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EXHIBIT A INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDING A. Program Cover Page Agency: Mental Health Association in Indian River County Contact Person: Philip Cromer Telephone: 7725699788 Fax: 772-569-2088 Title: Chief Executive Officer E -Mail: philip(a-)-mhairc.or Address: 820 37th Place Website Address: www.mhairc.org Program Title: MHA Walk -In & Counseling Center I Agree - By checking the "I Agree" box and entering your name below, you certify that information contained in this application accurately reflects the activities of this agency and that the expenditures or portions thereof for which County funds are being requested are not reimbursed by any other source. Name: Philip Cromer Title: Chief Executive Officer tsneT aescnption OT the vrogram Tor wrncn Tunaing is requestea: Requested county funding supports the crucial mental health services for Indian River County residents at our Walk -In & Counseling Center (WICC). The program provides same-day, walk-in services to preserve the safety of self/others and to provide immediate and ongoing access to needed mental health services. The WICC gives same-day mental health screening and crisis intervention services to meet urgent emotional and behavioral health needs as well as affordable, ongoing (by appointment) mental health services for low- income, uninsured community members. Our continuum of care includes walk-in mental health screening; crisis intervention; resource consultations; information/referral; and case management for immediate needs and scheduled individual, group, and family therapy; case management; wellness classes; support groups; youth prevention programming; and adult psychiatry. WICC is the only mental health agency in the county where Indian River County residents of all ages can receive immediate access to outpatient mental health assistance and crisis intervention. We also provide by appointment mental health treatment on a sliding fee schedule for those who have no insurance, are 300% or below the poverty level, and cannot qualify for Indian River Hospital District Funding for the indigent. We have a medication assistance program for our indigent psychiatric clients to receive free needed psychotropic medications which they cannot afford otherwise. We also link MHA psychiatric clients to medication assistance programs through pharmaceutical companies. Additional no charge services we provide to the Indian River community are a monthly virtual Mood and Anxiety Support group, a weekly support group for veterans, case management services, and completion of support applications as FL Access site. Care is provided Monday - Friday from 8:30 am- 5:30 pm at our Walk - In & Counseling Center located at 820 37th Place, Vero Beach, FL 32960. Public transportation is accessible to the center. Throughout the COVID19 pandemic, our WICC remained open for both walk-in and scheduled visits to maintain our commitment to prevent avoidable harm and meet the community's need for quality mental health care. We also offer telehealth. Summary Keport Amount requested from Indian River County for 2021/2022: 27,500.00 Total Proposed Program budget for 2021/2022: 1,831,530.62 Percent of total Program budget: 1.5% Current Funding (2020/2021) 23,843.00 Dollar increase / (decrease) in request: $3,657.00 Percent increase / decrease in request: 15.34% EXHIBIT A