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Home My WebLink About20011398.tiff RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR MULTISYSTEMIC THERAPY AND AUTHORIZE CHAIR TO SIGN -ALTERNATIVE HOMES FOR YOUTH WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with a Notification of Financial Assistance Award for Multisystemic Therapy between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Alternative Homes for Youth, commencing June 1, 2001, 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 Multisystemic Therapy between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Social Services, and Alternative Homes for Youth, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said award. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 30th day of May, A.D., 2001. BOARD OF COUNTY COMMISSIONERS WELD CO TY, COLORADO ATTEST: &`w7 a / D.r > e„ /Z �' .. M. J Geile, C it Weld County Clerk!to -61. ItZP As o$i•` cp . .�, ul Glenn Vaal- em BY: �o.ii ��/�..- Ji Deputy Clerk to the N ,r' / Q 1,--- ° Willia Jerke ,S 7PRO D AS , ORM: cu , C. Davi E Long tiur<igAtt4ey Robert D. Masden 2001-1398 D e : d S SS0028 ate DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 CChild Support(970)352-6933. COLORADO MEMORANDUM TO: M. J. Geile, Chair • Date: May 23, 2001 Board of County Commissioners FR: Judy Griego, Director Weld County Departmen f S ial S rvic RE: PY 2001-2002 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-Alternative Homes for Youth Enclosed for Board approval are the PY 2001-2002 Notifications of Financial Assistance Awards (NOFAA) for Families, Youth, and Children Commission(FYC)Core Services Funds, which are for the period of June 1, 2001,through May 31, 2002. The Families, Youth and Children Commission (FYC) reviewed proposals under a Request for Proposal process and are recommending approval of these bids. Alternative Homes for Youth A. Intensive Family Therapy. Multisystemic Therapy (MST): A maximum of 24 clients, an average monthly program capacity of 14,for an average of 20 weeks, with an average of three hours per week offamily preservation services. The program will serve both males and females from the ages of 12 to 18, which have a primary caretaker. Appropriate youth will have one or more issues involving delinquency, drug and alcohol,family conflict, school issues, or mental health concerns. Rate is$110.67/hour. B. Day Treatment: A maximum monthly capacity of 14 youth (12-18 years of age) per year,five-eight hours of site-based services per day, 40 hours per week for 24 weeks. Rate is$47.12/hour or$1,490.41/month. Page 1 of 2 MEMORANDUM TO M. J. GEILE,CHAIR WELD COUNTY BOARD OF COMMISSIONERS RE: CORE SERVICE NOFAA PY 2001-2002-ALTERNATIVE HOMES FOR YOUTH C. Sex Abuse Treatment: A maximum of two hours per day,four hours per week, 16 hours per month. Monthly maximum capacity is limited to 12 youth and their families, monthly average capacity is 10, average length of stay is 32 weeks, average hours per week is,four hours per week. Bilingual services provided for Spanish-speaking families. Rate is$43.28 per hour. If you have any questions, please telephone me at extension 6510. of Page 2 of 2 Weld County Department of Social Services Notification of Financial Assistance Award for Families,Youth and Children Commission (Core)Funds Type of Action Contract Award No. X Initial Award FY01-CORE-007 Revision (RFP-FYC-01008) Contract Award Period Name and Address of Contractor Beginning 06/01/2001 and Alternative Homes For Youth Ending 05/31/2002 Multisystemic Therapy 9201 W. 44th Avenue Wheatridge,CO 80033 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance MST uses the family preservation model of Award is based upon your Request for Proposal(RFP). service delivery with small caseloads, services 24 The RFP specifies the scope of services and conditions hours a day, 7 days a week, convenient meeting of award. Except where it is in conflict with this times in the family's natural environment. A NOFAA in which case the NOFAA governs, the RFP maximum of 24 clients for an average of 20 upon which this award is based is an integral part of the weeks, an average of 3 hours per week of family action. preservation services. The program will serve Special conditions both males and females from ages 12-18, with a 1) Reimbursement for the Unit of Services will be based primary caretaker willing to manage youth's on an hourly rate per child or per family. behavior. Appropriate youth will have one or 2) The hourly rate will be paid for only direct face to face more issues involving delinquency, drug and contact with the child and/or family as evidenced by alcohol, family conflict, school issues, or mental client-signed verification form and as specified in the health concerns. Bilingual-bicultural services unit of cost computation. available. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. Cott Per Unit of Service 4) Payment will only be remitted on cases open with,and referrals made by the Weld County Department of Hourly Rate Per $110.67 Social Services. Unit of Service Based on Approved Plan 5) Requests for payment must be an original submitted to the Weld County Department of Social Services by the Enclosures: end of the 25th calendar day following the end of the X Signed RFP:Exhibit A month. The provider must submit requests for payment Supplemental Narrative to RFP: Exhibit B on forms approved by Weld County Department of Recommendation(s) Social Services. Conditions of Approval Approvals: Program Official: Byid/ By M.J. Ge le,Chair Ju . G ' go, Dire or Board of Weld County Commissioners W County Department of Social Services Date: 05/304.2001 Date: 5/3/p/ 2001-1398 Signed RFP: Exhibit A Alternative Homes for Youth RFP: 01008-Intensive Family Therapy, Multisystemic Therapy (MST) INVITATION TO BID DATE:February 28, 2001 BID NO: RFP-FYC-01008 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-01008) for:Family Preservation Program--Intensive Family Therapy Program Family Issue's Cash Fund or Family Preservation Program Funds Deadline: March 23, 2001, Friday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners authority under the Statewide Family Preservation Program (C.R.S. 26-5.5- 101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement (C.R.S. 26-5.3-101). The Placement Alternatives Commission wishes to approve services targeted to run from June 1, 2001, through May 31, 2002, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists, typically with all family members, to improve family communication, function, and relationships. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date (After receipt of order) BID MUST BE SIGNED IN INK Lgcxl, .j Ten,zt- TYPED OR PRINTED SIGNATURE r. VENDOR AIfernaalive WrvirS r ,�Gti ,1 (Name) Handwritten Signa re By Authorized Officer or Agent of Vender ADDRESS 9 ZO I l'1JeS1 `i`i fh A/c fit( n � n G TITLE ein 1 e-1 l I no-41 ei a ©(-0)e- --tie-IN h en+ ?iCIcp (O ?OC.3 DATE 3--1 Co--a/ PHONE# C 3O3 P-1Oo -55L4( The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 RFP-FYC-01008 Attached A INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 2001-2002 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2001-2002 A BID #RFP-FYC-01008 NAME OFAGENCY: 4i-tern(t1ve (-tomes tL'r M�rlh 9 _ADDRESS: 92O 1 roves+ Liq.fk 7-vet-it((a LUhPce -P1ci c Co lorado 8coo 3 3 PHONE: (303) 440-S.S`1 D �j (- CONTACT PERSON: (�j rir N1`Mnk1 (r, ('l{C 1T TITLE: DI rEC 6('Ofr 190. eSSI a n/S6,rvices DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must provide for therapeutic intervention through one or more qualified family therapists,typically with all family members, to mprove family communication functioning and relationships 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1. 2001 Start Jun r? 1, zoo I End May31, 20021- End Mali 3i, 2002. TITLE OF PROJECT: A l `It r r1C{ -I u M M e S fC r r" Y(1 u`I-1-, M l t 131 y 5�em i C Th era a pJ / rar r ��(x? �6� V AC/ LCo/V (4(NE 3—/v — Dt Name nd ignature of Person Preparing Document Date Name and Signature Chief dministrative 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. Indicate No Change from FY 2000-2001 to 2001-2002 Project Description Target/Eligibility Populations Types of services Provided Measurable Outcomes , _ Service Objectives Workload Standards Staff Qualifications Unit of Service Rate Computation Program Capacity per Month / Certificate ofInsurance Page 26 of 32 RFP-FYC-01008 Attached A r/ -7 Date of Meeting(s) with Social Services Division Supervisor: J ( � Comments by S I Sup iso : �-` ,F, '.' _ /,_ ' .) �L J, ,L q v- iq 4t A if 7‘ / ' v.�c "All. 1 J' '?_ . b ,.�k—� f # r� - i L a , h2 ,1-k ht; '�� itUp-tt , 7-7 Name and Signature of SSD upervisor Date Page 27 of 32 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) I. PROJECT DESCRIPTION The overall mission of the AHFY MST Program is to strengthen families. This can be accomplished by either preventing placement or reunifying children and their families. MST is a family and home based treatment that addresses the known factors associated with serious antisocial behavior in children and adolescents. To promote service access and maximize the generalization of treatment gains, MST is provided via a home-based model of service delivery by clinicians with caseloads no larger than six. Hence, MST attempts to comprehensively address risk factors and build protective factors by providing intense treatment in the natural environments where adolescents and their families function—homes, schools and neighborhood settings. MST has been successful in reducing long—term rates of rearrest and out—of home placement for violent and chronic juvenile offenders. The keys to the AHFY MST Program success are: 1. Parents are seen as the solution rather than the problem. MST therapists empower parents by using identified strengths to develop viable natural support systems and effective parenting. 2. MST directly addresses the multiple factors that contribute to delinquency. MST therapist work with families on setting and enforcing rules, promoting friendships with prosocial peers and improving academic/vocational performance. 3. MST reduces barriers to treatment. MST uses the family preservation model of service delivery with small caseloads, services 24 hours a day, 7 days a week, convenient meeting times in the families natural environment. 4. MST emphasizes therapist accountability and treatment outcomes. Families are surveyed regularly to determine consumer satisfaction and family/therapist engagement. 5. MST is a complex treatment model and involves an extensive quality assurance protocol. MST services can be provided to families that have a primary caretaker willing to manage the child's behavior. The goal of the program's interventions is to protect children while preventing placement or reunifying children and their families. These interventions occur between parent-child,between married couples,between parents with joint custody, with non nuclear family members, with schools, with peers and within the community. Alternative Homes for Youth may chose not to renew their contract with MST Services in December 2001. In that event the name of this program will be changed and adherence measures for the supervisor and therapist will not be available but all other services will be provided as described herein. 4 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) II. TARGET/ELIGIBILTY POPULATION The Alternative Homes for Youth (AHFY) Multisystemic Therapy (MST) team will target youth at risk for out of home placement or youth needing transitional services to successfully return home. The program will serve both males and females, from the ages of 12 to 18, which have a primary caretaker willing to manage the youth's behavior. The target population served will be youth with multi-problems. Appropriate youth will have more than one of the following: delinquency, drug and alcohol, family conflict, school issues, or mental health concerns. Since there is no evidence that MST is effective in keeping the following youth safe or the community safe the AHFY MST team will not accept youth with active suicidal, homicidal or psychotic behavior. These behaviors need to be stabilized before a referral to the MST team is appropriate. In addition the AHFY MST team will not accept sexual offenders in the absence of other antisocial behavior or where offense-specific treatment is required Total number of clients to be served: 24 Total individual client and ages: 10-14 will be 7 15-16 will be 12 17-18 will be 5 Total family units: 24 Sub-total of individuals who will receive Bicultural services: 50% Bilingual services: 0% Sub-total of individuals who will receive services in South Weld County: 10 Sub-total of individuals who will have access to 24-hour services: 24 The monthly maximum program capacity: 14 The monthly average capacity: 12 Average stay in the program (weeks): 20 Average hours per week in the program: 3 5 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) III. TYPE OF SERVICES TO BE PROVIDED The AFIFY MST Program will be providing family-centered services to ensure engagement of families referred to the team. The following are the key elements of these services: 1. Recognizing that the family is the constant in the youth's life, while the service systems and personnel within those systems fluctuate. 2. Facilitating parent/professional collaboration at all levels of service provision. 3. Honoring the racial, ethnic, cultural and socioeconomic diversity of families. 4. Recognizing family strengths and individuality and respecting different methods of coping. 5. Sharing with parents, on a continuing basis and in a supportive manner, complete and unbiased information. 6. Encouraging and facilitating family to family support and networking. 7. Understanding and incorporating the developmental needs of adolescents and their families into service delivery systems. 8. Designing accessible service delivery systems that are flexible, culturally competent, and responsive to family-identified needs. 9. Weekly written review of progress which will be provided to Social Services in place of the required monthly report. 10. Therapists exhibit a high level of commitment to families as evidenced by: • Persistence: assumes responsibility for engagement and strives to prevent "dropping out" • Creativity: utilizes own strengths and family strengths to increase probability of change • Responsibility: assumes responsibility for change; does not blame family or other systems for failure to support change • Action-orientation: developing the vast majority of interventions and guiding parents in conducting interventions • Knowledge: having a strong working knowledge of empirically supported treatment models • Flexibility: revising strategies/interventions as needed • Investment: developing skills needed to develop interventions and closely monitoring the interventions The AHFY MST Program will be providing family-centered services in three stages. During each stage one assigned AHFY MST team therapist provides services. The therapist works with the assigned Social Services caseworker to ensure coordinated case management of all providers involved with the family. The AHFY MST team therapist has case consultation with their AHFY team supervisor and a consultant from MST Services in South Carolina on a weekly basis. The AHFY MST supervisor is also available to co-facilitate sessions with the AHFY MST therapist. 6 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) Start up Start up involves comprehensive, diagnostic and treatment planning with the family as full collaborators. First, referral behaviors are described in clear behavioral descriptions. All key participants are identified and outcomes written from each participant's perspective. Second overarching goals are developed to guide the direction of treatment. Achievement of the overarching goals results in the elimination or reduction of the frequency and intensity of the referral behavior. These goals become the measurements to determine the success of the program. Third weekly intermediary goals contribute to achieving overarching goals. The intermediary goals target the most immediate and powerful drivers of behavior. These intermediary goals are measured weekly as met, partially met, not met. Fourth, intervention development targets who, what, when and how to make change happen to achieve the intermediary goals. The interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. The interventions require daily and weekly effort by family members. Interventions are individualized to provide therapeutic flexibility to service provision. Middle Middle of the program is the practice stage. Multiple interventions are having successful outcomes. Family members are practicing identifying strengths and developing strategies to use them to decrease referral behaviors. AHFY MST therapist is able to collaborate with the family in developing weekly intermediary goals. Intermediary goals are measured weekly as met, partially met, not met. Family is generating ideas for daily and weekly interventions. The interventions continue to assist families in resolving conflicts and disagreements decreasing child maltreatment, running away and to the behavior constituting status offenses. End Ending involves transition to ending services or transition to support services within AHFY's continuum of care or another agency. When applicable of MST Services families will be referred to North Range Community Mental Health center for ongoing medication monitoring, Island Grove Regional Treatment Center for drug and alcohol services/urinalysis, Individual Group Therapy Service (IGTS) for outpatient individual and family therapy, and Partners Inc. for individual youth services. AHFY can also offer its Community Adolescent Based Services (CABS) program to families. CABS offers family therapy, individual therapy recreation fees, tutoring,job supervision, and vocational assistance. Each family will be provided only those services purchased by the caseworker for the individual youth or family at the same hourly rate as AHFY's MST program. Services will be purchased for a month and can be renewed at the request of the caseworker for the family. Interventions in this stage are designed to promote treatment generalization and long- term maintenance of therapeutic change. This is accomplished by empowering caregivers to address family members' needs across multiple systematic contexts. 7 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) IV. MEASURABLE OUTCOMES The program goal for youth successfully discharged from the program will be measured by: (a) the number of youth able to remain in their homes six and twelve months after discharge, (b) a decrease in recidivism at six and twelve months after discharge, (c) the number of youth attending school and achieving passing grades and/or maintaining employment at six and twelve months after discharge, and (d) families reporting whether they feel the youth is doing the same,better or worse at six and twelve months after discharge.At this time we can not provide this information for services provided last fiscal year our first six month follow up on successfully discharged cases will be April 2001. The method to measure these outcomes will be completion of an interview with the family. At intake the child and family, and other service providers including caseworker, probation officer, guardian ad lidum will participate in a clinical interview to complete a comprehensive preplacement interview. Information from the interview will be entered into a database to provide a baseline of behavior. The baseline will include information on the child's legal history, school performance, employment history, drug/alcohol history, and placement history. When the youth is discharged his final monthly report and termination report will be reviewed and the information entered into the database to provide a comparison to the baseline behavior. This data comparison forms the initial review of the program outcomes. The first review of the AHFT MST Program outcomes will provide three quantitative measures. The data will show the number of children who were discharged to home at termination from the program. The data will show the number of children who were referred from placement to the AHFY MST Program and were reunified with their family and able to stay at home at discharge from the program. This data will show the number of families who successfully completed their treatment plan goals. See attached charts for 2000-2001 This same data will be collected via a phone interview with the families, whose children remained at home at discharge, six and twelve months after discharge from the program. This data will be analyzed to see the number of children who continued to remain at home with their families. Thus showing the number of children who received services whom did not go into placement, the number of children who were able to stay reunified with their family and number of families who remained intact. The baseline data on the child's legal history, school performance, work history and drug/alcohol use will be gathered again at discharge as well as six and twelve months after discharge. When the youth is discharged his final monthly report and termination report will be reviewed and the information entered into the database to provide a comparison to the baseline behavior. . This same data will be collected via a phone interview with the families, whose children remained at home, at discharge six and 8 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) twelve months after discharge from the program. This data will be analyzed to show that fundamental changes in family functioning and dynamics did occur. Overall research suggest that parents influence their children and are primary in predicting their child's involvement in illegal activities, school failure and drug/alcohol use. Hence if the data collected at discharge, six, and twelve months shows a decrease in behavior constituting status offenses and increase in prosocial behaviors the AHFY MST Program will show that services resulted in fundamental changes in the family functioning and dynamics. Therefore showing positive outcomes for the families provided services through the AHFY MST Program. See attached chart for 2000-2001 The phone interview completed at six and twelve months after discharge will also ask families if they feel their son or daughter has regressed, stayed the same or improved. This data will be collected to measure the family's perception of improvements. This data will be analyzed to determine number of families who feel satisfaction with the impact of the AHFT MST Program on their families. 9 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) V. SERVICE OBJECTIVES The overriding goal of MST is to empower parents with the skills and resources needed to independently address the inevitable difficulties that arise in child rearing and to empower youth to cope with family, peers, school and neighborhood problems. This is accomplished through a pragmatic and goal-oriented home based model of service delivery. At the family level,parents and children who are at risk frequently display high rates of conflict and low levels of affection. Parents frequently disagree about discipline strategies and have their own personal problems, which interfere with their ability to provide necessary parenting. Family interventions in MST often attempt to provide the parent with the resources they need to parent effectively and to develop increased family structure and cohesion. Interventions might include monitoring, reward and discipline strategies, prompting parents to communicate effectively, problem solving day to day conflicts and developing indigenous social support networks with friends, extended family, church and so forth. At the peer level a frequent goal of treatment is to decrease the youth's involvement with delinquent and drug using peers and to increase association with prosocial peers. Interventions for this purpose are optimally conducted by the parents and might consist of actively supporting and encouraging associations with non-problem peers by providing transportation and increased privileges. Significant sanctions are applied to discourage associations with deviant peers. At the community level parents develop strategies to monitor and promote the youth's school performance and/or vocational functioning. Typically included in this domain are strategies for opening and maintaining positive communication lines with teachers and for restructuring after school hours to promote academic efforts. Adherence to this MST treatment model is essential. Effectiveness of MST has demonstrated that strong adherence to the model is correlated with strong case outcomes. Adherence is the primary focus of the weekly consultation process and on site supervision practices. The MST consultant provides weekly consultation to each treatment team. Consultation sessions focus on promoting adherence to MST treatment principles, developing solutions to difficult clinical problems, and designing plans to overcome any barriers to attaining strong treatment adherence and favorable outcomes for youths and families. The MST clinical supervisor provides task-oriented, analytically focused clinical supervision on-site. The overarching objective of the MST clinical supervision is to facilitate therapists' acquisition and implementation of the conceptual and behavioral skills required to achieve adherence to the MST treatment model. The MST Adherence Measure for therapist ensures the follow through for each family of MST treatment principles. The questionnaire is first administered during the second week of therapy. The caller will ask the primary caretaker to answer questions about the last two to three sessions. From that point the questionnaire is administered every four weeks. The questions are than entered at the MST Institute web site and scores on the therapist adherence to MST principals are made available.This creates a rigorous quality control program. It is this close monitoring of clinical practice that assures treatment fidelity. This strategy should achieve the service objectives. Family conflict management should be enhanced thus decreasing disagreements contributing to child maltreatment, running away and other offenses. Parents should develop consistent monitoring skills providing both consequences and rewards that will actually enhance their relationship with their children through clear instruction and fair discipline regular supervision and care.Parents will have built social support linkages by tapping resources for information, feedback; caring and practical needs form the beginning of the AIIFY MST Program. 10 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) VI. WORKLOAD STANDARDS Number of hours per week: 90 Number of individuals providing the services: 3 Maximum caseload per worker: 6 Modality of treatment: MST is an intensive family and community based treatment. The MST approach views individuals as being nested within a complex network of interconnected systems that encompass individual, family, and extrafamilial factors. In MST the ecology of interconnected systems is viewed as the client. To achieve successful outcomes with these youth intervention is generally necessary in a combination of these systems. Total Number of hours per week: Start up Time Frame: 6 weeks Number of Hours (per week): 3 Number of System Interventions (per week): 2 Number to be served: 2 Total Hours per week per family: 5 Total Hours per month per family: 20 Middle Time Frame: 10 weeks Number of Sessions (per week): 3 Number of System Interventions (per week): 1 Number to be served: 3 Total Hours per week per family: 4 Total Hours per month per family: 16 End Time Frame: 4 weeks Number of Sessions (per week): 2 Number of System Interventions (per week): 1 Number to be served: 1 Total Hours direct service per week per family: 3 Total Hours direct service per month per family: 12 Total Number of individuals providing services: 3 The maximum caseload per supervisor: 8 Insurance: Certificate attached 11 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) VII. STAFF QUALIFICATIONS The staffing pattern for the AHFY MST team is one supervisor and three therapists. Each therapist will be a Master-level or highly competent, clinically skilled Bachelor-level professional. The supervisor is Master-level therapist with clinical experience with family based services. Each youth referred to the program is assigned a therapist who designs individualized interventions in accordance with MST treatment principles that address specific needs of the youth and family. Training in MST is intensive and ongoing. The basic elements of training for clinical staff include a week of orientation training, weekly consultation with an expert in MST, and quarterly booster training. The five day orientation will familiarize the therapist with the behavior problems addressed by MST; describe the theoretical and empirical underpinnings of MST; review the family, peer, school, and individual intervention strategies used in MST, teach how to conceptualize cases and interventions in terms of the nine principles of MST; and provide practice in developing MST interventions. The weekly phone consultation is to facilitate and reinforce MST conceptualization of cases. Weekly paperwork is faxed to the MST Consultant and than during the phone call intervention strategies are reviewed to ensure they are clearly connected to intermediary and overarching goals. The quarterly 1.5 day booster training is provided on-site by the weekly MST consultant. These sessions are designed to provide the therapist and supervisor training in special topics. The booster sessions also are designed to allow for discussion of particularly difficult cases. There are three distinct levels of supervision that occur with a MST team. These are peer supervision, on-site clinical supervision, and MST consultation. The AHFY MST therapists work as a team. This enables sharing of community resources, case experiences and new intervention approaches. The AHFY MST therapist meet as a team weekly for 1.5 hours with the on-site clinical supervisor to review cases. The on-site supervisor is also available by telephone for questions and emergencies. The hourly weekly phone consultation with the MST consultant focuses on promoting adherence to MST principles, developing solutions to difficult clinical problems, and designing plans to overcome barriers to obtaining strong treatment adherence and favorable outcomes for children and families. The MST on-site supervisor and MST consultant also consult monthly by phone and spend an additional .5 day together during the MST booster session. This time is to ensure that the on-site supervisor is keeping current in state-of- the-art counseling modalities and findings based on on-going research conducted by the MST Institute. 12 RFP-FYC-01008 Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE This form is to be used to provide detailed explanation of the hourly rate your organization will charge the Core Services Program for the services offered in this Request for Proposal. This rate may only be used to bill the Weld County Department of Social Services for direct,face-to-face services provided to clients referred for these services by the Department. Requests for payment based on units of service such as telephone calls, no shows,trael 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 56 Hours[A] Total Clients to be Served 24 Clients [B] Total Hours of Direct Service for Year 1,344 Hours[C] (Line [A]Multiplied by Line[B]) Cost per Hours of Direct Services $ 98.15 Per Hour[D] Total Direct Service Costs $131,913.60 [E] (Line[C] Multiplied by Line[D]) Administration Costs Allocable to Program $ 4,847.20 [F] Overhead Costs Allocable to Program $ 7,675.81 [G] Total Cost, Direct and Allocated, of Program $144,436.61 [H] Line [E] Plus Line [F] Plus Line[G] Anticipated Profits Contributed by this Progam $ 4,300.00 [I] Total Costs and Profits to be Covered by this Program (Line H) Plus Line[I] $148,736.61 [J] Total Hours of Direct Service for Year 1344 [K] (Must Equal Line [C]) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Social Services $ 110.67 [L] Page 31 of 32 Program Category Intensive Family Therapy Program Bid Category Program Title Multisystemic Therapy (MST) Vendor Alternative Homes for Youth (AHFY) IX. PROGRAM CAPACITY BY MONTH The maximum number of clients to be served by the current staff is 15 per month. The minimum number of clients needed to support the program is 6 clients per month in the start up stage of treatment. 13 MST WELD COUNTY TOTAL ENROLLMENT - 14 JUNE 2000 THRU FEBRUARY 2001 14 12 10 8 7 6 6 4 111 1 0i , PLACEMENT AT HOME AT OPEN CASES DISCHARGE DISCHARGE bsmith/mst/stats/weld 3/12/01 MST WELD COUNTY REFERRED FROM PLACEMENT - 6 JUNE 2000 THRU FEBRUARY 2001 6 5 4 3 2 1 0 Home at Discharge Placement at Discharge MST Weld County Discharges - 7 June 2000 Thru February 2001 7 f F.. il f L�rp " Wxd ti1 r t ' ' 4a,{ 'x 'SP 2 F'.Y''s� L�� d ' X54',,,,n,31,44;,a}a , 'a .N a r i') i', F *rat' re 'Fr{g }r'I x„, 4' 9^ „ 1 `' '4` : a � 4 ` t ;444 *1 r a x}t' x �`` d i w' 4 B -t,yF i fj 1» 4'70'444 44 2 ' r,: o-y{{ l '44. '' i tg;',{ yf "" ''jts�7lx �x.,,tt nsgiii: "F�r� 4:414-'4'14'4 1 ^ E E fir ` VY' ".�flii �,,:lit s� � r+ ° E� yY "x Yid � � x 1 ",' 1:'',„1,,;,41,:11%44'M'',„' P mtly q S} sa r � 2jE; 5 � ' �3 a 6 rdt Cfr, n {kf 5 e � 4i �b er Pet xf ! 5 ,• wif iER 1{I a 4 f„xCf � I 0.3•:, 'e "' S 4x .# - ; f; 34 4'44 4 n „0444-446t441' N §44� {4% P Y �F } w . f+x as 5 _E I T$D${8 �j e E x PT F i , '>�y+?. P x . �7 p ( 1 , G E ed c xw ode, ' Smw2f{t A w rc ;.w y, a E 1 ' c�{"'3*CI 1 '11 a '�5Prv.A P rBR Et { Yfi;r # i₹ �� ` }' ss �� j " . °, x 51[ro ,n 4 Ps a 4. r v4 ' r . 4F ca , ; x # i EaS:g�" "r '" M `" 4. .0 f 4t ae,"�}:'° aY , x : >t� '4x 1y ,,,,hi',1,,,,,,,"t t '. . pku}§ { $ °{k ar {'P 44444.e 1 ;4 x { ff 1isiiitl ; 4 14 'z ,a t r .. P. 4. 14 ' '..1�Y 1.,v," i. Put 44 x'S ' iY{# � { M, 3 E xpry�Yt? `'� 3iwd.!?Tik,.ni'4411'*941 S j ` } 1ND' 44 fit W� " ".4ai{�, ^'^ }r 44 1{ ' ,:; 4 l44 , $n ,.47 ,: ,4;741 ✓ F ,, 1ti rr fix '`{ h{ a 1 ,. ) _ ti y x cEn aqR e 1Ii 4. >, k, . , i a y'1 2 k * t r y �. .,�Y y: , ,E �S ' M'46' h, xs;'a ".c y �r4 , " u{. x {< {xr,'¢ 4 xy4 �f f 1. - 1 sti r,fr 4 4T r .,. 4F{)r7 IPt e a,+'5i Yf 3}t. "' *inf . ' trf3 F i 3 f ly? 3i.. ' #d r,a't a M f ,4Yf"g y `^, . 3,, . { 'a''t•Successful Unsuccessful bsmith/mst/stats/weld 3/12/01 MST WELD COUNTY DISCHARGES - 7 Illegal Activities June 2000 Thru February 2001 20 19 18 16 14 12 10 8 6 4 3 2 IL0 Illegal Activities @ Intake Illegal Activities @ Termination bsmith/mst/stats/weld 3/12/01 MST Weld County Discharges - 7 School Enrollment June 2000 Thru February 2001 10 9 8 7 5 6 5 O Discharge ■ Intake 4 3 1 2 1 1 0 Not in Graduated In School School bsmith/mst/stats/weld 3/12/01 MST Weld County Discharges - 2 Usage @Intake/Termination 2 June 2000 Thru February 2001 1 p CD E O �HH11 C 01 a) C o m E 0 CD U C Vas as a3 03 2 N 7 -a 7 MI C C ~ t N .+ Q O as I— :` C :`is 7 7@ C a 0o 2 2 T3 -ra= I U Q ■LESS THAN ONCE A WEEK ■ONCE A WEEK ❑2 X A WEEK ■1 DAILY ■3 DAILY ■3+ DAILY ENO LONGER USES T - Mi CER,I - FI CERT IFICATE OF INS 2 -5 S Ignm ....................::. . ::._:::.:. 2/ 7/190 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF Riedman Corporation INFORMATION ONLY AND CONFERS NO RIGHTS UPON 1650 Pennsylvania St THE CERTIFICATE HOLDER. THIS CERTIFICATE Denver, CO 80203-1390 DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE (303) 831-1717 AFFORDED BY THE POLICIES BELOW. INSURED = `'='`=' COMPANIES AFFORDING COVERAGE ALTERNATIVE HOMES FOR YOUTH COMPANY A: GENERAL SECURITY INS . GROUP ATTN: DENISE DOZEMAN COMPANY B: PINNACOL 9201 WEST 44TH AVENUE COMPANY C: WHEAT RIDGE, CO 80033 COMPANY D: rAmNouomoamm=gft. p*ICOVERAGES This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such:policies. Limits shown may have been reduced :by_ paid:. l•aims. ICON' INSURANCE POLICY NUMB I � �.: ' -:. ER & DATES �: LIMITS kagnagglofl A GENERAL LIABILITY 21K330009 $ 3, 000, 000 General Agg [X] Comm Gen Liab Eff 09/20/00 Exp 07/01/01 $ 3,000, 000 Pro/Co Ops Agg [ ] CM [X] Occur $ 1, 000, 000 Pers/Adv Inj [ ] OCP Eff / / Exp / / $ 1, 000, 000 Ea Occurrence [ 1 [ $ 50, 000 Fire Damage l Eff / / Exp / / $ 5, 000 Medical Exp A AUTO LIABILITY 21A330009 [ ]Any [ ]All Own Eff 09/20/00 Exp 07/01/01 $ 1, 000, 000 CSL [X] Schd [X] Hired $ BI (person) [X}Non-Ow ned Eff / / Exp / / $ BI (accident) I $ Property Dam GARAGE LIABILITY $ Auto-Each Acc [ ]Any Auto Eff / / Exp / / $ Other-Ea Acc [ ] [ ] $ -Aggregate EXCESS LIABILITY $ Occurrence [ ] Umbrella Form Eff / / Exp / / $ Aggregate [ ] Other Than Umb $ [X]WC Stat Lmts [ ] Other B WC/EMP LIABILITY 1453282 [ ] Incl [ ] Excl Eff 07/01/00 Exp 07/01/01 $ Each Acc 100, 000 EL Prop/Part/Execs $ 5 500, 000 EL Dis-Pol Lmt $ 100, 000 EL Dis-Ea Emp Eff / / Exp / / Description of operations/locations/vehicles/special items REF: 1110 "M" STREET; GREELEY, COLORADO "' CANCELLATION I CERTIFICATE HOLDER I Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor WELD COUNTY DEPT OF SOCIAL SRVCS to mail 30 days written notice to the ATTN:TONY GROEGER certificate holder named to the left, but P.O. BOX A failure to mail such notice shall pose no GREELEY CO 80632 obligation or liability of any kind upon the c any, its agents or reps . ` 0 orized RepresentativeI Supplemental Narrative to RFP: Exhibit B Recommendation(s) RFP: 01008-Intensive Family Therapy Alternative Homes for Youth • .....____.„ ,:........,, , lA Alternative Homes forYouth Residential Care and Treatment for Troubled Youth and Families. Frank Aaron Weld County Dept of Social Services P.O. Box A Greeley, CO 80632 May 23, 2001 Dear Mr. Aaron, We accept without reservation the commendation and recommendation regarding the quantifying of data,reporting of progress in writing weekly, and the continued verbal contact with Caseworkers and Department Staff. It will be a continuing pleasure to provide services in Weld County for the coming contract period. Sincerely, . . Nelson, MA, LPC V.P. Programs M, br Any i ALLIANCE 1110"M'Street ' Greeley,Colorado 80631 • (970)3536010 • FAX(970)353-5636 FOR CIU.UQEN 6 FAMILIES DO NOT DESTROY DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 ' WEBSITE:www.co.weld.co•us Administration and Pub Sup (970)(970)352-1551 (970)352-6933 C. COLORADO May 10, 2001 Mr. Bill Jennings Alternative Homes for Youth 1110 M Street Greeley, CO 80631 Re: RFP 01006 Day Treatment RFP 01008 Intensive Family Therapy RFP 01007 Sex Abuse Treatment Dear Mr. Jennings: The purpose of this letter is to outline the results of the RFP Bid process for PY 2001- 2002 and to notify you that these results will be incorporated into our Notification of Financial Assistance Award to you by May 31,2001. A. Through the 2001-2002 Core Services bid evaluation process,the Families, Youth and Children(FYC) Commission approved the RFP(s) listed above for inclusion on our vendor list for PY 2001-2002. The FYC Commission attached the following recommendation regarding your RFP bid(s). 1. RFP 01008, Intensive Family Therapy Approved with the following recommendation. Recommendation:It is recommended that Alternative Homes for Youth continue quantifying their data MST is commended by the Evaluation Committee for submitting weekly written reports and for their communication to caseworkers and department staff. 2. RFP 01006,Day Treatment: Approved with no recommendations or conditions. 3. RFP 01007, Sex Abuse Treatment Approved with no recommendations or conditions. Page 2 Alternative Homes for Youth Results of RFP Bid Process PY 2001-2002 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 recommendations and conditions. Please respond in writing to Frank Aaron,Weld County Department of Social Services, P.O.Box A, Greeley, CO, 80632, by Wednesday,May 23, 2001, close of business as follows: You are requested to review the recommendation 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 recommendation(s) in your bid. If you do not accept the recommendation(s), 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 recommendation, please do so through Elaine Furister, 352.1551,extension 6295, and one will be arranged prior to Wednesday,May 23, 2001. Sincerely, , J A. ieg Dir for ld my ep ent of Social Services Jaef - cc: Dick Palmisano, Chair,FYC Commission Frank Aaron, Social Services Administrator Lorna McDonald, Alternative Homes for Youth,MST Hello