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EXHIBIT A AGENCY REQUEST FOR FUNDING FROM Indian River COUNTY FISCAL YEAR 2020/2021 A. Program Cover Page Agency: Contact Person: Title: Address: Mental Health Association in Indian River County Dr. Nicholas Coppola Chief Executive Officer 820 37th Place Telephone: 772-569-9788 Fax: 772-569-2088 E -Mail: nick@mhairc.org Vero Beach, FL 32960 Website Address: www.mhairc.org Program Title: MHA Walk -In & Counseling Center I certify that informati ontainecl in this application accurately reflects the activities of this agency and that tie/expen es or rth�l for which County funds are being requested are not reimbursed yany Cher urceU Nicholas Coppola, MBA, DO, CEO Sigrl6ture��% /) / Print name and title 1 Brief descri the Program for which funding is requested: Funding is requested to subsidized the crucial mental health services for IRC residents at our Walk-in & Counseling Center (WICC). The WICC cares for all ages in need of timely, effective intervention for untreated mental health concerns and provides, free to IRC residents, walk-in mental health screenings and mental health consultations with loved ones. Additional services include individual, family & group therapy; wellness classes; youth skill building; adult psychiatric care; free bimonthly MoodlAnxiety support groups; case management; information/referral; ACCESS Florida applications; and Medical Security program registration (database for adults with medical/mental health concerns). Majority of our nearly exclusively IRC clients are indigent, lack health insurance, or require free/low cost services to engage in needed treatment. We identify and fill treatment gaps vital for a healthy, thriving IRC community. WICC offers free mental health services to IRC youth, veterans and first responders in need to prevent them from falling into crisis due to provider wait lists or other barriers. Our youth programs include intervention for emotional/behavioral concerns and prevention for skill building. WICC treatment prevents avoidable harm; preserves safety of self and others; improves functioning; reduces psychiatric hospitalizations, emergency room visits or law enforcement involvement; and saves community spending for costlier interventions. We link WICC Indigent and psychiatric clients to no cost psychotropic medications through our medication assistance programs. Care is provided weekday 8:30 arr-5:30 pm at 820 37th Place in Vero Beach, easily accessible by public transportation. Summary Report Amount requested from Indian River County for 202012021: $ 27,500.00 Total Proposed Program budget for 2020/2021: $ 1,623,675.00 Percent of total Program budget: 1.8 Current Funding_ (2019/2020) 23,843.00 Dollar increase / (decrease) in request: $ 3,657.00 Percent increase / decrease in request: 15% If request increased 5% or more, briefly explain why: Since 2016, we have seen IRC need for urgent mental health care rise steadily. This funding request is supported to meet growing needs of the community and to respond appropriately to COVIDI9's reaching mental health effects. IRC's ALICE (Asset Limited, Income Constrained, Employed) households are 51% of our population who struggle to pay for basic needs and lack resources for needed mental health care. They will be negatively affected by the pandemic's economic impact and social emotional effects which in tum will detriment their emotionallbehavioral health. We anticipate even more IRC residents will require mental health assistance and request increase in county support to address emerging and unmet mental health treatment needs of community members. 4/15/2020 The Organization's Board of Directors has approved this applic Ross Cotherman A Name of President/Chair of the Board Sig gat r Nicholas Coppola, MBA, DO r .6 Name of Exec. Director/CEO Signature EXHIBIT A