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DocuSign Envelope ID:C70973D3-D989-4F31-A95E-3BCC099C95E7 XHIBIT A
<br /> PROVIDER'S OUTSIDE AGENCY APPLICATION
<br /> Studies of refugee children indicate that up to 40% may have psychiatric disorders, such as
<br /> post-traumatic stress disorder, depression, and anxiety.3 Compounding these problems,
<br /> evidence suggests that newcomers, particularly youth, underuse mental health care
<br /> services due to stigma, lack of appropriate translators, financial limitations, and
<br /> insufficiency of mental health care services. Moreover, data from the most recent Chapel
<br /> Hill Human Services Needs Assessment indicate that residents need additional mental
<br /> health service options, especially for young and vulnerable populations (page 6).
<br /> Locally, evaluations of ATI's services have shown that newcomer students are often at risk
<br /> for mental health conditions, academic problems, and difficulties socializing. For instance,
<br /> in a published pilot evaluation of ATI's work, 44% of sampled students were symptomatic
<br /> for depression and 50% had abnormal classroom behavior and emotional symptoms.4 To
<br /> meet the needs of newcomer students and improve mental health, academic, and social
<br /> wellbeing, all of ATI's services are evidence based. For instance, in the past year through
<br /> pre- and post-evaluations, 71% of measured students reported fewer depressive
<br /> symptoms; 57% reported fewer anxiety symptoms; and 52% reported increased happiness.
<br /> ATI is thus meeting needs of newcomers that few other organizations provide.
<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 /> We are seeking funding to continue support for the most vulnerable newcomers—those
<br /> without insurance—and for group art therapy sessions, which cannot be billed to insurance.
<br /> Newcomer students are referred for art therapy by teachers, social workers, counselors,
<br /> medical professionals, and other community members involved with the local newcomer
<br /> population. Reasons for student referrals include, but are not limited to, academic
<br /> struggles; behavioral, emotional, and social issues; and/or knowledge of family discord or
<br /> trauma. After receiving the referrals, therapists visit referred students' homes with an
<br /> interpreter, meet with the families, describe art therapy, develop treatment plans, and
<br /> obtain all necessary consent and release forms.
<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 /> All ATI therapists have master's degrees in art therapy or related fields and are all fully
<br /> licensed or working towards full Iicensure. All clinicians receive weekly group supervision
<br /> and individual supervision as needed, according to client load and level of Iicensure. The
<br /> ED and Associate Director have a combined experience practicing in the field for over 20
<br /> years and the Associate ED is actively pursuing her PhD in expressive art therapy with her
<br /> dissertation research focused on refugee mental health. Art therapy activities for this
<br /> program will be carried out by six ATI therapists and three ATI masters level interns in 17
<br /> participating Chapel Hill, Carrboro, Orange County, and Durham Public schools. In
<br /> addition, we have collaborated with three UNC School of Public Health Capstone teams to
<br /> help us design, implement and publish results from our annual evaluations.
<br /> 3 Hodes, M.(2000). Psychologically distressed refugee children in the United Kingdom. Child Psychology and Psychiatry Review, 5(02),
<br /> 57-68.
<br /> °Kowitt,S. D.,Emmerling, D., Gavarkavich, D., Mershon,C. H.,Linton, K., Rubesin, H.,Agnew-Brune, C.,&Eng, E. (2016).A Pilot
<br /> Evaluation of an Art Therapy Program for Refugee Youth From Burma.Art Therapy, 33(1), 13-20.
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