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DocuSign Envelope ID:78 e-B256-33o571Ae4687 [ /\- continued <br /> Provider's Outside Agency Application <br /> MAIN APPLICATION <br /> - -- <br /> Actual Estimated Projected <br /> 2014-2015 2015'2016 2016-2017 <br /> The Charles House Daytime Program <br /> supports family caregivers by offering <br /> respite from the ongoing concerns of <br /> Program Activity 1 caring for a loved one and by Same Same <br /> supporting the best functioning of <br /> their loved ones through participation <br /> in the therapeutic program <br /> Enrollment in the program allows <br /> Program Goal caregiving families to continue their Same Same <br /> caregiving as they wish. <br /> w <br /> 50%of enrolled families in the <br /> funding year will have the capacity to <br /> Performance continue providing care in the home <br /> Same Same <br /> Measures and not require,or delay, residential <br /> carep|acemenifortheirpaMidpant/ <br /> enrollee. <br /> At the end of the FY, it is It is being projected that <br /> estoimated that 60%of in FY16-17 that 65%of the <br /> the families enrolled at families enrolled at the <br /> Program Results At the end of the FY, 70%of the the beginning of the FY beginning of the FY will <br /> families enrolled at the beginning of will still be engaged in still be engaged in caring <br /> the FY were still engaged in caring for caring for their loved ones for their loved ones at <br /> their loved ones. with Charles House. Charles House. <br /> It is projected that the <br /> In the 2015 Caregiver annual Caregiver Survey in <br /> Survey, I000%of 20I6 will show a high <br /> Program Results In the 2014 Caregiver Survey, 100%of respondent families percentage>85%of <br /> respondent families reported reported improved respondent families will <br /> improved functioning in their family functioning in their family report improvements in <br /> members members functioning. <br /> The relationship Charles House <br /> maintains with enrolled families is the <br /> basis for the collaboration in caring. <br /> The daytime program works to support <br /> a variety of functioning abilities for <br /> Program Activity 2 participants: including self-esteem, Same Same <br /> gross and fine motor skills, social <br /> skills,verbal skills, ambulation, <br /> memory and reminiscence,activities of <br /> daily living. <br /> Main Application 1/25/2016 11:54:37 AM Page 15 of 21 <br />