HomeMy WebLinkAbout20072786.tiff • • WELD COUNTY ADDENDUM
To that certain Agreement to Purchase Therapeutic Residential Child Care
Facility Services and Residential Child Care Facility Services (the
"Agreement") between Reflections For Youth, Inc. and Weld County
Department of Social Services for the period from
August 1, 2007 through June 30,2008.
The following provisions, made this Cr day of u , 2007, are added to the referenced
Agreement. Except as modified hereby, all terms of the Agreement remain unchanged.
1. County and Contractor, identified as Provider ID#1530131, agrees as follows:
A. Contractor will provide four guaranteed Therapeutic Residential Child Care
Facility(TRCCF)beds, located at 1435 South County Road 17, Berthoud CO
80513, for the exclusive use of the County. County agrees to pay$161.44 per day
for each guaranteed bed that is not filled by a County youth.
B. Contractor will provide Child Maintenance, Administrative Maintenance and
Services, which are listed in this Agreement at a rate of$161.44 per day for
children placed within the Therapeutic Residential Child Care Facility.
C. Contractor will provide Child Maintenance, Administrative Maintenance and
Services, which are listed in this Agreement at a rate of$161.44 per day for
children placed within the Residential Child Care Facility. RCCF placements
may be considered as guarantee beds on a case by case basis.
D. The guarantee bed emphasis will be for females; however, if less than four
females are in placement, Contractor agrees to consider male placements as
guarantee status within the facilities Grismore ID#1530130 and Prairie View
ID#1530128.
E. Additional services not covered by Medicaid or considered within the above rate
may be negotiated on a child by child basis,based on the needs of the child and in
accordance with the Colorado Department of Human Services Agency Letter
CW-06-11-I dated June 8, 2006.
These services will be for children who have been deemed eligible for social services
under the statutes,rules and regulations of the State of Colorado.
2. Section I, Paragraph 2. All bed hold authorizations and payments, excluding guaranteed
beds, are subject to a 3 day maximum for a child's temporary absence from a facility,
including hospitalization. Bed hold requests must have prior written authorization from
the Department Administrator before payment will be release to provider.
Reimbursement rates for bed hold days may not exceed the state standard rate for
administrative maintenance and administrative services or may be a reduced rate that is
mutually agreed upon. No child maintenance will be paid for bed holds, due to the
child's absence.
3. Add Paragraph 6 to Section I. The services purchased under this Agreement as Child
Maintenance, Administrative Maintenance and Services for Therapeutic Residential
Child Care Facilities and Residential Child Care Facilities include,but are not limited to:
Food, shelter, clothing, personal needs and allowance, administration, administrative
overhead, support staff, support overhead, sleep-over staff, direct child care,
transportation, therapeutic recreation, service delivery staff, parent training for teens,
independent living training,mentor/advocate, supervised visitation and all other services
as outlined in the Contractor's scope of service attached as Exhibit A or the Child -5-500s41
deanaej agenda_ g- gq'X40.7 I ere. SS Weld County 2007-2786
_ -07
•
Specific Addendum. The anticipated minimum percentage for each item is as follows
and will be subject to County monitoring as outlined in Section VI of this contract:
A. Food, including meals and snacks (25%);
B. Clothing(3%);
C. Shelter, including utilities and use of household furnishing and equipment and
daily supervision, including those activities that a parent would normally carry out
to assure protection, emotional support and care of the child (30%);
D. Personal items and grooming care for the child, such as toothpaste, toothbrushes,
soap, combs, haircuts, and other essentials (2%);
E. Other/miscellaneous items considered usual in the care and supervision of the
child, include, but are not limited to, transportation, recreation and overhead
(40%)
4. Add Paragraph 7 to Section I. A minimum of one polygraph test per Colorado fiscal
year, if needed by the child, will be furnished under this contract for facilities that
provide sex offender treatment.
5. Add Paragraph 8 to Section I. Any additional costs for specialized services, which
include, but are not limited to; polygraph tests, plethysmographs, and urinalysis screens,
that is not provided within the vendor rate or attached Scope of Service, will need be
negotiated and authorized, in writing by the County, prior to the service being performed.
Any payment for specialized services not authorized in writing will be denied.
6. Add Paragraph 5 to Section II. Contact by the Contractor with the County regarding
emergency medical, surgical or dental care will be made in person-to-person
communication, not through phone mail messages. During regular work hours, the
Contractor will make every effort to notify the assigned caseworker, supervisor, or intake
screener of any emergency medical, surgical or dental issues prior to granting
authorization. During non-regular work hours, weekends and holidays, the Contractor
will contact the Emergency Duty Worker at the pager number(970) 304-2749.
7. Section III, Paragraph 5. Contractor additionally agrees to have appropriate personnel
available for staffing current placements with the Utilization Review Team. This review
team convenes every Monday morning, excluding holidays.
8. Add Paragraph 13 to Section IV. Agree to cooperate with any vendors hired by Weld
County Department of Social Services to shorten the duration of placement.
9. Add Paragraph 14 to Section IV. Agree to schedule physical examinations within 14
days after placement, dental examinations within 60 days after placement and forward all
appropriate information to the County.
10. Add Paragraph 15 to Section IV. A full evaluation of an Individualized Educational Plan
(IEP) for youth designated as a Special Education Student will be conducted every 3
years and reviewed every year. If the IEP is due while the child is in placement, the
Contractor will complete or obtain a completed IEP. A copy will then be forwarded to
the County.
11. Add Paragraph 16 to Section IV. Assure and certify that it and its principals:
2 Weld County SS-23A Addendum
A. Are not presently debarred, suspended, proposed for debarment, and declared
ineligible or voluntarily excluded from covered transactions by a federal
department or agency.
B. Have not, within a three-year period of preceding this Agreement,been convicted
of or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public transaction;
violation of federal or state antitrust statutes or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a
government entity(federal, state, or local) with commission of any of the offenses
enumerated in paragraph (B) above.
D. Have not within a three-year period preceding this Agreement, had one or more
public transactions (federal, state, and local)terminated for cause or default.
11. Section V, Paragraph 5. Children in Therapeutic Residential Child Care Facilities,
Residential Child Care Facilities and Child Placement Agencies are not eligible to receive
clothing allowances as outlined in the Weld County Department of Social Services Policy
and Procedure Manual.
12. Add Paragraph 7 to Section VI. It is expressly understood and agreed that the
enforcement of the terms and conditions of this Agreement, and all rights of action
relating to such enforcement, shall be strictly reserved to the undersigned parties or their
assignees, and nothing contained in this Agreement shall give or allow any claim or right
of action whatsoever by any other person not included in this Agreement. It is the
express intention of the undersigned parties that any entity other than the undersigned
parties or their assignees receiving services or benefits under this Agreement shall be an
incidental beneficiary only.
13. Add Paragraph 8 to Section VI. No portion of this Agreement shall be deemed to
constitute a waiver of any immunity the parties or their officers or employees may
posses, nor shall any portion of this Agreement be deemed to have created a duty of care
that did not previously exist with respect to any person not a party to this Agreement.
The parties hereto acknowledge and agree that no part of this Agreement is intended to
circumvent or replace such immunities.
14. Add Paragraph 9 to Section VI. The Director of Social Services or designee may
exercise the following remedial actions should s/he find the Contractor substantially
failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy
the scope of work shall be defined to mean incorrect or improper activities or inaction by
the Contractor. These remedial actions are as follows:
A. Withhold payment to the Contractor until the necessary services or corrections in
performance are satisfactorily completed;
B. Deny payment or recover reimbursement for those services or deliverables which
have not been performed and which due to circumstances caused by the
3 Weld County SS-23A Addendum
Contractor cannot be performed or if performed would be of no value to the
Social Services. Denial of the amount of payment shall be reasonably related to
the amount of work or deliverables lost to Social Services;
C. Recover from the Contractor any incorrect payment to the Contractor due to
omission, error, fraud, and/or defalcation by deducting from subsequent payments
under this Agreement or other agreements between Social Services and the
Contractor, or by Social Services as a debt to Social Services or otherwise as
provided by law.
15. Add Paragraph 10 to Section VI. The contractor shall promptly notify Social Services in
the event in which it is a party defendant or respondent in a case, which involves services
provided under the agreement. The Contractor, within five (5) calendar days after being
served with a summons, complaint, or other pleading which has been filed in any federal
or state court or administrative agency, shall deliver copies of such document(s) to the
Social Services' Director. The term "litigation" includes an assignment for the benefit of
creditors, and filings in bankruptcy, reorganizations and/or foreclosure.
IN WITNESS WHEREOF, the parties hereto have duly executed the Addendum as of the day,
month, and year first above written.
ATTEST: " ^'�f �r�'I/�G:�r�i/(
Weld County C ,d
wt► �� WELD COUNTY BOARD OF
11861 k,� SOCIAL SERVICES, ON BEHALF
• ito ` OF THE WELD COUNTY
A $ DEPARTMENT OF SOCIAL
S1��Set SERVICES
By: 'EPY76D7r By:
Deputy Clerk to the Board William H. Jerke Chair Pro-Tem
08/29/2007
CONTRACTOR
Reflections For Youth, Inc.
PO Box 1860
Berthoud CO 80513
By;„) ' L
WELD COUNTY DEPARTMENT
4 Weld County SS-23A Addendum
c>700 2- a 7P b
OF SOCIAL SERVICES
By:
irector
5 Weld County SS-23A Addendum
Exhibit A
Reflections for Youth, Inc.
"Discovering the Power of Positive Choice"
P.O. Box 1860
Berthoud, CO 80513
(970) 344-1380 (p) (970) 344-1394 (f)
(1) Scope of Service:
An agreement has been reached between Weld County DSS and Reflection for
Youth, Inc. for the purchase of four guaranteed beds during the fiscal yea?t, 2007 —
June 30, 2008. It is understood that the emphasis is on placements for females but can be
used for males as well provided that less than four females are in placement. It is further
understood that Weld County DSS can place additional youth in placement at Reflections
under the existing placement contract and provided that space is available at the time of
the referral.
C. Scope of Service Wilderness: RFY Wilderness TRCCF program is open to any
female youth requiring a well structured community-based program, consistent
supervision, therapeutic/mental health services, and extra support educationally. An
I.E.P. is preferred but not required. Youth who are dependent, neglected, abused or
delinquent are considered for admission. Typically such youth will demonstrate
behavioral and emotional difficulties and have a history that involves one or more of the
following: family conflict/dysfunction, physical abuse, sexual abuse, running away,
substance abuse, sexual acting out, oppositional/conduct difficulties, self-defeating
behaviors/activities, delinquent acts and adjudications and learning disorders. Reflections
employs a contracted child psychiatrist and accepts youth currently taking and/or in need
of psychotropic medications. All medication evaluation and management appointments
are billed directly to Medicaid. Reflections will not reject any referral solely on the basis
of the youth's psychiatric/emotional history, placement history, committed delinquent
acts and/or adjudications and/or running behavior. Youth with an extensive history of
aggression to self and/or others and requiring repeated restraint for the protection of self
and others, as well as adjudicated sexual offenders will be assessed on a case-by-case
basis. Reflections will work with sex offenders and all staff are certified in Informed
Supervision and Therapeutic Care for Juveniles that Sexually Offend. Reflections for
Youth, Inc. contracts with two separate agencies that work to provide SOMB approved
sex offender support and employs a licensed therapist that provides Informed Supervision
and Therapeutic Care training to all staff and families of youth placed in our facility.
Reflections for Youth, Inc. also employs a master's level therapist that has completed the
six-day Kempe Center, SOMB approved training as a necessary step in becoming a
SOMB fully operating offender therapist.
Youth with full-scale IQ below 70 and youth requiring routine emergency medical
assistance(diabetic, seizure disorders, etc) will also be assessed on a case-by-case basis.
Actively suicidal or homicidal youth will not be accepted until the criteria for 27-10 is no
longer being met. Reflections maintains the right, after screening and appropriate
Exhibit A
professional discussions, to the deny acceptance of a referral with either or both of the
described issues.
Reflections Wilderness offers a 17 session Teen Life Skills Health Education Program
curriculum to all female youth in the residential program. The curriculum is designed so
that new youth can enter the curriculum at anytime and continue through the completion
of the curriculum. The curriculum is as follows:
• Our bodies, Ourselves
• Reproduction 101
• Hormones 101
• What's Happened to My Self-Esteem?
• What Do I Value?
• Choices and Conscious Decisions—Intentionality
• How Can I Be Assertive Without Being Aggressive?
• Sexuality
• Contraception
• Sexually Transmitted Diseases
• Are You or Are Not You My Friend?
• Dating Violence
• Sexual Exploitation
• Free to Be, You and Me
• Identifying and Understanding Eating Disorders
• Women's History is Now My History
• Joumaling My Story. It is Important!
Reflections believes it is important to offer gender specific programming because
albeit some of the issues facing adolescents today are similar, most research agrees that
females in our society face a certain specific set of issues, different from those of
adolescent males. Some of the issues discussed and processed in the curriculum may
even be the same issues but within the gender specific programming they are looked at in
a different way and from the female adolescent perspective
Minimum ratios of 4:1 are maintained at all awake times during all awake non-school
hours. During the weekday hours of approximately 8:00am to 6:00 p.m. the 4:1 ratio is
enhanced with the presence of House Managers and Therapists on site. On-call support is
available at ALL times. The ratio is 8:1 for overnight awake shifts at the Wilderness
Treatment Facility.
Roles for each staff are as follows. The House Manager is responsible for the
supervision of all staff and insuring the program is following the state and placing agency
guidelines and the mission and treatment philosophy of Reflections for Youth, Inc. The
House Manager is charged with the authority to implement, evaluate, and ensure
consistent application of policy and procedure within the group home/treatment center.
Of highest priority is safety of the residents. The House Manager is responsible for the
curb appeal, interior cleanliness, maintenance, and overall appearance of the home and
property. In addition the House Manger is responsible for the overall quality and
• Exhibit A
effectiveness of the treatment milieu. In addition to working direct care with the residents
in place of any Child Care Worker position.
The Associate House Manager is responsible to cooperate with the House Manager
and ensure a safe, nurturing environment for residents, as well as providing direct milieu
counseling support. Further, the AHM must be able to step-in and continue with the
consistence application of polices and procedures as well as state regulations should the
HM be absent, and/or for any absent Child Care Worker.
The Special Education Teacher is the primary staff responsible for classroom
instruction as well as assistance to the Educational Director regarding the student testing,
IEP process, and student transcripts.
The Teachers Assistant/Day Counselor is responsible for assisting the Special Ed.
Teacher with classroom instruction and management and also to be available for
transportation and at times of planned interventions or crisis to supervise youth that are
not involved in the school program due to behavior problems, illness, outside
appointments or other approved reasons.
The Child Care Worker/Milieu Counselor is responsible to assist with daily
scheduling and routines; to provide encouragement and motivation; to facilitate personal
development and maturation by modeling behavior, appropriate social skills, restorative
justice in the milieu and problem solving skills; and to implement behavior management
and modification techniques, including a phase system as warranted. The Overnight
Child Care Workers has the same responsibilities and additionally needs to check on the
residents every 15 minutes and document accordingly to ensure safety.
Therapists have responsibility to provide individual and family therapy to the
residents assigned by the Clinical Directors as a"case load". They assess, write and
document monthly treatment plans and therapy notes. They maintain contact with the
caseworkers, probation officers, and GAL's, and provide family support during non-
therapy times as needed. They have regular bi-weekly consultation with residential staff
support meetings and are available as needed. Therapists are available for crisis
intervention within the milieu. Therapists complete after-care agreements with residents
and their families. They oversee discharge planning with external systems and complete
discharge summaries. They are responsible for all required documentation and record
keeping. They maintain their licensure as LCSW, LMFT or LPC and actively seek
educational opportunities and offer Medicaid eligible individual, family and group
therapies to all TRCCF youth in placement.
All program staff that support the program at each of the facilities but are not directly
assigned to any one facility are as follows; Executive Director, Educational Director,
Treatment Coordinator, Medical Services Coordinator and Client Services Coordinator.
The Executive Director is responsible for the supervision of the daily operation of the
program at Reflections for Youth, Inc. The Executive Director is held accountable for
census, IEP status, staffing patterns, resident and employee record keeping, treatment
plans for clients, and operating budget compliance. In addition, it is the responsibility of
the Executive Director to maintain a professional operation while constantly seeking to
• Exhibit A
improve services and operational systems. Reflections' Executive Director is also a
Licensed Professional Counselor and is available for TRCCF level Medicaid services that
include individual therapy sessions and group therapy at this time. The Educational
Director is the leader of the educational team. The Educational Director is responsible
for curriculum, teacher quality, and the maintenance of an excellent learning
environment. In addition, the Educational Director is charged with the authority to
implement, evaluate, and insure consistent application of corporate policy and procedure.
The Educational Director also attends a majority of all twice monthly treatments planning
sessions and staffings. The Treatment Coordinator is a new addition to our team and
oversees the non-Medicaid billable mental health services offered in the program. These
include attending facility specific meetings and treatment team meetings to ensure that
milieu-based counseling and support is occurring regularly and that all Family Service
Plans and Discrete Case Plans are being followed and implemented. It also includes
attending monthly staffings to monitor overall progress and to evaluate and change the
Reflections Treatment Plan as needed for the benefit of the client and with the approval
of the treatment team. The Treatment Coordinator gathers information from the Client
Services Coordinator and other collaterals to complete the Initial Treatment Plan as soon
as possible after intake but no later that 14 days after intake. The Medical Coordinator
is responsible for ensuring that all policies and procedures that are related to the medical
program at Reflections for Youth, Inc. are in compliance with licensing and are being
followed at all times. This includes ensuring that initial physical, dental and vision
appointments are scheduled timely and that all medication prescriptions are filled and
kept in order. The Medical Coordinator conducts weekly audits of medical charts and
coordinates with the House Manager of each facility to meet the needs of the youth in
care. She also schedules all medication/psychiatric evaluation appointments and provides
information to our Child Psychiatrist from counseling staff, therapists, managers, parents
and placement workers so that he may serve the needs of the youth with all of the
information available. The Client Services Coordinator has responsibilities in the areas
of intake, drug and alcohol education and support services, including initial screening and
testing for youth in need of drug and alcohol services, and within the Family:Family
program at Reflections providing in-home services to the youth and family while the
youth is still in placement at Reflections. As we begin developing our wrap-around
services, the Client Services Coordinator, Therapist, Treatment Coordinator and
Executive Director will be intimately involved in the design and implementation of the
program.
Based on information provided to the state of Colorado Department of Human
Services in the completion of our cost reports for the time periods July 1, 2007—
February 2008, our average length of stay was 121 days. Reflections has worked hard to
provide extensive transition services and planning and offers continuing support services
through our core service home-based option B and day treatment programs to enable
youths to step-down sooner with continuing support. In addition, while a youth is still in
TRCCF level placement, our family:family program is offered as a home-based service
for family support and planning prior to the youth returning home. This is a program in
addition to the Medicaid-billed therapeutic services offered to the family and was
specifically put into place to reduce length of stays as possible and to promote a positive
continuum of care.
•
Exhibit A
•
Reflections for Youth, Inc. operates a state-certified, centralized special
education/regular education school. With a student-to-teacher ratio of no more than 5:1,
and a year-round school offering three full semesters of education, students have the
opportunity to get closer to or achieve the credits necessary for grade level education. A
state curriculum of academics is presented with the goal for each youth to eventually
transfer back to the public school system or to graduate from Reflections Academy.
Reflections Academy employs a master's level, certified school administrator, state-
certified special education teachers and qualified associate teachers. Reflections
Academy assures a continuity of care for each of the youth in residential treatment by
providing education experiences which remediate, maintain and improve academic,
intellectual and social functioning. Educational experiences include occupational and
recreational classes and opportunities as well as academic and remedial classes.
Reflections for Youth, Inc. maintains a professional working relationship with
Colorado Department of Education's Special Services Unit. Reflections operates a
centralized school for its residential students and day treatment students, including female
youth in the girl's adolescent residential program. The school must comply with CDE's
teacher and administrator licensing requirements, state and national curriculum standards,
the administration of CSAP testing each calendar year, October 1 and December counting
reports, Title I compliance,No Child Left Behind, Special Education Law (IDEA) and
FAPE (Free and Public Education).
Reflections for Youth's educational program consists of a minimum of 6.5 hours of
school daily and is offered year round. Students do not attend on regularly scheduled
holidays and teacher workdays throughout the year. Upon entering the program, teachers
and educational staff use a variety of formal and informal measures to assess student
growth and achievement on a regular basis. When a student enters without an I.E.P. or if
further testing is appropriate, a wide range achievement test is administered and scores
are used for making education placement decisions. At the time of intake into the
educational program, requests are immediately made for past school records, including a
current I.E.P. if applicable and the student's home school is notified of the placement.
The I.E.P. is reviewed for compliance and used as-is if appropriate. If the I.E.P. is out of
compliance, an annual or triennial review will be scheduled in cooperation with the
student's district of residence.
Reflections for Youth teachers are state certified Special Education Generalists. All
teachers are either master's level educators or are working towards their master's degree
in special education and teacher preparation(Temporary Teacher Equivalency
credentialed). Classroom paraprofessionals have at least a bachelor's level education and
are state substitute certified. RFY also employs a Title I Reading Specialist on a yearly
basis to meet the needs of students struggling with reading and mathematics. Reflections
for Youth's educational program is overseen by a master's level Special Education
Director and RFY employs master's level therapists only.
(2) Daily Rate for Service:
Exhibit A
Reflections for Youth, Inc. daily rate for service will be the anchor rates that the state
has established of$161.44 for all three of our facilities; Wilderness, Prairie View and
Grismore respectively. This rate does not reflect the fee-for-service piece that is billable
directly to Medicaid.
(3) Menu of Services:
Additional fees that were paid last year and once again asked for this year include
drug and alcohol services, if needed based on history, initial testing and CCAR and
beyond education and for specific offender service treatments. An additional $9.75 per
day is requested if drug and alcohol services, beyond education, are needed. This can be a
negotiated rate depending upon level of service that is needed. Reflections is in the
process of becoming ADAD certified and is expecting certification by October 2007.
What follows is an entire description of the drug and alcohol program offered at
Reflections for Youth, Inc.
The Drug and Alcohol program is a divided into educational and treatment service
components. The therapeutic and treatment portion is named the Substance Abuse and
Dependency Program. Clients in the Substance Abuse and Dependency Program also
receive the services offered in the Drug and Alcohol educational program. In this way
Reflections for Youth, Inc. offers Education program, Comprehensive prevention
program, Intervention program and Treatment level program.
The mission of Reflections for Youth, Inc. Drug and Alcohol Program is to provide
education and access to prevention services to every youth in the community based
residential and day treatment programs. These services are provided through weekly
educational/support and therapy groups. Educational groups are facilitated by a CAC I or
Milieu Counselor. Educational services are initiated at intake as students are
immediately enrolled in a once weekly class. (Educational Program) Prevention services
and support/therapy groups are conducted by CACII, CACIII or licensed therapists.
Access to these services is determined by the administration of an assessment tool
(SASSI), DSM IV diagnosis, interviews with the client, family and Case Worker, and a
history/documentation review. These initial assessments are conducted by a CAC II level
staff member. Once the assessment procedures are completed a licensed therapist
recommends that the resident either participate in only the educational portion of the
Drug and Alcohol Program or the Substance Abuse and Dependency Program. Random
UA screenings are provided by Reflections for Youth as part of the residential program.
In most circumstances youth classified as experimental users will be eligible to
participate in the weekly coping skills group. This group includes the skills portion of the
DBT model and incorporates educational and prevention components, such as safety
planning, cognitive distortions and further education not included in the educational
services. This group is facilitated by a licensed therapist and/or CAC II level counselor.
The decision for this level of program involvement will be made by the Reflections
clinical team, Substance Abuse and Dependency Program staff and the Client Manager.
(Comprehensive prevention program and Intervention Program) Anyone deemed as
"dependent" on the SASSI Assessment is required to attend AA or NA meetings in their
• Exhibit A
home environment while on home passes, and get a sponsor. They must have a 12 step
attendance form signed and have sponsor make contact with the facility to speak with the
House Manager of Client Services Coordinator. For youth involved in need of the
Comprehensive prevention and Intervention program, recommendations may be made
and requirements put in place for the youth(s) to attend AA or NA in the community
while in placement in addition to during times of home visits.
The mission of Reflections for Youth's Substance Abuse and Dependency Program is
for each participant to understand the power of a sober life by developing coping
strategies independent of substances, developing healthful ways to think about the world
and themselves, identifying and addressing any underlying causes to the dependent
behavior, and by creating personal situations that sustain abstinence and a healthy
lifestyle. The additional services provided above the educational and coping skills
component are weekly therapy group; every third week art therapy group conducted by a
CAC III, access to individual support sessions with CAC II level counselor, and focused
cognitive behavioral assignments for individual and family therapy. The therapeutic
assignments assist the individual to identify their cycle of abuse(triggers, cognitive
distortions and unhealthy coping strategies), the underlying causes of their
abuse/dependency, the specific belief systems that create their cycle of
abuse/dependency, and the provocation of thinking about their future in planning for a
life of abstinence from drugs and alcohol.
For youth that are referred to the program and in need of drug and alcohol services
beyond education, there is an additional daily rate charge of$9.75/day.
The therapy group is structured to protect the safety of its members by requiring that
the Pt cognitive behavioral therapy assignment is completed and that all members have
respectfully put effort into and participated in the educational and coping skills group.
Additionally, students are required to have reports from staff and their therapist that
indicate they practice and use the coping skills discussed in the group. These
requirements help create a safe group where participants are able to talk openly about
their underlying causes and provide support or feedback regarding their belief systems
that are not conducive to sobriety. All members of the program generate safety plans
prior to passes and members of the abuse and dependency program must complete their
relapse prevention plan to successfully complete the program. (Treatment level program).
Because the Substance abuse and dependency program is tied to the residential
program, therapeutic, educational and milieu services are provide conjointly. Substance
abuse program members have milieu goals that focus on their substance use in addition to
any other behavioral or emotional concerns.
In the event an offender youth is placed by Weld County DSS, Weld County DSS
would have an option of contracting with the S.O. provider directly for all services,
including polygraphs and other services required as part of the SO treatment and pay
directly to the provider or could contract with Reflections at a cost of$31.40 per day and
Reflections would pay all provider costs for therapy, attending staffings, court, etc.,
including polygraphers, and any additional staff or services involved.
L3/41.4%*
( ju1f liII DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
I
GREELEY, CO. 80632
Website:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
WI D O Fax Number(970)353-5215
•
COLORADO
MEMORANDUM
TO: David E. Long, Chair Date: August 23, 2007
Board of County Commissioners (( y
FR: Judy A. Griego, Director, Social Services 601.E a Aitit
RE: Addendum to Agreement to Purchase Resid ptial Child Care Facilities
(RCCF)/Therapeutic Child Care Facilities (TRCCF) Services with
Reflections for Youth, Inc.
Enclosed for Board approval is an Addendum to Agreement to Purchase RCCF/TRCCF Services
between the Weld County Department of Social Services(Department)and Reflections for
Youth, Inc. The Addendum was reviewed at the Board's Work Session held on July 23, 2007.
A. The rates are based on State vendor rates for child maintenance, administrative
maintenance and services. Medicaid provides for therapeutic services on a fee for
services basis for TRCCF care.
Provider ID TRCCF RCCF
Number Rate Rate
1. Reflections for Youth #1530131 $161.44/day $161.44/day
B. The term of the Addendum is August 1, 2007 through June 30, 2008.
C. The source of funding is Child Welfare funding.
D. Reflections for Youth Addendum provides for payment of four guaranteed beds to assist
in the Department's continuum of care efforts. These beds will be used for females who
are ages 12-16 and who are requiring offense specific services
If you have any questions, please telephone me at extension 6510.
Hello