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DocuSign Envelope ID:9F461F1C-C86C-42DC-B78C-50FC18D204DF <br /> EXHIBIT B:CARDINAL MENTAL HEALTH APPLICATION <br /> Work Statement <br /> e) Complete the Work Statement Chart to describe the work to be performed. <br /> This chart is used to document program activities, program goals, performance measures, <br /> and actual results. (Add more rows as needed) if this is a new program, you will only <br /> document the projected information. Every program is required to have AT LEAST 1 <br /> Program Activity, which should be SMART(�jpecific, Measurable, Achievable, Relevant, and <br /> Time-bound. Click on SMART Goals to learn more. <br /> • Program Activities should outline major activities the agency implements to accomplish its <br /> program goals. (i.e. Deliver meals to elderly/disabled residents.) <br /> • Program Goal should explain what the program is trying to achieve/accomplish. Goals are <br /> statements about what the program should accomplish. (i.e. Deliver 100 meals per day, <br /> Monday-Friday.) <br /> • Performance Measures describe how you will evaluate the degree in which you achieved <br /> the stated goals. (i.e. Will track the number of meals delivered each day.) <br /> • Actual Program Results use program results to indicate the actual measureable <br /> achievement of goals. If goals were not met, please explain. (i.e. Delivered an average of <br /> 105 meals per day.) <br /> Work Statement Chart for Program <br /> 1. Program Activity Name Clinical Therapy Services: Reach and Retention <br /> Program Goal With these funds, ATI will reach at least 30 newcomers in Orange <br /> County through both individual and group therapy services. (Served <br /> weekly or monthly throughout the year) <br /> Performance Measures Art therapy records of attendance <br /> Previous Year Program Results Cardinal's DFA was not evaluated last year. <br /> Current Year Estimated Results Cardinal's DFA was not evaluated this year. <br /> Next Year Projected Results At least 30 newcomer adults and children will be provided with <br /> weekly or monthly therapy services through this funding. <br /> 2. Program Activity Name Training and Supervision <br /> Program Goal All ATI clinicians and interns (10) will receive cultural training and <br /> clinical supervision as related to this project. (At least 3 hours of <br /> cultural training each, and at least 30 hours of supervision each) <br /> Performance Measures Records of hours of attendance in training and supervision <br /> Previous Year Program Results Cardinal's DFA was not evaluated last year. <br /> Current Year Estimated Results Cardinal's DFA was not evaluated last year. <br /> Next Year Projected Results 10 ATI clinicians and interns in the NATP program will receive <br /> training and supervision. (At least 3 hours of cultural training each, <br /> and at least 30 hours of supervision each <br /> 3. Program Activity Name Interpretation <br /> Program Goal ATI will hire interpreters to serve at least 75 newcomer clients <br /> during the 18-19 fiscal year. <br /> Performance Measures Record of number of newcomer clients served by interpreters <br /> Previous Year Program Results Cardinal's DFA was not evaluated last year. <br /> Current Year Estimated Results Cardinal's DFA was not evaluated last year. <br /> Next Year Projected Results 75 newcomers will receive interpreter services through ATI. <br /> 4. Program Activity Name Research and Evaluation <br /> PROGRAM INFORMATION 8/28/2018 5:02:49 PM P a g e 7 o <br />