HomeMy WebLinkAbout20031063.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR LIFE SKILLS
PROGRAM AND AUTHORIZE CHAIR TO SIGN - LORI KOCHEVAR, LLC
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial Assistance
Award for the Life Skills Program, between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Social Services, and Lori Kochevar, LLC, commencing June 1, 2003, and ending May 31, 2004,
with further terms and conditions being as stated in said award, and
WHEREAS, after review, the Board deems it advisable to approve said award, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Weld County, Colorado, ex-officio Board of Social Services, that the Notification of Financial
Assistance Award for the above listed program between the County of Weld, State of Colorado,
by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Social Services, and Lori Kochevar, LLC, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said award.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of April, A.D., 2003.
BOARD OF COUNTY COMMISSIONERS
WEL OUNT , COLORADO
a
ATTEST: Lk/ 4f.' D vid E. Lon Chair
Weld County Clerk to t e B' arctd o v
Robert D. asden, Pro-Tem
BY: •
Deputy Clerk to the Board '---'--
J. Geile
AP DA . OF• ' : �'L Y,G✓
William H. Jerke
County Attorn y a v. IUTACr�
Glenn Vaad
s
Date of signature: �"-
\ 2003-1063
CO 1
a3 67 ) SS0030
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 03-CORE-LS 0004
Revision (RFP-PAC-03005)
Contract Award Period Name and Address of Contractor
Lori Kochevar LLC
Beginning 06/01/2003 and Life Skills Program
Ending 05/31/2004 810 12`s Street
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial
Assistance Award is based upon your Request for
Supervised visitation for the family during the Proposal (RFP). The RFP specifies the scope of
time the bonding specialist is working with them. services and conditions of award. Except where it is
The program offers information, education, and in conflict with this NOFAA in which case the
modeling of behaviors that promote bonding,to NOFAA governs,the RFP upon which this award is
assist the parent in their relationship with the based is an integral part of the action.
child. Service to a total of 56 families during the Special conditions
12-month period, 8-10 families served at any
given time, 18 hours of one-on-one supervised 1) Reimbursement for the Unit of Services will be based
visitation with the bonding specialist per family. on an hourly rate per child or per family.
2) The hourly rate will be paid for only direct face to face
Cost Per Unit of Service contact with the child and/or family,as evidenced by
client-signed verification form,and as specified in the
Hourly Rate Per $ 65.00 unit of cost computation.
Unit of Service Based on Approved Plan 3) Unit of service costs cannot exceed the hourly and
Enclosures: yearly cost per child and/or family.
X Signed RFP:Exhibit A 4) Payment will only be remitted on cases open with,and
Supplemental Narrative to RFP: Exhibit B referrals made by the Weld County Department of
Recommendation(s) Social Services.
Conditions of Approval 5) Requests for payment must be an original submitted to
the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
month of service. The provider must submit requests
for payment on forms approved by Weld County
Department of Social Services.
Approvals: Program Official:
By By
David E. Long,Chair Jud6,{ta
o,Dir ctor
Board of Weld County Commissi ers Weounty Department 4 of Social Services
3.Date: 4- - U
3Q3 Date: 112 I/(/'3
„WO-ICLo3
EXHIBIT "A"
RFP-FYC-03005 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 2003-2004
OFF-SYSTEM BID 02-03 RFP-FYC-03005
NAME OF AGENCY: Ix ADDRESS: 4- �- /I that ,- ms Ix LLC
PHONE: .970 3S a-9373
CONTACT PERSON: Urj1G(ar TITLE: any'
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,effectively accessing community resources, and
encouraging goal setting and pro-social values.
12-Month approximate Project Dates: _ 12-month contract with actual time lines of:
Start June 1. 2003 Start
End May 31, 2004 End
TITLE OF PROJECT: SO ggriet01 Pi/ /C4wn
AMOUNT REQUESTTED��: • S__�&Airship��la¢tt✓� /1S Ut. 11C- 3/131 Q3
Namere of Person Preparing Document Date
Judy A. Griego,Director
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 2002-
2003 to Program Fund year 2003-2004.
Indicate No Change from FY 2002-2003 to 2003-2004
_AlProject Description
Target/Eligibility Populations
3't Types of services Provided
M Measurable Outcomes
if Service Objectives
f ____
Workload Standards _
Staff Qualifications
Unit of Service Rate Computation _
Program Capacity per Month
Certificate of Insurance
Assurance Statement
Page 26 of 32
• INVITATION TO BID
OFF-SYSTEM BID 02-03 RFP-FYC 03005
DATE:February 19, 2003 BID NO: RFP-FYC-03005
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-03005) for:Colorado Family Preservation Act--Life Skills Program
Emergency Assistance Program
Deadline: March 14, 2003, Friday, 10:00 am.
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 Colorado Family Preservation Program Act (C.R.S. 26-5.5-
101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement Act
(C.R.S. 26-5.3-101). The Families,Youth and Children Commission wishes to approve services targeted to
run from June 1, 2003, through May 31, 2004, 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
(After receipt of order) BID MUST BE SIGNED IN INK
Loricuw"
CT�ED OR PRINTED SIGNATURE ofVENDOR wet Ware MS IdC.LL�G c�� �� �Lj ihs ilk Lit
(Name) Han tten Signature By Authorized
SID {,,���. Officer or Agent of Vender
SI
ADDRESS D la* C5 hie TITLE &nt7A .
C7 teed CD 10631
DATE 31/3 103
PHONE# 970 sS2-1 S 7 3
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-03005 Attached A
Date of Meeting(s)with Social Services Division Supervisor: .a-/ailG
Comments by SSD Supervisor:
,4-trec fc .4 7 n /0-Dyc/(— —
c-c r r-rl ct Ir, ell
l�-‘7r-yr,�,�
Name and Signature of SSD Supervisor Date
Page 27 of 32
THE BONDING PROGRAM
Purpose: The purpose of the Bonding Program is to provide support and
information in order to assist parents in building a stronger emotional
relationship with their children. The focus of this program is to teach
parents how to create an emotionally safe and secure environment for their
children in the home. The goal of this program is to keep children with their
biological parents.
Design: This program will provide supervised visitation for the family
during the time the bonding specialist is working with them. The program
provides modeling of how to build nurturing relationships with the family
during visitation in the home or at the Department of Social Services. The
program is designed to assess the response of the parent to the child and the
child's response to the parent. Assessment will include the parent's
commitment and ability to make changes in parenting which will enhance
the emotional relationship. From this assessment, a Case Management Plan
for intervention will be developed which addresses the strengths and
deficiencies of the relationship. This program is based on a strength-based
family preservation model of service.
This program offers information, education and modeling of behaviors that
promote bonding, to assist the parent in strengthening the relationship with
their children. Other topics regarding parenting and children (including
discipline, growth and development, health and safety) will be addressed
during the sessions.
Establishing a strong emotional parent-child relationship will be the
underlying foundation for teaching other child related issues.
Why Services are Important: Bonding is a deep and lasting relationship
which develops between the caregiver and the child during the first two
years of life. The strength of this bond has a profound affect on every aspect
of the child's nature. The child, who develops a strong sense of nurturing
from his mother will develop: a sense of trust, a good self-esteem, positive
reciprocal interaction with others and an ability to function as a healthy
adult. In addition, an adult who had a positive bonding experience with his
mother will be able to establish an emotionally healthy foundation for his
own children.
A child who does not experience the development of a strong bond with the
parent will be prone to difficulties with relationships, antisocial behavior and
learning difficulties. When these children grow up, they are often unable to
regulate their emotions or their behavior.
Any event that separates the child from the mother either physically or
emotionally during the first three years of life, places the child at risk for
inadequate bonding. Lack of bonding in a parent-child relationship can
occur for several reasons. Children who experience frequent moves within a
foster care system become resistive to bonding. When the mother
experiences a high level of stress during pregnancy, suffers from depression
or is involved in substance abuse, she may not be emotionally available to
nurture the child. Domestic violence may cause a child to develop fear and
distrust of the parent making bonding difficult. Children who experience
abuse/neglect are at high risk for bonding difficulties.
Children who are not well bonded do not learn to trust. They have a difficult
time building strong meaningful relationships throughout life. This may be
reflected in early childhood through angry, defiant and controlling behavior.
The child may also have difficulty dealing with authority figures throughout
his life. The lack of a strong parent-child bond may also interfere with the
child's learning ability. These children may have difficulty focusing in the
classroom. They are often emotionally and developmentally delayed. Due
to the impact inadequate bonding may have on the future of the child and
our society, it is imperative that intervention begin as early as possible in the
child's life.
TARGET / ELIGIBILITY POPULATION
A. Total Number of clients to be served: The program will be able
to serve a total of 56 families during the twelve-month period. The
bonding specialist will serve eight to ten families at one given time
period. Each family will receive 18 hours of one-on-one supervised
visitation with the bonding specialist. This would provide sixteen to
twenty hours of intervention with families per week, sixty-four to
2
eighty hours per month. Total number of client hours provided per
year would be 1008 hours.
B. Total number of clients and ages: Based on the approximation that
the average family is made up of four children and one parent, the
total number of clients for the year could be 280 clients. Focus will
be on children whose ages are birth to three years of age. When the
family includes older children, they will be included in the family
intervention.
C. Total number of families served: A total of 56 families will be
served during the year.
D. Sub-total of individuals who will receive bilingual/ bicultural
services: All services provided would be in a manner that is sensitive
to the family's culture of origin. The program manager and
specialists have extensive training in cultural competency issues. Lori
Kochevar chaired the multicultural task force that successfully
implemented multicultural training throughout the San Luis Valley.
Becky McMahan has worked with families from various cultural
roots. She has a sense of respect for the family's cultural beliefs and
practices. Carmen Jimenez, a bicultural provider, will be available
for any Spanish speaking families. Due to our experience in
bicultural settings, all individuals in our program will receive
bicultural services. Written program materials are available in
Spanish.
E. Sub-total of individuals who will receive services in South County:
The program could serve three to four families in South County
during a given time period. Based on referral in past years, this would
be an adequate estimate. Services will be provided for families where
they reside as determined by Social Services.
F. The monthly maximum program capacity: If needed, we could
expand the number of hours we are available for services to 25 hours
per week, which would make available 100 hours per month.
G. The monthly average capacity: The monthly average capacity of
this program is six to eight families.
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H. Average stay in the program: The average stay in the program
would be twelve weeks. It is felt that clients have adequate
opportunity to make positive changes in parenting styles in that period
of time.
I. Average hours per week in program: Initially, each family would
receive services two hours per week. It is important that the family
initially access services two hours per week, due to the urgency of
healing the parent-child relationship. After the first six weeks,
sessions will decrease to one hour per week for the remainder of the
twelve weeks.
SERVICES TO BE PROVIDED
A. Through mentoring, the program will address the following
areas:
1. Teach, model and coach adaptive strategies: The bonding
specialist will teach through use of visual aides, demonstration
and verbal interaction with the parent and child. She will use
demonstration of bonding behaviors. She will guide the parent
and child through activities that utilize bonding skills and
encourage a positive emotional interaction between the parent
and child. She will support the parent with encouragement and
recognition of positive changes.
2. Model and influence parenting practices: During the visits
with the parent and child, the bonding specialist will influence
and direct parenting practices through education of the parent.
The parent will be given opportunity to gain increased
awareness of the child's developmental level and have a better
understanding of expectations which are appropriate to the
child's age. The bonding specialist will have opportunity to
model for and guide the parent during the visitation.
3. Teach relational skills: The parent will receive information
and guidance regarding nurturing behaviors which, when put
into practice, will enhance relationships. The bonding
4
specialist will guide and support the parent as she makes efforts
to utilize new skills. Just as the mother has difficulty in her
attempts to make changes in her parenting and bonding
behaviors, the poorly bonded child struggles to respond to those
changes. This can be discouraging to the parent who will be
offered support and encouragement.
4. Teach household management, including prioritizing,
finances, cleaning, and leisure activities: The program will
address everyday living concerns faced by the family through
observation and initial assessment. The bonding specialist will
address issues such as the safety and health of the family as
related to hygiene and care of the living quarters. The bonding
specialist will increase the parent's awareness of the importance
of structure and consistency in the home routine for the children
and the parent. This will be a process of education presented
through verbal and written materials.
5. Actively help to establish community connections and
resources: The bonding specialist is well informed about
community resources due to her work in the Public Health field.
She will be able to direct the client to resources as needed and
to assist with accessing those resources. This would include
offering the information to the client, setting up an initial
appointment, and possibly meeting the parent at a designated
appointment as a support person. This could also include
guiding the parent to Play Groups or other activities that would
offer opportunities for social interaction for the child and
parent. A Resource Guide will be used in the intervention with
the family. (Appendix A)
6. Encourage goal setting and pro-social values: When
working with the family in the above areas, the bonding
specialist will assist the parent in developing goals that the
parent recognizes as important to the welfare of the child and
the family. Goals will be developed with the parent and put
into writing, to be reviewed periodically together. Through this
experience, it is hoped that the client would develop a greater
awareness of how to function successfully in society.
5
B. Visitation:
1. Monitor parent-child interactions for physical and
emotional safety: Supervised visitation by the bonding
specialist will be made in the home or in a location designated
by the Department of Social Services. During the visitation, the
bonding specialist will be attentive to the interactions between
the child and parent. She will guide, direct and model behavior
with the parent and child as a means of increasing parent
awareness regarding ways to provide an emotionally and
physically safe environment.
2. Document clinical observations: The bonding specialist will
utilize The Family Visitation Evaluation Form (Appendix A),
developed specifically for the program, to document clinical
observations made during the visitation. The form will be filled
out at the time of the visit or prior to the following visit. The
client receives a copy and is asked to review it with the bonding
specialist at the end of the visit or at the beginning of the visit.
The parent is the asked to sign the form. This allows the client
written feedback from each visit. The parent and caseworker
. receive a copy and the bonding specialist keeps one copy for her
records. The bonding specialist keeps her own notes in addition
for each visit and from these submits a monthly report to the
caseworker, the supervisor of Life Skills Programs and a billing
person.
3. Strategize for teaching and modeling parenting skills:
Demonstration is most often the most effective strategy for
increasing parent awareness and teaching new skills. As events
unfold during a visit, it is effective to be able to point out
emotional or physical safety concerns as the issues arise. It is
also effective to offer support and positive feedback to the
parent and the child as positive events occur during the visit. It
is through this process of redirecting and recognition of a
parent's efforts that the she begins to understand her own sense
of success.
6
4. Teach relational skills: Parents will be educated through visual
aides and verbal information about bonding and ways the parent
can enhance the relationship with the child. During visitation,
the bonding specialist will point out behaviors of the child
which relate to an insecure bond and direct the parent to tools
she can use to offer the child more emotional support. The
bonding specialist will also use demonstration and modeling to
assist the parent's understanding of her child's needs and
healthy responses to those needs.
5. Encourage goal setting and pro-social values: During the
visitation, much of the focus will be on the emotional
interactions between parent and child. As the parent comes to a
better understanding of her child's needs and how her own
behaviors affect the child, she will be better able to focus on her
own goals. The bonding specialist will work with the parent to
develop goals that are within the parent's understanding. Those
goals will be reviewed with the client periodically and enhanced
or changed as the parent progresses. Through the increased
awareness of her responsibility as a parent and her self-
discipline in changing parenting patterns, she may develop a
greater awareness of social values that allow her to function
more successfully in society.
6. Plan structured activities in visitation to help achieve the
objectives of the treatment plan: The bonding specialist will
plan and implement activities that will enhance the interactions
between parent and child. The focus of these activities is to
encourage the basic modes of emotional connection; holding,
touching, rocking, eye contact, talking, pleasant facial
expression and feeding. This would include demonstration of
various activities that encourage those behaviors. Activities such
as peek-a-boo, looking in the minor and rolling the ball back
and forth (which encourage eye contact) will be demonstrated.
Parents will also be encouraged to read books to the child to
encourage closeness. Emphasis will be placed on assisting
parent's response to the child's behavior through modeling and
guiding at the time of the behavior. Through these interactions,
the bonding specialist will be able to offer education and
demonstration to increase the parent's awareness of appropriate •
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expectation of the child at his current developmental stage.
Other activities would be to practice making physical contact
and face-to-face posturing. Activities will be practiced
according to the age of the child and the parent/child
relationship at a particular point in the intervention.
MEASUREABLE OUTCOMES
At the time the family is accepted into the bonding program, bonding will be
assessed through observation and through use of a Bonding Assessment Tool,
which is based on input from the parent and parent-child interaction
(Appendix A). This will include assessment of the level of bonding the
child has experienced and identify behaviors that indicate areas of concern.
The bonding specialist will discuss concerns with the parent and develop a
Case Management Plan. This will be an outcomes-based plan that will be
shared and reviewed periodically with the parent.
A. After involvement in this program the parent will be able to
provide a safe secure home for the children. This includes health,
safety, and provision for every day needs. The parent will have:
• Resources to provide for the child's basic needs, such as
adequate housing and resources for providing food and clothing
on a consistent reliable basis.
• Increased awareness of daily planning for the child's needs and
providing a stable environment by establishing routines around
mealtime, after school activities, bath time and bedtime.
• Increased understanding of the nutritional needs of the family
and a means of providing for those needs.
• Increased awareness of the exposure of the children to health
and safety risks when the home is not well maintained.
• The ability to focus spending on the basic needs of the family
as a priority over other expenditures.
8
B. After involvement in this program parents will be able to realize
increased competency in their parenting. Parent will demonstrate
through her behaviors:
• Increased awareness of the emotional needs of the child and
demonstrate nurturing behaviors meant to enhance their
bonding.
• Increased demonstration of nurturing behaviors in parent-child
interactions.
• Increased awareness of the emotional and physical
developmental age of the child and responses that are fitting for
that child.
• Increased knowledge and understanding of child's behavior as
related to bonding issues.
• Increased use of discipline measures that are effective (not
damaging to the relationship) and is consistent in the use of
those measures.
After involvement in this program, the child will:
• Indicate through his behavior that he has an increased sense
of security and trust in the parent.
• Demonstrate an increased emotional bond with the parent.
• Behave appropriately in social situations.
• Begin top progress developmentally with expected
achievement.
C. After involvement in the program the parent will have increased
ability to access resources in the community independently in
order to better meet the needs of the child and family.
• This program will empower the parent to access community
resources by providing information and initial support and
guidance. The parent will have an increased knowledge of
resources available and show confidence in seeking out
resources independently, making appointments, keeping
appointments and following up with services.
D. Parents who complete the program will obtain higher skill and
competency levels in order to provide the child with a safe, secure
home. The Parent will provide the nurturing needed to enhance the
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child's sense of security. Parents will be able to identify factors
that have a positive affect on family unity and security. In order to
keep the family together after six months from discharge, the
parent will:
• Be able to prioritize the needs of the children over the
parent's own needs.
• Will recognize and have ways of meeting their own needs.
• Maintain awareness of enhanced family relationships and
continue to utilize skills gained during the program.
• Have in place identified and used sources of support in the
community.
• Be aware of the need for continued focus on and attention to
the emotional needs of the child.
E. Families who participate in the program will develop skills and
awareness that will increase their competency as parents.
Increased competency will be measured through documentation
occurring at each visit through use of an outcomes-based Case
Management Plan developed at the time of entry into the program.
Risk factors will be identified at the time the initial plan is written.
This will be reviewed with the parent and updated as goals are met
and as changes occur in the parent-child relationship.
SERVICE OBJECTIVES
The program has the following service objectives:
MENTORING:
A. Improvement of household management competencies: It is
imperative that parents understand and show competence in the
practice of keeping a clean, well-maintained home for the health
and safety of the children. It is expected that parents will manage
the household finances in a manner that allows for the children to
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be nutritionally healthy, clean, and adequately dressed. It is
expected that the parents will consider the child's health and •
emotional safety when planning leisure activities for themselves
and the children as they develop increased awareness of health and
safety issues. Included in household management is the parent's
ability to maintain structure and consistency in the child's life in
the home. This objective will be measured through the parent's
ability to reach specific goals as defined in the Case Management
Plan relating to household concerns.
B. Improve parental competency:
• Parents will have the capacity to provide a safe environment
for the children, both physically and emotionally. Parents will
show competency in being able to protect and keep the child
safe. Parents must be aware of the need for structure in the
home in order to enhance the child's security.
• Parents will indicate through their behavior, their
understanding of bonding and nurturing behavior that serves to
enhance the child's sense of security. It is crucial to the well
being of the child that the parent be able to continue to utilize
strategies to maintain and enhance the relationship.
• The child will show in his responses to the parent that he feels
safe and secure.
• Parents will demonstrate their understanding and their ability to
utilize parenting techniques that are effective and emotionally
healthy for the child. This includes use of adaptive strategies
for discipline and behavior management, offering age-
appropriate activities, and conveying expectations that are age-
appropriate.
• Parents will recognize the importance of being a dependable
caretaker for the child. It is necessary to the well-being and
emotional growth of the child that the parent be both
emotionally and physically available to the child in a consistent
manner. The parent must understand that this is the foundation
for building and maintaining trust.
II
• Parents will acknowledge their responsibility for providing a
healthy diet for the children. They must offer the child healthy
and adequate food.
• It is important that the parent take responsibility for attending
to the child's hygiene. The parent must guide the child in
hygiene issues and model good practices. This includes basic
everyday hygiene, such as bathing, hand washing, changing
clothes and care of teeth. The parent must make every effort to
provide the necessary tools for practicing good hygiene.
This service objective will be measured through use of the
Case Management Plan objectives (the use of a pre and post
assessment tool) and the Family visitation evaluation form.
C. Improve ability to access community connections and
resources:
• After being in this program, parents will have information
regarding resources in the community and an understanding of
how to access them. Parents will be empowered to make the
necessary steps to resolve their concerns. This objective will
be measured with use of Case Management Plan objectives and
the parent's demonstration of utilizing resources
• independently, making and keeping appointments. (Resource
List, Appendix A)
D. Improve goal setting and pro-social values:
• Parents will experience a sense of success, as they are able to
utilize new skills and achieve goals set early in the program.
With that sense of success, the parent will realize the value of
goal setting and be able to apply it to other areas of life.
This objective will be measured through use of Case
Management Plan anticipated outcomes and observation which
indicate the parent's use of goal setting.
12
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VISITATION:
A. Improve parenting skills, parent/child interactions and relational
skills for physical and emotional safety throughout structured
activities in, and documentation of, visitations to achieve the
objectives of the treatment plan:
• The parent will show increased ability to put into practice the
skills that are demonstrated during the visitation and will use
the skills independently, without the continued guidance of the
bonding specialist.
• The parent will have an understanding of ways to make an
emotional connection with the child. It is crucial for the
emotional health of the child that the parent be committed to
that emotional connection.
• The child will show positive response to the parent's efforts to
make emotional connection.
• The parent will demonstrate her capacity to protect the child
from physical harm. She will take the initiative to set limits
and follow through in order to protect the child.
These objectives will be measured and progress documented in
face-to-face visitation with the family.
WORKLOAD STANDARDS
A. Number hours per day, week or month:. The program has the
capacity to serve up to 56 families. The bonding specialist would
spend up to 20 hours a week providing services. Henceforth, 20 hours
a week x 50 weeks, provides 1008 client hours a year.
B. Staff: There are three bonding specialists. Lori Kochevar M.S.,
L.C.P., LLC will serve as the program supervisor for Becky
McMahan R.N and Carmen Jimenez L.C.S.W. All providers have
extensive experience in Family Services and Attachment and Bonding
as documented in the attached resumes
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C. Caseload: The caseload will be between 2-10 families per bonding
specialist. The caseload of each specialist will depend on matching
specific needs of the referred family with the area of specialty of the
bonding specialist.
D. Modality of treatment will be supervised visitation that provides a
psycho-education regarding of attachment and bonding. Referral and
linking services will be provided.
E. Hours: Total number of clinical hours devoted to this program
equals 4 hours a day, 20 hours a week, and 80 hours a month.
F. Staff: The providers are supported by part time bookkeeping and
clerical staff.
G. Supervisor: This contract would be supervised part time by Lori
Kochevar M.S., L.P.C., who will monitor the program compliance and
clinical excellence.
H. Insurance: Lori Kochevar M.S., L.P.C., LLC carries one million
three million-liability on the company and each one of the
independent contractors connected to this bid. In addition, Lori
Kochevar M.S., L.P.C., LLC carries a general liability policy related
to accident or injury on the premises. The State of Colorado is named
as an additional insured on this policy. Each individual provider also
carries a one million three million-liability insurance. Both the general
and group liability coverage's are attached. All specialists providing
services are self-employed and choose to be exempt from workman's
compensation and Employer's liability insurance.
STAFF QUALIFICATIONS
A. All the providers meet the minimum qualifications needed for
both education and experience. Providers have a Masters Degree in
Counseling or Registered Nurse License. In addition, specialists have
between 6-21 years each in providing services for families. See
resumes in Appendix C.
14
B. Staff available for this project consists of three experienced
specialists who have a core value of clinical excellence. We believe
in providing strength-based, family-focused services that empower
the families we serve. Another strength of our staff is in our diverse
areas of specialties.
• Lori Kochevar, a licensed professional counselor, has extensive
experience and training in providing services and supervision using
the family preservation model. She has specialized training in
substance abuse, trauma, grief, domestic violence, attachment and
family systems.
• Carmen Jimenez is a bilingual licensed clinical social worker with
clinical expertise in medical social work. She is trained as a family
preservation specialist and has extensive experience in providing
bilingual services.
• Becky McMahan has had extensive experience in the area of child
health care. She worked as pediatric nurse for fourteen years. The
past 7 1/2 yrs she was a public health nurse where she was in charge
of the bonding program and other pediatric related programs.
As well as being skilled bonding specialists, due to our extensive
background in the community, we are knowledgeable of the systems (i.e.
biological families, social services, mental health services, legal services,
etc.) that parents need to interface with in order to effectively meet the needs
of their children.
15
APPENDIX A
PRE AND POST ASSESSMENT
Bonding Program •
Name: Date: Date:
1. Parents will be able to show improved competency in parenting
practices.
• Increased awareness of the emotional needs of the children.
• Increased understanding of bonding and how poor bonding
affects the child
• Increased positive responses to the child
• Increased ability to interact with the child in a manner which
enhances bonding
• Increased awareness of the developmental age of the child and
practice age appropriate expectations.
• Child will show increased response to the parent.
• Child will show increased respect for the parent
• Increased understanding of punishment vs. discipline
• Increased ability to utilize discipline measures which are not
emotionally detrimental to the children
2. Parents will develop a greater understanding of the components that
are necessary to insure a lasting family relationship.
• Increased ability to place the children a position of high priority
in the home.
• Increased ability to continue to utilize the parental and
relationship skills learned in the program.
• Increased ability to recognize and meet own needs.
• Increased ability to maintain sources of support in the
community for self and children.
• Increased awareness of the ongoing emotional needs of the
children.
3. Parents will be able to improve household management
competency as measured by a pre and post assessment of skills
needed to maintain a safe and secure home.
• Increased resources to provide for the family needs
• Improved ability to maintain a clean, healthy environment
• Increased ability to provide structure and consistency in the
home structure the home
• Increased awareness of the nutritional needs of the children
• Increased awareness of health and safety risks in the home
• Increased ability to keep the child safe
4. Increased ability to utilize resources available in the community.
• Increased knowledge of community resources.
• Increased understanding of how to access services.
• Increased confidence in seeking services.
•
5. The child will:
• Indicate through his behavior, that he has increased sense of
security with the parent.
• Demonstrate increased emotional bond with the parent.
• Behave appropriately in social interactions.
• Begin to progress developmentally with expected achievement.
The items checked above indicate areas of concern. A circled item indicates
improvement.
Parent: Bonding Specialist: Date:
2
FAMILY VISITATION EVALUATION FORM
Name:
Date:
Location:
Greetings: Good-byes:
Activities: Planned Spontaneous Age Appropriate •
Interactions: Initiated by: Parent Child
Touch
Holding
Eye contact
Voice
Smile
•
Description of Interactions:
Limit Setting, Discipline:
Food Offered:
Strengths:
Suggestions:
Did interactions or activities reflect feedback given last visit? :
Parent: Bonding Nurse:
ORIGINAL-TO CLIENT •
YELLOW COPY-RN
PINK COPY-CASE WORKER
10.02/I)I
M:/wpfiles/bMcMahan/fami lyvisitationevaluationform
•
PRE AND POST BONDING ASSESSMENT
Child Parent
Date: Date: Check:
Avoids eye contact
Resists being- held-stiffens body,
Pulls away from touch
Does not respond to mothers voice-avoids, ignores
Resists feeding when mother holds bottle- prefers
propped bottle
Somber, sad expression, withdrawn
Lack of responsive smile
Prefers to play away from mom, does not check in
with mom periodically
Decreased stranger awareness, prefers others to
mom
Eating problems, gorging, refusal, FT
Destructive of own or others property, frequently
breaks own toys
_/_ High pain tolerance, self-abusing behaviors
_/_ Clingy, whiney, fussy baby, hard to console
Defiant, resistive behavior
Manipulative
_/_ Senseless lying
_/_ Hyperactive behavior, unable to be still or to focus,
_/_ Sullen, quiet and withdrawn
_/_ Frequent tantrums, often lasting for unusually long
time
_/_ Developmental delays, learning, speech, motor
Speech delays or speech is difficult to understand
/ Hurtful to others or animals
TYPES OF ATTACHMENT
TYPE DESCRIPTION BEHAVIORS
-primary emotion is sadness
Isolated (Avoidant) -passive aggressive -flat affect
-thinking process-"no one will ever be there -appear depressed
for me—"I can take care of myself' -avoid closeness
-physical closeness or touch brings feelings of -talk under their breath-mutter
of overwhelming sadness to the child -become enraged with forced
-openly angry and defiant only when threatened closeness
with closeness or need -not stranger friendly
-priority is survival -almost never do what they are
-place little value on other people asked to do
-usually don't do school work
-argue constantly
Evasive (Anxious) -Fear is the predominate emotion -extremely superficially
charming
-fear of abandonment -seek physical closeness, don't
usually don't resist
-over friendly with strangers
-thinking process-" no one will love me for -seek constant attention, often
who I am" with incessant chatter and
-extremely passive aggressive intrusion into adult space
-act afraid to cover sadness and anger -never tell the truth-senseless
-emotional responses unpredictable, based on lying
what child thinks others want -manipulate friendship-
seek closeness, but often
inadvertently hurt person
offering it
-poor sense of own emotions
-prefer superficial relationships
Defiant (Ambivalent) -predominate emotion-anger/rage -charming to strangers
-primary thinking error- " no one will give me -long lasting tantrums
the "goodies", I won't ever get any, so I need -do not speak clearly, mumble
to take -hostile
-manipulate to get needs met -cruel to others and animals
-place no value on other except to get needs met -act out anger openly
-act out sexually
-lack of conscience
-openly defiant, oppositional -no empathy
-allow touch as a way to manipulate -fascinated with blood, fire and
gore
Bizarre (Disorganized) -free floating anxiety, threatening to push -charming with strangers
into psychotic thinking -intense tantrums
-thinking pattern-multiple continuous bizarre -respond to touch briefly
errors -lots of chatter, make up own
-distorted sense of reality words
-often had drug or alcohol exposure in utero -frequent mood changes
-neurological damage common -primitive sense of conscience
-remorse is soon forgotten
-learning difficulties, lowered IQ levels on testing -will seek out closeness for brief
periods
-overwhelmed by own emotions
Symptoms common to all types: -poor eye contact, need to be in control. impulsive, demanding, lack of cause and
effect thinking, hoarding and sneaking food, stealing, poor conscience development, lying, persistent arguing, poor cause
and effect thinking, refusal to take responsibility for actions, brief and few friendships-
RESOURCE LIST
BONDING PROGRAM .
810-12'"Street—Greeley,CO 80631
Phone(970-352-8879
HEALTH
Monfort Children's Clinic 100 N. 11'" Avenue ( 970) 352-8898
Sunrise Community Health Center 1028 5th Avenue (970)353-9403
Urgent Care 1900 16th Street (970) 3531661
NCMC 1801 16th Street (970) 3524121
North Colorado Family Medicine 1600 23rd Avenue (970) 353-2424
Scheduling 346-2818
Quick Care 2928 W. 10th Avenue (970) 351-8181
Weld County Department of Public Health 1555 N. 17th Avenue (970) 304-6420
Family Connects 2985 W. 29'" ST. # A (970) 330-3842
North Range Behavioral Health 1306 11'"Avenue (970)346-1 166
353-3686
CLOTHING
Church Women United 1030 11'"Avenue (970) 353-7144
Salvation Army 1119 6th Avenue (970) 353-1444
Adventist Community Services 612-23`d Ave (970) 356-3740
Budget Baby Shop 130111th Avenue (970) 351-8427
Life and Light Community Church 110 N. 25th Avenue (970) 353-3451
Baby Stuff and More 2126 9th Street (970) 353-2229
DENTAL CARE
Monfort Children's Clinic 100 N. I l'"Avenue (970) 3528898
Sunrise 10285th Avenue (970) 353-9403
FOOD
WIC 1028 5TH avenue (970) 353-9403
Weld Food Bank 104 11'"Avenue (970) 356-2199
Share Colorado 1311- 11th Avenue (970) 353-6433
Salvation Soup Kitchen 1119 6th Street (970) 353-1441
Supplemental Foods 104 11th Avenue (970) 356-2199
PARENTING CLASSES
CARE 3700 Golden Street, Evans (970) 3566751
HOUSING
Greeley Housing Authority 315 N 11'" Avenue (970) 352-1551 ext. 6541
Hudson Housing Authority 1151 Main/Hudson 1- 303- 536-4501
Ft. Lupton Housing Authority 400 2"d Street/Ft Lupton 1-303-857-4400
RENT/DEPOSITE ASSISTANCE
Catholic Charities Northern 2500 Is' Avenue Bldg C-B (970)353-6433
Mi Casa Tu Casa 1311 3`d Street (970)352 -6417
Salvation Army 1119 6th Street (970) 353-1441
APPENDIX B
Issue Date: 09/11/02
<<cN Th Reciprocal Reci rocal PROFESSIONAL LIABILITY OCCURRENCE
��Alliance INSURANCE POLICY FOR
Risk Retention Group PROFESSIONAL COUNSELORS AND HUMAN
DEVELOPMENT PRACTITIONERS
ACA Insurance Trust,Inc.
5999 Stevenson Avenue ACA IKS$Aptz
Policy Number: CL12509802 Administered by: Alexandria.VA 22364-3300 TRUST
Toll Free 1.800-347.6647 x284 ...VV•..•
ITEM DECLARATIONS RENEWAL CERTIFICATE NO. CL125098 INDIVIDUAL POLICY
1. NAMED INSURED: Lori Kochevar M.S . , L. P.C. LLC
2. ADDRESS:
810 12th Street
Greeley, CO 80631
3. POLICY PERIOD: From: 09/17/02 To: 09/17/03
12:01 A.M.Standard Time at Location of Designated Premises
4. The insurance afforded is only with respect to such of the following types of insurance as indicated by specific premium charge or charges:
COVERAGE PREMIUM
A. PROFESSIONAL LIABILITY S 521 . 00
B. GENERAL LIABILITY S 117 . 00
TOTAL PREMIUM: S 638 . 00
5. LIMITS OF LIABILITY: $1 , 000, 000 each Incident or each Occurrence $3 , 000 , 000 in the Aggregate
6. THE NAMED INSURED IS: Sole Proprietor(incl.Individual) Partnership
Corporation X Other(refer to Item 7 below)
7. BUSINESS OF THE NAMED INSURED: Part-Time < 20 hours Self-Employed
(Rating Category) Bodywork Counselor
8. This policy is made and accepted subject to the printed conditions of this policy together with the provisions,stipulations and
agreements contained in the following form(s)or endorsement(s): CPL-0004-0197 CPL-0006-0102 CPL-0015-0102
CPL-0007-0199- 0
NOTICE
THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP. YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE
INSURANCE LAWS AND REGULATIONS OF YOUR STATE. STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE
FOR YOUR RISK RETENTION GROUP.
CPL-005R-1201-00
RESUME
Rebecca McMahan
3720 Boulder Street
Evans, CO 80620
Home Phone: 339-5522
Experience: 1995-2003-
Weld County Department of Public Health and Environment Greeley, Co.
• Staff nurse on Child Health Team. Responsibilities included charge
nurse of the well-child clinic, home visitation for post-partum
cases, follow up with referrals from other agencies to respond to a
concern regarding an infant or child.
• Development and implementation of the Bonding Program in 1995.
Continued to develop and serve as bonding nurse until 12/31/03
when the program was terminated due to funding.
• Instrumental in starting and coordinating a parent support group
for parents of children with attachment issues, 1996-1998.
1981-1995- North Colorado Medical Center Greeley, CO
• Staff Nurse on Pediatrics Unit- Provided nursing care for infants,
children and young adults with acute and chronic illnesses
• Provided support and education for parents of those children
1974-1975- School Nurse with Weld County School District 6
1970-1974- NCMC (Weld County Hospital at that time)
• Pediatric staff nurse
1968 and 1969- Summer Migrant Health nurse in southern eastern
Colorado for Colorado State Health Department
• Program included home visitation
• Directing clients to local and state resources
• Arranging for evening clinics at local physician offices
1966-1968- Lutheran Hospital —Denver, Co.
• Staff nurse — emergency room
1995-1996 — Training at The Attachment Center at Evergreen, CO.
Focused on attachment and bonding and the parenting of
children with attachment concerns.
-Training with therapeutic foster parent in her home —8 hours
-This foster mom came to Greeley 8 hours x5, to offer
guidance when bonding program began and to assist with the
Parent support group
1996,1997,1999-Attendence at ATTACh Conference-a three day conference
which offers current information for parents and professions in the field of
attachment and bonding. Presenters are therapists, psychologists,
therapeutic foster parents, adoptive parents and biological parents.
!997.1998.1999.2000- Annual summer conference at the Attachment Center
1964-1966-Pioneer Memorial Hospital - Rocky Ford, CO.
• Staff Nurse
Education:
1975-1976-Pediatric Nurse Practitioner Program- University Hospital
1970- Bachelor of Science Degree in Nursing
University of Northern Colorado, Greeley, CO
1961-1964- Mennonite Hospital School of Nursing - Bloomington, Illinois
Diploma- RN-three year program
Continuing Education and Inservices
1995-1996 — Training at The Attachment Center at Evergreen, CO.
Focused on attachment and bonding and the parenting of
children with attachment concerns.
-Training with therapeutic foster parent in her home —8 hours
-This foster mom came to Greeley 8 hours x5, to offer
guidance when bonding program began and to assist with the
Parent support group
1996,1997,1999-Attendence at ATTACh Conference-a three day conference
which offers current information for parents and professions in the field of
attachment and bonding. Presenters are therapists, psychologists,
therapeutic foster parents, adoptive parents and biological parents.
!997,1998,1999,2000- Annual summer conference at the Attachment Center
at Evergreen- Annual one day seminar updating new resources and research
in the field of bonding.
!999- FIRST (Family-Infant Relationship Training)
NCAST ( Nursing Child Assessment Satellite Training Program)
Assessment of Parent-Child Interaction-Interdisciplinary Training
1997-Training for the Prevention and Treatment of Maltreatment of Children
with Disabilities- Loveland, CO- hour training
1997-Fetal Alcohol Syndrome-Greeley, CO —7 hour training
1999- Play Therapy in Therapeutic Care of Children in Foster Care-
Presented by Ken Swartzenberger— Greeley, CO —8 hour
2001- Operation Kids Child Passenger Safety Class — presented by Union
Colony Fire/ Rescue- 8 hour class- Greeley, CO
2001- Emotional Disorders in Children- presented by Patricia Kerwin, PhD.-
Cheyene, WY. 8 hour
2001-"Early Life Experience and Brain Development: How we can Help
Our Children Reach Their Potential"- Bruce Perry
2002- "Breastfeeding:A Gold Medal Beginning"- presented by Marianne
Neifert, MD. 4 hours
MARGARET E MEINECI E,LCSW, CAC III
Individual, Couples and Family Therapies
Licensed Clinical Social Worker •
Certified Addictions Counselor, Level III
5911 S. Middlefield Road, Suite 103
Littleton, CO 80123
(303) 973-1064
August 11, 2002
Weld County Health Department
1555 North 17th Avenue
Greeley, CO 80631
Re: Becky McMahan
To Whom It May Concern:
On May 8, 2002 I met with Ms. McMahan for three hours to discuss clinical issues
related to her work with the Weld County Health Department. Specifically reviewing
cases of at-risk infants and parent-child bonding and attachment, Becky and her
colleague, Trish McClain, noted challenges in reaching some parents with dysfunctional
attitudes and discipline practices. We also talked about some parents' poor interpersonal
skills that would likely result in weak and/or insecure family bonds.
An integral part of Ms McMahan's work involves helping parents develop healthy
relationships with their children by providing clear limits with kindness and consistency.
By teaching the importance of physical safety, intellectual stimulation and emotional
support, she helps parents provide for the overall health and well-being of their children.
Ms. McMahan has a professional attitude and models respect and integrity in all her
clinical relationships with parents and children. She is known for her calm and kind
approach that helps her effectively deliver strong messages about the importance of child
safety and health. She is a valuable advocate for at-risk children and a strong proponent
of healthy parenting skills that provide safe, secure and loving homes for children.
It is truly a privilege to confer with Ms. McMahan.
Respectfully submitted,
Margaret Mbi ecke, LCSW/CAC III
Colorado License# 991541
LORI KOCHEVAR, M.S., L.P.C.
2118 19th Avenue
Greeley, CO 80631
(970) 353-6568
EDUCATION:
University of Southern Mississippi, M.S.
Counseling Psychology,
Cumulative GPA 3.8
University of Northern Colorado, B.A.
Pre-Professional Psychology,
Cumulative GPA 3.5
•
PROFESSIONAL
EXPERIENCE:
5/95 - PRIVATE PRACTICE THERAPIST, STRETCHING
OUR STRENGTHS
Serve others through a creative process that stretches participants
strengths and provides an environment for authentic healing. Facilitate
opportunity for individuals, families, and groups to participate in body
centered spiritually based psychotherapy. Interpersonal dynamic
facilitation for community development, team building, stress
reduction, anger management, parenting, and personal effectiveness
are available.
5/95 - 9/96 • DIRECTOR, VALLEY COMMUNITY FUND
Serve and manage Board of Directors to strengthen the internal
structure of the agency to increase fundraising capabilities.
Responsibilities include: accass state, government, and businesses
to participate in payroll deduction, grant writing, marketing, coordination
of special events and community trainings, and disbursement of funds.
5/92 - 5/95 FAMILY PRESERVATION SPECIALIST, SAN LUIS VALLEY
MENTAL HEALTH CENTER
Provide intensive home-based treatment for families that are at risk of
having youth removed from the home. Intervention emphasizing
strength-based approaches, including psychotherapy, skill budding
(parenting, communication, anger control, problem-solving, etc.),
educational support, and assistance in obtaining support for concrete
needs. Management duties: public relations, supervise students,
hire staff, and provide training for staff and community.
3/92 - 5/95 WILDERNESS THERAPIST, SAN LUIS VALLEY MENTAL
HEALTH CENTER
Provide intensive tent-based treatment for youth ages 8-17. Facilitate
opportunities for young people to learn skills in leadership, team work,
decision making, dealing with stress, facing fears, and building
responsibility. Use outdoor challenge course experience such as
rafting, backpacking, mountaineering, and rock climbing to provide skills
based learning opportunities.
5/89 - 5/91 CONSULTANT, GRADUATE ASSISTANT, UNIVERSITY
AFFLILIATED PROGRAM, UNIVERISTY OF SOUTHERN
MISSISSIPPI
Participating in an interdisciplinary team that provides assistance for
community-based child care centers who serve children with
disabilities and their families. Responsibilities include: Grant writing,
development and presentation of awareness training, assessment of
learning environment and handicapping conditions. Provide
consultation for teachers and parents using a coaching model, skills-
based training, and evaluation of improvement.
1/89 - 5/89 TEACHING ASSISTANT, UNIVERSITY OF NORTHERN
COLORADO
Teach skills for report writing and use of computer programs, PC Write
and Labstat. Teach weekly labs and grade lab reports.
4/86 - 9/89 RECREATION SUPERVISION, BOYS AND GIRLS
CLUB OF GREELEY
Providing guidance and support for at-risk youth, fundraising, program
planning, facilitate teenage drug and pregnancy prevention program,
family and community involvement, organization and supervision of
field trips, and participation in local and national staff development
training.
INVOLVEMENT:
FOUNDER, BOARD MEMBER, BOYS AND GIRLS CLUB OF
ALAMOSA
Spearhead community organization to obtain Boys and Girls Club.
Organize fundraising, board development, marketing, and regional and
national networking.
MEMBER, SAN LUIS VALLEY COALITION FOR YOUTH
SERVICES .
Member of steering committee and chairperson of the multicultural task
force.
•
CONFERENCES:
SPIRITUAL
2000 Hakomi Training
11/05/99 Marian Williamson - Enchanted Love
10/22-24/99 Shapeshifting: Shamanic Tranformation
1999 Women Who Run With the Wolves - Jungian
10/5-17/99 Phoenix Rising: Yoga Therapy Levels 1 and 2
09/24-26/99 Energy Medicine - Donna Eden
08/19/99 James Redfield -The Celestine Prophecy
08/14/99 Ruth and Naomi - Women's Partnerships
04/24/99 Substanability and Spirituality
04/23/'99 Time, Money and the Meaning of Life
03/19/99 Gandhi's Search for Meaning
10/23/98 Spirituality and Religion
06/06/98 Tying it all Together - Biblical Overview
03/28/99 Transformation -Job of the Old Testament
03/06/98 Matthew Fox - Spirituality of Compassion
11/6-9/97 Common Boundaries: Joy of Creation
07/10-13/97 Body and Soul Conference
04/26/97 Day of Prayer
04/19/97 Contemplative Living
1997 Catholic Biblical School
11/6-10/96 Common Boundaries: Intentional Living
1993-1995 Creative Process
COMMUNITY DEVELOPMENT
1/7-8/00 Foster Parent Core Training
10/30/99 Matrix Leadership
10/21-22/96 Working as Partners with Managed Care
04/02-05/95 Leadership for Executive Directors
03/29/95 Fundsaving Workshop
Fall 1995 Leading Edge/Business
02/09-13/95 Challenge by Choice: Ropes Course
05/20-22/94 Organizational Conflict Management: CSAP
05/06/94 CPR and First Aid Certification
02/01-/4/94 Multicultural Conference
11/30/93 Exploring Multiculturalism Within
10/13/93 Conflict Mediation Training
08/11-14/92 Multicultural Training: CSAP
05/12-26/89 Women as Leaders
FAMILIES
06/4-6/99 Passionate Marriage
10/15-19/98 Marriage and Family Conference
05/16-17/98 Relationship Enhancement
12/08-9/97 Family Group Decision Making
10/06/97 Family Group Decision Making
05/2-3/97 Marriage and Family
9/15-16/94 Family Preservation - Supervision
07/20/94 Jim Fay Parenting
•
•
07/13/94 Family Sculpting
4/26-27/93 Family Sculpting
Spring 1993 Redirecting Chidren's Behavior
02/06/93 Meaningful Family Comunication
07/070-8/92 Active Parenting
03/16-19/92 Family Preservation Training
09/20-21/90 Parents and Professionals United
CHILDREN AND ADOLESCENTS
09/10/99 Testifying in Child Abuse Caes
07/12/99 Firestarting - Prevention and Intervention
01/29/99 Play Therapy
12/11/98 Attachment Disorders
10/18/97 Art Therapy for Children
04/04/97 Attachment Disorder
10/11-13/96 International Play Therapy Conference
07/8-9/94 Play Therapy
09/26/93 Traumatic Stress Reactins in Children
03/11-14/93 Child Adolescent Conference
Spring 1993 Play Therapy Class
02/16-17/91 Strategic Therapy for Adolescence
10/11-13/90 C.H.A.D.D. Conference on ADHD
05/30-6/1/90 Early Intervention
12/05/89 Play Assessment
TRAUMA AND GRIEF REACTIONS
12/03/99 Jurisprudence Workshop
06/25/99 Molecule of Emotions
04/09/99 Depression and Anxiety
05/19/97 Cultural Grief
09/14-16/95 Annual Hospice Conference
04/14/94 Empowering Resistive Client II
06/09/93 Empowering Resistive Clients
09/17-19/92 Annual Mental Health Conference
SUBSTANCE ABUSE AND DOMESTIC VIOLENCE
10/14/98 Working with Aggression in group Therapy
09/23/97 Domestuc Violence
09/17/97 Substsance Abuse
05/16-17/94 FPS - Motivational Interviewing - Jill Kenney
05/3-14/94 Teen Baseline TOF - Drug Prevention
10/5-9/93 Baseline TOF - Drug Prevention
04/23-24/92 Domestic Violence Conference
REFERENCES:
Larry Mayer, M.A.
Director of Family Preservation Program
26041 Woodland Avenue
Esparte, CA 95627
(916) 787-4329
Sherri Malloy, Ph.D.
Ackerman and Associates, P.C.
1750 25th Avenue, Suite 101
Greeley, CO 80634
(970) 353-3373
Carey Bryant, Executive Director
Boys and Girls Club of Greeley
2400 W. Fourth Street
P.O. Box 812
Greeley, CO 80632
(970) 353-1590
Sue Young, M.A., L.P.C.
2755 County Rd. 47/10
Alamosa, CO 81101
(719) 589-4531
Barb Jetley, M.A., L.P.C.
P.O. Box 982
Pagosa Springs, CO 81147
(970) 264-2200
CARMEN M. JIMENEZ
MSW, LCSW
3304 26TH St. Greeley, CO 80634 Hm # (970) 339-8345
Fax # (970) 346-8776
Objective: Psychotherapist/Medical Social Worker
SUMMARY OF QUALIFICATIONS
O Eight years experience in mental health
O Five years experience in medical social work
O State of Colorado License in Clinical Social Work
O Master's Degree in Social Work with an emphasis in Generalist Social Work
O Medicare provider
O Bi-lingual and bi-cultural in Spanish
O Specializing in work with victims of abuse and trauma
O Trained in mediation, issues in the workplace, and substance abuse
O Skilled in hospice work and life transition issues
WORK EXPERIENCE /ACCOMPLISHMENTS
08/98 - COMPASION COUNSELING, Greeley, Colo.
Pres. Carmen Jimenez, MSW, LCSW - Sole Proprietor
Individual and group psychotherapy services to families, children, and
adolescents. Contractual work with managed care and insurance com-
panies. Provider on the Crime Victim Compensation Board of the 19th
Judicial District of Weld County. Consultation and mental health counseling
to residents in nursing facilities. Consultation with the Weld County Juvenile
Diversion Program. Medicare and Colorado Access provider.
06/00-ASSOCIATED PROFESSIONAL HOME HEALTH CARE, INC.
Pres. Medical Social Work(Part-time)
Social work services to patients who are home-bound which include community
resource planning, brief therapy, counseling for long-range planning, advocacy.
10/98 - LHS HOME AND COMMUNITY CARE, Greeley, Colo.
10/99 Medical Social Work
Social work services to home-bound patients which included community resource
planning, counseling for long-range planning and decision-making, financial
resource management, short-term therapy.
• Page 2
02/98 - MONFORT'S CHILDRENS CLINIC, Greeley, Colo.
03/99 Medical Social Worker(Part-time)
Intensive family outreach program advocating for the needs of under-privileged
families served by the Clinic.
• Supervision of interns from Colorado universities
• Development of psychosocial needs assessment
• Psychosocial needs assessments& Family education of medical issues
• Individual counseling of children and families,with emphasis on play
therapy and systems models
• Extensive interagency networking
07/96 -PREFERRED HOME HEALTH
11/98 Social Services Director
Social work services to home-bound patients which included community resource '
planning, counseling for long-range planning and decision-making, financial
resource management, short term therapy.
• Instituted the Social Work Department; developed the Policies and
Procedures Manual; systematized Medicare guidelines
• Participation in Quality Improvement Standards
• Extensive interagency networking
02/96 - ACKERMAN & ASSOCIATES, P.C., Greeley, Colo.
08/98 Contractual Position in Private Practice
Individual psychotherapy services to families, children, adolescents. Mediation
services for Dept. of Social Services. Interpretation services in Spanish for
psychological evaluations and Social Security eligibility. Intensive home-based
psychotherapy services to families referred to the Family Preservation Program.
11/95 - NORTH RANGE BEHAVIORAL HEALTH, Greeley, Colo.
07/96 Mental Health Therapist
Individual psychotherapy services to children referred to the Children's Division.
Many of these children were from under-privileged families, and had severe
experiences of trauma and abuse. Facilitated groups for adolescent females of
sexual abuse.
05/93 —CENTENNIAL MENTAL HEALTH, Fort Morgan, Colo.
11/95 Mental Health Therapist
Individual psychotherapy services to families, children, and adolescents.
Psychotherapist for the Obra Program in geriatric settings. Therapist for the
Community Support Program, working with persons with chronic mental illness.
• Assisted with the development of the Logan County and Morgan
County Adult Protection Teams
• Emergency psychological evaluations and initiation of 72 hour holds
• Psychosocial group work and teaching of self-management skills to
persons with chronic mental illness
• Extensive out-patient psychotherapy and case management services
with spanish-speaking clients
• Page 3
09/91 -COLORADO STATE UNIVERSITY
05/93 GRADUATE PROGRAM, Ft. Collins, Cob.
06/81 - CITY OF FORT COLLINS, Fort Collins, Cob.
08/91 Community Development Block Grant Program
Administrative Assistant
Work with non-profit agencies under the U.S. Housing and Urban Development
Program for community development and housing rehabilitation projects.
Extensive work with low-income families and persons with disabilities.
EDUCATION
Master's Degree in Social Work, Summer 1993
Colorado State University,Fort Collins, Colorado
Graduate School Research Positions:
• Colorado Division of Mental Health, Rural Crisis Grant, Fort Logan,
Denver, Cob.
• Centennial Mental Health, Sterling, Cob.
• Fostering Families Project, Fort Collins, Colo.
Bachelor of Arts Degree, Social Work, Fall 1987
Colorado State University, Fort Collins, Cob.
•
REFERENCES
Jalein Arnold, RN, BSN
1955 23rd Ave.
Greeley, CO 80631 #(970) 356-6023
Leonor Willis, LPC
3417 W. 17th St.
Greeley, CO 80631 #(970) 352-8045
Carmen Haynes, MSW
Juvenile Diversion Program
District Attorney's Office
915 Tenth St.
Greeley, CO 80632 #(970) 356-4010
Pat Orleans, LCSW
North Range Behavioral Health
1306 11th Ave.
Greeley, CO 80631 #(970) 353-3686
APPENDIX C
PROGRAM BUDGETS
COMPUTERIZED BUDGET
•
•
PROGRAM . . OUTSIDE SS FP CONSULT. IND FP CONSULT GRP BONDING
A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 6 12 18
B TOTAL CLIENTS TO BE SERVED 18 11 56
C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 108 132 1,008
D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $53.99 $200.01 $40.00
E TOTAL DIRECT SERVICE cos-rp FACE-TO-FACE $5,831 ' $26,401 $40,320
F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $200 $1,964 $7,856 $20,093
G OVERHEAD COSTS ALLOCABLE TO PROGRAM $3,301 $660 $2,641 $4,401
H TOTAL DIRECT,ADMINISTRATION 8 OVERHEAD COSTS(E+F+G) $8,455 $36,898 $64,815
I ANTICIPATED PROFITS CONTRIBUTED BY THIS PROGRAM $185 $2,703 $707
J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $8,640 $39,601 $65,522
K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 108 132 1,008
L RATE PER HOURS OR DAYS OF DIRECT,FACE-TO-FACE SERVICE TO BE CHARGED
TO WELD COUNTY SOCIAL SERVICES(J/K) $80.00 $300.00 $65.00
DIRECT SERVICE COSTS COMPUTERIZED BUDGET
Minimum Budget Average Total % TIME SALARY % TIME SALARY % TIME SALARY % TIME SALARY % TIME SALARY % TIME SALARY
Degree t01 Salary/Bene Salaries! 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION oreert PTEs @ 1.0 FTE Bene0ts/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM OUTSIDE SS FP CONSULT INO FP CONSULT GRP BONDING
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 6 12 16
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 18 11 56
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 000 10800 13200 100800 000 000
DIRECT LABOR FACE-TO-FACE POSITION,TITLE OR JOB FUNCTION
THERAPIST CONTRACT . MASTERS 1.00 $32,232 532.23200 YES $000 10.09% $583077 ' 81.91% $2640123 $000 $000 $000
BONDING SPECIALIST 2NRMSTERI 2.00 $20,160 $40.32000 YES $000 $000 S000 100.00% $40.32000 $000 $0 DO
$000 NO S000 $000 $000 $0.00 $000 $0.00 •
$000 NO $000 $000 $000 $000 $000 $000
$000 NO S000 $000 $0.00 $000 $0.00 $0.00
$000 NO $000 $000 $000 $000 $000 $000
$000 NO $000 $000 $0.00 $0.00 $0 O0 $000
$0 00 NO SO 00 $0 00 $0.00 $0.00 $0 00 50.00
' $000 NO $000 $000 $000 $000 $000 $000
S0 00 NO $0 00 $0 00 $000 $0 CO S0 CO $0.00
$000 NO $000 $000 $000 $000 $000 $0.00
' $000 NO $000 $000 $000 $000 $000 $000
$000 NO $000 $000 $000 $0.00 $000 $000
$000 NO $000 $000 $000 $000 $000 $000
TOTAL DIRECT LABOR PER PROGRAM $72,552 00 5000 $5399 $5.830 77 $200.01 $26.401 23 $4000 $4032000 $000 $000
OTHER DIRECT COSTS PER PROGRAM FACE-TO-ACE
NO $000 $000 $000 $000 50.00 $000
NO $000 S000 $000 $000 $000 $000
NO 5000 $000 $000 5000 $0.00 $000
NO $000 $000 $000 $000 $000 $000
NO $000 $000 $000 $0.00 $000 $000
NO $000 S000 $000 $0.00 $000 $000
TOTAL OTHER DIRECT COSTS PER PROGRAM $0 00 $0 00 $0 00 $0 00 $0 00 $0 $0 00
E GRAND TOTAL DIRECT SERVICE COSTS $7255200 $000 $5399 $5,830 77 $20001 $26,401 23 $4000 540.320 00 4000 $000
ADMIN COST NON-FACE-TO-FACE
COMPUTERIZED BUDGET
Minimum Budget Avenge Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY
Degree It Of Salary/Bens Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND
DESCRIPTION or Cert FTEs (g 1.0 FTE Benefits/Other ALLOCATED PROGRAM OTHER C05TS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS
PROGRAM OUTSIDE 5$ FP CONSULT.IND FP CONSULT GRP BONDING
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 6 12 18
B TOTAL CLIENTS TO BE SERVED PER PROGRAM 18 11 56
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 000 108.00 132 00 1008 00 0 00 0.00
DIRECT LABOR NOT FACE-TO-FACE
BOOKEEPING BONDING .1.00 $7,047 $7,047.00 YES 0.00% $0.00 $0.00 $000 100.00% $7,04700 $000 $0.00
SUPERVISING 1.00 $20,800 $20,80000 YES 0.00% $0.00 8.00% $1684.00 32.00% $6,65600 80.00% $12,480.00 $000 $000
BOOKEEPING FP CONSULTATION .1.00 $1,000 $1,000.00 YES $000 20.00% $200.00 00,00% $80000 $0.00 $000 $0.00
$000 NO $0.00 $0.00 $000 $0 DO $000 $0.00
' $0.00 NO $0.00 $000 $000 $000 5000 5000
$0.00 NO $0.00 $000 $000 $0.00 $000 $0.00
$000 NO $0.00 - $000 5000 $0.00 $000 $0.00
$0.00 NO $0.00 $000 $000 $0.00 $000 $000
5000 NO $000 $000 $000 $0.00 $000 $000
50.00 NO $0.00 $0.00 $000 $000 $000 5000
$0.00 NO $000 $000 $000 $000 5000 $0.00
50.00 NO $0.00 $000 $000 $0.00 $000 50.00
$0.00 NO $0.00 $0.00 $0.00 $0.00 $000 $0.00
SO 00 NO $0.00 $0.00 $0.00 $0.00 $0.00 $060
TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $28,847 00 $0.00 $1726 $1864 00 $56.48 $7456.00 $19 37 $19,527 00 $0 00 $0.00
OTHERDIRECT COSTS PER PROGRAM NOT FACE-TO-FACE
LEGAV' a%N Trine $600.00 YES $000 10.00% $6000 40.00% $24000 60.00% $300.00 $0.00 $000
INSURANCE 5%8.00 YES 30.00% $19980 8.00% $3996 24.00% $15904 40.00% $266.40 $0.00 $0.00
NO $000 $000 $000 $0.00 $0.00 , $0.00
NO $000 $000 $000 $000 $0.00 $000
NO $000 S000 $000 $0.00 $0.00 5000
- NO $000 $000 $000 $000 $000 5000
TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $1,26600 ODIV/0! $19980 $093 $99.96 $3.03 $399.84 S056 $566.40 $000 50.00
F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $30.113 00 ODIV/0! $19980 $18.18 $1,963 96 $59.51 $7,855 84 $1993 $20,093.40 50.00 $0.00
OVERHEAD COSTS AND PROFITS
COMPUTERIZED BUDGET
TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED I ALLOCATED I ALLOCATED
0 100% ALLOCATED OVERHEADCOSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS. ALLOCATED )VERHEAD COSTS %ALLOCATECDVERHEAD COSTS %ALLOCATEDOVERHEAD COSTS
DESCRIPTION COSTS D TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM 7O PROGRAM TO PROGRAM
PROGRAM OUTSIDE 55 FP CONSULT.IND FP CONSULT GRP BONDING
A TOTAL CLIENT HOURS OR DAYS PER PROGRAM 5600 $12 00 $18.00
B TOTAL CLIENTS TO BE SERVED PER PROGRAM $1B00 111.00 $66.00
C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0 00 10B 00 132.00 1008.00 0.00 0.00
OVERHEAD
RENT $3,815.00 YES 30.00% $1,17450 6.00% $23490 24.00% $939.60 40.00% $1,566.00 $0.00 $0.00
PHONE $2,460.00 YES 30.00% $738.00 6.00% $14].60 24.00% $590.40 40.00% $98400 $0.00 $0.00
LICENSEA'ERMITS $146.00 YES 30.00% $43.60 6.00% $816 24.00% $35 40.00% $58.40 $0.00 $0.00
SUPPLIES $,482.00 YES 30.00% $1.344.60 6.00% $268.92 24.00% 51.07568 40.00% $179280 $0.00 $0.00
NO $0.00 $0.00 $0 00 $0.00 $0.00 $0 00 NO $0.00 $0 00 $0.00 $0.00 $0.00 $0.00
NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
NO $0.00 SO 00 $0.00 50.00 ! $0.00 $0 00
•
NO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 '
NO $0 00 $0.00 $0 00 $0.00 $0.00 $0 00
NO $0.00 $0.00 $0 00 , - $0 00 -� $0.00 $0.00
• NO $000 $0.00 $0.00 . $0.00 I $0.00 $0.00
NO $0.00 $0.00 $0.00 $000 ' $0.00 $0.00
. NO $0.00 $000 $000 $0.00 $0.00 $0.00
NO $000 SO00 SO00 SO00 $0.00 SO00
NO $000 $0.00 $0.00 50.00 I $0.00 $000
NO $000 $O.00 $0.00 $000 . $0.00 $0.00
NO $0 00 $0.00 $0 00 $0 00 $0.00 $0.00
G TOTAL OVERHEAD COSTS $11,003.00 $3,300.900 $660.18 $2640 72 $4.401 20 $0.00 5000
I TOTAL ANTICIPATED PROFITS $3,594.57 I YES $000 5% S1 B476 75% $2102.76 20% $707.05 $0.00 $000
TOTAL OVERHEAD AND ANTICIPATED PROFITS $14,597.57 $3,300 90 $84494 $5,343.48 $5,108.25 e $0.00 $0.00
a
DEPARTMENT OF SOCIAL SERVICES
P.O.BOX A
GREELEY, CO. 80632
IDWebsite:www.co.weld.co.us
Administration and Public Assistance(970)352-1551
Child Support(970)352-6933
O MEMORANDUM
•
COLORADO
TO: David E. Long, Chair Date: April 28, 2003
Board of County Commissioners nn
0000 FR: Judy A. Griego,Director, Social Service a
RE: Notification of Financial Assistance Awar s�AA) under Core
Services Funds-Lori Kochevar, MS, LPC, LLC
Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAA) for Core
Services Funds with Lori Kochevar,MS, LPC, LLC. The Families, Youth and Children
Commission(FYC)has reviewed these proposals under a Request for Proposal process and is
recommending approval of these bids.
The major provisions of the NOFAA are as follows:
1. The period of each NOFAA is June 1,2003,through May 31, 2004.
2. The source of funding is Core Services,which is comprised of 80%Federal/State and
20%County resources and 100% State resources. The total budget for Core Services is
projected to be $929,822.
3. Lori Kochevar agrees to provide services to those children and families who are in
imminent risk of placement under child welfare. The services to be provided through
Lori Kochevar are as follows:
Under Lifeskills, this service offers supervised visitation for the family during the rime
the bonding specialist is working with them. The program offers information, education,
and modeling of behaviors that promote bonding, to assist the parent in their relationship
with the child. The program capacity provides for service to a total of 56 families during
the 12-month period, 8-10 families served at any given time, and 18 hours of one-on-one
supervised visitation with the bonding specialist per family. The hourly rate is $65.
If you have any questions,please telephone me at extension 6510.
2003-1063
Hello