HomeMy WebLinkAbout20013306.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR CORE
SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - SAVIO HOUSE
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 Core Services Funds 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 Savio House, commencing January 1, 2002, and ending May 31, 2002, 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 Core Services Funds 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 Savio House 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 5th day of December, A.D., 2001.
BOARD OF COUNTY COMMISSIONERS
WELD CO NTY, COLORADO
ATTEST: ate, "�� ; b EIJ> " 271 PO/
rod`<2J J. eile, CF}air
Weld County Clerk to t
Glenn Vaad, Proem
BY: i, 7 1 :
Deputy Clerk to the B.�1 ��� �►' %' Jr o
Willi li. Jerk
-7
APPROVED AS TO F • '4O
avi E L ng
unty Aftorney� �—
Robert D. Masden
Date of signature: 4. 5/-
2001-3306
SS0028
,t,ict . 6
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
IDWEBSIrE:www.co.weld.co.us
CAdministration and Public Assistance(970)352-1551
O Child Support(970)352-6933
COLORADO
MEMORANDUM
TO: M.J. Geile, Chair Date: December 3, 2001
Board of County Commissioners
FR: Judy A. Griego, Director, Social Services
J
RE: Notification of Financial Assistance Award for Core Services
Funds with Savio House
Enclosed for Board approval is a Notification of Financial Assistance Award (NOFFA)
for Core Services Funds with Savio House. The Families, Youth and Children (FYC)
Commission have reviewed and are recommending Board approval of the bid.
The major provisions of the NOFFA as follows:
1. The term begins on January 1, 2002 through May 31, 2002.
2. Savio House agrees to provide alternative programs to Residential Treatment
Center Placements as follows:
A. Intensive Services Phase will include 21.65 maximum hours per family
per month for a six-month period.
B. Step-Down Services will include 8.66 maximum hours per family per
month for a six-month period.
3. Social Services agrees to reimburse Savio House as follows:
A. Intensive Services Phase of$140 per hour for a maximum monthly
reimbursement rate of$3,031.
B. Step-Down Services Phase of$140 per hour for a maximum monthly
reimbursement rate of$1,212.40.
4. The source of funds is Core Services which are Federal, State, and Local funding
out of the total Child Welfare Block at the State Level.
If you have any questions, please telephone me at extension 6510.
2001-3306
r •
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 01-CORE-0011
Revision (RFP-FYC-(01010)
Contract Award Period Name and Address of Contractor
Beginning 01/01/2002 and Savio House
Ending 05/31/2002 Alternative Programs to RTC Placements under FPP Option
B Home Based Services
325 King Street
Denver,CO 80219
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial
A broadly based, social work intervention that offers a Assistance Award is based upon your Request for
comprehensive array of services which include and extend Proposal (RFP). The RFP specifies the scope of
beyond traditional therapeutic interventions: individual& services and conditions of award. Except where it
family counseling;role modeling; supervised visitation, is in conflict with this NOFAA in which case the
parenting skills instruction,Family Group Conferencing; NOFAA governs, the RFP upon which this award is
kinship care; household management;banking&budgeting based is an integral part of the action.
skills instruction; food,clothing&housing assistance; Special conditions
transition planning; &24-hour crisis intervention. Monthly 1) This program will consist of two phases.The two
average capacity, 15 families; average stay in program, 6 phases will be the intensive phase and the step
months; average hours per week, 6.5-10 hours per week for down phase.
an average of 8 hours of service. Specifically face to face 2) The intensive phase will include an average of
contacts will be 5 hours per week. 21.65 hours per family per month. Step down
services will include an average of 8.66 hours per
Cost Per Unit of Service family per month. Social Services agrees to
Hourly Rate (Intensive)Per $ 140.00 reimburse Savio House at(1)an hourly rate of
Hourly Rate(Step Down)Per $ 140.00 $140 per direct service hour per month with a
Unit of Service Based on Approved Plan maximum reimbursement of$3,031 per month for
the intensive phase for a maximum duration of 6
months and, (2)an hourly rate of $120 per family
per direct service hour for a maximum of$1,212.40
per month for step down services for a maximum
duration of 6 months. Both the intensive phase and
Enclosures: the step down phase will not last longer than the
X Signed RFP:Exhibit A cost and duration granted by the express written
Supplemental Narrative to RFP: Exhibit B permission of the Social Services Administrator.
Recommendation(s) 3) Reimbursement for the Unit of Services will be
Conditions of Approval based on an hourly rate per child or per family.
4) The hourly rate will be paid for only direct face-to-
face contact with the child and/or family,as
evidenced by client-signed verification form,and as
specified in the unit of cost computation.
1 of 2
Special Conditions continued from Page 1:
5) Unit of service costs cannot exceed the hourly,and
yearly cost per child and/or family.
6) Rates will only be remitted on cases open with, and
referrals made by the Weld County Department of
Social Services.
7) Requests for payment must be an original and
submitted to the Weld County Department of Social
Services by the end of the 25th calendar day
following the end of the month of service. The
provider must submit requests for payment on
forms approved by Weld County Department of
Social Services.
Approvals: Program Official:
By By
M. d , Chair Judy Gri o,Duec ec r
Board of Weld County Commissioners Weld ounty Department of Social Services
Date: /a/D5/2n0/ Date: A.J 310I
2 of 2
EXHIBIT A: SIGNED RFP
SAVIO
HOME BASED
INTERVENTIONS
OF WELD COUNTY
CHILD PROTECTION
SERVICES
BID NO : RFP-FYC-01010
OCTOBER 19, 2001
10 :00 am
INVITATION TO BID
DATE: September 26, 2001 BID NO: RFP-FYC-01010
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-01010) for: Alternative Programs to Residential Treatment Center
Placements under Family Preservation Program--Home
Based Intensive Family Intervention Program Family
Issue's Cash Fund or Family Preservation Program
Funds
Deadline: October 19, 2001, Friday, 10:00 a.m.
The Families, Youth and Children Commission, an advisory commission to the Weld County Department of
Social Services, announces that competing applications will be accepted for approved vendors pursuant to the
Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S.
— 26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home
Placement (C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services
targeted to run from the date of approval by the Board of Weld County Commissioners, through May 31,
— 2002, at specific rates for different types of service. The County will authorize approved vendors and rates for
services only. The Home Based Intensive Family Intervention Program is a family strength focused home-
based services to families in crisis which are time limited, phased in intensity, and produce positive change
which protects children, prevents or ends placement, and preserves families. Under the Home Based Intensive
Family Intervention program, the Families Youth and Children Commission is targeting alternative programs
to prevent and/or transition from the placement of children, and/or youth in residential treatment centers. This
program announcement consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
Delivery Date 7Zf// ' /
(After receipt of order) BID MUST BE SIGNED IN INK
William S. Hildenbrand
TYPED OR PRINTED SIGNATURE �^
VENDOR Savio House y/( ✓L�acive,ex
(Name) Handwritten Signature By Authorized
Officer or Agent of Vendor
ADDRESS 325 King Street TITLE Executive Director
Denver, Colorado 80219 DATE October 17, 2001
PHONE# (303) 922-5576
The above bid is subject to Terms �Sci l Conditions as attached hereto and incorporated.
RFP-FYC-01010 Attached A
HOME BASED INTENSIVE FAMILY INTERVENTION PROGRAM BID PROPOSAL AND
- REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2001-2002 BID PROPOSAL APPLICATION
- PROGRAM FUNDS YEAR 2001-2002
BID #RFP-FYC-01010
- NAME OF AGENCY: Savio House
ADDRESS: 325 King Street, Denver, Colorado 80219
". PHONE: ( 303 ) 922-5576
CONTACT PERSON: William S. Hildenbrand TITLE: Executive Director
,DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Home Based Intensive Family
Intervention Program is a family strength focused home-based services to families in crisis which are time limited, phased
intensity, and produce positive change which protects children, prevents or ends placement, and preserves families. Under
_the Home Based Intensive Family Intervention program, the Families, Youth, and Children Commission is targeting
alternative programs to prevent and/or transition from the placement of children, and/or youth in residential treatment
centers.
Approximate Project Dates: Contract with actual time lines of:
Start November 7, 2001 (or Date of Approval by Start Date of Approval by Board of Weld County of Weld Board
—of Weld County Commissioners) Commissioners
End May 31, 2002 End May 31, 2002
—TITLE OF PROJECT: Savio Home Based Interventions of Weld County -Child Protection Services
--Beth Nixon till '71-60-11AJO Jet/ -0
Name and Signature of Person Preparing Document Date
_William S. Hildenbrand `Z-"l /1 fAl ii7 1/4 /d"/ 2(51-(91
Name and Signature Chief Administrative Officer Ap icant Agency Date
f 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 to Program Fund year 2001-2002.
C`7 Project Description
"0---/Target/Eligibility Populations
i�i/7 Types of services Provided
measurable Outcomes
�i Service Objectives
Workload Standards
'Staff Qualifications
"4/ Unit of Service Rate Computation
L4 Program Capacity per Month
///6'Y Certificate of Insurance
RFP-FYC-01010 Attached A
Date of Meeting(s)with Social Services Division Supervisor: /15-In.- o f
omments by SS P Su.e .sor: ( .i r • I '
• L.
i e /"-=
I. ./
3c
I �
1k a „� r (( OLI ! ,( -1.Ii ( Ic - j0 -cl
Name and Signature of SSD supervisor Date
Program Category: Home Based Intensive Family Intervention Program Bid Category-Alternative
Programs to prevent and/or transition from Residential Treatment Center Placements
Project Title: Savio Home Based Interventions
Vendor: Savio House
I. PROJECT DESCRIPTION
- Goal
The Savio Community Based Services (CBS) Child Protection Division works to establish permanency
for children, eliminate child abuse and neglect, involve extended family members and develop kinship
• placements for children in lieu of out-of-home placement. This is accomplished through Joint Service
Management (JSM) with the Department of Social Services (DSS), risk and safety assessment and
management, family group conferences, intensive in-home services and the utilization of community
— resources.
Savio Home Based Interventions (HBI) will provide case management and therapeutic services to clients
and their families, insuring a seamless system of in-home interventions in collaboration with the Weld
County Department of Social Services. The Savio worker will be responsible for coordinating services
provided, and will insure that all client needs are met directly and/or indirectly. Depending on the needs
of the family, services may be provided through collaborative agreements with other community
organizations.
Program Philosophy
• Families are an integral part of the treatment team and define the case goals.
• Strengths-based and behaviorally-focused services empower families to own and solve their problems.
• Empowering parents to fulfill their parental roles is essential in order to permit continued success after
discharge.
— • Treatment interventions must be time-limited with a beginning and end, thus allowing families to
utilize their new skills.
• Successful programs stress process and outcome evaluations and continuous quality improvement.
The Savio model is a broadly based, social work intervention that offers a comprehensive array of
services which include and extend beyond traditional therapeutic interventions: individual and family
counseling; role modeling; supervised visitation; parenting skills instruction; Family Group Conferencing;
kinship care; household management; banking and budgeting skills instruction; food, clothing and
housing assistance; recreation; pro-social skill building; use of community resources for assistance;
transition planning; and 24-hour crisis intervention.
In addition, on-site parenting skills development groups are available for program participants with young
children, 0-12 years old (see attached Budget Narrative). Classes focus on developing parenting skills to
address current problems and enable caretakers to effectively deal with such issues in the future. Classes
` consist of 12 units, including child care, developmental milestones, medical care, safety, self-esteem,
education, schedules and rules, discipline, communication, abusive relationships, sexual abuse, recreation
and use of community resources. To supplement these classes, the HBI worker provides extensive
individualized instruction in the home to address specific parenting needs in each family.
A foundation of the Savio HBI program is to utilize Family Group Conferencing as a method to assess
needs, strengthen ties to extended family and develop concurrent plans for children. If the immediate
family is determined to be incapable of providing a safe and nurturing home environment, the next step is
to consider temporary out-of-home placement for the child. The ideal alternative living arrangement for
children is kinship care with a member of the extended family. Foster care or other out-of-home
placements are considered last options. Throughout the service period, there are up-front discussions with
parents and extended family members around developing a concurrent plan for the child in the event the
— parent is unable to safely care for the child.
1
II. TARGET/ELIGIBILITY POPULATIONS
A. Total Number of Clients to be Served
An average daily census of 15 families* with an average length of service of 6 months* equals 18 families
served in the 7 month contract period.
B. Total Individual Clients and the Children's Ages
An average family size of 4 times 18 client families equals 72 individual clients. The age range for the
identified client is 0 to 12 years.
C. Total Family Units
A daily census of 15 families and a total of 18 families served in the 7 month contract period.
D. Sub-Total of Individuals who will Receive Bicultural/Bilingual Services
Savio HBI is prepared to serve families requiring specialized services. Specifically, Savio retains bilingual
staff and conducts regular training in dealing with multi-cultural issues. It is anticipated that Savio staff will be
able to provide bicultural and bilingual services to individuals as required.
E. Sub-Total of Individuals who will Receive Services in South Weld County
Savio is willing and capable of serving families residing in South Weld County.
F. Sub-Total of Individuals who will Have Access to 24-Hour Service
All individuals receiving treatment from Savio HBI will have access to a 24-hour, 7 day-a-week emergency
response service. Staff are available at all times to help children and families in crisis through the use of a
pager/phone.
G. The Monthly Maximum Program Capacity
The maximum capacity will be determined by the Weld County administration, budget limits and client need.
Savio is willing to increase the number of staff assigned to this project if needed.
H. The Monthly Average Capacity
Fifteen families.
I. Average Stay in the Program
The average length of stay in the Savio HBI program will be 6 months.
J. Average Hours per Week in the Program
Each client family will receive 6.5-10 hours per week for an average of 8 hours of service. Seventy-five
percent of these hours will consist of face-to-face contact including transportation, while the remaining 25%
will be spent on administrative tasks. Specifically, face-to-face contacts will be 5 hours per week and will
consist of supervised visitation, in-home parenting and family meetings. Parenting skills development groups
are not included in these hours.
The clients to be served in this program will meet the out-of-home placement Criterion#1, items 1-10, as outlined
in the Statement of Work, Part C, p. 18 of this RFP.
*Savio requires a minimum of 15 families to establish an intervention team in Weld County.
*Regular Savio Community Based Services Child Protection services are purchased in episodes and have an
average length of service to clients of 6 months. This is compared to expedited permanency and Direct Link cases,
where Savio begins at the point of intake and remains involved through permanency, where the average length of
service is 12 months.
2
III. TYPE OF SERVICES TO BE PROVIDED
All children in the Savio program will receive a combination of the services described below depending
on family and community needs as well as Department and State mandates. Upon referral, the Safety,
Risk and NCFAS assessments (see attached) will be completed to assist in determining which treatment
components are the most critical for the family.
A. THERAPEUTIC SERVICES
Therapeutic services include, but are not limited to:
• individual and family counseling and/or therapy;
• couples counseling if required;
• instruction in parenting skills to ensure a safe environment;
• supervised visitation;
• role modeling; and
• domestic violence and anger management training and safety plans.
Family Group Conferencing
Savio believes that it is critical to involve extended family members and other relevant parties in
making decisions and resolving crises. This is the philosophy behind Family Group Conferencing.
These individuals are identified and included from the start of treatment, and at various times during
the program. The concept of Family Group Conferencing is utilized throughout the service period so
that families may remain active in treatment. Although meetings can be held at any time, opportune
situations may include resolving a family crisis, making decisions regarding treatment, establishing
relapse prevention strategies, planning for placement, and developing a support and respite system
when needed. Family Group Conferences may also be utilized to establish the involvement of
immediate and extended family members and other persons who presently are only peripherally
connected with the family.
B. CONCRETE SERVICES
Savio will provide services to families which are critical to living independently. Savio HBI workers
will conduct in-home teaching and/or locate opportunities for classroom instruction in the following
areas:
• Life Skills (Anger Management, Conflict Resolution, Problem-Solving, Communication
Skills);
• Parenting Skills;
• Health;
• Money Management;
• Household Management (including cooking skills);
• Recreational Planning;
• Safety Planning;
• Family Planning; and,
• Job Search Skills.
3
4)610/-.3
C. COLLATERAL SERVICES
Savio staff work with the family to identify the needs and interests of each family member and then
introduce them to neighborhood agencies and teach them to access specific services. Family members
are encouraged to seek out services independently so that they may remain or become self-sufficient
without dependence on the welfare system. Collateral services include, but are not limited to:
• using resources for job placement and training;
• locating affordable housing, food, clothing healthcare, child care, etc. through community
resources; and
• teaching families to work with community agencies to meet specialized individual or family
needs, such as drug and alcohol and/or mental health treatment.
Respite Care
Savio HBI recognizes the importance of arranging respite care for parents and kinship caregivers.
Preserving and maintaining a safe and stable permanent placement hinges on securing and employing
reliable sources for respite care. The worker, in conjunction with the family, identifies needs and
possible resources for ongoing support.
D. CRISIS INTERVENTION SERVICES
Families may contact staff for crisis intervention by calling during business hours or through the use
of a 24-hour emergency pager/phone. Staff respond promptly and will go to the home if necessary.
Staff strive to prevent further problems by assisting the family in resolving crises and eventually
teaching them how to identify, prevent and resolve crises independently. Family members are taught
appropriate behavioral and emotional reactions to crisis situations and are assisted in exploring
community resources for support and crisis management.
All crisis situations are thoroughly documented by the worker, including a description of the situation,
actions taken by the worker and follow-up activities.
rom E. VISITATION
Savio HBI will facilitate the entire continuum of visitation* for children and families including
unsupervised, therapeutic and supervised visits. Savio HBI views visitation as one of the most critical
components of treatment for families whose children have been placed out of the home. Structured
visits give workers an opportunity to observe and assess interactions between parents and their
children and allow parents to continue to bond with their children during placement.
Savio provides in-home services directed to the needs of each family and any combination of services
may be provided directly and/or indirectly. The Worker and family will jointly identify which needs can
be met by resources in the community and which the Worker will provide to avoid duplication of
services.
*Transportation of children to and from visits is included, with the exception of situations of extreme
distance, in which case, the foster family or the County would be called on for assistance.
4
IV. MEASURABLE OUTCOMES
Upon referral staff perform an initial assessment in the home to determine immediate and long-term
needs. The Safety, Risk and NCFAS (North Carolina Family Assessment Survey) assessments will be
initiated at this time and completed according to state mandates. Any safety concerns are immediately
addressed and a plan is developed with the family and Department. Assessments are ongoing by the
worker in the areas of child protection, appropriate housing and cleanliness, children's basic needs, and
adequate food, clothing and shelter. The worker also appraises parenting skills and evidence of age-
- appropriate child development and establishes goals based on observations and assessments. When
completing assessments, staff identify key problems, what drives those problems and what family
strengths can be brought into action to alleviate the identified problems. Every effort is made to have the
— family participate in this assessment which promotes buy-in by the family and motivates them as they see
how their strengths can help solve problems.
Savio utilizes the NCFAS, a validated assessment tool, to measure family competence in several key
areas. At intake and discharge, each family is rated on a scale from "Clear Strength" to "Serious
Problem" on the following:
Environment:
• Stability/habitability of housing;
• Safety in the community;
• Income/employment;
• Financial management;
• Food and nutrition;
• Personal hygiene;
• Transportation; and
• Learning environment.
Parental Capabilities:
• Supervision of children;
• Disciplinary practices;
• Provision of developmental/enrichment opportunities;
• Parent/Caregiver mental health;
• Parent/Caregiver physical health; and
• Parent/Caregiver use of drugs/alcohol.
— Family Interaction:
• Bonding with child(ren);
• Expectations of child(ren);
• Mutual support within the family; and
• Relationship between parents/caregivers.
Family Safety:
• Absence/presence of physical abuse of child(ren);
• Absence/presence of sexual abuse of child(ren);
• Absence/presence of emotional abuse of child(ren);
• Absence/presence of neglect of child(ren); and
• Absence/presence of domestic violence between parents/caregivers.
5
&1OD/-S:
Child Well-Being:
• Child's mental health;
• Child's behavior;
• School performance;
• Relationship with parents/caregivers;
• Relationship with siblings;
• Relationship with peers; and
• Cooperation/motivation to maintain the family.
The pre- and post-test scores give staff the ability to measure the immediate impact of treatment on the
competency of the family.
In addition, Savio staff perform 12 month follow-up studies to determine the long term impact of
treatment. The follow up studies consist of contacting former clients to inquire about living situation,
educational/vocational status, further placements, and instances of child abuse and/or neglect and
domestic violence. The Department can assist in this process by providing access to the Trails system.
Savio House will meet the following outcome goals*:
A. 70% of youth will be placed with their family or with kin at the time of discharge from the program.
B. 80% of families will demonstrate improved family functioning according to NCFAS data where the
NCFAS pre-test is conducted within 30 days of enrollment and the post-test is conducted within 30
_ days of termination from the program.
C. 70% of youth currently living in their own home who are provided family preservation services will
remain in their own home 12 months following discharge from the program.
D. 70% of youth currently in out-of-home placement who are provided reunification services will
return to their own home and not re-enter out-of-home placement 12 months following completion
of services.
r- E. 80% of families will not incur a confirmed incident of abuse and neglect (filed by DSS) during the
time period of enrollment and through 12 months after discharge from the program.
F. 70% of families will be rated as "low" on the Risk Re-Assessment tool at the time of discharge from
services.
G. 70% of families will not incur an incident of domestic violence during the time period of enrollment
and through 12 months after discharge from the program.
*These goals are estimates based on experiences in other counties, and only after the first 18 months of
services will there be baseline figures for Weld County.
w
6
cPaa/-336
V. SERVICE OBJECTIVES
— A. Improve Family Conflict Management
Families in the Savio program are taught to solve problems and conflicts on their own. However,
Savio staff provide mediation services to family members experiencing conflicts that they are unable
to resolve on their own. Mediation ranges from providing support through informal phone calls to
structured Family Group Conferences. All mediation intervention is focused around teaching the
family to communicate more effectively and problem-solve, thereby reducing reliance on outside
assistance.
B. Improve Parental Competency
Beginning with the initial intake, families are screened as to their strengths and areas for improvement
in parenting and steps are taken immediately to ensure a safe environment. The goal of Savio's
involvement is to eliminate or decrease those parental risk factors which may be impacting the safety
of any or all family members. In utilizing a family preservation approach, adults are taught the
necessary skills to function more appropriately as parents with the intention of maintaining the
children in the home. Parenting skills include awareness of developmental milestones, proper
nutrition, effective communication and decision-making, age-appropriate discipline and any other
concerns that are relevant to each family. Staff assist the parents in developing an understanding of
their child and the child's behavior so that expectations are realistic and attainable. Special attention
is given to the use of physical punishment and the teaching of more appropriate alternatives. Skills
and values are discussed and practiced in a non-judgmental manner.
C. Improve Household Management Competency
Throughout program involvement, the Savio worker works with the family to improve household
management competency. These services which are critical to living independently include assistance
in education, employment, banking, budgeting, housing, furnishings, household maintenance,
personal hygiene, food assistance, recreational activities and medical services. For example, the CBS
Worker may assist parents in maintaining a clean and hazard-free home and providing nutritionally
balanced meals. The Worker would provide the parent with needed household cleaning supplies and
teach them proper use in cleaning. The worker might also assist the parents in planning nutritional
meals on a fixed limited income. This includes providing transportation to the grocery store, teaching
the use of coupons and price comparison, and assisting with meal planning and preparation. The goal
is for each family to have gained an understanding of their basic needs and be able to function
successfully.
D. Improve Ability to Access Resources
As Savio services begin, an individualized network of community services is developed to maintain
the child and family after program participation has terminated. Savio staff work with the family to
identify the needs and interests of each family member. Families are then introduced to neighborhood
agencies and are taught how to access specific services. Eventually, family members are encouraged
to seek out services independently so that they may remain or become self-sufficient without
dependence on the welfare system. The goal is to build a community network around the family
which will give support after program discharge.
All of the above areas are measured using the NCFAS (see attached). This tool is completed at intake into
the program, and immediately prior to discharge.
7
c2c0/-9.
VI. WORKLOAD STANDARDS
Savio's main campus is located at 325 King Street, Denver, Colorado. If selected for this RFP, Savio will
establish an office in the Greeley area to better serve clients in Weld County. Twenty-four-hour access
will be provided to children and families through the use of a pager/phone.
A. Number of hours per day, week or month (Minimum intensity of 3 hours per week per family.)
Child Protection workers carry an average of five cases and spend 6.5-10 hours per week on each
case (average of 8 hours per week). The eight hours per week per client are broken down to a
75%/25% split; 6 hours of direct contact with the client (including transportation) and 2 hours in
supervision, training and administration. For the purpose of this contract in the Budget section,
Savio is utilizing 5 hours of direct face-to-face contact with each client family.
B. Number of individuals providing the services
A program census of 15 clients calls for 3 staff members and 1 supervisor.
C. Maximum caseload per worker
The maximum family caseload per worker will be 6.
D. Modality of treatment
Cognitive Behavioral interventions, Family Group Conferencing, Kinship Care and Multisystemic
Therapy principles.
E. Total number of hours per day/week/month
Staff will work 40 hours per week with a flexible schedule to meet client needs. A staff member
will be available 24 hours a day, 7 days a week for emergencies.
F. Total number of individuals providing these services
For this project, 3 full-time workers and 1 full-time supervisor will be providing services.
Additional workers may be hired as necessary.
— G. The maximum caseload per supervisor
Each supervisor will be responsible for 8-10 workers. With only 3 workers, the supervisor may
carry two cases.
H. Insurance
See attached.
8
Noel-33A�
I-ACORa. CER'EIFICATE OF LIABILITYINSURANCE : • to/lzol
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Aon Risk Services, Inc. of Colorado ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4100 mast Mississippi Avenue HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Suite1500
Denver CO 80246 USA ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
ISURED INSURER A. Pinnacol Assurance Company
Savio House INSURER B'. Specialty National Insurance Company
P 0 Box 19551
— Denver CO 802/90000 USA INSURER C. Specialty Surplus Insurance Company
INSURER D:
INSURER E.
''''''OVERAGES This Certificate is not intended to soecifv all endorsements.coverages.terms,conditions and exclusions of the policies shown. SIR May ADDly
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FOR THE POLICY PERIOD LNDIC:\TED.
NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF A NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE
MAY BE ISSUED OR MAY PERTAIN,THE INS URA NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERNIS.ENC LU5lONS AND
,_,CONDITIONS OF SUCH POLICES.AGGREGATE LLMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IR POLICYEFFECI\i POLICYEXPI RATION
a TYPE OF INSURANCE POLICY'NUMBER LIMITS
DATEODRDDOYY DATEOIMIDIYI)
C GENERAL LIABILITY 32EL55U54CC 5/1/01 5/1/:: EACH OCCURRENCE 5:,000,900
CC e€RC:AL PACKAGE
:< COMMERCIAL GENERAL LIABILITY FIRE DANIAGEIAnv one rarer 550.000
CL IMS MADE n OCCUR 1IED EX?(Any one oersom -1.COO
PERSON-AL&ADV INJURY $1,300,000
GENERAL AGGREGATE S], :00,000
GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMP OP ACC. I 53,000,000
POLICY El IER
CT 7 LOC
•
B AUTOMOBILE LIABILITY -_ID: CL 9/L/IL , -.'L CCMBLNED SI IGLE LAB'
_,_CIE__ ALTO 1,0,_.AGC Jnn ]00,:00
X ANY ALTO
ALL OWNED AUTOS
I11]UILY I`IICRY
SCIIEDULED AUTOS Pv vvnl
AIRED AUTOS
BODILY I WI,LRY
NON OWNED AUTOS Per cwmn
PROPERTY DAMAGE
Per.[xlmll
GARAGE LIABILITY ALTO ONLY-EA ACCIDENT
ANY AUTO OTHER riAA,N EA ACC
ALTO ONLY
\CC
EXCESS LI ABILIITT!' EACII OCCURRENCE
OCCUR 1 I CLAIMS MADE ,AGGREGAtE
LJ
DEDUCTIBLE
^-- RETENTION $ IBC
STA S- 0TH
A WORKERS COMPENSATION A\0 `""'"` __ _ - -- '- -' -- '_
DI PLOY FAS'IPABILIf Y. wCRKERZ C..."-_:;SA,:Ca
E EACH ACCIDENT 55:0,300
E .DISEASE-POLICY LIMIT 5503,000
E L.DISEASE-EA EMPLOYEE 3530,000
OTHER
C
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES,EXCLUSIONS ADDED BY ENDORSEMENT:SPECIAL PROVISIONS
State of Colorado, Weld County, Colorado Board of County Comissioners its officers, officials, and employees are
'--arced as Additional Insureds as respects general liability coverage.
CERTIFICATE HOLDER CANCELLATION
SRO LID ANY OF TH E.ABOV E DESCEI BED POLICIES BE CA NCELIED BEFORE THE EXPIRA TAN
DATE THEREOF. I ISSUING COMPANY WILL ENDEA ' R TO MAIL
State of Colorado iO DAYS WRITTEN '• ICE TO THE CERTIFICATE HOL NA. TO THE LEFT.
Department of Social Services BUT FAILURE TOSSS'SH. LNIPOSE NOOBLIGAT OR I TY
P.J. Box A OF ANY KINDLPO. I .. uA,y 'TS AGENTS P
Greeley CO 80632 USA AUTHORIZEDREPRES PI A 4 V1
A
f'_5-S 17/97) CORD CORPORATION 1988
C:r:l,icate No: 570'0009290`_5 Holder Iden d r:
�ooi3
VII. STAFF QUALIFICATIONS
— A. Will your staff, including supervisors, who are providing direct services have the minimum qualifications in
education and experience in Staff Manual Volume VII, Section 7.303.17, and Section 7.0006,Q, Colorado
Department of Human Services?Describe.
- Savio staff and supervisors providing services under this RFP all possess the minimum qualifications in education
and experience referenced above. All direct care staff will have either a bachelor's degree in a human behavioral
science-related field plus one year of professional experience, or a master's degree in social work or a related field.
All supervisors will possess at least a bachelors degree with a minimum of three years professional experience.
B. Total number of staff, including supervisors, available for the project.
Three full-time workers and one full-time supervisor will be available for the project.
C. Will your staff have received mandated new caseworker training?
Selected Savio staff, who are performing public welfare duties, have received new caseworker training. For the
- remainder of staff, a Savio training program has been implemented instead. If selected to provide services through
this RFP, staff working under this contract will receive new caseworker training if that is the wish of Weld County.
- D. Will your staff have knowledge in risk assessment?
Savio staff have undergone training in risk assessment and perform such risk assessments according to state
mandates. A primary focus of services is to assess and monitor risk factors of each family and to quickly determine
whether the family is capable of eliminating them to maintain a healthy family environment.
E. Will your staff have completed the required State Home Based Intensive Family Services training component?
Savio staff under this contract will complete the State Home Based Intensive Family Services training. As of this
time, staff have contacted the Division of Child Welfare and Training Office both of the Colorado Department of
Human Services and have been unable to locate such training. Please advise us how to access said training.
- F. How will the Bidder provide ethically and culturally appropriate services, including Bilingual staff
(English/Spanish?)
Savio Staff have developed an expertise in and sensitivity to multicultural issues and are provided with regular
- training on such issues. Savio strives to be sensitive to the needs of various cultural, ethnic and religious
backgrounds through hiring and training practices which value and promote diversity in staff. Savio pairs Workers
with families based on personal characteristics in order to meet varying cultural needs. Specific requests by clients
- for minority workers are honored whenever possible. Referrals to community agencies are made with a sensitivity
to cultural, ethnic and religious beliefs. Savio also ensures that Spanish-speaking clients have staff available with
whom they can communicate.
Treatment Preference/Theoretical Orientation
Savio staff utilize a social work model of intervention with a strong emphasis on cognitive behavioral interventions,
- that is characterized by a concern for all aspects of a family's functioning. In addition, staff have borrowed many
of the Multisystemic Therapy concepts used in the Savio Community Based Services Adolescent program. Not
only do staff address therapeutic issues such as communication, decision-making and parenting skills, but they also
- assist the family in meeting basic needs of food. housing, clothing and employment. This concept is drawn from
Beck, Bertram M., The Lower East Side Family Union: A Social Intervention. New York: Foundation for Child
Development, 1979. This philosophy has served as the guiding force in the development of Savio's Community
Based Services program.
9
c?bG/
_RFP-FYC-01010 Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE-PHASE I-INTENSIVE
A. This form is to be used to provide detailed explanation of the hourly rate your organization
will charge the Core Services Program for the services offered in this Request for Proposal.
This rate may only be used to bill the Weld County Department of Social Services for direct,
face-to-face services provided to clients referred for these services by the Department.
Requests for payment based on units of service such as telephone calls, no shows, travel time,
mileage reimbursement, preparation, documentation, and other costs not involving direct face-
to-face services will not be honored. Likewise, billings must be for hours of direct service to
the client, regardless of the number of staff involved in providing these services. Therefore, it
— is imperative that this rate be sufficient to cover all costs associated with this client, regardless
of the number of staff involved in providing these services.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client 129 Hours [A]
Total Clients to be Served 18 Clients [B]
Total Hours of Direct Service for Year 2322 Hours [C]
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services $ 81 Per Hour [D]
Total Direct Service Costs $ 189,100 [E]
(Line [C] Multiplied by Line[D])
Administration Costs Allocable to Program $ 59.884 [F]
Overhead Costs Allocable to Program $ 47,000 [G]
Total Cost, Direct and Allocated, of Program $ 295.984 [H]
Line [E] Plus Line [F] Plus Line [G])
Anticipated Profits Contributed by this Program $ 29.598 [I]
Total Costs and Profits to be Covered
by this Program (Line [H] Plus Line [I]) $ 325.582 [J]
Total Hours of Direct Service for Year 2322 [K]
(Must Equal Line [C])
Rate per Hour of Direct, Face-to-Face Service to be
Charged to Weld County Department of Social Services $ 140 [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month N/A [M]
Monthly Direct Service Rate $ N/A [N]
*Our interpretation of transportation: Travel by the worker to and from the home is not billable. However,
transporting and accompanying families to activities will be counted as billable hours of face-to-face contact.
RFP-FYC-01010 Attached A
X. COMPUTATION OF DIRECT SERVICE RATE-PHASE II-STEP DOWN
B. This form is to be used to provide detailed explanation of the hourly rate your organization
will charge the Core Services Program for the services offered in this Request for Proposal.
This rate may only be used to bill the Weld County Department of Social Services for direct,
face-to-face services provided to clients referred for these services by the Department.
Requests for payment based on units of service such as telephone calls, no shows, travel time,
mileage reimbursement, preparation, documentation, and other costs not involving direct face-
- to-face services will not be honored. Likewise, billings must be for hours of direct service to
the client, regardless of the number of staff involved in providing those services. Therefore, it
is imperative that this rate be sufficient to cover all costs associated with this client, regardless
— of the number of staff involved in providing these services.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client 129 Hours [A]
Total Clients to be Served 18 Clients [B]
Total Hours of Direct Service for Year 2322 Hours [C]
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services S 81 Per Hour [D]
Total Direct Service Costs $ 189,100 [E]
(Line [C] Multiplied by Line[D])
Administration Costs Allocable to Program $ 59,884 [F]
Overhead Costs Allocable to Program $ 47.000 [G]
Total Cost, Direct and Allocated, of Program $ 295.984 [H]
Line [E] Plus Line [F] Plus Line [G])
Anticipated Profits Contributed by this Program $ 29.598 [I]
Total Costs and Profits to be Covered
by this Program (Line [H] Plus Line [I]) $ 325.582 [J]
Total Hours of Direct Service for Year 2322 [K]
(Must Equal Line [C])
Rate per Hour of Direct, Face-to-Face Service
to be Charged to Weld County Department of
Social Services $ 140 [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month N/A [M]
Monthly Direct Service Rate S N/A [N]
*Our interpretation of transportation: Travel by the worker to and from the home is not billable. However,
uransporting and accompanying families to activities will be counted as billable hours of face-to-face contact.
ca/-3.34
BUDGET NARRATIVE
- Intensive/Step Down Services
Savio's program will consist mainly of Level 1 Intensive services (8 hours per week of service). Level
2 Step Down services will be used in cases where special attention is required. Examples of this
include:
• Families who require maintenance services until a court date;
- • Families needing transition or step down services prior to discharge; and
• Families who have been discharged and are struggling and need intervention to stabilize.
The same hourly rate will be charged for both levels of service. However, due to the less intensive
nature of step down services, fewer hours will be spent with each family therefore lowering the cost.
Parenting Skills Development Groups
The parenting skills development groups described in this proposal are available at an additional cost.
The fee for these classes is $200 per month for the course of treatment. The Department will
determine whether parenting classes are necessary and will examine the need on a case-by-case basis.
Family Group Conferencing
The concept of Family Group Conferencing is utilized throughout the service period so that families
- remain active in treatment, and is included in the base fee. Savio staff, DSS and the family may also
decide to schedule a formal Family Group Conference to discuss and resolve a problem or issue.
Formal Family Group Conferences are provided as a treatment enhancement for an additional fee of
- $500 per episode. This fee includes preparation, the actual session, follow-up and documentation.
In a formal Family Group Conference, the CBS worker schedules the meeting, invites the participants
— and begins the conference by identifying the issues to be addressed. The professionals then leave the
family with a specific agenda to discuss and allow them to talk without the presence or direction of
staff. This process utilizes the strengths of the family unit to identify solutions and follow through
- with plans. The family presents their plan to the professionals for final approval. A follow-up meeting
or series of meetings are scheduled to review the plan and make any necessary revisions. The outcome
of the conference often results in improved cooperation within the family to provide for the well-being
- of the child.
- Program Capacity Per Month
Fifteen families.
clD//-3
A.Environment
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
1. Overall environment (IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -I -2 _3
—
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
2. Housing stability
(IA) +2 +1 0 -1 -2 -3
(C) +2 +I 0 -1 -2 -3
3. Safety in the community
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
4. Habitability of housing
(IA) +2 +1 0 -1 -2 _3
(C) +2 +1 0 -1 -2 -3
5. Income/employment
(IA) +2 +1 0 _1 -2 -3
(C) +2 +1 0 -1 -2 -3
— G. Financial management
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
7. Food and nutrition
(IA) +2 +1 0 -I -2 _3
_
(C) +2 +1 0 -1 -2 -3
8. Personal hygiene
(IA) +2 +1 0 -1 _? -3
(C) +2 +1 0 -1 -2 -3
9. Transportation
(IA) +2 +1 0 -1 -2 _3
- (C) +2 +1 0 -I -2 -3
10. Learning environment
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
2
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk,R.S.,and Reed Ashcraft,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form.developed at the Children's Bureau of Southern California Michigan's Family Assessment
of Needs Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
I tome for Children(Raleigh),and the state Division of Mental Health,Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
McCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
Nleezan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
'� (*)Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
„‘,ral other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
o,, be tested during future studies. See User's Guide to the NCFAS.Version 2.0,for additional information on scale construction and psychometrics. —)
—.. of AO/3.Z'
NCFAS
North Carolina Family Assessment Scale
Version 2.0
Household#: Date Initial Assessment Completed / /
Worker: Date Case Closure Assessment Completed
Family Name:
Introduction
Each of the following scales is used to determine how a family is functioning. They also
may be important to the level of imminent risk of out-of-home placement for this family in the
context of family strengths and problems. For each scale, rate its influence as a strength or
problem for the family along a 6-point continuum, using the following schema: +2= Clear
Strength,+1 =Mild Strength, 0=Baseline/Adequate, -1 =Mild Problem, -2 =Moderate
Problem, and -3 = Serious Problem. To rate each scale, circle the appropriate number. "IA"
represents the rating given at the initial assessment, and "C" represents the rating at service or
case closure. The "overall" ratings (the ones in the shaded areas) should indicate your overall
composite rating in each of the five domains. The subscales represent areas of interest relating to
the domain under which they appear(e.g., Housing Stability appears under domain A,
Environment). The reliability and validity study of the NCFAS revealed that it is essential to rate
each of the subscales before rating the overall domain scale. Use the definitions in the Definitions
Manual to the NCFAS (Version 2.0 or higher) to make your ratings.
Complete each of the ratings within 60 days of opening the case on CWEST(IA) and again within
1-2 weeks of case closure or when the service goal is no longer reunification (C).
Many questions and issues of concern to practitioners are addressed in the User's Guide to
the NCFAS (Version 2.0). Please also see the User's Guide for a discussion of the development
and use of the Scale. The psychometric properties (reliability and validity) of the scale are also
discussed in the User's Guide.
1
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk.R.S.,and Reed Ashcraft,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form,developed at the Children's Bureau of Southern California Michigan's Family Assessment
of Needs Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
Home for Children(Raleigh),and the state Division of Mental Health,Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
McCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
Meezan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
l'I Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
several other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
's ill be tested during future studies. See User's Guide to the NCFAS.Version 2.0,for additional information on scale construction and psychometrics.
:ADD/- 3& '
B.Parental Capabilities*
Note:This section refers to biological parent(s), if present,or current caregiver(s)
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
1. Overall parental (IA) +2 +1 0 -1 -2 -3
— capabilities (C) +2 +1 0 -1 -2 -3
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
2. Supervision of child(ren)
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
—
3. Disciplinary practices
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
4. Provision of developmental/
enrichment opportunities
(IA) +2 +1 0 -I -2 -3
- (C) +2 +1 0 -1 -2 -3
5. Parent(s')/caregiver(s')
_, mental health
(IA) +? +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
6. Parent(s')/caregiver(s')
_ physical health
(IA) +2 +I 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
7. Parent(s')/caregiver(s')
use of drugs/alcohol
(IA) +2 +1 0 -I -2 -3
(C) +2 +1 0 -1 -2 -3
3
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk,R.S.,and Reed Ashcraft,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form,developed at the Children's Bureau of Southern California.Michigan's Family Assessment
ofNeeds Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
_ Home for Children(Raleigh),and the state Division of Mental Health,Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
NleCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
Nlcezan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
—. (")Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
,c\cral other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
kill he tested during future studies. See User's Guide to the NCFAS,Version 2.0,for additional information on scale construction and psychometrics.
ADD/-.3-3
C.Family Interactions
Note: This section refers to family members living in the same or different households
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
1. Overall family (IA) +2 +1 0 -1 -2 -3
- interactions (C) +2 +1 0 -1 -2 -3
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
- 2. Bonding ion of child(ren)
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
3. Expectations of
- the child(ren)
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
4. Mutual support within
the family
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
- 5. Relationship between
parents/caregivers* •
(IA) +2 +1 0 -1 -2 -3
- (C) +2 +1 0 -1 -2 -3
_ 4
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk,R.S.,and Reed Ashcratt,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form.developed at the Children's Bureau of Southern California.Michigan's Family Assessment
of Needs Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
Home for Children(Raleigh),and the state Division of Mental Health,Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
McCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
Meczan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
"" 1"1 Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
. era]other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
's dl be tested during future studies. See User's Guide to the NCFAS,Version 2.0,for additional information on scale construction and psychometrics.
9.Ot43-
D.Family Safety
Note:This section refers to family members living in the same or different households.
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
— I. Overall family (IA) +2 +I 0 -1 -2 -3
safety (C) +2 +1 0 -1 -2 -3
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
2.Absence/presence of
physical abuse of child(ren)*
(IA) +2 +1 0 -I -2 -3
(C) +2 +1 0 -I -2 -3
- 3. Absence/presence of
sexual abuse of child(ren)
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
— 4. Absence/presence of
emotional abuse of child(ren)
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
5. Absence/presence of
— neglect of child(ren)*
(IA) +2 +l 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
6. Absence/presence of domestic
violence between parents/caregivers
— (IA) +2 +1 0 -1 -2 -3
(C) +2 +I 0 -I -2 -3
5
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk.R.S.,and Reed Ashcratt,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form.developed at the Children's Bureau of Southern California.Michigan's Family Assessment
of Needs Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
I lone for Children(Raleigh),and the state Division of Mental Health.Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
McCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
\leezan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
(")Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
se\oral other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
.,ill be tested during,future studies. See User's Guide to the NCFAS.Version 2.(l.for additional information on scale construction and psychometrics.
E.Child Well-Being
Clear S. Mild S. Baseline A: Mild P. Moderate P. Serious P.
1. Overall child (IA) +2 +I 0 -1 -2 -3
well-being (C) +2 +1 0 -1 -2 -3
Clear S. Mild S. Baseline A. Mild P. Moderate P. Serious P.
2. Child(ren's)mental health
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
3. Child(ren's)behavior
—
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
4. School performance
(IA) +2 +1 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
5. Relationship with
parent(s)/caregiver(s)
(IA) +2 +I 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
6. Relationship with sibling(s)
(IA) +2 +1 0 -1 -2 -3
- (C) +2 +1 0 -1 -2 -3
7. Relationship with peers
—
(IA) +2 +I 0 -I -2 -3
(C) +2 +1 0 -1 -2 -3
8. Cooperation/motivation
to maintain the family
(IA) +2 +I 0 -1 -2 -3
(C) +2 +1 0 -1 -2 -3
_ 6
NCFAS North Carolina Family Assessment Scale. Version 2.0.Kirk,R.S.,and Reed Ashcraft,K.06/98. This instrument is derived from
previous versions based on the Family Assessment Form,developed at the Children's Bureau of Southern California,Michigan's Family Assessment
of Needs Form,and four assessment instruments developed in North Carolina by Haven House(Raleigh),Home Remedies(Morganton),Methodist
_ I lome for Children(Raleigh),and the state Division of Mental Health.Developmental Disabilities and Substance Abuse Services. Special
acknowledgements are due to Sandy Sladen and Judith Nelson at the Children's Bureau of Southern California and to researchers Jacquelyn
McCroskey and William Meezan and U.of Southern California. Special thanks also are due to numerous local IFPS providers in North Carolina for
participating in the ongoing development and field testing of the NCFAS. Domain specifications for the original NCFAS were based on the work of
Mcezan and McCroskey. Domains and subscales for Version 2.0 are based upon reliability and validity testing completed in the Fall of 1997.
"— (*)Re:asterisked items,theoretical and empirical support exists in the literature for the Parental Capabilities domain and the associated subscales,and
several other subscales that either where not supported or examined independently in the 1997 reliability and validity study of the NCFAS. These items
will be tested during future studies. See User's Guide to the NCFAS.Version 2.0.for additional information on scale construction and psychometrics.
,{DO/-33O '
COLORADO SAFETY ASSESSMENT/PLAN (9/24/99)
Handout 5-i
Family Name: I Worker Name: Assessment Begin Date:
Reason for a Safety Assessment
Referral Reunification Assessment Case Closure Assessment Other
Safety Assessment -The following is a list of behaviors or conditions that maybe associated with a child being in danger of moderate to severe harm.
When assessing the child(ren)'s safety,consider the effect that adults who have access to them could have on their safety.Identify
-the presence of each factor My-checking"Yes"-which is defined as "clear evidence or other cause for concern?For all safety).-
• concess marked"yes";describe-the specific hdividimic;behaviors,conditions,and circumstances associated with that safety
concern. Complete assessment within seven days of first contact-but continue to document observations as the assessment
proceeds.
• 1. Caregiver(s) in the home is out of control and/or violent. •
❑YES ❑ NO •
1 Caregiver(s) describes or acts toward the child(ren) in predominately negative terms and/or has unrealistic
l.S ❑ NO expectations likely to cause harm_
•
3. Caregiver(s) has caused harm to the child er has made a credible threat of ha.^
D YES DINO
-- ------ --- ----car---:------------ --------- --- — ---- -- -till. -- - -- ---4. PP-chary egiver his not or is unabie to protect child.
-- ❑ YES ❑ NO
Explanations of &,lanes present are unccns�_cing.
� YES ❑ NO
C. Toe fan-Sly refuses access to the child or::ere is reason to believe the family will flee.
❑ "if SENO
- _..-----------------------,---s) is un willing- l—o-- ---T. . --till------
Gre�n�er(s) s unwiil:n or unable to r�t the child's �re^�.tP r.�g3 for ix:..rice:=.- and snc:cr.
❑ YES ❑ NO
— — a Caregivers) is anwva- or unable to meet he c's mac
------- -----------
"o a ----e ate to severe medical or mersi: health
-ES ❑ NO needs.
Caregiver(s) has not ors unable to provide s,_-- -c..,super:Pion to protect the child from pctenta h1
❑YESDNO
--
1:. Child is fearful of caregiver(s),(s),other embers,or other people livingL or had ,access tc.the
El YES E NO home.
YES E NO 11. Caregiver(s) previously abused or neglected a child(or is suspected of such) and the severity of the past
maltreatment,or caregiver(s) response to previous intervention.along with a:least one other safer/
concern,suggests imminent danger to the child.Mark all that apo�i„
Bodily Injurvto a child due to assault
'- Death of child due to abuse/neglect
•
Prior placement of any child due to rnaltreatrsne— -
_Prior termination/relinquishment of parental rgns due to maltreatmneat
Other
•
•
•
•
ade)/-3306
•
COLORADO SAFETY ASSESSMIENT/PLAN (9/24/99)
Family Name:
_ --- --- 12. Child's physical living conditions endanger the child's health.
❑ YES ❑ NO . .•
13. Caregiver(s) alleged or observed substance use seriously affects his or her ability to supervise,protect,or
❑ YES ❑ NO care for the child.
14_Qvld sexual abuse is-suspected and circumstances suggest that child's safety is of immediate concern.
❑YES ❑NO
15. Caregiver(s) alleged or observed emotional instability or developmental delay seriously affects his or her
❑YES ❑NO abilityto supervise,protect,or care for the child.
• 16. Domestic violence exists in the borne and poses a danger of physical,and/or emotional harn to the child.
- ❑ YES ❑NO
17. Child is unable to self-protect,assertively prevent harm,or access protective relationship to assure saien-
111 YES ❑ NO and at least one of the above safety concerns exists.
- Safety Decision
Directions: identify the safety decision by checking the ancrocrate box below.
No safer-concerns are identified. There are no children likely to be in danger of moderate to severe barn:. No ru^er saier.-
action s necessary.
_One or more safer.-concer s are identified. F_t er pianning -decs ion =aiung is necessary to ac:dress safer: corm.
Proceed to~rulsis.
Analysis
Assess and dcran ent current conditions er family actions that n-.:.y cer bu:e :o co:treilr:g for safer. Describe row"He'z'
actress identified safety concerns:
Check One
❑ Chrtent conditions or family actions address all identified safer-concerns.Therefore a safety plan ail not be completed.
❑ Current conditions or family actions do not fully address all identified safety concerns. A safety plan hill be completed.
• Current conditions or familyactions do rot fully address all idenciasafetyconcerns.Court.nvolverne anti out-of-
__home placement is initiated because a safetypian cannot address aridehiifiediafe^r concerns--- - - - --- -
0700/-
COLORADO SAFETY ASSESSMENT/PLAN (9/24/99)
Family Name: ,..
.— Safety Plan _
Describe what tasks will be done to assure sdety,bywhom;how often,and duration. Indicate how the caseworker will be
moremring the plan. Describe a back-up plan if conditions of saferyplan cannot be met.
— I
•
•
Family Agreement with Safety Plan
We have participated in the development of and reviewed this safe:-plan and agree to work with the providers and services - - -
as described above.
Parent(s) Date:
Date:
Comments:
Caseworker/Supervisor Agreement with Safety Plan
Caseworker Date:
Supervisor — Date:
cRa/-33C
COLORADO FAMILY RISK ASSESSMENT I2Gi5•
Case Name: Worker Name: Date:
•
NEGLECT Score ABUSE Score
NI. Current Allegation is For Neglect A I. Prior Investigations(assign highest score that applies)
— a. No -I a. None -1
b. Yes I b. Ito 3 I
c. 4 or more _
_ N2. Prior Neglect Investigations(assign highest score that applies)
a. None . . -I A2. Household has Previously Received Child Protective Services
b. Investigation only I a. No 0
c. One substantiated investigation 1 . b. Yes 2
d. Two or more substantiated investigations 3
A3. Primary Caregiver has History of Abuse or Neglect as a Child
N3. Household has Previously Received Child Protective Services a. No 0
a. No 0 b. Yes '-
b. Yes,previously received services I
— c. Yes.prior CPS child removal from household 3 .A4. Primary Caregiver was Placed in Protective Services as a Child
a. No 0
N4. Number of Children in Household b. Yes -
a. Two or fewer -1
— b. Three or more I
Af. Cares:yens) Provides Supervision Inconsistent with Child's Need
N5. Aee of Youngest Child in Household a No 0
a. Three or older 0
b. Yes
b. Two or younger
'..o. Caregiver si Employs Excessive Inapproenaae Discipline
Nti. Primary'Caregiver's Assessment of Incident a No .1
(Check applicable items and add for score;
a. _Not applicable 0 b 11
es
— b. Minimizes harm to chiid:c- _
., urn;.^.er':l :n.or:eU ;n D.s.__..-:.e''.aia:tie .Asu.t Rc!_::onsn:r:
c. Displaces responsibility or severityNis... _.. .. ..
a
N7. Primary Caregiver Provides Physical Care or Supervision 1 '` '
Inconsistent with Child's Necc
_
a. No 0
\S. (:ha aetermuo of Children :n the Flo usen,om
b. Yes -
I_.ecK anaiteae:e :rents anti ___ sear::
NS. Primary Caregiver has a Subs:ar.ce L so Probiem a. _ Not apciica'c it ..
— a No 0 a _ \lenc: hea!ti:.A.cha.:orai pruo:erric .
b. Yes I c hhy'ticai asabii;r. .... _
N9. Child in Household has Mental Health Behavioral Problem __ cciceri a( bas Hatton:a: '......... ........ .....-...
— a. No I) a Na. neither eare?.ver.. .
b. Yes ri Eimer_arep r+er._..
a. Eotn care_inera _
N10.Recent or History of Domestic Violence in the Household.
_ _. No 0
b. Yes . . A:'; Sea sr.iary Caregiver has a Substance Lse P.ra__.
a N A seco no m..ar:pence..price
NI I.Cared yen si Have His:or.of Homelessness b No rrobiem is rin antics Jr a,eai.o,
a. No 0 a. Alconoi ark
b. Yes _ _. Other drugs Cr drugs and aicocol con-atr.ed......
TOTAL NEGLECT RISK SCORE TOTAL '.ELSE RISK SCORE -
— .— -Re=:.USK LEVEL. Assign the anise's sacred nsk level based on the highest scar"n e::ner trig ceg;ec Cr aacse:nsraccn:.':s:-_:he .:a::o.Y7. :ran
e'_re .Score _ _ Abuse Sane Seared Rsk Le'ei
_ - _ - 0 Low
.. --0- 7 I - o Moderate
— _ 3— High
i 'LILY OVERRIDES. (-role :e. .r condition shown below is applicable in this case V._. .- :..,.-
s No I Sexual abuse case AND:he perpetrator:s likely to have access to a-.e ana .m -cps:Prang. ... _
No _. Non-accidentai injury:o an infant.
No 3. Senous non-ace:dent_al physical incur.recu,r:nu hospital or rnedica:treatment.
_ _-]q___4 ParensCaregive•a:can or inaction resulted in death of a child due to abuse or neg.es .to:is•''r:rem
_. .;C:ETIONARY OVERRIDE. It'a discretionary overtae is made.circle yes.circle overidc ns. .c..c. _ I rthic:e reason.-ILsK-ice`ncr me c-. CC eta ore!eves higher
Yes No 5. If yes,ocemde nsk levell(circle one;: Low Moderate H:gh
Discretionary overnde reason:
h_pen isor's Revtewr Approval of Discretionary Ovemde: Date:
V. ?.!!';IC LEVEL(circle tinal level assigned): Low Moderate High
ate/-3-36N
COLORADO FAMILY RISK REASSESSMES r Handout .
ase Name: Worker Name: Date: / !
RI. Prior Investigations(assign highest score that applies)
a. None _I
b. Ito 3
c. 4 or more 3
Household has Previously Received Child Protective Services
- a. No 0
b. Yes
R3. Number of Children in Household
a Two or fewer _I
b. Three or more
3. Age of Youngest Child in Household
a. 3 or older 0
- c. 2 or younger
the following case observations pertain since the last Risk AssessmentReassessment:
New CPS Substantiated or Inconclusive Investigation Since Last Assessment/Reassessment
a No 0
b. Yes f 3
"6. Either Caregiver has a Current Substance Use Problem
a. No 0
b. Yes
_ d. Yes, and refuses treatment 3
Disruptive'.'.::rile Relationships in the Household
a. No problems 0
c. Yes
•JIS. Caregiver is Able to Provide Physical Care/Supervision to Children
a. Yes
u
b. No, minor problems
c. No, major problems
Primary Caregiver's Use of Treatment/Training Programs
a. Not applicable: all services unavailable
b._Successfully completed all services recommended or actively participating in services:
pursuing objectives detailed in FSP -I
c._Minimal participation in pursuing objectives in FSP
d. Has participated but is not meeting objectives:refuses involvement in 5Crvjce,or tided to
comply/participate as required
10. Secondary Caregiver's Use of Treatment/Training Programs
a. Not applicirlei all services unavailable 0
b. Not applicable: only one caretaker in nome p
c._Successfully completed all services recommended or actively participating in ser:ices:
pursuing objectives in FSP _
d. Nlinimal participation in pursuing objectives in FSP i
e. Has participated but is not meeting objectives:refuses involvement in services or failed to
comply/participate as required
TOTAL REASSESSN[E\T SCORE
SCORED RISK LEVEL Assign the family's risk level using the following chart
_Low 3 - 7 _Moderate 8 - High
0LICY OVERRIDES. Circle ves if a condition shown below either occurred previously or during this reassessment reriod. If am condi-cr: s a-tsija=ride
override final risk level to high.This overrides the scored risk level.
"-es I. Sexual abuse case AND the perpea-ator is likely to have access to the child victim.
es 2.Non-accidental injury to an infant.
l es 3.Serious non-accidental physical injury requiring hospital or medical treatment.
1 es 4. ParentiCaregiver action or inaction resulted in death of a child due to abuse or neglect 1Prevtous or current
)LILY OVERRIDE RISK LEVEL(check): _High
•
tETION.ARY OVERRIDE. If a discretionary override is made.circle yes,check override risk level.and indicate reason. Either the scared risk le.&or the policy
.ride risk level may be overridden one level.If approved,the discretionary override risk level becomes the overall risk level for this assessment period.
es If ves.check DISCRETIONARY OVERRIDE RISK LEVEL(Check one): Low Moderate High
Discretionary override reason:
:pervisor's Review/Approval of Discretionary Override: Date:
7o1-3506
EXHIBIT B: CONDITIONS OF APPROVAL
ace/- z,E
�;�e.►a
la- At�:►_ -
Savic 325 King Street • Denver, Colorado 80219 • Raft•5976M W(.413) 727-8364
November 7, 2001
Trustees
Donald A.Smith David Aldridge, Resource Services Manager
President Weld County Department of Social Services
William D.Adams PO Box A
vice President Greeley, CO. 80632
John E.Anderson
•
Secretary Dear Mr. Aldridge:
Timothy E.Krause
Treasurer Please accept this as our official response to your correspondence of
Ronald K.Abo October 30, 2001 regarding RFP-FYC 01010 Residential Treatment
Myrna Ann Adkins Center Diversion. Savio is honored to have this opportunity to work with
Donald C.Neithercut Weld County Department of Social Services.
Linda Schlegel
We accept condition one and will provide an explanation to item two.
Bernard M.Sharp
Savio understands that referrals cannot be guaranteed and we believe
that when the effectiveness of this program is demonstrated that adequate
Legal Counsel
referrals will not be an issue. The cost to provide an hour of service is the
Ronald 0.Sylling same whether it is in the intense service period or the step down time.
The cost for step down services will be less overall because fewer hours
Director will be utilized.
William S.Hildenbrand
Savio staff will contact you this week to initiate planning for the first steps
of implementation.
Thank you again for accepting the Savio proposals.
Sincerely, ./61/ .
William S. Hildenbrand •
Executive Director
C: Judy Griego, Director
Dick Palmisano, Chair, FYC Commission
Frank Aaron, Social Services Administrator
• �� ACCREDITED
'• PA.OON➢RM•K.
_A community project of the Lions Club of Denver
,,70t/_33x6
a> =M' DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
WEBSITE:www.co.weld.co.us
CAdministration and Public Assistance(970)352-1551
O Child Support(970)352-6933
COLORADO
October 30, 2001
Mr. William S.Hildenbrand,CEO
SAVIO
325 King Street
Denver,CO 80219
Re: RFP-FYC 01010 Residential Treatment Center Diversion(Option B)
Dear Mr.Hildenbrand:
The purpose of this letter is to outline the results of the RFP Bid process for RFP-FYC 01010
Residential Treatment Center Diversion(Option B) and to request written information or
confirmation from you by Friday,November 9, 2001.
A. Results of the RFP Bid Process for PY 2001-2002
Through the 2001-2002 Core Services bid evaluation process for PY 2001-2002, the
Families,Youth and Children(FYC)Commission approved the RFP(s) listed above for
inclusion on our vendor list.The FYC Commission attached the following
recommendations and/or conditions regarding your RFP bid(s).
RFP-FYC Residential Treatment Center Diversion(Option B):
Conditions:
•
1. Referrals cannot be guaranteed.
2. An explanation is needed as to why the "Step-Down"rate is the same as
the "Intense Rate".
B. Required Response by RFP Bidden Concerning FYC Commission
Recommendations.
The Weld County.Department of Social Services is requesting your written response to
the FYC Commission's recommendation(s). Please respond in writing to David
Aldridge,Resource Services Manager,P.O.Box A, Greeley, CO, 80632,by Friday,
November 9,2001,close of business.
doo1-3S,C‘
You are requested to review the FYC Commission recommendations and to:
a. accept the recommendation(s)as written by the FYC Commission;or
b. request alternatives to the FYC Commission's recommendation(s);or
c. not accept the recommendation(s) of the FYC Commission.
Please provide in writing how you will incorporate the recommendation(s)into your bid.
If you do not accept the recommendation,please provide written reasons why. If you do
not accept the recommendation,please provide reasons why. All approved
recommendations under the NOFAA will be monitored and evaluated by the FYC
Commission.
If you wish to arrange a meeting to discuss the above conditions and/or recommendations,please
do so through David Aldridge, 352-1551, extension 6290, and one will be arranged prior to
Friday,November 9, 2001.
Sincer ly,
Judy . &o,Dt '9
Weld County Department of Social Services
JG:mhd
cc: Dick Palmisano, Chair,FYC Commission
Frank Aaron, Social Services Administrator
a,9OD/- 5°6
Hello