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DocuSign Envelope ID:38357F45-0FD1-474F-992F-A2DODA42A3E2 t A- continued <br /> Provider's Outside Agency Application <br /> Individual, group and family grief support is provided as needed and according to mutual <br /> developed goals established between the requesting person and the Duke Hospice Bereavement <br /> staff. <br /> Crisis intervention is available as requested. <br /> School consultation is available upon request. <br /> (g) Bulleted list of other agencies: <br /> • Chapel Hill-Carrboro and Orange County School System <br /> • Triangle Consortium for Suicide Prevention <br /> • Perinatal Loss Education Consortium <br /> • A Helping Hand <br /> • UNC Health System <br /> • Durham Coalition on Grief <br /> • S.O.S <br /> • Compassionate Friends <br /> • Other local non-profit organizations to meet the unmet needs of patients with limited <br /> resources. <br /> (h) Describe what would happen: <br /> Duke Hospice Bereavement Services provides the most comprehensive children's bereavement <br /> program in the area. The area likely to be most impacted by a reduction in funding would be our <br /> ability to respond to all of the requests for support services to the schools. We would continue to <br /> provide counselling and support to any child but would be challenged in our ability to take those <br /> services to the children; instead the parents/guardians would bear some of the burden of getting <br /> their children to the site where our services are offered. We would continue to seek funding <br /> from other sources to ensure our ability to reach children where they are and not increase the <br /> burden of seeking care during a time when families lives are in disarray due to the death of a <br /> significant family member. <br />