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Contingency Relief Fund Budget Form
<br />Organization Name: Lokahi Treatment Centers
<br />Project Name:
<br />Substance Abuse, Mental Health, Domestic Violence and Anger Management Treatment Programs in
<br />Kona
<br />Other Cash
<br />Expense Description
<br />p p
<br />RF Gran
<br />C t
<br />Total Expense
<br />, ,
<br />Expense Justification
<br />Sources
<br />Evidence -Based Treatment Curriculum and
<br />$ 500.00
<br />$ 500.00
<br />$ 1,000.00
<br />Materials to guide clients through structured recovery
<br />Client Workbooks
<br />programs and support measurable ro ress.
<br />Essential for clients to complete program assignments,
<br />Writing Materials (journals, notebooks, pens,
<br />$ 500.00
<br />$ 500.00
<br />$ 1,000.00
<br />practice journaling as part of their recovery process, and
<br />and other writing supplies)
<br />participate in evidence -based exercises during individual
<br />1.
<br />and group sessions to support therapeutic engagement.
<br />Purchase/licensing of standardized, evidence -based
<br />Clinical Assessment Instruments (Substance
<br />$ 500.00
<br />$ 500.00
<br />$ 1,000.00
<br />assessment tools for client intake and evaluation to
<br />Use and Mental Health)
<br />ensure accurate diagnosis, individualized treatment
<br />planning, and compliance.
<br />Urinalysis and Breathalyzer Testing Supplies
<br />$ 1,000.00
<br />$ 1,000.00
<br />$ 2,000.00
<br />Required toxicology testing to monitor sobriety,
<br />and Lab Fees
<br />a
<br />reinforce accountability, and inform treatment.
<br />Portable devices for clients to use during counselor
<br />sessions to review/sign assessments, treatment plans,
<br />External Computer Tablets
<br />$ 250.00
<br />$ 250.00
<br />$ 500.00
<br />and other documentation. The intent is not to provide
<br />each client with a personal device, but to have shared
<br />tablets available for client use within our Kona office.
<br />Reliable technology for staff to maintain high -quality
<br />2 Desktop Computers with Microsoft Programs
<br />service delivery. Computers support secure electronic
<br />(Word, Excel, Outlook, PowerPoint), $1,000/ea
<br />$ 1,000.00
<br />$ 1,000.00
<br />$ 2,000.00
<br />health record access, assessment scoring, and care
<br />coordination. Programs ' gr ms enable accurate reporting,
<br />communication and data analysis.
<br />Folding Chairs
<br />g
<br />$ 250.00
<br />$ 250.00
<br />$ 500.00
<br />Expands seating for group therapy and educational
<br />sessions, ensuringsafe and inclusive participation.
<br />Printer/Fax Machine Supplies
<br />$ 750.00
<br />$ 750.00
<br />$ 1,500.00
<br />Enables staff to securely print, fax, and copy treatment
<br />tans, consent forms, and client materials.
<br />Tables
<br />$ 250.00
<br />$ 250.00
<br />$ 500.00
<br />Provides workspace for group activities, counseling
<br />sessions, and client education materials.
<br />Admin/Overhead Expenses - Max. 10% of
<br />request:
<br />EXPENSES TOTAL
<br />5,000.00
<br />$$
<br />5 000.00
<br />J
<br />$ 10 000.00
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