%PDF-1.7 1 0 obj << /Type /Catalog /Outlines 2 0 R /Pages 3 0 R >> endobj 2 0 obj << /Type /Outlines /Count 0 >> endobj 3 0 obj << /Type /Pages /Kids [6 0 R 24 0 R 42 0 R ] /Count 3 /Resources << /ProcSet 4 0 R /Font << /F1 8 0 R /F2 9 0 R /F3 10 0 R /F4 11 0 R /F5 12 0 R >> /XObject << /I1 14 0 R /I2 40 0 R /I3 41 0 R >> /ExtGState << /GS1 21 0 R /GS2 22 0 R /GS3 26 0 R /GS4 27 0 R >> >> /MediaBox [0.000 0.000 612.000 792.000] >> endobj 4 0 obj [/PDF /Text /ImageC ] endobj 5 0 obj << /Producer (dompdf 3.1.0 + CPDF) /CreationDate (D:20250909142616+00'00') /ModDate (D:20250909142616+00'00') >> endobj 6 0 obj << /Type /Page /MediaBox [0.000 0.000 612.000 792.000] /Parent 3 0 R /Annots [ 15 0 R 17 0 R 19 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Filter /FlateDecode /Length 1668 >> stream xWKs6ϯcR5[FR[Ifhdr?tޟ_y\El4{ts٫;J&/(J[ߗт6D?^^yIJӏhėk,ɓ(x˨H J帶}\dTwtuwf(.~w[>ol++ܽF^TNq ĕ*kԘN9 9/VUCiTy ƴqF oUMUN@qDi\F#E}"Jtv=Vm%?-(-=KQt-q[GkzRpH9dh'\(rEUDvfPP59 Nj/ZRmDF9m`Cqe xgoIotiס3e8 5bMA3llH3k'Z I}glHˬe0]lqx||C+՛VX,;c㶒[;c٤eg ʛ}iFiz{4gs_tSO2ZV!~g#VXJzJND}=s_DK:QU~\ivR3:=RstUab,@*C9Y@¢6j%8Fow2$`͹hI04JUT@hVKi-7 y"wzE+͙Jn+=|lBBƝ.(BJ4[je$ FzoxYMjUZ^tWp D~ohg>%T.Ґ&m;%$h_ =p }8k7!jTS:75lJ@8kMa~tА֓,/BixW`c>3G؏pU8Ā5$>P>PaVωQ=H% =W ,*{Lޏ-: 0 ~i*)- oRS \\a0*B4z>VNulgpv{H'iG[Z B8_m -k@vL/ODy}4;ؑ\I@pb)x} qx$a}@v:},Q^DU"+ J SpOOn@Gk7;Qf'@cT;PBkx4NUk?B0H"Z缼^͋{ fN8ɣQbI߽c]UdǕ)ƙY2qE%waq q_[:1N(/|;5?>ZG =x|/^Kxz%JJT%Q[a&b=[.ߚЗΔgg7뫫z==Mf8a"J?ǥ8]UH v\woc:&| a3X;H<˞T]O~cw endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /Font /Subtype /Type1 /Name /F4 /BaseFont /Helvetica-Bold /Encoding /WinAnsiEncoding >> endobj 12 0 obj << /Type /Font /Subtype /Type1 /Name /F5 /BaseFont /Helvetica-Oblique /Encoding /WinAnsiEncoding >> endobj 13 0 obj [6 0 R /Fit] endobj 14 0 obj << /Type /XObject /Subtype /Image /Width 640 /Height 426 /ColorSpace /DeviceRGB /Filter /DCTDecode /BitsPerComponent 8 /Length 21477>> stream JFIFC    !'"#%%%),($+!$%$C   $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$" P)"U`Fq!" T;x.ߑ0,0:zөYq(a*b6< * I`Hh@&0JHgd  aNzvyѴ)RJuȕ9QNIp.t1 &hwsD #B!hL! hM00@D0(3oT\9E겚=夞iHDH~e}?4|A9u@ h mBw]qegÐuC9gMçn &k_hc@Kɼ|oS^AIU+e*zgO1~prmfM `"823L,4<г^g qJ/) yH^RabM9q!"@:_q|6W>|? z`Qg~Ak\N'86 R"EMSDF Ō@8EH$D$2bXebH$EJ tya4hY/^_;JD-;cЁ7!G `J,q)W"HD&hb b0u/ ,37Q#U4gPEʒuϱrz9&^:z|ͣ^Co;[o7a 6`eD1Q Q Dh"N&fqcH iLb@4 LhoSv~c}ܭeyԜYlտۗAp3Sm*YHh1=22ftˏKJI `11@0 KlO¸UU0vrei4W GV_Q:;񇛫<\W%s9Il%#)u¶XApdBDBB b@138z)>8gzkɻμ|NGNAtR %W MDC @>9θL"D6hm:NVt|_;ʹg#|Q7z^=G#w sup._{qtkQ]H0#U1&ȒBl6;&TJtXh kkY&/ |qɾ^zOu}yв or}|_ c˿) NR"I C@5ID9 4&`>_쏲cӔ||LvOQøm6Eg?/Bc9zNe;s*݌d"#CHq&#hM@q/s}1n~C,:=6#<-UZ"0eߘd9X؎F>{s)IF/H@!I$BA LӜwz'o@wCAqg/ិm̾uLdef\i9:8v>)W[9U&"ƀL&E͑lb4!0: 8K9N=CtC>hknt m @ ICϜebΉ}I96dtDI$HM m#44h>/.A8C?,]_ny:l%\}' Q}-V U(l"IB` l$4DhbLz!LMl> ft>_O'^59r@SmHcH 0C I4w!秿&Eew-tn @  $B1DF` m0@ L!M=o'<^<@0@4 H@1!bB4444@ `iR:_E_яAz~%svjR:  /! "01@P#3A`24$D۝'@Zav5O5ԵLjg9 * +яnKaFZϓ*l77+lѐF2K@Ė~ #JaXҌ jqGX̗;gƥ2#ՊG]߾"!_c`](;0Rr&=^zݗ;2xXĖWzf~N?ʺyt-=YhLW5ћGfoqY\8Ʈ0GО938N3SSSSSSS_Q\KE1<  8ɨ=Z_HF0OS55%%%%%!<"xD <3<g gؖ3`NsrfICՉ,O#n77779NS9NSsssss9M4'_%Md[帗HL&jjqg=n*znx`c777777777777777777s}7}?#Dɏ@Dٙ^߂x xx}xvN4hj66t[tRPoono#p|Wls K3?ޜCT7 xSC)8f6%"bó2?I\7/OVp~q@G0, 8Uv.n%Evѿj'H\L?ecΗo%߱=/hK4҅)a0}[]?mqϬzK8+?m;쩛bMiF1G"VF{Pp,{"{W%sļ\# @z ѣ}#΋oQF2+,as 0ő+sqqg6rŲ1r^7FEZckֵ)s1F0?Pb7?v+TXܢɯEaڛJR>hOC5QFU.goa[\B&mTWEoM[VG?xcT_FGg4˫x{fWz'QN3pf ?'U~H@r)ԯ#Xޙ> Ԯ@}4a5aX= OI+LzQ]0@a;jjjkg Sa':n̗U Xw]E*膙1FEgDeDOpw+5u:[;To,++w4!# NZ*_Yzi k.副xrV\|{v";7QgpP.F-v=պߔ nq_ [|PRHGf]N?[ssg;e#{>ng]w拓Sjd]^v]fVQ{jVjղyrCB89XYg!OnnnoƬ-^PqOb%Yvπklb}e"2[pF.|+@|!V'HK23+]w!c779pjjjkcfُ5rQuZI%evķp :V?"G!;ކk<@ª^ǣZЙYHvX]_gOsUđQIY]pDn foRJgmAN>>R%9/d|uT#$b>~6 `f`1X=Dhⷮ뱍:2pvٸbINw/q*KDc $|`'رZ+@#&Xfmb{جKJi¡M#5jZZHGŖ,e| N3S]ұ- <`Yc"5d{o=/,_.ƁKu!^~ %J-q2TJ_(PVZ"F#c,eD0A0@7m[)?7E$ѥy~[0(렽qF2Xaߣy CfYaeSzu_-CQ{#2XcDu}}MvLcź Wtuç*u͆E{B!X:Xa˯kNWiԲf)wKODYj㮐}s #8a #p~PxgJL:eK>n!%~8ikmqGaGX0ҺjbX-Bٗb?u$.Uv] "0#,qG-a5큅^:g7(}ENBdONX;nFKT\Xs8FX *kʭn,1ꮹE|ҳV_Uﰃ0GsaSb#? NCX5[]# 'Z>$w.Ҳv1y3Aܹǹk5. v21[1-u٩^D]`"cZ%+q& "k nx5 p+5B5n'+a'Lŏ Yp=gdZ)?(Zg׏h.!Bj ګ-Ee5J|Vb-oY lbhyuʲ̨5ɱC^z^WC ^2Ep1\Xg?F>J\8Vy]2r>++nB2Sa)6"s'.5y-s~B'y{u̞+W# | ml ?0B/WAg/oRw GdD0L8Q{y.8 u-6;`= ֋ "2~&XUS` nPrQhP+N?ImWE.Bӫn̈`G%;"6<~>BAj<-|^2\-==mn7L{? j\9Mx'6XG.E&8S))v)_/$ sotZmsJ4uW+BF._Xg$V<(e^GX c(xXukJClψpHʚ*˚׭95EjꬹS˷[ڳTWE4\61r(μIW/$&;½HM!حW%NtPV•{P{J[d{ ±[ܕ!wRin-2ETW{ԛPqabڬ-4Os{ee!Pn+.A]\3!MUոˉłsEZVW*[\V9.I[kbb+\RTa&S4}+fyK\`!xWZdk$ M^ 9;5@ y.V.U^BCä/+|-+ݦ/"e (_T)zD<5@]XSUzhQ=nf9=SF0s BbN=K􋼥[aa-n[/SBє2} QEVZ4NM'[]iz>?.p: |#R2esuf4ݞ&٬/xS6n>9MO.LZB x}^/A,G u@[8_HYO:[FK)t;r|v-zф G}n9=w6Mfz/Y&$,BfSGȶf<wa0߆ѓNErxj6[ dN}|uv)_ybHȾ6~EFE L[m?'nI/ nn'1s>a}¿#&q&t-_D dhD"x/> Omcx!Ty\ >ąۆ|TL(S PB-Q\%`+fdCCu}G1)bF0iOcq7m tԞkt/K̬5[*B]U6}'9G{z; 8y.7qUj~[W'J[G)6ȨhiudZ3bQqH$8X03|1uOȄ/J5r2غ_2pNg[WqkS? ~x.)KXqi;Wυ3Fq [M &kwqǏRӻ؏2 ;OE~tRܱ-]Ѽ3/$,7!>ކ%װg&o:=1勶dbD:sv%6p~IfOA >doLc@Ư5x3atɘ.6|VR90'wCfW$l{>0%Hhh߁V;y#j, |_k}62iPT(^01͸jG""ͨρV"I87vn#W50 c~F-TDn* ptc,{cx)JRQέB cDI6 6gr4{xdv3yGj0mʢm!?`$6`茍bDS, U!TZLYV)JR_l;o)p7,8b ;3hc!2b]p6qn[n*8H?P9{# 4 ׫RJ]/E/DplPkB؉f!2.ʳ2P^{!'AgF%apI)ѝ FH}dqpFo@)J]/'3' c)[(b? ܓ}$<.$D!彚 ;'qU9mG&UȮZ7Gk 搗:%/9B}Al#\J=ٌ,}4ȃsd LFBI!\8O( 9`(50۸!:B'KhgjjbD,a!d(elU!ٲ+Lcr zLȚAJFVÁ5"$Is$2d б7 ۦ)JRư&Q1¤`Mkǒ7v" [dѸE5) b*_!l"Xčö=[7JRwMVyLc paT|.2z _fT$ oAml#`(rSTQ+8r(6T!LŒ+';[i+C1'Xz'Y;эy \+tTJQq$#5UO,!HW5]4KW!5B D&>DKanbЊm'=k (Ӈ` $(A<8 3 E80! "$CR<08s$2C $bbN0b Fp B8y*h-09Op:Zf-xD{b Vo0΢f̸,@UE.1b!`% >*l?G-[?[/P4Wyn_/ndB+mԷb`A:ƥ_?0(ŢG3>8,-u)a"ZhKZ/z[2X㨁r&fDJ1D,[#)r>`\eNX1}RpW RU YX>cnFRWTvud]@[V]DS/ȡ|ګ6fTn&իrcQ%\JRUe i[2.cqe-aG2DoALZDr⡉zZ B` M+G baRܠ篙wLGV-F,';0݄A"h'pQ47P']3,+(C 1yWJj 5K%+B!KU DDTF6e崍ԍxs%&)Pkp}Z-!C1X.œT߁G#%XpAf8p: 5tV )2EZ5j9mg& p/' XD~ V11-Aw,Ad0ȴ4 j@2kG2ϒ.vn䁚z*M>$H\Y x !')I98p8BHc R]p 8[#Dc @.%l h.q>Cl Wmۻ VVĂw76Ydd;az>.L.ݘzꞿS*p^ |f!l5& vJ[B]-Wus<>!4˔nψ| 6UyO]K!5q,.0 WL˖qxpzlpfGrpZDSεf/=LțťyAjHU+pʚRذeˊA6K V hTXFiNz[_p5M< 7Cl߉t uA`:g,Fy4PjGUDz2QQR8Dt P"SyX F-* CXqG"40 q`%*NJc`H &[fU, 7a>f1iO>1v[Thũ,Mh|4EՍCiļF1+/:xx9\|;=HL5L+3R_gCx)g>"RH77jOL`蠥i_Pꖜcǰ(x lpyb],ipN K[;@ Y8J+EEoy{:u 8]5_#,ǃ@ڣ.;l,Q#E6E*(U?0CaGı2%ww1ɴRl;[ ϾEכu0|}K7qq5.e˗.2rḸ.] (18?_eKn~"%J{i^_QDULW`k>zH3CzMjkǂY/ Z>z3{JHCJXux\+a $4d,9,habl5cф*o^.T_Tnb;N; |>!sk \cK!1[}:Me.\@E.\^,ņԾ.\|\K/G0Q*f¼R׹_[]U_xٛ(FIԸ;5%j0 TWOX5jM0xK݈tS"(`E t E =3M ]z6hn?C{J ŰG9QzEʼn7#" Lz5O5 [4s~"_%W%_"SO.ʦ5GΡR>ˏ)Wd"\\ZR"oY|_%˕7Dƴu%OA<ʚ٫( ?Q~qX+PF-zkS}RE,ԺE|}^clxDQlBA^T+Qkz5(j՟UDw\5{oX,boK#V=Z`wp|!ޡWW %_=C@. \K.\fu7qqLBjQL~qrSe}$nf$|F7)kEJ8Xv{|E|ˍ2#je1@:&%moJ!,QSh\TB.NAmY`{J`+yc .tZQKP\a2n.ltimcjamEaZ5 W==EkqR+7eT z?x{(VR\Ń0e˗_ +rF/ӋuCGMPTsd\^Nk۹%CG׏4^ v"_]b@_ۨh~a12  WyM@ m5jcCS.fO+}lc9<@:WV|̉}KM mت4Ŏf 0\ \,d.,jcgWAG&͝JGQs, yާ~x*E@/w~ʌvVkC2W P#onT{ك٣`BPgfm&N@>RQmtƠEvA<ʁSet{#p,W=<7lQ`728t<0e/Hq[R_Gru 9_J 5 $vѹF%|ᖺ*ܳ(\Q qf%NQLMZ6Zf!FSϲmlQN4>պ/3 OUMߚ7%.\>@[&Ǜk?x4yNn1Aa#XZp _/*wƸ8#$Pr>ɻ f} nF<.P\oAbKSܺUA_kT_>`YPEU+f%ʅd2,*WL\Z;MX="myEeg-'g .QwWRIJԸ2?Srr) `K닗/Psj'5nZ V{K6#ʱm&bSr7n[1Ϧ*֏PfC84j(¨*.2 iCז"cej tBۼuʪ@ )3A_gvɡK/z2%~:.gnC2OLJyND$Y@ p* 1\g/j1˼DY-aHE9E2LGHb4  \rU\̿<\8`˯| rRwꢶݣ2A,iԹlN܀+QT+%GY1 YH^ `l16' ef:塻g Η8zEv=Vy`m{Vɝ0F2.V2uc|F#xLj;N؆*ʨgM>!$l -RX A"0b[-88.\2_._.]|Gf9'Echx ܄Xޟ\05F :@LsAPHu)tӢl|)Wj_C7ucy jojx %+o2M~ Rg|%Xke~@j4p 8!7BS(GJuD\1x ᕉRh2ZA%<,/\CQpL_~7=ߨTE֗U b4R|U0r4b- [_إ[ +!)e`*)2H jn0"@Jءۭ<KSkR` =@DQGծâ\39eB1?˂H8Aq$r\.;T !0?CCu{[FCʆTYeL U J;Uz/QaZǶfξ:=C*XbDy @hbۋQP#BEM9A/@iJ hlBqt#Tu\ToeAmO5%+PQڎ`>$c\ \,#]X>f C.}%_s&WlU:2v䌄 .PPde1i@%VM|yG]ǀX@T \!!lvTh a\-qiin7׃Z6\@g\iM?$Z<Ŭ=`j, eAFYp悉[OqO=݋ U* 9Xk2YVLL5W w$\D!RKD>bL1뀗;hlEIA.VV3YWĸQe869",x H>DU/3-SYyhS.aV0UZ bp)q]*Jg+E:#% 1'XфmL?N⶗K+XD@%截4"V c턌0ʾy.[-P $ {_T8AuŴV\RB1m 8i).8EKV\6x;F b({+T'HBt &1߮c F FA$l"ne, S #K,ܿDOoįF*y*⦐%G$JV<)cSYm.rZWCE)^xpgD-a& *`XQ2Zm;(Hr ZK1^:=U i`1Ļjj1tŌ0pqi~d+יOVՑsܢ = 3 EU@x&ŠШeQ2"B[ej)bHB}6jR ̊ ze3<cǐR\#Mmʌgq3 pZ 5+ )e"Y\C(ܺR|S,8pԬ\p\KwpKfw*ˢ\[`IGG"vlRDe g. ۂ.V % 2$fd`PWd*niGj ٸd*kr@j5- W(6, mY(k& yزs*%ܫT#\V"T/n2pQupڡUg,PgL(<fʢ1c)`%K&fXb90sB&)wg1s)x0+Q0ሥ\+@1,Q Q7 lpZD ,ퟧ)W0K ԩQN. 2+G¨-Ը\u6@q-fg\gr0ZbT44!5@XiTf˙`SvX >>j<A504rtp6n ơmxF=&yxmv y!_ endstream endobj 15 0 obj << /Type /Annot /Subtype /Link /F 28 /A 16 0 R /Border [0 0 0] /H /I /Rect [ 35.0000 336.1634 149.6960 348.3734 ] >> endobj 16 0 obj << /Type /Action /S /URI /URI (https://drcarole.com/) >> endobj 17 0 obj << /Type /Annot /Subtype /Link /F 28 /A 18 0 R /Border [0 0 0] /H /I /Rect [ 35.0000 321.5114 169.7120 333.7214 ] >> endobj 18 0 obj << /Type /Action /S /URI /URI (https://www.hsrcenter.ucla.edu/aboutus/npi.shtml) >> endobj 19 0 obj << /Type /Annot /Subtype /Link /F 28 /A 20 0 R /Border [0 0 0] /H /I /Rect [ 127.6880 109.6874 245.7320 121.8974 ] >> endobj 20 0 obj << /Type /Action /S /URI /URI (https://www.givesalvationarmy.org/programs-that-help/housing-and-homeless-services/mental-health-respite/) >> endobj 21 0 obj << /Type /ExtGState /BM /Normal /CA 0.3 >> endobj 22 0 obj << /Type /ExtGState /BM /Normal /ca 0.3 >> endobj 23 0 obj [6 0 R /Fit] endobj 24 0 obj << /Type /Page /MediaBox [0.000 0.000 612.000 792.000] /Parent 3 0 R /Annots [ 28 0 R 30 0 R 32 0 R 34 0 R 36 0 R 38 0 R ] /Contents 25 0 R >> endobj 25 0 obj << /Filter /FlateDecode /Length 1781 >> stream xXr6}WcRм/)oI*fC6DB$bϘ{.-WI2Dn}F{q1]UGjM]PF1=~{R/*q #dhi06#GI:] 'iiJNu'@mITc,%op"ZmH4o4RVd7`:U iVU_xW}N?[#hI@s܆ޑGWumVyoT `~WUFxo@+KwbUoqn'X%sUOX3d4 H%gˆPs >iW;ыZ!CT="8EvC~5pF6 $n$np Gg8 {5t#$m̀Sx.'[Eq"`e3DDauoPB Q=W'iԨ!God+HѺfǑd" >S@ $ĺi!J;BT="=K'?zbXc!l~0fD2<1 ՗tc$[Um+H^mf_v9m _|" H!OB;3>-#kV%'etyxxũm܂?~w:RX! k/%kyhj nLJw[Fh_l #'-$ҮOWJ$X+ׯy?nlG+}&{is`NL? ~Ň%͒:uTiٗvB|vssP~ay慵qv:}~P &x0r ́[J{r.C|T5 =V *ei` pzh 'j +'"c!00ia& D []ԺWjGAI#99:T+Xt(y t f,E|E{OJX"#:lL[6O NwvrlzèF]֭5F~oi%ӫ(XW%iuuqV&й'44/udX8nϾuΨQuruja9%gS>p/W:]/yyR#8v `5zh!tH:t|{d%1,Dɗ28z `2bK0tC)~rUxtv%XET"r9bOBR;Q MblHWC;7ؿ]_~n^&Ҧ7a{1J.Қe?3$ s'};tXl hv>m> endobj 27 0 obj << /Type /ExtGState /BM /Normal /ca 1 >> endobj 28 0 obj << /Type /Annot /Subtype /Link /F 28 /A 29 0 R /Border [0 0 0] /H /I /Rect [ 125.0480 522.7754 448.5200 534.9854 ] >> endobj 29 0 obj << /Type /Action /S /URI /URI (https://www.samhsa.gov/) >> endobj 30 0 obj << /Type /Annot /Subtype /Link /F 28 /A 31 0 R /Border [0 0 0] /H /I /Rect [ 523.1720 437.5154 539.1680 449.7254 ] >> endobj 31 0 obj << /Type /Action /S /URI /URI (https://www.mspp.edu/about/faculty/lambert-stacey.php) >> endobj 32 0 obj << /Type /Annot /Subtype /Link /F 28 /A 33 0 R /Border [0 0 0] /H /I /Rect [ 35.0000 422.8634 119.0360 435.0734 ] >> endobj 33 0 obj << /Type /Action /S /URI /URI (https://www.mspp.edu/about/faculty/lambert-stacey.php) >> endobj 34 0 obj << /Type /Annot /Subtype /Link /F 28 /A 35 0 R /Border [0 0 0] /H /I /Rect [ 407.8280 422.8634 541.2200 435.0734 ] >> endobj 35 0 obj << /Type /Action /S /URI /URI (https://www.mspp.edu/) >> endobj 36 0 obj << /Type /Annot /Subtype /Link /F 28 /A 37 0 R /Border [0 0 0] /H /I /Rect [ 35.0000 408.2114 165.7160 420.4214 ] >> endobj 37 0 obj << /Type /Action /S /URI /URI (https://www.mspp.edu/) >> endobj 38 0 obj << /Type /Annot /Subtype /Link /F 28 /A 39 0 R /Border [0 0 0] /H /I /Rect [ 35.0000 193.7870 383.7500 418.0370 ] >> endobj 39 0 obj << /Type /Action /S /URI /URI (https://caringmagazine.org/wp-content/uploads/2014/10/OmahaRespiteGraph.png) >> endobj 40 0 obj << /Type /XObject /Subtype /Image /Width 665 /Height 427 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 665 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 1148>> stream x10 7?DP4ə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə49&gLI3ir&MΤə4$ endstream endobj 41 0 obj << /Type /XObject /Subtype /Image /Width 665 /Height 427 /SMask 40 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 665 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 24914>> stream xw\w?Ƃ,QAوShyX=EAD(EPcYX%|t2eY^χ ]=իWDH@ r9!r9!r9!r9!r9!r9!r9!r9!r9u_ddBz8Kjr -,$zhy$B:uPh:s a\ U#9v]?p7v{+7oݦ>dٳ2e?s^yʬ96kv09_-ڏ;Uy2A/JQ?aB/P=+UٳW8@!|*CC折g?OyMn_n _NU[&u*maZk;({_-ZY0n޺9|EXyge_Nrg9vΚ`'רr4xr23$ ճ֮߰fBf)+]p'j#]l{UB7ndfOeccC7Dx cо'OO-sEs%' su/ˏ:oDEEnf2vxBHĞ{# xs 'O?k6{x>ܼg,).dgD Yda!>2O Sϊɂ,H$1J;}ʞRVVDRR9/G털ش䤌a`cb !7>}Ǯ3גv5!.Ù3S+I)S0dfD!.688s4`yB\죢Be>4^r'OЍزr\ʲKpppB\'O,]>17/Koݾî\MOȱ ֫g&9J:l0N`O,Y8O9scnj5*&!vǎ~;!.67/_ sЬl-?;;Ksu[7rkNfƙx~%ܺ}gBHfL2ejNfѨhedq ǧ gD?i䤨1 opU!@r+)P(]It! xF`@l !\Og9?W^ypge,^9 <͕r55 c`ӷdfB8ebZG~Lu,7/ZM}8ߍVVL7}opw#ojśZ~^ϙ#fm߱{U\v#.ÇgGfO= !ܷ=&$tyHrzFΝl=aW ~. \ +ӦM%ʳˤ fL\|_ ne2ZO09UG-sg!n &ovV۫g^WQ!4%'SɟoW˛iyTaY2:Fqќ9BxyƮfOn^RQ^` ΖVKX)ZP*;$tc?9:<NM2i.BޤN7s f.˧uzճ-SZyhQɓ4/h,yryz;vq£jdܼ|!^;WhUI%5!BWIqq)2;Wۣm15طhɸN=eh4OnPA DIB&}/{7Nf,\0?`_[437yG _h j4ª1m rftZ#iShq:8(,'nݰ㝶 d>h6L޴#I[@BvKhCZrҺ%]nߡ%Z ŰoW~j !_dIq1;s2oP܁fnn/wvC#I^ [ گ0|vQF xyprBGi7;z㕕/Yx섉tk S J+晃feR%CT% +~y[nrWfD4~<Ү_,Ѻꓘcw}F=m_W- **t ?R%M5*a`@ԝ UDnPg6,"lغMx@cCݺ}7-9kU<3pio2MxX!$'3dke>CBܢ]IJ̠-l#gxNvQMZAt4g3@+]`07MFEsRK:YMDɾ߷O#5k*H8$t:օ/XH5ߊ_%cjKTDr1 |OPHr/XH~QR˱&D9q[4:ݺwiڴi1Qhwkn KWhќ,:.-9iNs--,?v c=|pt0ΕR̠,6mZ礔TsyOcNnݰ=WDI>oSwl~&M`at}Z&[J/kXsDIgڣB-&!M^n Y~&*2ϗf;͛7翩%ڟ?;WkҒ딸yz^I{vn[ڴ$jkM32l̙tf Suho)94dӋ6׋@o@xU@WVR2{aiZW5/5EOIVxq^W`h fB>Ġ0lR0:mˏ?wΕ{<\/(9E"Ep"ʜhi;uZZr>5ed[k& SVV|` ||Kw[Hj4Ьr+@ܐ @ܐ @ܐ @ܐ @ܐĭ뤕G圥58`hX.ɂRdGs6])9Rq cypIqqxnУBawܧarrt{߰;o? ,,,4ԫQ}lXhTtn^&b˿1jeFFFhȢIǟP ūWxڭw>9Kw??jD Dr9w+֫ga9 D.Z*j@9075}4],677WvB̺ZڥsܐPJ;DA"o rMdglߵt(4[m3bDOyZO.X$s`yw*xIQS_g`&1H27$ ݸvQSXq^u=_N8.ñ_J&spR,N*%Ξܻ9 !njj7yr&6>-O1h0/&_! fAhiqi %S_7ΞȰo~UܦE7 j؈SESrРJ5uwq9'`MW,ke-~ [jOPE s`5}$@cr+EF;GsĀ014CYN*ܭ)^3Ԕy*=7h|ΧE/]E;wwpL&uG.e9Iɋ0^Ah: NcP:ɩV}D#´S#Cɑ'Ա4Ӣ8;~ܤ9J^__2zCh' [;r9@\MES9V75OdJ\!8d V%/{3.VxHU$Vy΁\qtLS=,pҹ3;}g?L֠*E~p3'T7'&MS/ /O/ z tƩ%Tn:eK^KI4̩EkR%_:/N8u/+#,+ǽ{D"JhЏ阙C[Y<vlwmgcu˺!¯XZ\K=BP٘G} #þ8[h~L|Oqҹ~W`GБ%SE >R9|yE?ùȼ~U ?-4i[dK֮ￜnNvCsycg}ӕutJfa^G=-8bpd *.Q[mM+3O$Bj%zRl#voNYY@Dˡvܝ~վcuo_ r94;<83;>&q>M==@c^Ks^P\'!4r9&:siq/O4r9CƵ4Ɵˠo߸hA݉=l7 ?}q,LbY M}wij9../, .c}6pd2@IK$vN:V=-/yTU);8Xrf+8ӵI9\sѨS'_uup<]VVsWxvV&gzU(gmseg]O=w`:xܾt:О]b+c_dӛ97U+%ny ǛkX.?~%Bh^diB\lE[7C4IZ($r.eӐ7ZSU˷TY qiqȈ{Yں 9 98I[;+m1i"հ\>7^|}ӮBnݾgLjofwuV.]a"#t~`zz]KIڶwrmq,2ߟz)[d 4MԲ[~^!\BQB22W]3S9(|Ӣ|ZJ_ll3O򳮧[\;:t:&z<Գk#6'ٓBKL)s'BHVJ?-g_m=q-糯{$&4 '~OpipV2pO@uJ4dq4~Gׁ @gV!L6Ms#~nsCB熄{$'1Xd"A(c#&N!I,= +V޿7bF`к4mGǜٝ@⬱0sθG4#95"ߝSG䶾Q?h\f!\쒅;1vtf'3 @oؼo!`t!<|aEt|Tm5\Qi\uʭVF= kK7kӪo5t*+7[ZQ!A.~CR wncTUIq񕤔 7]3|1=m4QQ!uL!CYYX ԀrOr{vi3*=rP`]{{k9 $rFB\( :So""7u0":vФA:(|S'g[vwGb/).J;@s\ #$6艣GV;VTTp!oXC#h>@Iiw]0 BPr9hÂ6_MMIKN"Xd6mzܼ|szhRhȢi"'D :hTtuuٳ!Bȭw=\5/!@.m Y/|ќ=;wҕ2#0H*d|b\Z[{;۝Xd‡ [djʯ$:"$/X(H"s''%\gDSvL6jʧL&<݈aOqfp&.><,i`Xd#G  4iF`%e?OHyƏ.84dQvv6}qyzQ :c g'׫g_r94./ZZd*Fo-M:™M6|ӧ@߽A!<۝j{#%rFIqŧOOW}rh*}\8{i32[dy蒱&rJIN !"4PͶ(g(@p9Q{MR~.SyPWL;%)_ɱ;لseggBQ8 HO9q, kw4Tj}A g1 Y냃hiW !(Աz !C |$NwkaFQ}y=E8puK NN= q~ok3@^L˯~&.TjɞJRJN6⚮Um,8sg!7f:-r0].sp .LexzUwbΖ- r9^(Lm99ضnX/<!dU.K-S6D !o]X':"Zv%)%uh3[>3r:L[22hzBl@~^rIpw/((L(/baaјAE^R\}.vӎ0!W~69?Dl{@0sfqip._zͥ >fZݜW6й^2{ZIq.oV\$<[pxiWm^yeC}4;XÂ,l& Xsy=N\^^ީS+I)t@Э  >fF`%ډ%'%'щ|Z7znL6666L˷nѣGS6r}4 CIƅ ω˞^JRmGcD)\rtpC$kZZzH3ܼ,/w q ;\yR#/}~K4fsQ WG[>E3<:${7OKk6e6](O.uP?5s!\\`cVV6!qf "h_}A.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.7rqC.#l{β1}h1(&ddoӱ1O>fTR!6on7΄'[7[/Rsn?AӢd'̞h !ul>^Z@D'B&<He: q9!۟TVwMWQr*$rscdoI`uwL+8C,>VдV}헅3ΩT'Ԧ'B5g 랙 >@M䘌{3G QАܒ*r`M7bCguIϩ|N|^[)yKH`gEtH$rA.wUUwxTHD @^G$R3m!ԖIT>_@ eKOGfn`dHjd\G\w^w~Q{Rsh1.jw#Ӟ VP:vqC.7Ա^ :ythAtrݻ#ȡY9qe]G`8P n(^o.yΣ3~AZyo!LLf- \[pIkU: RFӕTj1e+ GB7ar>jmnpTC܌NfhTtaa;$^M#w塁> .1/!nX޿}ǮSbsSFEk.HP<…={yzwoݰ~섉OC.X @ukWgfKKKs !ӦM#H>().(@cFa]!Wj 6o[yO{"Ԗóh"f#`{!&}? L3B#i:w`cnl0 1i⦙\L)++WTBlll:vGGGBH\|¤ !n9sfTK|~󶮣0&}sk-,$F ֣F^?*\D4]_T]nI]nOo|`]c߲u& ۲y {vqK--RKςzn>{l/ +3*o?ihMС&FI qj/zVBAE[_lC~xxO$<kTSoC&>&>/?Wڏ @\0&M/6oM^sw醴*ZTME[S馯&rM7ߙZT"\2oK=U9wZX-4y+Fy3'rP:yimz{#-kTA F1Wo.]9+ӳy+G[1w.sꌶsmM&brϑ-ښ r5#cn#UMbrjl8u&<=Dg(}ӡC(c?;VW|-{ګg5'.~4N^J~G rټU1 yr,1noVK4]meWϪk~>L[H04@rL(hq3EФZKueE8-\:(W!rqC?v=~-DQhO󉺎@P.7rqC.7^_(Uu\4,ۛYBj*kZ4FFet@.3BRs:&[n?` @ܐ @ܐ @0&Ml{ڻc8߾5ЙR'/kZKU:.Utlջ'!Ĥ;!N^^֫J/o:`.DLruݑMg!D/֢d'LLW_fk3iĊA/ ö_r`iջ'3pu,ϜI䔱M7hkTv6IRئtcZT?hkj6yge=OcnG E\*15[.`doݤB]ϹHk*k.ddlo 9qbdomrM>tVg j3i6xVjo7>i+͸Qe*K|~󶮣0Wqhjh"';*7BqG{ƥ5uҲnz/̴qb6~Z͉Eչg_ϵ!ĸncVE]nI]n0c_Y7uU[%e9PS1,otc ch#Po݆t#g\}x߫|Ȥs6Zyco3c"[O3o_٬qtN^Jh/S(xWovi5W;-:\/,ۛrK\wv߹bq19Ixi !-=i4nS4Z|F+yqG{cnDB[c84ĩmM-WQZ94[KYK7pa~n|zmDOe{Ueq> +]SoqڊYV;(b FQϗjN_RdӢtW]$V6Pl#+tctgެ\/L['[1رZJug "6zPo e7צ'< ka\/ap8t8QbfXgۻ穽nt$ŊuG4:ܙtޮtky=[ۅl,(IuF+e7R'blⳏk3e+ݮ Hנ?kHr^|ߣpeJ|W43`#1q죪g_fzV][Rf ]UHbT빪%La:Mz/uX#=HLyvZ֍h)oB)j@.5τ'_9qtсfϸޭ›a4Utղ>ӑ#J͢H.jlNlܒ/:{V2w!M:ƒO6ұ/{xL @NUg“ !aDjN\]sr9_:'H~w%?c-ju%U"@O`W0LoGl*|e^rTQsrI#t `U}wƽl[<"9dZq/[oIj{ZbVM pϩе Du\ nr_qr6oZ!5mvC&34%<v)ղ}V-a.-M2VMhh6tQ΄:yyUOtn>#{V}ڷ}X7'Wp@'Bo.2gT~ڻ~Ss@h=]{ek{bjl\vW6Q$LchT'?. [kV[1t.~<.ݪwOBȫJt]`tf>,f_ak/r$?Ssbcn?V~充7ӂf?mll4ufʌ_Y",WSOKOG Ʈ9203XBLG/ܻYǥ Wk6 0ԷW3>lvIj,dgqu[@ N [q*5&Ӷw?|LI;UtRX^JQg1 04J˚{ٶݰC`1#łխ9V|6S#*v>t#]zYx/B^UVaS hզ̜"5'1mǩ@ncnC%偮 G'gMyʸ05&Ij|]45>= )lh ymmM9td{"*B4ٵ eҏ扮@>Χ #]Ĵ{:zq¤wt^X.OM ߱k(A^}'DN~e7VuK֕M!!;W'F^Sa.9}IoE3Dt C"fmVmu2yc/呇B+*25%Qqv+?Er"(>b_r9Y|&F#[\$*"z7'ZI5r[;̌8asv=* FzCa"yK=ye͂t/7 ~L./++J_ܺ}Fz0Y2:way0cGG,܄Q" #M7Q|"})nd>=:[@u^L.:n>~:uŋC8yR#ҷڱ&O\q/[Ym4K߾AU^1~#EhkЧh&{ *(((((4uSD؍fCV(jc&hkj6|(M^f1ےy[yFd:aa`wN݅7+zXvFN %5௺ 0#MGxTXq-ښJ~T\NnzWU˾YitIRfOU|l?7Y3"qBR\z僠}}`o҇r#qQZP/`m0@qVXIRk/žx\Xq.-;0J\̵KiEB %Sj0EXY 9O<ٸ{}:wؼy"!$5%5'aFG.GJ[tݱqųǕO?l-Ssr_m UXϳHή:b:yiŖڋL{ٶ07kջ&ˍ_n0I=oc=l;̑A,ۛ~=S]ɿD'QK7q|?Ghl?BnG!ϳ*nZ559)Ijk8 M;H4 r}y L#::Fճgsfl,'ۢ3ɿ*>N!yvZOsa-=6+j6(T)ct._T?^|˫̕v$ #BwM$ 2kܥKnNF˺G_<*M*v嗷+n}Kȷ:NEH :ҹ*Jou˄wһbGQr6o5{_{*J2>޶Djҿ3޾|Zyר}{B_$g_'DovFYYtw! IWiG:t3Pu,*5EĨ,]Gՙ٭j򘜤,ۛM[L 7drțڎRTLFaMzwuR*Fsg3,K3NE_]0u \~=VjOs叫ǐ-ci:2wjr1w2BkrK*>hKfl}"mMFjhD3#]Ę[DΈ?lna4 Ộmc'& @P.=9ay7k%yqOu0z ފoZmQz&_u)e;UGl[k-:u뙟\9YΆ\{\W eSwa*C3koj!`FS*Q,늄uW+)Iy^G.׽sYS[|lLsΣ_/3>Ĕ jW.>F+馯ʖ~OS2kƼ,')U2z(B0rK,ѪM}{۾ݍ yrNMbic5^*:ې݆tOs-JSs־ueWŸ\1Wo_Et|y+G7õO=~q.e1:sLwtA**ʃ3WDWArT>?uVfIVތo?^p"'ca3Vճj/-mILG*9yv|4r{}{u^л:ri~ȸGi'$&UsrU] Bg-T;!hզ]۾:{zueՁ 돟$޼t/ t>U?$3@t_P{W'V%38~("iEA5l%'~ͱk0rIzf^6]]:[ByTpqv^ӱUtB˻߭, s\1bO|!&| !띜9I Uׁ^Gl<(ErtV} fairXg:k從1Fbflw5Ñi`a8phĴgq"0e '!Vmub t,}~_f@uhG#{&o]EukbwTmĝR4o5 ,fݑ)s$TTlя ͎1YmʤGm?D̤U/.%FѤKgV\_X70.=:<z&#BwHP#ڛ]W0Zz:B^UVOm;_<J>3!D 'pg2_@#lc50^X[oͳw]M \/-?G[gfa6FweߣeVDߵ m>sROS,Inj;BZ{$rB!f結H*VᩭE[SM7&+ZsCNz9=w`'~?v+6V^s9= p: [mHΙ8rsV1#{vW0qn$VU[Uަ1X[td‰OG.`۷1w<2!h){vlOTXwpxk1'>Z`;oP.׽w|1WZ5e/vImjjǃ&lBI8;[9э^wHbe:qXJmǙٖGlK$-;Mz\@e'^>xP'b-[|dKtHѤ@{}: 6v\ovќ\{ƾq4I6d|oBHj|N׋|G +3f叫t E7:{eW{_I|#ݶbm5^Eđˍڷ?G2U76uڸLzIeg!$Rc޵\bl͸-]Tˍ_nl}Q @ѵM !oэGэ;Wm'BP^ŗ߾Hή>t:1>TsЍ­{ۻ󨦮<?@4(R ŪR-KX̨P[QkNO:wc=.Tq Ve S*Ee( a"^3SHs<ͻ-yNwLH]5 &16l_y4!2{v܁Br+W>{޽ 8Mwv bu7Sx,-l&6p,Eu\Ԩe ݵ\${hr-,-lZW&kbUʡ^vmܱM?k1߮)GGOؐ`漘{_Qr/#BS~oW?xȩﱝ2 : *εa)rlh6)-MzrsquAksdm7~l߶a>>Rz[*dRQDDV<쎭8P!ͪ*yhۺ/U碃ݸJ̮N V'MUҰo]ln,c{iiX0^K7Ի΃2q3Rdʖjuc'M۞Hɪw m9 f'/%vUz\rҍ @cr{\^-NU(0mܱ\Gwm *5&%hU\LT/J4Ŝy7Tcrp9%[R{ȕgHҠ[ȵeCEsaGhfq\ +9g07DDͻyW{vVVfePVCVUHxt(pYc&\(K4љz;II]#"6,FU}RE+uw>x=1ϯH2QFeUx'7J u5WF.ׯ߫Fn :r@QuA ԭ}etY/ceo]t;;[E[IzrJ* 'ۏYw9T+&%BK~ Yi!GD%%4v^|8W'|&q`ÿFw;i9|d#QY#A:ӫ_= }=YwU^+$EK+_"IB,۷e *.,DdCٜ}_L7A+m4F> :Ʊ7%rklBuW`-?렞uײտ"RXMzZ ii;4WVҭ<=\ٚ$!MgpI?rs,|6w8ד9KnY/,$oVy5o9Qk+}XNٹ(T!ˡ d|6zUd\bHW_)B+dRƯTicNr+Y hߣkt'S#@/ݙZ囷3Mu[fG^m&nݞ'7X9^*ޱO_?q gdE1&@^>iq^'aX[Sc[Y fmR_~[33 UBYK}Sq1][ۋpD]weB$~V>.l,Z98W1# CkKтV%+1::PGzt0u_WK'TwIћ+^+ A@CP`.(l=!ASӸE8p@ؐf>vByZu޾ c,]:q҇M۶wj]PN?ShYF93f,OJI-}pܹr:r7sɮ\5d(ϗ==QdݻwHoZ6I6d믿^{H$2dW'"JLJaS~!"?_ (zfBYpp^]0XD 9mV @1ZQ”ivvv 80' @ؐ` G:|\:uU:uԸBa$]v!"Z{{]\:>S~i0zv+}e=<%$dy3w9q괧=/ / [*˖ Yok\x+~d9F֭Jr**Þelg;{ݾom"lǺYcn>K#bq7OI&ܸ)jv񝜖tȄ 3%dKeeٷ.]j(Uy$ϓ >odppJrcI}x_T e.عs'~؜([*cƂS7zxF05"ю={Y3DtŪo˹"1z u`~͕\\:  DsEґu߿֭0oSs$"\I88DoND?e1QQQ oDEE=ީsfYB!W(23:sfg`7§Θ_{{ਨ(B-_7el;vڕ+6|xvcKtrZ  ]go"޷'3,֣0x$,.6F2 ?L0x}>r\dMxR<ʾ&f|.˿ zw555lI?tߋ|ql$+2{h ~.daVeq?`2+_IV +$bw.g]r7[~9+;mr(/X*P@0 @ؐ†,6d9! Y lraC@ؐ†,6d9! Y lraC endstream endobj 42 0 obj << /Type /Page /MediaBox [0.000 0.000 612.000 792.000] /Parent 3 0 R /Annots [ 44 0 R ] /Contents 43 0 R >> endobj 43 0 obj << /Filter /FlateDecode /Length 1245 >> stream x}VMs6W챝Qi~-ʹ3!/ I%@ϰSdg B}[Ψg|8uj~$uE7 PF1nR}ѷ#~ꫲʢ2-_tr;3)Ɛ6IRgftKB7$7hߩ^ubzu@4`6a+'B!44ZKY+4-Z98g H>HMiEiSFq@Vf$ȩJ7fO`1%]G:`d?2up>I$9I(ă$l,Ge08$kFhv\SV:rue=mg8_ DzsNKMSSTe!y=j;|}mE}?4B[//!]J 5˷ wsDsZ/2(INBJ{0,S`& DfHKk0H"ǽ IR/Xyq@v`X(Bu Yh4MƴSd*Jmc{*&< ioݛ鞣,rj"x~fY+wzz8EHRk_Z ŒT,rLjqfwk\|5[~}oՋAB{y#iIl(`׫xYҞbHDwќDI$hZGUt} ofuDIj01ɱ- iN@M/&j5S0QP<[rz+6AWqHr]+޻C hr?YH8׫{63Yy|ܳ_QU:01+B=tqG6ҌǁI8Ոvi0.OMńts+[MUɣ|s6Țtr+EL(oD<;W8ÄW5gJVFC{z' lw=fǧ_OҚy]ܪe@ҵUz7!OlڄYlBҝ؂~ 5Z{JhxEt|D?o;1b֢d'"O3?>^6M.8"$MH^(b]i{hNa<ا֯/FyԞv >dbCǫ$(6*zl|MC /yZFe|ʼ:%g'g_[H endstream endobj 44 0 obj << /Type /Annot /Subtype /Link /F 28 /A 45 0 R /Border [0 0 0] /H /I /Rect [ 386.4800 501.4274 487.8440 513.6374 ] >> endobj 45 0 obj << /Type /Action /S /URI /URI (https://www.goodwill.org/) >> endobj xref 0 46 0000000000 65535 f 0000000009 00000 n 0000000074 00000 n 0000000120 00000 n 0000000446 00000 n 0000000483 00000 n 0000000632 00000 n 0000000768 00000 n 0000002509 00000 n 0000002616 00000 n 0000002724 00000 n 0000002834 00000 n 0000002947 00000 n 0000003063 00000 n 0000003092 00000 n 0000024738 00000 n 0000024871 00000 n 0000024944 00000 n 0000025077 00000 n 0000025177 00000 n 0000025311 00000 n 0000025468 00000 n 0000025527 00000 n 0000025586 00000 n 0000025615 00000 n 0000025774 00000 n 0000027629 00000 n 0000027686 00000 n 0000027743 00000 n 0000027877 00000 n 0000027952 00000 n 0000028086 00000 n 0000028191 00000 n 0000028324 00000 n 0000028429 00000 n 0000028563 00000 n 0000028636 00000 n 0000028769 00000 n 0000028842 00000 n 0000028975 00000 n 0000029102 00000 n 0000030496 00000 n 0000055670 00000 n 0000055794 00000 n 0000057113 00000 n 0000057247 00000 n trailer << /Size 46 /Root 1 0 R /Info 5 0 R /ID[<992a14679304891725d3586094116705><992a14679304891725d3586094116705>] >> startxref 57324 %%EOF Respite in Omaha | Caring Magazine
Read Caring Magazine Volume 29

Vol. #29

Hope in Action

Read Issue

Latest Impact StoriesView All

Popular Topics

PopularView All

Respite in Omaha

October 16, 2014
4 minute read
Total
0
Shares
0
0
0
Listen to this article

The Salvation Army in Nebraska helps people experiencing homelessness to stabilize following psychiatric crises.

By Jared McKiernan –

Lonnie Hennings didn’t realize it, but he was suffering from severe mental illness. Then, four months ago he hit a threshold.

“I had some thoughts of not wanting to live anymore and just…I was tired of being tired,” Hennings said. “Bills were piling up, I lost my apartment, I lost my job––I lost everything. I was homeless. If you were to talk to me on June 2, which was not too long ago, I had nothing.”

He checked into a mental hospital, where he was diagnosed with bipolar disorder and began to work toward stability.

OmahaRespiteStat

Dr. Carole Lieberman, clinical faculty member at the University of California, Los Angeles Neuropsychiatric Institute, defines stability as the point when the patient begins to get insight into his or her problems, has no acute symptoms, is not homicidal or suicidal, is on a medication regime that is working well, has a follow-up appointment with a psychiatrist and understands the importance of continuing therapy and medication.

Yet, the initial stabilization period in mental hospitals may not suffice for many, Lieberman said. Patients often need support beyond their hospital stays to prevent future psychiatric crises, particularly if they are homeless.

“Hospitals are too quick to discharge patients these days because of rising cost, especially if the patient has no insurance to pay for it,” Lieberman said. “Therefore, the more supervision and support that a person can have after hospitalization––such as in halfway houses, or day treatment or respite care––is invaluable to solidify their stabilization. Stabilization takes a long time.”

Hennings said he needed extra time to put himself “back together” after his crisis so he entered The Salvation Army’s Mental Health Respite (MHR) facility in Omaha, Neb.

MHR is a 28-day residential program that can accommodate up to 16 homeless, mentally ill adults 19 or older who need to further stabilize following a hospitalization––Nebraska’s only program of its kind, according to Program Director Darsey Zwiener. Launched in 1993, MHR offers independent living skills training such as hygiene, cleaning, cooking and money management as well as housing and employment resources. About 75 percent of referrals are for individuals who have been inpatient for psychiatric reasons.

“Our population is at very high risk for relapsing mental health,” Zwiener said. “Generally they’re homeless, so we help them figure out what resources they could afford in the community. Have they applied? Are they eligible? Right now I just see a lot of individuals going out of a hospitalization inpatient and going back to an environment where there is no support, no accountability and no assistance with getting things set up for them so they’re thrown back into a chaotic environment.”

According to the Substance Abuse and Mental Health Services Administration (SAMHSA), up to 30 percent of the homeless population in the United States suffer from some form of mental illness. They’re gripped by bipolar disorder, schizophrenia or severe depression––all manageable with the proper intervention but agonizing if left untreated.

Though SAMHSA lists mental illness as a structural cause of homelessness, becoming homeless can actually intensify the symptoms of a mental illness and even trigger a psychiatric crisis, said Dr. Stacey Lambert, chair of the Department of Clinical Psychology at the Massachusetts School of Professional Psychology.

OmahaRespiteGraph“There are social factors that contribute to the decompensation of the mental illness,” Lambert said. “For example, if someone loses their job or loses their housing, that might kick off a depression or a psychotic episode. You have to have the biological vulnerability for the mental illness. You don’t get a psychotic disorder necessarily just from losing your job but if you have the genetic predisposition and the stressor acts on the biological vulnerability, that can cause the initial emergence as well as the repeated episodes of the illness.”

Therefore, if patients do not secure housing and employment while stabilizing, they remain more vulnerable to future psychiatric crises, Lambert said.

Lianne Reed, MHR case manager, noted that even 28 additional days can become a tight window for helping clients return to relative independence.

“Some of the clients get comfortable here but getting a client into housing can take longer than 28 days so we try to find backup plans and things that are going to be helpful for them,” Reed said. “There’s a chance that they’re not going to get their actual housing goal met.”

In that case, MHR may offer clients extensions based on whether they are “stable enough to where they can work on their goals in their community,” she said.

Hennings capitalized on his stay at MHR, securing both a job with Goodwill Industries and his own apartment.

His bipolar disorder is still active but it is being monitored.

He said he eventually wants to return to California to sell advertising like he used to, but not just yet.

“I don’t want to just tell people I’m grateful with words, I want to show them and that’s huge for me and my recovery,” he said. “I want to be in that role [of peer support] back here, even if it’s part time.

“At the end of the day if you utilize the resources they give you at The Salvation Army there’s no reason you can’t be successful,” he said. “It does take work. It’s nothing that happens overnight. You’ve got to apply yourself.”

 

Download this page as a PDF

You May Also Like