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Last updated: 02/12/2018 General information Organization Equine Spirit Programs Contact First name Julie Contact Last name Jimenez Contact e-mail equinespiritprograms@gmail.com Contact phone number 4802992506 Address Street 17016 E. San Tan Blvd City Queen Creek State AZ ZIP Code 85142 From what tribe is the Gila River Indian Community organization requesting the grant? Total grant amount request 162,000 1 / 2 The Gila River Indian Community offers multi-year awards. If your organization is requesting a multi-year grant for this project or program from the Gila River Indian Community, enter the amount to be requested each year. Amount Year 1 (Gila River Indian 54000 Community Grants Only) Year 2 (Gila River Indian 54000 Community Grants Only) Year 3 (Gila River Indian 54000 Community Grants Only) Year 4 (Gila River Indian Community Grants Only) Year 5 (Gila River Indian Community Grants Only) 2 / 2 Gila River Indian Community Grant Application Grant Cycle 2018 Cover Sheet Municipality Information 1. Date of Application: 2/20/2018 (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa Community Government Relations 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Denny Barney 4. Mailing Address: 307 West Jefferson 10th floor 5. City: Phoenix State: Arizona Zip Code: 85032 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Zackary Wolfe Signature: Applicant Information 7. Department/Organization Name: Equine Spirit Programs 8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: Julie Jimenez Title: Program Manager 10. Phone Number: 4802992506 11. Mailing Address: 17016 E. San Tan Blvd 12. City: Queen Creek State: Arizona Zip Code: 85142 13. Email Address: equinespiritprograms@gmail.com Website Address: www.equinespiritprograms.com Project Information 14. Project Name: Trauma Focused Equine Therapy 15. Purpose of Grant: to provide health promotioin education for children suffering from adverse childhood experiences 16. Priority Funding Area Healthcare 17. Annual amount requested $54000 18. Number of years that funding is 3 years requested 19. Total amount requested (annual $162000 amount x number of years) 20. Has your organization received past Yes, 2017 funding from GRIC? If yes, list each year 25000 and amount 21. Geographic area served Queen Creek For Office Use Only: Data Entry Receipt Evaluation Outcome A Approval Recommended/Amount $ A Denial Gila River Indian Community Grant Application Grant Cycle 2018 Narrative Please structure your proposal to provide the following information in the order indicated. Provide the narrative in paragraph form in the text field provided. Please be thorough but strive for brevity. 1. Briefly describe the organization’s history, mission and goals. The Equine Spirit Program (ESP) is a successful Equine Assisted Learning program with a 8 year history of promoting resilience among at-risk youth. ESP is an established non-profit since 2014. Equine Assisted Learning is listed as a Best Practice in the First Nations Behavioral Health Association Catalogue of Effective Behavioral Health Practices. The mission of the program is to empower, enrich and educate by providing a safe, research based and equine focused educational experience. ESP connects rehabilitated horses with at-risk youth, adults, military veterans and their families to promote self-discovery, targeted areas of personal growth and development We offer an activity focused life skill programs that utilizes a research based equine assisted learning model, EAGALA (Equine Assisted Growth And Learning Assn.). The goal of ESP programs is to promote improved mental and physical health by utilizing equine assisted experiential learning through the development of personal interactions between humans and horses. The targeted area of growth for this grant proposal will be to address the effects of trauma and adverse childhood experiences and assist in the self directed healing process of the young participants and their family members. 2. If the applying organization is non-municipal or a non-profit 501c, please describe your relationship with Arizona municipalities including past and present support, whether through partnerships, collaborations, in-kind contributions, grants, tax-based funding or other. Describe the supporting municipality’s role in this project. If the applying organization is a municipality governmental sub-division please enter the text “Not applicable.” ESP is a non –profit working in partnership with area schools and residential group homes. Casteel High School, American Leadersip Academy, San Tan Foothills High School, New Horizon Community Care and Achieve Youth Services. Casteel High School has been requesting our equine services for the past year, as we apply for funding through various grant avenues to address the needs of targeted students who have experienced trauma, have an active probations case, contact with law enforcement or an active child wellare case,and therfor would benefit from therapeutic intervention. They believe these students would benefit from an alternative type of therapeutic intervention. We currently serve students from San Tan Foothils, and American Leadership Academy. New Horizons has numerous facilities surrounding the Gila River Indian Community which provides residential and respite care for youth in need of social rehabilitation, Gila River Indian Community Grant Application Grant Cycle 2018 behavior modification, improved wellness and living skills. Achieve Youth Services has a foster program Hope and a Future which ESP has participated in during the holidays for their fostered girls. ESP has conducted services for New Horizons girls residential home during 2016 and the agency reported the services were much needed and the girls greatly benefitted. Letters of support will be included in the application. 3. Describe the proposed project and planned goals and activities. ACE’s (Adverse Childhood Experiences)are traumatic experiences that can have a profound effect on a child’s developing brain and body with lasting impacts on health. There are 10 recognized ACE’s which fall into 3 categories: 1} Abuse: physical, emotional, sexual l 2} Neglect: physical, emotional 3}Household Dysfunction: mental illness or suicide attempt, incarceration, mother treated violently, substance abuse, divorce or separation. According to ACE study, a person with 4 or more ACE’s is 12xas likely to attempt sui ide, 10x as likely to use injection drugs, 7x as likely to be an alcoholic. Attachment -the ACE survey. Trauma is broadly experienced, pervasive, and can have long lasting effects. The ripple effects of trauma can be transmitted betweens interactions with families and communities for generations. Historical trauma is the cumulative emotional and psychological wounding…spanning generations, which emanates from a massive group trauma. This programs’ goal is to have at-risk youth understand trauma and learn how to have appropriate responses or life skills that are developed to meet the individuals personal challenges. These life skills will ultimately increase their sense of purpose and connectedness to their peers, school and community. This increase in connectedness has a direct correlation to reducing the effects of trauma and adverse childhood experiences which includes but is not limited to growing up with physical or mental abuse, household dysfunction, parental divorce or separation, domestic violence, substance use and incarceration of family members. Equined Assisted Learning ( EAL) is experiential in nature, allowing participants to learn about themselves and others by participating in activities with the horses and then processing their responses. The focus is on ground activities, there is no riding, which requires youth to develop and apply certain life skills that can be translated from the arena to their personal life in order to improve their interactions with family, school and community. Each behavioral health educational sesson builds upon each other and includes activities that develop and enhance positive behavioral health and resiliency characteristicis. Creative thinking, communication, problem solving, work ethic, responsibility, teamwork, and respect for the individuals’ personal and cultural differences, self confidence and attitude, all cornerstones for a positive mental health standard of living. All sessons are conducted at the ranch facility in Queen Creek. Our partners have agreed to refer all youth through their referral system, and their staff will provide transportation of all youth to the ranch and assist with the distribution and collection of evaluation surveys as needed. Gila River Indian Community Grant Application Grant Cycle 2018 4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. Equine Assisted Learning (EAL) is as an effective research based approach to health care and education, two of Gila River’s funding priorities 5. Identify the needs/problems to be addressed, target population and number of people to be served by the project. There is a perceived need of this underserved rural community to have accessible youth centered, gender responsive, data driven and culturally sensitive life skills programming to promote the individuals’ abilities to overcome the barriers presented by childhood trauma. Increasing the ability of youth and their family members to identify and address ways in which they can participate in the child welfare systems so as to promote positive behavioral health. Assist youth and their family members to learn to self direct life building strategies that will contribute to the overall health of a growing community. Adults who are interacting daily with these youth will be able to recognize the childs natural reactions to trauma, and provide support and alternatives instead of punishment for disruption.There will be 184 client hours of programming annually, available for participants. Each session can accommodate up to 8 partipants per session. Each participants’ session is comprised of an initial 2 hour interview and assessment, followed by 12 hours of client arena time. 6. Define the project as a new or continuing program. New 7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. Grant years 2018-2021 (Oct 2018-May2021) timeline is flexible and is conducted in accordance with Arizona weather considerations. 8. Identify other organizations, partners or funders participating in the project and their roles. Casteel High School, American Leadership Academy, San Tan Foothills students and New Horizons Community Care Organization, Achieve Youth Services – will refer participanting youth, support staff will transport youth to the ranch site. Attachment - Letters of support Gila River Indian Community Grant Application Grant Cycle 2018 9. Would you be able to implement the proposed plan if your organization received partial funding for this project? We would be able to implement the program for less than the 3 year funding requested but not be able to implement the program for less than the requested annual amount. 10. Describe your plan for project financial sustainability beyond the grant period. If this is a program/project previously funded by the Gila River Indian Community describe efforts made towards the previously described sustainability plan. We are currently reaching out to foundations willing to support youth iniatives which address the affects of trauma and adverse childhood experiences. We continue to develop working partnerships with community agencies serving children and are developing a fundraising strategy for various avenues of private and corporate donations to be utilized in providing additional programs. 11. Describe your plan to document progress and results. Evaluation Methods: Staff conducts ongoing observation w/ supporting progress notes to monitor participants progress during service delivery , with discussion and assessment of the findings with program team, to make necessary adjustments for ongoing program improvements. Each session reviews the previous weeks findings with the participant, weekly check ins with family members, and aligns the following session with the relevancy to their everyday life. Staff conducts a client satisfaction survey at the end of each cycle. 12. Indicate any application to and/or awards made by a tribe other than the Gila River Indian Community for state shared revenues for this and any other project for the past five (5) years. If this information is included in a separate attachment, please indicate that here. Fort McDowell Indian Community – behavioral therapy for adolescents Gila River Indian Community Grant Application Grant Cycle 2018 Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Budget Period: Click here to enter text. For each budget item listed here please provide a narrative description on the following Project Budget Detail page. Proposed Budget Expense Amount Amount In Kind Total Budget (list each budget item) requested from requested or contributions GRIC secured from other funders 1. program horses $18400 $0 $0 $0 2. program supplies $930 $0 $0 $0 3. facility rental/arena time $2574 $0 $0 $0 4. liability insurance $2935 $0 $0 $0 5. mental health professional $14352 $0 $0 $0 6. EAGALA equine specialist $10672 $0 $0 $0 7. equine assistant $3312 $0 $0 $0 8. program evaluation $825 $0 $0 $0 9. Click here to enter text. $0 $0 $0 $0 10. Click here to enter text. $0 $0 $0 $0 11. Click here to enter text. $0 $0 $0 $0 12. Click here to enter text. $0 $0 $0 $0 13. Click here to enter text. $0 $0 $0 $0 14. Click here to enter text. $0 $0 $0 $0 15. Click here to enter text. $0 $0 $0 $0 16. Click here to enter text. $0 $0 $0 $0 17. Click here to enter text. $0 $0 $0 $0 Total Budget $54000 $0 $0 $0 Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Detail Please provide a narrative description for each of the project budget items listed on the previous page. Include the dollar figure and how it was derived. 1. 4 horses are part of the program “team” and are rotated to accommodate the need for equine in various sessions. Horses are leased at $ 100 per hour for 184 hours for a total of $ 18400 2. Includes the items used to interact with the horse in the actual activities, buckets, cones, brushes, curry combs, lead ropes, halters, incentives for participants, for a total of $ 930 3. Arena time is required to conduct all program sessions, for a total of $ 2574 4. Insurance is required for those at possible risk of being sued by third parties for negligence. Among the most ususal classes of mandatory policy are those that cover businesses tha offer professional services to the public. Public policy therefore requires that such businesses should carry insurance so that if their activities should cause loss or damage to another, funds will be availableto pay for compensation; for the total of $2935 5. Contracted professional fees allows the program to contract with a certified mental health professional, $78 per hour x 184 hours for a total of $14352 6. Contracted professional fees allows the program to contract with a certified equine specialist, $ 58 per hour x184 hours for a total of $10672 7. Contracted professional fees allows the program to contract with an equine assistant, $18 per hour x 184 hours for a total of $ 3312 8. Allows for staff hours needed to complete all process and outcome evaluations for each session to be compiled for the end of the year report to the grantor, a total of $825 9. Click here to enter text. 10. Click here to enter text. 11. Click here to enter text. 12. Click here to enter text. 13. Click here to enter text. 14. Click here to enter text. Gila River Indian Community Grant Application Grant Cycle 2018 15. Click here to enter text. 16. Click here to enter text. 17. Click here to enter text. Other explanation: Click here to enter text. New Horizon Community Care “Share the values you grew up with” February 9, 2017 To Whom It May Concern: My name is AMee Vermeire and I am writing in support of the Equine Spirit Program. I am a Licensed Clinical Social Worker and have been the director of the clinical department for New Horizon Community Care for approximately five years. New Horizon Community Care has become familiar with the Equine Spirit Program over the past several years and would like to encourage funding of this application for the benefit of our clients. They have had exposure to similar equine programs in the past and they have benefitted our kids in many ways, including health & wellness, learning to take care of animals, and well as being therapeutic for everyone involved. More recently, several of our female clients were able to participate in a six week program in which they were able to build skills necessary to handle difficult life situations through the use of equine therapy and its teachings. This program was extremely successful and left lasting memories with the young women who had the opportunity to participate. Organization’s Mission Statement: New Horizon Community Care is a place of purpose, commitment and integrity. Our mission is to create a structured, therapeutic environment which will empower individuals to build healthy relationships and develop life skills that will promote personal growth. We aim to meet the diverse needs of our population by being goal orientated, family focused and culturally sensitive. Our goal is to be the premier provider of behavioral health services. New Horizon Community Care is a non-profit agency created in 2001. New Horizon Community Care built a programming structure that challenges, encourages and counsels children and young adults to enhance self- esteem and to modify their behaviors in order to become positive community members. Programming is provided in Residential, Outside Support Service and Respite formats. Regardless of the format selected, each program is formatted to the individual based on circumstances, challenges and personal goals. Clients will participate in activities, groups and life lessons that help them assess their internal strengths, capabilities and improve decision making skills. The multiple formats allow ample opportunities for clients to "step down" or transition to less restrictive programming as the individual improves. In Residential NHYH provides Level II Therapeutic and Level III Behavioral Health Residential Services, which include Life Skills Client Wellness education and activities that are geared toward personal growth and goals. Primary therapeutic services in the Level II program is General Mental Health and Substance Abuse provided by Behavioral Health Professionals. Level III clients can grow in a less restrictive environment that offers behavior modifications and good-decision making guidance. Residential homes are located in Chandler and Peoria. NHYH has also created an Outpatient Program that provides therapeutic and life skills activities that are developed to meet client’s goals by staff working with client's CFT/Case Manager to determine appropriate services. Services include mentoring, health and wellness services, cultural awareness activities, school break programming, life skills/GED day program, and substance abuse program. Content of programming includes Psycho/ Social Rehabilitation, Behavior Modification, Client Wellness and Independent Living Skills objectives. Our hope is that the Equine Spirit Program will acquire funding necessary to continue providing much needed services as it is evident that the youth we serve greatly benefit from programs such as this one. Thank you in advance for your support. AMee Vermeire, LCSW Mailing Address: P.O. Box 2754 – Chandler, Arizona 85244-2754 Clinical Supervisor (480)722-2730 ameevermeire@nhyh.org Mailing Address: P.O. Box 2754 – Chandler, Arizona 85244-2754 Adverse Childhood Experience (ACE) Questionnaire Finding your ACE Score ra hbr 10 24 06 While you were growing up, during your first 18 years of life: 1. Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you? or Act in a way that made you afraid that you might be physically hurt? Yes No If yes enter 1 ________ 2. Did a parent or other adult in the household often … Push, grab, slap, or throw something at you? or Ever hit you so hard that you had marks or were injured? Yes No If yes enter 1 ________ 3. Did an adult or person at least 5 years older than you ever… Touch or fondle you or have you touch their body in a sexual way? or Try to or actually have oral, anal, or vaginal sex with you? Yes No If yes enter 1 ________ 4. Did you often feel that … No one in your family loved you or thought you were important or special? or Your family didn’t look out for each other, feel close to each other, or support each other? Yes No If yes enter 1 ________ 5. Did you often feel that … You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you? or Your parents were too drunk or high to take care of you or take you to the doctor if you needed it? Yes No If yes enter 1 ________ 6. Were your parents ever separated or divorced? Yes No If yes enter 1 ________ 7. Was your mother or stepmother: Often pushed, grabbed, slapped, or had something thrown at her? or Sometimes or often kicked, bitten, hit with a fist, or hit with something hard? or Ever repeatedly hit over at least a few minutes or threatened with a gun or knife? Yes No If yes enter 1 ________ 8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs? Yes No If yes enter 1 ________ 9. Was a household member depressed or mentally ill or did a household member attempt suicide? Yes No If yes enter 1 ________ 10. Did a household member go to prison? Yes No If yes enter 1 ________ Now add up your “Yes” answers: _______ This is your ACE Score