Surrey Place CentreANNUAL REPORT

2014/2015

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15

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14

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Living Your Potential All

Your Life

Building on Our History

& Embracing the Future

Financials

Bridging Gaps

Highlighted Achievements

Strengthening Our Capacity

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Thank You

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Building Excellence in Clinical

Services

Table of Contents

It seems hard to believe but it was three years ago this November that the two of us assumed our respective roles as President and CEO of Surrey Place Centre. To say that time has flown by and that Surrey Place has definitely not stood still would be a gross understatement! This past year in particular has been both positive and inspiring as we have been busy launching and implementing our new mission, vision, values and strategic directions, while simultaneously continuing to provide our exemplary clinical services to people living with autism and developmental disabilities.

Change is everywhere these days and has become the norm. It seems to be happening at every level of our organization, from how we deliver service to our clients to strengthening our relationships with government and other stakeholders. Despite the many challenges and opportunities we face going forward, in line with our new strategic plan we are paying very close attention to our “Strengthening

Our Capacity” strategic direction as we believe that investing in our staff and infrastructure is critical to our future success.

Surrey Place Centre continues to be a collaborative leader locally and provincially in the provision of specialized and evidence based autism programs and clinical services to people of all ages with developmental disabilities. Our researchers, clinicians, and educators continue to make substantial contributions to the growing body of knowledge about autism and developmental disabilities and our employees ensure that as an organization we remain innovative, flexible and always ready to improve upon the best practices in the field.

As we continue to shape our future and the future of services locally, provincially, nationally and beyond, Surrey Place Centre will continue to be a strong collaborative leader for people living with developmental disabilities and autism. We appreciate the enormous contribution of

CHIEF EXECUTIVE OFFICER & BOARD PRESIDENT MESSAGE

Building on Our History & Embracing the Future

our dedicated staff and our many stakeholders, including the Ontario government, our community partners, and donors.

We personally want to thank all of our employees, an exceptional group of people who are dedicated, caring and committed to what we do and those we serve. Whatever your job role and responsibilities, you contribute day in and day out to enhancing the quality of life of those we serve. We also want to thank our incredible volunteer Board of Directors whose wisdom and dedication steered us through a terrific and very valuable strategic planning process thus ensuring that Surrey Place Centre can continue to make a difference.

Sincerely,

Steven Finlay Chief Executive Officer

Dr. Harold Bassford Board President

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THIS PAST YEAR WE ARE PARTICULARLY PROUD OF:The implementation and early evaluation of our Service Model approach; a more effective clinical service model which sets a consistent pattern for how much service will be offered to our clients through our different clinical services. This model also includes the use of a service contract that documents all of our client and capacity building hours and improves goal setting and evaluation capacity.

Our ability to serve more than 6,000 clients who accessed our services from our infancy and early childhood program, children and youth services, adult program and our specialized autism services which include TRE-ADD, TPAS, Toronto Autism ABA Services and School Support Program.

The partnership that we established with East Metro Youth Services that enhances the capacity of their “what’s up” walk-in clinic that strives to meet the needs of children and youth diagnosed with developmental disabilities and/or autism spectrum disorder.

Our partnership with The Hospital for Sick Children, Circle 21 and the SickKids Foundation whereby we established the SickKids Down Syndrome Clinic that provides children ages 0-3 and their families with a diagnosis and much needed supports and services.

Our clinical staff from our Adult Fetal Alcohol Spectrum Disorder (FASD) Diagnostic Clinic who were invited to take part in an Expert Committee on FASD, where they are advising the Ministry of Children and Youth Services on the creation and development of an FASD strategy for Ontario to support individuals across their lifespan.

In a feedback survey about the Service Model approach, over

91% of respondents indicated their goals for service were met

and 99% of respondents indicated that overall, they were satisfied.

Surrey Place Centre is committed to offering the very best service to our community. One way we have strengthened our capacity in recent years is by adopting the Service Model Approach. This approach consists of a number of key strategies that help us manage our important clinical resources. What does this mean for those we serve? It means that we are more responsive to not only those who are currently receiving services, but also to those who are awaiting service. The Service Model Approach was implemented in November of 2013 and is a work in progress with on-going improvements being made when required. One of the core features of this new model is the creation of a Service Block, which sets a consistent pattern for how much service will be offered to our clients through our different clinical functions. The approach also includes the use of a Service Contract that documents all of our client and capacity building hours and improves goal setting and evaluation.

“For us, it’s about having families playing a part in jointly determining the goals of each service,” says Suzanne Meagher, Director Children and Youth Services. “We complete a Service Contract and think about our expectations, together. Before it starts and after it’s finished, family members have the opportunity to contribute their own feedback.” By closely examining the services we offer and giving equitable amounts of service based on need to all families, our staff can serve our clients better and identify any changes need to be made. This leads to reduced wait times and more clients being able to access life-changing therapies. The close tracking of all service hours also makes the Centre’s work more accountable to the Ministry of Children and Youth Services.

“Until I received this service, I had no idea that Surrey Place Centre could be so helpful! I would like to thank my clinician at the Centre for the wonderful assistance she offered with regards to my son.” – Anonymous

HELPING MORE CLIENTS IN BETTER WAYS

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Strengthening Our Capacity

Miranda is 13 years of age and lives at home with her mother, father, and older brother. When she is walking down the street, she is expressionless, sometimes making sounds to herself, wearing her shooting earphones to muffle noises. However, if something catches her attention, or if someone she loves approaches her, she is a firework of giggles, smiling, jumping, flapping, and bending from side to side. Sandy, Miranda’s mother, says, “she is the happiest person we know and her glass is always half full – of bubbles!”

Miranda was first brought to Surrey Place Centre for an audiological assessment in 2004, before Miranda was even diagnosed with autism. She was 2 years and 10 months old. Sandy was concerned and thought Miranda might have a hearing impairment because when the family tried calling her name she wouldn’t look up. “We were shocked

to learn that her hearing tested normal. Little did we know back then how much Surrey Place Centre would become part of our lives.”

In October 2004, Miranda was diagnosed with autism by Dr. Sarah Landy from Hincks Dellcrest Centre, in the severe range with significant delays in almost all areas of development. “That’s when we learned that Miranda has regressive autism, which means when she was 18 months, she would walk up to us, look in our eyes, put her little hands on our legs and talk. She would run to greet her dad each night when he arrived home from work. But then that stopped, and we were left missing the things she used to do.” Following her assessment, Miranda was placed on a waiting list to receive Intensive Behaviour Intervention (IBI) services from Surrey Place Centre.

When the call from Surrey Place Centre came and she could access IBI treatment, Miranda went from not being able to follow such directions as touching a ball to being able to read! The family decided to use the Direct Funding Option (DFO), since Miranda found transitions and travelling difficult. “There was a constant stream of therapists in our home, and I was always listening to Miranda’s

“We are committed to try Augmentative and Alternative Communication (AAC), so that Miranda might one day be able to share her inner life, such as how she feels, what she is thinking or what are her dreams. Our great hope is that one day, Miranda can respond to questions and answer by herself.”

HELPING MORE CLIENTS IN BETTER WAYS

8

Bridging the Gaps

progress as I worked in the next room.” Her self-injurious behaviour declined, her attention span increased, she peeked a bit out of her shell of autism and began to learn. Sandy believes that it was IBI, which Surrey Place Centre supported through funding, that has made the biggest difference for Miranda. Miranda was able to receive a stable and on-going structure for therapy that worked for their family’s needs.

In addition, the language groups delivered through Toronto Autism ABA Services at Surrey Place Centre have helped improve Miranda’s language and social abilities and have offered dependable help her parents can count on. Within these groups Miranda has received therapy for her expressive language skills, such as learning to ask for help when needed. Miranda’s parents have also participated in these group sessions in order to learn how to support her in using her communication skills at home and in the community.

Miranda has also accessed Behavioural Therapy, Speech-Language Services, Occupational Therapy and other services and supports from the Children & Youth Program. Within Miranda’s occupational therapy services, she was seen for support around her sensory and self-care needs. Her family was able to learn strategies including how to create and use visual task schedules to help increase independence with showering and toileting. In addition, they have become more aware of Miranda’s sensory needs and strategies to support them, especially when out in the community which has made family

outings, such as going to the movies, much more successful.

Sandy has also gained a lot from attending group workshops and speaking with other parents on topics that have arisen as her daughter grows and changes. “Everyone I have ever dealt with at Surrey Place Centre has been professional and supportive, and we have been through many departments over the years.”

Although Miranda still struggles every day with profound autism, global delay, epilepsy and sensory issues, her family is committed to helping her get the most out of her life. Sandy hopes that one day Miranda will be able to share what she is feeling and thinking, so that her personal dreams for the future can be realized.

The ASD Health Watch Table (HWT) improves the quality and efficiency of developmental and autism services by expanding capacity within the health care system. The HWT tool has been distributed to families across the province and assists primary care providers with improving the care offered to their patients with autism spectrum disorder (ASD).

At Surrey Place Centre we are committed to building excellence in our clinical services. We do this in the following ways. We use evidence to inform our programs. For example, children who are part of the Toronto Partnership for Autism Services (TPAS) are assisted with intervention strategies that are based on real-life research. If another child has already been helped using the same approach, it is worth sharing this information so that more families can reap the same benefits.

We provide our clinical staff access to important information through the Joseph M Berg Library and Resource Centre located within the Centre. Our clinicians can access a very special collection of books and resources related to supporting our clients. In the event

the library doesn’t have what the clinician is looking for we work with multiple libraries and have access to information that can be shared with clinical staff with the support of our librarian who will work in getting the requested research information from partner libraries.

We evaluate the services we provide by collecting data that is used to make our programs more effective and efficient. For example, we take measure before and after service to assess changes in client concerns, such as aggressive behaviour. The results can be used to find out how well the services are working and target areas that might need improvement in order to benefit the client.

Furthermore, Surrey Place is involved in research with community partners to answer broader

HELPING MORE CLIENTS IN BETTER WAYS

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Building Excellence in Clinical Services

questions relevant to policy and service planning. Research initiatives within the Centre allow us to generate knowledge and then disseminate to those who really need it to change lives. For example, Surrey Place has been involved in the H-CARDD research program since 2010, which studies health and health service use of adults and transition age youth with developmental disabilities in Ontario using population based data. A major goal of H-CARDD is to work with government to improve policy and practice in this area.

The activities described above support and promote evidence based practice at Surrey Place Centre. Using this approach our clinicians use reliable information to guide their practice and help

clients, families and caregivers make informed choices about treatment options. It also enables funders to make appropriate policy and funding decisions. Building excellence in clinical services is an on-going endeavor of Surrey Place Centre. We will continue to strive for new and better ways to support our clients.

Last year a total of 6,326 individuals received services from Surrey Place Centre.

DSO Toronto Region is proud to report that their

staff supported 1,284 applicants last year!

Ariel was born with Down syndrome 17 years ago. Within the first month of her life, her mother Marina was visited by a representative from Surrey Place Centre. “I had a lot of questions,” says Marina. “I’d never had a child with a disability and did not fully understand what I needed to do. I was scared and had no one else to rely on.”

Marina’s questions were soon answered and she was advised about what to do next. Throughout Ariel’s life, Marina has continued

to rely on the Centre for help. Ariel has worked with a speech therapist and had help early on making a communicator book that she still uses today. “Surrey Place Centre has played a big role in Ariel’s life,” Marina says. “If we ever have problems, we can always call them and they are very helpful.”

More recently, Marina turned to the Centre for help registering Ariel for Developmental Services Ontario Toronto Region (DSO TR) services. She had no idea what her daughter needed in order to qualify for services as an adult, and was thankful when a Surrey Place Centre clinician sat down with her and explained everything she needed to do. She knows that transitioning Ariel into adult services will be a really big change for her, but she’s hopeful that her daughter will continue to receive the same quality of services as she does now. Ariel still requires access to speech therapy, nutritionists and help with bathing and personal hygiene.

MARINA AND HER DAUGHTER, ARIEL

“Ariel is a very happy and friendly person, but she’ll never be able to live alone. I know a lot of things will change for her as an adult, but I hope that with support from DSO TR and Surrey Place Centre, we’ll be able to find more programs that she can get involved in.”

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Living Your Potential All Your Life

INFANCY AND EARLY CHILDHOOD PROGRAM

▶ Provided 892 infants, children and their families and care providers with specialized clinical services.

▶ 55 additional children and/or family members were provided with group-based services.

▶ Partnered with The Hospital for Sick Children, Circle 21 and the SickKids Foundation to establish the SickKids Down Syndrome Clinic that provides children ages 0-3 with a diagnosis of Down syndrome and helps their families obtain the services they need.

CHILDREN & YOUTH PROGRAM

▶ The Children & Youth Program provided 668 children and youth and their families and caregivers with specialized clinical services in many settings including in their homes, schools and at the Centre.

▶ The Augmentative Communication & Writing Aids Program (ACWA) helped 109 children and 60 adults work on communicating better with those around them.

▶ A partnership was established with East Metro Youth Services to enhance the capacity of their ‘what’s up’ walk-in clinic that works to meet the needs of children and youth diagnosed with developmental disabilities and/or autism spectrum disorder.

TORONTO PARTNERSHIP FOR AUTISM SERVICES

▶ 496 children received intensive behavioural intervention (IBI)

▶ 363 families participated in our TPAS Parent Education and Support workshop series with overwhelmingly positive feedback!

TORONTO AUTISM ABA SERVICES

▶ 1,690 children and youth built critical communication, social and life skills while participating in 34,134 hours of group and individual treatment as part of the Toronto Autism ABA Services.

▶ 10,205 hours of parent training and coaching took place alongside these services.

▶ Our French Language Service (FLS) was built in partnership with CS Viamonde and Conseil Scolaire de district Catholique Centre-Sud by offering individual service and piloting 4 new FLS groups across both School Boards.

ADULT PROGRAM ▶ Served more than 1,505 adult

clients.

▶ Staff members from the Adult Fetal Alcohol Spectrum Disorder (FASD) Diagnostic clinic were invited to take part in an Expert Committee on FASD, where they are advising the Ministry of Children and Youth Services on the creation of an FASD strategy for Ontario to support individuals across their lifespan.

▶ Offered placement to two Ph. D level psychology practicum students as a way to strengthen our partnerships with affiliated academic institutions and encourage future psychologists to develop an interest in working with adults with developmental disabilities.

IT’S BEEN A SUCCESSFUL YEAR IN SO MANY WAYS!

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Highlighted Achievements

Surrey Place Centre’s total revenue from the fiscal year ending March 31, 2015, was $44,474,502.00 as per the Financial Statements that have been audited by Grant Thornton LLP.

For access to the full audited Financial Statements for Surrey Place Centre and the Surrey Place Centre Foundation, please e-mail us at info@surreyplace.on.ca or call (416) 925-5141.

65%Ministry of Children and Youth

29%Ministry of Community and Social Services

2%Donated Services

2%Other Government Agencies

2%Amortization of Deferred Contribution

1%Other

Our Expenditures over the past 3 years

2014-2015

$44,460,115

2013-2014

$42,781,263

2012-2013

$39,633,075

Financials

Abner AnlacanAgnes ZurawskaAlan StummerAlex LinAlexander MandatoriAlexis GaumAlma SmitheringaleAlvin LohAndrea CarlawAndrea PasztiAndrew BiltonAndy AcasioAngela ChaAnna LamdieApril CornellArielle SalamaAtto ClaytonAurora BundalianBarry IsaacsBLG FoundationBotond RemiasBrenda IachelliBrian HillyerBruce EdwardsBruce WilsonBryan CatibogC&D Graphic Services Inc.Carol GodeckiCaroll R. DrummondCerene JohnsonCharlemagne AlbornozCheri SmithChristina M. GlosterChristina MenelConnie Wong

Connie ZehrCourtney PhillipsCrystal SybingcoCynthia ChengDan TaylorDanica CrossDanute BarkauskasDanzel PintoDavid GiewercerDavid MontaneraDawn ShawDelores MorrellDennis T. HuiDiana AvanladaDiane SibbettDom Day ClassicDoreen MooreElizabeth MalinowskiElizabeth ScottEmoke JozsvaiEric GeeEric MarierErin YuffeEsther SpringFelix CamposanoFernanda AraujoFrances NotoFrancis FernandesGail HeissnerGerald BernickyGertrude HeinGianovla VovzasGiovanella CoreyGreat Gulf Homes Charitable FoundationGuy Beaudin

Heidi MitchellHelen WojcinskiHelene PaulynHilary WindoverHope CarnwellIbolya GabrisIris GorfinkelJanet VogtJanine RobbJasbir DhaliwalJavelin Media Inc.Jayne CarnwellJazz Management ServicesJeanny ScantleburyJeff PrenticeJennifer AllenJennifer CatibogJennifer De ChamplainJessica ConnollyJessica FoxJoan RoseJohn HengJohn PercyJonathan AcasioJonathan SyJonathan WolfJordan CatibogJosee CasatiJoseph van VeenJulia FosterJulie JulieKaren CohlKaren LuitjenKaren WhiteKassandra Kaminskas

THANK YOU TO THE FOLLOWING INDIVIDUALS AND GROUPS FOR SO GENEROUSLY SUPPORTING SURREY PLACE CENTRE IN THE PAST YEAR.

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Thank YouWe could not continue to help children and adults with developmental disabilities, autism and visual impairments, as well as offer support to their families, without the loyalty of our compassionate donors.

Katherine HaughKatherine HofmanKatrina Espanol-MillerKeitha TyphairKen ChanKerry MaiselsKevin LeskeKevin SanKim JacksonKim TaylorLake Shore Lodge No. 645Laura ChengLaura ZajicekLauren ShewfeltLeah PlumleyLeeping TaoLeslie HealeLinda KlevnickLinda SadvariLinette PartridgeLisa GiewercerLisa HoLorne PropasLouise Y. NgLyndsay HillierLynn LandonMarcia WilliamsMargaret HowardMary Ann NagelMatthew ArmstrongMel GutzmanMelanie GodeckiMelanie RandallMelina LozneunuMelissa LavalleeMichael DimaandMichael WabyMichelle BalcersMichelle JosephMiriam Propas

Monita ChanMoon Hwa LeongMuriel FlynnNadia MiaNancy FreemanNancy OomenNicole LukePascal LabrequePatricia OrrPatricia PasztiPaul HarbridgePaul SzikszaiPaula AttfieldPaula GreenPearl JonesPerry PappasPeter FullertonPhil FilippoPhil HooverPoul & Susan Hausen Family FoundationRaneta KrylovReesa LernerRobert CernoboriRobert GreenwayRobert PerkinsRochelle ZwickciRon GeeRoz GiewercerRuby RilleraRuss JosephSalina EldonSamantha GaumSamantha KerriSandra BrickerSandy CatibogSandy CoSermon HoShelly LamainShirley McMillanSimon Lee

Socorro IgnacioStefan BirtchSteve TrocimchukSteven FinlaySusan CerroSusie DaidesSuzanne MeagherT&M ManagementTajinder DhaliwalTara TompaiTax Team Work Inc.Teddmyn CroutchTerri HewittThanya DuvageTim GutzmanTom CarnwellToronto Blue Jays Baseball ClubTula ConnollyValerie TempleWalter MontaneraWhite Shrine of Jerusalem, Toronto Shrine No. 4Wilfred CatibogWilliam SullivanYork Heritage

To make a gift in support of Surrey Place Centre, please visit our website at www.surreyplace.on.ca or contact the Surrey Place Charitable Foundation by calling (416) 925-5141 ext. 3102.

2 Surrey PlaceToronto, ON, M5S 2C2416-925-5141www.surreyplace.on.ca December 2015