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LOI_2011_Income_and_Health

VIEWS: 4 PAGES: 18

  • pg 1
									UWNCI Use Only      Date Received:
                    Received By:
                                     United Way of North Central Iowa
                                           Community Impact
                                             Letter of Intent
                                       2010-2011 Investment Cycle
                         (Information on this form must be typed, No smaller than size 10 font)
   Program Name: Adult Day Health Center
   Organization Name: Salvation Army
   F.I.D. # 362167910

   Contact Person: Carol Klocke                      Title: Diretor
      Address: 747 Village Green Drive, Mason City, IA
      Telephone: 641-424-0800
      Email: klockec@mercyhealth.com
   Amount requested for this program: $15,000
   Estimated number of persons to be served: 50
   Counties to be served by this program: Cerro Gordo, Worth, Floyd, Hancock, Mitchell, Franklin

I have read and understand the Letter of Intent Instructions: X
    1. Please describe your program.
The Adult Day Health Center is designed to assist adults (ages 18 and older) who are limited in their
ability to function independently and are in need of some assistance due to age, physical or
developmental disability. The goal of the progam is to help families keep their loved ones living at
home by providing a safe and constructive place for participants to attend during the day and then
return to home at night. Another goal of the program is to help participants improve their heatlh and
activity level through the mental, physical and social stimulation received in a relaxed setting. The
program also helps caregivers of participants by enabling them to continue to work or just give them a
needed break, therefore preventine premature placement in a nursing home. Health care monitoring,
nutritious meals and snacks and assistance with personal care are services provided. Transportation
may be arranged through local transit companies and are included in the low-cost program fee.
Attendance might be full-time, part-time or half days, Monday through Fridays. Free trial days are
available. The program is state licensed under the CARF certification and has a management contract
with Mercy Medical Center - North Iowa for assistance with the director/nurse position.

   2. Please provide 3 quick facts about the issue this program addresses.
      ***73% of family caregivers who care for someone over the age of 18 either work or have
      worked while providing care; 66% have had to make some adjustments to their work life, from
      reporting late to work to giving up work entirely; and 1 in 5 family caregivers have had to take
      a leave of absence.

      ***16% of community-dwelling Americans older than 65 years consumed fewer than 1000
      calories per day--a statistic that places these persons at high risk for under nutrition. The
      nutritional risk increases in the community-dwelling elderly who are sick, poor, homebound, and
      have limited access to medical care.

      ***State waiver programs and many long-term care insurances support adult day services
      for persons who would otherwise physically or mentally qualify for nursing home placement as
      being more cost effective. The average length of stay at the Adult Day Health Center in the past
      fiscal year was 34 month, saving participants, their families and the taxpaying community from
      the more expensive nursing home costs that could have occurred during that time period.



                                                                                                   1
                 United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name:
Organization:

4. Please put an ‘X’ indicating the areas that will be impacted. Please be as specific as possible. For more
information, refer to the Education, Income, and Health Work products available at www.unitedwaynci.org or see attachment A on
the Letter of Intent Instructions.

_____ Education                                                      __X___ Income
   _____Expanding Skills and Opportunities                              __X___Reviving Personal Responsibility
      ______Improve literacy skills                                         __X____Build family values
      ______Increase experiential learning                                  ______Change Attitudes
      ______Increase access to technology
                                                                         _____Empowering Workforce
    _____Engaging the Community                                             ____X_Promote self-sufficiency and financial stability
      ______Improve relational skills                                       ______Improve job readiness
      ______Increase community involvement
      ______Promote public awareness                                     __X___Enhancing Futures
                                                                            ______Support dreams
    _____Challenging the Status Quo                                         __X___Increase long-term planning
      ______Change education policy
      ______Maximize productivity/increase accountability

                                        ___X__ Health
                                           ___ __Expanding Understanding of Health Issues
                                                ______Advocate for health issues
                                                ______Develop marketing plans

                                             __X___Empowering Self-Care
                                                ___X___Incentivize healthy lifestyles
                                                ___X___Expand access to healthcare

                                             _____Achieving Community Results
                                                ______Build partnerships
                                                ______Define community outcomes

5. Please describe how your program          will make an impact in the above selected area. You may attach one (1)
additional page if more space is needed.

INCOME:
Having an adult family member who has limitations in their physical or mental abilities may
impact the working caregiver, whether a spouse or son/daughter. It may cause them to miss
work frequently, or possibly quit their job, negatively impacting the work force. Having their
loved one attend the Adult Day Health Center enables the caregiver to continue to be
productive in the work force and to maintain their family’s financial stability while
keeping the family “intact”.
Preventing premature institutionalization may decrease the use of Medicaid dollars that
are frequently accessed if nursing home placement is lengthy. Currently 45% of our
participants have a working caregiver.




                                                                                                                             2
                         United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name:
Organization

HEALTH:
Healthy lifestyles are promoted at the Adult Day Health center. Daily exercises, physically & mentally
stimulating activities, and nutritious meals and snacks are provided to improve the overall health and
well-being of the participants. Educational information is incorporated through some of the activities, monthly
newsletters and on a one-to-one basis. Many older persons respond to improved nutritional intake when eating with
others. The Mayo Clinic reports that one of the biggest causes of malnutrition of seniors is solitary lifestyle. Seniors
also eat a more balanced meal when they do not have to prepare it themselves. The Mayo Clinic reports that
challenges to senior health and well being include a limited fixed income, limited transportation, dietary restrictions
and the physical limitations of preparing nutritious meals. At the center, the nutritional noon meals are planned be a
registered dietician. Breakfast and snacks are planned according to the state CACFP program. Weight and eating
habits are individually monitored and addressed accordingly to prevent malnutrition, anemia, and dehydration.
Program staff works with family members and caregivers to encourage healthy eating habits in participant’s home
setting as well.

Nursing assessments are also completed monthly and on an as-needed basis on each participant to evaluate their
potential health issues and to help to gain access to health care sooner to prevent or lessen disease progression when
possible. Educational instructions are given as needed. Early interventions may prevent hospitalization, which is
beneficial and desirable not only to the participants & their family but also lessens the strain placed on medical
insurances and the state Medicaid program.




                                                                                                                           3
                                      United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Outcome                                         Indicators                                 Measurement Tools                Target Outcome

What are the outcomes of the                    What are you going to measure?             How are you going to             What is the target outcome?
program? 1-3 outcomes are ideal do not          (Phrase starts with “Number and percent    measure this?                    (Target for this organization or national
exceed 5 outcomes per program.                  of…”)                                      (Measurements must be            average or reasonable outcome, etc.)
(What is the anticipated benefit or change in   Ex: Number and percent of newborns         quantitative.)                   Ex: 40 of 44 and 90% of newborns
behavior for participants.).                    weighing at least 5.5 pounds and scoring                                    weigh at least 5.5 pounds at birth
                                                                                           Ex: Birthing records, hospital
Ex: Teen mothers attending parenting class      7 or above on Apgar scale.                 reports, etc.                    and scored 7 or above on Apgar
deliver healthy babies.                                                                                                     scale.

Participants will not lose 7% of their body     Number and percent of participants who     Participant monthly vital sign   90-100% of participants will not lose
weight in a 3-month period                      do not lose 7% of their weight in a 3-     sheet                            7%
                                                month period




Working caregivers will be able to maintain     Number and percent of participants who                                      95% of working caregivers will not
employment                                      are still employed                         Survey – formal and informal     quit their jobs due to stress of
                                                                                                                            caregiving

                                                Number & percent of participants who
Participants will be able to remain in the      remain in their home                       Survey, formal & informal
home of their choice.                                                                                                       90-95% of program participants will
                                                                                                                            remain in their homes.




                                                                                                                                                                 2
UWNCI Use Only          Date Received:
                        Received By:
                                         United Way of North Central Iowa
                                                 Community Impact
                                                   Letter of Intent
                                             2010-2011 Investment Cycle
                              (Information on this form must be typed, No smaller than size 10 font)
    Program Name: Emergency Social Services
    Organization Name: The Salvation Army
    F.I.D. #36-2167910

    Contact Person: Tracy Hedegard                    Title: Social Services Director
       Address: 747 Village Green Drive, Mason City
       Telephone: (641)424-4031
       Email: tracy_hedegard@USC.salvationarmy.org
    Amount requested for this program:$20,000
    Estimated number of persons to be served: 500
    Counties to be served by this program: Cerro Gordo and limited services in surrounding counties

I have read and understand the Letter of Intent Instructions:

Please keep the below questions within the space provided below (Space limited to this page only).
1. Please describe your program. (To save space, it is not recommended to give general agency information)The Salvation
Army Emergency Social Services (ESS) program provides financial assistance to those people in crisis as well as to make referrals
to other area social services. The program goals are to help individuals and families who are experiencing a crisis or disaster
situation so they are able to maintain their independence, maintain or find stable employment and effectively plan for the
financial stability of their future. We provide assistance to the homeless and near-homeless in securing a home and a job in the
provision of some basic clothing and material goods. Our services aid in the promotion of a healthy lifestyle and the prevention of
homelessness. The ESS program also prevents temporary needs from escalation into long-term dependence on government aid
programs, emergency medical care, institutionalization, which contribute to increased tax payer and government expense.



2. Please provide 3 quick facts about the issue this program addresses. (Example: There was a 30% increase in
domestic violence shelter bed usage this past year.)
       1. In the last 12 months The Salvation Army has given out 55 bus passes to people who are clients of
the homeless shelter, Prairie Ridge, or Beje Clark to enable them to look for employment. Do you know if any
of these people went on to secure jobs?
       2. Many of the people we work with are uninsured and must travel great distances to seek treatment.
In the last 12 months we provided gas assistance to 62 people who otherwise would not have been able to
get the medical/dental treatment they required.
       3. Natural disasters are something no one can prepare for but The Salvation Army jumps in where
ever possible to assist. Last January during a blizzard a road closing forced a transit bus carrying people
from their appointments at Mercy Medical Center North Iowa on their way back home to Franklin County to
turn around and come back to Mason City. The quick thinking bus driver brought them to our building
where it was determined that one of them needed to go back to the hospital while the others were given a
hot meal and a hotel room for the night.




                                                                                                                              1
                  United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name: Emergency Social Service
Organization: The Salvation Army

4. Please put an ‘X’ indicating the areas that will be impacted. Please be as specific as possible. For more
information, refer to the Education, Income, and Health Work products available at www.unitedwaynci.org or see attachment A on
the Letter of Intent Instructions.

_____ Education                                                         ___X__ Income
   _____Expanding Skills and Opportunities                                 ___X__Reviving Personal Responsibility
       ______Improve literacy skills                                            ___X___Build family values
       ______Increase experiential learning                                     __x____Change Attitudes
       ______Increase access to technology
                                                                             ____X_Empowering Workforce
    _____Engaging the Community                                                 ___X___Promote self-sufficiency and financial
       ______Improve relational skills                                  stability
       ______Increase community involvement                                     ___X___Improve job readiness
       ______Promote public awareness
                                                                             ____X_Enhancing Futures
    _____Challenging the Status Quo                                             ______Support dreams
       ______Change education policy                                            __X____Increase long-term planning
       ______Maximize productivity/increase accountability


                                           __X___ Health
                                              _____Expanding Understanding of Health Issues
                                                  ______Advocate for health issues
                                                  ______Develop marketing plans

                                               ___X__Empowering Self-Care
                                                  ____X__Incentivize healthy lifestyles
                                                  ___X___Expand access to healthcare

                                               ___X__Achieving Community Results
                                                  ___X___Build partnerships
                                                  ______Define community outcomes

5. Please describe how your program will make an impact in the above selected area. You may attach one (1)
additional page if more space is needed.
INCOME
The Salvation Army ESS program provides financial assistance to families and individuals in crisis and disaster situation, thereby
assisting families in maintaining their independence and financial stability. The program also requires its clients to be actively
pursuing employment and assists with items that might be a road block to becoming employed such as suitable clothing and steal
toed work boots. As part of our client intake process our clients are asked to identify the behaviors which contributed to their
financial difficulty and to develop a plan for their long-term stability. This helps clients hold themselves accountable for their
decisions and promotes a responsibility to themselves, their families and the community to be productive and self-supporting. We
operate with the goal to change client attitudes about the causes of their situation and to promote self-sufficiency. We also refer
clients to a local consumer credit counseling agency which provides free budgeting services.

HEALTH
Studies have shown that financial instability is linked to unhealthy lifestyles and that health and wellness is often sacrificed when
an individual or family is experiencing a crisis situation. By alleviating the burden of rent or utility expenses in a crisis situation,
we enable the families to expend money and time on healthy food, activities, medical appointments and medications. Through
referrals to other healthcare and social service organizations we expand people’s access to healthcare by making them aware of
low-cost, free and sliding-fee services. We also improve access by providing gas vouchers to out of town medical appointments.
Our intake process also promotes family health and well being by demonstrating that healthy lifestyle choices can also reduce
financial burdens.




                                                                                                                                   2
                           United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Organization Name: The Salvation Army
Program Name: Emergency Social Services
Outcome                                         Indicators                                 Measurement Tools                Target Outcome

What are the outcomes of the                    What are you going to measure?             How are you going to             What is the target outcome?
program? 1-3 outcomes are ideal do not          (Phrase starts with “Number and percent    measure this?                    (Target for this organization or national
exceed 5 outcomes per program.                  of…”)                                      (Measurements must be            average or reasonable outcome, etc.)
(What is the anticipated benefit or change in   Ex: Number and percent of newborns         quantitative.)                   Ex: 40 of 44 and 90% of newborns
behavior for participants.).                    weighing at least 5.5 pounds and scoring                                    weigh at least 5.5 pounds at birth
                                                                                           Ex: Birthing records, hospital
Ex: Teen mothers attending parenting class      7 or above on Apgar scale.                 reports, etc.                    and scored 7 or above on Apgar
deliver healthy babies.                                                                                                     scale.
Persons in financial need who are               Number of unemployed clients that          Completed job search             100% of clients seeking
able to work are actively looking for           apply for at least six jobs.               forms.                           financial assistance who are
employment.                                                                                                                 able to work are actively seeking
                                                                                                                            employment.


All people seeking financial                    1. Number and percent of clients
assistance will have access to                  receiving financial assistance who         Tick sheets                      1.100%Clients receiving financial
information about resources to                  set up a plan of action.                                                    assistance have a better
improve their financial situation               2. Number and percent of clients                                            understanding of behaviors leading
                                                receiving financial assistance are                                          to their financial difficulties.
                                                referred to Consumer Credit                                                 2. 100% of clients are referred
                                                Counseling for budgeting advice.                                            to Consumer Credit Counseling
                                                                                                                            for budgeting advice.




                                                                                                                                                                        3
UWNCI Use Only          Date Received:
                        Received By:
                                         United Way of North Central Iowa
                                                Community Impact
                                                  Letter of Intent
                                            2010-2011 Investment Cycle
                              (Information on this form must be typed, No smaller than size 10 font)
    Program Name: Feeding the Hungry
    Organization Name: Community Kitchen
    F.I.D. # 42-1285253

   Contact Person: Amanda Ragan                       Title: Director
      Address: P.O. Box 58
      Telephone: 641-424-2316
      Email: meals@netconx.net
   Amount requested for this program: $25,000
   Estimated number of persons to be served: 125-145 people a day
   Counties to be served by this program: Primarily Cerro Gordo, Floyd, Franklin, Hancock, Mitchell,
Winnebago, and Worth

I have read and understand the Letter of Intent Instructions:

Please keep the below questions within the space provided below (Space limited to this page only).
1. Please describe your program. (To save space, it is not recommended to give general agency information)

The Community Kitchen works to meet the nutritional, social, emotional, and educational hungers of people in the
North Iowa area. The Community Kitchen is located in Mason City, and serves a seven-county area of North Central
Iowa (Cerro Gordo, Floyd, Franklin, Hancock, Mitchell,Winnebago, and Worth). The Kitchen provides a
daily/noon/free/balanced meal, six days a week, including Saturdays. In order to further meet the needs of more
individuals and families, The Kitchen initiated a Monday evening meal program in June of 2009. We serve an average
of 125 - 145 people each day. We also serve an evening meal in Clear Lake on Monday, Wednesday, and Friday. For
28 years, we have been leaders in our North Iowa region in overcoming the ill effects of hunger and malnutrition
among our citizens. In the past decade The Community Kitchen has served an average of more than 70,000 meals a
year to hungry, needy people, including 81,400 in 2009 alone.




2. Please provide 3 quick facts about the issue this program addresses. (Example: There was a 30% increase in
domestic violence shelter bed usage this past year.)
        1. The Iowa Food Insecurity Rate is 11.6%; 421,00 Iowans do not have enough to eat.
        2. 9.7 percent of the elderly live below the poverty line, 3.6 million older Americans.
        3. The Community Kitchen has served over 2159 unduplicated clients since October 2007.




                                                                                                             1
                  United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name: Feeding the Hungry
Organization: Community Kitchen of North Iowa

4. Please put an ‘X’ indicating the areas that will be impacted. Please be as specific as possible. For more
information, refer to the Education, Income, and Health Work products available at www.unitedwaynci.org or see attachment A on
the Letter of Intent Instructions.

_____ Education                                                          _____ Income
   _____Expanding Skills and Opportunities                                  _____Reviving Personal Responsibility
     ______Improve literacy skills                                             ______Build family values
     ______Increase experiential learning                                      ______Change Attitudes
     ______Increase access to technology
                                                                              _____Empowering Workforce
    _____Engaging the Community                                                ___X___Promote self-sufficiency and financial stability
     ______Improve relational skills                                           ______Improve job readiness
     ______Increase community involvement
     ______Promote public awareness                                           _____Enhancing Futures
                                                                               ______Support dreams
    _____Challenging the Status Quo                                            ______Increase long-term planning
     ______Change education policy
     ______Maximize productivity/increase accountability

                                          _____ Health
                                             _____Expanding Understanding of Health Issues
                                                    ______Advocate for health issues
                                                    ______Develop marketing plans

                                              _____Empowering Self-Care
                                                    __X____Incentivize healthy lifestyles
                                                    ______Expand access to healthcare

                                              _____Achieving Community Results
                                                    ______Build partnerships
                                                    ______Define community outcomes

5. Please describe how your program          will make an impact in the above selected area. You may attach one (1)
additional page if more space is needed.

Promotes Self-sufficiency and financial stability

The reasons people come to the Community Kitchen are poverty; unemployment or underemployment; low income
working poor; homelessness; people with mental, physical, or emotional challenges; fixed income elderly who are
constrained by increasing medical and prescription drug costs; single parent families; needy children and adolescents;
and the partially disabled. By providing a meal to these individuals we help them stretch their food budget.

Incentivize healthy lifestyles

The Community Kitchen provides a nutritious, hot meal, six days a week to hungry people in our service area.
Primarily, we support the maintenance and improvement of the health of our clients through the meals we provide.
The Kitchen daily meets the nutritional standards established by The Elderbridge Agency on Aging, which bolsters the
health and well being of a vulnerable segment of our population. Daily they are afforded fruits, vegetables, protein
and other good nutrition they would not be able to acquire on their own.




                                                                                                                                 2
                              United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name: Meals for the hungry
Organization Community Kitchen of North Iowa
Outcome                                         Indicators                                 Measurement Tools                Target Outcome

What are the outcomes of the                    What are you going to measure?             How are you going to             What is the target outcome?
program? 1-3 outcomes are ideal do not          (Phrase starts with “Number and percent    measure this?                    (Target for this organization or national
exceed 5 outcomes per program.                  of…”)                                      (Measurements must be            average or reasonable outcome, etc.)
(What is the anticipated benefit or change in   Ex: Number and percent of newborns         quantitative.)                   Ex: 40 of 44 and 90% of newborns
behavior for participants.).                    weighing at least 5.5 pounds and scoring                                    weigh at least 5.5 pounds at birth
                                                                                           Ex: Birthing records, hospital
Ex: Teen mothers attending parenting class      7 or above on Apgar scale.                 reports, etc.                    and scored 7 or above on Apgar
deliver healthy babies.                                                                                                     scale.
                                                                                           Surveys, monitor # of people
Clients will have improved health               Number and percentage of people            using services                   1000 of 1000 and 100% of the
through improved nutrition over what            easting noon and evening meals.            Observations and individual      people who come to the Kitchen
they would have experienced in the              Number and percent of people eating        conversations                    had their immediate hunger needs
absence of the Community Kitchen.               carryout meals.                                                             met by the meals
                                                Number and percent of people meals
Clients have an increase in                     served in Clear Lake.                                                       900 of 1000 and 90% of people
independence and socialization over             Number and percent living                                                   served are healthier and able to
what they would achieve without The             independently                                                               remain living independently and
Community Kitchen.                              Number and percent not homeless                                             not homeless
                                                Number and percent of seniors using                                         90 of 120 and 75% of seniors who
                                                service for one year                                                        are served will have come for a
                                                                                                                            full year eating a nutritious meal.




                                                                                                                                                                        3
UWNCI Use Only          Date Received:
                        Received By:
                                         United Way of North Central Iowa
                                                Community Impact
                                                  Letter of Intent
                                            2010-2011 Investment Cycle
                              (Information on this form must be typed, No smaller than size 10 font)
    Program Name: Meals for the Homebound
    Organization Name: Meals On Wheels
    F.I.D. # 42-0954145

    Contact Person: Amanda Ragan                      Title: Director
       Address: P.O. Box 58
       Telephone: 641-380-0080
       Email: meals@netconx.net
    Amount requested for this program: $25,000
    Estimated number of persons to be served: 100 per day
    Counties to be served by this program: Cerro Gordo (Mason City)

I have read and understand the Letter of Intent Instructions:

Please keep the below questions within the space provided below (Space limited to this page only).
1. Please describe your program. (To save space, it is not recommended to give general agency information)

For 40 years, the mission of Meals On Wheels has been to organize and provide for the delivery of nutritious meals to
the homes of those who need them. This service is necessary because people have difficulty preparing their meals for
different physical, financial, or mental conditions, including recovery from an illness or operation. Each meal includes
a hot meat, vegetable, a starch, and a cold salad and desert. They are delivered by volunteers on pre-planned routes,
and the option of a Saturday meal is available to all those we serve. The past decade we have delivered an average of
30,000 meals a year to an average of 120 clients a day, a majority of whom are elderly

2. Please provide 3 quick facts about the issue this program addresses. (Example: There was a 30% increase in
domestic violence shelter bed usage this past year.)
        1. A study which examined the health and nutritional status of seniors found that food insecure seniors had
           significantly lower intakes of vital nutrients in their diets when compared to their food secure counterparts.
           In addition, food insecure seniors were 2.33 times more likely to report fair/poor health status and had
           higher nutritional risk.
        2. A national study that focused on the experience of food insecurity among the elderly population found that
           food insecure seniors sometimes had enough money to purchase food but did not have the resources to
           access or prepare food due to lack of transportation, functional limitations, or health problems.
        3. More than one-half of all the meals we deliver each month were subsidized to some degree.




                                                                                                                     1
                  United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name: Meals for the Homebound
Organization: Meals on Wheels

4. Please put an ‘X’ indicating the areas that will be impacted. Please be as specific as possible. For more
information, refer to the Education, Income, and Health Work products available at www.unitedwaynci.org or see attachment A on
the Letter of Intent Instructions.

_____ Education                                                         _____ Income
  _____Expanding Skills and Opportunities                                 _____Reviving Personal Responsibility
    ______Improve literacy skills                                             ______Build family values
    ______Increase experiential learning                                      ______Change Attitudes
    ______Increase access to technology
                                                                            _____Empowering Workforce
  _____Engaging the Community                                                 ____x__Promote self-sufficiency and financial stability
    ______Improve relational skills                                           ______Improve job readiness
    ______Increase community involvement
    ______Promote public awareness                                          _____Enhancing Futures
                                                                              ______Support dreams
   _____Challenging the Status Quo                                            ______Increase long-term planning
    ______Change education policy
        _____ Maximize productivity/increase
      accountability

                                           _____ Health
                                              _____Expanding Understanding of Health Issues
                                                   ______Advocate for health issues
                                                   ______Develop marketing plans

                                               _____Empowering Self-Care
                                                   ___x___Incentivize healthy lifestyles
                                                   ______Expand access to healthcare

                                               _____Achieving Community Results
                                                   ______Build partnerships
                                                   ______Define community outcomes

5. Please describe how your program          will make an impact in the above selected area. You may attach one (1)
additional page if more space is needed.

Promote self-sufficiency and financial stability

Meals on Wheels allows individuals to remain in their own homes and not rely on institutional placement. People
served in this category can be nursing home-eligible who remained in their homes because of this support. It is
important to relieve the financial burden for people who may be concerned with where their next meal is coming from,
and how to pay for it.

Incentivize healthy lifestyles

Seniors require greater consideration towards their health and medical needs that can become compromised when
there is not enough food to eat. The meals are prepared under the supervision of dietitians at Mercy Medical Center –
North Iowa. Each meal includes a hot meal, vegetable, a starch, and a cold salad and dessert. Special dietary
requirements, such as diabetic or low salt diets, can be accommodated through our program. The freshly cooked food
is placed in separate hot and cold disposable containers, and those are placed in insulated carriers, which maintain a
constant delivery temperature.



                                                                                                                                 2
                              United Way of North Central Iowa Letter of Intent 2010-2011 Investment Cycle
Program Name: Meals for the Homebound
Organization: Meals on Wheels
Outcome                                         Indicators                                 Measurement Tools                Target Outcome

What are the outcomes of the                    What are you going to measure?             How are you going to             What is the target outcome?
program? 1-3 outcomes are ideal do not          (Phrase starts with “Number and percent    measure this?                    (Target for this organization or national
exceed 5 outcomes per program.                  of…”)                                      (Measurements must be            average or reasonable outcome, etc.)
(What is the anticipated benefit or change in   Ex: Number and percent of newborns         quantitative.)                   Ex: 40 of 44 and 90% of newborns
behavior for participants.).                    weighing at least 5.5 pounds and scoring                                    weigh at least 5.5 pounds at birth
                                                                                           Ex: Birthing records, hospital
Ex: Teen mothers attending parenting class      7 or above on Apgar scale.                 reports, etc.                    and scored 7 or above on Apgar
deliver healthy babies.                                                                                                     scale.



Homebound individuals who use meals             Number and percent of clients who          Monitor # of people using        180 of 200 or 90% of clients
will have improved health and                   remain in home.                            services, discussions with       remained in their homes
independence and no longer need                 Number and percent that discontinue        case workers, measure            30 of 200 or 15% of clients
delivery.                                       due to improved health.                    observations and individual      discontinued because of improved
                                                Number and percent that transition         conversations                    health
Individuals will have improved health,          back from nursing homes or hospital                                         20 of 200 or 10% were able to
independence and be able to leave               because of improved health.                                                 transition from a nursing home to
institutional care or remain in their own       Number and percent of whom are not                                          their home
home.                                           hospitalized.                                                               180 of 200 or 90% of people
                                                Number and percent on special diets.                                        served were not hospitalized
                                                Number and percent that eat well                                            120 of 200 or 60% of people
                                                balanced nutritious meal.                                                   served followed special diets.
                                                                                                                            200 of 200 people served or 100%
                                                                                                                            ate a nutritious meal




                                                                                                                                                                        3
UWNCI Use Only          Date Received:
                        Received By:
                                         United Way of North Central Iowa
                                                Community Impact
                                                  Letter of Intent
                                            2010-2011 Investment Cycle
                              (Information on this form must be typed, No smaller than size 10 font)
    Program Name:Self-Advocacy/ Consumerism and Rec-Social programs for the disabled

    Organization Name: The Arc of North Central Iowa

    F.I.D. ##23-707-408

    Contact Person: Barry C. Trump                     Title: Advocacy/Services Coordinator
       Address: 219. 1st. St., SW. Mason City, Ia. 50401
       Telephone:641-422-0157
       Email: btrump@q.com
    Amount requested for this program: 10,000
    Estimated number of persons to be served: 200
    Counties to be served by this program: Cerro Gordo, Franklin, Worth, Winnebago,Floyd,Butler,
Kossuth,Hancock, Mitchell, Wright.
I have read and understand the Letter of Intent Instructions: # **#
Please keep the below questions within the space provided below (Space limited to this page only).
    1. Please describe your program. (To save space, it is not recommended to give general agency information)
         The Arc of NC. Ia. purports itself to be the foremost non-profit agency dedicated to serving the needs of disabled people
         in No. Ia. The Arc strives to build partnerships with area agencies including: Winnebago Scouts; NIVC, YMCA, North East
         Iowa Consumer counseling services, and Mason-City Parks and Rec. Heretofore, the Arc has sponsored two summer
         camps, which will be reduced to one overnight camp at Winnebago Scout camp, four dances, Circle of Friends, and the
         People First organization. The day camp has been discontinued in hopes of integrating our disabled youth into the
         summer Mason-City Parks-Rec. program. The Circle of Friends program will continue to provide healthy recreational
         programs for an otherwise sedentary population. The Arc sponsored dances will continue with the intent of developing
         social skills and eliminating the fear of isolation among the disabled. A new program for the disabled consumer will be a
         new venture with the North-East Iowa Consumer Credit Counseling service. The disabled population in general have
         limited income and require careful management of their financial resources to eliminate financial crises.
    2. 3 quick facts about the issue this program addresses:
       1. 76.6% of the disabled are unemployed and live at or below poverty level
       2. Disabled people lose jobs due to poor social skills.
       3.Social isolation leads to loneliness and exacerbates the problems of depression, physical inactivity,
generally poor health and shortens life spans. Disabled people continually suffer in a poor economy. If the
disabled work, it is more than likely at minimum wage. Most are on SSI. leading to a life of poverty. Only
improved social skills can improve career success. Consumer credit counseling can assist the disabled in
managing their meager funds and create better consumer decisions leading to fewer consumer crises.
Because our disabled population tends to be socially isolated, mental health problems are seen in the form
of depression, anxiety, and feelings of worthlessness. Social isolation also leads to poor health and physical
inactivity. Feeling un-connected, the disabled need social activities to develop social skills.
Program Name:Self-Advocacy, consumerism and Rec-Social Skills for the disabled
Organization: The Arc of North Central Iowa

4. Please put an ‘X’ indicating the areas that will be impacted. Please be as specific as possible. For more
information, refer to the Education, Income, and Health Work products available at www.unitedwaynci.org or see attachment A on
the Letter of Intent Instructions.

_____ Education                                                        __*___ Income
   _____Expanding Skills and Opportunities                                ___*__Reviving Personal Responsibility
       ______Improve literacy skills                                           ______Build family values
       ______Increase experiential learning                                    ______Change Attitudes
       ______Increase access to technology
                                                                            ___*__Empowering Workforce
    _____Engaging the Community                                                _ *_____Promote self-sufficiency and financial
       ______Improve relational skills                                 stability
       ______Increase community involvement                                    ______Improve job readiness
       ______Promote public awareness
                                                                            _____Enhancing Futures
    _____Challenging the Status Quo                                            ______Support dreams
       ______Change education policy                                           ___*___Increase long-term planning
       ______Maximize productivity/increase accountability


                                          ___*__ Health
                                             _____Expanding Understanding of Health Issues
                                                 ______Advocate for health issues
                                                 ______Develop marketing plans

                                               __*___Empowering Self-Care
                                                 ___*___Incentivize healthy lifestyles
                                                 ______Expand access to healthcare

                                               ___*__Achieving Community Results
                                                 ___*___Build partnerships
                                                 ______Define community outcomes

5. Please describe how your program will make an impact in the above selected area. You may attach one (1)
additional page if more space is needed.
The Arc program will serve to revive personal, financial responsibility by offering consumer counseling to interested parties. The
counseling hopefully will empower the disabled to become more financially stable over the long term with educating consumers in
how to make wise consumer choices. Socially, the disabled are inept when it comes to functioning in the work place. The
overnight camp and dances provide meaningful social experiences for the disabled population thereby creating a more sociable
client which leads to greater success in the workplace. In general, the lifestyles of the disabled may be described as sedentary and
an overall poor quality of life. With the Circle of friends program, the Arc intends to develop healthier lifestyles with walking clubs
at the YMCA, Bowling and healthy recreational activities. The disabled population is disconnected from the community in many
aspects. This lack of connection means little recognition of the problems facing the disabled. By linking these clients to
community agencies through walking programs and rec. programs the disabled will become more engaged in societal activities
eliminating the stigma of social isolation and related mental health issues. Self-advocacy has been an issue for the disabled over
the years. With People-First activities such as voter education and voter registration activities, it is hoped that the disabled will
learn how to have a greater voice in political decision-making.
Program Name:Self-Advocacy, Consumerism and Rec-Social Programs for the disabled
Organization: The Arc of North Central Iowa
Outcome                                         Indicators                                     Measurement Tools                        Target Outcome

What are the outcomes of the                    What are you going to measure?                 How are you going to                     What is the target outcome?
program? 1-3 outcomes are ideal do not          (Phrase starts with “Number and percent        measure this?                            (Target for this organization or national
exceed 5 outcomes per program.                  of…”)                                          (Measurements must be                    average or reasonable outcome, etc.)
(What is the anticipated benefit or change in   Ex: Number and percent of newborns             quantitative.)                           Ex: 40 of 44 and 90% of newborns
behavior for participants.).                    weighing at least 5.5 pounds and scoring                                                weigh at least 5.5 pounds at birth
                                                                                               Ex: Birthing records, hospital
Ex: Teen mothers attending parenting class      7 or above on Apgar scale.                     reports, etc.                            and scored 7 or above on Apgar
deliver healthy babies.                             1. Number and percent of campers                                                    scale.
                                                        showing improvement in Decision            1. Likert social skills                  1. 35(70%) of all campers
    1. Campers report having increased
                                                        Making/ Socialization skills.                 survey indicates                          score at least 3 or above on
       Socialization/                                                                                                                           Likert Scale
                                                                                                      improvement in skill
       Decision making skills                       2. Number and percent of campers
                                                                                                      areas                                 2. 35(70)% campers score at
                                                       showing improvement in a
                                                                                                                                               least 3 or above on Likert
    2. Clients report having improved                  healthier lifestyle through                 2. Likert Survey rating 1-5                 Survey
       Healthy lifestyles through                      increased physical activity.                    indicates perceived                  3. During a voting session,
       increased physical activity                                                                     improvement in lifestyle/               25(80%) have
                                                    3. Number and per-cent of                          physical activity.
                                                                                                                                               demonstrated participation
                                                       participants showing improved
    3. People First participants                                                                   3. Facilitator observarion                  in voting process
                                                       knowledge in voting and political-
                                                                                                       and/or self-report                   4. (98%)/15 clients
       demonstrate improved                            decision making activity.
                                                                                                                                               demonstrate ability to walk
       knowledge in voting and                                                                                                                 15 minutes per session as
       political-decision making                    4. Number and percent of members
                                                                                                                                               reported by facilitator;
       activities.                                     exhibiting ability to walk at least
                                                                                                   4. Facilitator observation and              11(70%) participate in
                                                       15 min. per session; rate of                    record keeping                          wellness activity as reported
                                                       participation in wellness activities.
    4. Circle of Friends members                                                                                                               by facilitator.
       participate in walking club and                                                                                                      5. 70% of core group scores at
                                                    5. Number and percent of core group
                                                                                                                                               least 3 or above on Likert
       related physical wellness                       showing improved economic self              5. Likert Survey rating 1-5
                                                                                                       indicating perceived                    Scale as using better
       activities.                                     sufficiency and financial stability.
                                                                                                       improvement in financial                financial planning for
                                                                                                       stability and fiscal stability          economic self-sufficiency.
5.Core group reports having improved
financial stability and fiscal economic
self sufficiency.
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