HomeMy WebLinkAbout20013305.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR CORE
SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - INNERCHOICE
COUNSELING CENTER
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with 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 Innerchoice Counseling Center, 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 Innerchoice Counseling Center 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 C UNTY COMMISSIONERS
WELD COU Y, COLORADO
ATTEST: �ilk
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M. J. G ile, hair
Weld County Clerk to th t. � , .•�'� �
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BY: ‘:(1-a-712 ) . ���1 •. " 'A F //
Deputy Clerk to the Boat'£L. k�F°t " V. 1C_
Will H. Jerke
APPROVED AS FO M:
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/ David E. Long
y i li.County Attorn y �— aCobert D. sden
Date of signature: e-7
2001-3305
; •e,' CS SS0028
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
WEBSITE:www.co.weld.ao.us
Administration and Public Assistance(970)352-1551
VI
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 1 UCHa Uti,3
RE: Notification of Financial Assistance Award for Core Services
Funds with Innerchoice Counseling Center
Enclosed for Board approval is a Notification of Financial Assistance Award (NOFFA)
for Core Services Funds with Innerchoice Counseling Center. 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. Innerchoice Counseling Center agrees to provide alternative programs to
Residential Treatment Center Placements as follows:
A. Intensive Services Phase will include 67.66 maximum hours per family
per month for a 6-week period.
B. Step-Down Services will include 49.74 maximum hours per family per
month for a 3-month period.
3. Social Services agrees to reimburse Innerchoice Counseling Center as follows:
A. Intensive Services Phase of$48.00 per hour for a maximum monthly
reimbursement rate of$3,000.
B. Step-Down Services Phase of$46.24 per hour for a maximum monthly
reimbursement rate of$2,300.
If you have any questions, please telephone me at extension 6510.
2001-3305
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-0013
Revision (RFP-FYC-(01010)
Contract Award Period Name and Address of Contractor
Beginning 01/01/2002 and Innerchoice Counseling Center
Ending 05/31/2002 Alternative Programs to RTC Placements under FPP Option B
Home Based Services
415 Cleveland
Loveland,CO 80537
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial
The primary goals of the Innerchoice Family Assistance Award is based upon your Request for
Preservation Program are to enhance family functioning, Proposal (RFP). The RFP specifies the scope of
create cohesiveness,and help families to be become services and conditions of award. Except where it is
empowered and independent from the system. The three in conflict with this NOFAA in which case the
components that make the program unique are weekly NOFAA governs,the RFP upon which this award is
multi-disciplinary meetings of all family treatment plans, based is an integral part of the action.
utilization of family aids,behavior management Special conditions
specialists,and mentors. An intense emphasis is placed 1) The program will consist of two phases.The two
on helping family members become more connected phases will be the intensive phase and the step down
with their natural resources so they can become less phase.
dependent on the system.The average length of stay is 2) The intensive phase will include an average of 67.66
3-5 months,average number of direct/indirect service hours per family per month. Step down services will
hours per week is 10-12 per family. A total of 24 include an average of 49.74 hours per family per
families can be served at any given time. The average month. Social Services agrees to reimburse
number of families served is 17. Innerchoice Counseling Center at(1) an average
hourly rate of$48 per direct service hour with a
Cost Per Unit of Service maximum reimbursement of $3,000 per month for
Monthly Rate Per Intensive $3,000.00 the intensive phase for a maximum duration of 1.5
Average Hourly Rate Per Intensive $ 48.00 months and, (2) an average hourly rate of $46.24 per
family per direct service hour for a maximum $2,300
Monthly Rate Per Step Down $2,300.00 per month for step down services for a maximum
Average Hourly Rate Per Step Down $ 46.24 duration of 3 months. Both the intensive phase and
Unit of Service Based on Approved Plan the step down phase will not last longer than the cost
and duration granted by the expressed written
Enclosures: permission of the Social Services Administrator.
J�Signed RFP:Exhibit A 3) Reimbursement for the Unit of Services will be based
▪Supplemental Narrative to RFP: Exhibit B on an hourly rate per child or per family.
X Recommendation(s) 4) The hourly rate will be paid for only direct face-to-
Conditions of Approval face contact with the child and/or family, as
evidenced by client-signed verification form, and as
specified in the unit of cost computation.
5) Unit of service costs cannot exceed the hourly,and
yearly cost per child and/or family.
1 of 2
Special Conditions continued from Page 1:
6) Rates will only be remitted on cases open with,and
referrals made by the Weld County Department of
Social Services.
7) Requests for payment must be an original and
submitted to the Weld County Department of Social
Services by the end of the 25th calendar day following
the end of the month of service. The provider must
submit requests for payment on forms approved by
Weld County Department of Social Services.
Approvals: Program Official:
BY /��'p lf.L✓ By
M.J. Geile, Chair Judy . Grieg Directo
Board of Weld County Commissioners Weld ounty epartment of Social Services
Date: L.,V65' aO0/ Date: /9 ' 3/01
2 of 2
EXHIBIT A: SIGNED RFP
RCP-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: Innerchoice Counseling Center
ADDRESS: 415 Cleveland, Loveland, CO 80537
PHONE: (970 ) 609-4853
CONTACT PERSON: Denise E. Klein TITLE: LCSW
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: Innerchoice Intensive Family Preservation Program
46, /6 ,(/', 677
Name and Signature of Person Preparing re/J Document Date
/ice
Q! 7 ir:C2J /0/18/Cy
Name and Signature Chief Administrative Officer Applicant Agency Date
MANDATORY PROPOSAL REOUIREMENTS
For both new bids and renewal bids,please initial to indicate that the following required sections are included in this
Proposal for Bid. For renewal bids,please indicate which of the required sections have not changed from Program Fund
Year 2000-2001 to Program Fund year 2001-2002.
BK Project Description
LC Target/Eligibility Populations
DK Types of services Provided
DK Measurable Outcomes
DK Service Objectives
Workload Standards
-DK-
Staff Qualifications
DK Unit of Service Rate Computation
DK Program Capacity per Month
Certificate of Insurance *Please call Donna Marino @ American Professional Insurance Agency
(800-421-6694) to verify coverage. I will fax policy by 10/23/01.
26
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 DateL`,nn.
(After receipt of order) BID MUST BE SIGNED IN INK
, 3e C . Aqe, i, , Lcsd
ate,
TYPED OR PRINTED SIGNATURE
VENDOR CL901 Ce 6-1/1-1/1-66--6-1/1-1/1-66-- e,
(Name) Handwritten Signature By Authorized
Officer or A t of Vender
ADDRESS 4y O ( th-n J Ave TITLE f2r 7 i irs 6()
�C ✓e,/fry,,/) Ct 9 5-3 9" DATE /e//R/o
PHONE # 97d- (o y/- U5i'.S
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
1
RFP-FYC•01010
Attached A
Date of Meeting(s)with Social Se ices Division Supervisor: it, -1 t -r)Comments by SSD S pervifi� '
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ame and Signature a S S per�isor
Program Category: Date
bHome Based Intensive Family Intervention Program Bid Category-Alternative
Programs to prevent and/or transition from Residential Treatment Center Pia�ements
Project Title: u �
Vendor; • .�..;_t,�ha, ie w4 ..C f (G—te-1 /1hvz,.a oZCS-d
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Innerchoice Counseling Center
415 Cleveland Avenue
Loveland, CO 80537
(970) 690-4853
Contact Person:
Denise E. Klein, LCSW
(970) 690-4853
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L Program Description
Innerchoice Counseling Center provides intensive in-home family treatment and case
management services to at-risk youth and their families. The services are provided to clients
within their natural environments via homes, schools, and neighborhood settings. The
program is designed to prevent out-of-home placements and to reunite children, who have
been removed from their homes, with their permanent families.
The program is specifically tailored to meet the unique needs of the family through a four
tiered step-down program. The family can enter at any given tier, based on the level of need
and care required. Innerchoice has over twenty staff members with diverse interests, cultural
backgrounds and educational levels so that the unique needs, interests and strengths of the
family can be addressed by staff with similar interests and cultural sensitivity. Innerchoice
programming is designed to provide the families with optimal abilities to be successful and
remain intact.
Staff are available 24 hours per day, 7 days per week and can usually meet at the families'
convenience, resulting in many evening and weekend appointments. Innerchoice therapists
empower families by using identified strengths to develop natural support systems and view
the parents as the solution, as opposed to the problem. Innerchoice also provides treatment
to the younger siblings of the identified client to prevent further involvement within the
system. They currently serve both males and females, between the ages of 0-18, and their
families. Services are generally provided for three to five months in duration.
Innerchoice employs a team of six structural family therapists who serve as team leaders and
have no more than four families on their caseload at any given time. Caseloads are kept
small to prevent staff burn-out and to keep creativity and accessibility high for the families
they serve.The structural family therapists clinically supervise team members and coordinate
the implementation of wrap-around services. A large umbrella of wrap-around services has
been created to address the vast needs of the family as expediently and efficiently as
possible. Special emphasis is placed on family strengths, creativity, and joining and
respecting all family members on their own terms, helping families to build on their
strengths in ways that enhance self-respect and offer families specific ways to improve.
The primary goals of the Innerchoice Family Preservation Program are to enhance family
functioning, create cohesiveness, and help families to become empowered and independent
from the system. The three components that are compelling and make the Innerchoice
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Program unique are weekly multi-disciplinary meetings of all family treatment plans, the
utilization of family-aids, behavior management specialists, and mentors. An intense
emphasis is placed on helping family members to become more connected with their natural
resources so that they can become less dependent on the system.
Mission Statement:
The mission of Innerchoice is to prevent out-of-home placements for children and help
families to become self-sufficient and independent from the system.
• By providing a safe environment for families to explore issues that affect the child's
ability to remain in the home and help family members to problem solve together so
that the family unit can remain intact.
• By providing an individualized family treatment plan which identifies the needs of
each family member so that wrap-around services can be tailored to meet the"unique
needs" of the family.
• By teaching family members to come from a strengths perspective and empower them
to advocate for their themselves and their family members so that they learn to view
one another as natural supports.
• By empowering family members to view their unique strengths as a powerful tool to
work through family crisis and create a more cohesive family unit.
• By helping family members to feel hopeful about the future in regard to healthy
family functioning and movement away from dependency on the system towards self-
sufficiency.
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IL Target/Eligibility Population
Families to be served
• Criteria for Accepting a Family: Innerchoice's staff is committed to providing services
quickly to families that are appropriate for in-home services. The first criteria is that the
family includes a child who is at risk for out-of-home placement. The second criteria is that
the family is committed to staying in tact,are customers for change, and participate actively
in the family preservation work. The third criteria is that other less intense services have
proven to be insufficient.
• The in-home family therapist/team leader will not carry a caseload greater than four families.
Six family therapists will be available, providing a wide range of unique intervention
specializations, so that the appropriate fit between therapist and family can be made. A total
of 24 families can be served at any given time. Youth can range in age from 0-18. The
average number of families served is 17 families. Approximately half of those families are
estimated to be in south Weld County.
• The gender, ethnic, and diagnostic mental health needs of the family will have TOP
PRIORITY in matching the family with the most appropriate staff. For example, if a family
would be more open to a male therapist, every effort would be made to accommodate that
request. If a Hispanic family is referred, a Hispanic family therapist or Hispanic family aid
will be provided to the family. Special hiring measures have been taken so that Hispanic and
bilingual staff are available to serve Hispanic families. Every Hispanic family referred to
Innerchoice will have a team member that is able to speak the language and provide
culturally sensitive interventions. If a family member is diagnosed with a mental health
issue that a particular therapist has more expertise in treating, then that therapist will be
matched with that particular individual client.
• Family strengths will also be prioritized in selecting therapists, behavioral management
specialists, family-aids, and mentors. Innerchoice prides itself in having a large staff with
diversified training, expertise, and experience in working with a wide array of families. For
example, if a family is interested in being artistically creative,they will be provided an art
therapist; or if they enjoy the outdoors and sports activities, an experiential therapist will be
utilized;if a family member enjoys spending time with animals,then an equine therapist will
be utilized.
• Average length of stay in the program is three to five months. Innerchoice staff work as
quickly and efficiently as possible to help the family to create the change required to keep
the child within the home. The goal is to immediately start connecting the family with their
natural support systems within the community so that the length of stay in treatment cane be
shortened.
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• The average number of direct/indirect service hours per week is 10-12 per family.
Innerchoice places a great deal of emphasis on providing excellent communication with
collateral contacts, documentation, multi-disciplinary meetings and clinical reviews so that
the flow of communication remains consistent and current.
• Program availability is 24 hour per day on call crisis coverage for all families. A licensed
clinical social worker or mental health professional is available for case management and
crisis intervention 24 hours per day, 7 days per week.
In Types of Services Provided
The Innerchoice Intensive In-Home Family Therapy Program provides a maximum of 25 service
hours per week for families. The program is tiered so that the treatment plan can be individualized
to meet the specific needs of the family. There are four levels of service available and four team
staffing positions which address the family needs.
Once a referral is accepted,the family therapist will make contact with the family within 48 hours.
An intake will be scheduled at the families earliest convenience. Contact will be made with all
family members including extended family to assess the level of support within the family unit. If
familial friends are available for consult and support,Innerchoice will make contact with them when
deemed appropriate by agency supervisors and referring Weld County Case Managers. Update
reports will be provided to Weld County Case Managers on a weekly basis in an effort to keep the
flow of communication clear and consistent.
Crisis intervention will be available 24 hours per day, 7 days per week. An average of one hour
direct care (face-to-face) response time to mediate crisis situations will be available through
Innerchoice. Telephone crisis consults will be dealt with immediately. If the client is in imminent
danger,the Greeley 911 emergency contact will be called to intervene. Detoxification,when deemed
appropriate, will be addressed through Island Grove Treatment Center. Innerchoice will make every
effort to establish good working relationships with all other professionals involved with the case so
that coordination of care is efficient and cost effective to the County.
A. Program Positions and Services
IN-HOME FAMILY THERAPIST/TEAM LEADER 4 to 12 hours per week*
* combination of direct/indirect service hours per family based on level system.
A licensed clinical social worker, psychologist or licensed marriage and family counselor
trained to assess, diagnose and treat families, will provide family therapy and also serve as
a team leader in the delegation, coordination and budgeting of wrap-around services. Wrap-
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around services begin as in-house services through Innerchoice to include: individual
therapy, family-aid service, recreational programming, group therapy, and mentoring.
However, the staff will assess for"natural supports"and start connecting family members
with their family supports and community supports by at least the second week of
enrollment in the program.
The family therapist/team leader will place special emphasis on maintaining good
communication with the referring case manager and all other collateral contacts. They will
schedule multi-disciplinary meetings weekly to review treatment goals and supervise their
team of staff providing the wrap-around services to the family. These meetings ensure
quality management and expedient service delivery. They provide a consistent time frame
to measure and document the effectiveness of treatment goals relative to family functioning.
The multi-disciplinary meetings also ensure that the treatment goals are on target and
continue to meet the family's changing needs and can be modified as issues change.
The family therapist will also provide crisis management and intensive in-home family
therapy. The level of services provided will be determined by the unique needs of the family
and the referring case manager.
BEHAVIOR MANAGEMENT SPECIALIST 2 to 8 hours per week*
* combination of direct/indirect service hours per family based on level system.
The Behavior Management Specialist will provide individual therapy for clients requiring
specialized individual treatment such as a mental health diagnosis, cognitive thinking errors,
and behavioral or addiction issues. Behavior Management Specialists will be required to
have at least a Bachelor's Degree in Social Work, a CAC I, II,or III, or a counseling degree.
Referrals to outside agencies may occur if the diagnosis requires specialized expertise and
treatment that is unavailable through Innerchoice staff.
FAMILY-AIDS 2 to 8 hours per week*
* combination of direct/indirect service hours per family based on level system.
Family-aids are a cost effective way of complimenting therapeutic services. Family-aids can
visit with the parents and other family members in their home on a daily basis initially as a
support to the family in following the therapist's treatment recommendations. As the family
progresses in treatment, the family-aid can reduce their level of contact. Family-Aids are
trained to assist families with parenting skills, homemaking and housekeeping skills,
budgeting and money management issues, structuring mealtime and family activities, stress
reduction, problem solving, self care, leisure time, communication skills, medication
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management,consumer skills, life skills,and behavior modification techniques. A Family-
Aid will be utilized to support the therapists' recommendations and the treatment plan and
will help to implement consistency within the family.
MENTORS 2 to 8 hours per week*
* combination of direct/indirect service hours per family based on level system.
Peer mentors and adult mentors are available to serve each youth and will be trained and
clinically supervised to spend 2 to 8 hours per week, one-on-one, with youth participating
in leisure activities,tutoring, tracking, and role modeling healthy life skills. Mentors will
also be available to provide respite support for the family as needed . Peer mentors and adult
mentors' main job is to teach clients creative and healthy ways in which to have fun without
using drugs and alcohol.
COUPLES THERAPY as needed basis
Couples counseling will be available to individuals having issues with blended families,
marital problems,united front issues,non nuclear family interventions and mediation issues.
GROUP THERAPY as needed basis
Ongoing groups are available on a weekly basis for anger management, life skills,
empowerment, parenting skills, a Dad's support group and a Mom's support group. Other
groups will be developed as needs arise with the families.These groups will also be provided
as an after-care program for families referred through Weld County Social Services
DRUG ALCOHOL THERAPY as needed basis
Substance abuse treatment provided by a Certified Addictions Counselor will include drug
and alcohol assessments,administering UA's and breathalyzers, drug and alcohol treatment
both individual and family, after care support, and referrals and transportation to outside
support systems such as AA , Al-ATeen and Al-Anon. This service will be available to
family members with addiction issues.
SPLASH EVENTS one time per month
Splash Events are events organized by the mentor manager that provide a healthy and
creative recreational outlet for youth and their families. Transportation will be provided for
all family members.
RESTORATIVE JUSTICE EVENTS one time per month
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Restorative Justice Events are organized by the mentor manager in an effort to help clients
learn to give back to their communities, explore their consciences and help create victim
empathy through organized events which clients will be requested to volunteer at.
B. Community Collaboration Efforts
1. Weld County Department of Human Services
Referrals and Case Management Services which include meetings, treatment planning
and discharge.
2. Weld County Department of Mental Health
Case Management, coordination of psychiatric evaluations, therapeutic services and
testing.
3. Colorado Department of Education
Coordination of case management, multi-disciplinary staffings, and testing.
4. Weld County Probation Department
Coordination of case management, multi-disciplinary staffings and testing.
C. Program Components
1. Therapeutic
Psychiatric consultation services
Psychological consultation services
Structural family therapy services
Cognitive behavioral therapy services
Group therapy services
Drug and alcohol therapy services
Equine therapy
Art therapy
Music therapy
Experiential therapy
Guided Imagery
Psycho-drama therapy
Psycho-educational therapy
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2. Behavorial
Behavorial modification
Correcting cognitive thinking errors
Refusal skills
Life skills
Conscience raising exercises
3. Psycho-Educational
Parenting skills
1-2-3 Magic
Anger management
Stress management
Team building exercises
Vocational/Independent living skills
Physical health needs(nutrition, medical, sex education, HIV and contraception)
4. Recreational
Splash events
Restorative justice events
Team sports
Individual recreational mentoring activities
Individual and family experiential activities
D. Parental Caretaker Involvement
1. Parents will be encouraged to participate and be involved in all program components.
Activities will be designed based on the families' unique strengths and interests.
Transportation will be provided to all families needing that assistance.
2. All activities will be implemented in order to assess, treat, and define family issues
so that when the family has completed the program, they will know how to utilize
family strengths and problem solve from this perspective.
E. Assessment and Plan
1. After the initial referral is made to Innerchoice, the family therapist will initiate a
contact with the family and assess appropriateness of service. Once it is established
that the family can benefit from services, a contract for level of care will be
established. The level of care will be determined by the unique needs of the family
and number of outside service providers involved. Once the level of care has been
determined, the family therapist will make contact with Weld County Case Manager
to formally authorize the level of care.
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Levels of Care
A+Level of Care-20+hours of direct and indirect service per week;
A Level of Care- 12 to 20 hours of direct and indirect service per week;
B Level of Care- 8 to 12 hours of direct and indirect service per week;
C Level of Care -3 to 7 hours of direct and indirect service per week.
Option A+ is the most intensive version of in-home family services. It is designed to
stabilize families in acute crisis. Option A+ includes a family therapist who provides 10
to 12 hours of direct and indirect services per week. The family therapist will provide a
minimum of six hours of direct care and six hours of case management and supervise the
other Innerchoice staff working with the family providing wrap-around services..
Behavior Management Specialist(Individual Therapy) 3 to 6 hours per week
Family-Aid 2 to 4 hours per week
Mentoring 4 to 8 hours per week
Groups as needed basis
Option A is the second most intensive version of in-home family services. Option A
includes a family therapist who provides 6 to 10 hours of direct and indirect services per
week. The family therapist will provide a minimum of four hours of direct care and two
hours of case management and supervision to other Innerchoice staff working with the
family.
Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week
Family-Aid 1 to 3 hours per week
Mentoring 3 to 6 hours per week
Groups as needed basis
Option B is for families who are not in acute crisis, however, require psycho-educational
services,case management services,and therapeutic interventions necessary to keep the child
in the home. Option B includes a family therapist who provides 3 to 6 hours of direct and
indirect services per week. The family therapist will provide a minimum of three hours of
direct care and two hours of case management and supervision to other Innerchoice staff
working with the family.
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Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week
Family-Aid 1 to 3 hours per week
Mentoring 3 to 6 hours per week
Groups as needed basis
Option C is for families transitioning out of the Innerchoice Family Preservation Program.
These families have effectively met their treatment goals and are accessing transitional
therapeutic and case management services in order to stabilize their treatment goals. After
care groups and mentoring are essential during this transition phase
Behavior Management Specialist(Individual Therapy) 2 to 4 hours per week
Family Aid 1 to 3 hours per week
Mentoring 3 to 6 hours per week
Groups as needed basis
Direct Care
Direct Care is face-to-face contact or telephone contact made with individual family members or the
family as a unit. It can occur in therapy sessions, multi-disciplinary staffings, recreational activities,
group activities, mentoring services and assistance provided to family members while accessing
community supports and case management services.
Indirect Care
Indirect Care does not require the families' presence, however, indirect care is being provided for
the welfare of the family, i.e. telephone contacts to collateral contacts, written reports, court
evaluations, court appearances, accessing hard services for the family, travel time, meetings, and
clinical staffings and supervision for the benefit of the family.
F. Pro-Active Planning
1. The reintegration plan will begin to be developed as early as the second weeks
enrollment in the program. The family therapist will be looking at natural support
systems via kin and the community so that the family does not become dependent on
Innerchoice staff.
2. Initially, Innerchoice will provide micro-management in regard to accessing and
utilizing these natural supports, however, once the family members have been
provided the necessary skills in accessing the support they will then be encouraged
to develop and strengthen these strategies with little outside intervention.
-11-
3. Continuity of care with other agencies providing services to the family will be
prioritized throughout the length of stay. Innerchoice staff will contact collateral
contacts on a weekly basis to ensure the quality of inter-agency communications and
coordination of treatment so that treatment goals can be targeted as a team.
4. Inneragency staffings will occur on a weekly basis to review treatment goals and
ensure that the therapists are helping the families to work towards their goals in an
efficient and expedient fashion.
5. Diagnostic and medical evaluations will be given top priority so that medical and
mental health concerns can be addressed as quickly as possible. It is important that
any impairment from medicaUmental health complications can be minimized and
treated so that clients can accelerate their progress towards their therapeutic goals.
6. After-care groups and splash events will be provided on a sliding fee scale for family
members so that they can continue to access support and maintain their treatment
goals through Innerchoice.
7. Clinicians will utilize the assessment tool to gather initial assessment scores,three
month assessment scores and discharge scores. A 12-month follow-up assessment
will be done to determine success and recidivism rates.
IV. Measurable Outcomes
A. 80%of children who are provided services will remain within their home at time of
closure.
B. 95%of the families will improve their parental competency ratings prior to closure
of treatment.
C. 80% of children who are currently in their home will remain in their home twelve
months following case closure.
D. 80% of children currently in long term placement facilities provided reunification
Home Based Intensive Family Intervention Services will return to their home and not
render out-of-home placement twelve months after completion of Homes Based
Family Intervention.
E. 90% of the families will not have a subsequent report of neglect or abuse.
F. 90% of cases that receive family preservation services will register low on the risk
assessment devise at service closure.
-12-
Project Monitoring and Evaluation
Pre-tests and post-tests (Child Well-Being Scale and Family Risk Scale)will be administered to the
families immediately before and following the implementation of services. A six month and twelve
month follow-up survey will be done to assess for success and recidivism.
Innerchoice will monitor daily, weekly and monthly hard and soft services provided for the family.
This information will be provided to the county on a monthly basis for evaluation and program
management review.
The program will also fill out quarterly client progress reports as requested by the County.
A case is terminated as a treatment success when: The parent(s) have the motivation and skills
necessary for handling subsequent problems,the youth is involved with pro-social peers and actively
involved in a community activity that is deemed healthy and constructive, and the family has been
able to function reasonably well with minimal support from Innerchoice for a period for at least four
weeks.
Treatment is prematurely terminated when: the clients are not customers for change, the services
required are beyond the out-patient level of care and/or the safety of the child or community is not
assured.
V. Service Objectives
A. 90%of the families will improve their communication skills and problem solving skills
through varied and creative therapeutic styles and interventions such as structural family
therapy, multi-systemic therapy,psychotherapy,psycho-drama, guided imagery, equine
therapy, art therapy, music therapy, mediation services for extended family, CAC
services for addiction issues and cognitive behavioral therapy for behavior management
issues. Gender appropriate and culturally appropriate therapeutic matches will be made
with families to increase success outcomes. Families will reduce their negative
resistance through the therapists' specialized training in uncovering the unique needs
and strengths of the families and their joining skills..
B. Group parenting classes will be conducted. Innerchoice will provide transportation for
the mother and/or father to attend parenting and empowerment class . This will allow
parents to work together to find solutions and vent their frustration in regard to ongoing
parenting concerns and issues. Individual treatment plans will be addressed by the
family therapist and the family-aids will support the recommendations that the therapists
make to the families on a weekly basis. Hands on skills will be reviewed and monitored
by family-aids to assess for progress in treatment on a weekly basis.
-13-
C. Family-aids will work towards increasing parental competency in parenting skills,
homemaking and housekeeping skills, budgeting and money management issues,
structuring mealtime and family activities, stress reduction, problem solving, self care,
leisure time, communication skills, medication management, consumer skills, life
skills, and behavior modification techniques.
D. 95 % of the families will develop alliances through natural familial and community
supports such as extended family, church, health care professionals, neighborhood
groups and a variety of supportive organizations through the implementation of mentors
and family-aids who will provide transportation and support to these meetings and
activities until family members access their own natural supports. Family- aids and
mentors will also provide assistance in establishing resources and accessing services
through other state programs such as Housing for Humanity, CHIP, LEAP and Social
Security.
* Family-aids and behavior specialists will keep monthly survey records to identify and
substantiate progress in parenting skills and deficits. These progress review surveys will
be compiled so that statistics can be accumulated in regard to what"hands on"parenting
and life skills were provided to the parents and to what degree the interventions and
education were successful.
VI. Workload Standards
A. A typical staffing pattern for the provision of intensive in-home services for one family
is a treatment team consisting of one Master's Level Therapist, one Behavior
Management Specialist and one or two Mentors. In cases where there are parental
education needs and/or neglect, a family-aid will be brought in to assist the parents with
these concerns.
Appointments are available to families seven days per week throughout the year so that
optimal utilization and implementation of services can occur. Many of the appointments
will be scheduled after school and in the evening and weekend hours. Clients can
receive a minimum of 3 service hours to a maximum of 25 service hours per week.
Twenty-four hour per day, 7 days per week on call crisis management is available by a
licensed clinician.
B. Innerchoice has over 20 staff available to provide a wide array of services and work as
team members.
C. Family therapists/team leaders will serve no more than four families at any given time.
Behavioral management specialists will serve no more than six individual clients at any
given time. Family-aids will serve no more than four families at any given time.
Mentors will have no more than five clients at any given time. An average of 17 families
-14-
can be served each month in Weld County. The average length of stay in the program
is three to five months.
*Case loads will remain small to avoid staff burn-out, improve quality management
and accessibility for all families being served through Innerchoice Counseling
Center*
D. Structural family therapy training and booster training sessions will be provided 8 hours
per month to all staff engaged in the treatment of families. Interventions will be
clinically supervised and monitored and assessed for effectiveness on a weekly basis.
Staff providing multi-systemic interventions will be requested to also access training
outside of the agency to compliment the already existing service training format.
Innerchoice will gear a great deal of the training and interventions to treat serious
oppositional defiance and anti-social behaviors in youth. Staff members will be trained
in utilizing a strength's model and interventions and requested to be creative and focus
on joining techniques when engaging with a new client. Strong emphasis will be
requested in regard to connecting the families with their next-of-kin, familial friends,
neighborhood resources and community networks.
E. Service hours usually range from 6 hours per week to 25 hours per week for one family
on the caseload.
F. Innerchoice has 24 staff members presently employed.
G. Clinical supervisors carry caseloads no greater than eight.
H. Innerchoice requires that all staff members transporting clients have automobile
insurance coverage and that their policies are reviewed and photocopied for their files
every six months to ensure continuity. The agency itself has liability coverage through
American Professional Agency in New York,New York.
Innerchoice is located at 415 Cleveland Avenue in Loveland, CO. The future plan is to
secure a base office in Greeley, CO and a hub office in Fort Collins, CO.
Plans are also presently being activated for a bed to be secured at a licensed Child
Placement Agency so that when family members need a time out from one another and
parents are ready to throw in the towel we are able to avoid placing the youth in a
residential treatment facility. The youth could be immediately placed at the CPA so that
treatment can continue through Innerchoice, the family can take their time out and
permanent out of home placement is avoided. This CPA placement would offer 24 hour
care and the on call therapist could continue to serve the other families who may be in
crisis or need other services.
-15-
VII. Staff Qualifications
Denise E Klein -LCSW Family Service Program Director
Denise will serve as the Program Director for Innerchoice Counseling Center. She will
coordinate inter-agency services and will manage the Innerchoice teams as they provide services
to each family. Denise earned a Bachelor's Degree in Social Work from Minot State University
and a Master's Degree in Social Work from the University of North Dakota. She was trained
in multi-systemic therapy at the graduate level and began her first paid position as an in-home
therapist. She has 12 years of experience in working with youth and families. She has
developed and implemented two separate Intensive In-home Family Preservation Programs in
North Dakota and Minnesota. Denise also worked at the Grand Forks Air Force Base with
families with multi-cultural backgrounds providing service to youth and their families reported
for child and spouse abuse. Denise has also served as a guardian ad litem, court appointed
visitor, supervised visitation monitor and foster parent.
Family Therapist/Team leader Position - This position requires a minimum of a master's
degree in social work or a master's degree in marriage and family counseling.
Behavioral Specialist/Counseling position-This position requires a minimum of a bachelor's
degree in social work, counseling, psychology or divinity.
Family Aid - This position requires training and supervision in parent education, money
management skills, life skills, assertiveness training and behavior modification. The family aid
will be trained and supervised by a master's level clinician.
Mentor - This position requires that the individual role-model healthy life skills and a large
capacity to join with a client in a positive and productive way. The mentors will be trained and
clinically supervised by a masters level clinician.
CAC I, II,III -This position requires the necessary supervision hours and course work to be
certified as a certified addictions counselor. Follow-up supervision through Innerchoice will
be provided by a CAC III trained clinician.
A. Staff including supervisors will meet the training and minimum qualifications described
in the Staff manual Volume VII, section 7.303.17 and Section 7.006,Q, Colorado
Department of Human Services.
B. 24 staff are employed through Innerchoice Counseling Center.
C. All staff members go through an initial four hour training period and receive eight
hours of going booster training sessions per month.
-16-
D. All staff will be trained in risk assessment.
E. The staff will complete the State Home Based Family Intensive Family Services
Training Component at the earliest possible date.
F. Innerchoice has hired bilingual and Hispanic staff to educate other staff members in
regard to culturally sensitive interventions and treatment. The Hispanic staff provide
consultation to our staff at least two hours per week and also work directly with the
families in their homes and communities.
VIII. Computation of Direct Service Rate (Note: See Attached)
-17-
RFP-FYC-01010 Attached A
VIII. COMPUTATION OF DIRECT SERVICE RATE-PHASE I-INENSIVE
A. This form is to be used to provide detailed explanation of the hourly rate your organization
will charge the Core Services Program for the services offered in this Request for Proposal.
This rate may only be used to bill the Weld County Department of Social Services for direct,
face-to-face services provided to clients referred for these services by the Department.
Requests for payment based on units of service such as telephone calls,no shows, travel time,
mileage reimbursement,preparation, documentation, and other costs not involving direct face-
to-face services will not be honored. Likewise,billings must be for hours of direct service to
the client,regardless of the number of staff involved in providing those services. Therefore, it
is imperative that this rate be sufficient to cover all costs associated with this client,regardless
of the number of staff involved in providing these services.
(Explanations for these Lines are Provided on the Following Page)
Total Hours of Direct Service per Client '120 Hours [A]
Total Clients to be Served Clients[B]
Total Hours of Direct Service for Year 682 0 Hours [C]
(Line [A] Multiplied by Line [B]
Cost per Hour of Direct Services $ 1$° Per Hour[D]
Total Direct Service Costs $1 S Et. 7647°2[E]
(Line[C]Multiplied by Line [D])
�
Administration Costs Allocable to Program $ 63, 504 I ]
Overhead Costs Allocable to Program $ 30 O 0o[G]
Total Cost,Direct and Allocated, of Program SA6 a4,1.°1H]
Line [E] Plus Line [F] Plus Line [G])
Anticipated Profits Contributed by this Program $ Jl 6, 1-1340-°[I
Total Costs and Profits to be Covered o
�Q 8 lo Om
0
by this Program(Line [H] Plus Line[I]) $ j1]
Total Hours of Direct Service for Year P792 d [K]
(Must Equal Line [C])
Rate per Hour of Direct,Face-to-Face Service to be
Charged to Weld County Department of Social Services $ 35.' [L]
Day Treatment Programs Only:
Direct Service House Per Client Per Month N [M]
Monthly Direct Service Rate $ [N]
31
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
of this
Request el Services for ors for Proposal.
irect,
This rate may only be used to bill the Weld County Department by Department.
Requests
services provided
based onunits of seferred for ervice such etelephonee services
calls,no shows,travel time,
mileage s for payment preparation,documentation, and other costs not involving direct face-
to-face services ill not
those services. Therefore,it
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
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) Hours [A]
Total Hours of Direct Service per Client
21 Clients[B]
Total Clients to be Served 2,35?_Hours [C]
Total Hours of Direct Service for Year $ ill!Per Hour[D]
(Line [A]Multiplied by Line[B]
Cost per Hour of Direct Services $y 33 D � [El
Total Direct Service Costs
(Line[C]Multiplied by Line[D]) $21, .2— [F]
Administration Costs Allocable to Program �5 0 [G]
Overhead Costs Allocable to Program $$�S_o o [H]
Total Cost,Direct and Allocated, of Program
Line[E]Plus Line [F]Plus Line[G]) _ _ c _ in
Anticipated Profits Contributed by this Program
Total Costs and Profits to be Covered
[n
by this program(Line[H]Plus Line [I]) 2±5_ [K)
Total Hours of Direct Service for Year
(Must Equal Line[C])
Rate per Hour of Direct,Face-to-Face S of $ 3�°�_[L]
e
to be Charged to Weld County Department
Social Services r_
Day Treatment Programs Only:
Direct Service House Per Client Per Month $--_—__.[M
I
Monthly Direct Service Rate
32
EXHIBIT B: RECOMMENDATIONS
Innerchoice Counseling Center
415 ClevelandAvenue
Loveland,CO 80537
(970)690 1853
November 5,2001
Re: RFP-FYC 01010 Residential Treatment Center Diversion(Option B)
David Aldridge
Resource Manager
PO Box A
Greeley,CO 80632
Dear Mr.Aldridge,
I have reviewed and adjusted Innerchoice's hourly rate to cover the costs and overhead. The new
rate is$120.00 per hour. After revisiting the budget with John Kruze this new figure is in line
with the costs associated with running the program more efficiently. Thank you for your support
and acceptance of the Innerchoice Program. My staff and I thoroughly enjoy working in Weld
County.Please call if you have any questions or need further clarification.
Sincerely, /f
Z:95>-11
Denise E.Klein,LCSW
Innerchoice Program Director
DEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
iiiWEBSITe www.co.weld.co.us
CAdministration and Public Assistance(970)352-1551
O Chad Support(970)352-6933
CIORA130 October 30,2001
Ms.Denise E.Klein,LCSW
Interchoice
415 Cleveland Avenue
Loveland,CO 80537
•
RE: RFP-FYC 01010 Residential Treatment Center Diversion(Option B)
Dear Ms.Klein:
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 vender list. The FYC Commission attached the following
recommendations and/or conditions regarding your RFP bid(s).
RFP-FYC Residential Treatment Center Diversion (Option B):
Recommendation:
Hourly rate stated in RFP does not seem adequate to cover costs and overhead.
It is recommended that Denise Klein meet with Frank Aaron and John Kruse to
Establish a rate more suited to this program.
B. Required Response by.RFP Bidders Concerning FYC Commission
Recommendations:
The Weld County Department of Social Services is requesting your written response to
the FYC Commission's 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.
You are requested to review the FYC Commission recommendations and to:
a. accept the recommendations) 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.
Sin ly,
Judy A. Griego,Director
Weld County Department of Social Services
JG:mhd
cc: Dick Palmisano, Chair,FYC Commission
Frank Aaron, Social Services Administrator
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