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<br /> EXHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> such as "Protect and Provide for a Safe Community" are impossible to achieve without
<br /> addressing the trauma risk factors of the community. Numerous individual, family, and
<br /> community factors can contribute to abuse and neglect (Centers for Disease Control and
<br /> Prevention, 2016). Individual factors such as age, disability, and mental health factors put a
<br /> child at risk. Community and Family factors such as poverty, low education, substance use,
<br /> mental health disorders, domestic violence, prison, history of child abuse, lack of
<br /> knowledge of parenting/child development, social isolation, and community disadvantage
<br /> (e.g., community violence, high poverty and residential instability, high unemployment
<br /> rates, and high density of alcohol outlets) also can lead to concentrate rates of child abuse
<br /> and neglect/trauma. These risk factors are connected to town needs assessments and
<br /> Orange County social values. Overall Orange County appears to have the following
<br /> community concerns: insufficient basic needs; transportation, need for financial stability;
<br /> mental illness/substance abuse rates and need for services; and community and family
<br /> violence rates (Orange County Community Health Assessment, 2015). Orange County has
<br /> 14.3% of its people living in poverty according to the 20015 U,S. Census Bureau. The
<br /> Small Area Income and Poverty Estimate [SAIPE] by the U.S. Census Bureau shows that
<br /> Orange County has 13.1% of the youth living in poverty (2016). In Orange County, 9.8% of
<br /> the population are Medicaid eligible (NC DHHS, Division of Medical Assistance [DMA],
<br /> 2015).Though Parent Aide services cannot wholly improve financial status, we will assist
<br /> families with supports that will help to buffer the risk of abuse and neglect from factors
<br /> relating to poverty.
<br /> Domestic Violence brings a risk of trauma exposure to children in homes of the families !h
<br /> experiencing this problem, which leads to long term consequences of abuse/neglect. In
<br /> 2013-2014 in Orange County there were 1,542 domestic violence calls, 360 clients were
<br /> provided with domestic violence services, and 1,252 calls and 457 clients served due to
<br /> sexual assault(North Carolina Council for Women, 2013-14). Studies have found abused li
<br /> and neglected children to be at least 25 percent more likely to experience problems such
<br /> as delinquency, teen pregnancy, low academic achievement, substance abuse, and mental
<br /> illness (Kelley, Thornberry, & Smith, in U.S. DHHS Child Welfare Gateway, 2012). As
<br /> abused and neglected children develop, studies show that they are 11 times more likely to
<br /> be arrested for criminal behavior as a juvenile, 2.7 times more likely to be arrested for
<br /> violent and criminal behavior as an adult, and 3.1 times more likely to be arrested for one of
<br /> many forms of violent crime as juveniles or adults (English, Widom, & Brandford, 2004).
<br /> Delinquent rates in 2014 in Orange County of youth 6-15 is 11.74% (DPS County
<br /> Databook, 2014). Parent Aide services address these risk factors directly in the home by
<br /> providing concrete parenting education, case management, and advocacy to assist families
<br /> in finding needed services to address mental health and substance abuse, and
<br /> transportation assistance.
<br /> f) Who is your target population of individuals to benefit from this program and how will they be
<br /> identified and connected with the program?
<br /> The target population of Parent Aide Program services is 20 families (11 with these funds) in
<br /> Orange County(5), Chapel Hill (5), and Carrboro (1) at risk of and/or involved in abuse and
<br /> neglect, These families include various socioeconomic backgrounds and will match the
<br /> diversity of the County (76.6% white, 12.3% Black, 8.5% Hispanic/Latino, and 7.9% Asian
<br /> per the 2015 US Census). Marketing to county referring sources (Dept. of Social Services,
<br /> Dept. of Public Health, Schools, Non-profits, For-profits, businesses, mental health
<br /> companies, churches, local mental health entity, etc.) will allow the agency to solicit referrals
<br /> for families needin g made Self-referrals e b
<br /> _. . . . . .. ... .. .. Y parents in the community will be
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