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Created: 02/20/2018 • Last updated: 03/09/2018 General information Organization Marc Community Resources Contact First name JOHN Contact Last name MOORE Contact e-mail john.moore@marccr.com Contact phone number 480-222-3257 Address Street 924 North Country Club Drive City Mesa State Arizona ZIP Code 85201 From what tribe is the Gila River Indian Community organization requesting the grant? Total grant amount request 98,100 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 98,100 Community Grants Only) Year 2 (Gila River Indian Community Grants Only) Year 3 (Gila River Indian 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: 2/27/2018 (NOTE: Click or use up/down arrow keys to move among fields) 2. Name of City, Town or County: Maricopa County 3. Mayor (City or Town) or Board of Supervisor’s Chairman (County): Steve Chucri 4. Mailing Address: 301 West Jefferson, 10th Floor 5. City: Phoenix State: Arizona Zip Code: 85003 6. Acknowledgement of Submission by Authorized Municipality Representative: Typed Name/Title: Zachary Wolfe/Maricopa County Government Relations Signature: Applicant Information 7. Department/Organization Name: Marc Community Resources, Inc. 8. Is this a 501c non-profit Organization? No Yes If yes, attach IRS Determination Letter 9. Application Contact Person: John Moore Title: Chief Executive Officer 10. Phone Number: 480-222-3257 11. Mailing Address: 924 North Country Club Drive 12. City: Mesa State: Arizona Zip Code: 85201 13. Email Address: John.Moore@Marccr.com Website Address: www.marccr.com Project Information 14. Project Name: Employment Training & Placement, Bathroom Renovation, and Computers/Smart Sensory Technology 15. Purpose of Grant: Provide Employment Training & Placement, Bathroom Renovation at Marc East, and Computers/Smart Sensory Technology at East Village location 16. Priority Funding Area Economic Development 17. Annual amount requested $98,100 18. Number of years that funding is 1 requested 19. Total amount requested (annual $98,100 amount x number of years) 20. Has your organization received past Yes in 2017 for $45,000 funding from GRIC? If yes, list each year and amount 21. Geographic area served Maricopa County 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. Now in its 61st year of operation, Marc’s mission is to provide opportunities to people who have disabilities to determine where and how they live, learn, work and play. Marc is a not-for-profit organization that has been providing a comprehensive continuum of educational, vocational, day activity, community living, affordable housing, outpatient clinic services, psychiatric intervention, in-home supports and other related programs for people with intellectual disabilities, developmental delays (ID/DD) and behavioral health challenges since 1957. Today, we assist approximately 12,000 individuals and their families in pursuing the highest level of independence, based upon principles of choice, inclusion and community integration. Over the past five years, Marc has served approximately 200 Native Americans each year. All the individuals we serve are low income and have been medically determined to be at risk for institutionalization, including assisted living, nursing care, hospitals and jails. Our services, including supported housing, employment, in-home support, host homes, health and wellness, day programs, counseling and family support, help keep the family unit intact and help individuals with severe medical and behavioral challenges to pursue a meaningful life and the greatest level of self-sufficiency possible. Marc was named the 2016 Nonprofit of the Year by the Mesa Chamber of Commerce. 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.” For this grant application, Maricopa County will receive the grant and then distribute the awarded funds as appropriate. Marc has a long history of collaboration with and support from Maricopa County. Dating back to 1975, the County Board of Supervisors, led by Tom Freestone, leased a building to Marc in East Mesa for $1 a year and provided CDBG funding to make building improvements. This space became Marc’s second day program for individuals with developmental disabilities in Mesa. In 2007, the County deeded a 5 acre park to Marc in order to build a new day program and 28 units of low income housing for individuals with special needs. The County regularly provides Marc with tickets to sporting events for the benefit of the individuals we serve in our day programs and group homes. The Maricopa County Industrial Development Authority (IDA), managed by the County Board of Supervisors, has approved two separate low interest rate Gila River Indian Community Grant Application Grant Cycle 2018 tax-exempt bonds allowing Marc to refinance debt and complete capital projects totaling about $9 million. The IDA has also approved grants totaling $100,000. 3. Describe the proposed project and planned goals and activities. Marc is requesting funding assistance for three employment areas of need; 1)Employment Training and Placement; 2)Bathroom Renovation at the Marc East Employment Facility located on Signal Butte and Main in Mesa; 3)Computers and Smart Sensory Technology for the Marc’s East Village Employment facility in Mesa. Below is a brief description of each funding request: 1) Employment Training and Placement: This request will fund 2.5 FTE positions to provide employment training/placement services to adults with serious mental illness to achieve a greater level of independence & self-sufficiency. Marc uses 3 employment training models. 1) Center-based training, targeted at individuals with little or no work experience, provides employment training in a work production environment where participants assemble/ship finished goods to Walmart, Costco & Target. 2) Mobile Community Work Crews provide opportunities for real work and paid job training in the community. With the support of a job coach, individuals work side-by-side with other employees at Bashas’, Mesa Public Schools, Mesa Public Library, ASU games, Cubs games, etc. Individuals perform the same work as any other employee, get paid and build a resume. 3) Direct Placement is for immediate placement in a community job. Assists individuals to build resumes, apply for jobs, provide mock interviews and attend interviews when requested. 2) Bathroom Remodeling at the Marc East Employment Facility: This request is to fund 3 automatic door openers at the Marc East facility that will provide ADA compliant access to the restroom facilities for the people with disabilities using this facility. Currently, the three restrooms have two typical swinging door constructs and one with a curtain in place of a door. Many individuals have mobility needs using walkers, wheelchairs, etc.; the installation of the automatic door openers will provide these individuals with easier access to the facilities restrooms. Marc East facility is an Employment Training location providing job skills training for individuals who have developmental disabilities with a goal to obtain work that meets the needs of the individual. There are approximately 150 individuals at this facility utilizing the employment programs available. 3) Computers and Smart Sensory Technology at the Marc East Village Location: This request is to fund additional computers and smart sensory technology for use by the individuals participating at Marc’s East Village location. The Marc East Village programs are aimed at engaging individuals in meaningful community activities to promote recovery and foster resilience, which impacts Economic Development by assisting individuals in job acquisition. Services provided would improve personal living/working skills that promote recovery and engagement in meaningful community activities, which can decrease homelessness. The program is in close proximity to the East Valley Men's Shelter and Paz de Cristo in Mesa, providing an increase in collaboration between service providers. Additional computers are needed for job Gila River Indian Community Grant Application Grant Cycle 2018 searching, resume building, expanding computer skills to ultimately help gain employment. Smart Sensory Technology enables individuals to interact via a smartboard‘s touch-sensitive surface and provides an opportunity to participate in learning. It allows all individuals, even those who cannot hold a pen, to write and interact with content using the finger-touch capability. For individuals who have trouble using traditional keyboard/mouse technology, the touch and click ease allows them the opportunity to interact with a computer. 4. Describe how the proposed project satisfies one or more of the priority funding areas identified by the Gila River Indian Community. This grant satisfies several of the priority funding areas identified by the Gila River Indian Community. This funding request has elements of the Education, Healthcare, and Economic Development priority funding areas. Education: In terms of education, the life skills program provides services to adults with mild behavioral health conditions to profound developmental disabilities who have adequate motor and adaptive skills to train for life skills in a closely supervised, structured setting. The Program is designed to meet the diverse needs of all individuals and promote personal growth in maximizing functional ability, independence, and exposure to work activities. The primary focus is to participate in and build on meaningful activities and community integration. Individual goals are developed to enhance each participant’s potential to train for maximum development. Every six months, a review of the participant’s programs is provided. Annually, or if a major change has occurred, a staffing review is held with all concerned parties. Educational opportunities include: community resources training, nutrition and health training, stranger/danger, living safely in a community, community sign recognition, money management, being a volunteer, social skills training/education, learning cooking skills, exercising for increased mobility and strength, and recreational education such as watching favorite movies, going to baseball games or the local library, and shopping. Individuals served in the day programs did not fully reach their potential while they were still attending public school. Our goal is to continue their education throughout their adult life in order to maximize the learning possibilities for those served, thereby increasing their independence, and improving their confidence to enter back into the community. The average age of an individual who moves on to employment from a day program this past year was 26.5 years of age. Healthcare: Although the deinstitutionalization movement in the 1970s supported individuals with disabilities to live in community settings with rights and opportunities for education, recreation, employment, and housing, the social and environmental supports needed for healthy lifestyles were not often considered. Consequently, people with ID/DD continue to have widening inequities in health care services compared with their peers without disabilities, as well as poorer health outcomes. Despite the documented benefit of health promotion and education to maintain health and control Gila River Indian Community Grant Application Grant Cycle 2018 risk factors, people with ID/DD and behavioral health conditions continue to be excluded from many community-based health promotion programs. Marc’s adult day services provides an organized program in a community group setting to promote social, physical and emotional wellbeing. Individuals served are encouraged to establish one or more health-related goals. Likewise, Marc’s East Village provides similar behavioral health services for individuals with serious mental illness (SMI), general mental health and substance abuse conditions. Marc’s village and day programs place an emphasis on increasing skills and maintaining self-help skills and advocacy. We teach the individuals age-related health and emotional issues in both community and classroom settings. Basic nutrition is taught as part of our cooking classes and health is taught along with our exercise classes. Gaining new strength and maintaining current body condition is crucial to our participants’ well-being and continued life. Being the most vulnerable of adults, the day programs place a high importance on cleanliness to avoid illness that may decrease overall health. Health and wellness continues to be emphasized at all day program sites. Sites are equipped with exercise bicycles, elliptical machines, therapy balls, range of motion equipment and yoga mats. Marc day programs include exercise equipment and activities that promote flexibility, strength, balance, conditioning, nutrition, oral hygiene and more. Many of Marc’s individuals have lost weight and gained a healthier lifestyle as a result of their participation in daily exercise, Zumba, community outings and dances. We are also seeing a large increase in seniors with disabilities due to medical technology. For example, age 50 used to be a major milestone for the people we serve. Today, we serve 35 individuals over the age of 56. For this senior group, stretching and basic exercise like walking is critical. Additionally, Marc provides Wellness Centers for individuals to utlize as desired. Economic Development: A key service Marc offers its members is the opportunity to find meaningful employment through gaining job skills, job coaching, resume building, interviewing techniques, and job searching. Marc has the largest employment training program in the county and served 1,230 individuals in FY17, including 794 with serious mental illness. The executive managing the employment training program has been with Marc for over 30 years. Supported employment is a nationally recognized evidence-based practice shown to deliver superior outcomes for individuals with severe disabilities. Based on what are known as annual "fidelity audits", Marc earns the highest state audit score among agencies providing supported employment in Maricopa County. Marc will provide job skills training for individuals with the goal to obtain work that meets the needs of the individual. 5. Identify the needs/problems to be addressed, target population and number of people to be served by the project. Needs/Problems: Since 2000, the number of individuals with ID/DD receiving services through the Division of Developmental Disabilities (DDD) has doubled to more than 30,000. The prevalence of Autism has skyrocketed from 1 in Gila River Indian Community Grant Application Grant Cycle 2018 166 to 1 in 50 (per Centers for Disease Control). In Mesa Public Schools, the largest school district in Arizona, the number of students in special needs programs has increased by 26% in the last nine years even while total enrollment decreased by 16%. The growth in the number of individuals with severe disabilities is due in large part to medical technology. The U.S. is commonly ranked as number one in the world in medical technology and around fifteenth in prenatal care. From a macro-trend perspective, more at-risk infants are surviving the birth process. While we all celebrate this accomplishment, it also means an increase in the number of people who have severe disabilities: behavioral health challenges, intellectual disabilities, developmental delays and medically fragile. Marc’s day programs have experienced a growth of 144% since 2010, again, showing the high demand for this service. To highlight another need, only 9% of the 30,000 adults in the ID/DD system obtain any kind of employment (20% is national average). Arizona ranks 41st in the U.S. as it relates to employment for individuals with ID/DD (source: 2015 United Cerebral Palsy (UCP) produces The Case for Inclusion report annually to rank Medicaid programs). Together, with the help of the Gila River Indian Community, we can improve this situation. Families are a major beneficiary of services provided by Marc. We like to say that day programs keep the family unit intact. Additionally, we have found the same holds true for individuals with behavioral health conditions. Mom and dad can continue to work while son or daughter actively participates in a day or village program with a curriculum focused on self-sufficiency, socialization and community integration. Day programs also help reduce caregiver burnout. Day programs give families a healthy break from the emotional and physical demands of caregiving. Finally, taxpayers benefit from day programs. Without proper supports, the individuals Marc serves will require higher and more expensive levels of institutional care such as skilled nursing at taxpayer expense. The average cost per individual served for Marc’s day programs in the prior year was $10,454, compared to a nursing home at $90,520 or the Arizona State Institution in Coolidge at about $200,000. To punctuate this point, Marc engaged an outside firm to measure the social return on investment of its programs for the year ended September 30, 2015, using international standards for calculating this unique outcome for nonprofits. For every dollar ($1) invested in Marc’s programs, taxpayers (the community) receive $2.83 of value in return (283% return on investment). This is not surprising. Individuals that receive effective health services and achieve life goals oftentimes reduce maladaptive behaviors, medical costs, medications, service needs, utilization of entitlements, engagement with local law enforcement and get jobs, pay taxes and maximize independence. The Population: To be in the Arizona ID/DD and/or the behavioral health Medicaid system, individuals must be meet poverty eligibility requirements and be medically determined to be a risk of homelessness and institutionalization, including nursing care, hospitals and jail. This vulnerable population requires significant and specialized support to participate in activities of daily living, to learn, to achieve life goals, to remain healthy, to experience a meaningful life and to reach their full potential. In addition, about a third of this population also experiences behavioral health challenges that make it difficult to participate in community activities, maintain social/family relationships and obtain/maintain jobs. Gila River Indian Community Grant Application Grant Cycle 2018 Marc has existed for 61 years and is unique in that it provides a wide array of programs and services that are customized for both, ID/DD and behavioral health populations. Through our many years of experience we have learned to ensure it’s the individual needs that drive the services we provide to enrich and enable their lives. We are proud of our track record to date and will continue to strive towards providing a suite of services that serve our member population with the best services available. People Served: Marc, through the continuing programs highlighted in this grant request, will serve thousands of people who have developmentally disabled and behavioral health challenges throughout Maricopa County. 6. Define the project as a new or continuing program. All three funding needs are part of an expansion of continuing programs at Marc: 1) Employment Training and Placement 2) East Village at Ivyglen 3) Marc East at Signal Butte and Main 7. Provide a brief timeline including start and finish dates. Indicate if the timeline is flexible. The timeline is flexible, next steps and timelines for each funding need are as follows: 1) Employment Training and Placement a. Hiring and implementation will begin after funding award 2) Bathroom Remodeling a. Bid process and installation will begin after funding award 3) Computers and Smart Sensory Technology a. Bid process and installation will begin after funding award 8. Identify other organizations, partners or funders participating in the project and their roles. For the purposes of the funding needs identified in this grant request, Marc will partner with other organizations as needed to provide the services highlighted in this grant request. For example, we anticipate working with Partners in Recovery (PIR) to provide homelessness services to those in need. Within the Employment Training and Placement programs, Marc will partner with local employers, non- profits organizations (A New Leaf, Save the Family, and Paz deCristo), and governmental agencies (City of Mesa and Maricopa County) to provide additional real work training opportunities supported by a job coach. 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? Yes, however portions of the needs highlighted in this grant proposal would be delayed and/or not implemented. The implementation of the funding needs would be scaled back to the funding received. 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. In addition to the funding provided by the Gila River Indian Community, Marc plans to utilize its existing contract funding from the Regional Behavioral Health Authority, (currently Mercy Maricopa Integrated Care) and the Division of Developmental Disabilities to provide financial sustainability during and beyond the grant period. Marc will also use other methods of fundraising to augment and/or grow our suite of programs. 11. Describe your plan to document progress and results. For each funding need we will track progress by providing detailed information of all expendtures and installation charges, as required. Marc will also utilize two electronic health record systems to track individuals progress through the employment programs. 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. In 2014, the Salt River Pima Maricopa Indian Community approved a $100,000 grant to help build a senior center and day program for individuals with developmental disabilities in Mesa. This construction project has been successfully completed and all units are occupied as intended. Gila River Indian Community Grant Application Grant Cycle 2018 Project Budget Budget Period: 2018 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. Employment Training & $70,200 $0 $0 $72,000 Placement 2. Bathroom Renovation at Marc $13,500 $0 $0 $13,500 East 3. Computers and Smart Sensory $14,400 $0 $0 $14,400 Technology at East Village Ivyglen 4. Click here to enter text. $0 $0 $0 $0 5. Click here to enter text. $0 $0 $0 $0 6. Click here to enter text. $0 $0 $0 $0 7. Click here to enter text. $0 $0 $0 $0 8. Click here to enter text. $0 $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 $98,100 $0 $0 $98,100 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. Employment Training and Placement: This request will fund 2.5 FTEs to provide employment training/placement services to adults with serious mental illness to achieve a greater level of independence & self sufficiency. The funding includes both salary and benefits for the 2.5 positions, $58,500 in salaries and $11,700 in benefits. 2. Bathroom Remodeling at the Marc East Facility: Request to fund 3 automatic door openers that will provide ADA compliant access to the restroom facilities at this facility. The funding includes both the automatic door opener hardware and installation (including electrical requirements). The funding request for the door openers is $7,500 for 3 openers and $6,000 for the installation of the 3 openers. 3. Computers and Smart Sensory Technology at the Marc East Village location: Request is to fund 9 computers and associated software, and a smart sensory device (smartboard). The funding request for the computers is $9,000 (9 computers and software), and a smartboard for $5,400. 4. Click here to enter text. 5. Click here to enter text. 6. Click here to enter text. 7. Click here to enter text. 8. Click here to enter text. 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. 15. Click here to enter text. Gila River Indian Community Grant Application Grant Cycle 2018 16. Click here to enter text. 17. Click here to enter text. 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