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AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY <br />FISCAL YEAR 2018/2019 <br />A. Program Cover Page <br />Agency: Mental Health Association in Indian <br />River County <br />Contact Person: Robert J. Brugnoli, Ph.D. <br />Telephone: (772) 569-9788 <br />Fax: (772) 569-2088 <br />Title: Executive Director E -Mail: rjb@mhairc.org <br />Address: 820-37 th Place <br />Vero Beach, Florida 32960 <br />Website Address: www.mhairc.org <br />APR 1 0 2818 <br />Program Title:. Walk -In & Counseling Center <br />6E T <br />I certify that information contained in this application accurately reflects the activities of this agency and <br />that the expenditures or portions 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 />tsriet description of the Program 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 />information/referrals. Services by appointment 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, 8:30 am to 5:30 pm. <br />The Walk -In Center is located at 820 37th Place, Vero Beach, FL 32960 and is accessible by public <br />transportation. <br />summary KeporE <br />Amount requested from Indian River County for 2018/2019: <br />Total Proposed Program budget for 2018/2019: <br />Percent of total Program budget: <br />Current Funding (2017/2018) <br />Dollar increase / (decrease) in request: <br />Percent increase / decrease in request: <br />it request increasea 5-/o or more, oneny explain wny: <br />Not Applicable <br />$ 23,421 <br />$1,212,534 <br />1.9% <br />$ 22,962 <br />$ 459 <br />2% <br />The Organization's Board of Directors has approved this application on (date): 04/17/2018 <br />