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Contingency Relief Fund Budget Form <br />Organization Name: <br />Project Name: <br />Lokahi Treatment Centers <br />Substance Abuse, Mental Health, Domestic Violence and Anger Management Treatment <br />Programs in Hilo <br />Expense Description <br />CRF Grant <br />Other Cash <br />Total Expense <br />Expense Justification <br />Sources <br />Essential for clients to complete program <br />Writing Materials (journals, notebooks, <br />assignments, practice journaling as part of their <br />$ 500.00 <br />$ - <br />$ 500.00 <br />recovery process, and participate in evidence - <br />pens, and other writing supplies) <br />based exercises during individual and group <br />sessions to support therapeutic engagement. <br />Urinalysis and Breathalyzer Testing Supplies <br />$ 1000.00 <br />, <br />$ <br />$ 1,000.00 <br />Required toxicology testing to monitor sobriety, <br />and Lab Fees <br />reinforce accountability, and inform treatment. <br />Portable devices for clients to use during counselor <br />sessions to review/sign assessments, treatment <br />External Computer Tablets <br />$ 250.00 <br />$ <br />$ 250.00 <br />plans, and other documentation. The intent is not <br />to provide each client with a personal device, but <br />to have shared tablets available for client use <br />within our Kona office. <br />Enables staff to securely print, fax, and copy <br />Printer/Fax Machine and Supplies <br />$ 750.00 <br />$ <br />$ 750.00 <br />treatment plans, consent forms, and client <br />materials. <br />Admin/ <br />$ <br />Overhead <br />$ <br />Expenses- <br />$ <br />Max. 10% <br />$ <br />of request: <br />$ <br />EXPENSESTOTAL <br />$2,500.00 <br />1 $ - <br />$ 2,500.00 <br />