HomeMy WebLinkAbout20021353.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR LIFE SKILLS
AND AUTHORIZE CHAIR TO SIGN -WELD COUNTY DEPARTMENT OF PUBLIC
HEALTH AND ENVIRONMENT
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 Notification of Financial Assistance
Award for Life Skills 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
the Weld County Department of Public Health and Environment, commencing June 1, 2002,
and ending May 31, 2003, with further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said award, 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 Notification of Financial
Assistance Award for the above listed program 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 the Weld County Department of Public Health and
Environment, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 29th day of May, A.D., 2002.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
�,,,,
ATTEST: geld�l I/� ,.i E a�
GI=n Vaad, Chair
Weld County Clerk to th a Bo . ,
' a � C
W ADavi:.1 ong, Pro-Tern
BY: !I1♦. '� , . . w ,/y)
Deputy Clerk to the Boa ,
M. J. Geile
APPROVED AS TO FO . ilullte✓.
.7,,,%7 / Willia H. Jerk
unty Attor ey��
Robert D: Ma den
G
Date of signature: / n
G - SS 2002-1353
SS0029
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
' WEBSITE:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
COLORADO
MEMORANDUM
TO: Glenn Vaad, Chair Date: May 22, 2002
Board of County Commissioners
FR: Judy Griego, Director
Weld County Departme of So al Servt s
RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA)under Core
Services Funds-Weld County Department of Public Health& Environment
Enclosed for Board approval are the PY 2002-2003 Notifications of Financial Assistance
Awards (NOFAA) for Families, Youth, and Children Commission (FYC) Core Services
Funds, which are for the period of June 1, 2002,through May 31, 2003.
The Families, Youth and Children Commission (FYC) reviewed proposals under a
Request for Proposal process and are recommending approval of these bids.
Lifeskills Bonding and attachment services. Service to a maximum of 24 families for six
to eight months (24 to 32 weeks), an average of one to two hours per week. An interpreter
will be available to assist the nurse for Spanish-speaking families. Services to all Weld
County. Rate is$106.67/hour.
If you have any questions, please telephone me at extension 6510.
of
2002-1353
Page 1 of 1
Weld County Department of Social Services
Notification of Financial Assistance Award
for Families,Youth and Children Commission(FYC) Funds
Type of Action Contract Award No.
X Initial Award FY02-PAC-8000
Revision (RFP-FYC-02005)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2002 and Weld County Department of Public Health and Environment
Ending 05/31/2003 Life Skills
1555 N 17 Avenue
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
Award is based upon your Request for Proposal(RFP).
This program provides services to families whom The RFP specifies the scope of services and conditions
are experiencing difficulty with attachment and of award. Except where it is in conflict with this
bonding issues. A total of 24 family units will be NOFAA in which case the NOFAA governs, the RFP
served. Families would remain in the program for upon which this award is based is an integral part of the
six to eight months (24 to 32 weeks) initially, action.
based on DSS caseworker's referral and progress Special conditions
of the family. The average hours per week per 1) Reimbursement for the Unit of Services will be based on
family would be one to two hours.A maximum of an hourly rate per child or per family.
10 families per month for 6-8 months (24-32 2) The hourly rate will be paid for only direct face to face
weeks),an average of one-two hours per week.An contact with the child and/or family, as evidenced by
interpreter is available to assist Spanish-speaking client-signed verification form, and as specified in the
families. Services to South Weld County. unit of cost computation.
3) Unit of service costs cannot exceed the hourly and yearly
Cost Per Unit of Service cost per child and/or family.
4) Payment will only be remitted on cases open with, and
Hourly Rate Per $ 106.67 referrals made by the Weld County Depai hnent of Social
Unit of Service Based on Approved Plan Services.
5) Requests for payment must be an original submitted to
the Weld County Department of Social Services by the
Enclosures: end of the 25th calendar day following the end of the
X Signed RFP:Exhibit A month of service.The provider must submit requests for
Supplemental Narrative to RFP: Exhibit B payment on forms approved by Weld County
X Recommendation(s) Department of Social Services.
Conditions of Approval
Approvals:
:� Program Official:
By ,./defasf deck By
Glenn Vaad, Chair Judy . Grie o Direct
Board of Weld County Commissioners Weld u e ailment of Social Services
Date: 6.5/a9/?OOd Date: a10 02-
-1353
.9
EXHIBIT A
SIGNED RFP
IN VITA HON . ./ BID
RFP-FY 02u05
DATE:February 27, 2002 BID NO: RFP-FYC-02005
RETURN BID TO: Pat Persichino, Director of General Services
915 10th Street, P.Q. Box 758, Greeley, CO 80632
SUMMARY
Request for Proposal (RFP-FYC-02005) for:Family Preservation Program--Life Skills Program Family
Issue's Cash Fund or Family Preservation Program
Funds
Deadline: March 22, 2002, Friday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
5orlal 4[vjces, that npplicatinll§ will 1w ac&gptctl for approved vendors pursuant to the Board of
Weld County oiiuiii§siohers' ahiihdr3ty titidd fNe Staiawide Pdiiiily Ptesewatiofi Pf5gfatti
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement
(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to
run from June 1, 2002, through May 31, 2003, at specific rates for different types of service, the county will
authorize approved vendors and rates for services only. The Life Skills Program must provide services that
focus on teaching life skills which are designed to improve household management competency, parental
competency, family conflict management and effectively accessing community resources. This program
announcement consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B..,Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
toctteett4
Delivery Date March 22, 2002 bovatA
(After receipt of order) BID MUST BE SIGNED IN INK
Mark E. Wallace
TYPED OR PRINTED SIGNATURE
Weld County Department of kum 930lietasa-
VENDOR Public Health & Environment
(Name) Handwritten Signature By Authorized
Officer or Agent of Vender
Director of Weld County Department of
ADDRESS 1555 North 17th Avenue TITLE Public Health & Environment
Greeley, CO 80631 DATE 3-21-2002
PHONE # (970) 304-6420
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-02005 Attached A
LIFE SKILLS PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2002/2003 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2002-2003
BID #RFP-FYC-02005
NAME OF AGENCY: Weld County Department of Public Health & Environment
ADDRESS: 1555 North 17th Avenue. Greeley- CO 80611
PHONE: (970) 304-6420
CONTACT PERSON; Rebecca McMahan TITLE: Registered Nurse
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skiiliattualls Proeram Cateeory must
household management competency,parenia collipe endy�glni y co nia� lU�l l,•t a c of f64, cess1t11�11�
6 _ l _ A► 4 1 _ !, i
y aCCeBBinli
community resources
12-Month approximate Project Dates: 12-month contract with actual time lines of:
Start June 1. 2002 Start 1,,,,P r _ 9007
End May 31. 2003 End June 1. 2003
TITLE OF PROJECT: Lifeskills Bonding & Attachment Education with Parents
AMOUNT REQUESTED:
Rebecca McMahan, RN,BSN Child Health Program March 20, 2002
Name and Signature of PergpIU Preparing Docu ant Date
Dr. Mark Wallace, MD Director ,' H� rtteate� 41%.6March 20, 2002
Name and Signature Chief Administrative Officer Applicant Agency Date
MANDATORY PROPOSAL REQUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this
Proposal for Bid. For renewal bids, please indicate which of the required sections have not changed from Program Fund
Year 2001-2002 to Progiattt hod year 2002-20025
Indicate No Change from FY 2001-2002 to 2002-2003
Project Description
— Target/Eligibility Populations
_ Types of services Provided a
_ Measurable Outcomes x
Service Objectives %
Workload Standards x
Staff Qualifications %
Unit of Service Rate Computation Change
Program Capacity per Month Change
Certificate of Insurance
RFP-FYC-02005 Attached A
Date of Meeting(s)with Social Services Division Supervisor:
3 - - C R
Comments by SSD Supervisor: / r
V
Az) C. V a-k',L, p%<l , t wL
� c
N6"nr\c�.on-e 3-
Name and Signature of SSD Supervisor Date
-ICS 6 1 -fie r'Y\a
Page 27 of 32
•
Bonding and Attachment Intervention Program
I. Project Description
Definition:
Bonding is a healthy emotional relationship between infant and mother which allows the child to learn basic trust and
experience a sense of security. The child who experiences a strong nurturing bond with a primary caretaker(ideally, the birth
mother), will develop a sense of trust, good self esteem, and reciprocal behavior with others. These are the tools that make it
possible for her/him to form and maintain loving lasting relationships in the future. Children who do not experience this
nurturing, bonding behavior will not learn to trust, will be insecure and will feel they do not belong. They may become
controlling and defiant in their behavior. They will be difficult for parents to manage. These are the babies who resist
cuddling, the children who are disruptive in the day care and classroom and the teenagers who are found in juvenile halls.
They fail to develop a conscience, have poor impulse control, do not do well in school, have difficulty with peer relationships,
and lack cause and effect thinking.
Precipitatind Factors:
Children who experience separation from the birth mother from conception through age two are at high risk for
inadequate bonding with the caretaker. This separation may be physical or emotional. Situations which contribute to this
may aecut during the ptenafal period and would inElude influences such as ®ubstanre abuse or a high level of stress during the
pregnancy. Premature birth, recurrent illness, hospitalization, abuse, neglect, and poor parenting skills also have a negative
effect on the bonding process.
Intervention:
The purpose of this program is to provide support and information in order to assist parents in establishing or
rebuilding a broken bond with the child. In order for bonding to talae place the parent must be able to offer the child the
basis components which encourage the development of an emotional eOnnection. The child needs to experience eye contact,
touch, gentleness, a soft voice, holding and smiles. Early intervention is a crucial factor in working with children and parents
in this area. As the child becomes older, he is more resistive to these interventions and learning to trust. The goal of this
program is to keep children with their biological parents together in a safe and healthy environment. The program is focused
on helping parents understand the emotional needs of their children and those basic behaviors which encourage bonding to
occur. This program can also be helpful to foster/adoptive parents to assist them in understanding the behaviors and
emotional needs of the child who is placed in their home. This increased awareness may assist in reducing failed placements.
The more often a child's placement is changed, the more difficult it is for her/him to learn to trust the adults in his/her life
and the higher the risk for the child of developing behavior issues related to bonding.
Evaluation:
Symptoms of disruption in bonding and attachment occur on a continuum from mild to severe. The public health
nurse, who responds to the initial referral, will evaluate the child and parents for evidence of bonding and attachment
concerns. Becky McMahan, a public health nurse with extensive experience in pediatric health care and Trish McClain, a
public health nurse with training in family development, will work closely with referred families to determine the needs of the
families. When the concerns in the family are beyond the realm of training and scope of practice of the nurses, they will
consult with the DSS case worker and recommend referral to a therapist.
Dr. Marilee Smith, a family therapist in our community who has experience working with children who have
attachment and bonding problems, will provide an evaluation and determine appropriate therapy for the children and families
referred to her.
Margaret Meinecke, a therapist in private practice in the Denver area, will provide consultation and review of cases to the
nurses as needed on a case-to-case basis.
This family centered collaborative model has been an effective tool over the past six years.
•
Direction and Closure:
An important part of the public health nurse evaluation is to identify the degree of bonding and attachment issues
of the child, level of parental frustration, and the strength and commitment of the family. The public health nurse will work
with the family in the home or at the site of the parent-child visits for a period of time determined by the needs and progress
of the family. Interventions will not only be directed toward the parent-child interaction, but toward the individual needs of
the parent and child. Parents will also receive information regarding child growth and development which will assist them in
responding appropriately to the child's age. Sessions will provide direction and closure around bonding issues. Ultimate
closure is reached when the parent/child relationship is reestablished, fears and insecurities diminish, and outside assistance is
no longer needed. The goal is for the child to return to or remain with the birth parent. If this is not possible, a foster or
adoptive parent can be assisted in a similar manner to address the bonding issues of the child. The goal of this program is to
assure that the child is in a placement which is physically safe and emotionally healthy.
II. Target and Eligibility Population
Identification:
Services will be provided upon referral from the Department of Social Services (DSS) for families who are
{experiencing difficulty with attachment Rind bondiiig ispue1 {Childdren must be at risk for being removed from the eurrcnt
hortie efwitoiiiietit of at iisli fat coritiiiued pldceitieht outside of the h itid. Idtstoty of hospitelikalioit of ftetjuetlt illness?
parental abuse, neglect, parental depression, lack of parenting skills, substance abuse and domestic violence all place children
at high risk for attachment and bonding problems. Infants born prematurely, and infants and children separated from their
biological mother during the first twenty-four months of life are also at high risk for bonding issues.
Focus and Limitation:
A total of twenty family units will be served throughout the fiscal year, with children's ages being from birth to age
five. These family units could include all family members who have a relationship with the identified child. The family
must be willing to invest in an ongoing relationship with the public health nurse and be committed to improving the home
environment for the safety and emotional well being of the child, If the children are in foster placement, efforts will be made
to work with foster parents and biological parents to assist in reunification of families. We will assist in the transition from
foster to adoptive families to ensure that the placement will be successful.
Ethnically/Culturally Appropriate Services:
Public health nurses are sensitive to cultural differences, and aware of the need to consider cultural practices in
families who are involved in the program. Understanding cultural differences is necessary in order to be effective in
addressing concerns in the home.All families have cultural practices and belief systems that affect their daily lives. Public
health nurses will seek consultation to better understand cultural behaviors which affect family dynamics on a case to case
basis. It will be the responsibility of the public health nurse to recognize when cultural beliefs or practices are a threat to the
child's well being. The nurse understands the importance of respecting the cultural values and practices of the family. In
working with the family she will maintain awareness and respect for family cultural practices as she provides education of
healthy bonding behaviors. An interpreter is available to assist the nurse for Spanish speaking families enrolled in the
program.
Time Line Expectations:
Referrals for all Weld County families, regardless of geographic location, will be served. Weld County's population
int),,lac n hiah nvgrbrr of mnnolip du d IIIsp Ii"'f""iiios- �'bildrrll n' these families will he,served through provision of an
interpreter. Families will remain in the program for six to eight months (twenty-four to thirty-two weeks) initially, based on
DSS case worker's referral and progress of the family. The family's progress and/or potential for progress will be evaluated at
this time by the bonding nurse to determine if additional services are warranted or feasible. The average hours per week per
family will be one or two hours. A family will begin with one to two hours of service per week for the first three to four
months. In the case that the family is progressing toward healthy goals, weekly visits will be decreased to one hour per week
or one hour biweekly for the remainder of the referral. Client contact will decrease as the child and parent demonstrate a
more bonded relationship. The parent must show evidence that she/he is able to provide a safe, loving environment for the
child.
The maximum number of families receiving intervention through home visitation will be no more than ten per
month. The monthly average home visitation capacity would be six to eight families. A family could conceivably complete
the program or be terminated early, depending on the individual circumstances. A particular referral could be renewed if the
family is working successfully toward reconciliation and more time is needed to secure the family unit. This would be up to
the discretion of the bonding nurse, the DSS case worker, and the family.
III. Services to Be Provided
Action Plan:
This program is designed to provide home visitation by a public health nurse (bonding nurse), in order to assist the
family with identification of the needs of the family and to develop a plan with successful outcomes, Although 3 working in
thb tibme tli t f ihe6 iA the ideal; it iA Hof tilrbars l g ihlp i@ tH lilacefitrrtt of>;hildrob H#tsitib the Rothe• ifi ilia cage the
bonding nurse will work with parents and children at the visitation site as arranged by the Department of Social Services case
worker, Intervention includes providing parents with information and support in their efforts to relate with their child. This
will include information regarding normal growth and development. Through the parent's increased knowledge and awareness
of the importance of having a healthy bond with their child, they will begin to better understand the parent-child relationship
and its effect on their child's emotional health and future success. The emotional status of parents is a key component to the
success or failure of this program. Parents may need a referral to other professionals or agencies to assist them with
addressing their own needs.
Shills Level Objectives:
During visits with the parent and child, the nurse will teach and model parenting techniques which enhance
bonding, such as; cuddling, rocking, making eye contact, playing interactively, reading and talking appropriately to their
child. These interactions are basic to building or enhancing thy bond butweeu the child and patent. Parente are also taught
the types of discipline which are effective for a child with bonding and attachment issues. The nurse works with the parent in
the area of understanding the developmental stages of their child and having appropriate expectations of the child. This
would include being able to anticipate behavior, providing play things for the child's age level and using appropriate discipline.
This is implemented by teaching, demonstration and positive coaching techniques given by the public health nurse.
Goals:
Every day living skills are addressed per family assessment. Emphasis on providing a safe and stable environment is
important for families whose children have experienced some degree of insecurity as a result of inadequate bonding.
Consistency and routine in the household are extremely important for these children. Parents may need assistance to
stabilize their own lives before they can offer stability to their child. The intervention will include assistance in household
management skills. This would include information about food and nutrition, laundry, cleaning, hygiene, birth control, and
money management. A stable home environment is needed for these children in order to develop a sense of trust and
security.
Support Network:
Families will be assisted with referrals and information regarding other community agencies as the need arises.
Referrals range from medical issues to social concerns. Once families are knowledgeable about community services, they will
be encouraged to continue to access these agencies as needed.
An UnderstandinFt:
Families receive ongoing evaluation to support and acknowledge their progress. The nurse and the family will work
together to identify family strengths and develop a plan for the family's involvement in the program. The family is
encouraged to identify and verbalize their concerns on an ongoing basis. The nurse and the parent work together to establish
goals. Parents receive ongoing verbal evaluation to support and acknowledge their progress and to set new goals as needed.
The family and nurse will mutually agree when goals of the plan are met.
IV. Expected. Measurable Outcomes
screenind the Child:
All families will be screened with a tool designed to indicate the presence and degree of bonding and attachment.
This screening identifies the problem behaviors of the child and gives an
indication of the parent's emotional status and degree of involvement with their child . (Copy attached)
�y discussing the results of this screening, the turn can assist families in identifying the needs of their
child. This discussion is helpful to the screenet in determining the degree of commitment the parent
has toward the parent-child relationships, and gives the bonding nurse insight into how hest to work with parents to improve
parenting skills. The discussion may also open insights, improved understanding and reassurance for the parent regarding
their child's needs. This assessment will be completed periodically through the referral period to measure the status of the
family and will be shared with the patents to assist in redefining goals. Results of the screening and ongoing assessments are
reviewed with the D55 caseworker on a consistent basis. Written monthly reports are also submitted by the bonding nurse to
the caseworker.
Screening the Family:
The Home Visit Risking tool will be used to identify problems in the home which relate to safety, social and health
concerns. This tool focuses on a wide variety of risk factors in every day living. (Copy attached)The tool allows the public
health nurse to develop a measurable plan in working with the family. Concerns arising from this assessment will be shared
with the family. Also taken into consideration in developing a measurable plan is the family's own perception of problems.
This tool will be used to identify strengths in the family and to develop a plan with them for improvement in specific areas.
We will re-evaluate periodically with parents to review progress and reappraise their concerns.
Outside Agency Support:
Parents are encouraged to work with community agencies to assist with their needs. The public health nurse serves
as a liaison between the family and the agencies involved. Successful experiences and outcomes are measured by the family's
commitment in keeping appointments, providing necessary paper work in a timely manner and being responsible to the
agency's requirements.
If, at the end of the referral time, the public health nurse does not see improvement in the family situation, she will
explore with the case worker and other involved professionals, other avenues of service which might be helpful to the family.
The public health nurse will make one phone contact with the family three to six months after completion of the program to
determine their current status.
V. Service Objectives
Periodic Review:
We would expect that parents would first come to understand the need to provide a safe, healthy home environment
for their children. Through direct modeling, providing information, improved conditions in the home and, in some cases,
referral to other community resources, we would expect to see positive changes in the home. This will by monitored by
observation and comparison to initial concerns.
We hope to see an increased awareness by the parents of the importance of bonding with their children and the
nurturing behavior required of them to ensure their child's sense of security. We expect parents will be able to incorporate
these behaviors into their daily activities with the children. Through educational literature, discussion, demonstration, we
would expect to see an improved ability and effort to provide a physically safe and stable home environment with an
emotionally secure parent-child relationship. We anticipate improvement in the parents' understanding of their child's needs
and their response to those needs. We also anticipate an improved ability to provide age appropriate interactive activities,
with limit setting, and healthy discipline measures appropriate for the age of the child. These activities are monitored and
measured through observation of the nurse and the parent's own sense of change in the family.
Using Resources:
Once we have introduced parents to available resources, we would expect parents to access these resources to meet
their needs. Experiencing trust and support through community resources is a healthy step toward establishing family
connectedness, After being assisted initially through this program, the families may continue to access services
independently as needed. Knowledge of the correct phone calls to make and the necessary paper work to be completed,
demonstrates the parents' progress.
Empowerment:
An important goal of this program is to empower parents. Many parents who have children with attachment or
bonding issues feel isolated and angry. They may he angry at the children because they are difficult to parent, or they may he
envy with a eyateni which may eauee them to believe they are not gadd parents: they may doubt their awn ability topatent;
By offering the tools of this program with its positive support, we hope to see a parent with heightened self-esteem and a
family with vibrant signs of life and well being.
W. Workload Standards
A. Public health nurses will provide 48 hours per month of nurse time. Eight to ten hours per month will be provided
by a community therapist as determined by referrals. Eight hours of consultation time will be provided over the
course of the year by a private therapist.
B. The services will be provided by four individuals; two public health nurses, a community therapist, and a consultant.
C. The public health nurses will be providing intervention for a maximum of 8-10 clients in a month's duration.
D. The modality of treatment will be home visits (or visits at other locations as designated by DSS) provided by the
public health nurses one to two hours per week. Office visits will be the modality of treatment for families referred
to a therapist, The consultation from the private therapist will be available for the public health nurse.
E. As A-D above.
P. As A-D above.
G. The caseload of the supervisor will not exceed that of the total caseload of the public health nurses involved in this
program.
H. Covered by county insurance—no copy attached.
•
VII. Staff Qualifications
Becky McMahan R.N., B.S.N.
Becky meets the educational requirements for nurses at the Weld County Health Department with a Bachelor's
degree in nursing. She has previous experience of fourteen years working in pediatric nursing in the hospital setting. Becky
has been with the Health Department for six and a half years. She works with the Child Health Team with her primary
focus being on the issues of bonding and attachment. Becky has received training through workshops and in services,
numerous hours being mentored by family therapists, and continues to keep abreast on current development related to the
field.
Trish McClain, R.N., B.S.N., B.A.
Trish has a Bachelor's degree in nursing and has been at the Weld County Health Department
for one and half years. She also has a Bachelor's degree in Psychology which helps her to understand family dynamics and
contributes to her insight in working with parents and children. Trish has access to a wide array of community resources.
Trish has a strong working relationship with other professionals working with families. Trish also works with children with
special needs in another program at the Health Department.
Cheryl Weinmeister, R.N., B.S.N.
Cheryl is the Child Health Supervisor since 1998, and has been at the Health Department since 1992. Cheryl's
experience includes six years working with children who have special needs. Cheryl is committed and supportive to the
program's goals and objectives.
Becky Cervantes, Interpreter
Becky is the interpreter and office technician for the program. She is bilingual and works in the Child Heath
Team. She assists with clerical duties for this program and is available to serve as an interpreter when needed.
Dr. Marilee Smith Psy.D.
Marilee is a psychologist working in Weld County, treating adults, children and families. In 1997, she received
specialized training in the treatment of children with bonding and attachment issues.
Margaret Meinecke L.C.S.W.
Margaret is a therapist in private practice. She has 12 years experience as a clinician with families. Margaret also
has extensive training and experience in working with children with bonding and attachment issues.
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PERSON SCORING: •
•
•
SIGNS PROBLEM SEVERITY
NONE MID MODERAt E SEVERE
•
(never) (25% of the time) (50% of the lime) (75% or more)
Lack of ability to give and receive affection. •
(demands affection In a controlling way; abrupt, neutral,
unenthusiastic exchanges; absence of warm physical •
contact; demanding and clingy) •
- Extreme control problems.
(persistent, frequent tantrums; hyperactivity evident)
Self-destructive behavior,
High threshold of discomfort.
(will not seek comfort if in pain)
Cruelty to others or animals.
(sadistic/violent; bullies, threatens, or intimidates; Initiates
physical fights; has used a weapon)
Counterfeit emotionality,
(phoniness)
Stealing, hoarding, or gorging.
(has broken into someone else's home, care, etc.; has stolen
items of non-trivial value; has stolen while confronting a
person,I.e.,mugging)
Speech pathology.
(problems of speech development)
Lack of long-term childhood friends.
Abnormalities in eye contact. •
Sexual obsession. -
(Has forced someone into sexual activity)
Preoccupied with blood, fire, and gore.
(deliberately engaged in the setting)
Superficial attractiveness and friendliness with
strangers.
(indiscriminate displays of affection)
Destruction of property.
Compulsive lying.
(devious, manipulative)
Defective conscience.
(no remorse) Difficult to observe.
Learning disorders.
Problems with motor coordination.
(may appear accident prone)
Oppositional, resistant, defiant, and controlling
WINGS Attachment .
HOME VISITING - RISICING TOOL
Li.ild's Name D.O.B.
Score and date administered, please score on scale of 1-5 with 5 being the highest risk.
I `t.":EALTH VII COMMUNICATION
A.NO PRIMARY PHYSICIAN • A. LI l ERACY
B.UNINSURED B. PRIMARY LANGUAGE
C..UNDERINSURED C. REARING IMPAIRED
D. NO. OF HOSPITALIZATION D:HEARING •
E .NO. OF DIi. VISITS (over or under use) •
F. VISITS TO OTHER PROVIDERS (over or under use)
G. E.R. VISITS (for acute care non emergency.) IX ASSISSTANCE WITH ACTIVITIES OF
OF DALLY LIVING .
II ECONOMIC RISKS A. RESPITE
A: UNEMPLOYED B. REHABILATION
B. HOMELESS I. OCCUPATIONAL
C. INADEQUATE HOUSING (UNSAFE) 2. PHYSICAL
D. LOW INCOME 3. SPEECH
E. NUTRITION
F. CLOTHING X MEDICATION REVIEW
G. CHILD CARE
III VIOLENCE RISK XI LEGAL ISSUES
•
A. DOMESTIC VIOLENCE
B. ELDER VIOLENCE •
C. CHILD ABUSE/NEGLECT XII EDUCATIOAL LEVEL
D. SEXUAL ASSAULT
F. GANG INVOLVEMENT .
XII FAMILY STRUCRURE
IV MENTAL HEALTH CONCERNS A. SINGLE PARENT
A. GRIEF ASSISTANCE B. RUNAWAYS
B. VICTIM ASSISTANCE C. LIVING WITH NO PARENTS
C. ADDICTIONS, D. TEEN PARENT
D. SUICIDE (PREVENTION / POSTVENTION)
E.'DEPRESSION XIV DIAGNOSTIC CODE
• V ISOLATION-GEOGRAPHIC
VI ENVIRONMENTAL RISKS
A. POTTERY
B. WATER
C. LEAD
D. RAW MILK
RFP-FYC-02005 Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE
This form is to be used to provide detailed explanation of the hourly rate your
organization will charge the Core Services Program for the services offered in
this Request for Proposal. This rate may only be used to bill the Weld County
Department of Social Services for direct, face-to-face services provided to
clients referred for these services by the Department. Requests for payment based
on units of service such as telephone calls, no shows, travel time, mileage
reimbursement, preparation, documentation, and other costs not involving direct
face-to-face services will not be honored. Likewise, billings must be for hours
of direct service to the client, regardless of the number of staff involved in
providing those services. Therefore, it is imperative that this rate be
sufficient to cover all costs associated with this client, regardless of the
number of staff involved in providing these services.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client 48 Hours [A]
Total Clients to be Served 20 Clients [B]
Total Hours of Direct Service for Year 950 Hours [C]
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services $ 45.20 Per Hour [D]
Total Direct Service Costs $ 43,392.00 [E]
(Line [C] Multiplied by Line [D] )
Administration Costs Allocable to Program $ 48,809.68 [F]
Overhead Costs Allocable to Program $ 10,201.73 [G]
Total Cost, Direct and Allocated, of Program$ 102,403.41 [H]
Line [E] Plus Line [F] Plus Line [GI )
Anticipated Profits Contributed by this Program $ (I]
Total Costs and Profits to be Covered
by this Program(Line [H] Plus Line (I] ) $ 102,403.41 [J]
Total Hours of Direct Service for Year 960 [K]
(Must Equal Line [C] )
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of
Social Services $ 106.67 [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month _ [M]
Monthly Direct Service Rate $ [N]
Page 31 of 32
RFP-FYC-02005 Attached A
[A] This is an estimate of the total hours of direct, face-to-face service each
client will receive from the time he or she enters the program until completing
the program.
[B] This is an estimate of the number of clients who will be served during the period
from June 1, 2002, through May 31, 2003.
[D] This represents the average hourly salary and benefits that your organization
pays its direct service providers plus any costs which are directly attributable
to the face-to-face session with the client.
[F] This represents the salary and benefits of direct service, supervisory, and
clerical personnel which are not incurred in providing direct, face-to-face
service to the client, but can be allocated to this program for time spent on the
program for activities such as travel, phone conversations, "no-shows,"
discussions with involved parties, meeting preparation, and report completion.
[G] This represents the Agency Overhead costs, such as Rent, Utilities, Supplies,
Postage, Travel Reimbursement, Telephone Charges, Equipment, and Data Processing
which are not incurred in providing direct, face-to-face service to the client,
but can be allocated to this program for time spent on the program for activities
such as travel, phone conversations, "no-shows," discussions with involved
parties, meeting preparation, and report completion.
[HJ This represents the Grand Total Costs directly attributable or allocable to this
program. It should be a reasonable assumption that if you decided to discontinue
this program, your agency would realize a reduction in coats approximately equal
to this amount.
[I] This represents the total amount of profit your firm expects to realize as a
result of operating this program. Any difference between Lines [H] and [J] must
be substantiated by an amount indicated on this line.
EL] This is the actual direct, face-to-face hourly service rate at which you will be
requesting payment for the services provided under the conditions of this Request
for Proposal.
[M] To be completed by prospective providers of the Day Treatment Program only, this
line represents the estimated number of hours per month your organization will
provide direct face-to-face services per client.
[N] To be completed by prospective providers of the Day Treatment Program services
only, this line represents the actual direct, face-to-face monthly service rate
at which you will be requesting payment for the services provided under the
conditions of this Request for Proposal. Calculated by multiplying Line [L] by
Line [M] .
Page 32 of 32
EXHIBIT B
SUPPLEMENTAL NARRATIVE TO RFP
RECOMMENDATIONS
U0/U0/ZUUZ *WY la:04 FAA N/U 004 0410 00141 1411011 IW.AL1C UCri 1(l uUZ
DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
1555 N 17TH AVE631
GREELEY, CO 80631
WEBSITE: www.co.weld.co_us
ADMINISTRATION (970)304-6410
FAX(970)304-6412
O PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420
FAX(970)304-6416
ENVIRONMENTAL HEALTH SERVICES (970)304-6415
COLORADO FAX(970)304-6411
April 18, 2002
Regarding REP 02005 Lifeskills recommendation by FYC Commission: Provider will report
outcomes Specific to their program.
Dear Ms Rorriansik,
We accept the recommendation as stated above.
The initial assessments made at the beginning of the provider-client relationship will be used as an
ongoing measure of the progress of the family. We will develop a specific problem list for each
family reflecting the concerns from the initial assessment As monthly reports are written, the status
of the family will be looked at comparatively to determine the progress being made and the problem
list will be updated as appropriate.
When the case is resolved the outcome will be noted. Outcomes will be complied on an ongoing
basis in order to have a complete report of outcomes at the end of the provider year.
Sincerely,
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
' WEBSITE:WWW.co.weld.co.us
Administration and Public Assistance(970)352-1551
CChild Support(970)352-6933
COLORADO
April 8, 2002
Mr. Mark Wallace, Director
Weld County Department of Public Health &Environment
1555 North 17 Avenue
Greeley, CO 80631
Re: RFP 02005 Lifeskills
Dear Mr. Wallace:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2002-
2003 and to request written confirmation from you by Wednesday, April 17, 2002.
A. Results of the RFP Bid Process for PY 2002-2003
Through the 2002-2003 Core Services bid evaluation process,the Families,Youth
and Children(FYC) Commission approved the RFP(s) listed above for inclusion
on our vendor list. The FYC Commission attached the following
recommendation(s) regarding your RFP bid(s).
The FYC Commission approved the following recommendation for all programs
on the vendor list for 2002-2003. The recommendation reads as follows:
Recommendation: Providers will report outcomes specific to their programs.
RFP 02005, Lifeskills
Approved with the above recommendation.
B. Required Response by RFP Bidders Concerning FYC Commission
Recommendations
The Weld County Department of Social Services is requesting your written
response to the FYC Commission's recommendations and conditions. Please
respond in writing to Gloria Romansik, Weld County Department of Social
Services, P.O. Box A, Greeley, CO, 80632,by Wednesday, April 17, 2002, close
of business as follows:
Page 2
Weld County Department of Public Health&Environment
Results of RFP Process for PY 2002-2003
FYC Commission Recommendations:
You are requested to review the recommendation(s) and to:
a. accept the recommendation(s) as written by the FYC Commission;
or
b. request alternatives to the FYC Commission's recommendation(s);
or
c. not accept the recommendation(s) of the FYC Commission.
Please provide in writing how you will incorporate recommendation(s)in
your bid. If you do not accept the recommendation(s), please provide
reasons why. All approved recommendations under the NOFAA will be
monitored and evaluated by the FYC Commission.
If you wish to arrange a meeting to discuss the above conditions and/or
recommendations, please do so though Elaine Furister, 352.1551, extension 6295, and
one will be arranged prior to April 17, 2002.
Sincerely,
Judy A. Griego, Director
Weld County Department of Social Services
of
cc: Dick Palmisano, Chair,FYC Commission
Gloria Romansik, Social Services Administrator
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