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EXHIBIT A INDIAN RIVER COUNTY NONPROFIT / QUASI AGENCY REQUEST FOR FUNDINGA. Program Cover Page COR Agency: Mental Health Association in Indian River Telephone: 7725699788CountyContact Person: Angela Guzenski Fax: 772-569-2088 Title: Chief Operating Officer E-Mail: angela(r)mhairc.orq Address: 820 37th PI Website Address: www.mhairc.or Program Title: MHA Walk-In and 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: Angela Guzenski Title: Chief Operating Officer Briet description of the Program for wnich tunaing is re uestea: Funding is requested to support the Mental Health Association's (MHA) Walk -In & Counseling Center (WICC), which provides immediate, barrier -free access to mental health care for Indian River County residents of all ages. The WICC is the only mental health agency in the county offering free, same-day mental health screenings and crisis intervention services. At the WICC, individuals can receive mental health screenings, crisis intervention, consultations regarding a loved one's mental health needs, resource assistance, and referrals. For uninsured and underinsured residents below 300% of the federal poverty level, the WICC offers continued treatment, including individual and family psychotherapy, psychiatric evaluations, medication management, group therapy, and psychoeducational classes. MHA is committed to ensuring that cost and accessibility are never barriers to receiving mental health care. In addition to clinical services, MHA provides free community support programs, including a bi-monthly hybrid Mood and Anxiety Support Group and a Women 55+ Support Group, fostering connection and resilience among those facing mental health challenges. Summary tteport Amount requested from Indian River County for 2025/2026: Total Proposed Program budget for 2025/2026: Percent of total Program budget: Current Funding (2024/2025) Dollar increase / (decrease) in request: Percent increase / decrease in request: $30,990.75 $2,017,241.00 1.54% $29,515.00 $1,475.75 5% it request increases 5-/o or more, Driefly ex lain wn : MHA has experienced a significant increase in demand for immediate mental health services and continued follow-up care. Last fiscal year, we had, on average, a 10% increase in outpatient services. Many individuals in our community need help but cannot afford it due to the rising costs of living, unaffordable insurance copays, or the lack of available providers. These financial and systemic barriers often deter people from seeking the care they need. The Walk -In & Counseling Center (WICC) serves disadvantaged and vulnerable individuals who would otherwise continue to suffer from untreated mental health symptoms, increasing their risk of developing more severe conditions. By providing timely and appropriate interventions, MHA helps reduce the economic burden on the community by preventing the higher costs associated with delayed care, such as emergency room visits, hospitalizations, or crisis interventions. To meet the growing need, additional funding is requested to expand services for individuals below 300% of the federal poverty level, ensuring they have immediate and ongoing access to mental health care without financial barriers. This funding will allow us to continue providing critical support to those who otherwise would have no other options for care. The Organization's Board of Directors has approved this application on (date): 04/16/2025 Name of President/Chair of the Board: Susan Adams Name of Exec. Director/CEO: Philip Cromer EXHIBIT A