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HomeMy WebLinkAbout20021357.tiff RESOLUTION RE: APPROVE FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN - INNERCHOICE COUNSELING CENTER 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 four 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 Innerchoice Counseling Center, 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) Lifeskills 2) Intensive Family Therapy 3) Option B 4) Alternative Programs to RTC Placements under FPP Option B Home Based Services, 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 Innerchoice Counseling Center, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. 2002-1357 ec.1 55 SS0029 FOUR NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - INNERCHOICE COUNSELING CENTER 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 WEL. COUNTY, COL.RADO ATTEST: fatedeth .er I�,��, •�- �_ -� Gle ad, Chair Weld County Clerk to th J8t . . David . g, ro-Tem BY: Deputy Clerk to the Bo 71 •\ 'c �1 M. J. eile APPROVED AS FORM: 4fA ss,y �,_ illiam H. Jerke < I ( ounty Attorn y obert D. Nlasden Date of signature: (FL 2002-1357 SS0029 firs:sf‘ss, DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 'IWEBSITE:www.co.weld.co.us C • Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 COLORADO MEMORANDUM TO: Glenn Vaad, Chair Date: May 22, 2002 Board of County Commissioners FR: Judy Griego, Director Weld County Departmen f cal Se es RE: PY 2002-2003 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-Innerchoice Counseling Center 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. Innerchoice Counseling Center A. Lifeskills This program is a Lifeskills mentoring program for youth and adults. Targeted areas include (1) Lifeskills development, (2) substance abuse issues, (3) anger management, and (4) mentoring. A total of 24 clients can be served at any one time, average length of program is two to four months, and the average number of clients to be served is ten. Approximately one-third of the families is estimated to be South Weld County, and over half will have availability to Bilingual-Bicultural services. Rate is $45/hour for 8 hours of service per week and$40/hour for 4 hours of service per week. B. Intensive Family Therapy Services are provided to clients utilizing a multi-systemic strength based model. The implementation of these services may include parent-child interventions, marital interventions, non-nuclear family interventions, school-based interventions,peer interventions, substance abuse interventions, and linkages Page 1 oft 2002-1357 Memorandum to Glenn Vaad, Chair Weld County Board of Commissioner Re: Core Service NOFAA PY 2002-2003 families will receive Bilingual-bicultural services, and one-third of the families served will be in South Weld County. The average length of stay is eight weeks. Rate is $75/hr. C. Option B The program provides a maximum of 14 service hours per week for families. The program is tiered so the treatment plan can be individualized to meet the specific needs of the family. Crisis intervention is available 24 hours per day, 7 days per week. Services include in-home family therapy, team leadership, behavior management,family aids,peer and adult mentoring, couples therapy and co-- therapy, group therapy, drug-alcohol therapy, splash events, and restorative justice events. Services are billed on the level system. Level "A"service, $2,300 (6-week average stay); Level C Service, $900,(three-month average stay). Hourly rate per direct service is $48/hr. D. Option B, Alternatives to Residential Treatment Center Placements This program provides highly intensive in-home family therapy treatment and intensive case management services to at-risk youth and their families. Services are provided to families within their natural environments via homes, schools, and neighborhood settings. Services are provided through a four-tiered step-down program. Staff is available 24 hours a day, 7 days a week, and can generally meet at the family's convenience. This program provides services to males and females, ages 0-18, as well as treatment to younger siblings,for approximately three to five months'duration. Services are billed on the level system. Hourly rate is $48/hr. If you have any questions, please telephone me at extension 6510. of Page 2 of 2 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 02-CORE-0018 Revision (RFP-FYC-02005) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and Innerchoice Counseling Center Ending 05/31/2003 Lifeskills 415 Cleveland Avenue Loveland, CO 80537 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Mentoring program for youth and adults. Assistance Award is based upon your Request for Targeted areas include (1) lifeskills Proposal (RFP). The RFP specifies the scope of development, (2) substance abuse issues, (3) services and conditions of award. Except where it is anger management, and(4)mentoring. A total of in conflict with this NOFAA in which case the 24 clients can be served at any one time, average NOFAA governs, the RFP upon which this award is length of program is 2-4 months, average based is an integral part of the action. number of clients served is 10. Approximately 1/3 of the families is estimated to be South Weld Special conditions County, and over half will have availability to 1) Reimbursement for the Unit of Services will be based Bilingual-bicultural services. on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to Cost Per Unit of Service face contact with the child and/or family, as evidenced by client-signed verification form, and as Hourly Rate per Unit (8 hours per week) $45.00 specified in the unit of cost computation. Hourly Rate per Unit(4 hours per week) $40.00 3) Unit of service costs cannot exceed the hourly and Unit of Service 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 Requests for payment must be an original submitted to the X Recommendation(s) Weld County Department of Social Services by the end of the X Conditions of Approval 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 � G By Glenn Vaad, Chair Judy Grie Director Board of Weld County Commissioners Weld unty apartment o Social Services Date: 115/c29/2Gc>a1 Date: 5 (o t]Z oxc'b2-/35? EXIBBIT A SIGNED RFP RFP-FYC-02005 Attached A LIFE SKILLS PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM _ 2002/2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID #RFP-FYC-02005 NAME OF AGENCY: InnerChoice Counseling Center ADDRESS: 415 Cleveland Ave. , Loveland, CO 80537/710 11th Ave. , #301, Greeley, CO PHONE: (970) 690-4853 CONTACT PERSON: Denise E. Klein, LCSW 1riLE: Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Category must provide services that focus on teaching 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 illy 31.2003 End TITLE OF PROJECT: Lifeskills AMOUNT REQUESTED: � i 2/2./6z Name and Signature of Person l'reparing Document Date Judy A .riego Director Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOULREMENTS 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 Project Description Pi 4t Target/Eligibility Populations N'c f Types of services Provided N� e Measurable Outcomes A/C Service Objectives A/c QI'- Workload Standards /VT 64- Staff Qualifications /1'C pit Unit of Service Rate Computation Nc at Program Capacity per Month Ac- OS— Certificate of Insurance Page 26 of 32 INVITATION TO BID RFP-FYC 02005 DATE:February 27, 2002 BID NO: RFP-FYC-02005 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02005) for:Family Preservation Program--Life Skills Program Family Issue's Cash Fund or Family Preservation Program Funds Deadline: March 22, 2002,Friday, 10:00 a.m. The Families,Youth and Children Commission, an advisory commission to the Weld County Department of 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 Life Skills Program must provide services that focus on teaching life skills which are designed to improve household management competency,parental competency, family conflict management and effectively accessing community resources. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date Q 2 ?. C elk/ (After receipt of order) BID MUST BE SIGNED IN INK , se t ale/ !CS („/ TYPED OR PRINTED SIGNATURE VENDOR h C ��cc_ (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS %C dle-ve( .L PV' TITLE liw"} 4n ( ,'�C6fri LO,ie o---,,; i'A S(1. 5 .? 9- DATE 2/ /5- 167 PHONE# 4 7„ - - c/ s' The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 • RFP-FYC-02005 ! t ,ce sit-It 5‘) Attached A Date of Meeting(s)with Social4Ser,vicn Division Supervisor: Comments by SSD Supervisor: ___ ,„„_r_Jit_O"NL-- , iy,,,, /,,,_v_cia,,,,e 4 _,,,,,,,z, Q vct �.. e ik Q ((.3cI a Kii11Cln51 / 9 /- / -) Name and Signature of SSD Supervisor Date Innerchoice Counseling Center 415 Cleveland Avenue Loveland, CO 80537 710 11`" Avenue Greeley, CO 80631 (970) 690-4853 or (970) 231-6673 Contact Person: Denise E Klein, LCSW I. Program Description-Life Skills/Mentoring Program for Weld County Youth andAdults InnerChoice Life Skills Team has the availability to go into the client's home or meet individually within an office setting to assess how we can best serve the client's needs and help them to become more self-sufficient and healthier community participants. Once a thorough assessment has been completed, a life skills counselor will be assigned under the direct supervision of a licensed clinical social worker to help the identified client to create their own individualized treatment plan to address these main targeted areas: 1)Life Skills Development 2)Substance Abuse Issues 3)Anger Management 4)Mentoring Once a complete assessment has been made, a life skills counselor will be assigned who will be under the direct supervision of a licensed clinical social worker. The life skills counselor will help the client to create their own individualized treatment plan to address any or all of the above listed areas.All treatment plans will be evaluated two limes per month with the treatment team( life-skills counselor, case managers, substance abuse counselors and clinical supervisors). Case notes and progress reports will be faxed weekly to case managers at Weld County Social Services for quality assurance. Clients will work with a life skills counselor at least one hour individually per week. Some of the life-skills services that can be accessed include: • Job hunting skills -How to interview, application writing,establishing and identifying good work habits, and identifying the importance of transportation assistance and planning. • Housing - Assistance finding housing, what choices do we have, what questions to ask, leases, role of the landlord,how to get utilities hooked up, deposits, and how to be a good neighbor. • Health - Education about sexually transmitted diseases, substance abuse groups, nutrition issues, how to find a doctor and/or dentist, hygiene issues, pregnancy testing and contraceptive usage. • Transportation-How to ride the bus,how to buy a vehicle,drivers license testing assistance, insurance issue and how to maintain the upkeep of a vehicle. • Housekeeping - How to get your kids to do chores, how to run a household, pay bills and budget allocations for expenditures. • Leisure Activities-How to stay out of trouble,the laws and statutes,exploration of healthy interests and hobbies, staying fit, staying sober, how to make pro-social peer contacts and adult contacts, community support groups, and healthy community resource development. • Education- Career planning,resource identification, GED Testing,career inventories, and college tours. • Empowerment- How to be assertive, family relationships, sexuality, spiritual issues, pro- social support systems,problem solving, and social responsibility ethics discussions. Life skills counselors are available to help youth find alternative activities within the community that will lower their risk of becoming involved in gang-related activities, substance abuse or any other unhealthy and/or illegal activity. The counselors are of all ages and are chosen for their ability to be a positive role model and join with resistant clients. The life skills counselors teach and empower the client to be more confident in his or her own capabilities,and to participate and feel like they are a contributing member within their community. One of the main missions of InnerChoice Life Skills Program is to help the client know how to continue pro-social support for their goals once they have completed the life skills program. A wide umbrella of groups has been created to meet the client's identified needs that sometimes can best be met through a pro-social support group.InnerChoice staff are constantly increasing their level of service options in this arena to include: • Parenting Support Groups and Classes • Empowerment Groups • Attitude Awareness Classes • Substance Abuse Groups • Rotating Life Skills Curriculum • Anger Management Courses • Dating Issues Group • Mood Disorder Groups • Pro-social Development Groups • Grief and Loss Issues Support Groups • Art therapy Groups • Psycho-drama Groups • Budgeting and Financial Planning Education • Self-care Groups • Splash Events • Restorative Justice Activities • Conscience Raising Activities • 17. Target/Eligibility Population • Criteria for accepting a client: InnerChoice's staff is committed to providing services quickly to clients that are appropriate for this service. The first criteria is that the client is "a child" who is at risk for out-of-home placement or a "parent of a child"who is at risk of out of home placement. The second criteria is that the client is committed to working on their issues and are evaluated as "customers for change". • The life-skills counselor will not carry a caseload greater than four individual clients. Six life skills counselors will be available to provide a wide range of assistance to the clients. Being served in this program..A total of 24 clients can be served at any given time. The age range is 12 years old and up. The average number of clients to be served is ten. Approximately one-third of those families are estimated to be in south Weld County and over half will have availability to bilingual/bi-cultural services. • The gender,ethnic,and diagnostic mental health needs of the client will have "top priority" in matching the client with the most appropriate staff. For example, if a client would be more open to a male counselor then every effort would be made to accommodate that request. If a Hispanic client is referred, a Hispanic counselor will be accessed. Special hiring measures have been taken so that Hispanic and bilingual staff are available to serve Hispanic clients. • Client strengths will also be prioritized in selecting counselors. InnerChoice prides itself in having a large staff with diversified training, expertise, and experience in working with a wide array of clients. For example, if a client is interested in being artistically creative, they will be provided an art counselor or if they enjoy the outdoors and sports activities, an experiential counselor will be utilized; if a client enjoys spending lime with animals,then an equine counselor will be utilized. • Average length of stay in the program is two to four months. InnerChoice staff work as quickly and efficiently as possible to help the client increase their life skills and community resource networking.The goal is to immediately start connecting the client with their natural support systems within the community so that the length of stay in treatment cane be shortened. • Program availability is 24 hour per day on call crisis coverage for all clients. A licensed clinical social worker or mental health professional is available for case management and crisis intervention 24 hours per day, 7 days per week. • The average length of stay in the program is 2- 4 months. HI. Type of Services Provided A. InnerChoice Life Skills Counselor When a client is referred,the service director will meet with the referring case manager to determine the needs of the client. The director will also meet with the client to assess which staff counselor will best fit the needs of the client. The service director then meets with the counselor to design a program that best fills the desired goals of the client and referring case manager. The counselor will work directly with the client in the community, to coach, and direct the client in whatever skill is needed. Bilingual staff are available to work with Spanish speaking clients. The client can be placed in a life skills group depending on their needs and the referring agent's request. Life skills are demonstrated to the client. Then the client is encouraged to tackle the task with the counselor coaching. In the life skills group, the clients take a test in each major area listed. In class, they will work on assignments that will help them directly in each specific area. After the class, during the following week,the assigned counselor will further assist the client in successfully completing each life skill area taught in class,main emphasis will be placed in each clients' area of specific need. B. Substance Abuse Counseling and Education InnerChoice substance abuse counselors are case workers with a CAC II or III,who are providing drug and alcohol assessments, one-on-one counseling and group therapy to youth and adults with substance abuse problems. The services will be provided within an office setting. The program is designed to assess and target the needs of the individual. InnerChoice believes in focusing on individual strengths and family strengths to help clients overcome their addictions.Assessments will consist of self-disclosure reports, Substance Abuse Subtle Screening Inventories,Alcohol and Drug Differential Assessments and the Beck Depression Inventory in an effort to determine risk factors. C. Anger Management Counseling and Education InnerChoice life skills counselors are trained to provide individual and group psycho-educational services for anger management clients. Role-playing,joumaling, and experiential activities which address anger management issues will be covered during these sessions. Family of origin issues and corrective thinking errors will also be addressed. D. On-call services On-call services are available to life skills clients 24 hours a day, seven days per week by the on-call clinician. Clients are encouraged to use this service for crisis mediation. Group Therapy -Life Skills Education/Drug alcohol/Anger Management Group is an eight week group designed to be started at anytime. It incorporates substance abuse education with life skills, and anger management. This unique group is designed to be educational, fun and beneficial. • Week 1-We discuss leisure activities that are not connected to substance use. We will discuss why clients have used drugs and/or alcohol, what kind of trouble they have been in as a result of the substance abuse, and what their other options might be. (Set goals for the week) Week 2-We will discuss personal care. How does substance use and abuse effect your health. We will begin to discuss the effects of drugs and alcohol, and play a game that teaches drug facts. (Discuss goals for the week) Week 3- We talk about money issues and how much money we have spent on drugs and alcohol. What kind of legal trouble has your substance abuse created,and how much did it cost you?We will plan our budgets and talk about job hunting.(Set goals for the week) Week 4-We will discuss drugs,tattoos,body piercings, and sex, and how and why these are high- risk activities. We will offer HIV testing in group, these are the mouth swab tests. We will discuss what happens if you are positive. (We will discuss safe sex goal) Week 5-How do you handle an emergency? We will discuss how to protect yourself on the street, street drugs such as Ecstacy, Meth, Heroine, LSD, and how you can die or become ill from these drugs. We will watch a video on Ecstacy. Week 6-We will talk about finding your own home.How to lease or rent your own place,what you need to know about roommates and how not to set yourself up with high risk roommates. Set up housing goals. Week 7 - What's wrong with gangs? Video and open discussion on gangs, how to find healthy solutions. Long-term and short-term life goals. Week S-. We will do a life-plan worksheet wich covers friends, family, work, education, material goals,and spiritual goals. Discuss how to stay committed to your goals and get pro-social support to help you achieve them. Create a life contract with yourself. Mentoring Program - When a client is referred to the life skills program the counselor will talk with the client and the client's parents to assess which mentor will best suit the client. The next step is for the mentor and the client to meet. This meeting is facilitated by the counselor with the client's parents in attendance. At this time, the family gets an overview of what the program is about and what the goals and expectations of the client are. They are asked to sign a release of information so communication can be exchanged with the caseworker.A Right to Transport form is then signed so that the mentor can transport the client. We ask for a commitment from the client to keep their appointments with their mentor. Should the client need to cancel,we ask that it is done in a timely manner. The mentoring program specifically provides a young adult role model to spend one-on-one time with an at-risk youth,of any age.Mentors are not counselors and are there to support and listen. Any specific goals set for the client are supported and facilitated by the mentor. A mentor can help with specific life skills,tutoring,help with family chores and training. We have mentors who specialize in grief and loss who can help facilitate the grieving process in an informal setting, as a friend. We also have mentors who specialize in substance abuse issues who can work with the youth to help them find other alternatives to drugs. Other common areas our mentors can help with are abuse in the family, gang involvement, and anger management. Levels of care: Level I Service Four hours of service per week consisting of any combination of mentoring, life skills education, substance abuse counseling and any psycho-educational or therapy group - $40.00 per hour. Level II Service Eight hours of service per week consisting of any combination of mentoring, life skills education, substance abuse counseling and any psycho-educational or therapy group - $45.00 per hour Quantitative measures will be approximately 80 percent therapy services(direct care)to include the administration of psycho-educational assistance in the development of life-skills such as stress reduction,problem solving,budgeting,hands-on parenting,support groups,mentoring, Ten percent will be case management and the final percent will be an additional 10 percent directed towards collateral contact training and referral based services. Clinicians will make sure that services are not duplicated by contacting and collaborating with other service providers on a weekly basis. Capitated services will be utilized whenever possible to lower the costs to the county and when formally approved by the county case worker. II.Measurable Outcomes-At the beginning of services,a written assessment of the client's needs will be created and an eight week follow-up plan. Every two weeks, the counselor will staff the progress of the client with the team members. Strengths will be assessed and continually used by the counselor to empower the client to continue with on with his or her goals. If a client is not progressing or responding,other methods will be approached or other counselors will be brought in to help. If a client is completely non-compliant, the referring agent will be notified as soon as possible to discuss other approaches or termination of services. As long as a client continues to work with his or her counselor and attend groups and one-on-ones, and meets goals and passes the required assignments they will continue in the program. The life skills counselor will be in direct contact with the Weld county case manager on a weekly basis and case notes will be faxed bi-monthly to report the progress of the client. Life skills progress will be measured by continued assignments and testing where can be applied. Pre-treatment scores and termination scores will be monitored for treatment outcomes. • • 90% of the clients that complete the life skills program will have a working knowledge of the skills they were taught. Clients will have received direct coaching on all skills that have been designated as part of their life skills goals. For example, if a client was trained on parenting skills,they,after training,will be observed while demonstrating what they have learned. Until they adequately demonstrate the skill,the life skills counselor will continue to work with them in that area • 90%of adolescents referred will complete the mentoring program. Clients mentoring will receive hands-on experience with many of the leisure activities available in their community. They will have the opportunity to meet new peers and will explore new interests in a effort to get them interested in healthy activities. All the clients who complete the program will learn new options to replace their old behavior. • 85% of the clients who complete the substance abuse program will receive a measurable education about most of the drugs they have used.They will receive the life skills needed to make better choices about their substance use and lifestyle choices. All clients in group and with the help of their counselor will complete long-term and short-term goals.The will work out an in-depth plan that will be written out step-by-step to help them achieve their goals. • Clients involved an any aspect of the life skills and mentoring will improve their life skills and knowledge through varied and creative therapeutic styles. Clients will reduce their negative resistance through the mentors' and counselors' abilities to uncovering their unique needs and strengths by joining with their clients. V. Service Objectives A. 90% of the clients served in this program will develop their life-skills and will be able to incorporate them and replace habits of self-medicating and self-defeating behaviors. With the resources we have available,InnerChoice,along with the suggestions of the case manager will implement a plan that best suits each client with a variety of services available such as assessments,substance abuse counseling,mentoring,life-skills education and support groups for substance abuse. A treatment plan can be made to accommodate the needs of the population being served. 13. Life skills counselors,substance abuse counselors and group counselors will work together throughout the program to adapt a support plan for each client as they progress in treatment. Through individual counseling and group therapy,the goal is to support the client as they work through issues that keep them stuck in the cycle of substance abuse. Additional support will be added as needed with life-skills counselors and mentors. Stress reduction, problem-solving education, self-care and leisure time will continue to be assessed by the individual counselor, so that stress factors can successfully be reduced in the client's life. C. Ninety-five percent of the clients will develop alliances through natural, familial, and community supports such as extended family,AA Services,Al-A-teen Groups,NA Groups, Cornerstone, The Boys and Girls Club,their local churches,health care professionals, and neighborhood groups and a variety of community organizations. D. A follow-up program can be implemented for clients who need additional support after they complete the initial eight week program offered though InnerChoice. Ongoing support groups and counseling will be available to each client on a"sliding fee scale" in an effort to provide low cost strength based services. VI. Workload Standards A. The typical staffing pattern for individuals inthis program would be a treatment team consisting of the referring case manager, a life skills counselor, a CAC II or CAC III, a mentor and a clinical supervisor. B. Individual appointments and groups will be scheduled in the afternoons, evenings, or weekends as needed to fit into each client's schedule. Clients will receive a minimum of four hours of service per week. Twenty-four hour on-call crisis management is available by a licensed clinician. C. Life skills counselors will serve no more than four individual clients per week. Group counselors will facilitate no more than three groups per week. Twenty-four staff members are employed through InnerChoice Counseling with a wide array of skills and styles to help facilitate the success of each client. All counselors,mentors and group leaders are clinically supervised by an LCSW and a CAC III. Supervision occurs once a week and are mandatory for each staff member. D. An average of eight substance abuse clients can be served per week in one eight week group. A maximum of three groups will be running at any given time. Five CAC counselors are available to see up to five clients per week individually. E. Motivational interviewing and multi-systemic therapy will be utilized as the treatment modality by certified substance abuse therapists. F. Certified addiction counselors will be available for appointments Monday through Saturday 8 a.m. through 8 p.m. for individual counseling sessions and groups. On-call support for crisis situations is available 24-hours a day and seven days per week. G. Six CAC counselors are available to provide these services. Ten mentors are available and six life-skills counselors. H. The clinical supervisor will supervise no more than four CAC counselors. An LCSW will supervise the mentors and the life skills counselors. I. InnerChoice counselors are required to have their own personal professional liability policy and the agency is covered through American Professional Agency in New York,New York. VII. Staff Qualifications Denise E. Klein-LCSW Denise serves as the Program Director for InnerChoice Counseling Center. She will coordinate inter-agency services and will manage the Inner Choice teams as they provide services to each family. Denise earned a Bachelor's Degree in Social Work from Minot State University and a Master's Degree in Social Work from the University of North Dakota. She was trained in multi- systemic therapy at the graduate level and began her first paid position as an in-home therapist. She has 12 years of experience in working with youth and families. She has developed and implemented two separate Intensive In-home Family Preservation Programs in North Dakota and Minnesota. Denise also worked at the Grand Forks Air Force Base with families with multi-cultural backgrounds providing service to youth and their families reported for child and spouse abuse. Denise has also served as a guardian ad litem,court appointed visitor,supervised visitation monitor and foster parent. Linda Griego-MS, CAC III Linda will serve as the Clinical Director of the InnerChoice Substance Abuse Program overseeing the direct care initiatives and requirements of each client. She has 12 years of substance abuse counseling experience working at the Hope Center, Beaucaire Youth Services, Drug Court in Larimer County,and the State Probation Department in New Mexico.She specializes in serving high risk oppositional youth facilitating individual and group sessions. Rose Moon-BA,CAC II Rose will serve as the Life-Skills and Mentoring Program Manager assisting in referral distribution,case management, assessments individual and group counseling. She will work with case managers to determine the needs of each client. She will then assign counselors to the client and monitor all services. Rose will communicate weekly with each agency representative to assist in the success of each client.Rose has worked with youth and adults for the past ten years. She has worked in personnel management,risk management, and has managed mentoring programs for the past three years. She has a degree in art and has worked as a professional artist for the last 12 years. Rose has been able to use this experience in creating strategies for clients with artistic and creative interests. She has developed InnerChoice's Life Skills Program and facilitates the art therapy groups for all ages. Rose is presently working on completing her CAC III and will continue to work directly with clients with addictions and will run the substance abuse,life skills and mentoring program for InnerChoice Counseling. CAC I,II,III(5)-this position requires the state ADAD certifications,or the CAC I must be in the process of completing the class work for the certification. All substance abuse counselors will be supervised by a CAC III. Life-Skills Counselors (6)- must have a high school diploma and a Bachelors degree from any accredited college. Our counselors have a variety sr skills and interest to add diversity to our life- skills program. Mentors(10)-Must have a minimum of a high school diploma and have the qualities to be a good role model to be involved in the program. All Employees-Must have a clear Central Registry Background Check,be drug free and not abuse alcohol. All employees must consent to random drug testing if we feel it is necessary. Any employee who has abused drugs or alcohol in the past, have to have five years of sobriety. At the present time we have 24 staff available for this program. We have a waiting list of ten to fifteen people who wish to work for us at any given time.All staff must have a clean driving record and carry current insurance and a license. All of our mentors and life skills counselors must complete a training course before they can begin. Training consists of driving safety, high risk situations, safety in the home and community, and first aid training. VIII. Computation of Direct Service Rate (See Attached) Minimum#of clients for this program- 3 Maximum#of clients for this program-24 Innerchoice is designed to meet a wide continuum of level of care based on the minimum and maximum number of clients to be served. We have many part-time staff who are flexible with their hours to either increase service or decrease service hours as needs increase and decrease with the families and with county referrals. We have cross over programs that help to counter the effects of a decrease in referrals in on one or more other programs. Overheads costs are kept low to ensure the maximum amount of services for a lower cost to the county. Lir-e._ 5' kir( Is RFP-FYC-02005 pi (C f an% Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This form is to be used to provide detailed explanation of the hourly rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill the Weld County Department of Social Services for direct, face-to-face services provided to clients referred for these services by the Department. Requests for payment based on units of service such as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving direct face-to-face services will not be honored. Likewise, billings must be for hours of direct service to the client, regardless of the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. (Explanations for these Lines are Provided on the Following Page) Total Hours of Direct Service per Client Hours (A] Total Clients to be Served Clients [B] Total Hours of Direct Service for Year " ,j"l Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ Per Hour [D] Total Direct Service Costs $ 3 2 "1 F'• - (E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ ) [F] Overhead Costs Allocable to Program $ �• [G] Total Cost, Direct and Allocated, of Program$ /O r`,r q [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] ) $ " ~�- [U] Total Hours of Direct Service for Year ` `" [K] (Must Equal Line [C]) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of cl C1,r Social Services $ [L] Day Treatment Programs Only: Direct Service House Per Client Per Month [M] Monthly Direct Service Rate $ (N] Page 31 of 32 /ee SKr' 11s • 4 hc(Ad"5 pee RFP-FYC-02005 /' P � off yr�,.Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This form is to be used to provide detailed explanation of the hourly rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill the Weld County Department of Social Services for direct, face-to-face services provided to clients referred for these services by the Department. Requests for payment based on units of service such as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving direct face-to-face services will not be honored. Likewise, billings must be for hours of direct service to the client, regardless of the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. (Explanations for these Lines are Provided on the Following Page) Total Hours of Direct Service per Client Hours (A] Total Clients to be Served ' Clients (B) Total Hours of Direct Service for Year Hours [C] (Line [A] Multiplied by Line (B] Cost per Hour of Direct Services $ 1 Per Hour (D] Total Direct Service Costs $ I ? 2 / [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ � � (F] Overhead Costs Allocable to Program $ ) ' 7 G 4' [CO Total Cost, Direct and Allocated, of Program$ 14 7 551O (H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ -^ ' •M (1) Total Costs and Profits to be Covered C, y 9 p (J] by this Program(Line [H] Plus Line [I]) $ Total Hours of Direct Service for Year I 54.- (K) (Must Equal Line (C) ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ TO-'o® (L] Day Treatment Programs Only: Direct Service House Per Client Per Month [M] Monthly Direct Service Rate $ (N] Page 31 of 32 (9%/ 0/25/01 SOCIAL WORKER PROFESSIONAL LIABILITY POLICY NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT"IN THE POLICY). DECLARATIONS POLICY NO: SWL-6776991 ACCOUNT NO: CO—INNE415-0 03883335 ITEM 1.(a)NAME AND ADDRESS OF INSURED: ITEM 1.(b)ADDITIONAL NAMED INSUREDS: DENISE ELLEN KLEIN LISA MELVILLE INNER CHOICE COUNSELING CENTER 415 CLEVELAND AVE LOVELANO. CO 80537 TYPE OF ORO: LLC ITEM 2. ADDITIONAL INSUREDS: ITEM 3. POLICY PERIOD: FROM. 11/01/01 TO: 11/01/02 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: ITEM 4. LIMITS OF LIABILITY: (a)$ 2.000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b)$ 4.000.000 AGGREGATE (c)$ 5.000 DEFENSE REIMBURSEMENT ITEM 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM PROFESSIONALS 2 71.00 142.00 PARAPROFESSIONALS 8 48.00 384.00 INDEPENDENT CONTRACTORS 5 26.00 130.00 DEFENSE LIMIT .00 ITEM 6. RETROACTIVE DATE 11/01/01 TOTAL PREMIUM: 656.00 ITEM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM (If exercised):$ 656.00 ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: 414 #65852 7/96 065853 (7/96) 52134 10/91 66053 AUTHORIZED COMPANY REPRESENTATIVE FII$INtaT4A BILL. PREMIUM HAS BEEN PAID. EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS INNERCHOICE COUNSELING 710 11`° Avenue Greeley,CO 80632 Cell(970) 690-4853 Office (970) 461-9115 April 15, 2002 Dear Judy Griego, I am writing this letter in follow-up to the recent correspondence that I received regarding the RFP Proposals 02005, 02008 and 02110 -Option B and Alternatives to RTC Placements. Per your request, I am noting the number of hours our program will serve each client per week for each initial referraL Lifeskills: Minimum (4) Maximum (8) Intensive Family Therapy: Any Number requested Option B: Minimum (3)Maximum (14) Alternatives to RTC Placements: Minimum (5) Maximum (25) All levels of care shall be determined by the referring case manager through Weld County Social Services. The outcome of the program will be monitored through the Child Well Being pre-tests and posts tests. All other recommendations noted in the RFP Bidding process outcome letter shall be shared with Innerchoice staff members and incorporated into our program protocols. Thank you for your correspondence and feedback. We look forward to working with you and your staff. Please don't hesitate to let us know if there is anything else you need regarding the current bidding process. Sincerely, ifatA,,j, "1126_, e Denise E. Klein,LCSW Innerchoice Counseling Program Director rC) p DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 1 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352 6933 COLORADO April 10, 2002 Denise E. Klein,LCSW Innerchoice Counseling Center 415 Cleveland Avenue Loveland , CO 80537 Re: RFP PY 02005 Lifeskills RFP 02008 Intensive Family Therapy RFP 02010 Option B RFP 02010 Option B, Alternatives to RTC Placements Dear Ms. Klein: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or 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 recommendations and/or conditions 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. The FYC Commission approved the following condition for all Option B and Intensive Family therapy programs. The condition reads as follows: Condition: State the number of hours your program will serve each client per initial referral. 1. RFP PY 02005,Lifeskills: Approved with the above recommendation. Page 2 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 2. RFP 02008,Intensive Family Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will St set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 3. RFP 02010, Option B,Home Based Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes specific to their program. (See above recommendation for all programs) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. Page 3 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 4. RFP 02010, Option B. Alternatives to RTC Placement; FYC Recommendations: • Innerchoice, Option B-Alternatives to RTC Placement, will report outcomes specific to their program. (See above recommendation for all programs) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited Page 4 Innerchoice Counseling Center Results of RFP Process for 2002-2003 ■ No additional services will be initiated without the approval of the Department of Social Services caseworker. B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. 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: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept the.recommendation(s) as written by the FYC Commission; or a. request alternatives to the FYC Commission's recommendation(s); or b. 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. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s),you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. 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 April 17, 2002. Sincerely, Judy A. Griego, Director 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 02-CORE-0019 Revision (RFP-FYC-02008) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and Innerchoice Counseling Center Ending 05/31/2003 Intensive Family Therapy 415 Cleveland Avenue Loveland, CO 80537 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Multisystemic strength-based model. Services Assistance Award is based upon your Request for may include parent-child interventions, marital Proposal (RFP). The RFP specifies the scope of interventions,non-nuclear family interventions, services and conditions of award. Except where it is school-based interventions,peer interventions, in conflict with this NOFAA in which case the substance abuse interventions, and linkages with NOFAA governs, the RFP upon which this award is community support. 36 families served at any based is an integral part of the action. one time, ages 0-18, average number of families served per month is 8. Average length of stay is Special conditions 8 weeks. One-third of families will receive 1) Reimbursement for the Unit of Services will be based Bilingual-bicultural services, and 1/3 of families on an hourly rate per child or per family. served will be in South Weld County. 2) The hourly rate will be paid for only direct face to Cost Per Unit of Service face contact with the child and/or family, as evidenced by client-signed verification form, and as Hourly Rate Per Unit $ 75.00 specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and Unit of Service 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 Requests for payment must be an original submitted to the X Recommendation(s) Weld County Department of Social Services by the end of the X Conditions of Approval 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: //I , '� Program Official: By -�ls�u'u+J!/�E�"\ By Glenn Vaad, Oran jj Jud o,Direct Board of Weld County Commissioners Wel ouun Department of Social Services Date: o5/a9/hooa Date: UI(o Q,Z., O2'ioa-1357 EXHIBIT A SIGNED RFP RFP-FYC-02008 Attached A INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#RFP-FYC-02008 NAME OF AGENCY: InnerChoice Counseling Center ADDRESS: 415 Cleveland Ave. , Loveland, CO 80537/710 11th Ave. , #301, Greeley, CO PHONE:( 970 ) 690-4853 CONTACT PERSON: Denise E. Klein, LCSW TITLE: Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists.typically with all family members. to improve family communication.functioning. and relationships 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: Intensive Family Therapy Program G 21 1 & , J(s -' 3/2v /c2. Name and Signature of Person Preparing Document Date Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal for Bid.For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund Year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 Project Description MC 0E- Target/Eligibility Populations NC 1)r- Types of services Provided $1 C 1) Measurable Outcomes )1(4- 12f.• Service Objectives NC Q.L Workload Standards 4�L Staff Qualifications iVG .� Unit of Service Rate Computation /t/L- Program Capacity per Month A/C DLL Certificate of Insurance Page 25 of 31 • INVITATION TO BID DATE:February 27,2002 BID NO: RFP-FYC-02008 RETURN BID TO: Pat Persichino,Director of General Services 915 10th Street,P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02008) for:Family Preservation Program--Intensive Family Therapy Program Family Issue's Cash Fund or Family Preservation Program Funds Deadline: March 22,2002, Friday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing 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 Placement Alternatives 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 Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists, typically with all family members,to improve family communication, function, and relationships. 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 4-7-,vu C Il L d:c9t) (After receipt of order) BID MUST BE SIGNED IN INK b/� �1 e ,7 i :r tit-. /ft%r': _Le*.45 TYPED OR PRINTED SIGNATURE VENDOR To.l-,-'r:bc-;cr C.ru"-,se<(;'re (Name) / Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS l//S- l.! or ekfn:i_ :41/c/rick TITLE O / ritv,h-z_: Lc2(?fCr-1 , (.-c i3)fl DATE _ -,7c1? PHONE# r; 79 -- e 7i' — 't<L o; The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 L. , RFP-FYC-02008 Attached A Date of Meeting(s)with Social Sergi ces Division Supervisor: /6:0,-R Comments by SSD Supervisonr -t _ f _P It , ;.44, ft_. t f k nl Lip t i k Lf( ti Er �U F L ix ci� 0 ��-� / rfr �C L 1O(- $L10 •-C�/ P 'rt--e, �-�C. IF)1/47 6__)iv_e.':_HTLLL , cfi 1 ffeii0, bitt) 3 —1511)2Name and Signature of S Supervisor ' Date Page 26 of 31 InnerChoice Counseling Center 415 Cleveland Avenue Loveland, CO 80537 710 11th Avenue Greeley, CO 80631 (970) 690-4853 or (970) 231-6673 Contact Person: Denise E. Klein, LCSW • L Program Description InnerChoice Counseling Center provides "Intensive Family Therapy" to children and families. The services are provided to clients utilizing a multi-systemic strength based model. InnerChoice therapists empower families by using identified strengths to develop natural support systems and view the parents as the solution, as opposed to the problem. The implementation of these services may include: • Parent-Child Interventions • Marital Interventions • Non-nuclear Family Interventions • School-based Interventions • Peer Interventions • Substance Abuse Interventions • Linkages with Community Support Mission Statement: InnerChoice is committed to providing services professionally and expediently to families who are dealing with family conflict and seeking a strength based and solution based model to empower and strengthen the family unit. • By providing a safe environment for families to explore issues that affect the stability of the home and help family members to problem solve together so that the family unit can remain intact. • By providing an individualized family treatment plan which identifies the needs of each family member so that services can be tailored to meet the "unique needs" of the family. • By teaching family members to come from a strengths perspective and empower them to advocate for their themselves and their family members so that they learn to view one another as natural supports. • By empowering family members to view their unique strengths as a powerful tool to work through family crisis and create a more cohesive family unit. • By helping family members to feel hopeful about the future in regard to healthy family functioning and movement away from dependency on the system towards self- sufficiency. II. Target/Eligibility Population Families to be served • Criteria for Accepting a Family: InnerChoice's staff is committed to providing services quickly to families that are appropriate for services. The first criteria is that the family is committed to staying in tact, are "customers for change", and participate actively in the therapeutic process. • The family therapist will not carry a caseload greater than six families within this program. Six family therapists will be available, providing a wide range of unique intervention specializations, so that the appropriate fit between therapist and family can be made. A total of 36 families can be served at any given time. Youth can range in age from 0-18. The average number of families served is eight. • The gender, ethnic, and diagnostic mental health needs of the family will have TOP PRIORITY in matching the family with the most appropriate staff. For example, if a family would be more open to a male therapist, every effort would be made to accommodate that request. If a Hispanic family is referred, a Hispanic family therapist will be accessed whenever possible. Special hiring measures have been taken so that Hispanic and bilingual staff are available to serve Hispanic families. If a family member is diagnosed with a mental health issue that a particular therapist has more expertise in treating, then that therapist will be matched with that particular individual client. At lease one-third of the families served will receive bi-cultural/bilingual services. At lease one third of the families served will be in South Weld County. • Family strengths will also be prioritized in selecting therapists. InnerChoice prides itself in having a large staff with diversified training, expertise, and experience in working with a wide array of families. For example, if a family is interested in being artistically creative, they will be provided an art therapist; or if they enjoy the outdoors and sports activities, an experiential therapist will be utilized; if a family member enjoys spending time with animals, then an equine therapist will be utilized. If necessary co-therapy can be conducted when the need arises for this service. • Average length of stay in this program is eight weeks.InnerChoice staff work as quickly and efficiently as possible to help the family to create the change required to meet their treatment goals.. • The average number of direct service hours per week is 2-4 per family. Innerchoice places a great deal of emphasis on providing excellent communication with collateral contacts, documentation, multi-disciplinary meetings and clinical reviews so that the flow of communication remains consistent and current. • Program availability is 24 hour per day on call crisis coverage for ALL FAMILIES. A licensed clinical social worker or mental health professional is available for crisis intervention 24 hours per day, 7 days per week. • III. Types of Services Provided Program Positions and Services CLINICAL MULTI-SYSTEMIC THERAPIST 2 to 4 hours per week A licensed clinical social worker, psychologist or licensed marriage and family counselor trained to assess, diagnose and treat families,will provide individual and family therapy to family members referred to this program. However,the family therapist will also assess for "natural supports" and start connecting family members with their family supports and community supports by at least the second week of enrollment in the program. InnerChoice will also assess for services that are already in place in an effort to make sure that services are not duplicated and utilize other financial resources whenever possible to decrease the cost to the county for this program such as Senate Bill 94 Funding, Victim's Assistance and outside insurance providers. The family therapist will place special emphasis on maintaining good communication with the referring case manager and all other collateral contacts. They will schedule multi- disciplinary meetings to review treatment goals. These meetings ensure quality management and expedient service delivery. They provide a consistent time frame to measure and document the effectiveness of treatment goals relative to client and family functioning. The multi-disciplinary meetings also ensure that the treatment goals are on target and continue to meet the family's changing needs and can be modified as the issues change. The family therapist will also provide crisis management to families in acute crisis and will access specialists when the diagnosis is outside of the provider's realm of training. Co-therapy is also widely utilized with InnerChoice families. InnerChoice therapist's are trained to work together as a team when working with challenging client's and families multiple diagnosis and perhaps more than one child at risk out of home placement. The multi-systemic model that InnerChoice therapists utilize is especially designed for children who are at risk of being taken out of the home and have serious oppositional and conduct disorder diagnosis. InnerChoice's success rates with these difficult families is high because of the focus on the families strength's,joining, solution focused treatment,team building, creative self-esteem building and the over all multi-systemic approach. Seventy-five percent of families referred will make progress in treatment and the child-well being scale will be utilized to measure this success. B. Community Collaboration Efforts 1. Weld County Department of Human Services. Referrals and case management services which include meetings,treatment planning and discharge. 2. Weld County Department of Mental Health. Case management, coordination of psychiatric evaluations,therapeutic services and testing. 3. Colorado Department of Education. Coordination of case management,multi-disciplinary staffmgs, and testing. 4. Weld County Probation Department. Coordination of case management, multi-disciplinary staffings and testing. 5. Any other agencies providing services to the family. InnerChoice staff will get signed releases and coordinate the efforts of all other service providers involved with the family when deemed necessary by the Weld County and train client's access these services on their own. C. Program Components 1. Therapeutic Psychiatric consultation services Psychological consultation services Multi-systemic family therapy services Co-therapy sessions Cognitive behavioral therapy services Referrals to Group therapy services Drug and alcohol therapy services Equine therapy Art therapy Music therapy Experiential therapy Guided Imagery Psycho-drama therapy Psycho-educational therapy 2. Behavorial Behavorial modification Correcting cognitive thinking errors Refusal skills Life skills Conscience raising exercises Psycho-Educational Parenting skills 1-2-3 Magic Anger management Stress management Team building exercises Vocational/Independent living skills Physical health needs(nutrition,medical, sex education, HIV and contraception) 3. Referrals to Recreational Outings Splash events Restorative justice events Team sports Individual recreational mentoring activities Individual and family experiential activities D. Parental Caretaker Involvement 1. Parents will be encouraged to participate and be involved in the therapy. All activities will be implemented in order to assess,treat, and define family issues so that when the family has completed the program,they will know how to utilize family strengths and problem solve from this perspective. E. Assessment and Plan 1. After the initial referral is made to InnerChoice, the family therapist will initiate a contact with the family and assess appropriateness of service. Once it is established that the family can benefit from services, a contract for level of care will be established. The level of care will be determined by the unique needs of the family and number of outside service providers involved. Once the level of care has been determined, the family therapist through InnerChoice will make contact with the Weld County Case Manager to make recommendations for the formal authorization for the level of care. Levels of Care Twenty Direct Service Hours - Level One (Client can utilize anytime in six month time frame-$70.00 per hour) $1,400 Forty Direct Service Hours -Level Two (Client can utilize anytime in one year time frame- $65 per hour) $2,600 Or provider can access individual hourly rate of$75 per hour for office counseling if NO using the level system. F. Pro-Active Planning 1. The reintegration plan will begin to be developed as early as the first weeks enrollment in the program. The family therapist will be looking at natural support systems via kin and the community so that the family does not become dependent on InnerChoice staff. 2. Initially, InnerChoice will provide micro-management in regard to accessing and utilizing these natural supports, however, once the family members have been provided the necessary skills in accessing the support they will then be encouraged to develop and strengthen these strategies with little outside intervention. 3. Continuity of care with other agencies providing services to the family will be prioritized throughout the length of stay. InnerChoice staff will contact collateral contacts on a weekly basis to ensure the quality of inter-agency communications and coordination of treatment so that treatment goals can be targeted as a team. 4. Inner-agency staffmgs will occur frequently to review treatment goals and ensure that the therapists are helping the families to work towards their goals in an efficient and expedient fashion. 5. Diagnostic and medical evaluations will be given top priority so that medical and mental health concerns can be addressed as quickly as possible. It is important that any impairment from medical/mental health complications can be minimized and treated so that clients can accelerate their progress towards their therapeutic goals. 6. After-care groups and splash events will be provided on a sliding fee scale for family members so that they can continue to access support and maintain their treatment goals through InnerChoice. 7. Clinicians will utilize the assessment tool to gather initial assessment scores, three month assessment scores and discharge scores. A 12- month follow-up assessment will be done to determine success and recidivism rates. 8. Program availability is 24 hour per day on call crisis coverage for all families. A licensed clinical social worker or mental health professional carries a pager and is available for case management and crisis intervention 24 hours per day, 7 days per week.A critical incident report form will be filled out and sent to the county any time a crisis contact is made with the on-call therapist. The on-call therapist will also be trained to identify when detoxification services will be utilized and coordinated through Island Grove. On-call therapists are available to make on-sight visits to Island Grove Detoxification Center,North Range,the police station and Psych-Care for crisis consult and case management. 9. Quantitative measures will be approximately 80 percent therapy services(direct care) to include the administration of psycho-educational assistance in the development of life-skills such as stress reduction, problem solving and hands-on parenting. Ten percent will be crisis management and the final percent will be an additional 10 percent directed towards collateral contact training and referral based services. Clinicians will make sure that services are not duplicated by contacting and collaborating with other service providers on a weekly basis. Capitated services will be utilized whenever possible to lower the costs to the county and when formally approved by the county case worker. IV. Measurable Outcomes A. 80 % of children receiving IFT services will not go into placement. B. 80% of families will successfully resolve their conflict through IFT Services. C. 80% of the children reunified will remain within the home for at least one year following the terminations of services. D. 95%of the families will improve their parental competency ratings prior to closure of treatment and 90%of cases that receive IFT services will register low on the risk assessment devise at service closure. E. The cost of this program is significantly lower than the cost of out of home placement which is generally $4,000 per month verses $2,600 for IFT services through InnerChoice. Project Monitoring and Evaluation Pre-tests and post-tests(Child Well-Being Scale and Family Risk Scale)will be administered to the families immediately before and following the implementation of services. A six-month and twelve- month follow-up survey will be done to assess for success and recidivism. InnerChoice will monitor daily,weekly and monthly hard and soft services provided for the family. This information will be provided to the county on a monthly basis for evaluation and program management review. The program will also fill out quarterly client progress reports as requested by the County. A case is terminated as a treatment success when: The parent(s) have the motivation and skills necessary for handling subsequent problems,the youth is involved with pro-social peers and actively involved in a commnunity activity that is deemed healthy and constructive, and the family has been able to function reasonably well with minimal support from InnerChoice for a period for at least four weeks. Treatment is prematurely terminated when: the clients are"not customers for change", the services required are beyond the out-patient level of care and/or the safety of the child or community is not assured. Y. Service Objectives A. 90%of the families will improve their communication skills and problem solving skills through varied and creative therapeutic styles and interventions such as structural family therapy,multi-systemic therapy,psychotherapy,psycho-drama,guided imagery,equine therapy, art therapy, music therapy, mediation services for extended family, CAC services for addiction issues and cognitive behavioral therapy for behavior management issues. Gender appropriate and culturally appropriate therapeutic matches will be made with families to increase success outcomes. Families will reduce their negative resistance through the therapists' specialized training in uncovering the unique needs and strengths of the families and their joining skills.. B. Group parenting classes will be conducted on an after care sliding fee scale for clients. This will allow parents a cost effective way to work together to find solutions and vent their frustration in regard to ongoing parenting concerns and issues. C. 95% of the families will develop alliances through natural familial and community supports such as extended family, church, health care professionals, neighborhood groups and a variety of supportive organizations. Therapists will provide assistance in establishing resources and accessing services through other state programs such as Housing for Humanity, CHIP, LEAP and Social Security for families enrolled in this program. Vt Workload Standards A. A typical staffing pattern for the provision of IFT services for one family is one master's level therapist chosen based on the families unique needs and culturally sensitive requirements.Appointments are available to families seven days per week throughout the year so that optimal utilization and implementation of services can occur. Many of the appointments will be scheduled after school and in the evening and weekend hours. Clients can receive a minimum of one service hour to a maximum of four service hours per week. Twenty-four hour per day, 7 days per week on call crisis management is available by a licensed clinician. B. InnerChoice has eight staff available for this project to provide a wide array of therapeautic services. Therapists are required to be licensed when possible, signed up with the grievance board and carry their own personal professional policy. InnerChoice Agency also has a professional policy through American Professional Agency in New York. C. Family therapists will carry a caseload of no more than six families at any given time each month in Weld County. The average length of stay in the IFT program is two months. *Case loads will remain small to avoid staff burn-out, improve quality management and accessibility for all families being served through InnerChoice Counseling Center* D. Structural and multi-systemic family therapy training and booster training sessions will be provided eight hours per month to all staff engaged in the treatment of families. Interventions will be clinically supervised and monitored and assessed for effectiveness on a weekly basis. Staff providing multi-systemic interventions will be requested to also access training outside of the agency to compliment the already existing service training format. InnerChoice will gear a great deal of the training and interventions to treat serious oppositional defiance and anti-social behaviors in youth. Staff members will be trained in utilizing a strength's model and interventions and requested to be creative and focus on joining techniques when engaging with a new client. Strong emphasis will be requested in regard to connecting the families with their next-of-kin, familial friends, neighborhood resources and community networks. E. Service hours usually range from two to four hours per week for one family on the IFT caseload. F. InnerChoice has eight staff members presently employed forte IFT program. G. Clinical supervisors carry caseloads no greater than six. An outside clinician will be utilized to supervise the InnerChoice Clinical Director at least one time per month to make sure that the staff and supervisor are keeping up with state of the art modalities of treatment. H. InnerChoice requires that all staff members transporting clients have automobile insurance coverage and that their policies are reviewed and photocopied for their files every six months to ensure continuity. . I. InnerChoice is located at 415 Cleveland Avenue in Loveland, CO and 710 11th Avenue in Greeley, CO. The future plan is to secure a house in Greeley, Co to expand the availability of group therapy services. Plans are also presently being activated for a bed to be secured at a licensed Child Placement Agency so that when family members need a time out from one another and parents are ready to throw in the towel we are able to avoid placing the youth in a residential treatment facility. The youth could be immediately placed at the CPA so that treatment can continue through InnerChoice, the family can take their time out and permanent out of home placement is avoided. This CPA placement would offer 24 hour care and the on call therapist could continue to serve the other families who may be in crisis or need other services. VII. ALL InnerChoice Staff Qualifications Address of staff- 415 Cleveland Avenue, Loveland, CO 80537 Denise E Klein-LCSW Family Service Program Director/Clinical Director Denise Klein serves as the Program Director for InnerChoice Counseling Center. She will coordinate inter-agency services and will manage the InnerChoice teams as they provide services to each family. Denise earned a Bachelor's Degree in Social Work from Minot State University and a Master's Degree in Social Work from the University of North Dakota. She was trained in multi-systemic therapy at the graduate level and began her first paid position as an in-home therapist. She has 12 years of experience in working with youth and families. She has developed and implemented two separate Intensive In-home Family Preservation Programs in North Dakota and Minnesota. Denise also worked at the Grand Forks Air Force Base with families with multi-cultural backgrounds providing service to youth and their families reported for child and spouse abuse. Denise has also served as a guardian ad litem, court appointed visitor, supervised visitation monitor and foster parent. Clinical Supervisor(2)-This position requires a high degree of training in the MST model and a master's degree in counseling or social work. Family Therapist(4) -This position requires a minimum of a master's degree in social work or a master's degree in marriage and family counseling(Focus on MST Model) Behavioral Specialist/Connseling position (4) - This position requires a minimum of a bachelor's degree in social work, counseling,psychology or divinity.(MST Supervision) CAC I,II,III (4)-This position requires the necessary supervision hours and course work to be certified as a certified addictions counselor. Follow-up supervision through InnerChoice will be provided by a CAC III trained clinician.(MST Supervision) A. Staff including supervisors will meet the training and minimum qualifications described in the Staff manual Volume VII, section 7.303.17 and Section 7.006,Q, Colorado Department of Human Services. B. Eight staff are available for this project and two will serve as part-time master's level clinical supervisors. C. All staff members go through an initial four hour training period and receive eight hours of going booster training sessions per month. Therapist's will be trained in multi- systemic strength based family system's theory in order to treat families with serious oppositional defiant and conduct disorder youth. This model also addresses the issues of the younger children within the home by Meting prevention issues and the younger siblings onset of behavioral problems. D. All staff will be trained in risk assessment and have a minimum sixteen hours of continuing education units per year that will be documented for the county.. E. EFT therapist's will have at least one hour of MST supervision per week F. The clinical supervisors will go to yearly trainings on the MST model and will have at least 16 hours of continuing CEU's in other state of the art modalities. VIII. Computation of Direct Service Rate (Note: See Attached) MINIMUM#OF FAMILIES - 3 MAXIMUM#OF FAMILIES -36 Addendum to Minimum and Maximum Number of Clients Served Innerchoice is designed to meet a wide continuum of level of care based on the minimum and maximum number of clients to be served.We have many part-time staff who are flexible with their hours to either increase service or decrease service hours as needs increase and decrease with the families and with county referrals.We have cross over programs that help to counter the effects of a decrease in referrals in a program. Overheads costs are kept low to ensure the maximum amount of services for a lower cost to the county. D✓�;cs (0 As‹.. RFP-FYC-02008 -/ i e Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This form is to be used to provide detailed explanation of the hourly rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill the Weld County Department of Social Services for direct, face-to-face services provided to clients referred for these services by the Department. Requests for payment based on units of service such as telephone calls, no shows, travel time, mileage reimbursement, preparation, documentation, and other costs not involving direct face-to-face services will not be honored. Likewise, billings must be for hours of direct service to the client, regardless of, the number of staff involved in providing those services. Therefore, it is imperative that this rate be sufficient to cover all costs associated with this client, regardless of the number of staff involved in providing these services. (Explanations for these Lines are Provided on the Following Page) Total Hours of Direct Service per Client Hours [A] Total Clients to be Served €' Clients [B] Total Hours of Direct Service for Year .310 Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ .: ,"A ' 0 Per Hour [D] Total Direct Service Costs $ ;;1O 5 9.2 [El (Line [C] Multiplied by Line [D] ) • " Administration Costs Allocable to Program $ "� ci [F] Overhead Costs Allocable to Program $ /' pi 1/ 7 [G] Total Cost, Direct and Allocated, of Program$ / <+' .:.: 9 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ °'" tf [I] Total Costs and Profits to be Covered n by this Program(Line [H] Plus Line [I] ) $ f'1 ✓O [J] Total Hours of Direct Service for Year —1/ .)/& [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of fir ,- 4- . Social Services $ ' '" [L] Day Treatment Programs Only: Direct Service House Per Client Per Month [MI Monthly Direct Service Rate $ [N1 Page 30 of 31 /25/01 SOCIAL WORKER PROFESSIONAL LIABILITY POLICY NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS C)1' SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"sEXUAL MISCONDUCT"IN THE POLICY). _ DECLARATIONS OLICY NO: SWL-6776991 ACCOUNT NO: CO—INNE415-0 03583335 ITEM 1.(b)ADDITIONAL NAMED INSI.IREDS: EM 1.(a)NAME AND ADDRESS OF INSURED: DENISE ELLEN KLE IN LISA MELVILLE INNER CHOICE COUNSELING CENTER 415 CLEVELAND AVE LOVELAND* CO 80537 TYPE OF ORG: LLC TEM 2. ADDITIONAL INSUREDS: TEM 3. POLICY PERIOD: FROM. 11/01/01 - TO: 11/01/02 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: TEM 4. LIMITS OF LIABILITY: (a)$ 2.000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS,REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b)$ 4.000.000 AGGREGATE (c)$ 5.000 DEFENSE REIMBURSEMENT TEM 5. PREMIUM SCHEDULE CLASSIFICATION NUMBER RATE _ ANNUAL.PREMIUM PROFESSIONALS 2 71.00 142.00 PARAPROFESSIONALS 8 48.00 384.00 INDEPENDENT CONTRACTORS 5 26.00 130.00 DEFENSE LIMIT .00 TEM 6. RETROACTIVE DATE: 11/01/01 TOTAL PREMIUM: 656.00 ITEM 7. EXTENDED REPORTING PERIOD • 656.00 ADDITIONAL PREMIUM (If exercised):$ ITEM 8. POLICY FORMS AND ENDORSEMENTS _ ATTACHED TO THIS POLICY: ( / j'7— 3M GAns 7/OA 0AlgR�Gi L 7/OA1 ' rs71 A4 ]AI41 S F EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS INNERCHOICE COUNSELING 710 11th Avenue Greeley,CO 80632 Cell(970)690 4853 Office(970)461-9115 April 15, 2002 Dear Judy Griego, I am writing this letter in follow-up to the recent correspondence that I received regarding the RFP Proposals 02005,02008 and 02110-Option B and Alternatives to RTC Placements. Per your request,I am noting the number of hours our program will serve each client per week for each initial referraL Lifeskills: Minimum (4) Maximum (8) Intensive Family Therapy: Any Number requested Option B: Minimum (3)Maximum (14) Alternatives to RTC Placements: Minimum(5)Maximum (25) All levels of care shall be determined by the referring case manager through Weld County Social Services. The outcome of the program will be monitored through the Child Well Being pre-tests and posts tests. All other recommendations noted in the RFP Bidding process outcome letter shall be shared with Innerchoice staff members and incorporated into our program protocols. Thank you for your correspondence and feedback. We look forward to working with you and your staff. Please don't hesitate to let us know if there is anything else you need regarding the current bidding process. Sincerely, Denise E. Klein,LCSW Innerchoice Counseling Program Director • so COPtARTMENTOFSES PO BOX A GREELE1f.C CO 80632 WEBSITE:www.coweid.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933• COLORADO April 10, 2002 Denise E. Klein,LCSW Innerchoice Counseling Center 415 Cleveland Avenue Loveland, CO 80537 Re: RFP PY 02005 Lifeskills RFP 02008 Intensive Family Therapy RFP 02010 Option B RFP 02010 Option B, Alternatives to RTC Placements Dear Ms.Klein: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or 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 recommendations and/or conditions regarding your REP 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. The FYC Commission approved the following condition for all Option B and Intensive Family therapy programs. The condition reads as follows: Condition:State the number of hours your program will serve each client per initial referral. 1. RFP PY 02005,Lifeskills: Approved with the above recommendation. Page 2 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 2. RFP 02008,Intensive Family Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions • State the maximum number of hours your program will serve each client per initial referral(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will not let up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 3. RFP 02010,Option B.Home Based Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes speck to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. Page 3 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker.Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 4. RFP 02010. Option B.Alternatives to RTC Placement; FYC Recommendations: ■ Innerchoice, Option B-Alternatives to RTC Placement, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IF7' programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family s needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited Page 4 Innerchoice Counseling Center Results of RFP Process for 2002-2003 ■ No additional services will be initiated without the approval of the Depw intent of Social Services caseworker. B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. 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: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept thesecommendation(s)as written by the FYC Commission; or a. request alternatives to the FYC Commission's recommendation(s); or b. 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. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s), you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. 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 April 17, 2002. Sincerely, Judy A. Griego,Director 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 02-CORE-0020 Revision (RFP-FYC-02010) Contract Award Period Name and Address of Contractor Beginning 06/01/2002 and Innerchoice Counseling Center Ending 05/31/2003 Option B 415 Cleveland Avenue Loveland, CO 80537 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Maximum of 14 service hours per week for Assistance Award is based upon your Request for families. Program is tiered so the treatment plan Proposal (RFP). The RFP specifies the scope of can be individualized to meet the specific needs services and conditions of award. Except where it is of the family. Crisis intervention available 24 in conflict with this NOFAA in which case the hours per day, 7 days per week, in-home family NOFAA governs, the RFP upon which this award is therapy, team leadership,behavior management, based is an integral part of the action. family aids, peer and adult mentoring, couples therapy and co-therapy, drug and alcohol Special conditions therapy, splash events, and restorative justice 1) Reimbursement for the Unit of Services will be based events. Services are billed on a level system. on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to Cost Per Unit of Service face contact with the child and/or family, as evidenced by client-signed verification form, and as Hourly Rate Per Unit $48.00 specified in the unit of cost computation. Level A(6 weeks of service) $2,300.00 3) Unit of service costs cannot exceed the hourly and Level C (3 month average stay) $900.00 yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, Unit of Service Based on Approved Plan and referrals made by the Weld County Department of Social Services. Enclosures: Requests for payment must be an original submitted to the X Signed RFP:Exhibit A Weld County Department of Social Services by the end of the X Supplemental Narrative to RFP: Exhibit B 25th calendar day following the end of the month of service. X Recommendation(s) The provider must submit requests for payment on forms approved by Weld County Department of Social Services. X Conditions of Approval Approvals: Program Official: By a def..A By ft Glenn Vaad, Chair Judy . Grie o, irector p Board of Weld County Commissioners Weld nty Department of Social Services Date: 05/019/201)a. Date: 6/(0/0-7- ac0a3- /357 , EXHIBIT A SIGNED RFP • RFP-FYC-02010 Attached A HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND REJQUEST FOR CONTINUATION OF AWARD UNDJR FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#RFP-FYC-0201O NAME OF AGENCY: InnerChoice Counseling Center ADDRESS: 415 Cleveland Avenue, Loveland, CO 80537/710 11th Avenue, #301, Greeley, CO PHONE: ( 970) 609-4853 CONTACT PERSON: Denise E. Klein, LCSW TITLE: Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Fami y Intervention Program is a family strength focused home-based services to families in crisis which are time limited,phased intensity. and produce positive change which protects children,prevents or ends placement. andyreserves families 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1.2002 Start End May 31.2001 End IIfLE OF PROJECT: InnerChoice Home Based Intensive Family Intervention Program a -e 4. CS &Y 3/ 2e/a2 Name and Signature of Person Preparing Document Date Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS 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 2002-2001 DK Project Description DK Target/Eligibility Populations /tiC DK Types of services Provided /VC DK Measurable Outcomes NG DK Service Objectives /1/G '>5R" Workload Standards Staff Qualifications NL —UK Unit of Service Rate Computation f DK Program Capacity per Month /'�G DK Certificate of Insurance • • INVITATION TO BID DATE:February 27, 2002 BID NO: RFP-FYC-02010 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 • SUMMARY Request for Proposal (RFP-FYC-02010) for:Family Preservation Program--Home Based Intensive Family Intervention 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 competing 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 Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited, phased in intensity, and produce positive change which protects children,prevents or ends placement, and preserves families. 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 Qtjcyt.ss gi ) h� c csa (After receipt of order) BID MUST BE SIGNED IN INK 847,1e E . Kitrn, LC Sol TYPED OR PRINTED SIGNATURE VENDOR SZ+n*vCAe cc 6mese Ca (Name) Handwritten Signature By Authorized Officer or Agent of Vender • ADDRESS VIC Cl-we/n„d Atan.cce TITLE pserui / ctastht. L✓aid. Ge ken? DATE 3lrs/ez PHONE # 410- 640 -Y9s3 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 RFP-FYC-02008 Attached A 4. 4 Date of Meeting(s)with Socii1 S ces Division Supervisor: -/Sbcq j . elvi Comments by SSD Supervisoz is—xUA/ l. . 2_.Q./ e1 .I-t h -t P ( 4 tic-P,�,I I-1p.e ' ce L. L t ",_ 1 ,2( Lt ( P v , ,P A t t__, P,8 J ' L. 1,ti h, , _ R Je 1� i �LJe . e�C�_eNI/ J�. a hL- OA G� ,�-FA ) , �,���) -15-b2 Name and Signature of SS Supervisor Date Page 26 of 31 InnerChoice Counseling Center 415 Cleveland Avenue Loveland, CO 80537 710 11th Avenue Greeley, CO 80631 (970) 690-4853 or (970) 231-6673 Contact Person: Denise E. Klein, LCSW • • I. Program Description InnerChoice Counseling Center provides Home Based Family Therapy(Option B) services combined with numerous wrap around services to target at-risk youth and their families. The primary goals of the InnerChoice Family Preservation Program are to enhance family functioning, create cohesiveness, and help families to become empowered and independent from the system. The services are provided to families within their natural environments via homes, schools, and neighborhood settings. The program is designed to prevent costly out- of-home placements using a multi-systemic strength's based model. The goal of the MST model approach is to provide an integrative, cost effective family based treatment that results in positive outcomes for children who display serious oppositional and conduct disorders. MST focuses on improving psycho-social functioning for youth and their families so that the need for out- of- home child placements is reduced or eliminated. The program is specifically tailored to meet the unique needs of the family through a two tiered step-down program. The family can enter at either level and move up or down in the amount of service hours provided based on the Weld county case manager's approval. The maximum length of stay in the program is four months. The program is goal directed so that family members have definite time lines in which to accomplish their goals. InnerChoice has over twenty staff members with diverse interests, cultural backgrounds and educational levels so that the unique needs, interests and strengths of the family can be addressed by staff with similar interests and cultural sensitivity. InnerChoice programming is designed to provide the families with the optimal ability to be successful and remain intact. InnerChoice therapists empower families by using identified strengths to develop natural support systems and view the parents as the solution, as opposed to the problem. InnerChoice also provides treatment to the younger siblings of the identified client to prevent further involvement within the system.They currently serve both males and females, between the ages of 0-18, and their families. Staff are available 24 hours per day, 7 days per week and can usually meet at the families' convenience, resulting in many evening and weekend appointments. An on-call therapist carries a pager to be accessible for immediate emergencies and crisis interventions. InnerChoice employs a team of six multi-systemic therapists who serve as team leaders and have no more than four families on their caseload at any given time. Caseloads are kept small to prevent staff burn-out and to keep creativity and accessibility high for the families they serve. The multi-systemic family therapists clinically supervise and coordinate the implementation of wrap-around services. A large umbrella of wrap-around services has been created to address the vast needs of the family as expediently and efficiently as possible. Special emphasis is placed on family strengths, creativity, and joining and respecting all family members on their own terms, helping families to build on their strengths in ways that enhance self-respect and offer families specific ways to improve. The components that are compelling and make the InnerChoice Program unique are weekly multi-disciplinary meetings of all family treatment plans,the utilization of cost effective and well-trained family-aids, behavior management specialists, and mentors. An intense emphasis is placed on helping family members to become more connected with their natural resources so that they can become less dependent on the system. Mission Statement: The mission of InnerChoice is to prevent out-of-home placements for children and help families to become self-sufficient and independent from the system. • By providing a safe environment for families to explore issues that affect the child's ability to remain in the home and help family members to problem solve together so that the family unit can remain intact. • By providing an individualized family treatment plan which identifies the needs of each family member so that wrap-around services can be tailored to meet the"unique needs" of the family and the culturally sensitive requirements of the family. • By teaching family members to come from a strengths perspective and empower them to advocate for their themselves and their family members so that they learn to view one another as natural supports. • By empowering family members to view their unique strengths as a powerful tool to work through family crisis and create a more cohesive family unit. • By helping family members to feel hopeful about the future in regard to healthy family functioning and movement away from dependency on the system towards self- sufficiency. II. Target/Eligibility Population Families to be served • Criteria for Accepting a Family: InnerChoice's staff is committed to providing services quickly to families that are appropriate for home based services. The first criteria is that the family includes a child who is at risk for some type of out-of-home placement. The second criteria is that the family is committed to staying in tact, are "customers for change", and participate actively in the family preservation work. The third criteria is that other less intense services have proven to be insufficient. • The home based family therapist/team leader will not carry a caseload greater than four families. Three family therapists will be available, providing a wide range of unique intervention specializations, so that the appropriate fit between therapist and family can be made. A total of twelve families can be served at any given time. Youth can range in age from 0-18. The average number of families served in this program is six families. Approximately half of those families are estimated to be in south Weld County. • The gender, ethnic, and diagnostic mental health needs of the family will have TOP PRIORITY in matching the family with the most appropriate staff. For example, if a family would be more open to a male therapist, every effort would be made to accommodate that request. If a Hispanic family is referred, a Hispanic family therapist or Hispanic family aid will be provided to the family. Special hiring measures have been taken so that Hispanic and bilingual staff are available to serve Hispanic families. Every Hispanic family referred to InnerChoice will have a team member that is able to speak the language and provide culturally sensitive interventions. If a family member is diagnosed with a mental health issue that a particular therapist has more expertise in treating, then that therapist will be matched with that particular individual client. At least one-third of the families served will receive bi-cultural/bilingual services. At least one third of the families served will live in South Weld county. • Family strengths will also be prioritized in selecting therapists, behavioral management specialists, family-aids, and mentors. InnerChoice prides itself in having a large staff with diversified training, expertise,and experience in working with a wide array of families. For example, if a family is interested in being artistically creative,they will be provided an art therapist;or if they enjoy the outdoors and sports activities, an experiential therapist will be utilized;if a family member enjoys spending time with animals,then an equine therapist will be utilized. • Average length of stay in the program is three months. InnerChoice staff work as quickly and efficiently as possible to help the family to create the change required to keep the child within the home. The goal is to immediately start connecting the family with their natural support systems within the community so that the length of stay in treatment cane be shortened. • The average number of direct service hours per week is six to fourteen hours per family. InnerChoice places a great deal of emphasis on providing excellent communication with collateral contacts, documentation,multi-disciplinary meetings and clinical reviews so that the flow of communication remains consistent and current. • Program availability is 24 hour per day on call crisis coverage for all families. A licensed clinical social worker or mental health professional is available for case management and crisis intervention 24 hours per day, 7 days per week. • It is on very rare occasions that InnerChoice would recommend that the family be involved in family preservation for more than five months. Because we expedite the natural movement towards outside support groups and service providers along with encouragement towards natural familial supports the length of stay is shortened. We do a great deal of work with Senate Bill 94 through their mentoring program so the child is generally followed by another funding source as soon as possible to deter from dependency on InnerChoice therapists. We are in the process of securing a contract with Weld County Senate Bill 94 at this point and time. III. Types of Services Provided The InnerChoice Home Based(Option B)Family Therapy Program provides a maximum of fourteen service hours per week for families. The program is tiered so that the treatment plan can be individualized to meet the specific needs of the family. Once a referral is accepted,the family therapist will make contact with the family within 48 hours. An intake will be scheduled at the families earliest convenience. Contact will be made with all family members including extended family to assess the level of support within the family unit. If familial friends are available for consult and support , InnerChoice will make contact with them when deemed appropriate by agency supervisors and referring Weld County Case Managers.Update reports will be provided to Weld County Case Managers on a weekly basis in an effort to keep the flow of communication clear and consistent. Crisis intervention will be available 24 hours per day, 7 days per week. An average of one hour direct care (face-to-face) response time to mediate crisis situations will be available through InnerChoice. Telephone crisis consults will be dealt with immediately. If the client is in imminent danger,the Greeley 911 emergency contact will be called to intervene. Detoxification,when deemed appropriate,will be addressed through Island Grove Treatment Center. InnerChoice will make every effort to establish good working relationships with all other professionals involved with the case so that coordination of care is efficient and cost effective to the County. A. Program Positions and Services IN-HOME FAMILY THERAPIST/TEAM LEADER A licensed clinical social worker, psychologist or licensed marriage and family counselor trained to assess,diagnose and treat families,will provide multi-systemic family therapy and also serve as a team leader in the delegation, coordination and budgeting of wrap-around services. Wrap-around services begin as in-house services through InnerChoice to include: individual therapy, family-aid service, recreational programming, group therapy, and mentoring. However,the staff will assess for"natural supports"and start connecting family members with their community supports by at least the second week of enrollment in the program. The family therapist/team leader will place special emphasis on maintaining good communication with the referring case manager, extended family members and all other collateral contacts. They will schedule multi-disciplinary meetings weekly to review treatment goals and supervise their team of staff providing the wrap-around services to the family. These meetings ensure quality management and expedient service delivery. They provide a consistent time frame to measure and document the effectiveness of treatment goals relative to family functioning. The multi-disciplinary meetings also ensure that the treatment goals are on target and continue to meet the family's changing needs and can be modified as issues change. The family therapist will also provide crisis management and intensive in-home family therapy to immediate family members and extended family members either in their own homes or if necessary in an office environment. When necessary re-parenting and guided imagery sessions will be conducted in the office when private sessions are warranted. Support groups will also be held within an office setting as opposed to being conducted within the client's home. The level and type of services provided will be determined by the unique needs of the family and the referring case manager. Twenty-four hour on- call crisis management is always available to family members in this program. An on- call number is provided at the time of intake to all family members. BEHAVIOR MANAGEMENT SPECIALIST The clinically trained Behavior Management Specialist will be available to provide individual therapy and group therapy sessions for clients requiring specialized individual treatment such as a mental health diagnosis,cognitive thinking errors, life-skills curriculum, communication and assertiveness classes, parenting classes, self-esteem enrichment and behavioral or addiction issues. Behavior Management Specialists will be required to have at least a Bachelor's Degree in Social Work, a CAC I, II, or III, or a counseling degree. Referrals to outside agencies may occur if the diagnosis requires specialized expertise and treatment that is unavailable through InnerChoice staff. FAMILY-AIDS Family-aids are a cost effective way of complimenting therapeutic services and teaching client to access other agencies and community resources.. Family- aids can visit with the parents and other family members in their home on a daily basis initially as a support to the family in following the therapist's treatment recommendations. As the family progresses in treatment, the family-aid can reduce their level of contact. Family-Aids are trained to assist families with parenting skills, stress reduction,homemaking and housekeeping skills, budgeting and money management issues, net-working with other agencies, structuring mealtime and family recreational activities, problem solving, self care, leisure time, communication skills,medication management, self-advocacy, consumer skills, life skills, and behavior modification techniques. A Family-Aid will be utilized to support the therapists' recommendations and the treatment plan and will help to implement consistency within the family and ultimately be connected with after-care services. MENTORS Peer mentors and adult mentors are available to serve youth and will be trained and clinically supervised to spend one-on-one time with youth participating in leisure activities, tutoring,tracking,and role modeling healthy life skills. Mentors will be available to provide respite support for the family as needed. Peer mentors and adult mentors' job is to teach clients creative and healthy ways to have fun without using drugs and alcohol. COUPLES THERAPY AND CO-THERAPY Couples counseling will be available to individuals having issues with blended families, extended families, marital problems, united front issues, non nuclear family interventions and mediation issues. Co-therapy is also available when deemed necessary for movement in therapy. GROUP THERAPY Ongoing groups are available on a weekly basis for anger management, life skills, empowerment, parenting skills, a Dad's support group and a Mom's support group. Other groups will be developed as needs arise with the families. These groups will also be provided as an after-care program on a sliding fee scale for families referred through Weld County Social Services DRUG ALCOHOL THERAPY Substance abuse treatment provided by a Certified Addictions Counselor will include drug and alcohol assessments,administering UA's and breathalyzers, drug and alcohol treatment both individual and family, after care support, and referrals and transportation to outside support systems such as AA,Al-A-Teen and Al-Anon. This service will be available to all family members with addiction issues. SPLASH EVENTS Splash Events are events organized by the mentor manager that provide a healthy and creative recreational outlet for youth and their families. Transportation will be provided for all family members. RESTORATIVE JUSTICE EVENTS Restorative Justice Events are organized by the mentor manager and clinical supervisor in an effort to help clients learn to give back to their communities, explore their consciences and help create victim awareness and empathy through organized events which clients will be requested to volunteer their time at. B. Community Collaboration Efforts 1. Weld County Department of Human Services. Referrals and Case Management Services which include meetings,treatment planning and discharge. 2. Weld County Department of Mental Health. Case Management, coordination of psychiatric evaluations,therapeutic services and testing. 3. Colorado Department of Education. Coordination of case management, multi-disciplinary staffings,and testing. 4. Weld County Probation Department. Coordination of case management, multi-disciplinary staffings and testing. 5. Any other agencies providing services to the family. Innerchoice staff will get signed releases and coordinate the efforts of all other service providers involved with the family when deemed necessary by Weld County Case Managers. C. Program Components 1. Therapeutic Psychiatric consultation services Psychological consultation services Multi-systemic family therapy services Co-therapy services Cognitive behavioral therapy services Group therapy services Drug and alcohol therapy services Equine therapy Art therapy Music therapy Experiential therapy Guided Imagery Psycho-drama therapy Psycho-educational therapy 2. Behavorial Behavorial modification Correcting cognitive thinking errors Refusal skills Life skills Conscience raising exercises 3. Psycho-Educational Parenting skills 1-2-3 Magic Anger management Stress management Team building exercises Vocational/Independent living skills Physical health needs(nutrition, medical, sex education, HIV and contraception) 4. Recreational Splash events Restorative justice events Team sports Individual recreational mentoring activities Individual and family experiential activities D. Parental Caretaker Involvement 1. Parents will be encouraged to participate and be involved in all program components. Activities will be designed based on the families' unique strengths and interests. Transportation will be provided to all families needing that assistance. 2. All activities will be implemented in order to assess,treat, and define family issues so that when the family has completed the program, they will know how to utilize family strengths and problem solve from this perspective. E. Assessment and Plan 1. After the initial referral is made to InnerChoice, the family therapist will initiate a contact with the family and assess appropriateness of service. Once it is established that the family can benefit from services, a contract for level of care will be established. The level of care will be determined by the unique needs of the family and number of outside service providers involved. Once the level of care has been determined,the family therapist will make contact with Weld County Case Manager to formally authorize the level of care. Two Levels of Care and Length of Stay Level "A"Service -minimum of 12 hours of direct service per week ( Six week average length of stay at this level) $ 2,300.00 Level "C"Service - minimum of 3 hours of direct service per week (Three month average length of stay at this level) $ 900.00 • Level "A" Service is the intensive version of Home Based family services. Level A includes a family therapist who does an assessment and makes a recommendation to the case manager in regard to what wrap around services are deemed necessary. The family therapist will provide the family therapy and staff directives to the InnerChoice mentors, family-aids and individual therapists with approval of the Weld County case manager. Level "C"Service is for families who are not in acute crisis and is a less intensive mode of treatment.. These families may require psycho-educational services,case management services, and therapeutic interventions necessary to keep the child stabilized within the home. The Level C service includes a family therapist who provides therapy and assesses and monitors the level of wrap around services necessary to keep the family stable and networked independently within the community. F. Pro-Active Planning 1. The reintegration plan will begin to be developed as early as the first weeks enrollment in the program. The family therapist will be looking at natural support systems via kin and the community so that the family does not become dependent on InnerChoice staff. 2. Initially, InnerChoice will provide micro-management in regard to accessing and utilizing these natural supports, however, once the family members have been provided the necessary skills in accessing the support they will then be encouraged to develop and strengthen these strategies with little outside intervention. 3. Continuity of care with other agencies providing services to the family will be prioritized throughout the length of stay. InnerChoice staff will contact collateral contacts on a weekly basis to ensure the quality of inter-agency communications and coordination of treatment so that treatment goals can be targeted as a team. 4. Inner-agency staf ings will occur on a weekly basis to review treatment goals and ensure that the therapists are helping the families to work towards their goals in an efficient and expedient fashion. 5. Diagnostic and medical evaluations will be given top priority so that medical and mental health concerns can be addressed as quickly as possible. It is important that any impairment from medical/mental health complications can be minimized and treated so that clients can accelerate their progress towards their therapeutic goals. 6. After-care groups and splash events will be provided on a sliding fee scale for family members so that they can continue to access support and maintain their treatment goals through InnerChoice. 7. Clinicians will utilize the assessment tool to gather initial assessment scores, three month assessment scores and discharge scores. A 12-month follow-up assessment will be done to determine success and recidivism rates. 8. Program availability is 24 hour per day on call crisis coverage for all families. A licensed clinical social worker or mental health professional carries a pager and is available for case management and crisis intervention 24 hours per day, 7 days per week.A critical incident report form will be filled out and sent to the county any time a crisis contact is made with the on-call therapist. The on-call therapist will also be trained to identify when detoxification services will be utilized and coordinated through Island Grove. On- call therapists are available to make on-sight visits to Island Grove Detoxification Center,North Range Behavioral Health,Psych-Care,the hospital and the police station to coordinate care plans. • 9. Quantitative measures will be approximately 70 percent therapy services(direct care) to include the administration of psycho-educational assistance in the development of life-skills such as stress reduction, problem solving and hands-on parenting. Fifteen percent will be crisis management and the final percent will be an additional 15 percent directed towards collateral contact training and referral based services. Clinicians will make sure that services are not duplicated by contacting and collaborating with other service providers on a weekly basis. Capitated services will be utilized whenever possible to lower the costs to the county and when formally approved by the county case worker. IV. Measurable Outcomes A. 80%of children who are provided services will remain within their home at time of closure. B. 95% of the families will improve their parental competency ratings prior to closure of treatment. C. 80% of children who are currently in their home will remain in their home twelve months following case closure. D. 80% of children currently in long term placement facilities provided reunification Home Based Intensive Family Intervention Services will return to their home and not render out-of- home placement twelve months after completion of Homes Based Family Intervention. E. 90%of the families will not have a subsequent report of neglect or abuse. F. 90% of cases that receive family preservation services will register low on the risk assessment devise at service closure. Project Monitoring and Evaluation Pre-tests and post-tests(Child Well-Being Scale and Family Risk Scale)will be administered to the families immediately before and following the implementation of services. A six month and twelve month follow-up survey will be done to assess for success and recidivism. InnerChoice will monitor daily,weekly and monthly hard and soft services provided for the family. This information will be provided to the county on a monthly basis for evaluation and program management review. The program will also fill out quarterly client progress reports as requested by the County. A case is terminated as a treatment success when: The parent(s) have the motivation and skills necessary for handling subsequent problems,the youth is involved with pro-social peers and actively involved in a community activity that is deemed healthy and constructive, and the family has been able to function reasonably well with minimal support from InnerChoice for a period for at least four weeks. Treatment is prematurely terminated when: the clients are not customers for change, the services required are beyond the out-patient level of care and/or the safety of the child or community is not assured. V. Service Objectives A. 90% of the families will improve their communication skills and problem solving skills through varied and creative therapeutic styles and interventions such as structural family therapy, multi-systemic therapy, psychotherapy, psycho-drama, guided imagery, equine therapy, art therapy, music therapy,mediation services for extended family, CAC services for addiction issues and cognitive behavioral therapy for behavior management issues. Gender appropriate and culturally appropriate therapeutic matches will be made with families to increas- success outcomes. Families will reduce their negative resistance through the therapists' specialized training in uncovering the unique needs and strengths of the families and their joining skills.. B. Group parenting classes will be conducted. InnerChoice will provide transportation for the mother and/or father to attend parenting and empowerment class . This will allow parents to work together to find solutions and vent their frustration in regard to ongoing parenting concerns and issues.Individual treatment plans will be addressed by the family therapist and the family-aids will support the recommendations that the therapists make to the families on a weekly basis. Hands on skills will be reviewed and monitored by family-aids to assess for progress in treatment on a weekly basis. C. Family-aids will work towards increasing parental competency in parenting skills, homemaking and housekeeping skills, accessing resources, budgeting and money management issues, structuring mealtime and family activities, stress reduction, problem solving, self care, leisure time, communication skills, medication management, consumer skills, life skills, and behavior modification techniques. D. 95 %of the families will develop alliances through natural familial and community supports such as extended family, church, health care professionals, neighborhood groups and a variety of supportive organizations through the implementation of mentors and family-aids who will provide transportation and support to these meetings and activities until family members access their own natural supports. Family- aids and mentors will also provide assistance in establishing resources and accessing services through other state programs such as Housing for Humanity, CHIP, LEAP and Social Security. * Family-aids and behavior specialists will keep monthly survey records to identify and substantiate progress in parenting skills and deficits. These progress review surveys will be compiled so that statistics can be accumulated in regard to what"hands on"parenting and life skills were provided to the parents and to what degree the interventions and education were successful. VI. Workload Standards A. A typical staffing pattern for the provision of home based services for one family is a treatment team consisting of one Master's Level Therapist, one Behavior Management Specialist and one mentor. In cases where there are parental education needs and/or neglect, a family-aid will be brought in to assist the parents with these concerns or a parenting group will be encouraged.Minimal number of hours is three per week and maximum number of service hours is 14 per week. Appointments are available to families seven days per week throughout the year so that optimal utilization and implementation of services can occur. Many of the appointments will be scheduled after school and in the evening and weekend hours. Twenty-four hour per day, 7 days per week on call crisis management is available by a licensed clinician. B. InnerChoice has over 20 staff available to provide a wide array of services and work as team members. C. Family therapists/team leaders will serve no more than four families at any given time. Behavioral management specialists will serve no more than six individual clients at any given time.Family-aids will serve no more than four families at any given time.Mentors will have no more than five clients at any given time.. The average length of stay in this program is two to four months. *Case loads will remain small to avoid staff burn-out, improve quality management and accessibility for all families being served through Innerchoice Counseling Center* D. Multi-systemic and structural family therapy training and booster training sessions will be provided 8 hours per month to all staff engaged in the treatment of families. Interventions will be clinically supervised and monitored and assessed for effectiveness on a weekly basis. Staff providing multi-systemic interventions will be requested to also access training outside of the agency to compliment the already existing service training format. InnerChoice will gear a great deal of the training and interventions to treat serious oppositional defiance and anti-social behaviors in youth. Staff members will be trained in utilizing a strength's model and interventions and requested to be creative and focus on joining techniques when engaging with a new client. Strong emphasis will be requested in regard to connecting the families with their next-of-kin, familial friends, neighborhood resources and community networks. E. Service hours usually range from 3 hours per week to 14 hours per week for one family on the caseload. F. InnerChoice has 24 staff members presently employed. G. Clinical supervisors carry caseloads no greater than six. The clinical director will be clinically supervised by an outside clinician to ensure that current modalities of treatment are maintained and kept updated. H. InnerChoice requires that all staff members transporting clients have automobile insurance coverage and that their policies are reviewed and photocopied for their files every six months to ensure continuity. The agency itself has professional liability coverage through American Professional Agency in New York,New York. I. InnerChoice is located at 415 Cleveland Avenue in Loveland, CO and 710 11th Avenue in Greeley,CO.The future plan is to secure a house in Greeley,CO to increase space for splash events,psychotherapy and psycho-educational groups. Plans are also presently being activated for a bed to be secured at a licensed Child Placement Agency so that when family members need a time out from one another and parents are ready to throw in the towel we are able to avoid placing the youth in a residential treatment facility. The youth could be immediately placed at the CPA so that treatment can continue through InnerChoice, the family can take their time out and permanent out of home placement is avoided. This CPA placement would offer 24 hour care and the on call therapist could continue to serve the other families who may be in crisis or need other services. VI1 Staff Qualifications Staff Address- 415 Cleveland Avenue, Loveland, CO 80537 Denise E. Klein - LCSW Family Service Program Director Denise will serve as the Program Director for InnerChoice Counseling Center. She will coordinate inter-agency services and will manage the InnerChoice teams as they provide services to each family. Denise earned a Bachelor's Degree in Social Work from Minot State University and a Master's Degree in Social Work from the University of North Dakota. She was trained in multi-systemic therapy at the graduate level and began her first paid position as an in-home therapist. She has 12 years of experience in working with youth and families. She has developed and implemented two separate Intensive In-home Family Preservation Programs in North Dakota and Minnesota. Denise also worked at the Grand Forks Air Force Base with families with multi-cultural backgrounds providing service to youth and their families reported for child and spouse abuse. Denise has also served as a guardian ad litem,court appointed visitor,supervised visitation monitor and foster parent. Clinical Supervisor(2)-This position requires a high degree of training in the MST model and a master's degree in counseling or social work. Family Therapist/ Team leader Position (6) - This position requires a minimum of a master's degree in social work or a master's degree in marriage and family counseling. Behavioral Specialist/Counseling position (4)-This position requires a minimum of a bachelor's degree in social work, counseling,psychology or divinity. Family Aid (4)- This position requires training and supervision in parent education, money management skills, life skills, assertiveness training and behavior modification. The family aid will be trained and supervised by a master's level clinician. Mentor (10) - This position requires that the individual role-model healthy life skills and a large capacity to join with a client in a positive and productive way. The mentors will be trained and clinically supervised by a masters level clinician. CAC I, II, In (5)- This position requires the necessary supervision hours and course work to be certified as a certified addictions counselor. Follow-up supervision through InnerChoice will be provided by a CAC III trained clinician. A. Staff including supervisors will meet the training and minimum qualifications described in the Staff manual Volume VII, section 7.303.17 and Section 7.006,Q, Colorado Department of Human Services. B. 24 staff are available for this program, three of whom are in supervisory positions. C. All staff members go through an initial four hour training period and receive eight hours of going booster training sessions per month and mandated new caseworker training. D. All staff will be trained in risk assessment at the earliest possible date. E. The staff will complete the State Home Based Family Intensive Family Services Training Component and the mandated new caseworker training at the earliest possible date. F. InnerChoice has hired bilingual and Hispanic staff to educate other staff members in regard to culturally sensitive interventions and treatment. The Hispanic staff provide consultation to our staff at least two hours per week and also work directly with the families in their homes and communities. VIII. Computation of Direct Service Rate (Note: See Attached) Minimum # of families - 3 Maximum # of families -24 Addendum to Minimum and Maximum Number of Clients Served Innerchoice is designed to meet a wide continuum of level of care based on the minimum and maximum number of clients to be served.We have many part-time staff who are flexible with their hours to either increase service or decrease service hours as needs increase and decrease with the families and with county referrals.We have cross over programs that help to counter the effects of a decrease in referrals in a program. Overheads costs are kept low to ensure the maximum amount of services for a lower cost to the county. /-gyp ,y1 ,t�rr cc� A Prpon RFP-PYC-02010 �- •Q e y Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE-PHASE I-IEENSIVE A. 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. Thiel 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 ,go Hours [A] Total Clients to be Served /7 Clients (B] Total Hours of Direct Service for Year ?�3 (°D Hours IC) (Line (A] Multiplied by Line [B] 13 SCE Per Hour [D] Cost per Hour of Direct Services $ Total Direct service costs S G%O. (E1 (Line (Cl Multiplied by Line (Dl) Administration Costs Allocable to Program $ 4 (151 Overhead Costs Allocable to Program $ 7A 14 2. [4] Total Cost, Direct and Allocated, of Program$ 131 2. (0 (B) Line (E] Plus Line (Fl Plus Line (Ol) Anticipated Profits Contributed by this Program $ `1 ' 1 . II] Total Costs and Profits to be Covered �� 1 ? :r ,.' (.7]oi by this Program(Line (H] Plus Line [I)) $ Total Hours of Direct Service for Year 3 >CO`!) (x] (Must Equal Line (C)) Rate per Hour of Direct, Face-to-Face Service { to be Charged to Weld County Department of TO (Ll Social Services $ P Day Treatment Programs Only: N/� [M1 Direct Service House Per Client Per Month Monthly Direct Service Rate • $ 1014- 31 of 33 Ia M arc its:A.5.0=m - G r'/o y/, ,. L-evG RFP-FYC-02010 Attached A IX. COMPUTATION OF DIRECT SERVICE RATE-PHASE II-STEP DOWN B.' - 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 /00 Hours. [A] Total Clients to be Served / ''7/ Clients [B) Total Hours of Direct Service for Year / '-/O O Hours [C) (Line (Al Multiplied by Line [BI �� C0 Per Hour [D1 Cost per Hour of Direct Services $ Total Direct Service Costs $ E P)1''YD [El (Line (C] Multiplied by Line [Dl) �}�t t z Administration Costs Allocable to Program $ +Q a _ (F) Overhead Costs Allocable to Program $ d. rt q ed [O1 Total Cost, Direct and Allocated, of Program$ .5 (o c &9 [H] Line (E1 Plus Line (F) Plus Line [O] ) Anticipated Profits Contributed by this Program $ 10 (D .5 2 [I) Total Costs and Profits to be Covered by this Program(Line [H) Plus Line [Ti) $ (0 7 a 0`-1 [J] Total Hours of Direct Service for Year I =+.)w) [X1 (Must Equal Line (C)) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of 77 , ,y Social Services $ / '� " [L] Day Treatment Programs Only: Direct Service House Per Client Per Month (M] Monthly Direct Service Rate $ [NI l?ofll w I/25/01. SOCIAL WORKER PROFESSIONAL LIABILITY POLICY NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT"IN THE POLICY). DECLARATIONS 'OLICY NO: SWL-6776991 ACCOUNT NO: CO—I NNE415—O 0388333S TEM 1.(a) NAME AND ADDRESS OF INSURED: ITEM 1.(b)ADDITIONAL NAMED INSUREDS: DENISE ELLEN KLEIN LISA MELVILLE INNER CHOICE COUNSELING CENTER 415 CLEVELAND AVE LOVELAND. CO 80537 TYPE OF ORG LLC TEM 2. ADDITIONAL INSUREDS: TEM3. POLICY PERIOD: FROM. 11/01/01 • TO: 11/01/02 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: TEM 4. LIMITS OF LIABILITY: (a)$ 2.000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b) $ 4.000.000 AGGREGATE (c)$ 5.000 DEFENSE REIMBURSEMENT 'TEM 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM PROFESSIONALS 2 71.00 142.00 PARAPROFESSIONALS 8 48.00 384.00 INDEPENDENT CONTRACTORS 5 26.00 130.00 DEFENSE LIMIT .00 • 'TEM 6. RETROACTIVE DATE: 11/01/01 TOTAL PREMIUM: 656.00 ITEM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM (If exercised):$ 656.00 ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: '.. eAcAG7 7,0A GASPS t7i06t S7tA4 lniol EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS INNERCHOICE COUNSELING 71011th Avenue Greeley,CO 80632 Cell(970) 690-4853 Office(970)461-9115 April 15,2002 Dear Judy Griego, I am writing this letter in follow-up to the recent correspondence that I received regarding the RFP Proposals 02005,02008 and 02110- Option B and Alternatives to RTC Placements. Per your request,I am noting the number of hours our program will serve each client per week for each initial referraL Lifeskills: Minimum (4) Maximum (8) Intensive Family Therapy: Any Number requested Option B:Minimum (3)Maximum (14) Alternatives to RTC Placements: Minimum (5)Maximum (25) All levels of care shall be determined by the referring case manager through Weld County Social Services. The outcome of the program will be monitored through the Child Well Being pre-tests and posts tests. All other recommendations noted in the RFP Bidding process outcome letter shall be shared with Innerchoice staff members and incorporated into our program protocols. Thank you for your correspondence and feedback. We look forward to working with you and your staff. Please don't hesitate to let us know if there is anything else you need regarding the current bidding process. Sincerely, Denise E.Klein,LCSW Innerchoice Counseling Program Director 4 1 Irli .k‘ssil s COPtENTOFSOCIAL SERVICES PO BOX A GREELEY,CO 80632 ' WEBSITE www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933• COLORADO April 10, 2002 Denise E. Klein,LCSW Innerchoice Counseling Center 415 Cleveland Avenue Loveland , CO 80537 Re: RFP PY 02005 Lifeskills RFP 02008 Intensive Family Therapy RFP 02010 Option B RFP 02010 Option B, Alternatives to RTC Placements Dear Ms. Klein: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or 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 recommendations and/or conditions 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: Reconunendation:Providers will report outcomes specific to their programs. The FYC Commission approved the following condition for all Option B and Intensive Family therapy programs. The condition reads as follows: Condition:State the number of hours your program will serve each client per initial referral. 1. RFP PY 02005.Lifeskills: Approved with the above recommendation. Page 2 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 2. RFP 02008,Intensive Family Therapy. FYC Recommendations: • Innerchoice, IFT, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will HOT set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 3. RFP 02010, Option B.Home Based Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes speck to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. Page 3 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 4. RFP 02010. Option B,Alternatives to RTC Placement; FYC Recommendations: • Innerchoice, Option B-Alternatives to RTC Placement, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited Page 4 Innerchoice Counseling Center Results of RFP Process for 2002-2003 ■ No additional services will be initiated without the approval of the Depus tment of Social Services caseworker. B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. 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: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept the.recommendation(s)as written by the FYC Commission; or a. request alternatives to the FYC Commission's recommendation(s); or b. 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. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s),you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. 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 April 17, 2002. Sincerely, Judy A. Griego,Director 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 02-CORE-0013 Revision (RFP-FYC-(02010) Contract Award Period Name and Address of Contractor Beginning 01/01/2002 and Innerchoice Counseling Center Ending 05/31/2003 Alternative Programs to RTC Placements under FPP Option B Home Based Services 415 Cleveland Loveland, CO 80537 Computation of Awards Description Unit of Service The issuance of the Notification of Financial The primary goals of the Innerchoice Family Assistance Award is based upon your Request for Preservation Program are to enhance family functioning, Proposal (RFP). The RFP specifies the scope of create cohesiveness, and help families to be become services and conditions of award. Except where it is empowered and independent from the system. The three in conflict with this NOFAA in which case the components that make the program unique are weekly NOFAA governs,the RFP upon which this award is multi-disciplinary meetings of all family treatment plans, based is an integral part of the action. utilization of family aids,behavior management Special conditions specialists, and mentors. An intense emphasis is placed 1) The program will consist of two phases. The two on helping family members become more connected phases will be the intensive phase and the step down with their natural resources so they can become less phase. dependent on the system. The average length of stay is 2) The intensive phase will include an average of 67.66 3-5 months, average number of direct/indirect service hours per family per month. Step down services will hours per week is 10-12 per family. A total of 24 include an average of 49.74 hours per family per families can be served at any given time. The average month. Social Services agrees to reimburse number of families served is 17. Approximately half of Innerchoice Counseling Center at(1) an average those families are estimated to be in South Weld County hourly rate of$48 per direct service hour with a and have availability to Bilingual-bicultural services. maximum reimbursement of $3,000 per month for the intensive phase for a maximum duration of 1.5 Cost Per Unit of Service months and, (2) an average hourly rate of $46.24 per Monthly Rate Per Intensive $3,000.00 family per direct service hour for a maximum $2,300 Average Hourly Rate Per Intensive $ 48.00 per month for step down services for a maximum duration of 3 months. Both the intensive phase and Monthly Rate Per Step Down $2,300.00 the step down phase will not last longer than the cost Average Hourly Rate Per Step Down $ 46.24 and duration granted by the expressed written Unit of Service Based on Approved Plan permission of the Social Services Administrator. 3) Reimbursement for the Unit of Services will be based Enclosures: on an hourly rate per child or per family. X Signed RFP:Exhibit A 4) The hourly rate will be paid for only direct face-to- X Supplemental Narrative to RFP: Exhibit B face contact with the child and/or family, as X Recommendation(s) evidenced by client-signed verification form, and as specified in the unit of cost computation. X Conditions of Approval 5) Unit of service costs cannot exceed the hourly, and yearly cost per child and/or family. 1 of 2 07,0!,01-/357 . _ Special Conditions continued from Page 1: 6) Rates will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 7) Requests for payment must be an original and 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: Program Official: By By nt Glenn Vaad, Chair Judy A. Gri Directo Board of Weld County Commissioners Wel ounty epartment of Social Services Date: 05 Lag laoza_ Date:_ 5/tC/aL 2of2 c OOa-/357 h EXI�BTT A SIGNED RFP RFP-FYC-02010 Attached A HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2002-2003 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2002-2003 BID#RFP-FYC-02010 NAME OF AGENCY: InnerChoice Counseling Center ADDRESS: 415 Cleveland Ave. , Loveland, CO 80537/710 11th Ave. , #301, Greely, CO PHONE: (970 ) 690-4853 CONTACT PERSON: Denise E. Klein, LCSW TITTLE: Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited,phased intensity. and produce positive change which protects children,prevents or ends placement. and preserves families.Under the Home Based Intensive Family Intervention program. the Families.Youth.and Children Commission is tarvetinv alternative programs to prevent and/or transition from the placement of children,and/or youth in residential treatment centers Approximate Project Dates: Contract with actual time lines of: Start June 1,2002 Start: End May 31. 2003 End: TITLE OF PROJECT: Alternative Home Based Intensive Family Intervention Program (9 7044;E. � of att./ 317O1O2 Name and Signature of Person Preparing Document Date Name and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this Proposal for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund Year 2001-2002 to Program Fund year 2002-2003. Indicate No Change from FY 2001-2002 to 2002-2003 A K- Project Description N C a. Target/Eligibility Populations Al C t- Types of services Provided /1 C �)k Measurable Outcomes /1I (� Service Objectives A C 0,0-2 Workload Standards • Al C Staff Qualifications /V e fJ Unit of Service Rate Computation /l/ G U E Program Capacity per Month C j+—Certificate of Insurance 25 of 33 • INVITATION TO BID DATE:February 27, 2002 BID NO: RFP-FYC-02010 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-FYC-02010) for: Alternative Programs to Residential Treatment Center Placements under Family Preservation Program--Home Based Intensive Family Intervention 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 competing 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 Home Based Intensive Family Intervention Program is a family strength focused home-based services to families in crisis which are time limited, phased in intensity, and produce positive change which protects children,prevents or ends placement, and preserves families. Under the Home Based Intensive Family Intervention program, the Families Youth and Children Commission is targeting alternative programs to prevent and/or transition from the placement of children, and/or youth in residential treatment centers. 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 4s n c.a 1. r / d CSCJ (After receipt of order) BID MUST BE SIGNED IN INK _bglis-6 E. K/c•-i, LC5c) TYPED OR PRINTED SIGNATURE VENDOR flnt/cAof.cc t o c.H se l.'ni (Name) Handwritten Signature By Authorized Officer or Agent of Vender • ADDRESS 'I f Cte✓tl.ma Ale "C TITLE Oz✓n..rn I dvLuhz. Le✓tt'May Co Sr0.f3T DATE Ifia z. PHONE# 97'0 690 - Y9S3 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 of 33 RFP-FYC-02008 Attached A ® 49. Date of Meeting(s)with SocM1 Services Division Supervisor: S -1:5--O • ♦ / r Comments by SSD Supervisor-�k A t L k f l L ft 4 ti r I t A C dP / R( enom FLI( I AI" A1 i� ' nL'-r4Aft f (' h,f �i�Pr4 i� 11 �g -C )Yrk� 4p f.401_ rr t.tc a �.tft( FiLit Li ht pif/,f , / `-fd ? t -{ n � t ( 4 . VFk �4 .1._•- i P,t th (A ,-; ix rig' '-k d:AL Lt _tC G51 ,LJ �iS if - - Vg� g Leittif k' r r )1- fQ it v)tfl�^ h Rtf /l ,t- /IfF (.ffki1_.1 ii II raF ti. Citc ( ; r / l.' !Juun', L1J.ci ) j15-11',2 Name and Signature of SS Supervisor Date Page 26 of 31 InnerChoice Counseling Center 71011`hAvenue Greeley, CO 80631 415 Cleveland Avenue Loveland, CO 80537 (970) 690-4853 or (970) 231-6673 Contact Person: Program Director - Denise E. Klein, LCSW • I. Program Description InnerChoice Counseling Center provides highly intensive in-home family therapy treatment and intensive case management services to at-risk youth and their families. The services are provided to families within their natural environments via homes, schools, and neighborhood settings. The program is designed to prevent high out-of-home placement costs and to help families stay intact. The goal of the multi-systemic strength based model is to provide an integrative, cost effective family based treatment that results in positive outcomes for children who display serious oppositional and conduct disorders. MST focuses on improving psycho-social functioning for youth and their families so that the need for out- of- home child placements is reduced or eliminated. The program is specifically tailored to meet the unique needs of the family through a four tiered step-down program. The family can enter at any given tier, based on the level of need and care required. InnerChoice has over twenty staff members with diverse interests, cultural backgrounds and educational levels so that the unique needs, interests and strengths of the family can be addressed by staff with similar interests and cultural sensitivity. InnerChoice programming is designed to provide the families with every opportunity to succeed at remaining intact. Staff are available 24 hours per day, 7 days per week and can generally meet at the families' convenience,resulting in many evening and weekend appointments. InnerChoice therapists empower families by using identified strengths to develop natural support systems and view the parents as the solution, as opposed to the problem. InnerChoice also provides treatment to the younger siblings of the identified client to prevent further involvement within the system. They currently serve both males and females, between the ages of 0-18, and their families. Services are provided for three to five months in duration. InnerChoice employs a team of six multi-systemic structural family therapists who serve as team leaders and have no more than four families on their caseload at any given time. Caseloads are kept small to prevent staff burn-out and to keep creativity and accessibility high for the families they serve. The structural family therapists clinically supervise team members and coordinate the implementation of wrap-around services. A large umbrella of wrap-around services has been created to address the vast needs of the family as expediently and efficiently as possible. Special emphasis is placed on family strengths, creativity, and joining and respecting all family members on their own terms, helping families to build on their strengths in ways that enhance self-respect and offer families specific ways to improve. The primary goals of the InnerChoice Family Preservation Program are to enhance family functioning, create cohesiveness, and help families to become empowered and independent from the system. The components that are compelling and make the InnerChoice Program unique are weekly multi-disciplinary meetings of all family therapy treatment plans, the utilization of family-aids, behavior management specialists, and mentors. An intense emphasis is placed on helping family members to become more connected with their natural resources so that they can become less dependent on the system. Mission Statement: The mission of InnerChoice is to prevent out-of-home placements for children and help families to become self-sufficient and independent from the system. • By providing a safe environment for families to explore issues that affect the child's ability to remain in the home and help family members to problem solve together so that the family unit can remain intact. • By providing an individualized family treatment plan which identifies the needs of each family member so that wrap-around services can be tailored to meet the"unique needs" of the family. • By teaching family members to come from a strengths perspective and empower them to advocate for their themselves and their family members so that they learn to view one another as natural supports. • By empowering family members to view their unique strengths as a powerful tool to work through family crisis and create a more cohesive family unit. • By helping family members to feel hopeful about the future in regard to healthy family functioning and movement away from dependency on the system towards self- sufficiency. II. Target/Eligibility Population Families to be served • Criteria for accepting a family: InnerChoice's staff is committed to providing services quickly to families that are appropriate for in-home services. The first criteria is that the family includes a child who is at risk for out-of-home placement. The second criteria is that the family is committed to staying in tact,are customers for change, and participate actively in the family preservation work. The third criteria is that other less intense services have proven to be insufficient. • The in-home family therapist/team leader will not carry a caseload greater than four families. Six family therapists will be available, providing a wide range of unique intervention specializations, so that the appropriate fit between therapist and family can be made. A total of 24 families can be served at any given time. Youth can range in age from 0-18. The average number of families served is 17 families. Approximately half of those families are estimated to be in south Weld County and have availability to bilinguaUbi-cultural services.. • The gender, ethnic, and diagnostic mental health needs of the family will have TOP PRIORITY in matching the family with the most appropriate staff. For example, if a family would be more open to a male therapist, every effort would be made to accommodate that request. If a Hispanic family is referred,a Hispanic family therapist or Hispanic family aid will be provided to the family. Special hiring measures have been taken so that Hispanic and bilingual staff are available to serve Hispanic families. Every Hispanic family referred to InnerChoice will have a team member that is able to speak the language and provide culturally sensitive interventions. If a family member is diagnosed with a mental health issue that a particular therapist has more expertise in treating, then that therapist will be matched with that particular individual client. • Family strengths will also be prioritized in selecting therapists, behavioral management specialists, family-aids, and mentors. InnerChoice prides itself in having a large staff with diversified training,expertise,and experience in working with a wide array of families. For example,if a family is interested in being artistically creative,they will be provided an art therapist; or if they enjoy the outdoors and sports activities,an experiential therapist will be utilized;if a family member enjoys spending time with animals,then an equine therapist will be utilized. • Average length of stay in the program is three to five months. InnerChoice staff work as quickly and efficiently as possible to help the family to create the change required to keep the child within the home. The goal is to immediately start connecting the family with their natural support systems within the community so that the length of stay in treatment cane be shortened. • The average number of direct/indirect service hours per week is 10-12 per family. InnerChoice places a great deal of emphasis on providing excellent communication with collateral contacts,documentation,multi-disciplinary meetings and clinical reviews so that the flow of communication remains consistent and current. • Program availability is 24 hour per day on call crisis coverage for all families. A licensed clinical social worker or mental health professional is available for case management and crisis intervention 24 hours per day, 7 days per week. • The average length of stay in the program is 3-5 months. Generally, by the fifth month of service the families are down to the lowest level care on the continuum and the lowest cost level. Generally, the family would be receiving only mentoring and case management services at this time and would be networked into their natural familial alliances and community service providers. If the service goes beyond six months of care, it is at a low level of service so as not to nurture dependency on the service providers or the county. • InnerChoice is networked with Senate Bill 94, AA, Al-A-Non,Al-A-Teen, The Community Center,The Boy's and Girl's Club, Local Churches, Cornerstone, Athletic Clubs and numerous other community support systems who support families within Weld County. ***Innerchoice staff have reviewed and researched the common modalities of service being offered to youthand their families in the state of Colorado and have chosen the modality of the M ST MODEL that at this given time is best proven to be effective in reducing out of home placements for youth and reunifying children with their permanent families.*** III. Types of Services Provided The InnerChoice Intensive In-Home Family Therapy Program provides a maximum of 25 service hours per week for families. The program is tiered so that the treatment plan can be individualized to meet the specific needs of the family. There are four levels of service available and four team staffing positions which address the family needs. Once a referral is accepted,the family therapist will make contact with the family within 48 hours. An intake will be scheduled at the families earliest convenience. Contact will be made with all family members including extended family to assess the level of support within the family unit. If familial friends are available for consult and support , InnerChoice will make contact with them when deemed appropriate by agency supervisors and referring Weld County Case Managers. Update reports will be provided to Weld County Case Managers on a weekly basis in an effort to keep the flow of communication clear and consistent. • Crisis intervention will be available 24 hours per day, 7 days per week. An average of one hour direct care (face-to-face) response time to mediate crisis situations will be available through InnerChoice. Telephone crisis consults will be dealt with immediately. If the client is in imminent danger,the Greeley 911 emergency contact will be called to intervene. Detoxification,when deemed appropriate,will be addressed through Island Grove Treatment Center. InnerChoice will make every effort to establish good working relationships with all other professionals involved with the case so that coordination of care is efficient and cost effective to the County. A. Program Positions and Services IN-HOME FAMILY THERAPIST/TEAM LEADER 4 to 12 hours per week* * combination of direct/indirect service hours per family based on level system. A licensed clinical social worker, psychologist or licensed marriage and family counselor trained to assess, diagnose and treat families and couples will provide family therapy and couple's therapy and also serve as a team leader in the delegation, coordination and budgeting of wrap-around services. Wrap- around services begin as in-house services through InnerChoice to include: individual therapy, family-aid service, recreational programming, group therapy, and mentoring. However, the staff will assess for "natural supports"and start connecting family members with their family supports and community supports by at least the second week of enrollment in the program. The family therapist/team leader will place special emphasis on maintaining good communication with the referring case manager and all other collateral contacts. They will schedule multi-disciplinary meetings weekly to review treatment goals and supervise their team of staff providing the wrap-around services to the family. These meetings ensure quality management and expedient service delivery. They provide a consistent time frame to measure and document the effectiveness of treatment goals relative to family functioning. The multi-disciplinary meetings also ensure that the treatment goals are on target and continue to meet the family's changing needs and can be modified as issues change. The family therapist will also provide crisis management and intensive in-home family therapy. The level of services provided will be determined by the unique needs of the family and the referring case manager. BEHAVIOR MANAGEMENT SPECIALIST 2 to 8 hours per week* * combination of direct/indirect service hours per family based on level system. The Behavior Management Specialist will provide individual therapy for clients requiring specialized individual treatment such as a mental health diagnosis,cognitive thinking errors, and behavioral or addiction issues. Behavior Management Specialists will be required to have at least a Bachelor's Degree in Social Work,a CAC I,II,or III, or a counseling degree. Referrals to outside agencies may occur if the diagnosis requires specialized expertise and treatment that is unavailable through InnerChoice staff. FAMILY-AIDS 2 to 8 hours per week* * combination of direct/indirect service hours per family based on level system. Family-aids are a cost effective way of complimenting therapeutic services. Family-aids can visit with the parents and other family members in their home on a daily basis initially as a support to the family in following the therapist's treatment recommendations. As the family progresses in treatment,the family-aid can reduce their level of contact. Family-Aids are trained to assist families with parenting skills, homemaking and housekeeping skills, budgeting and money management issues, structuring mealtime and family activities, stress reduction, problem solving, self care, leisure time, communication skills, medication management,consumer skills,life skills,and behavior modification techniques. A Family- Aid will be utilized to support the therapists' recommendations and the treatment plan and will help to implement consistency within the family. MENTORS 2 to 8 hours per week* * combination of direct/indirect service hours per family based on level system. Peer mentors and adult mentors are available to serve each youth and will be trained and clinically supervised to spend 2 to 8 hours per week, one-on-one, with youth participating in leisure activities,tutoring,tracking, and role modeling healthy life skills. Mentors will also be available to provide respite support for the family as needed . Peer mentors and adult mentors' main job is to teach clients creative and healthy ways in which to have fun without using drugs and alcohol. COUPLES THERAPY as needed basis Couples counseling with one or two therapists will be available to individuals having issues with blended families,marital problems,united front issues,non nuclear family interventions and mediation issues. • GROUP THERAPY as needed basis Ongoing groups are available on a weekly basis for anger management, life skills, empowerment issues,parenting skills, a Dad's support group and a Mom's support group. Other groups will be developed as needs arise with the families. These groups will also be provided as an after-care program on a sliding fee scale for families referred through Weld County Social Services DRUG ALCOHOL THERAPY as needed basis Substance abuse treatment provided by a Certified Addictions Counselor will include drug and alcohol assessments,administering UA's and breathalyzers, drug and alcohol treatment both individual and family, after care support, and referrals and transportation to outside support systems such as AA , Al-ATeen and Al-Anon. This service will be available to family members with addiction issues. SPLASH EVENTS one time per month Splash Events are events organized by the mentor manager that provide a healthy and creative recreational outlet for youth and their families. Transportation will be provided for all family members. RESTORATIVE JUSTICE EVENTS one time per month Restorative Justice Events are organized by the mentor manager in an effort to help clients learn to give back to their communities, explore their consciences and help create victim empathy through organized events which clients will be requested to volunteer at. B. Community Collaboration Efforts 1. Weld County Department of Human Services. Referrals and Case Management Services which include meetings,treatment planning and discharge. 2. Weld County Department of Mental Health. Case Management, coordination of psychiatric evaluations,therapeutic services and testing. 3. Colorado Department of Education. Coordination of case management, multi-disciplinary staffings, and testing. 4. Weld County Probation Department. Coordination of case management,multi-disciplinary staffings and testing. C. Program Components 1. Therapeutic Psychiatric consultation services Psychological consultation services Multi-systemic family therapy services Cognitive behavioral therapy services Group therapy services Drug and alcohol therapy services Equine therapy Art therapy Music therapy Experiential therapy Guided Imagery Psycho-drama therapy Psycho-educational therapy 2. Behavorial Behavorial modification Correcting cognitive thinking errors Refusal skills Life skills Conscience raising exercises 3. Psycho-Educational Parenting skills 1-2-3 Magic Anger management Stress management Team building exercises Vocational/Independent living skills Physical health needs(nutrition,medical, sex education, HIV and contraception) 4. Recreational Splash events Restorative justice events Team sports Individual recreational mentoring activities Individual and family experiential activities D. Parental Caretaker Involvement 1. Parents will be encouraged to participate and be involved in all program components. Activities will be designed based on the families' unique strengths and interests. Transportation will be provided to all families needing that assistance. 2. All activities will be implemented in order to assess,treat, and define family issues so that when the family has completed the program,they will know how to utilize family strengths and problem solve from this perspective. E. Assessment and Plan 1. After the initial referral is made to InnerChoice, the family therapist will initiate a contact with the family and assess appropriateness of service. Once it is established that the family can benefit from services, a contract for level,of care will be established. The level of care will be determined by the unique needs of the family and number of outside service providers involved. Once the level of care has been detuuuined,the family therapist will make contact with Weld County Case Manager to formally authorize the level of care. Levels of Care A+Level of Care-20 +hours of direct and indirect service per week; A Level of Care- 12 to 20 hours of direct and indirect service per week; B Level of Care-8 to 12 hours of direct and indirect service per week; C Level of Care-3 to 7 hours of direct and indirect service per week. Option A+ is the most intensive version of in-home family services. It is designed to stabilize families in acute crisis. Option A+ includes a family therapist who provides 10 to 12 hours of direct and indirect services per week. The family therapist will provide a minimum of six hours of direct care and six hours of case management and supervise the other InnerChoice staff working with the family providing wrap-around services.. Behavior Management Specialist(Individual Therapy) 3 to 6 hours per week Family-Aid 2 to 4 hours per week Mentoring 4 to 8 hours per week Groups as needed basis Option A is the second most intensive version of in-home family services. Option A includes a family therapist who provides 6 to 10 hours of direct and indirect services per week. The family therapist will provide a minimum of four hours of direct care and two hours of case management and supervision to other InnerChoice staff working with the family. Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week Family-Aid 1 to 3 hours per week Mentoring 3 to 6 hours per week Groups as needed basis Option B is for families who are not in acute crisis,however, require psycho-educational services,case management services,and therapeutic interventions necessary to keep the child in the home. Option B includes a family therapist who provides 3 to 6 hours of direct and indirect services per week. The family therapist will provide a minimum of three hours of direct care and two hours of case management and supervision to other InnerChoice staff working with the family. Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week Family-Aid 1 to 3 hours per week Mentoring 3 to 6 hours per week Groups as needed basis Option C is for families transitioning out of the InnerChoice Family Preservation Program. These families have effectively met their treatment goals and are accessing transitional therapeutic and case management services in order to stabilize their treatment goals. After care groups and mentoring are essential during this transition phase Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week Family Aid 1 to 3 hours per week Mentoring 3 to 6 hours per week Groups as needed basis Direct Care Direct Care is face-to-face contact or telephone contact made with individual family members or the family as a unit. It can occur in therapy sessions,multi-disciplinary staffings,recreational activities, group activities, mentoring services and assistance provided to family members while accessing community supports and case management services. Indirect Care Indirect Care does not require the families' presence, however, indirect care is being provided for the welfare of the family, i.e. telephone contacts to collateral contacts, written reports, court evaluations, court appearances, accessing hard services for the family, travel time, meetings, and clinical staffings and supervision for the benefit of the family. F. Pro-Active Planning 1. The reintegration plan will begin to be developed as early as the second weeks enrollment in the program. The family therapist will be looking at natural support systems via kin and the community so that the family does not become dependent on InnerChoice staff. 2. Initially, InnerChoice will provide micro-management in regard to accessing and utilizing these natural supports, however, once the family members have been provided the necessary skills in accessing the support they will then be encouraged to develop and strengthen these strategies with little outside intervention. 3. Continuity of care with other agencies providing services to the family will be prioritized throughout the length of stay. ImierChoice staff will teach client's to access these services and maintain contact with these collateral contacts. Contacts will be made on a weekly basis to ensure the quality of inter-agency communications and coordination of treatment so that treatment goals can be targeted as a team. Client's will be encouraged to maintain contact with these agencies after services are discontinued by the county. 4. Inner-agency staffings will occur on a weekly basis to review treatment goals and ensure that the therapists are helping the families to work towards their goals in an efficient and expedient fashion. 5. Diagnostic and medical evaluations will be given top priority so that medical and mental health concerns can be addressed as quickly as possible. It is important that any impairment from medical/mental health complications can be minimized and treated so that clients can accelerate their progress towards their therapeutic goals. 6. After-care groups and splash events will be provided on a sliding fee scale for family members so that they can continue to access support and maintain their treatment goals through InnerChoice. These services will be provided on a sliding fee scale as part of the families after-care programming. 8. Program availability is 24 hour per day on call crisis coverage for all families. A licensed clinical social worker or mental health professional carries a pager and is available for case management and crisis intervention 24 hours per day, 7 days per week.A critical incident report form will be filled out and sent to the county any time a crisis contact is made with the on-call therapist. The on-call therapist will also be trained to identify when detoxification services will be utilized and coordinated through Island Grove. On-call therapists are available to make on-sight visits to Island Grove Detoxification Center,North Range,the police station and Psych-Care for crisis consult and case management. 9. Quantitative measures will be approximately 70 percent therapy services(direct care) to include the administration of psycho-educational assistance in the development of life-skills such as stress reduction, problem solving and hands-on parenting. Fifteen percent will be crisis management and the final percent will be an additional 15 percent directed towards collateral contact training and referral based services. Clinicians will make sure that services are not duplicated by contacting and collaborating with other service providers on a weekly basis. Capitated services will be utilized whenever possible to lower the costs to the county and when formally approved by the county case worker. IV. Measurable Outcomes A. 80%of children who are provided services will remain within their home at time of closure. B. 95%of the families will improve their parental competency ratings prior to closure of treatment. C. 80% of children who are currently in their home will remain in their home twelve months following case closure. D. 80% of children currently in long term placement facilities provided reunification Home Based Intensive Family Intervention Services will return to their home and not render out-of-home placement twelve months after completion of Homes Based Family Intervention. E. 90%of the families will not have a subsequent report of neglect or abuse. F. 90% of cases that receive family preservation services will register low on the risk assessment devise at service closure. Project Monitoring and Evaluation Pre-tests and post-tests(Child Well-Being Scale and Family Risk Scale)will be administered to the families immediately before and following the implementation of services. A six month and twelve month follow-up survey will be done to assess for success and recidivism. InneiChoice will monitor daily,weekly and monthly hard and soft services provided for the family. This information will be provided to the county on a monthly basis for evaluation and program management review. The program will also fill out quarterly client progress reports as requested by the County. A case is terminated as a treatment success when: The parent(s) have the motivation and skills necessary for handling subsequent problems,the youth is involved with pro-social peers and actively involved in a community activity that is deemed healthy and constructive, and the family has been able to function reasonably well with minimal support from InnerChoice for a period for at least four weeks. Treatment is prematurely terminated when: the clients are not customers for change, the services required are beyond the out-patient level of care and/or the safety of the child or community is not assured. V. Service Objectives A. 90% of the families will improve their communication skills and problem solving skills through varied and creative therapeutic styles and interventions such as structural family therapy, multi-systemic therapy, psychotherapy, psycho-drama, guided imagery, equine therapy, art therapy, music therapy, mediation services for extended family, CAC services for addiction issues and cognitive behavioral therapy for behavior management issues. Gender appropriate and culturally appropriate therapeutic matches will be made with families to increase success outcomes.Families will reduce their negative resistance through the therapists' specialized training in uncovering the unique needs and strengths of the families and their joining skills.. B. Group parenting classes will be conducted. InnerChoice will provide transportation for the mother and/or father to attend parenting and empowerment class . This will allow parents to work together to find solutions and vent their frustration in regard to ongoing parenting concerns and issues. Individual treatment plans will be addressed by the family therapist and the family-aids will support the recommendations that the therapists make to the families on a weekly basis. Hands on skills will be reviewed and monitored by family-aids to assess for progress in treatment on a weekly basis. C. Family-aids will work towards increasing parental competency in parenting skills, homemaking and housekeeping skills, budgeting and money management issues, structuring mealtime and family activities,stress reduction,problem solving,self care, leisure time, communication skills, medication management, consumer skills, life skills, and behavior modification techniques. D. 95 %of the families will develop alliances through natural familial and community supports such as extended family, church, health care professionals, neighborhood groups and a variety of supportive organizations through the implementation of mentors and family-aids who will provide transportation and support to these meetings and activities until family members access their own natural supports. Family-aids and mentors will also provide assistance in establishing resources and accessing services through other state programs such as Housing for Humanity, CHIP, LEAP and Social Security. * Family-aids and behavior specialists will keep monthly survey records to identify and substantiate progress in parenting skills and deficits. These progress review surveys will be compiled so that statistics can be accumulated in regard to what"hands on"parenting and life skills were provided to the parents and to what degree the interventions and education were successful. VI. Workload Standards A. A typical staffing pattern for the provision of intensive in-home services for one family is a treatment team consisting of one Master's Level Therapist, one Behavior Management Specialist and one or two Mentors. In cases where there are parental education needs and/or neglect, a family-aid will be brought in to assist the parents with these concerns. Appointments are available to families seven days per week throughout the year so that optimal utilization and implementation of services can occur. Many of the appointments will be scheduled after school and in the evening and weekend hours. Clients can receive a minimum of 3 service hours to a maximum of 25 service hours per week. Twenty-four hour per day, 7 days per week on call crisis management is available by a licensed clinician. B. InnerChoice has over 20 staff available to provide a wide array of services and work as team members. C. Family therapists/team leaders will serve no more than four families at any given time. Behavioral management specialists will serve no more than six individual clients at any given time. Family-aids will serve no more than four families at any given time. Mentors will have no more than five clients at any given time. An average of 17 families can be served each month in Weld County. The average length of stay in the program is three to five months. *Case loads will remain small to avoid staff burn-out, improve quality management and accessibility for all families being served through InnerChoice Counseling Center* D. Structural family therapy training and booster training sessions will be provided 8 hours per month to all staff engaged in the treatment of families. Interventions will be clinically supervised and monitored and assessed for effectiveness on a weekly basis. Staff providing multi-systemic interventions will be requested to also access training outside of the agency to compliment the already existing service training format. Innerchoice will gear a great deal of the training and interventions to treat serious oppositional defiance and anti-social behaviors in youth. Staff members will be trained in utilizing a strength's model and interventions and requested to be creative and focus on joining techniques when engaging with a new client. Strong emphasis will be requested in regard to connecting the families with their next-of-kin, familial friends, neighborhood resources and community networks. E. Service hours usually range from 6 hours per week to 25 hours per week for one family on the caseload. F. InnerChoice has 24 staff members presently employed. G. Clinical supervisors carry caseloads no greater than eight. H. InnerChoice requires that all staff members transporting clients have automobile insurance coverage and that their policies are reviewed and photocopied for their files every six months to ensure continuity. The agency itself has liability coverage through American Professional Agency in New York,New York. I. InnerChoice is located at 415 Cleveland Avenue in Loveland, CO and 710 I11' Avenue In Greeley, CO. The future plan is to secure a house in Greeley in order to offer more groups and life-skills services. Plans are also presently being activated for a bed to be secured at a licensed Child Placement Agency so that when family members need a time out from one another and parents are ready to throw in the towel we are able to avoid placing the youth in a residential treatment facility. The youth could be immediately placed at the CPA so that treatment can continue through InnerChoice, the family can take their time out and permanent out of home placement is avoided. This CPA placement would offer 24 hour care and the on call therapist could continue to serve the other families who may be in crisis or need other services. VII. Staff Qualifications Denise E Klein-LCSW Family Service Program Director Denise will serve as the Program Director for InnerChoice Counseling Center. She will coordinate inter-agency services and will manage the InnerChoice teams as they provide services to each family. Denise earned a Bachelor's Degree in Social Work from Minot State University and a Master's Degree in Social Work from the University of North Dakota. She was trained in multi-systemic therapy at the graduate level and began her first paid position as an in-home therapist. She has 12 years of experience in working with youth and families. She has developed and implemented two separate Intensive In-home Family Preservation Programs in North Dakota and Minnesota. Denise also worked at the Grand Forks Air Force Base with families with multi-cultural backgrounds providing service to youth and their families reported for child and spouse abuse. Denise has also served as a guardian ad litem, court appointed visitor, supervised visitation monitor and foster parent. Family Therapist/ Team leader Position (6) - This position requires a minimum of a master's degree in social work or a master's degree in marriage and family counseling. Behavioral Specialist/ Counseling position (4) - This position requires a minimum of a bachelor's degree in social work, counseling,psychology or divinity. Family Aid(4)-This position requires training and supervision in parent education,money management skills, life skills, assertiveness training and behavior modification. The family aid will be trained and supervised by a master's level clinician. Mentor(10) - This position requires that the individual role-model healthy life skills and a large capacity to join with a client in a positive and productive way. The mentors will be trained and clinically supervised by a masters level clinician. CAC I, II, III (5)-This position requires the necessary supervision hours and course work to be certified as a certified addictions counselor. Follow-up supervision through InnerChoice will be provided by a CAC III trained clinician. A. Staff including supervisors will meet the training and minimum qualifications described in the Staff manual Volume VII, section 7.303.17 and Section 7.006,Q, Colorado Department of Human Services. B. 24 staff are employed through InnerChoice Counseling Center. Three clinical supervisors are available to staff C. All staff members go through an initial four hour training period and receive eight hours of going booster training sessions per month and the mandated new caseworker training.. D. All staff will be trained in risk assessment. E. The staff will complete the State Home Based Family Intensive Family Services Training Component at the earliest possible date. F. InnerChoice has hired bilingual and Hispanic staff to educate other staff members in regard to culturally sensitive interventions and treatment. The Hispanic staff provide consultation to our staff at least two hours per week and also work directly with the families in their homes and communities. A Hispanic clinical supervisor will be on staff to make sure culturally sensitive interventions are being utilized. ***Therapist's will be trained in multi systemic strength based family system's theory in order to treat families with serious oppositional defiant and conduct disorder youth. This model also addresses the issues of the younger children within the home by targeting prevention issues and the younger siblings onset of behavioral problems.*** VIII. Computation of Direct Service Rate (Note: See Attached) MINIMUM #OF FAMILIES - 3 MAXIMUM # OF FAMILIES - 24 Addendum to Minimum and Maximum Number of Clients Served Innerchoice is designed to meet a wide continuum of level of care based on the minimum and maximum number of clients to be served.We have many part-time staff who are flexible with their hours to either increase service or decrease service hours as needs increase and decrease with the families and with county referrals.We have cross over programs that help to counter the effects of a decrease in referrals in a program. Overheads costs are kept low to ensure the maximum amount of services for a lower cost to the county. c/4 / toot" .v e ,) L -2v-G l -4 /fOc t v7v_%. RFP-FYC-02010 i° Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE-PHASE I-INENSIVE A. 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 Hollowing Page) 2,`i v Hours (A] Total Hours of Direct Service per Client ./I Total Clients to be Served / 9 Clients (B] Total Hours of Direct Service for Year 3 J !n U Hours [C] (Line (A] Multiplied by Line (B] Cost per Hour of Direct Services $ 13ITO Per Hour [D] Total Direct Service Costs $ 1415)36s O [B] (Line [C] Multiplied by Line (D]) Administration Costs Allocable to Program $ In)/ U (F] Overhead Costs Allocable to Program $ 7a 1 9 2 [(3] Total Cost, Direct and Allocated, of Program$ a , ., t ,. (H] Line (E] Plus Line [F] Plus Line to]) Anticipated Profits Contributed by this Program $ <13 f8 4 (I] Total Costs and Profits to be Covered Up ! 1 , > : [J] by this Program(Line (H] Plus Line (I)) $ i ' `" ` Total Hours of Direct Service for Year 3 r ' (K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of ! ^ -'r) [L) Social Services s 6 V Day Treatment Programs Only: iv/9 (M] Direct Service House Per Client Per Month Monthly Direct Service Rate $ Na- (N] 31 of 33 (ff lizirekt in ) ��„�1 C Ptegi rm. RFp-FYG02010 Attached A IX. COMPUTATION OF DIRECT SERVICE RATE-PHASE II-STEP DOWN B. 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 /0O Hours (A] Total Clients to be Served / 1 Clients (B] Total Hours of Direct Service for Year / /O U Hours (C] (Line (Al Multiplied by Line (B] Cost per Hour of Direct Services $ 13,CD C D Per Hour ID] Total Direct Service Costs $ (%){'00 (B] (Line (C] Multiplied by Line (D]) �y q Administration Costs Allocable to Program $ 9 a r 2- WI Overhead Costs Allocable to Program $ a -rrr 9 ce (al Total Cost, Direct and Allocated, of Program$ 5 to c&9 (H] Line (B] Plus Line (F) Plus Line (0]) Anticipated Profits Contributed by this Program $ I O to J 2- (I) Total Costs and Profits to be Covered /_ by this Program(Line (H] Plus Line (II) $ la 7 p.0O (J] Total Hours of Direct Service for Year ! :231 in (Must Equal Line IC]) Rate per Hour of Direct, Face-to-Face service to be Charged to Weld County Department of '' a ` U4Social Services $ • .� " Day Treatment Programs Only: Direct Service House Per Client Per Month (M1 Monthly Direct Service Rate $ (N] 1 offl • I/25/01 SOCIAL WORKER PROFESSIONAL LIABILITY POLICY NOTICE: A LOWER LIMIT OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT(SEE THE SPECIAL PROVISION"SEXUAL MISCONDUCT"IN THE POLICY). DECLARATIONS 'OLICY NO: SWL-6776991 ACCOUNT NO: CO—INNE415-0 03883335 TEM 1.(a)NAME AND ADDRESS OF INSURED: ITEM 1.(b)ADDITIONAL NAMED INSUREDS: DENISE ELLEN KLEIN LISA MELVILLE INNER CHOICE COUNSELING CENTER 415 CLEVELAND AVE LOVELAND, CO 80537 TYPE OF ORG: LLC TEM 2. ADDITIONAL INSUREDS: TEM 3. POLICY PERIOD: FROM. 11/01/0 t TO: 11/01/02 12:01 A.M.STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: TEM 4. LIMITS OF LIABILITY: (a)$ 2.000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE (b) $ 4.000.000 AGGREGATE (c)$ 5.000 DEFENSE REIMBURSEMENT TEM 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PREMIUM PROFESSIONALS 2 71.00 142.00 PARAPROFESSIONALS 8 48.00 384.00 INDEPENDENT CONTRACTORS 5 26.00 130.00 DEFENSE LIMIT .00 ITEM 6. RETROACTIVE DATE: 11/01/01 TOTAL PREMIUM: 656.00 ITEM 7. EXTENDED REPORTING PERIOD ADDITIONAL PREMIUM(If exercised):$ 656.00 ITEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: 3 & BKGAr.9 7/OA BKRRR7 (7/0S1 K21-44 1[1/01 .�. j' EXHIBIT B SUPPLEMENTAL NARRATIVE TO RFP RECOMMENDATIONS • INNERCHOICE COUNSELING 710 116 Avenue Greeley,CO 80632 Cell(970) 6904853 Office(970) 461-9115 April 15,2002 Dear Judy Griego, I am writing this letter in follow-up to the recent correspondence that I received regarding the RFP Proposals 02005,02008 and 02110-Option B and Alternatives to RTC Placements. Per your request,I am noting the number of hours our program will serve each client per week for each initial referraL Lifeskills: Minimum (4) Maximum (8) Intensive Family Therapy: Any Number requested Option B: Minimum (3)Maximum (14) Alternatives to RTC Placements: Minimum(5)Maximum (25) All levels of care shall be determined by the referring case manager through Weld County Social Services. The outcome of the program will be monitored through the Child Well Being pre-tests and posts tests. All other recommendations noted in the RFP Bidding process outcome letter shall be shared with Innerchoice staff members and incorporated into our program protocols. Thank you for your correspondence and feedback. We look forward to working with you and your staff. Please don't hesitate to let us know if there is anything else you need regarding the current bidding process. Sincerely, � �^ati4, Denise E.Klein,LCSW Innerchoice Counseling Program Director sr ep 1((?a‘% i n DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 C Child Support(970)352-6933• COLORADO April 10, 2002 Denise E. Klein,LCSW Innerchoice Counseling Center 415 Cleveland Avenue Loveland, CO 80537 Re: RFP PY 02005 Lifeskills RFP 02008 Intensive Family Therapy RFP 02010 Option B RFP 02010 Option B,Alternatives to RTC Placements Dear Ms. Klein: The purpose of this letter is to outline the results of the RFP Bid process for PY 2002- 2003 and to request written information or 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 recommendations and/or conditions 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. The FYC Commission approved the following condition for all Option B and Intensive Family therapy programs. The condition reads as follows: Condition:State the number of hours your program will serve each client per initial referral. 1. RFP PY 02005,Lifeskills: Approved with the above recommendation. Page 2 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 2. RFP 02008,Intensive Family Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions • State the maximum number of hours your program will serve each client per initial referraL(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will,idt set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred family s needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 3. RFP 02010, Option B.Home Based Therapy: FYC Recommendations: • Innerchoice, IFT, will report outcomes specffic to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. Page 3 Innerchoice Counseling Center Results of RFP Process for PY 2002-2003 • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred famtily's needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • No additional services will be initiated without the approval of the Department of Social Services caseworker. 4. RFP 02010, Option B,Alternatives to RTC Placement; FYC Recommendations: ■ Innerchoice, Option B-Alternatives to RTC Placement will report outcomes specific to their program. (See above recommendation for all programs.) FYC Conditions: • State the maximum number of hours your program will serve each client per initial referral.(See above condition for all Option B and IFT programs.) • Innerchoice will not bill the Department of Social Services for staffing hours. • Innerchoice will not set up psychological evaluations for referred clients. All psychological evaluations will be referred by the Department of Social Services caseworker. • Innerchoice will not perform case management services for referred clients. All case management shall be completed by the Department of Social Services caseworker. Innerchoice will perform the therapy component only. • All levels of care will be determined by the Department of Social Services caseworker and the caseworker's perception of the referred famtily s needs. • All instances of abuse and neglect will be reported immediately to the Department of Social Services Intake unit caseworker. • All grievances will be reported to the caseworker. The caseworker will initiate a grievance process if merited • Page 4 Innerchoice Counseling Center Results of RFP Process for 2002-2003 ■ No additional services will be initiated without the approval of the Department of Social Services caseworker. B. Required Response by FYC Bidden Concerning FYC Commission Recommendations and Conditions The Weld County Department of Social Services is requesting your written response to the FYC Commission's recommendations. 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: FYC Commission Recommendations: You are requested to review the FYC Commission recommendations and to: a. accept the.recommendation(s) as written by the FYC Commission; or a. request alternatives to the FYC Commission's recommendation(s); or b. 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. All approved recommendations under the NOFAA will be monitored and evaluated by the FYC Commission. 2. FYC Commission Conditions: All conditions will be incorporated as part of your RFP Bid and Notification of Financial Assistance Award(NOFAA). If you do not accept the condition(s),you will not be authorized as a vendor unless your mitigating circumstances are accepted by the FYC Commission and the Weld County Department of Social Services. If you do not accept the condition, you must provide in writing reasons why. A meeting will be arranged to discuss your response. Your response to the above conditions will be incorporated in the RFP Bid and Notification of Financial Assistance Award. 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 April 17, 2002. Sincerely, Judy A. Griego,Director cc: Dick Palmisano, Chair,FYC Commission Gloria Romansik, Social Services Administrator Hello