HomeMy WebLinkAbout940482.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT
ALTERNATIVES COMMISSION FUNDS FOR WELD MENTAL HEALTH CENTER, HOME BASED
OPTION B, 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, Home Based Option B, 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, Home Based Option B, 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.
BOARD OF COUNTY COMMISSIONERS
ATTEST:
4 WELD COUNTY, COLORADO
Weld County Clerk to the Board / O12i2SA
H. Webster /CChairman
BY: �
Deputy Clerk to the Board Da:77:2:11, P oiTem
APPROVED AS TO FORM: t 4Geor aBaxter
County Att nay Constance L. Harbert
Barbara J. Kirk yer
940482
4c nOlR C C f,t.j L4,)/'-1,/-S .,
Wel. county Department of Social Set .ces
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 Home Based Option B
1306 11th Avenue
Greeley, CO 80631
Computation of Awards Monthly Program Capacity 4
Monthly Average Capacity 3
Unit of Service
Description
Up to 5 hours of services weekly will be
delivered over the period of 4-6 weeks. 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 $ 26.43 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 $ 584.00
Unit of Service Special conditions
Based on Average
Capacity 1) Reimbursement for the Unit of
Service will be based on an hourly
Total Yearly $21,722.76 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:
Gilp BY ) /OM BY
W. H. Webs er, Chairman 57 /qy A. G , rec r
Board of Weld County Commissioners We Cou Depa en of
So al Services
Date: ..4/23/9.` Date: S/�VeN
940482
INVITATION TO BID
DATE: January 7, 1994 RETURN BID TO: Pat Persichino
Director of
General Services
BID NO: RFP-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 Program
Deadline: February 22, 1994 , Tuesday, 10:00 a.m.
The Placement Alternatives Commission, an advisory
commission
eld County
grants Department
of Social Services , announces that competing applications
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 3482 , 431.00. 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 Petercnn MRW M'r1i
TYPED 0 PRINTED �IGNAtU RE
VENDOR Weld Mental Health Center, Tnc. - PO Q A-A--0- \
Handwritten Signature By Authorized
Officer or Agent of Vender -CM
TITLE Executive Director DATE -'2! -C /
ADDRES51306 Eleventh Avenue PHONE on- 'z R
Greeley, Cnlrcral° ZIP 80631 (3n )) 353 �fi_6
The above hid is subject to Terms and Conditions as attached hereto awl incorporated.
940482
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-94004
Client Group(s) to he Served: Families with children_at_r sk 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 , 1905
Title of Project: Mobile Mental Health Team
Amount Requested: X28.541 .00
Signatures: a 4)-0f cl
Dan E. Dailey Date
Name and Signature of Per n aring P posal
„ , � 2 - 9 4
Dale F. Peterson Date
Name and Signature of Chief Administrative Officer of
Applicant Agency
PROPOSED FAMILY PRESERVATION PROGRAM CATEGORY
Please initial to indicate the bidder's chosen category (only one category per bid)
Home Paged Intensive Family Intervention
Option 1
X Home Based Intensive Family Intervention
Option 2
Intensive Family Therapy
Sexual Abuse Treatment
Day Treatment
Life Skills
Individualized/Innovative Services
940482
RFP-PAC-94004 Attachment APage 2 of 2
TYPE OF PROJECT
Continuing Project under Weld County PAC
How many years?
X New Project
Proposed Program will eliminate the need for out of home placement
Proposed Program will lower the cost of out of home placement
Other: The Proposed Program willMANDATORY PROPOSAL REQUIREMENTS
Please initial to indicate that the following required sections are included in this
proposal :
Statement of Need
Population to be Served
Program Requirements
Types of Services Provided
Provision of Services & Administrative
Capability
) Past Performance
Eig) Letters of Support (New Programs Only)
Budget
Program Evaluation and Continuation
940482
TABLE OF CONTENTS
Table of Contents a
Program Narraticc,
1 . Statement of Need 1
2. Population to be Served 1
3. Program Requirements 1 2
4. Tres of CO-.. nr, ;-; c. 9 . . . . . . . . . . . . . . . . . _ . . ?
5. Provision of Services and Administrative Capability
4. Past Performance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.4
7A. Letters of Support 4
8. Budget 4
9. Program Evaluation and Continuation 4
Attachments
A. Cover page overleaf
B. Program Requirements 5 — 10
C. Part Parf.rnanre na
D. Evaluation Results na
E. Hourly Unit Rate Cost Computation Sheet 11 - 12
F. Program Performance 13
G. County Placement Alternative Plan Final Budget Page 14
H. Budgc-t Fr,rn.+t 15
940482
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D. Program Narrative
1, Statement of Need
The child and adolescent population at risk of out-of-home placement continues to be 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
con children and adolescents to its outpatient services in addition to continuing to work with those already
colts. rjrthe ''hildren and ali,I---s"-n -. o-... .-d to t a crsp, an :fmatel 05% fit the C:,iaaado
Nyi ;.r or . .n ..' F.,a'-tb rtlfn der i :.,n LI rtl:rbod by vi tu:, Jf the -verity and
nature of their presenting problems, out-of-home placement, or a combination of these factors, The ➢9II
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 .'f Soc=at F'r`-io_._ reports that last year nearly 34,000 families, were
fetveA by local departments of octal srvices. 'wproimatelv 54,0110 ntildr"n were provided cer Tres by those
local departments, 80% in their own homes and 20% requiring placement in out-ef-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 (RCCF) . There were more than
1200 reports of abuse received by the WCDSS in the past year. Typical of other years, more than 110
Dependency and Neglect Petitions in Weld County were filed in response to these reports. There is a perennial
:hostage of appropriate foster homes in which to place these children in need. Placement Alternative
f'waeu''on ,1':t to r (' ;^t „ iio'-,t rilinuinz -tr't mv't' mahl: redefinitions of whom may
have access to them. There are not _efficient feseuvre- for the children and their families in this county.
The Mobile Mental Health Team (MMHT) , as proposed herein, is designed to deal directly and promptly with some
of the most troubled of those families.
2. Population to be Served
The following eligibility criteria must he met before MMHT services will be offered:
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 for such placement has already occurred) precipitated by a recent or ongoing situation which severely
threatens the family's ability to adequately cope with that and related situations;
c. At least one parent/guardian must consent to work with the team with the goal of keeping the family
together and to protect the children from further harm in accordance with a safety plan:
d. As services are to be delivered in the family's home, there must not be a high potential for physical
danger to project staff;
e. There must he a manageable level of risk of harm to the targeted child(ren) ; and
f. There is a reasonable possibility that services can bring about sufficient improvement in parental
competency to allow the childlrenl to return home or to safely reside in the home.
The following Fate ories of children And l,l ie¢rnnf5 (independent of age. gender, ethnicity) who meet SP26
guidelines will be served by the MMHT:
a. Youths suffering from the effects of significant sexual and/or physical abuse and neglect to the
extent they are unable to maintain effective daily functioning at home and at school:
b. Youths who are unable to control suicidal and/or homicidal behavior thus placing themselves, their
families, and their communities at risk;
c. Youths who present with behaviors that are temporarily beyond the ability of their parents to manage;
d. Youths suffering from significant cognitive impairment and/or mental illness to the extent they can no
longer be maintained in the family setting and/or at school.
At least 40 families will he served annually by the MMHT. Referrals will flow from individual caseworkers at
WCDSS to a wCDSs n;nner 'isor them to Dan Dailey, MMRT director. The final decision as' to the appropriate
level of men',al health services will he site by the W41HC.
Program Requirements
'he overall coal ei the . vote_. if te -nahl-e tmMilie5 with children ,.r . -.k of out-of-home r 'ement or who
already have children placed out of their homes to care for those chiljr,'n in a healthful manner in
940,182
•
the home environment. Specific goals and objectives are:
Goal A. Rapidly improve and stabilize family functioning to enable the family to care for the children in the
home setting.
Objective Provide crisis intervention and other services within three days of referral to 40 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
,eturn :oaths :roll etch "Tier to `h~• f rpil� rune= o1 t,.in three weeks of referral (reunification
to _
r.l i iii parental
Goal B. Improve overall functioning of tamilies via improved family cunfL c management . xmP
competency, improved household management competency. and an improved ability to gain access to and use
arwir_priate resourccc in "he community to nimble the families to appropriately care for their children in
their own homes o❑ a In trrel i'a$15.
Objective a. Sights five percent of families which receive either family preservation or reunification
services through the MMHT will measure significantly lower on the risk assessment scales at time of
termination of services.
Objective b. At termination, six and 12 months after termination of MMHT 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
Objective d. Fewer than l0� of dischsa reed children will enter another PAC 'FPP) r.roirrs .
Objective e. Fewer than 10% of the children served will he 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 families
reeeiwing either `ieil preservation or reunification services will
not have a substantiated incident of abuse or neglect 12 onth; of successful completion of services.
4. Types of Services Provided
The WMHC will provide families with moderately intensive, home-based crisis intervention. mental health
assessment and treatment, case management, and education services, modeled after a previous project of the
CFSP also known as the Mobile Mental Health Team. The following principles guide the MMHT's approach;
a. To intervene immediately;
b. To provide brief and moderately intensive treatment;
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 available 24 hours per day, seven days per week to provid
screening,
to eachclient
evaluation
and
assessment, intervention. r;1 fnito•.-•in planning. to clients. Services, tailored specifically
family, are offered on a short-term basis, focussing on those issues and problems precipitating the ciisi:; and
on using the crisis to mobilize the youth and his or her family to develop new ways to cope and prevent
further crises. Up to five hours of services weekly will be delivered over the period of involvement which
ranges from four to six weeks. Services will be delivered primarily in clients' homes but will be available
wherever necessary to optimize results.
These aspects of the project--rapid response to referrals, accessibility of therapists at home during evenings
and weekends, the time available for client families, the location of the services, the staffing pattern, the
low caseloads, and the brief duration of the services--produce a much more powerful intervention than one
which offers only one or two of the components. The WMHC believes that families deserve strong, effective
support in attempting to learn productive ways to cone °,ith problems before the last resort of placement of
children outride the home is jti toed 1.,,
. .
r ' ere t. They ire esi gel to n i ,tent with
ti .. %r o�vl,a 'r{nT t :•t illy n
culln tad t1 e i. "•n tf 1f ..e nord_.
tl
_ _ , 1 ' ..r . -t � Mini ., ,tucnl
And 'pilot ai differences of rliw :ssidents f Well rbom" r t' .
-i r: resulr baSi .
2
•
5. Provision of Services and Administrative Capability
The WMEC 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 WMHC has been in existence since 1962, becoming a comprehensive community mental health
center in November, 1967. Dale Peterson, MSW, MBA. is the WMHC's Executive Director. Scott Wong, WMHC
Business Manager, is responsible for fiscal aspects of the project. The 150+ employees of the WMHC (of whom 10
serve in administrative capacities) are surety bonded.
The _I'iNT will be ic.e !all= Staffed b- n V-`-FTE masher ie.€'l ] ent ,l h'slth clinician 'chose training included
inlersen'ion sod ' ,i i . sssrems ! Deers ;lie hay- at :ass throe years exprienre ocrlainfl with
children, adolescents, and families and will have undergone special training in the philosophical And
practical aspects of family preservation. The staff member will meet the minimum qualifications of a Colorado
Department of Social Services Caseworker III. Overall administrative responsibility is assigned to Dan E.
ParentBA. Dir,.r' L,r .:f the x550 whh has mere than 23 yars < NperiPnC,' in mental health treatment and
administration. He reports directly to the Executive Director of the WMHC.
At present, two programs are delivering in-home services to at risk families in Weld County. The Parent
Advocate Program of Child Advocacy Resource and Education, Inc. (CARE) provides home-based life skills and
educational services. The In-Home Intensive Services Team (IST) of the WMHC offers the more intensive and
comprehensive treatment and case management services. The IST and the MMHT are further differentiated from
the CARE program in their direct therapeutic focus and the brevity of its service delivery--four to six weeks
versus 12 months--and its direct connection to an ongoing source of mental health services for its client
As it is envisioned_ the '4MHT could he mace availshte to families who do not need the added
intensi ti of the IST but who clearly need similar services if the family is to remain intact or a child is to
he returned safely from placement. The MMHT will often be able to prepare clients for successful involvement
in the services offered by CARE or more traditional outpatient treatment sources. Up until June, 1993, these
throe service-Parent Advor ci..•, 1ST, •tp(Hm__,,efinod he continuum of hone based services aimed at families at
risk of having a child placed out of the home. Two year funding for the earlier, pilot v rsion of the MMHT
came from the Child and Adolescent Special Services Project administered in Colorado by the DMH. Despite
meeting all its established goals. its funding was not renewed by DMH which reported no available funds for
continuation of services. The advent of the Family Preservation Project legislation leads the way for renewal
of the MMHT's efforts.
6. Past Performance
The WMHC provides inpatient, residential, partial care, and outpatient treatment services including group,
family, and individual therapy as well as case management, educational, and vocational services.
Programmatically, the WMHC is made up of the Community Support Program which serves adults who are chronically
and severely mentally ill , 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 Lorton is staffed to serve riti ..ens living in the southern portion of 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 proposal, if funded, will increase the capacity of the WMHC to meet the ever increasing demands for
services to this target population and will enable the delivery of more intensive services. The increase will
not have to come at the expense of other services within WMHC as would occur if we were to shift internal
emphasis to accomplish the goals and objectives contained herein.
The CFSP currently employs approximately I1FTE who will deliver nearly 12,000 hours of service to more than
600 youths and their families this fiscal year. The CFSP has consistently increased its level of service to
Weld County families over the past few years.
The vMHC has aocc egg fill'.' neera!,-d its 1ST for three years combining funding through the Colorado Trust and
ths . oi.;l. n,. 'a, ' ,, I ,. r H ^d :o+ Thfonsonent 1':11 F1 Pr ITI of Weld Cron,'. fon,lnd for
lace- Arc 'he h.-7,177 tr ..e r .log i' ',_ , , wear ,3A ulmit'' child AhlTe lm, . .ferred
nlPatient ., of the he Pltt !w„ years, I_,ni'ed Way of 'cell (logo' ha ' f u.'di..-.l _"FTF
mental health worker to assure that n , gals in the mental health care of abused rhild7,r. ourred .at the
440Jc2
WMHC. The Family Education Network of Weld County has recently approved a grant which will enable WMHC to
deliver mental health services on-site to Head Start children and their families via a 1.OFTE 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
` cr
The MMHT will require an annual operating budget of 528,54i Pei soi <.'per e . .'."oun 5_'0on, 71 .5%
of the total budget which will provide for 0.75FTE Annual salary per FTE will be 4241,000, or 519.000. Fringe
benefits are calcc;a t at 7 . _ alar . or 52.400 annually.
The to
oamop t= e! .
b bud got s ,A ' annu=.1 y . or 2h, f rh' ,ldnri ,ti .r.,_ lon
will amount to 486' (salary 7.0 plus 15% fringe benefits) annually. Clinics! supervision expense will be
$1121. Professional Liability Insurance will cost 8563 annually. Psychiatric and psychciogical consultation,
backup, and support services will cost $150 monthly ($1,800 annually) based on one hour of a psychiatrist's
and a psychologist's time per month at hourly rates of $95 and $55, respectively. The therapist/case manager
will travel an estimated 800 miles per month and will he reimbursed at the present WMHC rate of 5.21 per mile
equalling $2,016 annually. Clinical and office supplies are calculated to match the current annual rate per
FIE within WilMC of 51050, or 5787. including one digital pager (Si4.95/month) . Secretarial/bookkeeping/data
r‘hisv support csperse oili s535 yearly. lr;ulxf d from rflats currentlybeing incurred for similar
activities. Expenses for protect evaluation support of ^t.J annually ayittta-
-nn f r 'nee with
such services. Annual rent for office space for the worker, including telephone and utility expense, is Cased
on current utilization rates amounting to $473 annually.
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 ICCAR) will be used to assess the levels of functioning of the individuals admitted to the MMHT. 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 the MMHT 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 DMA research efforts.
Other objectives will be assessed via monthly follow-up contacts with families. Observations by MMHT members
and by other nriifossionru r 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
he sought as the WMHC believes the MMHT is designed to be definitive in terms of what PAC programs are
required to provide. Some glientg of the project will he Medicaid eligible. Funding?for them through the
"Rehab Option", which permits hilling Medicaid for other than cline based services. will be Pought although
menherrd 'h, IHr .t,., 0e^rn Modi i7d t ma. :un aarh -en, and in • ffyct .
it oust he i,., 1 , -'puni.h'-1 tin i! r ,�.i�.: that lip 1 r -...r . The MANG Jpirp.ich the gmq ihi. t.udget n.ynti iti,ins to
switch a gubpanjial nor) i,n s he Penf of IhrJ PrPiect Le ' hat ant
4
940482
Attachment B
Page 1 of 6
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project! mobil_ Mental Health Team (MMR1'1 • _— Home Based Intensive Family Intervention
`}r ,r •
Oh!-1k- ! ; t -}•_. _ F 7 t `i.^h - Porte nA•."1 Tuk,egi%,0 r:A!11' ?nt:?rvt!nt I'm
ceive either family preservation t)r reunt..ti_. ')Ption ..
r'tinn g . v'ces will >e a u a y Intensive Family Therapy
lra?� 2t1 ri<k asapss 'nt ir:des at LIAf. .z.. • _ Y Sexual Abuse Treatment
T,- .
tment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PR'GRAM1 - Life Skills
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Individualized/Innovative Services
Activity Person(s) Time Frame
Pr_pnn ib11e flares -
Initial :7.zes Inent of riimil} "!T - "ttment Staff P .L.'.:'![':..'l.lt
Therapy. Case Management, Education, MMAT Treatment Staff Ongoing
Crisi Int. r''ention
Follow-up Assessments of Family M HT Treatment Staff At termination of services
D,In Dailey BA
Psychological/Psychiatric Consultation William Crabbe, PhD As needed
Russ Johnson. MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing
Administrative Supervision Dan Dailey, BA Ongoing
Attachment B
Page 2 of 6
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title of Project: Mobillt_linfit Healt?LCCsI>a_ t1$T}__....._ -- Home Based Intensive Family Intervention
oi!!•;,!
- t ,t
.. r,n i
r,.
termination 21_ ,.1fiT service. r.LQ.i. !1s
families will remain intact, Intensive Family Therapy
Se':ua l Abuse Tr.,a t ment
Dar Treatment
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER FRr•'RAM) Life is j 1 l
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE Indi';idualized/Innuvati•:e Se::ices
Activity Person(s) Time Frame
Re:Pensible __Dales
I•r '9 T "'_' eent Stem
Therapy, ::a:;�.' Nana�r..aent. Edur,�ct i t. S..H
Crisis Intervention
Psychological/Psychiatric Consu{tai,>n William (ratite, PhD as needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA ongoing
Administrative Supervision Dan Dailey, BA ongoing
Data Collection MMHT Treatment Staff At termination
Dan Dailey, BA & again six and
Neil Benson, PhD 12 months later
6
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Attachment B
Page 3 of 6
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PROGRAM REQUIREMENTS
TYPE OF PROJECT•Title ,i Prr..jeot.;
Home Ras..d Intensive Family intervention
it? ,. v a„r . R.,.. ,; ..., rr:aii . Tr.... :..ni• .n
Option 2
t.erntinat s.Milies
Intensive Family Therapy
�tor tr reirar;np of M •R VrP.9 _� -- .
Y_- SeN:;a1 Abuse Treatment
Da r,climent
t,tv Skills
PROGRAM SPEJIFTC OBJECTIVES i`?i`.EMUM ''F THREE FER P:�nr.;(.",M' —___-- T Services
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE ---
Individualized Innovative
Person(s) Time Frame
Activity n }Pe
Re ;nenSihle
ThcrYp; Case aan-tgnnen* r,l;.r:rttnn.
MMRT tr.≥gtmen st :f f .prig,,'n,.
Crisis Intervention
•
Psyrholo„ical/Fsy hial ric Consultation Wi l l i.,m PhP •:s needed
Russ Johnson. '•1D
Theron Sills. MD
Clinical Supervision
Dan Dailey. BA on,oins
Administrative Supervision
Dan Dailey. BA ongoing
Data Collection MMBT Treatment Staff 12 months post successful completion
Dan Dailey, BA
Neil Benson. PhD
7
940482
Attachment B
Page 4 of 6
PROGRAM REQUIREMENTS
TYPE OF PROJECT
It P } P t Pl (MMHT1 Home Based Intensive Family Intervention
Title of Pre.'s'rt; MQb',e "i �_ 1 FI a�L�'—T J°
_ .. '!i Tf1tf'11:i i Vn ".iiA:l: Y: .. :'i:t
enter another P.C program after dischar '. Intensive Fami1} Therapy'
from the MM1Q• Sexual Abuse Treatment
Day Treatment
llq
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PR CRAM) Life
Sirluali:e�i!?nnovatire Service
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE
Person(s) Time Frame
•
Activity Dates
i?esnnn�ik�l��
p Caze Maragelarnt , Edue3tion, DMMHT Treatment. Staff nw';i;lp
Th_r��ry• '
Crisis Intervention
•
Nychologil :l/Psychiatric Consultation William Crabbe. PhD 4s needed •
Russ Johnson. Mr
•
Theron Sills. MD
Clinical Supervision
Dan Dailey. BA Ongoing
Administrative Supervision
Dan Dailey, BA Ongoing
Data Collection MMHT Treatment Staff At discharge, six and 12 months post services
Dan Dailey, BA
Neil Benson, PhD
A
9404.-E2
•
Attachment B
Page 5 of 6
PROGRAM REQUIREMENTS
• TYPE OF PROJECT
+ Tw IiTi Home Based Intensive Family Intervention
Ti F t e of Project: _±1nbi]?M�nk31_��31.�b—3m - -
-.ot' ..
Ewrlt Int ens fni._. •:r.ri!
he [n a mor' •'r•stly ni remen! :t`
ad fewer than than l'3% will tie i f_' ch Intensive Family Therapy
Sexual 'uuse Treatment
_—.._ Day Treatmi-'nt
PROGRAM SPECIFIC OBJECTIVES. (MINIMUM "F TRREE PER P!?('GRAM' Life Suitts
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE
Individualized/Irmo'° ive Service
Activity Person(s) Time Frame
Resrcnibl' Dntns
Therapy, Cdse moment, Education. ;'vi:i7 ..••a►meut Staff On.i'iin:;
Crisis Intervention
Follow-up Assessments of Family MMHT Treatment Staff At termination and =i': months post-
Dan Dailey, BA
kcrsrirai icn
Psychological/Psychiatric Consultation William Crabbe, PhD As needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing
dministrative Supervision Dan Dailey, BA Ongoing
Data Collection MMHT Treatment Staff Six months post successful termination
I!an'Dailey. BA
Neil Benson, PhD
C)
Q 1111OO
•
Attachment B
Page 6 of 6
•
PROGRAM REQUIREMENTS
TYPE OF PROJECT
Title. of Project: �?b_l.Le..�1PG 1_�T?�l►h-T"km MEP Home Based Intensive Family Intervention
r: F i.Tn 1
par:Po i:` .•si •_ �•r.' .n
Services will not have a substantiated inci_ Option 3
' dent of abuse or_. eglect within 12 months Intensive Family Therapy
SeKuat Abuse Treatment
Day Tiealmr•nl
PROGRAM SPECIFIC OBJECTIVES (MINIMUM OF THREE PER PROGRAM) ^.__ Life Skills
•
MUST BE RELATED TO CLIENT OUTCOME PERFORMANCE
Individualized/Innovative S+:rvices
Activity Person(s) Time Frame
Respnnsihle notes __--
Therapy. Case Manag+rmefl►: . F1,✓:aticn. MI! .yea m.
nt 1!14
Crisis Intervention
Follow-up Assessments of Famili 1'IHT Treatment St.,ff .\t termination and 12 months post-
Dan Dailey. BA termination
Psychological/Psychiatric Consultation William Crabbe, PhD As needed
Russ Johnson, MD
Theron Sills, MD
Clinical Supervision Dan Dailey, BA Ongoing •
Administrative Supervision Dan Dailey, BA Ongoing
Data Collection MMHT Treatment Staff Twelve months post successful termination
Dan Dailey. BA
Neil Benson, PhD
10
Q ?.7
PAC FUNDS Attachment E
• Hourly Unit Rate Cost Page 1 of 2
Computation Sheet
I. Program Name: Mobile Mental Health Team (MMHT)
I J . :,g"c'.• Mane: Weld M.^'iL'1 TT• i }t ' ' tr. -- -
III . The project's unit of service definition
A. The project will provide what type of service to each client.
Intensive. home-based crisis
intte education
r'ien ,smental
ental health assessment anti nd treatment, case management, a
5.0 (maximum)
B. This service will be provided for . 6 (maximum stay in the
hours per week for up to
program) weeks.
IV. The hourly ranit. Rate is has'-d on:
Check one
A. An individual client who is aged
through •
•
xx B. A family unit as described as follows: A child at his
imminent risk of placement, his or her siblings residing at home,
or her parents)/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 44.
The monthly maximum program capacity is four (4) .
The monthly average capacity is three (3) .
Average stay in the program is fog_IAI weeks. •
Average hours per week in the program is five(5) .
VI. Description of i n.i+ of scr.•ire rust 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 55% or $14.54 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 c.apaci ty is lt,rjt or $1 1 .89 per hour.
C. Total hourly r.'tte pe- unit :,f s r';it'" based on
cost (A+B+C) . S2h.43
D. Total proposed yearly budget for services s2 .14! .no
11
9404:82
RFP-PAC-94004 •
Attachment E
Page 2 of 2
VII. Unit of service rate computation
1 . Travel to & from client's home 2.OOhrs/week
totals an average of
Parer work. 'cio ,i b: Wold
County Department of Social
Services totals an average of 0. 10hrs/week
Suprjrvioor r.eti1 tot-kc
an average of _ O_25hrs/ . ek
4. Case management services of:
a. making referrals to other services needed by clients;
h. 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 ensuro the best interests of tha rli9ntaro
served; and
e. planning of services to best serve the client
totals an average of
n.75hrs/'leek
5. Court testimony required by Social
Services totals an average of 0.O0hrs/week
6. Administrative costs total an 0.25hrs/week
average of
Please describe below:
Program Director's time based on
.025FTE at average capacity minus
WCDSS report preparation time
7. Other costs total an average of 0.0 hrs/week
P1l.,aso dncrrihn below:
8. Sub-total indirect costs 3.35hrs/week
9. Direct services to clients
(Face to face contact) totals 4.15hrs/week
an average of
Total average hours of service
to be provided per week — 7.5050
r ...h1 d _rot service? ta client? total 7fl a,, e •,F• S 1111'. 4P 55
tndirort icon to clients ti I an v razo u . .
17
9404: 32
•
RFP-PAC-940O4 Attachment F
Page 1 of 1
PROGRAM PERFORMANCE
Program Name: Mobile Mental Health Team FYI993 - 1994 FY1994 - 1995
(Bl •
T;lr:a" Perlornarr..' ii f•l .. :^rm:xr.r T%r•..t n.,i •.vi...0
06/Ot/93 to O5!31/9A 0A/01/93 to Ot/28/9_ O6101/94 to `1".'?11q~
1. Avz. number of children
2. Avg. number of months in
program for children who
have been discharged na na 1
3. Avg. cost per month per
child —- — —� -- — _..._ _--._� __._.TEL _-- ----- S 4
4. of children at home or
less restrictive setting
4t discharge na na 90
5. % of children at home or
less restrictive setting 6
P n1 —._na _--_ 85 —
m t a r�isr_ha[&-`—_,------ �_—.____--
6. Avg. savings of
alternative vs. projected
placement na na 41.276 tfoster care)
7. Avg. % of treatment goal
met per child discharged na na 85
8. a of children who entered
another PAC Program after
•
9. a of children who are in
more costly placement at
discharge na na 10
10. % of children who are in
more costly placement 6
months after discharge na 15
9404.92
Attachment G
COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE
FY 1994 - 1995
(1) (2) (3) (4) (5)
PROGRAM FAMILY FOSTER OTHER TOTAL
NAME PRESERVATION CARE. FUNDS PROGRAM
PROGRAM PEOUESTED PROVIDED
r i.,ND S FOR PPO.1rOT FOP ppn TECT
REQUESTED
Mobile Mental Health $28,541 .00 $28,541 .00
Team (MMHT)
TOTALS $28,541 .00 $28,541 .00
How will PAC money be accounted for separately from other agency money?
Scott Wong, Business Manager of WMHC, will set up separate cost centers for the
funds used to operate the MMHT as well as to track any revenues generated from
other sources. Accounts for each revenue source will he maintained separately.
The WMHC is independently audited annually.
14
AR(9,1'5X'7.
Attachment H
Page 1 of 1
BUDGET FORMAT
A. DIRECT COSTS S18.000
Staff salaries
Ct. ff Fry ^_' 1-,enef;t 2.40() •
Subtotal S2C.400 •
B. INDIRECT COSTS S 750
Director salary
Director fringe benefits 1 ,121
Clinical supervision 563
Professional liability insurance 1 ,800
Psychiatric/Psychological services/consultation
Travel 2,016787
Clinical and office supplies
Support staff 338
,80
Project evaluation
Pent/Utilities/Phone
Subtotal $ 8, 141
Total $28,541
•
•
1 ,
940 R2
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
34th 2605 34th Avenue
Lori Johnson-Berke, Vice President Weld County Commissioner
P.O. Box 758
O. B Colorado 80632
Greeley, Colorado 80631 P.
659-1684 (work) Term: 6-30-96 Gr356-4000 ext. 4200 (Work) Term: 6-30-9(
Hazel J. Chick, Secretary Sally Harms
Homemaker/Retired Teacher weld17486 County
Colorado Road 80601
8
Ault, Colorado 80610 Brighton,
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 Pickar
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
940482
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
940482
ISSUE DATE
AO411:11k CERTIFICATE OF INSURANCE o/94(MM/DD/YY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
PRFlood & Peterson Insurance Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
lOdDOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 578 POLICIES BELOW.
Greeley, CO 80632 COMPANIES AFFORDING COVERAGE
COMPANY St . Paul Ins . Co.
LETTER
COMPANY B
LETTER
INSURED
Weld Mental Health COMPANY C
E TER
1306 11th Avenue
Greeley, CO 80631 COMPANY D
LETTER
COMPANY E
LETTER
COVERAGES - -THIS IS TO CERTIFY THAT THE OF INDICATED,INDICATED, NOTWITHSTAND NG ANYCIESREQUIREME _NT, TERM CE SORDCONDmON OF ANY CONTRACT OR OTHER BELOW HAVE BEEN ISSUED TO THE RDOCUMENT WITH RE PECT TO WHICH THE POUCY PERIOD
CEFICATE MAY CERTUSIOTE AND BE ISSUEDSUCH POLICIES.OR
ELI INSURANCE
SHOWN AFFORDED BY THE MAY HAVE BEEN POU PBYOUCIES
PDESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
I
CO TYPE OF INSURANCE
POLICY NUM BER IPDAT(MM/DDT( 'PDATE(MM/DOT I LIMITS
LTR
AI GENERAL LIABILITY FKO8300395 01/01/94 01/01/95 (GENERAL AGGREGATE $ 1, 000 , 00
I
jPR000CT5-COMP/OP AGO. S 1, 000 , 000
X OMMERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY !$ 1 , 000 , 000
LS&C NTR T 'SO PROTICUR I 1 EACH OCCURRENCE S 1 , 000 , 000
WNER'SBCONTRACTOR'S PROT.I I FIRE DAMAGE(Any one fire) $ 100 , 000
I I MEO.E PENSE(MY one person)] S 5 , 000 ii I01 01 94 01/01/95 COMBINED SINGLE 51, 000 , 000
A IAu7oMoeaEungary FKO8300395 / / LIMIT
ANY AUTO BODILY INJURY S
ALL OWNED AUTOS (Per person)
X SCHEDULEDAUTOS Per per on) S
X HIRED AUTOS BO(Per DILY INJURY
X NON-OWNED AUTOS
GARAGE LIABILITY— PROPERTY DAMAGE S
EACH OCCURRENCE S
EXCESS LIABILITY AGGREGATE 5
UMBRELLA FORM
OTHER THAN UMBRELLA FORMI STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT S
AND DISEASE-POLICY LIMIT $
EMPLOYERS'LIABILITY III DISEASE-EACH EMPLOYEE S
OTHER
FKO8300395 01/01/94101/01/951 $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 OATE 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
UABI�Y`OF ANY KIND UPON THE M- NY,FS A .S OR REPRESENTATNES.
3550 West Oxfgord Avenue UTHORI2EO AE ESENTATI
Denver, CO 80236 940482
VP p O ACOAID CORPORATION 1990
a -
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX
GREELEY,COLORADO 80632 ig Administration and Public Assistance(303)352-1551
Child Support(303)352-6933
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
DATE: May 20, 1994
SUBJECT: Notification of Financial Assistance Award between Home Based
Program Option B of Weld Mental Health Center and the Weld County
Department of Social Services
Enclosed for Board approval is a Notification of Financial Assistance Award
between Home Based Program Option B 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 $21,722.76
2. The period of the award is June 1, 1994, through May 31, 1995.
3. The Home Based Program Option B of Weld Mental Health Center will provide
up to 5 hours of services to families weekly for a period of 4-6 weeks.
If you have any questions, please telephone me at extension 6200.
JAG:aas
940482
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