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Home My WebLink About20071690.tiff RESOLUTION RE: APPROVE THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR SEX ABUSE TREATMENT PROGRAMS WITH VARIOUS PROVIDERS AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with three Notification of Financial Assistance Awards for Sex Abuse Treatment Programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and various providers, listed below, commencing June 1, 2007, and ending May 31, 2008, with further terms and conditions being as stated in said awards: 1. Ackerman and Associates, P.C. 2. Individual and Group Therapy Services 3. Shiloh Home WHEREAS, after review, the Board deems it advisable to approve said awards, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the three Notification of Financial Assistance Awards for Sex Abuse Treatment Programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and various providers, listed above be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. 2007-1690 (i4 ' S S SS0034 r7-7/-6) 7 THREE NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR SEX ABUSE TREATMENT SERVICES PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 18th day of June, A.D., 2007 nunc pro tunc June 1, 2007. BOARD OF COUNTY COMMISSIONERS �� q WE OUNTY, COLORADO ATTEST: LS I% - �� "�( David E. Long, Chair Weld County Clerk to the Board � William H. J rke, Proem BY: ( � � Deputy Cleo the Board —' Wi m iGarcia APP D AS TO � j Robert D. Masden ounty Attorney P'0 y60` G ,�— ouglasRademacher Date of signature: 7 g 07 2007-1690 SS0034 6 teelic.;)„ WELD COUNTY COMMISSIONERS DEPARTMENT SERVICES 1001 JUN 12 p OF SOCIALP O. BOX A Willie GREELEY, CO. 80632 ("krip^^ Fg�CEi �fPO Website:www.co.weld.co.us Aanunistration and Public Assistance(970)352-1551 Fax Number(970)353-5215 COLORADO MEMORANDUM TO: David E. Long, Chair Date: June 11, 2007 Board of County Commissioners FR: Judy A. Griego, Director, Social Services..,/ Let(,l(-1 ( lit-t,,0 RE: Notification of Financial Assistance Awal'd's with VariousContractors— Sex Abuse Treatment Enclosed for your approval are Notification of Financial Assistance Awards with Various Contractors for Sex Abuse Treatment. The Department and the Families, Youth, and Children (FYC) Commission are recommending approval of these Awards. These Awards were reviewed at the Board's work session of May 24, 2006. The major provisions of these Awards are as follows: I 1. The Award period is June 1, 2001 through May 31, 2007. 2. The source of funding is Core Services or Child Welfare Administration. 3. The Contractors will provide therapy services for non-offending parent, victims and siblings of victims or for juvenile sexually abusive adolescents. 4. The Contractors include: A. Ackerman and Associates, $110.00 hourly treatment rate P.C. $82.50 per hour group therapy $130.00 per hour court testimony B. Individual & Group Therapy $42.58 hourly treatment rate Services $100.00 per hour court testimony C. Shiloh Home $75.00 hourly rate individual counseling $75.00 hourly rate family counseling $45.00 hourly rate group therapy $45.00 hourly rate multi-family therapy $75.00 hourly rate staffings/professional meetings $74.00 hourly rate court testimony If you have any questions, please telephone me at extension 6510. 2007-1690 Weld County Department of Social Services Notification of Financial Assistance Award for Core Funds Type of Action Contract Award No. X Initial Award FY07-CORE-07007 Revision (RFP-FYC-07007; Bid 001-SAT-07) Contract Award Period Name and Address of Contractor Beginning 06/01/2007 and Ackerman and Associates P.C. Ending 05/31/2008 Sex Abuse Treatment 1750 25th Avenue, Suite 101 Greeley, CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Time-limited,outcome-focused therapy services Assistance Award is based upon your Request for for the non-offending parent,victims,and Proposal(RFP). The RFP specifies the scope of siblings of the victim. Individual services are in services and conditions of award. Except where it is office. Group services provided in office, foster in conflict with this NOFAA in which case the home, or WCDSS.The program maximum is 3 NOFAA governs, the RFP upon which this award is new families per month with a maximum ability based is an integral part of the action. to carry eight open cases a month. Average stay Special conditions is expected to be 20 hour-length sessions over a 1) Reimbursement for the Unit of Services will be based six month period. Services are culturally on an hourly rate per child or per family. sensitive.Bilingual services are available. 2) The hourly rate will be paid for only direct face-to- face contact with the child and/or family as evidenced Cost Per Unit of Service by client-signed verification form, and as specified in Hourly Rate Per the unit of cost computation. Family Counseling $110.00 3) Unit of service costs cannot exceed the hourly and Group Therapy $82.50 yearly cost per child and/or family. Treatment Package Low 4) Rates will only be remitted on cases open with,and (Court Testimony-two hour minimum) $130.00 referrals made by the Weld County Department of Social Services. 5) Requests for payment must be an original and Enclosures: submitted to the Weld County Department of Social X Signed RFP:Exhibit A Services by the end of the 25th calendar day X Supplemental Narrative to RFP: Exhibit B following the end of the month of service. The X Recommendation(s) provider must submit requests for payment on forms Conditions of Approval approved by Weld County Department of Social Services. Requests for payments submitted 90 days from the date of service,and thereafter,will not be paid. 5) The Contractor will notify the Department of any change in staff at the time of the change. Approvals: Ck. Program Official: r By v Cy \ By David E.Long, Chair Judy . Griego, irector Board f Weld Count Commissions Weld unty p rtment of Social Services Date: SUN 1 8 2007/ Date: F I �(� :da2/690 EXHIBIT A SIGNED RFP 001-SAT-07 INVITATION TO BID BID 001-07 DATE: February 28. 2007 BID NO: 001-07 RETURN BID TO: Monica Mika.Director of Administrative Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 Third floor, Centennial Building, Purchasing Department — SUMMARY Request for Proposal for: Colorado Family Preservation Act—Core Services Program Deadline: Friday.March 30. 2007, 10:00 a.m. (MST) The Families,Youth and Children Commission, an advisory commission to Social Services, announces that competing applications will be accepted for approved providers pursuant to the Board of Weld County Commissioners' authority under the Colorado Family Preservation Act(C.RS. 26-5.5-101)and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act (C.RS. 26-5.3-101). The Families,Youth and Children Commission wishes to approve services targeted to run from June 1, 2007,through May 31, 2008, at specific rates for different types of service, the County will authorize approved providers and rates for services only. This program announcement consists of the following documents, as follows: • Invitation to Bid • Main Request for Proposal(All program areas) • Addendum A—Program Improvement Plan Requirements(by program area) • Addendum B—Scope of Services(by program area) • Core Budget Form Delivery Date � .3 --3 R—y 7 (After receipt of order) BID MUST BE SIGNED IN INK Program Area: �> ( CSC. i r�,C�� h l l(�Prnrto 5C X \ CVbl_CJL n�\\ i)Z&R1 TYPED OR PRINTED SIGNATURE VENDOR IAN P�m,r ca�� . r}S�r�o�c . �E • -s; (Name) Hand Signature By Authorized Officer or Agent of Vendor ADDRESS TITLE *40 G 1@iA C ( _\' � -))y DATE I. -r, q- if PHONE# qa The above bid is subject to Terms and Conditions as attached hereto and incorporated. Program Area Supervisor/Provider Meeting Verification/Comment Form Date of Meeting: 3(Rio 7 Program Area: Se-)e iikAs -9_ — AcksilfrieloA Sokr°'L( Pre0/'ol.r. Comments (to be completed by Program Area Supervisor): it,.;.Sw r 1 .c-... f a f �a ,ot o //�� 01 el ct, a.,n A r yr t iy y-a-a its- J It e..,J a J I-, L.c_ a el t a,� /kg /tit-1 eat+ o¢ T we w.¢,., ✓ firv� A// ✓vtcony CeX.Aa ( et b,iSz CuStS. 1/ ' ✓iqd✓` c01011 ALS r H 1-t I- /PI-a y rAri..,r a /t- b t:to i ,e„4„J.e a- S't,r ham! St nazur f Program Are pervr , , , I. , 1 1 1 , , , , 1 ! a i . . . . . n 8;.; RIB !ll fi � ( e a 2 / § § $ % U \ 2 w- ckl § 2 a © « ` ! §a! .al "I | ! !7 �flas1 , t | g! | % a § ! S 2 a a j 8 ;314 2 $ I§!I!i! ! | I §;lm t isE N. k F is) 11 I a ! cg k g 7 E . !n2 ! ■ ! 2 $ § 7 E w ki ! 0 i u - \ K ■ .2 . . ! ! § $ \ § ) E § i 2 § �� COu. e 4a . !21 A § 2 & u.` < $ , 8 ? §f 'Ill 44 r $ 0 a $ ; 9 § . Ej f2a !a. ( ( \ § lilt' § § 2 re § Is i2a ! 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J 2 g � ■ § a 8 a @ \ 0 0 Ph 0 ® ; a § ; 0 I _, 2 @ = ° a@aa § w8888888o 0 § § fit$ ( aa2aaa2aaaaaaa a E ` a &!E k | t= 6 k & 2e . 2 • tail; q 1 ! -� 7 ` § E sot� § 8 w ! tu a. 4 ` ) §• A § | ) ILI IL - 8 a & w w th § z ` |0. § k . ■ / \ � 2 § | § § < $ re a. § > ILI . r re o � ?re m \ _ re _ cxxx z ox c k k § ' \ \ I � / 1- Z 1- 0 Project Description 2005-2006 Sexual Abuse Family Education and Treatment Program The SAFE-T Program Abstract: Ackerman and Associates P.C. proposes to continue to provide in 2006-2007, the time limited, outcome focused therapy model for treatment of the non-offending parent, the victim and siblings of the victim in sexual abuse cases. The program is based in part on the Connections workbook by Jill S. Levenson and John W. Morin (2001) and upon the Handbook of Clinical Intervention in Child Sexual Abuse (1982). The program is based upon the foundations of cognitive behavioral therapy Our program is proposed in four parts: (each of these parts may be used as part of an integrated program, may stand alone or be used in combination with other treatment regimens.) PART A. This portion involves development of the prescriptive safety education and treatment plan of the family unit. This will take place over no more than fifteen hours and should average ten hours. PART B. The implementation of the plan with the non-offending parent to increase safety and avoid repetition of sexual abuse in the family unit. This will take place for up to 20 sessions. PART C. Short term treatment is proposed for the child who was abused and for his/her siblings. Duration would be over a maximum of fifteen sessions to develop skills for future safety and to reestablish trust, including family issues that need to be addressed with the children. Each child who is in treatment, (whether the victim or the sibling), should have their own authorization for treatment. PART D. A protocol of therapy to taper down the frequency of support needed to provide maintenance of skills developed. This will take place over no more than ten sessions designed to be delivered on a twice a month basis over a maximum of five months. This provides an additional support program for those families in need of the service. Based on past experience Parts, B, and C have been used most by WCDSS and parts A and D have not been used much. Nevertheless, we submit them all here as an appropriate program for potential future use. Each part is presented on its own budget page 1 Table of contents : Page 2 Abstract page 1 Overview page 3 Purpose page 4 Number of clients served page 5 Distribution of clients page Page 5 Families served 5 Bilingual services page 6 Accessibility of services page 6 Maximum per month page 6 Monthly average capacity page 6 Average stay 6 Types of services provided page 7 Part a— partD Measurable outcomes/ evaluation page 7 Evaluation of process page 8 Page 9 Evaluation of outcome g Service objectives page workload standards page 12 Staff Qualifications page 14 Standards of responsibility page 14 Evidence standards page 15 4 Unit rate of service /justification pagel6 Confidentiality standards and informed consent pag6 page 1 PIP Plan adherence page 18 6 Budget page 18 2 Overview: The purpose of this highly structured system is to assist family members to achieve careful implementation of safety and child protection plans. Through role modeling, cognitive behavioral therapy, psycho-educational work with adults and /or child therapy, families will progress along a structured treatment course. Treatment will move from recognition of the factors that lead to the sexual abuse in their particular case to developing and effective plan to eliminate the resurfacing of these factors and repetition of these types of events in the future. Of the four phases of the program, Part A would be limited to 15 sessions delivered over no longer than three months. Part B and C would be limited to twenty sessions each delivered either separately or concurrently over four months. The step down phase of the program Part D would be limited to no more than 10 sessions over four to six months. Reviews for the need to continue in the program would occur in month one, month three and month five. Families will need the Sexual Abuse Family Education and Treatment program (the SAFE-Treatment Program) because the sexual abuse and its implications have either: 1. Imminently placed the children at risk of outplacement from the non offending parent (or parents) 2. Created a need to be reunified or 3. The family is facing imminent reunification failure or 4. The family has failed to implement the behaviors required of them. Our model does not treat the adult sexual offender .If that offender is the parent (usually the father or step father) and reunification is the agreed upon course of action desired by WCDSS, we would only assist the parties in developing a formal reunification plan after the offender has successfully completed treatment in another program. In those cases, we further reserve the right to refuse treatment to such individuals unless based upon our clinical judgment we agree that reunification is psychologically supportable within the treatment system we provide. Our model is expected to be especially useful where the non offending parent is herself a victim of sexual or physical abuse in her home of origin, or who has a highly disrupted home of origin from other causes. The program will provide continuity for the non offending parent and the children through each family having a coordinator within Ackerman and Associates. That coordinator will also 3 coordinate the case and be the contact for the case worker and lead the clinical team within Ackerman and Associates in relation to the family. The coordinator will also track the goals of treatment and organize the aspects of treatment within our clinical team approach. Our clinical team meeting will discuss cases as necessary. Purpose: The purpose of the time limited, outcome (safety) focused (as opposed to psychodynamically focused) therapy is to implement the changes needed to insure future safety from further sexual abuse. The model assumes a clinical team oriented family systems approach of education and treatment and seeks clearly defined behaviors and outcomes that will insure safety. The role of the non offending parent in the sexual abuse will be explored, looking for points where protection can be strengthened in the future. The life experiences of abuse or neglect of the non-offending parent in the home of origin will be a part of the psychoeducational work that will be necessary for many of the families. In order to develop a treatment plan for addressing the sexual abuse that has brought the family into social services, the first part of the model will be the development of the psychological scope of work that will need to be completed. What are the goals needed to insure future safety? This may be developed by WCDSS or the WCDSS may refer to the part A program to develop the treatment goals. These will be developed through a review of the case, psychological testing if indicated, and clinical assessment of the victim and of the victim's siblings. From there, clearly defined, achievable, structured behavioral changes that are needed to insure future safety of the child will be developed into a written plan. Once agreed on by the therapist and non-offending parent, this plan will become the treatment goals for the family in relation to the safety of the child to be completed in parts B or C. Time lines and work to be achieved by phase are listed below Part A. The development of the prescriptive treatment plan of the family unit over no more than fifteen sessions with a goal of the program for prescriptive assessment to average ten sessions. The prescriptive treatment plan typically involves background and family of origin interviews with the non-offending parent (up to five hours) three hours of case review with the non offending parent, three hours of assessment and interpretation and up to four hours of assessment of other family members. Part B. The implementation of the plan occurs in part B with the non-offending parent to assure the safety of the children through avoidance of repetition of sexual abuse in the family unit. The traning occurs in 20 hour long sessions or may take less sessions. For the non offending parent trainig consists of a mentoring through a psychoeducational process of identifying factors that contributed to the abuse and dealing with these factors. This will be particularly important if negligence or home of origin issues are present ( i.e. non offending 4 parent is an incest victim). We postulate that a large percentage of the non- offending parents will either have been themselves sexual abuse victims or have come from significantly dysfunctional backgrounds. Such a psychological profile is amenable to this mentoring approach as outlined in the Connections Workbook by Levenson and Morin and supported by current research —see NIH article in appendix on Cognitive behavioral therapy treatment for non offending adults.. Part C. For the child victim or sibling, the restoration of trust and safety assurance after the abuse incident itself would be a goal of child treatment. If appropriate and if the offending parent has successfully completed treatment and if the victim and the non-offending parent are appropriate for reunification, steps toward reunification may progress in selected cases. Part D. A step down protocol of therapy for no more than ten sessions designed to be delivered on no more than a twice a month basis for supportive transition from the support program, for those families in need of this service. Other Considerations: There is no risk of the program running costs up to levels beyond those budgeted for any one family because we set a treatment cap for social services funds at a maximum number of sessions:15 for part A, 20 for part B, 15 per child for part C. Our experience has been that sections A, B and C have been used and D is not used often. Limitations on service delivery allow only 12 additional hours to be provided in part D. If significant resolution cannot be achieved to assure the safety of the child within 45 hours of competent psychological treatment, other options should be considered to attain that safety. In our opinion, it will be very rare for a case to go on for a lengthy period and then fail, as the family will need to make progress sufficient at each review point to continue in the process. Target/Eligibility Populations Total number of clients to be served in this twelve month program has been calculated as follows. Three families per month times twelve months equals thirty six families per year. If we assume a nuclear family size of five, two adults and three children, then the total client pool to be served is 180 individuals. If we subtract from the five family members the one offending parent the total becomes 144 individuals. Within this set, there will be up to 36 non-offending parents and 36 victim children to be served. We expect the need to be lower than this number and anticipate 18-24 families in treatment over a one year period. We calculated the budget based on one child in treatment in part C, thus each child in treatment in part C will need an individual referral. Distribution of clients. Total number of clients we will serve is approximately 36 index children or more as calculated above. Our experience suggests that for the family we would expect approximately 36 additional of these would be adult 5 members of the family (the non offending parent) and approximately 72 additional siblings who would be minors. Families Served. We would anticipate serving 36 family units or less. We expect 18-24 families is a more likely use rate. Sub total who will receive bicultural/bilingual services. We have a Hispanic member of the staff, Emily Montoya M.A., L.P.C. who speaks Spanish. One of the facilitator's (Joyce Shohet Ackerman) doctoral work was on Hispanic patients' mental health treatment patterns compared to Anglo patients in Weld County. She also has four years of direct cross cultural experience with an American Indian population. All of the other staff have cross cultural experience. We expect up to 20% of referrals can receive services in Spanish and 100% will receive services in a culturally appropriate manner. We anticipate that the majority of the work in this program will be conducted at our Greeley offices. Since this is not a home based service No services are anticipated to be physically delivered in South County but all services for any residents of Weld county will occur at our Greeley offices Accessibility. On weekdays a provider is on call from Ackerman and Associates for the each day and is accessible through our office and through the connected 24 hour answering service and pager system. On weekends, the 24 hour access reaches the provider on call for that weekend all of whom are Ackerman and Associates' licensed mental health providers described in the staff section of this proposal. Maximum per month. The program maximum is three new families per month with a maximum ability to carry eight open cases a month. The monthly average capacity is two new families per month with the average load of five open cases a month. The average stay in the program is expected to be 20 hour length sessions over a six month period. The maximum stay is 45 sessions over a twelve month period assuming one child in part C with parts A and B also being used. Use of part D would add 10 hours to this total. Group treatment (if there are sufficient referrals) would be provided at a rate of three fourths of the rate for individual sessions. A group is two or more patients in the session. It has been our experience in running this program for a number of years that the need for a group has been low unless there have been an extended family situation with a large family sharing living space with the alleged perpetrator. There are a number of options WCDSS can use to decrease the cost of this program. For example, if treatment goals are completed by the department prior to referral then part A might be omitted. Part D costs have been much less than projected over the several years of this project, and this component has been 6 used very infrequently. Nevertheless, we have tried to make best estimates for the average length of stay in our budget calculations, based upon what our capacity could be. . Types of Services Provided The types of services have been described in detail above under the overview description and purpose sections as the need to understand early in the review the scope and concept of the program was considered to be important to the reviewers understanding of this program. The types of services provided are summarized here. We propose to provide a maximum of 55 sessions of outcome focused treatment over four program subtypes (A, B, C or D)for the victim of sexual abuse, his or her siblings and the non offending parent. Part A offers assessment of the non offending parent and the children in terms of treatment needed and if they would benefit from this program (15 sessions maximum). Part B is for treatment of the non offending parent (20 sessions maximum) to improve safety of the child in the future, Part C is to treat the child victim (15 sessions maximum) of the abuse and the siblings to improve safety and to establish short term treatment goals for safety as well as to develop a long term treatment plan. Part D is a transition of up to 10 sessions for maintenance of achieved skill in those families requiring this service. Part A is the comprehensive diagnostic and treatment design component of the program. Part B is the therapeutic intervention for the non offending parent and allows cross referral back to WCDSS to meet any needs identified in the cognitive behavioral therapeutic process. Part B seeks to assist the non offending parent to address issues and behaviors necessary to the protection of the child and to prevent further sexual abuse if reunification with the perpetrator is the goal that is acceptable for the safety of the child. In our experience since we began this program many non offending parents are able to reunify after the perpetrator completes treatment . Part C is the treatment portion for the child and ad needed for siblings. The proposal does not seek to provide specialized intake or investigation procedures as only those no n offending parents who are in a case where the abuse is relatively certain would be appropriate for this treatment. If the case facts are such that both parents deny that any sexual abuse/ incest occurs , careful consideration should occur before referring such a case into this program. There are no similar services to this in the community to our knowledge so no competition exists with existing resources. The numbers anticipated in each type pf service were described in the sections on capacity 7 Part D is a step down program for reinforcing the lessons when there is a risk of relapse as determined by the caseworker. This is a step down protocol of therapy for no more than ten sessions designed to be delivered on no more than a twice a month basis for supportive transition from the support program, for those families in need of this service Measurable Outcomes Measurable outcomes are of two varieties. One type is termed formative outcomes and the other type is called summative outcomes. Formative outcomes measure how the program is proceeding while the treatment takes place. Summative outcomes are the results of the treatment. In terms of formative measures we have the following... Family cooperation with appointments and process of treatment in parts A, B C or D form components of the formative review. Did the family cooperate in treatment is the primary formative measurement. Measures of progress—process evaluation criteria For any family who is not appropriate to continue in the treatment model due to severity that exceeds the capacity of the program they will be transferred back to WCDSS. Determination of progress in the program will occur at the following specific review points: Program Review point#1: A report of recommendations for treatment will be completed at the end of part A. It will specify: 1. The goals to be achieved in part B and part C, which can then occur over the next two or three months if authorized 2. What other types of treatment or intervention are appropriate? and 3. If no other intervention is recommended. Program review point#2: A report of the summary of treatment as the completion of the treatment plan in part B or part C. The purpose of this report is to answer these questions: 1. How much progress has been made to date in relation to treatment plan? 2. Is it probable the family will complete the treatment in part B or part C within the session limits specified and if not what other services might be needed. Program review point#2 will also be the time point that a determination will be made as to if there is a need for an extension of sessions in phase B and C and, 8 if so, why this is needed. An extension, if needed, will be limited to ten sessions. Such an extension can occur only though a second authorization. The criteria for making clinical judgments as to the family's progress will be based upon their completion of the prescriptive treatment plan and the adequacy of that treatment plan to protect the child and family from repeat offenses in relation to sexual abuse. Families not making progress will be discussed with the caseworker and as needed referred to other programs or back to WCDSS for further treatment. Please note: the end point of treatment is not necessarily intended to be the full and complete resolution of all psychodynamic issues precipitated by the sexual abuse event. Such issues will likely continue to emerge as the child enters different stages of development into adulthood. If further funds are needed for full and complete restoration of mental health (beyond that required for family safety) these funds should be obtained from legal action in relation to the perpetrator and or through victim's assistance and other funds. The purpose of this program is to recommend to WCDDS if the incident of the actual abuse has been resolved sufficiently to provide for the ongoing physical and mental health and safety of the non-offending parent, and the child victim and siblings residing with the non- offending parent at the time of discharge from the program. This data could be extracted from the case file and reflected in monthly reports. Summative Outcomes A. To reduce the rate of recidivism of sexual perpetration. This program does not treat sexual perpetrators so at one level this question does not directly apply. However the goal of the program is to prevent 100% of revictimizations by treating the victim and the non- offending parent to alter the family environment and opportunities for renewed victimization. (Note that the bid application does not provide that Ackerman and Associates conduct such follow up. The goals set here fall well outside the scope of the bid but can be assessed by WCDSS if they wish to do so, Such an assessmet would create the appropriate long term mechanisms for follow up and adequately design a study in an area. Such a project will have considerable methodological and logistical challenges and would be more expensive than is budgeted in this proposal. . B. Decrease in revictimization should be substantial and persistent. The program is set up to empower the non-offending parent to identify situations where victimization is likely and to reduce these occurrences. We set a goal of 90% of families who complete treatment will not be victimized in the next two years. This number assumes that 9 after treatment is completed that the non-offending parent does not reenter a marital relationship with the offending parent. We set a goal at 70% at two years post treatment would avoid revictimization if marital reunification occurs with the offending parent occurs in the next year. (Note that this bid application does not provide that Ackerman and Associates conduct such follow up. The goals set here are too long term for the budget structure of this contract and also fall well outside the scope of the bid. Such data can be assessed by WCDSS if they wish to do so and create a functioning follow up system through which this data could be collected. C. Prevention of victim perpetration. For those victims who complete part C treatment, most will be children who are not sexually active. We expect that for a two year period following treatment revictimization will be rare and that a desired goal is that 90% of children will not be revictimized over a two year period following end of treatment. Comments on individual case risk will be made in final reports. The monitoring of the goals set here fall outside the scope of the bid but can be assessed by WCDSS if an appropriate tracking and reporting system is in place. D. We expect that 80% of non-offending parents will complete treatment. All final case reports will resord wheter or not treatment was completed. Of these who do complete treatment, we expect that 90%will be able to keep their children over the next two years. The goals set here for assessment at two years fall outside the scope of the bid but can be assessed by WCDSS if they wish to do so. E. Improvement in parental competency: Parameters measured in this area include acceptance of the sexual abuse and the need for restructuring the family environment as well as the client's ability to achieve that goal to prevent such abuse from occurring again. Clinical improvement in this area is the goal of the Part B treatment program and for each client will be reported at the end of treatment. A specific safety plan will be produced by each client that successfully completes the program. F. While we do not expect more rapid reunification with biological family members (the offending parent) until that individual completes treatment, we do expect the acquisition of life skills in anger management and an increase in psychoeducational knowledge. These should lead to risk reduction for a return to an abusive environment. However, quantification of these goals fall outside the scope of the bid. Statistics on reunification can be obtained by WCDSS from a post hoc review they would conduct at some desired time point. 10 Evaluation -outcomes Statistical tabulation of these outcomes associated with success or failure to protect the child from a repeat offense could be assessed at WCDSS' discretion by criminal background check of the perpetrator at a series of set times i.e. every 2 years for ten years post treatment. WCDSS would need to determine if new charges had been reported or cases reopened. A more effective measure would be a household survey but that falls outside the likely scope available to a social services agency. Individuals who leave the county would be lost to follow up creating a data bias in this mechanism. A more vigorous evaluation method would be preferable, but long term evaluation is not budgeted within this proposal. Evaluation of outcome based on pre and post treatment measures of various pyscho-dynamic parameters, while possible, has no validated instruments specific to the population that are in general use. WE can tabulate the types of statements made in the family safety plan in our final reports. We would be pleased to assist in such research if the department wishes to consider a separate application for funds outside of core funds which could examine these important questions over time. Service objectives This proposal meets all the service objectives for the non-offending parent and the victim. The areas for improvement are documented in the quantitative measures that will be rated for the non-offending parent at the review points and at the completion of therapy as listed under the measurable objectives section. These areas include the required components of improving parental competency, improving family conflict management, improving family conflict management improving personal and individual competencies and improving ability and access resources for the non offending parent. Specific service objectives— improvement of parental competency is a major goal of the program of ten modules to learn skills that are needed by the non offending parent Improve family conflict management—the program does not treat the offending parent so does not provide mediation. The skills of conflict resolution are taught in the modules of the program. Improvement of personal competencies is also a key component of the learning expected of the non offending parent Identification for resources needed are also explicit aspects of the program see attached outline of chapters being covered in the data collection section. Addressing the specific referral characteristics and the specifics of a PIP plan will occur based upon the written referral by WCDSS for that case. Methods used to 11 evaluate and monitor each of these areas will depend on the steady progress by the client through the ten chapter program specified by Levenson and Morin. Work Load Standards A. The program has a capacity of 5 families per month with an average of 3 per month. The families will receive an average of 45 hours of service as described if parts A, B and C are utilized. B. We have 5 providers for this program. They are Emily Montoya M.A., Licensed Professional Counselor., Susan Plock Bromley, Psy. D., Licensed Psychologist, Laurence Kerrigan, Ph.D., Licensed Psychologist, Tom Pappas, MSW, Licensed Social Worker and Joyce Ackerman, Ed.D., Licensed Psychologist. • Emily Montoya, M.A., L.P.C. received her masters in Agency Counseling from UNC. Prior to joining Ackerman and Associates, P.C., she had a wide range of work in mental health including treatment for alcoholic patients and support of minority college students. She speaks Spanish, but limits her Spanish therapy to bilingual families who have some capacity in English but prefer Spanish. Her undergraduate major was in Criminal Justice and Sociology. Emily has been associated with Ackerman and Associates for eight years and has recently opened her own practice while continuing to work with us as a contractor on WCDSS bids and in other projects. • Susan Plock Bromley, Psy .D. received her original training is as an M.S.W. prior to her Psy .D. degree and her psychologist licensure in the early 1980's. She has been a professor of Psychology at UNC and is now emeritus upon her retirement from the University. She has provided services through Ackerman and Associates over the past ten years, including services to the SafeT program. • Laurence Kerrigan, Ph.D., has been a licensed psychologist for more than twenty years and has worked on the children's team of the local Mental Health Center prior to joining Ackerman and Associates in the mid 1980's, • Tom Pappas, M.S.W. is a licensed clinical social worker who has more than 20 years of experience in both agency and in private practice settings. He has worked in the Boston, Massachusetts area as well as ,in Montrose, Colorado prior to coming to Greeley to join Ackerman and Associates in 2004. 12 • Joyce Ackerman, Ed.D., Licensed Psychologist will function as the clinical supervisor of the program. She has more than 25 years of private practice experience and is listed in the National Register of Health Service Providers in Psychology. She has been a licensed psychologist in Colorado since 1984. and her practice modality is cognitive behavioral therapy C. Of the up to 36 projected families the caseload is projected at seven families with each provider. D. The modality of treatment is individual or group therapy/psycho-educational therapy/cognitive behavioral therapy focused on the psycho-educational/ cognitive behavioral model outlined in the Connections workbook by Levenson and Morin. We anticipate 1-2 hours per week with an equal amount of home based work by the client in preparing for the next session. Only the face to face time is charged to WCDSS. E. Hours/weeks. The total number of therapist hours is 60 per family over six months, or a total for the budget calculation of 3600 per year based on our projected average. Maximum capacity is the same as this level. The hourly fee is requested at $ 110 as documented in the rate calculation section. F. Staff. There are 5 individual providers supported by one office professional in the practice as well as a contracted accountant. G. Supervisor. This contact would be supervised and clinically managed by Joyce Shohet Ackerman, Ed.D. who will monitor the project for compliance. The maximum caseload for the supervisor is five families per month. H. Insurance. Ackerman and Associates, P.C. carries one million, three million liability coverage for professional liability on the corporation and its associates and each associate also carries the same level of coverage individually. In addition, Ackerman and Associates, P.C. carries a general liability policy related to accident or injury on our premises through Farmer's Insurance. Fiscal provision: We will comply with the audit requirement, However, we question why the county has rescinded the prior pattern of certification of program fiscal compliance in place for the last two years and reinstituted the requirement for an independent audit. In general such audits cost several thousand dollars and obliterate savings we would otherwise be able to offer in the bid. The cost of the audit being induded in the program raises the bid we offer. Ironically, this may not greatly decrease the cost of the audit but may decrease the referrals to the program. We ask the county to reconsider the audit requirement. 13 Standards of responsibility for 2007 bids Ackerman and Associates, P.C. is a type S professional corporation and not a 501.c.3. In 2006, Ackerman and Associates had a net loss of one half of one percent on its revenue compared to expenses, generating no profit. Ackerman and associates stipulates to requirements as stated in Appendix C of the proposal package. Step down processes have been describe in the section on formative evaluation. Separate court testimony is offered at the standard court rate for Ackerman and Associates of 130 per hour for a two hour minimum then 130 dollars per hour or prorated into 15 minute increments ($32.50 per 15 minutes or portion of that time).after the two hour minimum . We have the requisite "record of integrity, satisfactory record of program performance and financial solvency" over twenty five years in practice in Greeley. We have established relations with housing programs, job programs and other referral source s both informally and formally, but would anticipate coordinating such referrals with the caseworker at WCDSS. We established in the last years bid that these services are not specifically eligible for Medicaid services, unless there was a mental disorder that was being diagnosed or treated in the process of this program. Where such mental disorder would require such treatment, WCDSS would be advised of this need and if the treatment would clinically need to precede the treatment of the incest related issues. We do not anticipate becoming Medicaid providers, but would refer to the North Range system if this were the case. Internal Tracking and Billing process: All clients seen at Ackerman and Associates are recorded on a day sheet by the provider. Client appointments are kept in a central appointment registry which we can use as a cross check. All patients are given reminder cards, for their next appointment, that we keep a copy of. All data is recorded in patient charts and financial data is also recorded in a patient account tracking system. Social services clients also sign time sheets. All social services billing and associated forms and reports are due in to the office by the fifth of the month. These are then logged in a computer program by Cindy Brogden , public accountant and the billing prepared by her for Joyce Ackerman's to sign. We then track payment by social services by monitoring deposits, obtain verification of cases paid and record the payment against the account when received. We maintain separate levels of control between contact with patients , provision of services, and billing preparation and authorization to bill as part of our internal fiscal control procedures. 14 Evidentiary basis: The evidentiary basis of this proposal rests in the structured psycho-educational treatment plan published by Jill S. Levenson and John W. Morin ( 2001) Sage Publications Inc., Thousand Oaks California. 111 pages. The theoretical basis of the treatment plan was formulated by these authors from the work of Sgroi Handbook of Clinical Intervention in Child Sexual Abuse,1982 Lexington Books, Lexington, Mass. key portions of the book form the data collection tools and format for the reports ( safety plan) generated by the intervention. Samples of these are included in the data form section of this application. Morin and Levenson's work emphasized the understanding of the cycle of sexual abuse and the need for this cycle to be understood by the non- offending parent. In general such an approach of developing a rational understanding is called a Cognitive behavioral therapy approach which is being applied here to to sexual abuse prevention, by the non offending parent. Such an approach is well documented to provide protection from emotional outcomes of the abuse ( See appendix, NIH review of CBT in sexual abuse prevention, and a Wickipedia article on Cognitive behavioral therapy and its theoretical basis. The modality of CBT is considered by the American Psychological Association to be a form of therapeutic intervention with a broad base of evidentiary support. . Dr Ackerman is a licensed psychologist licensed since 1984. As part of the licensure process she defined her practice modality in oral and written exams as a cognitive behavioral therapist, and has practiced in that treatment modality over the past 23 years. Staff Qualifications A. All staff members exceed the minimum qualifications needed for this project in both education and experience as described above. B. Staff available for the project are listed above. None have mandated caseworker training because none are caseworkers within the definition of that that term in the Colorado Social Services system. All of the staff are trained in risk assessment as part of their licensure. Unit of service rate computation We have calculated the unit of service rate based in the instructions. We used 2006 data for our agency. Using overall figures for the agency for 2006 fiscal year we arrive at a figure of $110 per contact hour. Group rates are billed at 3/4th this individual rate per hour for groups of two or more.. The profit margin for Ackerman and Associates 15 for all programs for the 2006 fiscal year showed a net loss of approximately one half of one percent. The proposed cost is $110 per face to face contact hour. This is 8% lower than our psychologist fee for service rate of$120 per fifty minutes for a face to face therapy hour. As noted the cost of reintroduction of the audit and other additional services required but not compensated such as meetings and other service time to WCDSS contribute to the need for this rate. Budget Justification Ackerman and Associates purchases services for accounting through an independent contractor and through Anderson and Whitney to track funds. No special issues are present related to project audit to out knowledge. Ackerman and Associates mediation program and all other social services programs were audited in a random audit (conducted by Anderson and Whitney) since its first year of operation with no deficiencies. Audits of the program were conducted on a yearly basis in our participation fro the early 90's through 2004, as required by WCDSS, with no deficiencies noted. Given bid rule changes in 2004- 2005, we attest that our billing is an accurate reflection of services rendered and that we will maintain needed records should a future audit be needed. Court testimony is billed at $130 per hour—our usual rate, for which there is a two hour minimum after which the hourly rate is prorated at 32.50 per 15 minute increments or portion thereof. Ackerman and Associates, P.C. is a type S professional for profit corporation and not a 501.c.3. 2005 showed a net loss of one half of one percent on our total expenditures. Confidentiality protection and Informed consent: ( this section answers the questions listed in the corresponding instruction sections of the proposal application packet) Ackerman and associates is fully HIPAA compliant and maintains strict standards of confidentiality as mandated by the American Psychological Association and by federal and state law. Fair selection of patients is not an issue in this proposal as only the referred families for sexual abuse related services will be evaluated or treated. Perception of coercion is not a simple issue in sexual abuse cases. Nevertheless, the process of participation in the SAFE-T program is fully voluntary and no coercion is present. Participants can end their participation at any time if they decide to do so. Ackerman and Associates will make every effort in that circumstance to document that the outcomes of that decision are clear to the client and that any decision was both full understood and freely taken. 16 Data collection will be in file notes and through the workbook associated with the program designed by Levenson and Morin. Privacy - Data collected will be stored in locked files at Ackerman and Associates P.C. with access only to HIPAA compliant members of the staff of our professional corporation. Data will not be separately coded from the participant's name as there is no intent in this project to report only statistical information about the subjects. Consent - Participation is voluntary to the extent the participant can leave at any time and refuse to further participate in the process without any recourse from Ackerman and Associates P.C. Documentation of consent complies with the sate of Colorado Legal standards for the practice of psychology. Confidentiality in relation to any further disclosure of sexual abuse is not permitted under Colorado law and supercedes privacy considerations as do other exemption related to child abuse credible threats of harm to self or others and other considerations. Risks to participation in this treatment process are difficult to quantify as they exist within a context of a person who may be under great psychological stress associated with the report of sexual abuse of their child by a family member. Risk of treatment may be as simple as elevation of psychological distress on the one hand to a credible risk of suicidal behavior on the other. Ackerman and Associates will report perceived psychological risk to WCDSS, will intervene in the unlikely event if there is imminent danger. Ethics of psychologist require maintenance of therapeutic relations until any such identified crisis is safely outside a period of imminent danger. Our consent process is based on the requirements of Colorado for the provision of psychological services. For those unable to read, the form will be read to them. The very young or the very old will not be those giving consent in this contract. We also have the form available in Spanish. A copy of the English language version of the consent is included along with other documents used to obtain consent. Risk benefit is such that the risk is moderate and the desired benefit of obtaining safety of the victimized child is high so for the family members in treatment the benefit is high. is seeking is high. The risk benefit ratio is therefore judged to be more benefit than a risk to the participants. 17 PIP plan Addendum A: Ackerman and Associates stipulates that the PIP plan sections and associated descriptions will be maintained in the performance of SAFE T studies. The details of the sexual abuse will, of course, be a major factor in shaping what permanent placement outcomes will be feasible in each case. As well the response and progress of the non offending parent in relation to the specifics of the situation of the abuse will also be an important factor in relation to the principles outlined in the PIP as to the most appropriate permanent placement Budget: Note that the data from budget calculation sheets used by the WCDSS produces a number higher as rate per hour than what we are requesting in our bid. We believe this results from a number of factors we would be happy to discuss if there are questions. Principle among these is difficulty in estimating overhead to be assigned in terms of secretarial and accounting services time and over how long a period the Ackerman and Associates data base should be ( we have 15 years experience in these bids) for use in these calculations as the rate of work from WCDSS is very variable from year to year. We have made our best estimates in the calculations. Specific issues are identified in footnotes on the budget pages at the front of the application. 18 Samples of data collection forms There are ten structured lessons in this program. This sample includes lesson 1 , lesson 5 and summary documents from lessons 9 and 10. These later chapters form the basis of the family safety plan. f. Y Contents Acknowledgments vii 1. Common Feelings of Parents and Partners 1 2. Denial in Family Members 21 3. How Sexual Abuse Affects Children and Families 29 4. Signs and Symptoms of Sexual Abuse in Children 47 5. If You Were Sexually Abused as a Child 57 ti 6. Learning About Sexual Offenders 61 7. How to Protect Your Children From Sexual Abuse 77 :yr 8. Developing a Safety Plan for Your Family 83 4 9. Considering Reunification With an Offender and His Victim 95 10. Making Sense of It All 99 About the Authors 109 X CHAPTER I Common Feelings of Parents and Partners Welcome to the Connections program.We're glad you're here,but let's be hon- est: You're probably not. Most people start out at Connections wishing they could be anywhere else.That's only natural.They don't know what to expect, and they're afraid they might be misunderstood or judged.They know they will be expected to talk about things that are deeply disturbing,and that may be the last thing they want to do.Most of all,they just wish the sexual abuse that brought them here had never happened. If you're like many nonoffending parents,you have probably suffered in silence since you found out about the sexual abuse.You may feel as though you have no one to talk to,and you may be convinced that no one can under- stand how you feel. And you may be right! People who have never experi- enced sexual abuse in their families have no idea how devastating it can be. You may feel that you don't need to be involved in this program—after all,it was someone else who committed the abuse.You were probably asked to come here by your social worker,the court,or by your partner.If this pro- gram is part of a court order,you may feel that you are being punished.But the Connections program is not punishment. It is an opportunity for you to learn more about sexual abuse,your child,your partner,yourself,and about creating a safe home for your family. You might notice that in this book the pronoun he is used to refer to sexual abusers,and she is used to refer to you,the nonoffending parent.Although fe- male child abusers do exist(and possibly are more common than we think), the majority of abusers referred to the authorities are men, and the over- whelming majority of individuals referred to programs like Connections are women.Likewise,the pronoun she is usually used in this book to refer to the 1 L CONNECTIONS WORKBOOK 2 victim,although boys are also victimized by sexual abuse in the home.Please forgive these simplifications we've made for the sake of readability. What Is Child Sexual Abuse? Child sexual abuse includes any sexual touching,fondling,oral-genital con- tact,or rape of a child by an adult.For an adult to expose their genitals in a sexual way or to"peep" at an undressed child in a sexual way is also abuse. For an adult to talk sexually to a child may constitute abuse if the adult is using the child for his own sexual arousal. Any kind of sexual activity be- tween an adult and a child under 18 is child abuse.A child may be abused by a parent,relative caretaker,older child,trusted adult friend,teacher,babysitter, youth leader,neighbor,or stranger. Child sexual abuse is never the child's fault.Even when a child acts in a way that seems sexually provocative to an adult,it is always the adult's responsi- bility to set limits and teach right from wrong.Even so-called"consensual" sexual activity involving children is abuse. We say "so-called" because the truth is that children(even teenagers)cannot consent to sex,because they do not truly understand the implications or consequences of their decisions.You cannot consent to something you do not fully understand. Child sexual abuse is not only about sex.Sexual abuse is about taking ad- vantage of a child's innocence, trust, and desire to please. The abuse is not simply in the sexual activity but in the betrayal:The more powerful adult ex- ploits the child's trust for his own selfish,hurtful purpose.It is this betrayal of trust that is often most damaging to child victims. Child sexual abuse ranges from unwanted kissing, exposure, peeping, touching,or fondling to oral sex,penetration,or sodomy.Although some of these behaviors seem worse than others,it is important to remember that to the child,abuse is abuse.You might-say,"at least she wasn't penetrated," or "it was only fondling,"or"he only touched her breast."It is adults who think of sex as related primarily to intercourse,that kissing or fondling is not"sex." To the child,the real abuse is not the physical touching but what it means.It is the manipulation and deceit,the stealing of innocence,the betrayal of the soul that is most damaging. You will learn later about the many ways in which sexual abuse can change a child's life and leave long-lasting emotional damage. Why Should I Learn About Child Sexual Abuse? Because your child needs you to. Children need adults to understand their them hseir feelings, to respond to them when they are hurting, to keand ep from harm. If your child has been sexually abused, that child needs you to Common Feelings of Parents and Partners 3 understand how the abuse has affected his or her life.Your willingness to ed- ucate yourself about sexual abuse is a gift to your child—and an essential part of your child's healing. Your child needs you to understand how to keep him or her safe. You might believe that your partner will never abuse again.You hope,of course, that he won't.But if you rule out the possibility that it could happen,you are actually increasing the risk for your child. If you don't believe abuse could happen,you won't take precautions to prevent it from happening.If you are living with(or plan to live with)a sexual abuser,your commitment to under- standing and minimizing the risk in your home is crucial for your child's safety. My Child Was Sexually Abused by My Partner When you found out that your partner was being accused of sexually abusing your child, your life changed forever. Most likely, a social worker or police officer knocked on your door, and suddenly everything in your world was turned upside down.The disdosure of sexual abuse creates a crisis of confu- sion,fear,and overwhelming pain. At first,you were probably in shock.You couldn't believe what was hap- pening. The allegation was probably totally unexpected. You might have thought at first that your child was mistaken or misunderstood or that the so- cial workers or police had blown things out of proportion.This is a common and understandable reaction. We all react to unexpected happenings with disbelief, especially when they are so painful. Many women report going through the first days or weeks following the disclosure in a daze. Then,before you even had a chance to get over the initial shock,you may have had more shocks to deal with. If your partner was arrested,you may have had to locate a lawyer,borrow money for bail,or even go to court.These experiences are often humiliating and intimidating. Maybe your children were removed from your home by the state and put into emergency foster care. Suddenly,everything that was important to you was gone! And no one seemed to be explaining anything to you.Some people seemed to be blaming you.You may have felt that you were being asked to make life-changing deci- sions without having a chance to think about them. For instance, a social worker might have made you feel you had to choose immediately between your husband and your children or face dire consequences.You might have felt that you were being forced to abandon your husband.You didn't under- stand your rights.You had no time to plan for the future.Mostly,you were be- wildered and terribly hurt. Later,you probably found that you were extremely angry at your partner. Even if you have decided to stay together and try to work things out,you may find that you continue to be resentful toward him.You may wonder if you can E 4 CONNECTIONS WORKBOOK ever trust him again.You might feel that you are trapped in an unhappy mar- riage and wonder if you can ever rebuild it.Most couples find that even when they are committed to staying together and working through their problems, at times it seems impossible. The truth is that a sacred trust was betrayed when your partner abused your child.For most couples,working through all of the anger and resentment will be a long,painful road.Eventually,for some couples,acceptance can lead to a new beginning. Other couples will decide that the relationship cannot be rebuilt after all. Most people have an imaginary line that they draw in their minds. You may have heard women say, for example, "If my husband ever cheated on me, I'd leave him," or "If my husband ever beat me, I'd kick him out." Chances are, if someone had ever asked you, "What would you do if your partner molested your child," your response would have been immediate: "I'd kill him!" But, suddenly,when confronted with a real accusation of sexual abuse, your previous assumptions have gone out the window.The only way some women can cope with the allegations is to deny them.It may just be too pain- ful to accept that your partner could sexually abuse your child.You convince yourself there must be some kind of mistake. You might even accuse your child of lying.If you felt forced to make decisions about your marriage right away,you might have denied the abuse partly to avoid making these painful decisions. And so you are left not knowing what to believe, feeling torn between your partner and your child,and overwhelmed by the wrenching changes in your life. Whichever way you turn,there is no way out. If you believe your child,you betray your partner. If you believe your partner,you betray your child. Suddenly,you have to choose between two of the people you love most in the world,and it hurts. You are afraid of losing them both. And nobody seems to realize this!While you are facing your partner's in- carceration, the loss of his income, the loss of your relationship, and your painful feelings about the abuse, some people may be accusing you of not protecting your child. They say that you should have known, should have seen,should have prevented it,should have stopped it.They may say you are choosing your partner over the children.You may feel guilty and wonder if you are to blame! Connections is about making sense of what has happened and under- standing the options and choices that lie ahead.Connections is about making informed,educated decisions.For families that want to stay together,Connec- tions is about learning how that can be done more safely. My Partner Abused Somebody Else's Child If your partner abused someone else's child,you may not have dealt with the conflicting feelings some mothers have. You may not have had immediate ir Common Feelings of Parents and Partners 5 concerns about your children's safety,but you still may have had to deal with Ithe consequences of your partner's crime.You probably felt angry,betrayed, 1 and confused. You might have suddenly felt like you were living with a stranger.And,after thinking about it,you might have wondered if he would Ido something to your own children as well. I Maybe you didn't know your partner at the time of his offense. Maybe Iyou are in a relationship with him now and he told you about his past.You j want to believe that his abusive behavior is all behind him,but a little part of you may wonder how well you really know him. If your partner abused someone else's children and he is living(or plan- ning to live)with you and your children,it is essential for you to understand what led up to his offenses,what his offense patterns are,and what his pre- vention plan consists of,so you can protect your own children from potential Iabuse. E But My Partner Said He Didn't Do It t I I Almost all sexual offenders deny their crimes.Who can blame them?They are [ afraid of the obvious consequences—going to prison and losing everything. s It is human nature to want to avoid punishment,and sex offenders are no dif- ferent from anyone in that regard. What makes them different is the depth and intensity of their denial. After all,they have a lot to lose. But most sexual offenders also feel ashamed of their actions.They don't want to admit what they did because they are afraid of losing you.They know that if you believe the accusations,you might want a divorce,might take the children away, might even testify against them. You might hate them. The , shame and guilt they feel makes it enormously difficult for them to admit to F what they've done.In fact,if your partner admitted to the abuse right away, he is very unusual. It might show that he is brave enough to face up to his 1 problem. 1 Some sex offenders in treatment say they wanted to stop abusing their victim(s),but they couldn't ask for help.The truth is that although offenders need special treatment to learn to control their behavior,they can't seek that treatment without facing great risks. Because of mandatory child abuse re- porting laws(designed to prevent ongoing abuse),if a child sex abuser goes to a therapist for help,the therapist must report the abuse to the child protec- t tion agency.The child protection agency then informs the police,and the case E is investigated.Because the offender admitted to the therapist that he abused a child,his confession may be used as evidence to convict him and possibly to it terminate his parental rights. r So most sex offenders deny their abusive behavior—and they do it very con- vincingly.They are practiced at it,after all.The typical offender has been de- nying his crimes to others(and maybe to himself) for a long time.The typi- cal child molester has at least several,and maybe many,other victims.While i 6 CONNECTIONS WORKBOOK the recent abuse was occurring, throughout the investigation, during the court proceedings,in prison,and maybe even in treatment,the offender con- tinues to deny his crimes because denial has always protected him from pun- ishment,from shame, and from the scorn of others. Unfortunately,while the offender is busy denying his crime and protect- ing himself,the victim is left unsupported,afraid, and alone.Victims might be accused of lying and might feel they can't depend on adults to help.They lose trust in the very people they must depend on—their parents. And you are left wondering.. .because as much as you want to believe he didn't do it, you're not really sure.In the Connections program,you are going to come face to face with harsh reality. Be prepared for new surprises and new hurts. I Hate Him—But I Still Love Him At a time like this,it's almost too painful to admit.But you wouldn't be here if you didn't still love him. And that's really not so surprising. Until this hap- pened,he was the man in your life—and he still is.You may not be sure that you'll get over this terrible shock or that you'll stay with him.But a part of you wants to.A part of you hopes that somehow this can be dealt with,and that things can be good again. When other people (including some members of your own family) are questioning your judgment and pressuring you to give up on him,it's impor- tant to clarify what you're doing and why.You can start by recognizing that he's still the same person that you fell in love with,and he has the same traits that attracted you to him.Only now,he's much more complicated.You may find yourself wondering if you really do know him. He has a problem—a very serious problem,to be sure,and one you.didn't know about before.But do we usually run out the door on everything we have cared about because we encounter a problem—even a very serious one? The truth is that good people can have bad problems. It used to be that people with drinking problems were seen as nothing but "lushes." Nowa- days, everyone knows that lots of alcoholics and drug addicts get the help they need and change.And once they get their problem under control,guess what? They become our friends and neighbors and coworkers—and part- ners—and the problem they've struggled with doesn't have to interfere in our relationships with them. We know there's a lot more to them than just their addiction. Of course,sex offending is much more serious and more damaging to oth- ers than drinking or drugging.But everyone with a will to change can change, and there is always much more to a person than just his problem.Your part- ner is not just his problem. He is your lover,your friend,a hard worker, the person who makes you laugh,the father of your children—and he has a prob- lem.Right now,he's hoping you will remember those other things. r t Common Feelings of Parents and Partners 7 You're going to find that this workbook is full of warnings:He might fool you,he might lie to you,he might reoffend,he's going to still be attracted to children.It's all true.And it's even worse than that:Some child molesters are true "pedophiles," which means their primary sexual attraction is toward children.Such men will always be dangerous and should never be allowed to be around children. These men may be extremely difficult to detect because their entire lifestyle is designed to project a false front.They may appear to be sensible,concerned,and perfectly normal.They can talk apparently sincerely about the harm sexual abuse causes and the importance of treatment.There is no way for you to be certain that your partner is not one of these men.How- ever,you can gain some assurance by having him assessed by a knowledge- able specialist in sex offender evaluation.(The primary source of information on sex offender specialists is the Association for the Treatment of Sexual Abusers[ATSA],www.atsa.com).The sex offender evaluation should always include a review of records (including criminal and child protective service records) and polygraphing. Your Connections therapist might also require your partner to be polygraphed. It is necessary for you to take all the warnings seriously because of the great harm that child sexual abuse causes. But if your partner is not a true pedophile and if he makes a real commitment to treatment,if he sticks with his plan to prevent future abuse,if he takes responsibility for controlling his behavior—with your help and understanding—then, maybe things can be safer.Different,but safer.You will always need to be aware of the potential for abuse caused by your partner's weakness. But loving anyone involves un- derstanding their weaknesses,doesn't it? We who treat sex offenders know them well. And guess what? Mostly, they're men with the same basic needs as anyone.They don't know how to meet their needs in a healthy way.Most of them are horribly ashamed of what they have done.No one could hate them more than they hate themselves for having this problem. In the end,you cannot let anyone else decide what's best for you.Make your decisions with your eyes open,but base them on what you feel. And don't be ashamed to be honest about your feelings.If you still love him,tell him,and tell your family and friends.Let them know you need their support to get through this crisis,just as he needs yours. But What About Me? You probably have a lot of mixed feelings about this whole thing. Since the disclosure,you have probably felt a bewildering array of feelings:anger,be- trayal, fear, rejection, loss of control, guilt, shame, and sadness. You might also feel depressed,anxious,lonely,and numb.You might be in denial.You might even feel some jealousy toward the victim. You might hate the child 8 CONNECTIONS WORKBOOK welfare workers. At times,you hate your partner;at other times,you might find yourself hating the victim.Most of all,you are very confused. Many Nonoffending Parents Feel . . . Anger Whether or not your partner admits to the allegations,you probably feel angry at him.You might doubt his denial and know that he did do something inappropriate. If you know he really did commit the crime, you certainly have a right to be angry about all the losses you have suffered. At the same time,you might be angry at the victim.You may feel he or she should have told you before telling someone else.Or you may feel that somehow the vic- tim provoked the abuse. Even if you know it wasn't the victim's fault,you may still feel resentful about the abuse and focus this anger on the victim.At times, you have probably been angry at family and friends for not under- standing and at the legal system for intruding in your life. You might be angry at yourself—for not seeing the signs,for not noticing what was happening,for not protecting your child.Most mothers feel angry at themselves, as well as guilty and ashamed, for not being able to protect their child.Remember,you did nothing to cause the abuse.Committing a sex offense is always the choice of the offender alone and is his responsibility alone.But you may realize,as you go through this book,that you ignored the signs of abuse or even chose not to believe your child when he or she tried to tell you what was happening. Sadness Because sexual abuse in a family results in painful losses—relationship, emotional,and financial losses—the sadness can be powerful. Hurt Most women report feeling hurt by their partner's sexually abusive be- havior.They are wounded both by the sexual betrayal and by the partner's callous indifference toward harming the children and family. Some women will be hurt by the way their family and friends respond, rejecting and so- cially ostracizing their family.Crying is normal behavior at this difficult time. Loneliness Many women feel isolated and lonely as they learn how hard it is for oth- ers to understand their situation.It isn't easy to talk about sexual abuse,and you may feel you are dealing with it all by yourself. a 1 -- Common Feelings of Parents and Partners 9 "My family doesn't talk to me anymore. They don't understand how I can stay married to my husband.We spend holidays alone, they say mean things behind my back,and I have no one to help me." Numbness Some women report that in the days and weeks following the disclosure, they just"go through life like a robot."Sometimes,avoiding painful feelings seems the only way to survive. Rejection Some women wonder "what's wrong with me? Why did my husband turn to a child?"You might feel that you aren't lovable or sexually desirable. Here is yet another way you can blame yourself,when the truth is that noth- ing you did caused your partner's behavior. Betrayal You probably felt betrayed by your partner,as if he were having an affair. Knowing your partner was sexual with someone else,especially a child,re- ally damages the trust between you.You may also feel like you don't know your partner anymore—that he has betrayed you by hiding something from you,lying to you,turning out to be someone you didn't expect. "I used to put my husband on a pedestal. ..he was a hard worker and a good father.I looked up to him.Then he molested my niece, and suddenly I felt like I was married to a stranger.Suddenly,our relationship and my whole life seemed like a lie." Fear Most partners of abusers are afraid of many things: the outcome of the criminal case and the social services investigation, the financial hardships, the effects of the abuse on their children,the possibility that their children will be abused again. In the beginning, everything is frightening: You've never been through anything like this, and you don't know what to expect. I ns4 of Control Following a disclosure of sexual abuse,everything seems to spin out of control.The world as you've known it is forever changed.You might feel that 10 CONNECTIONS WORKBOOK you can't trust anyone.You might feel you can't predict what the future will bring. You might feel helpless in dealing with the legal system, helpless to communicate with your partner, or helpless to protect your children. Guilt Many women feel guilty about their child's abuse—that they should have known what was happening and done something to prevent it. You might feel you've failed to protect your children. Shame Some women describe a sense of shame.Partly,this might have to do with feeling that you failed to protect your child from harm.Partly,it stems from loving someone(your partner)who others see as a bad person.You might feel that your partner's abusive behavior is somehow a reflection on you as a mother,wife,or woman. Embarrassment What does it mean that you love a man who sexually abused a child?You might feel this means something is wrong with your ability to judge people or choose a mate.It is very hard to accept that someone you love did bad things. Furthermore, many states now have "public notification" laws that allow authorities to tell your neighbors that a sex offender lives in the community. You might be dealing with the shame and humiliation of having your family problems publicly aired. You might feel that you can protect your child yourself,without help from outside agencies or therapists.You might know that your child was abused but deny it to others to protect your family and avoid legal consequences.You might be convinced that if all the authorities would just get out of your life, you could handle the problem yourself.The truth is that the problem is the offender's, and without the proper help,you cannot protect your child. You cannot control the offender's behavior no matter how hard you try. Sheri was sexually abused by her father from age 4 on.As an adult, she struggled to hold onto a job,used drugs,and couldn't provide a stable environment for her 10-year-old daughter.So her daugh- ter was being raised by her parents. Because she was afraid that her father might abuse her child,she continued to have sex with him,believing that this would keep him from touching the girl. She later found out that all along, her father was abusing her daughter as well. __ a Common Feelings of Parents and Partners 11 Jealousy Some mothers are horrified to find themselves jealous of their own child. When your husband made your child his romantic partner,he created a rival for his love and attention. Depression Depression is not just sadness.Depression is a numbing of feelings that can result from overwhelming loss.Depression can take over your body and interfere with your ability to function in your daily responsibilities.If depres- sion leaves you unable to eat,sleep,work,or care for your children,or if you find yourself sleeping more than usual,overeating,or feeling withdrawn and without any energy,you may want to see a knowledgeable psychotherapist for individual therapy or a psychiatrist.A psychiatrist is a physician who can determine if antidepressant medication would be helpful for you. Anxiety Anxiety is not just about feeling a little worried or nervous.Like depres- sion,clinical anxiety can take over your life and leave you feeling unable to function.If you are suffering from repetitive thoughts that you can't get out of your mind or if you find yourself unable to concentrate because of your trou- bles,a psychiatric exam might be helpful in determining if anti-anxiety medi- cation can help you through this crisis. Family and Friends Don't Seem to Understand Family and friends are going through a crisis,too.Of course,you need them during this time more than they need you. But you might find that others can't give you what you need because they are too caught up in their own shock and confusion. Your family might be angry at you for staying with the abuser. They might refuse to help you or even shut you out of their lives.Maybe they say bad things about your partner,which only adds to your hurt and confusion because you still love him.They might think they know what's best for you and tell you what to do.Or on the other hand,they might minimize the abuse, saying,"it wasn't really that big a deal." Your partner's family might blame you for deserting him. They might blame your child for telling.Because they love your partner,it may be impos- sible for them to accept what he has done.Their denial of his offense may be I'rJi 12 CONNECTIONS WORKBOOK rock hard,resistant to all reason and all evidence.Their denial might lead to their rejection of you because you believe the child. Family an d friends might not want to be around your o ndor around you be S P might partner. They be afraid the abuser will molest their children. They Y might feel disgust or scorn about his behavior.They might simply not know what to say.It might be just too hard for your family and friends to see past the facts of the case to all the conflicting feelings you have. The aftermath of sexual abuse is a lonely time for most nonoffending par- ents.If you believe your child,you will be dealing with the possibility of los- ing your relationship with your partner. If you deny your partner's crimes, you will not be protecting your child and might irreparably damage your re- lationship with your child,and you could even lose custody or your parental rights. You don't know if you can rely on the support of family and friends. Whatever you do you will probably feel that you've lost a lot—and you're right. The Legal System Dealing with the court system can be a frightening process.If you were in a re- lationship with your partner at the time of his offense,chances are good that you have been involved with the criminal justice system or the child welfare system or both. Criminal proceedings include the police investigation and the prosecution and trial(or plea bargain)of your partner's crime. Depend- ency(or juvenile)proceedings involve the child protective services investiga- tion and case plan if it is determined that your child is in need of protection by the state. If your partner was charged with a crime,you and your child might have been asked to give testimony about the abuse. This can be intimidating for both you and the child.If you believe the abuse occurred,a part of you wants to help the victim by acknowledging the crime and its consequences.The di= lemma for you is that in this process you might feel you are betraying your partner and could be contributing to his conviction. If child protective services took your case to family court,they might have asked your partner to leave the home.They may have visited your home to check on your children.They might have even placed your child in foster care and insisted that you,your partner,or your child—or all of you—enter coun- seling.This type of attention usually feels intrusive,and many partners feel it's unfair.You might have been accused of failing to protect your child,and in some cases,the court might be seeking to terminate your parental rights. It might seem that no matter what you do,you can't win.If you deny the abuse,you will be seen as nonprotective.If you want to stay with your part- ner and work through the problems,you might be seen as being disloyal to LEMMINEMs Common Feelings of Parents and Partners 13 your child.The problem is that your loyalty to your partner and your loyalty to your child seem to conflict with each other.It probably seems that there can be no happy ending for you. Legal proceedings are emotionally and financially draining. You might have had to spend your life savings or go into debt for your partner's criminal defense or to hire an attorney to represent you in family court.You might feel that the social service agency case plan will be impossible to accomplish.You might feel that the legal system has total control over your life. Even after the court proceedings are over,you might still be dealing with the legal system. Maybe your partner is on probation and has many court- ordered restrictions imposed on him.Protective services workers might come to your home unannounced to visit your child and might require you to attend counseling programs.It may feel like the intrusions into your life will never end. The best thing you can do is to cooperate as well as you can with any re- quests or orders from a probation officer,social worker,or judge.The court orders,as unfair as they might seem at times,are intended to help families by protecting children.Although you might feel that you are being punished for your partner's behavior,take advantage of any opportunities for help that are offered. What Many Nonoffending Parents Need After Disclosure Many nonoffending parents or partners of sexual abusers mention common needs they had following the disclosure of sexual abuse. You probably wanted someone to talk to,you wanted to be treated with respect, and you wanted to understand what your options are regarding custody, marriage, divorce,and finances.If you were sexually victimized yourself as a child,you might have remembered your own abuse after learning about the current in- cident,and these memories might be painful and confusing.Of course,you want to know what has really happened to your child and what your partner really did,especially if he denies or minimizes the abuse. You might feel like you are the only one this has happened to.You want to be reassured that your feelings are normal and that the future will hold better days.You need to know how the abuse will affect your child.You need to be- lieve that you will never have to go through this again. All of these things are what Connections is about. By talking with other parents who have had similar experiences and therapists who are experi- enced in dealing with sexual abuse,you will have a chance to explore all these issues and get some answers to your questions.You might also find some un- derstanding,some sense of control,and some peace of mind. 14 CONNECTIONS WORKBOOK But I Know He Won't Do It Again, so I Don't Have to Worry The truth is that you don't know that he won't do it again,and neither does he. He may want desperately to believe he'll never do it again. He might swear he won't do it again,and he might believe it.But unless he learns how not to do it again,by figuring out what happened in the first place and learn- ing how to change his thoughts and his behavior,it could well happen again. He might say he's learned his lesson,that he doesn't want to go to prison, that he doesn't want to hurt another child,or that he doesn't have"those feel- ings" anymore.He might say it was an isolated incident and that he doesn't need treatment. He might focus blame on his drinking or drug use, on the child, on you, or on the legal system. But the truth is that he knew it was wrong before he did it,he knew he could go to prison for it,he knew he was hurting the child,and he knew he could have chosen not to act on"those feel- ings."But he did it anyway.And if he doesn't believe it can happen again,the risk is greater that it will,because he won't be taking steps to prevent it.If you believe it won't happen again,the risk will also be greater,because you won't be taking steps to protect your children. The question of whether children should ever be allowed to live in homes with known sexual abusers is a troubling one and is not to be taken lightly. The actual range of an offender's abusive behavior is truly known only to the extent that the offender admits his thoughts and actions honestly to his thera- pist.So realistic safety precautions are critical.Any child living with a known sexual abuser,especially one who has not yet successfully completed a quali- fied sex offender treatment program,should be considered at risk for sexual abuse. What You Can Do goal of the Connections program specifically is not s ecifically reunification.The goal is education about sexual abuse to help partners make informed and respon- sible choices about the safety of their children.Some women may know from the beginning that they do not want to stay with their offender partner.Other women may wish they could stay with their partner but come to learn that to do so will put the children at too great a risk of future sexual abuse. When families do choose to stay together,the nonoffending parent must fully un- derstand the offender's sexual abuse history and his potential for reoffense. You must be able to describe the molester's offense patterns and his"groom- ing"behaviors so that you are prepared to recognize them in the future.You must believe without a doubt that the potential for reoffense does exist. Common Feelings of Parents and Partners 15 Mothers who have successfully completed Connections will be able to identify different types of denial. They will recognize denial in themselves Cand others and will understand the power of denial:how denial has compro- mised the safety of their children in the past and how it will compromise the safety of their children in the future if they do not learn to resist it. In Connections,you will learn to identify the behavioral, physical, and emotional indicators of sexual abuse in children.You must know what symp- toms to look for so that you do not ignore potential warning signs that your children are being abused. In addition, you will understand better how to manage the emotional and behavioral problems that children often exhibit following sexual abuse. The protective nonoffending parent encourages open communication in the household.She does not allow her children to become isolated but instead helps them develop and maintain relationships with trusted adults.She mod- els healthy sexual boundaries and teaches her children about appropriate touching.She reinforces the child's right to say no,to be assertive,and to ask for help. You will develop a dear understanding of the many ways in which sexual abuse affects children.You will learn techniques for reducing shame and guilt in children and for responding to your children's special needs. The nonoffending parent of a sexually abused child must be able to support the child in her recovery.To help your victimized child,you must unequivocally believe that the sexual abuse occurred and that the offending adult, not the child,was responsible for this abuse. If you are considering family reunification, your Connections therapist 1 will then assist you and your partner to develop a realistic family safety plan, Iwhich includes both prevention and intervention strategies.The prevention part involves developing a list of household rules(the"safety plan")that the family will live by to promote healthy sexual boundaries and minimize the possibility of new sex abuse. Intervention strategies describe the steps a nonoffending parent will take to separate her child from the offender in the event that further child sexual abuse occurs anyway or seems likely to occur. The philosophy of Connections is that families who choose to stay together must plan to do so safely. You love both your partner and your children. Although this program may be difficult and painful at times, you are showing your love for your family by attending.You can learn to protect your children from abuse,and you can learn to help your partner stop himself from abusing again.Although the ultimate responsibility for preventing reoffense lies solely with the perpe- trator,the entire family must become invested in creating a safer home envi- ronment. After the family has developed its safety plan, each adult in the home must be willing to follow the plan and to do whatever else maybe nec- essary to block further child sexual abuse. Your involvement in developing and following the safety plan is crucial to your child's protection from poten- tial harm. 16 CONNECTIONS WORKBOOK The Journey Through Emotional Reactions to Child Sexual Abuse as seen through the eyes of a mother's support group Life as we knew It GROWTH We Disclosure of sexual abuse. INDEPENDENCE will SHOCK AWARENESS build a NUMBNESS HOPE new STUNNED life. What is This is happening to his problem. me? My world is falling apart. ACCEPTANCE but I can DETERMINATION help. This can't be true. DISBELIEF RESOLUTION I won't live FEAR FEAR with an abuser POWERLESSNESS SKEPTICISM He wouldn't do this DENIAL AMBIVALENCE him? o I still love to me. SELF-PITY Should I stay She wasn't really hurt. MINIMIZATION with him? It isn't as bad as they say. NEGOTIATION What did I do wrong? GUILT How could I have been SHAME such a bad wife and mother? ISOLATION ANGER If only I had been.... INADEQUACY How could he do this? VULNERABILITY He needs to pay. I hate him. HOPELESSNESS How dare he do this. DESPAIR TRAPPED LOST Thanks to Cory Jewell Jensen at the Center for Behavioral Intervention in Beaverton,Oregon,for sharing the thoughts of her women's support group. My life is a mess. I can't handle this. Figure 1.1. The Journey Through Emotional Reactions to Child Sexual Abuse(as seen through the eyes of a mothers'support group) Thanks to Cory Jewell Jensen at the Center for Behavioral Intervention in Beaverton,Oregon,for sharing the thoughts of her women's support group. At the back of this workbook,there is an attendance checklist where your Connections therapist will keep track of your attendance and a safety checklist to be filled out by your Connections therapist at the end of the program. Figure 1.1 shows the emotional journey that many families make in corn- ing to terms with child sexual abuse. d x Common Feelings of Parents and Partners 17 WORK SHEET#1: MY FEELINGS Name and discuss at least five (5) feelings you have about being in this program.Also,list three(3)goals you have for attending this program. ti, ,r, J 18 CONNECTIONS WORKBOOK Name and discuss at least six(6) feelings you had in the days,weeks,and months after you learned that your child was sexually abused or since you learned that your partner had committed a sexual offense. i Common Feelings of Parents and Partners 19 Name and discuss at least six(6)things you might have needed from family, friends,law enforcement,or child protection agencies during your crisis.What are some of the things you still need? { 20 CONNECTIONS WORKBOOK Name and discuss your feelings about your partner,your child,or your partner's victim. • CHAPTER S If You Were Sexually Abused as a Child You might find that one of the most painful parts of dealing with the sexual abuse of your child is that it has reminded you of your own abuse when you were a child.If you were sexually abused,you may have feelings about your own abuse that are now surfacing and that you need to discuss.Feel free to talk about these issues in your group or to request individual sessions with your therapist. If you were sexually abused,your own abuse may also influence the ways you respond to your child's abuse(or your partner's abuse of another child). For example, without even realizing it, women sometimes are tempted to minimize their child's abuse,or even deny it,beecaace of the terrible power of the feelings that have been reawakened in them.You might feel that now,of all times, you simply can't face these feelings.You wish the feelings would just go away,and so you have tried to make the situation that brought them up go away,too. You might blame yourself for choosing an abusive partner,for not seeing the abuse while it happened,or for not protecting your child.You might ask, "How could I let this happen?I swore I would never let my child go through what I'went through."You might be carrying terrible guilt with you as you at- tempt to sort through the crisis of the recent abuse while carrying on with your life.It probably all feels overwhelming. But if you were abused as a child and no one protected you,you never re- ally learned how to be a protective parent.Children learn by doing and see- ing. If what you learned as a child was that adults can't or don't protect children from harm, then deep down—without being aware of it—you may still believe that.This thinking may have caused you to feel helpless and 57 r K i1ti iG CONNECTIONS WORKBOOK Ill I powerless when it came to protecting your own child from sexual abuse.Like 'I most sexually abused children,you probably blamed yourself,at least in part, for your own abuse.To blame yourself now,for what your partner did,is to i!'.', bring back onto yourself some of the most damaging effects of being victim- !I'.', ized.If you are blaming yourself,talk to your group or your therapist.Connec- tions is about working through these awful feelings. Don't suffer alone. i You might want to seek out a support group for adult survivors or find a il therapist experienced in treating adults who were abused as children. The book,The Courage to Heal,by Laura Davis and Ellen Bass,is a helpful resource for understanding your own abuse.Some other helpful books are Why Me? iki by Lynn B. Daugherty; Outgrowing the Pain,by Eliana Gil; and I Never told II', Anyone,by Ellen Bass and Louise Thornton. d P}s,' You might want to think about whether you should share your own sex- III,iival abuse with your child.Sometimes,your child may be comforted by learn- III, I'j gI ing that he or she is not alone.You will have to decide if you are ready to talk li III'' about the abuse with anyone,let alone your child.Be prepared for the child to � i1 {III1 II j, ask questions,some of which you might not want to answer.It is OK to choose I I�p not to talk about the details of the abuse and instead focus on the feelings you II'II, had.You and your child can share your similar feelings with each other. I i,iii I Ir Some Things You Might Want to Say to Your Child: illl��,l I' I'm sorry this happened to you. I,IIq 1, I had a similar experience,so I might have some of the same feelings you do. III= Even though we had a similar experience,I know we might not have the same ;!; feelings. 1 I�I I All feelings are acceptable,all feelings are OK,all feelings are important. 'II 11' When this happened to me,this is how I felt.Tell me how you feel. We can get through this together. iIl Here's what I needed to feel safe. . ..Tell me what you need. pit III You can talk to me as much or as little as you want to. is III, I don't really want to discuss the sexual details of what happened,but let me jlI II, tell you how I felt,and about what happened after. X I11, I I Ililj, l' Don't dfhl (I, Insist that you know how your child feels I I injh Give your child advice about how to handle his or her feelings Tell your child"now isn't a good time"when she wants to talk 1,,,?r,III, Talk about the sexual details of your own abuse with small children II 4 III Generalize that"all men are bad"or"no one can be trusted" I II Ill Get angry at your child for asking questions i,II Say hurtful things about your child's abuser I CIII IIIIV 'j,Ill I ,1411[1 If You Were Sexually Abused as a Child 59 WORK SHEET#5: IF YOU WERE SEXUALLY ABUSED AS A CHILD If you were sexually abused as a child,briefly discuss the abuse.Who abused you?Where?When?Did you ever tell?How did others react when you told? How do you think the abuse affected your life? r 60 CONNECTIONS WORKBOOK If you were sexually abused as a child,how do you think your experience might have affected your reaction to your child's abuse or to your partner's disclosure? a r- 70 CONNECTIONS WORKBOOK NEGATIVE FEELINGS EXTERNAL TRIGGERS (STIMULATING SITUATIONS) MORE RATIONALIZATIONS AND JUSTIFICATIONS THOUGHTS � f OR FANTASIES OF ABUSE OFFENSE PUNNING TO MAKE CONTACT MORE WITH A VICTIM THINKING ERRORS HIGH RISK LAPSE: SITUATION INDULGING IN OR PLACE DEVIANT BEHAVIORS JUSTIFICATIONS RATIONALIZATIONS PLANNING THE OFFENSE "THINKING ERRORS" GROOMING BEHAVIORS Figure 6.1. Sample Offense Cycle (including you!) in the past to set up opportunities to offend? How has he made time for offending and created privacy with the victim? As we discussed earlier,typical grooming behaviors include paying spe- cial attention to the victim, giving her special privileges, taking her places, helping with homework, talking about himself, buying presents—all the things that build trust and make the victim feel special.He should describe the ways he tested the waters with his victim through such things as sexual talk,bathing,swimming,tickling,wrestling,and "accidental" touching. He should discuss the past abuse in a way that lets you understand his modus operandi.When he is done,you should have a clear picture of his offense cy- cle or chain. Ask the offender to describe some of the distorted thoughts he used to justify and excuse his deviant behavior in the past.He should have no trouble acknowledging how he minimized the harm he was doing,how he placed the blame for his offenses on the victim or on his partner, how he pretended to himself that his victim understood what was happening and wanted it to Learning About Sexual Offenders 71 TABLE 6.1 Relapse Prevention Factors Internal Thoughts Feelings What were his distorted though is or thinkin errors? What are the feelings that tend to trigger his wanting to g ofed? How did he excuse his hurtful behavior in the past? How does he cope with these feelings now? How did he convince himself that his victim wanted If negative feelings arise from a sense of not having his to be abused or that he was"showing affection"? needs met,how does he now attempt to consistently into appropriate, meet his emotional needs through healthy,age- How has he restructured these thoughts appropriate relationships. healthy thoughts? External Places Situations or Events Stimuli Grooming Are there places that he Are there stressful events Who or what is he In what ways did he should avoid? in his life that trigger attracted to? prepare children for Where should he not go? urges to offend? What sex,age group,or sexual assault? Why does he think How does he avoid these body type. How did he gain their certain places are safe events,if possible? How does he use behavior trust? or unsafe for him in How does he handle them modification techniques How did he manipulate terms of level of risk? when they arise (conditioning exercises other adults to have unexpectedly? he learned in treatment) access to kids? What other high-risk to control his arousal? How did he set up the situations must he opportunity to abuse a avoid? child? How will he avoid them? What does he do now to Under what circumstances stay away from does he see himself as grooming behaviors? able or unable to be around children? happen,how he convinced himself that he was really educating the victim or comforting her.Distorted thinking is an important part of the offense chain; the successfully treated offender should have no difficulty admitting how he lied to himself,you,and others and how he used those lies to excuse himself , for doing what he wanted to do. Have the offender talk about the emotional needs he was ignoring or de- nying in the past that he now knows he must fulfill to stay away from sexually abusing a child.His unmet needs are what have given emotional power to his deviant sexual urges in the past. By learning to recognize and respect his needs now, he can plan on how to fulfill them through healthy relation- ships—not plan on how to escape from the emptiness that follows their not being met. Now,looking back to your child's abuse,ask yourself what you might rec- ognize from the offender's description of his abusive patterns?Can you,in re- trospect,identify risk factors,such as anger,depression,drinking,or isolating behaviors, that contributed to the offender's secretiveness and withdrawal but that you did not think about at the time? Can you identify grooming l Learning About Sexual Offenders 75 Using the sample offense cycle shown in Figure 6.1 to guide you, fill in your partner's cycle as you understand it. xU: Developing a Safety Plan for Your Family 91 WORK SHEET#8: FAMILY SAFETY PLAN Family Safety Contract The Family agrees to the following rules designed for child safety during visitation and after reunification. Prevention 1. The offender will not be alone or unsupervised with children at any time;any contact with children will be within the eyesight of an adult chaperone who is fully aware of the offender's history and accepts the potential for future abuse to occur. 2. The following people are approved to supervise contact between the offender and children: 3. When the nonoffending parent leaves the room,offender will 4. Our child care plans for work: 5. Offender will never be responsible for babysitting or supervising children. `4?t 92 CONNECTIONS WORKBOOK 6. Discipline of the children will be done primarily by the nonoffending caretaker. 7. Offender will not discuss sex or dating with the children. 8. Physical affection between offender and children will be brief and will avoid bodily contact. 9. Physical hygiene assistance is always to be done by the nonoffending caretaker. This includes Bathing Dressing Diapering Toileting 10. There will be no tickling or wrestling between offender and children. 11. Offender will not have secrets with any child. 12. Offender will never enter the children's bedrooms alone. 13. Offender will never enter the bathroom while a child is in it nor will offender al- low a child to enter the bathroom while he is in it. 14. All bedroom and bathroom doors will have locks. 15. If mutually agreed,children will be permitted to lock doors. 16. All family members will sleep in their own beds. 17. All family members bathe,shower, and toilet separately. 18. No family member shall enter a bathroom or bedroom without knocking and re- ceiving permission to enter. 19. All family members will be dressed at all times(pajamas or robes are OK if cov- ering adequately). 20. Alcohol and drug use is completely and strictly prohibited if substance use was in any way involved in previous sex offenses. 21. Foroffenderswhohavenotrtgedalrnhnlnrdrugsinnrevinusoffences;rulesfor moderate use will be established. 22. No pornography or sexually oriented materials(magazines,pictures,or videos) will in the home. Intervention In the event that prevention measures break down and offender does not appear to be following the specified rules,the nonoffending caretaker will immediately Separate offender and children by 1. 2. 3. 7 Developing a Safety Plan for Your Family 93 In the event that child sexual abuse recurs,the nonoffending caretaker will immediately • Report the abuse to the local child protection agency • Cooperate with authorities conducting an investigation ' • Secure a restraining order • Some other,more specific rules that apply to our family based on the abuser's past patterns,grooming behaviors,and known high-risk factors: ``'s. T 94 CONNECTIONS WORKBOOK lir I 6; I tl 17i yf: I !If; 1;f u.G iII {l' , 110 III ,Iu 1 ,I CHAPTER I 0 Making Sense of It All Now that you have learned all about sexual abuse,you will have the opportu- nity to practice some of what you know. You will begin by reading a story about a family who has experienced child sexual abuse. Then you will be given some questions to answer about how to make the family safer. (All names in the following story are fictitious,and any resemblance to any actual persons,living or dead,is purely coincidental.) The Smith Family Jan and Fred Smith had been married for 3 years.Jan had a 7-year-old daughter.Erica, from her first marriage.The Smiths seemed to everyone to be the"perfect family."Fred spent a lot of time with Erica,helping her to draw,paint,and read.Hecoached her soccer team and most weekends could be seen in the yard kicking the ball around with her.He often took Erica out for ice cream or to the movies,and Jan always appreciated this help because it meant hay- ing some time to herself.Jan was proud of her family and happy that Erica had adjusted so well to the new marriage. One day,following a sexual abuse awareness program at school. Erica disclosed to her teacher that her stepfather had touched her"privacy"on two occasions.The first time,she said,was in the car on the way home from the movies.She stated that he began rubbing her thigh and then rubbed the inside of her leg and tried to put his hand inside her shorts.The sec- and time,they were lying together on the couch watching TV when Fred rubbed Erica's back and buttocks and slipped his hand around the front,rubbing her crotch. Erica's teacher was concerned and called child protective services.Jan was shocked when social workers and the police arrived at her house and explained what Erica had said.Jan was sure it was all a mistake, pointing out how dose Fred and Erica were. Social workers took Erica for a medical exam,but the doctor found no evidence of sexual abuse.During the exam, when the doctor asked Erica if her stepfather had touched her in a bad way,she said that she 99 100 CONNECTIONS WORKBOOK had made a mistake and that nothing had really happened.When Fred was questioned,he de- nied abusing Erica.He explained that he did show her where her private parts were and tell her that no one could touch her there.He stated that she must have been confused during the sex- ual abuse awareness program and that the teacher may have misunderstood Erica's state- ments. The case was closed,and Jan was relieved.She loved her husband and loved her daughter and couldn't believe something like this could happen in her family.Besides,she never saw any inappropriate behavior on the part of her husband.She told herself that she would watch the two of them closely and if anything were to happen, she would handle it herself. Things settled down at home,and Erica seemed happy.A few months later,she developed a urinary tract infection. Jan took Erica to the doctor, and he prescribed an antibiotic. It seemed to Jan that right around this time,Erica began to change.Suddenly,she woke up with nightmares in the middle of the night. Fred would go in to console her,and Jan went back to sleep. Fred always did a good job of calming Erica down. Sometimes, Erica would wet her bed. It also seemed that she was very clingy lately, not wanting Jan to leave her at home with Fred and crying at the door as she would leave. Jan figured that Erica was just through a difficult phase.She was shocked when,8 months after the first allegation,social workers and police showed up at her door again.They stated that there had been an incident at school.Erica had told a little boy that she would suck on his penis if he would buy her some ice cream at lunch.When the guidance counselor took Erica into her office to talk about what had happened,Erica told her that her daddy puts his pe- nis in her mouth and kisses her peepee. Jan was distraught.She told herself thatthe boy must have initiated this incident and that the guidance counselor was putting words in Erica's mouth.She said that she had never seen anything unusual between her husband and daughter. Social workers took Erica to a foster home, stating that Jan had failed to protect Erica from sexual abuse. Erica feltthat she was being punished because she was sent away from her home.She was afraid she would never see her parents again,and she missed her mother.She also missed her school and her friends.She feltthat her mother blamed her for upsetting the family,although she didn't quite understand what she had done wrong. When Jan visited Erica at the foster home,she could see how lonely and scared Erica was. At this point,Jan began to understand that she must take action.She asked Fred to leave the home until the matter could be resolved.He moved out the next day,and the following week, Erica was returned home to Jan's custody under a protective services order. Fred ended up confessing to sexual abuse with Erica,but claimed that Erica liked it and would have said"no"if she didn't want to do it.He also blamed Jan for not having sexwith him more frequently and not liking to perform oral sex.He was convinced that because he hadn't used physical force, he had not hurt Erica. Jan,in therapy with Erica,learned that the abuse had continued after the first disclosure. After the first investigation,Fred could see that no one would believe a child,and Erica became convinced that Jan didn't want to know what was going on.Erica said that Fred had told her thatthis was their secret game and their special activity.He explained that other people might not understand how special they were to each other and might think it was wrong. He told Erica that Mommy would get mad if she knew.Erica knew that Mommy would get mad at her because she had been told in school about"bad touching"and believed that because she liked Daddy's special attention, she was bad,too. ra Malang Sense of It AI! 101 After 6 months of therapy,Erica seemed to be doing OK.She was a very active child,and she was getting straight As in school and excelling at sports.Jan dropped out of therapy,con- vinced that Erica was fine and that the abuse seemed not to have affected her. Fred pleaded no contest to reduced charges and was sentenced to 18 months in prison.He is attending a parenting class while in prison so that he could learn to be a better parent to { Erica when he gets out.He feels relieved because he has received letters from Erica reassuring him that she doesn't blame him for anything.She also says she is doing well in school,so he knows she wasn't really harmed by what happened,no matter whatthe social workers say.He knows that he will never abuse a child again because he has learned his lesson. Erica believes that she was responsible for sending Fred to jail.She feels guilty and sad be- .. cause she loves Fred and misses him.She doesn't like to talk about the abuse in therapy.She participates in a lot of activities to keep busy so she doesn't have to think about Fred being in prison or how sad her mom is. Jan feels stressed out,lonely,and guilty.She is behind on her bills because Fred made a lot +s � more money than she. She misses Fred although she is angry at him. She wants to stay to- gether and work things out when he is released from prison. r. • f?h to 4 102 CONNECTIONS WORKBOOK WORK SHEET#10 After reading the case scenario,answer the following questions.You must be able to demonstrate that you can apply the concepts you learned in group and in your workbook. 1. Name three(3)activities that occurred between Fred and Erica that are defined as child sexual abuse. 2. Give two(2)reasons why Erica might have recanted the first allegation of sex- ual abuse. 3. List three(3)emotional signs of abuse that Erica displayed. Making Sense of It All 103 4. List three(3)behavioral signs of abuse that Erica displayed. 5. List a physical(medical) sign that Erica was being abused. 6. Describe why a medical exam revealing no physical evidence of sexual abuse does not mean that abuse did not occur. 7. Describe three (3)characteristics of an incestuous offender. 104 CONNECTIONS WORKBOOK 8. Name three(3) grooming behaviors that Fred engaged in with Erica. 9. Describe five (5) feelings that Erica may have had during and after the sexual abuse. 10. Describe three (3) factors that might affect the impact of the sexual abuse on .4- Erica and why. I 11. Explain three(3)reasons why Jan might have denied that the abuse occurred. fk { Making Sense of It Ali m 12 Name and describe five (5)things this family must do before re- unification sho occur. { { 1J and describe three(3)things this family can do after reuni- 1 fying that_m help pro mote child safety 106 CONNECTIONS WORKBOOK Fill in the following chart by giving an example of how each Smith family member displayed each type of denial.You may quote a statement that the family member might have made or describe their thought or actions. Type of Denial Offender Nonoffending Parent Child :.j Denial of the facts Denial of awareness •'i •'I Denial of responsibility• Denial of impact .n Denial of the need for 't treatment • h II` • T Making Sense of It All 107 TABLE 10.1 Connections Safety Checklist ✓=The safety objective has been achieved,as demonstrated by your behaviors,statements,or situation. X=The safety objective has not been achieved;you do not demonstrate the behavior or the situation does not exist. N/A=The safety objective does not apply to your family. Description of Safety Objective Complete 1.Caretaker and offender both acknowledge that abuse occurred and that it was not the child's fault. 2. Caretaker acknowledges and describes her responsibility to manage risk factors in the home. 3.Caretaker acknowledges the offender's potential for future abuse. 4.Caretaker can name the five types of denial. 5.Caretaker can give original examples of the five types of denial. 6.Caretaker can spontaneously recognize denial in self,offender,and others. 7.Caretaker can describe common feelings of sexually abused children. 8. Caretaker can accurately describe her own child's feelings. 9. Caretaker can accurately describe the impact of sexual abuse on her child(ren) or can speculate about her partner's victim. 10. Caretaker demonstrates empathy toward her child(ren)or her partner's victim(s). 11.Caretaker can name and describe at least five physical symptoms of child sexual abuse. 12.Caretaker can name and describe at least five behavioral symptoms of child sexual abuse. art' 13.Caretaker can name and describe at least five emotional symptoms of child sexual abuse. 14. Caretaker can,in retrospect,name at least five symptoms her child exhibited while being sexually abused. 3b 15. Caretaker can identify signs to look for in the future,and can propose interventions if needed. 16. Caretaker demonstrates effective management of child behavior problems resulting from sexual abuse,including sexually reactive behavior. 17. If applicable,caretaker can discuss her own childhood abuse and its impact on her reaction to her own child's abuse. CONNECTIONS WORKBOOK 108 18.Caretaker can name at least six grooming behaviors offenders may use. 19.Caretaker can describe and give examples of grooming behaviors,offense patterns,and relapse prevention strategies. 20.Caretaker can describe her partner's offense pattern,grooming behaviors, high-risk situations,thoughts,feelings,and behaviors. 21. Caretaker can describe in detail her partner's relapse prevention plan and demonstrates behaviors that support her partner in his relapse prevention plan. 22.Caretaker can name at least five strategies for protecting children from sexual abuse. 23. Caretaker has developed and implemented prevention strategies with her own children. 24.Offender has successfully completed a sex offender rehabilitation program or is enrolled in and participating actively in a sex offender treatment program. 25.Offender demonstrates understanding of his offense patterns and has developed and implemented a realistic relapse prevention plan. 26.Victim or other children express a desire to be reunited with caretaker or offender or both,and this is supported by child(ren)'s therapist. 27.Children have knowledge of offender's past sexually abusive behavior. 28.Children demonstrate knowledge of prevention education. 29.Caretaker can financially support herself and the children independently. 30.There is no evidence of current substance abuse by either adult. 31.There is no history of domestic violence. 32.Family safety plan includes prevention and intervention strategies. 33.All family members have agreed to and signed-the-safety plan. This checklist reflects my assessment of the safety indicators in the family. Connections Therapist Date I have reviewed my therapist's safety assessment checklist. Client Date 1{'1 � 7 I Making Sense of It All 109 TABLE 10.2 Connections Attendance Checklist Description of Session Date T Initial intake assessment . Educational Group 1:Introductions and program description �� Educational Group 2:Common feelings of parents and partners Support group 14 Educational Group 3:Denial in family members I; Support group Educational Group 4:How sexual abuse affects children and families t _ Support group ii : Educational Group 5:Signs and symptoms of sexual abuse in children Support group `. Educational Group 6:What if you were sexually abused as a child? I Support group ' Educational Group 7:Learning about sexual offenders I If 1 Support group 'z` Educational Group 8:How to protect your children from sexual abuse I Support group `I`4, Educational Group 9:Developing a safety plan for your family I Educational Group 10:Review of safety plans Support group and dosing discussion Partners'session:Reviewing the offender's cyde Partners'session Reviewing the offender's relapse prevention plan Family session:Child sexual abuse prevention education Family session:Offender disclosure and validation of responsibility Partners'session:Detailing the family safety plan 1 Family session Reviewing and signing the family safety plan 4 I References and Sample consent forms Treating Non-Offending Parents in Child Sexual... -Google Book Search Page 1 of 1 Go sic Book Search non offending Parent, sexual abuse, research Search Books Sign in Treating Non-Offending Parents in Child Sexual Abuse Cases: Connections for Family Safety E;y Jill S Levenson. John W. Morin Q4 IILI C. I 1:\ 11:\: ( 1\i, L IDH\ 11 : \ 10R TREATYN G NONOFFEN DING PARENTIS I' CHILD SEXUAL ABLL;E CASES Are They a Sex Offender? 100% Free Sex Offender Search. US States & www \J'I Canada. Easy to Use. Detective http://books.google.com/books?id=4CjE_-KmQiIC&dq=non+offending+parent,+sexual+a... 3/28/2007 http: boo opgle com/books''id=4CjF__ hntQilC&O non+offendino4 Parent_4 sexual_i abuse+_researchKmPA-15 ots =4pkoTmM6W-&sig=sOHOMRz-nrJPp- 9NpjgRgnxw87k&prey=http://www.google.com/search%3 FhI%3 Den%26q%3Dnon%2Boffending%2BParent%252C%2Bsexual% 2Babuse%252C%2Bresearch%26btnG%3DSearch&sa=X&oi=print& ct=result&cd=1#PPP7,M 1 This web address may need to be hand entered with no spaces Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 1 of 12 Cognitive behavioral therapy From Wikipedia, the free encyclopedia Psychology A Cognitive Behavioral Therapy (CBT) is a psychotherapy based on modifying everyday thoughts and behaviors, with the aim of positively influencing emotions. The general approach F°°'''I"8`°' aRE.aS developed out of behavior modification and Cognitive Therapy, Abnormal and has become widely used to treat mental disorders. The Biological Clinical particular therapeutic techniques vary according to the particular Cognitive Devdopmental kind of client or issue, but commonly include keeping a diary of Educational significant events and associated feelings, thoughts and E`o'otionan For em is Health behaviors; questioning and testing assumptions or habits of Industrial or? thoughts that might be unhelpful and unrealistic; gradually Pow `' Scnxon' facing activities which may have been avoided; and trying out Social LISTS new ways of behaving and reacting. Relaxation and distraction Publications techniques are also commonly included. CBT is widely accepted Topin Therapies as an evidence-based, cost-effective psychotherapy for many „zR•talk. disorders. It is sometimes used with groups of people as well as individuals, and the techniques are also commonly adapted for self-help manuals and, increasingly, for self-help software packages. Contents • 1 The basics • 2 Thoughts as the cause of emotions • 3 Cognitive Behavioral Therapy • 4 Depression • 4.1 Attributional style • 4.2 The ABCs of Irrational Beliefs • 4.3 Effectiveness of CBT with or without drugs for depression • 5 CBT with children and adolescents • 6 Computerised CBT • 7 See also • 8 References http://en.wikipedia.org/wiki/Cognitive behavioral therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 2 of 12 • 9 Further reading • 10 External links The basics CBT is based on the idea that how we think (cognition), how we feel (emotion) and how we act (behavior) all interact together. Specifically, our thoughts determine our feelings and our behavior. Therefore, negative - and unrealistic - thoughts can cause us distress and result in problems. One example could be someone who, after making a mistake, thinks "I'm useless and can't do anything right." This impacts negatively on mood, making the person feel depressed; the problem may be worsened if the individual reacts by avoiding activities. As a result, a successful experience becomes more unlikely, which reinforces the original thought of being "useless." In therapy, the latter example could be identified as a self-fulfilling prophecy or "problem cycle," and the efforts of the therapist and client would be directed at working together to change this. This is done by addressing the way the client thinks in response to similar situations and by developing more flexible thought patterns, along with reducing the avoidance of activities. If, as a result, the client escapes the negative thought pattern, the feelings of depression may be relieved. The client may then become more active, succeed more often, and further reduce feelings of depression. Thoughts as the cause of emotions With thoughts stipulated as being the cause of emotions rather than the outcome or by-product, cognitive therapists reverse the causal order more generally used by psychotherapists. Therefore, the therapy is to identify those irrational or maladaptive thoughts that lead to negative emotion and identify what it is about them that is irrational or just not helpful; this is done in an effort to reject the distorted thoughts and replace them with more realistic alternative thoughts, in a process sometimes referred to as cognitive-shifting. Cognitive Behavioral Therapy is not an overnight process. Even after patients http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 3 of 12 have learned to recognize when and where their thought processes go awry, it can take months of concerted effort to replace an irrational thought process or habit with a more reasonable, salutary one. The cognitive model says that a person's core beliefs (often formed in childhood) contribute to 'automatic thoughts' that pop up in every day life in response to situations. Cognitive Therapy practitioners hold that clinical depression is typically associated with negatively biased thinking and irrational thoughts. Cognitive Behavioral Therapy is often used in conjunction with mood stabilizing medications to treat bipolar disorder. Its application in treating schizophrenia along with medication and family therapy is recognized by the NICE guidelines (see below) within the British NHS. Cognitive Behavioral Therapy CBT can be seen as an umbrella term for many different therapies that share some common elements.E11 While similar view of emotion have existed for millennia, the earliest form of Cognitive Behavior Therapy was developed by Albert Ellis in the early 1950s. Ellis eventually called his approach Rational Emotive Behavioral Therapy, or REBT, as a reaction against popular psychoanalytic and increasingly humanistic methods at the time [2]. Aaron T. Beck independently developed another CBT approach, called Cognitive Therapy (http://www.beckinstitute.org/InfoID/220/RedirectPath/Add 1/FolderlD/237/Se {0C85CDA 1-D 123-46DB-A468- 39A6965B 153A}/InfoGroup/Main/InfoType/Article/PageVars/Library/InfoMh in the 1960s131. Cognitive Therapy rapidly became a favorite intervention to study in psychotherapy research in academic settings. In initial studies, it was often contrasted with behavioral treatments to see which was most effective. However, in recent years, cognitive and behavioral techniques have often been combined into cognitive behavioral treatment. This is arguably the primary type of psychological treatment being studied in research today. Cognitive Behavioral Group Therapy (CBGT) is a similar approach in treating mental illneccec paced nn the nrntnrnl by Rirharr) T-leimhera'41 In thic race http://en.wikipedia.org/wiki/Cognitive_behavioral therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 4 of 12 clients participate in a group and recognize they are not alone in suffering from their problems. A sub-field of Cognitive Behavior Therapy used to treat Obsessive Compulsive Disorder makes use of classical conditioning through extinction (a type of conditioning) and habituation. (The specific technique, Exposure with Response Prevention (ERP) has been demonstrated to be more effective than the use of medication--typically SSRIs--alone.) CBT has also been successfully applied to the treatment of Generalized Anxiety Disorder, health anxiety, Social phobia and Panic Disorder. In recent years, CBT has been used to treat symptoms of schizophrenia, such as delusions and hallucinations. This use has been developed in the UK by Douglas Turkington and David Kingdon. Other types of Cognitive Behavioral Therapy include Dialectical Behavior Therapy, Self-Instructional Training, Schema-Focused Therapy and many others[51. CBT has a good evidence base in terms of its effectiveness in reducing symptoms and preventing relapse. It has been clinically demonstrated in over 400 studies to be effective for many psychiatric disorders and medical problems (http://www.academyofct.org/Library/InfoManage/Guide.asp? FolderID1061&SessionlD {65EEF410-AED3-4298-8C78- 69CCAF87F39A}/) for both children and adolescents. It has been recommended in the UK by the National Institute for Health and Clinical Excellence as a treatment of choice for a number of mental health difficulties, including post-traumatic stress disorder, OCD, bulimia nervosa and clinical depression. Cognitive Behavioral Therapy most closely allies with the Scientist-Practitioner Model of Clinical Psychology, in which clinical practice and research is informed by a scientific perspective; clear operationalization of the "problem" or "issue;" an emphasis on measurement (and measurable changes in cognition and behavior); and measurable goal-attainment. Depression http://en.wikipedia.org/wiki/Cognitive behavioral therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 5 of 12 Negative thinking in depression can result from biological sources (i.e., endogenous depression), modelling from parents, peers or other sources. The depressed person experiences negative thoughts as being beyond their control: the negative thought pattern can become automatic and self-perpetuating. Negative thinking can be categorized into a number of common patterns called "cognitive distortions." The cognitive therapist provides techniques to give the client a greater degree of control over negative thinking by correcting these distortions or correcting thinking errors that abet the distortions, in a process called cognitive restructuring. Negative thoughts in depression are generally about one or more of three areas: negative view of self, negative view of the world and negative view of the future. These constitute what Beck called the "cognitive triad." Attributional style An approach to depression based upon attribution theory in social psychology is related to the concept of attributional style. First put forth by Lyn Abramson and her colleagues in 1978, this approach argues that depressives have a typical attributional style —they tend to attribute negative events in their lives to stable and global characteristics of themselves [6]. There is considerable evidence that depressives do exhibit such an attributional style, but it is important to remember that Abramson et al. do not claim that an attributional style of this nature is necessarily going to cause depression — only that it will lead to clinical depression if combined with a negative event. This theory is sometimes known as a revised version of learned helplessness theory. In 1989, this theory was challenged by Hopelessness Theory M. This theory emphasised attributions to global and stable factors, rather than, as in the original model, internal attributions. Hopelessness Theory also emphasises that beliefs about the consequences of events and rated importance of events may be at least as important in understanding why some people react to negative events with clinical depression as are causal attributions. http.//en.wilcipedia.org/wild/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia,the free encyclopedia Page 6 of 12 The ABCs of Irrational Beliefs A major aid in cognitive therapy is what Albert Ellis called the ABC Technique of Irrational Beliefs"21. The first three steps analyse the process by which a person has developed irrational beliefs and may be recorded in a three-column table. • A - Activating Event or objective situation. The first column records the objective situation, that is, an event that ultimately leads to some type of high emotional response or negative dysfunctional thinking. • B - Beliefs. In the second column, the client writes down the negative thoughts that occurred to them. • C - Consequence. The third column is for the negative feelings and dysfunctional behaviors that ensued. The negative thoughts of the second column are seen as a connecting bridge between the situation and the distressing feelings. The third column C is next explained by describing emotions or negative thoughts that the client thinks are caused by A. This could be anger, sorrow, anxiety, etc. For example, Gina is upset because she got a low mark on a math test. The Activating event, A, is that she failed her test. The Belief, B, is that she must have good grades or she is worthless. The Consequence, C, is that Gina feels depressed. • Reframing. After irrational beliefs have been identified, the therapist will often work with the client in challenging the negative thoughts on the basis of evidence from the client's experience by reframing it, meaning to re-interpret it in a more realistic light. This helps the client to develop more rational beliefs and healthy coping strategies. From the example above, a therapist would help Gina realize that there is no evidence that she must have good grades to be worthwhile, or that getting bad grades is awful. She desires good grades, and it would be good to have them, but it hardly makes her worthless. If she realizes that getting bad grades is disappointing, but not awful, and that it means she is currently bad at math or http://en.wilcipedia.org/wild/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia,the free encyclopedia Page 7 of 12 at studying, but not as a person, she will feel sad or frustrated, but not depressed. The sadness and frustration are likely healthy negative emotions and may lead her to study harder from then on. Effectiveness of CBT with or without drugs for depression A large-scale study in 2000[8] showed substantially higher results of response and remission when a form of cognitive behavior therapy and an anti- depressant drug were combined than when either method was used alone. The effectiveness of combination therapy is endorsed by the Australian depressioNet group: Currently the most effective treatment for major (clinical) depression is considered to be a combination of antidepressant medication and Cognitive Behavioral Therapy.t9] For more general results confirming that CBT alone can provide lower but nonetheless valuable levels of relief from depression, and result in increased ability for the patient to stay in employment, see The Depression Report which states: The typical short-term success rate for CBT is about 50%. In other words, if 100 people attend up to sixteen weekly sessions one-on-one lasting one hour each, some will drop out but within four months 50 people will have lost their psychiatric symptoms over and above those who would have done so anyway. After recovery, people who suffered from anxiety are unlikely to relapse. . . . So how much depression can a course of CBT relieve, and how much more work will result? One course of CBT is likely to produce 12 extra months free of depression. This means nearly two months more of work. The American Psychiatric Association Practice Guidelines (April 2000) indicated that among psychotherapeutic approaches, cognitive behavioral therapy and interpersonal therapy had the best-documented efficacy for treatment of major depressive disorder, although they noted that rigorous evaluative ctnrliec had not been nnhlicherl t] http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia,the free encyclopedia Page 8 of 12 CBT with children and adolescents The use of CBT has been extended to children and adolescents with good results. It is often used to treat depression, anxiety disorders, and symptoms related to trauma and Post Traumatic Stress Disorder. Significant work has been done in this area by Mark Reinecke and his colleagues at Northwestern University in the Clinical Psychology program in Chicago. CBT has been used with children and adolescents to treat a variety of conditions with good success[12][13] CBT is also used as a treatment modality for children who have experienced Complex Post Traumatic Stress Disorder, chronic maltreatment, and Post Traumatic Stress Disorder[14]. It would be one component of treatment for children with C-PTSD, along with a variety of other components, which are discussed in the Complex Post Traumatic Stress Disorder article. In addition, many approaches to treating such children, such as Dyadic Developmental Psychotherapy incorporate Cognitive therapy methods and principles into treatment[15] Computerised CBT As the name suggests, this is a computerised form of CBT, in which the user interacts with computer software (either on a PC, or sometimes via a voice- activated phone service), instead of face-to-face with a therapist. Computerised CBT is not a replacement for face-to-face therapy but can provide an option for patients, especially in light of the fact that there are not always therapists available, or the cost can be prohibitive. Computerised CBT is clinically proven and drug-free. For people who are feeling depressed and withdrawn, the prospect having to speak to someone about their deepest problems can be off-putting. In this respect, CCBT (especially if delivered online) can be a good option. http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia,the free encyclopedia Page 9 of 12 It has been proven to be effective in Randomised Controlled Trials, and in February 2006 the National Institute of Health and Clinical Excellence (NICE) (http://www.nice.org.uk/) recommended that CCBT should be made available for use within the NHS across England and Wales, for patients presenting with mild/moderate depression, rather than immediately opting for medication (i.e. anti-depressant pills). That guidance can be read here (http://www.nice.org.uk/guidance/TA97) A new Government initiative for tackling Mental Health issues, Choices In Mental Health (http://www.mhchoice.csip.org.ulc/psychological- therapies/computerised-cognitive-behavioural-therapy-ccbt.html) has recently been launched by the Care Services Improvement Partnership (http://www.csip.org.ulc/). This confirms Primary Care Trust(PCT) responsibilities in delivering the NICE Technology Appraisal on CCBT. National Director for Mental Health, Professor Louis Appleby CBE (http://www.medicine.manchester.ac.uk/staff/LouisAppleby) has confirmed that by 31st March 2007 PCTs should have CCBT products in place and the NICE Guidelines should be met. See also • Aaron T. Beck • Albert Ellis • David D. Burns • Rational emotive behavior therapy • cognitive-shifting References 1. A "A Guide to Understanding Cognitive and Behavioural Psychotherapies" (http://www.babcp.com/babcp/what_is_CBT.htm) British Association of Behavioural and Cognitive Psychotherapies. Retrieved on 2007-1- 11 2. A a b Ellis, Albert (1975). A New Guide to Rational Living. Prentice Hall. ISBN 0- 13-370650-8. 3. A Beck, Aaron T. Cognitive Therapy and the Emotional Disorders. International http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia,the free encyclopedia Page 12 of 12 • Mental Health Foundation report on the use of CCBT (http://www.mentalhealth.org.uk/information/news/?EntryId=31545) • International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health (http://www.psychotherapy.ro/) Retrieved from "http://en.wikipedia.org/wiki/Cognitive_behavioral_therapy" Categories: Cognitive therapy I Cognitive behavioral therapy I Psychotherapy Therapy I Mental health • This page was last modified 09:19, 27 March 2007. • All text is available under the terms of the GNU Free Documentation License. (See Copyrights for details.) Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a US-registered 501(c)(3) tax-deductible nonprofit charity. http://en.wikipedia.org/wild/Cognitive_behavioraltherapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 11 of 12 • Dryden, Windy. Ten Steps to Positive Living. Sheldon Press, 1994. • Burns, David D. Feeling Good: The New Mood Therapy. Revised Edition. Avon, 1999. ISBN 0-380-81033-6 • Tanner, Susan and Ball, Jillian. Beating the Blues: a Self-help Approach to Overcoming Depression. 1989/2001. ISBN 0-646-36622-X [1] (http://www.successcentre.com.au/catalogue/titles.cfm?cur_titleID=1867) • McCullough Jr., James P. Treatment for Chronic Depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). Guilford Press, 2003. ISBN 1-57230-965-2 • Albano, M. & Kearney, Ca., (2000) When children refuse school: a cognitive behavioral therapy approach: Therapist guide. Psychological Corporation. • Deblinger, E. & Heflin, A. (1996) Treating sexually abused children and their non-offending parents: a cognitive behavioral approach. Thousand Oaks, CA: Sage Publication. External links • Cognitive Therapy Today (http://www.cttoday.org/) • The Royal College of Psychiatrists' cognitive therapy leaflet (http://www.rcpsych.ac.uk/mentalhealthinformation/therapies/cognitivebe • The Beck Institute for Cognitive Therapy and Research (http://www.beckinstitute.org/) • The Academy of Cognitive Therapy (http://www.academyofct.org/) • The Albert Ellis Foundation (http://www.albertellisfoundation.org/) • REBT-CBT NET- The Internet Guide to Rational Emotive Behavior Therapy and Cognitive Behavior Therapy (http://www.rebt-cbt.net/) • Marks, Isaac (2003). Review of Introducing Cognitive Analytic Therapy. Principles and Practice by Ryle and Kerr (http://bjp.rcpsych.org/cgi/content/fu11/182/2/179-a). British Journal of Psychiatry. Retrieved on 2006-07-12. • Moodgym (http://moodgym.anu.edu.au/). Australian National University (http://www.anu.edu.au/). Retrieved on 2006-07-04. (Free online CBT training program for preventing depression.) • Living Life to the Full (http://www.livinglifetothefull.com/elearning). Retrieved on 2006-07-04. (Free online CBT life skills course, sponsored by Scottish Executive Health Department Centre for Change and Innovation (http://cci.scot.nhs.uk/)) http://en.wikipedia.org/wiki/Cognitive behavioral therapy 3/28/2007 Cognitive behavioral therapy -Wikipedia, the free encyclopedia Page 10 of 12 Universities Press Inc., 1975. ISBN 0-8236-0990-1 4. A Group Therapy (http://www.stressandanxiety.com/group-therapy.html). Stress and Anxiety Services of New Jersey. Retrieved on 2006-06-25. 5. A What is CBT? ...What's in a Name? (http://www.aabt.org/What%20are/What% 20Are%20Behavioral%20and%20Cognitive%20Therapies.html). Association for Behavioral and Cognitive Therapies. Retrieved on 2007-1-11. 6. A Abramson, L., Seligman, M.E.P. & Teasdale, J. (1978). Learned Helplessness in Humans: Critique and Reformulation. Journal of Abnormal Psychology, 87 pp49-74 7. A Abramson, L. et al: Hopelessness depression: a theory-based subtype of depression, Psychol Rev 96:358, 1989. 8. A Keller, M. et al. A Comparison of Nefazodone, the Cognitive Behavioral- Analysis System of Psychotherapy, and Their Combination for the Treatment of Chronic Depression (http://content.nejm.org/cgi/content/abstract/342/20/1462). New England Journal of Medicine Volume 342:1462-1470 May 18, 2000. 9. A Treatments: Cognitive Behavioral Therapy (http://www.depressionet.corn.au/treatments/talking/cbt.html). depresioNet (http://www.depressionet.com.au/aboutus.html) (2004-01-08). Retrieved on 2006- 08-27. 10. A The Depression Report: A New Deal for Depression and Anxiety Disorders (http://cep.lse.ac.uk/research/mentalhealth/default.asp). The Centre for Economic Performance's Mental Health Policy Group (2006-06-19). Retrieved on 2006-06- 25. 11. A Treatment Recommendations for Patients with Major Depressive Disorder (Practice Guideline for the Treatment of Patients With Major Depressive Disorder, Second Edition) (http://www.psych.org/psych_pract/treatg/pg/Depression2 e.book-7.cfm#figure3). American Psychiatric Association (2000). Retrieved on 2006-07-02. 12. A (2005-12-05) in Kendall, Philip C. (ed).: Child and Adolescent Therapy: Cognitive-Behavioral Procedures, (3rd ed.). Guilford Press. ISBN 1-59385-113- 8. 13. A (2003-05-02) in Reinecke, Mark A.; Dattilio, Frank M.; Freeman, A. (eds).: Cognitive Therapy with Children and Adolescents: A Casebook for Clinical Practice (2nd ed.). Guilford Press. ISBN 1-57230-853-2. 14. A (2006) in Briere, John; Scott, Catherine (eds).: Principles of Trauma Therapy. Sage. ISBN 0-7619-2921-5. (see especially Chapter 7, "Cognitive Interventions", pp. 109-119). 15. A (2005) in Becker-Weidman, A., & Shell, D. (eds).: Creating Capacity for Attachment. Wood Barnes. ISBN 1-885473-72-9. Further reading http://en.wikipedia.org/wiki/Cognitive_behavioral therapy 3/28/2007 i O . 6SA Mode14t°� J Effective Substance Abuse and Mental Health Programs Cognitive Behavioral Therapy for Every Community for Child Sexual Abuse Cognitive Behavioral Therapy for Child Sexual Abuse(CBT-CSA) is a PROVEN RESULTS treatment approach designed to help children and adolescents who have 63'-% reduction in childrens PTSD suffered sexual abuse overcome posrtraumatic stress disorder(PTSD), symptoms depression,and other behavioral and emotional difficulties.The program • 41% reduction in childrens levels helps children to— of depression • 23% reduction in children's acting- • Learn about child sexual abuse as well as healthy sexuality out difficulties • Therapeutically process traumatic memories • Reductions in childrens levels of • Overcome problematic thoughts,feelings,and behaviors PTSD, depression, and acting-out behaviors were maintained for 2 • Develop effective coping and body safety skills years The program emphasizes the support and involvement of nonoffending parents or primary caretakers and encourages effective parent-child commu- Participation in group CBT-CSA nication.Cognitive behavioral methods are used to help parents learn to led to. cope with their own distress and respond effectively to their children's • 26H , reduction in parents" emo- behavioral difficulties.This CBT approach is suitable for all clinical and tional distress related to the abuse community-based mental health settings and its effectiveness has been doc- • 45% reduction in parents intrusive umented for both individual and group therapy formats. thoughts about the abuse INTENDED POPULATION • 45% improvement in body safety skills in young children CBT-CSA is designed for children and adolescents 3 through 18 years old who have experienced sexual abuse and are exhibiting posttraumatic stress, ,� • t r depression,and other abuse-related difficulties (e.g.,age-inappropriate sexu- al behaviors, problematic fears,social isolation).Children are generally referred for treatment following an investigation conducted by child protec- tion or law enforcement personnel in which allegations of sexual abuse are found to be credible.Whenever possible,a nonoffending caregiver or r'' U.S.DEPARTMENT OF HEALTH AND HUMAN SERVICES Indicatedi 6 Substance Abuse and Mental Health Services Administration x(` Center for Substance Abuse Prevention "'�.,.• www.samhsa.gov Outcomes parent is encouraged to participate along with the child.The program may • Children who participated in CBT-CSA be utilized in private and/or public clinics and has demonstrated success with their nonoffending parents with Black/African American, Hispanic/Latino, and White children from all demonstrated greater improvements socioeconomic backgrounds.The research participants were primarily seen with respect to PTSD, depression, and at a public clinic on a medical school campus,but therapists in community acting out behaviors as compared to settings,including child protection offices in urban,suburban,and rural set- children assigned to the community tings,have also delivered the treatment program. control condition. As compared to parents who participated in a support BENEFITS group, parents who participated in a In the aftermath of child sexual abuse,CBT-CSA: CBT-CSA group showed greater • Helps children talk about their experiences and cope with their feelings improvement with respect to emo- and concerns tional distress and intrusive thoughts related to their children's sexual • Assists parents in coping with abuse-specific distress and responding abuse effectively to their children's emotional and behavioral problems • Improves parent-child communication and interactions Comparison of pre/posttest changes in children receiving HOW IT WORKS CBT{SA vs. community* 10 The treatment program consists of parallel sessions with the child and his or ill60 g D Parent/Child car her nonoffending parent(s),as well as joint parent-child sessions in the later .'b _■community 1 stages of therapy.The treatmentapproach can be effectively implemented in o so P > ao • 12 sessions and has been applied to both individual and group therapy for- E30 .!1 mats.The specific components of treatment for both the child and parent 5. zo • �'r - include: o , e;. -,; _ • Education about child sexual abuse and healthy sexuality 10 PTSD Behavior Depression • Coping skills training,including relaxation, emotional expression, and cognitive coping • Gradual exposure and processing of traumatic memories and reminders Comparison of pre/posttest changes in • Personal body safety skills training parental distress in response to CBT-CSA group vs. support group* Parents are also provided with behavioral management training to strength- 50 en children's positive behaviors while minimizing behavioral difficulties. 45 - o CST croup or, Joint parent-child sessions are designed to help parents and children practice y 40 ■support Group i ; < — and utilize the skills learned,while also fostering more effective parent-child E 35 > 30 alts communication about the abuse and related issues. a zs —' �5 �p tx �k(" . IMPLEMENTATION ESSENTIALS F.: t o w •t : Therapists seeking training in this treatment approach should have experi- s - - it. �„ ' M ence working with children and families and prior training in and knowl- 0 emotional reaction Intrusive thoughts edge of child sexual abuse dynamics, child abuse reporting laws,child pro- SpPI.,•.p w� o-�I,,..nod,a,,�,,.m, .ate•-,w�,a section systems, and community victim advocacy resources. Training and Technical Assistance Several levels of training are available: SAMHSA Model Programs • http://model • Half-and/or full-day introductory workshops can be offered to intro- duce skilled mental health professionals to the program's overall approach • Two-to four-day seminars,offering more intensive training to direct service providers and/or supervisors • Intensive training with ongoing professional consultation including weekly or biweekly review of audiotaped sessions and feedback Program Materials A detailed description of CBT-CSA is provided by Esther Deblinger, Ph.D., and Anne Heflin, Ph.D.,in their professional book tided Treating Sexually Abused Children and Their Non-offending Parents:A Cognitive Behavioral Approach. An audiotape titled "Treating Trauma in Children and Adolescents, written and narrated by Judith Cohen, M.D.,also provides an excellent overview of the treatment model. Both the professional text and audiotape may be obtained through Sage publications.A children's book, Let's Talk About Taking Care of You.:An Educational Book About Body Safety by Lori Stauffer, Ph.D.,and Dr. Deblinger, is also recommended for use with chil- dren 5 to 10 years of age. Information on how to obtain the children's book is located at www.hope4familics.com. PROGRAM BACKGROUND CBT-CSA was developed following a series of assessment studies that docu- mented the wide array of emotional and behavioral difficulties exhibited by children who have experienced sexual abuse.These studies indicated that while some children suffer minimal difficulties following sexual abuse,others experience serious psychiatric disorders,with one of the most common disor- ders being PTSD. In addition,assessment research has clearly revealed the important role nonoffending parents play in the recovery process.Thus,a treatment program was developed for abused children and their nonoffend- ing parents specifically designed to improve PTSD and other abuse-related difficulties (e.g.,age-inappropriate sexual behaviors,depression, acting-out behaviors, etc.).To date,seven treatment outcome studies(two pre-and posttest designs and five randomized control trials) have documented the efficacy of this treatment approach. Dr. Deblinger and her colleagues, Dr.Judith Cohen,and Anthony Mannarino, Ph.D.,from Allegheny General Hospital, are currently complet- ing a multisite treatment outcome investigation for children who have suf- fered sexual abuse and collaborating on a manual for children exposed to other forms of traumatic stress. Melissa Runyon, Ph.D.,and Felicia Neubauer, L.C.S.W.,from the University of Medicine and Dentistry of New Jersey-School of Osteopathic Medicine,are also collaborating with Dr. Deblinger on the development of modified treatment programs for children who have suffered physical abuse and/or domestic violence. programs . samhsa .gov • 1 877 773 8546 HERE'S PROOF PREVENTION WORKS EVALUATION DESIGN CONTACT INFORMATION In a series of randomized control trials, this CBT approach led to significant Esther Deblinger, Ph.D. reductions in parental emotional distress, as well as significant improvements Clinical Director,Center for Children's Support with respect to PTSD, depression, behavior problems,and personal safety skills Associate Professor of Psychiatry in children. Research examining the impact of the parent and child components University of Medicine and Dentistry of of this treatment demonstrated the significant value of parental participation in New Jersey treating children's acting-out behaviors and depression.The findings also sug- School of Osteopathic Medicine gested the critical importance of the CBT child interventions in effectively treat- 42 East Laurel Road, Suite 1100B ing PTSD in the population.A recent followup study has documented the Stratford, NJ 08084 maintenance of children's improvements with respect to PTSD,depression,and Phone: (856) 566-7036 behavior problems over a 2-year period.The results of a recent study comparing Fax: (856) 566-6108 group CBT-CSA to a support group approach suggest that cognitive behavioral E-mail:deblines@umdnj.edu strategies are significantly more effective in enhancing children's personal safety skills and reducing parents abuse-specific distress. Program results have been Donna Fails,ACSW,LCSW reported in journal articles published in the Journal of the Academy of Child and Adm n strator, Center for Children's Support Adolescent Psychiatry Child Maltreatment,and Child Abuse cr Neglect:the University of Medicine and Dentistry of International Journal. New Jersey School of Osteopathic Medicine Research funding that has contributed to the development and evaluation of 42 East Laurel Road.,Suite 1100B this treatment program has been provided by the Foundation of the University Stratford, NJ 08084 of Medicine and Dentistry of New Jersey and the U.S.Department of Health Phone: (856) 566-7036 and Human Services'National Center on Child Abuse and Neglect and Fax: (856) 566-6108 National Institute of Mental Health. Victims of Crime Act grants,grants and E-mail: failsdg@umdnj.edu contracts administered by the New Jersey Division of Youth and Family Services, and private and corporate donations have also funded individual and RECOGNITION group therapy services provided at the center. Model Program—Substance Abuse and Mental Health Services Administration,U.S. PROGRAM DEVELOPER Department of Health and Human Services Esther Deblinger, Ph.D. Esther Deblinger, Ph.D.,is the clinical director of the Center for Children's Support and associate professor of psychiatry at the University of Medicine and Dentistry of New Jersey(UMDNJ)-School of Osteopathic Medicine.For over 15 years, Dr. Deblinger and her colleagues have conducted cutting-edge research,examining the impact of child sexual abuse and treatment of the resulting difficulties.The Foundation of UMDNJ and the U.S. Department of Health and Human Services'National Center on Child Abuse and Neglect and National Institute of Mental Health have supported this research.Dr. Deblinger has coauthored numerous journal articles,the professional book Treating Sexually Abused Children and Their Nonofending Parents:A Cognitive Behavioral Approach(19%),as well as the children's book, Lets Talk About Taking Care of You:An Educational Book About Body Safety(1999). Dr. Deblinger is a found- ing fellow of the Academy of Cognitive Therapy and currently she is on the edi- torial boards for the journals Child Maltreatment and Trauma Practice. http://modelprograms . samhsa .gov • 1 877 773 8546 Entrez PubMed Page 1 of 2 '.Benue of t e\arto::a1 br3r- `'Selrcine ./ NCBI Pub ed intthe ,tsr lei i , ≤ e -3ea_th My NCBI www.pubmed.gov fn] [Rt ww.pubmed.gov All Databases PubMed Nucleotide Protein Genorne Structure OMIM MAC Journals Search PubMed for Go Clear Limits Preview/Index History Clipboard Details Display Abstract Show 20 Sort by Send to About Entrez All: el Review: 1 1( Text Version ❑ 1: .1 Child Sex Abus. 2004;13(2):59-84. Related Articles. Li Entrez PubMed Overview Treatment outcome research with the non- Help I FAQ Tutorials offending parents of sexually abused children: New/Noteworthy t:+al critical review. E-Utilities PubMed Corcoran .1. Services Journals Database Virginia Commonwealth University, School of Social MeSH Database Work, 1001 West Franklin St., P.O. Box 842027, VA, Single Citation USA. jcorcora@maill.vcu.edu Matcher Batch Citation Matcher Potentially deleterious effects arise from the experience Sp ecial cal Queries childhood sexual abuse, but maternal supportiveness ha; Special Queries Link Out been identified as a crucial mediator. Consequently, a My NCBI body of knowledge has begun to develop on interventio designed to improve the supportiveness and adjustment Related the non-offending parent. The present paper attempts to Resources provide a critical review of the treatment outcomes Order Documents NLM Mobile reported for these new interventions. Studies have been NLM Catalog organized according to the sexually abused child's stage NLM Gateway development: preschool, school-aged, and adolescence. TQxNET Pg Consumer Health Recommendations for service delivery and research Clinical Alerts follow. ClinicalTrials.gov PubMed Central Publication Types: • Review http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15... 3/28/2007 ACKERMAN & ASSOCIATES, P.C. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 Phone: (970) 353-3373 Fax: (970) 353-3374 Social Services Programs Disclosure Ackerman and Associates works with the Weld County Department of Social Services(WCDSS)on several programs. All of these programs require a referral from Social Services or from the court. Information regarding your family is recorded and used to help set goals and in obtaining those goals. Together,you and the therapist will set these goals and monitor your progress. Our contractual agreements with WCDSS allow our program staff to exchange information with WCDSS and require us to send WCDSS a summary upon termination of our counseling with your family. Confidentiality is limited by these considerations. The cost of these services is covered by funds through Weld County for preserving families. A description of the appropriate program will be given to you at the time of the first session. Please ask the providers any questions. Ackerman and Associates have several providers. They are: Joyce Shohet Ackerman, Ed.D., Licensed Psychologist Joyce is licensed by the State of Colorado to practice psychology. She has a Bachelor of Science in Special Education, a Master of Science in Special Education,and a Doctorate of Education in Psychology, Counseling, and Guidance from the University of Northern Colorado,which she received in 1981. She is listed in the National Register for Health Service Providers in Psychology. Susan Bromley, Psy.D., L.L.C., Licensed Psychologist Susan is licensed by the State of Colorado to practice psychology. She received her Doctorate in Clinical Psychology from the University of Denver in August of 1983. She received her Master's in Social Work from Case Western University of Cleveland, Ohio, in 1968. Laurence P. Kerrigan, Ph.D., Licensed Psychologist Larry is licensed by the State of Colorado to practice psychology. He received his Doctorate of Clinical Psychology from the California School of Professional Psychology in August of 1974. Emily Montoya,M.A., L.P.C., Licensed Professional Counselor Emily graduated from the University of Northern Colorado in 1996 with a Master's degree in Agency Counseling. She is licensed by the State of Colorado to practice psychotherapy. Tom Pappas, M.S.W., L.C.S.W., Licensed Clinical Social Worker Tom received his Master's degree in Social Work in 1986 and his Post Graduate Certificate in Advanced Psychotherapy with Children and Adolescents in 1993. He is licensed in Clinical Social Work by the state of Colorado. You are entitled to have therapeutic methods and techniques explained to you and have an estimate of how long your therapy may take. You are free to seek another opinion or to end therapy at any time. The Colorado Department of Regulatory Agencies has the general responsibility of regulating the practice of both licensed and unlicensed persons in the field of psychotherapy. You can report complaints to Mental Health Occupations Grievance Board, 1560 Broadway,Suite 1340, Denver,Colorado, 80202,or phone (303) 894-7766. Colorado law requires that you know it is never appropriate for psychologists(or any psychotherapists) and their clients to engage in sexual intimacies and these incidents should be reported to the Mental Health Grievance Board. What you say during sessions is confidential with certain legal exceptions. Among these are: suspected child abuse or neglect, threats of harm to yourself and others,and in some cases,custody matters. Persons 15 years of age or older have a right to confidentiality. In the event you will not be able to keep an appointment,PLEASE contact us as soon as you know you will be unable to attend your scheduled session. This may allow us to provide services to someone else during that time period if you can give us as much notice as possible. By signing below,you are stating that you understand and agree to these conditions and have been informed of our degrees, credentials,and fees. Client Child(if 15 years of age or older) Date (Parent for a minor child) Provider Date Ackerman and Associates, P.C. 1750 25th., Suite 101 Greeley, CO 80634 Phone: (970) 353-3373 Fax: (970) 353-3374 Email: counseling@ackermanandassociates.com AUTHORIZATION TO RELEASE/OBTAIN INFORMATION I authorize to RELEASE and/or OBTAIN information concerning: Name: Date of Birth: Name: Date of Birth: TO/FROM/WITH: Name: Phone/Fax: Address: Type of information to be released(circle yes or no to each): YES NO Treatment information to include history, attendance, diagnosis,treatment progress, treatment approaches/plans/goals, prognosis, medication, intervention,prescriptions and discharge summary YES NO Psychological evaluation and testing summaries YES NO Clinical evaluation and testing summaries YES NO Alcohol/drug treatment information YES NO Physical exam, lab studies, diagnostic evaluation, EKG, EEG YES NO Other (specify): For the purpose of treatment planning, service coordination and(as specified): I understand that my records are protected under the Federal and State confidentiality regulations. I understand that if I have authorized the release of drug abuse and/or alcohol abuse information that the confidentiality of this information is protected by Federal Law 42CFR, Part 2. This information cannot be disclosed without my written consent, unless otherwise specifically provided for in the regulations. I understand I may revoke this consent at any time. Copies of this form may be used in lieu of the original. I understand and agree that this release form may be sent to the agencies and persons identified above. Client (15 and older) or Guardian Signature Date Printed Name Relationship Date of Birth Witness This consent expires and cannot be used for more than one year from the date of signing. Resumes JOYCE SHOHET ACKERMAN, Ed.D. 1750 25'x' Avenue, Suite 101 Greeley, Colorado 80634 RESUME PERSONAL DATA Date of Birth: August 3, 1950 Health: Excellent Married; two children CERTIFICATION - LICENSURE Licensed Clinical Psychologist,State of Colorado since 1984 Listed in National Register of Health Service Providers in Psychology since 1986 Staff Privileges, North Colorado Medical Center, Greeley, Colorado since 1985 PROFESSIONAL MEMBERSHIP American Psychological Association Colorado Psychological Association (elected board member 1986-1989) HONORS President's Award - Colorado Psychological Association, 1989 EDUCATION 1978 - 1981 Ed.D. in Counseling Psychology, University of Northern Colorado, December 1981 graduate 1972- 1974 M.S. in Education(E.D./L.D.) Lesley College, Cambridge, Massachusetts, August graduate 1968 - 1971 B.S. in Special Education and Elementary Education with a minor in psychology Boston University, Boston, MA, December 1971 graduate PROFESSIONAL EXPERIENCE 1981 - present Clinical Director in group practice in Greeley,CO. Among responsibilities are: Diagnosis, therapeutic intervention and referral for adults, families,children and groups. Primary areas are: mediation, alternative conflict resolution,stress reduction. Also developing, organizing and presenting workshops and consultative programs to community,schools, organizations and agencies. 1986 - present Consulting psychologist on interdisciplinary team for in-patient rehabilitation program. Progressive Care Rehabilitation Center, Greeley, CO. Medical Director Dr.Judith Vaughan, Neurologist. Adults with traumatic injuries- primary problems are: psychological aspects of physical rehabilitation,grief counseling,and brief group counseling using cognitive-behavioral goal oriented therapy. 1989- 1992 Consulting psychologist for Head Injury Treatment Team North Colorado Medical Center,Greeley CO Team coordinator - Dr. John McVicker, neurosurgeon. 1986- 1989 Consulting psychologist for Family Recovery Center(in-patient substance abuse/chemical dependency program), North Colorado Medical Center,Greeley CO Coordinator Ruth Wick,R.N. 1986 - 1989 Provider and Coordinator for Mental Health Services in Northern Colorado for Peak Health Care(HMO). Peak mental health services utilized a three-session model for initial services followed by referral. Activities included coordination of Psychological and Psychiatric Services for approximately the last two years of the Contract. Peak supervisor- Elaine Taylor 1983 - 1986 Psychologist subcontractor for a Vietnam Veteran's Counseling Program funded by the Veteran's Administration. Principal Contract Dr. Robert Stewart. 1980 - 1987 Part time faculty member with responsibilities for classes, workshops and community programs in parenting skills. Family/Life Education Program, Aims Community College,Greeley CO August 1980- August 1981 -Clinical internship on Children's Team of Community Mental Health Center. Responsibilities included: consultation to schools and community programs; therapy for children and families; and assessment of diverse mental health programs. Assistant program evaluator - developed evaluation tools to determine cross-cultural perceptions of expectations and satisfaction with services, Supervisors - Dr. Joan Gillespie and Dr. Laurence P. Kerrigan. APA National Convention in Toronto,Canada"Psychology and National Health Reform: "National Health Insurance: Policy Considerations, Benefit Designs. and Economic Realities",and"Marketing: Psychology's Key to National Health Reform. 1993 Disaster Relief Training. Alan Keck through Colorado Psychological Association,Denver CO 1992- Fall Short Term Therapy, Bernard Bloom; University of Northern Colorado, Greeley CO 1990 - Fall National Cognitive Rehabilitation Conference, Richmond VA 1990 - summer Postgraduate training: 1. Adult Neuropsychological Method based on Lezak Neuropsychological assessment,1983. 2. Child Neuropsychology, Dr.Hynd. 3. Child Neuropsychological Methods 1988 Cognitive Rehabilitation Training Program, Dr.Sena, Ph.D., Colorado Springs CO 1988- present Psychologist-Head Injury Treatment Team at North Colorado Medical Center,Greeley CO 1987 Halstead Reitan Neuropsychological Assessment Training. Ralph Reitan,Ph.D., Washington DC Summer 1986 Albert Einstein School of Medicine, Workshop on Adolescent Therapy, Cape Cod MA 1985 to present North Colorado Interdisciplinary Team of Child Custody Member and participant Fall 1985 Interdisciplinary Workshop on Child Custody, Keystone CO Summer 1984 Workshop in Clinical Use of Hypnosis, Boston MA Winter 1983 Workshop on In-patient Programs for Service Related Disorders, Cheyenne Veterans Administration Hospital. Fall 1983 Veteran's Administration Workshop on Post Traumatic Stress Syndrome, Denver Veteran's Center. Fall 1981-Winter 1984 Post-Doctoral Supervised Candidate for Licensure(psychology) under Gale R.Giebler, Ph.D. Licensed Psychologist and Susan Spilman, Ph.D , Licensed Psychologist 1980- 1981 Intern- Weld County Sexual Abuse Team,Greeley CO Weld Mental Health Center,Greeley CO adults,adolescents, families. Primary areas anxiety disorders, mood disorders and adjustment disorders. Typical problems included: trauma, physical abuse substance abuse,job stress. Orientation used - primarily cognitive-behavioral therapy. 1980 Group Facilitator- Regional and National Conferences in cross-cultural community needs. Flagstaff, AZ-Colorado Springs CO August 1975 -July 1978 Chairperson of the Department of Education and Behavioral Science at an accredited, Indian controlled community college on the Navajo Reservation. Administration responsibilities included: Supervision and evaluation of faculty;budget preparation and management;curriculum development and integration of Navajo culture; personnel recruitment and selection; class scheduling and program development. Also faculty member with academic responsibilities for instruction in Psychology, Child Development and Counseling courses, advising and counseling students. Navajo Community College,Tsaile AZ September 1974-August 1975 Education Specialist and counselor at an Indian controlled primary and secondary school on the Navajo Reservation. Coordinated community resource program,which included: counseling,student assessment, prescriptive programming,staff development and curriculum. Also, adjunct faculty for the University of New Mexico and for Navajo Community College at the Rough Rock Demonstration school, Rough Rock, AZ September 1972-June 1974 Designed and coordinated Learning Center Program for Dedham Public Schools. A program and crisis intervention center for emotionally disturbed children. Responsibilities included: Diagnostic prescriptive programming,counseling,supervision and training of aides, tutors and volunteers,and consultation with regular classrooms teachers. Also organized group and individual meetings with parents. Adjunct faculty for Curry College assisting with in-service instruction for Dedham School System employees. Dedham Public Schools, Dedham MA WORKSHOPS AND SPECIAL TRAINING 1996 Biodyne training workshop adolescent treatment in short term therapy. Tom Kalous, Ph.D. 1995 Biodyne Training Workshops in short term therapy Julian Ang, Ph.D. 1994 Certification in family mediation,CDR Associates, Boulder CO 1993 Disaster Relief Training. Alan Keck, through Colorado Psychological Association, Denver CO 1993 August Hospital Practice for Psychologists • Summer 1981 Independent Study of Child Sexual Abuse, University of Northern Colorado Spring 1981 Interdisciplinary Workshop on Assessment of Sexual Assault, Boulder Social Services Summer 1979 Biofeedback Training related to labor and delivery. Summer 1974 Participant in Institute on Obstacles to Learning. Joint Symposium between McLean psychiatric hospital,Harvard University and Lesley Graduate School,Cambridge MA Summer 1973 Kennedy Memorial Hospital,Boston MA. Participant,Summer Aphasia Institute. PUBLICATIONS Ackerman A.,Ackerman,J.S.,Kelley K. Hale K. Family Planning Attitudes of Traditional and Acculturated Navajo Indians. Key Issues in Population and Food Policy. University Press of America, pp.178-171 (1979) Ackerman,J.S.,Client Expectations and Satisfaction with Community Mental Health Center Services: A Cross-Cultural Analysis Between Hispanics and An¢los. Published Doctor Dissertation,University of North Colorado. Copyright 1981. ACE American Insurance Company 0 psychologists' ACE Insurance Company of Illinois Professional Liability Claims Made Insurance 0 Atlantic Employers Insurance Company Policy Declarations (This Policy is issued by the stock insurance company listed above. Herein called "Company"-) BRANCH B/A PRODUCER NUMBER DATE OF ISSUE PRIOR CERTIFICATE NUMBER 273865 03/17/2006 PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY NOTICE: THIS IS A CLAIMSMADE POLICY, PLEASE READ THE POLICY CAREFULLY PURCHASING GROUP POLICY NUMBER: 45-0002000 Ian DECLARATIONS CERTIFICATE NUMBER: 58G22307137 1. Named InsuredAckerman and Associates PC 1750 25th Ave ADDRESS Greeley, CO 80634-4943 Number&Street,Town,County,State&Zip No.) 2. Policy Period: 12:01 A.M.Standard Time At From:05/01/2006 To: 05/01/2007 Location of Designated Premises 3. COVERAGE LIMITS OF LIABILITY PREMIUM Professional Liability $ 1,000,000 each incident $3,000,000 aggregate $ 1,437.00 4. BUSINESS OF THE NAMED INSURED: Psychology I-- 5. The Named Insured is: 0 Sole Proprietor(including independent contractor) 0 Partnership in Corporation 0 Other: 6. This policy shall only apply to incidents which happen on or after a)the policy effective date shown on the Declarations: or b) the effective date of the earliest claims-made policy issued by the Company to which this policy is a renewal; or c) the date specified in any endorsement hereto. 05/01/1992 7. This policy is made and accepted subject to the printed conditions in this policy together with the provisions, stipulations and agreements contained in the following form(s) or endorsement(s). 815polcov, PF-15215(03/04), PF-15217(03/04),CC-1K11d(04/02), PF-15238(03/04), PF-15230(03/04), PF-15241 (03/04), PF-15242(03/04), PF-15225(03/04), PF-15253(06/04), PF-15742(06/04), PF-17914 Notice of Claim should be sent to: All other notices should be sent to: Claims Vice President Underwriting Vice President ACE USA ACE USA 140 Broadway, 40'" Floor 140 Broadway, 41" Floor New York, NY 10005 New York, NY 10005 REPRESENTATIVE: Agent or broker: Potomac Risk Management Services, Inc. 181 W Madison St Ste 2900 Office address: Chicago, IL 60602-4643 City, State, Zip: PF-15215(03/04) TOM PAPPAS, LCSW 1624 Kirkwood Drive Ft. Collins, Colorado 80525 970-472-1315 EDUCATION 6/86 Masters Degree in Clinical Social Work, Simmons College School of Social Work,Boston,Massachusetts. 5/80 Bachelor of Arts Degree in Psychology and Secondary Education University of Lowell,Lowell,Massachusetts. EMPLOYMENT 10/04- Psychotherapist. Group practice with Ackerman and Associates, P.C. Individual, marital and family therapy. 3/94-10/04 Clinical Social Worker. Montrose Memorial Hospital Care Center Inpatient/Outpatient Services,Montrose, Colorado. Individual, family, marital and group therapy; discharge planning services. Co-therapist for geriatric partial-hospitalization program; supervisor for Masters Level student. 3/90-3/94 Senior Clinician. Justice Resource Center/The Butler Center, Westboro, Massachusetts. Individual, family and group therapy specializing in sexual offender treatment to adjudicated adolescent males in secure treatment facility. 11/86-4/89 Clinical Social Worker. New Bedford Area For Human Services, Inc., Children Services Unit. Individual, family and group therapy in outpatient setting. Co-therapist for latency-age girls' sexual abuse groups. 9/85-6/86 Social Work Intern. Beaverbrook Guidance Center, Waltham, Massachusetts. Individual, family and group therapy with children in outpatient setting. 9/84-5/85 Social Work Intern. Children's Hospital, Boston,Massachusetts. Individual, family and group therapy in pediatric out-patient setting. 12/81-5/84 Mental Health Counselor. Marlboro Hospital Mental Health Unit, Marlboro, Massachusetts. Individual, family and group therapy with adolescents and adults in inpatient psychiatric setting. 5/80-5/81 Mental Health Counselor. Littleton Girls House,Littleton, Massachusetts. Counseling to adjudicated adolescent females in secure treatment facility. TRAINING 2/01 Certificate in Level II EMDR Training. 5/91 Postgraduate Certificate in Advanced Psychotherapy With Children and Adolescents,Boston University,Boston, Massachusetts. REFERENCES AVAILBLE UPON REQUEST Print Date: 09/26/06 HEALTHCARE PROVIDERS CNA CERTIFICA TE OF� RANCE OCCURRENCE POLICY FORM - 'Fi, - - -- . _`'mac-�•�2 :�� t: :T'� - rte�'` g:1a_�•. _ £�:.;:'•.. �_`:�«:�:.._;.aiz�:^�:,zL..:.�:•:9_�:a:3k'=:�:fi::� iaa°_. :ra.oc.�:�s-_�..��-� �y_ 018098 970 HPG 0269949-616 from:12:01 AM Standard Time on:10/01/06 to: 12:01 AM Standard Time on:1+ .1 '•7 m_ .._.p.: > .i :i:r...-.:....:,,,,Z:',.=.''.-...a tst _. . a, ._.,_=u'-;`s^ 3 Healthcare Providers Service Organization Tom PaUpas County Line Road 159 East 1624 Kirkwood Dr Fort Collins, CO 80525-2017 Hatboro, PA 19WW-1218 Medical Specialty: Code' - .:. :.-._„,.. -: . ,,;::: Social Worker, Clinical 72980 American Casualty Co_of Reading, PA CNA Plaza 28S Chicago,IL 60685 _ —--4''''_.. .:_-s --_...:—.74-2. - -: -I. --'-_ .. A. PROFESSIONAL LIABILITY ---------- --------------- Professional Liability_(PL) $ 1,000,000 each claim 3,000,000 - - included above - __- - __ - ---_- mood�arma.�tan Liab�`r t� - -�-..: :'-':`::•::. • above Personal Injury Liabi� included _ -- ---- - -- - - - - -- - - --Liability - J rY - - -- -- Maiplacement Liability included above _ =' B. COVERAGE EXTENSIONS: — -- -. --$ -- 1�0� -• - oc:eedin• $ 25,000 -- - - aggregate license nProtection Expense n -- -- _ $ 14,000 aggregate Benefit ----_-_---_-_-_----7- - - -s,„._ Defendant Expense --- �-::.,- =,:-__-=�---_-:::� :�=-=_� _�.:,�� s aggregate Deposition R_epr+esetitatlon — -$ -r,5''' ^ per reposition --$---6,7650— Assault $ 10,000 per incident $ 25,000 aggregate _ Medical Payments $ 2 000 •_r a°rson $ 100,000 aggregate First Aid 5.�n-:.,:_-- _.., ::., -..,,.--_.=-- ,.=:.--- - -- =• — - -- - - -- -- Damage to Property of Others $. _ 500 F per incident $ 10,000 aggregate . C. WORKPLACE LIABILITY c«erase pad C.woriqleoe Lability does riot apply if Coverer part 0.General LiebilitY Is mode Pligt of this Peas- Wo lace Liability included in A. PL limit shown above _ - - Fire& ---- to$150,000 sub-limit _ Fire&Water'Legal Liability ncluded in A_PL limy[shovers move {�'-.� Personal Liability .4_,� - : r•::, _:,:::: ' $- 000 O99 e D. GENERAL LIABILITY coverage part D.General Liabfety deo&red apply if Coverage part C.Workplace uabarty is mane part of Atka pc6.1. General Liability(GL) none none - rF re -M aII Non Owned-Auto none — .}:_: ;' == v:..-..... v ::-.-.::,..:....n. Fire&Water Legal Liability - _— none none — Personal Liability _ -::_;,---_ .._ _4_....._•_._; _ _ •..,..-1- _ _ ;_ — Total Premium:$ 288 .00 QUESTIONS?CALL: 1-800-982 9491 G-121500-C G-121503 -0 G-121501-C G-145184-A G-147292--A G-144872-A G-123846-005 Master Policy U 188711433 keep this document iri a sane plum it and proof of payment are evidence at your insuraf oa coverage. ter s1A7ki--4---‘- t��tary Chairman of the Board G-141241-A(07/2001) Coverage Change Date: Endorsement Change Date: Emily Montoya, M.A. Licensed Professional Counselor 1851 13th Avenue,Greeley,Colorado 80631 Home (970) 353-9361 *Cell (970) 545-0928*Office(970) 353-3373 Email: emilymontoya2003@yahoo.com EDUCATION • Master of Arts, Counseling University of Northern Colorado,Greeley,Colorado • Graduate Fellowship Study, Criminology Rutgers State University of New Jersey,Newark, New Jersey • Bachelor of Arts, Sociology/Criminology with emphasis in Psychology University of Northern Colorado,Greeley, Colorado PROFESSIONAL EXPERIENCE 2003-Present,Marriage Education Independent Consultant, Greeley, CO Deliver marriage education with the Prevention and Relationship Enhancement Program(PREP) to a Hispanic population nationwide that includes both faith and non-faith-based populations. Delivery of marriage education (PREP) and consultation services in high Hispanic populations (Los Angeles, CA, Orlando, Florida and Philadelphia,PA.) Provide consultation to national Hispanic serving organizations on strengthening Hispanic families and marriages. Deliver PREP curriculum as a master trainer candidate (New York Puerto Rican Institute). Provide marriage education program development and oversight to Saint Patrick Presbyterian Church, Greeley, CO. 1998-Present, Licensed Professional Counselor,self-employed,Ackerman &Associates, Greeley, CO. Provide intensive home-based family therapy to families involved in the Child-Welfare System with the Weld County Department of Social Services (WCDSS) and those families voluntarily seeking assistance from WCDSS. Provide foster parent training and consultation to foster families and children in Weld County placed in WCDSS foster care. Provide psychotherapy to children placed in the Weld County foster care system. Provide therapy to children and foster parent consultation to private foster care agencies (Lutheran Family Services). Provide therapy to clients under EAP, insurance, and private-pay sectors. Areas of expertise: Marriage and Family; families in transition, and Latino cultural issues. March 1996 —February 1999, Director, Ronald E. McNair Post-baccalaureate Achievement Program, University of Northern Colorado, Greeley, CO. Directed all efforts to ensure efficient administration of the McNair federal TRIO grant. The grant's targeted population was minority,low-income,first-generation college students. Received funding for the U.S. Department of Education McNair grant. Compiled, analyzed, and submitted annual performance reports to the U.S. Department of Education. Monitored McNair's near million-dollar budget over the program's four year funding. Supervised and trained staff members. Developed and directed all student scholar activities. Collaborated with campus departments in order to exceed program objectives. Directed the publishing of the "The McNair Scholars Journal." Identified, recruited,and selected program scholars. Ensured the completion of scholar's academic research projects. Provided academic advising and guidance to the scholars. Directed the academic year research seminar series,the residential Summer Research Internship, and other scholarly activities that prepared scholars for doctoral study. Coordinated research and scholarly actives between faculty mentors and McNair scholars. Lobbied in Washington, D.C. on continued funding for TRIO programs. Counseled scholars academically and personally. September 1995-March 19%,Assistant Director, Ronald E. McNair Post-baccalaureate Achievement Program, University of Northern Colorado. Assisted in the implementation of the McNair Scholars Program. Facilitated the recruitment and selection of program scholars. Compiled and submitted federal reports. Informed and collaborated with campus offices and departments. Implemented an academic workshop series based on student needs. Provided academic advisement and guidance to scholars. January 1995 - September 1995, Assistant Coordinator of Academic Advising, Student Support Services, University of Northern Colorado. Provided academic advisement and guidance to federal TRIO Student Support Service students. Maintained student record database. Assisted with the compilation of federal student outcome reports. Served as liaison to the athletic department and the financial aid office. Assisted in the supervision of peer advisors. Provided technological assistance within the program. August 1994- December 1994,Assistant Coordinator of Technology, Student Support Services, University of Northern Colorado. Supervised, evaluated and trained technology lab students. Provided technical assistance and advisement to federal TRIO Student support Service participants in a learning environment. RELATED EXPERIENCE 1985 - 1988, Admissions Office Assistant, University of Northern Colorado. Assisted in the daily operation of the UNC Admissions Office. Received and reviewed applications and distributed accordingly. Filed, typed, and performed data-entry on all incoming, transfer, re-entry, and non-traditional students. Trained and supervised work-study employees on office procedures, FERPA, and the CCHE Index system. Provided general information to incoming students and parents. 1995, Co-Instructor, Student Support Services, University of Northern Colorado. CSPA 359: Paraprofessionals in Student Affairs, Academic Peer Advisors. Co-facilitated the instruction of training of peer advisors who advised Student Support Service participants at the Center for Human Enrichment. Coordinated curriculum and instruction for pre-service and on-going training for a staff of fifteen peer advisors. January 1996-July 1996, Counselor Intern, North Colorado Medical Center, Greeley, CO. Facilitated psychotherapy counseling groups and individual counseling for chemically dependent and eating disordered patients. Performed case management nfrom mbad1ission and sta . Desig ned r e. a Presented psychoeducational information to patients, family portfolio brochure distributed to health care and managed care providers. September 1994-February 1995, Clinical Care Assistant, Weld Mental Health Center,Greeley, CO. Monitored and supervised the daily activities of chronically mentally ill patients in a learning/self- development environment. Facilitated group and individual counseling sessions. Coordinated patient recreation activities. Prepared written and oral reports. PRESENTATIONS Participant: Hispanic Healthy Marriage Research Meeting,Washington,D.C. Panelist: Marriage Forum, Colorado Springs, Successful Marriage Education Programs Presenter: Esperanza USA, The Prevention and Relationship Enhancement Program,Philadelphia, PA, Orlando, FL, Los Angeles,CA. Saint Patrick Presbyterian, The Prevention and Relationship Enhancement Program, Greeley,CO. Puerto Rican Family_Institute, The Prevention and Relationship Enhancement Program, New York City, NY. Moderator: University of Northern Colorado, "Research and Policy Affecting the Education of the Mexican Child in the 215f Century." Panelist Colorado State University "Minority Students in Graduate School." Presenter: Ackerman & Associates, "Perspectives on Treating Cultural Diverse Populations." Instructor: Centennial Area Health Education Center,Greeley,CO, "Children of Divorce/Stepchildren: Feelings, Thoughts, Behaviors, and Interventions for Children and Adults of Divorce and Stepfamilies." Instructor: Centennial Area Health Education Center,Greeley,CO, "Children of Divorce: Helping Stepfamilies Succeed." Presenter: University of Northern Colorado: Cultural Sensitivity and Awareness Hispanic Women in Higher Education Communicating Across Cultures Financing a Graduate Education How to Help Someone with an Eating Disorder, National Eating Disorders Week Presenter: North Colorado Medical Center Cultural Sensitivity and Awareness Communicating Across Cultures Conflict Resolution and Communication Skills Setting Limits and Boundaries Family Dynamics in Substance Abuse An Overview of Eating Disorders Presenter: Weld County Foster Parent Program The Terrific Twos! Prenatal Insults and Long-Term Effects Social, Emotional and Sexual Development: Infancy through Adulthood Cognitive and Physical Development: Infancy through Adulthood Parenting with Love and Logic An Overview of Eating Disorders Officer/Member Board Member, Strong Marriages Northern Colorado Board Member, The Redeemer Project Mentor, Escalante At-Risk Youth Program Weld County Mental Health/Substance Abuse Coalition Professional and Administrative Staff Council, UNC Co-chair, Student Advisory Committee, Cesar Chavez Cultural Center, UNC Undergraduate Research Council, UNC Cesar Chavez Cultural Center Advisory Council, UNC Relations with UNC Board of Trustees Committee, UNC Salary Equity Committee, UNC Exempt Staff Evaluation and Performance Committee, UNC Team UNC Fund Raising Committee Academic Excellence Week Task Force, UNC Continuing Education/Training Prevention & Relationship Enhancement Program(PREP) Love Without Hurt: Compassion Power The Relationship Enhancement Program Premarital Inventories: A User's Guide Imago: Couplehood as a Spiritual Path Remarriage Preparation Divided Selves: Children of Divorce Designing Stepfamilies Play Therapy and Therapeutic Care Reaching Children Through Play Therapy Advanced Play Therapy Internship Family Preservation Basic & Advanced Dialectical Behavioral Therapy Jurisprudence for Psychotherapists Grant Writing and Evaluation Diverse Learners Academy Fire Starters Training and Prevention Counseling At-Risk Students Parent/Child Hispanic Leadership Supervised Practicum in Family Preservation Cultural Diversity Conference Yours, Mine, and Ours: Stepfamily Finances Honors/Awards Featured in New York Times: Stepfamilies (2004) Featured in Redbook Magazine: Spiritual Marriage (Print Date: December 2005) Hispanic Leader of the Year, Cesar Chavez Cultural Center, University of Northern Colorado Keynote Speaker, Latina Youth Leadership Conference, University of Northern Colorado Distinguished Alumni, Department of Sociology, University of Northern Colorado Fellowship,Graduate Study, Rutgers State University of New Jersey , 1993 Scholarship, National Hispanic Scholarship Fund Scholarship, Candelaria Scholarship PERSONAL- DATA SHEET . Identifying Information: Name : Laurence "Larry" P. Kerrigan, Ph. D. Address: 1706 19th Avenue Greeley , CO 80631 DOB: 9/20/32 Phone : LaOt 1353-3373 - business Degrees : BSC - Business Economics , from Creighton University , 1954 . MS - Economics , from St . Louis University , St . Louis , Mo. , 1963 . MA - Theology, from St. Mary' s University , Regis College Campus , Toronto , Ontario , Canada, 1967 . Ph . L. - Philosophy, St. Louis University, St . Louis , Mo . 1960 , ( Ecclesial Degree ) . Ph . D. - California School of Professional Psychology , Berkeley/Alameda Campus , 1974 , Clinical Psychology. Currently a licensed psychologist in the state of Colorado . Educational Background : 1950-54 Creighton University , Business economics , 1954-56 Marquette University, Milwaukee , WI . , Classical studies and ascetical theology, 1956-57 Springhill College , Grand Coteau LA. Campus , Classical studies , 1957-60 St . Louis University, Philosophy and Economics , 1963-67 St . Mary' s University, Toronto Campus, Theology , 1971-74 California School of Professional Psychology , clinical psychology. Berkeley/Alameda Campus Positions Held : 1969-71 Member of Board of Directors , Campion College , Prairie du Chien, WI . 1968-71 Director , Department of Psychology, Campion College . 1971-74 Director of Student Counseling Center , Long Mountain College . 1975-80 Director of Short-term Children and Family 'l'eam, • Weld Mental Health Center, Greeley , CO . 1975-'87 Clinical Psychologist , Child and Family Team, Weld Mental Health Center, Greeley, CO . )97588 Co-founder of Weld County Child Protection Team, 1987-88 Member of Executive Board, Weld Mental Health Center , Greeley , CO . Honors Received : 1968-69 and Teacher of the year, Campion College . 1970-71 1972-73 Class Representative to Campus Executive Committee , and California School of Professional Psychology 1973-74 Work and Experiential Background : 1959-60 Counselor at Dismas Halfway House for ex-convicts , St. Louis , Missouri , 1960-63 Teacher-counselor-coach, Marquette Prep High School , Milwaukee , WI . 1964-67 Counselor-therapist at Street Haven and Sancta Maria Halfway Houses for women and at the Don (metro ) Jail in Toronto , Canada. 1967-68 Teacher and Campus Counselor at Creighton University , Omaha, NB. 1968-71 Teacher at Campion College , Prairie du Chien, WI . , Director of Psychology Department , Department chairman. 1970- 71 Director. and Staff member of a total environment for Inter-city boys, late grade school age from Milwaukee , WI . 1971-73 Director of Student Counseling , Lone Mountain College , San Francisco , CA. Teacher at the Lone Mountain College , San Francisco , California. 1973-74 Psychologist Trainee at San Francisco Mental Health Center , Richmond District , Outpatient Care . 1974-75 Private Practice , So. Bay Human Services Center, San Diego , CA. Part-time instructor at/California School of Professional Psychology, San Diego , CA. • • 11975-80 Director , Short-Term Therapy Team, Children and Family Unit , Weld Mental Health Center , Greeley , CO . 1980-87 Member of Children and Family Therapy Team, Weld Mental Health Center, Greeley , CO . 1987- present Full time private practice with Joyce Shohet Ackerman , Ed . D . , Licensed Psychologist , Greeley , CO . Part time practice at Weld Mental Health Center , • Greeley , CO . Publication : Kerrigan , Laurence P . - The Relationship Between Therapist and Client ' s Perceptions of One Therapy Session . Published Doctoral Dissertation, University of California School of Professional Psychology. Copyright , 1974 . Workksho_i_and _peci_al. _T1•aLhillg: Since 1974 , I have attended an average of about three workshops per year . Most of these workshops have presented specialized training in the following areas : Neuro-linguistic training , Autogenic and relaxation training , Visualization-Imagery- Hypnosis , Cognitive-Behavioral Therapy, Ericksonian approaches to hypnotherapy and psychotherapy, Family therapy, Strategic family therapy , Sexual abuse , dynamics and applied treatment , Paradoxical intention psychotherapy, and other related areas . In the last fifteen years , I have taught classes and conducted workshops in the following subjects : The Psychology of Dreams Emotional and Physical Health through Visualization and Imagery Western Psychotherapies and Eastern Ways of Liberation Cognitive and Behavioral Therapy Hypnosis in Pain and Habit Control The Psychology of Consciousness and Meditation r 12/01/06 - A Psyca{yaOQide ELAITAcagifarniLFL.ASEbREADtCAREFULLYY 1OTICE:A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS IF SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT"IN THE POLICY). DECLARATIONS POLICY NO: 501-0006485 ACCOUNT NO: CO-RERL175-0 0099745C ITEM I. (a)NAME AND ADDRESS OF INSURED: ITEM I. (b)ADDITIONAL NAMED INSUREDS: LAURENCE P. KERRIGAN, PH.D. 1750 25TH AVE. SUITE #101 GREELEY, CO 80634 TYPE OF ORG: INDIVIDUAL IEM 2. ADDITIONAL INSUREDS: EM 3. POLICY PERIOD: 1ROM:2:01 A.M.STANDARD A THE ADDRESS OF THE INSURED ASTO: 12/01/07 S STATED HEREIN: EM 4. LIMITS OF LIABILITY: (a)$ 1, 000, 000 EACH WRONGFUL ACTOR SERIES OF CONTINUOUS,REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b)$ 5, 000 COSTS RELATED TO ANY SINGLE PROCEEDING (c)$ 3, 000, 000 AGGREGATE,FOR ALL CLAIMS AND ALL PROCEEDINGS EM 5. PREMIUM SCHEDULE: NUMBER RATE ANNUAL PREMIUM CLASSIFICATION 1ST PSYCHOLOGIST 1 1191. 00 1, 191. 00 DEFENSE LIMIT . 00 sM 6. RETROACTIVE DATE: 12/01/91 TOTAL PREMIUM: 1, 191. 00 .M 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM(if exerciscd):$ 2, 084 .00 NO DISCOUNT INCLUDED A.I 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY N3E2000 (3/2006) PRGe1070 (1/2006) rims IS NOT A BILL.PREMIUM HAS BEEN PAID. A RIZED COMPANY REPRES TAT1VE PRGE2005(3/2006) Americ Professional Agency'95 Broadway,Amityville,NY 11701 FACULTY VITA May,2006 NAME: BROMLEY,Susan Plock SOCIAL SECURITY NUMBER: 483-50-9243 POSITION: Associate Professor of Psychology Department of Psychology College of Arts and Sciences University of Northern Colorado Greeley,CO 80639 HOME ADDRESS: 1621 13th Avenue Greeley,CO 80631 TELEPHONE: Office:(303)351-2236 Home: (303)352-8750 EMAIL:sbromley@earthlink.net EDUCATION: Year(s) Degree Institution Area of Study 1983 PsyD University of Denver Clinical Psychology School of Professional Psychology Denver,Colorado 1968 MSSA Case Western Reserve University Casework (MSW) School of Applied Social Sciences Cleveland,Ohio 1965 BA Mt.Holyoke College Economics/Sociology South Hadley,Massachusetts WORK EXPERIENCE—Professional Academic: Years) Institution/Organization Position Responsibilities 1996-Pres University of Northern Colorado Assoc.Professor Psychology Teaching/Research 1985-96 University of Northern Colorado Asst.Professor Psychology Teaching/Research 1983-84 University of Northern Colorado Asst.Professor Psychology Teaching WORK EXPERIENCE—Professional Non-Academic: Year(s) Institution/Organization Position Responsibilities 1996-present Ackerman and Associates Psychologist Clinical 1984-85 Kaiser Permanente Psychotherapist Clinical Lakewood,Colorado 1979-80 Bethesda Mental Health Center Psychology Intern Clinical/ Denver,Colorado Administrative 1968-79 Denver General Hospital Clinical Social Worker/ Clinical/ Denver,Colorado Supervisor Administrative AREA OF SPECIALIZATION: Behavioral Medicine/Pain Management/Clinical Hypnosis/EMDR RESEARCH AREAS/INTERESTS: Hypnosis/Pain Assessment and Management/Women's Issues/Teaching Methods 1 PROFESSIONAL ACTIVITIES: Colorado Licensure: Psychology License#1086 PUBLICATIONS—Professional/Juried: Musgrave-Marquart,D.,Bromley,S.P.&Dailey,M.B.(1997)."Personality,academic attribution,and substance abuse as predictors of academic achievement in college students".Journal of Social Behavior and Personality 12(2), 501-511. Karlin,N.J.and Bromley,S.P.(1996).Differences in caregivers of demented and lucid chronically ill family members. American Journal of Alzheimer's Disease, 11(5)39-45. Retzlaff,P.and Bromley,S.(1994).Counseling personality disorders.In Ronch,J.L.,VanOmum,W.&Stillwell, N.C. (Eds)The counseling sourcebook:A practical reference on contemporary issues. New York:Crossroad Publishing group.pp.466-474. Bromley,S.and Hewitt,P.(1992). Fatal attraction:The sinister side of women's conflict about career and family. Journal of Popular Culture.26(3),pp. 17-24. Retzlaff,P.and Bromley, S.(1991). "A Multi-Test Alcoholic Taxonomy:Canonical Coefficient Clusters". Journal of Clinical Psychology.47(2),pp.299-309. Bromley,S.P.(1985). "Treatment of Pain:Theory and Research"in Zahourek,R.(Ed.).Clinical Hypnosis and Therapeutic Suggestion. New York: Grupe and Stratton. Reprinted in Zahourek,R.(Ed.)(1990). New York:Bruner/Mazel,Inc.,pp.77-98.. PROFESSIONAL PRESENTATIONS--furled: Touchton,M.A.&Bromley,S.P.(2000).Complementary/alternative medical use among undergraduates at the University of Northern Colorado. Poster session presented at the Rocky Mountain Psychological Association,Tucson, AZ.(April). Nickisson,J.W.and Bromley,S.P.(1999)"Hypnosis:Attitudes,knowledge and experience among psychology and nursing students".Paper presentation at the American Psychological Association Convention,Boston.(August) Bromley,S.(1998)Hypnosis,psychology and managed care.in S.Bromley(Chair)Complementary,nontraditional and indigenous healing practices. Symposium conducted at the combined meetings of the Western and Rocky Mountain Psychological Associations,Albuquerque.(April) Bromley,S.(1998).Complementary healing methods:A psychological and artistic exploration.In L.Wickerlgren (Chair).Interdisciplinary courses involving psychology:A sampler. Symposium conducted at the combined meetings of the Western and Rocky Mountain Psychological Associations,Albuquerque.(April) Campbell,J. S.,Titus,J.and Bromley S.P.(1998)."Neuroanatomy teaching technique for introductory psychology students. Poster presented at the joint WPA/RMPA convention,Albuquerque,NM.(April) Bromley,S.(1997)(Chair)"Linking through honors programs:The cross-discipline course).Paper presentation as part of a symposium titled"Creating links between psychology and other disciplines".,American Psychological Association Convention,Chicago.(August) Bromley,S. ,Gilliam D.,&Johnson,T. (1995). "Assessment of student created tests as an evaluation method". Poster presented at the American Psychological Association Convention,New York City.(August) Bromley,S.(1994). "Student created tests as an evaluation method". Poster presented at 16th Annual National Institute on the Teaching of Psychology,St,Petersburg,Florida. Karlin,N.and Bromley. S. (1992)."Similarities and differences for caregivers of demented and lucid chronically ill". Poster presented at the Rocky Mountain Psychology Association Convention,Boise,Idaho.(April) Montoya,K.J.and Bromley, S. (Chair)(1992)."Changes in undergraduate counseling styles in an introductory 2 counseling theories course". Paper presented at the Rocky Mountain Psychology Association Convention,Boise, Idaho(April) Bromley,S.(1992). "Connected learning methods to faciliate research understanding". Paper presentation as part of panel titled,'Teaching techniques in the social sciences",Western Social Science Association Convention,Denver, Colorado.(April) Bromley,S.,Ramirez,S.,and McCoy,J.(1991)."Impact of a health psychology course on student health beliefs". Poster presented at the Rocky Mountain Psychology Association Convention,Denver,Colorado.(April) ICarlin,N.and Bromley,S.(1991)." Support,burden and affect among caregiver of dementia and nondementia patients". Poster presented at the American Psychology Association,San Francisco,California.(August) Bosley,G.and Bromley,S.(1990). Post death ritual in a Colorado community. Paper presentation at the American Psychology Association,San Francisco,California.(August) Bromley,S.(1990). "Husbands at Childbirth:Who Does It Help?"Paper presentation at Far West Popular Culture Association,Las Vegas,Nevada(January). Hewitt,P.and Bromley S.(1989). "Images of Work and Intimacy in'Turning PoinY and'Fatal Attraction". Paper presentation National Convention of Popular Culture Association and American Culture Association,St.Louis, Missouri.(Session Chair) Retzlaff,P.and Bromley,S.(1989). "The Basic Personality Inventory:Alcoh Sub-Group Identification". Poster session at the Joint Convention of the Rock Mountain Psychological Association and Western Psychological Association,Reno, Nevada. Bromley,S.(1988). "Our Culture Affects Our Pain."Paper presentation,National Convention of Popular Culture Association and American Culture Association,New Orleans,LA.(March). Bromley,S.(1987). "Husband-Assisted Autohypnosis for Labor and Delivery: A Clinical Model". Paper presented at Rocky Mountain Psychological Association,Albuquerque,New Mexico(April). Bromley,S.and Loy,P. (1987). "Politics of PMS". Paper presentation Association of Women Psychologists,Denver, Colorado(March). PROFESSIONAL PRESENTATIONS—Invited: Bromley,S.P.&Canales,G.(2000).Issues in presenting information on hisotircally underrepresented groups in the classroom.Symposium conducted at the Rocky Mountain Psychological Association,Tucson.(April). Strongin,D.&Bromley,S.(1999). Student and faculty reactions to the introduction of a graduate ethics course. In Miller,R.(Chair)Ethics in college teaching. Symposium conducted at the Rocky Mountain Psychological Association,Ft. Collins,CO(April) Bromley,S.(1999).Issues of religion and spirituality with therapists and clients.In S.Bromley(Chair)Religion and spirituality in research,practice and the classroom. Symposium conducted at the Rocky Mountain Psychological Association,Ft.Collins,Co(April) Handelsman,M.M.,Bromley, S.P.&Davis,S.F.(1995)."Clinical Psychologist,Counseling Psychologist,Clinical Social Workder,or Psychology Professor:Which Degree is Right for Me?"Psi Chi invited panel presentation,Rocky Mountain Psychological Association,Boulder,CO(April). Bromley,S.(Co-Chair),Seibert,P.(Co-Chair),ICnuckey,D.,Bohlin,M.,Zaweski,C.,Watson,D.,Hammon,D., West,K.&Robins,J. (1994). "Training the Teaching Assistant"Invited Panel Presentation,Rocky Mountain Psychological Association,Las Vegas,Nevada(April) Bromley,S.(1993). "Hypnosis in Dentistry."Presentation at Monthly Meeting of Weld County Dentistry Association,Greeley,Colorado(February). 3 Bromley,S.(1993). "Learning about the author as a way to understand research." Presentation at"Teaching Take Out",CTUP Special Event. WPA/RMPA Convention,Phoenix,Arizona(April). Allen,M.and Bromley,S.(1993). Co-Chairs Two CTUP Special Event Sessions,"Teaching Take Out:Experiences in Collaborative Learning",Western Psychological Association/Rocky Mountain Psychological Association Convention,Phoenix,Arizona(April). Bromley,S.(1993). Chair,Invited Symposium,"Psychological and Social Perspectives on Male Violence Against Women",Western Psychological Association/Rocky Mountain Psychological Association Convention,Phoenix, Arizona(April). Bromley,S.(1992)."Enhancement of student research and writing skills in any course". CTUP Workshop presented at the Rocky Mountain Psychology Association Convention,Boise,Idaho.(April) Bromley,S.and Karlin,N.(1992). °General and health locus of control of adult caregivers". Poster session at the UNC Research Forum,Greeley,Colorado. Bromley,S.(1992). Panel member in Mental Health Symposia for Victim Compensation Convention as part of the Colorado Organization for Victim Assistance Conference.(Estes Park/October) Bolocofski,Bromley,Foster and Mean(1988). "Hypnosis:Research and Clinical Perspectives,"symposium presentation,Colorado Psychological Association,Greeley(March). Bromley,S.(1986). "Pain:A Psychological Event". Presentor-20th Annual Emotional Crisis Workshop,University of Northern Colorado,Greeley,Colorado(July). LECTURES--Invited: Bromley,S.(1998)"Psychological methods of pain control"Invited lecture for the annual meeting of the Weld County Arthritis Society. Bromley,S.(1998). "Hypnosis for pain control of arthritis"Invited lecture for"Brown Bag"lunch series sponsored by the Greeley Medical Clinic. Bromley,S.(1998)"Headache Control-Psychological Methods". Invited lecture as part of a seminar titled"Coping with hear-ladle". Sponsored by the Greeley Medical Clinic. Bromley, S.&Ackerman J.(1998)."What to do to handle burnout A workshop conducted for foster parents working with Weld County Social Services. Bromley,S.(1995).Keynote speaker for Golden Key Honor Society Induction Ceremony,University of Colorado, Boulder,Co.(November) Bromley,S.(1992). Keynote speaker for Sophomore Honor Society Induction Ceremony. Bromley,S.(1991)Featured speaker. UNC Acadmic Honors Convocation.(April) Bromley,S. (1991)..Banquet speaker Emotional Crisis Workshop,Greeley,Colorado.(July) GRANTS: Bromley,S( 1994)Honors Grant($500)to attend research training at the Society for Clinical Hypnosis meeting,San Francisco(October) Bromley, S. (1994). Research and Publications award of$1500.00. "Assessment protocols to measure the efficacy of hypnotic treatment for injured workers. Karlin,N.and Bromley, S.(1990). Research and Publications award of$2,4440.00."Control,support,burden and 4 affect differences among dementia and non-dementia caregivers". BOOK/GRANT REVIEWS: Grant review for Boise State Department of Education(1995) Review of Santrock,J.(1991). The science of mind and behavior. W.C.Brown and Benchmark. Review of McKee,P.&Thiem,J.(1993).Real life:Ten stories of anion.University of Colorado Press. PROFESSIONAL CONSULTATION/PRACTICE: Year(s) Institution/Organization Role 1996-presnt Ackerman and Associates Clinical Psychologist 1988 Bonnel Good Samaritan Center Pain Management Consultant and Trainer 1984-85 Denver Metropolitan Dental Care Consultant in Pain Management 1984 Iowa Association of Registered Physical Therapists Hypnosis for Pain Management Consultant And Teacher ROFESSIONAL ASSOCIATION PARTICIPATION: Membership 1986-present Rocky Mountain Psychological Association 1988-present American Psychological Association(Divisions 2,30,35) 1989-96 Greeley Area Mental Health Network 1987-88 Association of Women in Psychology 1980-89 Colorado Psychological Association 1988 CPA Program Committee Member for Spring Meeting—Greeley Coordinator SERVICE: EXTERNAL: NATIONAL SERVICE: 1994-2003 Rocky Mountain Coordinator-American Psychological Association,Division 2-Teaching of Psychology 1992-94 Co-Chair,Rocky Mountain Region Council of Teachers of Undergraduate Psychology(CTUP). 1991-94 Mountain States Regional Academic Coordinator,Golden Key National Honor Society REGIONAL/STATE SERVICE: 2000-Moderator for G. Stanley Hall Lecturer-Dweck,C.(2000).Motivation and the self. Presented at the Rocky Mountain Psychological Association Convention,Tucson.(April) 1999-Moderator for G ctanley Hall Lecturer-Viney.W.(1999).A larger canopy for psychology:Unifying themes and pragmatic empiricism.Presented at the Rocky Mountain Psychological Association Convention,Ft. Collins,CO(April) 1989-present Rocky Mountain Psychology Association 1998-prsnt Ex-Officio Board Member As Division 2 Coordinator 1992-1998 Board Member 1995- 1998 Elected Chair,Groups Under-Represented in Psychology Committee 1992-94 Co-Chair,Groups Under-Represented in Psychology Committee 1991 Coordinator of Student Volunteers,RMPA Convention,Denver,Colorado. 1995 Psychology Chair-CCHE Faculty to Faculty Conference(October) COMMUNITY SERVICE: 2005-Preset Member Weld County Centennial Critical Incident Stress Management Team 2003-presetn Board Member Weld County Area Agency on Aging 1999-present Member Weld Senior Wellness Program Evaluation Committee 1999-2000 Member,Weld County Area Agency on Aging,Grandparenting Committee 1998-present Member,Weld County Medical Society Commitee on Alternative and Complementary Healing 1997-1998 UNC Loaned Executive-United Way of Weld County 1997 Mental Health Pro Bono Workshop,"Communication in the Workforce" 1991- 1996 Board Member, 19th Judicial District Victim Compensation Board 1995-96 Chair 5 1990-93 Board Member,Weld County Area Agency on Aging 1992-93 Chair 1991-92 Vice-Chair 1986-Present Exam Supervisor-American Institute for Property and Liability Underwriters/Insurance Institute of America 1987-present Clinical Psychologist-pro-bono work with individual clients and community training INTERNAL: DEPARTMENTAL: 1993-present Member,Department Executive Committee 2000-present Advisor Psi Chi National Honor Society 1995-1999 Co-Advisor Psi Chi National Honor Society 1996-present Guest lecturer for Psi Chi Grad Night on getting into clinical/counseling grad programs. 1989-91,93, 1995-1998 Department Representative,CCHE Faculty to Faculty Conference 1987-94 Department Representative to graduation ceremonies 1986-94 Library Representative 1983,86 89, 90-93,97,98 Member,Faculty Search and Screen Committee 1990-92 Member,Psychology Department Undergraduate Committee(Chair 1992) 1987-88 Co-Coordinator Semester Conversion Committee COLLEGE: 1992,93,96,97 Member of faculty invited to teach in the Cluster Program 1990-93 Graduation Marshall,Arts&Sciences 1988-89 Member,Arts and Sciences Teacher Education Committee 1986-89 Chair,Interdisciplinary Committee to develop and revise Human Development Major in the College of Arts and Sciences and Psychology Department UNIVERSITY: 1992-94 1996-99 Member-Research and Publications Board 1993-94 Chair-Elect 1988-99 Founding Co-Advisor,Golden Key Honor Society 1992-95 Member-UNC Women's Commission 1992-94 Co-Chair-Assessment Task Force 1989-90 Faculty Representative,Student Fee Allocation Committee 1986-89 Member,Faculty Senate 1988-89 Secretary 1987-88 Vice-Chair 1986-87 At-Large Member,Executive Committee 1986-89 Member,Academic Policies Committee 1986-87 Member,Elections Committee 1988 Representative,Western States Faculty Leadership Conference,Reno, 1988 Senate Representative,Statewide Commission Advisory Committee 1988 Advisor,In-Touch Helpline 1985-86 Volunteer Therapist,ZINC Counseling Center GRADUATE STUDENT COMMITTEES—Doctoral: 1998-99 Committee Member,Shu-Shin Lu,Professional Psychology,"Using Metaphor in Child Counseling in Taiwan" 1997-00 Committee Member,Christine Rogers,Professional Psychology,"A Qualitative study of the experiences of pastor's wives. 1995-1997 Committee Member,Lisa lug,Special Education 1994-pres Committee Member,Marla Gallagher,Educational Psychology 1993 Committee Member,Hsiu-Lan Ma,Science Ed.-Oral Comprehensives 1993 Committee Member, Jerry Buford,School Psychology,"Treatment of depressive symptoms of 6 early adolescents". 1993-1998Committee Member,Pat Flanagan,CSPA,Orals,"A comparison of attitudes and practices of teaching faculty regarding student academic dishonesty at a two year and four year institution". 1991 Committee Member,Mike Propriano,School Psychology 1990-94 Committee Member,Paul Jantz,School Psychology, 1989 Committee Member,Mike Peters,Vocational Rehabilitation,"The Effectiveness of Vocational Evaluation for Various Disabling Conditions 1987 Committee Member,Me Marie Kajenckii,English,"The Concept of Free Association in Virginia Woolf The Waves" 1986 Committee Member,Fuming Liao,Mechanical Kinesiology,°Development and Validation of a Method for Providing Immediate Feedback Information on Speed and Angle of Release in Shotputting" GRADUATE STUDENT COMMITTEES--Masters: 2001 Jeremy Ehmke,Chair 1999-00 Jennifer Lawrence,Committee Member 1998-99 Vanessa Ewing,Committee Member 1997 Stephanie Blasi,Committee Member 1997 John Nickisson,Chair 1994 David Watson,Committee Member 1994 Tiernan Mcllwaine,Committee Member 1994 Jerrod McCoy,Committee Member 1993 Sheldine Runyan,Committee Member 1993 Sue Cole,Committee Chair,"Influences on Occupational Goals of Selected Male and Female College Students". 1990 Jerry Benner,Committee Member 1990 Kurtis Armstrong,Committee Member,°Attitudinal Consequences of Pre-Employment and Random Employee Drug Testing" 1989 Michelle Hazer,Committee Member 1989 Anne Schnittgrund,Committee Chair,°Age and Electrothermal Biofeedback Training°. 1988 Cherri Hocken,Committee Member,"The Effects of Turnover on Those Who Remain in an Organization" 1988 Tony Ambrosio,Committee Member,"The Belief in a Just-World and the AIDS Epidemic: Predictors of Attitudes Towards Individuals with AIDS" 1988 Steve Foster,Committee Chair,"Hypnotic Susceptibility As a Function of Locus of Control and Director Indirect Inductional Deepening and Suggestion Style" 1988 Lisa Dillon,Committee Chair,"Cognitive-Behavioral Approach to the Treatment of Elderly Rheumatoid Arthritis Subjects" 1987 Deanna Holmes,Committee Member 1987 Darlene Nold,Committee Member,"Reading and Writing Assessment Tests as Predictors of Success in the Basic Peace officer Academy at Aims Community College" 1987 Dan May,Committee Member 1986 Jeff Schiels,Committee Member,"The Reformulated Hypothesis:Is Its dominator of Learned Helplessness Literature Justifiable?" 1986 Linda Coulthard-Morris,Committee Member,"Biofeedback of Cortical Slow Wave Potentials, Hand Temperature and Muscle Tension in Normal and Attention Deficit Disorder with Hyperactivity Children" TEACHING: Honors Activities. 2000-prsntThesis Co-coordinator,Stephanie Price,Allison Osag,Anna Grenier,Jennifer Donnelly 2000-prsntThesis Co-advisor,Shanti Pepper,"Hindsight bias and prejudice against homosexuals° 2000-prsntThesis Advisor,Angela Hanson,"Effects of aromatherapy on attention" 2000 Thesis Coordinator,Cindy Mitchell,Christin Hillyer,Angela Hanson 1999 Thesis Advisor,Melissa Touchton"Complementary/alternative medical use among undergraduates at the University of Northern Colorado". 1999 Thesis Advisor,Sarah Painton.°Early parent loss in terms of maintaining a connection with the deceased. 1999 UNC Research Day, Faculty Panel Coordinator,"Complementary Healing Methods" 7 1999 Thesis Coordinator-Kristin Pietryzick,Jennifer Kimberling,Cristine Dickey 1997 Thesis Co-Advisor Kelly Kinser."An evaluation of the city of Greeley community outreach program". 1997 Honors Connection Course development-Alternative Healing Methods 1996-pres Honors Co-Coordinator,Psychology Department 1989-94 Honors Coordinator,Psychology Department 1994 Thesis Co-Advisor, Diane Musgrave,"The Relationships Among Personality Traits,Alcohol,Caffeine, and Nicotine Consumption,and Academic Performance in College Students" 1994 UNC Researh Day,Faculty Panel Coordinator,"Hypnosis:Theory and Research" 1993 UNC Research Day,Faculty Panel Coordinator,"Non-traditional Theories of Therapy Serving Women and Minorities". 1993 Thesis Co-Advisor,Linda Norman,"Clozapine and Event Related Brain Potentials in Schizophrenics" 1992 Thesis Advisor,Deborah Knuckey, "The Effect of Touch on AffectAmong Strangers Under Mildly Stressful Conditions° 1992 UNC Research Day, Faculty Panel Coordinator 1992 UNC Research Day, Faculty Panel Coordinator(2 student panels)"Sex Roles and Psychology", The Power of Social Influence 1989 Thesis Advisor,Geri Bosley, "Post Death Ritual in a Small Colorado Community" 1988 Thesis Advisor,Pam Clasen,"The Use of Relaxation and Imagery Techniques in Pain Management" 1989&97 Honors Connection Course Development Courses Taught:(1-4 Scale with 1 as Highest)(*1-5 Scale with 5 as highest) DATE COURSE TITLE HERS ENR AVG.RATING W 198 8 PSY 101 IntroSeminar Psychology 1 43 -- W 1987 PSY 101 IntroSeminar Psychology 1 16 1.12 W 1986 PSY 101 IntroSeminar Psychology 1 32 1.24 F 1997 PSY 120 Principles of Psychology 4 107 3.76 F 1996 PSY 120 Principles of Psychology 4 139 F 1993 PSY 120 Principles of Psychology 4 119 1.64 F 1991 PSY 120 Principles of Psychology 4 161 1.67 F 1983 PSY 120 General Psychology 3 42 ---- Sp 1984 PSY 121 Intro to Psychology I 4 40 --- Sum 1988 PSY 230 Human Growth &Development 5 55 ---- Sp 1988 PSY 230 Human Growth &Development 5 60 1.58 W 1988 PSY 230 Human Growth &Development 5 90 1.38 F 1987 PSY 230 Human Growth &Development 5 45 1.54 W 1987 PSY 230 Human Growth &Development 5 75 1.54 Sp 1987 PSY 230 Human Growth &Development 5 90 - Sum 1986 PSY 230 Human Growth &Development 5 47 -- F 1986 PSY 230 Human Growth &Development 5 80 1.36 W 1986 PSY 230 Human Growth &Development 5 80 1.42 W 1986 PSY 230 Human Growth &Development 5 52 1.27 F 1985 PSY 230 Human Growth &Development 5 56 1.53 F 1985 PSY 230 Human Growth &Development 5 85 1.56 Sp 1984 PSY 265 Social Psychology 3 26 W 1984 PSY 265 Social Psychology 3 23 — F 2000 Psy 323 Health Psychology 3 47 4.23 F 1999 PSY 323 Health Psychology 3 46 3.99 Sp 1998 PSY 323 Health Psychology 3 40 4.11 F 1998 PSY 323 Health Psychology 3 39 4.08(SRC 4.08) Sp 1997 PSY 323 Health Psychology 3 44 4.37 F 1995 PSY 323 Health Psychology 3 47 Sp 1994 PSY 323 Health Psychology 3 41 1.69 F 1992 PSY 323 Health Psychology 3 49 Sp 1992 PSY 423 Health Psychology 3 42 1.69 F 1990 PSY 423 Health Psychology 3 1.66 F 1988 PSY 423 Health Psychology 3 35 1.36 Sp 1986 PSY 330 Child&Adolescent Psych 3 27 1.4 8 Sp 1993 PSY 331 Maturity&Aging 3 40 Sp 1991 PSY 331 Maturity &Aging 3 46 1.62 F 1989 PSY 331 Maturity &Aging 3 23 1.45 F 1988 PSY 331 Maturity &Aging 3 27 1.40 Sp 1988 PSY 430 Maturity&Aging 3 44 1.58 Sp 1987 PSY 430 Maturity&Aging 3 34 -- Sp 1986 PSY 430 Maturity&Aging 3 36 1.52 F 2000 PSY 455 Abnormal Psychology 3 52 4.47 Su 2000 PSY 455 Abnormal Psychology 3 21 4.16 Sp 2000 PSY 455 Abnormal Psychology 3 52 4.06 Su 1999 PSY 455 Abnormal Psychology 3 4.72 F 1999 PSY 455 Abnormal Psychology 3 45 3.83 Sp 1999 PSY 455 Abnormal Psychology 3 4.17 F 1998 PSY 455 Abnormal Psychology 3 49 4.27 Sp 1997 PSY 455 Abnormal Psychology 3 49 4.03 Sp 1996 PSY 455 Abnormal Psychology 3 4.43 F 1995 PSY 455 Abnormal Psychology 3 32 Sp 1993 PSY 355 Abnormal Psychology 3 37 Sp 1992 PSY 355 Abnormal Psychology 3 42 1.26 Sp 1991 PSY 355 Abnormal Psychology 3 37 1.37 F 1990 PSY 355 Abnormal Psychology 3 1.46 Su 1990 PSY 355 Abnormal Psychology 3 31 Sp 1990 PSY 355 Abnormal Psychology 3 37 1.38 Sp 1990 PSY 355 Abnormal Psychology 3 42 1.53 Sp 1989 PSY 355 Abnormal Psychology 3 78 1.51 Sp 1986 PSY 358 Abnormal Psychology 3 41 1.54 W 1984 PSY 358 Abnormal Psychology 3 31 Su 1998 PSY 350 Theories of Personality 3 20 4.10 Su 1990 PSY 357 Theories of Personality 3 21 1.45 W 1988 PSY 357 Theories of Personality 3 40 1.57 F 1987 PSY 357 Theories of Personality 3 55 1.38 W 1987 PSY 357 Theories of Personality 3 37 1.33 F 1986 PSY 357 Theories of Personality 3 54 -- F 1983 PSY 357 Theories of Personality 3 51 F 2000 PSY 407 Intro to Counseling Theories 3 18 4.88 Sp 2000 PSY 407 Intro to Counseling Theories 3 25 4.8 F 1999 PSY 407 Intro to Counseling Theories 3 15 4.37 Sp 1999 PSY 407 Intro to Counseling Theories 3 4.62(SRC 4.59) F 1998 PSY 407 Intro to Counseling Theories 3 20 4.31 (SRC 4.66) Sp 1998 PSY 407 Intro to Counseling Theories 3 20 4.42 F 1997 PSY 407 Intro to Counseling Theories 3 15 4.71 F 1996 PSY 407 IIIII0 to Counseling Theories 3 19 Sp 1996 PSY 407 Intro to Counseling Theories 3 4.61 F 1995 PSY 407 Intro to Counseling Theories 3 19 Sp 1994 PSY 407 Intro to Counseling Theories 3 F 1993 PSY 407 Intro to Counseling Theories 3 24 1.32 Sp 1993 PSY 407 Intro to Counseling Theories 3 22 F 1992 PSY 407 Intro to Counseling Theories 3 25 1.18 Sp 1992 PSY 407 Intro to Counseling Theories 3 22 1.21 F 1991 PSY 407 Intro to Counseling Theories 3 44 1.26 Sp 1991 PSY 407 Intro to Counseling Theories 3 33 1.21 F 1990 PSY 407 Intro to Counseling Theories 3 Sp 1990 PSY 407 Intro to Counseling Theories 3 16 1.12 F 1989 PSY 407 Intro to Counseling Theories 3 24 1.20 Sp 1989 PSY 407 Intro to Counseling Theories 3 18 1.31 F 1987 PSY 407 Intro to Counseling Theories 3 26 1.21 F 1986 PSY 407 Intro to Counseling Theories 3 41 1.57 9 Sum 1987 PSY 499 Psychology of Sex Roles 3 16 1.18 Sum 2000 PSY 508 Health Psychology and Healing 2 17 4.57 Sum 1989 PSY 508 Emotional Crisis Workshop 1-2 39 "" `Frontiers of Mental Health And Education' Sum 1988 PSY 508 Emotional Crisis Workshop 2-3 63 •Mind/Body Interactions' Sum 1987 PSY 508 Emotional Crisis Workshop 2-3 106 'Relationships' Sum 1991 PSY 595 Health Psychology 3 15 Sp 2000 PSY 620 Assessment&Interviewing 2 15 4.06 Sp 1999 PSY 620 Assessment&Interviewing 2 4.61 Sp 1998 PSY 620 Assessment&Interviewing 2 9 4.31 F 1992 PSY 620 Assessment&Interviewing 2 12 1.66 F 1990 PSY 620 Assessment&Interviewing 2 1.02 F 1988 PSY 620 Issues in Behavioral Medicine 3 5 2.08 F 1997 PSY 621 Practicum College Teaching 2 10 4.77 F 19% PSY 621 Practicum College Teaching 2 10 F 1993 PSY 621 Practicum College Teaching 2 13 1.45 F 1992 PSY 621 Practicum College Teaching 2 13 W 1984 PPSY 670 Tests and Measurements 3 20 — Sp 1997 HON 200 Honors Connections Seminar:Alternative Healing Methods 2 20 3,67 of 4 Sp 1989 HON 200 Honors Connection Seminar It 2 9 *"" 'Love" Sum 1986 Elderhostel 'Dream On' NC (25) Sum 1987 Elderhostel 'Mind/Body Interactions' NC 19 "*" Courses Developed; 2000 PSY/PPSY 508,Health Psychology and Healing 1997 HON 200,Alternative Healing Methods 1991- PSY 595,Issues in Health Psychology,Summer 1989- 23rd Annual Emotional Crisis Workshop,Frontiers of Mental Healthy Education,Summer 1988- PSY 620,Assessment in Behavioral Medicine,Fall(Revised Spring 1988- PSY 423,Health Psychology,Fall 1988- 22nd Annual Emotional Crisis Workshop,Mind/Body Interactions,Summer 1987- 21st Annual Emotional Crisis Workshop,Relationships.Summer 1987- Mind/Body Interactions-Elderhostel Program,Summer 1987- PSY 499,Psychology of Sex Roles-Summer 1986- Dream On-Elderhostel,Summer Directed Studies; Graduate: 1995- Cynthia Holley,Hypnosis 1994- Tara Johnson,Hypnosis Theory and Practice 1994- Marla Gallagher,Sociometric Processes 1994- Marla Gallagher,Cluster Development in Intro Psychology Classes 1992- Bruce Holoman,Hypnosis Research and Practice 1988- Paul Jantz,Hypnosis for Pain With Children 1988- Lori Kochevar,Women as Leaders 1988- Sari Israel,Alan Shaw,Issues in Health Psychology 1988- Steve Foster,Michele Honer,Teaching Apprenticeship 1987- Tony Ambrosio,Hypnosis Models 1986- Candy Disch,Psychological Testing Undergraduate: 2000- Lynell Rice -Crosscultural attitudes towards healing methods 10 2000- Andrea Hagedotn-Attitudes towards counseling(In lieu of honors thesis) 2000- Laura Bell-Psychology of childbirth 19990 Lynell Rice-Healing Methods 1999- Stefan Stecker-Student's perceptions of parent-child sex communication(in lieu of honors thesis 1998 Jennifer Altman-Exercise and Psychology 19960 Kindra Sanchez-Biracial Identity 1996- Jenne Weatherbee-Pain Coping Styles 1995- Allison Ellis-Psychological Theories in Business Management 1995- Holli Eliick,Counseling and the Hearing-Impaired Child 1994- Lewis Garza,Etiology of Schizophrenia 1994- Suzanne Bodetko,Autogenic Training 1994- Rebecca Furstenberg,Impact of Alzheimer's Disease on Families 1994- Bonnie Sarton,Hypervigilence in Youth(Hon 351) 1993- Mary Jo Hamilton,Hypnosis Theory 1994- Greg Schooley,Forgiveness as a Therapy Tool 1993- Jason DeBueno,Youth Advocacy 1993- Kelley Ferguson-Women in Psychology 1993- David Rosenberg-Offender Programs 1992- Robin Trostel,Analysis of Learning Styles 1992- Robin Trostel,Health Locus of Control 1992- Roberta Inman,Family Violence and Lesbians(Hon 351) 1991 - Mark Kahl,Back Pain 1991 - Tracy Moulton,Treatment of Sexual Abuse 1991 - Alice McPherson,African American Women and Higher Education 1991 - Jody Humor,Hypnosis:Theory and Practice 1990- Jimmie Berg,Women's Learning Styles 1989- Elary Violet,Cognition and Pain Management 1989- Geri Bosley,Chris Snodgrass,Bev Foster,Elary Violet,Issues in Personality 1989- Penny Vaughn,Female Pioneers in Social Work 1989- Lori Peterson,Pain and the Elderly 1988- Peer Training for Hotline Service 1987- Tracy Boh,Issues in Child Abuse 1987- Julie Stoddard,Grief and Divorce 1987- Eric Bouch,Hypnosis Models 1987- Mike Lesser,Assessment in Sport Psychology 1986- Lynne Sheffield,Childhood and Loss 1986- Jennifer March,Adolescence Practice 2000- Rebecca Kuhn-Aromatherapy research 2000- Ackerman and Associates-Berkely Holston 19990 Melissa Touchton-Applied statistics 1998- Andrea Lamb-Hypnosis and golf performance 1998- Rebecca Varoula-Women's Place 1998: Greeley Medical Clinic-Gay Lemons,Renae Smith 19980 Ackerman and Associates-Amy Munnel,Kristin Pietrzyk,Jennifer Kimberling,Greg Pedersen 1997- Greeley Medical Clinic-Lori Darst,Barbara Glode,Ann Marie McCullen,Jeff Titus 1993- Greg Schooley,Breavement Research 1993- Di Smice,Women's Commission 1992 - Mary Jo Hamilton,Hypnosis Research 1992- Carol Sexton,Psychology Testing 1992- Lisa Schlott,Learning Styles PROFESSIONAL DEVELOPMENT ACTIVITIES: Workshops.Clinics,Symposia.Conferences:(Excluding Conferences as a Presenter) 2005 Structured Analysis Family Evaluation Training(SAFE)—16 hours 2005 International Critical Incident Stress Foundation 11 Group Crisis Intervention(August 21-22—14) Individual Crisis intervention and Peer Support(August 18-19) 2001 EMDR Training and Level II certification 1999- Cognitive Behavioral Therapy Training Program,Institute for Behavioral Healthcare 1999❑ EMDR training and Level 1 certification 1998 Qualitative research lecture series-UNC 1998- Lewis M.Terman Western Regional Teacher's Conference sponsored by AM Dlvision2 in conjunction with the WPA/RMPA joint convention. 1998- 'Spirituality and health in counseling',CAHEC Workshop,Greeley 1998- 'Divorce Busting:Solution oriented brief therapy with couples',Colorado Assoc.Marriage and Family 1997- Health Maintenance-Legal and Ethical Issues 1997- Body and Soul:Healing in the 90's 1996❑ Celebrating our Essence:Women's Health and Spirituality 1995- International Society for Clinical and Experimental Hypnosis-Research Workshop,San Francisco,CA (30 more hours toward certification) 1989- "Minding the Body,Mending the Mind",CAHEC Workshop,Ft Collins 1988- "Demystifying Publishing",CAHEC Workshop,NCMC,Greeley 1985- 'Attentional Deficit Disorders in Children',Meichenbaum,Denver 1980- International Society for Clinical and Experimental Hypnosis-30 certification hours,Denver Numerous other workshops on Parent Loss,Child Abuse,Grantsmanship,Short-Term Treatment,Supervision,Pain Management,Medical Terminology,Depression,Personality Disorders Courses Taken Credit: 1994- EPRE 603-Analysis of Variance Audit: 1993- EPRE 602-Elements of Statistics 1990- EPRE 700-Advanced Research Methods Cotuinubrg Education Credit: 1976- C.U.Medical School-Medical Ethics 1972- C.U.School of Nursing-Hypnosis(10 weeks) 1969- University of Chicago-Kubler-Ross,Death and Dying HONORS AND AWARDS: 2000- "Wonderful Outstanding Woman'Award 1998- Distinguished Service Award-Rocky Mountain Psychological Association 1998- Arts and Sciences Teacher of the Year Award 1998- 'Wonderful Outstanding Woman'Award-Highlighted in October newsletter-Women's Resource Center 1993- Commencement Banner Carrier,Arts and Sciences 1993,91,89,88-Mortar Board Favorite Professor 1992- Sudent Representative Council University Professor of the Year 1992- Student Representative Council University Advisor of the Year 1989- Arts and Sciences Achievement Award 1988- Honors Advisor of the Year 1984 - Psi Chi,University of Northern Colorado Chapter 1982-83- Writing Associateship-Rocky Mountain Women's Institute 12 ® ACE American Insurance Company psychologists ❑ ACE Insurance Company of Illinois Professional Liability Claims Made Insurance ❑ Atlantic Employers Insurance Company Policy Declarations (This Policy is issued by the stock insurance company listed above.Herein called"Company".) BRANCH B/A PRODUCER NUMBER DATE OF ISSUE I PRIOR CERTIFICATE NUMBER 273865 103/30/2006 PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY NOTICE:THIS IS A CLAIMS-MADE POLICY,PLEASE READ THE POLICY CAREFULLY PURCHASING GROUP POLICY NUMBER:Item DECLARATIONS CERTIFICATE NUMBER: 58G22320300 1. Named Insured Susan Bromley 1621 13th Ave ADDRESS Greeley,CO 80631-5415 Number&Street,Town,County,State&Zip No.) 2. Policy Period: 12:01 A.M.Standard Time At From:04/01/2006 To: 04/01/2007 Location of Designated Premises 3. COVERAGE LIMITS OF LIABILITY PREMIUM Professional Liability $ 1,000,000 each incident $3,000.000 aggregate $ 1,235.00 4. BUSINESS OF THE NAMED INSURED: Psychology • 5. The Named Insured is: ® Sole Proprietor(including independent contractor) O Partnership O Corporation O Other. 6. This policy shall only apply to incidents which happen on or after:a)the policy effective date shown on the Declarations:or b)the effective date of the earliest claims-made policy issued by the Company to which this policy is a renewal; or c)the date specified in any endorsement hereto. 04/05/1996 7. This policy is made and accepted subject to the printed conditions in this policy together with the provisions,stipulations and agreements contained in the following fonn(s)or endorsement(s). 815polcov,PF-15215(03/04),PF-15217(03/04),CC-1K11d(04/02),PF-15238(03/04),PF-15230(03/04),PF-15241 (03/04), PF-15242(03/04),PF-15225(03/04),PF-15253(06/04),PF-15742(06/04),PF-17914 Notice of Claim should be sent to: All other notices should be sent to: Claims Vice President Undefwriting Vice President A USA ACE USA 140 E Broadway, 0n Floor 140 Broadway,41in Floor New York, NY 10005 New York, NY 10005 REPRESENTATIVE: Agent or broker: Potomac Risk Management Services, Inc. 181 W Madison St Ste 2900 Office address: Chicago, IL 60602-4643 City, State, Zip: 1-877-637-9700 PF-15215(03/041 Ackerman and Associates, P.C. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 (970)353-3373 fax(970)353-3374 Information About Our Providers Joyce Shohet Ackerman, Ed.D., Licensed Psychologist: Dr. Ackerman is licensed by the State of Colorado to practice psychology. She has a Bachelor of Science in Special Education, a Master of Science in Special Education and a Doctorate of Education in Psychology, Counseling, and Guidance from the University of Northern Colorado,which she received in 1981. Dr. Ackerman is listed in the National Register for Health Service Providers in Psychology, which means her training corresponds to that of programs accredited by the American Psychological Association. Susan Plock Bromley, Psy.D., Licensed Psychologist: Dr. Bromley is licensed by the State of Colorado to practice psychology. She received her Doctorate in Clinical Psychology from the University of Denver in August 1983. She received her Master's in Social Work from Case Western Reserve University of Cleveland, Ohio, in 1968. Laurence P. Kerrigan, Ph.D., Licensed Psychologist: Dr. Kerrigan is licensed by the State of Colorado to practice ps- hology. He received a Doctorate in Clinical Psychology from the California School of Professional Psychology in August of 1974. Tom Pappas, M.S.W., L.C.S.W.,Licensed Clinical Social Worker Tom received his Master's degree in Social Work in 1986 and his Post Graduate Certificate in Advanced Psychotherapy with Children and Adolescents in 1993. He is licensed in Clinical Social Work by the state of Colorado. Disclosure 1 PSYCHOTHERAPIST-CLIENT AGREEMENT Welcome to Ackerman and Associates'practice. This document(the Agreement)contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act(HIPAA), a new federal law that provides new privacy protections and new client rights with regard to the use and disclosure of your Protected Health Information (PHI)used for the purpose of treatment,payment and health care operations. The Notice,which is attached to this agreement,explains HIPAA and its applications to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information before our first session. Although these documents are long and sometimes complex,it is very important that you read them carefully before our first session. We can discuss any questions you have about the procedures at that time. When you sign this document,it will also represent an agreement between us. You may revoke this Agreement at any time. The revocation will be binding on me unless I have taken action in reliance on it; if there are obligations imposed on me by your health insurer in order to process or substantiate claims under your policy;or if you have not satisfied any financial obligations you have incurred. PSYCHOLOGICAL AND COUNSELING SERVICES Psychotherapy is not easily described in general statements. It varies depending on the personalities of the therapist and client and the particular problems you are experiencing. There are many different methods I may use to deal with problems that you hope to address. Therapy calls for a very active effort on your part. In order for therapy to be most successful,you may have to work on things we talk about during our sessions. Therapy can have benefits and risks. Since therapy often involves discussing unpleasant aspects of your life,you may experience uncomfortable feelings like sadness,guilt, anger,frustration,loneliness,and helplessness. On the other hand, therapy has also been shown to have many benefits. Therapy often leads to better relationships,solutions to problems,and reductions in feelings of distress. But there are no guarantees of what you will experience. Our first session will involve an evaluation of your needs. By the end of the evaluation, I will be able to offer you some first impressions of what our work will include and a treatment plan to follow, if you decide to continue with therapy. You should evaluate this information along with your own opinions of whether you feel comfortable working with me. Therapy involves a commitment of time,money, and energy, so you should be very careful about the therapist you select. If you have questions about my procedures, feel free to discuss them whenever they arise. if your doubt persists,I will be happy to help you set up a meeting with another mental health professional. MEETINGS I normally conduct an evaluation that will last from 1 to 2 sessions. During this time,we can both decided if I am the best person to provide the services you need in order to meet your treatment goals. If therapy is begun, I will usually schedule one session (one appointment hour of approximately 50 minutes duration)per week at a time we agree on,although some sessions may be longer or more frequent. Once an appointment hour is scheduled,you will be expected to pay 50% of the regular hourly fee if you do not provide 24 hours advance notice of cancellation [unless we both agree that you were unable to attend due to circumstances beyond your control]. It is important to note that most insurance companies do not provide reimbursement for cancelled sessions PROFESSIONAL FEES The hourly fee is$120 for doctoral level providers and$90 for master's level providers. In addition to weekly appointments, you will be charged this amount for other professional services you may need,though I will break down the hourly cost if I work for periods of less than one hour. Please note that the first session may be billed at one and a half hours. Other services include report writing,telephone conversations lasting longer than five minutes,consulting with other professionals with your permission,preparation of records or treatment summaries, and the time spent performing any other service you may request of me. If you become involved in legal proceedings that require my participation,you will be expected to pay for all of my professional time,including preparation and transportation costs, even if I am called to testify by another party. Doctoral level therapists charge$130 per hour for preparation and for attendance at any legal proceeding. Master's level therapists charge$100 for preparation and for attendance at any legal proceeding. if travel is required for legal proceedings, this is included in preparation time. If,in the future,we find it necessary to increase our rates,you will be notified in a timely manner. CONTACTING ME Due to my work schedule I am often not immediately available by telephone. While the office is usually open between 9 AM and 5PM,I will not take a call when i am with a client. When I am unavailable,my telephone is answered by an answering service or by my secretary. I will make every effort to return your call on the same day you make it,with the exception of Disclosure 2 weekends and holidays. If it is difficult to reach you, please inform me of times when you will be available. If you are unable to reach me and feel that you can't wait for me to return your call,contact the person on call for Ackerman and Associates,your family physician or the nearest emergency room and ask for the therapist on call. If I will be unavailable for an extended time,I will provide you with the name of a colleague to contact,if necessary. LIMITS ON CONFIDENTIALITY The law protects the privacy of all communications between a client and a psychologist. The protection of confidentiality of communications with counselors who are not psychologists follow some different rules in Colorado. In most situations,I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written advance consent. Your signature on this Agreement provides consent for those activities, as follows: • i may occasionally find it helpful to consult other health and mental health professionals about a case. During a consultation,I make every effort to avoid revealing the identity of my client. The other professionals are also legally bound to keep the information confidential. If you don't object, I will not tell you about these consultations unless i feel that it is important in our work together. I will note all consultations in your Clinical Record(which is called "PHI"in my Notice of Psychologist's Policies and Practices to Protect the Privacy of Your Health Information). • Please be aware that I practice with other mental health professionals and that I employ administrative staff. In most cases, I need to share protected information with these individuals for both clinical and administrative purposes, such as scheduling,billing, and quality assurance. All of the mental health professionals are bound by the same rules of confidentiality. All staff members have been given training about protecting your privacy and have agreed not to release any information outside of the practice without the permission of a professional staff member. • I also have contracts with an accountant, a billing service,your insurance company, and on occasion a collection agency. As required by HIPAA, I have a formal business associate contract with these businesses in which they promise to maintain the confidentiality of this data except as specifically allowed in the contract or otherwise requital by law. If you wish,I can provide you with the names of these organizations and/or a blank copy of this contract. • Disclosures required by health insurers or to collect overdue fees are discussed elsewhere in this Agreement. • If a client threatens to harm himself/herself or others,I may be obligated to seek hospitalization for him/her,or to contact family members or others who can help provide protection. There are some situations where I am pa-mined or required to disclose information without either your consent or Authorization: • if you are involved in a court proceeding and a request is made for information concerning my professional services, such information is protected by the psychologist-client privilege law. i cannot provide any information without your written authorization, or a court order. A counselor who is not a psychologist may have to provide such information. If you are involved in a legal situation or contemplating litigation,you should consult with your attorney to determine whether a court would be likely to order me to disclose information. • If a government agency is requesting the information for health oversight activities,I am required to provide it for them. • If a client files a complaint or lawsuit against me, I may disclose relevant information regarding that client in order to defend myself. • If a client files a worker's compensation claim,lam required to submit a report to the Worker's Compensation Division. There are some situations in which I am legally obligated to take actions,which I believe are necessary to attempt to protect others from harm and I may have to reveal some information about a client's treatment. These situations are unusual in my practice. • If i have reasonable cause to know or suspect that a child has been subjected to abuse or neglect or if I have observed a child being subjected to circumstances or conditions which would reasonably result in abuse or neglect,the law requires that I file a report with the appropriate governmental agency. Once such a report is filed, I may he required to provide additional information. • if I have reasonable cause to believe that an at-risk adult has been or is at imminent risk of being mistreated, self-neglected,or financially exploited,the law requires that I file a report with the appropriate governmental agency. Once such a report is filed,I may be required to provide additional information. Disclosure 3 • If a client communicates a serious threat if imminent physical violence against a specific person or persons,I must make an effort to notify such persons;and/or notify an appropriate law enforcement agency; and/or take other appropriate action including seeking hospitalization of the client. If such a situation arises, I will make every effort to fully discuss it with you before taking any action and I will limit my disclosure to what is necessary. While this written summary of exceptions to confidentiality should prove helpful in informing you about potential problems, it is important that we discuss any questions or concerns that you have now or in the future. The laws governing confidentiality can be quite complex,and I am not an attorney. In situations where specific advice is required,formal legal advice may be needed. Please note that I will be thanking my professional colleagues(e.g.physicians,attorneys, and/or counselors) for referring you unless you request that I DO NOT do so. PROFESSIONAL RECORDS I keep Protected Health Information about you in a professional record which constitutes your Clinical Record. It includes information about your reasons for seeking therapy, a description of the ways in which your problem impacts on your life, your diagnosis,the goals that we set for treatment,your progress toward those goals,your medical and social history, your treatment history,any past treatment records that I receive from other providers,reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. Except in unusual circumstances that involve danger to yourself and others,you may examine and/or receive a copy of your Clinical Record, if you request it in writing. in most situations, I am allowed to charge a copying fee of$.50 per page(and for certain other expenses). If I refuse your request for access to your Clinical Record,you have a right of review,which i will discuss with you upon request. CLIENT RIGHTS HIPAA provides you with several new or expanded rights with regard to your Clinical Record and disclosures of Protected Health information. These rights include requesting that I amend your record;requesting restrictions on what information from your Clinical Record is disclosed to others,requesting an accounting of most disclosures of protected health information that you have neither consented to nor authorized;determining the location to--`ich protected information disclosures are sent;having any complaints you make about my policies and procedures recorded in your records;and the right to a paper copy of this agreement,the attached Notice form,and my privacy policies and procedures. i am happy to discuss any of these rights with you. MINORS&PARENTS Clients under 15 years of age who are not emancipated and their parents should be aware that the law may allow parents to examine their child's treatment records,unless I decide that such access is likely to injure the child. Because privacy in therapy is often crucial to successful progress,particularly with teenagers,it is sometimes my policy to request an agreement from parents that they consent to give up their access to their child's records. If they agree, during treatment, I will provide them only with general information about the progress of the child's treatment,and his/her attendance at scheduled sessions. I will also provide parents with a summary of their child's treatment when it is complete. Any other communication will require the child's Authorization,unless I feel that the child is in danger or is a danger to someone else,in which case, i will notify the parents of my concern. Before giving parents any information, I will discuss the matter with the child, if possible, and do my best to handle any objections he/she may have. BILLING AND PAYMENTS You will be expected to pay for each session at the time it is held,unless we agree otherwise or unless you have insurance coverage that requires another arrangement and you have been pre-approved by our insurance and billing office. Payment schedules for other professionally services will be agreed to when they are requested. In circumstances of unusual financial hardship, I may be willing to negotiate a fee adjustment or payment installment plan. If your account has not been paid for more than 60 days and arrangements for payment have not been agreed upon, I have the option of using legal means to secure the payment. This may involve hiring a collection agency(or going through small claims court)which will require me to disclose otherwise confidential information. In most collection situations,the only information i release regarding a client's treatment in his/her name,the nature of services provided, and the amount due. if such legal action is necessary,its costs will be included in the claim. PLEASE NOTE THAT THE PERSON WHO COMES TO OUR OFFICE(PARENT,IF A MINOR IS INVOLVED)IS RESPONSIBLE FOR PAYMENT. WE WILL SEND BILLS TO INDIVIDUALS WHO HAVE COME TO THE OFFICE Disclosure 4 • FOR SERVICES. If you are a student and expect your parents to be financially responsible,you will need to get a special form signed by them. Otherwise, you will be responsible for payment. Please inform the secretary, and she will give you this form. INSURANCE REIMBURSEMENT In order for us to set realistic treatment goals and priorities,it is important to evaluate what resources you have available to pay for your treatment. If you have a health insurance policy,it will usually provide some coverage for mental health treatment. I will fill out forms and provide you with whatever assistance I can in helping you receive the benefits to which you are entitled;however,you(not your insurance company) are responsible for full payment of my fees. It is very important that you find out exactly what mental health services you insurance policy covers. You should carefully read the section in your insurance coverage booklet that describes mental health services. If you have questions about the coverage,call your plan administrator. Of course, I will provide you with whatever information you receive from your insurance company. If it is necessary to clear confusion, I will be willing to call the company on your behalf. Due to the rising costs of health care,insurance benefits have increasingly become more complex. It is sometimes difficult to determine exactly how much mental health coverage is available. "Managed Health Care"plans such as HMOs and PPOs often require authorization before they provide reimbursement for mental health services. These plans are often limited to short-term treatment approaches designed to work out specific problems that interfere with a person's usual level of functioning. It may be necessary to seek approval for more therapy after a certain number of sessions. While much can be accomplished in short-term therapy, some clients feel that they need more services after insurance benefits aid. Some managed-care plans will not allow me to provide services to you once your benefits end. If this is the case,I will do my best to find another provider who will help you continue your therapy. You should also be aware that your contract with your health insurance company requires that I provide it with information relevant to the services that I provide to you. I am required to provide a clinical diagnosis. Sometimes I am required to provide additional clinical information such as treatment plans or summaries,or copies of your Clinical Record. In such situations,I will make every effort to release only the❑inimum information about you that is necessary for the purpose requested. This information will become part of the insurance company files and will probably be stored in a computer. Though all insurance companies claim to keep such information confidential, IL•ive no control over what they do with it once it is in their hands. In some cases, they may share the information with a national medical information databank. I will provide you with a copy of any report I submit,if you request it. By signing this Agreement, you agree that I can provide requested information to your carrier. Once we have all of the information about your insurance coverage,we will discuss what we can expect to accomplish with the benefits that are available and what will happen if they run out before you feel ready to end your sessions. It is important to remember that you always have the right to pay for my services yourself to avoid the problems described above unless prohibited by contract. SPECIAL SITUATIONS if you share custody of your children with a former partner,ii is your responsibility to keep himvherinformed about your child's psychotherapy,if it is indicated,your former partner may need to be involved in your child's therapy,and under certain conditions,your partner may be asked to sign a consent form for treatment It may:be necessary for you to assist and encourage this process, With regard to group or family therapy,Colorado law provides that nopersonjwho nits participated inany psychological therapy be questioned in court concerning the knowledge gained during the course of therapy unless all participants'consent. In other words,if you have been in ARMY therapy or in group therapy,you are not anima to talk about what was said unless the other participants agree,You need to he aware of these restrictions upon your comments; Ackerman and Associates, P.C. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 (970)353-3373 fax(970)353-3374 YOUR SIGNATURE BELOW INDICATES THAT YOU HAVE RECEIVED WRITTEN NOTICE OF THE FOLLOWING: 1. INFORMATION ON YOUR THERAPIST'S DEGREE AND LICENSES 2. A NOTICE OF THE PRIVACY PRACTICES Client (or parent for a minor) Date Provider Date EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP p Ackerman and Associates, P.C. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 (970)353-3373 fax(970)353-3374 May 21, 2007 Judy Griego Weld County Department of Social Services 315 N. 11th Ave Greeley, CO 80631 RE: RFP 001 SAT-07 and RFP 001 HS07 Dear Ms. Griego, Ackerman and Associates, P.C. acknowledges the receipt of the FYC commission's recommendations on the above referenced bids and accepts those recommendations. We will pursue bilingual interpreters, translators or staff by seeking appropriate individuals in the community to be available on a case by case basis to better serve bilingual or monolingual clients. We will also use appropriate family resources to assist in translation. The home study materials are available in both Spanish and English. However, if no family members or voluntary community resources are available, we can purchase translation services and pass this cost onto Social Services by direct billing for their fees, if this is acceptable to Social Services. Please let me know if you need additional information concerning our acceptance of the FYC recommendations. Respectfully, Joyce Shohet Ac kl rman, Ed.D. Licensed Psychologist Clinical Director a DEPARTMENT OF SOCIAL SERVICES P.O.BOX A GREELEY, CO. 80632 11111111e. Website:ww.co.weld.co.us Administration and Public Assistance(970)352-1551 Fax Number(970)353-5215 w COLORADO May 11, 2007 Joyce Ackerman Ed.D. Ackerman&Associates,P.C. 1750 25th Avenue, Suite 101 Greeley, CO 80631 Re: RFP 001-SAT-07-Sex Abuse Treatment RFP 001-HS-07-Home Studies,Updates,Relinquishment Counseling Dear Ms.Ackerman: The purpose of this letter is to outline the results of the Bid process for PY 2007-2008 and to request written information or confirmation from you by Monday,May 21, 2007. The Families,Youth,and Children Commission appreciates your interest in providing services for families in Weld county.This year, strides were made in structuring an RFP that is clear and concise,and more user friendly, for both prospective bidders and evaluators.It is important to stress the value of following formatting guidelines and addressing the required sections concisely and appropriately. A. Results of the Bid Process for PY 2007-2008 Through the 2007-2008 bid evaluation process,the Families,Youth and Children(FYC) Commission recommended approval of Bid#001 SAT07(RFP 07007)Sex Abuse Treatment,and Bid#001-HS-07 (RFP 006-00B)Home Studies,Updates,and Relinquishment Counseling. The Families,Youth and Children's Commission attached the recommendation described below to your bids. Recommendation:The approved bidder will pursue bilingual interpreters/translators/staff in order to better serve bilingual and monolingual clients. This may include offering incentives, accommodations,and encouragement to Spanish bilingual interpreters,translators,and staff. B. Required Response by FYC Bidders Concerning FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: 1. accept the recommendation(s)as written by the FYC Commission; or 2. request alternatives to the FYC Commission's recommendation(s); or 3. not accept the recommendation(s)of the FYC Commission. • Page 2 Ackerman&Associates,P.C./Results of Bid Process for PY 2007-2008 Please provide in writing how you will incorporate the recommendation(s)into your bid. If you do not accept the recommendation,please provide written reasons why.All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. Please respond in writing to Tobi Vegter, Core Coordinator, Weld County Department of Social Services,P.O.Box A,Greeley,CO, 80632,by Monday,May 21,2007,close of business. If you have questions concerning the above,please call Tobi Vegter,970.352.1551,extension 6392. Sincerely, J A. G o,Dr r c Juan Lopez,Chair,FYC Commission Tobi Vegter,Core Services Coordinator Gloria Romansik, Social Services Administrator Hello