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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 c_-- ( ily , APPRO AS TO FORM: /GeoreyI. Baxter X/ �^ ��7 -%sf—.G-r.G!,-. �ze-ssCccr ✓ 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