2018-413-E Finance - Duke Home and Hospice Care outside agency agreement

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DocuSign Envelope ID: E8DFACF7 -45BE- 435E- 9B5A- BB177E968F07 EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION • 691%0 of classroom teachers (almost 7 in 10) have a student who lost someone close to them in past year • Only 7% of those teachers had ever received Bereavement Training and only 3% said their school or district offers it. Of the 7% who had training, 46% sought it out themselves • Only I% of teachers received bereavement training as part of their coursework in college or graduate school • 63% said insufficient training and professional development are the primary things that hinders them from supporting grieving students. • Still "taboo" topics. Don't deny the reality of death, but we often deny the grief and the powerlessness that accompanies death. Bereaved can be under supported, which adds to the negative emotional impact of loss. 0) Describe what would happen: Duke Hospice Bereavement Services provides the most comprehensive children's bereavement program in the area. The area likely to be most impacted by a reduction in funding would be our ability to respond to all of the requests for support services to the schools. We would continue to provide counseling and support to any child but would be challenged in our ability to take those services to the children; instead the parents/guardians would bear some of the burden of getting their children to the site where our services are offered. We would continue to seek funding from other sources to ensure our ability to reach children where they are and not increase the burden of seeking care during a time when families lives are in disarray due to the death of a significant family member. W Other pertinent information: INAinimizing change in a child's lire will often lead to a better outcome, but change is inevitable when an integral member of the family dies. Death can have a ripple effect and mourning the secondary losses can become an important part of the grieving process. These losses can be numerous and can continue for a child's lifetinie A significant loss creates changes in relationship both within the family and beyond. ilSourrlirrg family members may be unavailable to the child in the same way and thus the child "looses" them in a way too. These changes effect the relationships within the fancily, and people outside the family may also act differently. The child's friends may act differently or the child may seek out other friends or peer groups as a result of the loss. There can be major lifestyle changes with a death. if the deceased contributed to the family's finances, there can be significant financial implications. Some children will need to move, which could involve the loss of not only their home but also perhaps the school they were in, the neighbors they left behind, etc. The child's extracurricular activities may no longer be possible clue to financial or logistical reasons