HomeMy WebLinkAbout940484.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT
ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, SEXUAL ABUSE
TREATMENT, AND AUTHORIZE CHAIRMAN TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado,
pursuant to Colorado statute and the Weld County Home Rule Charter, is vested
with the authority of administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Notification of Financial
Assistance Award for Placement Alternatives Commission 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 the Weld Mental
Health Center, Sexual Abuse Treatment, commencing June 1, 1994, and ending
May 31, 1995, with terms and conditions being as stated in said notification, and
WHEREAS, after review, the Board deems it advisable to approve said
notification, a copy of which is attached hereto and incorporated herein by
reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, ex-officio Board of Social Services, that the Notification of
Financial Assistance Award for Placement Alternatives Commission 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
the Weld Mental Health Center, Sexual Abuse Treatment, be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said notification.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 23rd day of May, A.D. , 1994.
D / I BOARD OF COUNTY COMMISSIONERS
ATTEST: WELD COUNTY, COLORADO
A
Weld County Clerk to the Board -- IX%9 I4
/ H. WebCha'rman
BY: QiA //14it < \YAK^
Deputy Clerk o the Board Dale . Hall, Pr yTem
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APPRO AS TO FORM:
/GeoreyI. Baxter X/ �^
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✓ ounty Attorn Constance L. Harbert,/ n
arbara J. Kirkme r (�
940484
CG,e,T, If)
We. County Department of Social Se. ices
Notification of Financial Assistance Award
for Placement Alternatives Commission (PAC) Funds
Type of Action Contract Award No.
X Initial Award FY94-PAC-500
(RFP-PAC-9200)
Contract Award Period Name and Address of Contractor
Beginning 06/01/94 and Weld Mental Health Center
Ending 05/31/95 Sexual Abuse Treatment
1306 11th Avenue
Greeley, CO 80631
Computation of Awards Monthly Program Capacity 12
Monthly Average Capacity 9
Unit of Service
Description
Five hours per week per family to an
average of 24 weeks per family. The issuance of the Notification of
Financial Assistance Award is based
Cost Per Unit of Service upon your Request for Proposal (RFP) .
The RFP specifies the scope of services
Hourly Rate Per $ 25.46 and conditions of award. Except where
Unit of Service it is in conflict with this NFAA in
Based on Average which case the NFAA governs, the RFP
Capacity upon which this award is based is an
integral part of the action.
Monthly Rate Per $ 547.00
Unit of Service Special conditions
Based on Average
Capacity 1) Reimbursement for the Unit of
Service will be based on an hourly
Total Yearly $54,998.00 rate per child or per family.
Services Budget
(Subject to the Availability of 2) The hourly rate will be paid for
Federal and State Funds) only direct face to face contact
with the child and/or family or as
specified in the unit of cost
computation.
Enclosures:
Signed RFP 3) Unit of service costs cannot
exceed the hourly, monthly, and
yearly cost per child and/or
family.
4) Rates will only be paid on
approved and open cases with the
Department of Social Services.
Approvals:
, Program Official:
1:222) LUG
By W.'�H. Webster, Chairman Sjd /%Q/ By Judy . Grie o, Di cfor
Board of Weld County Commissioners Weld unt epartm not o
Social Services
Date: .5/273/9
5/i!/9 /
sJ
Date:
940484
INVITATION TO BID
January 7 , 1994 RETURN BID TO: Pat Persichino
DATE: Director of
General Services
BID NO: REP-PAC-94004 915 10th Street
P.O. Box 758
Greeley, CO 80632
DIRECT INQUIRIES TO: Pat Persichino, Director of General Services
SUMMARY
Request for Proposal (RFP-PAC-94004) for: Family Preservation Pro9ram
Deadline: February 22, 1994, Tuesday, 10:00 a.m. ty The Placement Alternatives Commission, an advisory commission
to
accepted County Department
of Social Services , announces that competing applications be
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 a twelve month program targeted to run from June 1, 1994
through May 31, 1995 , at targeted funding levels of increments up to S482 , 31.00 . This
program announcement consists of five parts, as follows :
PART A. . .Administrative Information
PART B. . .Background, Overview and Goals
PART C. . . Statement of Work
PART D. . .Bidder Response Format
PART E. . .Evaluation Process
Delivery Date BID MUST BE SIGNED IN INK
(After receipt of order)
Dale F Potorcnn MCP tqW4
TYPED " PRINTED GNA�'UY.E
VENDOR Weld Mental Health Center o�
, Inn Handwritten Signature By Authorized
Officer or Agent of Vender
TITLE Executi ve Director DATE .2-�1 -94
ADDRES51306 Eleventh Avenue ZIP RQ631 PHONE 0 (303) 353 3r,86
U rPPiPy, r(li(1 Y`R(In
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
940484
RFP-PAC-94O04 Attachment A
Page 1 of 2
COVER PAGE
ALTERNATIVES TO OUT OF HOME PLACEMENT PROGRAMS
PLACEMENT ALTERNATIVES COMMISSION
PROGRAM YEAR 1994
BID # RFP—PAC-94OO4
Client. Group(s) to be Served: Families with children at risk of out-of-home placement
Name of Applicant Agency: Weld Mental Health Center, Inc.
Address: 1306 Eleventh Avenue
City: Greeley. Colorado 80631
Phone: (303) 353-3686
Contact Person: Dan E. Dailey
Title: Director, Children and Family Services
Approximate Project Dates: Start June 1 . 1994
End May 31 , 1995
Title of Project: Sexual Abuse Treatment
Amount Requested: $54,998.00
Signatures: ar 4 o( y
Dan E. Dailey ViTAA-
Name and Signature of Per n Preparing Pr posal Date
Dale F. Peterson c., 4tk-a-ev\ ;2 --.)0 - ?"/
Name and Signature of Chief Administrative Officer of Date
Applicant Agency
PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY
Please initial to indicate the bidder' s chosen category (only one category per bid)
Home Based Intensive Family Intervention
Option 1
Home Based Intensive Family Intervention
Option 2
Intensive Family Therapy
X Sexual Abuse Treatment
Day Treatment
Life Skills
Individualized/Innovative Services
9404:8-
RFP-PAC-94004 Attachment A
Page 2 of 2
TYPE OF PROJECT
Continuing Project under Weld County PAC
How many years?
X New Project
X Proposed Program wi11 eliminate the need for out of home placement
Proposed Program will lower the cost of out of home placement
Other: The Proposed Program will
MANDATORY PROPOSAL REQUIREMENTS
Please initial to indicate that the following required sections are included in this
proposal :
037) Statement of Need
Population to be Served
Program Requirements
Types of Services Provided
AO Provision of Services & Administrative
Capability
Past Performance
§!^/ Letters of Support (New Programs Only)
Budget
Program Evaluation and Continuation
940cMi
TABLE OF CONTENTS
Cover Page
overleaf
Table of Contents a
Program Narrative 1
1 . Statement of Need 1
2. Population to be Served 1
3. Program Requirements 1 2
4. Types of Services Provided 2 3
5. Provision of Services and Administrative Capability 3
6. Past Performance 3
7A. Letters of Support. 4
8. Budget 4
9. Program Evaluation and Continuation 4
Attachments
A. Cover page overleaf
B. Program Requirements 5 - 12
C. Past Performance na
D. Evaluation Results na
E. Hourly Unit Rate Cost Computation Sheet 13 - 14
F. Program Performance 15
G. County Placement Alternative Plan Final Budget Page 16
H. Budget Format 17
a
94048,1
D. Program Narrative
1. Statement of Need
The child and adolescent population at risk of out-of-home placement is underserved by the private and public
mental health and social services systems of Weld County. In fiscal year 1992-93, the Children and Family
Services Program (CFSP) of the Weld Mental Health Center, Inc. (WMHC) admitted more than 600 children and
adolescents to its outpatient services in addition to continuing to work with those already on its rolls.
More than 300 of these youths had been the victims of sexual or physical abuse at some point in their lives.
Of the children and adolescents admitted to the CFSP. approximately 90% fit the Colorado Division of Mental
Health (DMH) definition of severely emotionally disturbed by virtue of the severity and nature of their
presenting problems, out-of-home placement, or a combination of these factors. The DMH estimates the youth
population in need of mental health services in Weld County to be over 1500 in any given year. The Colorado
State Department of Social Services reports that last year nearly 34,000 families were served by local
departments of social services. Approximately 54,000 children were provided services, 80% in their own homes
and 20% in out-of-home care. In the previous fiscal year, according to data from the Weld County Department
of Social Services (WCDSS) , there were more than 220 Weld County children in out-of-home placements with the
majority in foster families and the rest in group homes, child placement agencies, and in residential child
care facilities. More than 1200 reports of abuse were received by WCDSS last year; approximately 30% of
those detailed allegations of sexual abuse. As WCDSS does not field all sexual abuse reports, responding
instead to cases in which the assailant is a family member of the victimized child or in which the victimized
child is also inadequately responded to or protected by his or her family, this number does not adequately
state the number of sexually victimized youth in Weld County. More than 110 Dependency and Neglect Petitions
are filed annually in response to these reports. There is a perennial shortage of appropriate foster homes in
which to place these children in need. Placement Alternative Commission "slots" have been significantly
reduced by continuing and questionable redefinitions of whom may have access to them. There are not
sufficient resources for the children and their families in this county. The Sexual Abuse Treatment (SAT)
component of CFSP is designed to deal directly and promptly with sexually abused children and youthful
perpetrators of sexual abuse, thus adding a more intensive element to existing WMHC services.
2. Population to be Served
The eligibility criteria for SAT services are:
a. The family must reside in Weld County;
b. There must be a risk of imminent out-of-home placement of at least one family member aged birth to 18
years (or such placement has already occurred) precipitated by the recent occurrence or discovery of sexual
abuse which severely threatens the family's ability to adequately cope with that and related situations;
c. At least one parent/guardian who is not a perpetrator of the sexual abuse must consent to work with
the team with the goal of keeping the family together; and
d. Specific client populations will include at least one of the following:
I. a victim of sexual abuse under the age of 18 years;
2. a perpetrator of sexual abuse/assault under the age of 18 years;
3. the non-abusing spouse of an adult incest perpetrator; and
4. relatives under the age of 18 years in the household of incest victims and/or perpetrators.
At least 24 families will be served annually: 16 families of abused children, eight families of juvenile abuse
perpetrators. Referrals will flow from caseworkers at WCDSS to a WCDSS supervisor to Dan Dailey, SAT
director. The final decision as to the appropriate level of mental health services will be made by the WMHC.
3. Program Requirements
The overall goal of the project is to enable families with children at risk of out-of-home placement or who
already have children placed out of their homes as a result of sexual abuse to care for those children in a
healthful manner at home. Goals and objectives are:
Goal A. Rapidly improve and stabilize family functioning to enable the family to care for bhe children in the
home setting.
Objective Provide crisis intervention and other services within three days of referral to 24 families to
either prevent out-of-home placements of children and adolescents in foster and group homes, residential child
care facilities, juvenile detention facilities, and in psychiatric hospitals (family preservation services) or
to return youths from such facilities to their family homes within six months of referral (reunification
services.)
940481
Goal H. Improve overall functioning of families via improved family conflict management, improved parental
competency, improved household management competency, and an improved ability to gain access to and use
appropriate resources in the community to enable the families to appropriately care for and protect their
children in their own homes on a long term basis.
Objective a. Eighty-five percent of families which receive either family preservation or reunification
services will measure significantly lower on the risk assessment scales at time of termination than at onset
of SAT services.
Objective b. At termination, six and 12 months after termination of SAT services. 90% of the families will
remain intact.
Objective c. Seventy percent of children currently in long term placement who are provided reunification
services will return to their own home and not reenter out-of-home placement within 12 months of completion of
services.
Objective d. Fewer than 10% of discharged children will enter another PAC (PPP) program.
Objective e. Fewer than 10% of the children served will be in a more costly placement at discharge and fewer
than 15% will be in such a placement six months after discharge.
Objective f. Eighty percent of the families receiving either family preservation or reunification services
will not have a substantiated incident of abuse or neglect within 12 months of successful completion of
services.
Objective g. One hundred percent of the perpetrators SAT serves will not commit sexual assault within 12
months of service completion.
Objective h. Ninety percent of non-perpetrating abused children seen in SAT will not act out sexually
aggressively within 12 months of successful services completion.
4. Types of Services Provided
The WMHC will provide targeted families with intensive, family based crisis intervention, mental health
assessment and treatment, case management, and education services. The following principles will guide the
SAT's approach:
a. To intervene as soon as possible after abuse/assault is discovered and reported;
b. To provide intensive treatment for the family of moderate duration;
c. To focus treatment, using existing family strengths, on identifying and solving problems, and on
realistic goal setting;
d. To involve and empower families in treatment; and
e. To link clients and their families with and educate them in the effective use of other community
services and resources.
Crisis services will be continually available to provide necessary support and protection, intervention, and
related services. Services, tailored specifically to each client family, will be offered focussing on those
issues and problems directly related to the issues of sexual abuse/assault and on new ways to cope with family
problems to prevent recidivism and additional victimization. The average period of involvement will be 24
weeks with an average of five hours of services provided weekly to each family. Services will be delivered
primarily at the WMHC. Home visits will be conducted as necessary.
The initial WMHC response to the families of victimized children will not be the responsibility of SAT staff.
For three years, the CFSP has used a triage system to address the issues of abuse victims at the time of
admission to WMHC services. In order to not duplicate services and to maximize the SAT staff's response, we
will continue to use the existing system. The triage worker, who will have a new tool to offer the families,
will assess the immediate and longer term needs of the families in order to formulate the initial mental
health services plan to be implemented by SAT staff.
Nor will the initial WMHC response to juvenile perpetrators of sexual assault/abuse be the responsibility of
SAT staff. The CFSP has therapists experienced in evaluating and treating these perpetrators. In order to
not duplicate existing services and to maximize the availability of SAT staff, initial screening of and
service planning for these youths will not be SAT staff's responsibility. SAT staff will, immediately enter
the treatment picture at the completion of this initial step. Since a high percentage of youthful
perpetrators are themselves victims of sexual abuse/assault, evaluation of this issue will also be included.
Services for victims and perpetrators will include individual, family, and group therapy as well as case
management--all designed to address the issues and behaviors related to sexual abuse victimization, sexual
dysfunction, and sexual abuse perpetration. At minimum, each child victim will be seen individually as
appropriate, in weekly group sessions with similarly aged victims, and in weekly family sessions. Psychiatric
2
940491
evaluation will be available. Perpetrators of each child's abuse will be included in a victim's service plan
if such inclusion is in the best interests of the victim and only if the perpetrator is a member of the
victim's nuclear family, admits to having assaulted the child, claims remorse in response to his/her actions,
and has been cleared by his/her therapists as capable of and ready for participation in the victim's services,
Services for juvenile perpetrators will include individual sessions as appropriate, at least weekly group
therapy with other similarly aged perpetrators, and weekly family therapy. Psychiatric evaluation will be
available.
111 services will be aimed at reducing the impact of the abuse both now and in the future for the victim and
his/her family, at assisting all family members to understand the dynamics and sequelae of sexual abuse, and
at minimizing the likelihood of further sexual abuse. SAT staff will attend at least 12 hours of education
annually to keep knowledge and skills current with state of the art counselling modalities and findings.
SAT services will be culturally sensitive and competent. They will be designed to be consistent with the
culture and belief systems of the client families. Training to educate and sensitize staff to the needs and
cultural differences of the residents of Weld County occurs on a regular basis.
5. Provision of Services and Administrative Capability
The WMBC is a private, non-profit corporation governed by a board of directors, currently chaired by Michael
Lazar. It is licensed by the State of Colorado as a comprehensive community mental health center serving all
of Weld County. The WMBC has been in existence since 1962, becoming a comprehensive community mental health
center in November, 1967. Dale Peterson, MSW. MBA, is the WMBC's Executive Director. Scott Wong, WMHC
Business Manager, is responsible for fiscal aspects of the project. The 150+ employees of the WMBC (of whom 10
serve in administrative capacities) are surety bonded.
The SAT will be staffed by 1.50 full-time equivalent (FTEI masters level mental health clinicians. Each team
member will have had at least three years experience working with children, adolescents, and families. Each
team member will have undergone special training in the treatment of sexually abused children and the
perpetrators of such abuse. They will also have studied the philosophical and practical aspects of family
preservation. Each member of the team will meet the minimum qualifications of a Colorado Department of Social
Services Caseworker III. Overall administrative responsibility is assigned to Dan E. Dailey, BA, Director of
the CFSP, who has more than 23 years experience in mental health treatment and administration. He is a
specialist in the treatment of the sexually abused and the sexually abusing. He reports directly to the
Executive Director of the WMHC.
The SAT project is not currently in existence in Weld County. A variety of its programmatic offerings are
available through the WMHC as well as other providers in the community. The SAT offers, however, a unique
system to help the families described above. It has at its immediate disposal the existing services of the
WMHC, an important consideration as many of the families to be served by SAT will need related ongoing mental
health services after completing SAT services.
6. Past Performance
The WMBC provides inpatient, residential, partial care, and outpatient treatment services as well as case
management, educational, and vocational services. Programmatically, the WMHC consists of the Community
Support Program which serves chronically and severely mentally ill adults, the Acute Treatment Unit which is a
highly structured, intensive residential treatment program for chronically and seriously mentally ill adults,
and the Children and Family Services, Adult Outpatient, and Peer Counseling Programs which primarily provide
outpatient services. An outreach office in Fort Lupton serves citizens living in the southern Weld County.
The WMHC is funded through the Colorado Division of. Mental Health, county and local governments, the United
Way of Weld County, victim compensation funds, grants, private donations, contracts for service with a variety
of agencies. Medicaid, Medicare, third party insurance payments, and fees for services.
This project will increase the capacity of the WMHC to meet the ever increasing demands for services to its
target population, enabling delivery of more intensive services. The increase will not have to come at the
expense of other WMBC services as would occur if we were to shift internal emphasis to accomplish the goals
and objectives contained herein.
The CFSP employs approximately 11FTE who will deliver nearly 12,000 hours of service to more than 600 youths
and their families this fiscal year. The CFSP has consistent1, increased its level of service to Weld County
families over the past few years.
The WMBC has successfully operated its In-Home Intensive Services Team for three years combining funding
through the Colorado Trust and the Weld County PAC. Similarly. the Victim and Law Enforcement (VALE) Board of
Weld County has funded for three years the 0.75FTE triage worker described above to initially screen and admit
3
940.f
child abuse victims to WMHC services. For the past two years. United Way of Weld County has funded a 0.25FTE
mental health worker to assure no gaps in the mental health care of abused children occurs at the WMHC. The
Family Education Network of Weld County recently approved a grant enabling WMHC to deliver its services on-
site to Head Start children and their families via a 1.0FTE psychologist. The WMHC record in service delivery
through these specialized projects and through its other services is exemplary.
7A. Letters of Support
Letters of support received to date accompany this document as Attachment XXX.
8. Budget
The SAT requires an annual budget of 554.998. Personnel expenses for 1.50FTE account for $41,400, or 75.3% of
the total budget. Salary per FTE will he $24,000 annually. Fringe benefits are calculated at 15% of
salaries, or $5,400 annually.
The non-personnel portion of the budget is $13,598, which is 24.7% of the total. Administrative supervision
will cost $1,725 (S1500 salary plus 15% benefits.) Clinical supervision expense will be S2243 based on
requirements of four hours per month per FTE contained in the RFP. Professional Liability Insurance will cost
$1,125. Psychiatric consultation, backup, and support services will cost $3,420 based on three hours of a
psychiatrist's time per month at an hourly rate of 595. Travel per FTE will be 400 miles per month,
reimbursed at the rate of 8.21 per mile equalling 51.512 annually. Clinical and office supplies at S1575
match the current annual rates per WMHC FTE. Secretarial/bookkeeping/data entry support expense will be $675
yearly, based on current costs for similar activities. Expenses for project evaluation support of $378 are
derived from current experience with such services. Rent of office space, including telephone and utilities,
of $945 is based on current utilization rates.
9. Program Evaluation and Continuation
The evaluation of this project will be focused on the degree to which its major goals and objectives are met.
The data to be evaluated will be obtained via numerous routes and sources. The Colorado Client Assessment
Record (CCAR) will be used to assess the levels of functioning of the individuals admitted to the SAT. The
CCAR has been utilized by the entire public mental health system of Colorado for over a decade. It contains
nine level of functioning scales which are described by anchor points in a manual that defines the use of the
CCAR. Overall patterns of scores on such key areas as family functioning, interpersonal relations, role
performance, and feeling and affective processes will be of special interest. It is expected the
interventions of SAT will lead to positive changes in these areas as well as the total of scores in all levels
of functioning. Both pre-and post-intervention data will be obtained. Assessment efforts in this area will
be closely coordinated with current DMH research efforts.
Other objectives will be assessed via monthly follow-up contacts with families. Observations by SAT members
and by other professionals involved with the families will also form the bases for studying goal and objective
attainment. The level of agreement and disagreement between the family members and involved professionals
regarding these observations will be studied as well. Demographic data will be obtained and maintained for
each individual and family accepted into the project. Data which are specific to this project will be
combined with the data information system already in place at WMHC to provide a very comprehensive and
understandable means by which to study the effectiveness of this project. Whenever feasible, pre- and post-
intervention data will be obtained and utilized.
The WMHC is committed to the continuation of this project and will pursue any reasonable options to fund it in
perpetuity. Continued funding for this project through the Weld County Placement Alternatives Commission will
be sought as the WMHC believes the SAT directly addresses what PAC programs are required to provide. Some
clients of the project will be Medicaid eligible. Funding for them through the "Rehab Option", which permits
billing Medicaid for other than clinic-based services, will be sought although it must be remembered the WMHC
is limited in the amount of Medicaid it may earn each year and is, in effect, punished when it exceeds that
limit or "cap." The WMHC will approach the DMH in its budget negotiations to switch a substantial portion of
the cost of this project to that entity.
4
Attachment B
Page 1 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abuse Treatment __ Home Based Intensive Family Intervention
Option 1
Objective 1: FiRhty-five percent of families which re- Home Based Intensive Family Intervention
wive either family preservation or reunifi- Option 2
ration services will measure significantly Intensive Family Therapy
lower on risk assessment scales at time of Sexual Abuse Treatment
successful termination of services. Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE ___ Individualized/Innovative Services
Activity Person(s) Time Frame
Responsible Dates
Initial Assessment of Family SAT Treatment Staff At admission
Therapy, Case Management, Education, SAT Treatment Staff Ongoing
Crisis Intervention
Follow-up Assessments of Family SAT Treatment Staff At termination of services
Dan Dailey, BA
Psychiatric Consultation/Services Russ Johnson. MD As needed
Theron Sills, MD
James Medelman, MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
94,0461
4
Attachment B
Page 2 of 8
PROGRAM.REQUIREMENTS
TYPE OF PROJECT
Title of Project: I - _ Trea Une. t Home Based Intensive Family' Intervention
Option 1
Objective 2: At termination, six and 12 months after Home Based Intensive Family Intervention
termination of SAT services. 90% of the Option 2
families will remain intact. Intensive Family Therapy
Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE , Individualized/Innovative Services
Activity Person(s) Time Frame
Renpansihle Dates
Therapy. Case Management, Education, SAT Treatment Staff ongoing
Crisis Intervention
Psychiatric Consultation/Services James Medelman, MD as needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA ongoing
Administrative Supervision Dan Dailey. BA ongoing
Data Collection SAT Treatment Staff At termination
Dan Dailey, BA & again six and
Neil Benson. PhD 12 months later
9n0LVA,c
Attachment B
Page 3 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Home Based Intensive Family Intervention
Title of Project: Sexual Abuse Treatment Option 1
Objective 3: Seventy five percent of the sucressfully,
Home Based Intensive Family Intervention
terminated families will be intact 12 months Option 2
Intensive Family Therapy
after termination of SAT services. Sexual Abuse Treatment
Day Treatment
Life Skills
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Individualized/Innovative Services
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE
Activity Person(s) Time Frame
Responsible Dates
Therapy, Case Management, Education. SAT treatment staff ongoing
Crisis Intervention
Psychiatric Consultation/Services James Medelman, MD as needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision
Dan Dailey, BA ongoing
Administrative Supervision
Dan Dailey. BA ongoing
Data Collection SAT Treatment Staff 12 months post successful completion
Dan Dailey, BA
Neil Benson, PhD
94047811
Attachment B
Page 4 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abuse Treatment
Home Based Intensive Family Intervention
Option 1
Objective 4: Fewer than 10% of discharged children will Home Based Intensive Family Intervention
enter another PAC program after discharge Option 2
Irma the SAT. Intensive Family Therapy
Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services
Activity Person(s) Time Frame
Responsible Dates
Therapy, Case Management. Education, SAT Treatment Staff Ongoing
Crisis Intervention
Psychiatric Consultation/Services James Medelman, MD As needed
Russ Johnson, MD
Theron Sills. MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey. BA Ongoing
Data Collection SAT Treatment Staff At discharge, six and 12 months post services
Dan Dailey, BA
Neil Benson, PhD
Attachment B
Page 5 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abuse Treatment _ Home Based Intensive Family Intervention
Option I
Objective 5: Fewer than 10% of the children served will Bose Based Intensive Family Intervention
be in a more costly placement at discharge Option 2
and fewer than than 15% will be in such Intensive Family Therapy
placements six months after SAT discharge. Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services
Activity Person(s) Time Frame
Resootible Dues
Therapy, Case Management, Education, SAT Treatment Staff Ongoing
Crisis Intervention
Follow-up Assessments of Family SAT Treatment Staff At termination and six months post-
Dan Dailey, BA termination
Psychiatric Consultation/Services James Medelman, MD As needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
Data Collection SAT Treatment Staff Six months post successful termination
Dan Dailey, BA
Neil Benson, PhD
•
X410,!
Attachment B
Page 6 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abits_e Treatment—.____ Home Based Intensive Family Intervention
Option 1
Objective 6: Ninety percent of families receiving SAT Home Based Intensive Family Intervention
services will not have a substantiated inci- Option 2
dent of abuse or neglect within 12 months Intensive Family Therapy
of completion of services. X__ Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services
Activity Person(s) Time Frame
Responsible Dates
Therapy, Case Management, Education, SAT Treatment Staff Ongoing
Crisis Intervention
Follow-up Assessments of Family SAT Treatment Staff At termination and 12 months post-
Dan Dailey, BA termination
Psychiatric Consultation/Services James Medelman. MD As needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
Data Collection SAT Treatment Staff Twelve months post successful termination
Dan Dailey, BA
Neil Benson, PhD
4n �
10
Attachment B
Page 7 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abuse Treatment
Home Based Intensive Family Intervention
Option 1
Objective 7: One hundred percent of the perpetrators SAT
Home Based Intensive Family Intervention
serves will not sexually assault previous or Option 2
new victims within 12 months of completion
Intensive Family Therapy
of SAT services. X Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE individualized/Innovative Services
Activity Person(s) Time Frame
Responsible Dates
Therapy, Case Management, Education, SAT Treatment Staff Ongoing
Crisis Intervention
Follow-up Assessments of Family SAT Treatment Staff At termination and 12 months post-
Dan Dailey, BA termination
Psychiatric Consultation/Services James Medelman, MD As needed
Russ Johnson, MD
Theron Sills. MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
Data Collection SAT Treatment Staff Twelve months post successful termination
Dan Dailey, BA
Neil Benson. PhD
940,4:"'
Attachment B
Page 8 of 8
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Sexual Abuse Treatment Home Based Intensive Family Intervention
Option 1
Objective 8: Ninety percent of the non-perpetrating. Home Based Intensive Family Intervention
abused children seen in SAT will not act out Option 2
in a sexually aggressive manner within 12 Intensive Family Therapy
months of successful services completion. _I_ Sexual Abuse Treatment
Day Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE ._— Individualized/Innovative Services
Activity Person(s) Time Frame
Re ponsfbl Date —
Therapy, Case Management, Education, SAT Treatment Staff Ongoing
Crisis Intervention
Follow-up Assessments of Family SAT Treatment Staff At termination and 12 months post-
Dan Dailey, BA termination
Psychiatric Consultation/Services James Medelman, MD As needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
Data Collection SAT Treatment Staff Twelve months post successful termination
Dan Dailey, BA
Neil Benson, PhD
940 ^.
PAC FUNDS "tachment F
.rly Unit Rate Cost Lge 1 of 2
Computation Sheet
I. Program Name: Sexual Abuse Treatment (SAT)
II. Agency Name: Weld Mental Health Center, Inc.
III . The project's unit of service definition is:
A. The protect will provide what type of service to each client.
Intensive, clinic-based, family focussed crisis intervention, mental health
assessment and treatment, case management. and education services
B. This service will be provided for 5 (maximum)
hours per week for up to 24 (maximum stay in the
program) weeks.
IV. The hourly Unit Rate is based on:
Check one
A. An individual client who is aged _ through
xx B. A family unit as described as follows: A child at
imminent risk of placement, his or her siblings residing at home, his
or her parent(s)/guardian(s) and other extended family members who
may reside in the home.
V. Program Statistics
Total number of clients to be served in the 12 month program is 24 .
The monthly maximum program capacity is 12.
The monthly average capacity is 9.
Average stay in the program is 24 weeks.
Average hours per week in the program is 5.
VI. Description of unit of service cost between direct and indirect
services.
Base the computation on the hourly rate per unit of service cost based
on the average capacity.
A. The portion of direct services to the hourly rate per unit cost
based on average capacity is 60% or $15.28 per hour. (only
face-to-face contact with the client for services)
B. The portion of indirect services to the hourly rate per unit cost
based on average capacity is 40% or $10. 18 per hour.
C. Total hourly rate per unit of service based on average
cost (A+B+C) . $25.46
D. Total proposed yearly budget for .services S54. 998.00
1.3
9g04f a
RFP-PAC-94004 Page 2 of 2
VII. Unit of service rate computation
1 . Travel to & from client's home
totals an average of 0.35hrs/week
2. Paper work required by Weld
County Department of Social
Services totals an average of 0.25hrs week
3. Supervisor nvetin.gs totals
an Average of _ 0. 19hrs/week
4. Case management services of:
a. making referrals to other services needed by clients;
b. providing linkage to ensure clients obtain and benefit from
the services to which they have been referred;
c. monitoring the client through contacts with individuals and
agencies;
d. advocacy to ensure the best interests of the client are
served; and
e. planning of services to best serve the client
totals an average of 1 .00hrs/week
5. Court testimony required by Social
Services totals an average of 0.05hrs/week
6. Administrative costs total an
average of 0. 13hrs/week
Please describe below:
Program Director's time based on
.05FTE at average capacity minus
WCDSS report preparation time
7. Other costs total an average of 0.03hrs/week
Please describe below:
Not less than 12 continuing education
hours per worker per year as required
in RFP
8. Sub-total indirect costs 2.00hrs/week
9. Direct services to clients
(Face to face contact) totals
an average of 3.OOhrs/week
Total average hours of service
to be provided per week _ 5.00
Weekly direct services to clients total an average of: $ 76.38 60%
Weekly indirect services to clients total an average of:$ 50.92 40%
14
94104:F4
;tt3cltment F
itFP-PAC-94004 Page 1 of 1
PROGRAM PERFORMANCE
Program Name: Sexual Abuse Treatment
FY1993 - 1994 FY1994 - 1995
(A) (B) (C)
Objectives Target Performance* Actual Performance Target Performance
06/01/93 ft:LQ5/31/94 ._Asol1/93 to 02/28/94 26/_0W/94 to 05/31/95
1 . Avg;. number of children _l,
�___ Ylve per f G
al b — --- - -- . _- - -. - --na_.------- — ` -
2. Avg. number of months in
program for children who
__ g1.T discharged --
na A
3. Avg. cost per month per S 547
child na na
4. % of children at home or
less restrictive setting
na n3—. —_ -� 90_-- -
_ at discharge --
5. % of children at home or
less restrictive setting 6
months after discharge na
na ---- 85
6. Avg. savings of
alternative vs. projected $ 712 (foster careen
placement na na
7. Avg. % of treatment goal 85
set per child discharged na na
8. R of children who entered
another PAC Program after 10
discharge na na
9. % of children who are in
more costly placement at 10
discharge na na
10. 5 of children who are in
more costly placement 6 15
months after discharge na na
15
Attachment G
COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE
FY 1994 - 1995
(1) (2) (3) (4) (5)
PROGRAI FAMILY FOSTER OTHER TOTAL
NAME PRESERVATION CARE FUNDS PROGRAM
PROGRAM REQUESTED PROVIDED
FUNDS FOP PPO TF. 7T FOP PRO.7(77
flT
1;.
REQUESTED
Sexual Abuse Treatment $54,998.00 $54,998.00
(SAT)
TOTALS $54,998.00 $54.99S.0O
How will PAC money be accounted for separately from other agency money?
Scott Wong, Business Manager of WI'HiC, will set up separate cost centers for the
funds used to operate the SAT project as well as to track any revenues generated
from other sources. Accounts for each revenue source will be maintained
separately. The WMHC is independently audited annually.
16
•
940 LTIF31
•
Attachment H
fl ., 1 of t
•
BUDGET FORMAT
•
A. DIRECT COSTS S 6) �tz0
Staff salaries 5.400
Staff fringe benefits
Subtotal $41 ,400
B. INDIRECT COSTS $ 1 ,500
Director salary 225
Director fringe benefits 2.,223
Clinical supervision 2243
Professional liability insurance3.420
Psychiatric services/consultation 1 ,512
Travel 1 ,512
Clinical and office supplies675
Support staff 378
Project evaluation 378
Rent/Utilities/Phone Subtotal $13,598
Total $54,998
17
WELD MENTAL HEALTH CENTER, INC.
BOARD MEMBER LIST
JANUARY 3, 1994
Michael A. Lazar, President
Attorney At Law
Bank One Plaza
822 7th Street, Suite 300
Greeley, CO 80631
351-6930 (Home)
353-6700 (Work) Term: 6-30-95
George Baxter
Lori 2605 34thsoeBerke, Vice President Weld County Commissioner
34th Avenue P.0. Box 758
GrO. Colorado
Greeley, Colorado 80631 P. 80632
659 1684 (Work) Term: 6-30-96 356-4000 ext. 4200 (Work) Term: 6-30-9f
Hazel J. Chick, Secretary
Homemaker/Retired Teacher Sally Harms
16470 Weld County Road 86 17486 Weld County Road 8
Ault, Colorado 80610 Brighton, Colorado 80601
834-2346 Term: 6-30-94 659-4949 (Home)
752-5800 (Work) Term: 6-30-96
Dr. Robert P. Merz, Treasurer
UNC Assistant Vice President Carla Lujan
Student Affairs 1862 10th Avenue
2413 27th Avenue Court Greeley, Colorado Term: 6-30-95
Greeley, Colorado 80631 351-2161 (Home)
330-0251 (Home)
351-2303 (Work) Term: 6-30-94 Joy Keyser Picker
P.O. Box 834
Kent L. Jackson, Past President Eaton, Colorado 80615
State Farm Insurance 454-3567 (Home)
3912 W. 21st Street Road 351-5150 (Work) Term: 6-30-96
Greeley, CO 80631
330-5174 (Home) Ron Wood, Chief of Police
351-5107 (Work) Term: 6-30-95 Greeley Police Department
919 7th Street
Rhoten A. Smith, Ph.D. Greeley, Colorado 80631
Retired 350-9660 (Work) Term: 6-30-96
3707 16th Street Road
Greeley, Colorado 80631 Gretchen Karst
330-3256 (Home) Term: 6-30-96 318 Pine
LaSalle, Colorado 80645
Alvina Derrera 284-5180 (Home) Term:
23569 Blake Street
Johnstown, Colorado 80534
587-4277 (Home)
353-9251 (Work) Term: 6-30-95
940$:n 11
LIFE-TIME MEMBERS
Maryellen Clifford
6302 North 73rd Street
Scottsdale, AZ 85250-5500
Cornelia Dietz
Director, Eldergarden
1713 Glen Meadows Drive
Greeley, Colorado 80631
Bernard C. Kinnick
2212 27th Avenue
Greeley, Colorado 80631
John Martin
147 South Denver Avenue
Ft. Lupton, Colorado 80621
857-2471 (Home)
857-4800 (Work)
Hazel J. Chick
16470 Weld County Road 86
Ault, Colorado 80610
834-2346 (Home)
Harry Ashley
ISSUE DATE(MM/D�/YV)
AcOOltik CERTIFICATE OF INSURANCE not/2x/94
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Flo od CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
FlOOd & Peterson Insurance IRC I DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 578 POLICIES BELOW.
Greeley, CO 80632 COMPANIES AFFORDING COVERAGE
I COMPANY A St . Paul Ins . Co .
LETTER
- I COMPANY B
ETTER
INSURED
Weld Mental Health COMPANY C
LETTER
1306 11th Avenue I
Greeley, CO 80631 I COMPANY 0
LETTER
COMPANY E
LETTER
COVERAGES THE THIS IS TOD. CERTIFY THAT THE POLICIES I MET,INSURANCE SORD BELOW CONDITIONAVE BEEN ISSUED OF ANY CONTRACT O OR INSURED NAMED
WITH RESPECT TO WHICH PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
EXCECLUS ONS ANDFICATE MAY CBE ISSUED OR MAY PERTAIN. THE INSURANCE ONDMONS OF SUCH POLICIES. LIMITS SHOWN MAYO HAVE BEEN EDUCCEDIBY PAID CLAIMS,CRIBEDHEREIN IS SUBJECT TO ALL THE TERM
POLICY EFFECTIVE'POLICY EXPIRATION' LIMITS
CO I
LTR TYPE OF INSURANCE POLICY NUMBER OATE(MM/❑D/YY) '�i DAT EIM M/DD/V1')
FKO8300395 [ 01/01/94101/01/95 ![GENERAL AGGREGATE ' 5 1, 000, 000
A I GENERAL LIABILITY I IPRODUCTS-COMP/OP AGO.' S 1, 000 , 000
}{ I lcLAIMSMA E ._,OC URYI iPERSONALBADV.INJURY S 1 , 000 , 000
lOLA1MS MADE X IOC CV R.II 'EACH OCCURRENCE IS 1, 000 , 000
II I WNEP'SB CONTRACTOR'SPROT.' ,FIRE DAMAGE(Any one fire) l S 100 , 000
_ I MED.IXPEIJaE(My one personll 5 5 000
A 1 , 000 , 000
A AUTOMOBILE LIABILITYIFKO8300395 01/01/94101/01/95 COMBINEDSINGLE S
LIMIT �
I ZANY AUTO I I 'BODILY INJURY IS
ALL OWNED AUTOS I '(Per'BODILY
X SCHEDULED AUTOS BODILY INJURY S
X HIRED AUTOS (Per accident)
X NON-OWNED AUTOS PROPERTY DAMAGE S
GARAGE LIABILITY
EACH OCCURRENCE ,S
EXCESS LIABILITY (AGGREGATE S
UMBRELLA FORM
OTHER THAN UMBRELLA FORM STATUTORY LIMITS
WORKER'S COMPENSATION I EACH ACCIDENT S
AND DISEASE-POLICY LIMIT S
EMPLOYERS'LIABILITY DISEASE-EACH EMPLOYEE S
IOTHER FKO8300395 01/01/94101/01/95 $15 , 000/-0- ded.
A Employee
Dishonesty
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate Holder is named as additional insured in regard to the
General Liability only - funding purposes .
CANCELLATION
CERTIFICATE HOLDER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
State of Colorado MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Departmentt of Institutions LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
3550 West Oxfgord Avenue UABIt$TX OF ANY KIND UPON THE OM NY,ITS AGFMS OR REPRESENTATNES.
UTH ORI2E0 AE ES ENTATI
Denver, CO 80236 '
r D CO
C.
VRP 0 ACO�ID CORP A ��
41) IT ple DEPARTMENT OF SOCIAL SERVICES
P.O. BOX A
GREELEY,COLORADO 80632
Administration and Public Assistance(303)352-1551
Child Support(303)352-6933
WI P O Protective and Youth Services(303)352-1923
• Food Stamps(303)356-3850
FAX(303)353-5215
COLORADO
MEMORANDUM
TO: Constance Harbert, Chairman
Board of County Commissioners
FROM: Judy Griego, Director, Social Services 0.
DATE: May 20, 1994
SUBJECT: Notification of Financial Assistance Award between the Sexual Abuse
Treatment of the Weld Mental Health Center and the Weld County
Department of Social Services
Enclosed for Board approval is a Notification of Financial Assistance Award
between the Sexual Abuse Treatment of the Weld Mental Health Center and the Weld
County Department of Social Services for Placement Alternatives Commission (PAC)
funds.
The Placement Alternatives Commission (PAC) reviewed proposals under a Request
for Proposal process and are recommending approval of this bid.
1. Total award would be $54,998.00
2. The period of the award is June 1, 1994, through May 31, 1995.
3. The Sexual Abuse Treatment program of the Weld Mental Health Center will
provide 5 hours of services per week per family on an average duration of
24 weeks per family.
If you have any questions, please telephone me at extension 6200.
JAG:aas
940484
Hello