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HomeMy WebLinkAbout20011396.tiff RESOLUTION RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR SEX ABUSE TREATMENT 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 Sex Abuse Treatment 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 Sex Abuse Treatment 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 ATTEST: LI/I i'�/.f.. J . La� 77, nix/� M. J. eile, Ch it Weld County Clerk to the o. . 1861 4iä) lenn Vaae4r— BY: / Deputy Clerk to the B�j O N I�/ '� 4z— % 8\1 Willi Jerke AP A O M: f4 f *I/ vi E. Long unty A or ey Ili Robert D. Masden 2001-1396 yOG •'SS SS0028 DEPARTMENT OF SOCIAL SERVICES PO BOX A GREELEY,CO 80632 WEBSITE:www.co.weld.co.us Administration and Public Assistance(970)352-1551 II I 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 £1 Weld County Departme of cial rvir 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 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 ype of Action Contract Award No X Initial Award FY01-CORE-01007 Revision (RFP-FYC-01007) Contract Award Period Name and Address of Contractor Beginning 06/01/2001 and Ackerman and Associates P.C. Ending 05/31/2002 Sex Abuse Treatment 1750 25th Avenue, Suite 101 Greeley, CO 80634 Computation of Awards Description Unit of Service The issuance of the Notification of Financial Assistance This program proposes to provide a time-limited, Award is based upon your Request for Proposal(RFP). outcome focused therapy model for treatment of The RFP specifies the scope of services and conditions the non-offending parent,the victim and siblings of award. Except where it is in conflict with this of the victim in sexual abuse cases.The program NOFAA in which case the NOFAA governs, the RFP is proposed in four parts: (each of these parts may upon which this award is based is an integral part of the be used as part of an integrated program, may action. stand alone,or be used in combination with other treatment regimens.) The projected maximum Special conditions total per year is estimated at 36 families, 3 families per month. The average monthly 1) Reimbursement for the Unit of Services will be based capacity is 3 families. The maximum stay is 46 on an hourly rate per child or per family. sessions over a 12—month period. Group 2) The hourly rate will be paid for only direct face-to-face treatment is provided at one-half the hourly rate. contact with the child and/or family as evidenced by client-signed verification form, and as specified in the unit of cost computation. Cost Per Unit of Service 3) Unit of service costs cannot exceed the hourly and Hourly Rate Per $99.50 yearly cost per child and/or family. Group rate per family $49.75 4) Rates will only be remitted on cases open with, and referrals made by the Weld County Department of Unit of Service Based on Approved Plan Social Services. Enclosures: 5) Requests for payment must be an original and submitted X Signed RFP:Exhibit A to the Weld County Department of Social Services by X Supplemental Narrative to RFP: Exhibit B the end of the 25th calendar day following the end of X Recommendation(s) the month of service. The provider must submit requests for payment on forms approved by Weld Conditions of Approval County Department of Social Services. Approvals: Program Official: By By ,__174 r� M.J. eil ,Chair Judy A. rie o Direc r Board of Weld County Commissioners Weld County Department of Social Services Date: 0S,&-i --20o/ Date: 5,Z3/O aJp/- /396 Signed RFP: Exhibit A Ackerman & Associates RFP: 01007-Sex Abuse Treatment INVITATION TO BID RFP-FYC 01007 S'aci2 _ , Pry, ' DATE:February 28, 2001 BID NO: RFP-FYC-01007 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-01007) for:Family Preservation Program--Sexual Abuse Treatment Program Fami y Issue's Cash Fund or Family Preservation Program Funds Deadline: March 23, 2001,Friday, 10:00 a.m. The Families, Youth and Children Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors pursuant to the Board of Weld County Commissioners' authority under the Statewide Family Preservation Program (C.R.S. 26-5.5-101) and Emergency Assistance for Families with Children at Imminent Risk of Out-of-Home Placement(C.R.S. 26-5.3-101). The Families, Youth and Children Commission wishes to approve services targeted to run from 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 Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. This program announcement consists of five parts, as follows: PART A...Administrative Information PART D...Bidder Response Format PART B...Background, Overview and Goals PART E...Bid Evaluation Process PART C...Statement of Work Delivery Date March 19, 2001 '�QSk (After receipt of order) IWSIUST BE SIGNED IN INK Joyce Shohet Ackerman, Ed.D. TYPED OR PRINTED SIGNATURE VENDOR Ackerman and Associates P.C. (Name) dwri ten Signature By Authorized O cer or Agent of Vendor ADDRESS 1750 25th Avenue, Suite 101 TITLE President, Licensed Psychologist Greeley, Colorado 30634 DATE March 19, 2001 PHONE# 970-353-3373 - The above bid is subject to Terms and Conditions as attached hereto and incorporated. Page 1 of 31 RFP-FYC-01007 Attached A SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL AND REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING FAMILY PRESERVATION PROGRAM 2001-2002 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 2001-2002 BID#RFP-FYC-01005 NAME OF AGENCY: ACKERMAN AND ASSOCIATES P.C. ADDRESS: 175tH ^venue suite 101 Greer'e� , Co {(OG3i PH)NE: (970 ) 353-3373 ( fax 970-353-3374) CONTACT PERSON: Joyce Shohet Ackerman Ed.D TITLE: President, Licensed Psychologist DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. 12-Month approximate Project Dates: _ I2-month contract with actual time lines of: Start June 1.2001 Start End May 31.2002 End TITLE OF PROJECT: The Sexual Abuse and Family Education Treatment Program ( SAFE - T PROGRAM) AMOUNT REQUESTED: Budget maximun $173,130 W Joyce Shoh Ac erman, Ed.D. 'March 19. 2001 Name and Signature of Person Preparing Document Date Joyce Shohet Ackerman, Ed.D. �\ \__`� wa O �7b •• \R \ March 19_, 20n1 Name . S atuk Chief Administrative Officer Applicant Agtncy J 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 2000-2002 to 2001-2002 Project Description minor changes f— Target/Eligibility Populations no c iangc Types of services Provided no change Measurable Outcomes minor changes Y. Service Objectives no changes Y, Workload Standards minor changes - Staff Qualifications minor chnages - Unit of Service Rate Computation —"no c1an.0e • X Program Capacity per Month Cemficate of Insurance minor change Page 25 of 31 RFP-FYC-01007 Attached A Date of Meeting(s)with Social Services Division Supervisor: 3(7/to ( Comments by SSD Supervisor: 1-7, v- +--vi o i1c^.vv,! -n �a ( /�TCc K Gs r,;,ita 3(7/70/ Name and Signature of SSD Supervisor Date Page 26 of 31 RFP-FYC-01007 Attached A Program Category Sexual Abuse Treatment Program Bid Category Project Title Sexual Ahuaa and Family Education and Treatment Program (The SAFE -T Program) Vendor Ackerman and Associates P.C. PROJECT DESCRIPTION Provide a one page brief description of the project. II. TARGET/ELIGIBILITY POPULATIONS 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 to be served. Please describe if your clients are: 1. Victims under age 18. 2. Perpetrators under age 18. 3. Adult incest perpetrators. 4. Non-abusing spouse 5. Relatives (under 18) in the household of incest victims and/or incest perpetrators. 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. Subtotal of individuals who will provide 24-hour access to 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. Therapeutic services through a variety of modalities including: individual, family, group, marital, data, etc. D. Therapy designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, sexual abuse perpetration, and to prevent further sexual abuse. E. Specialized intake/investigation function for families with sexual abuse allegations. 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 FYC resources will not supplant existing and available services in the community; e.g. mental health capitation services, ADAD and professional services otherwise funded. Page 27 of 31 RFP-FYC-01007 Attached A IV. MEASURABLE OUTCOMES Please provide a two page description of your expected measurable outcomes of the project. Please address the following measurable outcomes: A. Reduced rate of recidivism of sexual abuse perpetration within a stated time frame. B. Decrease in re-victimization. C. Prevent victim perpetration. D. A percentage of child abuse incest victims receiving services do not go into placement. E. Improvement in parental competency as measured by pre and post placement functional test. F. More rapid reunification of children with families. 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 Parental Competency-Capacity of parents to maintain sound relationships and appropriate physical and emotional boundaries with their children, and to empower non- abusing parents and victims. B. Improve Family Conflict Management-Mediation and counseling designed to resolve conflicts and disagreements within the family contributing to child maltreatment and sexual abuse. C. Improve Personal and Individual Competencies-Primarily in terms of self-esteem, victim awareness, awareness and management of one's own personal history of victimization, sex education,peer relationships enhancement, establishing appropriate physical and emotional boundaries, assertive in lieu of aggressive behaviors, and assuming responsibility for one's own behavior. D. Improve Ability to Access Resources- Services shall assist parent in learning to obtain help from other sources in the community and within 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. Page 28 of 31 RFP-FYC-01007 Attached A C. Maximum caseload per worker in the intake function and in the Sexual Abuse Treatment. D. Modality of treatment E. Total number of hours per day/week/month. F. Total number of individuals providing these services. G. The maximum caseload per supervisor. H. The modality of treatment. I. Insurance. VII. 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. Is your agency approved by the Sexual Offender Management Board? Explain your compliance with any mandatory regulating agency. Page 29 of 31 RFP-FYC-01007 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.r (Explanations for these Lines are Provided on the Following Page) Parr 0 Pµrtc Are rC Total Hours of Direct Service per Client I-/S— Louts Hours [A] to h04/...1 o Total Clients to be Served 3 6 H0,--0/6 Clients [B] - F"odiU Total Hours of Direct Service for Year & p- O Hours [C] / h tf (Line (Al Multiplied by Line [B]Cost per Hour of Direct Services $ 5-1 q 1 70 Per Hour [D] C4 20 Total Direct Service Costs $ / 6 7 y [E] 7/0-/ (Line [C] Multiplied by Line [D] ) Administration Costs Allocable to Program $ 3 P- -36? Overhead Costs Allocable to Program $ 3P- a-38 [G] A3gr Total Cost, Direct and Allocated, of Program$ / (n / / c/ 0 [H] II 9t Line [E] Plus Line [F] Plus Line [G] ) Anticipated Profits Contributed by this Program $ O [I] O Total Costs and Profits to be Covered ` ' / O �[ y0 by this Program(Line [H] Plus Line [I] ) $ [J] Total Hours of Direct Service for Year ! L 9-0 (K] /;__LP (Must Equal Line [C] ) Rate per Hour of Direct, Face-to-Face Service to be Charged to Weld County Department of Page 30 of 31 RFP-FYC-01007 p� is 4 r B r G /ur rO pp Attached A Social Services $ / / , 5-0 [L] Sv Day Treatment Programs Only: Direct Service House Per Client Per Month [M] Monthly Direct Service Rate $ [N] [A] This is an estimate of the total hours of direct, face-to-face service each client will receive from the time he or she enters the program until completing the program. [B] This is an estimate of the number of clients who will be served during the period from June 1, 2001, through May 31, 2002. [D] This represents the average hourly salary and benefits that your organization pays its direct service providers plus any costs which are directly attributable to the face-to-face session with the client. [F] This represents the salary and benefits of direct service, supervisory, and clerical personnel which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent on the program for activities such as travel, phone conversations, "no-shows," discussions with involved parties, meeting preparation, and report completion. [G] This represents the Agency Overhead costs, such as Rent, Utilities, Supplies, Postage, Travel Reimbursement, Telephone Charges, Equipment, and Data Processing which are not incurred in providing direct, face-to-face service to the client, but can be allocated to this program for time spent on the program for activities such as travel, phone conversations, "no-shows," discussions with involved parties, meeting preparation, and report completion. [H] This represents the Grand Total Costs directly attributable or allocable to this program. It should be a reasonable assumption that if you decided to discontinue this program, your agency would realize a reduction in costs approximately equal to this amount. [I] This represents the total amount of profit your firm expects to realize as a result of operating this program. Any difference between Lines [H] and [J] must be substantiated by an amount indicated on this line. [L] This is the actual direct, face-to-face hourly service rate at which you will be requesting payment for the services provided under the conditions of this Request for Proposal. [M] To be completed by prospective providers of the Day Treatment Program only, this line represents the estimated number of hours per month your organization will provide direct, face-to-face services per client. [N] To be completed by prospective providers of the Day Treatment Program services only, this line represents the actual direct, face-to-face monthly service rate at which you will be requesting payment for the services provided under the conditions of this Request for Proposal. Calculated by multiplying Line [L] by Line [M] . Page 31 of 31 Project Description 2001-2002 Sexual Abuse Family Education and Treatment Program The SAFE-T Program Project Description:Ackerman and Associates P.C. proposes to continue to provide in 2001-2002 the time limited, outcome focused therapy model for treatment of the non- offending parent, the victim and siblings of the victim in sexual abuse cases. The only changes that have been made to the protocol originally submitted in 2000 - 2001 are to expand part A maximum from 12 to 15 sessions with an average completion of part A in ten sessions rather than the six projected in the year 2000 and to require that in part C each child receiving treatment as a victim of sexual abuse needs to have their own authorization. These changes are to better adjust the treatment protocol created for the 2000 budget cycle, based on our experience in that initial period. The program is proposed in four parts: ( each of these parts may be used as part of an integrated program, may stand alone or be used in combination with other treatment regimens.) A. The development of the prescriptive safety education and treatment plan of the family unit. This will take place over no more than fifteen hours and should average ten hours; B The implementation of the plan with the non-offending parent to increase safety and avoid repetition of sexual abuse in the family unit. This will take place over no more than 15 sessions. Up to ten of these sessions would be for individual treatment. Up to an additional five of these individual session times could be converted to ten hours of group work. (Throughout the proposal, whenever we discuss group work note that it will be billed as one hour of individual treatment for each two hours of group treatment .) C. Short term treatment for the child who was abused and for the siblings over a maximum of fifteen sessions to develop skills for future safety and to reestablish trust, including family issues that need to be addressed with the children. Each child in treatment whether the victim or the sibling, should have their own authorization for treatment. D A protocol of therapy to taper down the frequency of support needed to provide maintenance of skills developed. This will take place over no more than ten sessions designed to be delivered twice a month basis over a maximum of five months. This provides an additional support program for those families in need of the service. Based on the past year's experience Parts A, B and C have been used by WCDSS 1 and D has not been used. Nevertheless, we submit it here as an appropriate program for potential future use. Note that part D is presented as a separate budget page. For any family who is not appropriate to continue in the treatment model due to severity they will be transferred. Program Review point #1: A report of recommendations for treatment will be completed at the end of part A . It will specify 1. the goals to be achieved in part B and part C, which can then proceed over the next two or three months 2. which other types of treatment or intervention is appropriate and 3. if no other intervention is recommended. Program Review point# 2: A report of the summary of treatment at the completion of the treatment plan in part B and part C. The purpose of this report is to answer these questions. 1. How much progress has been made to date in relation to the treatment plan? 2. Is it probable the family will complete the treatment in part B or Part C within the session limits specified and if not what other services might be needed. This will also be the point that a determination will be made as to if there is a need for an extension of sessions in phase B and C and if so why this is needed. An extension, if needed, will be limited to twelve sessions. Such an extension can occur only through a second authorization. The criteria for making judgments as to the family's progress will be based upon their completion of the prescriptive treatment plan and the adequacy of that treatment plan to protect the child and family from repeat offenses in relation to sexual abuse. Families not making progress will be discussed with the caseworker and as needed referred to other programs. Please note: the end point of treatment is not necessarily intended to be the full and complete resolution of all psychodynamic issues precipitated by the sexual abuse event. Such issues will likely continue to emerge as the child enters different stages of development into adulthood. If further funds are needed for full and complete restoration of mental health (beyond that required for family safety) these funds should be obtained from the perpetrator and or through victim's assistance and other funds. The purpose of this program is to recommend to WCDSS if the incident of the actual abuse has been resolved sufficiently to provide for the ongoing physical and mental health and safety of the non offending parent, the child victim and siblings at the time of discharge from the program. 2 The purpose of this highly structured system is to assist family members to achieve careful implementation of safety and child protection plans. Through role modeling, psychoeducational group and individual work with adults and through child therapy in individual and on a group basis, families will progress along a structured treatment course. Treatment will move from recognition of the factors that lead to the sexual abuse in their particular case to developing an effective plan to eliminate the resurfacing of these factors and repetition of these kind of events in the future. Of the four phases of the program , Part A would be limited to 15 session delivered over no longer than three months. Part B and C would be limited to fifteen sessions each delivered either separately or concurrently over four months. The step down phase of the program Part D would be limited to no more than 10 sessions over four to six months. Reviews for the need to continue in the program would occur in month one , month three and month five. Families will need the sexual abuse family education and treatment program ( the SAFE-Treatment Program) because the sexual abuse and its implications have either 1. immanently placed the children at risk of outplacement from the non offending parent or parents, 2. created a need to be reunified or 3. the family is facing imminent reunification failure or 4. have failed to implement the behaviors required of them. Our model does not treat the adult offender. Where that offender is the parent (usually the father or step father) and reunification is the agreed upon course of action desired, we would only assist the parties in developing a formal reunification plan after the offender has completed treatment in another program and then only in those cases we accept based upon our clinical judgment. Our model is expected to work best with younger children and younger teens. It is expected to be especially useful where the non offending parent is herself a victim of sexual or physical abuse in her home of origin, or who has a highly disrupted home of origin from other causes. The program will provide continuity for the non offending parent and the children through each family having a coordinator within Ackerman and Associates. That coordinator will also coordinate the case and be the contact for the case worker and lead the clinical team on the family. The coordinator will also track the goals of treatment and organize the aspects of treatment within our clinical team approach. Clinical teams will discuss each case as necessary. Purpose: The purpose of the time limited, outcome (safety) focused (as opposed to psychodynamically focused) therapy is to implement the changes needed to insure future safety from further sexual abuse. The model assumes a clinical team oriented family systems approach of education and treatment and seeks clearly defined behaviors and outcomes that will insure safety. The role of the non offending parent in the sexual abuse will be explored, looking for points where protection can be strengthened in the future. The life experiences of abuse or neglect of the non offending parent in the home of origin will be part of the psychoeducational work that 3 will be needed by many of the families. In order to develop a treatment plan for addressing the sexual abuse which has brought the family into social services, the first part of the model will be the development of the psychological scope of work that will need to be completed. What are the goals needed to insure future safety? This will be developed through a review of the case, psychological testing if indicated, assessment of the victim and of the victim's siblings. From there, clearly defined, achievable, structured behavioral changes that are needed to insure future safety of the child will be developed into a written plan. Once signed by the therapist and non offending parent, this plan will become the treatment goals for the family in relation to the safety of the child. Time lines and work to be achieved by phase are listed below: Part A. The development of the prescriptive treatment plan of the family unit over no more than fifteen sessions with a goal of the program for prescriptive assessment to average ten sessions. The prescriptive treatment plan typically involves interviews with the non offending parent (up to five hours) three hours of case review, three hours of assessment and interpretation and up to four hours of assessment of other family members. Part B: The implementation of the plan with the non offending parent to assure safety and avoidance of repetition of sexual abuse in the family unit over no more than 15 sessions. It is anticipated that ten hours of these 15 sessions can be through group work (at a cost equivalent of five individual hour long sessions) For the non offending parent a mentoring of psychoeducational process of identifying factors that contributed to the abuse and dealing with these factors will be explored. This will be particularly important if negligence or home of origin issues are present. We postulate that a large percentage of the non offending parents will either have been themselves sexual abuse victims or have come from significantly dysfunctional backgrounds. Such a psychological history would be amenable to this mentoring approach. Part C For the child victim or sibling, the restoration of trust and safety assurance after the abuse incident itself would be the goal of child treatment. If appropriate and if the offending parent has successfully completed treatment and if the victim and non offending parent are appropriate for reunification, steps toward reunification may progress in selected cases. Part D A step down protocol of therapy no more than ten sessions designed to be delivered on no more than a twice a month basis for supportive transition from the support program, for those families in need of this extended service. Other Considerations: There is no risk of the program running up costs above those budgeted for any one 4 family because we propose a treatment cap for social services funds for any family at a maximum of sessions, 15 for part A, 15 for part B, 15 per child for part C. In the last year most patients had either part A or Part B and some had both programs. Some also had part C. None were treated in part D. This protocol sets a maximum figure per family of 45 hours if one child is in treatment in part C. We have set our maximum at 36 families for treatment under this contract. We anticipate twenty four families will more likely be treated. For our four therapists/case managers this provides a caseload of six to nine families for each to coordinate over the contract. Additional services would be supported either through victims assistance or through insurance. The program does not seek renewals above the cap of sessions unless this is the lowest cost option appropriate for achieving success as determined by the WCDSS case worker and supervisor. Even within the renewal request, we would limit a renewal to twelve additional sessions per approval. If significant resolution cannot be achieved by a family within 45 sessions of competent psychological treatment, other options should also be examined. In our opinion, it should be extremely rare for a case to go on this long and then fail. The majority of cases responding poorly to psychological intervention should have been ended at one of the review points in treatment. We propose that no family should continue in our treatment program if two successive review points indicate that progress is inadequate. Target/Eligibility Populations A Total number of clients to be served in this twelve month program has been calculated as follows. Three families per month times twelve months equals thirty-six families per year. If we assume a family size of four, one adults and three children, then the total client pool to be served is 144 individuals. That number includes at least 36 individuals who are victims and 36 non offending parents with the remaining 72 being siblings and other household members. Our projected maximum total for 2001 -2002 is 36 families. We expect to treat between 18 and 24 families. We calculated the budget based on one child in treatment in part C on average. B. Distribution of clients. Maximum number of clients we will serve is approximately 144 as calculated above. We would expect approximately 36 of these would be adult members of the family (non offender) and approximately 108 would be minors. We estimate that they would be distributed across the age range from 1 to 17. There would be 36 index children victims and 72 siblings. We do not accept adult perpetrators into this treatment program We only accept them for work on reunification or ongoing issues of family contact short of reunification on a case by case basis.. C. Families Served. We anticipate serving 18 - 24 family units with no more than 36 being served under this contract D. Sub total who will receive bicultural/bilingual services. We anticipate we can 5 serve 50% or more of the total referred in a bilingual manner. All of the staff have extensive cross cultural experience so 100% can be served in a biculturally appropriate manner. E. We can provide services in South County if Social Services can provide a site to do such work. We anticipate the majority of the sexual abuse treatment work will be done 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 three new families per month with the ability to carry eight cases per month maximum. H. The monthly average capacity is two new families per month with the ability to carry five such cases per month I. The average stay in the program is expected to be 40 sessions over a six month period. The maximum stay is 45 sessions over a 12 month period assuming one child in part C with parts A, B and C being used. Use of part D adds ten hours to this total. Group treatment would be provided at a rate of one half of the proposed session rate of this bid so each session of group treatment would be two hours of time billed as equivalent to one hour of individual treatment. A number of scenarios may be used to reduce the cost of this program, For example, assessment might be mostly complete through activities of others and this would reduce costs in Part A. The child may need less treatment, or the treatment of the non offending parent be easier than expected reducing the costs of parts B and the same for the child in Part C. The need for ongoing support may be in less than the one in three we estimate of those who complete treatment, reducing the cost of D and this was indeed the case in the year 2000-2001. However, we have tried to make the best estimates for the average length of stay as reflected in the figures proposed in this bid. Types of Services Provided We propose to provide up to a maximum of 55 sessions of outcome focused treatment over four program subtypes (A, B, C or D) and anticipate completion of treatment for at least half the non offending parent, the child victim and siblings in 40 sessions or less over a six month period. We would use a model which would address the family's safety needs and maximize the cost effectiveness of the treatment. These are described under the project description and purpose described above. 6 Our program will meet the services minimums through the following activities. We will provide comprehensive diagnostic and treatment planning for the family through part A described above. This includes a prescriptive treatment plan for the non offending parent and a specialized intake procedure for the child victim as required in item IIIE of this bid RFP. We do not intend to serve as a replacement for investigative services related to criminal prosecution as there are other programs better suited to this task. Nevertheless, the intake format we use is designed to address the psychosocial needs of the non offending parent to enable her to recognize how the abuse is often a partially a consequence of a family dynamic which resulted in failure to protect the child and not only as a result of the isolated and secret actions of the perpetrator. Our services use a variety of modalities including play therapy, group therapy for the child and for the non offending adult, individual therapy and family therapy (without the offending parent being in treatment with our program). The primary goal of treatment is to address the prevention of further sexual abuse, to use psychoeducational techniques to work with the non offending parent to avoid repetition of behavioral patterns that have failed to fully protect the children and to help the non offending parent and child victim recover from sexual abuse victimization. Our program does not treat the offending parent. Our program has been designed so each portion is able to stand alone. If it is likely to be more effective, for any reason, to have treatment done in a modular fashion by different agencies, our program design makes this a relatively simple option to implement. The numbers to be treated in each service component are a maximum of 36 non offending adults a maximum of 36 child victims and 72 siblings. the ratio of victims to siblings may be altered depending on the number of cases of multiple victims in the same family. To insure the FYC resources do not duplicate existing services in the community we will coordinate with he social services caseworker to limit our costs, as appropriate, if other programs can provide the specified services in each case. This will take place at each review point. Measurable outcomes: A. To achieve a reduced rate of recidivism of sexual perpetration does not apply as we do not accept perpetrators into this treatment program. 7 B. Decrease in revictimization should be substantial and persistent. The program is set up to empower the non offending parent to identify situations where victimization is likely and to reduce these occurrences. We set a goal of 90% of families who complete treatment will not be revictimized in the next two years. This number assumes that after treatment is completed the non offending parent not reenter a marital relationship to the offending parent. We set a goal of 40% at two years post treatment to avoid revictimization if marital reunification occurs with the offending parent in the next year. C. Prevention of victim perpetration. For those victims who complete treatment and because of the likely age of the victims ages three to thirteen , victim perpetration will be rare as we set a goal at 90% will not become perpetrators within a two year period. D. We project that 80% of the non offending parents will complete treatment. For these non offending parents we project that 90% will keep their children for at least two years after the treatment regimen is completed. E. Improvement of parental competency will be measured using either the Parenting Stress Index (PSI) or the Parent Child Relationship Index (PCRI) by pre and post testing or by other tests as selected for the case by the clinical staff. We expect 80% of non offending parents to complete the phase B training. F. While we do not expect more rapid reunification with biological family nor with the offending parent, we do expect the acquisition of life skills in anger management and increase in psychoeducational knowledge and subsequent risk reduction for return to an abusive environment. Quantitative measures for determining these goals can be made by file review at two years post treatment and determination of if a new case has opened in the county in that time. Individuals no longer in the county ( who had moved or could not be reached) would be lost to follow up. The data would have to be tabulated by the case worker at the end of the two year timeframe as we are not budgeted for such long term evaluation. Service objectives: This proposal meets all the service objective for the non offending parent and the victim. The areas for improvement are documented in the quantitative measures that will be rated for the non offending parent at the two review points and at the completion of therapy as listed under the measurable objectives section. These areas include the required components of improving parental competency, improving family conflict management, improving personal and individual competent. and improving ability to access resources for the non offending parent. Work load standards. 8 Number of hours per month based is based on 36 families per year in treatment . This is three families per month on averages. (This is the same as six families having 18 hours each or 12 families having nine hours each per month). A total of 108 per month is the monthly average = @ $10,746 service projection per month or $128,956 per year as the most likely projection. The Maximum projection is for based on all families needing 45 sessions and 12 families needing part D as well for a yearly total capacity we could provide of $173,130. Number of providers . We have eight providers described below. Joyce Shohet Ackerman, Ed.D. ,licensed psychologist, has spent twenty years in practice in Weld County. She has extensive child and family related experience. She will serve as administrative coordinator of this program. Karen Bender, M.A., L.P.C. is our lead in treatment of adult non offenders. Her personal life experiences have included recovery from childhood sexual abuse and she bring unique skills to this process along with her formal training. She will conduct the adult groups for non offending parents and provide individual therapy for the non offending parent. She has extensive training in treating adult victims of sexual abuse and domestic violence. She will also serve as a case coordinator , primarily where the non offending parent is a sexual abuse or physical abuse victim. Susan Bromley, Psy..D. is both trained and experienced a social worker and a practicing licensed psychologist with extensive experience . She will serve in this program in an on call capacity on weekends on a rotating basis with other providers. Emily Jaramillo M.A., L.P.C. is a licensed professional counselor fluent in Spanish. She has specific training in solution focused therapy and specializes in working with children, teenagers and families. She will provide our bilingual services, She has experience in criminal justice, and in drug abuse treatment as well as in Family Group Conferencing, Home based treatment and Foster parent support consultation. She will also serve as a case coordinator. Larry Kerrigan Ph.D., licensed psychologist, has more than twenty five years experience as a therapist in Greeley working through the Weld Mental Health Center and Ackerman and Associates. He has extensive child protection experience. He will rotate call and be available for individual sessions with teens, particularly with male siblings who may need a male therapist or who potentially have experienced sexual abuse from the offending parent. Sherri Malloy, Ph.D. Licensed Clinical Psychologist who has bicultural experience at the Boulder Mental Health Center as director of the Children's Team can use a brief play therapy session to assist the child and document the impact of the sexual abuse on the younger children and siblings. She will be one of the principle case 9 coordinators as well. Nicole Wamygora, M.A., L.P.C. has experience with latency age children in psychiatric settings and has been providing services for Ackerman and Associates P.C. since 1998 in both home based and foster parent support. She is a doctoral student in school psychology and will conduct the psychological, personality and projective testing in this program. She will also coordinated group treatment of children. She will also serve as a clinical case coordinator. She also has clinical experience with bicultural families. Cassie Yackley, M.S., L.P.C. is experienced with children and families and especially with adolescents. She is completing her doctoral work in counseling psychology at UNC. She will serve as a case coordinator and also has clinical experience in Home based and bicultural treatment models. Maximum caseload is seven families at a time over a six month period per therapist. Modality of treatment : Part A: assessment Part B: psychoeducational group and individual therapy Part C: individual and play therapy, group therapy - children's safety group Part D: family , child or individual therapy as required. Hours per month: We expect to average 108 hours per month and will set a maximum of 216 hours per month. Eight individuals provide or assist with these services. Maximum case load per case supervisor is 15 in 12 months for this program Maximum families accepted for treatment in one year is 36 families. Insurance of one million three million professional malpractice is carried by all providers and by Ackerman and Associates P.C. for the corporation. General liability is carried through Farmers insurance in excess of the required minimum. Car insurance is carried by each provider. Staff qualifications are stated above and resumes are available if requested. Bid is calculated as follows Therapy time for individual treatment or assessment is at $99.50 per contact hour. Therapy in group time is at that rate for two hours of contact time. The maximum for this contract for thirty six families if all required 45 sessions of individual treatment would be 1620 sessions for a maximum of $161,190. The expected cost of the proposal based on an average of two families per month would be $95,520 if 40 sessions was the average. Our experience in the 2000-2001 bid year was significantly lower than this set of theoretical maximums. 10 DECLARATIONS O TRUCK INSURANCE EXCHANGE ® FARMERS INSURANCE EXCHANGE O FIRE INSURANCE EXCHANGE SPECIAL SENTINEL SCUM RS MEMBERS of FARMERS INSURANCE GROUP OF COMPANIES "'u"".rl� PACKAGE HOME OFFICE:4680 WILSHIRE BLVD.,LOS ANGELES,CALIFORNIA 90010 cxa \ SUPER 1. Named . DR JOYCE SHOHET ACKERMAN PC Prod. Count Insured Prematic Acc't No. Mailing 1750 25TH AVE SUITE 101 Address . 07-04-362 04576-38-07 GREELEY CO 80631 Agent Policy Number Type of The named Insured is an individual unless otherwise stated: ❑ partnersa ® Corp. Business OFFICE ❑ Joint Venture LJ Organization(Other than Partnership or Joint Venture) 2. Policy Period from 07/01/00 (not prior to time applied for) to 07/01/01 12:01 a.m.Standard Time. If this policy replaces other coverages that end at noon standard time on the same day this policy begins, this policy will not take effect until the other coverage ends. This policy will continue for successive policy periods as follows: If we elect to continue this insurance,we will renew this policy if you pay the required renewal premium for each successive policy period subject to our premiums,rules and forms then in effect. 3. Insured location same as mailing address unless otherwise stated: 1750 25TH AVE SUITE 101 GREELEY CO 80631 4. Mortgage Holders Loan# Loan# 5. Premium$ 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 COVERAGES LIMITS OF INSURANCE DEDUCTIBLE A-Building $ $250 applies unless other SECTION 1 B-Business Personal Property $ 52,000 o tlon indicated b an® �stoo❑ssoo �$_ C-Loss of Income(Not exceeding 12 consecutive months) ACTUAL LOSS SUSTAINED NONE Property OPTIONAL COVERAGES and Swimming Pool/Fences and Walkways $ Above deduc-3 Loss of IC Building Glass(Blanket) REPLACEMENT COST lible applies 3 100 Income 7 Outdoor Sign Coverage $ 100 unless other 3 Valuable Papers(In addition to$1000 included.) $ option Inch- $ cater!. ❑ Earthquake Damage See Coverages A,B,8 C of the applicable ins. limit. SECTION II 0-Business Liability•Including Products and Completed LIMITS OF LIABILITY Operations. (Annual aggregate applies for all occurrences (Annual Aggregate) during the policy period.) $ 1 ,0 00,000 Liability E-Fire Legal Liability$75,000 Included unless other option indicated by an X and 0$100,000 0$150,000 each occurrence(Subject to the annual aggreagate shown for Cov.D) Medicals F-Medical Payments to Others(Subject to the annual aggregate $5,000 each person shown for Coverage D.) 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 $1,0 00 $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 56.5300 2-92 2ND EDITION Countersigned r N, a_ / Authorized Represents ive Attach to.your policy with the same number shown on3hirendorsement• n b z- 2nd Edition` Named Insured• DR JOYCE SHOUT 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. Additional STATE OF COLORADO nsured • C/O WELD COUNTY SOCIAL SERVICES DEPT IATTN: JUDY GRIEGO PO BOX A • GREELEY CO 80632 Countersigned Authorized Representative • PYM(9f f- �iXtuPP.1 I � 4N0JP � 9,4,03 2ND EDITION 6.95 1501 K-95 1501 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 $1,000,000 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 GADR IAN 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: Ja a" e Air via 6LR Issue Date: 12/01/0 0 <6neipocPROFESSIONAL LIABILITY OCCURRENCE Alliance INSURANCE POLICY FOR Risk Retention Group PROFESSIONAL COUNSELORS AND HUMAN DEVELOPMENT PRACTITIONERS ACA Insurance Trust,Inc. 5999 Stevenson Avenue ACA IMIWr1 Policy Number: CL10073401 Administered by: Alexandria,VA 22304-3300 TRUST Toll Free:1100-347-6647 x284 1.. "' 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 $ 370 . 00 B. GENERAL LIABILITY S 0 . 00 TOTAL PREMIUM: S 370 . 00 C. 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 end agreements contained in the following formis) or endorsement(s): CPL•0004•0199 CPL-0005-0199 CPL-0005.0199 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. i cnt DECLARATIONS CERTIFICATE NUMBER: 45P- 2050203 NAMED INSURED: SUSAN FLOCK BROMLEY PSYD ADDRESS 1621 13TH AVENUE (Number (Sf Street, Town, GREELEY CO 80631 County. 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 PREMIUM Professional Liability $1 , 000,000 $3,000,000 $802 .0': each Incident Aggregate BUSINESS OF THE INSURED: Psychology THE NAMED INSURED IS: ----------- ( X ) Sole Proprietor (including Independent Contractors) ( ) Partnership ( ) Corporauon ) OTHER: ---------- ---- n his policy shall only apply to incidents which happen on or after: a) the policy effective cate 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. 04/05/1996 This policy is made and accepted subject to the printed conditions of this policy together ssiui the provisions, stipulations and agreements contained in the following form(s) or endorscr,te:.t, P- , - 2008 ( 10/94 ) POE -8004 ( 5/88 ) PLE -2167 ( 07/001 PLE - 208 ' Pot) -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 . ' tn• IATL k \NCt PLP-21312 (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. Crern,urn 101 this endorsement is included in the premium shown on Additional Premium $ = cec'arauons unless a specific amount is shown here. Return Premium $ E^.:ORSEMENT NO.: Effective: 04/01 /2001 aaacnec 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 =-e iSs_ec Authorized Representative: b 2 0 0 1 e --_ _--- L_5 LEC '10:93) Dec)i • 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 JARAMILLO-BANSBERG MA x 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 80M-4003488 11/01/2000 11/01/2001 3,000,000 in the aggregate General Liability each incident or occurrence Occurrence in the aggregate Should 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: t • e 4;, ,e, :1/14/00 - 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 . .POLICYNO 801-0005006 ACCOUNT NO: CO-KERL175-0 0099745= ITEM I. (al 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 OFORG: INDIVIDUAL ITEM - ADDITIONAL INSUREDS: . ---- • !TEM3 POLICY PERIOD: FROM: 12/01/00 TO: 12/01/01 • 12:01A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED H=b.'_:". ITEM 4 LIMITS OF LIABILITY: (a)$ 1 , 000 , 000 EACH WRONGFUL ACT OR SERIES OFCONTIN(1O1 :. H!:T '. OR INTERRELATED WRONGFUL ACTS OR ° C( I;i.l (b)$ 5 , 000 DEFENSE REIMBURSEMENT (c)$ 3 , 000, 000 AGGREGATE ITEM 5 PREMIUM SCHEDULE: - - - -- CLASSIFICATION NUMBER RATE ANNEAL PRE\IT \I 1ST PSYCHOLOGIST 1 1254 . 00 1 , 254 . 0 DEFENSE LIMIT SURPLUS LINES TAX 1 37 . , 1 INSPECTION FEE 1 2 . 51 • • • ITEM 6 RETROACTIVE DATE: 12/01/91 TOTAL PREMIUM: 1 , 294 . 1_ 3 ITEM 7 EXTENDED REPORTING PERIOD -- _-ADDITIONAL PREMIUM(ifexercised):$ 2 , 265 . 24 ITEM S. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY 922138 (7/95 ED . ) B22137 THIS IS NOT A BILL. PREMIUM HAS BEEN PAID. AL'T RIZED COMPANY REPRP NLN I 4PA?_'(1095) i Americ Pro lismnal Agcnc� ")i Ifi,�,iJvr. .� Branch B/A Producer# Issue Date Renewal/Replacement No. • 32 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 0 (Number & Street, Town, GREELEY CO 80631 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 PON-2003 PLE-8035 109/97 ) 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.) ;j".PLR8003(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. 2200009922-001 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 R 0 BOX 1809 ROCKPORT, TX 78381.1809 1-800.423.5344 ITEM 2: ADDITIONAL INSUREDS: NONE ITEM 3: DESCRIPTION OF BUSINESS: MENTAL HEALTH PRACTITIONEP(SI • ITEM 4: POLICY PERIOD: FROM 05/20/2000 TO 05/2012001 12:0' am STANDARD TIME AT THE ADDRESS OR [HE INSURED A5 STATED HEREIN• ITEM 5: LIMITS OF LIABILITY: $ 1,000,000 EACH WRONGFUL ACT OR EACH OCCURRENCE SUBJEC 1 -0 A • 525,300 SUB-LIM:T OF LIABILTY FOR ALL "WRONG%Vl a.CTE- INVOLVING "SEXUAL MISCONDUCT.. $ 3,000.000 AGGREGATE ITEM 6: PREMIUM SCHEDULE: p1A8$IFICATION NUM MI RAIL ANNUAL PRFMIUM CATEGORY M2 1 263.00 S 263.00 TOTAL PREMIUM S 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 /9, ,J�fl ,/ 'J''/� ,� � lOCL W vvr l,>S�' AUTHORIZED COMPANY REPRFSENTATT/E 189.00 0195 m Everest National Insurance Company, 1995 Issue Date: 09/08/00 <C� The Reciprocal PROFESSIONAL LIABILITY OCCURRENCE sA Alliance INSURANCE POLICY FOR Risk Retention Group PROFESSIONAL COUNSELORS AND HUMAN DEVELOPMENT PRACTITIONERS ACA Insurance Trust,Inc. 5999 Stevenson Avenue kC"`Si2'u Policy Number: CL12494600 Administered by: Alexandria,VA 223043700 TRUST Toil Free: 6800347.6647 x284 ITEM DECLARATIONS INDIVIDUAL POLICY NAMED INSURED: Cathleen Yackley 2 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 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 395 . 00 B. GENERAL LIABILITY S 0 . 00 TOTAL PREMIUM: $ 395 . 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 _. 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 CPL0005.0199 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 AMERICAN FAMILY MUTUAL INSURANCE COMPANY MADISON,OR WISCONSIN 5E3H783.0001 PROOFAor INSURANCEIPARD Policy No: 0869-0235-01-84-FPPA-CO Eff Data: 11-3-2000 Exp Data: 5-3-2001 1999 PONT GAS VIN: 1G2NE52E3XM811960 C II PO UM UIM COMP COLL PIP ERS JARAMILLO, EMILY 183 50TH AVENUE PL GREELEY CO 80634-4718 Agent: CHRISTINA GALINDO ASent Phone: (970) 346-9356 COLORADO INSURANCE CARD INSURED KERRIGAN,LARRY P MUTL VOL POLICY NUMBER 200 0862-D28-068 EFFECTIVE YR 1988 MAKE HONDA MODEL OCT 2820009JC ITOT APR 282001 ACCORD VIN JHMCA532JC133q AGENT RICK WALLACE PHONE (970)356.8237 1679-625 A BODILY INJURY/PROPERTY DAMAGE LIABILITY P1 NO-FAULT D COMPREHENSIVE G 100 DEDUCT COLLISION H,U SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION COLORADO l INSURANCE CARD INSURED BROMLEY,JOHN MUTL VOL POLICY NUMBER 653 7520•F07.08C EFFECTIVE YR 1984 MAKE VOLVO DEC 072000 TO JUN 072001 MODEL 240 VIN YV1AX8855E1583112 AGENT MARK LARSON PHONE (170)356.1700 THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY LIMITS 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 • \ IA Stock Insurance Company) Stale 06 D7 Idea POLICY NUMBER • SAA® 9800 Fredericksburg Road San Antonio, Texas 78288 SAA® D29P29 err 00211 02 59C 7103 5 COLORADO AUTO POLICY POLICY PERIOD: (12:01 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 Vehicles) EH USE • MWoes;sCHOOL 19 YEAR TRADE NAME MODEL BODY TYPE ANNUAL IDENTIFICATION NUMBER SYM One Per Way )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 • PNOGREEDTh(E' Insurance Identification Card- COLORADO G California Casualty Name of Insurer: • PROGRESSIVE SPECIALTY INSURANCE COMPANY CA'-i FBOX3 CASUALTY INDE ITT EXCHANGE P.O. BOX 39700 P.O. BOX 31557 :gPAS SPRINGS CO 80999-9700 TAMPA, FL 33631-3557 w Ev:OEN Name of Insured: EV:JENCE OF MOTUP VEHICLE LIA2ILITT INSURANCE ALAN H ACKERMAN Effective Date: 01/08/01 INSURED 1600 AORA TOI1D & NICOLE 1800 ANGEIN cT Listed Drivers: FORT COLLINS Co 80528 JOYCE S ACKERMAN O1/O8/O2 ate: EFFECTIVE DATE EXPIRATION DATE POLICY NUMBER . RACHEL ACKERMAN 08/09/00 08/09/01 1022312594 • YEAR MAKE/MODEL VIN Policy Number AA 70109900-0 99 TOYOTA TACOMA XCH 4TAWN72N9XZ569122 CLAIMS 8oc-800-Salo SERVICE. 800-800-9410 Year Make/Model Vehicle Identification Number M„ .99, 1992 HONDA 1HGCB7877NA788218 COLORADO • �_E � NEW HAMPSHIRE IN • SIIRANCI: CARD INSURED YADKLINSURANCE CARD INSURED BENDER,BRICE J&N KAREN BONNEMA,DOUG MUTL MUTL POLICY NUMBER 8011•F11.29A VOL POLICY NUMBER C054252-D14.08C VOL YR 1996 MAKE HONDA EFFECTIVE YR 2000 MAKE TOYOTA EFFECTIVE MODEL CIVIC DEC 112000 TO JUN 1';2001 MODEL AVALpN OCT 142000 TO APR 142001 VIN iMGEJB1sOTL022250 VIN 4T1BF28B8YU048578 AGENT RICH YACYSITYN AGENT JEFF PFEIFFER PHONE (603)224-5298 2018.876 PHONE (303)651.0111 THE COVERAGE PROVIDED BY THE POLICY MEET S THE MINIMUM LIABILITY LIMITS PRESCRIBED BY LAW, AB BODILY INJURY/PROPERTY DAMAGE UA SILfTY A BODILY INJURY/PROPERTY DAMAGE LIABILITY C MEDICAL PAYMENTS P1 NO•FAULT ABILITY 0 50 DEDUCT COMPREHENSIVE D 500 DEDUCT COMPREHENSIVE 0 250 DEDUCT COLLISION G 500 DEDUCT COLLISION - H,91,U 91,U SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION . Supplemental Narrative to RFP: Exhibit B Recommendation(s) RFP: 01007-Sex Abuse Treatment 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 and permanent 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, Joyce Shohet Ackerman, Ed.D. 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