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"~SE '"" <br /> ,-~ ·: S~I1 q C02]ES DEPARTHENT OF RU~.~N RESOURCES <br /> DI¥IS]ON OF ¥O..,H SERVICES <br /> <br /> COM:-iUUITYzBASED ALT[RRATIYES <br /> PROGRAM AGR~d,,.NT <br /> <br /> County: Cabarrus [,ate Submitted: <br /> <br /> ,~a,ae of Proeram: ~utpatient Adolescent SubStance Abuse <br /> ' Treatment Program Effective Date: <br /> Ad,tess 457 Lake Concord Road <br /> Concord, North Carolina I.D. Number: <br /> Contact Person or Program Director: Jan Aucen. Director Substance Abuse Services <br /> <br /> Address 457 Lake Concord Road , Concord, North Carolina <br /> ~h~ne (70~) 788-1130 <br /> <br /> ~ Type of Program:: Outpatient <br /> Clients Served Clients Served <br /> ~esidential ~n FY lion-Residential in FY <br /> <br /> Group Ho~e Youth Services Bureau <br /> Shelter Care Alternative School <br /> Special Foster Care Volunteer Program <br /> <br /> [-.~lClient Capacity __Other Outpatient <br /> 120 ~ ~f Clients to be-Served Dur6n§ Fund.i~9 Period -- <br /> <br />· , Referral 50urcesF Juvenile'-Court..System,.School Personnel,.Parents~.Departmefft of Social <br /> Services and other-Youth-Serving-Agencies,. ......... <br /> <br /> Goal of Program:' 'T°'assess and~pr°vide'trea~ment:'t° adolescents between age~.-of 12-1g who. <br /> are experiencing life difficulties due to chemical abuse and dependency thu~ <br /> reducing legal, school and family probl~mm for the target population. <br /> <br /> St~terent of :-~easurable Objectives: <br /> 60% of referred clients ~1! complete treatmen~ Ar the end of treatment of those who have <br /> sucessfelly completed the program... <br /> 75% ~f clienrs and families will report problems reduced at home related to Substance Abus~ <br /> School personnel will report 80% of clients having reduced problems at school related <br /> Substance Abuse. <br /> Juvenile counselors will report 70% of, clients having no new problems related to Substanc~ <br /> Ab~se. . <br /> !nrormat~on ~.iaintained For Effectiveness Measure[~nt: <br /> <br /> CBA client tracking forms will be completed on each child who is seen through this program <br /> to follow progress and determine to what degree measurable objectives are being met. <br /> (Using items 20, 21, & 22). <br /> · For referrals: 50% need to have had juvenile justice behavior or problems and <br /> 35% will be referred by juvenile courts or law enforcem~nt-6fft6t~)s. <br /> <br /> · I~ew programs - Please attach a program description describing day to da), activities <br /> of program participants. <br /> <br /> Continuation pro?ams - Please describe any major changes f)'om last year's approved <br /> pro~ra:n description <br /> <br /> _.:,.v~ (~ev. 2112/32). <br /> <br /> <br />