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DocuSign Envelope ID:4D553CF7-2BBD-4F4E-B84E-E6B8B077A9AB <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> mental health issues, learning differences, high-functioning Autism, substance abuse <br /> problems, and other challenges. <br /> Family Advocates offer one-on-one and group support, advocacy, parenting skills <br /> training, and community resources to parents who are children with emotional or <br /> behavioral issues. They also work 1:1 and in group settings with parents of at-risk <br /> youth who have mental health/substance abuse conditions. The goal is to strengthen <br /> parenting skills, reduce parent/youth conflicts, set goals and teach parents skills to <br /> reduce or eliminate risk factors. To effectively reach the community, FAN Advocates <br /> maintain a strong presence in juvenile and dependency court proceedings, court <br /> planning, and truancy courts. They also participate in Child and Family Team (CFT) <br /> meetings, Individual Education Plan (IEP) meetings, one-on-one family meetings, and <br /> frequently communicate with court counselors, DSS social workers, educators, as <br /> well as providers in face-to-face conversations, telephone and email contact. FAN is <br /> a best practice program model utilizing evidence based curricula with clients and has <br /> a lengthy history serving Orange County families. <br /> dd)Describe specifically the period over which the activities will be carried out, the frequency <br /> with which the activities will be carried out, and the frequency with which services will be <br /> delivered. Include an implementation timeline. <br /> All programs are year-round, established community programs. The PBCN Program <br /> Coordinator screens clients for eligibility within 24-48 hours of initial client contact. <br /> After eligibility is determined and a clinical intake is accomplished, the Program <br /> Coordinator matches the client with a therapist within 1-2 weeks or sooner. Once the <br /> client is matched with a therapist, the therapist and client determine the frequency <br /> and schedule of the 8 free counseling sessions. <br /> Compeer volunteers make a minimum of a one-year commitment to meet weekly for <br /> at least one hour with their Compeer friend. Volunteers also complete a monthly <br /> report. Each year, Compeer friends, volunteers, referring mental health <br /> professionals, and Compeer staff complete the Compeer Inc. Annual Survey. <br /> When parent-advocate contact is initiated either by a parent contacting the FAN <br /> program as a self-referral or through one of the other referral sources, a FAN <br /> Advocate conducts an assessment to determine the need. While many parents need <br /> intensive case management-like assistance over a period of months, an even greater <br /> number of parents need short-term help with family problem-solving, which can be <br /> accomplished via FAN's family consultation services. <br /> ee)Describe the community need or problem to be addressed in relation to the Chapel Hill <br /> Human Services Needs Assessment, Orange County BOCC Goals and Priorities, Town of Chapel Hill <br /> Council Goals, Carrboro goals, or other community priorities (i.e. Council/Board Goals). <br /> Reference local data (using the provided links, i.e. Chapel Hill Human Services Needs <br /> Assessment)to support the need for this program. <br /> The Affordable Care Act has improved access to mental health services for many; <br /> however, since Medicaid was not expanded in NC, a large proportion of people <br /> remain uninsured and without access to these services. Or, if they have some health <br /> DO NOT SUBMIT THIS PAGE 1/31/2017 11:11:58 AM Page 29 of <br />