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Learn AboutACE’sEstablished 1996andhow Childhoodexperiences have atremendous,lifelong impact on ourhealth and the qualityof our lives.Children’s Advocacy Center of BrevardCommunity Report2013-2014United to Hear and ServeAbused Children.
Director’s CommentsOur hope and desire is that each child we encounter as avictim of abuse/neglect are provided the necessary services that will result intheir becoming a healthy, well rounded, active, positivecontributing member of society, i.e. a good parent and partner, a valuableemployee, a “model citizen.”Our hopes and desires will not eventuate on theirHealth and Socialown. Our knowledge and understanding are paramount toour achieving those hopes and desires.ProblemsIt is not enough to continue in the manner we have inin Adultsthe past. While making strides, we generally continue toDirectly Associatedtreat/address the current circumstance at hand and not theroot problem. The result is our “band-aiding” the currentwithinjury, with no understanding or concern for how the scar orChild Abuse/Neglectthe internal damage affects the victim in the future – as weare not soothsayers we tend to do what we can do now andmerely “hope” the future is brighter. We now have at ourdisposal knowledge that has come to light fairly recently, that has and willcontinue to “take the guess work” out of our efforts.It is, The Adverse Childhood Experiences research study.ADVERSE CHILDHOODEXPERIENCESThe Adverse Childhood Experiences study is aresearch study conducted by Kaiser Permanentehealth maintenance organization(Dr. Vincent J. Felitti) and the Center for DiseaseControl and prevention (CDC) (Dr. Robert F. Anda).The more than 17,000 subjects of the studywere recruited between 1995 and 1997 and havebeen in long-term follow up for health outcomes. Theinitial study has spawned more than 50 scientificarticles and over 100 conference and workshoppresentations. The study has rapidly become thebenchmark for health and societal impact as resultof child abuse and neglect.Due to limited space, I will not endeavor toprovide even a reasonable summary of the study, I amhopeful your interest will lead you to do a littleresearch on your own to see the significance of thestudy. As the study continues our new foundknowledge and understanding increases, so too willthe possibility that we can realize our hopes anddesires for the victims of child abuse and neglect andtheir families, and that they might reach theirpotential.Throughout this report you will see but a fewACE study facts. Chuck Biehl, CACB/CPT Director Health and SocialProblemsPage 2Page 2
What is ACES?THE ACES STUDYACE is the term given to describe all types ofabuse, neglect and other traumatic experiences thatoccur to individuals underthe age of 18The ACE Study looked at three categories and ten types ofadverse experience: Childhood Abuse, includingemotional, physical and sexual abuse; Neglect, includingphysical and emotional andFamily Dysfunction, including growing up in aACE FACTAdults who had experienced four or morehousehold where there was substance abuse, mental illness,violent treatment of a mother or stepmother, parentalAdverse Childhood Experiences, compared to those who hadseparation / divorce or family member in prison andalcoholism, drug abuse, depression, and suicide attempts;Examined the relationship between these experienceshealth, 50 sexual intercourse partners, and sexuallyduring childhood and reduced health and well being later inlife.transmitted disease; and a 1.4- to 1.6-fold increase inACE study showed dramatic links between adverse childhoodexperiences and risky behavior, psychological impairment,serious illness and risk factors for several leading causes ofdeath in adults.Page 3experienced none, had 4- to 12-fold increased health risk forphysical inactivity and severe obesity.The number of categories of adverse childhood exposuresshowed a relationship to the presence of adult diseaseincluding ischemic heart disease, cancer, chronic lungdisease, skeletal fractures, and liver disease. Seven types ofadverse childhood experiences were strongly interrelatedand persons with multiple categories of childhood exposurewere likely to have multiple health risk factors later in life.
Children's Advocacy Center of BrevardCharles Biehl, Director CACB / CPTMarlene Spatola, Office Coordinator CACB / CPTMelissa Hughes, Administrative Asst. CACB /CPTBonnie Dowdy, Receptionist CACB / CPTJamie Johnson, Accountant CACB/CPTJeanie Raciti, Victim Advocate CACB / CPT (Not Pictured)Diane Scott, Communications & Development CACB /CPTCACB Consultants:Family Counseling CenterJoseph Miniclier, AttorneyChild Protection TeamPatricia Edmond, CPT SupervisorCase Coordinators:Anneli HurleyJennifer BennewitzRamez SultanWendy MesaJane Anne SilasShoshana AmoresON SITE PARTNERSCPT Medical TeamVi Ngo, M.D., Medical DirectorMedical TeamCarol Becker, ARNP, CPNPTeena Sanders, ARNPZanett Thomas, ARNPCarolina Echeverri, M.D. (Not Pictured)The CACB Child Protection Team and the DCFProtective Investigation unit on site handlethe most egregious cases of child abuse andneglect in Brevard County.DCF Investigation UnitMary Setterbo, CPI SupervisorChild Protection Investigators:Janice BisphamDebbie ChristiansenBrittany GipsonMargarita SagastizabalNina TwymanKathy Hall, Secretary (Not Pictured)Page 4
Office of the State Attorney Guardian Ad Litem Brevard County Public School SystemBrevard County Sheriff’s Office & Local Law Enforcement Florida Tech Family Learning ProgramThank YouOFF SITE & COMMUNTY PARTNERSBrevard County Sheriff’s Office and Local Law EnforcementAgencies throughout Brevard are involved in the investigation of childabuse and neglect allegations throughout Brevard County. They assist theDepartment of Children and Families with investigations of familial abuse orneglect and conduct their own investigations when a child abuse caseinvolves someone other than a child’s parent, guardian or caretaker. In anycase they remain committed to the CAC model and use of the of the ChildProtection Team for Forensic Interviews and Medical Assessments ofchildren in the child friendly environment of the CACB.The Child Abuse and Sex Crimes Unit is a specialized felony prosecutiondivision within the Office of the State Attorney. Unlike the generalfelony divisions, this unit focuses exclusively on the preparation andprosecution of felony crimes of child sexual abuse, physical child abuse, andsexual battery. Attorneys in this unit work closely with the CACB carefullyreviewing Abuse and Neglect cases forwarded by Law Enforcement, DCF andCPT. The sexual Assault Victim Services Unit, which is staffed by specializedvictim advocates, assists victims through the criminal justice process andprovides other services and referrals.Florida Tech Family Learning ProgramA sexual treatment program contracted under Children’s Medical Services,Department of Health.Family Counseling Center of BrevardA new partner of the CACB, the Family Counseling Center is contracted to providepsychological evaluations and assessments of child victims and non offending familymembers as needed for assessment and treatment purposes.Brevard County Public SchoolsA valued community partner with representation on the CACB Operations Advisory Board.Mr. Archer addressed the Community April 17, 2014 in Orlando as Central Florida CAC’sUnited to raise awareness about Child Abuse for National Child Abuse Prevention Month.CACB Director Charles Biehl and State Attorney Phil Archer are seen below in first row onright along with Mayor Buddy Dyer and other county officials and CAC representatives.Guardians Ad Litem’s are citizens who volunteer to become part of a court programto represent the best interests of children who have been victims of abuse and neglect.They act as the child’s advocate. They volunteer as a representative for the child beforethe court, social service agencies and the community. They do not replace legal counsel orthe social worker, nor do they assume the role of surrogateparent.Sheriff Wayne Ivey has been a dedicated supporter for theCACB. Currently serving as an AdvisoryMember of the Friends, Sheriff Ivey is always looking forways to promote the Advocacy Center. Having the BrevardCounty Sheriff so committed to the Advocacy Center and itsmission has been a tremendous asset in our collaborationand community relations efforts.Page 5
CACBProgramsACE FACTCIP Services Clinical Intervention Program Beverly Lampley, LCSW CIP SupervisorClinical Intervention Coordinators:Gina Jones, MA; Michelle Higgins, MSWJoe Barry and Katelyn Allen, MA Student InternsJeanie Raciti, MSW; Victim Advocate;Melissa Hughes, Administrative AssistantThe Clinical Intervention Program (CIP) is uniqueto the CACB. Therapeutic services such as mentalhealth crisis intervention and short-termcounseling are provided free to child victims ofabuse and their non-offending family members. Free to child victims and nonoffending family members.Serves primarily child victims of sexual abuse between the ages of threethrough 17 and their non-offendingfamily members.Victims of physical abuse and neglect,and those affected by domesticviolence or other traumaticexperiences, are also welcomed.No waiting list for appointments.Referral by another social serviceagency, law enforcement, the courts,or through the self-referral of a childvictim’s guardian.Designed as a short-term counselingprogram, the program’s flexibilityallows for special circumstanceswhere a case can be kept open longerto provide supportive services.The Development of Safe, Stable andNurturing Relationships (SSNRS) are key totreatment strategies for child victimsto overcomingAdverse Childhood ExperiencesPROGRAM BENEFITS Improved coping skills, increased resiliency, decreasedeffects of trauma Support for non-offending family members Safety assessment to ensure level of protection forchild Strong Education/Prevention Component that focuseson the child learning that while the abuse happened,it does not define them or the direction for the rest oftheir life. Immediacy to stabilize crisis situations; counselingsessions typically scheduled within three days,Case Tracking Program Monitors Safety of Child Victims.A system for monitoring case progress and tracking case outcomes ofcases that come to the CACB. that ensures that no child gets lost inthe complex system of investigating allegations of child abuse.Through bi-weekly meetings at the CACB, representatives from themultidisciplinary team review all the cases referred to the CACB inthe previous two weeks. The representatives report on the safetystatus of the victims, services put into place, or what services are stillneeded.Page 6
3 CATEGORIES & 10 TYPES OF ADVERSE CHILDHOOD EXPERIENCESCHILDHOOD ABUSECHILDHOOD NEGLECT1. EMOTIONAL ABUSE2. PHYSICAL ABUSE3. SEXUAL ABUSE4. PHYSICAL NEGLECT5. EMOTIONAL NEGLECTIf6. SUBSTANCE ABUSE7. MENTAL ILLNESS8. VIOLENCE TOWARD MOTHER/STMO9. PARENT SEPARATION10. PARENT IN PRISONCHILD PROTECTION TEAMchild abuse or neglect is reported to the Florida AbuseHotline and accepted for investigation, the case is automaticallyeligible for Child Protection Team (CPT) assessment. Reportsto the Hotline that must be referred to CPT include: Injuries to the head, bruises to the neck or head, burns, orfractures in a child of any age. Bruises anywhere on a child five years of age or younger. FAMILY DYSFUNCTIONAny report alleging sexual abuse of a child.Any sexually transmitted disease in a prepubescent child.Overall Assessment ResultsAbuse/Neglect Verified: 56%1520ABUSE & NEGLECTCases Assessed byCPTin Brevard CountyFY 2014Some Abuse/Neglect Indicated: 13%No Indication: 31%DemographicsFemales: 636Ages0-6: 6637-12: 359Symptoms of serious emotional problems in a child whenemotional or other abuse, abandonment, or neglect issuspected.A sibling or other child remaining in a home where oneor more children have been pronounced dead on arrival,or have been injured and later died as a result ofsuspected abuse, abandonment or neglect.13-17: 166Race/EthnicityWhite: 725Black: 389Reported malnutrition or failure of a child to thrive.Reported medical neglect of a child.Male: 552Other: 74Type of AbusePhysical: 536CPTForensic InterviewersAssessfor all10 ACE’s(listed above)The Child Protection Team of the CACB Sexual: 311Neglect: 511Other: 181Major ServicesMedical Exams:Medical Consults:Forensic Interviews:Specialized Interviews:Victims may experience more than one type ofabuse and receive more than one Major Service. is one of 25 statewide medically directed, multidisciplinary programs that supplementinvestigation activities of local law enforcement and the Department of Children and Families in cases of child abuse and neglect. CPTBrevard provides expertise in evaluating alleged child abuse and neglect, including assessing risk and protective factors, while providingrecommendations for interventions to protect children.Page 7615329479259
PINWHEELSApril 2014Child AbusePreventionMonthFriends of the CACBpurchased Pinwheels todisplay throughoutBrevard County and theirown individual businessorganizations to helpraise awareness of needfor prevention. CACB & CPT staff participated in thePlanting of Pinwheels at the Brevard County CourtHouse where Judge Mahl read county Proclamationdeclaring April as Child Abuse Prevention month.The symbol for Child Abuse Preventionrepresent Hope, Health and Happiness.Pinwheels are displayed in April throughoutthe county symbolic of the whimsical,carefree, happy and healthy childhoods allchildren deserve.COMMUNITY AWARENESSPinwheel Garden atSQUIDLIPS RestaurantACE FACTThe Center for Decease Control (CDC)estimates the lifetime costs associatedw/ Child Maltreatment at 124 BillionPage 8
THANK YOUIt’s a Family Affair ! Thanks to Friends BoardDirector Carole Marshall & daughter, Leanne Chongfor their generousdonations to theCACB!ACE FACTAlmost two thirds of AdultsSurveyed reported at least oneAdverse Childhood Experienceand a majority of respondentswho reported a least one ACE,reported more than one.The Office of State Attorney, Mr. Phil Archer,(above left) hosted a Bake Sale to Benefit theChildren’s Advocacy Center of Brevard. The Bakesale was coordinated by Tyler Sirois, ExecutiveDirector of the Office of the State Attorney andPresident of the Friends of the Children’sAdvocacy Center of Brevard (above right) and hisadministrative assistant, Megan Warren. The Bakesale was held on March 11, 2014 at the SAO officeand raised over 500.00Page 9Bristol-Hansen Charitable FoundationFunds Upgrade of Audio/Video equipmentThanks to the generosity of the Bristol -Hansen CharitableFoundation and the Friends Board, the CACB was able toupdate Audio/Video capabilities for child interviews andmonitoring used by onsite partner, the Child ProtectionTeam. The improved quality recording of specially trainedCPT Coordinators‘ Specialized and Forensic Interviews tomemorialize a child’s account of alleged abuse will behelpful to the office of the State Attorney, DCF and LawEnforcement for use if the case goes to court. Specialappreciation goes to Foundation Trustee Hugh Normile,and the Friends of the CAC for co -funding this project.The Children’s Advocacy Center of Brevard was presented with avariety of stuffed animals that were collected by the Viera HawksService Learning Program students at Viera High School. Thestudents partnered with the Cocoa Village Playhouse to collect40 stuff animals for donation to the CACB. Pictured on the left;Bryce Clark, Kate Mills, Emily Wallace and Shannon Frane.Student Melanie Lenoir was unavailable for the photo.
Friends of the Children’s Advocacy Center Of BrevardThe Friends of the Children’s Advocacy Center of Brevard is a volunteer group of individuals, comprised fromthe community, who are organized exclusively for charitable and educational purposesFRIENDS OF THE CACB OFFICERSPRESIDENTVICE PRESIDENTTylerTREASURERSECRETARYSiroisMajor revardCountySheriff OfficeIntersilCorporationAttorneyAlpizarLaw OfficeOffice ofThe StateAttorneyFriends MissionVICE PRESIDENTS OF FUND RAISINGTo increase awareness of the issues of child abuseand neglect and to raise fundingfor the Children’s Advocacy Center of BrevardDirector EmeritusNorman WolfingerFormer State Attorney,18th Judicial CircuitAdvisoryState Attorney Phil Archer,18th Judicial CircuitBrevard County Sheriff, Wayne IveyHelene Sanford, Director of Human Resources, Intersil sPage 10
FRIENDS OF THE CACB DIRECTORSKimberly GwiazdaVictim Witness Counselor,Office of the State Attorney, 18th Judicial CircuitThe Friends of the Children’s Advocacy Center ofBrevard hosted their third annual Roast and Toast tobenefit the CACB Programs in October 2013Brevard County Sheriff, Wayne Iveywas the Master of Ceremonies andMaxwell King, Ed.D.Community Volunteer;Retired College PresidentCarole MarshallCommunity VolunteerDavidBrockPresident/CEOCommunityCredit Unionof Floridaentertained close to 125 guests as heintroduced the toasters and roasters for thisyear’s honoree, Mr. Jim Barfield—CEO ofLuke & Associates.All had great fun while raising fundsand awareness about the CACB.Kenneth Whittaker,CPA/PFS, CFP , CLU/ChFCBranch Manager,Raymond James Financial ServicesWhittaker Cooper Financial GroupJessie Das KirkOwner, Kirk Realty, Inc.Page 11Randall ColemanVice President, Global WealthManagement, Merrill LynchEVENT SPONSORSGuy & Delores SpearmanDonald & Cathy HemmenwayRandall T. ColemanKen Whittaker CooperMany Thanks to our Friends !Director EmeritusNorm WolfingerFormer State Attorney Norm Wolfinger, workeddiligently behind the scenes to help establishthe CACB before becoming the Chairman of theDevelopment Council, the volunteer groupestablished after the Advocacy Center wasformed in 1996 to assist with fundraising. Sincethose early days, Mr. Wolfinger has remained astaunch champion for the CACB and todayserves as the first Director Emeritus of theFriends.We continue to honor and recognize him.
GGuardian Angel SocietyGuardians CircleGuy and Delores SpearmanKenneth and Carole MarshallDon and Cathy HemmenwayBenefactorsCharles L. BiehlTimothy DysonJamie F. JohnsonMajor John MellickHelene SanfordFriendsTroy L. BuisDavid M. FinnRedeemed Ladies Bible Class,Eau Gallie First BaptistAGIndividual SponsorsGerald AfflerbackAnita BergeronConstance CookMelanie DietzPatricia EdmondMichael EllisBrenda EvansShannon FinnMax and Janice HaffnerGary E. HerbeckSamantha MirabalTeresa MunroeJo Lynn NelsonHemanshu Patel.Rockford R. RoblinJerry SamsonHeather & Lewis SchwartzLaurilee ThompsonC o r n e r s t o n e Pa r t n e r sFlorida Network of Children’s Advocacy Centers/National Children’s AllianceUnited Way of BrevardOffice of the Attorney General Florida/Victims of Crime ActBrevard County Board of County CommissionersSpace Coast Health FoundationFriends of the Children’s Advocacy Center of BrevardBristol-Hansen Charitable FoundationCorporate EventSponsorsCommunity Credit UnionGlover OilWhittaker Cooper FinancialServices / Raymond JamesKirk Reality, Inc.Century 21,Merrill LynchFlorida TodayACE FACTAddiction highlycorrelates withcharacteristicsintrinsic to thatindividual'schildhoodexperiences.(Grant funding between July 1, 2013 and June 30, 2014)Corner Stone Partners give to the CACB through grants and In-Kind donations ofservices. Along with fundraising and awareness efforts of the Friends of theChildren’s Advocacy Center, our partners provide a diversified and vital base fromwhich the CACB can maintain it programs and services.Page 12
AKTFriendsof the CACB;Sheriff Wayne Ivey&David BrockRoast & Toast 2013TTSpace Coast HealthFoundationDonna Larson, Director of OperationsJohnette Gindling, Executive DirectorDawn Hannon, Chief Financial OfficerDiane Niehaus, Executive AssistantACE FACTAdverse ChildhoodExperiencesare strongly related tothe development andprevalence of risk factorsfor disease and health andsocial well-beingthroughout the lifespan.Jim BarfieldBonner L. Johnson,B o n n e r E l e c t r i c L LCHoover AV VideoPage 13CACB OperationsBoardMembers from left;Rob Vitaliano,Patricia Edmond,Julia Lynch,Dr. Beth Thedy,Cassandra Elkin,Dr. Vi Ngo,and Katie Guemple.Not Pictured;Kim DelGaudio andCatherine Barmore, Ph.D.
Operations Advisory BoardChairVice ChairPatricia EdmondCircuit Director,Guardian ad Litem Program18thJudicial Circuit, Brevard CountyCasework SupervisorChild Protection TeamChildren’s Advocacy Center ofBrevardLicensed Mental Health CounselorKatie GuempleOperations Administrator Supervisor,Department of Children and FamiliesDCF representative replacingMaria Nistri in January 2014Cassandra ElkenSupervising AttorneyDepartment of Children and FamiliesDCF / CLS representative replacingDianne Billington in February 2014Julia LynchAssistant State AttorneyOffice of the State Attorney, 18th Judicial Circuit,Brevard Sex Crimes/Child Abuse UnitVi Ngo, MDMedical Director, Child Protection TeamRob VitalianoCriminal InvestigationMajor Crimes DivisionBrevard County Sheriff’s OfficeCACB Achieves ReaccreditationAndrea AlfordCatherine Barmore, Ph.DPeople with 6 or more ACE’s die nearly20 years earlier than those withoutACE’sSecretaryKim DelGaudioDirector, Office of District and School SecurityBrevard Public SchoolsACE FACTAccredited membership in the National Children’s Alliancerequires that programs meet specific standards. The CACB has beenfully accredited since 1996, the year the NCA standards wereestablished, and has undergone the very rigorous reaccreditationprocess regularly in accordance with NCA requirements now everyfive years. In June 2013 we once again began the reaccreditationprocess inclusive of submission of the application and supportingdocuments, onsite visit, and interviews of staff, Board Members andCommunity Partners by the NCA Review Team. CACB achievedreaccreditation status notification in June 2014.While the accreditation process is voluntary, adherence to thesestandards helps to ensure effective, efficient and consistent deliveryof services by children's advocacy centers to child abuse victimsthroughout the country.1.2.3.4.5.The 10 StandardsMultidisciplinary Team6. Mental HealthCultural Competency & Diversity7. Case ReviewForensic Interviews8. Case TrackingVictim Support & Advocacy9. Child-Focused SettingMedical Evaluations10. Organizational capacityPage 14
FYE 2013CACB Financial PictureFYE 2014REVENUE49415,675Rollover Contributions / Cash on hand0General Contributions, Individuals & Guardian Angel Society 13,40890,99825,00060,000114,0295,9540 312,150Gov’t Fees & GrantsOther Grants: Friends of the CACBOther Grants: United WayOther Grants: FNCACOther Income: Partner Contributions/SCHFLease Income State Of FloridaTotal revenue96,27825,00058,800130,5206,04116,337 929855,860Salaries212,621Benefits28,171Payroll Taxes16,266Professional Svs/ContractsOffice Expense. Communication (IT) /InsuranceOccupancyTravel / Conference / Meetings26,38811,40717,7871,298Community Awareness / CACB Video21,405Administrative Allocation / Fees 312,150Total Expenses032,446 346,384The CACB financials include pro-rated expenses for salary and benefits for the CACB Director, Accountant andReceptionist. Does not depict collaborative partners’ in -kind contributions or partners’ organizational budgetsACE FACT: The estimated average lifetime cost per victim of nonfatal child maltreatment is 210,012Page 15
2013-2014REPORT TO THE COMMUNITYLocated at:6905 N. Wickham Rd, Suite 403 Melbourne, FL. 32940The Developmentof NurturingRelationshipswith our ChildrenIs Key toPreventingACE’sACE’sAffect ourLIVES&SOCIETYA PROGRAM OFTHE
Symptoms of serious emotional problems in a child when emotional or other abuse, abandonment, or neglect is suspected. A sibling or other child remaining in a home where one or more children have been pronounced dead on arrival, or have been injured and later died as a result of suspected abuse, abandonment or neglect.
