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Home My WebLink About20021792 RESOLUTION RE: APPROVE CHILD PROTECTION AGREEMENT FOR ADDITIONAL FAMILY SERVICES AND AUTHORIZE CHAIR TO SIGN - ISLAND GROVE REGIONAL TREATMENT CENTER, INC. WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Child Protection Agreement for Additional Family Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Island Grove Regional Treatment Center, Inc., commencing July 1, 2002, and ending June 30, 2003, with further terms and conditions being as stated in said agreement, and WHEREAS, after review, the Board deems it advisable to approve said agreement, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the Child Protection Agreement for Additional Family Services between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Island Grove Regional Treatment Center, Inc., be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said agreement. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 3rd day of July, A.D., 2002, nunc pro tunc July 1, 2002. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO RADO ATTEST: L4/ / ELt atN fr F' �11 G n aad, Chtrr Weld County Clerk to th ? ce . ' Fys k David E. Long, Pro-Tem BY: Deputy Clerk to the Boar. '- EXCUSED M. J. Geile APPRO A O M: i</ William H. Jerke oun Lorne EXCUSED Robert D. Masden Date of signature: /1� 2002-1792 Jl SS0029 CSC' , SS' �Sl •14 Thtt'lli 14 1 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 111 C Child Support(970)352-6933 I D COLORADO MEMORANDUM ' TO: Glenn Vaad, Chair Date: June 26, 2002 Board of County Commissioners FR: Judy A. Griego, Director, Social Services ;(,(4(60 ChitilOP RE: Child Protection Agreement for AdditionatiFamily Services Between Weld County Department of Social Services and Island Grove Regional Treatment Center, Inc. Enclosed for Board approval is a Child Protection Agreement for Additional Family Services (AFS) between the Weld County Department of Social Services and Island Grove Regional Treatment Center, Inc. This Agreement was reviewed at the Board's June 24, 2002, Work Session. The major provisions of the Agreement are as follows: 1. The term of the Agreement is July 1, 2002 through June 30, 2003. 2. This Agreement is a non-financial agreement; however, Island Grove has agreed to target approximately$89,700 to serve Child Welfare clients who require drug and alcohol services. These resources are monies provided by Island Grove, through its Managed Care entity—Signal Behavioral Health Network, to serve Child Welfare clients in Sub-State Planning Area 1, which includes Weld, Larimer, Sedgwick, Phillips, Morgan, Washington,Yuma, Elbert, Lincoln, Kit Carson, and Cheyenee. 3. Social Services will refer Child Welfare clients for services. If you have any questions, please telephone me at extension 6510. 2002-1792 CHILD PROTECTION AGREEMENT FOR AFS (Additional Family Services) between WELD COUNTY DEPARTMENT OF SOCIAL SERVICES and ISLAND GROVE REGIONAL TREATMENT CENTER, INC. This Agreement is made and entered into the 1st dayof July, 2002, by and between the Weld County Department of Social Services, hereinafter referred to as "Social Services," and Island Grove Regional Treatment Center, Inc., hereinafter referred to as "Island Grove Center." WITNESSETH WHEREAS, required approval, clearance and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Child Welfare Settlement Agreement required, among other things, Social Services to obtain alcohol and drug CORE services for eligible clients who are at imminent risk for out-of-home placement in the category of alcohol and drug services; and WHEREAS, the Colorado Department of Human Services has provided Family Issues Cash Fund resources to Social Services for alcohol and drug CORE services for families, children, and adolescents; and WHEREAS, the Colorado Department of Human Services, Alcohol and Drug Abuse Division has provided match funds to Signal Behavioral Health Network, Inc., (Signal) to provide AFS alcohol and drug services to families, children and adolescents who are eligible due to imminent risk for out-of-home placement; and WHEREAS, Signal Behavioral Health Network, Inc., (Signal) has contracted Wth Compass Behavioral Health Systems, LLC (Compass) to manage and coordinate AFS alcohol and drug services either directly or through their Participating Providers to eligible families, children and adolescents in Sub-State Planning Area 1 which includes Weld, Larimer, Logan, Sedgwick, Phillips, Morgan, Washington, Yuma, Elbert, Lincoln, Kit Carson and Cheyenne Counties. WHEREAS, Compass has designated Island Grove Center as the preferred provider in Weld County. NOW, THEREFORE, in consideration of the promises, the parties hereto covenant and agree as follows: 1. Term This Agreement shall become effective on July 1, 2002, upon proper execution of this Agreement and shall expire on June 30, 2003. 2. Scope of Services Services shall be provided by Island Grove Center directly or through Compass' Participating Providers to any person(s) eligible for child protection services or youth in conflict services in compliance with Exhibit A"Scope of Services," a copy of which is attached by reference. 2002-03 Page 1 Priorities for use of the allocated funds are based on the presenting needs of the eligible families, children and adolescents requesting services and for which approval for utilization of the funds has been received by the local Department of Social Services, Compass designated providers and when necessary Signal. Social Service Directors can request that Signal/Compass screen and approve additional qualified providers in their service areas in order to meet established time lines and pro'Ude approved services when the current provider network is unable to meet their needs in a timely fashion. Social Service Directors may actively participate in recruiting potential provider candidates and recommending those qualified providers to Signal/Compass. Signal/Compass Will actively assist qualified providers in meeting the screening and required qualifications for the approval process. Island Grove Regional Treatment Center, Inc. WI' be the primary provider for Weld County referrals. Exhibit B outlines proposed minimum/maAmum requirements for on site staffing services, and outlines initial agreements for funding services from the CORE services dollars and the ADAD AFS dollars. 3. Payment Payment shall be made based on Exhibit C, "Region One AFS Service Fee Schedule,"a copy of which is attached and incorporated by reference. All parties agree to bill according to the attached schedule br approved services. This contract identifies funding from Compass to create a funding pool from which CORE service plans were designed. Signal/Compass funds are regionally based, not county based. However, each county will receive an allocated amount at the beginning of this contract. The initial allocation will be reviewed by Compass managers on a regular basis and maybe re-allocated to areas that are utilizing the funds in order to insure that funds are spent on needed services for eligible child welfare referrals during the contract period. In order for Island Grove Center to access funds through the Signal/Compass contract, families must remain open on the Colorado Trails system for the entire duration of treatment. The Social Service agencies agree to maintain eligible clients on the Colorado Trails system until they have been discharged from treatment. Island Grove Regional Treatment Center (Island Grove) will submit a statement (E)thibit D) itemizing services provided to DSS clients that were paid for through Compass AFS contract funds. This statement will be forwarded minimally on a quarterly basis for the purpose of informing DSS of services provided to their referrals from the AFS funding stream. Services delivered are expressly contingent upon the availability of funds. 4. Funding Funding, for the purpose of funding eligible child welfare clients through ADAD AFS resources, is allocated based on agreements between Signal/Compass and approved providers located in Sub-State Planning Area 1. 2002-03 Page 2 For the purpose of this contract, Signal/Compass shall initiallyallocate approximately $89,700 from designated ADAD AFS funds to Island Grove Center to serve eligible Weld County clients. Based on utilization within Area 1, Signal/Compass's initial allocation may be increased or decreased based on regional use patterns. 5. Monitoring and Evaluation Social Services and Signal/Compass agree that monitoring and evaluation of the performance of this Agreement shall be conducted through Signal/Compass and Social Services. Any concerns regarding services should be reported to the direct provider first and if no satisfactory resolution is reached, Social Services will contact John Klein, Managing Partner of Compass, 211 West Main, Sterling, CO 80751 (970-522-4549). The final level of appeal can be taken to Bill Wendt, CEO, Signal Behavioral Health Network (303-639-9320). The decision of Signal's CEO is final. 6. Modification of Agreement All modifications to this Agreement shall be in witing and signed by all parties. 7. Representatives For the purpose of this Agreement, the individuals identified below are designated representatives of the respective parties. Either party may, from time to time, designate in witing, a new or substitute representative(s). For Social Services: Name: Mary Gill Title: Social Services Manager For Island Grove: Name: BJ Dean Title: Executive Director 8. Termination This Agreement maybe terminated at anytime by either party giving 30 days written notice and is subject to the availability of funding. 2002-03 Page 3 9. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof; and may not be changed or modified except as stated in Paragraph 6 herein. IN WITNESS WHEREOF, the parties hereto haee duly executed this Agreement as of the day, month, and year first above written. WELD COUNTY DEPARTMENT OF SOCIAL SERVIC=S, by and through the �- Weld C my Bard f Commissioners By /dt d� ATTEST Iti Glenn Vaad (07/03/2002) By: , .i�,� L, [1TSY" Typed Name Deputy Clerk to the �l Chaff r Jl Title , i�, ISLAND GROVE REGIONAL TREATMENT COMPASS BEHAVIORAL HEALTH CENTER, INC. SYSTEMS, LLC By (Q/rL, By H K d7� ,(J BJ D n, MA, LAC Joh lein Executive Director Managing Partner SIGNAL BEHAVIORAL1 /HEALTH NETWORK By `^'C I "H Bi l Wendt CEO O:Wathryn\CONTRACTDSS\2002-03\AFS\DSS AFS agmt.doc 6/4/2002 2002-03 Page 4 EXHIBIT A SCOPE OF SERVICES Alcohol and Drug Differential Assessment(2-Hours) Assessment will evaluate alcohol/drug involvement as well as mental health status, history of mental health issues, sexual history, legal history, and certain standard tests(ASAP,ASAM PPC-2,ASI,SOCRATES,AODUI, Drinking History Questionnaire, Family Environment Scale) may be given. Baseline Urinalysis Testing (7-Panel)is included. Summary of assessment with recommendations sent to referral agency. The 7-Panel baseline urinalysis test for alcohol and drugs screens for the following: Tests determine what drugs are present in client. THC Cutoff Level: 50 ng/ml Amphetamines Cutoff Level: 1000 ng/ml Cocaine Cutoff Level: 300 ng/ml Barbiturates Cutoff Level: 200 ng/ml Benzodiazepines Cutoff Level: 200 ng/ml Opiates Cutoff Level: 200 ng/ml Creatinine >20 mgDL is normal 3-Panel THC,Cocaine,Amphetamines Co-Occurring Alcohol and Drug with Domestic Violence Assessment(3-Hours) Summary of assessment with recommendations sent to referring agency. The following areas will be assessed: • Criminal History • Profile of Client's Violent Behaviors • Mental Health Status • Client's Potential for Violence • Medical History • Substance Abuse History(see above) • Suicidal/Psychological/Cultural History ♦' Millon Test, if needed Substance Abuse Forensic Evaluation (3 Hours)* A forensic evaluation is specifically geared toward the substance abusing offender. It involves additional testing to determine the crimogenic aspect of the person to be taken into consideration when developing treatment recommendations. Testing will be comprised of CVI,ASUS,SADDI, SI, Millon Clinical Multiaxial Inventory(MCMI-III), a clinical interview, and a behavioral profile. The testing is cross-referenced with the clinical interview, and in relation to collateral data. (*As staff expertise permits) - ' ' ...; N l;;3 6 si ! !v riEPt ; '� ; .; frpwvn. • , x , i Iqi ii ; 3 !6 S �'4 tad ,...,:T��'��eh�"f)pt��}h9:� � I .�s, ,1,.: ' ' ':.': Co-Occurring Alcohol and Drug with Domestic Violence Group Therapy(average length of treatment,24 to 36 weeks) Groups for both men and women are offered. The group addresses anger management, healthy relationships, male and female roles, boundaries,and the role alcohol and drugs play in these topics. As needed,a Millon Test may be given, a standardized psychological test which measures functioning level in 22 personality disorders and clinical syndromes for adults (8th grade reading level; >18; available in Spanish). Family Therapy(average length of treatment.8 to 16 sessions) Involves two or more family members and provides therapeutic intervention to improve family communications functioning and relationships. Length of participation dependent on client's goals and progress toward meeting goals. Individual Counseling (average length of treatment,6 to 12 sessions) Primary client is seen on an individual basis. Length of participation dependent on client goals and progress toward goals. Substance Abuse Therapy(average length of treatment,12 to 20 sessions) A group to enhance positive coping skills by focusing on their lifestyle dealing with use and abuse of chemicals. Adult Intensive Outpatient(average length of treatment,4 to 12 weeks) An intensive outpatient group therapy track that offers groups every evening, Monday through Friday,with a family program component. This program will include medical aspects of addiction and adult relapse education components focusing on understanding the relapse process as well as group process(focuses on individual issues relating to their abuse of alcohol). The program length and participation level will be individualized based on the presenting issues and other factors. Women's Group(average length of treatment. 12-20 sessions) A gender-specific group addressing issues affecting women and their relationships, such as family violence, co-dependency, self- esteem and stress management. Motivational Enhancement Therapy and Cognitive Behavioral Therapy for Adolescent Cannabis Users(MET\CBT5 average length of treatment 5-8 weeks' The MET\CBT5 is a brief treatment approach for cannabis-abusing adolescents. Treatment consists of two individual motivational enhancement therapy(MET)sessions,followed by participation in three group cognitive behavioral therapy(CBT)sessions. The assessment includes a psychosocial history and data from the Global Assessment of Individual Needs (GAIN),and a personalized feedback report. (Begins January 2003) ..• ry. 1 atIDn{Sm}P IIi�3q�w�p��v4h} 1O9901817,-, fit M i4t39 ii�yw.aa( j.IP.e41�I1�'� 4 tai f I I I Special Connections (through pregnancy and up to one year postpartum) A gender-specific program that focuses on healthy babies, appropriate child care, prenatal care, birth control, developmental stages of the baby, parenting skills, relationship issues, and other issues as identified by the counselor. Services include group and individual therapy,case management and family health education. ,, 4 . ... Case Aide This position will assist in family visits to determine how the family is functioning together while in the home, and to improve the family's ability to access resources in the community. The case aide can take direction from the primary therapist assigned to the family or the Social Services caseworker. Duties to be performed by the case aide include, but are not limited to, providing transportation to therapy, doctors appointments and court, supervised visits, child care while family is in treatment, run errands such as filling prescriptions, shopping, and assisting in living skill development, assist the family in developing other service links and miscellaneous functions to facilitate the stabilization of the family. (Case Aide tasks will be mutually agreed upon between counselor and caseworker and identified in the"Services Plan".) Fast Track Adolescent Program The Fast Track Adolescent Program is an Intensive Outpatient Program with supportive housing services if clinically necessary. The targeted population ranges from 13 to 17 years of age who demonstrate substance abuse problems. The goal is to have these adolescents discover positive alternatives to their current use behavior. The program consists of a comprehensive differential assessment compiling personal and collateral information as well as data obtained from the Addiction Severity Index(ASI),Substance Abuse Subtle Screening Inventory(SASSI)and the Adolescent Self- Assessment Profile(ASAP)instruments. This data is utilized to develop an individualized treatment plan. Clients receive a minimum of three individual sessions with the focus on achieving their treatment goals and attend three groups per week and three per day if in residential with the primary focus on education and motivational topics. Family therapy is encouraged as a part of the client's treatment. A discharge planning session will be implemented focusing on appropriate referrals addressing the needs and motivation of the adolescent and family. Referral Process to Fast Track Program: Contact Youth Services Program Manager at(970)356-6664 extension 16. If the Program Manager is not on duty, inform the staff person that Social Services is referring a Fast Track adolescent and give the youth's case worker's name so that the Fast Track staff can contact the case worker when they return to duty. On-Site Staff Services The scope of the services offered to the local Social Service agency by ADAD approved staff placed on site by the licensed ADAD program may include performing alcohol and drug assessments, brief therapy (under 8 hours), case consultation, case management, and in-house training on pertinent alcohol/drug issues as requested and training evaluation of care givers. In addition to this, on-site staff may accompany Social Service staff on follow-up visits to perform a behavioral health screening for the purpose of identifying clients who could benefit from further assessments for alcohol/drug interventions or mental health interventions. Off-site Evaluations When Island Grove is asked to perform a differential assessment/evaluation away from Social Services premises or Island Grove premises. This covers the additional cost of travel and staff time(for example,time for staff to clear security at the jail). Extended Detox Stay This is an option when case management goals require that the person be in a stable environment until they are able to be referred to the next level of care. Enhanced Services Enhanced services are approved services that are requested by Social Services for specific cases that fall outside of the definitions listed above in the description of the ADAD menu of services. Enhanced services may be services not described on the menu, services not included in the definition or due to lack of economy of scale,or rural location,or result in additional costs to Island Grove Center. In order for Island Grove Center to provide the enhanced service,the cost would be outside of the approved rates. Any additional fees would be negotiated on a case-by-case basis. An example of a service outside of the approved definitions would be a request for a system evaluation. This would include collateral contacts as appropriate with schools, parents, primary care giver, probation,and other significant persons in the identified client's life. The information gathered from the collateral contacts would be included in the assessment findings and treatment recommendations. If additional service is needed in order to meet a request by a local department such as parenting skills assessment,additional fees may be added to the basic assessment fee. Psychological exams and psychiatric testing are not included in the definition of the alcohol and drug evaluation. Normally this type of assessment would be done with mental health dollars and not alcohol and drug (ADAD)funding. Other services such as home based services,which have a designated core service funding source, should be paid for out of those funds. Island Grove Center can supplement the home-based services provided by a non-alcohol and drug specialty program with in-home family alcohol and drug services as appropriate. Compass providers can arrange for services outside of the approved definitions but the Social Service Department requesting the specialized service will be charged an additional fee that would be negotiated on a case by case basis by the designated representative listed in the contract. Another example of enhanced services which may be provided with higher fees may be intensive outpatient services, or the use of a floater*or approved subcontractor for a specific task. The additional cost would be negotiated with the respective Social Services Department. * Floater-a temporarily assigned staff or subcontractor to perform a time specified alcohol or drug related approved task. O:\Kathryn\CONTRACT\DSS\2002-03W.FS\AFS Scope sery Exh A.doc EXHIBIT B Weld County Guidelines On -Site Staff Services: Child Welfare Section: Minimum of 15 hours per week, maximum of 28 - Weld County will pay for 15 hours per week from Core service dollars regardless of utilization of on-site staff person by Social Services. Island Grove Center will bill the additional on-site staff time to the AFS or CORE contract on an "as used" basis. Weld County will not be billed for hours that the staff person is not on site (due to illness, vacation, educational leave etc.) during the 15-hour minimum. Case Aide/Case Management: Youth in Conflict Section: Minimum of 16 hours per week, a maximum of 24. Compass will bill the minimum weekly amount to the ADAD AFS contract regardless of utilization of the on site case aide/case management by Social Services. Any hours above the 16 per week would also be billed to the ADAD AFS contract on an '3s used" basis. Island Grove Center will not bill Compass for hours that the staff person is not on site (due to illness, vacation, educational leave etc.) during the 16-hour minimum. Residential Residential Services for eligible adult persons and Youth Residential Services may be billed to CORE or AFS dollars or a combination of funding streams. Assessments All Assessments will be paid for through the Social Services CORE Service contract. Island Grove Center will deliver the completed written evaluation to Social Services within two weeks of the client's evaluation meeting with the staff person. Ongoing Treatment On-going treatment services will be assigned to funding streams according to usage. Youth Services If Weld County does not approve Youth in Conflict (YIC) cases eligible for services through CORE Service dollars, then all on-going YIC adolescent services will be paid for from the ADAD AFS funding stream. O:\Kathryn\CONTRACT\DSS\2002-03\AFSV.FS Sery Exh B.doc EXHIBIT C Region I AFS Fee Schedule 2002-03 Assessments Alcohol and Drug Differential Assessment $155.00 (includes baseline 7 panel Urinalysis Test) Off-site Differential Assessment $200.00 Co-Occurring Alcohol and Drug with Domestic Violence $150.00 Forensic Evaluation $175.00 (as staffing expertise permits) Treatment Options Co-Occurring Alcohol and Drug with Domestic Violence Group Therapy ($30 per group) $ 15.00/hour Family Therapy ($80 session maximum) $ 80.00/hour Intensive Family Therapy ($100 session maximum) $100.00/hour Intensive Family Therapy-Home Based ($110 session maximum) $110.00/hour Individual Counseling $ 60.00/hour Substance Abuse Group Therapy ($30 per group) $ 15.00/hour Adult Intensive Outpatient Group ($50 per group) $ 25.00/hour Women's Services Differential Assessment $155.00 (without UA - $135.00) Individual Counseling $ 60.00/hour Group Counseling ($30 per group) $ 15.00/hour Health Education Services $ 15.00/hour Special Connections - Treatment for pregnant women and postpartum women (Medicaid reimbursement eligible) • If on Medicaid, Island Grove will bill Medicaid directly. • If not on Medicaid, fees are as stated above in Women's Services Youth Services Adolescent Detox.... $185.00 per/day Adolescent 'OP (Fast Track) $ 50.0O/hour Adolescent Residential Support Services KW $120.0O/day Assessment $155.00 (includes baseline 7 panel Urinalysis Test) Family Counseling $ 80.00/hour Individual Counseling $ 60.00/hour Outpatient Group Counseling ($30 per group) $ 15.00/hour Miscellaneous Services Case Aide/Case Management Services $ 35.00/hour Expert Testimony (4 hour maximum) $ 75.0O/hour Case Consultation $ 40.00/hour (Interdisciplinary Assessment Process) On-Site Staff Services $ 55.00/hour Enhanced Services (negotiated on a case by case basis) Residential Services Adult Residential Services (Island Grove) $115.00/day Out-of-Area Adolescent and Adult Residential Services (negotiated on individual basis) Methadone (negotiated on individual basis) Extended Detox Stay $ 50.00/day Other Services Breathalyser Testing $ 2.00/test Urinalysis Testing (7-Panel) $ 25.00/test (3-Panel) $ 20.00/test UA Confirmation $ 35.00 Monitored Antabuse $ 2.00/monitor (If client is not currently enrolled in weekly counseling program(s) of Island Grove Center) Patch Monitoring (includes confirmation) $ 50.00/patch O:1Kethryn\CONTRACTDSS\2002-03WFs\Fee schedule Exh C 02-03.doc COLORADO STATE DEPARTMENT OF SOCIAL SERVICES AUTHORIZATION FOR CON I RACTUAL CASE SERVICES 1. WELD County DATE: 2. Island Grove Regional Treatment Center,Inc. 1140"M"Street Greeley,CO 80631 THE DESCRIBED SERVICE IS AUTHORIZED FOR THE CLIENT INDICATED: 5. SEE ATTACHED LIST (Name of Client) Household No. (CAT.) (CAT.GRP.) 6. SERVICE: (Description) (SV.CODE) 7. APPROVAL: / / _ / / (Caseworker) (Date) (Co.Director or Supervisor) (Date) 8. TO BE COMPLETED BY PROVIDER Month of Service: Charges: $ I CERTIFY THE SERVICE AUTHORIZED WAS PROVIDED ON THE DATE INDICATED AND THE CHARGES ARE MADE PURSUANT TO A BONA FIDE CONTRACT BETWEEN ME AND THE COUNTY DEPARTMENT OF SOCIAL SERVICES INDICATED. Accountant Typed Name PREPARE IN TRIPLICATE,ORIGINAL AND ONE COPY TO PROVIDER,ONE COPY FOR PENDING FILE. 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