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HomeMy WebLinkAbout20011394.tiff RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE FOR INTENSIVE FAMILY THERAPY - SHORT TERM IFT (GAP) AND MEDIATED FAMILY CONFLICT RESOLUTION AND AUTHORIZE CHAIR TO SIGN -ACKERMAN AND ASSOCIATES, P.C. 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 Intensive Family Therapy- Short Term IFT (GAP) and Mediated Family Conflict Resolution 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 Ackerman and Associates, P.C., 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 Intensive Family Therapy - Short Term IFT (GAP) and Mediated Family Conflict Resolution 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 Ackerman and Associates, P.C., 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 51 ATTEST: i J �/ ? �►4 �. /d D.GLC/ 1861 ('_�t•� �' . J eile, Ch ir Weld County Clerk to the oa itI -144 ® var Glenn Vaal rro- em BY: //� • Deputy Clerk to the Board�� ' Willi�Jerk OV D FORM: 6 David E. Long Jôuney \ M Robert D. Masden 2001-1394 Gl� SS0028 r • 4167Ths" tt"1"4 DEPARTMENT OF SOCIAL SERVICES PO BOX A ' GREELEY,CO 80632 WEBSITE:www.co.weid.co.us Administration and Public Assistance(970)352-1551 O Child Support(970)352-6933 COLORADO MEMORANDUM TO: M. J. Geile, Chair Date: May 23, 2001 Board of County Commissioners FR: Judy Griego, Director C,C Weld County Departme of cial rvi es RE: PY 2001-2002 Notification of Financial Assistance Awards (NOFAA) under Core Services Funds-Ackerman& Associates, P.C. 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. Ackerman and Associates, P.C. A. Option B, Home Based Intensive: A maximum of 84,families for an average of three hours per week of in-home services for a 20-week period The average length of stay will be 60 hours. Rate is$99.50/hour per unit of service. B. Intensive Family Therapy: 1. Mediated Family Conflict Resolution and Short-term Intensive Family Therapy-Goal Achievement Program(GAP): A maximum of 14 families per month. Average capacity is five,families per month (60 per year). Maximum stay is 20 hours over a five-month period. The program has a capacity of providing Bicultural-bilingual services to 15 families per year. Rate is$99.50/hour. Page 1 of 2 r MEMORANDUM TO M.J. GEILE, CHAIR WELD COUNTY BOARD OF COMMISSIONERS RE: CORE SERVICE NOFAA PY 2001-2002 2. Family Group Decision Making: A maximum of four families per month (48 per year) involving the nuclear family,professionals involved in the case, and individual members of the extended,family. Rate is$2,000 per family group conference. C. Sex Abuse Treatment: Projected maximum total per year is estimated at 36 families, the average monthly capacity is three families, the maximum stay is 46 sessions over a 12-month period. Group treatment is provided at an equivalent of five individual hour-long sessions. Rate is$99.50/hour. D. Foster Parent Consultation: Group training for a maximum of 12 participants with an average of four participants per group. Average stay is 12.5 hours. Telephone consultations for crisis management are available for a maximum of one-half hour per call. This program anticipates serving 60 family units. Rate is $90 an hour. Group rate per client is$45/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-PAC-17000 Revision (RFP-FYC-01008) Contract Award Period Name and Address of Contractor Beginning 06/01/2001 and Ackerman and Associates P.C. Ending 05/31/2002 Intensive Family Therapy-Short Term IFT(GAP)and Mediated Family Conflict Resolution 1750 25th Avenue Suite 101 Greeley, CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance Improve both individual and family functioning Award is based upon your Request for Proposal(RFP). through in-home and in-office services. The The RFP specifies the scope of services and conditions program has a capacity of 14 families per month. of award. Except where it is in conflict with this Maximum capacity is 5 families per month, for a NOFAA in which case the NOFAA governs, the RFP total of 60 families per year.Bicultural-bilingual upon which this award is based is an integral part of the service capacity is 15 families per year. Maximum action. stay is 20 hours face-to-face meetings per month over a five-month period.The techniques of Special conditions Mediated Family Conflict Resolution may be 1) Reimbursement for the Unit of Services will be based brought into this program. This restructures the on an hourly rate per child or per family. Mediated Family Conflict Resolution from being 2) The hourly rate will be paid for only direct face to face a free-standing program and incorporates it within contact with the child and/or family, as evidenced by the Goal Achievement Program(GAP)without client-signed verification form, and as specified in the eliminating the service for families. unit of cost computation. 3) Unit of service costs cannot exceed the monthly and Cost Per Unit of Service yearly cost per child and/or family. Hourly Rate Per $925.0 4) Payment will only be remitted on cases with, and Unit of Service Based on Approved Plan referrals made by the Weld County Department of Social Services. 5) Requests for payment must be an original submitted to Enclosures: the Weld County Department of Social Services by the X Signed RFP:Exhibit A end of the 25th calendar day following the end of the _X_Supplemental Narrative to RFP: Exhibit B month of service. The provider must submit requests _X Recommendation(s) for payment on forms approved by Weld County _ Department of Social Services. Conditions of Approval Appn: Program ffrcial: By pee/ By a ��{V 04O M. J. G ire, Chair Judy . Grie , Dire or Board of Weld County Commissioners Weld ounty Department of Social Services Date: OS -30 --26O/ Date: 5/23/01 err)/- /394/ Signed RFP: Exhibit A Ackerman & Associates RFP: 01008-Combined Mediated Family Conflict Resolution & Goal Achievement Program (G.A.P.) c._ t • • INVITATION TO BID ftcJ.Yerr-w-L g ro DATE:February 28, 2001 BID NO: RFP-FYC-01008 D of 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 Inte* ive a , 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 March 19,2001 (After receipt of order) T BE SIGNED IN INK Joyce Shohet Ackerman Ed.D. TYPED OR PRINTED SIGNATURE VENDOR Arkprman and Accoriatat p.0. as_-Sa A (Name) an written Signature By Authorized Officer or Agent of Vender ADDRESS 1750 25th Avenue TITLE President, Licensed Psychologist rreptey Cn RnR14 DATE Marrh to 20n1 PHONE# 970 353-3373 The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 32 t - RFP-FYC-01008 Attached A INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 2001-2002 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2001-2002 BID#RFP-FYC-01008 NAME OF AGENCY: Ackerman and Associates P.C. _ADDRESS: 1750 25th Avenue Suite 101, Greeley, CO 80634 PHONE:f 970)353 - 3373 (fax 970 153-3374) CONTACT PERSON: Joyce Shohet Ackerman, Ed.D. TITLE: President, Licensed Pcyrholnaist DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must urovide for theraueutithrough one qualified f mily therapistswith all family members to improve family communication—functioning. and relationships 12-Month approximate Project Dates: _ 12-month contract with actual time lines of: Start June 1.2001 Start End May 31. 2002 End TITLE OF PROJECT: Ackerman Goal Achievement Program Joyce Shohet Ackerman Ed.D. 3/15/2001 Name and Signature of Person Preparing Document Date Joyce Shohet Ackerman Ed.D. _ � � ►,aoao _=� ►�� - - �1C'l%SS . - l d N e dS`ignature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS For both new bids and renewal bids,please initial to indicate that the following required sections are included in this 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 changed _L_ Target/EligibilityPopulations no change Types of services Provided no change ± Measurable Outcomes no change x Service Objectives no chnage ( Workload Standards no change A Staff Qualifications minor changes Y. Unit of Service Rate Computation Pe chnage Program Capacity per Month nn change X Certificate ofInsurance Page 26 of 32 RFP-FYC-01008 Attached A Date of Meeting(s)with Social Services Division Supervisor: 0 I Comments by SSD Supervisor: �J� . ` '� J t( 1 °t_ (it-4-1) (tUrd Name and Signature of SSD Supervisor Date Page 27 of 32 1 1 RFP-FYC-01008 Attached A Program Category Intensive Family Therapy Program Bid Category Project Title Ackerman Goal Arhievement Program Vendor Ackerman and Associates P.C. PROJECT DESCRIPTION Please provide a one page brief description of the project. II. TARGET/ELIGIBILITY POPULATIONS Please provide a one page brief description of the proposed target/eligibility populations. At a minimum your description must address: A. Total number of clients to be served. B. Total individual clients and the children's ages. C. Total family units. D. Sub-total of individuals who will receive bicultural/bilingual services. E. Sub-total of individuals who will receive services in South Weld County. F. Sub-total of individuals who will have access to 24 hour services. G. The monthly maximum program capacity. H. The monthly average capacity. I. Average stay in the program (weeks). J. Average hours per week in the program. III. TYPE OF SERVICES TO BE PROVIDED Please provide a two page description of the types of services to be provided. Please address if your project will provide the service minimums as follows: A. Comprehensive, diagnostic and treatment planning with the family and other service providers. B. Therapeutic intervention with flexibility to bring in other services,if needed. C. Co-facilitated therapeutic services provided by one or more qualified family therapists. D. Therapy that is designed to resolve conflicts and disagreement within the family, contributing to child maltreatment,running away, and to the behavior constituting status offenses. Also,provide your quantitative measures as they directly relate to each service. At a minimum, include a number to be served in each service component.Describe your internal process to assure that PAC resources will not supplant existing and available services in the community; e.g. mental health capitation services,ADAD and professional services otherwise funded. IV. MEASURABLE OUTCOMES Please provide a two page description of your expected measurable outcomes of the project. Please address the measurable outcomes for each area as described below: Page 28 of 32 1 RFP-FYC-01008 Attached A A. Children receiving services do not go into placement. B. Families remain intact. C. Reunification of children with families. D. Improvements in parental competency,parent/child conflict management as determined or measured by pre and post placement functional tests. E. More cost efficient services through the Intensive Family Therapy Program than the placement of the child. F. Therapeutic outcomes include fundamental changes in the family functioning and dynamics. Describe your quantitative measures: Also, describe the methods you will use to measure, evaluate, and monitor each quantitative measure. V. SERVICE OBJECTIVES Please provide a one page description of your expected service objectives and quantitative measures. Please address, at a minimum, the following ways the project will: A. Improve Family Conflict Management-Mediation and counseling designed to resolve conflicts and disagreement within the family contributing to child maltreatment,running away and other offenses. B. Improve Parental Competency-capacity of parents to maintain sound relationships with their children and provide care,nutrition,hygiene, discipline,protection, instructions, and supervision. C. Improve Ability to Access Resources -services shall assist parents to work with other sources in the community and ahead the local, state, and federal governments. Describe the methods you will use to measure, evaluate, and monitor each service objective. VI. WORKLOAD STANDARDS Please provide a one page description of the project's work load standards and quantitative measures. Please address, at a minimum, the following areas: A. Number of hours per day,week or month. B. Number of individuals providing the services. C. Maximum caseload per worker. (Generally 12 families per worker. Eight to 10 families per worker if the worker provides case management services to the families on the caseload.) D. Modality of treatment E. Total number of hours per day/week/month(Minimum average of two hours of service per family per week. F. Total number of individuals providing these services. G. The maximum caseload per supervisor. (Minimum of 6 workers per supervisor.) H. Insurance. Page 29 of 32 1 r RFP-FYC-01008 Attached A WI. STAFF QUALIFICATIONS Please provide a one page description of staff qualifications and address, at a minimum,the following: A. Will your staff, including supervisors,who are providing direct services have the minimum qualifications in education and experience as defined in Staff Manual Volume VII, Section 7.303.17, and Section 7.000.6,Q, Colorado Department of Human Services. Describe. B. Total number of staff, including supervisors, available for the project. C. Will staff have expertise in family therapy as demonstrated by specialized training,workshops and experience. D. Will staff have a minimum of eight hours per year of continuing education; i.e. courses, workshops, and/or review of literature to be documented by county. E. Will staff have a minimum of one hour per week of clinical supervision provided by someone with advanced skills in Intensive Family Therapy. F. Will the clinical supervisor(s)be involved in regular training to keep current in state-of-the-art counseling modalities and findings. Page 30 of 32 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, 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 a_ O Hours [Al Total Clients to be Served 1i o Clients [B] Total Hours of Direct Service for Year ( 9_OO Hours [C] (Line [A] Multiplied by Line [B] Cost per Hour of Direct Services $ g 7. 7 D Per Hour [D] Total Direct Service Costs $ r7 / 61/0 [E] (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ �3 8to [F] Overhead Costs Allocable to Program $ 2 3 Fe° [G] Total Cost, Direct and Allocated, of Program$ / 19 9 O 0 [H] Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ O [I] Total Costs and Profits to be Covered by this Program(Line [H] Plus Line [I] ) $ / 1 /Gy 't O 6 [,7] Total Hours of Direct Service for Year 1 a [K] (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Qoj Social Services $ / ( - '° [L] Page 31 of 32 Project Description 2001-2002 The Goal Achievement Program Overview:Ackerman and Associates P.C. proposed in 1996 to use a time limited, solution focused therapy model. Its original purpose was to assist in the implementation of Family Service Plan, court ordered care plans and to assist in implementing the results of mediation. We called this the Goal Achievement Program or GAP. We propose to continue this program in 2001- 2002. Our past program was too time limited and its use was restricted to only a small number of cases. Modifications made in 2000-2001 proposal presented last year better meet the needs for a clearly time limited intensive treatment model for families resisting implementing their treatment objectives. This proposal continues these improvements. Discussion with social services has suggested that continuing a 20 hour intensive therapy model based on the GAP concepts we have used over the past year has proved to be more cost effective in helping to reduce use of more expensive longer term treatment modalities such as home based treatment. Though our monthly reports, WCDSS will be able to better plan for resources needed for individuals undergoing any further treatment after the GAP program. We strive to clearly demarcate the specific situation that brought the family into treatment with social services from more general areas for psychological improvement in these families. The only new modification for 2001- 2002 is to bring the techniques of mediated family conflict resolution into the Gap program as one technique that may be applied in this program. This restructures Mediated Family Conflict Resolution from being a free standing program and incorporates it within GAP without eliminating the service for families. The inclusion into GAP of the mediated family conflict resolution model at six hours of service provides another option for the GAP program to help clients define their treatment goals. The purpose of this highly structured time limited system is to enable family members to implement their own care plans to succeed in avoiding out of home placement. Families needing the GAP program are either imminently at risk of outplacement, need to be reunified or face imminent reunification failure and have failed or are failing to implement the behaviors required of them. The model provides up to 20 hours of solution focused therapy over no more than a five month period. Further cost savings are achieved through fee reduction for group services. Purpose: The purpose of the time limited, solution focused therapy is to implement the short term changes needed to either prevent placement of reunify the family. Clearly defined, achievable, structured behavioral changes are responsive to short term therapy because they have a very clear focus and do not necessarily require resolution of underlying personality factors to succeed. Although such long term 1 personality style change may well improve the health of the individual and the family, achievement of long term change is not necessarily a prerequisite to reunification or prevention of placement. As long as functionality of the family in relation to the safety of the child can be restored and the child is protected within the umbrella of the child protection statutes, the goals of the GAP program can be achieved. The GAP program creates a time limited therapeutic environment for the family to establish a process of change. The GAP program is the place where the implementation of the goals set out for this family can be achieved if the family is making poor progress in their own attempts to move forward. We anticipate four types of referrals. Area One - For Implementation of the Family Service Plan or a court ordered plan A Family Service Plan is created for every family at Social Services. The FSP is expected to assist them to change in a way that is in the best interests of the child, avoids placement or achieves reunification. Unfortunately, the family level of acceptance and implementation of the Family Service Plan is often less than ideal. Those who fail to adequately implement their FSP are thus likely to remain a status where out of home intervention is ongoing and appropriate. Families who are failing to implement their family service plan are appropriate for GAP referral. When the court has ordered a care plan for a family, there is likely a perception of diminished control on the part of the parents. The court has told the family what to do. This does not mean that the family has accepted what it must do. Nor does it mean that the family has the psychological skills to achieve the goals the court has set. Even when the family sincerely embraces the court's requirements, they may, at least psychologically, only have a vague or general sense how to do it. Such families are also appropriate for GAP referral when a few specific goals need to be achieved by a small number of individuals. Elimination of these psychological barriers can be achieved through solution focused therapy by enhancing the level of control the family has in achieving the goals of the plan. In families that are resisting intervention by social services and are about to enter (or reenter) foster placement, short term therapy would focus on the implementation of the care plan goals. A major objective of the therapy is to build a sense of ownership in the solutions achieved. If foster placement is necessary, this model should shorten the length of foster placement. The therapy of reunification would focus on the implementation of goals that specify what behaviors need to be achieved to reunify the family. If the family treatment proceeds rapidly, the cost of that placement should be minimized. Area two: Use of the Goal Achievement Program may reduce entry into more extensive and expensive treatment. Use of GAP as a time limited plan to precede more intensive therapy is a useful cost saving strategy. Some families may succeed in 2 treatment in this shorter term model if it is applied early in the process and thus have need for less services over time in longer term programs such as Home Based or Day Treatment. We anticipate those families can be identified by having a discrete and well quantified set of goals they need to achieve to meet Social Services requirements for the protection of the child. Area Three: Family specific caseworker referrals. Other situations will occur in relation to specific families and will become known to the caseworker who will refer to GAP for short term treatment in relation to child protection. Some aspects of this may include specific parental attitudes toward discipline, religious beliefs about corporal punishment, short term issues related to discipline in the parents own upbringing or other issues. Area four Meditated family conflict resolution using a single mediator and completing a specific mediation in a 6.5 hour period using the model described in prior bids is incorporated into GAP as one technique that may be used within the up to twenty hours of treatment GAP may reduce the need for and renewals for more expensive forms of treatment. Use of this time limited model may reduce the need for renewal for longer based and more expensive programs such as Option B. The new rules for this contract cycle require that all clients at the end of their program treatment will exit with clear continuing objectives for treatment if further treatment is needed to protect the child. GAP is a logical lower cost program for this situation to implement these remaining psychological changes and life skills programs are appropriate for acquisition of specific skills needed. The GAP program will help the family define its role in how the plan will be implemented. Since they must be the ones to change, a short term focused treatment model will assist them to accept that requirement and to determine how this will work in their particular case. GAP is intended as an early intervention tool either as the first form of treatment when families establish goals or after a prior program has achieved a partial success setting goals but these have not been effectively implemented. The therapeutic role provided through the GAP program is first one of achieving psychological acceptance of the care plan. What are the ways the family will decide to change to meet the requirements of the Court or Social Services in the shortest possible time? Finding the answers to this question is the overall purpose of the short term therapy. From this point the family can return to direct caseworker supervision. If they continue to fail to implement the plan they would be able to return to GAP for more focused work on what they will do only if in the opinion of the caseworker and the supervisor as well as the treating therapist this would be an appropriate treatment protocol. Some should be able to step down to a life skill support program for a specific area of difficulty. 3 Design: The time limited, solution focused therapy consists of up to twenty hours of therapy in a period of five months. The structure of how the therapy is arranged is variable. For purposes of the bid it is projected as weekly therapy over twenty weeks. However, the providers can structure this time to be more concentrated if needed, to use mediation or other techniques within this time limit. the addition of mediation can help families who are "stuck" as to how to get started in that it can help them design a way to meet the requirements of their case plan as opposed to just agreeing to do it then not being able to. The key design feature is to achieve implementation of the goals that are developed for the family. Whether those goals were developed through mediation, the Family Service Plan, the court ordered care plan or refined in the first few sessions of the GAP referral, progress should be evident by the tenth hour of treatment. In addition to monthly reports, a treatment summary will be prepared after the tenth session and forwarded to social services. The treatment summary at the tenth session is the basis for seeking a program renewal if it is deemed clinically appropriate. However, we anticipate the need for renewal to be unlikely to be clinically appropriate in this model of treatment. The GAP program will seek to enhance the adoption by the participant of objectives set forth by Social Services or the Courts by moving from an adversarial to a problem solving/therapeutic model of interaction. The therapeutic needs of the diversity of families requires some clinical flexibility on the part of the therapists in scheduling. Scheduling also needs to be done considering other criteria, particularly cost effectiveness. Families needing reunification will be on a faster track (if it is clinically appropriate) since the judicious reduction of foster placement time is quite cost effective. Delivery of services may be either in the family home or in the office setting. As currently envisioned the program will be a combination of individual and family sessions coupled with group treatment modalities for treating issues in common across families - such as parenting skills, being a teen, women's issues, assertiveness, communications. Group services are at a reduced fee of 50% of individual/family sessions and are based on any number of the family participating in the group for the same fee as one participant from the family. A group consists of clients from two or more cases. Other Considerations: Since intensive inpatient treatment programs and more expensive Home Based treatment programs have been a major source of the expenditure of Social Services funds locally, including the GAP program as a less expensive goal focused short term model is appropriate. The evaluation at the end of the fifteen to 20 hours will specify any unresolved issues in cases where further treatment is needed. There is no risk of the program running up excessive costs for any one family 4 because of the time limited session model. The program does not seek renewals for a second round of treatment unless this is the lowest cost option appropriate for achieving success as determined by the case worker and supervisor. The families and the caseworker will evaluate if further treatment is needed at the end of the GAP process by reviewing with the family progress at the completion of the GAP process. Individuals needing further treatment after GAP may be placed in other programs in the community if they are likely to eventually succeed. Those who graduate to a less intense program may need a closely monitored follow up for specific life skill support. If the caseworker determines they should return to the GAP program, this will only be when there are a clearly achievable objectives to meet in a few additional sessions. We structured this treatment approach to have a maximum cost of $1950 per family to be cost effective and in some cases a more useful intermediate step before placement in more costly treatment for appropriate referrals. Referrals have been stable over the past several years at about one family per month for our initial shorter term program, but should increase as this provides a lower cost option than home based treatment in a manner that is not open ended or likely to become long term psychotherapy. The program is very easily measured because it will always have a clear starting point for each family. The strategy to operationally adapt or individually tailor the requirements of social services or the courts to the families specific needs or dynamics will define the level of success achieved in complying with the goals of therapy. Resolved and unresolved issues will be stated in the Family Implementation Plan for each family and sent to the caseworker at the conclusion of up to 20 sessions of treatment. Finally, this program appears to have filled a need for the Weld County Department of Social Services on at least two levels. First, based on discussions we have had with our supervisors, the GAP program appears to fill a gap that truly exists in the continuum of care for families that meet the PAC criteria. Second, this is a lower cost intervention design which may be cost efficient in avoiding more expensive alternatives to placement. Target/Eligibility Populations A Total number of clients to be served in this twelve month program has been calculated as follows. Five families per month times twelve months equals sixty families per year. If we assume a family size of five, two adults and three children, then the total client pool to be served is 300 individuals. That number includes at least 60 individuals who face either imminent outplacement or need reunification. These calculations make an assumption of a relatively even distribution between the three groups. We have the capacity to serve more than this number if demand for the services is there. 5 B. Distribution of clients. Total number of clients we will serve is approximately 300 as calculated above. We would expect approximately 120 of these would be adult members of the family and approximately 180 would be minors. We estimate that they would be distributed across the age range from 1 to 17. The older children would most likely be teenagers in conflict with their family most often concerning issues related to their maturation into adults. The younger group will consist of children of no particularly predictable age whose parents are in conflict usually in relation to instability in the marriage, neglect or abuse. Neglect or abuse may be present in either group. C. Families Served. We anticipate serving sixty family units. This estimate reflects the changes in the program to better meet the needs of Social Services and the increase in demand for the program over the last year. D. Sub total who will receive biculturaVbilingual services. We anticipate we can serve twenty-five percent ( 15 families) or more of the total referred in a bilingual manner. All of the staff have extensive cross cultural experience. We have a member of the staff, Emily Jaramillo-Bansberg, M.A., Licensed Professional Counselor , who is fluent in Spanish. She is also Hispanic. She has specific training in solution focused therapy and specializes in working with children, teenagers and families. Joyce Shohet Ackerman, Ed.D. has spent several years working in American Indian reservation populations. Larry Kerrigan, Ph.D., has more than twenty years experience as a therapist in Greeley working with the Hispanic population through the Weld Mental Health Center and Susan Bromley, Psy.D., is both a social worker and a psychologist with extensive experience training students in cross cultural sensitivity. Where there is a very young child, Sherri Malloy (Gonzales), Ph.D., who has bicultural experience at the Boulder Mental Health Center can use a brief play therapy session to demonstrate to the parents the impact of the family disruption of the younger children. Nicole Wamygora, M.A., L.P.C., Karen Bender, M.A., L.P.C. and Cassie Yackley M.S., L.P.C. also have clinical experience with bicultural families. E. We can provide services in South County in the home or at another site if this is not feasible if Social Services can provide a site to do such work. Services are also available at our Greeley offices. F. Accessibility. On weekdays, all providers of Ackerman and Associates are accessible through our office secretary and through cell phones and pagers. After hours we maintain a 24 hour answering service and pager system. On weekends, this 24 hour access reaches the provider on call who is always a licensed Mental Health provider. G. Maximum per month. The program maximum is fourteen families per month. 6 H. The monthly average capacity is five families per month. I. The average stay in the program is expected to be 20 hours over a five month period. The maximum stay is 20 hours over a five month period. Scheduling would be flexible and would attempt to maximize effective treatment in terms of achieving the best avoidance of placement or the most efficient return from placement. Group treatment would be used at a rate of one half of the proposed rate of this bid so each hour of group treatment would be equivalent to one half hour of individual treatment. Types of Services Provided We propose to provide up to a maximum of 20 hours of short term solution focused treatment. We would use a flexible scheduling model which would allow the therapist clinical judgment in meeting the needs of the family and maximizing the cost effectiveness of the treatment. During the first two sessions, specific goals will be identified and shared with the caseworker. Development of the Family Implementation Report would begin at the first session and progress will be documented by the last session of the GAP program. For all families, the last session will be the summation and evaluation session to review the Family Implementation Report. (For those families that terminate without notification, the therapist will write an end of treatment summary which will serve as a summation and therapeutic recommendations to the caseworker.) The final session explicitly summarizes for the family what they have achieved and what they need to continue to work on. It also creates a structured record in the same format for all families so the program can be evaluated on how well it succeeded in helping implement specific changes that correlate with accelerated reunification or are associated with avoiding placement. In terms of the criteria for the PAC process: A Comprehensiveness: Solution focused therapy does not attempt to provide a comprehensive assessment or diagnosis of the family in a traditional psychotherapeutic model. It focuses the family on rapidly achievable solutions to the problems related to either their mediation contract, their Family Service Plan or their court ordered care plan. We would require that the referred families have their Family Service Plans and their court ordered plans as applicable shared with the program at the time of referral. B. Access to other services: The purpose of short term therapy is to explicitly solve problems and lower barriers to achievement of the care plan. If the solution to a 7 concern involves the referral to other services the caseworker will be notified at or before the conclusion of treatment and that service can be arranged for the family if they have not done so themselves. C. Consultation: Because there will be eight providers of short term focused therapy in the same group, each provider will have the opportunity to consult with other providers in Ackerman and Associates of similar services. We will use a consultation mechanism which preserves client anonymity. The therapy sessions will be conducted by a single provider. D. Conflict Resolution: This GAP process is amenable to conflict resolution assuming conflict reduction is one of the goals that needs to be achieved by the family. Cognitive behavioral and other techniques are used to clarify issues in dispute which cause psychological distress. From that point strategies are developed to resolve those issues. The creation of an outcome document (The Family Implementation Report) documents the points of action taken in relation to improving the family functioning in relation to the conflict (issue of child protection) that brought them into the Social Services system. Mediated family conflict resolution techniques established through several years of use as successful in this population are now incorporated into this model as well. Measurable outcomes are of two varieties. One type is termed formative outcomes and the other type is called summative outcomes. Formative outcomes measure how the program is proceeding while the treatment takes place. Summative outcomes are the results of the treatment. In terms of formative measures we have the following... 1. Did the family follow through with the referral from their caseworker? 2. Did the family attend the sessions that were scheduled? 3. Did the family need all possible hours allowed? 4. Did the family complete the FAMILY's IMPLEMENTATION REPORT portion of the program or was it completed by the therapist? We expect a 95% follow through for contacting us. This data will be based on a comparison of referral documents received compared to the record of appointments of the family. We expect 95% to attend a first session, 95% to attend a second or further session. We expect that 90% will complete five or more sessions. We expect 80% to complete the process to the point that the therapist deems complete within the 20 session limitation.. Summative outcomes A The child receiving services does not go into placement. At the final session (or in 8 the therapists summary) the length of time between the referral to the end of treatment will be recorded. We expect 85% of the index children referred to avoid placement. B. Families remain intact. Physically intact means the child remained or returned to the parents residence as specified in the treatment plans. We expect 70% of the families referred to remain physically intact and an additional 20% to remain psychologically intact (placed with a relative) as a result of this model. In our experience psychological intactness is usually accompanied by less formal care relationships than foster care such as living with other relatives who were previously not willing to assist. C. Reunification of children with their families. Short term GAP therapy should be very amenable for the reunification of families because the family will have a Family Service Plan, a court ordered plan or a specific goal designed with the caseworker. The nature of the therapy will keep these goals focused before the family. We would expect reunification therapy to be more intense in terms of being done over a shorter time frame. We would measure the length of time between initiation of short term therapy and the reunification in these cases. We expect that 70% of the families will be reunified by this process. D. Improvement in parental competency and parent child conflict management are expected to occur in all families who complete treatment. The persistence of these changes can be measured by self report or later follow up if funded. The areas for further measurement at a later time would be derived from the Family's Implementation Report. Parental competency questions will be linked to the treatment plans. Did the families achieve the behaviors needed to meet the goals of the treatment plan during the therapy process? E. Cost effectiveness. The program is expected to be cost effective. The cost of this program is projected at a maximum of $1990 per family for 20 treatment hours. On an average 15 hours of treatment would cost $1492.50. Cost per individual or family treatment hour would be $99.50. Cost for group treatment would be $49.75 per session hour regardless of the number of family members attending. Use of group time would not extend the twenty hour maximum as the maximum cost is capped at $1990 per case. Of course, treatment time may prove to be shorter than the projected 15 - 20 hour average. Further, if any patients can use this program as an alternative to either inpatient or day treatment programs or home based programs by using our intensive outpatient approach, cost effectiveness increases substantially as a lower cost program is replacing a higher priced program to achieve the same result. Also use of this program for finishing treatment after another program rather than a full renewal to another more expensive program would be cost effective. 9 F. Does this program produce fundamental change in family dynamics? The process of solution focused therapy has the family define the behavioral goals for itself early in the process. At the last session these goals will be listed and the family will report 1) if that goal has been met and 2) if they think the change is likely to last for more than two months from that date. Item two provides a benchmark for evaluation of ongoing behavioral change. While the program is not focused on fundamental change it does provide a model for successful problem solving and learned problem solving skills interpersonal and negotiation skills are important as tools for producing fundamental change in the family. Service objectives We have the following service objectives: A Improvement of family conflict management. The goals of family conflict management and preventing conflict which places the child imminently at risk are expected to be one of the goals most families will need to work on during the GAP program. B. Improved parental competency in PAC sponsored programs seems to center on each parent developing more age appropriate and family system appropriate strategies to prevent situations from reoccurring that again need Social Services intervention. In dealing with conflicts with their child especially with teenagers, the areas of discipline, protection, instruction and supervision often need examination and practice to attain sustainable solutions. With younger children, the therapy gives the parents the opportunity to implement and better define the roles each parent expects of the other. Those parental behavioral goals specified in the referral from the caseworker to the GAP program will be the ones worked on. Thus we help achieve goals that increase parental competency. C. The ability of the family to access resources is a strength of the short term therapy model. Short term therapy has one of its origins in programs designed to assist employees which is called the employee assistance plan or EAP model. EAP services specialize in directing people to the resources they need to solve a specific problem, using a very focused approach. The services recommended are determined by the explicit problems presented and what has caused those problems. Determination of additional services needed is a standard portion of short-term therapy. This needs to take place within the framework of the referral. It is necessary to balance the need for immediate solutions, to protect the child, with the desire for optimal improvement in trying to solve all current and future issues for the family. Usually in the first session, goals are clarified. In the subsequent sessions resources are specified that are needed to help reach those goals. The methods used to document the service objectives will be a comparison of the 10 stated goals of the treatment plan with the summative evaluation completed in the last session. For the project we will report on the type of goals and how well they were achieved using this short term treatment model, the numbers of children who were reunited or avoided placement, and the other summative criteria listed under measurable objectives. Workload Standards A. The program has a capacity of 14 families per month. We anticipate an average of five. This is approximately a average of 50 hours of face to face meetings per month. At each meeting, one therapist is present. This represents 600 hours of therapist time per year. The maximum is 1680 therapist hours per year. B and C. There are eight providers/four licensed psychologists, three professional counselors and a bilingual master's level therapist completing liscensure who will provide these services. All have specific training in short term solution focused care treatment. All have work experience as providers who have used this model in treatment. D. The modality of treatment is a short term solution focused treatment. E. Hours/month The total number of therapist hours is 140 per month or 1680 per year. F. Staff There are eight individual providers supported by two administrative professionals in the practice. G. Supervisor This contract would be supervised by Joyce Shohet Ackerman, Ed.D., who would monitor the project for compliance. Providers are individually licensed and do not require clinical supervision except for one therapist who is being supervised by a licensed psychologist in the practice. H Insurance All providers carry one million/three million liability, Ackerman and Associates carries an additional one million/three million liability policy on the group and a general liability policy which meets the required criteria for this application is on file with the county and is provided through Farmers Insurance. Staff Qualifications A. and B. Staff Qualifications Seven staff members are available for the project. They exceed the minimum qualifications specified as documented below. The staff are: Joyce Shohet Ackerman, Ed.D., Licensed Psychologist; Susan Bromley Psy. D., Licensed Psychologist (and Licensed Social Worker); Emily Jaramillo, M.A., L.P.C.; Laurence P. Kerrigan, Ph.D., Licensed Psychologist; Sherri Malloy Ph.D., Licensed 11 Psychologist ; Karen Bender, M.A., L.P.C. and Nicole Wamygora, M.A., L.P.C. and Cassie Yackley M.S., L.P.C. All of these are solution-focused, therapy providers. C. Training The staff has extensive training in family therapy and short term therapy as documented by their extensive work experience. Collectively, seven of the eight providers have held licenses in their field for a collective total of more than 50 years with a range of 1-20 plus years, and an average length of liscensure of about 10 years. Resumes are available upon request. D. Continuing education!As a part of their work in the private sector all providers in this group maintain continuing education programs, more than the minimum eight hours required. They participate in workshops and other activities. This proposal's continuing education requirements coincide with the requirements of other contractual arrangements and are being met on an ongoing basis by members of the group. E. Supervision All of the eight providers are independently licensed and not required to have clinical supervision. All the staff have advanced skills in intensive family therapy. The contract supervisor will monitor the specifications made in this proposal. F. Supervisor continuing education The supervisor of the project is involved in ongoing training to keep current with her profession through advanced workshops and seminars. Ackerman and Associates, P.C., of which the supervisor is the president, has more than ten years contracting experience for major managed care companies as short-term, solution focused therapy providers in Weld County. By contract, we have provided more than 1000 short-term therapy sessions per year, for three of the last five years. Dr. Ackerman manages all short-term, solution focused therapy contracts for Ackerman and Associates. Unit of service rate computation We are requesting to stay at the rate of$99.50 per hour for the GAP program. It provides $59.70 for the therapist and overhead expenses of $39.80 per therapist hour. This is the proportion of therapist fees to overhead that we have set for all programs of Ackerman and Associates. Group services will be billed at one-half this rate and will apply to any session where one or more members of the family are in group. No additional fee will be charged for additional family members in group or individual/family sessions. Group is defined as a session containing clients from different cases. An individual/family session is any session with an individual, couple, or family unit from the same case. The overall profit margin for Ackerman and Associates, P.C., for 1999 was 2.9 % of gross revenues. No profit was generated in FY 2000. 12 Budget Justification/Standards of responsibility for 2000-2001 bids These rates are reasonable and customary for providers of the licensed doctoral level and breadth of training assembled in this proposal. Our fees, we believe, are justified by the documented success rate we have demonstrated in the application of short-term, solution focused therapy techniques for prevention of placement. PAC money is tracked through a computer data base system. The system allow us to track payments by client and by source of payment. Any payment through PAC will be tracked in this manner. No special issues are presently related to project audit to our knowledge and a random project audit and yearly audit for WCDSS has shown no discrepancies. Audits will be conducted on a yearly basis. Ackerman and Associates, P.C. is a type S professional corporation and not a 501.c.3. Modifications originally made to meet the bid requirements for 2000-2001 have been continued as follows: Standard of responsibility III D: The RFP reflects the precise number of sessions needed to be effective, the number of sessions per week and the cost of each session. For this program, these are fifteen to twenty individual/family sessions , one session per week on average, and the cost of each session is $99.50 per individual or family hour. Group sessions can be substituted for individual family sessions at $49.75 per group hour. Two group hours is the equivalent of one individual/family hour. Standard of responsibility III E : The RFP must eliminate renewals or reduce the cost of the renewal, should it need to be reinstated. The mechanism to reduce renewals is that renewals will not be accepted except for specific short-term goal therapy. The goal of this program is for less than one in ten families to need a renewal. A renewal will have a maximum of ten hours of treatment provided. This will be done over an additional five month period, once every other week, as a step down protocol. The only reason for acceptance of a renewal is if the client did not completely meet the criteria to return the child safely to the home. It is likely that a few additional hours of short- term, solution focused treatment, will significantly increase the protection of the child. Standard of responsibility III F: The RFP has a process for renewals sixty days ahead of the program termination. This is the ten hour administrative review. If the client is not making progress, transition to another program may be initiated at this time. Standard of responsibility III G: The RFP reflects a maximum number of hours in three stages of the program. We anticipate the average use of the program to be approximately equal in the first year in each of these three areas on a family by family basis. The first eight hours of therapy will occur in the first third of the time for that family, the second six hours will occur in the second third of the treatment, and the last 13 six hours will occur in the last third of treatment. No family will complete treatment of twenty hours in less than three months and no family will take longer than six months. Families that need less than twenty hours of treatment will need less time proportionately. As this is a new rule and its implications are unclear at this time, we request a direct meeting with Social Services, in a timely manner. If there is any concern in relation to this standard of responsibility in the next fiscal year, we can remedy any potential concerns if they arise. Standard of responsibility Ill H: The RFP requirement for a letter regarding carry over into the 2000 -2001 project period is acknowledged. No clients are anticipated for carry over status at this time. Standard of responsibility I is acknowledged. For the GAP program, the case management plan will be developed with the family at their first meeting. A monthly report will be provided. A final narrative will be provided, and all other aspects of the bid process adhered to. 14 — Agent Policy Number Ty of , The,named insured is an individual unless otherwise stated: ❑ Partnershi ® Corp. Business OFFICE ❑ Joint Venture LJ Organization(Other than Partnership or Joint Venture) 2. Policy Period from 07/01/00 not prior to time applied for) to 07/01/01 12:01 a.m.Standard Time. If this policy replaces other coverages that end at noon standard time on the same day this policy begins, this policy will not take effect until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance, we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums, rules and forms then in effect. 3. Insured location same as mailing address unless otherwise stated: 1750 25TH AVE SUITE 101 GREELEY CO 80631 4. Mortgage Holders Loan# Loan# 5. Premium$ 507.00 ❑ "X"if Mortgage Holder Pays 6. Policy Forms and Endorsements attached at inception: 25-2880 E4103-ED2 565310-ED2 S0700-ED3 E6036-ED1 E4168-ED1 E4004-ED1 E4216-ED1 E3026-ED1 7. We provide insurance only for those coverages indicated by a specific limit or by an Ea COVERAGES LIMITS OF INSURANCE DEDUCTIBLE A-Building $ $250 applies unless other SECTION 1 B-Business Personal Property $ 52,000 o tlon Indicated IA(an® M10003500 US C-Loss of Income(Not exceeding 12 consecutive months) ACTUAL LOSS SUSTAINED NONE Property OPTIONAL COVERAGES and Swimming Pool/Fences and Walkways $ Above deduc-$ Loss of IC Building Glass(Blanket) REPLACEMENT COST table applies $ 100 Income T Outdoor Sign Coverage $ 100 unless other $ Valuable Papers(In addition to$1000 Included.) $ option Inch- 3 cated. 9 Earthquake Damage See Coverages % A,B,&C of the applicable ins. limit. SECTION II D-Business Liability-Including Products and Completed LIMITS OF LIABILITY— --. Operations. (Annual aggregate applies for all occurrences (Annual Aggregate) during the policy period.) $ 1 ,000,000 Liability E-Fire Legal Liability$75,000 included unless other option Indicated by an and 0$100,000❑$150,000 each occurrence(Subject to the annual aggreagate shown for Coy. 0) Medicals F-Medical Payments to Others(Subject to the annual aggregate $5,000 each person shown for Coverage 0.) Limit of Liability (Annual Aggregate) ❑Professional liability(see attached endorsement) $ ®I-V COVERED DEDUCTIBLE SECTION III Agreement I-Employee Dishonesty $5,000 NONE Agreement II-Broad Form Money and Securities-Inside $1,000 $250 Agreement III-Broad Form Money and Securities-Outside $1,000 $250 Crime Agreement IV-Medical Payments $500 each person NONE Agreement V-Forgery or Alterations $2,500 NONE 56-5308 2.92 END EDITION Countersigned r AFL I V.-X ,l/D � J Authorized Represents ive Attach to your policy with the same number shown on this endorsement. E4 1 03 • 2nd Edition Named insured• DR JOYCE SHOHET ACKERMAN PC Agent Policy Number Address• 1750 25TH AVE SUITE 101 GREELEY CO 80631 07-04-362 04576-38-07 • of the Company designated in the Insured Declarations Location (Same as above unless otherwise stated here) Effective Date 07/31/96 Limit of Liability$ 1,000,000 each occurrence $ 1,000,000 Annual Aggregate ADDITIONAL INSURED ENDORSEMENT (SPECIAL SENTINEL) In consideration of the premium we agree with you to the following: 1. The insurance provided by this policy for bodily injury liability and property damage liability under Coverage D—Business Liability insurance will also apply to the additional insured named below, but only with respect to an occurrence arising out of the ownership, maintenance or use of that part of the insured location occupied by you. 2. This insurance does not apply to: (a) Any occurrence which takes place after you cease to occupy the Insured location. (b) Any structural alterations, new construction or demolition operations performed by or for any additional insured named below. 3. The additional insured will not be construed or deemed to be a subscriber to the Company issuing this policy. 4. The additional insured will not be or become liable for any premium payments due upon this policy. 5. If this policy is terminated for any reason we will give 30 (THIRTY) days notice in writing to the additional insured named below. • This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all other terms of the policy. STATE OF COLORADO Additional AdC/0 WELD COUNTY SOCIAL SERVICES DEPT Insured ATTN: JUDY GRIEGO PO BOX A • GREELEY CO 80632 Countersigned Authorized Representative FARMERS 0-, ,111III,L,1I� 4NUIIV -. 914103 2ND EDITION 6.95 1501 K.95 1501 = -�=T • MEMORANDUM OF INSURANCE Date Issued 05/24/2000 Insured This memorandum is issued as a ACKERMAN AND ASSOCIATES PC matter of information only and confers 1750 25TH AVENUE no rights upon the holder. This GREELEY Co 80631 memorandum does not amend, extend or alter the coverages afforded by the Certificate listed below. Company Affording Coverage Producer Chicago Insurance Company Kirke Van Orsdel 1776 West Lakes Parkway West Des Moines, Iowa 50398 Covered Person (Status) Owner x Employee JOYCE SHOHET ACKERMAN This is to certify that the Certificate listed below has been issued to the insured named herein for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may be issued or may pertain, the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of such Certificate. The limits shown may have been reduced by paid claims. Certificate Type of Insurance Number Effective Date Expiration Date Limits Professional Liability each incident S1,000,000 Claims-Made 45P-2032570 05/01/2000 05/01/2001 annual aggregate $3,000,000 Covered Person's Retroactive Date: 05/01/1992 Should the above described certificate be canceled Memorandum Holder before the expiration date thereof, the issuing company will endeavor to mail written notice to the named Memorandum Holder, but failure to mail such GADRIAN notice shall impose no obligation or liabilty of any PO BOX 172687 kind upon the company, its agents or representatives. DENVER CO 80217 Authorized Representative: e eCtittrsa 6LR •• Issue Date: 12/01/00 �` The Reciprocal PROFESSIONAL LIABILITY OCCURRENCE ��� Alliance INSURANCE POLICY FOR Risk Retention Group PROFESSIONAL COUNSELORS AND HUMAN DEVELOPMENT PRACTITIONERS ACA Insurance Trust,Inc. 5999 Stevenson Avenue ACA UTsq �a Policy Number: CL10073401 Administered by: Alexandria,VA 223043300 Tell Free:11004347.8647 x284 ... ITEM DECLARATIONS INDIVIDUAL POLICY 1 NAMED INSURED: Norma Karen Bender 2. ADDRESS: 1104 Twin Peaks Circle Longmont, CO 80503-2170 3. POLICY PERIOD: From: 02/04/01 To: 02/04/02 12:01 A.M. Standard Time at Location of Designated Premises 4 The insurance afforded is only with respect to such of the following types of insurance as indicated by specific premium charge or charges: COVERAGE PREMIUM A. PROFESSIONAL LIABILITY S 370 . 00 B. GENERAL LIABILITY S 0 . 00 TOTAL PREMIUM: S 370 . 00 5. LIMITS OF LIABILITY: $1 , 000 , 000 each Incident or each Occurrence $3 , 000 , 000 in the Aggregate 6. THE NAMED INSURED IS: Sole Proprietor(incl. Individual) Partnership Corporation X Other(refer to Item 7 below) 7. BUSINESS OF THE NAMED INSURED: Self-Employed (Rating Category) Counselor/Human Development Professional 8. This policy is made and accepted subject to the printed conditions of this policy together with the provisions,stipulations and agreements contained in the following forms) or endorsement(s): CPL•0004.0199 CPL•0005-0199 CPL.0006-0199 NOTICE THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP. YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OF YOUR STATE. STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK RETENTION GROUP. CPL•0005•0199-00 Branch B/A Producer# Issue Date Renewal/Replacement No. 32 A 0002360 03/08/2001 RENEWAL PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY PURCHASING GROUP POLICY NUMBER: 452-0002000 NOTICE: THIS IS A CLAIMS-MADE POLICY, PLEASE READ THE POLICY CAREFULLY. 'e_:r. DECLARATIONS CERTIFICATE NUMBER: 45P- 2050203 NAMED INSURED: SUSAN PLOCK BROMLEY PSYD ADDRESS 1621 13TH AVENUE N umber & Street, Town, GREELEY CO 80631 Count , State & Zip No.) POLICY PERIOD: From 04/01/2001 To 04/01/2002 (12:01 A.M. Standard Time At Location Of Designated Premises) COVERAGE: LIMITS OF LIABILITY Professional Liability $1 ,000,000 PRL=\71C\i $3,000,000 S802 . u6 each Incident Aggregate BUSINESS OF THE INSURED: v gy Ps cholo THE NAMED INSURED IS: ( X ) Sole Proprietor (including Independent Contractors ) ( ) Partnership ( ) Corporation This policy shall only apply to incidents which happen on or after: a) the policy effective date shown on the eclarations; or b) the effective date of the earliet clais- ade policy cnueddsby thent Company to which this policy is a renewal; or c) the date specified in any emhereto. 04/05/1996 This policy is made and accepted subject to the printed conditions of this policy together v, tin the provisions, stipulations and agreements contained in the following form(s) or enclorsemcet,.; P' - 2008 ( 10/94 ) POE -8004 ( 5/88 ) PLE-2167 ( 07/00 ) PLE - 208 : P0N - 2003 PLE -8035 ( 09/97 ) CHICAGO INSURANCE COMPANY 55 E. MONROE STREET, CHICAGO, ILLINOIS 60603 REPRESENTATIVE: Agent or Broker: Kirke Van Orsdel Office Address: 1776 West Lakes Parkway Town and State: West Des Moines, IA. 50398 Toll-free Number: 1-800-852-9987• dVNi. PLP-2u!2 (06/93) (Elec.) PRIOR ACTS EXTENSION ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. In consideration of the premium charged for this policy, sub-paragraph B of Section I, COVERAGE, is deleted in its entirety and replaced by: B. At any time prior to the policy effective date shown on the Declarations if (1) Such act or omission happens on or subsequent to the "prior acts date" listed below; and (2) No Insured knew or could have reasonably foreseen that such act or omission might be expected to be the basis of a Claim or suit on the effective date of this policy or the first claims-made policy issued by the Company to which this policy is a renewal, whichever is earlier Prior Acts Date: 04/05/ 1996 ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. = cre , ,m for this endorsement is included in the premium shown on Additional Premium $ - xc.a'anions unless a specific amount is shown here. Return Premium $ E'.D0RSEMENT NO.: Effective: 04/01 /2001 a:racne_ tot and forms part of your evidence of insurance no.: 45P-2050203 Issued by: the Company named in the Declarations Executive Offices: 55 E. Monroe Street Chicago, Illinois 60603 SUSAN PLOCK BROMLEY PSYD 1L_ e ss,ec. Authorized Representative: - - 2001 eOtiter. --- --- :5 :_ `Eu 'r0r93) (Eiec) MEMORANDUM OF INSURANCE Date Issued 11/07/2000 Memorandum Holder This memorandum is issued as a matter of information only and confers no ACKERMAN & ASSOCIATES ATTN DONNA rights upon the holder . This SUITE 101 memorandum does not amend, extend 1750 25 AVENUE or alter the coverages afforded by the GREELEY CO 80634 Certificate listed below. Producer Company Affording Coverage Chicago Insurance Company Seabury & Smith 1776 West Lakes Parkway Covered Person (Status) Owner West Des Moines, Iowa 50398 EMILY L JARAMILL0-BANSBERG MA Employee This is to certify that the Certificate listed below has been issued to the insured named herein for the policy period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may be issued or may pertain, the insurance afforded by the Certificate described herein is subject to all the terms, exclusions and conditions of such Certificate. The limits shown may have been reduced by paid claims. Certificate Type of Insurance Number Effective Date Expiration Date Limits Professional Liability each incident 1 ,000,000 or occurrence Occurrence 8011-4003488 11/01/2000 11/01/2001 3,000,000 in the aggregate General Liability each incident or occurrence Occurrence in the aggregate Snould the above described Certificate be canceled Insured before the expiration date thereof, the issuing company will endeavor to mail written notice to the named Memorandum Holder, but failure to mail such EMILY L JARAMILLO-BANSBERG MA notice shall impose no obligation or liabilty of any 183 50 AVENUE PLACE kind upon the company, its agents or representatives. GREELEY CO 80634 Authorized Representative: . 4.. e Airer►-, u l\L.J1\ •JL LLLALal _.V 11/14/00 - A PSYCHOLOGISTS PROFESSIONAL LIABILITY POLICY THIS IS A CLAIMS MADE POLICY-PLEASE READ CAREFULLY *** RENEWAL *** NOTICE. A LOWER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL. MISCONDUCT(SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY). • DECLARATIONS POLICY NO. 801-0005006 ACCOUNT NO: CO-KERL175-0 0099745? ITEM I. (a) NAME AND ADDRESS OF INSURED: ITEM I. (b)ADDITIONAL NAMED INSUREDS: • LAURENCE P . KERRIGAN, PH . D. 1750 25TH AVE . SUITE #101 GREELEY, CO 80631 TYPE OF ORG: INDIVIDUAL ITEM 2 ADDITIONAL INSUREDS: ---- ITEM }. POLICY PERIOD: FROM: 12/01/00 TO: 12/01/01 12:01A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATEL) Hc.b.L,�. ITEM 1 LIMITS OF LIABILITY: (a)S 1 , 000, 000 EACH WRONGFUL ACT OR SERIES OFCO\TI\'L(;1 R?P I • . OR INTERRELATED WRONGFUL ACTS OR OC'CI I( T I (b)S 5, 000 DEFENSE REIMBURSEMENT (c)$ 3 , 000 , 000 AGGREGATE 1 5. PREMIUM SCHEDULE: CLASSIFICATION NUMBER RATE ANNUAL PRPCIII 1ST PSYCHOLOGIST 1 1254 . 00 1 , 25 , C.,: DEFENSE LIMIT SURPLUS LINES TAX 1 37 . 02 INSPECTION FEE 1 2 . 51 ITEM 6 RETROACTIVE DATE: 12/01/91 TOTAL PREMIUM: 1 , 294 . 13 ITEM _. EXTENDED REPORTING PERIOD ----- ---- ADDITIONAL PREMIUM(if exercised):$ 2 , 265 . 24 ITE\1 S. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY 222138 (7/95 ED. ) B22137 THIS IS NOT A BILL. PREMIUM HAS BEEN PAID. S .4 UT RIZED COMPANY RI PRI I \ ! \PA221 ID 95) Amer,e Proles-annul ���na� )i l5rn, l •., Branch B/A Producer# Issue Date Renewal/Replacement No. 42 A 0002360 02/29/2000 RENEWAL PSYCHOLOGISTS PROFESSIONAL LIABILITY CLAIMS-MADE INSURANCE POLICY PURCHASING GROUP POLICY NUMBER: 452-0002000 NOTICE: THIS IS A CLAIMS-MADE POLICY, PLEASE READ THE POLICY CAREFULLY. Item DECLARATIONS CERTIFICATE NUMBER: 45P- 2055185 1. NAMED INSURED: SHERRI MALLOY PHD ADDRESS 24 ALLES DRIVE (Number & Street, Town, GREELEY CO 80631 ti County, State & Zip No.) 2. POLICY PERIOD: From 04/01/2000 To 04/01/2001 (12:01 A.M. Standard Time At Location Of Designated Premises) 3. COVERAGE: LIMITS OF LIABILITY PREMIUM Professional Liability $1 ,000,000 $3,000,000 $598.00 each Incident Aggregate 4. BUSINESS OF THE INSURED: Psychology 5. THE NAMED INSURED IS: ( X Sole Proprietor (including Independent Contractors) ( ) Partnership ( ) Corporation ( ) OTHER: 6. This policy shall only apply to incidents which happen on or after: a) the policy effective date shown on the Declarations; or b) the effective date of the earliest claims-made policy issued by the Company to which this policy is a renewal; or c) the date specified in any endorsement hereto. 04/01/1998 7. This policy is made and accepted subject to the printed conditions of this policy together with the provisions, stipulations and agreements contained in the following form(s) or endorsement(s): PLJ-2008 ( 10/94 ) POE-8004 PLE-2167 PLE-2081 P0N-2003 PLE-8035 ( 09/97 ) CHICAGO INSURANCE COMPANY 55 E. MONROE STREET, CHICAGO, ILLINOIS 60603 REPRESENTATIVE: Agent or Broker: Kirke Van Orsdel Office Address: 1776 West Lakes Parkway Town and State: West Des Moines, IA. 50398 Toll-free Number: 1-800-852-9987 INTERSTATE INSURANCE • GROUP PLP-2012 (06/93) (Elec.) "PLP.8003(7/94)(Ed. LASER) EVEREST NATIONAL INSURANCE COMPANY MENTAL HEALTH PRACTITIONER'S PROFESSIONAL LIABILITY POLICY DECLARATIONS Renewal of No. 2200009922.991 NOTICE: A SUB-LIMIT OF LIABILITY APPLIES TO "CLAIMS" ARISING OUT OF "SEXUAL MISCONDUCT". POLICY NO, 2200009822-001 ITEM 1: NAME AND ADDRESS OF INSURED: SEND ALL INQUIRIES TO: Nicole R Warnygora ROCKPORT INSURANCE ASSOCIATES 1800 Angelo Court PROGRAM ADMINISTRATOR Fort Collins, CO 80528 P O BOX 1809 ROCKPORT, TX 78381•'809 1-800.423.5344 ITEM 2: ADDITIONAL INSUREDS: NONE ITEM 3: DESCRIPTION OF BUSINESS: MENTAL HEALTH PRACTITIONER(SI ITEM 4: POLICY PERIOD: FROM 05/20/2000 TO 05/20/2001 12.0' am STANDARD TIME AT THE ADDRESS OF tHE 'NSORED AS STATED HEREIN ITEM 5: LIMITS OF LIABILITY: $ 1,000,000 EACH WRONGFUL ACT OR EACH OCCURRENCE SU3JEC I -0 o • 525,300 SUB-LIM.T OF LIABIL:TY FOR ALL 'WHORG‘UL ACTS" INVOLVING "SEXUAL MISCONCUC • • $ 3,000.000 AGGMEGATE ITEM 6: PREMIUM SCHEDULE: CLASSIFICATION NUMBER BAIL ANNUAL PREIKI1 Miff CATEGORY M2 1 293.00 $ 263.00 TOTAL PREMIUM $ 263.00 ITEM 7 POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY: 190.00 0195, 189.00 0195, EEO 25 501 12 98, 193.00 0195 April 28, 2000 AUTHORIZED COMPANY REPRESENTATIVE 189.00 0195 0 Everest National Insurance Company, 1996 Issue Date: 09/08/00 <C� The Reciprocal PROFESSIONAL LIABILITY OCCURRENCE Alliance INSURANCE POLICY FOR Risk Retention Group PROFESSIONAL COUNSELORS AND HUMAN DEVELOPMENT PRACTITIONERS ACA Insurance Trust,Inc. 5999 Stevenson Avenue aC ii"ukUcL TRUST Number: CL124 94600 Administered by: Alexandria,VA 22304.3300 TRUST Tot Free:1100147-6647 x284 ITEM DECLARATIONS INDIVIDUAL POLICY NAMED INSURED: Cathleen Yackley ADDRESS: 1020 Wabash Street #6-203 Fort Collins , CO 80526 -0000 POLICY PERIOD: From: 09/05/00 To: 09/05/01 12:01 A.M. Standard Time at Location of Designated Premises g. The insurance afforded is only with respect to such of the following types of insurance as indicated by specific premium charge or charges: COVERAGE PREMIUM A. PROFESSIONAL LIABILITY $ 395 . 00 B. GENERAL LIABILITY $ 0 . 00 TOTAL PREMIUM: S 395 . 00 c LIMITS OF LIABILITY: $1 , 000 , 000 each Incident or each Occurrence $3 , 000 , 000 in the Aggregate 5 THE NAMED INSURED IS: Sole Proprietor(incl. Individual) Partnership Corporation X Other (refer to Item 7 below) 7. BUSINESS OF THE NAMED INSURED: Self-Employed (Rating Category) Counselor/Human Development Professional E. This policy is made and accepted subject to the printed conditions of this policy together with the provisions,stipulations and agreements contained in the following form(s)or endorsement(s): CPL 0004-0199 CPL.0005.0199 CPL 0006.0199 NOTICE THIS POLICY IS ISSUED BY YOUR RISK RETENTION GROUP. YOUR RISK RETENTION GROUP MAY NOT BE SUBJECT TO ALL OF THE INSURANCE LAWS AND REGULATIONS OF YOUR STATE. STATE INSURANCE INSOLVENCY GUARANTY FUNDS ARE NOT AVAILABLE FOR YOUR RISK RETENTION GROUP. CPL0005019900 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON,WISCONSIN 53783.0001 COLORADO MOTOR VEHICLE PROOF OF INSURANCE CARD Policy No: 0869-0235-01-84-FPPA-CO Eft Date: 11-3-2000 Exp Date: 5-3-2001 1999 PONT GAS VIN: 1G2NE52E3XM811960 Covereeee: BI-PD UM UIM COMP COLL PIP ERS JARAMILLO, EMILY 183 50TH AVENUE PL GREELEY CO 80634-4718 Agent: CHRISTINA GALINDO Agent Phone: (970) 346-9356 COLORADO INSURANCE CARD INSURED KERRIGAN,LARRY P MUTL D28-06B POLICY NUMBER 2000882• VOLVT YR 1988 MAKE HONDA EFFECTIVE MODEL ACCORD OCT 28 20001 282001 VIN JHMCA5529JC7 ?334 AGENT RICK WALLACE PHONE (970)356-82376.8237 1679.625 A BODILY INJURY/PROPERTY DAMAGE LIABILITY P1 NO•FAULT D COMPREIIENSIVE O 100 DEDUCT COLLISION H,U SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION O COLORADO INSURANCE CARD INSURED BROMLEY,JOHN MUTL VOL POLICY NUMBER 653 7520•F07:06C EFFECTIVE YR 1984 MAKE VOLVO DEC 072000 TO JUN 072001 MODEL 240 VIN YV1AX$855E1583112 AGENT MARK LARSON PHONE (870)356.8700 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY UNITS PRESCRIBED BY LAW. A BODILY INJURY/PROPERTY DAMAGE LIABILITY P3 NO FAULT•PPO(SLOAN'S LAKE) D 50 DEDUCT COMPREHENSIVE G 100 DEDUCT COLLISION H,R1,U SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION ` USAA CASUALTY INSURANCE COMPANY SI (A Stock Insurance Company) State 06 07 Veh POLICY NUMBER II $AA® 9800 Fredericksburg Road San Antonio, Texas 78288 CO D29�29 h, 00211 02 59C 7103 5 COLORADO AUTO POLICY PO LICY PERIOD: 112:01 • , ( A.M. standard time) RENEWAL DECLARATIONS EFFECTIVE OCT 17 1999 TO APR 17 2000 (ATTACH TO PREVIOUS POLICY ) OPERATORS famed Insured and Address 01 SHERRI R MALLOY-GONZALEZ 07 DAVID M GONZALEZ SHERRI R MALLOY-GONZALEZ 24 ALLES DR GREELEY CO 80631 -6829 lescription of Vehicle Is) Ore VEH USE • WORK/SCHOOL ANNUAL Miles Deys EN YEAR TRADE NAME MODEL BODY TYPE MILEAGE IOENTIF ICATION NUMBER SYMoily Week )6 94 HONDA CIVIC LX SED 4D 10000 1HGEG8666RL030869 11 W 02 3 )7 99 TOYOTA SIENA LE/XLE WAG 4X2 5D 10000 4T3ZF13C9XU091812 15 P P9OOHEEm/14" Insurance IdentificationCard- COLORADO California Casualty Name of Insurer: a:xRN;A CASUALTY INDe try EXCHANGE PROGRESSIVE SPECIALTY INSURANCE COMPANY PC. BOX 39701 P.O. BOX 31557 CCIDRALc SPRINGS CO 80949-9700 TAMPA, FL 33631-3557 COLCRAX Name of Insured:v:DENcsxcs DP MOTOR VEHICLE LIABILITY INSURANCE Effective Date: E ALAN H ACKERMAN 01/08/01 INSURED. 1800 AORp TODD & NICOLE 1800 ANGELA cT Listed Drivers:FORT COLLINS CO 80528 JOYCE S ACKERMAN Expiration Date: 01/08/02 RACHEL ACKERMAN EFFECTIVE DATE EXPIRATION DATE POLICY NUMBER 08/09/00 08/09/01 1022312594 - • YEAR MAKEI*AODEL VIN Pokey Number: AA 70109900-0 99 TOYOTA TACOMA XCB 4TAWN72N9XZ569122 CLAIMS 800-800-9410 SERVICE 800-800-9410 Year Make/Model Vehicle Identification Number uo,ux aqo, 1992 HONDA 1HGCB7B77NA196218 a COLORADO NEW HAMPSHIRE INSURANCE CA RDNBDRED YAGKLSike INSURANCE CARD INSURED BENDER,BRICE J 8 N KAREN ,CATHLEEN& MUTL MUTL POLICY NUMBER EMA80DO U0 VOL POLICY NUMBER C054252•D74.08C VOL F11.29A EFFECTIVE YR 2000 MAKE TOYOTA EFFECTIVE YR 1996 MAKE HONDA • DEC 112000 TO JUN1';2091 MODEL AVALON OCT 142000 TO APR 142001 MODEL CIVIC VIN 1 HGEJ8140TL022250 VIN 4T1BF28BeYU048576 AGENT RICH YACYSITYN AGENT JEFF PFEIFFER PHONE (603)2243298 2018476 PHONE (303)6510111 MITIE COVERAGE NIMUM LIABILITY LIMITSD BY PRESCIE RIBEDICY MMEIETS THE AB BODILY INJURY/PROPERTY DAMAGE LIABILITY A BODILY INJURY/PROPERTY DAMAGE LiAaturV C MEDICAL PAYMENTS P1 NO•FAULT D 50 DEDUCT COMPREHENSIVE D 500 DEDUCT COMPREHENSIVE 0 250 DEDUCT COLLISION H,R1 SEE?REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION G 500 DEDUCT COLLISION • R7,U SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION Supplemental Narrative to RFP: Exhibit B Recommendation(s) RFP: 01008-Combined Mediated Family Conflict Resolution & Goal Achievement Program (G.A.P.) Ackerman & Associates Ackerman and Associates, P.C. 1750 25th Avenue, Suite 101 Greeley, Colorado 80634 (970)353-3373 fax(970)353-3374 May 21, 2001 Frank Aaron Weld County Department of Social Services 315 N. 11th Avenue Greeley, Colorado 80631 Dear Frank: This letter is our written response as required by your letter dated May 11, 2001. FYC Recommendations: 1. RFP 01-060 Foster Parents Consultation Acceptable 2. RFP 00008 # 1 FGDM Most of these recommendations are not recommendations to us that we can act on; rather they are WCDSS policy statements. 1. Concerning not ordering FGDM for every EPP case. It is our understanding the FGDM was intended to help meet ASFA guidelines. We would like to know what other mechanism is being used to involve the extended family in these decisions. 2. No referrals will be made to Family Group Decision Making when a family member has been identified. Again, this is a new policy statement by WCDSS. The spirit of ASFA, as we have experienced it across the country, is to increase extended family input and responsibility in the process of selecting the "best" family member or non-family member for placement. How does the identification of a family member by the department meet this criteria? 3. The focus of this service must be on tenable solutions for the children. A tenable andpermanent plan will be developed to assure success for the children. The purpose of FGDM is to have the family develop and propose a tenable solution. It is the responsibility of the caseworker to define tenable prior to the meeting. It has been the caseworker's responsibility to inform the contractor, what parameters are or are not acceptable prior to the actual meeting. All caseworkers have done so. One caseworker has revised her statement of what is acceptable after the meeting took place. This created confusion and is not representative of the process. We do not accept the implication that this statement reflects a common problem with the process. We do accept this as a principle and it has always been our principle in how we do FGDM with WCDSS. 4. Concerning bilingual availability. Agreed. We have already made arrangements for a translator to be available, as needed. The historical context of why this statement appears to have arisen relates to a single complicated case (already referenced above) and is not representative of the activities of Ackerman and Associates. 5, RFP 01008 GAP Agreed. This is not different that what we proposed. 5. RFP 01010, Option B A. Recommendation: this is consistent with our proposal intent. B. Condition: The first three sentences assume we are working with a 60-hour model. The fourth sentence contradicts this. We request a meeting to clarify these conditions. It is difficult to plan family therapy in these complex families without knowing how much time will be available on a program basis. The proposal requires an effective change in the family environment, not treatment of symptoms. C. Comment: We cannot assure additional staff availability,unless we have consistent, ongoing relationships that provide stability for such expansion and planning. We will attempt to obtain additional bilingual services for the benefit of WCDSS and the county. 6. RFP 00007, Sex Abuse Treatment. We agree to utilize less than 15 hours in the assessment. Most cases have taken and will continue to take less than 12 hours for this portion. As needed, for complicated cases, (of which we had several), we need enough clinical time to appropriately assess the case. We would like a mechanism to receive supervisor approval if an extra hour or two is needed for complicated cases. SUMMARY: Ackerman and Associates very much appreciates and enjoys the opportunity to be a vendor for WCDSS and provide much needed quality services to your clients. However, we wish to express our concern that the tone of this letter is inappropriately negative. It is not, and has never been our intent to provide any amount of service beyond the amount approved and/or the amount clinically necessary. We are dealing with some severely dysfunctional families with high risks of suicide, homicide, and sexual and physical abuse. Vendors, DSS and the county need to support and work together to protect these children, families and the county. The department, in order to have appropriate cost containment, has adopted an"HMO type model" of oversight of the therapy process. While we agree with the need for cost containment(i.e. we have asked for no increase in this year's budget over last years), the county must have a mechanism to insure that the termination of the therapeutic process and/or the regulation of the therapeutic process to achieve cost containment does not put children or families at increased risk. Respectfully, \_13.1/4CS�m 1��Q Joyce Shohet Ackerman, Ed.D. Hello