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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 Telephone County Contact Person: Angela Guzenski Fax: Title: Chief Operating Officer E -Mail: Address: 820 37th PI Website Address: www.mhairc.orp Program Title: MHA Walk -In and Counseling Center 772-569-9788 772-569-2088 angela(a)mhairc.orq 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 brier aescnotion of the Nroaram for wnicn tunaina is reauestea: Funding is requested to help support the services provided at the Mental Health Association (MHA) Walk -In & Counseling Center. At the Walk -In & Counseling Center (WICC), Indian River County residents of all ages are given immediate access to mental health care through walk-in services such as mental health screening, crisis intervention, consultation about the mental health needs of a loved one, assistance with resources for needed care, and information/referral services. The WICC is the only Mental Health agency in the county that provides free immediate access to mental health screening and crisis intervention. The WICC provides mental health follow-up and continued necessary treatment, for the uninsured and underinsured residents of Indian River County under 300% of the federal poverty level. Services include individual and family psychotherapy, psychiatric evaluations, medication management, group therapy, and psycho -educational classes. MHA believes in no barriers to treatment, especially for those who would have no other options due to affordability and immediate access to mental health care. Additional free services we provide to the Indian River community are a bi-monthly hybrid Mood and Anxiety Support group, case management services for referral and linkage, and monitoring. summary Keport Amount requested from Indian River County for 2023/2024: $30,000.00 Total Proposed Program budget for 2023/2024: $1,534,440.00 Percent of total Program budget: 1.96% Current Funding (2022/2023) $27,082.00 Dollar increase / (decrease) in request: $2,918.00 Percent increase / decrease in request: 10.77% If request increased 5% or more, briefly explain why: The MHA has had an increased need for immediate mental health services and continued follow-up care Last FY there was a 30% increase in residents seeking same-day mental health screenings and 52% increase in psychotherapy visits. We are finding more individuals needing help but cannot afford it due to the increase in the cost of living and the inability to afford insurance copays and/or those unable to find providers. These factors are a deterrent for people seeking help. The WICC cares for disadvantaged and vulnerable individuals that would continue to suffer from mental health symptoms and be at risk for the development of more serious concerns if left untreated. Appropriate services given at the right time help to decrease the community's economic burden of higher costs of later intervention. The additional funding requested would allow us to expand our services to those who cannot afford copayments for needed mental health services. An increase in funding is requested to assist underinsured and indigent individuals 300% or below the poverty level to access immediate and ongoing services to support their mental health and well-being with no barriers. The Organization's Board of Directors has approved this application on (date): 04/19/2023 Name of President/Chair of the Board: Susan Adams Name of Exec. Director/CEO: EXHIBIT A Philip Cromer