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DocuSign Envelope ID:60192208-BFA3-4E38-9277-B2390FDDC97D <br /> EXHIBIT A <br /> PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> Orange County children exposed to domestic violence annually is approximately <br /> 6,025. Children exposed to violence exhibit significantly higher levels of emotional <br /> and behavioral problems than their peers, and research indicates that these <br /> adverse effects carry over into adulthood, leaving violence-exposed children at <br /> greater risk for negative physical and mental health outcomes, including heart <br /> disease, stroke, depression, suicide attempts, sexually transmitted infections, and <br /> substance abuse. All of these consequences contribute to social inequity in that <br /> they hinder the ability of individuals to live productive, satisfying, and self-sufficient <br /> lives. In this way, children's exposure to violence is indisputably a social justice <br /> issue. <br /> Evidence for the local need for the Strong Fathers Program can be gleaned from <br /> referral data provided by the Strong Fathers Program based out of Durham. Over <br /> the last year, 20 fathers were referred by Orange County Child Protective Services <br /> workers to the Strong Fathers Program in Durham. This represents concrete <br /> evidence of the need for this program here in the Orange County community. <br /> f) Who is your target population of individuals to benefit from this program and how <br /> will they be identified and connected with the program? <br /> Individuals who stand to benefit from our programs include those mandated to <br /> participate as well as their family members and other contacts in the community. <br /> Participants will be identified and referred primarily by court personnel and child <br /> protective services social workers. Because Behavioral Insights cannot predict to <br /> which program an individual will be referred, we are requesting financial support for <br /> all three class offerings combined. <br /> g) Describe the credentials of the program manager and other key staff. (Ex. Identify <br /> Program Manager and credentials, describe training provided to volunteers, etc.) <br /> Executive Director, Kathryn "Katie" Bauman is a licensed clinical social worker with <br /> 9 years of experience working with children and families impacted by trauma. She <br /> co-wrote the Strong Fathers curriculum in 2009, began facilitating groups in 2012, <br /> and assumed directorship of the Strong Fathers Program's operations in Durham in <br /> 2013. Through her work with Strong Fathers, she has developed a skill and passion <br /> for working with men overcoming cycles of family violence. As a licensed clinical <br /> social worker, she is experienced at conducting bio-psycho-social assessments and <br /> using evidence-based treatment modalities to motivate behavior change. While <br /> transitioning to the role of Behavioral Insights Executive Director, Kathryn received <br /> training on Behavioral Insights' Batterer Intervention Program from outgoing director <br /> Joyce Kuhn. Ms. Bauman will attend a more comprehensive training for facilitators <br /> of certified Batterer Intervention programming later this year. Ms. Bauman can <br /> provide services in English and Spanish. <br /> All facilitators hired to conduct Batterer Intervention, Anger Management, and <br /> Strong Fathers groups will be trained at least to the extent required by state and <br /> programmatic certifications. All will be expected to complete continuing education <br /> annually to stay abreast of the latest research regarding work with our clients. All <br /> PROGRAM INFORMATION 1/30/2017 10:59:56 AM Page 13 of 21 <br />