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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: Club Nova <br />Program Name: Behavioral Health <br />Funding Award: $163,000 <br /> <br />I. Budget. Outline how the agency will spend Orange County’s funding award. Please attach <br />additional sheets as necessary to provide detailed budget outline. <br />Expense Description Amount <br /> Program Personnel Salary and Benefits and Other Operational Expenses $163,000 <br /> <br />Funding will provide for staffing and other operational costs necessary to operate Club Nova as an accredited <br />Clubhouse Model and evidence-based practice. <br /> <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 /> <br />The Clubhouse Model—one of the most comprehensive, integrated, effective, community-based approaches <br />in addressing the health, safety, social, and economic risks of serious mental illness—provides: <br />• Assistance accessing and navigating quality healthcare <br />• Supports to secure/maintain safe, affordable, dignified housing <br />• Crisis prevention and intervention <br />• Assistance securing and maintaining benefits <br />• Nutritious, affordable meals <br />• Outreach calls and visits to combat isolation and loneliness and prevent crises <br />• Transportation to access Club Nova, necessary services, food, and medication <br />• Employment/Education Program: Addresses high unemployment rates and interrupted educations <br />• Work-Ordered Day: Provides a sense of community, common purpose, and opportunities to <br />contribute, building confidence, skills, and self-worth <br />• Social Program: Addresses isolation and social connectedness <br /> <br />Executive Director January 26, 2022 <br />DocuSign Envelope ID: 11DA72B8-CC83-439E-A25C-F64DE607C614 <br />2/7/2022