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DocuSign Envelope ID:4FF28E49-EE56-4A40-9331-F55AA8A05998 <br /> EXHIBIT A: PROVIDER'S OUTSIDE AGENCY APPLICATION <br /> especially residents of the Northside neighborhood and the Rogers Road Habitat Housing <br /> development (where many of our clients reside). Our program also aligns with Chapel Hill's goal <br /> to "Create a Place for Everyone" through cultural arts engagement. ATI's art therapy program <br /> brings free, arts-based services to some of our county's most disadvantaged residents, who <br /> wouldn't normally have access to or know how to access these types of programs. <br /> Finally, data from the Chapel Hill Human Services Needs Assessment indicate that <br /> residents need affordable healthcare, education and family resources, and jobs and job <br /> training. ATI's NATP addresses all these needs in different ways. First and foremost, through <br /> grants, private donations, and Medicaid billing, we provide mental health services free of <br /> charge to newcomer clients. Our adult services, in particular, include "hybrid groups" focusing <br /> on health education, family education, and resource sharing. We also provide vocational <br /> support to high school students and newcomer adults. Finally, we hire newcomers to interpret, <br /> provide cultural trainings to staff members, and most recently, for billing/accounting support! <br /> Who is your target population of individuals to benefit from this program and how will <br /> they be identified and connected with the program? ATI is seeking funding to continue <br /> support for the most vulnerable newcomers—those without insurance—and for group art therapy <br /> sessions, which cannot be billed to insurance. Funding will be used to support services for both <br /> newcomer students in the local schools, as well as adults in the greater community. Students <br /> are referred for art therapy by school staff, medical professionals, and other community <br /> members involved with the local newcomer population. Reasons for student referrals include but <br /> are not limited to, academic struggles; behavioral, emotional, and social issues; and/or <br /> knowledge of family discord or trauma. After receiving the referrals, therapists meet with the <br /> students' families, describe art therapy, develop treatment plans, and obtain all necessary <br /> consent and release forms. Newcomer adults are referred to ATI through various partnering <br /> resettlement agencies and community-based refugee support programs. Reasons for adult <br /> referrals generally include symptoms of PTSD, anxiety, and depression, other mental health <br /> concerns, social isolation, or acculturation issues. <br /> 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 /> ATI therapists have Masters degrees in art therapy or related fields and are all fully licensed or <br /> working towards full licensure as professional counselors in NC. All clinicians receive weekly <br /> group supervision and individual supervision as needed, according to client load and level of <br /> licensure. ATI therapists and interns have a combined 50+ years of experience working with <br /> newcomers, and receive annual training in multicultural competencies. In addition to this <br /> extensive clinical experience and training, the ED is actively pursuing her PhD in expressive <br /> arts therapy, with a dissertation focused on refugee mental health. Research on newcomer <br /> programming is conducted in collaboration with various universities including UNC-Chapel Hill, <br /> UNC-Greensboro, Duke University, Lesley University, and other community-based agencies. <br /> Describe the specific period over which the activities will be carried out and include an <br /> implementation timeline. With the requested funding amount, ATI can conduct approximately <br /> 20 weeks of group and individual art therapy services for 150 newcomers from over 25 <br /> countries between July 1, 2018 and June 30, 2019. Research/evaluation efforts will be <br /> conducted within the same time frame. Most of the clinical programming will be conducted <br /> during the school year, unless the schools or partnering refugee agencies feel that summer <br /> services are more beneficial for newcomer clients. <br /> Why is funding this program a good investment for the community? How does funding <br /> this program add value to the community? (250 words OR LESS). Our program allows <br /> vulnerable (and amazing!) newcomer children and adults to better participate in and contribute <br /> PROGRAM INFORMATION 1/23/2018 10:01:04 AM P a g e 1 6 o f 2 4 <br />