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DMSION OF YOUTH SERVICES - CBA <br />PROGRA.%~[ AGREE!gENT <br /> <br />l~smeofProgr~m Psychological Services to Juvenile <br />Sponsoring~gency Piedmont Area Mental Health/ <br /> Mental Retardation & Substance Abuse Authority' <br /> <br />Court <br /> <br />County <br /> <br />Cabarrus <br /> <br />Conta~ Person ~me & address) <br /> <br /> Esther M. Winters, Ph.D. <br /> Cabarrus Mental Health Center <br /> 457 Lake Concord Road <br /> <br /> Concord, NC 28025 Phone (704)788-1130 <br /> <br />ProgramT)~e <br /> <br />Counseling and Referral <br /> <br /> FundingPeHod <br /> <br />Re~=~Sour~s 19th Judicial District <br />Counseling Service <br /> <br />7/1/93 thru 6/30/94 <br /> <br /> CBAJ~si~nedLD.# <br /> <br /> 213012 <br /> <br />1Vew Program <br /> <br />Contiuuaffon M <br /> <br />*C~entCapa~%y 28 - 32 .-AnMdpa~daverage]engihofstay 90 .- 120 <br /> <br />(days). Es~mated number of youth to be se~'ed during funding pe~0d. 96 · <br /> <br />Acb~ n,~mber of youth served last fiscal Year: <br /> <br />62 <br />62 <br />62 <br /> <br />l~eported usiug CHant Tracking Forms <br />Reported usiug Annual Program Review <br /># Juvenile Couz~ or ]aw enforcement referred <br /> <br />100 .% <br /> <br />Date received iu ReXona] O~ce <br /> <br />Plea.~e subm4t 4 coo~,~ ,~dt.h ore.nM sf~nsture~. <br /> <br />*If the funds beiu$ requested wbll be used for more than one pro,ram component please provide th~s <br />{n~'ormat~on for each component on a separate sheet, <br /> <br />DYS (Rev. 3-93) <br /> <br /> <br />