HomeMy WebLinkAbout20100061.tiff MEMORANDUM
of& tin' DATE: January 7, 2010
res
O TO: Douglas Rademacher, Chair, Board of County C m omissioners
IIIID€
FROM: Judy A. Griego, Director, Human Services D�paitment '
COLORADO RE: Weld County Addendum to the Agreement to Purchase
Out-Of-Home Placement Services Contracts for Therapeutic
Residential Child Care Facility Services between the Weld
County Department of Human Services' and Alternative
Homes for Youth For Consent Agenda
Enclosed for Board approval to the Weld County Addendum to the Agreement to Purchase
Out-Of-Home Placement Services Contracts for Therapeutic Residential Child Care Facility
Services between the Department and Alternative Homes for Youth. This Agreement was
presented at the Board's January 6, 2010, Work Session. Please place on the Consent
Agenda
The major provisions for this Agreement are as follows:
No. Provider/Term Type of Facility/Location Daily Rates
1 Alternative Homes for Youth Therapeutic Residential $180.75
Child Care
November I, 2009 —June 30, 2010 Residential Child Care $85.50
If you have questions, please give me a call at extension 6510.
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,, S 2010-0061
cica DEPARTMENT OF HUMAN SERVICES
P.O. BOX A
GREELEY, CO. 80632
Website: www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O
•
COLORADO
MEMORANDUM
TO: Judy Griego - Director
FROM: Lesley Cobb Child Welfare Rate Negotiator
DATE: December 29, 2009
SUBJECT: The Weld County Addendum to the Agreement to Purchase
Out-Of-Home Placement Services contracts for Therapeutic
Residential Child Care Facility services.
Attached please find the Weld County Addendum to the Agreement to Purchase Out-Of-Home
Placement Service Contracts for Therapeutic Residential Child Care Facility services for the
following provider:
Weld County
Therapeutic Residential Child Care Facility Providers
2009-2010
Alternative Dacono, CO
1 Homes For Youth PO Box 9 80514 2016 $85.50 ! $180.75
This contract supersedes the original agreement to reflect that Weld County will agree to a
contract for a new RCCF program they have offered at a reduced rate of$85.50. I am requesting
this be put on the next work session in order to be signed and approved by the Board of County
Commissioners. If you have any questions please call me at Ext. 6441
WELD COUNTY ADDENDUM
71,
1
To that certain Agreement to Purchase Therapeutic Residential Child Citric.
Facility Services and Residential Child Care Facility Services (the 'I/ /,.
"Agreement") between Alternative Homes For Youth and Weld County '2
Department of Human Services for the period from
November 1, 2009 through June 30,2010.
The following provisions, made this ' day of 1\ciwyyl\sQl , 2009, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County agrees to purchase and Contractor, identified as Provider ID#2016, agrees to
provide:
A. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$180.75 per day for children placed within the
Therapeutic Residential Child Care Facility.
B. Child Maintenance, Administrative Maintenance and Services, which are listed in
this Agreement at a rate of$85.50 per day for children placed within the
Residential Child Care Facility.
C. Additional services not covered by Medicaid or considered within the above
vendor rate. These additional services/rates may be negotiated on a child by child
basis, based on the needs of the child and in accordance with the Colorado
Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006.
The provider's scope of Service, Exhibit A dated 1/10/08, reflects the additional
menu of services and costs.
These services will be for children who have been deemed eligible for social services
under the statutes, rules and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day
maximum for a child's temporary absence from a facility, including hospitalization. Bed
hold requests must have prior written authorization from the Department Administrator
before payment will be release to provider. Reimbursement rates for bed hold days may
not exceed the state standard rate for administrative maintenance and administrative
services or may be a reduced rate that is mutually agreed upon.
3. Add Paragraph 6 to Section I. The services purchased under this Agreement as Child
Maintenance, Administrative Maintenance and Services for Therapeutic Residential
Child Care Facilities and Residential Child Care Facilities include, but are not limited to:
Food, shelter, clothing, personal needs and allowance, administration, administrative
overhead, support staff, support overhead, sleep-over staff, direct child care,
transportation, therapeutic recreation, service delivery staff, parent training for teens,
independent living training, mentor/advocate, supervised visitation and all other services
as outlined in the Contractor's scope of service attached as Exhibit A or the Child
Specific Addendum. The anticipated minimum percentage for each item is as follows
and will be subject to County monitoring as outlined in Section VI of this contract:
A. Food, including meals and snacks (25%);
B. Clothing (3%);
C. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
to assure protection, emotional support and care of the child (30%);
1 Weld County SS-23A Addendum
D. Personal items and grooming care for the child, such as toothpaste,toothbrushes,
soap, combs, haircuts, and other essentials (2%);
E. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%)
4. Add Paragraph 7 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished by the Contractor under this contract for
facilities that provide sex offender treatment.
5. Add Paragraph 8 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
that is not provided within the vendor rate or attached Scope of Service, will need be
negotiated and authorized, in writing by the County, prior to the service being performed.
Any payment for specialized services not authorized in writing will be denied.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dentai care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Human Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within eight weeks after placement and
forward all appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement, been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
2 Weld County SS-23A Addendum
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity (federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local) terminated for cause or default.
12. Section V, Paragraph 5. Children in Therapeutic Residential Child Care Facilities,
Residential Child Care Facilities and Child Placement Agencies are not eligible to receive
clothing allowances as outlined in the Weld County Department of Human Services
Policy and Procedure Manual.
13. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
14. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
15. Add Paragraph 9 to Section VI. The Director of Human Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
Contractor cannot be performed or if performed would be of no value to the
Human Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Human Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Human Services and the
Contractor, or by Human Services as a debt to Human Services or otherwise as
provided by law.
3 Weld County SS-23A Addendum
16. Add Paragraph 10 to Section VI. The contractor shall promptly notify Human Services
in the event in which it is a party defendant or respondent in a case, which involves
services provided under the agreement. The Contractor, within five (5) calendar days
after being served with a summons, complaint, or other pleading which has been filed in
any federal or state court or administrative agency, shall deliver copies of such
document(s) to the Human Services' Director. The term"litigation" includes an
assignment for the benefit of creditors, and filings in bankruptcy, reorganizations and/or
foreclosure.
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: Weld County Cler d WELD COUNTY BOARD OF
SOCIAL SERVICES, ON BEHALF
OF THE WELD COUNTY
iael • DEPARTMENT OF HUMAN
Cr # SERVICES
.� j�I vct-BY Iii �' I4 ' BY: (On,.i . O1:29,_\;Yt(IA 4--
Deputy �erk to the Boar Chai Signature
JAN 1 1 2010
Approval as to Substance: CONTRACTOR
WELD COUNTY DEPARTMENT Alternative Homes For Youth
OF HUMAN SERVICES PO Box 9
Dacono, CO 80514
By: By� _
Dir ctor
ao/D -01e/
4 Weld County SS-23A Addendum
ALTERNATIVE HOMES FOR YOUTH, Inc.
SCOPE OF SERVICES
Alternative Homes for Youth (AHFY) offers several distinct residential programs for adolescent males ages 14 to 20.
AHFY is an approved Medicaid provider and is licensed by the State of Colorado as both a Therapeutic Residential Child
Care Facility (TRCCF) and a Residential Child Care Facility (RCCF). Our campus-based education programs, including
Special Education and individualization,are approved by the Colorado Department of Education.
RESIDENTIAL CHILD CARE FACILITY (RCCF) PROGRAM
STAFF SUPERVISED RCCF
The staff supervised unit is designed specifically for RCCF level of clients. These youth are considered low risk to the
community and may be engaged in community activities such as attending public school or working in the community.
They may or may not be adjudicated for a sex offense. This program offers a residential setting that is iess restrictive than
the TRCCF and is more in keeping with a "group home" environment. The youth are responsible for contributing to the
upkeep of the home including cooking their own meals, cleaning the home, and completing their own hygiene and laundry
with guidance and assistance provided by the home's mentor. Each youth will have a semi-private room and will be
offered constant support from the home's mentor(s).
Criteria for admission:
Minimum criteria for admission into residential program are as follows:
• Male youth,fourteen to twenty years of age
• Youth is able to keep self and others safe without constant redirection
• Youth who are not actively suicidal, homicidal,or psychotic
• Youth with adequate intelligence and social functioning(IQ of at least 70)
The Service Package includes:
• Education- AHFY provides an on-site education program for both middle and high school level students that
includes Special Education services, Individualized lesson plans and GED preparatory classes. AHFY's education
programs are approved by the Colorado Department of Education. When deemed appropriate, the client may
remain in his public school. AHFY will assist in coordinating transportation and will foster open communication
between the school and AHFY staff. Education fees are covered by the youth's home school district.
• Independent Living Skills- All youth receive education and training in independent living skill development. The
youth meet weekly in a group setting to learn various independent living skills including: how to prepare meals,
shop on a budget, file taxes, look for a job, prepare a resume, complete a job application, obtain identification,
find insurance, apply to college, apply for financial aid, clean a house, do laundry, maintain good hygiene, use
public transportation, open a checking/savings account, write a check, pay a bill, etc. The curriculum incorporates
the Casey Life Skills curriculum.
• Healthy Relationships Group- This group is psycho-educational in nature and teaches the youth about healthy
relationships, including healthy sexuality, domestic violence, power and control, communication, and values
exploration.This group meets weekly and is facilitated by a team of counselors.
Alternative Homes for Youth's Scope of Services--For more information on any of AHFY's service components,please contact our Clinical Director at 303-881-1247.
The information contained herein is subject to change without notice. Updated 01/10/08(DSS)
• Room and Board- the goal is to provide each youth with a private room however, at no time will there be more
than 2 youth to a room. Each youth also receives three nutritional meals and two snacks daily. A weekly
allowance, based on accomplishments, is also provided.
• Case Management- Each client receives a minimum of 10 hours/month of case management provided by an
AHFY mentor in collaboration with the agency's Case Manager to ensure consistency of care.
• Milieu Therapy- The milieu is staffed at a minimum of 1 Mentor for every 10 youth. In addition, a back-up
Mentor or a supervisor is available for support during the youths' waking hours. Overnight, during sleeping
hours, the milieu is staffed with I (awake) Mentor for every I I clients. Bed checks are conducted randomly al
least four times per hour. A licensed clinician is always on-call.
• Drug Screening—Saliva or Urine Analysis: All youth will receive random drug screens.
Depending on the each youth's identified challenges,some or all of the following outcomes may apply:
OUTCOMES RELEVANT TO DECREASED RISK:
• Consistently defines all types of abuse(self, others, property).
• Acknowledges risks and uses foresight and safety planning to moderate risk.
• Consistently recognizes and interrupts patterns of thought and/or behavior associated with his abusive
behavior(cycle).
• Consistently demonstrates emotional recognition, expression and empathetic responses to self and others
(empathy).
• Demonstrates functional coping patterns when stressed.
• Makes accurate attributions: takes responsibility for own behavior and does not try to control or take
responsibility for others' behavior(accountability).
• Has demonstrated the ability to manage frustration and unfavorable events, anger management and self
protection skills.
• Rejects abusive thoughts.
OUTCOMES RELEVANT TO INCREASED OVERALL HEALTH:
• Demonstrates pro-social relationship skills and is able to establish closeness, trust and asses
trustworthiness of others.
• Has improved/positive self-image and is able to be separate, independent and competent.
• Is able to resolve conflicts and make decisions; is assertive, tolerant, forgiving, cooperative and is able tc
negotiate and compromise.
• Is able to relax, play and is able to celebrate positive experiences.
• Seeks out and maintains pro-social peers.
• Has the ability to plan for and participate in structured pro-social activities.
• Has identified family and/or community support systems.
• Is willing to work to achieve delayed gratification; persists in pursuit of goals; respects reasonable
authority and limits.
• Is able to think and communicate effectively; demonstrates rational cognitive processing, adequate verbal
skills, and is able to concentrate.
• Has an adaptive sense of purpose and future.
The daily rate for this service package is: $85.50
Program Includes Menu of therapeutic experiences that can be purchased on a fee for service basis and can be
billed through Core Services or Medicaid fee for service:
• Offense Specific treatment: Cost $60/hour individual, $35/hour group- The client's MDT will determine i1
the client would benefit from either individual or group therapy to address their offense specific needs. AHFY
adheres to the standards and guidelines established by the Colorado Sex Offender Management Board (SOMB),
Alternative Homes for Youth's Scope of Services--For more information on any of AHFY's service components,please contact our Clinical Director at 303-881-1247.
The information contained herein is subject to change without notice. Page 2 of 3
http://dcj.state.co.us/odvsom/Sex Offender/index.html, which includes providing supervision and oversight of the
O.S. Treatment Program by an approved full operating provider. AHFY's clinicians are licensed or provisionally
licensed therapists, responsible for providing treatment services and coordination of their clients' individual
treatment plans, which are developed in collaboration with the Multi-Disciplinary Team (MDT). The Clinical
Team is supervised by AHFY's Clinical Director, who is a licensed professional counselor and approved
Medicaid provider.
• Individual Therapy: Cost $60/hour- We recognize that not every client will benefit from talk therapy alone,
Therefore, our therapeutic team utilizes an eclectic, client-centered approach to addressing Axis I diagnoses,
Included in the therapeutic modalities are: Art Therapy, Internal Family Systems Therapy, Gestalt Therapy, Body
Awareness Therapy and Cognitive Behavioral Therapy. The client will meet with his therapist for a minimum of
one hour per week. This therapist will also collaborate with the Mentor to ensure consistency of care.
• Family Therapy: Cost $60/hour- Family therapy addresses the family as a system and all its interpersonal
relationships. AHFY encourages families to participate in family therapy every week for at least one hour. AHFY
contends that strong family participation is crucial to the success of our clients; reducing recidivism, increasin€
community and family safety, increase in family well-being, and achieving the goal of successful permanency
Therefore, AHFY emphasizes including family members whenever possible. If approved by the Department of
Human Services, AHFY facilitates family therapy with extended family :nembers. Goals of f inily therapy are tc
provide substantial education and aid to the family members to assist them in supporting the client, while
increasing their understanding of the issues that present in their families and the interpersonal skills needed foi
healthy interactions. This, along with other supports, facilitates opportunities for the youth to go on passes an(
eventually reintegrate into the community. Quality assurance of family therapy is evaluated via observable change
in youth's and family's understanding of the issues at hand, including safety, permanency and well-being. Family
therapy goals are evaluated and reported upon in monthly qualitative reports. Assessment of family therapy
sessions and family progress is evaluated weekly by both the therapist and Clinical Director.
• Art Therapy Group-Cost of group$35/session
The goal of the group is to utilize the creative process in supporting the youth in bringing new insights into their
challenges. The curriculum is dynamic and themes will address: personal identity, self-awareness, boundaries
processing feelings, positive self expression and their own victimization of trauma, to name a few. The ar
therapy groups will be grounded in Internal Family Systems (IFS)therapy. This group meets every other week foi
I 'A hours and is facilitated by two art therapists.
• Substance Abuse Group Therapy-Cost of group$35/hour
This intervention and education group is only open to those clients that have abused drugs and/or alcohol. The
curriculum is dynamic, although themes that will be addressed are as follows: relapse prevention, role plays
guided imagery, education on how substances affect the body, and sobriety celebrations as is modeled after
curriculum that was accepted by the Alcohol and Drug Abuse Division. This group meets weekly and i1
supervised by a Licensed Professional Counselor, Certified Addictions Counselor- Level III.
• Eye Movement Desensitization and Reprocessing(EMDR)-Cost of session$60/session
(Francine Shapiro) - EMDR, a trauma-focused therapeutic modality, is provided by licensed, EMDR-trainec
clinician.
• Informed Supervision and Teaching Healthy Sexuality for Parents- Cost of group= $50/session o1
$75/couple
Based on Gail Ryan's training on: Primary, Secondary & Tertiary Prevention of Sexually Abusive Behaviors It
Childhood and Adolescence.
Polygraph Examinations: are available and can be scheduled and coordinated by AHFY with a third party licensee
polygraph examiner. Refer to Section 7.1 of the SOMB standards for requirements and details of the polygrapt
examination process.
Psychiatric Services will be evaluated on an individualized case by case basis and will utilize community resources suet
as North Range Behavioral Health or the AHFY contracted psychiatrist, Daniel Korb, M.D.
Alternative Homes for Youth's Scope of Services--For more information on any of AHFY's service components,please contact our Clinical Director at 303-881-1247.
The information contained herein is subject to change without notice. Page 3 of 3
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