Orange County NC Website
DocuSign Envelope ID: B9586FD4-5663-4F3F-8147-A6259742B4B5 <br /> EXHIBIT"A" <br /> Scope of Services—FY 2015-16 <br /> Outside Agency Performance Agreement <br /> Agency Name: El Futuro, Inc. <br /> Program Name: El Futuro Clinical Services Program <br /> Funding Award: $27,500 <br /> Outline how the agency will spend Orange County's funding award. <br /> Expense Description Amount <br /> Salaries for Executive Director,Psychiatrist,three licensed clinicians $27,500 <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 /> • El Futuro will serve 225 Latino Orange County community members through our Orange County <br /> Clinical Services Program. <br /> • Outpatient mental health and substance abuse treatment services will include psychiatric care and <br /> psychotherapy,evaluations;crisis interventions, and individual and family based treatment. <br /> • <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 /> 70%(157 individuals)served will experience an improvement or stabilization in clinical 157 <br /> symptoms such as depression, anxiety and PTSD. <br /> 60%of individuals served will experience an improvement or stabilization in functional 135 <br /> indicators, such as the ability to work, etc. <br /> 90%of clients served will express satisfaction with the services they received at El 203 <br /> Futuro and state they were helped with their presenting problem. <br /> D0 uSigned by <br /> C, Swil <br /> C2E60264B503461 . <br /> r <br /> Certified by: <br /> L�s�� ���Ory Title: � ��I� � l��t(M Date: 2 <br /> (Provider's Signature) �rve �� <br />