2017-707-E Finance - Institute of Art Therapy outside agency agreement

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DocuSign Envelope ID:C70973D3-D989-4F31-A95E-3BCC099C95E7 XHIBIT A PROVIDER'S OUTSIDE AGENCY APPLICATION 2. AGENCY INFORMATION (Be Very Brief and Concise) Please provide the following information about your agency (2 pages OR LESS): a) Years in Operation, Date of Incorporation (Month/Year): Sept., 2009 b) Agency's Purpose/Mission (no more than a few sentences): The Art Therapy Institute is an organization of mental health professionals inspired by the healing power of the arts. We provide clinical art therapy services to diverse populations, empowering clients to develop their artistic identities. We also offer training to allied professionals and seek to raise awareness in the general community about our profession and the benefits of art therapy. c) Types of Services the Agency Provides (bullet format): ATI's masters-level clinicians provide community-based services and improve access to mental health services for underserved populations. By approaching mental health issues through the healing components of the arts, ATI provides support that is culturally sensitive to a wide range of populations and prevents the need for more intensive interventions. ATI currently serves the following populations through our diverse programs: • Refugees from Burma, Syria, and many other countries • General ESL newcomers from many countries • Children with intellectual and physical disabilities • Adults with mental illness • Children receiving bone marrow transplants or treatment for cancer • Elderly patients with Alzheimer's and dementia • General art therapy referrals from community members • Continuing Education and Workshops for Allied Mental Health Providers d) Agency's History with Providing These Services: ATI has been working on the Newcomer Art Therapy Program since 2008, and has grown this program very slowly from its initial focus on children who are refugees from Burma to refugees from many countries. This growth has occurred thoughtfully with substantial input from community members, clients, and key stakeholders. We continue to monitor and evaluate our program to ensure effectiveness and alter goals and desired outcomes as needed so we continue to meet our refugee client's needs as they shift as well. This program has grown tremendously since inception. Beginning in a similar, grassroots manner, the executive director (ED) of ATI started an art therapy program for students with exceptional needs in the Chapel Hill/Carrboro schools in 2005, in one school, prior to founding ATI. The contract was brought in house to ATI and we have been serving the entire Exceptional Children's (EC) program since. This contract continues to grow in scope, and we currently serve all of the self-contained classrooms in the district, providing services to over 140 students annually. We work closely with the administration, teachers, and other staff to deliver art therapy services that enhance the growth, development, and opportunity for success for all of our students. Our other programs, while smaller in scope, remain passion projects of our clinicians, and we work with children in pediatric oncology at Duke and UNC, elders in memory care Agency Information 2/8/2017 3:01:12 PM Page 8 of 20