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HomeMy WebLinkAbout20021350.tiff RESOLUTION RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - NORTH RANGE BEHAVIORAL HEALTH 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 two Notification of Financial Assistance Awards 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 North Range Behavioral Health, commencing June 1, 2002, and ending May 31, 2003, with further terms and conditions being as stated in said awards for the following programs: 1) The Littler Center-Day Treatment 2) Foster Parent Consultation, and WHEREAS, after review, the Board deems it advisable to approve said awards, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, ex-officio Board of Social Services, that the Notification of Financial Assistance Awards for the above listed programs between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and North Range Behavioral Health, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. CG SS 2002-1350 SS0029 TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - NORTH RANGE BEHAVIORAL HEALTH PAGE 2 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 J�/� WELD OUNTY, C LO O ATTEST:gall �/� :; b *� n Vaad, Chair Weld County Clerk to `8B.-; 0 Davi . L g, Pro-Tem BY: i !►!2: /_% , `��� Deputy Clerk to the Boor•�iw.,IV M. J. eile PR ED A F RM: ` ^' "O Ili m H. Jerke aG ty Attorn y a Wil— Robert D. Masden Date of signature: �� 2002-1350 SS0029 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 I WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 VI De 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 Department f Soci6 Servic RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-North Range Behavioral Health. 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. A. Foster Parent Consultation: This program provides education and training for foster parents and consultation services for foster parents. Monthly capacity is an average of five foster families at any given time in the Greeley area and one-two foster families in South Weld County. Each family will receive a minimum of one- two hours per month. Spanish speaking staff will not be available for this program until such time that additional staff members are added to the Multicultural Services Program. The rate is $90 per hour for consultation and $45 per hour for education and training. B. Day Treatment:Littler Center, A capacity of 18 residential and 12- day treatment students. 20 children at any given time annually, ages 5-12, 29.5 hours weekly, 5.9 hours per day,for 36-52 weeks. On-site plans (JEP); i.e., occupational therapy, speech/language services,physical therapy. Rate is $1,728/month, $15.03/hourly. If you have any questions, please telephone me at extension 6510. of 2002-1350 Page 1 of 1 Weld County Dcpartment of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core)Funds Type of Action Contract Award No. X Initial Award FY02-CORE-0024 Revision (RFP-FYC-06-000 Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and North Range Behavioral Health Ending 05/31/2003 Foster Parent Consultation 1306 11th 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 Education,training, and consultation services for Proposal (RFP). The RFP specifies the scope of foster parents. Average monthly capacity is 5 services and conditions of award. Except where it is foster families at any given time in the Greeley in conflict with this NOFAA in which case the area and 1-2 foster families in South Weld NOFAA governs,the RFP upon which this award is County. Each family will receive 1-2 hours of based is an integral part of the action. service per month. Spanish speaking staff not available at this time, however,will be added at Special conditions such time that additional staff is added to the Multicultural Services Program. 1) Reimbursement for the Unit of Services will be based on a monthly rate per child or per family. Cost Per Unit of Service 2) The monthly rate will be paid for only direct face to face contact with the child and/or family, as specified Hourly Rate(Consultation) $ 90.00 in the unit of cost computation. Hourly Rate (Education&Training) $ 45.00 3) Unit of service costs cannot exceed the hourly and Based on Approved Plan yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, Enclosures: and referrals made by the Weld County Department X Signed RFP:Exhibit A of Social Services. X Supplemental Narrative to RFP: Exhibit B 5) Requests for payment must be an original submitted X Recommendation(s) to the Weld County Department of Social Services by _Conditions of Approval the end of the 25th calendar day following the end of the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. Approvals: Program Official: By at[ By Glenn Vaad, Chair Judy Gri ,Director Board of Weld County Commissioners Wel ounty epartment of Social Services Date: n5/a9/..aoia, Date: 5)I UI ln— 07002-/350 • EXHIBIT A SIGNED RFP ar INVITATION TO BID PY 02-03 006-00 DATE:February 27, 2002 BID NO: PY02-03 006-00 ' RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (006-00) for: Family Preservation Program—Foster Parent consultation 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 Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5- 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 Foster Parent Consultation Program must provide services that focus on providing psychological consultations and parenting support to foster parents which are designed to improve foster parent 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 Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Wayne A. Maxwell, Ph.D. TYPED OR PRINTED SIGNATURE VENDOR North Range Behavioral Health 0)44,t,2 elattiateg (Name) Handwritten'Signature By Authorized Officer or Agent of Vender ADDRESS 1306 11th Avenue TITLE Executive Director Greeley, CO 80631 DATE 03/21/02 PHONE # 970-353-3686 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 29 606-00 Attached A FOSTER PARENT CONSULT4TION PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMIJS PRESERVATION PROGRAM ; 2002-t003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#006-00 NAME OF AGENCY: North Range Behavioral Health ADDRESS: 1306 11th Avenue Greeley, CO 80631 PHONE: (970 ) 353-3686 CONTACT PERSON: Paulette Tarnasky TITLE: Program Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Foster Parent Consultation Progr m ateg. must provide ervi ec that focus nn teach' life skills designed to facilitate implementation of the case plan by improving household management competency.parental competency. family conflict management and effectively accessing community resources, 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 2002 Start End Min/31. 2003 End TITLE OF PROJECT: Foster Parent Consultation Program AMOUNT QUESTED: $18,900 ll aazzaC lad Laijitl Paulette Tarnasky 3/.2/42--- Name d Signature of Person Prep.. ng ocument LCSW Date /,-2 t 4-0070 Wayne A. Maxwell, 03/21/02 Name anSignature Chief Administrative Officer Applicant Agency Ph.D. 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 Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 Gem_ Project Description udel Target/Eligibility Populations tarotTypes of services Provided First Year WA.% Measurable Outcomes of Request kipbck Service Objectives 1 Workload Standards (ai, Staff Qualifications trM2A. Unit of Service Rate Computation t4'AM Program Capacity per Month taink Certificate of Insurance Page 23 of 29 ,O:f/19/02 TUE 10:20 FAX 353 5215 WELD SOCIAL SERVICES 4002 UP-M-02005 Attached A Date o (c)with Social Services Division Supervisor: 3(1101- Comments by SSD Supervisor �r.9�es� fF P('et, of //Lis/F.fkkJ '_Goz raif • l a-1 d9,04:00 anya, Afr&fer-anK7fre:S iifirD71,-64IP-5 9,i4-----yrratc.,...„0/44,,,e_of ad-fa, • °fez_ss 7z 7// 9 02 -Name and Si ture ofSupervisor Date Page 27 of 32 FOSTER PARENT CONSULTATION PROGRAM North Range Behavioral Health 2002 -2003 BID #006-00 March 21, 2002 PROJECT DESCRIPTION North Range Behavioral Health has been serving children placed in foster homes for over three decades. In addition to outpatient therapy (provided both in the office and in the home), medication management and case management, our services have also included extensive consultation, guidance, and education to foster parents. Based on this experience and the professional training of our staff, NRBH has developed and offers to Weld County Department of Social Services (WCDSS) a foster parent consultation program designed to provide the supportive services foster parents need to enable children placed in their homes to receive the maximum possible benefits of that placement in the shortest possible time. This program is offered with assurance that all services would be provided in full accordance with the provisions of Request for Proposal 006-00. The service program is designed to support the Department's permanency planning efforts, to expedite reunification with the family, or at a minimum, prevent the need for a more restrictive level of placement. These goals would be accomplished by providing consultation designed as a supportive resource that would enable individuals to be as effective as they can be in their role as foster parents. Consultants will be available to answer foster parent questions, provide training and guidance to enhance foster parent competency and family conflict management, and to ensure that foster families are aware of and effectively access available community resources. Close collaboration with the assigned caseworker and others involved with the children will be incorporated into all phases of the program on an ongoing basis. This will assure that the services provided are consistent with the overall treatment plan of the foster parents. Our proposed foster parent consultation service consists of two components: • Education and training to enhance skills and confidence of foster parents in addressing the numerous needs of foster children and meeting state training requirements for foster parents. A significant component of education will be ensuring that foster parents are aware of the variety of community resources available and how to access them. One component of the educational program will be the development of a flyer describing the foster parent consultation program and the variety of consultation services available through it. This flyer could be distributed to WCDSS caseworkers, foster parents and other interested parties to enhance access to the services available. Page 1 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 • Consultations with foster parents in connection with issues or concerns the foster parents identify themselves. These issues typically include discipline in the home, behavior management, how to assist the foster children to cope with and overcome their emotional and behavioral problems, transition and loss, implementation of the treatment plan, safety and risk. Our foster parent consultants would use a wide variety of strategies to accomplish goals identified in concert with foster parents and the designated caseworker. II. TARGET/ELIGIBILITY POPULATIONS The monthly capacity for our identified consultants would average five foster families at a given time in the Greeley area and one to two foster families in southern Weld County. Our primary target is foster families that provide homes for children 1-14 years of age. Each foster family would receive a minimum of one to two hours of contact per month. We would expect that the frequency of contacts would initially be higher, but taper down to a lower level as the educational phase is completed. During the past year NRBH developed and implemented a Multicultural Services Program staffed by bicultural, bilingual mental health professional staff to better meet the mental health needs of the Hispanic community in Weld County. The number of request for services from and referrals to this program has been overwhelming. At this time we have a waiting list and cannot commit to providing Foster Parent Consultation services with our Multicultural Services Program staff at this time. This means that foster parent consultation services for monolingual Spanish speaking staff will not be available until such time that additional staff members are added to the Multicultural Services Program. Culturally sensitive and culturally competent services will, however, be available through the proposed program at all times. NRBH annually provides mandatory cultural competence training for all staff members, and has a very long history of providing services to the Hispanic population of Weld County. Staff members serving as consultants will have had the cultural competence training and experience in dealing with Hispanic consumers. An initial assessment will be made to help determine the needs of the foster parents. Foster families will receive support as long as the need exists. Coordination and collaboration with WCDSS would aid our consultants in developing a realistic plan for consultation services. Ill. TYPE OF SERVICES TO BE PROVIDED All foster families referred and accepted to our foster care consultant component will receive in-home or clinic-based consultation and education as appropriate. It Page 2 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 is anticipated that we would begin initial services in the home. All services provided will be developed through collaboration with Department staff in response to needs and requests of the foster parent. Each foster family served will be provided consultation or strength-enhancement interventions, concrete and crisis intervention services. Consultation or strength-enhancement intervention services include education and guidance in problem solving, lessons in communication skills, and training in parent/child and parent/parent conflict management. The services provided by our consultants are designed to capitalize on existing strengths within the foster family, to empower foster parents and to focus on resolving conflicts and disagreements within the home (specifically those that contribute to potential child maltreatment, running away, and to the behaviors constituting status and legal offenses). Additional services include training for foster parents in areas of development of and enhancement of parenting skills, stress management, problem solving, anger and impulse control, and planning of family activities related to recreation. Consultation and training will also focus on transition and loss issues, discipline in the home, visitation issues, solution oriented planning, and issues involving biological children in the home. Consultants will work with foster adopt parents on legal risk commitment issues. A fundamental component of the educational services is a focus on making foster parents aware of the array of community resources available to them and assisting them in utilizing those resources effectively. There will be group training to assure foster parent access to training materials. Educational training services will address mandated training for foster parents under corrective action plans. Follow-up services based on consultation and training will be tailored to the individual needs of specific foster parents. Upon receiving a referral, our consultants will contact the referring WCDSS worker to begin the planning process and gathering pertinent information. Services to the foster family will begin at the first opportunity. Initially the consultant will work with foster parents to assess strengths and weaknesses. Based on the assessment, a plan will be developed taking into consideration the foster parents' strengths. Our consultants will continually reassess interventions and educational material offered to foster parents. As the foster parents demonstrate greater effectiveness, plans are revisited and adjusted accordingly. Training will be offered and made available to all foster parents wishing to attend, whether or not they see us for direct consultative services. If we are working with critical care foster parents, monthly mandated consultation sessions will be provided. Page 3 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 Our consultants will work closely with the foster care coordinator or resource services manager to insure foster parent training is appropriate and meets the needs and expectations of the State and WCDSS. A flat fee will be established for such training on a per event basis. A post training assessment/test will be part of the training component. A professional staff member who is providing consultation or strength- enhancement intervention services to foster children in the same home will not provide foster parent consultation. All assessments, clinical recommendations, and other opinions derived by the contractor in the performance of this contract will be shared directly with the assigned caseworker of the children involved. If there is a disagreement over the implementation of the treatment plan with the caseworker, a meeting shall be held with the contractor, assigned caseworker, foster parents, and the caseworker's supervisor. The objective will be to determine a unified departmental response for the court. The contractor will not use the legal system to oppose the department's recommendations. NRBH agrees to comply with 19-1-120 C.R.S., which requires that reports of child abuse and any identifying information in those reports are strictly confidential. The needs of each foster parent referred or requesting consultation services will be assessed to determine if any of their needs can be met with existing resources within NRBH. The nature of services needed will be discussed with the assigned caseworker, to determine the appropriate funding source for those services. Any needed services that fall within the scope of responsibility of NRBH through its Medicaid contract will not be charged to the Foster Parent Consultation program. The Foster Parent Consultation program is designed to supplement, not supplant services already being provided. IV. MEASURABLE OUTCOMES The specific outcomes we expect to be realized through implementation of the proposed program are as follows. 1. Improvement of household competency management. 2. Improvement of parental competency. 3. Ability to work independently with other community resources and local, state, and federal governments. 4. Higher skills and competency levels in fulfilling designated functions for children in out-of-home placements. 5. Ability to positively meet the needs of their biological children in adjusting to a coping with the presence of foster children in the home. The Foster Parent Survey (see following pages), specifically developed for use in foster parent consultation programs, will be utilized to assess the outcomes specified above. This self-report survey assesses competency, coping, problem solving strategies, and empowerment levels as related to issues pertaining to Page 4 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 service agencies and systems, community and political resources. It also addresses family issues and problems, as well as skills and abilities in managing the household and accessing/utilizing resources. This survey will be administered at admission, to assess strengths and areas of need for each foster care provider, and to develop consultation goals that are uniquely matched with the needs of each foster care provider. It will also be administered at the conclusion of consultation services to assess the effects of the program on the variables measured by the survey instrument. All foster parents involved in the program will also be asked to complete a satisfaction survey to asses the extent to which the program met their needs and to provide suggestions as to how the program could be improved. V. SERVICE OBJECTIVES In working with foster parents, the goal of the program would be to improve competency in areas of household management, parenting ability and ability to access resources. Success in meeting these goals will be measured by the foster parents, caseworker and consultants reporting that the objectives were met. The foster parents would be asked to report on their subjective improvements in these areas. To improve household management competency, the objective is to enhance the capacity of the foster parents to provide for and teach the children, and to provide a safe household environment through competently managing the home. Areas to review include cleaning, repairing and maintaining the home, budgeting, and purchasing. The family, consultant, and caseworker will document the improvements made in this area. The goal of overall parental competency improvement will be assess by the level of attainment of the objective of increasing the foster parents' abilities to develop and maintain sound, caring, effective relationships with each other and with their children. An additional FPC objective is to enhance the abilities of the parents to provide the best possible for family care, nutrition, hygiene, discipline, protection, education and supervision. Again, the foster parents and children, the consultant and caseworker will be polled about their subjective opinions on the improvements that they have made. The third service goal of FPC services is to improve the foster parents' abilities, individually and collectively, to find and use appropriate resources. Treatment and case management services assist the family to learn more effective means to obtain needed help from other sources in the community and from local, state and federal governments. The families will report their progress, and their caseworker and consultant will confirm their gains related to this goal and objective. Page 5 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 VI. WORKLOAD STANDARDS One primary NRBH consultant in the Greeley area will be assigned sufficient time to work five foster families at a given time. An additional NRBH staff member working the NRBH Fort Lupton office will be assigned to work with one to two foster families at a given time. The actual caseload size is dependent on the nature of the consultant's overall caseload and the number of requests for consultation services. The consultant will provide an average minimum of two hours of direct consultation services per family per month. The identified consultants, while having specialty skills with foster parent issues, carry a diverse caseload in which they provide comprehensive services offered by NRBH. It is estimated that fifteen hours a month will be provided towards direct service to foster parents (five families) and potentially two to four additional hours could be offered on average for an educational and supportive group. The predominant model will be psycho/educational with the foster parents in this individual natural setting or in-group settings. Identified consultants will have at least eight hours of continuing education relevant to their job descriptions and they will continue to do so on an annual basis. Any new staff members hired will receive training as soon as possible after they have begun their employment with NRBH. Direct supervision of the foster parent consultation project will be the responsibility of Program Directors. The ratio of mental health workers to administrative supervisors typically does not exceed ten to one. There will be ongoing supervision specific to this project. In the beginning, such supervision will take place on a weekly basis at a minimum. As the project gets underway supervision will be modified to fit the needs of the consultants providing the consultation services. In the event of very difficult or extraordinary situations in the foster home, additional senior clinical supervision would always be available. Paulette Tarnasky, LCSW would administer the supervision in the Greeley area, and the supervision of south Weld County would be administered by Patricia Orleans, LCSW. Both supervisors report directly to the Executive Director, Wayne Maxwell, Ph.D. A clinical consultant, Maureen Huff, Ph.D., is available as a resource. The supervisors and consultants are insured. Liability and professional coverage is provided by NRBH (see attachment). Page 6 FOSTER PARENT CONSULTATION PROGRAM, North Range Behavioral Health 2002-2003, BID#006-00 VII. STAFF QUALIFICATIONS Staff members assigned to work in the NRBH proposed foster parent consultation program have qualifications that exceed those necessary to be a Caseworker III within the state social service system. All consultants will have a masters degree in a mental health field and either be licensed or eligible for licensure as a mental health professional or clinical social worker. Consultants elected to work on this project will be senior and experienced mental health therapists. The consultants will have demonstrated strong abilities in working in variety of community settings and in family and foster family home settings. They also will have demonstrated strong ability in working effectively in collaborative relationships with caseworkers. Each consultant will be knowledgeable in family and individual dynamics and in the treatment of a wide variety of family problems as demonstrated by specialized training, workshops, and experience in working with families. Each identified consultant working with foster parents will receive a monthly minimum of two to four hours of clinical supervision from a licensed NRBH staff person. Supervision will likely address clinical issues, strategies of intervention, dealing with resistance and obstacles, and effective process. Clinical supervisors will also be involved in regular training to keep current in the state of the art counseling modalities and findings. The foster parent consultant in Greeley would be Marian Schoenfelder, M.Ed. Ms. Schoenfelder is one of the Center's most experienced and skilled therapists. She has a strong interest in working with children and foster parents, and as a foster parent herself for many years is uniquely qualified to serve as a consultant. The foster parent consultant in south Weld County has not yet been identified, but whoever is assigned will be a mental health professional trained at least to the masters degree level and eligible for licensure. The consultant in the south Weld County area will also have a strong interest in working with children and foster parents. Page 7 006-00 EDUCATIONAL AND SUPPORT GROUP Attached A III. 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 8 Hours [A] Total Clients to be Served 15 Clients [B] Total Hours of Direct Service for Year 120 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ 35 Per Hour [D] Total Direct Service Costs $ 4,200 [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 600 [F] Overhead Costs Allocable to Program $ 600 [G] Total Cost, Direct and Allocated, of Program $ 5,400 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ — [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 5,400 [J] Total Hours of Direct Service for Year 120 [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 45 [L] Day Treatment Programs Only: Direct Service House Per Client Per Month n/a [M] Monthly Direct Service Rate $ n/a [N] Page 28 of 29 00640 DIRECT INDIVIDUAL SERVICE RATE TO FOSTER PARENTS Attached A III. 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 10 Hours [A] Total Clients to be Served 15 Clients [B] Total Hours of Direct Service for Year 150 Hours (Cl (Line (A] Multiplied by Line [B] Cost per Hour of Direct Services $ 70 Per Hour [D] Total Direct Service Costs $ 10,500 [E] (Line [C] Multiplied by Line (DI ) Administration Costs Allocable to Program $ 1,500 [F] Overhead Costs Allocable to Program $ 1,500 (G] Total Cost, Direct and Allocated, of Program $ 13 500 [H] Line (El Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ - [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line (I] ) $ 13,500 [J] Total Hours of Direct Service for Year 150 [K] (Must Equal Line (C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 90 [L] Day Treatment Programs Only: Direct Service House Per Client Per Month n/a [M] Monthly Direct Service Rate $ n/a (N] Page 28 of 29 1.11C11Lff : 1JJJ4 1VVtfnto AcnxD4 CERTIFICATE OF LIABILITY INSURANCE �2/(zsio PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins . Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W. 18th Street Greeley, CO 80632 I INSURERS AFFORDING COVERAGE INSURED I INSURER A:Irwin Siegel Agency Inc__ North Range Behavioral Health INSURER B: Assurance 1306 11th Avenue -- Greeley, CO 80631 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SRI - IPOLICYEFFECTIVE POLICY EXPIRATION LTR I TYPE OF INSURANCE POLICY NUMBER i DATE IMM/DDNY) DATE(MMIDD/YY)' LIMITS A GENERAL LIABILITY '5182327225 01/01/02 01/01/03 I EACH OCCURRENCE '$1, 000, 000 X 1 COMMERCIAL GENERAL LIABILITY 1 I,FIRE DAMAGE(Any one fPe $200, 000 I CLAIMS MADEI Xi OCCUR I I I MED EXP(Any one person) $15, 000 ; ' _ PERSONAL AADV INJURY $1, 000, 000 i_G_ENE_RAL AGGREGATE $3 , 000, 000 I ENL AGGREGATE LIMIT APPL ES PER: ! I PRODUCTS-COMP/OPAGGI f3 , 000, 000 I ! POLICY 1 JF OT I— LOCI A I AUTOMOBILE LIABILITY 15182327225 01/01/02 101/01/03 COMBINED SINGLE LIMIT iIANYAUTO (Ea accident) $1, 000, 000 _ ! ALL OWNED AUTOS i 1 BODILY INJURY $ • SCHEDULED AUTOS I(Per person) X HIRED AUTOS I BODILY INJURY X NON-OWNED AUTOS 10 .(Peraceldent) f - - -- -AUTO ONLY-EA ACCIDENT --- PROPERTY DAMAGE "' i, (Per accident) GARAGE LIABILITY C') I$ ANY AUTO -'- 'OTHER THAN EA ACC ,f 1 1 .AUTO ONLY: AGG I f A '. EXCESS LIABILITY_ '5182327225 01/01/02 Iii 01/01/03 I, EACH OCCURRENCE if OCCUR J CLAIMS MADE; i AGGREGATE 1$ i — I$ _ DEDUCTIBLE ' I$ XI RETENTION $ . 1 f B WORKERS COMPENSATION AND 404331 10/01/01 107/01/02 1T52ftY UM TS ,OEM EMPLOYERS LIABILITY _ EL.EACH ACCIDENT i$100, 000 _E_L.DISEASE-EA EMPLOYED$10 0, 0 0 0 E.L.DISEASE-POL ICY LIMIT1$500, 000 A OTHER Professional 5182327225 F01/01/02 : 01/01/03 Liability $3 , 000 , 000 Aggregate $1, 000 , 000 Occurrence DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DE D BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDMONALINSUREO;INSIIRER LETTER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE E ffIRATION Weld County Social Services DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL3_ ,. DAYSWRITTEN 315 N. 11th Avenue NOTICETOTHE CERRFICATE HOLDER NAMED TOTHE LEFT,BUTFAILURE TO DO SO SHALL Greeley, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE F/odd -Pe lr..ison- -rnsc4Qne_e , -z.,y ACORD2s-S(7/97)1 of 2 #5204952/M204922 CCN 0 ACORD CORPORATION 1988 FOSTER PARENT SURVEY FORM FOSTER PARENT SURVEY Below are a number of statements that describe how caregivers of children in out-of-home foster placement might feel about their situations. For each statement, please circle the response number that best describes how the statement applies to you. The purpose of this survey is to identify areas of need and provide you with the kind of information and assistance that best fits with your unique needs. Please respond as honestly as possible and keep in mind that there are no right or wrong answers. 1 =Not at all true 2 =Mostly not true 3 = Somewhat true 4 =Mostly true 5=Very true 1. I am familiar with community resources and services agencies in my area. 1 2 3 4 5 2. I know the steps to take when I am concerned that my children are receiving poor services. 1 2 3 4 5 3. I am able to make good decisions about what services my children need. 1 2 3 4 5 4. I am able to work with agencies and professionals to decide what services my children need. 1 2 3 4 5 5. I make sure I stay in regular contact with professionals who are providing services to my children. 1 2 3 4 5 6. I make sure that professionals understand my opinions about what services my children need. 1 2 3 4 5 7. My opinion is just as important as professionals opinions in deciding what services my children need. 1 2 3 4 5 8. I tell professionals what I think about the services being provided to my children. 1 2 3 4 5 9. When necessary, I take the initiative in looking for services for my children and family. 1 2 3 4 5 10. I have a good understanding of the service systems that my children are involved in. 1 2 3 4 5 11. I understand how the service systems for my children are organized. 1 2 3 4 5 12. I understand the role of government agencies in providing services for my children. 1 2 3 4 5 13. I know how to contact agency administrators and legislators. 1 2 3 4 5 14. I know the rights of children under governmental and educational laws. 1 2 3 4 5 15. I get in touch with my legislatures when important bills or issues concerning children are pending. 1 2 3 4 5 1 =Not at all true 2 =Mostly not true 3 = Somewhat true 4=Mostly true 5 =Very true 16. I know what to do when problems arise with my children. 1 2 3 4 5 17. I am able to get information to help me better understand my children. 1 2 3 4 5 18. I believe I can solve problems with my children when they happen. 1 2 3 4 5 19. When I need help with problems in my family, I am able to ask for help from others. 1 2 3 4 5 20. I make efforts to learn new ways to help my children grow and develop. 1 2 3 4 5 21. When dealing with my children, I focus on the good things as well as the problems. 1 2 3 4 5 22. I have a good understanding of childhood disorders. 1 2 3 4 5 23. I feel competent in dealing with childhood disorders as they impact our family life. 1 2 3 4 5 24. I feel I am a good parent. 1 2 3 4 5 WHEN WE FACE PROBLEMS OR DIFFICULTIES IN OUR FAMILY, WE RESPOND BY: 1. Facing problems"head-on"and trying to find solutions right away. 1 2 3 4 5 2. Accepting stressful events as a fact of life. 1 2 3 4 5 3. Accepting that difficulties occur unexpectedly. 1 2 3 4 5 4. Defining the family problem in a more positive way so that we do not become discouraged. 1 2 3 4 5 5. Realizing that no matter what we do, we will not know or be prepared for everything. 1 2 3 4 5 6. Seeking encouragement and support from friends. 1 2 3 4 5 7. Trying to learn more about problems and issues that we do not understand. 1 2 3 4 5 8. Seeking information and advice from persons in other families who have faced similar problems. 1 2 3 4 5 9. Seeking encouragement, support, and advice from relatives (parents, grandparents, etc.). 1 2 3 4 5 10. Seeking assistance from community agencies and programs designed to help families in our situation. 1 2 3 4 5 11. Seeking information and advice from the family doctor. 1 2 3 4 5 12. Seeking professional counseling and advice for family difficulties. 1 2 3 4 5 13. Seeking spiritual support, advice, and encouragement. 1 2 3 4 5 Foster Parent Survey — Breakdown From the Family Empowerment Scale (FES) • Questions #1-10 = Social Services Empowerment • Questions #11-15 = Political Empowerment • Questions #16-24 = Family Empowerment From the Family Crisis Oriented Personal Evaluation Scale (F-Copes) • Questions #1-13 = Problem solving strategies EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS • 1 17 API? 17 -, im North Range Behavioral Health Sally Wattle President Michele Vetting Vice-President April 15, 2002 Rebecca Roguea-C Way Secretary Bill Fisher Treasurer Ed Jord Pe Gloria Romansik Past Presiden t Weld County Department of Social Services P.O. Box A Greeley, CO 80632 SUBJECT: RFP 02-03 06-000 Foster Parent Consultation RFP 02006 Day Treatment Dear Ms. Romansik: We are in receipt of your notification letter dated April 8, 2002 in reference to the results of the RFP Bid process for 2002-2003. North Range Behavioral Health agrees to report outcomes specific to each of the two programs noted above as per your recommendation. Should you need anything further, please contact me. Sincerely, Wayne Wayne A. Maxwell Executive Director 1306 11th Avenue/Greeley,CO 811631/(970)463-3686/Fax(970)4.S4-8906 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 ' WEBSITE:www.co.weJd.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352 6933 COLORADO • April 8,2002 Wayne Maxwell,Executive Director North Range Behavioral Health 1306 11 Avenue Greeley, CO 80631 • Re: REP 02-03 06-000 Foster Parent Consultation RIP 02006 Day Treatment Dear Mr. Maxwell: 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. 1. RFP PY 02-03 06-000,Foster Parent Consultation: Approved with the above recommendation: 2. RFP 02006,Day Treatment: Approved with the above recommendation: B. Required Response by RFP Bidden 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 North Range Behavioral Health 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 Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission(Core)Funds Type of Action Contract Award No. X Initial Award FY02-PAC-2004 Revision (RFP-FYC-02006) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and North Range Behavioral Health Ending 05/31/2003 The Littler Center-Day Treatment 1306 11th 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 A comprehensive, highly structured service Proposal (RFP). The RFP specifies the scope of alternative to the out-of-home placement or the services and conditions of award. Except where it is more intensive placement. A capacity of 20 at in conflict with this NOFAA in which case the any given time, 29.5 hours weekly, an average of NOFAA governs, the RFP upon which this award is 5.9 hours daily, for 36-52 weeks. based is an integral part of the action. Cost Per Unit of Service Special conditions Monthly Rate $ 1,728.00 1) Reimbursement for the Unit of Services will be based Hourly Rate Per $ 15.03 on a monthly rate per child or per family. Based on Approved Plan 2) The monthly rate will be paid for only direct face to face contact with the child and/or family, as specified Enclosures: in the unit of cost computation. X Signed RFP:Exhibit A 3) Unit of service costs cannot exceed the hourly and X Supplemental Narrative to RFP: Exhibit B yearly cost per child and/or family. X Recommendation(s) 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of _Conditions of Approval Social Services. 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the end of the 25th calendar day following the end of the month of service. The provider must submit requests for payment on forms approved by Weld County Department of Social Services. Approvals: s�jj:% � /1-4 / Program Official: By 44.4.L / By. Glenn Vaad, Chair Judy . Gri , Direc r Board of Weld County Commissioners Wel ouu ty Department of Social Services Date: 05/29420001- Date: 10 I /. • EXHIBIT A SIGNED RFP Y INVITATION TO BID DATE: February 27, 2002 BID NO: RI-P-FYC-02006 RETURN BID TO: Pat Persichino, Director of Generalfiervices 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02006) for:Family Preservation Program--Day Treatment 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 Social Services, announces that applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program(C.R.S. 26-5.5- 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 Day Treatment Program Category must provide a comprehensive, highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. 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 Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Wayne A. Maxwell, Ph.D. TYPED OR PRINTED SIGNATURE VENDOR North Range Behavioral Health Wa t� 4� (Name) Handwritten Signature By Authorized Officer or Agent of Vendor ADDRESS 1306 11th Avenue TITLE Executive Director Greeley, CO 80631 DATE 03/21/02 PHONE # 97(l-154-1686 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 RFP-FYC-02006 Attached A DAY TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM " 2002/2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#RFP-FYC-02006 NAME OF AGENCY: North Range Behavioral Health ADDRESS: 1306 11th Avenue Greeley, CO 80631 PHONE: ( 970 ) 353-3686 or 352-2201 CONTACT PERSON: Sandra K. Atwood, NSW, LCSW TITLE: Program Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Day Treatment Program Category must provide a comprehensive.highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1.2002 Start End May 31. 2003 End TITLE OF PROJECT: Kathleen Painter Littler Center 9,„„,69 Jl. ` 4 `v�/ 56 Sandra K. Atwood, •3-�nd Signature of Person Prepa ng Document MSW, LCSW Date /',O t Wayne A. Maxwell, 03/21/02 Name and Signature iefAdministrative Officer Applicant Agency Ph'D' Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Posposal for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 t/& Project Description X wig;_ Target/Eligibility Populations WA Types of services Provided Why Measurable Outcomes X WAS, Service Objectives X tt. Workload Standards 'X a Staff Qualifications X (/Am Unit of Service Rate Computation (cost of living increase) (fin Program Capacity per Month X r - Certificate of Insurance X Page 26 of 32 � w RFP-FYC-02006 Attached A .9' .e' • • . Date of Meeting(s)with Social Services Division Supervisor: 3//.)-7O c _)-- Comments by SSD Supervisor: / e �-�XvzciS ti !/ /I Gt ccz-icr 7,e en / ✓ (i c n- - Name and Signature of SSD Supervisor Date Page 27 of 32 • FAMILY PRESERVATION PROGRAM,North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 I. PROJECT DESCRIPTION In August 1995, Weld County School District Six (District 6), the University of Northern Colorado (UNC), and North Range Behavioral Health (NRBH)jointly opened the Carson Children's Center (CCC). In August 1999 the CCC became the Kathleen Painter Littler Center. Littler is a year around residential and day treatment program for children ages five through 12 years. It has capacity of 18 residential and 12 day treatment students. Day treatment is a comprehensive, highly structured alternative to the out-of-home placement or the more intensive placement of a child already in placement, that provides mental health care and education to its student clients. Treatment services for each client's family are an integral part of the program. The Littler Center provides highly integrated and coordinated educational and treatment services to its students. The affective needs of each child are responded to not only by the treatment staff, but by the educational and supportive services staff as well. Similarly, the students' education and emotional and behavioral needs are not solely the responsibility of the teaching staff but shared by all on-site personnel. Because all Littler students are staffed as special needs children, additional services called for in each child's individualized education plans (JEP) such as occupational therapy, speech/language services, and physical therapy are provided on-site. The Littler day begins with a welcoming group to greet the children and to help them make the transition from life at home to a day in school and in treatment. Information from each student's parents, guardians, or foster parents is obtained directly or via notebooks sent home with and brought back each day by the students to keep the staff and parents/guardians up-to-date and to encourage open communication. Each child's goals and progress toward them are updated daily before the children move to other aspects of the day. Educational and affective curricula are simultaneously in place as much as is feasible in the various daily activities. The students progress through a series of treatment and educational offerings each day. While some children are in the classroom for group or individual instruction, others are seen in individual therapy while others are in a treatment group. Each day treatment student is assigned a master level therapist who not only assists in developing individualized treatment plans, but also serves as an on-going consultant and treatment coordinator to all school staff. There are ongoing, scheduled psycho-educational groups that address new themes as well as themes from earlier sessions. These groups address social skills, conflict resolution, self- esteem, and positive relation building as well as how to handle feelings. The daily schedule is similar from day to day promoting the consistent milieu essential to the children's success. Recess, lunch, and other activities are similarly integrated. The day ends back in the room where welcomes occurred. Now, the focus is to review the day with the children and prepare them for the transition back to their homes. Goals and successes of the day are the foci of this activity. Children may remain for a family therapy session. Family therapy typically is planned for the end of the day to allow for parents' work schedules. The schedule is sufficiently flexible to allow for such sessions during the school day as well. Individual and family therapy continues to occur during school breaks, depending on the availability of the clients. Psychiatric services are integrated in the program. Each child receives a psychiatric evaluation including a determination of need for psychotropic medications. Follow-up psychiatric services are provided throughout each student's stay and, when appropriate, in the care that follows treatment at Littler. 1 FAMILY PRESERVATION PROGRAM, North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 Students with special treatment needs have available to them the full array of services of NRBH in addition to those available at Littler. Students can be seen in groups designed to help them deal with sexual abuse and other trauma they have endured. II. TARGET/ELIGIBILITY POPULATIONS It is intended that the Littler Center serve up to 20 children ages five through 12 years and their families at any given time in the 6 to 18 month day treatment program. Of these, it is anticipated that up to ten could have the financial aspect of their care covered under the services proposed herein. Up to 18 children and their families will be served annually of whom 12 will possibly be eligible for FYC-funded services. It is anticipated that approximately 25% of all the students and/or their families will receive some level of bilingual/bicultural services on-site. Based on current utilization rates, it is estimated that up to 25% of the Littler students will be from southern Weld County. For the purposes of this grant, the monthly maximum program capacity is defined as 10 children with a monthly average program capacity of eight. The average length of stay in the program is estimated to be in the range of 36 to 52 weeks. Students spend a minimum of 29.5 hours weekly in the total program. In order for a child to be considered as a potential student of the Littler Center, she or he must be staffed into special education services in her or his home school district and must have demonstrated the capacity to return to her or his home school upon successful completion of the Littler program. In addition, the student must have a full scale IQ of 76 to benefit from the Littler Center program levels and expectations. Children referred to the project will have met, or be at high risk to meet, the out-of-home placement criteria detailed in the request for proposal. As mentioned above, each will also have met or be believed to qualify for special education services. III. TYPE OF SERVICES TO BE PROVIDED Site-based services to the students of the Littler Center and their families will be held each day District 6 schools are regularly in session plus through the summer. An academic year will consist of 46 total weeks with an average of not less than 29.5 hours of programming weekly, 5.9 average daily hours. The planning and implementation of the Littler Center has been a collaborative and cooperative effort from its inception. The Weld County Department of Social Services (WCDS S), involved early on in the planning process, agreed to utilize the services of this day treatment program for those of its clients demonstrating the need for it and for whom they believe they have financial responsibility. The Littler Center's admission coordinator works to ensure that FYC resources do not supplant other community resources and WCDSS caseworkers are involved prior to the screening process for all WCDSS children. The collaborative role of Weld County School District 6 has been exemplary from the planning stage forward as it furnished the past site, recruited and hired professional and 2 FAMILY PRESERVATION PROGRAM,North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 paraprofessional staff, and provided administrative guidance. Similarly, NRBH, with the strong support of its Board of Directors and management team, offered administrative assistance in planning and implementing the treatment program. Extensive effort has been invested into planning the milieu and overall program of the Littler Center so that educational, therapeutic, behavioral, and recreational components are closely integrated. By design, each of these four components contains aspects of the other three. Concerted efforts helped to achieve and now serve to maintain this high level of integration. The educational component is primarily the responsibility of the District 6 teaching staff plus other instructional staff as may be required. The therapeutic component is primarily the responsibility of the NRBH on-site staff The behavioral component of the Littler Center is present across all activities of the program and is the responsibility of all on-site personnel. Each student has an individualized education plan and a mental health services/treatment plan that spell out educational, behavioral, and emotional concerns and detail how those concerns will be addressed in the daily activities of the student. Similarly, the recreational component of the Littler Center includes educational, therapeutic, and behavioral programming to meet each student's needs. All components of the program are typically carried out on-site. Exceptions to this occur primarily during times when a student is in a transitional stage in returning to her or his home school and when off-site services, such as involvement in a particular therapy group not offered on-site, are indicated. Beginning at intake and throughout the program, parents, guardians, and other caretakers are actively encouraged to engage in their children's education and treatment. Family therapy sessions are held at least weekly for each student. In all cases, parental or guardian involvement is mandatory. This stems from a core belief that not just the child, but also his or her family must actively involve themselves in the treatment/education process for it to be effective and for the positive results to be longstanding. The mental health services plan dictates the specific nature of the family work that is required for each child. The teachers at the Littler Center are certified special education teacher for significantly identifiable emotionally disturbed children. They are assisted by three full-time, specially trained para- professionals in carrying out each student's individualized educational plan. Due to age of the Littler students, there has been no need for vocational or independent living assessment or training to date. Each student receives an initial mental health assessment. The therapist, parents/guardians, caseworker, if appropriate, and psychiatrist work to establish a behaviorally specific service plan that details individual therapy, family therapy, psychiatric needs, and case management needs. The service plan identifies the specific outcomes necessary for the child to be successful at a lower level of care. It is the tool by which progress is measured. Typically each student weekly receives at least one individual therapy session, five sessions of therapeutic or psycho-educational group activities, and one session of family therapy. This can vary based on the needs of the specific child and their family. More frequent services may be provided during the initial stages of treatment or during a time of crisis. Fewer services maybe provided during the latter stages of treatment when a child is transitioning back to their home school. Those students with psychotropic medication needs are the responsibility of the Littler staff 3 FAMILY PRESERVATION PROGRAM, North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 psychiatrist, Wallace LaBaw, MD. There is simultaneous development or updating of the individualized education plan when a child is staffed into the Littler Center. The physical health needs of Littler students including, but not limited to nutrition, medical, and dental, are primarily the responsibility of District 6 nursing staff. These are shared as appropriate by the staff of the Littler Center. Proactive planning for reintegrating a student into her or his home school begins during the initial screening of the child for consideration of admission to Littler. The capacity to return to one's home school, i.e., the school referring the child, or the school the child will be returning to, will depend upon promotion to her or his next higher grade, must be established before a child will be accepted into the Littler program as must be the referring school's willingness to have the student return there. Similarly, the graduation requirements for students admitted to the Littler Center are formulated in a preliminary manner during the screening and planning sessions held with each child and her or his family, the staff of the referring school, and social services caseworkers when appropriate. The requirements are largely expressed in terms of outcomes the child will achieve. The program is constructed to emphasize the positive outcomes and gains each student will make. Whenever possible, the strengths of the child will be used as the primary tools for progress. Follow-up mental health care for students graduating from the Littler will be arranged by the Littler Center's mental health staff with NRBH, other mental health centers, or a private practitioner of the graduate's family's or guardian's choosing. The transition plan that guides the student's return to her or his own school also provides for a stepped, systematic introduction to the new therapist or reintroduction to a previous therapist to ensure continuity from day treatment to more traditional outpatient services. IV. MEASURABLE OUTCOMES At the time of admission to the Littler Center, each student will be evaluated using, in part, the Colorado Clinical Assessment Report (CCAR) developed by the Colorado Office of Mental Health Services. Every six months thereafter and at discharge from the Littler Center the CCAR will again be administered. The three-page form covers a wide range of variables and assessments. The Littler Center Admission and Termination Evaluation Forms are to be used as evaluation tools as well. These look specifically at the effects of the littler program. Copies of these forms are attached at the end of this proposal. The therapist conducts a complete assessment 10 days after enrollment to develop an all inclusive behavior/treatment plan to meet the student's needs. Discharge goals are developed for all identified areas of need and the measurable short-term goals developed monthly to measure and work toward the discharge goal. It is anticipated that 90% of the children successfully completing the Littler program will reside in their own homes, or remain in placement at a similar level of care as they were at the time of their referral, for the first six months after their discharge. The criteria for success will be that each child returns to 4 FAMILY PRESERVATION PROGRAM, North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 or remains in her or his home or foster home and is able to safely and constructively do so for at least the first six months they are no longer attending the Littler Center. This information will be gathered by three and six month follow-ups with the child's family and their WCDSS caseworker, if appropriate. Additionally, all successful graduates will enter, remain in, and make satisfactory progress in public school after their discharge from the Littler Center. More specifically, each graduate of Littler will maintain or enhance the progress she or he made academically, socially, behaviorally, and emotionally during her or his time in the program. This will be monitored by three and six month follow ups with the child's family, their WCDSS caseworker, if appropriate, and by the school community facilitator (or the equivalent) from her or his home school. The criteria for success will be maintenance of or improvement upon her or his levels of functioning in the four areas mentioned above as stated in their individualized educational plan and their mental health services plan. The families of 90% of the children successfully completing the Littler program will report a more relaxed, nurturing, and competent relationship with their children than existed prior to enrollment. Families will be surveyed at discharge, three months and at six months after discharge. Ninety percent of the children completing the Littler program will report and demonstrate an improved sense of self worth, self-confidence, and decreased high-risk behaviors. Appropriate improvements will be revealed when pre-C.C.C. CCAR ratings are compared with similar ratings done at the time of completed transition back to the home school. V. SERVICE OBJECTIVES The primary goal of the Littler Center is to successfully intervene in the lives of its students and their families to minimize the future need for similar intensive services, to enhance each child's ability to be educated and to benefit from that education in her or his home school, to enhance each child's ability and capacity to respond appropriately and healthfully to her or his family, and to improve each child's family's abilities to adequately and appropriately respond to and provide for the child's needs in a competent, safe, nurturing, And growth enhancing manner. In working with families to achieve the goal of improving their abilities to manage family conflict in a safe, constructive manner, the Litter Center staff works toward the objective of resolving conflicts between parents and children so that no maltreatment of the children occurs, no domestic violence occurs, no children run away from home, and no children commit status or legal offenses. Success is measured by family, caseworker, and therapist reports that the objective was met. Each family will also be asked to report on its subjective improvements in this area. To meet the Littler Center goal of improving overall parental competency, an objective of increasing the parents' abilities to develop and maintain sound, caring, effective relationships with each other and with their children is established. An additional objective is to enhance the abilities of the parents to provide, with as much proficiency as possible, for their family's care, nutrition, hygiene, discipline, protection, education, and supervision. All parents are encouraged to develop appropriate support 5 FAMILY PRESERVATION PROGRAM, North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 systems designed to last beyond their child's involvement with the Littler Center. Again, the parents and children will be polled concerning their subjective opinions about the improvements they have made, as will the therapist and caseworker. The Littler Center works with each client family to achieve the goal of improving its household management competency. The objective is to enhance the capacity of the parents to provide a safe household environment for the children through competently managing the home to include cleaning, repairing, and maintaining the home, as well as via effective budgeting and purchasing. The family, therapist, and caseworker will document the improvements made in this area. The Littler Center works to improve each family's ability to find and use appropriate resources. Treatment and case management services assist each family to learn more effective means to obtain needed help from other sources in the community and from local, state, and federal governments. This is modeled in each of the families' relationships with the Littler staff. The families will report, and their caseworker and therapist will confirm, all gains made in this area. VI. WORKLOAD STANDARDS The Littler Center will provide day treatment services to 20 children aged five through 12 years who will meet the FYC funding criteria. A year round academic/treatment schedule is in place. It is anticipated that up to 18 children will be enrolled in the course of a year. The average length of stay in the program will range from 36 to 52 school weeks. Littler students will attend an average of at least 5.9 hours of programming daily on all days the school is in session. The total staff of the Littler Center numbers mote than 17 individuals, comprising slightly more than the equivalent of 13 full-time employees. This staffing level exceeds all Colorado licensing rules. Said rules specify a student to total staff ratio of not more than eight to one which is far less than the four to one ratio employed at Littler. If there is a time when only one staff member is present, a second staff member is on call and immediately available to be summoned to an emergency. NRBH certificate of insurance coverage is attached. VII. STAFF QUALIFICATIONS Licensing requirements mandate that day treatment programs have a treatment leader who is responsible for the overall mental health services to each child. This person must hold a master's degree in the behavioral sciences and have not less than three years of clinical experience. Counselors in day treatment programs are mandated by the State of Colorado to have completed a bachelor's degree in the behavioral sciences or to have at least four years of experience with appropriate aged children, and must be at least 21 years of age. All of the staff meet or exceed these requirements. John Ashby, MSW (soon to be LCSW) with eleven years experience, Matt Newton, MSW, LCSW with twelve years of experience, Bonnie Derby, MSW, LCSW, with fifteen years of experience and Sheryl Gonzalez, MS, four years experience. 6 • FAMILY PRESERVATION PROGRAM, North Range Behavioral Health 2002-2003, BID #RFP-FYC-02006 Sandee Atwood, MSW, LCSW, is the Littler Center Program Director as well as Clinical Director. Once a child is accepted into the Littler Center the intake coordinator, Cath Stilwell, MSW, establishes a preliminary treatment plan and then the clinical director works with the primary therapist in the development of the day treatment plan for each student. Ms. Atwood has fifteen years experience as a Psychiatric Social Worker in the school system and twelve additional years as a clinical director for an outpatient treatment center and day treatment center. Three of those years were as Clinical Director of Devereux Cleo Wallace Treatment Center in Westminster, Colorado. Wallace LaBaw, MD, staff psychiatrist for the Littler Center, is a board certified psychiatrist. He is able to follow-up with children after they graduate from the Littler Center and enter more traditional outpatient care through NRBH. Mike Hoover, Ed.D is the administrative supervisor of the Littler Center's educational component. Since 1992, he has been a Special Education Coordinator for District 6. Currently certified as a School Psychologist and Special Education Administrator, he has worked in the field for more than 20 years. The Littler Center's teachers are Gayle Schneider, MA, Gail Gerdes, BA and Cindy Takahashi, BA. Ms. Schneider is a certified special education teacher for significantly identifiable emotionally disturbed children and is also certified in the area of learning disabilities and mentally handicapped. Ms. Gerdes has a BA in Special Education and is a licensed teacher in the State of Colorado. Ms. Takahashi has completed her requirements in Special Education Affective Needs . Leigh Ann Luberstedt is the Speech/Language Clinician. She has completed her masters degree in speech language pathology. Beth Gay is the School Psychologist and does assessments and conducts IEP team meetings. Ms. Gay has an Ed.S. degree in School Psychology and is a nationally certified school psychologist. Karen O'Connell is a registered occupational therapist and provides both direct and consultative OT services to the Littler Center. Three full-time paraprofessionals, Cindy Jones, Freddie Ancheta, and Jennifer Crawford, assist the teachers in carrying out each student's individualized educational plan. Ann Teague, an RN and Nurse Practitioner, is the school nurse and health consultant to the C.C.C. She regularly checks in with the staff and students of the C.C.C. and is also available as needed. VIII. PROGRAM CAPACITY BY MONTH The Littler Center is designed to function with a minimum clinical staff contingent of 4.O FTE, serving an average of 15 - 18 children and their families at any given time. 7 RFP-FYC-02006 Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This forrlis to be used to provide detailed explanati€n of the hourly rate your organization will charge the Core Services Program for the services offered in this dquest for Proposal . This rate may only be ysed to bill the Weld County Department 4 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 944 Hours [A] Total Clients to be Served 12 Clients [B] Total Hours of Direct Service for Year 11,328 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ 12.65 Per Hour [D] Total Direct Service Costs $ 143,325 [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 5,000 [F] Overhead Costs Allocable to Program $ 22,006 [G] Total Cost, Direct and Allocated, of Program$ 170,331 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ 0 [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ 170,331 [j] Total Hours of Direct Service for Year 11,328 [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 15.03 [L] Day Treatment Programs Only: Direct Service House Per Client Per Month 115 [N] Monthly Direct Service Rate $ 1,728 [N] Page 31 of 32 Client# : 15394 NORRA ACORLL CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Ins . Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. 0 . BOX 578 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4687 W. 18th Street Greeley, CO 80632 INSURERS AFFORDING COVERAGE INSURED INSURER A: North Range Behavioral Health Irwin Siegel Agency Inc . INSURER B:Pinnacol Assurance 1306 11th Avenue INSURER C: Greeley, CO 80631 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSN. TYPE OF INSURANCE POLICY NUMBER TPOLICY EFFECTIVETPOLICY EXPIRATION! LTfl I DATE(MM/DO/YY) DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY •5182327225 01/01/02 I01/01/03 EACH OCCURRENCE $l 000, 000 X COMMERCIAL GENERAL LIABILITY _ ! i FIRE DAMAGE(Any one flre)E2OO OOO ___ CLAIMS MADE! . OCCUR MED EXP(Any one person) $15, 000 II I r-_ - rt -, PERSONAL BADV INJURY 4 51,_000, 000 I GENERAL AGGREGATE ;$3 , 000, 000 GENT_AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMPIOPAGG!$3 , 000_y000_ POLICY JEOT LOC -.-_ --__ A AUTOMOBILE LIABILITY S182327225 : 01/01/02 01/01/03 IICOMBINED SINGLE LIMIT X ' ANY AUTO I(Ea accident) i $1, 000 , 000 - ALL OWNED AUTOS BODILY INJURY I,$ SCHEDULED AUTOS • ,"' per person)14 X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS l ? (Per accitlent) y Iyy PROPERTY DAMAGE $ (Per accident) :w GARAGE LIABILITY c'ST AUTO ONLY EA ACCIDENT:$ ANY AUTO • EA ACC •OTHER THAN ' AUTO ONLY: AGG '$ A EXCESS LIABILITY :S182327225 01/01/02 : 01/01/03 EACH OCCURRENCE $ OCCUR CLAIMS MADE. AGGREGATE i $ DEDUCTIBLE ,$ X. RETENTION $ I $ B WORKERS COMPENSATION AND 404331 10/01/01 07/01/02 RYLIMITS.._ ..O14 EMPLOYERS'LIABILITY _TO E.L.EACH ACCIDENT .$100, 000 __ E.L.DISEASE EAEMPLOYEE $100 , 000 CY IT , 000 A Professional S182327225 01/01/02 01/01/03 E$3I, 000 , O00 Aggregate OTHER $3 , 000 , 000 Aggregate Liability $1 , 000 , 000 Occurrence DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDRIONALINSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE D?PIRATION Weld County Social Services DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL30 DAYSWRITTEN 315 N. 11th Avenue NOTICE TO THE CERTIFICATE HOLDER NAMED TOTHE LEFT,BUT FAILURE TO DO SO SHALL Greeley, CO 80631 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rood -?th_1son -Th.sa4an.C., , -L - ACORD 25-S(7/97)1 of 2 #9204952/M204922 CCN 0 ACORD CORPORATION 1988 Littler Center Forms • KATHLEEN P. LITTLER CENTER ADMISSION EVALUATION FORM(8/99) Client Name Client Id# Diagnosis: Primary Secondary Date of Birth School Grade City Admit Date Center Admit Littler Medicaid Yes No(Check One) Sex Ethnicity Who has custody of child at time of admit to Littler? Where was child living immediately prior to admission to Littler? Outpatient Therapist(if any) Address/Phone Special Behaviors or Circumstances/Reasons for referral PAST PRESENT Yes No Yes No Suicidal Violence toward others Runaway Behavior _ Self Mutilating Behavior Social Isolation Past Legal Charges Current Legal Charges On Probation Victim Physical Abuse Victim Sexual Abuse Alcohol Use Use of Inhalants Other Drug Use Learning Disabilities Special Education Others(specify) • GAF SCORE AT ADMISSION OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNTIONING SCORES AT ADMISSION(Rate all six areas.) High Moder. Aver. Moder. Very Func. High Low Low 1 2 3 4 5 6 7 8 9 Societal Functioning Interpersonal Functioning Daily Living Personal Care Physical Functioning Cognitive Intellectual Overall Level of Functioning KATHLEEN P. LITTLER CENTER TERMINATION EVALUATION FORM(8/99) Client Name Client Id# Littler Discharge Date: Discharge Diagnosis: Primary Secondary If psychotropic meds were used,please list below: 2. 3. Who has custody of child at time of discharge from Littler? Where will the child be living immediately after discharge from Littler? Who will follow youth after discharge? Special Behaviors or Circumstances PRESENT Yes No Suicidal Violence toward others _ Runaway Behavior _ Self Mutilating Behavior Social Isolation Legal Charges Pending On Probation Victim Physical Abuse _ Victim Sexual Abuse _ Alcohol Use Use of Inhalants _ Other Drug Use Learning Disabilities Special Education Others(specify) GAF SCORE AT DISCHARGE OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNTIONING SCORES AT ADMISSION(Rate all six areas.) High Moder. Aver. Moder. Very Func. High Low Low 1 2 3 4 5 6 7 8 9 Societal Functioning Interpersonal Functioning Daily Living Personal Care Physical Functioning Cognitive Intellectual Overall Level of Functioning l COLORADO CLIENT ASSESSMENT RECORD 1 NAME: Fr GAF SCORE EIHNICIRACE 74 171 I 11 (AGENCY u I I I PROGRAM 4a (1)American Indian/Alaskan Native I I I I I I I I I (CLIENT ID el4 (2)Asian/Pacific Islander (3)Black REFERRING AGY (4)Hispanic CLIENT ID lam (5)W�(Non-Hispanic) (6)Mull-Racial I 1 1 1 1 I I I I (MEDICAID ID 2442 HISPANIC ORIGIN x US ADMISSION DATE ssro (1)Not of Hispanic Origin MONTH DAY YEAR (2) (3)Puerto Rican ACTION TYPE (Manual Input Only) 412 (4)Cuban - (5)Other Hispanic 01=Admission 11=Conecfbn to Admission MARITAL STATUS x I 02--Activate 12=Correctlan to Activation 03=Update 13--Consclbn to Update (1)Never Marled (4)Widowed 04=Inactivate 14=Correction to inactivation (2)Married (5)Divorced 05=Diedtage 15-Canection to Discharge (3)Married Separated(Legal or Marital Discord) 06=Evalu tion Only PLACE OF RESIDENCE n I I MEDS ONLY CLIENT a (1)Correctional Facly/Jag (2)(1)Yes (2)No (3)Nuising ELM ADMISSION STATUS w (4)Residential Facility-Menial Heath (5)Residential Friday-Non-Mental Heath (1)New (2)Readmission From Ills Fiscal Year (7)Boarding �Homeless-O She (3)Readmission From Prior Fiscal Year (7)H St (8)Homeless-On the Street PERMANENT HAPDICAPIIMPAIRMENT 4545 (9)Other Independent Living Arragernerd (Cods ALL 6 Bones Using t Yes 2 No) CURRENT LIVING ARRANGEMENT is (1)Mental Retardation (2)Deafness or Severe Hewing Loss (1)Lives Wmh Both Parents (2)lives With One Parent (3)Bfaldness or Severe Visual impairment (3)Lives Wth Spouse and or Other Relative(s) (4)Speech Impairment (4)Lives Alone (5)Nan-Anliatay or Assisted Ambulation (5)Lives With Unrelated Persat(s) CURRENT EMPLOYMENT STATUS is I LEGAL STATUS w (1)Employed-Full Tkne (1)Voluntary (2)Court-Directed Vokrriaiy (3)Employed-Part Tine (3)Forensic Involuntary (3)Homemaker-Not Otherwise Employed (4)72-Hoar Evaluation and Treatment(MH-HOLD) (4)NotSh a Employment (5)Short-Term Certified (5)Not in toyedr Face (6)Long-Tam Certified (6)Unemployed For Less Than 3 Months (7)Voluntary Hospitalization of Minors (7)AimeUnemd Forces o (Active For c Months a More (8)CNdau'Code C.R.S.19-1-101 (8) Maifary Dilly) (9)Emergllnvol.Akatwismlucug Commitment ANNUAL FAMILY HOUSEHOLD INCOME m —1—al .emu REFERRAL SOURCE 5142 1 I I ' I I I PRIMARY DIAGNOSIS SECONDARYDIAGNOSIS 6167 NUMBER OF PERSONS SUPPORTED BY e I (a yraraa) THIS INCOME(Include Client) I f I • 1-1 1 11 1 1 1 1 I (1)1 (client on y) (6)6 I PRESENTING PROBLEM HAS EXISTED es (2)2 (7)7 (1)1 Year or Lager (2)Less Than 1 Year (4)4 (9)8 (4)4 (9)9aMore PREVIOUS MENTAL HEALTH SERVICES mu (5)5 (Cods W.Pow Bones Using 1 Yes 2 No) HIGHEST EDUCATION LEVEL-IN YEARS sun I I Inpatient Care (Less Than First Grade Code as 03) Other 24-Hour Care Partial Care DUE TO MENTAL HEALTH REASONS. se I Care CLIENT IS CURRENTLY RECEIVING: Outpatient (1)SSI (3)Both I I COUNTY OF RESIDENCE OW (2)SSDI (4)Nether DATE OF BIRTH se-n FIRST S LETTERS OF CLIENTS LAST NAMEnat I I I ISW ta ;;u�:;f�:m ZIP CODE 5244 a•t00 MONTH DAY YEAR -1 . 111 ISSEX n Triage Denver Health a Medical Center Only tot I (1)Male (2)Female White—Billing Yellow—Chart SHADED BOXES ARE NOT PROCESSED ON UPDATE ca....5955 R 11/97 COLORADO CLIENT ASSESSMENT RECORD 2 a Client I.D. Name Admit Date HISTORY 102-toe Check ALL that Apply CURRENT P-SEV Check ALL Problems that Apply —Vic1:Sexual Abuse Hid: Unstable Suicide Attempt _Hist: stable Employ's I I AGGRESSIVENESS 191-197 WI:Physical Abuse Hid:Family Mead-Ill V- ict:Neglect _Hid:Family Sub-Abuse _wing OW _Defiant Threatening Aggressive Hostile Intimidating SPECIAL PROBLEMS/ISSUES 105-11s iis Check AU.that Apply — — _ prinsoctAL 196203Learning Disability CNS Disorder _Language Issues Loss/Grief Wetting/SoilingCultural/Belief Issues _Disrespect Disregards Rules —Uses/Cons Others _-Eating Disorder _Fire Set/Destroy Property _Disobedient —Dishonest PROBLEM SEVERITY 1 I,.EGAL 204-210 _ _ _ Legal Problems Probations/Parole Offenses:Property RATE the CURRENT P-SEV(PROBLEM SEVERITYI Charges Pending _Offenses:Substances _Offenses:Persons for each area in the boxes provided,using the following scale: None Slight Moderate Severe Extreme 1 VIOLENCE I DANGER TO OTHERS 211-217 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 kx_Violent Fntctdal Ideation _Assaukive Homicidal Threat/Attempt CURRENT P-SEV Check ALL Problems that Apply —Phys/Sexual Abuser _Danger's Men 1$: ^l 0 r 1 EMOTIONAL WITHDRAWAL 117-123 n FAMILY ISSUES 216225 Underactive Passive Doesn't Verbalize Feelings —Distant _Subdued _Blunted Affect No Family/No Contact Family Legal Domestic Violence DEPRESSION 124-130 of Home Placement _Parenting _Unstable Home/Fam _Separaliat/CudadY —Depressed _Lonely —Hopeless n FAMILY PROBLEMS WITH 2zs-zit Worthless Sad _Dejected Parent Partner_Pa _ _ Relative ANXIETY 131-139 —Siding Child _Anxious _Nervous Panic INTERPERSONAL PROBLEMS 232-236 Tense Flashbacks Phobic _-Fearful _Nightmares/Terrors _w/Friend _Establishing Relationships Social Skills Maintaining Relationships HYPER AFFECT 140-145 — — _Ov eractive _Pressured Speech _Elevated Mood ROLE PERFORMANCE(Work/Schooli 237-243 Mood Swings Accelerated Speech Mania Absenteeism Performance Behavior ATTENTION PROBLEMS 147-153 _SuspencioNProbatbn —Termination —-Limited Employability _Agitated Distractible Attention Span SUBSTANCE ABUSE 244-x9 Restless Impulsive Concentration — _ _ SUICIDE/DANGER TO SELF 154-1 W — bleProblem w Alcohol —Depend°"tlPddwied In Recovery Pron w Drugs _Interferes with Responsibilities _Suicide Ideation _Self-Injury/Mutilation MEDICALIPHYSICAL 250-254 _Suicide Plan _Reckless Self-Endangerment Suicide Attempt Danger to Self tZRB g7 216 _Acute Illness _Medical Care Needed Physical Handicap Chronic Illness Injury au ByAbuse/Assll -Permanent Disability THOUGHT PROCESSES 1st-iss Bizarre _Suspicious Repeated Thought 1 SECURITY/MANAGEMENT ISSUES 257-265 _-Delusions Paranoid —Obsessiva _Seclusme Out Walkaway/Escape _Behavior Manageml Hallucinations — _Close Supervision Security Suicide Watch — Medication Compliance —Inadequate Adult Supervision COGNITIVE PROBLEMS 166175 — — Confused Loose Associations Lacks Self Awareness OVERALL DEGREE OF PROBLEM SEVERITY 2sa_ —Disoriented —Disorganized —Impaired Judgement Check ONE Response SELF-CARE/BASIC NEEDS 176iss None Slight Moderate Severe Extreme _Hygiene Doesn VAanage Money Doesn't Provide Food 1 2 3 4 5 6 7 8 9 Self Care Problems Doesn't Use Resources Doesn't Provide Housing —Gravely Disabled {OR52T,1.g! UPDATE.ACTIVATE.INACTIVATE&DISCHARGE ONLY CHANGE IN OVERALL PROBLEM SEVERITY 257 RESISTIVENESS in-1se Check ONE Response Resistive Evasive Wary Much Much — _ _Ueboperative _Guarded Denies Problems Better Better No Change Worse Worse 1 2 3 4 5 6 7 a 9 White—Billing Yellow—Chart c.....,a2<n a t/o7 I COLORADO CLIENT ASSESSMENT RECORD 3 1 Client I.D. Name Admit Date STRENGTHS/RESOURCES LEVEL-OF-FUNCTIONING (LOF) Check ALL QURRENT STRENGTHS/RESOURCES Individual has: Check ONE Response for Each LOF Area ECONOMIC RESOURCES x9-274 SOCIETAL/ROLE FUNCTIONING 301 _Medicaldeaedcare _Emplo snnd _Transportation Very High Moder High Average Moder Low Very Low _Other Medical Maur _Housing Function Function Function Function Function Other Public Assts _FMnrwial 1 2 3 4 5 6 7 6 9 gDUCATION/SKILL RESOURCES 276279 INTERPERSONAL FUNCTIONING 305 _Language Sias Interpersonal Skills _Intelligence Very High Moder High Average _Education _Job Skills Function Function Function Function Function PERSON RESOURCES x0-287 Parent(s) Partner _Professional Caregiver _ _ 1 2 3 4 5 6 7 8 9 Siblings) Children) _Other Supportive Relationship DAILY LIVING/PERSONAL CARE FUNCTIONING 3041 _Relative(s) _Friend(s) Very High Moder High Average Moder Low Very Low PERSONAL STRENGTHS x9.301 Function Function Function Function Function _Likeableness Emotional Stability Adaptability 1 2 3 4 5 6 7 8 9 _ Appearance _Heals' Thought Clarity PHYSICAL FUNCTIONING 307 Confidence Hopefulness Resourcefulness _ _ _ _Judgement Responsibility_ Tolerance Very High Moder High Average Moder Low Very Low _EmpaUry Function Function Function Function Function Insight 1 2 3 4 5 6 7 8 9 COGNITIVE f INTELLECTUAL FUNCTIONING 309 Very High Moder High Average Moder Low Very Low Function Function Function Function Function 1 2 3 4 5 6 7 6 9 CURRENT OVERALL STRENGTHS/RESOURCES 302 OVERALL LEVEL OF FUNCTIONING Check ONE Response 309 Check ONE Response Very High Moder High Average Moder Low Very Low Very High High Moderate Some Very Low Function Function Function Function Function 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 UPDATE.ACTIVATE.INACTIVATE A DISCHARGE ONLY UPDATE.ACTIVATE.INACTIVATE&DISCHARGE ONLY CHANGE IN OVERALL STRENGTHS/RESOURCES 330 CHANGE IN LEVEL OF FUNCTIONING Check ONE Response 310 Check ONE Response Much Much Much Much Better Better No Change Worse Worse Better Better No Change Worse Worse 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 IIIIIIIIII STAFF ID 311419 STAFF SIGNATURE IlDISCIPLINE' 1=none 2=mh worker 3=nursing 4-social work 5=psychology 6=psychiatry 7=other 320 fl DEGREE' 1=none 2�ssoelate 3=bachelors 4=masters 5=Ph0/PsyD/EdD 6=MD 7=other 321 COMPLETE THIS BOX ONLY FOR COMPLETE THIS BOX ONLY AT DISCHARGE UPDATE,ACTIVATE AND INACTIVATE STATUS DATE FORM COMPLETED MONTH DAY YEAR 330-337 I LAST CONTACT DATE MONTH DAY YEAR 331445 1 EFFECTIVE DATE 322429 1 I DISCHARGE DATE MONTH DAY YEAR MONTH DAY YEAR 346-353 TYPE OF TERMINATION* 354 SPECIAL STUDIES I DUxharged/Transferred 5-From Inactive 2.TX Completed/No Referral EmPatient/Client Died 857465 3-TX Conpleted/Follow-up 7.PatienUCttent Terminated 4.Evaluation Only 357479 I TERMINATION REFERRAL' 355ass NOTE:Use 61 'Self if no Referral White—Billing Yellow—Chart Form#270 R 5/97 INTEGRATED ASSESSMENTS FOR GOAL DEVELOPMENT Client Name: Client# DOB: Admission Date: Clinician: AGGRESSIVENESS/SELF OR OTHERS (Homicidal/Suicidal/Self-destructive) ASSESSMENT: History Clinical Assessment Intake Assessment Other Psych. Assessment To Be Assessed Findings/Assessment Results: STRENGTH: Not A Treatment Issue At This Time Focus Of Treatment (Refer To Goal Sheet) Defer Presently: Provide Clinical Rationale FUNCTIONAL COMMUNICATION/PROCESSING ISSUES ASSESSMENT: History Psych. Assessment Intake Assessment Clinical Assessment Speech/Language Assessment To Be Assessed Other Findings/Assessment Results: STRENGTH: Not A Treatment Issue At This Time Focus Of Treatment(Refer To Goal Sheet) Defer Presently: Provide Clinical Rationale: DAILY LIVNG SKILLS: ASSESSMENT: History Psych Assessment Observation Other Clinical Assessment To Be Assessed Findings/Assessment Results: STRENGTH:Not A Treatment Issue At This Time Focus of Treatment: (Refer to Goal Sheet) Defer Presently: Clinical Rationale: EDUCATION ASSESSMENT: Academic Testing Other History To Be Assessed Observation Findings/Assessment Results: 2 e _ STRENGTH:Not a Treatment Issue At This Time Focus of Treatment: (Refer to Goal Sheet) Defer Presently: Clinical Rationale: PHYSICAL/NEUROLOGICAL ASSESSMENTS: History _OT/PT Assessment Clinical Assessment Other Psych Assessment To Be Assessed Findings/Assessment Results: STRENGTH:Not A Treatment Issue At This Time Focus of Treatment(Refer to Goal Sheet) Defer Priestly: Clinical Rationale SOCIAL SKILLS: ASSESSMENT: History _ Other Clinical Assessment Intake Assessment Psych Assessment To Be Assessed Findings/Assessment Results: 3 STRENGTH: Not a Treatment Issue At This Time Focus of Treatment(Refer to Goal Sheet) Defer Presently: Clinical Rationale MENTAL STATUS THOUGHT PERCEPTION OR JUDGEMENT ISSUES ASSESSMENT: _ History Other Psych Assessment _ Intake Assessment Clinical Assessment To Be Assessed Findings/Assessment Results: STRENGTH:Not a Treatment Issue At This Time Focus of Treatment(Refer to Goal Sheet) Defer Presently: Clinical Rationale MOOD/AltECT ASSESSMENT: History Other Psych Assessment Intake Assessment Clinical Assessment To Be Assessed 4 • Findings/Assessment Results: _STRENGTH:Not a Treatment Issue Focus of Treatment(Refer to Goal Sheet) Defer Presently: Clinical Rationale: SEXUAL REACTIVE OR PERPITRATION ISSUES: ASSESSMENT: History/Physical M.D. Assessment Medical Illness Other Psych Assessment To Be Assessed Intake Assessment Findings/Assessment Results: STRENGTH:Not a Treatment Issue: Focus of Treatment(Refer to Goal Sheet) Defer Presently: Clinical Rationale: 5 • TRAUMA RELATED ISSUES: (Abuse/neglect/attachment issues) ASSESSMENT: I iistory _ Clinical Assessment Intake Assessment _ Other Psych. Assessment Finding/Assessment Results: STRENGTH: Not A Treatment Issue At This Time Focus Of Treatment(Refer To Goal Sheet) Defer Presently: Provide Clinical Rationale OTHER CHALLENGING BEHAVIORS: ASSESSMENTS: History _ Clinical Assessment Intake Assessment Other Legal Involvement To Be Assessed Psych Assessment Findings/Assessment Results: 6 _STRENGTHS: Not a Treatment Issue Focus of Treatment(Refer to Goal Sheet) Defer Presently : Clinical Rationale HEALTH ISSUES: ASSESSMENTS: History Clinical Assessment Intake Assessment _ Other Psyche Assessment To Be Assessed Findings/Assessment Results: STRENGTH:Not a Treatment Issue Focus of treatment(Refer to Goal sheet) Defer Presently Clinical Rationale: SUBSTANCE ABUSE ISSUES: ASSESSMENT: History Clinical Assessment Intake Assessment _ Other Psych. Assessment To Be Assessed Findings/Assessment Results: 7 Strength: Not a Treatment Issue At This Time Focus of Treatment(Refer To Goal Sheet) Defer Presently: Provide Clinical Rationale FAMILY/GUARDIAN TREATMENT ISSUES: ASSESSMENTS: History Pscyh Assessment Intake Assessment Other Clinical Assessment To Be Assessed Findings/Assessment Results: • STRENGTH: Not a Treatment Issue At This Time Focus of Treatment: (Refer to Goal Sheet) Defer Presently: Clinical Rationale: CASEMANAGEMENT RESPONSIBILITIES: Describe out-side sources involved in Client's treatment and on-going responsibilities of Littler Staff in regards to these resources. Include understanding of responsibility of out-side source discharge planning as well. 8 SUMMARY OF STRENGTHS FOR THIS CLIENT TO BE USED IN TREATMENT: JUS L WICATION FOR TREATMENT: Decomposition of Psychiatric Illness Medication Management/Stabilization Continued Treatment Failures at other Placements or Less Restrictive Levels of Care Crisis Stabilization Escalation of Behavior Problems Safety Issues Other: (please State) _ JUSTIFICATION FOR LEVEL OF CARE: 9 DISCHARGE CRITERIA: _ Absence of suicidal/self destructive behavior Management/Self Management of Aggressive Behavior Medication Stabilization _ Stabilization of Psychiatric Illness Management/Self Management of Feelings Causing Affective or Behavioral Issues Determination of an appropriate Discharge Placement Other(please specify) Other(please specify) DISCHARGE PLAN/FOLLOW-UP NEEDS: Return to Parent/Guardian Intensive Family Treatment _ FosterCare Placement _ Medication Management _ Group Home Medical Treatment _ Return to Public School _ OT/PT Services _ Long Term Treatment Placement _ Perpetration Treatment(Group or Individual) Special Education Program _ Individual Therapy Mentor/Community Referral(specify) Other(specify) Other(specify) 10 Supplemental Narrative to RFP: Exhibit B Recommendation(s) RFP: 01006-Day Treatment North Range Behavioral Health � V � cl cC",1 r ; ;'3 ;f 12: co North Range Behavioral Health Ed Jordan President Judy Richter,R.N.,PhD Vice-President Michele Vetting Secretary May 18, 2001 fly Wye Treasurer Alvin Derrera Past President Frank Aaron, Social Services Administrator Weld County Department of Social Services PO Box A Greeley, Co. 80632 Dear Frank: Thank you and Judy for the letter of May 1, in which Judy reported the results of the RFP Bid process for PY 2001-02. We see no difficulty with the additional recommendations. We will incorporate the recommendations by providing additional communication to Department staff, and by assuring that the treatment plans for day treatment clients will focus on the primary goals of evaluating youth for out-of-home placement and returning the youth to their home and to public school when appropriate. Please contact me if there is a need for any further information. Sincerely, Dale F. Peterson, LCSW, MHA Executive Director 1306 119i i,Avenue/Greeley,CO 80631/(970)353-3686/Fax(970)353-3906 3 NOT DESTROY4&tt '\ DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 1 WEBSITE:www.co.weld.co.us Ili e Administration and Public Assistance(970)352-1551 . Child Supped(970)352-6933 COLORADO May 11, 2001 Mr. Dale Peterson, Director North Range Behavioral Health, Inc. 1306 11 Avenue Greeley, CO 80361 Dear Mr. Peterson: - Re: RFP 01006, The Littler Center,Day Treatment • Dear Mr. Peterson: The purpose of this letter is to outline the results of the RFP Bid process for PY 2001- 2002 and to request written information or confirmation from you by Wednesday, May 23, 2001. A. Results of the RFP Bid Process for PY 2001-2002 Through the 2001-2002 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 recommendations and/or conditions regarding your RFP bid(s). RFP 01006, Day Treatment: Recommendations: 1. North Range Behavioral Health will make more of an effort to maintain communication with Department staff. 2. North Range Behavioral Health will focus on the primary goals of evaluating youth for out-of-home placement and returning the youth to their home and to public school when appropriate. B. Required Response by RFP Bidden Concerning FYC Commission Recommendations. The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendation. Please respond in writing to Frank Aaron, Social Services Administrator,P.O. Box A, Greeley, CO, 80632, by Wednesday, May 23,2001, close of business. You are requested to review the FYC Commission recommendations 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 the recommendation(s) into your bid. If you do not accept the recommendation, please provide written reasons why. If you do not accept the recommendation,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 through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to Wednesday,May 23, 2001. Sincerely, tVi.GP}1 J y e ,Dipector ldbunty epartment of Social Services cc: Dick Palmisano, Chair, FYC Commission Frank Aaron, Social Services Administrator JO:of EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS 211 .`77 I7 I 5 n North Range Behavioral Health Waldo >uclicic\eti;iig Viec-Yresidnit April 15, 2002 Sa remy lira Fia,cr Trcvww T:Lbrduii Gloria Romansik Weld County Department of Social Services P.O. Box A Greeley, CO 80632 SUBJECT: RFP 02-03 06-000 Foster Parent Consultation RFP 02006 Day Treatment Dear Ms. Romansik: We are in receipt of your notification letter dated April 8, 2002 in reference to the results of the RFP Bid process for 2002-2003. North Range Behavioral Health agrees to report outcomes specific to each of the two programs noted above as per your recommendation. Should you need anything further, please contact me. Sincerely, Wayne A. Maxwell Executive Director 1306 11th Avenue/Greeley,CO 80(131 /(970)&S3-3(86/Fns(970)353-390(i 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 1111 COLORADO April 8,2002 Wayne Maxwell,Executive Director North Range Behavioral Health 1306 11 Avenue Greeley, CO 80631 • Re: RFP 02-03 06-000 Foster Parent Consultation RFP 02006 Day Treatment Dear Mr. Maxwell: 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. 1. RFP PY 02-03 06-000,Foster Parent Consultation: Approved with the above recommendation: 2. RFP 02006,Day Treatment: 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: 1 1 Page 2 North Range Behavioral Health 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 Hello