell
asinfant health risk factors.Nearly 100 cribs and
mattresseswerepurchasedand successfullydistrib-
uted among 90 families.
At least60 infants die eachyearin the United
Statesfrom crib injuries or unsafesleepingarrange-
ments and more than 13,000 areinjured seriously
enough to require hospital carebecauseof an unsafe
crib. The SafeSleepprogram wasexpandedto two
neighborhoodsin KansasCity through a unique
partnership betweenCTF, KansasCity Power and
Light, and St. Luke's Hospital. CTF plansto contin-
ue to replicateit in other areasof the state.
Successful Community Collaborations
. Spendtime building the capacityof peopleat
the local level beforeattempting to createa
network. Utilize strategicplanning to createa
long rangeand operational plan in collabora-
tion with the funding entity.
. Have a clearvision of what the network is
expectedto achieve-and expectthat vision to
changeover time ("course-correctionstrate-
gies"). Identify organizational benchmarksto
determine successand movement towardsthe
ultimate vision.
. Discussprinciples and goals,and makesure
goalsareachievable,especiallywithin the limits
of current funding. Establishutilization, fund-
ing, and client limits up-front to optimize
opportunities for systemreform and project
success.
. Get everyoneinvolved in planning, using an
initial surveyof members,frequent meetings,
and votesand/or discussionon issues.Usein-
persongroup process,not written communica-
tion strategies,to establishgoverning policies,
procedures,and structures.
1,
"
. Be respectfulof eachother and bewilling to
"agreeto disagree".
. Find a leaderwho hascharisma,is passionate
about networks, cancommunicatewell, shares
power with others,delegatesappropriately, and
where necessarycanpark his or her ego"at the
door" to ensurethe group's success.
. Keep information flowing using newsletters,E-
mail, regionalmeetings,and peer-to-peer
meetings.Establishup-front realisticexpecta-
tions of labor and time commitments that will
be necessaryfor a successfulventure.
. Accessinformation and resourcesthat exist
outside of your membership.Be inclusive, not
exclusive.
. Reflect and practicethe principles of family
support by building on the strengthsof every-
one at the table.
If your community coalition is experiencingdiffi-
culty in engagingcommunity representation,try
thesenine principles, excerptedfrom Principlesof
CommunityEngagement,a book createdasa joint
effort betweenthe Centersfor DiseaseControl and
Prevention and the Agency for Toxic Substancesand
DiseaseRegistry.
. Be clearabout the purposesor goalsof the
engagementeffort and the populations and/or
communities you want to engage.
Becomeknowledgeableabout the community
in terms of its economic conditions, political
structures,norms and values,demographic
trends,histoty, and experiencewith engage-
ment efforts.
Go into the community, establishrelation-
ships,build trust, work with the formal and
informal leadership,and seekcommitment
from community organizationsand leadersto
createprocessesfor mobilizing the community.
Rememberand acceptthat community self-
determination is the responsibility and right of
all peoplewho comprisea community.
.
.
.
33

~
Highlights of 1997
Partnering with the community is necessaryto
createchangeand improve health.
All aspectsof community engagementmust
recognizeand respectcommunity diversity.
Community engagementcan only be sustained
by identifying and mobilizing community
assetsand by developing capacitiesand
resourcesfor community health decisionsand
actions.
An engagingorganization or individual change
agentmust be preparedto releasecontrol of
actionsor interventions to the community and
be flexible enough to meet its changing needs.
Community collaboration requireslong-term
commitment by the engagingorganization and
its partners.
.
.
.
.
.
"Families are big, small extended,nuclear,
multi-generational with oneparent, two
parents, and grandparents.we live under
one roof or many.A family can beastem-
porary asafew weeks,aspermanent asfor-
ever.we becomepart of afamily by birth,
adoption, marriage, orfrom a desirefor
mutual support. Our families createneigh-
borhoods,communities, statesand nations."
TaskFarceon Young Children & Families,New Mexico Legislature
U,"
PUBLIC AWARENESS
Governor Carnahansignedlegislationenabling
additional characters to be used to
personalize the CTF license plate.
License Plate Marketing
A creativestrategydesignedto increasethe saleof
CTF speciallicenseplatesand provide new funding
for local child abuseprevention programshasbeen
implemented. Communities havean opportunity to
raisefunds to support the developmentand mainte-
nanceof community-based,prevention-focusedfami-
ly support programsthat bestmeet the needsof their
community. To obtain or renewthe CTF plate, a
$25 donation must be madeto the Children's Trust
Fund. Thirty-four partnerswhich havereceivedcon-
tractsto help market the plateswill receive100 per-
cent credit for all new salesand renewalsdocumented
from that community. After a minimum of 100
plateshavebeendocumented assold by that partner,
the collaboration may draw down the funds to sup-
port their prevention program, which must be pre-
approvedby CTF. There are threepartnersmarket-
ing the platesstatewide,severalpartnersmarket in
multiple countiesand communities, and somepart-
nerscoveronly one county. All salesnot documented
34

~
Highlights of
to a particular partner arecredited to the Children's
Trust Fund. To date 607 licenseplate donations have
beenmade,generating$15,175. Legislation is pend-
ing that would simplify the processof obtaining the
plate.
CHILDREN'STRUSTFUND
LICENSEPLATEMARKETING PARTNERS
Eachshaded county hasat leastone partner
marketing licenseplates. Three partners are working
on a statewide basis.
Kid's Count 1997 Data Book
Production of the Kid's Count Data book is a
collaborativeproject of the Children'sTrust
Fund, Citizens for Missouri'sChildren and more
than 30 public and private organizationsfrom
acrossthe state.The project'smission is to
improve the well-being of Missouri'schildren by
heightening awarenessof children'sissueswithin
local communities by promoting more effective
responsesto children'sneedsthroughout the
state.Partial funding for the project is provided
by the Annie E. CaseyFoundation.

~
I'
1997
Building Healthy FamiliesCalendar
A calendarfeaturing parenting tips, nutrition
information, healthy recipesand menu sugges-
tions, and tips for feedingyoung children was
produced in cooperationwith the Missouri
Associationfor Community Action. The calen-
dar is distributed to familiesenrolledin Head
Start and other child careprograms,county fam-
ily serviceand health department offices,WIC
programs,food banks,community action out-
reachofficesand programsfunded by the
Children'sTrust Fund.
1997 Tax SeasonActivities
Numerous organizations,businesses,agencies
and individuals worked to increaseawarenessof
the public's opportunity to investin child abuse
prevention by donating to CTF on their
Missouri income tax returns. Public service
announcementspreviouslyrecordedby
Governor and Mrs. Carnahanand a new
announcementdonatedby Henry Bloch were
generouslyaired by radio and televisionstations
statewide.A contribution from the H & R
Block Foundation enabledCTF to purchasethe
posting of 207 billboards statewideon space
donatedby severaloutdoor companies.H & R
Block tax preparers,libraries, banks,corpora-
tions, agenciesand private organizationsdis-
playedChildren'sTrust Fund information.
Volunteer of the Quarter
Programsfunded by the Children'sTrust
Fund nominate volunteerswho work in their
35

~
Highlights of 1997
~
orgamzauons {O Derecogmzeu as YOLUmeer01 1 ne numoer OJsuostanuatea cases OJcrJua
theQuarter,aregularfeatureof thequarterly abuseand neglectreachedone million per
newsletter,SmallTalk.In 1997Volunteersof the year. Slightly overhalf of the reportsof
Quarterwere: SisterMargaretCamper,nomi- maltreatment werecategorizedasneglect,
natedbyEvenStartFamilyLearningCenter, one-quarte~w.erephzsical abuse,13 ferc~nt
WebsterGroves,andDeniseJordan,nominated weresexualabuse,five percent emotIOnal
by Hilltop DayCareCenter,St.Louis. abuseand 14 percent wereotherforms of
maltreatment. More than half of the vic-
1998 PublicEducation/PublicAwareness timswereundereightyearsoj ageand26
Campaign percent wereunderfour. Eighty percent of
Themarketingagency,MediaCross,hasbeen theperpetrators wereparents and relatives."
selectedto helptheChildren'sTrustFundimple- ChildMaltreatment1995,
Department of Health and Human Services
ment a public education campaignin 1998.
Emphasiswill be placedon educatingthe public
about preventing ShakenBabySyndromeand
the availability of the specialCTF licenseplate
that encourageschild abuseprevention. CTF has
adoptedthe child's hand prints asprinted on the
licenseplate asthe new logo that will eventually
replacethe jack-in-the-box. A new sloganline,
Missouri'sFoundation for Child Abuse
Prevention,hasbeenadoptedby the board of
directors.
~
.,
36

~
The Choice is Ours
Prenatalcare
Educationandjob training
Earlychildhoodeducation
Primaryhealthcare
Parentingsupportand education
Mentoring,tutoring, youth development
intensive care for sick babies
welfare
kids not ready to start school
costly medical treatments
child abuse and neglect
school failure, teen pregnancy,
ile crime
or
or
or
or
or
or
37

1997 ctf annual report

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