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Home My WebLink About20031062.tiff RESOLUTION RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR VARIOUS PROGRAMS AND AUTHORIZE CHAIR TO SIGN -ALTERNATIVE HOMES FOR YOUTH WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with two Notification of Financial Assistance Awards between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Alternative Homes for Youth, commencing June 1, 2003, and ending May 31, 2004, with further terms and conditions being as stated in said awards for the following programs: 1) Day Treatment 2) Sex Abuse Treatment, 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 two 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 Alternative Homes for Youth, be, and hereby are, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said awards. 2003-1062 CC SS CDorti s✓\J SS0030 TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS - ALTERNATIVE HOMES FOR YOUTH PAGE 2 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 W OUN , COLORADO T�4 ATTEST: geki4 ^ � id E. o , C it Weld County Clerk to th Bo id . c Robert as en, Pro-Tem BY: ` Deputy Clerk to the Bo � (5 M. J. Geile APP D AS a O . William H. Jerke ou ty tt ey O,\ Glenn Vaad Date of signature: 575 2003-1062 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 FY03-PAC-9000 Revision (RFP-FYC-03006) Contract Award Period Name and Address of Contractor Alternative Homes for Youth Beginning 06/01/2003 and Day Treatment Ending 05/31/2004 9201 W. 44`"Avenue Wheatridge, CO 80033 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal(RFP). This program provides a highly structured The RFP specifies the scope of services and conditions comprehensive,program alternative to placement of award. Except where it is in conflict with this that addresses behavioral,psychological, family NOFAA in which case the NOFAA governs, the RFP issues and academic enrichment,with a strong upon which this award is based is an integral part of the emphasis on vocational exploration. A action. monthly maximum capacity of 14 youths,male and female, ages 12-18, a minimum of six hours Special conditions of site-based services per day,40 hours per week 1) Reimbursement for the Unit of Services will be based on for an average stay of 24 weeks. 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 or as specified in the unit of cost computation. Hourly Rate Per $ 14.67 3) Unit of service costs cannot exceed the hourly and yearly For a maximum of 6 hours per day cost per child and/or family. 4) Payments will only be remitted on cases open with,and Unit of Service Based on Approved Plan referrals made by the Weld County Department of Social Services. Enclosures: 5) Requests for payment must be an original submitted to X Signed RFP:Exhibit A the Weld County Department of Social Services by the Supplemental Narrative to RFP: Exhibit B end of the 25th calendar day following the end of the _Recommendation(s) month of service.The provider must submit requests for Conditions of Approval payment on forms approved by Weld County Department of Social Services. Approv Program fficial: By By tit ktir David E. Long, Chair Judy . Grie Director Board of Weld County Comnussi ers Weld unty epartment f Social Services Date: 4-130-ono3 Date: 111103 &x)3-/04 2 EXHIBIT "A" e INVITATION TO BID OFF SYSTEM BID 02-03 RFP-FYC 03006 DATE: February 19,2003 BID NO: RFP-FYC-03006 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-03006) for:Colorado Family Preservation Act--Day Treatment Program Emergency Assistance Program Deadline: March 14, 2003,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 Colorado Family Preservation 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 Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement or more restrictive placement that provides therapy and education for children. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK I� e r-C3Th ` y72 �L TYPED OR PRINTED SIGNATURE VENDOR 11-1€ (A.) uz- arv�^es t—tit 0VR (Name) Handwritten Signature By Authorized I Officer or Agent of Vendor ADDRESS (2 01 . 711 ' / 1 c'i TITLE Wt eat h.e , ('n $0°33 DATE PHONE# 303--gfyo—.i Yy0 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 RFP-FYC-03006 Attached A DAY TREATMENT PROGRAM BID PROPOSAL COLORADO FAMILY PRESERVATION ACT 2003/2004 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2003-2004 OFF-SYSTEM BID 02-03 RFP-FYC-03006 NAME OF AGENCY: A \Q r„),„.4 i✓e- A0 ii ep R r do 4itjA, tt ADDRESS: 'pal 1O, Al lit 1 (,l )1 C.9-71- Z'442- C-d. x0633 PHONE: (303) ergo -S5 7 o f r CONTACT PERSON: o\,.rw4 sr A. TITLE:,ke(.At-'oe V rec4Qrr DESCRIPTION OF COLORADO FAMILY PRESERVATION ACT CATEGORY: The Day Treatment Program Category must provide a comprehensive,highly structured program alternative to placement that provides therapy and education for children. 12-Month approximate Project Dates: 12-month contract with actual time lines of: Start June 1, 2003 Start 3 j yt \, Leo) End May 31,2004 End /1 4t }r 2-003 TITLE OF PROJECT: G e twit -Oa) -Tie 6414A-PICA— Vrel, to A �r5-Q-1--)0r(A-h �nvPr" 3 3 NN and Signature of PerIoh Preparing Document D e 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 Posposal 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 Project Description \( Target/Eligibility Populations V Types of services Provided Y Measurable Outcomes V Service Objectives y Workload Standards Staff Qualifications Unit of Service Rate Computation Program Capacity per Month Certificate of Insurance Assurance Statement Provider Number for State Child Care Licensing 0,10/6 ( �l ) Page 26 of 32 • . • , RFP-FYC-03006 Attached A ---------------------------------------------------------------------------------- Date of Meeting(s)with Social Services Division Supervisor: Comments by SSD Supervisor: // '� O�Se" 77t ad LGc 7c.ecc-c.4 -,,,eart,.... 32/1/2/C2•S cffo4_40/ X< n-tS g-i{- • l J . 3 .3 ,. 3 Name and Signature SSD ervisor Date Page 27 of 32 • 'MAR-07-2003 10:28 BROWN BROWN INSURANCE 610 866 8560 P.02 PRACORD„ CERTIFICATE OF LIABILITY INSURANCE OATSIM3DD/YYI BROWN&BROWN OF LV,INC. ONLY NIS �ANDFICONNFFE C IS ONFERS NOERIGD HTS UPON THE CERTIFICATE ICO P 0 BOX 25001 MOLDER. RTHE ICOVERAGEAFFORDEDSBYTHE POLICIES BELOW. LEHIGH VALLEY, PA 18002-5001 800 634-8237 INSURERS AFFORDING COVERAGE -- INSURED INSURER Ai NONPROFITS'INSURANCE COMPANY. ALTERNATIVE HOMES FOR YOUTH .__.._. 9201 WEST 44TH AVENUE INSURER O: - WHEAT RIDGE,CO 80033 INSURER C: INSURER DI I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES OESCREED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, jNTR TYPE OF INSURANCE - Pgup�'EFFECTIVB POLIC1TEibrfg7C15aA 6POLICY NUMBER AT IMM/DD/YAT DATEftrila YYl LIMITS A GENERAL LIABILITY NP0764346 08/01/02 08/01/03 EACH OCCURRENCE !1000,000 s., . COMMERCIAL OEIJERAL LIABILITY FIflE DAMABE(Alry one lVe1550,000 I CLAIMS MADE{ X I OCCUR MEDEXP(Any onewson) s5.000_ PERSONAL BADVINJURY *1,000,000 „— GENERALAOOREOATE 53 000•,000 GENL AGGREGATELIMRAPPLESPER: PRODUCTS-COMP/OP AGO s3,000,000 POLICY I 'Pp0T- JFO LOC A AUTOMOBILE LIABILITY NP0764346 08/01/02 08/01/03 COMBINED SINGLE LIMIT 51,000,000 x_ ANY AUTO (EA&calaeng) ALL OWNED AUTOS ' BODILY INJURY $ SCHEDULED AUTOS (Per potion) X HIRED AUTOS ^�"INJURY X NON-OWNED AUTOS (BPsr&ctlEen l)RY 5 PR ooCRTT•DAMAGE S (Per sealant) GARAGE LIAEILIT AUTO ONLY-EA ACCIDENT 5 H ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGO_5 A EXCESSUABanY NPX764347 08/01/02 08/01/03 EACH OCCURRENCE 32,000,00D OCCUR I ICLAIMS MADE AGGREGATE :2,000,000_ 5 DEDUCTIBLE '-'$ X RETENTION 51 DODO 5 WAORKERS COMPENSATIONU AND -_ ITDRYLtAM17R I IDEA .-,-• , „-_ APILRY E.L.EACH ACCIDENT 5 E.L.DISEASF-EAEMPLOYEE I E.L.DISEASE-POLICY LIMIT I • A OTHER Professional NP0764346 08/01/02 08/01/03 51,000,000 Occurrence Liability $3,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONSIVEHIDLES/EXCLUSIONSADDED BY ENOORSEMENT/EPEOIAL PROVISIONS Weld County Department of Social Services is Additional Insured wlrespect to General Liability only as thier interest may appear. CERTIFICATE HOLDER I I ADORIDNALI SUFGO:INSUFrRLETLER ..._ CANCELLATION • La10ULOMIYOFTHEABOVE DESCWaEDPOLICES BE CANCELLED elEFCRETHEDPRATION WELD COUNTY DATETHEREOP,THE ISSUING INSURER WILLENDEAVORTOMAIL75—DAYS WMTEN DEPARTMENT OF SOCIAL SERVICES NOTICETOTHE CERDFICATE HOLDERNAMEDTOT)ELL,,BUTFAILURE TO DO GOGHALL PO BOX A IMPOSE NOOBLIaanaN OR LIABILITY OFANYNIND UPON THE INSURER ITS AGENTS OR GREELEY,CO 80832 - BE s, I N �. I 4 ACORD W-B(7/9'7)1 of 2 1/S114340/M96922 1-a-flikORD CORPORATION lima 2 • -MAR-07-2003 10:28 BROWN BROWN INSURANCE 610 866 8560 P.03 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the Issuing Insurer(s), authorized representative or producer,and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD2s-S(7f 7)2 of 2 #3114340/M98922 TOTAL P.03 3 PROJECT DESCRIPTION The Greeley Day Treatment Program utilizes a non-medical model of treatment. It is one of eight programs under the Alternative Homes For Youth umbrella. The Day Treatment Program has been successfully providing services to youth and families within the Greeley community since 1994. The program is geared towards providing services that meet the needs of male and female youth between ages of 12 and 18. The program provides a comprehensive, highly structured program alternative to placement that addresses behavioral, psychological, family issues and academic enrichment. There is also a strong emphasis placed on vocational exploration. Services are available from 8:00 a.m. - 5:00 p.m. with extended evening and weekend hours for family therapy and for tracking and support services. Evaluation criteria measure recidivism, school and/or work attendance and parent satisfaction. The survey is conducted 6 and 12 months after discharge. MISSION The Mission of the Greeley Day Program is to reduce the likelihood of placement outside the home. * By providing individual and family opportunities for the development of effective problem solving skills and constructive communication. * To help youth in rediscovering how to learn and succeed in school. * To increase responsibility on part of the youth. * To develop self-respect through challenging experiences. * To empower the youth and their families to achieve future goals. Alternative Homes for Youth - Weld Co. RFP—02006— 1 Day Treatment, 2003 II TARGET/ELIGIBILITY POPULATION Youth to be Served A. An average of 28 youth, ages 12 to 18 years,will receive services within a 12- month period. B. IQ of 60 or above, non-psychotic, male or female, ages 12-18 years old (average age has been 15.3), court ordered to the program, and condition of bond, probation or deferred judgment. C. An average of 14 family units will be served, involving parents and siblings. D. 33% of youth served will receive bicultural/bilingual services. E. The total number of individuals who receive services in south Weld County will be determined by referral and transportation. F. Monthly maximum program capacity is 14 youth. G. Monthly average capacity is 7 youth. H. Average stay in program is 24 weeks. I. Average hours in program per week are 40 hours. Alternative Homes for Youth - Weld Co. RFP—02006— 2 Day Treatment, 2003 III TYPES OF SERVICES A. The Greeley Day Treatment Program provides a minimum of 6 hours and maximum of 8 hours of site-based services per day, for ages 12 to 18 years. Program Services * Individual, Group and Family Therapy * Psychological assessments * Structured level system * Positive Peer Milieu * Regular staffing and communication with appropriate agencies, (i.e., social services probation and public schools) * Educational services * Relationship skill building increasing/enhancing self-esteem. * Basic living skills * Vocational services * Drug/Alcohol monitoring and counseling * Parent and mental health education and support groups * Transportation within 15 miles B. Community Collaboration Efforts 1. Weld County Department of Human Services Referrals and Case Management Services, which include staffing,treatment planning and discharge. 2. Weld County Department of Mental Health Case Management/coordination of therapeutic services and testing. Alternative Homes for Youth - Weld Co. RFP —02006— 3 Day Treatment, 2003 3. Colorado Department of Education Department of Education: staff certification, training and in-services. Weld County School District 6: case management, staffing, and testing (IEP). 4. Island Grove Case Management Services Group Therapy Services Drug and Alcohol Assessment and Urinalysis Testing 5. Individual Group Therapy Services (IGTS) Individual and Family Therapy C. Program Components 1. Educational * Approved School Program by the Colorado Department of Education * 1 - Certified Teacher/1-Counselor * Vocational/Independent Living Skills (average 1 hour per week) * Physical health needs (nutrition,medical, sex education, HIV, contraception, etc.) * Reintegration into public schools (average 1 hour per week) * Educational Testing and assessment (as needed) 2. Therapeutic * Individual counseling services (average 1 hour per week) * Group counseling services(average 10 hours per week) * Family counseling services (average 1 hour per week) * Island Grove-Substance Abuse Group (average 1 hour per week) * Psychiatric Consultation (as needed) * Psychological Testing (as needed) Alternative Homes for Youth - Weld Co. RFP—02006— 4 Day Treatment, 2003 3. Behavioral * Utilization of Therapeutic Crisis Intervention * Daily life supervision and interaction * Peer Dynamics * Behavioral modification * Refusal Skills * Life Skills 4. Recreational * Wilderness Program (minimum of 2 trips offered per youth) * Therapeutic Initiatives and Team Building activities (average I hour per week) * Team Sports (average I hour per week) D. Parental/Caretaker Involvement 1. Day Treatment includes parental involvement in all program components as indicated in the Treatment Plan and as required. 2. Day Treatment advocates family therapy and encourages parents/guardians to participate in all phases of treatment. E. Assessment and Plan 1. One certified teacher and 1 counselor provide educational services. Pre-and Post-testing will be provided using the Woodcock Johnson Assessment Tool. 2. Vocational and Independent living skills are provided by certified teachers and counselors for age appropriate youth. Experiential activities and job coaching also provided. Alternative Homes for Youth - Weld Co. RFP—02006— 5 Day Treatment, 2003 3. A contract for therapeutic services is established for every youth and family that outlines the frequency and level of services needed. This information is documented in the treatment plan and reviewed on a monthly basis. Individual and Family Therapy will occur weekly. 4. Physical health needs, i.e., sex education, HIV, contraception, nutrition, etc, are covered within the program's curriculum. Medical and dental appointments need to be scheduled prior to placement or will be scheduled within 30 days of placement. 5. Mental health needs such as psychotropic medications and testing are monitored through the treatment plan and recommendations for these additional services will be coordinated during case reviews and treatment staffing. The program is capable of administrating medications and coordinating mental health services. F. ProActive Planning (transition) 1. The reintegration plan will be outlined and discussed 30 days prior lo discharge. The program will maintain ongoing communication with the school district to ensure continuity of care. 2. Monthly staffing will occur between the Greeley Day Treatment staff and the IGTS therapists to monitor treatment progress. The program will also schedule two follow-up sessions with the youth and family to further insure family stability. 3. Within 10 days of being discharged from Day Treatment,program Staff will follow-up with telephone contact to the youth and family to check on progress and offer support. 4. A 6 and 12 month follow-up evaluation will be conducted on all youth and families who have been discharged from the program. The evaluation will measure client satisfaction, and progress in school, employment, family dynamics, and recidivism arid stability within the community. Alternative Homes for Youth - Weld Co. RFP—02006— 6 Day Treatment, 2003 5. A collaborative effort in utilizing community resources will be established to insure that personal and family growth is sustained, (i.e.,Vocational Rehabilitation Summer Youth Employment, etc.) IV MEASURABLE OUTCOMES A. 70% of the youth who complete the Day Treatment Program will be residing in their homes 6 months after being discharged from the program. B. 70% of the youth will enter public school upon graduation from the program. Project Monitoring and Evaluation Internal monitoring/evaluation of the program will include a quarterly review of the program by Alternative Homes For Youth's Quarterly Assurance Review Team. The team will ensure compliance with the AHFY Quality Assurance Manual. Program evaluation will be coordinated at six-month and one-year intervals to reevaluate youth's successful reintegration into the community. Areas that will be tracked will be employment, school, illegal activities, and any commitments or new offenses with the judicial system. The data will be compiled to evaluate the outcome of the program to prevent imminent placement of children and to reunify children in placement with their families. The program will monitor daily, weekly, and monthly services by utilizing the ESHO Client Record Management System. This computerized data collection system will provide the project up-to-date information about delivery of services and the utilization of these services. Each service is documented in quarter hour increments. The program will also fill out quarterly client progress reports as prescribed by Weld County Department of Social Services. Alternative Homes for Youth - Weld Co. RFP—02006— 7 Day Treatment, 2003 V SERVICE OBJECTIVES A. Fewer than 30% of the youth will be placed within six months of Day Treatment graduation/discharge. B. 70% of the youth discharged from Day Treatment will be enrolled in public school. C. The Day Treatment Program will assist families in the awareness and identification or community resources that can be utilized regarding family management issues (i.e.,human services, vocation, housing, medical/health, mental health, education, and legal resources.) The evaluation methods that will be utilized include the computerized ECHO Client Record Management System that allows for client follow-up 6 months and 1 year after discharge. The follow-up procedure is able to quantify service objectives. The ECHO System will also track client and parental involvement in community and state sponsored services on a weekly basis. VI WORKLOAD STANDARDS A. An average of 28 youth and families will receive services within a 12-month period. B. The duration and length of time within the program is an average 24 weeks. Alternative Homes for Youth-Weld Co. RFP—02006 — 8 Day Treatment, 2003 C. Total number of hours per day/week/month. Day—minimum 6 hours per day Week- 40 hours per week(40 hours service) Month- 173 hours per month. D. We anticipate no more than 14 youth total in Greeley Day Treatment Program at one time. The Program is staffed with, 1 Tracker/Counselor, 1 Treatment Leader, and 1 Teacher VII STAFF QUALIFICATIONS Day Treatment staff will meet or exceed the minimum Merit System qualifications in education and experience. A. Counselors will have a minimum of a Bachelor's degree in Social Work, Psychology, Sociology or closely related field. Treatment Leader will have a minimum of a Master's degree of Social Work and three years of clinical supervision experience. Teacher will have a minimum of a Bachors degree in Education. B. The number of staff at Day Treatment. 1 - Tracker/Counselor 1 - Treatment Leader 1 - Certified Teacher C. Staff to youth ratio for youth 12 to 18 years of age. 1 - Counselor to 10 youth 1 - Treatment Leader to 10 youth 1 —Certified Teacher to 10 youth Alternative Homes for Youth- Weld Co. RFP—02006— 9 Day Treatment, 2003 VIII COMPUTATION OF DIRECT SERVICE RATE Direct Time (Per Month) Hours 1 Direct client contact 394 Indirect Time 2 Completion of Paperwork 26 3 Travel 4 4 Court Appointments 2 5 Vacation 32 6 Sick Leave 13 7 Case Management 22 8 Other 52 9 Subtotal 151 10 Total Time Available Per Month 545 (Sum of 1-8) Alternative Homes for Youth - Weld Co. RFP—02006- 10 Day Treatment, 2003 PROGRAM BUDGETS COMPUTERIZED ACTUAL PROGRAM Day Treatment A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 394 B TOTAL CLIENTS SERVED 28 C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 11,032 D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $17.68 E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $116,000 F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $26,450 G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,400 H TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) - $161,850 I PROFITS CONTRIBUTED BY THIS PROGRAM $0 J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $161,850 K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 11,032 L RATE PER HOURS OR DAYS OF DIRECT, FACE-TO-FACE SERVICE (J/K) $14.67 CE TIC FICATION STATEMENT I t dU-N AP Lc,-- declare to the best of mnnowledge and belief that the statements made on this document are true and complete and that the wage rates and other factual uniticosts supporting the compensat;6n Paig of to be paid under this contract re accuratey complete and includes no duplicate costs and and that I am the CEO or duly authorized agent of Z !�t� 1.-.I. 1cL ' SLx. \' __ ` �..)�k`�.e`c, L� l�' �'R� - ��l,l-C� ch— C:.— i"`s�—�./\A�h..-.t..—vim, L9 �6t�ti� �J-t-�1;�T/v •� ' ) DIRECT SERVICE COSTS COMPUTERIZED ACTUAL Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY X OF TIME SALARY X OF TIME SALARY X OF TIME SALARY X OF TIME SALARY Degree IIOf Salary/gene Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND DESCRIPTION or Ceti FTEs @1.a FTE Bene0ts/0ther ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAMMtn MON Man ,,::t' ;ayw;:, : A TOTAL CLIENT HOURS OR DAYS PER PROGRAM B TOTAL CLIENTS TO BE SERVED PER PROGRAM C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0.00 0.00 0.00 0.00 0.00 000 DIRECT LABOR FACE-TO-FACE POSITION TITLE OR JOB FUNC ION 1mu ffoidtiii ,.fv J k" �' O.T. .. 1.6r Ex"„±EF "„ . ,i� S43,BOO.OD NO ,yl•.sM`,':.mf $0.00 .rt 'Y'_ 50.00 y/. '4q $000 Oti:Ve : $000 L4 3000 -. $0.00 ,�- 'y'� •_A rd .:' E4T,Bo0.00 NO "tr ti $0.00 >; p[ 50.00 Ayl„ E000 50•00 Sgt E000 �; 50.00 1:sera• _- x C y E3B,4W.00 NO -tf �' $0.00 N "a+.e"w 50.00 g¢'T„ni �,' 5000 Y $0.00 "� :#; 3000 - -�- E0.00 a ,: - iE ',. .1 .* { . 3 ,f'an, t ELM NO 4 t' -0q� E0.00 ,�aV "te Si ^.�T,`tat $000 ...)1t4.4 .-..4. E' 'eR Saw } .4'ie 5000 „:;yx_. Y So.00 e, t ya t $0.00 No „A $0oG w $000 : $x $0.00 $000 soon u $0.00 :x �. 1. hJs "°* �, •x. ;? # � 30.00 NO eT "' E0.00 ' tx� - soon s -# EOM ,b- $000 3* d :I ' sI :I „ a :"*> '• ao.00 30 *a< $: , a„ s i�; $oaa+ -+ +x^'} - 30.00 300 "" �s�4'T a h� soao soao �-a�i ":•c ii `* so0o so00 e� *� 30.00 $0 „ to oo �� $a m- Ea.00 $0nx 1^ .�= I.;'ht. ' 'T, NO «a rc EOt . Ot isSO.o0... " ->:� aOY r :: ,,. n soao No '-„�sg' ': ao.00 . ,, soon ' ..-a. , ao 0o s ao 00 0. 30.00 . , - , 30.00 5 so 00 .. ., so oo .� :y :am ,: a eau: Eo.00 TOTAL DIRECT LABOR PER PROGRAM $110,000.00 $0.00 $0.00 $0.00 $000 $0.00 $0.00 OTHER DIRECT COSTS PER PROGRAM FACE-TO-FACE s 4r "i*� t'. ` "+a+e$s xWe: :-a"L' eel. NO ,4-ysR° $0.00 a' $0.00 "S`..emx V' v1°0 - $0.00 a"r $000 �.;+ $0. 0 "AI ems` " ' -`' '$$Jr NO f. E0.00 N $0.00 Yq $000 $0.00 ' p $000 y,..-q, ', SO.Oo �. ,� �y -: NO .!+¢ex. 30.00 1 „F $0.00 ."' .� 30 W 30 W EO 00 EOM 9 .k :A . m$ "'$ $Sal ' . No ,$$ " a0 oo `: I - '' 50.00 $0.00 '�E �r.I ao 00 $0 00 _ $0.00 **� :' L No r so oo , so.00 .I "' ; so oo i EO.00 . 1,....;;R: moo ao.00 .3-, tat , ' ... . - ,:WI A No P' ttS..se,,' f000 ._ .• $0.00 nt sue: 3000 r.A 30.00 r: 3000 ss, .;, .::, :Goo TOTAL OTHER DIRECT COSTS PER PROGRAM $6,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 E GRAND TOTAL DIRECT SERVICE COSTS $116,00000 I $0.00 $0.00 $0.00 $0O0 $0O0 $0.00 ADMIN COST NON-FACE-TO-FACE COMPUTERIZED nC VAL Minimum Budget Average Total %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY Degree aOL Salary/Bens Salaries/ 100% SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND DESCRIPTION or CM FTEe @1,0 FTE Benefits/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COST\PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM A TOTAL CLIENT HOURS OR DAYS PER PROGRAM B TOTAL CLIENTS TO BE SERVED PER PROGRAM C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0.00 0.00 0.00 0.00 0.00 0.0o DIRECT LABOR NO FACE-TO-FACE 0„:-.![:;, a1:vesp.4. L t y N tL .[ ? C r 4Kli .u ; .q 1 'e s. $4 900.00 NO d s t ;.•:: $0.00 F G a `d v-1 ' h,eP:5s1 .r.Y 'Y' d r'2. t x LA s f2.T00.00 NO r "� 1 ' $000 $000 -Y .•,� y.+'..4 R` 'q" Ho x ,,� DII $0.00s. jx x0.00 Y 3000 k "..e''"',y' moo t��1. a [ W39,600.00 NO r k SOSO '1l��4$,. at 3000 i?' ..z h �; 0' -r $0.00 µ s,., E0.600.00 NO $0.00 LT'°" $000 p'-v`. moo s0.0o NO $0.00 3000 _, 't -`"' $0.00 fy 0 " 'I'` �{, :q Ty -�,. z xx: Y�T� fi 50.00 NO Y`: _: 30.00 -2 30 00 ' $000 W 30.00 ' 30.00 t fi .�y-:rs`'�'34"`�, -.."�.' .'St*u 141'e c5-t+�* 44n -, v -'r ey 30.00 No �x,t„..,.$a':+ Nya sox* .i 4 moo So oo "� x_« So.Oo $0.00 „J.'v, ,�, ty ¢ $0.00 No ,x. e•.>*#�..-- $0.00 ,�, $000 ,�. $0 oo $0 oo "� a000 sac* �Lr' w,sa-�:r i c ar is � a r>n,+.' so oo '�:t. •a *� 30.00 $0.00 t� 4g&-,ar v x a'5 $0.00 NO 0.1,1 A. 30.00 r3 .* $000 „'3:` $o oo �' ' ,� ...>,, ' , ' � - x^" �, : Moo NO *ra $0 00 r '" . moo . Moo $000 -e. 5 . ' sa oo `T '� m 30.00 �' = v x ' : *. x h.a.,r a $0.00 NO $0.00 `s' - .a moo $o oo $0 oo $0.00 i + '.-1 °'* V?.y;-=. 30.00 No $0.00 .' '" ≥r' moo , so oo " a000 T ..., .. +z��!.._u x ', ,'$fi 3000 EO 00 0.. �-y{;,', ,. '�' rt,t , n §k ; of t.,p at fo.OD NO �, - $0.00 $000 moo "' 30 00 „:11 L` • - �• -"• ',, * a• -` �:: . $000 2 _ moo 4 n %v. :. FALT''T5, 's. e.,V +'al: ..z-P.T�` .y -b.-. $0.00 NO Y. :' 30.00 v, $0.00 ..:. 3000 ,x X�. fo00 r moo ,..45' ..:x moo TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $20,800.00 $0.00 $0.00 $0.00 Moo $Oo0 $000 OTHER DIRECT COSTS PER PROGRAM NOT FACE-TO-FACE suPpl-} •gp , 5 r"ff. a '9'.: 4�' 6" ,AT NO '14.$0.40:0:. $0.00 ',,s"—"',°Y $0 00 „' $000 $0 00 $0 00 $0.00 *'-° , x ..1 $000 $000 :05,,,,,,:.,s, $0.00 - -' so00— 7 of $000 )47-,...; - $0.00 21 � 2A"ir'hvf'Tkyn$,' • K ,1 t-60 a NO $000 . 's $000 ' $000 - $000 .W AA $000 'oo;r $0.00 _ A f` a .a. e ht. '; k • ? t ys'' NO 5000 teal $000 ; ' $000 '^i • moo $000 E0.o0 �„,�i .x `T `C + r.t'4t''' s�" �` . '' p+'- - NO (rkx $0.00 y $000 $000 " $000 ^v` .I,L ;. °.d^ •$` s y ' ,y.. moo T'HiY'+s. -T $0.00 �- u HER DIRECT C .T FACE-TO-FACE ^`,TO-FACE P'z ., `-:-......; >;n ;? NO r ...:;; $0.00 - . ..._. ._r: $O oo ��; moo Moo _'E.�.r`R"_-" ' '£5''ti $000 '$ s- snag 30.00 TOTAL OTHER DIRECT COSTS NOT FACE-TO-FACE PER PROGRAM $5,650.00 $0.00 $0.00 $0.00 moo $0.00 $0.00 F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $26,450.00 $0.00 $0.00 $0.00 $0.00 $0.00 $000 OVERHEAD COSTS AND PROFITS COMPUTERIZED ACTUAL TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED I ALLOCATED I ALLOCATED ' D 100% ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED OVERHEAD COSTS ALLOCATED VERHEAD COSTS %ALLOCATEDCVERHEAD COSTS %ALLOCATEDEVERHEAO COSTS DESCRIPTION COSTS 0 TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM PROGRAM A TOTAL CLIENT HOURS OR DAYS PER PROGRAM B TOTAL CLIENTS TO BE SERVED PER PROGRAM C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0.00 0.00 000 0.00 0.00 000 OVERHEAD U0Nt` iY 5'' ka g $1350.00 '� �. �; ^� 3- u so 00 :§TiPOpl..oR ! so.00 - .t a000 ra a• H 50.00t 1200.00 . _ a000 . 50 00 : " $0.00 x-" IS , 50.00 a ",1 ao;No 134,% $1,950.00 $000 " a000 - e, 50.00 50.00rya, S ', tD y ,650.00 5000 $000 .a �'�e4 3N0 $2,300.00 ' -A $000 1A $000 `�` rr�,,�5 $000 t 4 $0.00^`: '. s ' a No a4.s 1, a000 Y" ' ,.{ "ens' c-_ $ ,< 1' .�v t No _ ,v a'gg,3125y'f :YT' ii. 'F so.00 j 50.00 «s: ,,e'ta aa" '�'Dp. NO $000 $000 �#` �.�: $000 ' , $0.00 Y 4 $0.00 so.00 $0.00 moo �4 moo x *:' a `..4« n,, ,ZAx7 . ,;ri.+' $o.Dw •t $0.00 , k 44$ $o o0 'wt a a'E' �' ,ENO 50.00 $000 . so oo x so DO '=3y 50.00 . 30.00 4, 3"y, - NO ii $000a000noo4 � aDoo $000s'. 5000 S000 Da000 &• , MOO ', �'"1 5000 a000 4y .... $0 00 4000 +• g $000 5000 ., a 5000 *x`� 't4 S000 rfr soo ,�s, cs Eaookr , ao 00 *i ii,,.c 1q�, s00 • moo:, Y'4 a000 ,i I? 5000 r.: 5. aFG' 5000 a,;; $o00 ` $o m ' it so0o.:_. J'3 ,ae' $0.00 ': SD.DO YSe�_ $0.00 SO 00 $0.00 a r., G TOTAL OVERHEAD COSTS $19,400.00 $000 $0.00 $0.00 $0.00 $0.00 I TOTAL ANTICIPATED PROFITS " JN° nita at= a000 rcO>.�ft $0.00 ngagM 50.00 :rs a000 TOTAL OVERHEAD AND ANTICIPATED PROFITS ItIttttallitt#141 $19,400.00 $0.00 $0.00 $0A0 $0.00 $000 I s 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 FY03-CORE-0006 Revision (RFP-FYC-(03007) Contract Award Period Name and Address of Contractor Beginning 06/01/2003 and Alternative Homes for Youth Ending 05/31/2004 Sex Abuse Treatment 9201 W. 44th Avenue Wheatridge, CO 80033 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Program utilizes a non-medical, cognitive Assistance Award is based upon your Request for behavioral model, focusing primarily on Proposal(RFP). The RFP specifies the scope of treatment of juveniles with sexually reactive services and conditions of award. Except where it is behavior. The program is geared toward in conflict with this NOFAA in which case the providing specialized outpatient services meeting NOFAA governs,the RFP upon which this award is the needs of male youth between the ages of 12 based is an integral part of the action. and 18 years. Program provides education, Special conditions treatment, and support to ensure a safe & 1) Reimbursement for the Unit of Services will be based successful integration with the family& on an hourly rate per child or per family. community. Bilingual services provided for 2) The hourly rate will be paid for only direct face-to-face Spanish speaking families. Maximum 2 hours contact with the child and/or family,as evidenced by per day, 4 hours per week, 16 hours per month. client-signed verification form,and as specified in the Monthly maximum capacity is limited to 12 unit of cost computation. youth and their families,monthly average 3) Unit of service costs cannot exceed the hourly,and capacity is 10, average length of stay is 32 yearly cost per child and/or family. weeks. 4) Rates will only be remitted on cases open with, and referrals made by the Weld County Department of Cost Per Unit of Service Social Services. Hourly Rate Per $42.58 5) Requests for payment must be an original and submitted to the Weld County Department of Social Unit of Service Based on Approved Plan Services by the end of the 25th calendar day following the end of the month of service. The provider must Enclosures: submit requests for payment on forms approved by X Signed RFP:Exhibit A Weld County Department of Social Services. Supplemental Narrative to RFP: Exhibit B Recommendation(s) _Conditions of Approval Approval Program Official: By By David E. Long, Chair Judy A 'ego, 'rector Board of Weld County Commi ioners Weld ty Department of Social Services Date: -3O-QOO3 Date:_______10 j oar-5- (dog. EXHIBIT "A" % INVITATION TO BID OFF SYSTEM BID 02-03 RFP-FYC 03007 DATE:February 19,2003 BID NO: RFP-FYC-03007 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-03007) for:Colorado Family Preservation Act--Sexual Abuse Treatment Program Emergency Assistance Program Deadline: March 14, 2003,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 Colorado Family Preservation Act(C.R.S. 26-5.5- 101)Act) 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 Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. 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 TYPED OR PRINTED-SIGNATURE VENDOR Ar- eTcCCt10C_Vkoma5 1O( (Name) Handwritten Signature B Authorized Officer or Agent of Vendor ADDRESS Rao\W q� AV3, TITLE E)',g.c, u-k . L 17t1ET e ct SCOTS- DATE c3 ( t�. \ U:� PHONE# 2°3-- OSS (-{'p - The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 • ' RFP-FYC-03007 Attached A SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING COLORADO FAMILY PRESERVATION ACT 2003-2004 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2003-2004 OFF-SYSTEM BID RFP-FYC-03007 NAME OF AGENCY: t sJ Q' \--"\Opctie S ADDRESS:Ot tab UtD. Lt LI -4zi' IN v ESL C n, �� PHONE:(TjZl 9 L(f-C 5-I CO CONTACT PERSON-(jr., C'E ✓\C TITLE: C X pC V 17 UC b�(C'I'ten-- DESCRIPTION OF COLORADO FAMILY PRESERVATION ACT CATEGORY: The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. 12-Month approximate Project Dates: 12-month contract with actual time lines of:' Start June 142003 Start SV ne,\ C no a End Mav 31,2004 End IYnl`/ `.41 OO TITLE OF PROJECT: 41 - c 1Mt.1 kA---- AMOUNT REQUESTED: � Sig 11ULLd — 11 �\ D r N e and Signature of Person eparing Document Date 11 Oth oN � C �� /i:3w_� Name and Signature Chief A istrative 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 2002- 2003 to Program Fund year 2003-2004. Indicate No Change from FY 2002-2003 to 2003-2004 Project Description _ Target/Eligibility Populations I a Types of services Provided Measurable Outcomes _ Service Objectives Workload Standards Staff Qualifications Unit of Service Rate Computation ,ea-ka?AJ Program Capacity per Month / Certificate of Insurance Assurance Statement Page 25 of 31 RFP-FYC-03007 Attached A Date of Meeting(s)with Social Services Division Supervisor: Comments by SSD Supervisor: O,•% 12_ c?„-- tt-trer .4go A_ ry„.....,,,s_ „:-.--__. W.4) ALP/N421-4 • . 4 ects b ri. &KT, .z.„,:(a_.,, _4- ( I a_,cZ•- itil-t_n1/4_A-1 - --- --•-2.-- ' •)/04_, dms i•-•-- sy-7/03 Nam�nd Si Signature of SSD Supervisor Date >� P Page 26 of 31 RFP-FYC-02007 Sexual Abuse Treatment Program Bid Category Greeley Outpatient Program for Adolescent Sexual Abusers Alternative Homes for Youth PROJECT DESCRIPTION Alternative Homes for Youth will utilize a non-medical, cognitive behavioral model, focusing primarily on the treatment of juveniles with sexually reactive behavior. This program will be geared toward providing specialized outpatient services that meet the needs of male youth between ages 12 and 18 years old. This program will provide education, treatment, and support to ensure a safe and successful integration with the family and community. The mission of the Greeley outpatient program for sexual abusers is to reduce recidivism rates of adolescent sexual abusers by: • Providing a structured environment for the safety of the client, family, and community. • Increasing awareness and empathy for the victim and the impact of the offense on the victims and family members. • Fostering a family environment to effect positive change. • Developing the use of appropriate social/sexual skills and expressions through recognition of situations and stimuli that trigger sexually reactive behavior. • Assisting family members to develop the skills necessary to recognize and understand the sexual behavior of their child for the purpose of providing support while the child progresses through treatment. The Greeley outpatient program for sexual abusers will treat: • Male youth 12 to 18 years of age • Youth with current sexual offense adjudications, youth who have admitted guilt, or youth who have witnesses that this behavior occurred. • Youth with adequate intelligence and social functioning (IQ of at least 80) • Youth with sexual or incestual crimes against other children. Program Services for target youth include: • Psychosexual testing and evaluation (prior to admission) • Polygraph administration (prior to admission and discharge) • Offense-specific group therapy (2 hours/week) • Individual and/or family therapy (1 hour/week) • Family education/support groups (3 hours/month) • Relationship and interpersonal social skills • Sex education • Interdisciplinary team meetings (monthly or as needed) • Victim empathy and awareness • Anger management/impulse control skills • Cognitive/behavioral modification • Self-esteem building • Values clarification and examination • Relapse prevention plan • After care services Page 1 o£ 7 II. TARGET/ELIGIBILITY POPULATIONS Guidelines for conducting offense-specific groups indicate that the ideal number of clients should be approximately nine youth, with a maximum group of 12. As mentioned previously, clients for the offense-specific groups will include youth between the ages of 12 to 18. Eighteen year olds will be accepted into the program if they began the program at age 17. Total family units will coincide with number of youth in the offense-specific program. Bilingual services will be provided for Spanish-speaking families. Offense-specific services, including individual, group and family therapy, will be provided at the Alternative Homes for Youth facility at Greeley. All eligible Weld County families will have to arrange transportation to the facility. As this is a day program, 24-hour services will not be available through this program. However, emergencies will be anticipated, and resources identified for after-hours situations. Monthly maximum capacity will be limited to 12 youth and their families, with monthly average capacity expected at 10. Due to the intensity of the program, youth are expected to complete the program in an average of 32 weeks. Average hours per week in the program are expected at approximately 4 hours per week. III. TYPE OF SERVICES TO BE PROVIDED A. Before a youth can be accepted into the outpatient program, a psychosexual assessment is necessary to determine whether this program will be appropriate for the youth. Assessment will look at five areas: • The youth's potential to reoffend • Amenability for treatment • Recommended treatment setting • Type of treatment needed • Risk factors/monitoring/potential new victims • Psychiatric/substance abuse/individual/family needs Assessment will include: • A structured clinical interview with parents and youth • Collateral information from school, caseworkers, probation officers, therapists, doctors, or other relevant sources Other assessments may include (depending on the age of the youth and circumstances of the case): • Shipley (measures IQ) • Jesness Inventory-JI (measures criminal thinking) • Milan Adolescent Clinical Inventory— MACI (measures personality traits) • Multiphasic Sexual Inventory for Adolescents—MSI-A (measures sexual knowledge, behaviors, attitudes, and beliefs) • Penile Plethysmograph (measures deviant arousal) An integral part of assessment will include a polygraph prior to acceptance to the program, as well as shortly before discharge from the program. The purpose of the polygraph includes: • Encouragement of more disclosure of additional victims or other deviant sexual behavior. Page 2 of 7 • Monitoring for honesty of client to assess progress in treatment regarding safety plans, covert sensitization, and relapse prevention plan. Assessment may reveal the need for specialized treatment such as medication evaluation and monitoring or substance abuse treatment. Referrals will be made to the appropriate agencies to address these treatment needs. Results of the initial assessment will indicate what treatment goals will need to be addressed. Measurable treatment goals will be developed and monitored on a monthly basis. Group therapy for adolescent sexual abusers will focus on the"abuse is abuse" model. This model focuses on the various types of abuse that youth have committed, including physical, sexual, emotional, verbal and psychological. Understanding of when sexual behavior is abusive will be taught by helping youth understand the concept of consent versus coercion. However, treatment will center on the universal goals that address problems common in all sexually reactive youth—communication, empathy, and accountability. Youth will also be introduced to the sexual abuse cycle. The cycle will be used throughout group therapy to help youth understand their personal abuse cycle, and develop ways they can make their behavior patterns more functional. Part of the abuse cycle will include how defense mechanisms and cognitive distortions contribute to the continuation of the cycle. Youth will learn about their thoughts and feelings at each point in the cycle to assist in understanding their behavior, as well as changing faulty behavior patterns. An important part of group therapy will be addressing victim empathy. Youth will learn to read cues from others, interpret them accurately, and validate what they have heard from others. The goal is for youth to identify an empathy experience or interaction, and eventually develop empathic foresight on how their behavior affects others. An essential part of developing empathy includes addressing youth's own victimization and how it affected their own choices. Parent groups will provide two essential elements: • Improve parental understanding of the pattern of sexual abuse. • Develop a support group with other parents to gain acknowledgment from others about their experiences as parents of abusive kids. Family therapy will focus on the situations at home that may have contributed to past abuse, and what needs to occur in order to make the home safe for all members. This may include sorting out feelings for each family member about the abuse, reunifying family members, and assessing how family members can contribute to improving safety in the home. Family members will also learn how to support the abuser while he completes the therapy process. Parenting education and conflict resolution for family members will also be addressed. Individual therapy will primarily focus on non-abuse issues. These would include: • Anger management/impulse control • Social skills • Self—esteem • Sex education Once the youth can demonstrate understanding and implementation of these concepts, individual therapy will no longer be required, and the youth will be successfully discharged from individual therapy. Page 3 of 7 Youth that are not considered to be safe in the school setting, or who have been suspended or expelled from school may attend Alternative Homes day school program. This program offers six hours of educational services in a school approved by the Colorado Department of Education. Sex education will be offered as a component of day treatment. Aftercare will also be provided for youth who have successfully completed the program. Youth will meet individually with a therapist weekly, then bi-weekly, and finally monthly, with the plan of releasing the youth from aftercare treatment within two to six months. More intensive aftercare can be provided for families that need additional support, such as Multi Systemic Therapy (MST). IV. MEASURABLE OUTCOMES Upon completion of the program (six to nine months), youth should be able to demonstrate the following behaviors: (Ryan, Metzner, Yager) • Consistently defines all abuse (self, others, property) • Acknowledges risk (foresight and safety planning) • Consistently recognizes/interrupts cycle (no later than the first thought of an abusive solution) • Demonstrates new coping skills (when stressed) • Demonstrates empathy (sees cues of others and responds) • Displays accurate attributions of responsibility (Takes responsibility for own behavior, does not try to control behavior of others) • Able to manage frustration and unfavorable events (anger management and self protection) • Rejects abusive thoughts as dissonant (incongruent with self image) • Demonstrates pro-social relationship skills (closeness, trust, and trustworthiness) • Projects positive self image • Youth and family members have the ability to resolve conflicts and make decisions (assertive, tolerant, forgiving, cooperative, able to negotiate and compromise) • Celebrates good and experiences pleasure (able to relax and play) • Works/struggles to achieve delayed gratification (persistent pursuit of goals, submission to reasonable authority) • Able to think and communicate effectively (rational cognitive processing, adequate verbal skills, able to concentrate) • Able to make pro-social peers • Family and/or community support system • Adaptive sense of purpose and future Tracking progress through the program will take place in the following manner: • Youth will receive feedback form weekly from therapist(s) to monitor progress on treatment goals. Evaluation will indicate whether youth has completed, partially completed or has not had the opportunity or inclination to address each goal objective. Staff will discuss progress and indicate whether youth is on track. A compilation of these reports will be issued to the interdisciplinary team on a monthly basis. • Group notes will be compiled by youth after each group. The therapist will evaluate whether the client is learning during groups. Feedback will be provided to help the youth obtain maximum benefit from groups. • Parent will be questioned weekly during family therapy on their child's progress at home. Parents will be evaluated monthly regarding their progress in treatment Page 4 of 7 by verbally testing to see if they understand the concepts being taught and can demonstrate their use in therapy and at home. • Schools will also be contacted on a monthly basis to monitor behavior there. • A polygraph will be conducted two months prior to discharge to determine whether a youth is being truthful regarding changes in deviant arousal. An MSI-A may also be administered to assess changes in sexual attitudes. In some cases, a penile plethysmograph may be indicated to see if deviant arousal can be controlled. • The interdisciplinary team will meet monthly to discuss youth's progress in the program. Any major concerns that arise prior to the monthly meeting will be discussed with the caseworker and probation officer within 48 hours. V. SERVICE OBJECTIVES The primary objective of the Greeley outpatient program for adolescent sexual offenders will be to provide safety for the abuser, victim, family members, and the community. Successful completion of this objective requires addressing issues in the following areas: • Parental competency— Parents will initially be assessed to determine their level of parenting skills. Parents will be offered parenting education to increase their skill level. In addition, parents will be monitored weekly in family therapy to check on behaviors occurring at home, and help parents understand "red flags" that indicate potential problem areas regarding safety in the home. Parent groups will offer educational information on the "nuts and bolts" of sexual abuse (e.g., polygraphs, the legal process of adjudication, plethysmographs, etc.) Parents will also be encouraged to talk about their experiences and share support and information with each other. Progress will be measured by verbal demonstration of understanding of concepts, successful completion of homework assignments and participation in group discussion. • Improve family conflict management — Families will learn to talk about the underlying feelings resulting in anger and conflict at home. Family culture will be explored, and family members will learn to develop a peace plan, implement constructive discipline, improve communication, and develop problem-solving skills. Progress will be measured by successful completion of homework assignments. • Improve Personal and Individual Competencies— Upon acceptance into the program, youth will be assessed to determine deficiency areas. Problems that are not specifically limited to sexual abusers, such as self-esteem, sex education, anger/impulse management, and social skills will be addressed in individual therapy. Progress will be measured by successful completion of assignments and demonstration of the ability to apply these concepts in therapy, at home, and in the community. Sexually abusive issues will be discussed in group therapy. Youth will learn to describe the sexual abuse cycle in detail, and identify each step of the cycle as it pertains to their own abuse. Youth will also be able to explain defense mechanisms and cognitive distortions in relation to the sexual abuse cycle. Empathy training will include teaching youth to accurately read cues from others, interpret cues from others, and check for understanding by validating cues. Youth will learn to experience empathic interactions from others and will develop the ability to understand in advance how their actions affect others. To assist youth in controlling deviant fantasies, abusive youth will be instructed on the use of covert sensitization, which will assist them in changing their sexual thoughts to become positive and caring. Finally, youth will address Page 5 of 7 their own abuse, and learn how their abuse led to their choice to abuse others. Progress will be measured by successful completion of assignments, increasingly appropriate contributions in groups, completion of non-deceptive polygraphs as scheduled, reports from family members, school, therapist(s), and the interdisciplinary team, and audio tapes from youth indicating successful completion of covert sensitization. • Improve ability to access resources—Part of family therapy will include assessing what resources family members need to have a successful transition home. Therapists involved in the program will assess what resources are needed and will assist family members in locating these resources as they are identified. Progress will be measured by successful follow through by parents or caseworkers (if the youth does not have family members involved in his life). VI. WORKLOAD STANDARDS A. Number of hours per day/week/month. Day— maximum of two hours per day Week — maximum of four hours per week Month — 16 hours per month B. Number of individuals providing treatment. 1 - Group therapist 1 — Individual/Family Therapist C. Maximum caseload per worker= 12 D. Modality of treatment will be cognitive/behavioral format, including group, individual and family therapy. E. See A above. F. Total number of individuals providing services = 2 G. Maximum caseload per supervisor= 12 H. See D above. See enclosed insurance agreement. VII. STAFF QUALIFICATIONS The Greeley outpatient program for adolescent sexual offenders will meet or exceed the minimum qualifications in education and experience. A. Therapist(s)will have a minimum of a Master's degree in Social Work, Psychology or a related field. Therapists without a license will be supervised by therapists or supervisors with a Colorado license. B. Total number of staff available for the project= 4 Page 6 of 7 C. The Greeley outpatient program has met the requirement of presenting the program to the Sex Offender Management Board, and the board has approved the program. Consultation will be provided by an SOMB board-approved, licensed therapist. Page 7 o£ 7 MAR-07-2003 10:28 BROWN BROWN INSURANCE 610 866 8560 P.02 AGORA, CERTIFICATE OF LIABILITY INSURANCE DATE( /oom) 03/06103 PRODUCER This CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN 8 BROWN OF LV, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BOX 25001 TERpTHE THIS CO CERTIFICATE AGE�RDDEEDS NOT BY THE POLICIES EEELOWR LEHIGH VALLEY, PA 180024001 800 6346237 INSURERS AFFORDING COVERAGE INSURED INSURER*:NONPROFITS' INSURANCE COMPANY ALTERNATIVE HOMES FOR YOUTH --- . 9201 WEST 44TH AVENUE INSURER B: - - WHEAT RIDGE,CO 60033 INSURER C: INSURER 0: INSURER E: " COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE MRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. RUM ITR. TYPE OF INSURANCE POLICY NUMBER Pg4p]•EFFECTA/E POMOYE)bTVIIPA M AIP IMMIDp/rR PATE fMM/DD/YY) LIMITS A GENERAL LIABILITY NP0764346 06/01/02 08101103 EACH OCCURRENCE 310110000 COMMERCIAL GENERALLIABLIIY -' AIRE DAMAGE(Any ens Wel 850,000 CLAIMSMADE[j OCCUR MED EXP(Any ons person) 56,000 '- •— PERSONAL a AOV INJURY 31.000,000 GENERAL AGGREGATE aOOO,0oo NEIL AGGREGATE LIMDAR>'LESPER: PRODUCTS•COMPIOPAGG 53,000,000 POLICY` ',!8T n LOC — A AUTOMOBILE LABILITY NP0764345 06/01/02 08/01/03 COMBINED SINGLE LIMIT X" ANY AUTO (EasecIdsnL) 51,000,000 ALL OWNED AUTOS ""— _ SCHEDULED AUTOS BODILY INJURY semen) X HIRED AUTOS X NON-OWNED AUTOS BODLYINnt) 5 PROPERTY DAMAGE FN sealant) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT 5 ANY AUTO OTHER AUTO ONLY: EA ACC i AUTO ONLY: ADO 3 A EXCESS LIABILITY NPX704347 08/01/02 08/01/03 EACH OCCURRENCE 32,000,000 I OCCUR I I CLAIMS MADE AGGREGATE 32,000,000 - DEDUCTIBLE "'S I RETENTION 310000 .......__— s WORKERS COMPENSATION IA AND we STATu. OTN- EMPLOYERVLIAaILiTY TDRYLIMITDI ER EL.EACH ACCIDENT ! E.L.DISEASE-EAEMPLOYEE a E.L.DISEASE-POLICY LIMIT S A OTHER Professional NP0764346 08/01102 08/01/03 $1,000,000 Occurrence Liability 53,000,000 Aggregate DESCRIFRON OF OPERATIONSILOCATIONSIVEHIOLEGIECOLUSIONS ADDED EYENDORSEMENTMPEDIAL PROVISIONS Weld County Department of Social Services Is Additional Insured w/respect to General Liability only as thier interest may appear. CERTIFICATE HOLDER I I AcongNnLIIMPEO INSWERLET,ER CANCELLATION SHOULD ANY OPEC ABOVE DEBORIBED POLICES BE CANCELLED BEFOPE FEEPEMnON WELD COUNTY DATETHEREOP,THB ISSUING INBURERWILLENDEAVORTOMAILLS_DAYSWRTrEN DEPARTMENT OF SOCIAL SERVICES NOI1ETUTFE CERIfNCATE HOLDER NAMEDTDTFELEFT,BUTFAILUXE TO DO SO SHALL PO BOX A IMPOSE NOOBUGATIDN CR UABILITY OFANYNINO UPON THE INSURERITSAGENTSOR GREELEY,CO 80632 ZRrt7e;: e 4V ACORD 26-S 0/97)1 012 #3114340/M98922 0 AtoRD CORPORATION ism 2 MAR-07-2003 10 28 BROWN BROWN INSURANCE 610 866 8560 P.03 IMPORTANT If the certificate holder is en ADDITIONAL INSURED,the policy(lee)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing inetuer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend Or atter the coverage afforded by the policies listed thereon. AOWt02e-apror12 of 2 #3114340/M88922 TOTAL P.03 3 PROGRAM BUDGETS COMPUTERIZED ACTUAL PROGRAM sex abuse Ix A TOTAL HOURS OR DAYS OF DIRECT SERVICE PER CLIENT 128 B TOTAL CLIENTS SERVED 18 C TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR YEAR(A X B) 2,304 D COST PER HOURS OR DAYS OF DIRECT SERVICES(E/C) $22.14 E TOTAL DIRECT SERVICE COSTS FACE-TO-FACE $51,000 F ADMINISTRATION COSTS NON-FACE-TO-FACE ALLOCABLE TO PROGRAM $27,700 G OVERHEAD COSTS ALLOCABLE TO PROGRAM $19,400 H TOTAL DIRECT,ADMINISTRATION&OVERHEAD COSTS(E+F+G) $98,100 I PROFITS CONTRIBUTED BY THIS PROGRAM $0 J TOTAL COSTS AND PROFITS FROM THIS PROGRAM(H +I) $98,100 K TOTAL HOURS OR DAYS OF DIRECT SERVICE FOR THE YEAR(C) 2,304 L RATE PER HOURS OR DAYS OF DIRECT, FACE-TO-FACE SERVICE (J/K) $42.58 CERTIFICATION STATEMENT I I, :.Q r,,7-__rte`-pene declare to the best of my knowledge and belief that the statements made on this document are true and complete and that the wage rates and other factual unit osts supporting the compen ation paid or to be paid and thi contract are accurate, complete and includes no duplicate costs and and that I am the CEO or duly authorized agent of %A. (A-{gl-e / 4-0.00 c-t Jt.C. COMPUTERIZED ACTUAL DIRECT SERVICE COSTS Minimum Budget Average Total :PENT TIME SALARY %OF TIME SALARY ¶4OF TIME SALARY XOF TIME SALARY %OF TIME SALARY XOF TIME SALARY Degree a0r Salary0Bene Salarleal 100% SPENT ON AND SPENT ON AND SPENTON AND SPENTON AND SPENTON AND SPENT ON AND DESCRIPTION or Cert FTEa X1.0 FTE BenepislOlher ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHERCOSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHER COSTS PROGRAM OTHERCOSTS itaigni 274 PROGRAM A TOTAL CLIENT HOURS OR DAYS PER PROGRAM -a+ _ itot_,_ q t 8 TOTAL CLIENTS TO BE SERVED PER PROGRAM �° :"_ -;F C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 000 O00 0.00 0.00 0.00 000 DIRECT LABOR FACE-TO-FACE POSITION,TITLE OR JOB FUNCTION 751ft@rNA1aZ Y rsh i '3.G0 WSW-CI $49,00000 NO 75:Oq'1(1 $30.150.00 ,r. $000 ` '"9+ $000 "` $000 A $000 _ $000 3SIltergpl5t , 'r'� G' '" ,.ota6l;rA 'Si$00R $000 NO $12,250.00 $0 oo -,-,. $000 $000 $000 $0.00 'N, y "'' -4 C $0.00 NO ?; $0.00 4 $000 $000 $0110 $000 t " $0.00 f ,� �_ "L ?-S. } $0.00 NO Sall_ $0.00 $000 e !-45 $000 $000 R fi 3 T'i Jim 44444 $0 00 444444-44444 $0.00 '- L Diu. ,g}4. `,gel- :. 4 ,4 $000 NO ra,p}'3-: $0.00 ,�E, ��'_'pp $000 ': $000 $1100 zivni $000 A14444,4O, $000 '- h- y n.rz , `` Ant 44-1544471,14444.42 $0.00 NO $000 F $000 d $000 '3� $000 _ $000 ` $000 � � _ :r"�'C ��'"�" " $,: i . $0.00 NO !.441444441 $p.00 J y- $000 -' � $000 5000 5000 iTM' $0.00 ' ,L L �! F „ _ : $0.00 NO r : $000 $000 $000 $000 41 $000 $000 1 't 5 L₹ -!" �'- _;1 '- $000 NO �, $0.00 $000 4444 $000 $000 _ $000R;031:74:111161h $0.00 - a 6 y Shy : 4 IS $0.00 NO e 41 $0.004'4224N $000 $000 $000 $000 $0.00 ,,�! { _, ; a $0.00 NO ij_ _.: $0.00 ;y $000 41441 $000 $000 $000 _ $000 t : 3,5 - $000 NO $0.00 $000 $000 ' $$000 $$000 $$000.4-44444n4 4;: y.. , ,; .._ '= v $0.00 NO .!kg $0.00 $000 y $000 — „4 $000 t.,' $0 oo $0.00 4_,_ _.....:e:r:ik: _., :a _ .. ,.. !:; __. ,.a__. $000 NO ::;g.,w $000 $000 $000 ___°2 $000 :' $000 __ $0.00 TOTAL DIRECT LABOR PER PROGRAM $49,000.00 KW/0! $49,000.00 $0.00 $000 $0.00 $000 $0.00 OTHER DIRECT COSTS PER PROGRAM FACE-TO-FACE suI3pII 9; ! ; : s -. NO $0.00 $000 $000 $000 'r,'. $000 _ $000 y : ma ! s+ NO $0.00 $000 4.444444 c $000 4444 $000 -�'- $000 $0.00 0 00 0 00 ..n444442,440 $0 00 NO $000 $000 $000 $000 c rvo $0 oo $0 oo $o oo $000 a $000 $000 $000 $0.00 : .;;' s NO _ $0.00 .. $0002'1. $000 .-. ..._.;, TOTAL OTHER DIRECT COSTS PER PROGRAM $2,000.00 $0.00 $000 $0.00 $0.00 $0.00 $000 E GRAND TOTAL DIRECT SERVICE COSTS $51,000.00 a0IVN! E4s,ppp.0o go.00 $000 $0 00 $0.00 $0.00 COMPUTERIZED ACTUAL ADMIN COST NON-FACE-TO-FACE Minimum Budget Average Total %OF TIME SALARY % TIME SALARY % TIME SALARY %OF TIME SALARY %OF TIME SALARY %OF TIME SALARY Degree #01 Salary/Rena Salarieal 100% SPENTON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND SPENT ON AND DESCRIPTION or Carl FTEs X1.0 FTE Benefits/Other ALLOCATED PROGRAM OTHER COSTS PROGRAM OTHER COST; PROGRAM OTHER COST: PROGRAM OTHER COSTS PROGRAM OTHER COST$ PROGRAM OTHER COSTS PROGRAM A TOTAL CLIENT HOURS OR DAYS PER PROGRAM B TOTAL CLIENTS TO BE SERVED PER PROGRAM C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0.00 0.00 0.00 0 00 0.00 0.00 DIRECT LABOR NOT FACE-TO-FACE DIRECT '`— v+ `" maMafa 010 '$YS'BTRI. $4,500.00 NO $000 $000 .1=3.4.;;;;T, $000 �' $000 " 5r $0 00 v " - $000 clerkaF:i �Fy -( g{fioo 1L1D $2 200 $2,]00.00 NO $000 . $000 $000 k : $000 .:. '�'. $000 _ e $0.00 caaq a4Rac,ian 3¢miagetnen ga. n rpaeferi Q,gQ $72000 $14,400.00 NO $000 x $000 m $000 $ Apimli $000 $000 ''+ $0.00 b�¢Ig Gelk. 1}Y t taraFg alt it AOC : D10 ,Y35Od0 $3,600.00 NO $000 .Tiital $000 -OiT `'.'. $000 -�6...,. .. $000f,71.;,..;,4.5,70,--,$$, $000 la:zigimid $0.00 :' :; v: $0.00 NO $000 $000 $000 Ly..xr $000 ; $000 $0.00 ;„ , £ ii.aM $000 NO $000 $000 :+ $000 $000 r $000 1:1O11. $0.00 + �- itiarg ""imisiN $0.00 NO $0 00 $0 00 - r $0 00 Erjwin $0 00 00 $0 00 - �, : 0 $0.00 NO $000 J $000 * $000 :; $000 .$0,00 .l $0.00 --�` '3x'-`x .+'s _ $0.00 NO $000 $000 ,4 $000 $000 $000 �' �T $U00 z .. ` $0.00 NO No ,., $000 ?," $000 ' ' $000 !FEAR 1.12 $000 r $000 '�+i- .' $0.00 i '"' I $000 NO $000 :I5:41-5'•:;a:4 $000 -0 00 anii:r44 $000 - $000$000 "' 000 $00.� [ ` `I '-_ $0.00 NO $0 00 4 $0 00 $0 00 ca $0 00 -s i $0 00 -wijoRKS $0.00 $0.00 NO ::;"' $000 i m $000 '' $000 $000 s $000 $000 ._ U .rr TOTAL DIRECT LABOR PER PROGRAM NOT FACE-TO-FACE $25,200.00 $0.00 $0 00 $0 00 $0.00 $0 00 $0.00 OTHER DIRECT COSTS PER PROGRAM NOT FACE-TO-FACE supplies :. s - $2,000,00 NO :„;4•:,:!, r`. $0 00 '- $0 00 phones` m r,- SSQUID0 NO $0 00 .., $0 00 $0 00 - $0 00 $0 00 $0.0000 �_ 4' "Y ; _ „_?"i NO :1 $000 $000 $000 ' $000 $000 - $0.00 '- �; NO4. $000 $000 $000 $000 $000 $000 ' NO $000 I $000 $000 $000 $000 :c._, ..3 '`1 F.v NO $000 [ $000 $000 , $000 �_; ': $000 - $0.00 TOTAL OTHER DIRECT COSTS NOT FACE -FACE PER PROGRAM ,— $2,500.00 $000 $0 00 $000 $0 00 $0.00 $0.00 F GRAND TOTAL DIRECT SERVICE COSTS NOT FACE-TO-FACE $27,700.00 $0.00 $0.00 $0 CO $0.00 $0.00 $0 00 COMPUTERIZED ACTUAL OVERHEAD COSTS AND PROFITS TOTAL ALLOCATED ALLOCATED ALLOCATED ALLOCATED ALLOCATED ALLOCATED D 100% ALLOCATED OVERHEAD COST$ ALLOCATED OVERHEAD COST' ALLOCATED OVERHEAD COST' ALLOCATED ERHEAD COSTS %ALLOCATE. ERHEAD COSTS %ALLOCATE' ERHEAD COSTS DESCRIPTION COSTS D TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM Tp PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM TO PROGRAM PROGRAM A TOTAL CLIENT HOURS OR GAYS PER PROGRAM B TOTAL CLIENTS TO RE SERVED PER PROGRAM C TOTAL HOURS OR DAYS PER PROGRAM FOR YEAR 0.00 000 0.00 0.00 0.00 000 OVERHEAD OVER' 5 $1BS00„6D''.NO 9L,.% $1,35000 $000 $000 '" u $000 $0.00 $0.00 ranC,'" $7200000'.NO E'--itLOO%E $],200.00 s�. $000 $000 $000 $0.00 } $0.00 egtaDU000t - $1$,6iriM NO s TO $1,950.00 $000 $000 $000 $0.00 $0.00 maintenance — !� .. 316,5Pow NO g1DS10TG $1,650.00 $000 $000 V ,ic. _ : $000 $000 $000 �PrUG0 .- t $23P00!!0 NO AP:t0...,,,911_,_, $2,300.00 r'- $000 "`' $000 $0.00 $0.00 instance $4$5OQAO NO 'ty .}'D $4950.00 $000 $000 - $000 $0.00 $0.00 �:. s NO :a3,,n., $0.00 ' $0 00 $0 00 x. $000 $0.00 $0 00 : m :.: NO $0.00 �` $000 $0 00 = $0 00TZ.iigg $0.00 -+A $0.00 NO so oo S .,.NO `5*`"- '-k-;; $0.00 '` r $000 $000 $000 ,- $0.00 $000 ._ ? ,+ ,. NO -q -, $0.00 4 $0 00 $0 00 $0 00 $0.00 $0 00 c :. 4 L '" i NO . c :i $0.00 $0 00 .. ` },,: _ : ..... $000 $000 $000 $000 -J NO I'= $0.00 $000 $000 - $000 $0.00 $0.00 . . ' $000 t $000 $000 $000 $0.00 $0.00 $000 gitrAigThen SO 00 so oo O NO $0.00 -5T $0 W $000 $000 EPAII - $0 W $000 T... .._ $0.00 },-, _v._ $000 '-`..m im.._. $000 _ $000 G TOTAL OVERHEAD COSTS $19,400.00 $0.00 $0.00 $0 00 $0.00 $0 CO I TOTAL ANTICIPATED PROFITS -INO - ,_...,1 $000 :.wjaa'..- $000 ...: ..'f $000 -* $000 .., ___,. $000 TOTAL OVERHEAD AND ANTICIPATED PROFITS #4141,1144/441414 $19,400.00 $0.00 $0.00 $0.00 $0.00 $0.00 S DEPARTMENT OF SOCIAL SERVICES P.O.BOX GREELEY,CO. 80632 Website:www.co.weld.co.us Administration and Public Assistance(970)352-1551 Child Support(970)352-6933 11 I O COLORADO MEMORANDUM TO: David E. Long, Chair Date: April 28, 2003 Board of County Commissioners FR: Judy A. Griego, Director, Social Services tRE: Notification of Financial Assistance Awaz (NOFAA) 9vuyu r Core Services Funds-Alternative Homes for Youth Enclosed for Board approval are Notification of Financial Assistance Awards (NOFAA) for Core Services Funds with Alternatives Homes for Youth. 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 NOFAAs 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. Alternatives Homes for Youth agrees to provide services to those children and families who are in imminent risk of placement under child welfare and as referred by the Department. The services to be provided through Alternatives Homes for Youth are as follows: A. Under Day Treatment this program provides a highly structured comprehensive, program alternative to placement that addresses behavioral, psychological, family issues and academic enrichment,with a strong emphasis on vocational exploration. This service provides a maximum capacity of 14 youths,male and female, ages 12-18, a minimum of six hours of site-based services per day,40 hours per week for an average stay of 24 weeks. The hourly rate is $14.67. B. Under Sex Abuse Treatment, this program utilizes a non-medical, cognitive behavioral model, focusing primarily on treatment of juveniles with sexually reactive behavior. The program is geared toward providing specialized outpatient services meeting the needs of male youth between the ages of 12 and 18 years. 2003-1062 MEMORANDUM Page 2 David E. Long, Chair, Board of County Commissioners NOFAAs -Alternatives Homes for Youth The program provides education, treatment, and support to ensure a safe & successful integration with the family&community. Bilingual services are provided for Spanish speaking families. The maximum services are two hours per day, four hours per week, 16 hours per month.The monthly maximum capacity is limited to 12 youth and their families,the monthly average capacity is ten, and the average length of stay is 32 weeks. The hourly rate is $42.58. If you have any questions,please telephone me at extension 6510. Hello