Orange County NC Website
Outside Agency Performance Funds and Managed Care Funds Performance Agreement <br />Certified by: _______________________ Title: __________________________ Date: ____________ <br /> (Provider’s Signature) <br /> <br /> <br />EXHIBIT “B” <br /> <br />Managed Care (Maintenance of Effort) Funds <br />Scope of Work Statement and Program Budget – FY 2021-2022 <br /> <br />Agency Name: El Futuro, Inc. <br />Program Name:Avanza: Mental Health Access & Engagement for Latino Immigrant Families <br />Funding Award: $22,200 <br /> <br />I. Budget. Outline how the agency will spend Orange County’s funding award. Please <br />attach additional sheets as necessary to provide detailed budget outline. <br />II. Program Services <br />Outline the critical services (activities) the agency will employ to attain the Anticipated Outcomes below, by June 30, 2022. * <br />• Provide direct mental heatlh treatment services (individual and group) for Orange Co Latino <br />residents via in-clinic services, school-based treatment, and/or telehealth delivery <br />• Provide mental health prevention and education workshops for Latino parents and caregivers <br />• Collect data and provide program leadership in order to consistently evaluate and adapt based on <br />changing client needs and COVID realities <br />• <br />• <br />III. Anticipated Outcomes <br />The Anticipated Results column must include quantifiable results in the form of number of persons/units served within Orange <br />County, only. If you use percentages, you must also provide the total number of participants within that measure’s description or <br />for an earlier performance measure. * <br />Performance Measures Anticipated <br />Results <br />Latino residents of Orange Co will experience improvement or stabilization of mental <br />health symptoms and/or increased health literacy as a result of treatment provided by El <br />Futuro <br />272 <br />Latino residents will indicate improvement or stabilization in their functional abilities (in <br />typical roles at home, work, or school) due to their participation in therapy or learning <br />activities <br />272 <br />Partnering agencies through whom El Futuro distributes mental health information <br />(recorded webinars, seminars, other) will indicate the information helped their clients <br />4 <br /> <br />Expense Description Amount <br />Personnel $22,200 <br /> <br /> <br /> <br /> <br /> <br />DocuSign Envelope ID: 632D5DCD-C75A-47B6-A24A-296BD1CD5165 <br />10/28/2021Executive Director