Hope Clinic for Women fulfills a unique mission in our community: to equip women, men, and families dealing with unplanned pregnancies, prevention, pregnancy loss (miscarriage, stillbirth, infant death, or abortion), and postpartum depression. We provide medical care, professional counseling, education, mentorship and material support regardless of an individual’s race, age, religion or ability to pay.
Hope Clinic for Women (formerly the Crisis Pregnancy Center) was founded in 1983 by a group of community leaders, pastors, priests, physicians and volunteers, to meet the unique needs of women in unplanned pregnancies in a safe and confidential environment. Over 30 years, we have continued that care while also broadening services to holistically meet the physical, emotional and spiritual needs of any woman of child bearing age. Additionally, we support the important people in her life who are walking with her through the challenges she faces.
For the last 30 years, Hope Clinic has been the premier place for women in an unplanned pregnancy to go to for holistic care: medical care, professional counseling, education, mentorship and practical support. In the last two decades, services have grown to include prevention education for youth and parents, well-care visits, all forms of pregnancy loss counseling and postpartum depression treatment. We treat everyone regardless of age, race, religion or ability to pay. Our compassionate care ensures that both our clients and their babies are physically healthier and that women and their partners are emotionally healthier, making positive choices for their future.
Accomplishments in 2015 included:
Primary Goals for 2016:
When I arrived on staff in 2004, my main goal was to begin to track quantifiable data to ensure that each and every client that walked in the door received the same level of professional care. We also added measurable outcomes before that was a common request from fundraisers. We find it critical that our clients leave here changed, more equipped, more mentally healthy, and more self-sustaining than when they arrived. That is combined with all the post-visit survey results and client comments we track. We want to be sure our client’s voice is heard. We want to be sure our investors are getting their monies worth. We want to be sure what we do matters and helps the community of Middle Tennessee.
All pregnancy services are provided free of charge and include: pregnancy tests, limited obstetrical ultrasounds, prenatal education and vitamins, and access to our Bridge Program. We connect clients with a partnering OB (who accepts clients regardless of their insurance status) to obtain full prenatal care.
Our Bridge program provides in-depth support through the following components: personal growth counseling, mentorship and education. Through participation, clients earn point-based material assistance for items such as maternity and baby items. Trained mentors help clients set personal goals, establish obstetrical care, assist with WIC, TennCare and food stamp applications, and provide referrals as needed for housing/resources. Taught in partnership with Belmont University's School of Nursing, Bridge education classes include newborn care, parenting, emotional growth and budgeting.
We expect to serve 450 pregnant clients, with 210 receiving a limited obstetrical ultrasound and early pre-natal care/education.
100% of ultrasound clients will received medical consultation and education about their pregnancy and the health of their fetuses (i.e. view heartbeat, features, movement)
75% of ultrasound clients will report feeling more informed about pregnancy and their health
50% of Pregnancy Clients will become BRIDGE participants
90% of BRIDGE clients will report feeling healthier emotionally, physically, and/or spiritually upon program completion
90% who reported lack of healthy decision making will report making healthier decisions upon program completion
90% will indicate that they maintained or increased in knowledge in prenatal and parenting classes
The timing and quality of prenatal care that a woman receives during her pregnancy has a critical impact on the infant’s health and survival. By providing a safe, accessible environment, we are able to assist women from the moment they learn they are pregnant, resulting in healthier outcomes for their pregnancy and their babies. Investment in these services can have tremendous returns in cost-savings for future medical care of pre-term and low birth weight babies not to mention preventing the devastation of losing a child.
Client assessments occur at the beginning of each medical visit and surveys are given at completion of visit to evaluate change and teaching effectiveness. We track enrollment, participation, and successful completion of all components of the BRIDGE Program and administer client health and knowledge surveys at intake session, session 4 and session 7 to determine progress.
Willa’s Story:When I became pregnant I was devastated. I had not completed high school and already had two abortions. This time I knew I was making another choice. When I found Hope Clinic, my initial goal was to get a free pregnancy test and ultrasound to see how far along I was. But over time, I had a change of heart… The BRIDGE program was one of the few positive things I had throughout my pregnancy. I looked forward to my mentor meetings and education classes. The program allowed me to interact with other women in the same situation, taught me parenting skills, and how to overcome obstacles. It also taught me to push harder and be strong for myself and my baby. The program helped me obtain my GED and things my baby needed. Hope Clinic helped me believe I am worthy and can be a great mother and a successful person. I recently started college and work full-time in addition to being a mother. For once in my life I am happy and my baby is happy. That is the most important thing to me.
With three staff therapists and a master’s level practicum internship program we provide counseling in four areas. Fees are charged on a sliding scale. Women's Issues Counseling addresses such topics as: coping after an STD diagnosis, healthy relationship skills, healthy decision-making, and understanding the impact of prior sexual abuse or trauma. Pregnancy Loss Counseling assists women who have lost a pregnancy due to miscarriage, stillbirth or abortion. Nearly 25% of all pregnancies end in miscarriage and statistics show 1 in 3 women will have at least one abortion. Postpartum Depression: 10-20% of new mothers deal with PPD. If left untreated, PPD can have long-term effects on women, children and the family as a whole. Men’s Issues: Recognizing a unique need for men whose partners are facing an unplanned pregnancy, we have a male therapist to provide support with couples or individual counseling in preparation for parenting, as well as prevention and healthy choices related to sexual activity.
Women's Issues Counseling will serve 60 women and provide 200 counseling sessions. Pregnancy Loss Counseling will serve 15-20 women in individual and follow-up counseling. PPD Counseling will serve 15-20 women through individual counseling. Men’s Issues Counseling will serve 25 men through individual counseling. Clients who attend at least 4 sessions will show improvement by meeting at least one treatment goal for client type. For every 4 sessions attended, clients will meet at least 1 additional treatment goal for client type. In total, we will provide more than 580 hours of reduced fee counseling this year.
Our counseling seeks to assist women and men find hope and healing. Whether it is healing after an abortion or miscarriage or hope in the midst of postpartum depression, our goal is that our clients are better equipped to handle their life in a healthy manner. Ideally, women will experience healthier relationships with self, others and God as they address their issues in counseling. Thus far, our goals have been to increase the number of clients taking advantage of our counseling services by 5% and we are on track to achieve this goal. Ideally, through counseling, our clients will gain insight and skills to enable them to lead a healthier life (physically, emotionally and spiritually). By doing this, the women’s closest relationships will be impacted, which in turn will lead to healthier families and healthier communities. Each client’s treatment goals are different and it is our desire for each client to reach his/her treatment goals that they set for themselves at the beginning of therapy.
Kristen's story: My husband and I suffered a devastating loss in 2010 when our beautiful, perfectly formed daughter was stillborn at 35 weeks. We had no warning and we never got an answer as to why it happened. I was so deep in grief and despair, yet I knew sitting on the couch and staring at the wall wasn't beneficial, nor would I be able to do it forever. I went to Hope Clinic to help me work through all of the muddled thoughts and start healing. If you had asked me where I would be at this point in my life after our loss, I never would have said that I would be doing this well. We have worked through so many feelings and emotions revolving around my grief to help me process it. I don't feel like I'm just going through the motions anymore. I'm doing it because I'm getting better. It has been very tough and I'm still a work in progress. Whether your loss occurred two months ago or fifty years ago, Hope Clinic can offer you a way to make peace with what happened.
We provided prevention medical services to 453 clients in 2012 and we reached 3,033 people through our community education program.
Medical Services are incorporated within each of our other programs, providing the following: pregnancy tests, limited obstetrical ultrasounds, STD education, screening, testing (including HIV), treatment and counseling; unplanned pregnancy prevention education, as well as HPV screening through PAP smears; medication in conjunction with our counseling services for clients working through pregnancy loss, postpartum depression, and anxiety.
Medical care is provided by our full-time Nurse Practitioner and two part-time RNs to address the most immediate, critical concerns a client has when coming to Hope Clinic. Approximately half of our clients test positive for a sexually transmitted disease and must then face what can be a frightening journey with managing a chronic illness such as Herpes, HIV, Chlamydia, or Syphilis. We walk with them on this journey providing treatment, education and professional counseling.
It is more than just great healthcare that sets us apart, it is the relationships we build that truly make a difference. Survey results indicate that 100% of clients feel treated with respect and honesty by our staff, feel more informed, and would return for services.
Becoming a board member is a considerable commitment. We expect all board members to: 1) attend board meetings (75%) 2) Review board packets ahead of time (sent 1 week prior to meeting 3) Be active on one of three committees for 3 months before coming on a board (Business, Advancement or Client Services) 4) Financially support Hope Clinic 5) Introduce Hope Clinic to their ‘sphere of influence’ and 6) attend our flagship events: Gala, Fun for Life and Cider Carols. Finally, we also expect our board members to be aligned with our faith (Christian) and mission, vision and values.
Board Members are vetted from our current donor and volunteer base as well as recommendation from staff, other board members, volunteers, partnering churches and agencies. It is also our aim to have a diverse board that matches the diversity of our client base, although this has been difficult to achieve at times, it is something we are committed to achieving.
Board member terms are two years, and while there is no term limit, execution of expectations are reviewed by the Board Chair at the end of each person’s term to determine if they are still in good standing to seek another term.
We also have an advisory board comprised largely of former board members who like to stay engaged with Hope Clinic but in a broader sense. They meet with the CEO regularly and come together as a group and meet with the Board Chair and CEO twice a year. This has been effective to ensure we preserve the integrity of our foundation while meeting the current needs of clients as they evolve.
Renée Rizzo has been with Hope Clinic for Women since January 2004. Prior to this, she had 14 years experience in both corporate and church ministry. Just prior to her arrival at Hope Clinic, she was in full time church ministry in Connecticut as a Business Administrator and then Director of Equipping Ministries. Before that, she worked in the for profit sector with a worldwide financial service company, a health care company and the corporate office of one of the largest book chains in the country. Her professional experience in Finance, Marketing, Database research, and Strategic Planning has been essential for bringing strong fiscal responsibility and long range planning to Hope Clinic. Her church ministry and volunteer experience as a coach and bible study leader brought her much needed crisis counseling, bible study, and volunteer management experience. She feels passionate about helping all people; especially women who have been hurt or broken, realize there IS hope, and that God has a purpose for each one of us. In 2008 she received the ‘Women of Influence’ Award by the Nashville Business Journal. She was on the ANE council for area Executive Directors for 8 years and the President for one year. Since 2012 she has been a speaker/trainer for Center for Nonprofit Management.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
2015When Hope Clinic’s CEO arrived in 2004, it was her aim to ensure we operated with a cash based accounting model year round. The aim was to never spend more than we received and not ‘count on’ pledges to make current spending decisions. The CEO also reduced Operating/Admin expenses by 25% her first year. In the last 10 years the operating budget has grown by 36% but the client visit rate has grown by 400%.
The current CEO has a BS in Finance and meets monthly with the Business Committee to review P&Ls, Balance Sheets, and projection reports. Typically her projections are within 2% of actual. This is a difficult process as 98% of the nearly 800,000 budget is donations with less than 20% pledged and over 36% arriving from Thanksgiving through December 31. Because of this cycle the Board agreed to move the fiscal year from January-December to October-September. This will allow the CEO and Board to have more time to react to any large change in year-end donations. This was accomplished in 2013 and has made a significant difference in meeting budget needs and making adjustments in the 2013/2014 fiscal year.
There were two years that a significant operating loss occurred. In 2008-2009 Hope Clinic was in the middle a capital campaign. This coincided with the market crash. We took a 289,000 loss that year. In 2011 we increased program staff to help the exploding client numbers and had 3 significant changes in funding that were not known until the last quarter of the fiscal year. We took an 89,000 loss that year. The other significant item affecting our financials was the sale of the maternity home in 2011 and the $220,000 loss we took on the value of the home vs. the sales price. These journal entry adjustments for accruals and pledges impact final numbers seen in our audits over the last few years.
Paying down debt and building a cash reserve is paramount for Hope Clinic. The line of credit has gone from 145,000 to $35,000 in the last 3 years and extra payments are made each month to bring that balance to zero. As soon as that is accomplished the same money will be set aside to create an unrestricted cash reserve.
“I’ve never shared my story with anybody.” -- The first step toward recovery can be the most difficult. The ability to engage in productive activities, to find relationships with other people fulfilling, and to adapt to change and cope with adversity are each vital to enjoying a happy and healthy life. But each of these facilities can be significantly impaired by mental health disorders. A mental health diagnosis should not define who a person is, or what a person can achieve through treatment and support. Middle Tennessee nonprofit organizations are ready to help make that first step toward good health a little easier.
The dramatic achievements of public health in the 20th century have improved our quality of life in a myriad of ways, including an increase in life expectancy, worldwide reduction of infant and child mortality rates, and the elimination or reduction of many communicable diseases. In Middle Tennessee, improvements in preventive medicine and advanced medical technology have resulted in increased life expectancy and improved health for many residents. However, significant health disparities exist in our region, resulting in poor health status often related to economic status, race, and/or gender.
Copyright © 2014 The Community Foundation of Middle Tennessee
3833 Cleghorn Avenue, Nashville, TN 37215