The URL can be used to link to this page

Browse Search

Home My WebLink About20072794.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 Tennyson Center for Children and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this /s day of Jut ty , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#45205, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$178.08 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$178.08 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County: 2007-2794 • • 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: 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; 2 Weld County SS-23A Addendum • • • 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 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. 3 Weld County SS-23A Addendum • 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: 14 /471 41 Weld Count" oard WELD COUNTY BOARD OF r SOCIAL SERVICES, ON BEHALF 9,I C i` �� ._.� OF THE WELD COUNTY DEPARTMENT OF SOCIAL �&mil �4� SERVICES ♦..rl By: By: Deputy Cler1..o the Board David E. Long, Ch r S 0 5 2007 CONTRACTOR Tennyson Center for Children 2950 Tennyson St Denver, C 21 -3 9 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: erector ` IJ 4 Weld County SS-23A Addendum Tennyson Center for Children at Cavil Ulristiai one Exhibit A Residential Treatment Program Program Description The Residential Treatment Program is a 24-hour therapeutic program for children ages 5-14 with significant emotional and behavioral disturbance. The program provides a highly structured and nurturing environment with professional staff that provides an integrated model of therapy, education, health, spiritual growth, and recreation. Children live in cottages with a capacity of no more than 12 residents, and attend the on-grounds school. The program is designed to help children and families resolve conflict, establish safety, overcome trauma, develop successful coping skills, and prepare for reunification. We seek to help each child move successfully to a permanent family living situation. Program Philosophy The Residential Treatment Program relies on the following philosophies and principles of practice: ➢ The Tennyson Demandments—Our core values and expectations of all employees ➢ Positive&Strength-Based Behavioral Interventions with Children ➢ Systems Approach to Services— Focus on the Individual, Family, and Community ➢ Respect for Each Family's Unique Culture ➢ Use of the Least Restrictive Intervention to Meet Child and Family Needs • Trauma-Informed Assessment and Treatment Included Services • 24 hour supervision in a highly structured living unit (staffing ratio of 1 to 4) • Individualized treatment planning and monthly treatment reviews • Case management and coordination with community resources • Individual therapy by Masters level clinician (weekly) • Family therapy by Masters level clinician (weekly) • Parent support and education • 24-hour on-call crisis support for families • Daily social skills groups • Specialized group therapy by Masters level clinician (twice weekly) • Psychiatric care, including medication evaluation and management • Optional spirituality/ faith development programming • Optional individual mentoring from community volunteers • Fully-accredited on-grounds school, including special education services • Academic instruction designed to meet individual needs • School transition planning and support • Summer social skills and recreation program • Access to aftercare and outpatient services Admissions Criteria *Please see the Centralized Admissions Policy for information regarding program eligibility Admissions Contact: Cindy Studebaker 720-855-3353 Rate $178.08/day — Our current state-approved rate for TRCCF care. The only additional fees negotiated would be for psychological testing on a case-specific basis. R' WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of theAgreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#49487, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis,based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); ] Weld County SS-23A Addendum o2 279Y 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County SS-23A Addendum 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: 1Lti's :_ Weld County tist.it n d . `P," WELD COUNTY BOARD OF 861 SOCIAL SERVICES, ON BEHALF f ��1 i "g OF THE WELD COUNTY /015\i,�� , DEPARTMENT OF SOCIAL / -i G�l�BY: iltifrit.it- By: 6, Deputy Cler t1C o the Board David E. Long, a. SE 0 5 2007 CONTRACTOR Third Way Center PO Box 61385 Denver O 8020• By: . WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: QeQ9 \\ v 4 Weld County SS-23A Addendum VIA 0, 2794 • Exhibit A x +" Third Way Center - Yorke' ..,F ....roe. Facility Information Facility Name: York Parent Company (If applicable): Third Way Center Daily Rate: $176.60 Director: David F Eisner Facility Main Phone: (303) 780-9191 Facility Fax Number: (303)780-9192 Facility Address: PO Box 61385,Denver CO 80206 Placement Referral Contact Name: David F Eisner Placement Referral Phone: (303) 780-9191 x 460 Web Page: www.thirdwaycenter.org General E-mail Address: info@thirdwaycenter.org Licensed as/by: ® RTC ® RCCF ® Medicaid ® ADAD program Information Genders Served: ® Males ®Females Ages Accepted: 13-18 Placement Disqualifiers: Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Number of Beds: 16 youth Treatment Services Provided: ®MH ® Boys ® Girls ® Sex Off ® D&A Tx Program Description: Treatment Services: All clients receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 6-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups,Males Group,Females Group,DYC Group,Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse), Sexual Perpetration Group(2 per week),Grief Group,Independent Living Group,Family Support Group,and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations,co-facilitate groups,conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community,milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu,and can be observed,addressed,and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background,goal setting(short and long term)and assessing community resources. Individual job coaching is provided during each stage of the job search, including:picking up applications,completing and submitting applications,and interview preparation. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. The average length of stay is 6 months. •• Exhibit A Education Services: At admission,Third Way Center works with the client manager to develop an educational plan for each client. Third Way Center operates our own certified high school,The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative-building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Third Way Center offers in-house GED programming but when appropriate,we also access community based high schools and GED programs. The GED programs we use are Emily Griffith,Empowerment Program,and Northeast Women's Center. In addition,each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process,course selection,and coordinating the use of academic support services. We have clients who attend local community colleges,Metro State,technical colleges and other universities. Program Overview: Third Way Center is a non-profit agency that has a 37-year history of providing community based de- institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Therapeutic Residential Child Care Facilities. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is step down program from our Lincoln Street facility that helps clients emancipate into their own apartment or with family reunification. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations,medication prescribing and monitoring,individual,group and family therapy,teaching of independent living skills,substance abuse counseling, vocational counseling and recreational programming. In addition, we have 14 years of experience serving teen mothers. Currently we serve up to thirteen teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Our senior staff averages 25 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 30 years. York,Pontiac and Lincoln facilities are centrally located in Denver County and we have a 37 year positive history working with the Colorado Department of Human Services. York,Pontiac, Lincoln,and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. All clients receive appropriate mental health services. This includes initial psychiatric evaluation,medication evaluation,medication prescription and monitoring,and professional supervision and treatment planning. We have two full-time psychiatrists on staff who directly do all the psychiatric and medication assessment. In addition there is our Clinical Director(LCSW,CACIII, SOMB board certified)and Assistant Clinical Director(LPC) who do all supervision with the psychiatrists. Our Drug and Alcohol Treatment Coordinator(LCSW,CACIII) supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of 0 uu 4 , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#65346, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis,based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum O7109- a79y • 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 W. 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: 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; 2 Weld County SS-23A Addendum • • 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 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. 3 Weld County SS-23A Addendum - 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: ataki .� Weld Cou Cl - �• -�?� i ( 5l i' _.,) WELD COUNTY BOARD OF 1 =`.>r �� SOCIAL SERVICES, ON BEHALF el Fe OF THE WELD COUNTY \ \74 ' DEPARTMENT OF SOCIAL SERVICES 6—By: � GC By: _ Deputy Cler o the oard David E. Long, hair SE 0 5 2007 CONTRACTOR Third Way ter PO Box 6 8 Denver, 06 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: D rector +At J A Weld County SS-23A Addendum Exhibit A s , ' Third Way Center - Pontiac Facility Information Facility Name: Pontiac Parent Company (If applicable): Third Way Center Daily Rate: $176.60 Director: David F Eisner Facility Main Phone: (303) 780-9191 Facility Fax Number: (303) 780-9192 Facility Address: PO Box 61385, Denver CO 80206 Placement Referral Contact Name: David F Eisner Placement Referral Phone: (303) 780-9191 x 460 Web Page: www.thirdwaycenter.org General E-mail Address: info@thirdwaycenter.org Licensed as/by: Z RTC ® RCCF ® Medicaid Z ADAD PrcQram Information Genders Served: ® Males ® Females Ages Accepted: 13-18 Placement Disqualifiers: Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Number of Beds: 16 youth Treatment Services Provided: ZMH ®Boys Z Girls Z Sex Off ® D&A Tx Program Description: Treatment Services: All clients receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 6-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups,Males Group,Females Group,DYC Group,Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse),Sexual Perpetration Group(2 per week),Grief Group,Independent Living Group,Family Support Group,and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations,co-facilitate groups,conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Each child receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community,milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu,and can be observed,addressed,and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background,goal setting(short and long term)and assessing community resources. Individual job coaching is provided during each stage of the job search, including:picking up applications,completing and submitting applications,and interview preparation. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. The average length of stay is 6 months. Exhibit A Education Services: At admission,Third Way Center works with the client manager to develop an educational plan for each client. Third Way Center operates our own certified high school,The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. Through small class sizes,individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative-building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem,service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. When appropriate,we also access community based high schools and GED programs. The GED programs we use are Emily Griffith,Empowerment Program,and Northeast Women's Center. In addition,each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process,course selection,and coordinating the use of academic support services. We have clients who attend local community colleges,Metro State,technical colleges and other universities. Program Overview: Third Way Center is a non-profit agency that has a 37-year history of providing community based de- institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Therapeutic Residential Child Care Facilities. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is step down program from our Lincoln Street facility that helps clients emancipate into their own apartment or with family reunification. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations,medication prescribing and monitoring,individual,group and family therapy,teaching of independent living skills,substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to thirteen teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Our senior staff averages 25 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 30 years. York,Pontiac and Lincoln facilities are centrally located in Denver County and we have a 37 year positive history working with the Colorado Department of Human Services. York,Pontiac, Lincoln,and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. All clients receive appropriate mental health services. This includes initial psychiatric evaluation,medication evaluation,medication prescription and monitoring,and professional supervision and treatment planning. We have two full-time psychiatrists on staff who directly do all the psychiatric and medication assessment. In addition there is our Clinical Director(LCSW,CACIII, SOMB board certified)and Assistant Clinical Director(LPC)who do all supervision with the psychiatrists. Our Drug and Alcohol Treatment Coordinator(LCSW,CACIII) supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. A WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of tT /4/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#77810, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum 070..07- d7�y 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County SS-23A Addendum 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: ,a4/ ,''o ''r. Weld Count `►` :! ^,!!.ge+ 1161 "3-14..9 % WELD COUNTY BOARD OF v SOCIAL SERVICES, ON BEHALF fW OF THE WELD COUNTY �� ; DEPARTMENT OF SOCIAL Uvr SERVICES By: By: c3- Deputy Clerk o the Board David E. Long, Cha P 0 5 2007 CONTRACTOR Third Way Center PO Box 6 85 Denver, 9 O :5 I6 By: �L WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: - a nJ i ector 4 Weld County SS-23A Addendum _ ,ono7.4?794 • • Exhibit A ' t Third Way Center— Lincoln Street Apartments Facility Information Facility Name: Lincoln Street Apartments Parent Company (If applicable): Third Way Center Daily Rate: $176.60 Director: David F Eisner Facility Main Phone: (303) 780-9191 Facility Fax Number: (303) 780-9192 Facility Address: PO Box 61385, Denver CO 80206 Placement Referral Contact Name: Renee Johnson Placement Referral Phone: (303) 780-9191 x 462 Web Page: www.thirdwaycenter.org General E-mail Address: info(cithirdwaycenter.org Licensed as/by: ® RTC ® RCCF ® Medicaid ® ADAD IDrcQram Information Genders Served: ® Males ® Females Ages Accepted: 16-20 Placement Disqualifiers: Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Number of Beds: 23 youth+up to 2 children of clients Treatment Services Provided: ZMH ® Boys ® Girls ® Sex Off Z D&A Tx Program Description: Treatment Services: Programming at the Lincoln Street Apartments features the same fundamental therapeutic services that are offered at York,Pontiac and Teen Mom House but adds on a greater emphasis on the acquisition of independent living skills. Clients live in a secured building staffed around the clock by a multidisciplinary treatment team. The residents have keys to their own apartments,they sign a lease,and pay thirty percent of their monthly net income for rent. Staff work closely with the residents to budget the remaining seventy percent of their income for groceries, transportation,entertainment and savings. This program enables clients to practice living on their own while still receiving the intensive therapy and structured environment that they need to succeed. All clients who are classified as Level B receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 6-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups,Males Group,Females Group,DYC Group,Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse),Sexual Perpetration Group(2 per week),Grief Group,Independent Living Group,Family Support Group,and Parenting Group. We work with Redirecting Sexual Aggression to do psycho-sexual evaluations,co-facilitate groups,conduct plethysmagraphs and polygraphs for our sexual perpetrators. We are limited to how many clients with these issues we can take per house. Each client receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community,milieu therapy is conducted on a 24/7 basis. Their negative interactions,which caused their placements, are often replayed in the milieu,and can be observed,addressed,and treated on a therapeutic level. All therapy is Exhibit A either conducted or supervised by a licensed therapist. Third Way Center also has all-inclusive services,which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups. At all our facilities,with staff supervision,the clients do the menu planning,cooking,cleaning,and grocery shopping. We also address issues such as budgeting,using public transportation,and banking. This is a hands-on approach that requires client participation(i.e.most of our clients use public transportation,have joint bank accounts with our staff and are required to save 80%of their paychecks and appropriately budget the rest). At our Lincoln facility,each client is required to attend 12 independent living groups and display competencies in the following areas: cleaning, apartment comfort,hygiene,apartment information,cooking and menu planning,shopping and food storage, budgeting skills, savings and checking,school and work,being alone and support systems,leisure time and time management,conflict resolution and anger management. These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background,goal setting(short and long term)and assessing community resources. Clients attend weekly groups pertaining to career exploration,employment and job hunting skills. Once a client is determined to be ready to seek employment he/she will attend a 5-8 session seminar which covers: interviewing skills,including videotaped practice interviews;resume writing;job hunting;filling out job applications;career exploration;job retention;and how to access community resources available to them. Individual job coaching is provided during each stage of the job search, including:picking up applications,completing and submitting applications,and interview preparation. There is a vocational/educational resource room that has educational and financial aid information,software for ACT, SAT reading skill development,GED preparation, career exploration,keyboard skills,and post secondary educational and vocational training resources. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed, including Vocational Rehabilitation,Job Corp,Youth at Work,Mile High Youth Corp,One Stop Career Centers, Safe City,Goodwill's Earn and Learn,Youth Biz, Summer Scholars,Governors Summer Job Hunt,Art Street, Elitches Summer Job Program,Arapahoe/Douglas Works,Women's Bean Project,and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. The average length of stay is 6 months. Education Services: At admission,Third Way Center works with the client manager to develop an educational plan for each client. Third Way Center operates our own certified high school,The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. All our teachers and supervisors either have their P P Masters in Special Ed or have a T.T.E. Through small class sizes, individualized attention and close work with the treatment team, students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative-building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem,service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Third Way Center offers in-house GED programming but when appropriate,we also access community based high schools and GED programs. The GED programs we use are Emily Griffith,Empowerment Program, and Northeast Women's Center. In addition,each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process,course selection,and coordinating the use of academic support services. We have clients who attend local community colleges,Metro State, technical colleges and other universities. Program Overview: Third Way Center is a non-profit agency that has a 37-year history of providing community based de- institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Therapeutic Residential Child Care Facilities. We also Exhibit A have ten scattered sites apartments in our Next Steps Program. Next Steps is step down program from our Lincoln Street facility that helps clients emancipate into their own apartment or with family reunification. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations,medication prescribing and monitoring, individual,group and family therapy,teaching of independent living skills,substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to thirteen teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Our senior staff averages 25 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 30 years. York,Pontiac and Lincoln facilities are centrally located in Denver County and we have a 37 year positive history working with the Colorado Department of Human Services. York,Pontiac,Lincoln,and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. All clients receive appropriate mental health services. This includes initial psychiatric evaluation,medication evaluation,medication prescription and monitoring,and professional supervision and treatment planning. We have two full-time psychiatrists on staff who directly do all the psychiatric and medication assessment. In addition there is our Clinical Director(LCSW,CACIII, SOMB board certified)and Assistant Clinical Director(LPC)who do all supervision with the psychiatrists. Our Drug and Alcohol Treatment Coordinator(LCSW,CACIII)supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. Exhibit A • , Third Way Center — Next Steps Facility Information Facility Name: scattered site apartments and home-based care Parent Company (If applicable): Third Way Center Daily Rate: Variable(see below) Director: David F Eisner Facility Main Phone: (303)780-9191 Facility Fax Number: (303)780-9192 Facility Address: PO Box 61385, Denver CO 80206 Placement Referral Contact Name: Renee Johnson Placement Referral Phone: (303) 780-9191 x 462 Web Page: www.thirdwaycenter.org General E-mail Address: infona,thirdwaycenter.org profram Information Genders Served: ® Males ® Females Ages Accepted: 16-20 Placement Disqualifiers: Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Number of Beds: 10 youth Treatment Services Provided: ®MH ® Boys ® Girls ® Sex Off ® D&A Tx Program Description: Treatment Services: Next Steps is a two phase step-down program designed for adolescents leaving a higher level of care and those in the foster care system who are in need of transitional independent living services. It was opened to better ease the transition from Third Way Center's Lincoln Apartments into the community and shorten the overall length of care. We have recently added the two phase component to further facilitate a successful transition to independence. The program has the capacity of 10 clients and is directed by a full-time LSW Treatment Coordinator,in addition to a full-time Bachelors Level Counselor. Most clients in the Next Steps program move into apartments in the community. The residents pay a percentage of their income toward rent, with the percentage gradually increasing to help the resident adjust to living on their own. In addition, some clients are reunified with their families and they receive home-based transition services through Next Steps. A case manager supervises the resident's living situation.The amount of time a resident stays in Next Steps is determined by social services and Third Way Center personnel. There is a full-time psychiatrist on staff to both prescribe and monitor medication administration. The doctor will also provide well baby care. And our Lincoln facility offers respite care, 24 hour on call support,and crisis management. Preparation for life on their own is of paramount importance in Next Steps and as part of this goal the life skills groups focus on a variety of independent living topics, such as: ➢ Budgeting ➢ Grocery shopping ➢ Cooking ➢ Cleaning ➢ Employment counseling-short/long term ➢ Educational guidance(finding appropriate educational program) ➢ Finding leisure time activities ➢ Increasing awareness of community resources Exhibit A Phase 1 —($ 72 per day) This encompasses the first 60 days of the program. Services included are as follows: O Staff works with client on apartment hunting. This includes identifying and screening units for safety, affordability,ease of access to work,transportation and resources. Staff also guides the clients through the process,paperwork,and responsibilities associated with signing a rental lease. O Staff conducts daily checks for the first two weeks then daily phone contact afterwards. O Minimum of four physical contacts per week are made(including spot checks at night,and two apartment checks) O Client pays Y2 the monthly rent. O Transportation to appointments, interviews or meetings as necessary. O Therapeutic Intervention-Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include,but are not limited to: Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse), Sexual Perpetration Group(co-facilitated with Redirecting Sexual Aggression),Grief Group, Life Skills Group,and Parenting Group.Next Steps also includes services for teenage mothers. Client participates in the following therapeutic services: o Two-three individual therapy sessions per week. o A weekly family therapy session,when appropriate. o Two—five therapeutic or life skills groups per week. O Medication monitoring and consultation with Dr. Hildegard Messenbaugh. O Weekly work and/or school contact. O Random urinalysis screening O Respite care and 24 hour support services at our Lincoln facility. O If other therapeutic services are needed,such as Offense Specific,this can be negotiated on a case by case basis. Phase 2—($57 per day)This phase begins at the beginning of month three. During this phase the following services are offered: O Staff makes phone contact with client a minimum of 2 times per week. O A minimum of one apartment check per week. O Client pays % the monthly rent. O Therapeutic Intervention-Therapy is conducted by a Master's level therapist employed through Third Way Center. Most of the group therapy is based out of Lincoln to provide for greater continuity. Groups offered include,but are not limited to: Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse), Sexual Perpetration Group(co-facilitated with Redirecting Sexual Aggression),Grief Group, Life Skills Group, and Parenting Group.Next Steps also includes services for teenage mothers. Client participates in the following therapeutic services: o Two-three individual therapy sessions per week. o Weekly family phone contact, when appropriate. o Two—five therapeutic or life skills groups per week. O Medication monitoring and consultation with Dr.Hildegard Messenbaugh. O Weekly work and/or school contact. O Random urinalysis screening O Respite care and 24 hour support services at our Lincoln facility. O If other therapeutic services are needed,such as Offense Specific,this can be negotiated on a case by case basis. Home Based Services—($45 per day) O Staff makes phone contact with client a minimum of 2 times per week. O A minimum of two home visits per week. O Therapeutic Intervention-Therapy is conducted by a Master's level therapist employed through Third Way Center. Group therapy will be provided on an as needed basis. Client participates in the following therapeutic services: o Minimum of one individual therapy session per week. Exhibit A o Weekly family meeting. O Medication monitoring and consultation with Dr.Hildegard Messenbaugh. O Four hours of home therapeutic and case management services O Weekly work and/or school contact,as needed. O Random urinalysis screening O Respite care and 24 hour support services at our Lincoln facility. O If other therapeutic services are needed,such as Offense Specific,this can be negotiated on a case by case basis. O In order to ensure continuity of care,the therapeutic services will be provided by the youth's ongoing therapist from TRCCF care. Psychiatric services will continue to be provided by Dr. Hildegard Messenbaugh. The in-home and case management services will be provided by our Next Steps staff. Education Services: At admission,Third Way Center works with the client manager to develop an educational plan for each client. Third Way Center operates our own certified high school,The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. Third Way Center offers in-house GED programming but when appropriate,we also access community based high schools and GED programs. The GED programs we use are Emily Griffith,Empowerment Program,and Northeast Women's Center. In addition, each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process,course selection,and coordinating the use of academic support services. We have clients who attend local community colleges,Metro State,technical colleges and other universities. Program Overview: Third Way Center is a non-profit agency that has a 37-year history of providing community based de- institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Therapeutic Residential Child Care Facilities. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is step down program from our Lincoln Street facility that helps clients emancipate into their own apartment or with family reunification. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations,medication prescribing and monitoring, individual,group and family therapy,teaching of independent living skills, substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to thirteen teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Our senior staff averages 25 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 30 years. York,Pontiac,Lowry,Lincoln,and the Joan Farley Academy are centrally located in Denver County and we have a 37 year positive history working with the Colorado Department of Human Services. The Teen Mother House is located in Englewood. All clients receive appropriate mental health services. This includes initial psychiatric evaluation,medication evaluation,medication prescription and monitoring,and professional supervision and treatment planning. We have two full-time psychiatrists on staff who directly do all the psychiatric and medication assessment. In addition there is our Clinical Director(LCSW,CACIII, SOMB board certified)and Assistant Clinical Director(LPC)who do all supervision with the psychiatrists. Our Drug and Alcohol Treatment Coordinator(LCSW,CACIII)supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. • WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Pi Facility Services and Residential Child Care Facility Services (the "Agreement") between Third Way Center and Weld County Department of ice. Social Services for the period from Cr July 1, 2007 through June 30, 2008. The following provisions, made this / day of (JJ/y , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1507881, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$176.60 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum a©ov- a79y • 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: 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; 2 Weld County SS-23A Addendum • 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 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. 3 Weld County SS-23A Addendum • 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: Weld Count er o ytyx r sei WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF r�r �_` OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES �, /, By: 4-7n111_,� ,ILCC� By: Deputy Cler to the Board David E. Long, C it SE 0 5 2nm CONTRACTOR Third Way Center PO Box 61385 Denver, 20 By: WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: /fit Qrect\ ici‘ 4 Weld County SS-23A Addendum �nn�J. , 794 Exhibit A =, eP , t ' Third Way Center— Teen Mother House � a �'3 � Facility Information Facility Name: Teen Mother House Parent Company (If applicable): Third Way Center Daily Rate: $176.60 Director: David F Eisner Facility Main Phone: (303) 780-9191 Facility Fax Number: (303) 761-5003 Facility Address: PO Box 61385, Denver CO 80206 Placement Referral Contact Name: Renee Johnson Placement Referral Phone: (303) 780-9191 x 462 Web Page: www.thirdwaycenter.org General E-mail Address: info@thirdwaycenter.org Licensed as/by: ® RTC ® RCCF ® Medicaid Z ADAD IDrcftram Information Genders Served: ❑ Males ® Females Ages Accepted: 14-19 Placement Disqualifiers: Third Way Center may reject persons having a recent history of physical violence, arson, or gang related activity. Number of Beds: 13 females and up to 8 babies Program Description: Treatment Services: Third Way Center has 14 years of experience in serving Teen Mothers. This program offers the same core therapeutic services as York and Pontiac but also focuses on the unique needs of pregnant or parenting teens, including girls who are working to regain custody. The Teen Mother House offers a strong program for learning parenting skills. The treatment team teaches the mothers in small groups,using lectures,demonstrations,videos,and books. Ongoing outings provide our mothers with the opportunity to practice childcare and to look after the general well being of their children with the guidance and supervision of experienced staff. Third Way conducts separate groups to address the girls' needs as mothers and their relationships with their families and the babies' fathers. Fathers are included in counseling sessions when appropriate. All clients receive the following minimum services: • Family Therapy 1-2 hours per week by a Master's Level Therapist • Psychiatric Evaluations and Medication Monitoring 1-2 hours per week • Individual Therapy 2-4 hours per week by a Master's Level Therapist • Group Therapy 6-10 hours per week by a Master's Level Therapist • Independent Living Training 1-5 hours per week Groups offered are three House Groups,Females Group,DYC Group,Drug and Alcohol Group, Special Issues Group(victims of physical or sexual abuse),Grief Group, Independent Living Group,Play Group, Family Support Group,and Mom's Group. Each client receives between 8 and 16 hours of direct clinical service per week. In addition,being a therapeutic community,milieu therapy is conducted on a 24/7 basis. Their negative interactions are often replayed in the milieu, and can be observed,addressed,and treated on a therapeutic level. All therapy is either conducted or supervised by a licensed therapist. Exhibit A • Third Way Center also has all-inclusive services,which address the teaching of survival skills to assist our youth in learning to live independently. This is done both within the milieu and in specific independent living groups. At all our facilities,with staff supervision,the clients do the menu planning,cooking, cleaning,and grocery shopping. We also address issues such as budgeting,using public transportation,and banking. This is a hands-on approach that requires client participation(i.e. most of our clients use public transportation,have joint bank accounts with our staff and are required to save 80%of their paychecks and appropriately budget the rest). These skills are integrated into the treatment plan and are essential for successful discharge into the community. This is an ongoing treatment issue while in placement. In addition,we have a Nutritionist who helps with the menu planning. Upon entry to Third Way Center each client completes an Academic and Employment Assessment. This includes obtaining an educational and employment background,goal setting(short and long term)and assessing community resources. Individual job coaching is provided during each stage of the job search, including: picking up applications, completing and submitting applications,and interview preparation. Follow-up services include staff maintaining contact with employers to address progress and problem solving as well as assisting them in developing community-based resources. Community based services are regularly accessed,including Vocational Rehabilitation, Job Corp,Youth at Work,Mile High Youth Corp,One Stop Career Centers,Safe City,Goodwill's Earn and Learn, Youth Biz, Summer Scholars,Governors Summer Job Hunt,Art Street,Elitches Summer Job Program, Arapahoe/Douglas Works,Women's Bean Project,and Colorado Women's Employment and Education. There is a part-time Career and Academic Development Coordinator that supervises the above listed services and a full-time Vocational/Educational Counselor. The average length of stay is 6 months. Education Services: At admission,Third Way Center works with the client manager to develop an educational plan for each client. Third Way Center operates our own certified high school,The Joan Farley Academy. The Joan Farley Academy provides an environment that addresses our clients' special education needs. All our teachers and supervisors either have their Masters in Special Ed or have a T.T.E. Through small class sizes, individualized attention and close work with the treatment team,students work towards a diploma or GED. JFA faculty uses experiential learning to combine core academics with real life applications. The initiative-building environment allows students to plan and participate in various service learning projects. In addition to building leadership and self-esteem, service learning gives students the chance to explore several career paths and understand the importance of civic responsibility. Third Way Center offers in-house GED programming but when appropriate,we also access community based high schools and GED programs. The GED programs we use are Emily Griffith,Empowerment Program,and Northeast Women's Center. In addition,each client receives individualized tutoring to help them with GED preparation. When a client is ready for post-secondary education,our Vocational/Educational program assists them with visiting and selecting the appropriate college,the application and financial aid process,course selection,and coordinating the use of academic support services. We have clients who attend local community colleges,Metro State,technical colleges and other universities. In addition,we have scholastic scholarships offered in conjunction with Mile High Rotary Club and Guardian Scholars. Program Overview: Third Way Center is a non-profit agency that has a 37-year history of providing community based de- institutionalized residential treatment for adolescents with behavioral and psychiatric disorders. We emphasize an intensive treatment program with the teaching of independent living skills. We offer a continuum of services which leads either to the client emancipating into the community or returning to the home of parent or relatives. Third Way Center operates four residential facilities that are licensed as Therapeutic Residential Child Care Facilities. We also have ten scattered sites apartments in our Next Steps Program. Next Steps is step down program from our Lincoln Street facility that helps clients emancipate into their own apartment or with family reunification. Services we provide in all of our facilities include,but are not limited to psychiatric evaluations,medication prescribing and monitoring, individual,group and family therapy,teaching of independent living skills,substance abuse counseling, vocational counseling and recreational programming. In addition,we have 14 years of experience serving teen mothers. Currently we serve up to thirteen teen mothers at our Teen Mother House and up to two at the Lincoln street facility. Our senior staff averages 25 years of experience at Third Way Center. The Program Founder and Medical Director have been with the program since its inception and the Executive Director has been at Third Way Center for 30 years. York,Pontiac and Lincoln facilities are centrally located in Denver County and we have a 37 year positive Exhibit A • history working with the Colorado Department of Human Services. York,Pontiac,Lincoln,and the Joan Farley Academy are located in Central Denver. The Teen Mother House is located in Englewood. All clients receive appropriate mental health services. This includes initial psychiatric evaluation,medication evaluation, medication prescription and monitoring,and professional supervision and treatment planning. We have two full-time psychiatrists on staff who directly do all the psychiatric and medication assessment. In addition there is our Clinical Director(LCSW, CACIII,SOMB board certified)and Assistant Clinical Director(LPC)who do all supervision with the psychiatrists. Our Drug and Alcohol Treatment Coordinator(LCSW,CACIII) supervises all substance abuse treatment. Our Clinical Director supervises all sexual perpetration treatment. They have direct contact with both the clients and the therapists. Clinical supervision is conducted at a minimum of once per week. The above supervisors are part of all treatment planning. I, WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Turning Point Center for Youth and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the y remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#45179, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum o?N,2 <I4y 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County SS-23A Addendum 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: 4tam Weld Cou IS61 q x`��7�111/42 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY -J L nyt— DEPARTMENT OF SOCIAL _ � SERVICES By: � s ��lLIL By: o Deputy Cl c to the Board Davi E. Long, C ai SEP 5 2007 CONTRACTOR Turning Point Center for Youth 1644 South College Ave Fort Collins, CO 80525 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum Exhibit A Turning Point Center for Youth and Family Development, Inc. 1644 South College Avenue Fort Collins, CO 80525 Agency Overview and Business Experience Turning Point Center for Youth and Family Development, Inc. (Turning Point) is a non- profit 501(c)(3) organization with a positive history of serving Northern Colorado youth and their families for the past 40 years. Turning Point is registered and in good standing as a non-profit organization with the Internal Revenue Service, the Colorado Department of Revenue, the Colorado Secretary of State, and the Colorado Charitable Organizations Registry. Turning Point is governed by a volunteer community Board of Directors, and operates with a specific mission, agency goals, and process for continual quality improvement. Turning Point's residential facilities, education programs, and substance abuse programs are all fully licensed and in compliance with each relevant state and local authority. Turning Point is also accredited at each residential location by the Council on Accreditation of Rehabilitative Facilities (CARF). Turning Point's education programs in Larimer and Weld Counties are approved and in full compliance according to the Colorado Department of Education. Our stand-alone school in Waverly is compliant today with the looming requirements of the federal legislation know as No Child Left Behind. As an agency (and at each location), Turning Point is licensed by the Alcohol and Drug Abuse Division (ADAD) of the State as an intensive outpatient service provider, and is approved and recognized by ADAD as a training and supervision site for those seeking Certified Addiction Counselor (CAC) certification. Today Turning Point offers a diverse continuum of care to meet individual, family, and community needs in the areas of: supervision and oversight, therapeutic needs, education, life skill development, and community reintegration. The continuum of services includes: • residential (PRTF, TRCCF, and RCCF), • day treatment (various combinations of treatment, education, and supervision), • community-based treatment, supervision, and support services (outpatient groups, individual, or substance abuse services), • tracking and day reporting, community integration and lifeskill services, etc. and • family support services (group, individual, and in-home services, therapy, or skill development options). Staff and Volunteers • Exhibit A The essential factor in updating Turing Point's capabilities to meet the challenges of 2007 and beyond is personnel. Turning Point is fully staffed at one hundred forty two FTE, of which one hundred eight (108) are degreed professionals who support and effectively practice our mission and values. Turning Point strives to provide staffing which is congruent with client needs, and have attained general and specific training, certification, and licensure necessary to effectively implement selected best practices with high fidelity. When staffing patterns exceed licensing requirements, it is in order to implement best practice models, ADAD required staffing, and to allow staff to obtain training to implement quality programming. Principles of staffing for services provided under this contract include the following: • Provide staff quantity and quality which meets or exceeds the minimum requirements of licensing, accreditation, and any other governing authority. • Provide staff quantity and quality consistent with the quality standards of evidence- based best practices for the program models being implemented. • Provide staff highly trained in the program models and disciplines being implemented. • Provide continual quality assurance to confirm that models are being implemented with fidelity. • Broadly define staff — to include all from licensed or PhD level program leaders and providers, line staff, specialists, interns, volunteers, and contract partners. Turning Point consistently monitors turnover rates and modifies incentive programs and employee retention strategies. Compensation packages are annually reviewed and deemed competitive. Programs include: competitive wages, tuition reimbursement options, 3% employer contribution to a 403b plan, employee recognition programs ("youth worker of the year", "employee of the month" and supervisor endorsed gift certificates and performance bonuses). Turning Point's compensation package also includes flexible time off, employer contributions toward health care, and a myriad of insurance options. Additionally, Turning Point fully funds group life insurance, long term disability insurance and an Employee Assistance Program. Volunteers are an integral part of the Turning Point "staff" — providing over 24,700 hours of impact last fiscal year. Volunteers may spend up to 40 hours per week in the milieu or classroom, may provide additional therapy to assist with substance abuse or mental health issues, and are always important in community reintegration. Volunteers are offered the same access to Turning Point's Training Center as are staff, in efforts to keep volunteers educated about and able to implement/support the models being implemented in residential and non-residential services. With the Training Center and CAC training and clinical oversight for community CAC candidates, Turning Point saw approximately 2,900 CAC-specific hours last year, and expects that number to at least double for this fiscal year. Turning Point has learned that effective staff and volunteer hours must be delivered, thus the Training Initiative was born in 2005. The Training Initiative comes out of a one of Turning Point's overall agency goals: "to become an exemplary learning environment for our profession" and from the best practice research of Ed Latessa and others which indicates that "whatever the program model, it must be implemented with fidelity and consistency." • • Exhibit A In 2005-2006, the Training Center offered 190 training events and filled over 2600 seats with individuals eager to learn! At least 110 community members attended training and over 220 Turning Point staff and volunteers. While community training is an important part of the mission — especially for Certified Addiction Counselors (CAC) — the initial focus for 2005-2007 is staff and volunteer training for greatest impact on Turning Point programs and clients. 42 Turning Point staff are currently in training for various levels of CAC certification, and training efforts are under way for all of the program models described later in this proposal (Dialectical Behavioral Therapy, Teaching Family Model, Pathways, Community Restorative Justice, best practice principles of Functional Family Therapy and Multi Systemic Therapy, Pathways, Thinking For a Change, and others). The research into best practices, selection of program models, ongoing training efforts for staff and volunteers, and the process for monitoring fidelity and ongoing quality assurance has been a significant initiative for Turning Point over the past 18 months. The transition to best practice models and staff/volunteer training is substantially completed. This benchmark, combined with CJRA input and a flexible approach to client services offered should significantly improve residential outcomes for clients. COMMUNITY RESIDENTIAL SERVICES Turning Point's Community Residential Services are designed to provide therapeutic intervention and support to youth in our licensed TRCCF facilities. Youth at Turning Point have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, emotional problems, personality disorders, affect disorders, substance abuse issues and criminal histories. Turning Point has been successful with youth who have "failed" to complete treatment in other out of home placements. At Turning Point, youth learn to utilize their strengths and skills with the goal of returning to their community as a productive, contributing member. Turning Point serves both male and female youth in separate living environment. The focus of the Male Residential Program combines a Teaching Family Model with a strong cognitive/behavioral approach to utilize the strengths and skills the youth have and to address the thinking patterns and distortions that have led them to make poor choices and to need out-of home placement. The Female Residential Program is based on addressing emotional disorders through Dialectical Behavior Therapy (DBT) as a base from which skills are developed to enhance their daily functioning. Historically, Turning Point's programs have served youth with a history of behavioral, emotional, social, family and school conflict resulting in their acting out behaviorally and/or emotionally. We have developed extensive curriculum to address these issues and typically co-occurring substance abuse issues. Recent efforts have also focused on enhancing their successful transition of these skills to their life once they leave our program. Summary of program components include: • Effective milieu management and safety supervision. • A strong emphasis on substance abuse treatment and support for future relapse prevention. • A flexible approach designed to provide the appropriate level of client care. • Exhibit A • Evidence based best practices implemented at each facility. Current models are: o Thinking for a Change (training in collaboration with PVYSC) o Teaching Family Model o Dialectical Behavioral Therapy o Pathways for Change (for adolescent substance abuse) o Community Centered Services (consistent with MST & FFT best practices) o Community Restorative Justice o Separate, gender-specific programming for males and females Service Components Orientation Upon admission to any of Turning Point's programs, the youth and their parents meet with their Turning Point Case Manager or designee to become oriented to the program and to outline program expectations. They are given a Client Handbook and Parent Handbook and discuss it in detail with a staff member to ensure they understand the program model, guidelines, goals, procedures, and expectations. Additionally they are given a copy of the client rights and grievance procedures during intake and staff review them to ensure the youth and parents know how to utilize them if needed. They are then given a tour of the facility, the youth is assigned a room and introduced to the other residents in the facility. Mental Health Mental health services are provided by a Licensed or Provisionally Licensed Therapist who is supervised by Turning Point's Program Director and overseen by a Licensed Clinical Director. Services include Medicaid funded individual, group, and family therapy addressed in other sections. As youth are stabilized and the need for the frequency of the service decreases, the treatment plan will be adjusted to refocus on community transition. This approach allows youth to access a large variety of services, including ongoing assessment, treatment support, crisis intervention, and coordinated transition to other services. This approach also recognizes the sporadic need youth may have for supplemental mental health services, for instance, at a time of change/stress or episodic crisis. Youth in Turning Point's TRCCF Programs are typically provided with a minimum of: Level A Level B Level C Individual Therapy 2/month 1/week 2/week Group Therapy 1/week 3/week 3/week Family Therapy 1/month 1/week 2/week Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on-sight each week. Our on-site Psychiatrist has extensive experience and knowledge of adolescents with co-occurring disorders. Youth and parents/guardians are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. Parents or guardians are invited to attend these sessions • • Exhibit A with the psychiatrist to participate in the decision to use medications and provide a forum to ask questions and voice concerns. As part of the youth Service Plan, a transition plan is included which includes linking them to appropriate aftercare resources, mental health services and medication resources upon their return to the community. The youth's treatment team works with them to individualize this plan to meet their particular needs. Treatment Services Turning Point will provide the following Base Services as part of the TRCCF rate: • Life skills — daily and additionally as indicated in the Individualized Service Plan • Recreation and leisure - daily • Daily supervision - daily • Milieu therapy - daily • Group Therapy (Non-Medicaid) — weekly • Behavior Modification - daily • Treatment Planning — monthly or as needed • Case Management— as needed • 24 hour awake staffing - daily • Administrative Services (including fiscal management and administrative staff) • Medication management— as needed • Food/nutrition - daily • Crises intervention — as needed • Transportation — as needed • Family services — as indicated in the Individualized Service Plan • Adjunct services — as indicated in the Individualized Service Plan • Room and Board - daily • Restorative Justice / community service — as needed or indicated in the Individualized Service Plan • Transition Planning —throughout placement with Turning Point • Vocational and Job Skills Training and Assistance — as needed or indicated in the Individualized Service Plan • Mental Health services and treatment (Non-Medicaid) — as indicated above or in the Individualized Service Plan • Emancipation services — as indicated in the Individualized Service Plan • Offense-specific treatment (not including sex offenses) — as needed and indicated in the Individualized Service Plan • Gender Specific Programming — daily — see further description below described under Evidence Based Models. Evidence Based Models: Turning Point believes strongly in the need to treat and address male and female clients differently through Gender Specific Programming. Research has shown that when boys get into trouble they lash out, getting into fights, carrying guns, setting fires, etc. The crimes they commit look dangerous and inspire fear. Girls get into trouble more quietly, striking inward through abusing drugs, prostituting, starving or even mutilating themselves, (Office of Juvenile Justice and Delinquency Prevention, 1998; Prescott, 1997; Girls Inc., 1997; Davis, Schoen, Greenburg, Desroches, & Abrams, 1997; Belknap, • Exhibit A 1996). Therefore, it is important not to design programming that is identical for each group. Turning Point is able to physically separate these two populations for housing purposes (see Facility Section of proposal) and to offer separate groups for each population, focusing on the gender-specific approach and needs of each population. Dialectical Behavioral Therapy (DBT): For the Female Residential Program, the curriculum is based on DBT which focuses on needs specific to the profile of the clients in this program. This theory and approach to treatment was developed by Marsha Linehan in 1991. The goals of treatment include reducing parasuicidal (self-injuring) and life threatening behaviors, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that reduced the client's quality of life. DBT believes that some people, due to negative environments during childhood and due to biological factors not yet known, react abnormally to emotional stimuli. Their arousal level goes up higher much more quickly, peaks at a higher level than others, and takes more time to return to a normal level. Because of the negative environment they grew up in, they don't have the methods of coping with sudden and intense surges of emotion. DBT is a method of teaching skills that will help. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT helps those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. Teaching Family Model: In the late 1960's, psychologists Elaine Phillips, Elery Phillips and Montorse Wolf developed and empirically tested treatment program to help juvenile offenders in residential group homes. This is now called the Teaching-Family Model which mirrors a family-like environment while providing structured treatment. TFM views youth behaviors as a result of inadequate or non existent interpersonal relationships and skills. Hence, this approach provides youth with these necessary relationships and teaches these skills. The Teaching-Family Model (TFM) is designed to produce eleven positive outcomes for the youth being served. 1. Opportunities for choice 2. Effective learning opportunities 3. Effective communication 4. Positive relationships 5. Pleasant social environments 6. Pleasant and safe surroundings 7. High level of participation in daily experiences 8. Satisfied consumers 9. Living healthy lifestyles 10. Observance of personal and legal rights Exhibit A 11. Community Involvement. Research indicates that compared to youth in other residential treatment programs, youth in Teaching-Family Model programs have fewer contacts with police and courts, lower dropout rates and improved school grades and attendance. Fixsen, D.L., Blasé, K.A., Timbers, G. D., & Wolf, m> M. (2001). In Search of Program Implementation: 792 Replications of the Teaching-Family Model. In G. A. Bernfeld, D. P. Farrington, &A. W. Leschied (Eds.), Offender Rehabilitation in Practice:Implementing and Evaluating Effective Programs(pp. 146-166). London: Wiley. Wolf, M. M., Kirigin, K. A. Fixsen, D. L. Blasé, K. A., & Braukmann, C. J. (1995). The Teaching-Family Model: A Case Study in Data-Based Program Development and Refinement (and dragon wrestling). Journal of Organizational Behavior Management, Vol. 15, pp. 11-68. Family Services In all of Turning Point programs and facilities a Family Centered Approach is utilized. Family is defined as 'any adult identified as significant in the child's life'. Even if a youth is not returning home the inclusion of the 'family' is crucial in the treatment of the youth. Turning Point supports Child Welfare's goal of 90% reunification with family in 12 months or less and are committed to preparing youth and their families for successful reunification. With the passage of the Adoption and Safe Families Act in 1980, the Family Preservation and Support Act of 1993 and the Safe and Stable Family Program of 1997, the focus has changed to ensuring the safety of the child AND support of their families. When safety is insured, strengthening and preserving families is seen as the best way to promote healthy development of youth. Services focus on families as a whole and address family strengths and how to enhance these strengths. The development and updates of the treatment plan happen with the family present and reunification is the primary goal. The treatment plan will include: assisting families in managing tasks of daily living, adequately nurture children, remedy problem situations and the transition of the youth back to their home and/or community. Drug and Alcohol Turning Point is ADAD licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider. Nearly 90% of the youth accepted to Turning Point have issues with substance abuse. The incidence of co-occurring disorders is so significant that Turning Point developed an in-house faculty of approved CAC trainers, and the agency has been training a majority of our direct care staff as CAC credentialed professionals. Turning Point currently has over fourteen credential addictions staff at Level II and III, and over 40 direct care staff working towards their CAC certification. Turning Point offers as an add on service clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and — where problems have already developed — to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12-Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. Turning Point staff work closely with the community and have direct resources in Alcoholics Anonymous, Narcotics Anonymous, Alanon, Alateen, Exhibit A Team Fort Collins and the Fort Collins Police Department. The desired outcomes for the Drug and Alcohol Program are: • To provide Drug and Alcohol services consistent with assessment needs. • To utilize community services in a continuum of treatment and successful recovery. • To transition the clients successfully into their home communities. • To support clients in developing a recovery plan and experiencing recovery. Pathways at Turning Point and PVYSC: Turning Point and PVYSC have collaborated to offer Pathways to youth within PVYSC, and continue the program upon placement at Turning Point, in order to increase the likelihood of long term success for the youth. Pathways to Self-Discovery and Change (Pathways) was developed to respond to the need for a developmentally appropriate model designed to address substance abuse, mental disorder and/or criminal conduct. Pathways is now recognized as the standard of care for juvenile substance abusing offenders by the Colorado Alcohol and Drug Abuse Division. This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcomes based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). Methamphetamine Program "Meth Track"Description Substance Abuse assessments are included with referral or are made within 10 days of client admission to Turning Point. The options for Drug and Alcohol Services include four different tracks: Education and Prevention; Intervention and Treatment; Relapse Prevention and Methamphetamine (described here). According SAMHSA, Colorado has the sixth highest percentage in the nation of persons over age 12 who need drug treatment, but do not receive it (2003). SAMHSA estimates that about 16,164 Coloradoans aged 12-17 need, but are not receiving treatment. SAMHSA research (1999, 2000) also indicates that Colorado is among the top ten states for illicit drug use by youths aged 12 to 17. The prevalence of Methamphetamine abuse among our clients has motivated Turning Point to develop a specific "Meth Track" within the Substance Abuse Program. Methamphetamine users in treatment have reported physical symptoms associated with the use of methamphetamine including weight loss, tachycardia (abnormal rapidity of heart action), tachypnea (abnormal rapidity of respiration), hyperthermia (unusually high fever), insomnia, and muscular tremors. The behavioral and psychiatric symptoms reported most often include violent behavior, repetitive activity, memory loss, paranoia, Exhibit A delusions of reference, auditory hallucinations, and confusion or fright (SAMHSA, 2003a). In light of the available information, Turning Point has designed the Meth Treatment Program; to meet this set of specialized needs. Clients who are placed on the Meth Track receive up to 20 specific interventions, adjusted for each gender: • Education that is specific to the physical, psychological, neurological, and social impacts of methamphetamine use and recovery. • Focused relapse prevention activities, including the formation of a mentoring or sponsorship relationship with a community member who is in recovery from substance abuse and has a history of methamphetamine use. • If a client is not from Larimer or Weld County, where Turning Point facilities are located, the formation of a mentoring or sponsorship relationship is facilitated in the community to which the client is released after graduating from Turning Point. • Information and guidance specific about nutrition, including assistance in regaining and maintaining a normal body weight, where indicated. • Dietary supplements specific to supporting and rebuilding brain function, including amino acids, omega-3 fish oils, and vitamins. • Education and therapeutic interventions to assist clients in building a healthy body image and counteracting any tendency toward eating disorders that may be enhanced by the weight gain that often follows abstinence from methamphetamine. • Medical intervention for the skin problems related to methamphetamine toxicity, where indicated. • Medication for depression or sleeplessness, where indicated. • Medication with Naltrexone or Buphropion (Welbutrin) anti-craving medications, where indicated. • Dental care and, where needed, intervention and treatment for the tooth-grinding that is related to meth use. • Exercise particularly focused toward impacting brain chemistry by stimulating the brain's production of norepinephrine, a substance with effects that are similar to methamphetamine. The Girls' Program places an emphasis on providing a safe, healing environment that encourages healing relationships, gaining knowledge, and providing tools for improved self-esteem, positive conflict resolution and relationship skills. Meth Program interventions for girls relate to body image, nutrition, eating disorders, and relationship- building. The Boys' Program focuses on a cognitive-based, solution-oriented approach. This focus decreases recidivism rates and is the approach recommended by the National Institute on Drug Abuse (NIDA). Education Turning Point's educational programs are approved by the Colorado Department of Education and are designed to accommodate students with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Turning Point has a 1 to 10 teacher/student ratio. Along with teachers, Educational Counselors, and numerous volunteers from the community staff the classrooms. Many of these volunteers come from Colorado State University and the University of Northern Colorado assists the teachers in individually tutoring the clients. Turning Point also receives federal funds that provide a Title I (literacy) teacher. The Exhibit A Title I program focuses on the students that come in 2 years or more below grade level in literacy (approximately 40% of our student population). This program involves one- on-one direct instruction by a licensed Title I teacher. Turning Point education staff strives to help facilitate successful transitions for our student's back to the public school system. Transition planning begins early in the student's stay at Turning Point through contact with DHS staff, school personnel and discussions in monthly reviews. For students completing their GED or high school diploma, Turning Point offers assistance to students through vocational education and/or post secondary education options. Each student is assessed through the PIAT-R, Educational Interview, and a review of educational records including IEP's. Within the first 10 days of a client's stay, the Primary Teacher, along with the client, will develop educational goals and interventions. These goals and interventions will become part of the Comprehensive Treatment Plan for each client. Clients that receive Special Education services will have goals that revolve around the IEP. The progress on these goals will be documented on a monthly basis during the client's staffing. The PIAT-R is also given at the end of a client's stay to measure the level of improvement shown by grade equivalents. Turning Point's educational programs combine academics with a Service Learning component. Turning Point provides general education courses that correlate directly with Colorado Model Content Standards. All students earn seat hours, which equate to credits that transfer directly back to home schools. Students typically fall in one of three areas including general education, GED, Post-GED. Turning Point utilizes our existing relationships with Front Range Community College, Colorado State University and AIMS Community College to assist youth in pursuing continuing education and obtaining financial aid to further their education. Along with the day to day academics, all students participate in the Service Learning program. The combination of service and learning is powerful. It creates potential benefits beyond what either service and learning can offer separately. Independent Living Youth who are placed on the independent living track are provided additional support and services. Turning Point's program provides intense supervision and surveillance of the youth in the community and improves their compliance through assessments, built- in incentives and sanctions to maintain public safety. The independent living track is individualized for the youth's needs and focus areas. The youth will interact with DHS staff and Turning Point staff who provide role modeling for socially acceptable behavior and support and encouragement. The program is designed to address anti-social beliefs and behaviors and to replace these values with socially acceptable norms that enable the youth to participate in pro-social community involvement. Additionally, youth will be exposed to a healthy, positive network of services that will continue to be in place for them as they are released from DHS and are living unsupervised in the community. Youth on the independent living track have the ultimate goal of living successfully in the community. Each client must be able to demonstrate appropriate skills in order to effectively live on his/her own and remain socially positive. Upon intake, clients are given a Life Skills Assessment inventory that ranks their knowledge and skills at four Exhibit A different levels, 1) Basic, 2) Intermediate, 3) Adequate, or 4) Exceptional. The goal of the life sills section of the service plan focuses on the obtainment of the lacking skills so the youth is ranking at the Exceptional level upon discharge. The client's daily schedule and activities, including school, work and social activities will be monitored by the program staff and will follow the direct service plan outline. The components of the life skills/independent living skills include: • Participation in the weekly Life Skills group. The curriculum for this group includes money management, budgeting, opening a checking/savings account, use of public transportation, access to medical care, learning to shop and prepare nutritious meals and many more areas. • Daily maintenance and cleanliness of the home. • Weekly grocery shopping and menu planning in accordance with healthy food choices and lifestyle. • Weekly budgeting and record keeping of finances, including the paying of bills and opening a joint signature account with a Case Manager. Each client will prepare a monthly budget, which will include rent, food, utilities, clothing, recreation, restitution and savings. Each client will set aside savings in a special account while in the program. • Familiarity with community resources including housing, employment and training, legal information, medical services, mental health services, financial assistance programs, food/meal services, and drug and alcohol treatment. • Familiarity with and the use of the city's public transportation system. Resources include the city bus system, bike trails and taxi services. • Education on sexually transmitted diseases, contraception and family planning. • Through the EOC —financial aid and exploration of furthering their education. • Each client has the opportunity to become First Aide and/or CPR Certified by attending free courses offered by certified Red Cross trainers at Turning Point. Additional educational groups are provided by the counseling staff that address self- development issues, social/interpersonal skills, communication skills, and pro-social recreational skills. These issues will also be addressed on a personal level with the youth during their weekly meetings with their Case Manager and the counseling staff at Turning Point. Transition Turning Point is highly committed to assisting in the successful transition of youth back into the community. We have worked to enhance this area of our programming in all levels of residential care, identified it as an agency goal and built into each member of the treatment team's job description specific duties they are responsible for in the area of their client's transition. The role of treatment team is to be aware of current client population needs by linking with treatment teams in the agency and developing community resources for each client leaving any of our programs. Through this, the client will have a vast amount of resources in their identified areas of need, which could include mental health services, affordable housing, financial assistance, educational resources, 12-step meeting locations, cultural and/or religious centers, recreational and social opportunities, etc. R7/Community Service • Exhibit A In recent years, Turning Point became a leader in the restorative justice movement in Northern Colorado and throughout the state. Collaboration with the Center for Applied Research at Colorado State University resulted in shared staff, added training for Turning Point staff and for community volunteers, and an increased level of community interaction for clients. Turning Point has a committee of staff and community members serving on a Restorative Justice Committee that focuses on implementing Restorative Justice practices into the programs and collaborates with the community to provide restorative opportunities for the clients that Turning Point serves. Community/Restorative Justice has several principles that are different from contemporary criminal justice. First, it recognizes that offenders harm victims, communities and even themselves. Second, it involves more parties in addressing the situation, which includes victims and communities. And third, it measures success by how many harms are repaired or prevented. Allison Morris and Gabrielle Maxwell have done extensive research and writing on restorative justice initiatives in New Zealand. This research identifies family group conferencing as a contributing factor in lessening the chance of re-offending even when other important factors such as adverse early experiences and subsequent life events are taken into account. Turning Point integrates principles from the community/ restorative justice model with the treatment needs of the youth. Offender sanction for delinquent behavior, victim reparation and compensation, and repairing the harm to community are all stressed. Turning Point has initiated (as appropriate for the circumstances and the treatment plan) victim empathy groups, circles of support, and family group conferencing. These options provide a range of opportunities for dialogue, negotiation and problem solving, whenever possible between the offender, victim and the community. The final step of conferencing is to reach a consensus-based agreement and document how the offender will repair the harm. The agreement is then monitored by the offender and the offender's treatment team. When applicable, the youth's treatment team will assists them with Community Service to access appropriate settings in which complete their assigned hours. The approach is to link individuals to settings in which they will not only"work off their hours" but also to directly link them to a setting that is linked to the crime they committed to get the Community Service hours. The staff sets up the opportunity for the youth and monitors their attendance and hours worked. Overall, Turning Point clients provided more than 3000 hours of community service last year. DAILY RATES: TRCCF State established rate: $175.39/day Drug and Alcohol Package: $10.90/day 4. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Turning Point Center for Youth and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of 0 / , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#100441, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum owl 7-,a79 y • 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County SS-23A Addendum ' 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: Weld Co u C d 1861 :(:( ;F, kr? WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF tt , OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES BY: 420,— - By: Deputy Cle ' to the Board David E. Long, Cha' SEP 5 2007 CONTRACTOR Turning Point Center for Youth 1644 South College Ave Fort Collins, CO 80525 • WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: irector 4 Weld County SS-23A Addendum ' • Exhibit A Turning Point Center for Youth and Family Development, Inc. 1644 South College Avenue Fort Collins, CO 80525 Agency Overview and Business Experience Turning Point Center for Youth and Family Development, Inc. (Turning Point) is a non- profit 501(c)(3) organization with a positive history of serving Northern Colorado youth and their families for the past 40 years. Turning Point is registered and in good standing as a non-profit organization with the Internal Revenue Service, the Colorado Department of Revenue, the Colorado Secretary of State, and the Colorado Charitable Organizations Registry. Turning Point is governed by a volunteer community Board of Directors, and operates with a specific mission, agency goals, and process for continual quality improvement. Turning Point's residential facilities, education programs, and substance abuse programs are all fully licensed and in compliance with each relevant state and local authority. Turning Point is also accredited at each residential location by the Council on Accreditation of Rehabilitative Facilities (CARF). Turning Point's education programs in Larimer and Weld Counties are approved and in full compliance according to the Colorado Department of Education. Our stand-alone school in Waverly is compliant today with the looming requirements of the federal legislation know as No Child Left Behind As an agency (and at each location), Turning Point is licensed by the Alcohol and Drug Abuse Division (ADAD) of the State as an intensive outpatient service provider, and is approved and recognized by ADAD as a training and supervision site for those seeking Certified Addiction Counselor (CAC) certification. Today Turning Point offers a diverse continuum of care to meet individual, family, and community needs in the areas of: supervision and oversight, therapeutic needs, education, life skill development, and community reintegration. The continuum of services includes: • residential (PRTF, TRCCF, and RCCF), • day treatment (various combinations of treatment, education, and supervision), • community-based treatment, supervision, and support services (outpatient groups, individual, or substance abuse services), • tracking and day reporting, community integration and lifeskill services, etc. and • family support services (group, individual, and in-home services, therapy, or skill development options). Staff and Volunteers Exhibit A The essential factor in updating Turing Point's capabilities to meet the challenges of 2007 and beyond is personnel. Turning Point is fully staffed at one hundred forty two FTE, of which one hundred eight (108) are degreed professionals who support and effectively practice our mission and values. Turning Point strives to provide staffing which is congruent with client needs, and have attained general and specific training, certification, and licensure necessary to effectively implement selected best practices with high fidelity. When staffing patterns exceed licensing requirements, it is in order to implement best practice models, ADAD required staffing, and to allow staff to obtain training to implement quality programming. Principles of staffing for services provided under this contract include the following: • Provide staff quantity and quality which meets or exceeds the minimum requirements of licensing, accreditation, and any other governing authority. • Provide staff quantity and quality consistent with the quality standards of evidence- based best practices for the program models being implemented. • Provide staff highly trained in the program models and disciplines being implemented. • Provide continual quality assurance to confirm that models are being implemented with fidelity. • Broadly define staff — to include all from licensed or PhD level program leaders and providers, line staff, specialists, interns, volunteers, and contract partners. Turning Point consistently monitors turnover rates and modifies incentive programs and employee retention strategies. Compensation packages are annually reviewed and deemed competitive. Programs include: competitive wages, tuition reimbursement options, 3% employer contribution to a 403b plan, employee recognition programs ("youth worker of the year", "employee of the month" and supervisor endorsed gift certificates and performance bonuses). Turning Point's compensation package also includes flexible time off, employer contributions toward health care, and a myriad of insurance options. Additionally, Turning Point fully funds group life insurance, long term disability insurance and an Employee Assistance Program. Volunteers are an integral part of the Turning Point "staff" — providing over 24,700 hours of impact last fiscal year. Volunteers may spend up to 40 hours per week in the milieu or classroom, may provide additional therapy to assist with substance abuse or mental health issues, and are always important in community reintegration. Volunteers are offered the same access to Turning Point's Training Center as are staff, in efforts to keep volunteers educated about and able to implement/support the models being implemented in residential and non-residential services. With the Training Center and CAC training and clinical oversight for community CAC candidates, Turning Point saw approximately 2,900 CAC-specific hours last year, and expects that number to at least double for this fiscal year. Turning Point has learned that effective staff and volunteer hours must be delivered, thus the Training Initiative was born in 2005. The Training Initiative comes out of a one of Turning Point's overall agency goals: "to become an exemplary learning environment for our profession" and from the best practice research of Ed Latessa and others which indicates that "whatever the program model, it must be implemented with fidelity and consistency." Exhibit A In 2005-2006, the Training Center offered 190 training events and filled over 2600 seats with individuals eager to learn! At least 110 community members attended training and over 220 Turning Point staff and volunteers. While community training is an important part of the mission — especially for Certified Addiction Counselors (CAC) — the initial focus for 2005-2007 is staff and volunteer training for greatest impact on Turning Point programs and clients. 42 Turning Point staff are currently in training for various levels of CAC certification, and training efforts are under way for all of the program models described later in this proposal (Dialectical Behavioral Therapy, Teaching Family Model, Pathways, Community Restorative Justice, best practice principles of Functional Family Therapy and Multi Systemic Therapy, Pathways, Thinking For a Change, and others). The research into best practices, selection of program models, ongoing training efforts for staff and volunteers, and the process for monitoring fidelity and ongoing quality assurance has been a significant initiative for Turning Point over the past 18 months. The transition to best practice models and staff/volunteer training is substantially completed. This benchmark, combined with ORA input and a flexible approach to client services offered should significantly improve residential outcomes for clients. COMMUNITY RESIDENTIAL SERVICES Turning Point's Community Residential Services are designed to provide therapeutic intervention and support to youth in our licensed TRCCF facilities. Youth at Turning Point have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, emotional problems, personality disorders, affect disorders, substance abuse issues and criminal histories. Turning Point has been successful with youth who have "failed" to complete treatment in other out of home placements. At Turning Point, youth learn to utilize their strengths and skills with the goal of returning to their community as a productive, contributing member. Turning Point serves both male and female youth in separate living environment. The focus of the Male Residential Program combines a Teaching Family Model with a strong cognitive/behavioral approach to utilize the strengths and skills the youth have and to address the thinking patterns and distortions that have led them to make poor choices and to need out-of home placement. The Female Residential Program is based on addressing emotional disorders through Dialectical Behavior Therapy (DBT) as a base from which skills are developed to enhance their daily functioning. Historically, Turning Point's programs have served youth with a history of behavioral, emotional, social, family and school conflict resulting in their acting out behaviorally and/or emotionally. We have developed extensive curriculum to address these issues and typically co-occurring substance abuse issues. Recent efforts have also focused on enhancing their successful transition of these skills to their life once they leave our program. Summary of program components include: • Effective milieu management and safety supervision. • A strong emphasis on substance abuse treatment and support for future relapse prevention. • A flexible approach designed to provide the appropriate level of client care. • Exhibit A • Evidence based best practices implemented at each facility. Current models are: o Thinking for a Change (training in collaboration with PVYSC) o Teaching Family Model o Dialectical Behavioral Therapy o Pathways for Change (for adolescent substance abuse) o Community Centered Services (consistent with MST & FFf best practices) o Community Restorative Justice o Separate, gender-specific programming for males and females Service Components Orientation Upon admission to any of Turning Point's programs, the youth and their parents meet with their Turning Point Case Manager or designee to become oriented to the program and to outline program expectations. They are given a Client Handbook and Parent Handbook and discuss it in detail with a staff member to ensure they understand the program model, guidelines, goals, procedures, and expectations. Additionally they are given a copy of the client rights and grievance procedures during intake and staff review them to ensure the youth and parents know how to utilize them if needed. They are then given a tour of the facility, the youth is assigned a room and introduced to the other residents in the facility. Mental Health Mental health services are provided by a Licensed or Provisionally Licensed Therapist who is supervised by Turning Point's Program Director and overseen by a Licensed Clinical Director. Services include Medicaid funded individual, group, and family therapy addressed in other sections. As youth are stabilized and the need for the frequency of the service decreases, the treatment plan will be adjusted to refocus on community transition. This approach allows youth to access a large variety of services, including ongoing assessment, treatment support, crisis intervention, and coordinated transition to other services. This approach also recognizes the sporadic need youth may have for supplemental mental health services, for instance, at a time of change/stress or episodic crisis. Youth in Turning Point's TRCCF Programs are typically provided with a minimum of: Level A Level B Level C Individual Therapy 2/month 1/week 2/week Group Therapy 1/week 3/week 3/week Family Therapy 1/month 1/week 2/week Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on-sight each week. Our on-site Psychiatrist has extensive experience and knowledge of adolescents with co-occurring disorders. Youth and parents/guardians are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. Parents or guardians are invited to attend these sessions Exhibit A with the psychiatrist to participate in the decision to use medications and provide a forum to ask questions and voice concerns. As part of the youth Service Plan, a transition plan is included which includes linking them to appropriate aftercare resources, mental health services and medication resources upon their return to the community. The youth's treatment team works with them to individualize this plan to meet their particular needs. Treatment Services Turning Point will provide the following Base Services as part of the TRCCF rate: • Life skills — daily and additionally as indicated in the Individualized Service Plan • Recreation and leisure - daily • Daily supervision - daily • Milieu therapy - daily • Group Therapy (Non-Medicaid) —weekly • Behavior Modification - daily • Treatment Planning — monthly or as needed • Case Management— as needed • 24 hour awake staffing - daily • Administrative Services (including fiscal management and administrative staff) • Medication management— as needed • Food/nutrition - daily • Crises intervention — as needed • Transportation — as needed • Family services — as indicated in the Individualized Service Plan • Adjunct services —as indicated in the Individualized Service Plan • Room and Board - daily • Restorative Justice / community service — as needed or indicated in the Individualized Service Plan • Transition Planning —throughout placement with Turning Point • Vocational and Job Skills Training and Assistance — as needed or indicated in the Individualized Service Plan • Mental Health services and treatment (Non-Medicaid) — as indicated above or in the Individualized Service Plan • Emancipation services —as indicated in the Individualized Service Plan • Offense-specific treatment (not including sex offenses) — as needed and indicated in the Individualized Service Plan • Gender Specific Programming — daily — see further description below described under Evidence Based Models. Evidence Based Models: Turning Point believes strongly in the need to treat and address male and female clients differently through Gender Specific Programming. Research has shown that when boys get into trouble they lash out, getting into fights, carrying guns, setting fires, etc. The crimes they commit look dangerous and inspire fear. Girls get into trouble more quietly, striking inward through abusing drugs, prostituting, starving or even mutilating themselves, (Office of Juvenile Justice and Delinquency Prevention, 1998; Prescott, 1997; Girls Inc., 1997; Davis, Schoen, Greenburg, Desroches, & Abrams, 1997; Belknap, • Exhibit A 1996). Therefore, it is important not to design programming that is identical for each group. Turning Point is able to physically separate these two populations for housing purposes (see Facility Section of proposal) and to offer separate groups for each population, focusing on the gender-specific approach and needs of each population. Dialectical Behavioral Therapy (DBT): For the Female Residential Program, the curriculum is based on DBT which focuses on needs specific to the profile of the clients in this program. This theory and approach to treatment was developed by Marsha Linehan in 1991. The goals of treatment include reducing parasuicidal (self-injuring) and life threatening behaviors, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that reduced the client's quality of life. DBT believes that some people, due to negative environments during childhood and due to biological factors not yet known, react abnormally to emotional stimuli. Their arousal level goes up higher much more quickly, peaks at a higher level than others, and takes more time to return to a normal level. Because of the negative environment they grew up in, they don't have the methods of coping with sudden and intense surges of emotion. DBT is a method of teaching skills that will help. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT helps those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. Teaching Family Model: In the late 1960's, psychologists Elaine Phillips, Elery Phillips and Montorse Wolf developed and empirically tested treatment program to help juvenile offenders in residential group homes. This is now called the Teaching-Family Model which mirrors a family-like environment while providing structured treatment. TFM views youth behaviors as a result of inadequate or non existent interpersonal relationships and skills. Hence, this approach provides youth with these necessary relationships and teaches these skills. The Teaching-Family Model (TFM) is designed to produce eleven positive outcomes for the youth being served. 1. Opportunities for choice 2. Effective learning opportunities 3. Effective communication 4. Positive relationships 5. Pleasant social environments 6. Pleasant and safe surroundings 7. High level of participation in daily experiences 8. Satisfied consumers 9. Living healthy lifestyles 10. Observance of personal and legal rights Exhibit A 11. Community Involvement. Research indicates that compared to youth in other residential treatment programs, youth in Teaching-Family Model programs have fewer contacts with police and courts, lower dropout rates and improved school grades and attendance. Fixsen, D.L., Blasé, K.A., Timbers, G. D., &Wolf, m> M. (2001). In Search of Program Implementation: 792 Replications of the Teaching-Family Model. In G. A. Bernfeld, D. P. Farrington, &A. W. Leschied (Eds.), Offender Rehabilitation in Practice:Implementing and Evaluating Effective Programs(pp. 146-166). London: Wiley. Wolf, M. M., Kirigin, K. A. Fixsen, D. L. Blasé, K. A., & Braukmann, C. J. (1995). The Teaching-Family Model: A Case Study in Data-Based Program Development and Refinement (and dragon wrestling). Journal of Organizational Behavior Management, Vol. 15, pp. 11-68. Family Services In all of Turning Point programs and facilities a Family Centered Approach is utilized. Family is defined as 'any adult identified as significant in the child's life'. Even if a youth is not returning home the inclusion of the 'family' is crucial in the treatment of the youth. Turning Point supports Child Welfare's goal of 90% reunification with family in 12 months or less and are committed to preparing youth and their families for successful reunification. With the passage of the Adoption and Safe Families Act in 1980, the Family Preservation and Support Act of 1993 and the Safe and Stable Family Program of 1997, the focus has changed to ensuring the safety of the child AND support of their families. When safety is insured, strengthening and preserving families is seen as the best way to promote healthy development of youth. Services focus on families as a whole and address family strengths and how to enhance these strengths. The development and updates of the treatment plan happen with the family present and reunification is the primary goal. The treatment plan will include: assisting families in managing tasks of daily living, adequately nurture children, remedy problem situations and the transition of the youth back to their home and/or community. Drug and Alcohol Turning Point is ADAD licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider. Nearly 90% of the youth accepted to Turning Point have issues with substance abuse. The incidence of co-occurring disorders is so significant that Turning Point developed an in-house faculty of approved CAC trainers, and the agency has been training a majority of our direct care staff as CAC credentialed professionals. Turning Point currently has over fourteen credential addictions staff at Level II and III, and over 40 direct care staff working towards their CAC certification. Turning Point offers as an add on service clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and — where problems have already developed — to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12-Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. Turning Point staff work closely with the community and have direct resources in Alcoholics Anonymous, Narcotics Anonymous, Alanon, Alateen, • Exhibit A Team Fort Collins and the Fort Collins Police Department. The desired outcomes for the Drug and Alcohol Program are: • To provide Drug and Alcohol services consistent with assessment needs. • To utilize community services in a continuum of treatment and successful recovery. • To transition the clients successfully into their home communities. • To support clients in developing a recovery plan and experiencing recovery. Pathways at Turning Point and PVYSC: Turning Point and PVYSC have collaborated to offer Pathways to youth within PVYSC, and continue the program upon placement at Turning Point, in order to increase the likelihood of long term success for the youth. Pathways to Self-Discovery and Change (Pathways) was developed to respond to the need for a developmentally appropriate model designed to address substance abuse, mental disorder and/or criminal conduct. Pathways is now recognized as the standard of care for juvenile substance abusing offenders by the Colorado Alcohol and Drug Abuse Division. This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcomes based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). Methamphetamine Program "Meth Track"Description Substance Abuse assessments are included with referral or are made within 10 days of client admission to Turning Point. The options for Drug and Alcohol Services include four different tracks: Education and Prevention; Intervention and Treatment; Relapse Prevention and Methamphetamine (described here). According SAMHSA, Colorado has the sixth highest percentage in the nation of persons over age 12 who need drug treatment, but do not receive it (2003). SAMHSA estimates that about 16,164 Coloradoans aged 12-17 need, but are not receiving treatment. SAMHSA research (1999, 2000) also indicates that Colorado is among the top ten states for illicit drug use by youths aged 12 to 17. The prevalence of Methamphetamine abuse among our clients has motivated Turning Point to develop a specific "Meth Track" within the Substance Abuse Program. Methamphetamine users in treatment have reported physical symptoms associated with the use of methamphetamine including weight loss, tachycardia (abnormal rapidity of heart action), tachypnea (abnormal rapidity of respiration), hyperthermia (unusually high fever), insomnia, and muscular tremors. The behavioral and psychiatric symptoms reported most often include violent behavior, repetitive activity, memory loss, paranoia, Exhibit A delusions of reference, auditory hallucinations, and confusion or fright (SAMHSA, 2003a). In light of the available information, Turning Point has designed the Meth Treatment Program; to meet this set of specialized needs. Clients who are placed on the Meth Track receive up to 20 specific interventions, adjusted for each gender: • Education that is specific to the physical, psychological, neurological, and social impacts of methamphetamine use and recovery. • Focused relapse prevention activities, including the formation of a mentoring or sponsorship relationship with a community member who is in recovery from substance abuse and has a history of methamphetamine use. • If a client is not from Larimer or Weld County, where Turning Point facilities are located, the formation of a mentoring or sponsorship relationship is facilitated in the community to which the client is released after graduating from Turning Point. • Information and guidance specific about nutrition, including assistance in regaining and maintaining a normal body weight, where indicated. • Dietary supplements specific to supporting and rebuilding brain function, including amino acids, omega-3 fish oils, and vitamins. • Education and therapeutic interventions to assist clients in building a healthy body image and counteracting any tendency toward eating disorders that may be enhanced by the weight gain that often follows abstinence from methamphetamine. • Medical intervention for the skin problems related to methamphetamine toxicity, where indicated. • Medication for depression or sleeplessness, where indicated. • Medication with Naltrexone or Buphropion (Welbutrin) anti-craving medications, where indicated. • Dental care and, where needed, intervention and treatment for the tooth-grinding that is related to meth use. • Exercise particularly focused toward impacting brain chemistry by stimulating the brain's production of norepinephrine, a substance with effects that are similar to methamphetamine. The Girls' Program places an emphasis on providing a safe, healing environment that encourages healing relationships, gaining knowledge, and providing tools for improved self-esteem, positive conflict resolution and relationship skills. Meth Program interventions for girls relate to body image, nutrition, eating disorders, and relationship- building. The Boys' Program focuses on a cognitive-based, solution-oriented approach. This focus decreases recidivism rates and is the approach recommended by the National Institute on Drug Abuse (NIDA). Education Turning Point's educational programs are approved by the Colorado Department of Education and are designed to accommodate students with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Turning Point has a 1 to 10 teacher/student ratio. Along with teachers, Educational Counselors, and numerous volunteers from the community staff the classrooms. Many of these volunteers come from Colorado State University and the University of Northern Colorado assists the teachers in individually tutoring the clients. Turning Point also receives federal funds that provide a Title I (literacy) teacher. The Exhibit A Title I program focuses on the students that come in 2 years or more below grade level in literacy (approximately 40% of our student population). This program involves one- on-one direct instruction by a licensed Title I teacher. Turning Point education staff strives to help facilitate successful transitions for our student's back to the public school system. Transition planning begins early in the student's stay at Turning Point through contact with OHS staff, school personnel and discussions in monthly reviews. For students completing their GED or high school diploma, Turning Point offers assistance to students through vocational education and/or post secondary education options. Each student is assessed through the PIAT-R, Educational Interview, and a review of educational records including IEP's. Within the first 10 days of a client's stay, the Primary Teacher, along with the client, will develop educational goals and interventions. These goals and interventions will become part of the Comprehensive Treatment Plan for each client. Clients that receive Special Education services will have goals that revolve around the IEP. The progress on these goals will be documented on a monthly basis during the client's staffing. The PIAT-R is also given at the end of a client's stay to measure the level of improvement shown by grade equivalents. Turning Point's educational programs combine academics with a Service Learning component. Turning Point provides general education courses that correlate directly with Colorado Model Content Standards. All students earn seat hours, which equate to credits that transfer directly back to home schools. Students typically fall in one of three areas including general education, GED, Post-GED. Turning Point utilizes our existing relationships with Front Range Community College, Colorado State University and AIMS Community College to assist youth in pursuing continuing education and obtaining financial aid to further their education. Along with the day to day academics, all students participate in the Service Learning program. The combination of service and learning is powerful. It creates potential benefits beyond what either service and learning can offer separately. Independent Living Youth who are placed on the independent living track are provided additional support and services. Turning Point's program provides intense supervision and surveillance of the youth in the community and improves their compliance through assessments, built- in incentives and sanctions to maintain public safety. The independent living track is individualized for the youth's needs and focus areas. The youth will interact with OHS staff and Turning Point staff who provide role modeling for socially acceptable behavior and support and encouragement. The program is designed to address anti-social beliefs and behaviors and to replace these values with socially acceptable norms that enable the youth to participate in pro-social community involvement. Additionally, youth will be exposed to a healthy, positive network of services that will continue to be in place for them as they are released from DHS and are living unsupervised in the community. Youth on the independent living track have the ultimate goal of living successfully in the community. Each client must be able to demonstrate appropriate skills in order to effectively live on his/her own and remain socially positive. Upon intake, clients are given a Life Skills Assessment inventory that ranks their knowledge and skills at four Exhibit A different levels, 1) Basic, 2) Intermediate, 3) Adequate, or 4) Exceptional. The goal of the life sills section of the service plan focuses on the obtainment of the lacking skills so the youth is ranking at the Exceptional level upon discharge. The client's daily schedule and activities, including school, work and social activities will be monitored by the program staff and will follow the direct service plan outline. The components of the life skills/independent living skills include: • Participation in the weekly Life Skills group. The curriculum for this group includes money management, budgeting, opening a checking/savings account, use of public transportation, access to medical care, learning to shop and prepare nutritious meals and many more areas. • Daily maintenance and cleanliness of the home. • Weekly grocery shopping and menu planning in accordance with healthy food choices and lifestyle. • Weekly budgeting and record keeping of finances, including the paying of bills and opening a joint signature account with a Case Manager. Each client will prepare a monthly budget, which will include rent, food, utilities, clothing, recreation, restitution and savings. Each client will set aside savings in a special account while in the program. • Familiarity with community resources including housing, employment and training, legal information, medical services, mental health services, financial assistance programs, food/meal services, and drug and alcohol treatment. • Familiarity with and the use of the city's public transportation system. Resources include the city bus system, bike trails and taxi services. • Education on sexually transmitted diseases, contraception and family planning. • Through the EOC—financial aid and exploration of furthering their education. • Each client has the opportunity to become First Aide and/or CPR Certified by attending free courses offered by certified Red Cross trainers at Turning Point. Additional educational groups are provided by the counseling staff that address self- development issues, social/interpersonal skills, communication skills, and pro-social recreational skills. These issues will also be addressed on a personal level with the youth during their weekly meetings with their Case Manager and the counseling staff at Turning Point. Transition Turning Point is highly committed to assisting in the successful transition of youth back into the community. We have worked to enhance this area of our programming in all levels of residential care, identified it as an agency goal and built into each member of the treatment team's job description specific duties they are responsible for in the area of their client's transition. The role of treatment team is to be aware of current client population needs by linking with treatment teams in the agency and developing community resources for each client leaving any of our programs. Through this, the client will have a vast amount of resources in their identified areas of need, which could include mental health services, affordable housing, financial assistance, educational resources, 12-step meeting locations, cultural and/or religious centers, recreational and social opportunities, etc. R1/Community Service Exhibit A In recent years, Turning Point became a leader in the restorative justice movement in Northern Colorado and throughout the state. Collaboration with the Center for Applied Research at Colorado State University resulted in shared staff, added training for Turning Point staff and for community volunteers, and an increased level of community interaction for clients. Turning Point has a committee of staff and community members serving on a Restorative Justice Committee that focuses on implementing Restorative Justice practices into the programs and collaborates with the community to provide restorative opportunities for the clients that Turning Point serves. Community/Restorative Justice has several principles that are different from contemporary criminal justice. First, it recognizes that offenders harm victims, communities and even themselves. Second, it involves more parties in addressing the situation, which includes victims and communities. And third, it measures success by how many harms are repaired or prevented. Allison Morris and Gabrielle Maxwell have done extensive research and writing on restorative justice initiatives in New Zealand. This research identifies family group conferencing as a contributing factor in lessening the chance of re-offending even when other important factors such as adverse early experiences and subsequent life events are taken into account. Turning Point integrates principles from the community/ restorative justice model with the treatment needs of the youth. Offender sanction for delinquent behavior, victim reparation and compensation, and repairing the harm to community are all stressed. Turning Point has initiated (as appropriate for the circumstances and the treatment plan) victim empathy groups, circles of support, and family group conferencing. These options provide a range of opportunities for dialogue, negotiation and problem solving, whenever possible between the offender, victim and the community. The final step of conferencing is to reach a consensus-based agreement and document how the offender will repair the harm. The agreement is then monitored by the offender and the offender's treatment team. When applicable, the youth's treatment team will assists them with Community Service to access appropriate settings in which complete their assigned hours. The approach is to link individuals to settings in which they will not only"work off their hours" but also to directly link them to a setting that is linked to the crime they committed to get the Community Service hours. The staff sets up the opportunity for the youth and monitors their attendance and hours worked. Overall, Turning Point clients provided more than 3000 hours of community service last year. DAILY RATES: TRCCF State established rate: $175.39/day Drug and Alcohol Package: $10.90/day WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Turning Point Center for Youth and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of Op�y , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#1531089, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$175.39 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum • 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: 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; 2 Weld County SS-23A Addendum • 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 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. 3 Weld County SS-23A Addendum 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. jw�4 1i r �� ATTEST: " '7 .G' fi Weld County sr- r;`i t.• -U WELD COUNTY BOARD OF , SOCIAL SERVICES, ON BEHALF ,,®� OF THE WELD COUNTY DEPARTMENT OF SOCIAL ,--gampow- SERVICES By: a By: Deputy Clerk o the Board David E. Long, S 0 5 2007 CONTRACTOR Turning Point Center for Youth 1644 South College Ave Fort Col ns, CO 80525 WELD COUNTY DEPARTMENT OF SOCIAL SERVICES By: Directo 4 Weld County SS-23A Addendum Inn�J ;2744 • Exhibit A Turning Point Center for Youth and Family Development, Inc. 1644 South College Avenue Fort Collins, CO 80525 Agency Overview and Business Experience Turning Point Center for Youth and Family Development, Inc. (Turning Point) is a non- profit 501(c)(3) organization with a positive history of serving Northern Colorado youth and their families for the past 40 years. Turning Point is registered and in good standing as a non-profit organization with the Internal Revenue Service, the Colorado Department of Revenue, the Colorado Secretary of State, and the Colorado Charitable Organizations Registry. Turning Point is governed by a volunteer community Board of Directors, and operates with a specific mission, agency goals, and process for continual quality improvement. Turning Point's residential facilities, education programs, and substance abuse programs are all fully licensed and in compliance with each relevant state and local authority. Turning Point is also accredited at each residential location by the Council on Accreditation of Rehabilitative Facilities (CARF). Turning Point's education programs in Larimer and Weld Counties are approved and in full compliance according to the Colorado Department of Education. Our stand-alone school in Waverly is compliant today with the looming requirements of the federal legislation know as No Child Left Behind. As an agency (and at each location), Turning Point is licensed by the Alcohol and Drug Abuse Division (ADAD) of the State as an intensive outpatient service provider, and is approved and recognized by ADAD as a training and supervision site for those seeking Certified Addiction Counselor (CAC) certification. Today Turning Point offers a diverse continuum of care to meet individual, family, and community needs in the areas of: supervision and oversight, therapeutic needs, education, life skill development, and community reintegration. The continuum of services includes: • residential (PRTF, TRCCF, and RCCF), • day treatment (various combinations of treatment, education, and supervision), • community-based treatment, supervision, and support services (outpatient groups, individual, or substance abuse services), • tracking and day reporting, community integration and lifeskill services, etc. and • family support services (group, individual, and in-home services, therapy, or skill development options). Staff and Volunteers Exhibit A The essential factor in updating Turing Point's capabilities to meet the challenges of 2007 and beyond is personnel. Turning Point is fully staffed at one hundred forty two FTE, of which one hundred eight (108) are degreed professionals who support and effectively practice our mission and values. Turning Point strives to provide staffing which is congruent with client needs, and have attained general and specific training, certification, and licensure necessary to effectively implement selected best practices with high fidelity. When staffing patterns exceed licensing requirements, it is in order to implement best practice models, ADAD required staffing, and to allow staff to obtain training to implement quality programming. Principles of staffing for services provided under this contract include the following: • Provide staff quantity and quality which meets or exceeds the minimum requirements of licensing, accreditation, and any other governing authority. • Provide staff quantity and quality consistent with the quality standards of evidence- based best practices for the program models being implemented. • Provide staff highly trained in the program models and disciplines being implemented. • Provide continual quality assurance to confirm that models are being implemented with fidelity. • Broadly define staff — to include all from licensed or PhD level program leaders and providers, line staff, specialists, interns, volunteers, and contract partners. Turning Point consistently monitors turnover rates and modifies incentive programs and employee retention strategies. Compensation packages are annually reviewed and deemed competitive. Programs include: competitive wages, tuition reimbursement options, 3% employer contribution to a 403b plan, employee recognition programs ("youth worker of the year", "employee of the month" and supervisor endorsed gift certificates and performance bonuses). Turning Point's compensation package also includes flexible time off, employer contributions toward health care, and a myriad of insurance options. Additionally, Turning Point fully funds group life insurance, long term disability insurance and an Employee Assistance Program. Volunteers are an integral part of the Turning Point "staff" — providing over 24,700 hours of impact last fiscal year. Volunteers may spend up to 40 hours per week in the milieu or classroom, may provide additional therapy to assist with substance abuse or mental health issues, and are always important in community reintegration. Volunteers are offered the same access to Turning Point's Training Center as are staff, in efforts to keep volunteers educated about and able to implement/support the models being implemented in residential and non-residential services. With the Training Center and CAC training and clinical oversight for community CAC candidates, Turning Point saw approximately 2,900 CAC-specific hours last year, and expects that number to at least double for this fiscal year. Turning Point has learned that effective staff and volunteer hours must be delivered, thus the Training Initiative was born in 2005. The Training Initiative comes out of a one of Turning Point's overall agency goals: "to become an exemplary learning environment for our profession" and from the best practice research of Ed Latessa and others which indicates that "whatever the program model, it must be implemented with fidelity and consistency." Exhibit A In 2005-2006, the Training Center offered 190 training events and filled over 2600 seats with individuals eager to learn! At least 110 community members attended training and over 220 Turning Point staff and volunteers. While community training is an important part of the mission — especially for Certified Addiction Counselors (CAC) — the initial focus for 2005-2007 is staff and volunteer training for greatest impact on Turning Point programs and clients. 42 Turning Point staff are currently in training for various levels of CAC certification, and training efforts are under way for all of the program models described later in this proposal (Dialectical Behavioral Therapy, Teaching Family Model, Pathways, Community Restorative Justice, best practice principles of Functional Family Therapy and Multi Systemic Therapy, Pathways, Thinking For a Change, and others). The research into best practices, selection of program models, ongoing training efforts for staff and volunteers, and the process for monitoring fidelity and ongoing quality assurance has been a significant initiative for Turning Point over the past 18 months. The transition to best practice models and staff/volunteer training is substantially completed. This benchmark, combined with CJRA input and a flexible approach to client services offered should significantly improve residential outcomes for clients. COMMUNITY RESIDENTIAL SERVICES Turning Point's Community Residential Services are designed to provide therapeutic intervention and support to youth in our licensed TRCCF facilities. Youth at Turning Point have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, emotional problems, personality disorders, affect disorders, substance abuse issues and criminal histories. Turning Point has been successful with youth who have "failed" to complete treatment in other out of home placements. At Turning Point, youth learn to utilize their strengths and skills with the goal of returning to their community as a productive, contributing member. Turning Point serves both male and female youth in separate living environment. The focus of the Male Residential Program combines a Teaching Family Model with a strong cognitive/behavioral approach to utilize the strengths and skills the youth have and to address the thinking patterns and distortions that have led them to make poor choices and to need out-of home placement. The Female Residential Program is based on addressing emotional disorders through Dialectical Behavior Therapy (DBT) as a base from which skills are developed to enhance their daily functioning. Historically, Turning Point's programs have served youth with a history of behavioral, emotional, social, family and school conflict resulting in their acting out behaviorally and/or emotionally. We have developed extensive curriculum to address these issues and typically co-occurring substance abuse issues. Recent efforts have also focused on enhancing their successful transition of these skills to their life once they leave our program. Summary of program components include: • Effective milieu management and safety supervision. • A strong emphasis on substance abuse treatment and support for future relapse prevention. • A flexible approach designed to provide the appropriate level of client care. • Exhibit A • Evidence based best practices implemented at each facility. Current models are: o Thinking for a Change (training in collaboration with PVYSC) o Teaching Family Model o Dialectical Behavioral Therapy o Pathways for Change (for adolescent substance abuse) o Community Centered Services (consistent with MST & FFf best practices) o Community Restorative Justice o Separate, gender-specific programming for males and females Service Components Orientation Upon admission to any of Turning Point's programs, the youth and their parents meet with their Turning Point Case Manager or designee to become oriented to the program and to outline program expectations. They are given a Client Handbook and Parent Handbook and discuss it in detail with a staff member to ensure they understand the program model, guidelines, goals, procedures, and expectations. Additionally they are given a copy of the client rights and grievance procedures during intake and staff review them to ensure the youth and parents know how to utilize them if needed. They are then given a tour of the facility, the youth is assigned a room and introduced to the other residents in the facility. Mental Health Mental health services are provided by a Licensed or Provisionally Licensed Therapist who is supervised by Turning Point's Program Director and overseen by a Licensed Clinical Director. Services include Medicaid funded individual, group, and family therapy addressed in other sections. As youth are stabilized and the need for the frequency of the service decreases, the treatment plan will be adjusted to refocus on community transition. This approach allows youth to access a large variety of services, including ongoing assessment, treatment support, crisis intervention, and coordinated transition to other services. This approach also recognizes the sporadic need youth may have for supplemental mental health services, for instance, at a time of change/stress or episodic crisis. Youth in Turning Point's TRCCF Programs are typically provided with a minimum of: Level A Level B Level C Individual Therapy 2/month 1/week 2/week Group Therapy 1/week 3/week 3/week Family Therapy 1/month 1/week 2/week Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on-sight each week. Our on-site Psychiatrist has extensive experience and knowledge of adolescents with co-occurring disorders. Youth and parents/guardians are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. Parents or guardians are invited to attend these sessions Exhibit A with the psychiatrist to participate in the decision to use medications and provide a forum to ask questions and voice concerns. As part of the youth Service Plan, a transition plan is included which includes linking them to appropriate aftercare resources, mental health services and medication resources upon their return to the community. The youth's treatment team works with them to individualize this plan to meet their particular needs. Treatment Services Turning Point will provide the following Base Services as part of the TRCCF rate: • Life skills — daily and additionally as indicated in the Individualized Service Plan • Recreation and leisure - daily • Daily supervision - daily • Milieu therapy - daily • Group Therapy (Non-Medicaid) —weekly • Behavior Modification - daily • Treatment Planning — monthly or as needed • Case Management— as needed • 24 hour awake staffing - daily • Administrative Services (including fiscal management and administrative staff) • Medication management— as needed • Food/nutrition - daily • Crises intervention —as needed • Transportation — as needed • Family services— as indicated in the Individualized Service Plan • Adjunct services — as indicated in the Individualized Service Plan • Room and Board - daily • Restorative Justice / community service — as needed or indicated in the Individualized Service Plan • Transition Planning —throughout placement with Turning Point • Vocational and Job Skills Training and Assistance — as needed or indicated in the Individualized Service Plan • Mental Health services and treatment (Non-Medicaid) — as indicated above or in the Individualized Service Plan • Emancipation services —as indicated in the Individualized Service Plan • Offense-specific treatment (not including sex offenses) — as needed and indicated in the Individualized Service Plan • Gender Specific Programming — daily — see further description below described under Evidence Based Models. Evidence Based Models: Turning Point believes strongly in the need to treat and address male and female clients differently through Gender Specific Programming. Research has shown that when boys get into trouble they lash out, getting into fights, carrying guns, setting fires, etc. The crimes they commit look dangerous and inspire fear. Girls get into trouble more quietly, striking inward through abusing drugs, prostituting, starving or even mutilating themselves, (Office of Juvenile Justice and Delinquency Prevention, 1998; Prescott, 1997; Girls Inc., 1997; Davis, Schoen, Greenburg, Desroches, & Abrams, 1997; Belknap, ' Exhibit A 1996). Therefore, it is important not to design programming that is identical for each group. Turning Point is able to physically separate these two populations for housing purposes (see Facility Section of proposal) and to offer separate groups for each population, focusing on the gender-specific approach and needs of each population. Dialectical Behavioral Therapy (DBT): For the Female Residential Program, the curriculum is based on DBT which focuses on needs specific to the profile of the clients in this program. This theory and approach to treatment was developed by Marsha Linehan in 1991. The goals of treatment include reducing parasuicidal (self-injuring) and life threatening behaviors, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that reduced the client's quality of life. DBT believes that some people, due to negative environments during childhood and due to biological factors not yet known, react abnormally to emotional stimuli. Their arousal level goes up higher much more quickly, peaks at a higher level than others, and takes more time to return to a normal level. Because of the negative environment they grew up in, they don't have the methods of coping with sudden and intense surges of emotion. DBT is a method of teaching skills that will help. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT helps those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. Teaching Family Model: In the late 1960's, psychologists Elaine Phillips, Elery Phillips and Montorse Wolf developed and empirically tested treatment program to help juvenile offenders in residential group homes. This is now called the Teaching-Family Model which mirrors a family-like environment while providing structured treatment. TFM views youth behaviors as a result of inadequate or non existent interpersonal relationships and skills. Hence, this approach provides youth with these necessary relationships and teaches these skills. The Teaching-Family Model (TFM) is designed to produce eleven positive outcomes for the youth being served. 1. Opportunities for choice 2. Effective learning opportunities 3. Effective communication 4. Positive relationships 5. Pleasant social environments 6. Pleasant and safe surroundings 7. High level of participation in daily experiences 8. Satisfied consumers 9. Living healthy lifestyles 10. Observance of personal and legal rights • Exhibit A 11. Community Involvement. Research indicates that compared to youth in other residential treatment programs, youth in Teaching-Family Model programs have fewer contacts with police and courts, lower dropout rates and improved school grades and attendance. Fixsen, D.L., Blasé, K.A., Timbers, G. D., &Wolf, m> M. (2001). In Search of Program Implementation: 792 Replications of the Teaching-Family Model. In G. A. Bernfeld, D. P. Farrington, &A. W. Leschied (Eds.), Offender Rehabilitation in Practice:Implementing and Evaluating Effective Programs(pp. 146-166). London: Wiley. Wolf, M. M., Kirigin, K. A. Fixsen, D. L. Blasé, K. A., & Braukmann, C. J. (1995). The Teaching-Family Model: A Case Study in Data-Based Program Development and Refinement (and dragon wrestling). Journal of Organizational Behavior Management, Vol. 15, pp. 11-68. Family Services In all of Turning Point programs and facilities a Family Centered Approach is utilized. Family is defined as 'any adult identified as significant in the child's life'. Even if a youth is not returning home the inclusion of the 'family' is crucial in the treatment of the youth. Turning Point supports Child Welfare's goal of 90% reunification with family in 12 months or less and are committed to preparing youth and their families for successful reunification. With the passage of the Adoption and Safe Families Act in 1980, the Family Preservation and Support Act of 1993 and the Safe and Stable Family Program of 1997, the focus has changed to ensuring the safety of the child AND support of their families. When safety is insured, strengthening and preserving families is seen as the best way to promote healthy development of youth. Services focus on families as a whole and address family strengths and how to enhance these strengths. The development and updates of the treatment plan happen with the family present and reunification is the primary goal. The treatment plan will include: assisting families in managing tasks of daily living, adequately nurture children, remedy problem situations and the transition of the youth back to their home and/or community. Drug and Alcohol Turning Point is ADAD licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider. Nearly 90% of the youth accepted to Turning Point have issues with substance abuse. The incidence of co-occurring disorders is so significant that Turning Point developed an in-house faculty of approved CAC trainers, and the agency has been training a majority of our direct care staff as CAC credentialed professionals. Turning Point currently has over fourteen credential addictions staff at Level II and III, and over 40 direct care staff working towards their CAC certification. Turning Point offers as an add on service clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and — where problems have already developed — to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12-Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. Turning Point staff work closely with the community and have direct resources in Alcoholics Anonymous, Narcotics Anonymous, Alanon, Alateen, Exhibit A Team Fort Collins and the Fort Collins Police Department. The desired outcomes for the Drug and Alcohol Program are: • To provide Drug and Alcohol services consistent with assessment needs. • To utilize community services in a continuum of treatment and successful recovery. • To transition the clients successfully into their home communities. • To support clients in developing a recovery plan and experiencing recovery. Pathways at Turning Point and PVYSC. Turning Point and PVYSC have collaborated to offer Pathways to youth within PVYSC, and continue the program upon placement at Turning Point, in order to increase the likelihood of long term success for the youth. Pathways to Self-Discovery and Change (Pathways) was developed to respond to the need for a developmentally appropriate model designed to address substance abuse, mental disorder and/or criminal conduct. Pathways is now recognized as the standard of care for juvenile substance abusing offenders by the Colorado Alcohol and Drug Abuse Division. This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcomes based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). Methamphetamine Program "Meth Track"Description Substance Abuse assessments are included with referral or are made within 10 days of client admission to Turning Point. The options for Drug and Alcohol Services include four different tracks: Education and Prevention; Intervention and Treatment; Relapse Prevention and Methamphetamine (described here). According SAMHSA, Colorado has the sixth highest percentage in the nation of persons over age 12 who need drug treatment, but do not receive it (2003). SAMHSA estimates that about 16,164 Coloradoans aged 12-17 need, but are not receiving treatment. SAMHSA research (1999, 2000) also indicates that Colorado is among the top ten states for illicit drug use by youths aged 12 to 17. The prevalence of Methamphetamine abuse among our clients has motivated Turning Point to develop a specific "Meth Track" within the Substance Abuse Program. Methamphetamine users in treatment have reported physical symptoms associated with the use of methamphetamine including weight loss, tachycardia (abnormal rapidity of heart action), tachypnea (abnormal rapidity of respiration), hyperthermia (unusually high fever), insomnia, and muscular tremors. The behavioral and psychiatric symptoms reported most often include violent behavior, repetitive activity, memory loss, paranoia, • Exhibit A delusions of reference, auditory hallucinations, and confusion or fright (SAMHSA, 2003a). In light of the available information, Turning Point has designed the Meth Treatment Program; to meet this set of specialized needs. Clients who are placed on the Meth Track receive up to 20 specific interventions, adjusted for each gender: • Education that is specific to the physical, psychological, neurological, and social impacts of methamphetamine use and recovery. • Focused relapse prevention activities, including the formation of a mentoring or sponsorship relationship with a community member who is in recovery from substance abuse and has a history of methamphetamine use. • If a client is not from Larimer or Weld County, where Turning Point facilities are located, the formation of a mentoring or sponsorship relationship is facilitated in the community to which the client is released after graduating from Turning Point. • Information and guidance specific about nutrition, including assistance in regaining and maintaining a normal body weight, where indicated. • Dietary supplements specific to supporting and rebuilding brain function, including amino acids, omega-3 fish oils, and vitamins. • Education and therapeutic interventions to assist clients in building a healthy body image and counteracting any tendency toward eating disorders that may be enhanced by the weight gain that often follows abstinence from methamphetamine. • Medical intervention for the skin problems related to methamphetamine toxicity, where indicated. • Medication for depression or sleeplessness, where indicated. • Medication with Naltrexone or Buphropion (Welbutrin) anti-craving medications, where indicated. • Dental care and, where needed, intervention and treatment for the tooth-grinding that is related to meth use. • Exercise particularly focused toward impacting brain chemistry by stimulating the brain's production of norepinephrine, a substance with effects that are similar to methamphetamine. The Girls' Program places an emphasis on providing a safe, healing environment that encourages healing relationships, gaining knowledge, and providing tools for improved self-esteem, positive conflict resolution and relationship skills. Meth Program interventions for girls relate to body image, nutrition, eating disorders, and relationship- building. The Boys' Program focuses on a cognitive-based, solution-oriented approach. This focus decreases recidivism rates and is the approach recommended by the National Institute on Drug Abuse (NIDA). Education Turning Point's educational programs are approved by the Colorado Department of Education and are designed to accommodate students with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Turning Point has a 1 to 10 teacher/student ratio. Along with teachers, Educational Counselors, and numerous volunteers from the community staff the classrooms. Many of these volunteers come from Colorado State University and the University of Northern Colorado assists the teachers in individually tutoring the clients. Turning Point also receives federal funds that provide a Title I (literacy) teacher. The Exhibit A Title I program focuses on the students that come in 2 years or more below grade level in literacy (approximately 40% of our student population). This program involves one- on-one direct instruction by a licensed Title I teacher. Turning Point education staff strives to help facilitate successful transitions for our student's back to the public school system. Transition planning begins early in the student's stay at Turning Point through contact with DHS staff, school personnel and discussions in monthly reviews. For students completing their GED or high school diploma, Turning Point offers assistance to students through vocational education and/or post secondary education options. Each student is assessed through the PIAT-R, Educational Interview, and a review of educational records including IEP's. Within the first 10 days of a client's stay, the Primary Teacher, along with the client, will develop educational goals and interventions. These goals and interventions will become part of the Comprehensive Treatment Plan for each client. Clients that receive Special Education services will have goals that revolve around the IEP. The progress on these goals will be documented on a monthly basis during the client's staffing. The PIAT-R is also given at the end of a client's stay to measure the level of improvement shown by grade equivalents. Turning Point's educational programs combine academics with a Service Learning component. Turning Point provides general education courses that correlate directly with Colorado Model Content Standards. All students earn seat hours, which equate to credits that transfer directly back to home schools. Students typically fall in one of three areas including general education, GED, Post-GED. Turning Point utilizes our existing relationships with Front Range Community College, Colorado State University and AIMS Community College to assist youth in pursuing continuing education and obtaining financial aid to further their education. Along with the day to day academics, all students participate in the Service Learning program. The combination of service and learning is powerful. It creates potential benefits beyond what either service and learning can offer separately. Independent Living Youth who are placed on the independent living track are provided additional support and services. Turning Point's program provides intense supervision and surveillance of the youth in the community and improves their compliance through assessments, built- in incentives and sanctions to maintain public safety. The independent living track is individualized for the youth's needs and focus areas. The youth will interact with DHS staff and Turning Point staff who provide role modeling for socially acceptable behavior and support and encouragement. The program is designed to address anti-social beliefs and behaviors and to replace these values with socially acceptable norms that enable the youth to participate in pro-social community involvement. Additionally, youth will be exposed to a healthy, positive network of services that will continue to be in place for them as they are released from DHS and are living unsupervised in the community. Youth on the independent living track have the ultimate goal of living successfully in the community. Each client must be able to demonstrate appropriate skills in order to effectively live on his/her own and remain socially positive. Upon intake, clients are given a Life Skills Assessment inventory that ranks their knowledge and skills at four Exhibit A different levels, 1) Basic, 2) Intermediate, 3) Adequate, or 4) Exceptional. The goal of the life sills section of the service plan focuses on the obtainment of the lacking skills so the youth is ranking at the Exceptional level upon discharge. The client's daily schedule and activities, including school, work and social activities will be monitored by the program staff and will follow the direct service plan outline. The components of the life skills/independent living skills include: • Participation in the weekly Life Skills group. The curriculum for this group includes money management, budgeting, opening a checking/savings account, use of public transportation, access to medical care, learning to shop and prepare nutritious meals and many more areas. • Daily maintenance and cleanliness of the home. • Weekly grocery shopping and menu planning in accordance with healthy food choices and lifestyle. • Weekly budgeting and record keeping of finances, including the paying of bills and opening a joint signature account with a Case Manager. Each client will prepare a monthly budget, which will include rent, food, utilities, clothing, recreation, restitution and savings. Each client will set aside savings in a special account while in the program. • Familiarity with community resources including housing, employment and training, legal information, medical services, mental health services, financial assistance programs, food/meal services, and drug and alcohol treatment. • Familiarity with and the use of the city's public transportation system. Resources include the city bus system, bike trails and taxi services. • Education on sexually transmitted diseases, contraception and family planning. • Through the EOC —financial aid and exploration of furthering their education. • Each client has the opportunity to become First Aide and/or CPR Certified by attending free courses offered by certified Red Cross trainers at Turning Point. Additional educational groups are provided by the counseling staff that address self- development issues, social/interpersonal skills, communication skills, and pro-social recreational skills. These issues will also be addressed on a personal level with the youth during their weekly meetings with their Case Manager and the counseling staff at Turning Point. Transition Turning Point is highly committed to assisting in the successful transition of youth back into the community. We have worked to enhance this area of our programming in all levels of residential care, identified it as an agency goal and built into each member of the treatment team's job description specific duties they are responsible for in the area of their client's transition. The role of treatment team is to be aware of current client population needs by linking with treatment teams in the agency and developing community resources for each client leaving any of our programs. Through this, the client will have a vast amount of resources in their identified areas of need, which could include mental health services, affordable housing, financial assistance, educational resources, 12-step meeting locations, cultural and/or religious centers, recreational and social opportunities, etc. R1/Community Service 'g • ExhibitA In recent years, Turning Point became a leader in the restorative justice movement in Northern Colorado and throughout the state. Collaboration with the Center for Applied Research at Colorado State University resulted in shared staff, added training for Turning Point staff and for community volunteers, and an increased level of community interaction for clients. Turning Point has a committee of staff and community members serving on a Restorative Justice Committee that focuses on implementing Restorative Justice practices into the programs and collaborates with the community to provide restorative opportunities for the clients that Turning Point serves. Community/Restorative Justice has several principles that are different from contemporary criminal justice. First, it recognizes that offenders harm victims, communities and even themselves. Second, it involves more parties in addressing the situation, which includes victims and communities. And third, it measures success by how many harms are repaired or prevented. Allison Morris and Gabrielle Maxwell have done extensive research and writing on restorative justice initiatives in New Zealand. This research identifies family group conferencing as a contributing factor in lessening the chance of re-offending even when other important factors such as adverse early experiences and subsequent life events are taken into account. Turning Point integrates principles from the community/ restorative justice model with the treatment needs of the youth. Offender sanction for delinquent behavior, victim reparation and compensation, and repairing the harm to community are all stressed. Turning Point has initiated (as appropriate for the circumstances and the treatment plan) victim empathy groups, circles of support, and family group conferencing. These options provide a range of opportunities for dialogue, negotiation and problem solving, whenever possible between the offender, victim and the community. The final step of conferencing is to reach a consensus-based agreement and document how the offender will repair the harm. The agreement is then monitored by the offender and the offender's treatment team. When applicable, the youth's treatment team will assists them with Community Service to access appropriate settings in which complete their assigned hours. The approach is to link individuals to settings in which they will not only"work off their hours" but also to directly link them to a setting that is linked to the crime they committed to get the Community Service hours. The staff sets up the opportunity for the youth and monitors their attendance and hours worked. Overall, Turning Point clients provided more than 3000 hours of community service last year. DAILY RATES: TRCCF State established rate: $175.39/day Drug and Alcohol Package: $10.90/day it. WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Youthtrack and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this / day of Ire 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. 1. County agrees to purchase and Contractor, identified as Provider ID#11725, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$139.42 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$139.42 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); ] Weld County SS-23A Addendum &nni- 9 y 4, 1 44 r 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County 55-23A Addendum 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. / s ATTEST: Weld County C 1861 to k9 WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF (7 4,1OF THE WELD COUNTY DEPARTMENT OF SOCIAL SERVICES (� By: /� �¢ � �*��✓ By: C Deputy Oierk to the Board David E. Long, Chai SEP 0 5 2007 CONTRACTOR Youthtrack 1375 Ken Pra sd Longmont O 805'0l By: \Sri WELD COUNTY DEPARTMENT OF SOCIAL SERVICES P0/10.7 By: a A1-) irector ,_1(302)Da, 111 4 Weld County SS-23A Addendum ,y) _a 79`/ Exhibit A Table of Contents Youthtrack Inc Scope of Service D BUSINESS PROPOSAL 2 1. COMPANY OVERVIEW AND BUSINESS EXPERIENCE 2 2 WORK PLAN 3 2a. TARGETED POPULATION: 3 2b. Company Overview and Business Experience: Error! Bookmark not defined. 2c. PROGRAM OVERVIEW. 4 2d. PROGRAM FACILITY. 5 2e. STAFFING 6 2f. REFERRAL PROCESS. 11 2g. TREATMENT PLANNING/CASE MANAGEMENT 12 2h. FAMILY SERVICES 12 21. ADJUNCT SERVICES- 13 2J. DRUG/ALCOHOL PROGRAM SERVICES: 14 2k MENTAL HEALTH SERVICES: 15 21.MEDICAL SERVICE'S 16 2m. TRANSITIONAL SERVICES: 16 2n. INDEPENDENT LIVING TRANSITION SERVICES. 17 2o. PROGRAM ORIENTATION: 18 2p. TREATMENT SERVICES: 20 2q. SURVIVAL SKIT T S 21 2r. EMPLOYABILITY TRAINING &JOB PLACEMENT ASSISTANCE• 21 2s. EDUCATION SERVICES: 22 2t. VOCATIONAL/EMPLOYABILITY SERVICES 24 2u.RESTORATIVE JUSTICE/COMMUNITY SERVICE- 24 2v. TRANSPORTATION 26 2w.ENHANCEMENTS: 26 2x. DAILY RATES(S) FOR PROGRAM OFFERED- 27 2y.MEDICAID FEE-FOR SERVICE 28 3. LEGAL ENTITY TYPE 28 4. APPENDIX 28 5. LICENSES 28 Exhibit A D BUSINESS PROPOSAL 1. COMPANY OVER VIE WAND BUSINESS EXPERIENCE Require/Tent Prozide a ckscnption jy zirAgrmy and the ser zices that you haze prodded to the population descnledabort Include yran cf experience and specific program and serzices food by yaerragency Youthtrack,Inc., and its parent company ResCare,Inc.,bring a vast level of experience to meet the needs of the state of Colorado in this Request for Proposal. Youthtrack's parent company, ResCare, Inc.,which is based in Louisville,Kentucky, is a leading provider of services to at-risk and troubled youth and is America's largest private provider of services to people with developmental and other disabilities. The ResCare family is 29,000 employees living out the ResCare Quality Way philosophy. The phrase "Building Lives,Reaching Potential" is our unified vision of the wide variety of things we do every day,for the people we serve,their families and our employees. Since 1992, ResCare serves 1,378 persons in six states and Puerto Rico. It has been named four times as one of Forbes Magazine's 200 Best Small Companies in America.While its business success has been impressive, it is the expansion of new services and the continual improvement in quality that tell the real stow. The company is publicly held(Nasdaq/NM: RSCR), and therefore subject to the continual scrutiny of its business practices and financial condition. ResCare's Community Services Group serves young people with emotional and behavioral issues or other special needs, as well as juveniles in the justice system in 6 States and Puerto Rico. This proposal for the operation of the three Therapeutic Residential Child Care Facilities is being presented by Youthtrack Inc. Youthtrack will be the contracting and operational company for the project. Youthtrack Colorado Programs Secure Program San Luis Valley Detention Center,Alamosa, Colorado, 12 youth, co-ed Therapeutic Residential Child Care Facilities Jeffco Program,Morrison, Colorado, 16 youth San Luis Valley Youth Center,Alamosa, Colorado,20 youth Youthtrack Work&Learn Program,Denver, 12 youth Non-Residential Programs Colorado Springs SB-94 Community Supervision Program, Colorado Springs, CO, an ADP to 50 youth Transitional Program Work and Learn Independent Living Apartment Program,Aurora, Colorado, 2 youth Page 2 of 28 Youthtrack Inc ' Exhibit A References Scott Stringam,MM Mr.Al Estrada Executive Director Southern Regional Director DYC Youthtrack— Utah 1259 Lake Plaza Dr Suite 130 Office: 435-723-1799 Colorado Springs, CO 80906 Fax: 435-723-2521 Office: 719-538-0204 x21 Email: sstringam@rescare.com Steve McDermott Former Program Director Denver CO 80203 303-548-4729 2 WORK PLAN 2b. TARGETED POPULATION: Requirenrnt Pradde a description grthe type Cf client that is serwd by the progran; induding mile and/or ferrule therm,prth mquirirg nrntal health services,and pub zaho are d issflezl as see fenders and/or other dassfcations."Offerors mzyserze only a portion grthis targeted population(i.e, miles only or fem les only, or malesee fenders only, etc)orany conbination 1this population If O�`feror's proposal anticipates acteptance boys and girls, indicate z¢hether co-ed or separate facilities. List the type g'client that is not aorpted by the program The Youthtrack program serves level B males, ages 10 to 21. The youth are committed to the care and custody of the Division of Youth Corrections (DYC). These youth will have high needs in the areas of family intervention,conduct disorder, mental health,legal issues, education,vocation, life skills, and employment. Youthtrack employs a Sex Offender Management Board full provider therapist, so Youth with sexual offense specific treatment needs are eligible for placement. The average length of stay is estimated to be 4-6 months, a period that is to be determined by the Discrete Case Plan (DC P),the risks and protective factors identified in the CJRA, and the Individual Treatment Plan (ITP). A Youth's actual length of stay is determined through the DC P,the Youth's progress on his transition checklist, and relevant discussions between DYC and the program treatment team. A Youth will be considered for denial of placement if they have demonstrated a consistent pattern of not engaging in treatment,consistent defiance to rules and norms at their current placement,unwilling to commit to the Youthtrack rules and norms,youth that meet the criteria under the Colorado Mental health Law 27-10 as dangerous to themselves or others, or gravely disabled will not be accepted into the program. These youth may be evaluated at a later time. Page 3 of 28 Youthtrack Inc Exhibit A 2c. PROGRAM OVERVIEW: Requirement: Briefly discuss the Offeror's analysis of working with these populations in a community based setting and issues that need to be addressed when designing effective programs. If your program is a RCCF/TRCCF, describe and quantify the differences in care offered Jeffco and San Luis Valley Youth Center (SLVYC) These Youthtrack programs will house residents at the Youthtrack facilities located in Morrison, Colorado or at our Youth Center facility in Alamosa Colorado. The Youthtrack Programs are RCCF/TRCCF with the flexibility to provide services for residents in need of varying levels of structure and supervision. Youthtrack receives referrals for youth at various stages of progress in treatment. We receive many referrals for youth who have recently been committed and recommended for community placement. We also receive referrals for youth who need a placement at a lower level of care coming from a more secure placement. Regardless of where a youth is from, Youthtrack is able to pick up where the Youth is in treatment and move forward from there. Planning for the youth' transition into the community begins with the initial treatment planning. The youth's treatment goals revolve around the areas that will facilitate the transition into the community, whether the youth transitions with family, emancipates, or moves onto another less restrictive placement. As the youth progresses through the program, they will gradually transition into the community, with ongoing support of the program. The methodology we have found to be successful is to provide guidance for the youth toward pro-social lifestyles and positive re-integration into their communities. We provide strength-based individualized services. Our treatment is focused on developing cognitive tools and skills, utilizing various evidence-based practices. Our therapies and our focus are based on cognitive-behavioral therapy; we utilize more specialized therapies, such as Dialectical Behavior therapy as well. The treatment coordinators at Youthtrack are constantly striving to implement new and improved, evidence-based therapies with our youth. Youthtrack is an excellent placement for DYC youth who are ready and appropriate for community placement, who are still progressing toward a GED or diploma, and who have treatment needs to work on. Having an on-site school at Jeffco and a nearby Youthtrack school room at SLVYC allows these youth to work toward educational and treatment goals in one structured, unified setting. The presenting problems are varied: depression, relational/familial issues, anger management, education, sexual offenses, and drug and alcohol abuse. Youthtrack has also worked to enhance its emancipation services. We have designated staff members who assist youth with job searching and other employment needs. These staff members can also help the youth obtain identification, such as a state ID or social security cards that they may need to obtain employment. The programs operate on four main components to manage and treat residents within the milieu. They include: • Program norms • Feedback model Page 4 of 28 Youthtrack Inc Exhibit A • Level system • Daily goals/positive feedback. The program norms include safety, respect, accountability and cleanliness In addition to the norms, there is a system set up within the facility that allows the peer culture/staff to uphold these norms. This system is identified as the feedback model. The feedback model includes all youth and staff. It is a norm and an expectation to: Confront all negative behaviors Accept feedback Immediately work to change or redirect the negative behavior The ability to call peer/staff groups if any Youth refuses to accept feedback These groups will stay in place until the issue is resolved and the norms are upheld. If any youth refuses to take ownership for violation of program norms they can be removed from the milieu and dealt with on an individual basis. The level system distinguishes privileges between the youth. There is an orientation phase and levels 1, 2, 3. All levels are achieved through appropriate behavior in the milieu and community, documented progress in treatment goal areas, understanding of program expectations, obtaining trust, displaying leadership and lastly being accepted through the treatment staff meeting. All youth that receive their level are expected to abide by the level expectations. If they do not, the level can be restricted or reduced. The youth set daily goals in the morning and are reviewed in the evening. Positive feedback and strength building is an important component of the daily milieu management between staff and youth. Staff is trained in the Crisis Prevention Institute (CPI)model of de-escalation and intervention by Youthtrack's Certified Trainer. Our goal is to manage crisis at the lowest level of intervention possible, while maintaining the safety of all staff and residents. 2d. PROGRAM FACILITY: For O feror's that haze an gyrational faalig(s). &run-Ent the facility address(address, dt); zip cafe--Post fur lax # is not aaeptabfe)and Child Care framing designation Disdase other certifications and liansury such as luernsure by the Alcch l and Drug A buse Dizision(ADAD). Disdcse the total liansed capacity g"each facility zahat portion zvll be jered to DYC under this RFP;and what portion will he gJfered for use along'kith gender spe specific capacities. Disdase current licen,irng designation f the prpased facility. In citation, describe how the facility zeal nzet the neat grille targeted population,and how the physical plant will allawfor psuramsperiic kzels c/sujmrasioz Amide espia cf all l,cceraurt Jeffco The Youthtrack Jeffco program is located at 5924 US Highway285,Morrison, Colorado, 80465. The program is operated as a Therapeutic Residential Child Care Facility and licensed by the State of Colorado,Department of Human Services, and Division of Child Care. As of July 1, 2006,the Jeffco Program was licensed as a Therapeutic Residential Child Care Facility(RCCF/TRCCF). The license for this facility is current, in good standing, and expires July 2007 (# 11724). This license will be renewed in June to continue through July Page 5 of 28 Youthtrack Inc Exhibit A 2008. The total licensing capacity for the facility is 17 males. Up to 16 beds will be offered to DYC under this proposal. The proposal site meets all Safety,Zoning, Health, and Fire codes. Youthtrack Jeffco has spent considerable money improving the site over the past two years. Some of these improvements include carpeting and tile throughout the program, new countertops and appliances in the kitchen,and repairs to decks, stairs, and ramps on the exterior of the building. Youthtrack Jeffco is leased under a long-term lease agreement with Corbett Enterprises. Gary Corbett of Corbett Enterprises has worked with Youthtrack over the last two years to make numerous repairs and improvements to the physical property. The facility is housed in two buildings on a 3.5 acre rural site. The administration, clinical, and education building provides a spacious area for the staff and youth. The housing area includes the sleeping area,dining, and kitchen area. This building also has a recreation area for physical and sedentary activities. The 3.5 acre site also provides an area for outdoor activities. There are three levels in the housing area,the sleeping areas are on two levels and the staff and common area is set to the side of the sleeping area. During sleeping hours there are 2 staff for 16 youth. Bed checks are made every thirty minutes at a minimum. The facility will be staffed with the 1 to 8 ratio required by minimum standards during waking hours;the minimum ratio standard is usually exceeded due to educational and recreational activities. To meet the needs of the target population, Youthtrack Jeffco provides an on-site school, accredited by the Colorado Department of Education. The majority of our target population is in the process of obtaining their high school education or working toward a GED. Having a school on-site enables our youth to continue to build credits toward graduation while in treatment or prepare for GED testing. A portion of our target population includes youth who need to find employment and emancipate. Youthtrack Jeffco is within 10 minutes of the Denver Metro area,which allows these youth to have access to potential employment sites to prepare for transition into the community. These youth can use the RTD bus system from an express stop near the program,can be transported by staff to bus stops in the metro area,or can be transported by staff members to their employment sites. 2e. STAFFING Requirement By faality, list all staff positions and their respectize titles, including contracted staff intemc,as well as full and part tine staff Sprtify any staff that are licensed or certified and irulude nithuan qualifuations for each position Proucle a sanple staffing schedule,for a zSe, induatinghowrmny staff will be on duty at what tares and their Ides. Discuss staff turn-ozer ratios and the incentize pisararrs inplerrented to encourage staff retention Desailce your staff training plan far newand existing staff Identify sta!designated tozcurd meeting licensure raluirenent ratios gtstaff to youth. Foradditioral staff hired abate the required licenstae ratios, describe their f artioat(s)and justyy the need for staff based on program Ie]uirenerrt5. DESCRIPTION OF STAFFING PATTERNS: Staffing Ratios for day, evening, and ovemight shifts: Youthtrack staffing patterns and schedules comply with and exceed the minimum Page 6 of 28 Youthtrack Inc Exhibit A RCCF/TRCCF Licensing Standards of 1 staff to 8 youth. Jeffco Program Shift Youthtrack Ratio Licensing Requirement Day 1:3.2 1:8 Evening 1:5.33 1:8 Overnight 1:8 1:16 The program staffing pattern consists of two Youth Counselors on a 6:30-2:30 shift,two Teachers on an 8-4 shift,three Youth Counselors on a 2-10 or 3-11 shift,and two awake Youth Counselors on an 11-7 shift. Two treatment coordinators work either 8:30-5:30 or 10:30-7:30 shifts. The Program Director and Assistant Director work a variety of shifts including days,evenings and weekends. All staff has access to emergency back-up coverage through the Director. Jeffco is staffed by • 1 Program Director • 1 Assistant Director • 1 Treatment Coordinator full time: licensed as an LPC and who is listed as a full provider with the Sex Offender Management Board • 2 part-time treatment coordinators, • one who is an LPC and • one who is an LSW, soon to be a LCSW. • 2 Teachers: licensed by Colorado Department of Education with current teaching licenses. • 1 Teacher's Aide/Line Staff • 1 Title I tutor/Youth Counselor Youthtrack programs are generally staffed by: • Program Director. Bachelor's Degree in human services or related field required. They have a minimum of three years employee management experience and knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI),Federal Bureau of Investigations (FBI) and (DHS) background checks. They are responsible for the overall administration of the program. • Assistant Director/Staff Supervisor. Bachelor's Degree in human services or related field required. They have a minimum of two years experience with youth or in management and knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI),Federal Bureau of Investigations (FBI), and DHS background checks. • Treatment Coordinator.Master's degree in social work, social science or related field required. Two years experience working with youth in a residential or secure setting required.Minimum age requirement is 21 years old. They must be able to communicate (verbal and written) with all levels of personnel internal and external to the company. Ability to effectively design and implement treatment plans. They must have knowledge of DYC and DHS regulations and Children's Code and must have thorough knowledge of adolescent treatment theory and practice and knowledge of Page 7 of 28 Youthtrack Inc Exhibit A resources available to youthful offenders. They must be able to pass CBI,FBI, and DHS background checks.Responsible for intakes, coordinates releases and transition plan,performs crisis intervention, leads groups and is a liaison to DYC Client Managers and other outside agencies. • 2 Teachers: State teacher certification, or ability to obtain emergency teachers' license required. Bachelor's degree required. Masters degree preferred. (They are required to be Highly Qualified (State and Federal requirement) in three content areas (for secondary) and Elementary Education bypassing the appropriate PLACE/PRAXIS Tests or documenting 24 credit hours in their university transcripts). They must have knowledge of DYC,Department of Human Services, Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI), and DHS background checks. • 1 Teacher's Aide/Line Staff: High School Diploma(would need to pass the Workkeys Test for Highly Qualified),BA or 1 year experience. They have knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations and be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI),and DHS background checks. • Title I Tutor/ Youth Counselon Bachelor's degree with a minimum of 24 credit hours in English or Math or the ability to pass the CDE PLACE test in English or Math. They must have knowledge of DYC,Department of Human Services, Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI),and DHS background checks. • Youth Counselors: Bachelor's degree preferred, Associates degree and one year related work experience, or a high school diploma or equivalent and two years related work experience is accepted. Responsible for direct supervision of youth, oversight of all daily activities, crisis intervention, safety and security, work shifts, and implementing program. They must be able to pass CBI, FBI,and DHS background checks In addition Youthtrack has these Administrative positions: • Executive Director. Has a Master's degree and a minimum of 5 years employee management experience. • Director of Education: Also act as Principal and Coordinator for the educational programs.Responsible for Tide I and CDE budgets,grant applications and other reports; knowledgeable of Colorado teacher licensure requirements,state and federal guidelines for regular and special education students;participate in hiring, supervision and evaluation of teachers in addition to staff development and training. Current( DE Professional Licenses - Special Education Director K-12, School Principal K-12 and Educationally Handicapped Teacher. • Human Resources Manager/Training Coordinator Is responsible for all benefits administration,training, employee recruiting and retention, payroll, and employee relations. They must be knowledgeable of Colorado employment laws. • Divisional Director of Human Resources: Is responsible for supervision of all employee retention and employee relations. They must be knowledgeable of Colorado employment laws Page 8 of 28 Youthtrack Inc Exhibit A • Regional Finance Director. Is responsible for operations accounting, supervising accounting staff; and maintaining compliance of accounting procedures in accordance with GAAP • Training Coordinator. Is responsible for the development and implementation of the written training plan for all Youthtrack programs. The Coordinator is responsible for planning and coordinating the Training Plan in conformance with applicable state policies and regulations. Training programs and curriculum are planned to meet the needs of staff members'job requirements and are pertinent to their current work and career development. The Training Coordinator shall select qualified,and when applicable, certified trainers to conduct training. In addition Youthtrack enjoys the services of the Resource Center,the corporate headquarters of ResCare our umbrella corporation located in Louisville Kentucky. They provide expertise for oversight,Bat in Claus,compliance,and training issues. Minimum Staff Qualifications All staff shall meet the required RCCF/TRCCF regulations. They must be at least 21 years of age,and have completed a Bachelors degree. A high school diploma or equivalent and 2- year's experience in the Human Services field,or an Associate's Degree and 1 year experience in the Human Service field may be substituted for the college requirement. Interns,Volunteers and Contracted Staff Youthtrack has a history of utilizing both intem and volunteer programs.Youthtrack intends to develop and implement a strong volunteer program in compliance with DYC policy 20.1. Volunteers can assume roles such as tutors or religious coordinator. All intems and volunteers will be screened and trained prior to involvement with youth. Staff Training First year training requirements for Youth Counselors,Home Leaders and supervisory staff includes participation in the Youthtrack New Employee Orientation (40-hours),the program specific On-Site New Hire Training (80-hours) Weekly Staff Meeting/Training Sessions (3 hours), and quarterly Training In-Services (2-8 hours) arranged by the Training Coordinator or Program Director. Youthtrack New Employee Orientation includes the following topics: • History, mission,purpose and goals of Youthtrack • Overview of Residential Treatment Centers • Overview of Secure Programs • Overview of Non-Residential Programs • Overview of Youthtrack Education Programs • Juvenile Rights and Responsibilities • Professional Boundaries • Disclosure Statements • Overview of the juvenile Justice System • Human Resources and Company Benefits • Arrest through parole,how youth move through the system • Developing a profile of youth in the system Page 9 of 28 Youthtrack Inc • Exhibit A • First Aid and CPR • Therapeutic Crisis Intervention • Suicide Assessment and Prevention • Medication Administration On-site New Hire Training (40-hours) is provided by the Director, Treatment Coordinator, or by a person designated by the Program Director.Documentation of the On-Site New Hire Training is completed on the Youthtrack New Employee Orientation form. Upon completion of all topics listed,the form is forwarded to the Youthtrack Training Coordinator/Human Resources,who maintains the form as part of the employee's training record. The On-Site New Hire Training is conducted during the first week of hire with follow-up required during the first 90-days. Staff Meeting/Training Sessions are conducted weekly. Such sessions are conducted by the Program Director, Treatment Coordinator, guest trainer,or a person designated by the Program Director. Staff Meeting/Training Sessions address on-going needs of staff in maintaining consistency in the implementation of the behavior program in accordance with program procedures. The Division of Youth Corrections required trainings are conducted during these weekly meetings.Documentation of Staff Meeting/Training Sessions is completed by the Program Director or Training Facilitator on the Youthtrack Training form. Upon completion,the form is forwarded to the Youthtrack Training Coordinator/Human Resources to be entered into each staff member's training record. The Youthtrack Training Coordinator/ Human Resources staff facilitate the completion of training areas and in-services for Youthtrack employees.Designated staff from each program attends such training modules.Additional training specific to individual program needs is presented by Youthtrack personnel, as well as by personnel recruited by or with the approval of the Training Coordinator/Human Resources.Documentation of such training sessions shall be completed by the Trainer and are forwarded to the Training Coordinator/Human Resources to be entered into the employee's training record. Training from Outside Sources: Applicable training by outside sources such as colleges,universities,and federal agencies may be utilized for either the new hire or annual training requirements and may be granted equivalency credit, as long as the program content is commensurate with Youthtrack training requirements and is approved by the Training Coordinator/Human Resources. Training Records: The Youthtrack Training Coordinator/Human Resources maintains training records on all current employees. The training record includes: • The staff member's name. • The staff member's job title. • The staff member's date of hire. • The annual training hours required. Page 10 of 28 Youthtrack Inc Exhibit A • An up-to-date chronological list of the training completed by the staff member and the number of hours; including credit transferred as a result of previously completed training. Staff retention and recruiting: Youthtrack has incentives in place to retain competent and quality staff. The most prominent incentive is that Youthtrack prefers to hire from within the company. This offers employees the opportunity for advancement and promotion. On a regular basis,staff members are rewarded for actions that go above and beyond with either"Staff of the Month" awards that come with a $25 gift card or with "OUTSTANDING" awards,which the staff can use for the reward of their choice. Youthtrack offers tuition reimbursement and paid time off which increases in rate the longer an employee is with the company. Youthtrack staff is also offered discounts with various businesses, including Dell Computers, Ford, Office Max,and TicketsAtWork.com which offers discount tickets at numerous theme and amusement parks and discounted car rentals,hotels, and movie tickets. Youthtrack utili7Ps a variety of recruiting strategies to hire competent and quality staff. For example, some of Youthtrack's best hires come from current staff referrals. For that reason Youthtrack rewards employee referrals with$100 after the new employee has completed 90 days with the company.Youthtrack recruits on several online websites,jobing.com and craigslist.com are a couple examples. Youthtrack also recruits at local colleges and in statewide and local newspapers. Youthtrack has historically met all EEOC goals utilizing the Youthtrack Affirmative Action Plan. Youthtrack employs numerous strategies in our recruiting and retention plan, and have always focused on hiring and promoting a culturally diverse staff. 2f. REFERRAL PROCESS: Requirement Describe the process for waiting prioritizing and responding to program referrals fro nany or all tithe four Regions. Indtttde spec*tinelims and describe the purss for reziezeing referral pathets, responding to referrals,and accepting duets into the program Indude specific threlines not to awed 5 working from date cfrvferraL Adznozdedge yaur willingness and ability to accept dazmnk files in PDF forms for youth referrals to your p ogtam Specifically define zehat dins will na be aarepted into your program and aarditums/lehazios that would necessitate the rtgathe discharge tf a client The Youthtrack Program will respond to all referrals within 5 business days of receiving the packet. Youthtrack prefers to receive the initial referral electronically, as it speeds up the referral process. These referrals can be sent in PDF format or as a Microsoft Word document. Full referral packets will also be accepted via mail or in person. The program will maintain a log sheet for all referrals received. This log sheet will note the date the referral was received,the youth name referred,the name of the Client Manager, and the scheduled Community Review Board date. After the youth is interviewed,a call to the Client Manager will be placed. At this time the Client Manager will be informed of their youth's acceptance or rejection. Most rejections are open to further review after 30 to 90 days. All youth will be male youth between the ages of 10 and 21. A youth must demonstrate appropriate behavior while in their current placement. Referred youth must complete a comprehensive placement interview with the Program Director or designated staff. The interview will consist of: reason for placement,anti-social history,progress in past treatment Page 11 of 28 Youthtrack Inc Exhibit A facilities, awareness of their treatment issues, school and/or employment goals, drug and alcohol abuse history, family history, religious or cultural influence, level of involvement the family will have in treatment, gang affiliation,and commitment to follow the program rules and norms. A youth will be considered for denial of placement if they have demonstrated a consistent pattern of not engaging in treatment,consistent defiance to rules and norms at their current placement, unwilling to commit to the Youthtrack Program rules and norms, current assaukive behavior,recent danger to themselves or others consisting of: suicide attempts or ideations, assaukive behavior, self-mutilation, or an unwillingness to commit to safety. Youth will not be denied based on being designated as non-special education. While at Youthtrack a youth may be discharged negatively for the following reasons: • Any criminal activities related to illegal drug possession or alcohol • Possession of weapons or any materials that could be used as weapons, • Assaultive behaviors directed at staff, residents, or visitors. • A youth could also be discharged negatively for a consistent pattern of problem behavior or for a persistent lack of progress in treatment. 2g. TREATMENT PLANNING/CASE MANAGEMENT Requirenent:By facilit)4 describe twatnrnt planing and case mrnzzerrrrt serzicts to be prodded for con1nitted youth. If yourprogram is a RCCF/IRCCF, describe and quantify the differences in twatnrnt planrring/case rmnaberrrnt.1.caregfered Jeffco All residents are assigned an individual counselor and a master's level treatment coordinator. The treatment planning process begins at the time that a resident is referred to the program for admission. Based on information gathered from prior placements, discussion with referring agencies and a thorough interview, a decision is made for admission based on the needs of the resident's DCP,the risks identified on the CJRA,and the services provided by the program. Upon admission,an Individual Service Plan (ISP) is designed within the first 72 hours. The ISP addresses the immediate needs of the resident as the treatment team continues to learn more about the resident through assessment, observation and interactions over the next 10 days. At that time,a treatment plan meeting is arranged with all of the individuals and agencies that are invested in the treatment and well being of the resident. The youth's Individual Treatment Plan (II?) is designed based on the Protective Factors and Dynamic Risk measured on the CJRA,the input from the youth and all involved parties, and information gathered from assessment. Once a comprehensive ITP is designed with strength-based,clear, measurable goals, monthly meetings are routinely scheduled to review, modify, and document the resident's progress in the program. A Transition Checklist is also designed and reviewed monthly to identify clearly identified tasks that will reduce the youth's Dynamic Risk and will bring him closer to successful transition into the community. 2h. FAMILY SERVICES RequirenEnt By Facility, describe zehat fanily counseling nnlality will be usai what services zezll be prodded and hozvfanilies zezll be inzutzed in tmatnunt planning and the transition paws. Describe the Page 12 of 28 Youthtrack Inc Exhibit A antiapated fizquerxy cfthese satires and the credentials cyrthe stem-tiding them If)atr p ogramis a RCCF/I RCCF, desaibe and quantify the dzfferencas in services offered Jeffco Upon entrance to the program,an initial phone call is made to the family informing them that their family member has been placed. They are welcome to visit and attend all meetings relevant to their family member's Individual Treatment Plan (ITP). In addition, a Family Handbook is mailed to each home. The overall goal of family involvement is for the resident to explore family patterns related to his treatment,and establish a relationship with family members that will contribute to a socially responsible lifestyle. Treatment Coordinators offer family sessions as often as weekly, depending on the availability of the family. The treatment staff assesses each resident's family situation. They will begin to identify family roles,patterns,values,and traditions that may present barriers or support for the resident's treatment. Family counseling sessions are held as often as weekly and are facilitated by treatment coordinators who hold Master's Level degrees. An in-home family interview can be scheduled before the youth begins transitional passes. At this time,the family will be encouraged to become involved in the Individual Treatment Planning process, monthly reviews,visits,home passes, organized family functions at Jeffco, and offered multi-family group. As we build relationships with each family, our Master's Level therapists will encourage individual family therapy whenever possible. Each youth's family is given the opportunity to return an anonymous self-addressed stamped response that gives the program feedback,from the family perspective, on progression or regression of their family member and their experience with the program. Family Dinner is held every six weeks at the program. The idea of this event is to offer an extra opportunity to visit,to bring family,youth, and staff together to dialogue,to celebrate youth accomplishments,and to have a great meal together. Family Visits are typically held every Sunday from 4 to 6 pm,but can be scheduled at another time if the visit time is not convenient for the family. 2I. ADJUNCT SERVICES: Requirement By facility describe S types andfrequency tf these satires, the qualtfuauwxs qrstaff prvziding setices and what community rtsaurces zzill k accessed If yrxer program is a RCCF/7RCLF, describe and quantify the differences in serzices gifered Jeffco Youthtrack Jeffco provides multiple opportunities to youth to meet their spiritual needs. The program offers church passes with approved sponsors, and provides the opportunity to invite spiritual leaders to the facility. Youth can participate in Bible study groups and spiritual youth groups. Youthtrack staff work diligently to ensure that each individual youth's spiritual needs are being met. Youthtrack youth participate in cultural awareness groups and cultural activities,both in the milieu and in the school environment. Educational themes are taught on a monthly basis, generally in accordance with calendar events such as Black History month, Chinese New Year, and Women's Hrstory month. Youthtrack youth also participate in cultural activities Page 13 of 28 Youthtrack Inc Exhibit A such as field trips to museums, community cultural events, and cooking ethnic foods in the facility. In addition, staff members are trained around cultural sensitivity and education. Youthtrack honors individuals of all races, color, religious beliefs, sexual orientation,gender, national origin and disabilities. These opportunities are available to all youth. The Jeffco Program offers basketball, baseball,volleyball,and weightlifting onsite and residents are required to participate in large muscle activities a minimum of one hour per day. Residents are graded and earn school credit for their participation. The Youthtrack Jeffco program enhances positive pro-social education and therapeutic group skills through experiences in the community. Youthtrack accesses the broad cultural resources available in the Denver metro area to provide our students with structured and leisure time activities such as museums,county and state fairs and rodeos,historical sites, art galleries, skiing and wilderness treks, accessing the Southwest YMCA recreation center,local parks and hiking trails, and program approved films on a weekly basis. The Jeffco program has also planned other fun activities such as Field Day,which consists of games and competitions with staff and youth, and has had basketball games and tournaments with Youthtrack Work&Learn of Denver. During holiday and school breaks, youth are also able to take part in activities such as bowling, ice skating and appropriate movies. 2J. DRUG/ALCOHOL PROGRAM SERVICES: Requirement By facility; describe these serzrces in detail includingnun-her gtstaff proziding the serzic, hours cf serzice, and staff qualificatrans. Descry the rarer gtdrzsg/alaohd serziaa prodded and the o-edentials cf staff and/or subcontractors zeho zeill prozide these sec uces. Indicate zehich type cf fatr folk-king program you glfer. 1.Education program 2. Corrprebensize prezention prugram, 3. Inuerren ion jMgramand/or 4. Treatment lecrl pggram Any combination ef t e four p ogram mry lr g feral The Dizisian will gize additional consideration for thce zeho fifer tmatnrent level pugamaring. Forseruces that are to Aacessed in the comrunig list the agency's) that zeill be utilized Describe the special considerations ricassary in zeorking with this population.Assurz that all treatment level youth dezelop a relapse plan prior to discharge For facilities that are framed byADAD disdose the ADAD licensing designation arrllicense nurrixr q' your facility If your program is a RCCF/7RCLF, descrik and quantify the differences in drug/alcohol pugramserzices gferad .The goal qrthe drug/alcohol educational atniarlum is for re idents to establish and understand their inckzidual drug and along cycle,personal triers,family patterns, anuairnrent naxle4 outside support services,phyaidogical gffars,psychological effects,physical drects, major causes 9f-drug/alcohol abuse, relationships between drug/alcutid and HIV, drug use and its relationship to ddinlueny, thinking errors, tine nttnagenen4 stress rrrzrragerrent Jeffco The goal of the drug/alcohol educational curriculum is for residents to establish and understand their individual drug and alcohol cycle,personal triggers,family patterns, containment model, outside support services,physiological effects,psychological effects, physical effects, major causes of drug/alcohol abuse, relationships between drug/alcohol use and HIV, drug use and its relationship to delinquency,thinking errors,time management, stress management. The goal of the drug &alcohol process group is to establish an open forum where residents can discuss their past,current, and future issues that pertain to their addiction. This group will focus on family issues,stressors in the community,drug &alcohol education issues, and Page 14 of 28 Youthtrack Inc Exhibit A addresses relapse prevention. The goal of the drug 8c alcohol relapse prevention group is for the resident to develop relapse prevention or aftercare plans, as well as an ongoing community support group. The program creates an open forum to talk about gaining courage to change, self-esteem, honesty to self and others, giving up secrets, admitting to fears,where each resident is in his cycle, and to find alternatives to high risk situations. Random drug urinalysis testing is provided on-site with 48-hour results provided. All urine screens are tested for Amphetamines, Opiates, Barbiturates, Cocaine,Benzodiazepines, Alcohol, and Tic. Additionally, a specific test can be requested for other substances. All residents are randomly tested a minimum of 2 times per month. A breathalyzer is also provided on-site for alcohol testing. Relapse prevention begins upon entrance to the program and continues through aftercare. Youth learn to identify the "seemingly irrelevant" choices that increase risk exposure. They identify personal,physical,and emotional cues when they are in high-risk situations, and develop strategies for countering risk. Though not condoned,the predictability of relapse for any program participants is actively addressed. Youth are taught not only what relapse is and how to prevent it,but also how to recover from it. Treatment level residents are also encouraged to attend Alcoholics Anonymous and Narcotics Anonymous meetings. Drug and Alcohol services will be provided by or monitored by a professional with the minimum of a CAC II certification. 2k. MENTAL HEALTH SERVICES: Requiienet By facility describe all nrntal health serzias that will k pruzided indude frequency g'serzues and qualifuations/crec Urals glen-ploy:es and/or covaaed staff prodding thesesercica. Describe how these seruces will le integrated into the nilieu and with youth zeho present with aroxzaringdelinquenl see fender, and suhstame abuse issues. Describe the nzta'by vhidr the seraca align zrith eaderxe-based researc5. Desoilx how E viii facilitate ensuring continuation qt nrntal health sercica iruluckng psydiiatric services and nedication upon the youth's return to annunity on partle Jeffco In the event that more extensive psychological evaluation or testing is required, arrangements are made with the referring agency to seek out those services in the community by qualified professionals who have an ongoing relationship with Youthtrack. Each resident receives a minimum of one session per week with the Treatment Coordinator; additional sessions are also available upon request from the Youth. Therapy groups (minimum three per week) are assigned based on the DCP,Diagnostic Assessment, Clinical Assessment, and the resident/family individual input and are facilitated byMaster's level facilitators as well as youth counselors under the supervision of the Master's level Treatment Coordinators. Psychiatric services are offered onsite twice a month with Dr. Keith LaGrenade,who has contracted with the program for several years. He meets with youth to consult on psychotropic medications and can also recommend further testing when it is deemed necessary. Youthtrack Jeffco works with the following consultants: • Keith LaGrenade,M.D. • Substance Abuse Community Support- AA,NA, and CMA Page 15 of 28 Youthtrack Inc • Exhibit A • Resource Center for High Risk Youth • Pam Gillan, RN,ND 21. MEDICAL SERVICES Requirrnrnt•By facility; describe how medical serzicrs viii be mule mailable to y,ugiarn residents. Include staff positions and qualifuations and ham g1serzice and conplianm zeith Mild Qsre licensing requireirenv. Dew)*howya s will prrnick routine nnrdral care and hozvyuu zeill deal zeith medical errrrgerxies and prescription nadicatiaa. Dso*your rewrd keping system utilized for dozer:rentingdklizery q medical scrods. Jeffco All Youthtrack Jeffco residents are eligible for Medicaid. We use Lakewood Medical Associates, at 2020 Wadsworth Boulevard, for routine medical care. Immunization records are collected by Jeffco staff and are updated as needed at Lakewood Medical Associates. Dental care is provided byDr. Thompson's office at 1360 S.Wadsworth. All medical and dental exams are scheduled within 10 days of placement. Youth who have emergency medical situations are either transported to the Swedish Medical Center emergency room by program staff or staff call 911,depending on the severity of the situation. After hours non-emergency medical issues are handled at Englewood Urgent Care. Medications are monitored weekly by a registered nurse,Pam Gillan,ND, RN, CAC III, who is also available for on-call medication issues. Dr. Keith LaGrenade, a psychiatric consultant for Youthtrack,prescribes and monitors medications for residents in the Jeffco program. In addition,Dr.LaGrenade is available for additional psychiatric services as needed. Only staff members who are Qualified Medication Administration Personnel are permitted to administer medications. Youthtrack Jeffco has one staff designated to coordinate medical services. A Medical Services Form is completed for each service provided. These documents are filed into the individual Youth file. 2m. TRANSITIONAL SERVICES.• Requirement By facility describe your philosophy and praaics conwming transition and the serzion prnzided for dens at zarias stages in their residential stay Describe linkages with community- prouders. Jeffco Transition planning begins at the time a youth is admitted to the Youthtrack Jeffco program. The youth's treatment plan must "begin with the end in mind". Every resident who enters the program will be evaluated for their needs for discharge at the first Individual Treatment Plan (ITP) meeting. A resident's transition needs will be monitored monthly at the ITP meeting. Youthtrack Jeffco will utili7P a Transition Checklist in conjunction with the ITP to make plans for the youth toward transition. The YIP and Transition Checklist will focus on treatment areas and activities that will reduce Risk and improve Protective Factors on the CJRA- Page 16 of 28 Youthtrack Inc Exhibit A Residents are encouraged to establish local community support by completing assignments related to treatment and transition during their home passes or free-time. Youthtrack staff will also provide assistance with transition to public school including higher education or vocational programs and financial aid applications and grants. Residents who will be emancipating can be provided assistance with finding an apartment and residents can take passes to their apartment during their last 30 days in the program. Youthtrack staff coordinates life-skills classes,pre-employment, employment, and career counseling. As needed,these classes are taught in school for one hour daily. The staff members supplement each area of study through field trips, guest speakers and opportunities for individual exploration. For the duration of their placement, each student is required to maintain a portfolio of work completed that will enhance their ability to obtain employment after leaving the Jeffco Program. Students who have expressed the desire to continue their education are provided with tools and assistance from the Teacher. Youthtrack has enrolled students in community colleges,technical schools and vocational training. 2n. INDEPENDENT LIVING TRANSITION SERVICES.• Requirement Describe the philosophy anrrmng transition and the sat prozided for yitgram sidecar in this area at wriaus stages in their residential stay Describe linkages with corm nitylnsal proziders. If your program is a RCCF/IRCCF, describe and q anitfy the differences in serer fend These three facilities operate as an Emancipation Program.Youth must successfully meet the challenges of moving from a secure environment to a community based environment and finally to their home environment.All youth are provided with transition goals which reflect the long-range goals and care needs of each individual. The services needed to meet the vocationaVemployability needs of each youth vary. The curriculum is an additional service that is to provide instruction in numerous areas for independent living including: Housing Community resources Insurance Goal setting Nutrition Parenting Budgeting Survival skills Investments Law Renting and leasing Communication Maintaining employment Selective service Safety Voting Automobile purchases Leadership Utility services Personal appearance Evictions Self understanding Home maintenance Assuming responsibility Shopping Human relations General upkeep of the house Decision making Time management Banking Cooking Credit and income taxes Job coaching is provided by the Treatment Coordinators. Once the resident arrives at our program,the staff can assist in obtaining a state I.D.,social security card, and/or birth certificate if needed. A bus pass or bus tokens,hygiene supplies, and clothing will be purchased for new residents who need such items but cannot afford to buy them. Throughout the program residents are encouraged to begin buying necessities for Page 17 of 28 Youthtrack Inc Exhibit A their new apartment such as furniture,dishes, cooking utensils,towels, sheets, etc. Residents are taught to comparison shop and to look for items at the Goodwill, Salvation Army,and garage sales. After a student is employed,job-site visits and check-ins are conducted to assure successful employment and maintenance of appropriate job skills. Students employed in the community are required to document and share with staff their work schedule weekly,job supervisor input on job performance, and how they will manage their personal finances. The residents are encouraged to make monthly payments toward restitution, if applicable. Each resident's money is kept in a joint account and counselors approve weekly budgets. Residents who will be emancipating are encouraged to save at least$1500-$2500 prior to discharge. Once a resident is within 60 days of their discharge date they can be assisted with apartment hunting and utilities hook-up. Residents are assisted with moving their belongings to their new apartment and getting the apartment"situated" prior to their official move-in date. With approval from their Client Manager, residents will be given over-night passes to their new apartment when they are within their last 30 days at the program. After discharge from the Program,the emancipated youth may call or visit and discuss any needs or concerns they may have. 20. PROGRAM ORIENTATION: Requirerrent.•Describe the orientation process for program residents. Include a carplete explanation W programgozls, ahlatizes,prrmdures,and expeaatrazs for residents,and residents'rights indudinggrieranw procedures. Describe horwyau tal pozide a diem harullxoz detailing it fonnztion about the prugramfor each client Describe howyau zeill develop policies and procedures to indude parents in the orientation proms. If your program is a RCCF/IRCCF, describe and quantify the differences in sereices Wfered The goal of the orientation process is to provide youth with information and support that will enhance their comfort, safety and a smooth transition into the program. Upon intake, the youth will review the following materials: Suicide Assessment Interview(SAIG), Staff Impression Rating Scale,Resident Rights Acknowledgment, Grievance Procedures, Escape Advisement,Drug Free Contract, Self-Reported Medical Screening, and Consent for Health Care,Mandatory Disclosure Statement,and Resident Handbook Acknowledgment. The youth will review grievance procedures including all the appeal processes. The youth will then be given a tour of the facility, linens and blankets, hygiene items and a room assignment. Staff will conduct a written inventory of the resident's belongings. The youth will be provided a copy of the resident handbook,which is a detailed description of program information, rules, rights and expectations. The staff will review this handbook with the youth to ensure all aspects are understood. The youth will also receive a level system packet,which outlines the goals, objectives, and expectations for the residents. Each youth will be assigned an Individual Counselor and a peer sponsor on the date of entry. The Individual Counselor will be responsible for contacting the youth's parent(s)/guardian on the day of entry and a family assessment interview will be scheduled within ten days. The youth will receive a Diagnostic Evaluation by the Treatment Coordinator,which will provide the appropriate information for placement into treatment groups. Page 18 of 28 Youthtrack Inc Exhibit A In addition to the above,each youth will complete a Safety Plan for being in the community. All youth will receive theses services regardless of their designated level of care. Page 19 of 28 Youthtrack Inc Exhibit A 2p. TREATMENT SERVICES.• Re7uirenerrt•Describe howthe program mild support the transition plans ?made in the puth s CJRA and DCP. Describe how the program viii be iaulizidialized to each diem's nods. Describe and state the frequency gsertices prozided in the program All residents are assigned an individual counselor and a master's level treatment coordinator. The treatment planning process begins at the time that a resident is referred to the program for admission. Based on information gathered from prior placements, discussion with referring agencies and a thorough interview, a decision is made for admission based on the needs of the resident's DCP,Risks and Protective Factors from his CJRA, and the services provided by the program. Upon admission, an Individual Service Plan (ISP) is designed within the first 72 hours. The ISP addresses the immediate needs of the resident as the treatment team continues to learn more about the resident through assessment, observation and interactions over the next 10 days. At that time, a treatment plan meeting is arranged with all of the individuals and agencies that are invested in the treatment and well being of the resident. Once a comprehensive treatment plan is designed with strength-based,clear, measurable goals, monthly meetings are routinely scheduled to review, modify,and document the resident's progress in the program. The Treatment Coordinator's skills are utilized in the assessment of referrals, individual psychotherapy(one hour per week), group psychotherapy (3 per week), family therapy(weekly when appropriate), and diagnostic evaluations (upon placement). In addition,the Treatment Coordinators provide routine (monthly) clinical supervision for all program staff that has contact with the residents at the program. This program component not only promotes professional development and treatment skill building;it also helps promote safe and appropriate relationships between residents and staff. It is these healthy and productive relationships that are at the philosophical core of the Youthtrack program. Each resident receives a minimum of one session per week with the Treatment Coordinator,additional sessions are also available upon request from the Youth. Therapy groups (three per week) are assigned based on the CJRA,the DCP,Diagnostic Assessment, Clinical Assessment, and the resident/family individual input and are facilitated by Master's level facilitators. The group topics are re-evaluated on a quarterly basis to ensure the current population's needs are met. Staff has curriculum available for the following topics: • Victim Impact Goal: To provide a safe environment for residents to explore how they have been victimized and whom they have victimized. All areas of crime and society will be explored through a variety of media. • Offense Specific Group Goal: Relapse prevention concerning sexual offenses, education concerning cycles,work with disclosures. Focus on community safety and accountability. • Grief and Loss Goal: To develop new relationships with peers, explore natural reactions to trauma,process emotions that occur during grieving, determine which emotions are healthy and which are detrimental to the grieving process. Page 20 of 28 Youthtrack Inc ' - Exhibit A • Anger Management Goal: To process feelings of anger within the context of the overall range of human emotional experience,the group also helps the resident gain an understanding of where anger comes from and appropriate ways to manage their behavior. • Emotional Competency Goal: Understanding and working with all emotions. • Stn „gle to Be Strong Goal: Understanding and forming positive personal values. • Experiential Group Goal: Team building and leadership skills. • Parenting Skills Goal: To provide education to young parents on practical skills needed for positive parenting. To provide a safe environment where residents can process the emotional component of fatherhood and experiences they share with their children. • Relapse Prevention Goal: To identify high-risk behaviors related to alcohol and drug use. Also to identify triggers for high-risk behavior, along with alternative coping skills. • Cultural Awareness Goal: To acquire a basic understanding of their own cultural heritage and develop sensitivity to each others' cultures and families. • Restorative Justice Goal: To draw upon strengths and competencies of both offenders and victims. Stresses the importance of public safety and is concerned about the restoration of the victim and the victimized community. • Thinking For A Change Goal: To provide a connection between thinking and behavior. To develop social skills that will increase positive social outcomes. • Healthy Relationships/Boundaries Goal: To provide an education to the residents on issues related to sex and sexuality and to provide an open forum for questions and discussions. 2q. SURVIVAL SKILLS.: Reluirenent•Describe all serzices azuuilable and curriaclwn/racurtes used to pmzick the skills rosary for youth to be sucrrssful in an independent lizingenzirunnent Indude a schedule tfthese serzices, the frequency per ztk, length f tine allotted and the length cf each corrponern Each location teaches Independent L izing Skills lasses cad;zeeek. E nphasis is placed on the farlozeing areas:thedeing/sazings accounts, tax preparation, inzestrrents, credit; lease agrtenerrts, needs zs. rx-Yessitys automobile purchases, apartrrrnt seardhing irrsurarttg utility serzices, eziaions, home mzintenanxr, budgeting shopping tnzintaining full-tine en playrrent,general upkeep grthe house time naanagenen4 cocking nutrition mmraanity rz?sounrs, ?cling final setting self esteem edivatior,parenting in ependence and responsibility and"A re you Ready?" Staff teaches the youth how to fill out applications,how to search for jobs in the newspaper and on the intemet and how to use other community resources such as community workforce centers. They also teach the youth how to dress appropriately, how to interview, and how to maintain their jobs. The Staff ensure that there is communication with the youth's supervisors to establish both a relationship and to help the youth maintain their employment,they keep track of their paydays, gather information on their employer, and have them"safety plan" around their jobs. 2r. EMPLOYABILITY TRAINING&JOB PLACEMENT ASSISTANCE: Re3uirenent•Describe rret cdc for helping youth prepare to enter the zeokplace and retain enploynent once it is found Detail any assistarxr; inducting skills based cunaeling ser ices, decision making strategies,job Page 21 of 28 Youthtrack Inc 1 • • • Exhibit A coaching tradzing/nentoring and fdlawup serzices,along zeith linkages to existing community lased serzice prnziders,federally funded pagrarrs, or other publicly supported initiatizes. In additioa describe the super-union plan for rronitoring p'cg am rtsidenzs in WE axrrruruty cn a daily basis. The ability to provide youth with opportunities for successful employment is seen as an essential program component because skill competency in the employment arena bolsters youth' confidence in their ability to succeed in life without resorting to criminal activity. Residents will receive instruction and feedback on work ethics, employee/employer relations,and job responsibility. It is felt that these services will provide the youth with the skills and attitudes they need in order to maintain successful employment even after they leave the program. All residents will be assisted with job hunting, interviewing, and networking skills.A staff member transports and supervises the youth throughout this process and will be focusing on employment in areas where the youth will be living once discharged from the program. Residents experiencing difficulties related to employment or accountability in the community may be regressed until the problems have been resolved.With approval from the Client Manager, residents entering the program with employment in place will be allowed to continue working at their current place of employment. Once a student is employed,job-site visits and check-ins are conducted to assure successful employment and maintenance of appropriate job skills. Students employed in the community are required to document and share with staff their work schedule,job supervisor input on job performance, and how they will manage their personal finances. The residents are encouraged to make monthly payments toward restitution, if applicable. Each resident's money is kept in a joint account and counselors approve weekly budgets. Residents who will be emancipating are encouraged to save at least$1500-$2500 prior to discharge. 2s. EDUCATION SERVICES.• Rejuiienent•Describe the educational opportunities mailable to youth placed in the program Include educational philoscphyc instructional strategies, special education services,and post-saaadary learning opportunities. Descnbe?that aetcam masonry(s)'thine used to assess adtiezenent List all education staff, irducknggeneral and spec J education teacMs, teacher's aicles, tutors, support sue-and administrators assigned to the education program All tenth n must nttintain current hawses appcptiate to instructional content areas. Include mailable teacher licenses. The educational pc gtam must teal or exceed current DYC education staralarcb and nz nitonng requutarents. The educational pogram must nret or exceed all applicable Federal education lazes and the State IFColorado risks orgrucelir d for those statutes established by the Colorado Departrrent qtEducatio. Educatic nal pngiana Host meet or acrd all State cf Colorado statutes as re3uinal by the Colorado Dep artnenu((Education Youthtrack offers an on-grounds educational program approved by the Colorado Department of Education (CUE). The program utilizes a 180-day school year calendar similar to administrative units or school districts and a summer program. It offers services a minimum of six hours per day,five days per week. The program must provide special education services, a balance of individualized and group activities, computer skills,work toward GED or high school completion,prepare youth for reintegration into public schools, and support for post-secondary enrollment as appropriate. The capacity to provide copies of transcripts, diplomas, IEPs, and GEDs upon request and at the time of discharge from the program is required. The education program receives all funding through the Colorado Page 22 of 28 Youthtrack Inc • • • • Exhibit A Department of Education (PPOR, Excess Costs and Title I) the cost of providing the program is not factored into the daily rate paid by DYC. Educational Philosophy of Youthtrack It is the purpose of Youthtrack Program on-grounds schools is to provide educational and related services for children and youth so that reentry into regular public or private education is made possible.Youthtrack assures a continuity of care for each of their children and youth and has as the overriding goal that each student achieve,maintain, and/or reestablish emotional and/or physical health, maximum growth,and adaptive capability. The Youthtrack on-grounds schools in Morrison(Jeffco)/Alamosa (SLV), Colorado serve the varied educational needs of the children and youth in residential treatment by providing educational experiences which remediate, maintain,and improve academic intellectual, and social functioning. Educational experiences include academic and socio-emotional classes, vocational and career planning as well as team lifetime sports and other elective classes. More specifically, it is the goal of the on-grounds school is to provide the following: • An individual assessment of achievement level, social functioning, and in cases where deemed appropriate,perceptual motor functioning and learning disabilities; • Prescriptive educational experiences, i.e. standards based instruction utilizing Response to Instruction (RTI) strategies, researched based curriculum and progress monitoring measures; incorporating appropriate accommodations and modifications for children and youth who demonstrate deficiencies in academic achievement related to specific learning disabilities,truancy, or other impediments to their learning symptomatic of their emotional disturbances; • The Youthtrack Curriculum Guide serves as a"map" for parents and a framework for teachers,administrators,parents, school districts and other stakeholders to facilitate students to achieving Colorado state academic standards and become productive, successful members in society. Each facility references classes, course descriptions and graduation requirements of the local school district of residency to plan courses and other activities: • Educational experiences designed to maintain and increase the academic achievement and intellectual development of children and youth whom demonstrate no problems in learning or deficiencies in achievement level; • An Individualized Educational Plan (IEP) for each student (For students who enter already identified with a handicap,the existing IEP developed by the home school district will be implemented and reviewed); • Liaison services between the on-grounds school personnel and the personnel of the school placement prior to and after residential treatment; • Documentation shall be included in each student's record of periodic, ongoing evaluations of academic achievement in relation to developmental level,age, ethnicity, sex, special handicaps, medication and therapeutic needs. Jeffco and SLVYC: Youthtrack hopes to inspire self-motivated, life-long learners who will leave Youthtrack with the knowledge and skills necessary to return to public school. To obtain a diploma or GED, pursue post-secondary opportunities; and obtain meaningful employment are all goals of the program. Youthtrack employs two full-time teachers with 1 1 E's in each location, licensed by the Colorado Department of Education,to provide educational services for both regular and special education students. The teachers are enrolled in university programs to obtain a Page 23 of 28 Youthtrack Inc • Exhibit A Generalist Endorsement. The school programs are approved and include courses and experiences to meet the needs of a wide range of students,as well as,the requirements set forth by the Colorado Department of Education. Students receive six hours of instruction daily,from 8:00 A.M.to 3:00 PM including lunch and Team/ Lifetime Sports. Academic sources include Language Arts,Mathematics, Social Studies, Science, and Life Skills/Affective Education. The student to teacher ratio is one to eight or two to twelve with either a Title I Tutor or Day Program Coordinator. Students who pass the GED or enter the program with a GED will continue their life-long learning through further emphasis on academic achievements, computer literacy, vocational/transitional skills,college courses, or vocational school. Each student has an Individual Learning Plan (ILP) or Individual Education Plan (IEP) while in the program. The education team obtains the information necessary from a variety of stakeholders and sources to prepare these plans and reports. All meetings held for students identified as having a disability under the Individuals with Disabilities Education Act (IDEA) will comply with all State and Federal laws. These plans contain goals and objectives designed to meet each student's individual needs. Assessments utilized by Youthtrack are:the. WRAT-3, Informal Transition Planning Inventory, Informal Reading Inventory,Accommodation and Modification Checklist,Transition Behavior scale and Emotional/Behavioral scale, and teacher/staff observations. Post-test results, public school attendance,credit accumulation, and GED completion of students are tracked and generated. 2z VOCATIONAL/EMPLOYABILITY SERVICES Requirarent.•Describe howyour pogram will prozide zarational/arplayabiCuy serde that asses youth interest and aptitude and expose them to opportunities in the corm-laity Describe any urational etents, opportunities, and/or carter exploration azailable to youth inside thefacility Describe paces used to identify appropriate; high darting high paying zeork opportunities in the local labor nwket that will be azuilable to youth in theprugram Identify collaborations with eo trunitypartners to faster enploymmt and training opportunities for youth in the program Describe howyour program zeill integrate youth to community based sec ices and/or agencies. Describe howyou will monitor youth zeho are CRB approzed zehile canpus. This section deleted per submitted questions Refer to Section 2r 2u. RESTORATIVE JUSTICE/COMMUNITYSERVICE: Regt6 nt•Describe hozvyoeir program inxorparates Restoratize Justice Pn'rntpks and practices and daurrents the paynent and/or completion Ithese obligations. We recognize both locally and nationally that in the public ninth pitnishmre t is related to the tense In co tras4 treatment appears to address only the needs cf the jerdlen Most program ask little cf the fender beyond participating in counseling rerrtzlial serzices, or rtematioial prograrm. E zen zehen success is doaarente4 rarely do such gjots mike the requisite cbfferenm in the lizes q'ziczina cf juzenile crinr calm citizens co arced with the safety for their neeighlrorhoals, or address the cocemis cf irxkizicuals zeho mint young yfenders held accountable for their actions. Youthtrack realizes that treatment and retributive models are not the only options for juvenile justice. At Youthtrack we support the balanced and restorative approach that involves communities and their citizens to set limits on negative youth behavior and consequences for their offenses.We are responsive to victim's needs for reparation, Page 24 of 28 Youthtrack Inc 4 Exhibit A validation, and healing;and are actively involved in working toward building crime-resistant communities where all that live there can feel safe. Even prior to the current emphasis on restorative justice,Youthtrack had been incorporating basic restorative justice principles into our programming. Such principles as accountability, public safety and competency are integrated into the overall operation of all Youthtrack programs. It is with this background that Youthtrack welcomes the opportunity to build on current programming to utilize a more formalized approach to implementing restorative justice principles. While the principle of accountability represents a strong value and serves as the cornerstone of Youthtrack programming, community and victim participation represent areas which can be further developed to enhance the program. The principle of competency has been a strong component of the Youthtrack service delivery system through education, group counseling,community service projects and cognitive skill building.Youthtrack welcomes collaboration with educational and vocational programs and local agencies in providing competency-centered services and employment opportunities. Public safety is achieved through consistency in programming,utilizing appropriate Youth to program placement practices, and through adherence to safety and security policies. These components of the service delivery system will be evident in the operation of the Youthtrack programs and will be strengthened through greater emphasis on restorative justice principles. The Youthtrack Program utilizes community service experiences to allow students to give back to the community, instill a sense of pride for their citizenship efforts and develop pro- social behaviors. Youth placed at Youthtrack are required to participate in both group and individual community service projects. Participation in community service is directly related to committing offenses. Youth are doing group projects to prepare them for working with a group and as an opportunity for each Youth to build trust within the program while moving ahead on the level system. When a youth is ready to enter the community alone, individualized community service projects are completed. Some of the projects assigned for individuals are: Jeffco Project SUCC FSS with the Englewood Police Department Adopt-a-Highway Program Metro Volunteers Volunteers of Outdoor Colorado Aspen Hollow Young Ranchers Friends for Red Rocks World Vision Food Bank of the Rockies Services for neighbors such as shoveling, raking leaves, or other services as needed. Community Service hours are tracked for each youth. When a youth owes court ordered community service,these hours can be submitted to the court or to the client manager. Youth who are employed are required to establish an approved budget with their treatment coordinator and the program director. This budget will identify how much income will be saved,how much can be spent on necessary items,and how much will be reserved for restitution. Restitution checks are sent directly from the program on a monthly basis to ensure that this restorative justice component is met. Page 25 of 28 Youthtrack Inc Exhibit A Within the treatment aspect of the program,victim impact and empathy are emphasized and are among the standard group therapy topics. Our treatment coordinators primarily use the victim impact curriculum from Restorative Solutions:Victim Impact for Offenders. 2v. TRANSPORTATION Requirement Describe howyau'uill proude secure transportation to program residents. Include a description if zehides to be used and hours if azuilabilityt Youthtrack has extensive experience in conducting group and individual secure and non- secure (residential) transportation.We have transported numerous youth through out the years, sometimes on a daily basis and without serious incident. Youthtrack provides transportation in accordance with DYC policy.We transport youth all over the state for. Court appointments Family therapy Medical appointments Mental health appointments GAL and Attorney appointments Foster Care Reviews Parole hearings Future employment sites Future housing sites Any meeting,appointment or miscellaneous transportation deemed necessary for a youth to attend such as funeral services, hospital visit and family emergencies. Staff receives two hours of training in transportation procedures. Additional training is also provided during the on-site 6-hour New Hire Orientation Training and during staff in- service training. Each location will have a minimum of two vehicles to meet their transportation needs of the program. Vehicles are all fully insured and include recent model Ford Escapes,Windstars and passenger vans. Transportation scheduling within the program will be set by the Director.Youthtrack takes the following safety precautions when transporting: • Assessment of level of risk of each youth being transported • Through searches of the vehicle for contraband • Thorough vehicle safety checks • Assignment of extra transportation staff if needed • Carry cellular phones and use all road and safety precautions for use. • Standardized maps and directions • First Aid Kits and Emergency Survival Kits • Wmter and hazardous driving safety precautions and supplies/equipment 2w. ENHANCEMENTS: Requirement.Briefly outline any special programenhanarrerus or additional smites that are prodded but not deccrilel in the responses to the require,rerry aboze Jeffco Over the last two years, Youthtrack Jeffco has joined in partnerships with some excellent programs available in Colorado. Through these programs we have been able to offer new and exciting activities for our youth. Page 26 of 28 Youthtrack Inc r 0 • Exhibit A Not only do we provide community service for Aspen Hollow Young Ranchers program, the youth are also able to participate in their therapeutic and educational equine program where they groom and ride the horses. Youthtrack Jeffco has taken advantage of the Genesee Ropes Course program to give our youth a new outdoor adventure and team building activity. In the last year,the youth were able to take part in the five-day Snowboard Outreach Society program,where they were taught how to snowboard and participated in groups that linked snowboarding to therapeutic issues. We are currently developing a partnership with the Big City Mountaineers program,which consists of a five-day wilderness backpacking trip designed for urban youth that focuses on building character traits and endurance. The Youthtrack Jeffco program has implemented the process of providing transitional services for incoming youth. It is encouraged that incoming youth have a transitional visit to the program for at least four to six hours. This is where the youth has a chance to meet staff, therapist and peers. This process helps eases the youth's transition into the facility,answers questions that the youth may have,along with learning the program rules and expectations. Youthtrack Jeffco has also been working on providing aftercare to youth to enhance the probability of success after emancipation. This service includes: individual or family therapeutic needs, independent living/life skills (job hunting,updating resumes,and budgeting skills),problem solving and support. 2x. DAIL YRATES(S) FOR PROGRAM OFFERED: Requirement Protick the Daily Rate for Pnigran(s) feral Jeffco: 187.00 Non Medicaid Alcohol and Sex Offender Treatments: 75.00 per hour. Page 27 of 28 Youthtrack Inc a • ' Exhibit A 2y. MEDICAID FEE-FOR SERVICE Re3uimrnrrt Dacnk distinguish, and separately identify the nrntal health therapy serucs to be prodded to the youth and/or fanily that zaill be billed to Medicaid TRCCF c feral trust prozide at least the nininwn rimier cf therapies foryauth per lezel, as identified F.elozet LezelA LezelB Leze]C Inlizidualtherapy 2/north 1/zaeek 2/aak Group Therapy 1/week 3/yak 3/zeak Family Therapy 1/north 1/zetek 2/zamk Offerors mast distinguish these serzics from other Mental Health serzics as described in Section 2k. The Fe;For-SeeziceMedicaid jnogvamconpoeen shall he 100%fits through the Colorado Department sfilealth Care Policy and Financing through Me aid and the cat qtproziding these seruces zaill not lk factored in to the daily rate paid byDYC Vendors must iredude a statement adznozeledging this cost and funding dutinaion Youthtrack acknowledges the cost and funding distinction between the Fee-For Service Medicaid program is separate from and not inclusive of the cost for therapy services within the TRCCF framework. The scope of acceptance for this proposal is Level B youth. Min# of Total Annual# Total Annual Level B Youth Fee- For Service of Sessions each Revenue All Youth Youth Individual Therapy 8 69.42 52 $28,878.72 Group Therapy 8 16.80 156 $20,966.40 Family Therapy 8 58.38 52 $24,286.08 Total $74,131.20 3. LEGAL ENTITY TYPE Youthtrack, Inc. is a Delaware corporation authorized to do business in Colorado since Dec. 29, 1997. Tax ID is 61-1292060. CT Corp is the registered agent. The Company has a current Certificate of Good Standing or Certificate of Existence to do business in Colorado. Proof of such certification shall be provided upon request. 4. APPENDIX 5. LICENSES Page 28 of 28 Youthtrack Inc WELD COUNTY ADDENDUM To that certain Agreement to Purchase Therapeutic Residential Child Care Facility Services and Residential Child Care Facility Services (the "Agreement") between Youthtrack and Weld County Department of Social Services for the period from July 1, 2007 through June 30, 2008. The following provisions, made this I day of 0 yy/1/2/ , 2007, are added to the referenced Agreement. Except as modified hereby, all terms of the Agreement remain unchanged. • 1. County agrees to purchase and Contractor, identified as Provider ID#11724, agrees to provide: A. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$127.32 per day for children placed within the Therapeutic Residential Child Care Facility. B. Child Maintenance, Administrative Maintenance and Services, which are listed in this Agreement at a rate of$127.32 per day for children placed within the Residential Child Care Facility. C. Additional services not covered by Medicaid or considered within the above vendor rate. These additional services/rates may be negotiated on a child by child basis, based on the needs of the child and in accordance with the Colorado Department of Human Services Agency Letter CW-06-11-I dated June 8, 2006. These services will be for children who have been deemed eligible for social services under the statutes, rules and regulations of the State of Colorado. 2. Section I, Paragraph 2. All bed hold authorizations and payments are subject to a 3 day maximum for a child's temporary absence from a facility, including hospitalization. Bed hold requests must have prior written authorization from the Department Administrator before payment will be release to provider. Reimbursement rates for bed hold days may not exceed the state standard rate for administrative maintenance and administrative services or may be a reduced rate that is mutually agreed upon. 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 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%); 1 Weld County SS-23A Addendum .,/n - 3—IQIi • 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: 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; 2 Weld County SS-23A Addendum 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 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. 3 Weld County SS-23A Addendum '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: . - J• l �!� A, Weld County C�3� 1861 cqv 0. WELD COUNTY BOARD OF SOCIAL SERVICES, ON BEHALF OF THE WELD COUNTY °(7/ >1111 DEPARTMENT OF SOCIAL • SERVICES By: ZIMA-cgleakb By: Deputyerk to the Board David E. Long, Chai SEP 0 5 2007 CONTRACTOR Youthtrack 1375 Ken Pralhjd Longmo7 CO 80501 By: (�95Y WELD COUNTY DEPARTMENT Jt eclaV OF SOCIAL SERVICES 71( (O 70-) By: s �� . lAA, erector 111111 • 4 Weld County SS-23A Addendum ,-Vtr7_o279'/ Exhibit A Table of Contents Youthtrack Inc Scope of Service D BUSINESS PROPOSAL 2 1. COMPANY OVERVIEW AND BUSINESS EXPERIENCE 2 2 WORK PLAN 3 2a. TARGETED POPULATION: 3 2b. Company Overview and Business Experience: Error! Bookmark not defined. 2c. PROGRAM OVERVIEW 4 2d. PROGRAM FACILITY. 5 2e. STAFFING 6 2f. REFERRAL PROCESS 11 2g. TREATMENT PLANNING/CASE MANAGEMENT 12 2h. FAMILY SERVICES 13 2I. ADJUNCT SERVICES: 13 2J. DRUG/ALCOHOL PROGRAM SERVICES: 14 2k MENTAL HEALTH SERVICES: 15 21. MEDICAL SERVICES 19 2m. TRANSITIONAL SERVICES: 19 2n. INDEPENDENT LIVING TRANSITION SERVICES. 20 2o. PROGRAM ORIENTATION: 21 2p. TREATMENT SERVICES: 23 2q. SURVIVAL SKILLS- 24 2r. EMPLOYABILITY TRAINING&JOB PLACEMENT ASSISTANCE: 24 2s. EDUCATION SERVICES: 25 2u. RESTORATIVE JUSTICE/COMMUNITY SERVICE• 27 2v. TRANSPORTATION 28 2w. ENHANCEMENTS 29 2x.DAILY RATES(S) FOR PROGRAM OFFERED- 29 3. LEGAL ENTITY TYPE 30 4. APPENDIX 30 5. LICENSES 30 Exhibit A D BUSINESS PROPOSAL 1. COMPANY OVER VIEWAND BUSINESS EXPERIENCF Requirenent•Prodde a description cy5atrAgency and the sertices that you hake prodded to the population described aboza Include years experiene and speafic programs and services jered by your agen y. Youthtrack, Inc.,and its parent company ResCare, Inc.,bring a vast level of experience to meet the needs of the state of Colorado in this Request for Proposal. Youthtrack's parent company, ResCare,Inc.,which is based in Louisville,Kentucky, is a leading provider of services to at-risk and troubled youth and is America's largest private provider of services to people with developmental and other disabilities. The ResCare family is 29,000 employees living out the ResCare Quality Way philosophy. The phrase "Building Lives,Reaching Potential" is our unified vision of the wide variety of things we do every day,for the people we serve,their families and our employees. Since 1992,ResCare serves 1,378 persons in six states and Puerto Rico. It has been named four times as one of Forbes Magazine's 200 Best Small Companies in America.While its business success has been impressive, it is the expansion of new services and the continual improvement in quality that tell the real stow. The company is publicly held (Nasdaq/NM: RSCR), and therefore subject to the continual scrutiny of its business practices and financial condition. ResCare's Community Services Group serves young people with emotional and behavioral issues or other special needs, as well as juveniles in the justice system in 6 States and Puerto Rico. This proposal for the operation of the three Therapeutic Residential Child Care Facilities is being presented by Youthtrack Inc. Youthtrack will be the contracting and operational company for the project. Youthtrack Colorado Programs Secure Program San Luis Valley Detention Center,Alamosa, Colorado, 12 youth, co-ed Therapeutic Residential Child Care Facilities Jeffco Program,Morrison, Colorado, 16 youth San Luis Valley Youth Center,Alamosa, Colorado,20 youth Youthtrack Work&Learn Program,Denver, 12 youth Non-Residential Programs Colorado Springs SB-94 Community Supervision Program, Colorado Springs, CO, an ADP to 50 youth Transitional Program Work and Learn Independent Living Apartment Program,Aurora, Colorado, 2 youth Page 2 of 30 Youthtrack Inc Exhibit A References Scott Stringam,MM Mr.Al Estrada Executive Director Southern Regional Director DYC Youthtrack- Utah 1259 Lake Plaza Dr Suite 130 Office: 435-723-1799 Colorado Springs, CO 80906 Fax: 435-723-2521 Office: 719-538-0204 x21 Email: sstringam@rescare.com Steve McDermott Former Program Director Denver CO 80203 303-548-4729 2 WORK PLAN 2b. TARGETED POPULATION: Require rvt T udic&a description the tyx qtdient that is serial by the prtgran induding mile and/or fem le clients,youth requiring nrntal health seruces, and youth zeho are dassifeedas sex fenders and/or other dassifuations."Qferors nay sem only a potion if this targeted population(is, miles orrly, or femdes only or mile see fenders only, etc)or any conbination grthis population If G ferrn's propnal antidpates aaeptanee of boys and girls, indicate zehether cued or separate faalities. List the type g1dient that is not accepted by the program The Youthtrack program serves level B males, ages 10 to 21. The youth are committed to the care and custody of the Division of Youth Corrections (DYC). These youth will have high needs in the areas of family intervention, conduct disorder,mental health, legal issues, education,vocation, life skills, and employment. Youthtrack employs a Sex Offender Management Board full provider therapist, so Youth with sexual offense specific treatment needs are eligible for placement. The average length of stay is estimated to be 4-6 months, a period that is to be determined by the Discrete Case Plan (DCP),the risks and protective factors identified in the CJRA, and the Individual Treatment Plan (ITP). A Youth's actual length of stay is determined through the DCP,the Youth's progress on his transition checklist, and relevant discussions between DYC and the program treatment team. A Youth will be considered for denial of placement if they have demonstrated a consistent pattern of not engaging in treatment, consistent defiance to rules and norms at their current placement, unwilling to commit to the Youthtrack rules and norms,youth that meet the criteria under the Colorado Mental health Law 27-10 as dangerous to themselves or others, or gravely disabled will not be accepted into the program. These youth maybe evaluated at a later time. Page 3 of 30 Youthtrack Inc Exhibit A 2c. PROGRAM OVERVIEW: Requirement: Briefly discuss the Offeror's analysis of working with these populations in a community based setting and issues that need to be addressed when designing effective programs. If your program is a RCCF/TRCCF, describe and quantify the differences in care offered Jeffco and San Luis Valley Youth Center (SLVYC) These Youthtrack programs will house residents at the Youthtrack facilities located in Morrison, Colorado or at our Youth Center facility in Alamosa Colorado. The Youthtrack Programs are RCCF/TRCCF with the flexibility to provide services for residents in need of varying levels of structure and supervision. Youthtrack receives referrals for youth at various stages of progress in treatment. We receive many referrals for youth who have recently been committed and recommended for community placement. We also receive referrals for youth who need a placement at a lower level of care coming from a more secure placement. Regardless of where a youth is from, Youthtrack is able to pick up where the Youth is in treatment and move forward from there. Planning for the youth' transition into the community begins with the initial treatment planning. The youth's treatment goals revolve around the areas that will facilitate the transition into the community, whether the youth transitions with family, emancipates, or moves onto another less restrictive placement. As the youth progresses through the program, they will gradually transition into the community, with ongoing support of the program. The methodology we have found to be successful is to provide guidance for the youth toward pro-social lifestyles and positive re-integration into their communities. We provide strength-based individualized services. Our treatment is focused on developing cognitive tools and skills, utilizing various evidence-based practices. Our therapies and our focus are based on cognitive-behavioral therapy; we utilize more specialized therapies, such as Dialectical Behavior therapy as well. The treatment coordinators at Youthtrack are constantly striving to implement new and improved, evidence-based therapies with our youth. Youthtrack is an excellent placement for DYC youth who are ready and appropriate for community placement, who are still progressing toward a GED or diploma, and who have treatment needs to work on. Having an on-site school at Jeffco and a nearby Youthtrack school room at SLVYC allows these youth to work toward educational and treatment goals in one structured, unified setting. The presenting problems are varied: depression, relational/familial issues, anger management, education, sexual offenses, and drug and alcohol abuse. Youthtrack has also worked to enhance its emancipation services. We have designated staff members who assist youth with job searching and other employment needs. These staff members can also help the youth obtain identification, such as a state ID or social security cards that they may need to obtain employment. The programs operate on four main components to manage and treat residents within the milieu. They include: • Program norms • Feedback model Page 4 of 30 Youthtrack Inc • Exhibit A • Level system • Daily goals/positive feedback. The program norms include safety, respect, accountability and cleanliness In addition to the norms, there is a system set up within the facility that allows the peer culture/staff to uphold these norms. This system is identified as the feedback model. The feedback model includes all youth and staff It is a norm and an expectation to: Confront all negative behaviors Accept feedback Immediately work to change or redirect the negative behavior The ability to call peer/staff groups if any Youth refuses to accept feedback These groups will stay in place until the issue is resolved and the norms are upheld. If any youth refuses to take ownership for violation of program norms they can be removed from the milieu and dealt with on an individual basis. The level system distinguishes privileges between the youth. There is an orientation phase and levels 1, 2, 3. All levels are achieved through appropriate behavior in the milieu and community, documented progress in treatment goal areas, understanding of program expectations, obtaining trust, displaying leadership and lastly being accepted through the treatment staff meeting. All youth that receive their level are expected to abide by the level expectations. If they do not, the level can be restricted or reduced. The youth set daily goals in the morning and are reviewed in the evening. Positive feedback and strength building is an important component of the daily milieu management between staff and youth. Staff is trained in the Crisis Prevention Institute(CPI)model of de-escalation and intervention by Youthtrack's Certified Trainer. Our goal is to manage crisis at the lowest level of intervention possible, while maintaining the safety of all staff and residents. 2d. PROGRAM FACILITY For Cferor's that haze an operational faalit)(s). Daunrnt the facility address(address, city zip axle—Past g9iae bac # is net aaeptable)and Child Care ha-ming designation Disdase other cercif catiwa and limnurr,such as licrosure by the Alcohci and Drug AbuseDivision(ADAD). Disdase the total limned capacity f each facility zahat portion zeill le gfered to DYC under this RFP;and zehat portion will be gfen3d for use along zeith gender specific capacities. Disdase the anent limrzsirtgdesignation cf the pnpeed facility In addition, describe how the facility Trill meet the rterb of the targetedpopulation and how the physical plant will allozewfor y ugramspe<ifrc keels of supercisioz Amide copies /all limnsure San Luis Valley Youth Center Youthtrack San Luis Valley Youth Center is located at 1317 17th Street,#8,Alamosa, Colorado, 81101. The facility phone number is 719.589.4505. San Luis Valley Youth Center is a multi-purpose facility,which includes two separate and distinctly different programs. This includes an unlocked 20-bed Therapeutic Residential Page 5 of 30 Youthtrack Inc Exhibit A Child Care Facility(RCCF/TRCCF) that serves male youth referred by the Department of Youth Corrections and a 12-bed co-ed Detention Facility. San Luis Valley Youth Center is licensed as a Therapeutic Residential child Care facility (RCCF/TRCCF). The license for the facility is current, in good standing and expires in June of 2007 and will be renewed until June of 2008. The permanent Child Care License number is 11725. The SLVYC building was designed to effectively maximize the monitoring of youth, enhance a therapeutic environment by the sleeping rooms centered around a comfortable living space. The administrative and clinical offices are located just down the hallway. The kitchen and dining room are within the area as well. The youth attend a Youthtrack school off grounds in a Colorado State Education (CDE) approved educational program which is licensed as a Day Treatment Program. All Youthtrack facilities maintain compliance with national life, safety and electrical codes,RCCF/TRCCF regulations, local zoning,building, and Fire and Health Department regulations. 2e. STAFFING Regi irerrent•By facilixy list all staff positions and their respazize titles, irelttding contracted staff, interns, as yell as full and part tiny staff Spedfy any staff that are liwnsed or artifialand inxdude nininum qualifications for each position Prnzide a sanple staffing schedule fora ze ek, indicating hozommy staff will be on dut4 at zehat tints and their tale. Discuss staff turn-over ratios and the in ermine program inplerrentai to encourage staff retention D6oribepurstaff training plan for rewarxl existing staff Idernify staff designated tozuwni meting luensure requirentait ratios gtstaff to pith. For additional staff hireiaboze the tequind liwnsure ratios, desoiEe their funaior(s)and justify the need for staff based on program requirvrrents. DESCRIPTION OF STAFFING PATTERNS: Staffing Ratios for day, evening, and overnight shifts: Youthtrack staffing patterns and schedules comply with and exceed the minimum RCCF/TRCCF Licensing Standards of 1 staff to 8 youth. SAN LUIS VALLEY YOUTH CENTER Shift Youthtrack Ratio Licensing Requirement Day 1:6 1:8 Night 1:6 1:8 Overnight 1:10 1:16 San Luis Valley Youth Center will utilize a schedule that affords a minimum of two to three staff members on duty during waking hours and two staff providing awake coverage on the overnight shift. The program minimum staffing pattern consists of one Title I Tutor/Youth Counselor on a 7:30-3:30 shift,one Shift Supervisor/Case Manager on a 8-4 shift,two Teachers on a 7:30- 3:30 shift, one Teacher Aide/Youth Counselor on an 8-4 shift,two Treatment Coordinators on an 8-6 shift,two Shift Supervisors on a 4-12 shift, one Youth Counselor on a 2-10 shift, and two awake Youth Counselors on a 12-8 shift. The Program Director works a variety of Page 6 of 30 Youthtrack Inc Exhibit A shifts including days, evenings and weekends. Youthtrack staffing patterns and schedules comply with and exceed the minimum Licensing Standards of 1 staff to 8 youth. San Luis Valley Youth Center is staffed by: • 1 Program Director • 1 Lead Shift Supervisor • 1 Licensed Treatment Coordinator • 2 Teachers with a current Teaching License and working on their Masters endorsement in Special Education/Severe Affective Needs. • 1 Title I Tutor/Youth Counselor • 1 Teacher Aide/Youth Counselor • 2 Shift Supervisors • 5 Youth Counselors,which includes the 2 full-time graveyard Youth Counselors. • 2 Youth Counselors pan-time graveyard. • 1 Kitchen manager/Cook/Youth Counselor • 2 On-Call Youth Counselors All staff has back-up coverage through a 24-hour cell phone and pager system with 24-hour access to the Program Director. There is also radio communication between the residential and detention programs in the facility for communication and emergency needs. On-Call staff ensures that the programs are properly staffed at all times. Youthtrack programs are generally staffed by: • Program Director: Bachelor's Degree in human services or related field required. They have a minimum of three years employee management experience and knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI) and(DHS) background checks. They are responsible for the overall administration of the program. • Assistant Director/Staff Supervisor Bachelor's Degree in human services or related field required. They have a minimum of two years experience with youth or in management and knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI),and DHS background checks. • Treatment Coordinator. Master's degree in social work, social science or related field required. Two years experience working with youth in a residential or secure setting required.Minimum age requirement is 21 years old. They must be able to communicate (verbal and written) with all levels of personnel internal and external to the company.Ability to effectively design and implement treatment plans. They must have knowledge of DYC and DHS regulations and Children's Code and must have thorough knowledge of adolescent treatment theory and practice and knowledge of resources available to youthful offenders. They must be able to pass CBI, FBI, and DHS background checks. Responsible for intakes, coordinates releases and transition plan, performs crisis intervention, leads groups and is a liaison to DYC Client Managers and other outside agencies. Page 7 of 30 Youthtrack Inc Exhibit A • 2 Teachers: State teacher certification,or ability to obtain emergency teachers' license required. Bachelor's degree required. Masters degree preferred. (They are required to be Highly Qualified (State and Federal requirement) in three content areas (for secondary) and Elementary Education by passing the appropriate PLACE'/PRAXIS Tests or documenting 24 credit hours in their university transcripts). They must have knowledge of DYC,Department of Human Services, Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI),Federal Bureau of Investigations (FBI),and DHS background checks. • 1 Teacher's Aide/Line Staff: High School Diploma(would need to pass the Workkeys Test for Highly Qualified),BA or 1 year experience. They have knowledge of DYC,Department of Human Services,Division of Child Care Licensing regulations and be able to pass Colorado Bureau of Investigations (CBI), Federal Bureau of Investigations (FBI), and DHS background checks. • Title I Tutor/ Youth Counselor. Bachelor's degree with a minimum of 24 credit hours in English or Math or the ability to pass the CDE PLACF test in English or Math. They must have knowledge of DYC,Department of Human Services, Division of Child Care Licensing regulations. They must be able to pass Colorado Bureau of Investigations (CBI),Federal Bureau of Investigations (FBI),and DHS background checks. • Youth Counselors: Bachelor's degree preferred,Associates degree and one year related work experience, or a high school diploma or equivalent and two years related work experience is accepted. Responsible for direct supervision of youth, oversight of all daily activities,crisis intervention,safety and security,work shifts, and implementing program. They must be able to pass CBI, FBI, and DHS background checks In addition Youthtrack has these Administrative positions: • Executive Director. Has a Master's degree and a minimum of 5 years employee management experience. • Director of Education:Also act as Principal and Coordinator for the educational programs. Responsible for Title I and CDE budgets, grant applications and other reports; knowledgeable of Colorado teacher licensure requirements, state and federal guidelines for regular and special education students;participate in hiring, supervision and evaluation of teachers in addition to staff development and training. Current CDE Professional Licenses - Special Education Director K-12, School Principal K-12 and Educationally Handicapped Teacher. • Human Resources Manager/Training Coordinator Is responsible for all benefits administration,training, employee recruiting and retention, payroll, and employee relations. They must be knowledgeable of Colorado employment laws. • Divisional Director of Human Resources: Is responsible for supervision of all employee retention and employee relations. They must be knowledgeable of Colorado employment laws • Regional Finance Director Is responsible for operations accounting, supervising accounting staff;and maintaining compliance of accounting procedures in accordance with GAAP • Training Coordinator Is responsible for the development and implementation of the written training plan for all Youthtrack programs. The Coordinator is responsible for planning and coordinating the Training Plan in conformance with applicable state Page 8 of 30 Youthtrack Inc Exhibit A policies and regulations. Training programs and curriculum are planned to meet the needs of staff members'job requirements and are pertinent to their current work and career development. The Training Coordinator shall select qualified, and when applicable,certified trainers to conduct training. In addition Youthtrack enjoys the services of the Resource Center,the corporate headquarters of ResCare our umbrella corporation located in Louisville Kentucky. They provide expertise for oversight,Bast in Class, compliance, and training issues. Minimum Staff Qualifications All staff shall meet the required RCCF/TRCCF regulations. They must be at least 21 years of age, and have completed a Bachelors degree. A high school diploma or equivalent and 2- year's experience in the Human Services field, or an Associate's Degree and 1 year experience in the Human Service field maybe substituted for the college requirement. Interns, Volunteers and Contracted Staff Youthtrack has a history of utilizing both intern and volunteer programs. Youthtrack intends to develop and implement a strong volunteer program in compliance with DYC policy 20.1. Volunteers can assume roles such as tutors or religious coordinator. All interns and volunteers will be screened and trained prior to involvement with youth. Staff Training First year training requirements for Youth Counselors,Home Leaders and supervisory staff includes participation in the Youthtrack New Employee Orientation (40-hours),the program specific On-Site New Hire Training (80-hours) Weekly Staff Meeting/Training Sessions (3 hours), and quarterly Training In-Services (2-8 hours) arranged by the Training Coordinator or Program Director. Youthtrack New Employee Orientation includes the following topics: • History, mission, purpose and goals of Youthtrack • Overview of Residential Treatment Centers • Overview of Secure Programs • Overview of Non-Residential Programs • Overview of Youthtrack Education Programs • Juvenile Rights and Responsibilities • Professional Boundaries • Disclosure Statements • Overview of the juvenile Justice System • Human Resources and Company Benefits • Arrest through parole, how youth move through the system • Developing a profile of youth in the system • First Aid and CPR • Therapeutic Crisis Intervention • Suicide Assessment and Prevention • Medication Administration Page 9 of 30 Youthtrack Inc • Exhibit A On-site New 1-lire Training (40-hours) is provided by the Director, Treatment Coordinator, or by a person designated by the Program Director.Documentation of the On-Site New Hire Training is completed on the Youthtrack New Employee Orientation form. Upon completion of all topics listed,the form is forwarded to the Youthtrack Training Coordinator/Human Resources,who maintains the form as part of the employee's training record. The On-Site New Hire Training is conducted during the first week of hire with follow-up required during the first 90-days. Staff Meeting/Training Sessions are conducted weekly. Such sessions are conducted by the Program Director,Treatment Coordinator, guest trainer, or a person designated by the Program Director. Staff Meeting/Training Sessions address on-going needs of staff in maintaining consistency in the implementation of the behavior program in accordance with program procedures. The Division of Youth Corrections required trainings are conducted during these weekly meetings.Documentation of Staff Meeting/Training Sessions is completed by the Program Director or Training Facilitator on the Youthtrack Training form. Upon completion,the form is forwarded to the Youthtrack Training Coordinator/Human Resources to be entered into each staff member's training record. The Youthtrack Training Coordinator/ Human Resources staff facilitate the completion of training areas and in-services for Youthtrack employees. Designated staff from each program attends such training modules. Additional training specific to individual program needs is presented by Youthtrack personnel,as well as by personnel recruited by or with the approval of the Training Coordinator/Human Resources.Documentation of such training sessions shall be completed by the Trainer and are forwarded to the Training Coordinator/Human Resources to be entered into the employee's training record. Training from Outside Sources: Applicable training by outside sources such as colleges,universities,and federal agencies may be utilized for either the new hire or annual training requirements and may be granted equivalency credit, as long as the program content is commensurate with Youthtrack training requirements and is approved by the Training Coordinator/Human Resources. Training Records: The Youthtrack Training Coordinator/Human Resources maintains training records on all current employees. The training record includes: • The staff member's name. • The staff member's job title. • The staff member's date of hire. • The annual training hours required. • An up-to-date chronological list of the training completed by the staff member and the number of hours; including credit transferred as a result of previously completed training. Staff retention and recruiting: Youthtrack has incentives in place to retain competent and quality staff. The most prominent incentive is that Youthtrack prefers to hire from within the company. This offers Page 10 of 30 Youthtrack Inc Exhibit A employees the opportunity for advancement and promotion. On a regular basis, staff members are rewarded for actions that go above and beyond with either"Staff of the Month" awards that come with a $25 gift card or with"OUTSTANDING" awards,which the staff can use for the reward of their choice. Youthtrack offers tuition reimbursement and paid time off which increases in rate the longer an employee is with the company. Youthtrack staff is also offered discounts with various businesses, including Dell Computers, Ford, Office Max, and TicketsAtWorkcom which offers discount tickets at numerous theme and amusement parks and discounted car rentals, hotels, and movie tickets. Youthtrack utilizes a variety of recruiting strategies to hire competent and quality staff. For example,some of Youthtrack's best hires come from current staff referrals. For that reason Youthtrack rewards employee referrals with$100 after the new employee has completed 90 days with the company.Youthtrack recruits on several online websites,jobing.com and craigslist.com are a couple examples. Youthtrack also recruits at local colleges and in statewide and local newspapers. Youthtrack has historically met all EEOC goals utilizing the Youthtrack Affirmative Action Plan. Youthtrack employs numerous strategies in our recruiting and retention plan, and have always focused on hiring and promoting a culturally diverse staff. 2E REFERRAL PROCESS: Requirenent•Describe the pass for raeizirrg;prioritizing and responding to pugtam referrals from any or all cf the four Regions. Irrludesperzfc timelines and describe the process for reveraing referral packets, responding to referrals, andacrrpting clients into the pram Indude specific timdines not to exceed 5 working days fmntdate gereferral Adenouledge air willingness and ability to aorpt elleetratk files in PDF format for youth referrals to yarn-program Specifically define what clients zvll not k aarpted into your p gtamand ooncitiws/behaziors that zeadd necessitate the nzgxztize discharge(fa client The Youthtrack Program will respond to all referrals within 5 business days of receiving the packet. Youthtrack prefers to receive the initial referral electronically,as it speeds up the referral process. These referrals can be sent in PDF format or as a Microsoft Word document. Full referral packets will also be accepted via mail or in person. The program will maintain a log sheet for all referrals received. This log sheet will note the date the referral was received,the youth name referred,the name of the Client Manager, and the scheduled Community Review Board date. After the youth is interviewed,a call to the Client Manager will be placed. At this time the Client Manager will be informed of their youth's acceptance or rejection. Most rejections are open to further review after 30 to 90 days. All youth will be male youth between the ages of 10 and 21. A youth must demonstrate appropriate behavior while in their current placement. Referred youth must complete a comprehensive placement interview with the Program Director or designated staff. The interview will consist of: reason for placement, anti-social history,progress in past treatment facilities, awareness of their treatment issues,school and/or employment goals, drug and alcohol abuse history, family history, religious or cultural influence, level of involvement the family will have in treatment, gang affiliation, and commitment to follow the program rules and norms. A youth will be considered for denial of placement if they have demonstrated a consistent pattern of not engaging in treatment, consistent defiance to rules and norms at their current Page 11 of 30 Youthtrack Inc Exhibit A placement,unwilling to commit to the Youthtrack Program rules and norms, current assaultive behavior, recent danger to themselves or others consisting of: suicide attempts or ideations, assaultive behavior, self-mutilation, or an unwillingness to commit to safety. Youth will not be denied based on being designated as non-special education. While at Youthtrack a youth may be discharged negatively for the following reasons: • Any criminal activities related to illegal drug possession or alcohol • Possession of weapons or any materials that could be used as weapons, • Assaultive behaviors directed at staff, residents,or visitors. • A youth could also be discharged negatively for a consistent pattern of problem behavior or for a persistent lack of progress in treatment. 2g. TREATMENT PLANNING/CASE MANAGEMENT Requbenent•By facility describe treatnrnt planning and case nzznagenrnt senates to k pmzided far cwrnitted pod,. If your program is a RCCF/IRCCF, describe and quan if the diferencrs in treatnrnt planning/case nunagerrent gran grfered San Luis Valley Youth Center All youth are assigned an individual Youth Counselor and a Master's level Treatment Coordinator(Therapist). The treatment planning process begins at the time a youth is referred to the program for admission.Based on information gathered from prior placements and discussion with referring agencies, information from the Director regarding the interview and admission information,the Discrete Case Plan and the services provided by the program,the youth's admission and intake are ready to be completed.The youth meets with their individual counselor twice a week for 30 minutes and their Treatment Coordinators (Therapists) once a week for one hour minimum. Upon admission, an Individual Service Plan (ISP) is designed within the first 72 hours. The ISP addresses the immediate needs of the youth as the treatment team continues to learn more about the youth through assessment, observation and interactions over the next 10 days.At that time, a treatment plan meeting is arranged with all of the individuals and agencies that are invested in the treatment and well being of the youth. Once a comprehensive treatment plan is designed with clear measurable goals, monthly meetings are routinely scheduled to review, modify and document the youth's progress in the program. The Treatment Coordinator's skills are utilized in the assessment of referrals, individual psychotherapy(once per week minimum) group psychotherapy(minimum 4 per week), individual family therapy(bi-weekly) and a social history(diagnostic assessment) upon placement. In addition,the Treatment Coordinators provide monthly clinical supervision for all program staff that has contact with youth in the program. This program component not only promotes professional development and treatment skill building; it also helps promote safe and appropriate relationships between youth and staff. It is these healthy and productive relationships that are at the philosophical core of the SLVYC. In the event that more extensive psychological evaluation or testing is required Youthtrack utilizes established, qualified professionals from the community. Individualized Treatment Plans (ITPs) are developed to serve as the foundation for treatment services to be provided in the Residential Treatment Center. The ITP is designed to be consistent and implemented with the Discrete Case Plan (DCP) and the Individualized Page 12 of 30 Youthtrack Inc " Exhibit A Education Plan (IEP). Some youth admitted to the program will have current IEPs but may require additional testing to update the services needed during their placement.Within 48 hours of admission,the Teachers and the Treatment Coordinator will initiate notification of the youth's parent(s) or the legal guardian(s) and the Youth Manager/Case Worker to schedule an ITP/IEP meeting to be conducted between the 10th and 15th day of the youth's placement. The IEP/ITP meeting provides an opportunity for the Special Education Teacher,the Treatment Coordinator,Client Manager,the youth family members and others attending the meeting to share information,provide input, and work together to develop an IEP that can effectively be implemented in conjunction with the ITP AND DCP. Participation of the youth and other attendees in determining realistic educational goals and treatment is essential to the investment of all parties involved in the process. It is made sure at the time that the youth involved understands what he needs to work toward. And that the youth understands that program participation, efforts toward accomplishing the ITP and IEP goals and appropriate behaviors are essential to his transition to the community. All individuals involved work together as a treatment team to effectively form a network of containment and support,uniting to keep the youth focused and motivated to work toward achievement of the IEP and ITP goals. The treatment Coordinators provide the treatment care needed while also monitoring and assessing the eligibility for Fee-for Service and what treatment is required for the youth as well as the monitoring of what is to be billed for services rendered. 2h. FAMILY SERVICES Requirement.ByFac lity, describe what family canceling nodality zeill k usah zehat senses zeill be prouder and hozvfanilies zeill k inzthzed in Prawn planning and the transition process. Desciilr the anticipated frequency 1these seruCes and the credentials(ft&staff proziding them If yaer program is a RCCF/IRCLF, describe and quantify the differences in seniors c)tfered San Luis Valley Youth Center The overall goal of family involvement is for the youth to explore family patterns related to the youth's treatment and establish a relationship with family members that will contribute to a socially responsible lifestyle. Upon entrance to the program,an initial phone call is made to the family informing them that their family member has been placed. They are welcome to visit, attend all meetings relevant to their family member ITP and to attend multi-family dinner when it is scheduled.A Family Handbook and an invitation to multi-family dinner are mailed to each home. The family is encouraged to become involved with the ITP process, monthly reviews,visits, home passes, sending mail and organized family functions at SLVYC The family is also encouraged to be involved with Family Therapy.Youth will receive minimallybi-weekly family sessions with their assigned Master's level Treatment Coordinator(Therapist). For those youth who have no familial support system we attempt to have a mentor and others who can assist with activities that are held and designed for the family. 2L ADJUNCT SERVICES.• Page 13 of 30 Youthtrack Inc Exhibit A Requirenett•By facility describe the types and frequency Id le seruces, the qualOcatiom staff prouckng seruces and?chat community rescwus?dill be accessed If ywtr program is a RCCF/IRCCF, describe and quantify the differences in sercues cyjeered San Luis Valley Youth Center SLVYC provides opportunities for youth to meet their spiritual needs. The program offers church passes,with approved sponsors and provides the opportunity to invite spiritual leaders to the facility. Youth can participate in Bible study groups and spiritual youth groups. Youthtrack and referral providers work diligently to ensure that each individual youth's spiritual needs are being met. SLVYC youth participate in cultural awareness groups and cultural activities,both in the milieu and in the school environment. Educational themes are taught on a monthly basis, generally in accordance with calendar event we such as Black History month, Chinese New Year and Women's History month. The youth also participate in cultural activities such as field trips to museums, community cultural events, and cooking ethnic foods in the facility. Staff members have on-going training around cultural sensitivity and education. SLVYC honors individuals of all races, color, religious beliefs, sexual orientation, gender, national origin and disabilities. These opportunities are available to all SLVYC youth. The San Luis Valley Youth Center program offers basketball, baseball and volleyball on-site. Public facilities such as the Family Recreation Center, Boys and Girls Club, Sierra Grande Recreation Center, San Dunes Pool, Splashland Swimming Pool,Adams State College facilities and the gym at the Sacred Heart Catholic Church School where the SLVYC classroom is located are available to SLVYC. SLVYC program enhances positive pro-social education and therapeutic group skills through experiences in the community.Youth are required to participate in one hour of large muscle activity daily to enhance physical fitness as a part of transition to the community and maintain as a continued lifestyle. This activity is supervised by staff and is part of the daily Education curriculum. 2J. DRUG/ALCOHOL PROGRAM SERVICES: Requirement By facility describe these serzices in detail, indudtng nurrier rf staff prodding the serziz hours geserzicr and staff qualifications. Describe the range q'drug/almhd seruces prvzided and the credentials q staff and/or subcontractors zeho will prozide these serziers. Indicate zehiah tyw qtfour fdlozeing pargrana you fifer 1.Edhtcation prugran; 2. Commhensize preremion yngram, 3. Interzention programanu/or 4. Treatment lend program Any corhinatkin q'the four program may k gfered The Dizision will gize additional consideration for those zeho jkr treatnent bezel pragranzring. For serzices that are to be accessed in the commit); list the aaerxy(s) that'dill he utilized Describe the sprzial considerations necessary in yoking with this population Assure that all treatment kid youth develop a relapse plan prior to discharge For facilities that are liaresed byADAD disdose the ADAD licensing designation and hawse numfer qt your facility. If your program is a RCCF/IRCLF, chortle and quantify the differences indrug/alcohol pru%ramserzica gfered .77 gad jthe drug/alcohol educational cuniarlumis for residents to establish and understand their inckzidual chug and ales hat cycle;personal triors,family patterns, oo ntairurenl nzxlel, onside support seruas,physiddgiad eats,psychological ofects,physical eats, mzjor causes gcbug/alcdxi Page 14 of 30 Youthtrack Inc Exhibit A abuse relationships hetuen drug/alcohol and HIV, drug use and its relationship to delinquency, thinking errors, time trunagerren4 stress rrunamerent San Luis Valley Youth Center The goal of the drag/alcohol educational curriculum is for residents to establish and understand their individual drug and alcohol cycle,personal triggers, family patterns, containment model, outside support services, physiological effects, psychological effects, physical effects, major causes of drug/alcohol abuse, relationships between drug/alcohol and HIV, drug use and its relationship to delinquency,thinking errors,time management, and stress management. The goal of the drug&alcohol process group is to establish an open forum where residents can discuss their past, current,and future issues that pertain to their addiction. This group will focus on family issues, stressors in the community, drug 8E alcohol education issues, and addresses relapse prevention. The goal of the drug&alcohol relapse prevention group is for the resident is to develop a relapse prevention or aftercare plan,as well as an ongoing community support group. The program creates an open forum to talk about gaining courage to change, self-esteem,honesty to self and others,giving up secrets, admitting to fears and where each resident is in his cycle, and to find alternatives to high risk situations. Random drug urinalysis testing is provided on-site with 48-hour results provided. All urine screens are tested for Amphetamines, Opiates,Barbiturates, Cocaine, Benzodiazepines, Alcohol, and THC. Additionally,a specific test can be requested for other substances. All residents are randomly tested a minimum of 2 times per month. A breathalyzer is also provided on-site for alcohol testing. Relapse prevention begins upon entrance to the program and continues through aftercare. Youth learn to identify the "seemingly irrelevant" choices that increase risk exposure. They identify personal, physical, and emotional cues when they are in high-risk situations, and develop strategies for countering risk. Though not condoned,the predictability of relapse for any program participants is actively addressed. Youth are taught not only what relapse is and how to prevent it,but also how to recover from it. Treatment level residents are also encouraged to attend Alcoholics Anonymous and Narcotics Anonymous meetings. Drug and Alcohol services will be provided by or monitored by a professional with the minimum of a CAC II certification. 2k. MENTAL HEALTH SERVICES.• Requirenent:•By fa&litys descrih all?rental health serzices that gill be prrnideti include frequency cfserzices and qualzficatkns/cradentials cfen pla s and/or contracted staff prmiding these seniors. Describe how these serzices zeill be integrated into the nilieu and with youth zrho present with mocuming delinquent,sex fender, and substance abuse issues. Desoile the rrethal by zehich the serzices align zzith erickrce-based research. Descnbe howyou zed facilitate ensuring continuation l mortal health sect including psychiatric serrices and medication upon the youth's return to comraauty on parole San Luis Valley Youth Center San Luis Valley Youth Center recognizes that mental health services are essential to the effective operation of the residential program.By meeting the emotional needs of the youth, escalated behaviors, physical acting out, and incidents of aggression are reduced resulting in Page 15 of 30 Youthtrack Inc Exhibit A enhanced safety and security. Counseling and Therapy will be integrated into all components of the program and will specifically include: • Informal Counseling- to be conducted on an on-going basis by all staff. • Individual Counseling- to be conducted at least three times each week by their assigned Treatment Coordinator(Therapist) and Youth Counselor. • Group Counseling- to be conducted at a minimum of five hours each week by the Treatment Coordinators (Therapists). • Milieu Management SLVYC has gained extensive experience in providing mental health services to DYC committed youth through operation of the TRCCF and the Secure Detention program. The Treatment Coordinators coordinate mental health services for the program and are available to provide emergency psychological services 24 hours a day,seven days a week. If additional Psychological services are needed the Program Director will refer to the San Luis Valley Mental Health Center for further emergency services or other needed services or to Family Resources for further services. Dr. Caesar,a licensed Psychiatrist, currently provides psychiatric services to the SLVYC. He evaluates and monitors all medication quarterly or as requested.Alamosa County Nursing provides a Registered Nurse to provide the monitoring of administering medications by med certified staff on a weekly basis and check for errors. The report by the RN is sent to and monitored by a nursing supervisor in Longmont, Colorado. In providing mental health services, SLVYC will integrate a number of resources, strategies and interventions to include: • Compliance with DYC Chapter 15 policies. • Information from DYC and others to assist in meeting each youth's mental health needs. • DYC Suicide Assessment Screening Forms will be completed at the time of admission and when deemed necessary by the Treatment Coordinator and/or the Director. • An automatic "Close Observation" status will be implemented during the first 24 hours of each youth's placement. • All staff will be trained in Crisis Prevention Intervention to assist youth in dealing with crises. • The Treatment Coordinators will work directly with Dr. Caesar providing information regarding youth that are on his caseload. • San Luis Valley Youth Center will operate a safe and secure program for youth with mental health issues. • San Luis Valley Youth Center utilizes the DYC Policy 15.2, Suicide Assessment, monitoring and Intervention. Education and the inclusion of parents regarding mental health and medication issues: San Luis Valley Youth Center will work with parents and other agencies providing mental health services to ensure that the mental health services are continued following discharge. Page 16 of 30 Youthtrack Inc Exhibit A Staffs trained in Medication Administration are the only staff that will be allowed to dispense medication. Two Treatment Coordinators will be assigned to the program with a 1:10 caseload. Weekly staff meetings are established with all program staff to review each youth's progress and ensure that staff is working together towards the same goals and that treatment issues are integrated into the daily milieu programming. San Luis Valley Mental Health will provide further emergency services and assessment if deemed necessary by the Treatment Coordinators and/or the program Director. Milieu Counseling The San Luis Valley Youth Center philosophy is based on four major components to manage and treat youth within the milieu. They include the program norms,the feedback model,the level system and daily goals/positive feedback The program norms include Safety,Respect,Accountability and Cleanliness. In addition to the norms there is a system within the facility that allows the peer culture/staff to uphold these norms. This system is identified as the feedback model. The feedback model includes all Youth and staff. It is a norm and an expectation to confront all negative behaviors, accept feedback that is directed to you, immediately work to change or redirect the negative behavior you have been confronted on, and the ability to call peer/staff groups if any youth refuses to accept feedback The level system distinguishes privileges between the youth. There is an Orientation phase and levels 1, 2,and 3. All levels are achieved through appropriate behavior in the milieu and community, documented progress in treatment goal areas, understanding of program expectations, obtaining trust and displaying leadership. All youth that receive their levels are expected to abide by the level expectations. If they do not,the level can be restricted or reduced. The youth set goals in the morning and re-visit them in the evening to observe if they reached that daily goal and to get feedback and strength building support concerning their daily goal. Our goal is to manage crisis at the lowest level of intervention possible,while maintaining the safety of all youth and staff. Informal Counseling Counseling provided to youth throughout the day by Youth Counselors,Teachers, and other Staff members. Informal Counseling is effective in that it is conducted in a casual non- threatening relationship. It can be reinforced through frequent interactions and is provided by staff members who gain a clear perspective of the youth's behavior through consistent observation and interaction. Such counseling usually entails a staff member providing a youth with assistance, direction or general conversation,which reinforces pro-social behaviors. The goal is to develop a learning environment for youth and staff. Individual Counseling The Treatment Coordinators will provide a weekly individual therapy session for the youth. The issues to be discussed and explored will be identified within the DCP and the ITP. The Youth Counselor that has been identified as the Primary Counselor will meet with the youth at a minimum of twice weekly to review behavioral and milieu issues. Group Counseling/Specialty Groups Group Counseling is to prepare youth for successful community placement. This goal will be accomplished by working toward meeting the following objectives: (1) Build on each youth's strengths and previously gained skills and knowledge, (2) Reinforce accountability for actions Page 17 of 30 Youthtrack Inc • Exhibit A and internalization of progress and (3) Teach each youth to receive and provide support. Specialty groups are designed to address specific treatment issues identified by the youth, client manager and treatment staff. These groups may include:play therapy,psychodrama, bereavement and loss, sexual offense specific treatment victimization from abuse, dealing with co-occurring illness and learning to live with mental illness. The DCP and ITP will identify these groups. SLVYC will ensure only qualified therapists will facilitate these specialty groups.Youth begin to participate in the cycle of group counseling sessions immediately. The cycle is open ended and designed to accommodate the routine admission and discharge of youth. Facility Meetings A facility meeting will be conducted weekly. A program staff and one youth will facilitate the meeting with all the youth and as many staff as possible in attendance. The meeting will include: • Discussion of youth issues • Program Announcements • Celebration of youth and staff achievement from the previous week, • Announcement of Awards;Room of the Week,Most Improved, Student of the Week, Resident of the Week • Announcement of Program Levels and Home Passes for the upcoming week Upon each youth's admission into the TRCCF the Treatment Coordinator will review his referral packet and assign the youth a Primary Counselor.In assigning a Primary Counselor, the Treatment Coordinator will consider the youth's history offenses, family issues and overall needs, and attempt to match the youth with the counselor best suited to provide optimal services. The Primary Counselor will work under the supervision of the Treatment Coordinator in directly implementing the youth's ITP and DCP plans.At the time of admission the Treatment Coordinator will provide the youth with an Initial Service Plan (ISP) with goals to be accomplished during the two weeks of placement prior to the ITP/IEP meeting. These goals include: • Verbalizing the contents of the Resident Handbook • Establishing relationships with staff and peers and • Verbalizing a level of accountability that indicates treatment readiness and ownership of past criminal behaviors. During the first 14 days of placement,the Primary Counselor will begin to work with the youth toward achieving these goals by utilizing individual counseling sessions at least twice each week Through this process,the Primary Counselor will attempt to establish a working relationship with the youth enabling the counselor to provide the Treatment Coordinator with information specified to the youth's behavioral adjustment to the program. By providing this information the Primary Counselor will aid in developing the ITP. This information will be shared with the ITP/IEP participants to assist in establishing ITP/IEP goals to be accomplished while at SLVYC. The Treatment Coordinator will review the goals with the youth and the Primary Counselor. The Primary Counselor will work with the youth to assist him in accomplishing these goals and to support the youth in dealing with daily stresses and issues. Once each month and as needed,the Treatment Coordinator will give the Primary Counselor direction and feedback regarding the youth's progress toward completion of Page 18 of 30 Youthtrack Inc Exhibit A treatment goals. Clinical Supervision will also be utilized in teaching new strategies to enable the Primary Counselor to become more proficient in assisting the youth to progress through the program.When necessary,the Treatment Coordinator will provide support to the Primary Counselor as well as to the youth by intervening to ensure continued treatment. In most instances,this intervention will consist of supervised guidance, mediation, and alternative treatment approaches 21. MEDICAL SERVICES Requirenr»t By facility descrilr how medical serims•will le mule available to yugram residents. Include staff positions and qualifuatiaa and bows cf sercih and conpliance with Child Cite luensing requirenerus. Describe howyuu vil prozide satire medical caw and howyau will deal with nalical arrrbeixies and prescription medications. Describe your record kceping system utilized for dazareruing ddizery qt nrdt zl senesces. San Luis Valley Youth Center SLVYC staff is trained in medication administration. Reports from the Alamosa County Nursing Service RN are kept in a log in the Director's office of the medical administration by staff. Copies of the medication administration forms are maintained in each resident's file. An application is submitted upon entry to the program to activate Medicaid. Emergency care is provided by the San Luis Valley Regional Medical Center. Sierra Blanca Medical Center provides all physicals and routine exams.Dental care is provided by Valley Wide Health Services Dental Clinic and the Rocky Mountain Eye Care for vision screening.Psychiatric services are provided by Dr. Caesar of the San Luis Valley Mental Health Center. A doctor is available for additional psychiatric services as needed and is available at the San Luis Valley Regional Medical Center Emergency Room.Appointments are logged into an appointment book. The Shift Supervisor/Case Manager or Treatment Coordinators set all appointments. All medical records are kept in the Youth's case file and in a Med Log.All medical and dental exams are scheduled within 10 days of placement.Medications are monitored weekly by an RN and a supervisor ND,RN, CAC III.Prescription Medications are through the San Luis Valley Pharmacy who provides all prescription services.Medical emergencies are handled by calling 911 and transport is provided by the Alamosa Ambulance Service to the San Luis Valley Regional Medical Center. 2m. TRANSITIONAL SERVICES: Requirement•By facility describe your phrlasopby and practices anmming transition and the serves prozielecl for clients at zariats stages in their residential stay Describe linkage za th comrzwaty-lusaf prrnsders. San Luis Valley Youth Center SLVYC's philosophy regarding transition is that youth must be prepared to successfully return to their community. They are in constant transition from the moment they enter the program. Every youth who enters the program will be evaluated for what is needed for discharge at the first ITP meeting.A youth's transition needs will be monitored monthly at the ITP reviews.Youth are encouraged to establish local community support by completing assignment during their home passes or free time. Staff will also provide assistance with transition to public school including higher education or vocational programs, financial aid applications and grants. Youth who will be emancipating will be provided assistance with Page 19 of 30 Youthtrack Inc Exhibit A finding an apartment and can take passes to their apartment during their last 30 days in the program. Life-skills classes, groups pre-employment,employment and career counseling are presented for one hour daily in school and at other various times. These subjects are supplemented through field trips, guest speakers and opportunities for individual exploration. For the duration of their placement each youth is required to maintain a portfolio of work completed that will enhance their ability to obtain employment after leaving the program. Youth who have expressed the desire to continue their education are provided with tools and assistance from the Treatment Coordinators and the Teachers. SLVYC has enrolled students in community colleges, universities,technical school and vocational training.We have also assisted with the military,job corps and disability services. 2n. INDEPENDENT LIVING TRANSITION SERVICES: Re3uirene t•Describe the philosophy concerning transition and the seruces prodded for piogram residents in this area at vinous stages in their raidential stay. Describe linkages zaith co rmautyhased proziders. If your program is a RCCF/7RCCF, describe and quantify the drlfenm es in services*fend These three facilities operate as an Emancipation Program.Youth must successfully meet the challenges of moving from a secure environment to a community based environment and finally to their home environment.All youth are provided with transition goals which reflect the long-range goals and care needs of each individual. The services needed to meet the vocationalemployability needs of each youth vary. The curriculum is an additional service that is to provide instruction in numerous areas for independent living including: Housing Community resources Insurance Goal setting Nutrition Parenting Budgeting Survival skills Investments Law Renting and leasing Communication Maintaining employment Selective service Safety Voting Automobile purchases Leadership Utility services Personal appearance Evictions Self understanding Home maintenance Assuming responsibility Shopping Human relations General upkeep of the house Decision making Time management Banking Cooking Credit and income taxes Job coaching is provided by the Treatment Coordinators. Once the resident arrives at our program,the staff can assist in obtaining a state I.D.,social security card, and/or birth certificate if needed. A bus pass or bus tokens, hygiene supplies, and clothing will be purchased for new residents who need such items but cannot afford to buy them. Throughout the program residents are encouraged to begin buying necessities for their new apartment such as furniture, dishes, cooking utensils,towels,sheets, etc. Residents Page 20 of 30 Youthtrack Inc • Exhibit A are taught to comparison shop and to look for items at the Goodwill, Salvation Army, and garage sales. After a student is employed,job-site visits and check-ins are conducted to assure successful employment and maintenance of appropriate job skills. Students employed in the community are required to document and share with staff their work schedule weekly,job supervisor input on job performance, and how they will manage their personal finances. The residents are encouraged to make monthly payments toward restitution, if applicable. Each resident's money is kept in a joint account and counselors approve weekly budgets. Residents who will be emancipating are encouraged to save at least $1500-$2500 prior to discharge. Once a resident is within 60 clays of their discharge date they can be assisted with apartment hunting and utilities hook-up. Residents are assisted with moving their belongings to their new apartment and getting the apartment"situated" prior to their official move-in date. With approval from their Client Manager,residents will be given over-night passes to their new apartment when they are within their last 30 days at the program. After discharge from the Program,the emancipated youth may call or visit and discuss any needs or concerns they may have. 2o. PROGRAM ORIENTATION.• Requirement Describe the orientation process for p ugam nsidents. Include a cuplete explanation 91 prr ramgazls, objectiws,procedures, and expectations for residents, and residents'rights it dudinggrieuzrne procedures. Daoilx howyau zed pmzide a client hand&&& detailing irforrnaiaz about the programfor each diem Describe howyau will dezelop policies and procedures to include parents in the orientation process. If your program is a RCCF/1 RCCF, describe and quantify the differences in sereicis cif-emit The goal of the orientation process is to provide youth with information and support that will enhance their comfort, safety and a smooth transition into the program. Upon intake, the youth will review the following materials: Suicide Assessment Interview(SAIG), Staff Impression Rating Scale, Resident Rights Acknowledgment, Grievance Procedures, Escape Advisement,Drug Free Contract, Self-Reported Medical Screening, and Consent for Health Care,Mandatory Disclosure Statement, and Resident Handbook Acknowledgment. The youth will review grievance procedures including all the appeal processes. The youth will then be given a tour of the facility, linens and blankets, hygiene items and a room assignment. Staff will conduct a written inventory of the resident's belongings. The youth will be provided a copy of the resident handbook,which is a detailed description of program information, miles, rights and expectations.The staff will review this handbook with the youth to ensure all aspects are understood. The youth will also receive a level system packet, which outlines the goals, objectives, and expectations for the residents. Each youth will be assigned an Individual Counselor and a peer sponsor on the date of entry. The Individual Counselor will be responsible for contacting the youth's parent(s)/guardian on the day of entry and a family assessment interview will be scheduled within ten days. The youth will receive a Diagnostic Evaluation by the Treatment Coordinator,which will provide the appropriate information for placement into treatment groups. Page 21 of 30 Youthtrack Inc Exhibit A In addition to the above,each youth will complete a Safety Plan for being in the community. All youth will receive theses services regardless of their designated level of care. Page 22 of 30 Youthtrack Inc • Exhibit A 2p. TREATMENT SERVICES.• Requinenrnt•Describe hotvthe program vivid!support the transition plans made in the youth's CJRA and DCP. Describe how the programzeill 11e iaulizidualizal to each client's nos. 1)5O e and state the frequency of serue pmudea.'in the program All residents are assigned an individual counselor and a master's level treatment coordinator. The treatment planning process begins at the time that a resident is referred to the program for admission. Based on information gathered from prior placements, discussion with referring agencies and a thorough interview, a decision is made for admission based on the needs of the resident's DG',Risks and Protective Factors from his CJRA,and the services provided by the program. Upon admission,an Individual Service Plan (ISP) is designed within the first 72 hours. The ISP addresses the immediate needs of the resident as the treatment team continues to learn more about the resident through assessment, observation and interactions over the next 10 days. At that time,a treatment plan meeting is arranged with all of the individuals and agencies that are invested in the treatment and well being of the resident. Once a comprehensive treatment plan is designed with strength-based, clear, measurable goals, monthly meetings are routinely scheduled to review, modify, and document the resident's progress in the program. The Treatment Coordinator's skills are utilized in the assessment of referrals, individual psychotherapy(one hour per week), group psychotherapy (3 per week), family therapy(weekly when appropriate), and diagnostic evaluations (upon placement). In addition,the Treatment Coordinators provide routine (monthly) clinical supervision for all program staff that has contact with the residents at the program. This program component not only promotes professional development and treatment skill building; it also helps promote safe and appropriate relationships between residents and staff. It is these healthy and productive relationships that are at the philosophical core of the Youthtrack program. Each resident receives a minimum of one session per week with the Treatment Coordinator, additional sessions are also available upon request from the Youth. Therapy groups (three per week) are assigned based on the CJRA,the DCP,Diagnostic Assessment, Clinical Assessment,and the resident/family individual input and are facilitated by Master's level facilitators. The group topics are re-evaluated on a quarterly basis to ensure the current population's needs are met. Staff has curriculum available for the following topics: • Victim Impact Goal: To provide a safe environment for residents to explore how they have been victimized and whom they have victimized. All areas of crime and society will be explored through a variety of media. • Offense Specific Group Goal: Relapse prevention concerning sexual offenses, education concerning cycles,work with disclosures. Focus on community safety and accountability. • Grief and Loss Goal: To develop new relationships with peers,explore natural reactions to trauma,process emotions that occur during grieving,determine which emotions are healthy and which are detrimental to the grieving process. Page 23 of 30 Youthtrack Inc • Exhibit A • Anger Management Goal: To process feelings of anger within the context of the overall range of human emotional experience,the group also helps the resident gain an understanding of where anger comes from and appropriate ways to manage their behavior. • Emotional Competency Goal: Understanding and working with all emotions. • Struggle to Be Strong Goal: Understanding and forming positive personal values. • Experiential Group Goal: Team building and leadership skills. • Parenting Skills Goal: To provide education to young parents on practical skills needed for positive parenting. To provide a safe environment where residents can process the emotional component of fatherhood and experiences they share with their children. • Relapse Prevention Goal: To identify high-risk behaviors related to alcohol and drug use. Also to identify triggers for high-risk behavior,along with alternative coping skills. • Cultural Awareness Goal: To acquire a basic understanding of their own cultural heritage and develop sensitivity to each others' cultures and families. • Restorative Justice Goal: To draw upon strengths and competencies of both offenders and victims. Stresses the importance of public safety and is concerned about the restoration of the victim and the victimized community. • Thinking For A Change Goal: To provide a connection between thinking and behavior. To develop social skills that will increase positive social outcomes. • Healthy Relationships/Boundaries Goal: To provide an education to the residents on issues related to sex and sexuality and to provide an open forum for questions and discussions. 2q. SURVIVAL SKILLS: Requirement Describe all sat available and cunicultm/esourtes used to prozide the skills necessary far youth to lv successful in an independent lining enziraorent In duck a schedule cf these serziaa, the frequency per zeeek, length grtirre allotted and the length eea&wn1x nent Each location teaches Independent L izing Skills dassa each zee . Emphasis is placed on the fallozeing areas:cMking/sazings awounts, tax preparation in zestnents, lease agreements, nerds zs. necessity, aum»ahile purchases, apartment searching insurance, utility services, ezictions, hone truintenan budgeting shopping maintaining full-time employment general upkeep f the hour, time mmagerrent, cocking nartrition co mrnity resources, ztrting goal setting self estate alzuatiai,parenting independent'and responsibility; and"A re yai Ready?" Staff teaches the youth how to fill out applications,how to search for jobs in the newspaper and on the Internet and how to use other community resources such as community workforce centers. They also teach the youth how to dress appropriately, how to interview, and how to maintain their jobs. The Staff ensure that there is communication with the youth's supervisors to establish both a relationship and to help the youth maintain their employment,they keep track of their paydays, gather information on their employer, and have them"safety plan" around their jobs. 2r. EMPLOYABILITY TRAINING&JOB PLACEMENT ASSISTANCE: Regiarerreait•Describe nethxxls for helping youth prepare to enter the zernkplace and retain employment once its fared Detail any assistarxt; including skills based counseling set tes, decision nuking strategies,job Page 24 of 30 Youthtrack Inc • Exhibit A ccarhiing tradeing/nrntoring andfollozvup sereices,along zeith linkage to existing annuity basedsereue proziclers,federally funded programs, or other publicly supported initiatizes. In addition, describe the sagerzision plan for nzxitoringprzrgramresidents in the annuity on a daily basis. The ability to provide youth with opportunities for successful employment is seen as an essential program component because skill competency in the employment arena bolsters youth'confidence in their ability to succeed in life without resorting to criminal activity. Residents will receive instruction and feedback on work ethics, employee/employer relations,and job responsibility. It is felt that these services will provide the youth with the skills and attitudes they need in order to maintain successful employment even after they leave the program. All residents will be assisted with job hunting, interviewing,and networking skills.A staff member transports and supervises the youth throughout this process and will be focusing on employment in areas where the youth will be living once discharged from the program. Residents experiencing difficulties related to employment or accountability in the community may be regressed until the problems have been resolved.With approval from the Client Manager, residents entering the program with employment in place will be allowed to continue working at their current place of employment. Once a student is employed,job-site visits and check-ins are conducted to assure successful employment and maintenance of appropriate job skills. Students employed in the community are required to document and share with staff their work schedule,job supervisor input on job performance, and how they will manage their personal finances. The residents are encouraged to make monthly payments toward restitution, if applicable. Each resident's money is kept in a joint account and counselors approve weekly budgets. Residents who will be emancipating are encouraged to save at least$1500-$2500 prior to discharge. 2s. EDUCATION SERVICES: Requirement Describe the educational opportunities mailable to youth placed in the pram Include educational philns instructional strategies,sperYrl education serzices, and past-secondary laming opportunities. Describe zahhat outcore neasurefs)zeill k used to assess ac hiezenent List all education staff inducing general and speed education teaches, teacher's aides, tutors,support staff and administrators assigned to the education program A Il teachers mast mzintain amens licenses appropriate to instructional content areas. Include azailable teacher license. The educational programm ist met orexceed anrert DYC education standards and nmiroring requirements. The educational pwgam must met or exceed all applicable Federal education lazes and the State'f Cdorado rules or gukleline far those statutes established by the Colorado Depr rrtrrcaa cf Educatiaz Educational flans must meet or eec rl all State grColorado statutes as required by the Colorado Department cf Education Youthtrack offers an on-grounds educational program approved by the Colorado Department of Education (CDE). The program utilizes a 180-day school year calendar similar to administrative units or school districts and a summer program. It offers services a minimum of six hours per day,five days per week The program must provide special education services, a balance of individualized and group activities, computer skills,work toward GED or high school completion,prepare youth for reintegration into public schools, and support for post-secondary enrollment as appropriate. The capacity to provide copies of transcripts, diplomas, IEPs,and GEDs upon request and at the time of discharge from the program is required. The education program receives all funding through the Colorado Page 25 of 30 Youthtrack Inc • Exhibit A Department of Education(PPOR, Excess Costs and Title I) the cost of providing the program is not factored into the daily rate paid by DYC Educational Philosophy of Youthtrack It is the purpose of Youthtrack Program on-grounds schools is to provide educational and related services for children and youth so that reentry into regular public or private education is made possible. Youthtrack assures a continuity of care for each of their children and youth and has as the overriding goal that each student achieve, maintain,and/or reestablish emotional and/or physical health, maximum growth, and adaptive capability. The Youthtrack on-grounds schools in Morrison (Jeffco)/Alamosa (SLV), Colorado serve the varied educational needs of the children and youth in residential treatment by providing educational experiences which remediate, maintain,and improve academic intellectual, and social functioning. Educational experiences include academic and socio-emotional classes, vocational and career planning as well as team lifetime sports and other elective classes. More specifically, it is the goal of the on-grounds school is to provide the following: • An individual assessment of achievement level,social functioning, and in cases where deemed appropriate, perceptual motor functioning and learning disabilities; • Prescriptive educational experiences, i.e. standards based instruction utilizing Response to Instruction (RTI) strategies, researched based curriculum and progress monitoring measures; incorporating appropriate accommodations and modifications for children and youth who demonstrate deficiencies in academic achievement related to specific learning disabilities,truancy, or other impediments to their learning symptomatic of their emotional disturbances; • The Youthtrack Curriculum Guide serves as a "map" for parents and a framework for teachers,administrators,parents, school districts and other stakeholders to facilitate students to achieving Colorado state academic standards and become productive, successful members in society. Each facility references classes, course descriptions and graduation requirements of the local school district of residency to plan courses and other activities: • Educational experiences designed to maintain and increase the academic achievement and intellectual development of children and youth whom demonstrate no problems in learning or deficiencies in achievement level; • An Individualized Educational Plan(IEP) for each student (For students who enter already identified with a handicap,the existing IEP developed by the home school district will be implemented and reviewed); • Liaison services between the on-grounds school personnel and the personnel of the school placement prior to and after residential treatment; • Documentation shall be included in each student's record of periodic, ongoing evaluations of academic achievement in relation to developmental level,age, ethnicity, sex, special handicaps, medication and therapeutic needs. Jeffco and SLVYC: Youthtrack hopes to inspire self-motivated, life-long learners who will leave Youthtrack with the knowledge and skills necessary to return to public school. To obtain a diploma or GED, pursue post-secondary opportunities; and obtain meaningful employment are all goals of the program.Youthtrack employs two full-time teachers with 1 I E's in each location, licensed by the Colorado Department of Education,to provide educational services for both regular and special education students. The teachers are enrolled in university programs to obtain a Page 26 of 30 Youthtrack Inc Exhibit A Generalist Endorsement. The school programs are approved and include courses and experiences to meet the needs of a wide range of students, as well as,the requirements set forth by the Colorado Department of Education. Students receive six hours of instruction daily,from 8:00 A.M.to 3:00 P.M. including lunch and Team/ Lifetime Sports. Academic sources include Language Arts,Mathematics, Social Studies, Science, and Life Skills/Affective Education. The student to teacher ratio is one to eight or two to twelve with either a Tide I Tutor or Day Program Coordinator. Students who pass the GED or enter the program with a GED will continue their life-long leaming through further emphasis on academic achievements, computer literacy, vocational/transitional skills, college courses,or vocational school. Each student has an Individual Learning Plan (ILP) or Individual Education Plan (IEP) while in the program. The education team obtains the information necessary from a variety of stakeholders and sources to prepare these plans and reports. All meetings held for students identified as having a disability under the Individuals with Disabilities Education Act (IDEA) will comply with all State and Federal laws. These plans contain goals and objectives designed to meet each student's individual needs. Assessments utilized by Youthtrack are: the. WRAT-3,Informal Transition Planning Inventory, Informal Reading Inventory,Accommodation and Modification Checklist,Transition Behavior scale and Emotional/Behavioral scale, and teacher/staff observations. Post-test results, public school attendance, credit accumulation, and GED completion of students are tracked and generated. 2u. RESTORATIVEJUSTICE/COMMUNITY SERVICE: Requirement Describe howyour program inxurpoates Restoratize Justice Principles and practices and dazsrints the payment and/or conpletion gthese obligations. We recognize both locally and nationally that in the public nnind purashrrent is related to the tense In c0 ntrast4 treatment appears to addres only the neech qt.the gender. Most pngrans ask little qrthe tender Itynnd pamapating in counseling renrdial services, or retrunional programs. Ezen then success is docum ue4 rarely do such torts mike the requisite chffererxe in the IS cfzictins cf jurenile crinnr; calm citizens cozened with the safety for their neighborhioads, or address the etc girxliziduals zeho went young tenders hekiactarntable for theiractio s. Youthtrack realizes that treatment and retributive models are not the only options for juvenile justice. At Youthtrack we support the balanced and restorative approach that involves communities and their citizens to set limits on negative youth behavior and consequences for their offenses.We are responsive to victim's needs for reparation, validation, and healing;and are actively involved in working toward building crime-resistant communities where all that live there can feel safe. Even prior to the current emphasis on restorative justice,Youthtrack had been incorporating basic restorative justice principles into our programming. Such principles as accountability, public safety and competency are integrated into the overall operation of all Youthtrack programs. It is with this background that Youthtrack welcomes the opportunity to build on current programming to utilize a more formalized approach to implementing restorative justice principles. While the principle of accountability represents a strong value and serves as the cornerstone of Youthtrack programming, community and victim participation represent areas which can Page 27 of 30 Youthtrack Inc Exhibit A be further developed to enhance the program. The principle of competency has been a strong component of the Youthtrack service delivery system through education, group counseling, community service projects and cognitive skill building.Youthtrack welcomes collaboration with educational and vocational programs and local agencies in providing competency-centered services and employment opportunities. Public safety is achieved through consistency in programming,utilizing appropriate Youth to program placement practices, and through adherence to safety and security policies. These components of the service delivery system will be evident in the operation of the Youthtrack programs and will be strengthened through greater emphasis on restorative justice principles. The Youthtrack Program utilizes community service experiences to allow students to give back to the community, instill a sense of pride for their citizenship efforts and develop pro- social behaviors. Youth placed at Youthtrack are required to participate in both group and individual community service projects. Participation in community service is directly related to committing offenses. Youth are doing group projects to prepare them for working with a group and as an opportunity for each Youth to build trust within the program while moving ahead on the level system. When a youth is ready to enter the community alone, individualized community service projects are completed. Some of the projects assigned for individuals are: San Luis Valley Youth Center Adams State College Trinidad State Junior College Alamosa Fire Department Splashland Swimming Pool Alamosa Parks and Recreation Sand Dunes National Park Sand Dunes Swimming Pool Yard Maintenance for individuals Food Bank San Luis Valley Animals Humane Society Sacred Heart Church St. Augustine Church Adopt A Highway La Puente Homeless Shelter 2E TRANSPORTATION Requirerrentt.•Describe howyou will prozide secure transportation to program residents. Indude a description qt zehides to be used and bows(laudability Youthtrack has extensive experience in conducting group and individual secure and non- secure (residential) transportation.We have transported numerous youth through out the years, sometimes on a daily basis and without serious incident. Youthtrack provides transportation in accordance with DYC policy.We transport youth all over the state for. Court appointments Family therapy Medical appointments Mental health appointments GAL and Attorney appointments Foster Care Reviews Parole hearings Future employment sites Future housing sites Any meeting, appointment or miscellaneous transportation deemed necessary for a youth to attend such as funeral services, hospital visit and family emergencies. Staff receives two hours of training in transportation procedures.Additional training is also provided during the on-site 6-hour New Hire Orientation Training and during staff in- Page 28 of 30 Youthtrack Inc •I Exhibit A service training. Each location will have a minimum of two vehicles to meet their transportation needs of the program.Vehicles are all fully insured and include recent model Ford Escapes,Wmdstars and passenger vans. Transportation scheduling within the program will be set by the Director. Youthtrack takes the following safety precautions when transporting: • Assessment of level of risk of each youth being transported • Through searches of the vehicle for contraband • Thorough vehicle safety checks • Assignment of extra transportation staff if needed • Carry cellular phones and use all road and safety precautions for use. • Standardized maps and directions • First Aid Kits and Emergency Survival Kits • Wmter and hazardous driving safety precautions and supplies/equipment 2w. ENHANCEMENTS: Requirerrerd.•Briefly outline any spatial program enhanaite rls or additional serzices that are prodded but not desoibed in the raponsa to the requitenents alvze San Luis Valley Youth Center SLVYC is committed to serving and supporting the youth and the agencies that place the youth. The staff that is hired are screened thoroughly for the commitment to work with high-risk youth and to have a caring and calm attitude with a sense of humor that can be consistent with the youth concerning the youth's needs, interventions, program rules and policies which enables and helps the youth to leave the program successfully. Staff must also have the skills to work with youth on emancipation and independent living skills. SLVYC is known for working with very difficult and aggressive youth.We have shown that we can and are able to do this with an excellent record of youth completing the program successfully. 2x. DAIL YRATES(S)FOR PROGRAM OFFERED: Requirement Pmzide the Daily Rate for Pr ran(s) *erect San Luis Valley Youth Center 180.50 Non Medicaid Alcohol and Sex Offender Treatments: 75.00 per hour. 2y. MEDICAID FEE-FOR SERVICE Requirenent• Descriht, distinguish,and separately identify the nerual health therapy seruces to le prodded to the path and/or fanily that viii he billed to Medicaid 7RCCF j1eerors mist prozide at least the ninimrmnun er cf therapies for youth perlezel, as identified t how LezelA LezelB LezelC Indizid al therapy 2/math 1/zeeee 2/zaa€ Group Therapy 1/zeede 3/zee& 3/zeo3k Page 29 of 30 Youthtrack Inc Exhibit A Fanily Therapy 1/nmvb 1/va 2/zeak Offerors must distinguish these senie from other Mental Health senics as described in Section 2k. The Fee-For-Senice Medicaid prrrgranzconpanentshall be 100%funded through the Colorado Depannrnt("Health Care Pdicy and Finandng through Medraid and the cat gprozzang these serzices zed]not be factored in to the daily rate paid by DYC Vendor must indude a statenrnt acknozdedging this cat and fwading dut xtzorz Youthtrack acknowledges the cost and funding distinction between the Fee-For Service Medicaid program is separate from and not inclusive of the cost for therapy services within the TRCCF framework. The scope of acceptance for this proposal is Level B youth. Min# of Total Annual# Total Annual Level B Youth Fee- For Service of Sessions each Revenue All Youth Youth Individual Therapy 8 69.42 52 $28,878.72 Group Therapy 8 16.80 156 $20,966.40 Family Therapy 8 58.38 52 $24,286.08 Total $74,131.20 3. LEGAL ENTITY TYPE Youthtrack, Inc. is a Delaware corporation authorized to do business in Colorado since Dec. 29, 1997. Tax ID is 61-1292060. CT Corp is the registered agent. The Company has a current Certificate of Good Standing or Certificate of Existence to do business in Colorado. Proof of such certification shall be provided upon request. 4. APPENDIX 5. LICENSES Page 30 of 30 Youthtrack Inc Hello