Orange County NC Website
DocuSign Envelope ID: 37D4F6F1-AC79-498E-8C6C-2FCA1 B5F95B6 <br /> EXHIBIT"A" <br /> Scope of Services—FY 2015-16 <br /> Outside Agency Performance Agreement <br /> Agency Name: Freedom House Recovery Center,Inc. <br /> Program Name: Chapel Hill Facility Based Crisis And Detox Services And Alvis Women's And <br /> Men's Halway Houses In Chapel Hill <br /> Funding Award: $29,000 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Personnel-- Salaries $21,000 <br /> Personnel--FICA and Fringe $1,606 <br /> Travel/Mileage $800 <br /> Office Supplies $929 <br /> Program Supplies $4,665 <br /> Total $29,000 <br /> Program Services <br /> For assistance with this or the following section, please reference the Exhibit A instructions and example, located within the <br /> contract and reporting memorandum. Outline the major activities the agency will employ to attain the Anticipated Outcomes <br /> below,by June 30,2016. <br /> • Freedom House Recovery Center promotes recovery and breaks the cycle of poverty, addiction <br /> and illness by providing the first step toward wellness and recovery for people in crisis in our <br /> Facility-Based Crisis and Detox Center in Chapel Hill and by providing long-term, residential <br /> care and treatment in our 22 bed halfway houses for men and women aged 18 and older in Chapel <br /> Hill. <br /> • Crisis & Detox Services: provide critical assessment and immediate treatment and planning <br /> services in strong response to the crises events in the lives of individuals suffering from mental <br /> illness and /or addiction with the goal of ensuring clients move to the appropriate next level of <br /> care,and diverting the number of referred clients from local emergency departments. <br /> • Chapel Hill Halfway Houses: provide long-term (3-6 months) recovery and community support <br /> services to men and women in need of addiction and recovery treatment in order to break the <br /> cycle of addicted behavior. We will collaborate with community stakeholders to identify referrals <br /> to maintain a high bed utilization rate and work with clients to develop a Personal Treatment Plan <br /> with the goal of self-sufficeny, including housing and employment, and sobriety. <br /> Anticipated Outcomes <br /> The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br /> County, only (all Towns and municipalities). If you use percentages, you must also provide the total number of participants <br /> within that measure's description or for an earlier performance measure. <br /> Performance Measures Anticipated <br /> Results <br /> Number of clients served in Facility-Based Crisis and Detox 2,050 <br /> Percentage of clients in Facility-Based Crisis and Detox who receive treatment and 100 <br /> discharge planning to appropriate ne le —aNV&d by: <br /> BA5B219C 54 <br /> Certified by: '' Title: Z ID Date: 1,3 l <br /> Provider's Signature) <br />