HomeMy WebLinkAbout940370.tiff RESOLUTION
RE: APPROVE 1994-95 FAMILY PRESERVATION PLAN 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 1994-95 Family Preservation
Plan 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 Placement Alternatives Commission, commencing June 1, 1994, and
ending May 31, 1997, with further terms and conditions being as stated in said
plan, and
WHEREAS, after review, the Board deems it advisable to approve said plan,
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 1994-95 Family
Preservation Plan 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 Placement Alternatives Commission be, and hereby is,
approved.
BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is,
authorized to sign said plan.
The above and foregoing Resolution was, on motion duly made and seconded,
adopted by the following vote on the 18th day of April, A.D. , 1994.
LifilikleuetWELDD OF TYUNTY COMMISSIONERS
ATTEST: WELD COUNTY, OLOR DO
Weld County Clerk to the Board
4L�\ ebster, C irm n
BY: arkthic �' J
eputy C k to the Board Dale Hall, Pro-T
APP AS TO FORM: r - 74%
e e Baxter
County Attor ey Constance L. Harbert
/L4htara J. Kirkme r
940370
cGnr7l� CC ; ss; ITftE
FAMILY PRESERVATION PROGRAM PLAN
940370
RE QUE S T FOR S TATE AP P Ft OVAL O F
FPlM I LY P RE S E RV AT I ON P ROGRAM P LAN
This Family Preservation Program Plan (FPP) is hereby submitted for
Weld County
(Indicate county(ies) name(s) and lead county if this is a multi-
county plan) , for the period June 1, 1994 through May 31, 1997. The Plan
includes the following:
• "Statement of Assurances";
• Statement of which of the five (5) required FPP services will be
provided or purchased and a list of county optional services to be
provided or purchased; i.e. , County Designed and/or Transition
Service;
• Completed program description of each proposed "County Designed
Service";
• Completed program description of each proposed "Transition Service;"
• Completed "Information on Fees" form;
• Completed "Direct Service Delivery" form;
• Completed "Purchase of Service Delivery" form;
• Completed "Overhead Cost" form;
• Completed "Summary Sheet By Individual Service" form;
• Completed "Final Budget Page" form.
This Family Preservation Program Plan has been developed in accordance with State
Department of Human Services rules and is hereby submitted to the Colorado
Department of Human Services, Division of Child Welfare Services for approval.
If the enclosed proposed FPP Plan is approved, the plan will be administered in
conformity with its provisions and the provisions of State Department rules.
The person who will act as primary contact person for the FPP Plan is Dan Fowler,
and who can be reached at telephone number (303)352-1551 extension 6210 .
If this plan is proposed by two or more counties, the required signatures below
are to be completed by each county, as appropriate. Attach an additional
signature page as needed.
, o/9y
Sign ure, IRECTOR, OUN DEPARTMENT OF SOCIAL SERVICES /AT
CUR. Y(.ov ) c /5-74/
Signature, CHAIR, PLACEMENT ALTERNATIVES COMMISSION DATE ,/
Signature,--CHA` OAR OF C01 TY C MM SIONERS O`f ;104/,;104/, ���DATE
ry �7
A E Qv
PAGE 1
4aOni7n
FAMILY PRESERVATION PROGRAM PLAN
STATEMENT C31? ASSURANCES
Weld County(ies) assures that, upon approval of the
Family Preservation Program Plan (FPP) , the following will be adhered to in the
implementation of the Plan:
1. Operation will be in conformity with the provisions of the Plan;
2. Operation will be in conformity with the provisions of State rules;
3. Family Preservation Program Services, provided or purchased, will be
accessible to children and their families who meet the eligibility
criteria;
4. Operation will not discriminate against any individual on the basis of
race, sex, national origin, religion, age or handicap who applies for or
receives services through the Family Preservation Program;
5. Services will recognize and support cultural and religious background and
customs of children and their families;
6. Services will be provided under the Family Preservation Program only to
eligible children and their families;
7. No out-of-state travel will be paid for with FPP funds;
8. All forms used will be State prescribed or State approved forms;
9. FPP FTE/Personal Services costs authorized for reimbursement by the State
Department will be used only to provide FPP Services authorized in the
county(ies) approved FPP Plan;
10. The purchase of services will be in conformity with State purchase of
service rules including contract form, content, and monitoring
requirements; and
11. Information regarding services purchased or provided will be reported to
the State Department for program statistical and financial purposes in
conformity with State rules.
PAGE 2
940370
FAM I LAY P RE S a RVAT I ON PROGRAM
S E RV ICES TO BE P ROV IC,a D/PURL HA S E D
If any of the following basic Family Preservation Program Services will be
provided/purchased, they will be provided/purchased in accordance with State
Department rules:
Home Based Intensive Family Intervention Service (Staff Manual
Volume 7, 7.503.61) Option A
Intensive Family Therapy Service (Staff Manual, Volume 7, 7.503.62)
Sexual Abuse Treatment Service (Staff Manual, Volume 7, 7.503.63)
Day Treatment Service (Staff Manual, Volume 7, 7.503.64)
Life Skills Service (Staff Manual, Volume 7, 7.503.65)
List the Basic Services to be provided/purchased
Home Based Intensive Family Intervention - Option A
List county optional services of "County Designed Service" and/or "Transition
Service" which will be provided/purchased in accordance with State Department
rules:
♦ List County Designed Service(s) (Staff Manual, Volume 7, 7.503.66)
♦ List Transition Service(s) (Staff Manual, Volume 7, 7.503.67)
Therapeutic Foster Care
Partners Plus
Youth Passages
PAGE 3
940370
INFORMATION ON FEES
Please check the following which apply:
Fees will not be assessed for Family Preservation Program Services.
(STOP. Remainder of information does not need to be completed. )
X Fees will be assessed for the following services: Check those that
apply:
Home Based Intensive Family Intervention
Intensive Family Therapy
Sexual Abuse Treatment
Day Treatment
Life Skills
County Designed Service (List Services Below)
X Transition Service (List Services Below)
Therapeutic Foster Care
Fee assessment formula is the same for all services. State the
formula here (attach sheet if needed) .
X Fee assessment formula varies with service. State formula used for
each service.
For Therapeutic Foster Care, the regular foster care assessment will
be utilized
PAGE 4
940370
COUNTY OPTIONAL SERVICE
I NF O RMAT I ON
TRANSITION S E RV I C E
SERVICE NAME Therapeutic Foster Care (T.F.C. )
1. Describe and demonstrate negative impact on clients, the community, or the
county department if this service was not continued;
The children who are in T.F.C. meet the eligible population it 3 in that
they require Residential Child Care Facility (RCCF) intensity of care but
with T.F.C. they can be treated in a less restrictive setting. If it were
not for T.F.C. those children in this program would need to be in RCCF
placements. In other words, Weld County Department of Social Services
would need to place 22 additional children in RCCF's. The costs of care
would escalate dramatically. In addition, the RCCF placements for young
children are very limited and it would be extremely difficult to find
placements for all the T.F.C. children.
2. Include a plan for incorporating, transferring, or phasing out the
proposed Transition Service;
Therapeutic Foster Care is being incorporated into the foster care line
item for the fiscal year 1994-95, the incentive pay to the foster parents
as well as a respite care allowance will be paid by regular foster care
funds. It is our understanding that T.F.C. will eventually be completely
covered by regular foster care.
3. What change(s) is being proposed from the current service;
The change in T.F.C. for FY 1994-95 is to eliminate the incentive pay for
the foster parents from the FPP. It will be paid by regular foster care.
In addition, money for psychological services will be paid by
administrative funds instead of FPP funds.
4. Eligible Population;
These children are between the ages of 2 and 12 and in the custody of Weld
County Department of Social Services. They are so emotionally or
behaviorally disturbed they can not be maintained in regular foster care.
They can have some or all of the following problems: attachment disorder,
sexually abused, physically or ritualistically abused, neglected or eating
disorded.
5. Types of Specific Service Provided;
Specialized therapeutic foster care case workers work with the child,
foster parents and natural parents and are the casemanagers. Training on
PAGE 5
940370
Therapeutic Foster Care
(Continued)
an ongoing basis is provided for the foster parents. Each child is
staffed on a bi-yearly basis by the treatment team which includes
caseworker, foster parents, therapist, school personnel and any other
service provider.
6. Service Objectives;
• Preventing placement in a more restrictive level of care
• Improve child's ability to function ina family setting
• Improve parental compentencey to handle a disturbed child
7. Service Time Frames;
Children will remain in T.F.C. an average of 24 months.
8. Measurable Outcomes;
50% of the children will be in a less restrictive placement when
discharged from T.F.C. Permanency plans will have been made for 90% of
the children upon discharge or before. 60% of the parents of T.F.C.
children who have parents will be involved in the treatment process on an
ongoing basis.
9. Workload Standards;
Each T.F.C. caseworker will have a caseload of 11 T.F.C.
10. Rate Structure/Service Provider
The monthly rate with 18 average capacity is $470 and hourly rate is $65
CURRENT YEAR (SFY '94) PROPOSED PLAN YEAR
APPROVED PLAN (SFY '95)
No. of children served 22 22
No. of families served 22 22
Actual PAC expenditure 181,068 XXXX
Projected FPP expend. XXXX 101,640
Direct cost per child 1,056 XXXX
Average cost per
child (P.10) XXXX 1,050
PAGE 6
940370
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940370
S UMMAR i SHEET SY I ND I V I DUAL
S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Transition - Therapeutic Foster Care
• Account Code 35
• Program Code 1735
• Total Children To Be Served 22
• Average Monthly Children To Be Served 18
• Total Families To Be Served 22
• Average Monthly Families To Be Served 18
• Employee FTE Number 2.3
• Provided (Employee) Cost Per Child
$93,720.00 -+ _ $93,720.00
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
22 = $4,260.00 = 12 = $355.00
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Purchased (Contractor) Cost Per Child
$7,920.00 + _ $7,920.00
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
22 = $360.00 = 12 = $30.00
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Average Cost Per Child
1) Provided Service Cost $4,260.00
2) Purchased Service Cost $ 360.00
$4,620.00
• Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $ 93,720.00
Total Plan Cost of Purchased Service $ 7,920.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 101,640.00
PAGE 9
940370
COUNTY OPTIONAL SERVICE
INFORMATION
TRANSITION S E RV I C E
SERVICE NAME Partners Plus
1. Describe and demonstrate negative impact on clients, the community, or the
county department if this service was not continued;
Partners Plus has been in existence in Weld County for several years. It
no longer meets the strict definition of an eligible population. However,
since several children are still being served it would have a negative
impact on those children if it were to be abruptly discontinued. It is
felt that the service should be transitioned out to ameliorate this
negative impact.
2. Include a plan for incorporating, transferring, or phasing out the
proposed Transition Service;
There will be no new enrollees during the transition phase.
3. What change(s) is being proposed from the current service;
It will be transitioned out.
4. Eligible Population;
Children from the ages of 8 to 18 who are experiencing significant
problems of adjustment in their parental home are referred to Partners
Plus. The majority are experiencing school related problems and many have
had contact with the legal system. Their families are very dysfunctional
and are extremely limited in providing for the emotional needs of an
acting out youth.
5. Types of Specific Service Provided;
New matches between Partners Plus youth and Senior Partners will be made
within 7-14 days of referral. In cases where this is not possible, the
referral will be released. Special care is taken to identify common
interests and match the strengths of the adults with the needs of the
youth. Both the adult and the youth counselor initiates the first meeting
between the Partners. Partnerships arrange their own subsequent meeting
times and activities.
Partnerships stay in weekly contact with the counselor, and take part in
many of the recreational, educational, and therapeutic activities offered
by Partners. The emphasis is on quality rolemodeling, friendship, and
advocacy for the Junior Partner.
PAGE 10
4dnniln
Partners Plus
(Continued)
6. Service Objectives;
The overall goal is to prevent foster care placements (or allow for less
restrictive placements) by carefully matching committed adults with youth.
7. Service Time Frames;
Partnership will last 12 months.
8. Measurable Outcomes;
• 75% out of home or more restrictive placements prevented
• 75% of senior partners will advocate for junior partners in school
• 75% of junior partners will not be charged with delinquent offense while
in programs
• 50% will transition to Alumni Partnership status which will last 6
additional months and will consist of at least 1 contact per month
9. Workload Standards;
Each senior partner will be matched with 1 junior partner. The senior
partner is to spend 10 hrs. per week with junior partners. There will be
one part time Partners Counselor working with up to 12 senior partners at
one time.
10. Rate Structure/Service Provider
The monthly average rate per child is $520. The total hourly rate is $13
per contact hour with the junior partner.
CURRENT YEAR (SFY '94) PROPOSED PLAN YEAR
APPROVED PLAN (SFY '95)
No. of children served 15 12
No. of families served 15 12
Actual PAC expenditure 55,833.70 XXXX
Projected FPP expend. XXXX 36,243
Direct cost per child 482.95 mo. XXXX
Average cost per
child (P.10) XXXX 520
PAGE 11
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940370
Si7MMAR . . SHEET BY =NL .iV=DUAL
SERVICE
(To be completed for each service -- including county optional services)
SERVICE NAME Transition - Partners Plus
♦ Account Code 29
♦ Program Code 1729
♦ Total Children To Be Served 12
♦ Average Monthly Children To Be Served 5.8
♦ Total Families To Be Served 5.8
♦ Average Monthly Families To Be Served 5.8
♦ Employee FTE Number .09
♦ Provided (Employee) Cost Per Child
+ _
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ = 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$32,007.00 -f- $4,236.00 = $36,243.00
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
5.8 = $6,240.00 - 12 = $520.00
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $6,240.00
Sub Total $6,240.00
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 36,243.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 36,243.00
PAGE 13
940370
COUNTY OPTIONAL SERVICE
INFORMATION
TRANSITION SERVICE
SERVICE NAME Youth Passages
1. Describe and demonstrate negative impact on clients, the community, or the
county department if this service was not continued;
Youth Passages has served adolescents who met the criteria for PAC funds.
Without PAC funding, 15 clients within the last year would not have been
treated. Youth Passages has the resources to provide extensive day
treatment for many adolescents with varying diagnoses and level of
difficulty. They have access to Psychiatrists, Occupational Therapists,
Master level therapists; and strong relationships with many agencies in
the community including DSS, Department of Mental Health, Youth Horizons
Chemical Dependency program, BOCES and School District 6, and North
Colorado Medical Center. These relationships allow Youth Passages to
provide a service that no other agency in the Greeley area can provide.
Should Youth Passages lose PAC funding, there would be no agency to fill
the void.
2. Include a plan for incorporating, transferring, or phasing out the
proposed Transition Service;
Youth Passages has been asked to resubmit a plan which is lower in cost.
This should be done within 6 months.
3. What change(s) is being proposed from the current service;
See answer to #2
4. Eligible Population;
Youth 12 to 18 either sex and diverse ethnic and socioeconomic
backgrounds. A wide range of diagnostic categories, dysfunctions and
problem behaviors are served including severe emotional behavioral,
interpersonal, educational and family problems. They meet eligible
population. See answer to #1
5. Types of Specific Service Provided;
Each client will receive individual, milieu, group, experiential and
family therapy as well as state certified education (via BOCES school
program) . Vocational assessment and planning will be provided when it is
indicated. A routine psychological evaluation will be provided when
indicated and may include standardized psychological tests such as the
PAGE 14
940370
Youth Passages
(Continued)
Minnesota Multiphasic Personality Inventory. Further psychological
testing/evaluation and psychotropic medications will be administered on an
as needed basis. In addition, psycho-educational classes covering a wide
variety of issues and skills (ie: assertiveness training, drug and alcohol
use, problem solving, etc. ) are offered.
All clients are admitted to the program and attended by a North Colorado
Medical Center staff physician. Upon admission all schools are notified
of the presence of their former student in Youth Passages educational
curriculum. In addition, individual education plans are requested from
BOCES to coordinate special education for the patients. BOCES is updated
through a case conference or by phone on the progress and/or concerns
regarding the patient.
Each client is managed by a Master's or Doctoral level mental health
therapist. Case management includes coordination of services with
Department of Social Services and/or Department of Mental Health, as
indicated by the needs of the patient. Department of Social Service
workers and Department of Mental Health therapists are invited to all
Youth Passages case conferences, and are given updates regarding the
client and their family's progress and participation. Youth Passages
utilizes Department of Mental Health for concurrent group therapy and on-
going aftercare therapy.
The therapeutic community is strengthened by daily community meetings and
a behavior modification system. By addressing client' s individual and
family needs with this intensive multi-modal approach, it is believed that
those clients are at risk for out-of-home placement and or placement in
increasingly restrictive and costly facilities can be prevented. The
physicians provide a history and physical, as well as an on going medical
and psychiatric evaluation and treatment (including medications when
indicated, and discharge summaries. )
6. Service Objectives;
Improved behavioral management child is able to return to regular school
setting
Will not be a danger to self or others
Improved family dynamics
7. Service Time Frames;
Length of stay is contingent upon severity of pathology and clinical
progress. The average stay is 21 treatment days, but can vary from a few
weeks to several months.
PAGE 15
940370
Youth Passages
(Continued)
8. Measurable Outcomes;
• 80% of youth will actively engage and participate in Youth Passages'
on-site school and at time of discharge will continue education in a
state approved school.
• At time of discharge 80% of youth will not be a danger to themselves or
others thereby enabling them to function within the community at large.
• 90% of youth's families will consistently and actively engage in
treatment planning, family therapy and program activity.
9. Workload Standards;
A medical model approach with a multi disciplinary staff including 2
child/adolescent psychiatrist master's level mental health therapist, a
recreation specialist and a psychiatric team assistance. The maximum
capacity at Youth Passages is 14 youth.
10. Rate Structure/Service Provider
The monthly rate per child is $2,649.60 and the hourly rate is $16.5
CURRENT YEAR (SFY '94) PROPOSED PLAN YEAR
APPROVED PLAN (SFY '95)
No. of children served 14 12
No. of families served 14 12
Actual PAC expenditure $42,276.88 XXXX
Projected FPP expend. XXXX $51,561.63
Direct cost per child $ 4,878.95 XXXX
Average cost per
child (P.10) XXXX $3,975.50
PAGE 16
940370
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940370
SUMMARY S HE E T BY I ran i V I I3AJLAI,
S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Transition - Youth Passages
♦ Account Code 21
♦ Program Code 1721
♦ Total Children To Be Served 12
♦ Average Monthly Children To Be Served 1.5
♦ Total Families To Be Served 12
♦ Average Monthly Families To Be Served 1.5
♦ Employee FTE Number
♦ Provided (Employee) Cost Per Child
+ _
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ = 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$51,571.73 HE _ $51,571.73
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
12 = $4,297.64 = 12 = $358.14 ($2,649.60)
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $4,297.64
Sub Total $4,297.64
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 51,571.73
TOTAL PLAN COST OF SERVICE DELIVERY $ 51,571.73
PAGE 18
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SUMMARY" SHEET BY I ND I V I DUAL
SERVICE
(To be completed for each service -- including county optional services)
SERVICE NAME Home Based Option A
♦ Account Code 82
♦ Program Code 1782
♦ Total Children To Be Served 40
♦ Average Monthly Children To Be Served 3
♦ Total Families To Be Served 3
♦ Average Monthly Families To Be Served 40
♦ Employee FTE Number
♦ Provided (Employee) Cost Per Child
HE _
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_ - 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$72,562.00 HE _ $72,562.00
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
40 = $1,814.05 - 12 = $151.17 ($1,649.00)
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $1,649.00
Sub Total $1,649.00
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 72,562.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 72,562.00
PAGE 20
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940370
SUMMAR Y S HE E T SY I ND I V I DUAL
S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Home Based Option B
• Account Code 83
• Program Code 1783
• Total Children To Be Served 33
• Average Monthly Children To Be Served 2.8
• Total Families To Be Served 33
• Average Monthly Families To Be Served 2.8
• Employee FTE Number
• Provided (Employee) Cost Per Child
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ - 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Purchased (Contractor) Cost Per Child
$21,722.76 -F = $21,722.76
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
33 = $658.27 = 12 = $54.86 ($584.00)
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $658.27
Sub Total $658.27
• Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 21,722.76
TOTAL PLAN COST OF SERVICE DELIVERY $ 21,722.76
PAGE 22
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S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Intensive Family Therapy
♦ Account Code 84
♦ Program Code 1784
♦ Total Children To Be Served 16
♦ Average Monthly Children To Be Served 6
♦ Total Families To Be Served 16
♦ Average Monthly Families To Be Served 6
♦ Employee FTE Number
♦ Provided (Employee) Cost Per Child
+ _
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ - 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$36,665.00 + _ $36,665.00
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
16 = $2,291.38 - 12 = $190.95 ($547.00)
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $2,291.38
Sub Total $2,291.38
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 36,665.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 36,665.00
PAGE 24
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9110370
S UMMAH s S H E E T BY I ND 1 V I DUAL
S E HV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Life Skills
♦ Account Code 85
♦ Program Code 1785
♦ Total Children To Be Served 20
♦ Average Monthly Children To Be Served 20
♦ Total Families To Be Served 8
♦ Average Monthly Families To Be Served 8
♦ Employee FTE Number
♦ Provided (Employee) Cost Per Child
+ _
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ = 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$49,428.51 + _ $49,428.51
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
20 = $2,471.42 - 12 = $205.95
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $2,471.42
Sub Total $2,471.42
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 49,428.51
TOTAL PLAN COST OF SERVICE DELIVERY $ 49.428.51
PAGE 26
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S flMMAR i S HIE E T BY I ND i V I DUAL
S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Day Treatment
• Account Code 86
• Program Code 1786
• Total Children To Be Served 4
• Average Monthly Children To Be Served 4
• Total Families To Be Served 4
• Average Monthly Families To Be Served 4
• Employee FTE Number
• Provided (Employee) Cost Per Child
HE _
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
= 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Purchased (Contractor) Cost Per Child
$57,600.00 HE _ $57,600.00 =
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
4 = $14,400.00 = 12 = $1,200.00
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
• Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $14,400.00
Sub Total $14,400.00
• Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 57,600.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 57,600.00
PAGE 28
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S UMMAR ]c Sr HE E T BY I ND i V I I3AJVALI,
S E RV I C E
(To be completed for each service -- including county optional services)
SERVICE NAME Sexual Abuse Treatment
♦ Account Code 87
♦ Program Code 1787
♦ Total Children To Be Served 24
♦ Average Monthly Children To Be Served 9
♦ Total Families To Be Served 24
♦ Average Monthly Families To Be Served 9
♦ Employee FTE Number
♦ Provided (Employee) Cost Per Child
PER. SER. COST DSS OVERHEAD COST COST OF PROVIDED SERVICE
_ = 12 =
NO. OF CHILDREN PROVIDED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Purchased (Contractor) Cost Per Child
$54,998.00 HE _ $54,998.00
CONTRACTOR COST DSS OVERHEAD COST COST OF PURCHASED SER.
24 = $2,291.58 = 12 = $190.96 ($547.00)
NO. OF CHILD. PURCHASED SERVICE MONTHLY COST
TO BE SERVED COST PER CHILD PER CHILD
♦ Average Cost Per Child
1) Provided Service Cost
2) Purchased Service Cost $2,291.58
Sub Total $2,291.58
♦ Total FPP Funds Proposed For This Service:
Total Plan Cost of Provided Service $
Total Plan Cost of Purchased Service $ 54,998.00
TOTAL PLAN COST OF SERVICE DELIVERY $ 54,998.00
PAGE 30
FAM I I..IC P RE S E RVAT I ON Ft OGRAM
OVERHEAD COST
1. PROVIDED SERVICE
A. Total Salary/Fringe/Travel/Operating Costs
of Line Service Workers and their Immediate
Supervisors
B. Formula Percentage Allowed for Overhead Costs
C. Provided Service Overhead Costs (A X B)
2. PURCHASED SERVICE
A. Purchased Service Dollar Amount
B. Formula Percentage Allowed for Overhead Costs
C. Formula Allowed Amount for Overhead Costs (A X B)
D. Base Overhead Cost Allowed
E. Purchased Service Overhead Costs (B + C)
3. TOTAL OVERHEAD COSTS (1C + 2E)
DISTRIBUTION OF OVERHEAD COSTS
AMONG SERVICES*
SERVICE PROVIDED SER. PURCHASE SER. TOTAL
OVERHEAD OVERHEAD COSTS OVERHEAD
COSTS COSTS
1. HOME BASED INTENSIVE FAMILY
THERAPY
2. INTENSIVE FAMILY THERAPY
3. SEXUAL ABUSE THERAPY
4. DAY TREATMENT
5. LIFE SKILLS
6. COUNTY DESIGNED SERVICE
7. TRANSITION SERVICE
Partners Plus $353/Mo. $4,236.00
COLUMN TOTALS $353.00 $4,236.00
* Formula to determine overhead cost by service:
Step 1: Provided service cost X percentage allowed for provided services =
Provided service overhead cost
Step 2A: Purchased service cost X percentage allowed for purchased service = Y
2B: $500 _ number of purchased services = Z
2C: Y HE Z = purchased service overhead cost
Step 3: Provided service overhead cost plus purchased service overhead cost
equals total overhead cost
PAGE 31
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F A-NAL BUDGET PAvE
FAMILY P RESERVATION PROGRAM
ACCT PROG SERVICE NAME FPP FUNDS OTHER DSS OTHER TOTAL FUNDS
CODE CODE FUNDS SOURCE
FUNDS
35 1735 Transition - T.F.C. $101,640.00 $204,600.00 $306,240.00
29 1729 Transition - 36,243.00 36,243.00
Partners Plus
21 1721 Transition - Youth 51,571.73 51,571.73
Passages
82 1782 Homebased Option A 72,562.00 72,562.00
83 1783 Homebased Option B 21,722.76 21,722.76
84 1784 Intesnive Family 36,665.00 36,665.00
Therapy
85 1785 Life Skills 49,428.51 49,428.51
86 1786 Day Treatment 57,600.00 57,600.00
87 1787 Sexual Abuse 54,998.00 54,998.00
Treatment
TOTA $482,431.00 $204,600.00 $687,031.00
LS
PAGE 32
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9403'70
COUNTY'S PROGRAM NAME: YOUTH PASSAGES
ACCOUNT NUMBER (CODE) : 21
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
North Colorado Medical 63973 6/1/94 5/31/95 Hour $16.56 N/A
Center
COUNTY ENTERED
COUNTY'S PROGRAM NAME: THERAPEUTIC FOSTER CARE
ACCOUNT NUMBER (CODE) : 35
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Anthony & Marie Alirez 70335 6/1/94 5/31/95 Month
Jerry & Carla Alexander 80063 6/1/94 5/31/95 Month
Tom & Carol Blackwell 68871 6/1/94 5/31/95 Month
David & Andrea Brehm 81509 6/1/94 5/31/95 Month
Angelina Colunga 78899 6/1/94 5/31/95 Month
Lucy Hidalgo 54218 6/1/94 5/31/95 Month
Ross & Janna DePorter 72730 6/1/94 5/31/95 Month
Paul & Vickie Jaramillo 81203 6/1/94 5/31/95 Month
Bobby & Jolene Layton 66394 6/1/94 5/31/95 Month
Douglas & Karena Malcom 71908 6/1/94 5/31/95 Month
Mark & Beth Reichert 77411 6/1/94 5/31/95 Month
Harvey & Sally Roth 54256 6/1/94 5/31/95 Month
Tim & Debbie Wojahn 83235 6/1/94 5/31/95 Month
Augustine & JoAnn Maes 80638 6/1/94 5/31/95 Month
Doyle & Martha Nelson 54244 6/1/94 5/31/95 Month
PAGE 43
940370
CWEST CODING SUMMARY PAGE
WELD COUNTY
STATE ENTERED
COUNTY'S PROGRAM NAME: THERAPEUTIC FOSTER CARE
ACCOUNT NUMBER (CODE) : 35
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld County Department 45062 6/1/94 5/31/95 Month $7,810.00 N/A
of Social Services
COUNTY'S PROGRAM NAME: PARTNERS PLUS
ACCOUNT NUMBER (CODE) : 29
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld County Department 45062 6/1/94 5/31/95 Month $353.00 N/A
of Social Services
COUNTY'S PROGRAM NAME: DAY TREATMENT
ACCOUNT NUMBER (CODE) : 86
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Center for Therapeutic 45142 6/1/94 5/31/95 Month $1200.00 N/A
Learning Annex
COUNTY'S PROGRAM NAME: Intensive Services - Option A
ACCOUNT NUMBER (CODE) : 82
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld Mental Health 80103 6/1/94 5/31/95 Hour $25.20 N/A
COUNTY'S PROGRAM NAME: Partners Plus
ACCOUNT NUMBER (CODE) : 29
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld County Partners, 62078 6/1/94 5/31/95 Hour $13.00 N/A
Inc.
PAGE 44
940370
COUNTY'S PROGRAM NAME: Parent Advocate (Life Skills)
ACCOUNT NUMBER (CODE) : 85
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Child Advocate 62085 6/1/94 5/31/95 Hour $12.87 N/A
Resource and Education
COUNTY'S PROGRAM NAME: Intensive Home Treatment - Option B
ACCOUNT NUMBER (CODE) : 83
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld Mental Health 6/1/94 5/31/95 Hour $26.43 N/A
COUNTY'S PROGRAM NAME: Intensive Family Therapy
ACCOUNT NUMBER (CODE) : 84
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld Mental Health 6/1/94 5/31/95 Hour $25.46 N/A
COUNTY'S PROGRAM NAME: Sexual Abuse Treatment
ACCOUNT NUMBER (CODE) : 87
CWEST PROVIDER FROM TO UNIT RATE RESERVED
PROVIDER NUMBER OF OF MAX/MIN
NAME SERVICE PAYMENT FLAT
Weld Mental Health 6/1/94 5/31/95 Hour $25.46 N/A
PAGE 45
940370
DEPARTMENT OF SOCIAL SERVICES
P.O. 806
GREELEY,COLORADO 80632 Administration and Public Assistance(303)352-1551
Child Support(303)352-6933
C Protective and Youth Services(303)352-1923
Fo
od Stamps(303)356-3850
FAX(303)353-5215
COLORADO
TO: W. H. Webster, Chairman -
Weld County Board of Commissioners f _I 6
FROM: Judy A. Griego, Director, Social Services
SUBJECT: 1994 - 1995 Family Preservation Plan J/,I- :1J1 '(✓I
DATE: April 15, 1994
Enclosed for Board approval is the Family Preservation Plan for the program
year 1994 - 1995. The Placement Alternatives Commission recommends that the
Weld County Board of Commissioners approve the plan for $482,431.
The recommended individual program funding with the Family Preservation Plan
is as follows:
Transition - Therapeutic Foster Care $ 101,640.00
Transition - Partners Plus 36,243.00
Transition -Youth Passages 51,571.73
Homebased Option A 72,562.00
Homebased Option B 21,722.76
Intensive Family Therapy 36,665.00
Life Skills 49,428.51
Day Treatment 57,600.00
Sexual Abuse Treatment 54,998.00
TOTAL $ 482,431.00
If you have any questions, please telephone me at extension 6200.
Enclosure
940370
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