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AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY <br />FISCAL YEAR 3O1B/2U1S ' <br />A-ProgramCoverPaga <br />Telephone: (772)569-9788 <br />Fax: (772) 569-2088 <br />E -Mail: rjb@�n <br />| certify �Ulsd information contained in this application accurately reflects the activities of this agency and <br />that the expenditures orportions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />Signature <br />Robert J. Brugnoli, Ph.D. <br />Print name and title <br />Brief description of the Progr�!m for which funding is requested, <br />Funding is requested to help support the Mental Health Association Walk -In & Counseling Center. The <br />Walk -In & Counseling Center provides immediate access to mental health screening and crisis <br />intervention services to Indian River County residents of all ages for free. It is the only mental health <br />agency in Indian River County that provides free immediate access to mental health screening and <br />crisis intervention services. The Mental.Health Walk-in Center also provides mental health services by <br />appointment on a sliding fee schedule beginning at zero dollars for clients who are indigent. Immediate <br />access services include mental health screening, crisis intervention, immediate case management, and <br />info rnnadon/refe,raIs. Sen/ices byappointment include psychiatric evaluation, medication management, <br />individual psychotherapy, family psychotherapy, group therapy and support group services. The Walk -In <br />& Counseling Center also has a medication assistance program through which indigent clients of the <br />MHA are able to receive free medications. Services are available Monday -Friday, 8:30amto 5:38 pm. <br />TheVVa|k'|nCenteris|ocatedot82O37mP|ace,VernBeach,FL3J960andisaccessib|ebypub|ic <br />transportation. <br />Summary Keport <br />Amount requested from Indian River County for 2D1O/2U1Q:. $23.421 <br />Total Proposed Program budget for 2018/2O19: $1.212.534 <br />Percent oftotal Program budget: 1.9% <br />Current Funding (2O17/2O18) $22.962 <br />Dollar increase /(deunemse)inrequest, $458 <br />Percent increase / decrease in request: 2% <br />If request| <br />Not Applicable <br />The Organization's Board of Directors has approve' °`-7p|icationon(daba:O4/17/2018 <br />K4enha|HeaUhAasooiahoninIndian <br />Agency� <br />River County <br />Contact Person: <br />Robert J.8rugno|iPh.D. <br />Title: <br />Executive Director <br />Address <br />O2O'37^'Place <br />Vero Beach, Florida 320GU <br />Website Address: <br />vvwxw.nnhairo.nrg <br />Program Title: <br />Walk -In & Counseling Center <br />Telephone: (772)569-9788 <br />Fax: (772) 569-2088 <br />E -Mail: rjb@�n <br />| certify �Ulsd information contained in this application accurately reflects the activities of this agency and <br />that the expenditures orportions thereof for which County funds are being requested are not reimbursed <br />by any other source. <br />Signature <br />Robert J. Brugnoli, Ph.D. <br />Print name and title <br />Brief description of the Progr�!m for which funding is requested, <br />Funding is requested to help support the Mental Health Association Walk -In & Counseling Center. The <br />Walk -In & Counseling Center provides immediate access to mental health screening and crisis <br />intervention services to Indian River County residents of all ages for free. It is the only mental health <br />agency in Indian River County that provides free immediate access to mental health screening and <br />crisis intervention services. The Mental.Health Walk-in Center also provides mental health services by <br />appointment on a sliding fee schedule beginning at zero dollars for clients who are indigent. Immediate <br />access services include mental health screening, crisis intervention, immediate case management, and <br />info rnnadon/refe,raIs. Sen/ices byappointment include psychiatric evaluation, medication management, <br />individual psychotherapy, family psychotherapy, group therapy and support group services. The Walk -In <br />& Counseling Center also has a medication assistance program through which indigent clients of the <br />MHA are able to receive free medications. Services are available Monday -Friday, 8:30amto 5:38 pm. <br />TheVVa|k'|nCenteris|ocatedot82O37mP|ace,VernBeach,FL3J960andisaccessib|ebypub|ic <br />transportation. <br />Summary Keport <br />Amount requested from Indian River County for 2D1O/2U1Q:. $23.421 <br />Total Proposed Program budget for 2018/2O19: $1.212.534 <br />Percent oftotal Program budget: 1.9% <br />Current Funding (2O17/2O18) $22.962 <br />Dollar increase /(deunemse)inrequest, $458 <br />Percent increase / decrease in request: 2% <br />If request| <br />Not Applicable <br />The Organization's Board of Directors has approve' °`-7p|icationon(daba:O4/17/2018 <br />