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'° PLE/~E S~'IIT q cOPiES 'DEPARTMENT OF HUMAN RESOURCES m ' <br /> ~ DIVISION OF YOUTH SERVICES <br />~IYH OR]GI~L SI~ATL~S <br /> CO~UNI~Y-~ASED ALTERNATIV~ <br /> PRO~RAM AGREEMENT <br /> <br /> County: Cabarrus Date Submitted: Oct. I, <br /> Name of Program: U~harrle Homes, Inc. <br /> Effective Date: oct. <br /> Address P.o. Box )026, Albemarle, NC 28002 <br /> I. D. t(umber: <br /> · Contact PersOn or Program Director: Keith <br /> Address ~.0. Box 1026, Albemarie, ~C 28002 <br /> Phone <br /> <br /> * Type of Program:: <br /> Clients Served Clients Served <br /> Residential in FY Non-Residential -in FY <br /> <br /> x. Group H~e 11 m Youth Services Bureau <br /> Shelter Care Alternative School <br /> Special Foster Care . . Vol,nteer Program <br /> ~--lClient Capacity Other <br /> <br /> ~ of Clients to be Served Dqring Funding Period <br /> <br /> Referral Sources: Juvenile Court Counselor~, ~eetal Health, Social ~o~ke~s, ~ubl~c <br /> School-Officials and other ~ual~ed pro~ess~onals. <br /> <br /> Goal of Program: ~o teach children appropriate behaviors so that they man function <br /> more successfully ac home, in school, and in the community'. ~e al~o teach parents <br /> more e~ectEve skElls in disclpl~ne and co~nnication. <br /> 'Statement of Measurable Objectives:' <br /> ~be program ~ill achelye all of the C~A performance indicat4~rs (.140! through <br /> ~th the children p!sced ~m the group home. I~ additiom,' each child ~Ell;have a set <br /> of individual, goals and the sta~ ~11! evaluate progress on the goals ac least once <br /> every 90 days. <br /> <br /> InformatiOn Maintained For Effectiveness Measurement: <br /> I. CBA Client ~racking Eorms <br /> 2. Client record ~ith individuhl treatment plans (indivldua! goals) ~ill be <br /> kept for each child in the program. <br /> 3. Hinutes of evaluation meetings ~ill be kept. <br /> <br /> * New programs - Please attach a program description describing day to day activities <br /> of program participants. <br /> <br /> Continuation programs - Please describe any major changes from last year's approved <br /> program description. <br /> <br /> OYS (Rev. 2/12/82) <br /> <br /> <br />