HomeMy WebLinkAbout20001540 RESOLUTION
RE: APPROVE TWO NOTIFICATION OF FINANCIAL ASSISTANCE AWARDS FOR CORE
SERVICES FUNDS AND AUTHORIZE CHAIR TO SIGN - ISLAND GROVE REGIONAL
TREATMENT CENTER, INC.
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 two Notification of Financial Assistance
Awards for Core Services Funds between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, on behalf of the Department of
Social Services, and Island Grove Regional Treatment Center, Inc., commencing June 1 2000,
and ending May 31, 2001, with further terms and conditions being as stated in said awards, and
WHEREAS, after review, the Board deems it advisable to approve said awards, copies
of which are 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 two Notification of
Financial Assistance Awards for Core Services Funds between the County of Weld, State of
Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the
Department of Social Services, and Island Grove Regional Treatment Center, Inc., be, and
hereby are, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said awards.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 26th day of June, A.D., 2000, nunc pro tunc June 1, 2000.
BOARD OF COUNTY COMMISSIONERS
Ad) WELD COUNTY, COLORADO
ATTEST: L %ta u_z' A �'�_._7'-
1861 " - parbara J. Kirkmeyer, Chair ,.
Weld County Clerk to th- :oa . '( ������ -
/EXCUSED
/
a �4 „ M. J. Geile, Pro-Tem
BY: - • 1� rd .� . _
Deputy Clerk to the Board - l�
eorgerE. Ba r
APPROyED AS TO FO i - ---Y
Dale K. Hall
Cnttorn y i EXCUSED
Tenn Vaad
2000-1540
�; SS rs�andGrcvz P��ioi1Q/ TpCtfiYlP�1 f( T r °soon
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 FY00-PAC-3001
Revision (RFP-FYC-00008)
Contract Award Period Name and Address of Contractor
Island Grove Regional Treatment Center, Inc.
Beginning!J6/01/2000 and Individualized Family Systems Intensive Family Therapy
Ending 05/31/2001 1140 M Street
Greeley, CO 80631
Computation of Awards Description
Unit of Service
Improve both individual and family functioning The issuance of the Notification of Financial Assistance
through in-home and in-office services. A Award is based upon your Request for Proposal (HIP).
maximum of 60 families a year, 14 units active at The RFP specifies the scope of services and conditions
any one time, with an estimated average stay in of award. Except where it is in conflict with this
intensive therapy of 25 weeks (in-home or in- NOFAA in which case the NOFAA governs. the REP
clinic), an average of one-two contacts per week upon which this award is based is an integral part of the
of 3 clock hours of contact. action.
Cost Per Unit of Service Special conditions
Hourly Rate Per Unit of Service 1) Reimbursement for the Unit of Services will be based
Based on Approved Plan -$ 98.75 on a hourly rate per child or per family.
2) The hourly rate will be paid for only direct lace to face
Enclosures: contact with the child and/or family, as evidenced by
_X Signed RFP:Exhibit A client-signed verification form, and as specified in the
_X Supplemental Narrative to RFP: Exhibit B unit of cost computation.
Recommendation(s) 3) Unit of service costs cannot exceed the hourly and
yearly cost per child and/or family.
X Conditions of Approval
4) Payment will only be remitted on cases open with. and
referrals made by the Weld County Department of
Social Services.
5) Requests for payment must be an original submitted to
the Weld County Department of Social Services by the
end of the 25th calendar day following the end of the
month of service. The provider must submu requests
for payment on forms approved by Weld County
Department of Social Services.
Approva s: Program Official:
By t/ / By 1
arbara J. Kirkmeyer, hair Judy Grietg , Direct
Board of Weld County Commissioners Weld-Count I Department of Social Services
Date: _Ini l.-.2yao -_ Date: C �%C%
2000-1540
SIGNED RFP
EXHIBIT A
SUPPLEMENTAL NARRATIVE TO RFP:
EXHIBIT B
CONDITIONS OF APPROVAL
•
ISLAND GR .o ,
-- R0MLX^INmAND _
REGIONAL TREATMENT CENTER, INC .
Est 19/4
May 16, 2000
Frank Aaron
Social Services Administrator
Weld County Department of
Social Services
P.O. Box A
Greeley, CO 80632
Re: RFP 00008, Intensive Family Therapy
RFP 00007, Sex Abuse Treatment
Dear Frank:
I received notification of acceptance of our bids for RFP 00008 and RFP 00007. RFP 00007 was
accepted without any conditions or recommendations. RFP 00008 was accepted on condition that we
discuss specifics of the program with Social Services staff regarding how many weeks, number of hours
required for each referral, and the step-down plan. Island Grove accepts this condition and understands
that it will be incorporated into our RFP Bid and Notification of Financial Assistance Award (NOFAA).
I will have Scott Wykes, Family Services Program Manager, contact your agency to schedule a meeting
with social services staff to describe the elements requested above. Scott will contact appropriate staff by
June 1, 2000, to arrange a convenient time to review the Intensive Family Therapy program.
If you need any further information, please do not hesitate to contact me.
Sincerely,
\
-
B,I Dea , MA, CAC III
Executive Director
cc: John Wilde
Scott Wykes
���1y A Behavioral Health Agency Specializing in Alcohol/Drug Abuse
!1 1140re Ml Street,Greeley,Care
CO ces/ • ,n,AX(9]0) •(9 0l3 ��
349
(r��f Intensive TrealmenVA<ule Care Services/Administration•(9701 J56 666a �
Community Counseling Center (970)351-6678/Fort Lupton Branch•(303)857-6365
•
0 atDEPARTMENT OF SOCIAL SERVICES
PO BOX A
GREELEY,CO 80632
Administration and Public Assistance(970)352-1561
Child SluRe May 10, 2000
CC4PITn, I xecutOive Director
Island Grove Regional Treatment Center
1140 M Street
Greeley, CO 80631
Re: RFP 00008, Intensive Family Therapy
RFP 00006, Sex Abuse Treatment
Dear Ms. Dean:
The purpose of this letter is to outline the results of the RFP Bid process for PY 2000-2001 and
to request written information or confirmation from you by Wednesday, May 24, 2000.
A. Results of the RFP Bid Process for PY 2000-2001
On April 20, 2000, the Families, Youth and Children (FYC) Commission approved the
RFP(s) listed above for inclusion on our vendor list. The FYC Commission attached the
following recommendations and/or conditions regarding your RFP bid(s).
1. RFP 00008• Intensive Family Therapy:
Condition: Discuss with Social Services staff specifically how many weeks and the
number of hours required for each referral, and the step-down plan.
2. RFP 00007, Sex Abuse Treatment:
Approved with no conditions or recommendations..
B. Required Response by RFP Bidders Concerning FYC Commission Condition
The Weld County Department of Social Services is requesting your written response lo
the FYC Commission's condition. Please respond in writing to Frank Aaron, Social
Services Administrator, Weld County Department of Social Services, P.O. Box A,
• Greeley, CO, 80632, by Wednesday, May 24, 2000, close of business, as follows:
.,
Page 2
Island Grove Regional Treatment Center
Results of RFP Bid Process PY 2000-2001
All conditions will be incorporated as part of your RFP Bid and Notification of Financial
Assistance Award (NOFAA). If you do not accept the condition(s), you will not be
authorized as a vendor unless your mitigating circumstances are accepted by the FYC
Commission and the Weld County Department of Social Services. If you do not accept
the condition, you must provide in writing reasons why. A meeting will be arranged to
discuss your response. Your response to the above conditions will be incorporated in the
RFP Bid and Notification of Financial Assistance Award.
If you wish to arrange a meeting to discuss the above conditions and/or recommendations, please
do so through Elaine Furister, 352.1551, extension 6295, and one will be arranged prior to
Wednesday, May 24, 2000.
Sincerely,
v
, 10 i
Jlu y A. Gri go, Dir tor /
4Cou y Department of Social Services
JG:ef
cc: Esteban Salazar, Chair, FYC Commission
Frank Aaron, Social Service Administrator
INTENSIVE FAMILY THERAPY
FAMILY PRESERVATION PROGRAM
DEPARTMENT OF SOCIAL SERVICES
WELD COUNTY
2000/2001 BID PROPOSAL
RFP-FYC # 00008
Island Grove Regional Treatment Center, Inc.
1140 M Street
Gree/ey, CO 80631
INVITATION TO BID
DATE:February 28, 2000 BID NO: RFP-FYC-00008
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-00008) for:Family Preservation Program--Intensive Family Therapy
Program Family Issues Cash Fund or Family
Preservation Program Funds
Deadline: March 23, 2000, Tuesday, 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, 2000,through May 31, 2001, at specific rates for different types of service, the County will
authorize approved vendors and rates for services only. The Intensive Family Therapy Program must provide
for therapeutic intervention through one or more qualified family therapists, typically with all family
members, to improve family communication, function, and relationships. This program announcement
consists of five parts, as follows:
PART A...Administrative Information PART D...Bidder Response Format
PART B...Background, Overview and Goals PART E...Bid Evaluation Process
PART C...Statement of Work
Delivery Date
(After receipt of order) BID MUST BE SIGNED IN INK
PJ DEAN
TYPED OR PRINTED SIGNATURE
Island Grove Regional
VENDOR Treatment Center, Inc.
(Name) Han ten Signature By Authorized
Officer or Agent of Vender
ADDRESS 1140 M Street TITLE Executive Director
Greeley, CO 80631 DATE March 22, 2000
PHONE # (970) 356-6664
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-00008 Attached A
INTENSIVE FAMILY THERAPY PROGRAM BID PROPOSAL
FAMILY PRESERVATION PROGRAM
2000/2001 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2000-2001
BID#RFP-FYC-00008
NAME OF AGENCY: ISLAND GROVE REGIONAL TREATMENT CENTER, INC..
._ADDRESS: 1140 M Street, Greeley, CO 80631
PHONE: ( 970 ) 356-6664
Program. Manager of
CONTACT PERSON: Scott Wykes TITLE: Family Services
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Intensive Family Therapy Program must
provide for therapeutic intervention through one or more qualified family therapists.typically with all family members. to
improve family communication. functioning, and relationships
12-Month approximate Project Dates: 12-month contract with actual time lines of
Start June 1.2000 Start June 1, 2000
End May 31.2000 End May 31., 2001
TITLE OF PROJECT: Intensive Family Therapy Program
r
N. ) ( I l
C _ � jj Ar Scott Wykes March 22, 2000
_Name and S gnateofS Person Preparing Document Date
'r&L BJ Dean March 22, 2000
Name n Signature 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 2000-2001.
Indicate No flange from FY 1998-1999
_/_ Project Description ja)
_✓ Target/Eligibility Populations 00 awl 54)
_V Types o.`services Provided uJ
_✓ Measurable Outcomes ilo G�SW'
✓ Service Objectives kle cki )
Workload Standards sit kA&M .50
_.1". Staff Qualifications (,ja c,V, L :)[I'I
Unit of Service Rate Computation i, ` sui
Program Capacity per Month Sl c k1 -SZ
_t7 Certificate of Insurance U
Page 26 of 32
RFP-FYC-00008 Attached A
Date of Meeting(s)with Social Services Division Supervisor:
Comments by SSD Supervisor:
,, L � 41 [ lt� (IJ_TJ> tftfiTP �t.a. Jim' / lt `Cf ' � � !'Cv---
_ �� ,g7/' l i r i l id t:a ; eti / ti° � �, .d (2, a t /- - — —
(_ C,_Ct- �,- c_- I l C Ce1 , �_ (ki c�
Name and Signature of SSD Supervisor Date �r�
Page 27 of 32
RFP -FYC -00008
Intensive Family Therapy Program Bid Category
Intensive Family Therapy -Family Preservation Program
Island Grove Regional Treatment Center, Inc.
PROJECT DESCRIPTION
Most families face enough challenges to test even the most successful families. Add an
accompanying element such as substance misuse by any of its members and the disruptior can
be so extensive that parent's face losing their substance-involved children or children lose their
parents to the control of chemicals. These high-risk situations require effective interventions.
Island Grove Center's Intensive Family Therapy Program has remained current on developments
in Family Therapy to deliver such interventions.
The IFT Program is specifically geared to assist substance-involved families in reclaiming their
lives from this undermining influence. Using a Strength based perspective, our staff focuses or
building family strengths with the goal of reunifying the family and retaining children safely in their
homes.
Each referred family is provided with in-home or in-clinic family sessions. Solution-based models
of family therapy have demonstrated success in working with this population in a time-efficient,
goal-directed manner. The clinical staff has expertise in both couples and family therapy, as well
as recent developments in drug and alcohol abuse counseling. This combination of skills provides
our staff with the tools to pave opportunities for families to choose more responsible and mutually
satisfying ways of living. The frequency of sessions and the duration of the program is assessed
and determined by the clinical team, in collaboration with the caseworker and the involved family
In addition to family sessions, case aide support, group therapy, and other auxiliary services can
be accessed by individual family members. Truly, an individualized and customized family
treatment plan can be a reality. The following menu is available to augment and reinforce goal
attainment with the approval to bill other authorized funding, such as the ADAD Menu.
• Sobriety support groups
• Domestic violence education and therapy
• Substance abuse education
• Women's Therapy Group
• Pregnant Women's services
• Vocational assessment and planning
• Antabuse monitoring
• Urinalysis and breathalyzer testing
As demonstrated in the past, our family services team will maintain and nurture collaborative
relationships with case workers to facilitate timely, flexible, and appropriate services to support the
case plan.
II. TARGET/ELIGIBILITY POPULATIONS
Our Intensive Family Therapy team will serve eligible, substance-involved families within Weld
County. Due to proven demand, we are currently capable of carrying an average of 14 family
cases at any given time, for a total of 60 family units over the upcoming funding period. We have
the flexibility to expand the availability of our team to accommodate additional referrals. This
could include more than 150 children within these families, from preschool ages on up, within the
year. We will also accept referred families where children are at high risk for substance misuse
Length and intensity of treatment vary among the families, depending on the severity of their
challenges and their willingness to use the resources available to them. We estimate the average
duration of the program to cover a twenty-five-week span, with an average between one to two
contacts per week for an estimate of three clock hours of contact at the outset of treatment. Later
stages of this time period would typically decrease services to bimonthly contacts. The upper end
of the intensity could involve twelve hours of contact per week, for a brief period, in the most
extreme cases.
Our referred families will be contacted within two business days to arrange for the initial
assessment. Depending on the family's schedule, the assessment will occur, typically in-home,
within seven business days from the moment of referral. In case of crisis, all referred family
members will have access to 24-hour response through our Acute Care Services unit and
available on-call family services counselors.
Services to South Weld County families have previously comprised approximately one-fourth of
our total enrollment. We have been responding to these families through accessing our Ft
Lupton office or providing in-home sessions in the further outlying areas such as Dacono Hudson,
or Frederick.
Recognizing the need for bilingual/bicultural services, we are prepared to serve up to twelve
Spanish-speaking families this year.
If a family refuses treatment or appears inappropriate for outpatient services, we will immediately
contact the caseworker and discuss other referral possibilities. This may include referrals :o
Intensive Outpatient, residential services, or other special program areas.
III. TYPES OF SERVICES TO BE PROVIDED
A. Comprehensive assessments and treatment planning: Family services counselors will
complete an in-depth family assessment during the initial home visit for all accepted
referrals to determine to what extent substance involvement and other factors impact the
family's functioning, as well as to identify strengths the family brings to their situation. The
Browning Outcomes Survey Scale (BOSS)will be used to gather a pre-and post-
treatment measure. The Department of Human Services -Alcohol and Drug Abuse
Division requires us to implement the ASAM criterion and ASI instrument to match level of
treatment with level of care needed. The family's primary counselor will collaborate with
the family to develop a treatment plan that will prioritize and specify measurable
objectives. Frequently, families incorporate goals of accessing community resources and
other providers.
2
B. Therapeutic interventions that may include an array of auxiliary services: In addition to
weekly family therapy sessions and available case management services, individual
family members and DSS case workers may find it beneficial to supplement or follow-up
the IFT service base with other Island Grove Center offerings or additional community
support. The IFT family member could have, at their disposal, therapy groups for
women's issues, education and therapy for domestic violence offenders, counseling
support and education for pregnant and postpartum women (Medicaid reimbursable),
vocational assessment, substance abuse education, detoxification, residential treatment,
urinalysis, and breathalyzer monitoring. Virtually every related and necessary service can
be accessed within Weld County at Island Grove Center or via the collaborative
relationships that Island Grove has with an extensive list of other community providers
There are many caring and competent professionals invested in the families that we
share.
Other funding streams, such as the ADAD Menu, have been utilized in the past to access
existing Island Grove services when authorized by the caseworker. We estimate that
50% of our referred IFT families could benefit from being involved in additional monitored
services.
C. Co-facilitated therapeutic services by qualified family therapists: Many family sessions
are facilitated by pairs of master's level family therapists. This strategy, usually
comprised of a male and female team, is utilized when therapeutically beneficial to the
family. It is employed discriminately to contain costs and to manage staff time and
coverage, yet it may comprise 25% of the family sessions. Other staff combinations such
as concurrent individual therapy have been useful in meeting the specific needs of some
family members.
D. Therapy that is designed to dissolve conflicts and restore respectfulness within the family:
Family counselors will consistently use solution-based models of family therapy. Solution
building and outcome-based strategies have demonstrated success within the brief and
managed care models of service provisions. Focusing on a family's strengths, this model
integrates well with the services of other providers. The therapy is designed to empower
families to implement respectful and responsible conflict skills, restore family boundaries,
and discover life without the involvement of drugs and alcohol. The instrument chosen,
the BOSS, indicates measure of relational skills, family goal attainment, and levels of
conflict.
IV. MEASURABLE OUTCOMES
A. Children receiving services do not go into out-of-home placement We can anticipate that
80% of families completing all recommended treatment will not lose children to placement.
Our communication with caseworkers will verify these outcomes.
B. Families remain intact: Similarly, we expect that 80% of.families completing this program
will remain intact and continue to improve. Post-discharge version of the BOSS should
indicate sustained positive changes. It will be administered by telephone six months after
the family is discharged. The BOSS results from the 1998-99 fiscal year indicated that of
the referrals to the Island Grove Intensive Family therapy program, 55% successfully
ended treatment, 6%were discharged due to incarceration, 23%were moved to more
restrictive treatment and only 16% were unsuccessfully discharged.
3
C. Reunification of children with families: The program design for IFT, by its nature, will
include, ideally, as many family members in the solution-building process as there are
available. Without this involvement, the progress toward goal attainment is slower and
much more difficult. Our goal is set at 85% satisfactory completion of all families referred.
Satisfactory completion is defined as: All significant family members were included in the
treatment plan and completed stated goals prior to discharge.
D. Improvements in parental competency, parent/child conflict management: Therapeutically,
the focus of much solution building will be in regard to the areas of competency. We feel
the BOSS instrument will give us a measure of these areas within the sub-scales. There
are desired obvious behavioral outcomes we want to see, such as kids going to school
clean drug screens, etc. All of these incidents will be recorded as the counselor becomes
informed, recorded in the base file, and data brought together within the submitted
quarterly reports.
E. Cost efficient IFT services in comparison to placing the child:We estimate our average
monthly treatment costs per family to be under$400. With an average satisfactory
completion time frame of six months, the high end of the total costs would still be at only
$2,400.00.
F. Therapeutic outcomes include fundamental changes in the family functioning and
dynamics:We believe that the regular administration of the pre and post BOSS will
indicate improvement in significant family functioning. Other indicators will be recorded
such as child's school performance, any out-of-home placement decisions, and ooserved
achievements between sessions.
V. SERVICE OBJECTIVES
A. Improve Family Conflict management Family sessions are targeted toward
demonstrating family skill building in conflict resolution and sensitive communication. In
addition to the instrument mentioned throughout the proposal, the family's individual
treatment plan will indicate progress or continued deficits.
B. Improve Parental Competency: Instruments such as the BOSS will provide measures of
the quality of the relationships within the family. The counselor's home visit reports will
also indicate basic safety, supervision, and nutrition needs being met. Additional referrals
to participate in other provider's programs will be recommended as needed. Specialized
materials will be purchased and utilized to address the impact of substance abuse on
parenting abilities.
C. Improve Ability to Access Resources: The program's responsibility, in addition to
establishing a working, therapeutic atmosphere with the family, is to be a vehicle, literally,
at times, to connect families to their communities. Our clinical staff will arrange for
transportation of family members to sessions and other agency or community resources,
as it applies to the completion of the treatment plan. As a result, the family may continue
these sustaining relationships long after their treatment" ends.
4
Documentation within the case files will indicate the community net that is being woven
with the family that is validating their positive directions. Our minimal goal for each family
is that one or more of its members establish at least two appropriate community contacts
during their course of treatment. These could include such links as peer support groups
for sobriety, Job Service, United Way agency volunteering, Food Bank, recreatior center
involvement, or Sunrise Community Health, etc.
VI. WORKLOAD STANDARDS
A. Number of hours per day, week, or month: Families are generally involved in one family
session per week, 1 to 1.5 hours in duration. One or more family members may have
additional individual sessions of one hour per week and/or auxiliary support services
ranging from 1 to 3 hours per week. A minimum average would be 2 hours per week but
could range up to 12 hours, if even only periodically. We clearly want the family to have
all possible resources and services available to them. On the other hand, we want to
individualize the response to the presenting needs, without always assuming that"more is
better."
B. Number of individuals providing the services: We have access to three degreed
counselors and one case manager.
C. Maximum caseload per worker. With a staggered caseload, in that families will be at a
range of service needs, and with the assistance of our case manager, our counselors can
handle a case load of twelve families. Their administrative duties are kept to a minimum
so that full attention can be focused on direct services.
D. Modality of treatment:All IFT core services will be on an outpatient basis.
E. Total number of hours per week: Our Weld County families will be receiving between 1 to
2 hours of service per week/per family (less in later stages of treatment).
F. Total number of individuals providing these services: 3
G. Maximum caseload per supervisor. 10
H. Insurance: Flood & Peterson Insurance, Inc. -see attached documentation
VII. STAFF QUALIFICATIONS
•
Scott D. Wykes, Family Services Program Manager
Doctoral Candidate, Counselor Education and Supervision emphasis in Marriage
and Family Therapy
M.A. Pastoral Counseling
Licensed Professional Counselor(LPC)
Experience: 3 years Intensive Family Therapy ,
6 years general therapy
5
Anne Gleditsch, Counselor- Family Services
M.A. —Agency Counseling, emphasis in Marriage and Family Therapy
CAC III
Experience: 4 years Family Therapy
9 years general therapy
Judi Ashley, Counselor- Family Services
LMFT(Licensed Marriage and Family Therapist)
M.A. -Agency Counseling, emphasis in Marriage and Family Therapy
CAC III
Experience: 5 years Family Therapy
17 years general therapy
In addition to this core clinical staff whose education and experience is specifically in family services, we
also have available a case manager, clerical assistance, administrative project supervisor, and additional
contracted clinical supervisor, Dr. William Walsh, Director of the Marriage and Family Program at the
University of Northern Colorado.
All staff will have a minimum of 16 clock hours of continuing education annually.
Scott D. Wykes, our Program Manager and contact person for the IFT program, has a large role in tie
clinical monitoring of the program's daily operation. He interacts with all involved staff numerous times per
week and tracks case load, service hours provided, and responds to on-call crises, comprising
approximately six hours of his work week. He supplements this ongoing supervision with periodic it-
services, presenting alone or with Dr. Walsh.
Dr. Walsh meets twice each month with our clinical team for 1.5 to 2 hours each session. Dr. Walsh is a
well-respected clinician and scholar of innovative models of family therapies. He is well versed and
practiced in the ongoing professional development of the field, in addition to mentoring bright and
enthusiastic professionals such as Island Grove's Family Therapy team.
C.\KATHRYN\FAMSERV\DSS 00-01\IFT Bid Proposal 00-01 doc
6
RFP-FYC-00008 ATTACHMENT A
Intensive Family Therapy Program Bid Category
Intensive Family Therapy - Family Preservation Program
Island Grove Regional Treatment Center, Inc.
Total Hours of Direct Service per Family Unit 12.4 Hours [A]
Total Family Units to be Served 60 Families [B]
Total Hours of Direct Service for Year 744 Hours [C]
(Line [A] Multiplied by line [B]
Cost per Hour of Direct Services $35.12 Per Hour [D]
Total Direct Service Costs $26,128.18 [E]
(Line [C] Multiplied by Line [D]
Administration Costs Allocable to Program $35,709.57 [H
Overhead Costs Allocable to Program $11,632.97 [G]
Total Cost, Direct and Allocated, of Program $73,470.72 [H]
(Line [E] Plus Line [F] Plus Line [G])
Anticipated Profits Contributed by this Program $0.00 [I]
Total Costs and Profits to be Covered $73.470.72 [J]
by this Program (Line [H] Plus Line [I])
Total Hours of Direct Service for Year 744 [K]
(Must Equal Line [C])
Rate per Hour of Direct, Face-to-Face Service $ 98.75 [L]
to be Charged to Weld County Department of
Social Services
Day Treatment Programs Only: [M]
Direct Service Hours Per Client Per Month
Monthly Direct Service Rate [N]
03%2012@€0 16:47 3634497365 BOULDER INS Assoc R4(,,_
rA//�� ,,��+'I►►� bATF{MM/DDIIfYI
VoRa '' � :' � Li . . - • 03/20/2000
HROouCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Talbot Boulder Insurance Associate HOLDER.
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE ODES NOT AMEND. EXTEND OR
01 zeth :street ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Boulder, CC:) 80301 COMPANY American Compensation Ins Co
A
rin wRED _.�._..._ _ --CO
-
Island Grove Regional Treatment Center B COMPANY
B
1140 M Street
COMPANY
C
Greeley CO 00632 — r'"'"'
COMPANY
0
COVERAGES' ..:.:
o.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
ICO I
TM OF INWRANOE POLICY NUMBER POLICY EFFECTIVE 'POLICY ATION LIMIT:
I.TiI DATE IMNIMD/YII OMIT IMMIDMMIDDIYYI
I`GENERAL LIABILITY GENERAL AGGREGATE . •
COMMERCIAL GENERAL LIABILITY 1 PRODUCTS•COMPIOP A00 •
I CLAIMS MADE El OCCUR ', PERSONAL 6 ROY INJURY a
I ,OwNE1'R'1-s 6 CONTRACTOR'S PR0T EACH OCCURRENCE L• _
FINE OAMAGE(Any ore 1vs1 E
MED LAP IA"!one ANION •
AUTOMOMILA UASIUTY
COMBINED SINGLE LIMIT •
ANY AUTO
ILL OWNED AUTOS BODILY INJURY
•
(Pr pP�•ont
SCI"'EDV LF:D AUTOS ,-_—7.1 RIG WOES BODILY INJURY
F IPn FccIdenO •
1 NON.OWNED AUTOS .�. _---
� - PROPERTY DAMAGE •
` _ -,
°ARAM LIABILITY f AUTO ONLY•EA ACCIDENT • _
----ANY AUTO I OTHER T
_ MAN AUTO ONLY: _. ._.
I _. EACH ACCIDENT I
AGGREGATE • __._�__ -.
(*01 5 UAPIUTY I EACH OCCURRENCE 1
UMBRELLA FORM AGGREGATE _ •
I-^
^__
DINER T'INAN UMBRELLA FORM •
A WOIa:E116COMPENSAT10NANQ ACCO0040794 10/01/1999 f10/O1/2000 f we STATU- ; EOM.
�TORYLIMIT:Li Eq _�._..—�._..
EMPLOYERS'UAIILRY
EL EACH ACCIDENT •
J,
7 t PROPRIETOR! INCL EL DISEASE POLICY LIMIT I
PART NERSIEXLCUTIY E -
-
_ CIFE;CER5 ARE EXCt Ei DISEASE•EA EMPLOYEE • _
-
OTHER
•oE&CRIPfON OF OPERATION$ILOCAT•ONININICLZIMPECIAI.REM&
CertAficate Holder shall read. weld County Colorado, by and through the Hoard of County Con1l+lissioners of
weld County. its employees end agents
FAO( Insured: Jill Marcy 970-356-1349
CERTIFICATE HOWit • • ,.. : . . .. ... .... CAiOCEt.DItioa
weld County Colorado SHOULD MY OF TI•E MOVE DE&CIUMMD POLICIES IS CANCELLED BMW THE
Board of County Coa dseionere EIIFIRAT�IOI1N DATE THER IN AN EOF. THE ISSUING COMPANY MINA INOEAYOR IL TO MA
0]5 10th St reet 30 okra w1Irr1N NOTICE To TFPS CERTIFICATE HOLOBR NAMED To TIPS LEFT.
COT0Ary+ notice for non-payment
CUT FAILJM TO MAIL SUCH NOTICE$HALL IMPOSE NO OIUOATION OR UMIUTY
:reeley CO 80632 Of N•Y1 RIND UPON THE COMPANY. ITS AGENTS OR REIREBEENTATIVE$ --,
AUTOO seNTATIVE
-.,D
La e.44.11 S 4if9* , :_ . o�i1C>i�tit�'CARPoS aTtoN Ilse
AdsI23.57324
Client# : 13740 ISLGR
ACTIRQ,~ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY)
03/20/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
--aton, CO 80615
/0 454-3381 INSURERS AFFORDING COVERAGE
INSURED INSURER A:Frontier Insurance Ccmpuny, Inc .
ISLAND GROVE REGIONAL
I INSURER B:ST PAUL FIRE & MARINE INSURANCE C
TREATMENT CENTER INC r --
INSURE-Ro:
1140 M STREET h
INSURER D:
GREELEY,. CO 80631
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS ANI`CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR.• TYPE OF INSURANCE POLICY NUMBER P DATE(MM/DDIYY) DATYM EXPIRATION
- LIMITS - - - --
A ! GENERAL.LIABILITY G20002952200 04/01/00 04/01/01 EACH OCCURRENCE - SL, 000, QQQ
',I X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any ann Ire) $S 0 , (1 Q Q
CLAIMS MADEI X'I OCCUR MEDEXP(Any one 001-:•01) $5,-00Q
PERSONAL&ADVINJI IRY s1, 000, 300
-_-- _-.- _-. - GENERAL AGGRESA- $ 3 , 000, Jcc
GENtAGGREG_AT_E LIMITAPLIESPER:P PRODUCTS-COMPIUP ASS s3 , 0010 , )00
POLI(:v., JECT r ,' LOO•B AUTOMOBILE LIABILITY FK06602680 04/01/00 04/01/01 COMBINED s.NGLEI M,T
XIANYAUTO (Ea accident) OOC1 , 000
ALL OWNED AUTOS BODILY INJURY
1SCHEDUI_EO AUTOS
(E'er person)
H'.RED AUTOS
BODILY INJURY
X , NON-OWNED AUTOS (Pe,-accident) -
---I -- --- ---- - — PROPERTY DAMAGE
(Per accident) $
GARAGE LIABILITY ONLYLENTT $
ANY AU-0OTHER THAN EA ACC $ -
•
AUTO ONLY: AGG S
EXCESS LIABILITY EACH OCD URRE NCFI 5
' ,' AGGREGATE $
OCCUFI CLAIMS MADE',
DEDUCTIBLE .
RETENTION $ III -
'WCSTATU- 'i107H-
.,WORKERSCOMPENSATIDNAN❑ ITORYL IMITS .' ER _
EMPLOYERS'LIABILITY E.L.EACH ACCIDEN- $
IE.L.DISEASE-EAEMP,SIYEE $
i
E.L.DISEASE-POL IC+LIMIT $
AIDTHERPROFESSIONAL 020000136202 04/01/00 04/01/01 $1 , 000 , CCC PER CCC.
LIABILITY $3 , 000 , 00C AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS AD DE BY ENDORSEMENT/SPECIAL PROVISIONS
WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY,
ITS EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS
ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE
OPERATIONS OF THE INSURED.
CERTIFICATE HOLDER • ADDMONALINSURED;INSURER LEI ItR: _ CANCELLATION
SHOULD ANYOFTHEASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY COLORADO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVORTO MAI L6 Q_ DAYSWRITTEN
'ARD OF COUNTY COMMISSIONERS NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHE LEFT,BUTFAILURE TO DO SO SHALL
- _'' WELD COUNTY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
915 - 10 STREET REPRESENTATIVES.
GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE
Rood Pt/S LS?" Ii7scaaleC, , _-L
- ne---
ACORD 25-S(7/97)1 of 2 #148710 JMG 0 ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon•
•
ACORD 25•S(7197)2 Of 2 #148710
Weld County Department of Social Services
Notification of Financial Assistance Award
for Families, Youth and Children Commission (FYC) Funds
Type of Action Contract Award No.
_X Initial Award FY00-PAC-3002
Revision (RFP-FYC-00007)
Contract Award Period Name and Address of Contractor
Beginning 06/01/2000 and Island Grove Regional Treatment Center,Inc.
Ending 05/31/2001 Individualized Family Systems
Sexual Abuse Treatment
1140 "M" Street
Greeley, CO 80631
Computation of Awards Description
Unit of Service The issuance of the Notification of Financial Assistance
This program is to develop a sexual abuse Award is based upon your Request for Proposal (RIP).
treatment program that will address and treat The RFP specifies the scope of services and conditions
the individual needs of the entire family. Initial of award. Except where it is in conflict with this
assessment to determine specific treatment NOFAA in which case the NOFAA governs_ the R f P
needs or the family. Subcontract with upon which this award is based is an integral part of the
professionals in the field who have already action.
established their specialty in dealing with
victims, non-offending parents, and siblings, or Special conditions
adolescent and adult perpetrators. Stage 1 of
the program will serve an estimated 30 families 1) Reimbursement for the Unit of Services will be based
per year; Stage 2, 32 families; Stage 3, 10 on an hourly rate per child or per family.
families. Recommendation is 18 months 2) The hourly rate will be paid for only direct face to face
involvement with all tracks of the program, an contact with the child and/or family, as evidenced by
average of four hours per week. 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 $ see rate chart yearly cost per child and/or family.
Unit of Service Based on Approved Plan 4) Payment will only be remitted on cases open with, and
referrals made by the Weld County Department of
Enclosures: Social Services.
_X Signed RFP:Exhibit A 5) Requests for payment must be an original submitted to
Supplemental Narrative to RFP: Exhibit B the Weld County Department of Social Seri ices by the
Recommendation(s) end of the 25th calendar day following the end of the
Conditions of Approval month of service. The provider must submit requests
for payment on forms approved by Weld County
Department of Social Services.
Appro/�v,l,s�: Progra Officiatel
By A.{� �6 him Ay - By . i ieli
13arbara J. Kirkmeyer, hair Judy. Gri g , Dire or
Board of Weld County Commissioners Wel County Department of Social Services
Date: O4,"aXo-a?OGv Date: (Cp 0 _ — oW)0O -/s 4O
SIGNED RIP
EXHIBIT A
SEXUAL ABUSE TREATMENT PROGRAM
FAMILY PRESERVATION PROGRAM
DEPARTMENT OF SOCIAL SERVICES
WELD COUNTY
2000/2001 BID PROPOSAL
RFP-FYC # 00007
Island Grove Regional Treatment Center, Inc.
1140 M Street
Greeley, CO 80631
1I
INVITATION TO BID
RFP-FYC 00007
DATE:February 28, 2000 BID NO: RFP-FYC-00007
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-00007) for:Family Preservation Program--Sexual Abuse Treatment Program
Family Issues Cash Fund or Family Preservation
Program Funds
Deadline:March 23, 2000, Tuesday, 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, 2000, through May 31, 2001, 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 _
(After receipt of order) BID MUST BE SIGNED IN INK
DJ- Dean
TYPED OR PRINTED SIGNATURE
• Island. Grove Regional )n
VENDOR Treatment Center, Inc.
(Name) Han itten Signature By Authorized
Officer or Agent of Vendor
ADDRESS 1140 M Street TITLE Executive Director
Greeley, CO 80631 DATE March 22, 2000
PHONE ; (970) 356-6664 -
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
Page 1 of 32
RFP-FYC-00007 Attached A
SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL AND
REQUEST FOR CONTINUATION OF AWARD UNDER FPP CORE SERVICES FUNDING
FAMILY PRESERVATION PROGRAM
2000-2001 BID PROPOSAL APPLICATION
PROGRAM FUNDS YEAR 2000-2001
BID #RFP-FYC-00007
NAME OF AGENCY: ISLAND GROVE REGIONAL TREATMENT CENTER, INC.
ADDRESS: 1140 M Street, Greeley, CO 80631
PHONE: f___870) 356-6664
Program Manager of
CONTACT PERSON: Scott Wykes TITLE: Family Services
DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program triusi
provide for thera eutic intervention through one or more modalities to prevent further sexual abuse perpetration or
victimization.
12-Month approximate Project Dates: X 12-month contract with actual time lines of
Stan June 1, 2000 Start June 1, 2000
End May 31. 2001 End May 31, 2001
TITLE OF PROJECT: Sexual Abuse Family Therapeutic Interventions (SAFTI) Program
AMOUNT REQUESTED:
C \ c u it� 1/t/,{C Scott Wykes _ March 22, 2000
Name and Signature of Per tit Preparing Document Date
��JJ
��,., BY Dean March 22, 2000
Name an ,S)gnature 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 1999-2000 to Program Fund year 2000-2001.
Indicate No Change from FY 1999-20110
X Project Description MWT &&lime -.. -ti.;
__K Target'EligibilityPopulations CA.�n�ij,�•�.,, l 5-w'
_.7: Types of services Provided rn1c ,pc���A���y� "" =5j
_7 Measurable Outcomes AL; `^"" 3^' —5ij
_X Service Objectives r c++lcaw-e- 5°'
?C_ Workload Standards - .
_SC Staff Qualifications QC ck&,r��it,��.�a� , .
ttil
_X Unit of Service Rate Computation - d.__-""` -4w
Program Capacity per Month ckvwg_i.94)r
_ _ Certificate of Insurance
Page 25 of 32
RFP-FYC-00007 Attached A
`)ate of Meeting(s) with Social Services Division Supervisor: 3/ / o
Comments by SSD Supervisor: da Yt.e.Lc _ d d '. __
-- d?ti4-[Pet.,-"? /w��t-Gt �t-s4YLAFO.e.tLM .74T 4T ,.....e.,...7----,,�----.--
a• ,,;.t,� o-7 G/ ..-k r.4c�P c--,�/ --
�� 37170°Name and Signature of SSD Supervisor Date
Page 26 of 32
RFP - FYC - 00007
Program Category: Sexual Abuse Treatment Program
Project Title: Sexual Abuse Family Therapeutic Interventions
Vendor: Island Grove Regional Treatment Center, Inc.
I. PROJECT DESCRIPTION
Island Grove Regional Treatment Center, Inc. has redesigned and refined a comprehensive,
client focused SAFTI program that addresses the needs of individuals displaying inappropriate
conduct in regards to the expression of sexuality. The program consists of three stages
described as follows:
Stage I A twelve-week psycho-educational group for adolescents (10-17) and their
families. This stage addresses the inappropriate expression of emotion through gestures.
behaviors, and comments that are sexually offensive in nature and content.
Stage II An 18-24 month Offense-Specific treatment for adolescent offenders (10-17)
and their families. Comprised of individual, group, and family therapy sessions, polygraph
examinations and clinical assessments. Adult Sex Offender Assessments are offered
through this stage of the program, however, no further treatment will be offered.
Stage III A six-month follow-up program for adolescents (10-17) who have been
released from Residential Offense-Specific programs and are in need of integration back
into their families and communities. Comprised of individual and family sessions that are
stepped down in frequency and one polygraph examination.
Since family compositions and sexual abuse situations are so diverse, the stages within this
program seek to individualize the components based on the presenting and developing issues
of each case. Therefore, key personnel of the new SAFTI Team are grounded in strength-
focused systemic family therapy. Current literature reflects how competency-based family
therapy is more effective and less time consuming than traditional methods. We have seen the
need for this upgrade in the SAFTI Program based on our experience in working with the Weld
County Department of Social Services and, as a result, have developed the three specific
stages of which Stage II contains a five-phase treatment model.
Based on the initial family assessment and collateral information gathered, the subsequent
steps will be determined to acquire additional specialized assessments as needed to engage
the family members in the beginning of, as well as throughout, the treatment process. We have
hired and subcontracted professionals who specialize in:
• The assessment of adult offenders
• The assessment and treatment of adolescent offenders
• The assessment and treatment of victims
• The assessment and treatment of involved families
Stage I
Island Grove Regional Treatment Center Inc. has designed a comprehensive educational
program that addresses the needs of adolescent individuals who find themselves confronted
1
with their own inappropriate sexual behavior resulting in suspension from school, rejection from
family members, sentencing to detention centers, etc. This psycho-educational program, in
group format, is designed to educate adolescent males and their family members in the
appropriate conduct of sexual expression and emotional management.
Stage II
Island Grove Treatment Center SAFTI Program will continue an Offense Specific treatment
program for adolescent sex offenders (10-17) and their families under Stage II. This stage of
the program is available in two packages. Both packages offer a step-down reduction in costs
and services. Scheduled evaluation periods determine criteria for continuing, referring or
discharging clients. The initial phase is divided into the choice of two packages to which the
resulting phases (II-V) may be added. The five-phase treatment schedule is described as
follows:
Phase I Package A (1st month - see attached schedule)
Phase I Package A of the SAFTI program includes an initial family assessment, an individual
perpetrator assessment, a polygraph examination, and intensive family therapy.
The family assessment seeks to address the family dynamics that encourage secrecy and
silences as well as providing an evaluation of the parents' ability to insure the safety of the
victim. The effects of the sexual abuse on the victim and the rest of the family ecology are
assessed using the Brief Basic Background—2 (BBB-2, see attachment#1). A family
therapy specialist meets with the family twice during a one-week period to conduct this
assessment beginning with the Browning Outcome Survey Scale (BOSS, see attachment
#2), which is used as a pre-test, post-test measurement tool. At this time the family is
advised of the perpetrator's Contract for Treatment (see attachment#3), the program's
Discharge Criteria (see attachment#4), costs for which the family may be responsible, and
the Schedule of Treatment as outlined in the five phase process (see attachment#7)
The individual perpetrator assessment includes a review of the perpetrator's psychosocial
history, academic education, and offender knowledge base through clinical interviews and
other means. Releases are signed to obtain corroborating documentation and at this time
the contract for treatment is reviewed and agreed upon. The perpetrator meets weekly with
Anne Gleditsch for a total of four sessions. The result of this assessment helps determine
the perpetrator's appropriateness for inclusion in group therapy.
A polygraph examination is scheduled and completed during this time in order to facilitate
honesty and to reveal any additional victims that have been previously unknown. It is the
family's responsibility to schedule this exam as soon as possible to avoid being placed on a
waiting list, hindering assessment. The family is provided the names and telephone
numbers of the polygraph providers on the first contact.
Intensive Family Therapy is conducted twice weekly to solidify safety in the home for each
family member. Throughout the course of treatment the family will establish goals of family
therapy that will help to prevent re-offending, to improve parental competency, to improve
family conflict management, to improve personal and relational competencies, and to
improve the ability to access resources. Contact with the family during Phase I is most
critical when the offending adolescent continues to reside in the home with the victim.
2
Phase I (Package B) (15` month - see attached schedule)
Phase I Package B is designed identical to Package A with the additional benefit of a formal
Sex Offender Assessment complete with psychometric measures. These measures may be
critical in determining cognitive and emotional deficits that may contribute to the offender's
behavior.
Following the completion of Phase I (A or B), a consultation with the caseworker and the
treatment team maps a treatment strategy for each referral. A determination is made using
the results of the individual assessment (and sex offender assessment if Package B), family
assessment, and polygraph. An individual deemed inappropriate will be referred back to the
referring caseworker. A referral deemed appropriate to continue all services will do so under
the Phase II schedule.
Phase II (2n° to 6'h month - see attached schedule)
In Phase II, family members are assigned to therapists as needed. Adolescent offenders are
enrolled in an offender's group and meet twice weekly to reduce offender problem behaviors
and to promote the prevention of re-offending. The facilitator, Anne Gleditsch, authors and
mails monthly progress reports (see attachment#6) to caseworkers, parents, and probation
officers alike to keep them informed. This offense specific group was upgraded last year
following an intensive training presented by Gail Ryan of the Kempe Center. A second
polygraph examination is conducted by the end of this phase. Perpetrators who admit new
victimization that takes place during the treatment duration no longer meet the criteria to stay
in the program and, as a result, are referred back to the referring agency.
The majority of the non-offending family members are assigned to family therapy specialists
who meet with family members weekly. The same criteria and goals are achieved during
this time period as described in Phase I. Victims are assigned to individual therapy
specialists as needed.
At the completion of Phase II, the family and the perpetrator are assessed by a consultation
with the treatment team and the caseworker to determine the appropriateness-of reducing
group attendance to once weekly. In Phase II, secrecy and silences are broken in the family
dynamics and the process of ensuring the safety of all family members is established. The
treatment team, caseworker, and family determine the appropriateness of family therapy
being reduced to twice per month. This determination moves the referral to a Phase III
status.
Phase III (7`h —12`h month - see attached schedule)
In Phase III, the referral is attending weekly group sessions, twice-monthly family sessions,
and the completion of one polygraph examination. At the completion of 12 months, the
perpetrator and the family are evaluated for progress in treatment. Treatment after one year
includes transference to Phase IV status
Phase IV (13t to 181h month - see attached schedule)
The Phase IV status includes the referral completing monthly family sessions, weekly group
sessions and one polygraph examination. At the end of this phase, a referral is staffed to
determine if discharge is appropriate. Exit Interviews are conducted with referrals that have
3
met the discharge criteria. Referrals not meeting the discharge criteria continue to Phase V
of treatment.
Phase V (19t to 24th month - see attached schedule)
Phase V consists of monthly family sessions, weekly group sessions, one polygraph
examination, and Exit interviews. The discharge criterion that was not adequately achieved
for discharge in Phase IV will be stressed with the referral and family. At the completion of
Phase V, the referral has received all the benefits of our Stage II SAFTI program The
perpetrator and the family will be referred to another agency at discharge from this program
should they not assess positively as having grasped the concepts of treatment. Successfully
completed referrals will receive proper documentation. (It should also be noted that should
an offense occur within the treatment time frames, immediate discharge could be
forthcoming as noted in the contract.)
H. TARGET POPULATIONS
Island Grove Center will provide services to all appropriate individuals and families that present
for all Stages of the Island Grove Treatment Center Sexual Abuse Family Therapeutic
Interventions (SAFTI) Program.
Stage I Program
Island Grove Treatment Center seeks to serve referrals to the adolescent program from
probation, DSS, courts, schools, and family requests. Ages of referrals range between 10
and 17 years of age and include minors who exhibit behaviors such as "mooning'', stalking
classmates or other youths, sexist remarks and gestures, offensive sexual gestures/remarks,
phone harassment, etc. Clients will be limited to those in the normal range or above of
intellectual functioning. Enrollment in the twelve-week group will be open and consistent
attendance will be required. Two to three groups will be run simultaneously depending on
the need and will be limited to ten members each.
During the course of the fiscal year it will be possible to serve an estimated 30 clients and
their families with the breakdown as follows:
Perpetrators under 18 30
Non-offending family members 60
Stage II Program
In the Stage II program, we are estimating 82 total clients to be served. If we approximate
serving 32 total families, we predict, given our trends from previous years, that this will
encompass the following sub categories:
a. Victims under the age of 18 25
b. Perpetrators under the age of 18 24
c. Non-abusing spouse/parent 25
d. Adult offenders for evaluation only 8
Because of the specialty and recommended intensity of the sexual abuse program, we are
not prepared to offer extensive bilingual programming. Consequently, the subtotal of
individuals receiving bilingual services will be limited to the assessment phase only with the
assistance of a Spanish-speaking interpreter. This may involve only three individuals over
the fiscal year.
4
Service to south Weld County will be limited to individuals, estimated at five, who can
arrange to access the core of services in Greeley. Case management can be arranged to
provide transportation to those deemed in need of such services (attachment #5)
All individuals enrolled can have access to 24-hour services through our Acute Care
Services unit. If appropriate and necessary, an outpatient counselor can be reached or will
return calls within a 24-hour period.
Our maximum ongoing program capacity is 12 families, with an average at eight We know
that engaging and maintaining these families in treatment is difficult without effective
engagement or consequences. While we would like to recommend at least 18 months of
involvement, we estimate that families will be involved on an average of four hours per week
if involved with all tracks of the program.
Stage III Program
Island Grove Treatment Center will provide services to referrals from other treatment
agencies that are residential in nature. The Stage III Program meets the needs of referrals
that have completed all aspects of residential treatment and are in need of integration back
into families and communities. Only referrals who have successfully completed a residential
Offense-Specific treatment program will be considered. We estimate that we can serve 10
referrals and their families with the break down as follows:
Perpetrators under the age of 18 10
Non-offending family members 40
III. TYPES OF SERVICES TO BE PROVIDED
Stage I
Individuals attending the program will undergo an initial assessment to include a clinical
interview with the individual and family, review of school records, legal records, police reports
and other corroborative information provided by outside sources. A Browning Outcome Survey
Scale (BOSS) will be administered to serve as a pre-test, post-test measure. The educational
curriculum includes segments addressing anger management, emotion management, sex
education, cognitive and behavioral restructuring, etc. Additionally, each member will present
to the group a special project that will demonstrate knowledge learned. Parents will be in
attendance to view the presentation. The family components will address issues related to the
referral and other goals that the family may desire.
Stage II
The SAFTI Adolescent Sex Offender program will lean heavily on the front-end assessments
(family, individual, polygraph, and sex offender assessments) to determine the course of
treatment for all involved family members. The first contact will be made by one of Island
Grove's family therapists from the SAFTI Program. The assessment sessions that take place in
the first month will determine the eligibility of the referral, the need for further specialized
assessments, as well as provide the opportunity to have disclosures signed and the family
becoming oriented to the program offerings. This will also be the period where collateral
information from the caseworker is gathered including the police report of the referring
incidents.
The most comprehensive assessments involve the adolescent perpetrator. Extensive history-
taking and psychometric testing (if Package B or if an adult) comprise several sessions to
5
gather the necessary information regarding the sex offender. We have found it useful to
include polygraph testing. This is done at the onset of assessment and at the close of every six
months of treatment. Polygraph examinations have the potential of being investigative in
content. Any new information is included and forwarded in the assessment report to the
caseworker. Without this level of thoroughness for perhaps the pivotal member of the family,
effective treatment is not likely. Due to the special nature of this type of testing, we have
access to two providers to administer and interpret the examination results. The providers are
Amich and Jenks, Certified Polygraphers in Denver with a new Greeley location, and Glenn
Knipscheer.
The assigned family therapy specialist will evaluate involved family members. We have found it
useful to have available resources to assess for involvement in substance misuse and domestic
violence, as well as, vocational planning and neuropsychological issues. Individual families will
be seen as a unit. The victim(s) or non-offending parent(s) may be seen individually if
coalitions of secrecy are detected between family members for brief periods. As needed we
will assign specific clinicians for certain program functions. There are two important tasks of
family sessions in early stages, especially when the perpetrator is a youth. One is to establish
safety in the home and the second is to educate the families about the effects the perpetration
may have had on family members such as the cultivation of secrecy and the hyper-
responsibility that many families and victims are recruited into.
Once family sessions have progressed so that it is appropriate and safe to do so, the
perpetrator will join the sessions. The offending family member will be integrated in the process
only if they have progressed sufficiently in their own therapy so that the victim is not further
traumatized. Anne Gleditsch, facilitator of the adolescent offender treatment group, along with
the family team, will decide when this would be safe.
To insure a coordinated therapeutic effort, the clinical team will arrange twice-monthly clinical
supervision/staffing and additional conferences with the caseworker, the guardian ad litem,
attorneys, probation officers, and DSS unit supervisors involved with the family. Through these
opportunities we will stay current on resources and providers, and insure there is no duplication
of community services.
Additional Service
The SAFTI program is able to offer Sex Offender Evaluations for adults through a contract
provider. When an adult perpetrator has been evaluated and found appropriate for treatment.
he/she will be referred to another provider for treatment. The SAFTI Program no longer
provides offense-specific treatment for adult offenders (attachment#5).
Stage III •
The goal of the Stage III Program is facilitate and monitor a referral's integration back into the
community and their particular family. Referrals who have successfully completed adolescent
residential Offense-Specific Treatment only will be accepted. Referrals to Stage III will meet
weekly on an individual basis and in family sessions to assess treatment needs, to determine
knowledge base, and to establish goals of treatment. As in Stage II, the treatment will be front
loaded for the first month and then "stepped down" for the second and third months to bi-weekly
for individuals and twice monthly for families. The fourth through the sixth month will include bi-
weekly individual sessions and monthly family sessions with a polygraph at the end of the
treatment phase.
6
IV. MEASURABLE OUTCOMES
A. Reduced rate of recidivism of sexual abuse perpetration: With a family actively
engaged in recommended components for a period of at least three months for Stage I, eight
months for Stage II, and six months for Stage III, our objective is to reduce the percent of re-
offending at no more than 15%. This will include targeting any victim in the community or within
the home. The scope of victimization also includes any incident report or arrests that are
incidents of non-physical sexual misconduct such as indecent exposure or voyeurism. We will
use all available information including therapists' reports, DSS reports, polygraphs, and police
records, as well as therapeutic disclosures. We will review recidivism on a quarterly basis.
B. Decrease in re-victimization: Similar to above, yet focusing on the solution building
efforts performed by the perpetrator, the victim and other non-offending family members, our
objective is to reduce any further incidents with the identified victim throughout the family's
involvement in the program. We propose to limit re-offending to a maximum of 10% We will
review recidivism on a quarterly basis. This goal was met during 1999.
C. Reduce problem behaviors: By providing a range of services to the offender, our
objective is to assist in reducing the number of symptoms and decreasing conduct problems.
We can only project that aiding in the resolution of the offending, the offender, as a victim will
not perpetrate in the future. Current research indicates that less than one-third of perpetrators
were themselves victims of childhood sexual abuse. Particularly in female victims, they are
more likely to harm themselves, rather than to victimize others. Our data will include the
observation of indicators, such as self-harming incidents, general misconduct, or sexual acting-
out with no targeted victims.
D. A percentage of child abuse victims receiving services do not go into placement:
Considering all factors, to include the perpetrator's behavior, the non-offending parent's (s')
ability to insure safety, and the victim's responses that may effect out-of-home-placement, our
objective is to retain 75% of these children safely in the home.
E. Improvement in parental competency as measured by pre and post placement
functional test: Our-team will use the Browning Outcome Survey Scale (BOSS) upon
enrollment and at discharge, which gives overall measures of family functioning. Thus far, the
BOSS has been instrumental for the family in expressing concerns regarding the problem and
the family dynamics.
F. More rapid reunification of children with families: Each family will be the subject of our
internal clinical staffing, as well as the multi-disciplinary team meetings held to address the
progress and difficulties within the course of treatment. If "safety-feasible," our objective is to
attempt reunification between seven and twelve months if the perpetrator is placed outside the
home.
G. Gain additional understandings regarding cultural attitudes on childhood sexual
abuse in the community: We will gather and compare attitudes about childhood sexual abuse
from client interviews. We will then prepare an annual report to the Department of Social
Services regarding the information gathered to help us better understand any cultural
differences in attitude towards sexual abuse.
We need the option of adding or deleting instruments in an attempt to provide more useful
information regarding the measurable constructs we are tracking.
7
V. SERVICE OBJECTIVES
A. Improve Parental Competency: In addition to the instruments mentioned under
"Measurable Objectives," our aim is to also increase the participants' ability to be clear in
communication, improve a sense of personal agency, build and maintain appropriate
connections with other family members and, most importantly, assure safety in the home Our
belief is that healthier relationships make healthier parents. Many of these objectives will
intersect and parallel the objectives under"Improve Personal and Relational Competencies."
The offender's sexual behavior and related thinking will be the focus of much of his treatment.
This can be documented within the therapy session and monthly progress reports, and
underscored using periodic polygraph examinations.
B. Improve Family Conflict Management: The Browning Outcomes Survey Scale (BOSS)
will allow us to measure degrees of family functioning at three intervals; admission, discharge,
and six month follow-up. Many of the individual improvements will generalize into better family
interaction and problem resolution strategies. When all participants have been evaluated by
their respective therapists as to the appropriateness of the offender in joining the family
therapy, those sessions will begin. The sessions will continue to reinforce the changes made
throughout the family's therapy, such as maintaining the "safety plan," and identifying potential
"relapse warning signs."
C. Improve Personal and Relational Competencies: Increasing personal efficacy,
implementing respectful and sensitive communication, and restoring healthy boundaries will be
goals for all participants. For the children, we can also monitor school functioning, a reduction
of any trauma symptoms present upon admission, and any acting out or misconduct !n
response to the abuse.
D. Improve Ability to Access Resources: Much of Island Grove's services have included
community resource-building specific to substance misuse as an integral part of treatment
service delivery. This will be particularly underscored with this high-risk group of families and
will include a broad base of needed community links.
FOLLOW-UP EVALUATION'
At six months post-discharge, staff will contact these families in person or by telephone to
administer the final phase of the BOSS. We will collect data on other life situation
demographics, such as placement of children, parental employment, housing, or arrests We
will also provide the agency's Client Satisfaction survey for comments on treatment experiences
at Island Grove Regional Treatment Center. •
VI. WORKLOAD STANDARDS
All of the services provided within each of the Stages are on an outpatient basis. Stage I, II,
and III adolescent treatment will be provided in group or individual settings at our clinic or at the
contractor's site. Family therapy will be provided at the Island Grove Clinic or at the client's
home. The maximum caseload per staff will depend on the combinations of family members
that are referred, but we are estimating that each therapist will serve 8-10 clients and their
families.
Our clinical Supervisor, Dr. William Walsh, will meet twice each month with the SAFTI team to
strategize optimum interventions. He will be directly supervising the team. Dr. Jack Gardner
8
will continue to provide Offense-Specific Psychological evaluations when requested for by
caseworkers and consultants.
The Program Manager, Scott D. Wykes, will oversee the operations of the program, coordinate
the participation of the community professionals in the case staffing of the families, monitor
budget and billing information, and submit required reports as outlined in the RFP agreement.
All contractors have submitted their required insurance forms to Island Grove Center. The
requested verification for Island Grove Regional Treatment Center's coverage is attached at the
end of this document.
VII. STAFF QUALIFICATIONS
All counseling and administrative staff operating independently has at a minimum, a master's
degree, and numerous years of therapeutic experience. Our subcontractors have all been
specifically trained in the treatment of sex offenders or victims of sexual assault.
•
C!KATRRYN\FAMSER\ADSS 00-01\SAFTI Bid Proposal 00-01.doc
9
�� �- rJJJ 1v.„ J•JJ��Ji J4J YVLL1._ 1J -r�.J.•_ r .- �i
A CORD,. i " OATF�MMRIO;YY,
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Talbot SolaldeZ Insurance Associate HOLDER.
AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
1301 28th Street ALTER THE COVERAGE AFFORDED EY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Boulder, CO 80301 COMPANY American Compensation Iris Co
A
INSURED COMPANY
Island Grave Regional Treatment Center 8
1140 M Street
COMPANY
C
Greeley CO 80631
COMPANY
1 D
CO AGES r •
THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACY OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co I TYRE DF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UIMITi
LTR I DATE wommarrYI DATE IMM/ODIYYI
GENERAL UABIUTT GENERAL AGGREGATE • ---. ---
COMMERCIAL GENERAL LIABILITY
PRODUCTS•COMP/OP AGG I• _
CLAIMS MADE n OCCUR PERSONAL I.ADV INJURY 0
OWNERS 5 CONTRACTOR'S PROT ;AC"'OCCURRENCE I•
FIRE DAMAGE lAny Ant Ia& •
.--. - MEO EEP{Airy 01V wpm, • T -r
AUTOMOBILE UAOIUTY I -�
COMBINED SINGLE LIMIT •f
ANY AUTO
All OWNED AUTOS BODILY INJURY •
MN WIER)
SCHEDULED AUTOS _._.
HIIEO AUTOS
BODILY INJURY •
11'w/coerntl
NON-OWNED AUTOS •„_,v,-.-Y___
1I ----'- PROPERTY DAMAGE •
GARAGE UAKIUTY ! AUTO ONLY.EA ACCIDENT
ANY ALTO OTHER THAN AUTO ONLY:
EACH ACCIDENT •
r AGGREGATE • `_ __
EXCESS UABIUTY EACH OCCURRENCE :• �`
r-UMBRELLA FORM AGGREGATE •
OTHER THAN UMORELLA FORM •
wC STATU. 'aril-
,
A WOREER$CCMPENSATIORAND ACCO0040794 10/01/1999 10/01/2000 f prosy Loon ._—
EMPLOYERS'UAIILITY
EL EACH ACCIDENT
THE PROARIL-TOR!
PARTNERS E%fCUTIVE INCL EL DISEASE-POLICY LIMIT • —,
OFFICERS ARE EXCL El DISEASE•EA EMPLOYEE • —__---�
OTHER
DESCRIPTION OF OPERAT10NSILOCATEMEIVEMCLIi/OPECIAL ITEM&
Certificate molder shall read: weld County Colorado, by and through the Board of County Commissioners of
weld County. its employees and agents
FAX Insured: Jim Korey 910-356-13.9
tiERTflh!`iAT °F#E �lEIX:.:
weld County Colorado memo ANY OF TIE ABOVE'DUMBED POLICES BE CANCILLIO BEFORE TIE
Dosrd of County Commissioners IEMCATPOM DATE THEREOF. THE *SUMO COMPANY WILL ENDEAVOR TO MAIL
' 915 10th Street 30 gyDAYS vow-row NOTICE TO THEetIMPICATE HOLDER NAMED TO TIE LIFT.
W a TO M/Nl SUCH N0T10E MI__L.IMPOSE NO OBLIGATION OR ILWLITY
Greeley CO 80632 Of ANTI RIND UPON THE COMPANY. ITS AGENTS OR REPPOSENTATIVFE.�^
ACTH SENTATIVf
I AG '`:?.C 1(Ii l t ON 1886 J
AdS*2357324
1 L,htt
r-
ACORD-.. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/UD/YY)
l.) 3/2C/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Flood & Peterson Insurance Inc . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
211 First Street I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Eaton, CO 80615 ____
7 3 454-:3381 INSURERS AFFORDING COVERA GE
INSURED ;INSURER A:Frontier Insurance Company, Inc
ISLAND GROVE REGIONAL INSURER B:ST PAUL FIRE & MARINE INSURA'�TCE. _
1140 M STREET ---•- ________.. - _-- --... _
INSURER D:
GREELEY, CO 80631 INSURER=: ___�--_--- _-...-.-_-- __--- - --
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO1 WITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BF ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND t:ONDITIONS OF sUCH
POLICIES. AGGREGATE UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.
INSR' — POLICY EFFECTIVE POLICY EXPIRATION
LTR I TYPE OF INSURANCE POLICY NUMBER DATEINIMIDOMO DATE IMMIRD1YYI LIMITS
A I GENERAL LIABILITY G20002952200 04/01/00 04/01/01 EACH OCCURRENCE __ S1i OQQ OQO
•X 'COMMERCIAL GENERAL LIABILITY FIRE DAMAGE jAny one I Ire) $50 0 )0 __ _
ICLA MS MADE: X I OCCUR MED EXP(Any one perso',) $5, 000
I — PERSONAL 6ADVINJUFV $1LOOO, 000
GENERAL AGGREGATE 'S 3,_Q o0{) 000
GE_N'LAGGREG_A" IE E LIMIT APPLSPER: ( PRODUCTS-COMP/OPA3GI:3, 000,000
POLICY f I JECT I LOC 1i
B 'AUTOMOBILELIABILITY FK06602680 ' 04/01/00 04/01/01 COMBINED SINGLE LIMIT '
X I ANY AUTO
(Ea accident) =1 , 000 , 000
ALL OWNED AUTOS BODILY INJURY
_ SCHEDULED AUTOS (Per person) -- _-S- —_ _---
I X HIRE DAUIDS BODILY INJURY
I X NON-OWNED AUTOS (Per accident)
--- - -- --
I--I _- _ - PROPERTY DAMAGE S
I '(Per accident)
GARAGE LIABILITY AUTO ONLY-EAACCICENT S __--
E
- ANY AUTO
! OTHER THAN AACC_S — -- --
AUTO ONLY: AC.G -S
EXCESS LIABILITY EACH OCCURRENCE _S - — -
OCCUR CLAIMS MADE I _A_GG_ ..-.--_-- _-___ _ -_ -
DEDUCTIBLE I -----..-.-_-_
1 RETENTION S I I
I
WORKERS COMPENSATION AND ITQRYTLIANTIII .:_-1-Ri_
EMPLOYERS LIABILITY
E.L.EACH ACCIDENT f
• E.L.DISEASE-EAEMPL'O?EE E --- -
E.L.DISEASE-POLICY L'WTI a
A OTHERPROFESSIONAL 020000136202 04/01/00 104/01/01 $1, 000 , 00'0 PM OCC.
LIABILITY I $3 , 000 , 000 AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
WELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY,
ITS EMPLOYEES & AGENTS, AND THE STATE OF COLORADO ARE NAMED AS
ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE
OPERATIONS OF THE INSURED.
CERTIFICATE HOLDER J ADDmoNAL INSURED;INSURER ItII_R _. CANCELLATION
SHOULD ANY OF THE ABOVE DESCPJBEDPOUCIES BE CANCELLED BEFORE THE EXPIRATION
WELD COUNTY COLORADO' DATETHEREOF,THEISSUINGINSURERWILLENDEAVORTOMAILf;.'0__DAYSWRI,EN
=CARD OF COUNTY COMMISSIONERS NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT.BL FAILJRE TD 0O SO SHALL
WELD COUNTY IMPOSE NO OBLIGATION OR UABILIIY OF ANYKIND UPON THE INSIJRER,1T5 AGENTS OR
915 - 10 STREET REPRESENTATIVES.
GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE
ACORD 25-S (7(97)1 of 2 #148710 JMc 0 ACORD CORPORATION 1988
•
IMPORTANT
• If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon
ACORD25-S(7197)2 of 2 #148710
Attachment 1
Brief Basic Background II (BBB2)
Family name: Therapist: _
Immediate Family:
What family members are living at home and/or away? What are the ages of each family member?
Describe the relationship (closeness, conflict, etc.).
Name age Mother, Father, Where Living Other info.
Step, etc.
Developmental History:
Please describe your home life when the problem is not happening.
What sort of problems have you already eliminated from your household over time?
In your own words, briefly describe how alcohol or drugs have effected your family.
Part B (of the BBB2)
What issues other than substance misuse have effected your family?
Many themes occur in every family's story. Try to locate where your family is right now on
the following scales of themes (Circle the number).
loving Hateful
10 9 8 7 6 5 4 3 2 1
(Just Right) (Worst it's ever been)
Satisfaction Sadness
10 9 8 7 6 5 4 3 2 1
Clear Communication Poor Communication
10 9 8 7 6 5 4 3 2 1
Cooperation Chaos
10 9 8 7 6 5 4 3 2 1
Close/Connected Detached
10 9 8 7 6 5 4 3 2 1
Responsible Blaming
10 9 8 7 6 5 4 3 2 1
Confidence/Calm Worry
10 9 8 7 6 5 4 3 2 1
Privacy Barging in
10 9 8 7 6 5 4 3 2 1
Involved in Community Isolated
10 9 8 7 6 5 4 3 2 1
Harmony Conflict
10 9 8 7 6 5 4 3 2 1
13. What specific actions have you been taking to deal with the
problem?
How To Make Your
Counseling More Effective
14. On a scale of i to 10, rate the seriousness or the problem Client's Initial Questionnaire
right now:
1 2 3 4 5 6 7 8 9 10
Setting Goals and Finding Solutions is the Important First Step:
Unbearable, No problems.
Unable to cope, Handling things great, Your opinions, thoughts and feelings are most
Desperate for help No need for help
important. How you describe what you want to change
15. Suppose that you accomplish all your goals in therapy and can help you and your therapist set specific therapy goals
the problem is greatly improved or solved. Briefly describe and find solutions more quickly and easily
how you think things would he different in your life:
This booklet is designed to help you provide the kind
of details that will make your therapy more effective.
Please take a few minutes now to complete each
item. When finished, give this booklet to your therapist.
This is an important part of your therapy. Thank you!
Instructions:
(Please Print) There is a total of 15 questions. Most items have two
parts, (a) and (b). In � W. simply circle the number
Your Name Today's Date
that best represents how you feel the problem has
Your Therapist's Name
changed over the last few months.
Thank you for taking the time to share your thoughts
and feelings. This will be a real help in your therapy. Then, in part b�, briefly describe in your own words
Please give the completed booklet to your therapist. ,
how the problem has bothered or distressed you within
RETURN 1O: the last 7 days.
Go through the questions quickly, putting down the
first thing that conies to mind (please print clearly).
Now, please read these instructions again, then begin....
OS B U/i BROWNING OUTCOMES SURVEY SCALE
_._. _ _.. for Brief Therapy
BOSS''. BROWNING OUTCOMES SURVEY SCALE • 1-800-410-7766
Copyright ,L Charier H.Browning.Ph.D.. Bernie];J.Browning, Ph.1).
1. (a) How would you rate the problem today as compared to 11. (a) To what extent have you been able to control
a few months ago? self-destructive habits or patterns on your own?
1 2 3 4 5 6 7 1 2 3 4 S . 6 7
Much Moderately Slightly About Slightly Moderately Much Totally Moderately Slightly Sometimes Slightly Moderately Totally
Worse Worse Worse The Same improved Improved Improved Unable Unable Unable ,Able Able Able Able
(b) Please briefly describe the problem that brought you (b) Describe the efforts you've made on your own to
for counseling as it affects you now: control self-destructive habits or patterns in your life:
2. (a) How well do you understand the problem today as
compared to a few months ago?
1 2 3 4 5 6 7 12. (a) To what extent do you believe that therapy can enable
Much Moderately Slightly About Slightly Moderately Much you to find solutions to your problems?
Less Less less The Same More More More
Aware Aware Aware Aware Aware Aware 1 2 3 4 5 6 7
(b) In your own words, briefly state what or whom you Totally Moderately Slightly Not Sure Slightly Moderately Totally
think (a) causes the problem to occur, (b) makes the Unable Unable Unable Able Able Able
problem worse, and (c) helps make the problem better: (h) What are the solutions you hope to find through your
• Causes the problem: counseling?
• Makes the problem worse:
• Helps make the problem better:
•
Please continue next page
9. (a) How effective are you today handling the problem as 3. (a) Compared to a few months ago, how would you rate am'
compared to a few months ago? physical or medical symptoms caused by your problem?
1 1 3 4 5 7 1 i i 4 5 6, 7
'
Much Mtuferately Slightly About Slightly Moderateh Much Much Moderately Slightly About Slightly Moderately Much
I ess I ess 1 esc !'tie c_,TO' More !Ain't. N.Illi e worse worse Worse the Same hupto%ed tntprored tmpmeed
Effective Effective Effective Effective Effective Effective
• u
(b) In your own words, ht7etl�' describe what you sr tried ., (b) Please briefly state how the problem affects you
do to handle the problem until now: physically or medically! (l.or example, physi ai
p symptoms, doctors visits, medications, etc.):
4. (a) How is the problem affecting your work or school
performance now as compared to a few months ago?
10. (a) When you think about the problem now, how would 1 2 3 4 5 6 7
you rate your thoughts and feelings about the future -
Much Moderately Slightly About Slightly Moderately Much
compared to how you felt a few months ago? Worse Worse Worse The Same Improved Improved
1 2 3 4 5 6 7 (b) The problem causes me to (check one or more):
Much Moderately Slightly About Slightly Moderately Much
Less Less Less The Same More More More Be late for work Cl Miss work completely Cl
Hopeful Hopeful Hopeful Hopeful Hopeful Hopeful Have conflicts with people at work Cl Have trouble
(h) When you think about the problem, describe your concentrating Cl Have poor work performance Cl
thoughts and feelings about the future: • In your own words, briefly describe how the problem
affects your work performance: '.
r.
S. (a) How is the problem affecting your relationships with 7. (a) Compared to a few months ago, how does your problem
others today as compared to a few months ago! affect your attitude and feelings about yourself?
1 2 3 4 5 6 7 I 2 3 4 5 6 7
Much Moderately Slightly About Slightly Moderately Much Much Moderately Slightly About Slightly Moderately Much
Worse Worse Worse The Same Improved Improved Improved Worse Worse Worse The Same Improved Improved Improved
(h) Briefly comment on how the problem affects your (h) Briefly state how you think the problem affects your
relationships with others at this time: attitudes and feelings about yourself?
6. (a) How do you think others who know you would rate your 8. (a) How much are you aware of sources of help for the
problem today compared to a few months ago? problem now as compared to a few months ago?
1 2 3 4 5 6 7 1 2 3 4 5 6 7
Much Moderately Slightly About Slightly Moderately Much -totally Aware AveAvvpie About Use Use Use
Worse Worse Worse The Same Improved Improved Improved Unaware But Don't But-Use The Same Slightly Moderately Much
Use Rarely More More More
(b) In your own words, briefly state how you think others
who know you would describe your problem now:
(b) Aside from therapy, what resources are you aware of
that can help you handle the problem?
•
•
Please rnntinnc ext page
P; Attachment 3
. ISLAND ; GROVE
Ho¢4x IS ail ISLAM
COMMUNITY COUNSELING CENTER, INC.
SEXUAL ABUSE TREATMENT PROGRAM Est. 1974
OFFENDER TREATMENT CONTRACT
, hereby enter into agreement with Island
Grove Treatment Center's Sexual Abuse Family Therapeutic Interventions (SAFTI) , to
allow their staff to provide me with treatment services designed to increase non-deviant
sexual behavior and arousal patterns and/or reduce deviant sexual behavior and arousal
patterns. The primary goal of treatment is to prevent recidivism. I understand and agree
to the following conditions regarding my treatment:
1) I agree to be completely honest and assume full responsibility for my offenses
and my behavior.
2) I agree, if deemed appropriate by treatment staff, to make a detailed
clarification to my victim(s) and a statement that what happened was not the
victim's fault.
3) I agree to sign an acknowledgment of non-confidentiality and waiver and to
sign any releases of information required to obtain information about my
behavior.
4) I will attend all treatment sessions, attend on time, and notify the appropriate
staff member as soon as possible about any situation that affects my attendance
or promptness. I understand that the only acceptable excuse for absence or
lateness is a verifiable medical emergency.
5) I will not disclose any information regarding another client to anyone outside
this program.
6) I will actively participate in treatment to the satisfaction of staff and other
group members.
7) I understand that treatment may include periods of individual and family
• therapy in addition to weekly group therapy.
Treatment can generally be expected to last a minimum of 12 to 24 months
before a pre-exit assessment is completed.
Treatment will include: A) Writing a detailed autobiography; B) Completing
readings; written assignments and-counseling in such areas as stress management,
assertiveness, self- esteem, sexuality, commtuucation, and victim empathy; C)
implementing a plan to avoid high risk situations. I understand that I will be asked
to discuss these tasks and assignments in group therapy.
The First Choice in Affordable Alcohol/Drug Services DA
1513 11th Ave-.•Greeley, CO 80631 •970/351-6678• Fax (970)352-7457 p ,„°^ ,.•
145 1st St.•Ft.Lupton,CO 80621 • 303/857-6365•Fax (303) 857-1391
8) I understand that my offense has had an impact on my family. In order to
assist my family and myself in the recovery process, I agree that my family will
participate in treatment on an as needed basis as determined by treatment staff.
This will include individual and family treatment.
9) I uzdc-stand that ongoing assessment of my progress through psychological
and physiological evaluation will be part of my treatment.
10) I will comply with all conditions of probation and parole.
11) I will not attend any session while under the influence of alcohol or drugs.
12) I will not become verbally threatening or assaultive towards any staff member
or client whether inside or outside of the office.
13) I agree not to be in any adjunctive treatment of any kind without prior approval
for Island Grove Sex Offender Treatment Center's Sexual Abuse Family
Therapeutic Interventions (SAFTI) staff.
14) I agree not to initiate or maintain contact with my victim(s) of any kind without
prior approval of Sex Offender Treatment Team.
15) I agree not to have any change of residence or job, if employed, without prior
approval of the Sex Offender Treatment Team
16) I agree not to leave the state without prior approval of Probation/Parole Officc
and Sex Offender Treatment Team
17) I agree not to use pornography of any kind.
18) If the treatment team so recommends, I agree to be out of the family and away
from my victim(s) until I have successfully completed Sex Offender Treatment
19) I also agree to the following special conditions:
20) I also agree to allow Island Grove to audio visually record my treatment, both
individually and in group, for the purpose of professional education and furthering
the treatment process. I understand that any such materials will only be viewed in
a professional context.
I understand that my Probation/Parole Officer and/or 1)55 may be notified
immediately of any violation of this contract. I also understand that local or state
police departments may be contacted if necessary to maintain victim or community
safety.- I also understand and:agree that any violation of the conditions of this
contract may be grounds for termination from the program at the discretion of the
staff. I agree that the staff may terminate my treatment for any other problem
behavior not outlined above.
The First Choice in Affordable Alcohol/Drug Services
1513 11th Ave.•Greeley, CO 80631 •970/351-6676• Fax(970)352-7457
D M1w D..+m
145 1st St.• Ft. Lupton,CO 80621 •303/857-6365• Fax(303)857-1391
f.`
1
. ISLAND GROVE
NO MAN 15 AN 1SLNAA
UNIOHINsu r
COMMUNITY COUNSELING CENTER, INC.
E5t. 1974
If I have any questions about the Treatment Contract, I have discussed them to my
satisfaction with the person in chargo of my treatment. By signing this I give my
voluntary consent to participate in all the above.
Signature of Client Date
Signature of Staff Member Date
Signature of Guardian Date
Signature of Witness Date
•
The First Choice in Affordable Alcohol/Drug Services
DAD
1513 11th Ave. •Greeley, CO 80631 •970/351-6678• Fax(970)352-7457 N,
145 1st St.• Ft. Lupton,CO 80621 •303/857-6365• Fax(303)857-1391
Attachment 4
ISLAND GROVE
COMMUNITY COUNSELING CENTER, INC.
Est 1974
Criteria for Discharge
Offense Specific treatment
All of the following must be demonstrated, defined, understood, and consistent through out
treatment.
• Being open and honest in group (no secrets)
Li Follow offender treatment contract (treatment guidelines)
Elimination of critical/deviant thinking errors
Li Acknowledgement of risk; avoiding high-risk situations; prepared Safety Plan
must be complete and signed off on by all persons involved (family, case
worker, probation, treatment provider)
a Understanding and being able to define the re-offense chain
o Consistent definition of abusive interactions
Li Recognition of the dysfunctional cycle (abuse cycle)
Li Ability to interrupt abuse cycle
Li Understanding defense mechanisms
o Demonstrating changed pattern of coping
i7 Demonstrating empathy
o Completion of one or more polygraph assessments
J Completion of one or more plethysmograph assessments (depending on age
of perpetrator)
• Meet with another provider for exit interview; one of Island Groves consultants
I have read and understand the above information.
Client Signature: Date: _
Counselor's Signature: _Date:
The First Choice in Affordable Alcohol/Drug Services (jADA'/
1513 11th Ave.•Greeley, CO 80631 •970/351-6678•Fax(970)352-7457
145 1st St. • Ft. Lupton,CO 80621 •303/857-6365•Fax(303)857-1391 """'
Attachment 5
SEXUAL ABUSE FAMILY THERAPEUTIC INTERVENTIONS
Island Grove Regional Treatment Center, Inc.
Fee Schedule and Direct Service Rates
ASSESSMENTS
Initial Family Assessment 25 . 0
Exit Interviews 90.00
Adolescent Sex Offender (in-house) 350.00
Adolescent Sex Offender (contracted) 575.00
Adult Sex Otfender (contracted) 600.00
Domestic Violence 135.00
General Psychological Evaluation 280.00
Vocational Assessment 175.00
Alcohol and Drug Evaluation 1 50.00
THERAPEUTIC SERVICES
Individual Session 85.00 hour
Family Session 97.50/hour
Stage I Group 40.00/person
Case Aide Services 35.00/person/hour
Stage II Group Sessions 55.00/person
ADDITIONAL PROGRAM FEES
Plethysmograph* $ 225.00/examination —
Polygraph* 225.00/examination _
Court Appearance 160.00/staff/day
Psychiatric Services, if contracted* 105.00/hour
Training Stipend 300.00/statf
Provide DSS Training 50.00/hour/staff
Clinical Supervisor (Dr. William Walsh) 90.00/hour _
Clinical Supervision/Staffing (Line Statf) 30.00/hour/staff
Sex Otfender Assessment Stating 90.00/hour
*Fees outside of Island Grove Center's contractual arrangements may be subject to
change.
C:\f:A'1HRYN\FAMSERV\DSS 00-01\00-01 SAFTI Fee Sched.doc
Attachment 6
i
ISLAND GROVE
COMMUNITY COUNSELING CENTER, INC.
Es' 1974
February 29, 2000
TO: (Caseworker's name)
Weld County DSS
P.O. Box 'A'
Greeley, CO 80631
CC:(parent's name)
(other individuals concerned)
RE: (group member's name)
The purpose of this letter is to inform you on (group members's name)'s attendance,
participation, goals, issues and concerns for the month of February 2000. The group,
counselor and(group member's name) prepared this report.
ATTENDANCE:
PARTICIPATION:
- GOALS/TREATMENT ISSUES:
.,
/\ra
Jr The First Choice in Affordable Alcohol/Drug Services ?DAD
1513 11th Ave.•Greeley,CO 80631 •970/351-6678• Fax(970)352-7457 mmaon�
145 1st St.• Ft. Lupton, CO 80621 •303/857-6365•Fax(303)857-1391
ISSUES (group member's name) TALKS ABOUT IN GROUP:
CONCERNS:
If you have any questions, please contact me at (970) 392-0261.
Sincerely,
Anne Gleditsch MA, NCC, CACIII
Group member's name
Attachment 7
Island Grove SAFTI Program Stage I
Stage I of the Island Grove SAFTI Program is designed to address the needs of referrals
10-17 years of age who have demonstrated objectionable behavior in regards to
expression of emotion through the means of inappropriate words, gestures and behaviors
that have a sexual content or nature. It is an educational program twelve weeks in length
and contains family components. Referrals displaying behaviors needing more restrictive
treatment may be considered for Stage II at any time during the process of Stage I.
Treatment Content Amounts Monthly Costs Stage Costs
Group Sessions 12($40.) lx weekly $ 160.00 $480.00
Family Sessions 3($98.75) lx monthly $ 98.75 $296.25
Monthly Total Cost $258.75
Total Program Stage Cost $776.25
Island Grove SAID"ft Program Stage II
Stage 1I of the Island Grove SAFTI program serves adolescents between the ages of 12.17 who are
referred for Offense Specific treatment on an outpatient basis.Stage II is designed with two packages
(A&B)including five phases. The difference is found in Phase I,which has an optional Sex Offender
Assessment(Package B)comprised of psychological measures that may be of benefit in court processing.
Length of treatment varies according to each referral and the national average for length of treatment is
approximately 18 months.
Package A
Phase I 1°`month Amounts Phase Cost
Individual Sessions 4($85.) lx weekly $340.00
Polygraph 1($225.) $225.00
Family Assessment 1($250.)2x week $250.00
Family Therapy 6($98.75)2x weekly $592.50
Monthly Cost Total $1407.50
Phase I(A)Total Cost $1407.50
*bic$im Sessions 4($85) Ix weekly $340.00
Revised Monthly Cost Total $1747.50
Revised Phase I(A)Cost Total $1747.50
Package B
Phase I In month Amounts Phase Cost
Individual Sessions 4($85.) lx weekly $340.00
Family Assessment 1($250.)2x week $250.00
Family Therapy 6($90.)2x weekly $ 592.50
Sex Offender Assessment 1(5600.) $600.00
Assessment staffing 1($135.) $ 135.00
Polygraph 1(5225.) $225.00
Monthly Cost Total $2142.50
Phase I(B)Total Cost 52142.50
*victim Sessions 4(585) lx weekly $340.00
Revised Monthly Cost Total $2482.50
Revised Phase I(B)Cost Total $2482.50
At this point, the family and perpetrator will be staffed by the treatment team to determine if the referral is
appropriate to continue treatment with our program.If so the perpetrator will be placed in a group treatment
program and the family will continue with the family sessions.
Not all families will have victims that will require services and so the addition of the victim services will be
on a referral basis.Funds for victims may be accessed through Victim Assistance or VALE monies and
may not contribute to the cost of services for the referral.
Packages A &B
Phase II 2nd to 6th months Amounts Monthly Costs Phase Costs
Group Sessions 8($55.)2x week $440.00 $2200.00
Family Sessions 4($98.75) lx week $ 395.00 $1975.00
Monthly Cost Total S 835.00
Polygraph Exam 1($225.)End of 6 mos. $225.00
Phase 11(5 month)Total Cost $4400,00
Victim Sessions 2($85.)2x month $ 170.00 $850.00
Revised Total Monthly Cost $1005.00
Revised Phase 11(5 month) Total Cost $5025.00
At this point the family and the perpetrator will be assessed to determine the appropriateness of attending
group lx weekly and family sessions twice monthly. If so the following will apply:
Phase In 7th to 12th month Amounts Monthly Costs Phase Costs
Family Sessions 2($98.75)2x monthly $ 197.50 $1185.00
Group Sessions 4($55.) lx weekly $220.00 $1320.1X)
Monthly Cost Total S 417.50
Polygraph Exam 1($225.)End of 6 months $225.00
Phase III(6 months) Total Cost $2730.00
*Victim Sessions 2($85.)2x monthly $ 170.00 $1020.00
Revised Total Monthly Cost $587.50
Revised Phase III(6 months) Cost Total $3750.00
At the completion of 12 months the perpetrator and the family will be evaluated with the discharge criteria
and progress in treatment. Should the referral meet discharge criteria the addition of**Exit interviews will
occur.Treatment recommendations after one year include the following,
Phase IV 13t to 18th month Amount Monthly Costs Phase Costs
Family Sessions 1($98.75) lx month $98.75 $592.50
Group Sessions 4($55.) lx week $220.00 $1320.00
Monthly Cost Total S 318.75
Polygraph Exam 1(5225.)End of 18 mos. 5 225.00
Phase IV(6 months)Total Cost $2137.50
*Victim Sessions 2($85.)2x monthly $ 170.00 $1020.00
Revised Monthly Cost Total $488.75
Revised Phase IV(6 months)Cost Total $3157.50
At this point the perpetrator and the family will be staffed to determine if discharge is appropriate. If
discharge is a possibility then the Exit Interviews**will take place. If discharge is not appropriate and the
client and family continue treatment,the following will apply: In Phase V the perpetrator and the family
will focus upon the issues that they failed to demonstrate successful knowledge base of in Phase IV. A
family and perpetrator may be discharged at any point in Phase V as long as the polygraph is complete and
the areas that needed to be addressed were completed at some point.
Phase V 19 to 24 months Amount Monthly Costs Phase Cost
Family Sessions 1($98.75) lx month $ 98.75 $592.50
Group Sessions 4(855.) lx week $220.00 $1320.00
Monthly Cost Total $318.75
Polygraph Exam 1($225.)End of 24 months $225.00
Exit Interviews 2(98.75)2x month $ 197.50
Phase V(6 months)Cost Total $2335.00
*Victim Sessions 2(385.)2x monthly 8 170.00 $1020.00
Revised Monthly Cost Total S 488.75
Revised Phase V Cost Total $3355.00
At this point the client and the family will have received all the benefits of our program. The perpetrator
and the family will be referred to another agency at discharge from this program should they not assess
positively as having grasped the concepts of treatment. It should also be noted that should an offense occur
within any phase of the treatment time frames,immediate discharge would be forthcoming.
Total for Package A 12 months $8,537.50 Total for Package B add$635 00
*victims $10,522.50
18 months $10,675.00
*victims $13,680.00
24 months $13,010.50
*victims $17,035.50
**Exit Interviews 2(898.75) 2x month $ 197.5(/
At some point within the course of treatment,a referral may reach discharge criteria prior to 18 or even 12
months of treatment. When the possibility of discharge is considered,Exit interviews will be conducted at
an additional cost if not cond'cted within Phase V of the treatment process.
Adult Sex Offender Evaluation
An additional service that may be contracted through the Island Grove SAFTI Program is an adult sex
offender assessment.This service is provided for adult referrals that are court ordered or volunteer for a sex
offender assessment including polygraph examination, psychometric measures,clinical interviews, and
background checks. The cost for the services is as follows:
(1) Sex Offender Assessment 1($600.) $600.00
(1)Polygraph Exam 1(8225.) $225.00
Total $825.00
Island Grove SAFTI Program Stage III
Stage III of the Island Grove SAFTI Program is a six-month follow-up program designed to provide
services for clients who have successfully completed Offense Specific residential treatment programs and
who have been returned to their families and communities.The main purpose of Stage III is to monitor
clients in a step down process so that the client and the family may be integrated successfully.
Phase I 1°L month Amounts Monthly Costs Phase Costs
Individual Sessions 4($85.) $340.00 $340.00
Family Sessions 4($98.75) $395.00 $395.00
Monthly Cost Total $735.00
Phase I Cost Total $735.00
Phase II 2nd-3rd month
Individual Sessions 4(585.) $170.00 $340.00
Family Sessions 2($98.75) $98,75 $197.50
Monthly Cost Total $268.75
Phase II Cost Total $537.50
Phase TII 4'h-6h month
Individual Sessions 3($85.) $ 85.00 $255.00
Family Sessions 3(98.75) $ 98.75 $296.25
Monthly Cost Total $183.75
Polygraph Exam 1($225.) $225.00
Phase III Cost Total $776.25
Complete Program Cost Total $2048.75
Additional Costs
Monthly Clinical Supervision to cover Stages I,II, and III of the SAFTI Program.
Dr. Walsh 2($135.)2x monthly $270.00
12 month total $3240.00
(3)Staff 3($375)2x monthly $225.00
12 month total $2700.00
Hello