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ICA Support Group Transition Plan

Dear Former ICA SGL's, SC's, & TSVs

(April 12, 2001) If you're like most former ICA support group leaders, you were probably shocked and angered by the recent letter from Carol Davis announcing that they are discontinuing their current volunteer support programs. This is a very sad development in the U.S. IC community but there is hope at the end of the tunnel. There have been (and currently are) IC support groups around the country that exist independently from the ICA. IC-Redwood Empire in Northern California is one of those independent groups. Though our group left the ICA in 1996, we continue to offer hope, information and support to our community.

As one IC support group leader to another, I'd like to extend you all a helping hand in this difficult time -- and to let you know that there are resources out there available to allow your group to continue its important community work independently, in the absence of ICA funding and assistance. To put it simply, you don't need the ICA or the ICN to have a great IC support group.

As an independent group, you will have the chance to do the programs, newsletters and fundraising that you've probably wanted to do for some time. Yes, it will take time and thought as you consider your options. But, as the ICA falters, your group and work can be a light of courage, hope and inspiration to those who need it the most, the IC patient. Don't give up just yet! The following is a list of Q&A which might be helpful to you as you consider your options.

(1) Can a support group exist independently from the ICA?
(2) What was the hardest part about not being part of the ICA?
(3) Was it legal? Can you do it and not be a 501(c)3?
(4) What's the advantage of an informal structure?
(5) What's the disadvantage of an informal structure?

(6) What are the legalities and liabilities?
(7) Is it worth your time?
(8) What can you do next?
(9) Are there alternate sources of funding?
(10) Can you expect recognition or referrals from the ICA for new patients in your area.
(11) What non-ICA materials are available?
(12) What does the ICN get out of it?
(13) What's up with the ICA finances?
(14) How IC-Redwood Empire became an independent IC group


(1) Can a support group exist independently from the ICA?
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Yes, ours and several others have. We're usually affiliated with a hospital or physician. We serve the patients in our community. Our money stays in our community.


(2) What was the hardest part about not being part of the ICA?
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We were the most worried about not getting patient names as provided by the ICA. But, it turned out that that wasn't a problem. After our group members voted to leave the ICA and become independent, we made simple flyers and delivered them to every urologist in our county (about 20), as well as many gynecologists. We made it a point to talk with the nurses and ask how we could help them. From that moment (and in the five years since), nearly every patient diagnosed in our city was referred to our group. The key was offering to help. Rather than being burdens, our group members were seen as assets to those clinics. We share our new resources with those nurses and have made some very productive long term relationships.


(3) Was it legal? Can you do it and not be a 501(c)3?
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As many of you know, becoming a 501(c)3 is a difficult and time consuming process, requiring an official filing with the state as a corporation AND detailed annual financial reporting. It requires a corporate Board of Directors who are willing to meet regularly, create policies for the organization and a staff to implement them. In fact, we really need to take a moment and commend the original founders of the ICA for doing that. That was a big step for the IC movement in the USA.

But, for local support groups with modest budgets, led by volunteers and that make no profits, it may not be necessary. The California Non-Profit Corporation Handbook, prepared by Nolo Press, offers the following example:

"Many groups do fine and accomplish their nonprofit purposes as unincorporated nonprofit associations, without formal organizational paperwork and written operational rules. If you can accomplish your nonprofit purposes and goals informally, you may be happier staying small.

Example: A senior citizen's botany club is organized informally. Initially, six members take a monthly nature walk to study and photograph regional flora. Everyone chips in to buy gas for whoever drives to the hikes starting point. Recently, membership has increased to fifteen and the group has decided to collect dues from members to pay for increased expenses - gas money, guidebooks, printing club T-shirts - associated with more frequent field trips. To avoid commingling club monies with personal funds, a treasurer is designated to open a bank account on behalf of the organization. Several suggest that it is time to incorporate the club. Does this make sense? Probably not. There is no new pressing need to adopt a corporate form or to obtain formal recognition as a tax exempt non-profit.

If your group does not generate a surplus (does not make a taxable profit), does not need to attract tax deductible contributions, does not need to apply for public or private grant monies, and has no legal need to adopt the corporate form, it may decide it's best, at least for the present, not to form a nonprofit."

We kept IC-Redwood Empire small, informal and operated it as an informal association. We had no paid staff. We volunteered our time. We made no surplus. We simply placed a jar on the table at meetings to collect funds for our newsletter. In fact, we never directly asked for funds from our members. Our meetings were free to all and those who could donate some, whether it be $2 or $20, placed it in the jar. We received MORE money this way than we ever did from the ICA and it was enough to keep our group going.

For those of you in other states: Take some time to research the laws in your state. It could be as simple as a phone call to your local city or county Volunteer Center (listed in the phone book) . Across the US, they offer local non profit groups a wide variety of free resources, from training & classes, to networking with other support groups. Ask them about the laws in your state. With luck, you may have a law like ours allowing to you be informally organized. In other cases, though, you may want to become a small 501(c)3. The filing fees are usually modest if you anticipate gross receipts to be less than $10,000 (i.e. around $200 or so).


(4) What's the advantage of an informal structure?
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It's easy to do, keeps a small group going and could, over a period of time, create enough interest to create a larger organization.


(5) What's the disadvantage of an informal structure?
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Donations are not tax deductible. It's important not to mingle personal and group funds. Many banks offer free bank accounts for small clubs or groups, or with modest fees.


(6) What are the legalities and liabilities?
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Recall the training that you've received.

#1. Have your meetings at a local hospital, library or restaurant rather than your house. This will reduce the possibilities of any accidents happening at your house.

#2. Always follow the golden rule. You may NOT give personal medical advice. Begin your meeting with a standard disclaimer and always remember that your job is to encourage the patient to talk about their concerns with their own physician. You cannot and should not give medical advice. Also include your disclaimer on any newsletters that you produce.

To date, we know of no cases where a support group leader has incurred personal liability for groups. But, by following the rules above, you've created a good foundation. Of course, if you have any concerns, talk with your local Volunteer Center or a legal professional. They can help you learn more about this.


(7) Is it worth your time?
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Was it worth your time to be an ICA support group leader? Of course it was. There are patients who need you. Yes, you didn't expect to be cut loose and for your members to be abandoned by the ICA. But, this is a chance to do something new and different.

Focus your new group on more than just support, but in being involved educating your community about IC. As a support group leader, my goal was to bring the nations best resources to my county and to train our local physicians. So, the first event that we did was contact our local teaching hospital and ask them to put interstitial cystitis into their resident grand rounds program for the year. They loved the idea! We called a national IC speaker who not only said "yes" but was on the speakers bureau for a pharmaceutical company who covered all of his expenses. The additional expenses were then covered by the medical association. The next day, our speaker met with over 200 patients in a morning session!

So, think big! Be bold! Give your group members activities to do. Involve them in delivering new information and materials to their physicians. Do letter writing campaigns. Work with other non-profits & support groups in your town. Plan events. Ask your local newspaper to do a story on IC. Get your meetings listed in your newsletter calendar of events. The best support groups aren't just pity parties and people sitting around telling how miserable they are. They mobilize group members to take action and get involved.


(8) What can you do next?
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A. Send a copy of the letter that you received to your group members so that they know that you've been dropped from the ICA. Ask your members if they would be interested in receiving information on a new IC group in your area. This way, you'll be letting them know about what has happened AND you'll be creating a phone and address list that YOU own.

B. Schedule one final meeting to discuss this change and ask your members to bring their thoughts and opinions on whether you should continue your local group.

C. Before the meeting, contact your Volunteer Center to see what resources they have available and learn about the structures for groups available in your state.

D. Walk into the meeting with your heart on your shoulder. You can't do it all.. and it's time to survey your members about what you should do. If no one will step forward and help, then it's probably time to end it. Say thank you to everyone and encourage them to participate in long distance support, either through the ICA or the ICN. Remember that you can't do it all by yourself.

E. If you get some volunteers, then it's time to strike out on your own. Create a small committee, stay late and discuss your options! Go for it!


(9) Are there alternate sources of funding?
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The great thing about being independent is that your members will donate to your group first and this is as it should be. Anyone involved in fundraising knows that local programming attracts the most donors. This is one obstacle that many national groups face. Donors love to see their money benefiting patients in their town, county and state. It may easier than you ever expected to get donations.

Now, it's hard to imagine what to do with $150, $200, $500 or even $1000.00. Don't fritter it away! Encourage your members to continue to bring goodies and water to meetings. Phone bills are always a challenge. Ask your members to call you, especially if it is long distance. Try to use email when possible! Email also works great for meeting announcements too.

Use that extra money for something new that you've never done before, like writing letters to your local doctors introducing your group and about new IC resources in the area.

Consider doing a bake sale or garage sale for your group. You couldn't do that under the ICA and keep the money for your group but you can do that now as an independent group. Just one sale could generate all the money you need for a years worth of newsletters. Just remember that the donations are NOT tax deductible.

Remember that pharmaceutical sales reps can also help. You can call Alza and ask for the name of your local sales rep. When you talk with that rep, explain that your group was disbanded by the ICA but that you would like to continue it. Ask them if they'll fund your first mailing to the doctors in your area. They just might be able to help you. You don't have to, nor should you, give them member info like names and addresses. In a fair exchange, you can invite them to come and take questions at your group. Some sales reps really help groups buy providing books, chair cushions or videos too! It's worth considering.


(10) Can you expect recognition or referrals from the ICA for new patients in your area.
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Historically, the ICA has denied the presence of independent support groups. So, be prepared for no referrals or recognition from them at all. But, we're very happy to help you promote your group. You can list your group on our web site at any time. Did you know that we have message boards for each state in the USA? Feel free to announce meetings and promote your group in those boards. You're welcome to ask ICN users in your state to attend your group. (http://www.ic-network.com/cgi-bin/ubb/Ultimate.cgi?action=intro)

As far as we're concerned, it's not about the ICA or the ICN. It's about sharing important support opportunities to patients in need. If you have a local group, we're happy to spread your news. If you decide not to continue your group, we do have weekly support group meetings and guest lectures on our web site, all for free. If someone doesn't have access to the web, the ICA's phone friends program is certainly a viable alternative.


(11) What non-ICA materials are available?
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There are many free sources of IC information on the web that you can use with your group.

You can get a free booklet on IC that's quite good from the NIDDK that is great for newbies. The NIDDK also has a lot of non-copyrighted materials that you can print off the web and use. Just visit http://www.niddk.nih.gov for more info!

You can also do searches for new IC articles at the National Library of Medicine's web site, PubMed. This will give you an updated listing of IC journal and research articles that you can print out and distribute to your group. Once you get the abstracts, you can also visit your local medical library to get full copies of articles. (http://www.ncbi.nlm.nih.gov/PubMed/)

You are also certainly welcome to use any of the articles and resources on our web site (http://www.ic-network.com) for your group. We have monthly articles on diet, self care, new research breakthroughs and much more. We also have a free monthly newsletter that you and your members are welcome to sign up for. The only restriction that we have is that our materials maintain their copyright and not be resold for a profit, though you are welcome to ask for help with copying fees. We know that many of you have done this and we're really glad that you've found our information useful.

The pharmaceutical companies (especially Alza) have lots of preprinted materials available, including informational brochures, voiding diaries, samples and much more.


(12) What does the ICN get out of it?
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Pride in the sheer power of IC patients to do wonderful things and to care for the IC patients around them. When the ICA stopped helping us, we proved that it is possible to do it without them. You can do it too... and we'd love to inspire you to be active and go for it. The more IC activists the better!


(13) What's up with the ICA finances?
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I encourage you to ask some tough questions of the ICA in light of their decision to cease your support group activities. I don't think that anyone who has donated to the ICA in the past should patently accept a simple explanation of "due to financial reasons." This is a serious setback to the IC movement in the US. It is appropriate for you and your group members to ask the appropriate "who, what, where, why & how" questions to better understand what has brought the ICA to its financial knees before you commit further donor dollars.

Some important questions to ask are:
1. Who is on the corporate board of directors? Do they have the necessary financial skills and fund development training to guide this organization? Are they recruiting new board members with better skills and fresh ideas?
2. What specifically led to the loss of funds? Who on staff was responsible for monitoring the budget?
3. What other changes were made to reduce the budget? A reduction of salaries?? Staff at part time salaries?? Smaller offices??
4. Why weren't donors and members informed of this months ago?
5. What plans do they have in the future to prevent this from happening again?
6. How can donors participate in future financial reviews of the organization? Why aren't there traditional "annual meetings" where members are given the chance to review and discuss the finances of the organization?
7. Demand that their annual report & IRS Form 990 be published on their web site so that you can monitor the financial health of this organization.

The National Charities Information Bureau (http://www.give.org) has a wonderful web site that will help you understand how non-profit organizations should operate and what you have the right to know about an organization that you would like to donate to.


(14) How IC Redwood Empire became independent of the ICA?
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I began my involvement back in 1993 when I became an ICA support group leader. I was newly diagnosed, had just lost my job and was scared out of my mind about IC. But one thing I did know is that I couldn't sit back and not try to be a part of the IC movement. The ICA needed group leaders and I served as an ICA group leader for two years.

Our group started small but then grew very quickly. After the first year, we had more than 200 people on our mailing list. Now, if you have been an ICA support group leader for some time, then you know how difficult it was to get adequate funding, especially in the mid 1990's. For me, it seemed as if the national office didn't really care about funding our group.

When I asked to do a newsletter to reach out to those patients who were homebound, I was told "No." We did the newsletter anyway and paid for it out of our own pockets... just like many of you have done. When I offered to build the ICA the first web site on IC, I was told that the internet would never work. (Out of frustration and my belief that this could work, I built the Interstitial Cystitis Network web site, specifically as a FREE resource of IC information). Our group eventually made the decision to become independent. We haven't regretted that decision.


Now that all official ICA groups are disbanded, we wanted to encourage you to do it on your own. Just imagine the good that can happen if all groups finally collaborated together without worrying about politics. We could share successful meeting ideas and topics. We could jointly work on media campaigns. We could support each other as support group leaders and volunteers. We could ask each other for help if we have someone that we're concerned about. If you are interested, I'm happy to create a new message board just for IC support group leaders to meet, talk, and compare their ideas. Why not!

If I can help you in any other way, please ask! I know that some of you have been told misleading things about my work and our web site... including that it is "for profit." I'm a patient just like you who finally decided to make the break from the ICA. I'm proud of the work of my IC friends and ICN volunteers who work, daily, to make our web site and publishing company really useful to IC patients and support groups world wide. Please remember that our site is completely free to all. We won't ask you or any of our users for money to use our services, including the opportunity to attend guest lectures online from many of the leading US researchers and physicians. Our site is supported by a few select advertisers and the purchase of books, chair cushions, heating pads, optional subscriptions and other materials from our site.

I welcome you to the independent IC group community. If my group could do it, I bet yours has a good chance too! Think about it. Consider it. If it feels right, go for it!

Best wishes to you,


Jill Osborne, M.A.
SGL, IC-Redwood Empire - 1993-2000

Founder, Interstitial Cystitis Network
http://www.ic-network.com

5636 Del Monte Court
Santa Rosa, CA USA 95409
(707)538-9442 - Voice
(707)538-9444 - FAX
E-mail: jill@sonic.net


p.s. Many thanks to those former ICA group leaders & state coordinators who helped to write and review this letter! You know who you are!

 




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