HomeMy WebLinkAbout940476.tiff RESOLUTION
RE: APPROVE NOTIFICATION OF FINANCIAL ASSISTANCE AWARD FOR PLACEMENT
ALTERNATIVES COMMISSION FUNDS FOR NORTH COLORADO PSYCHCARE 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 North Colorado
Psychcare, commencing June 1, 1994, and ending May 31, 1995, with further 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
North Colorado Psychcare 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.
/ /a4,4 BOARD OF COUNTY COMMISSIONERS
ATTEST: WELD COUNTY, COLORADO
/ �� J JJ
Weld County Clerk to the Board /!�J} '! .)j /.1'G.- ))
H. bster, Ch irma
7 7
BY: �Deputy Cler to the Boar Dale/ . Hall, P Te
APPROVED AS TO FORM: ee-g_ I� /J
George Baxter
County Attor ey onstance L. Harbert /77,4A . .a. UC_�/� Z ye `L.
/Barbara J. Kirkme r
940476
Welt .ounty Department of Social Ser :es
Notification of Financial Assistance Award
for Placement Alternatives Commission (PAC) Funds
Type of Action Contract Award No.
X Initial Award FY92-PAC-600
(RFP-PAC-9200)
Contract Award Period Name and Address of Contractor
Beginning 06/01/94 and North Colorado Psychcare
Ending 05/31/95 928 12th Street
Greeley, CO 80631
Computation of Awards Monthly Program Capacity 1.5
Monthly Average Capacity 1.5
Unit of Service
Description
One hour of direct services to the client
by staff of Youth Passages per 40 hours The issuance of the Notification of
per week up to 6 weeks Financial Assistance Award is based
upon your Request for Proposal (RFP) .
Cost Per Unit of Service The RFP specifies the scope of services
and conditions of award. Except where
Hourly Rate Per $ 16.56 it is in conflict with this NFAA in
Unit of Service which case the NFAA governs, the RFP
Based on Average upon which this award is based is an
Capacity integral part of the action.
Monthly Rate Per $2,649.60 Special conditions
Unit of Service
Based on Average 1) Reimbursement for the Unit of
Capacity Service will be based on an hourly
rate per child or per family.
Total Yearly $51,571.73
Services Budget 2) The hourly rate will be paid for
(Subject to the Availability of only direct face to face contact
Federal and State Funds) with the child and/or family or as
specified in the unit of cost
computation.
Enclosures: 3) Unit of service costs cannot exceed
the hourly, monthly, and yearly
Signed RFP 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:
ir WC By
{BY d� 1X/���
W. iT. ebsfer, Chairman S . by Ju y . Gr ego, Di# ctorf
Board of Weld County Commissioners Wel oun Departth nt
Soc Services
r 'Date: —6AgAy Cl
Date: // 7/
940476
INVITATION TO BID
DATE: January 7, 1994 RETURN BID TO: Pat Persichino
Director of
BID NO: RFP-PAC-94004 General Services
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 to the Weld County Department
of Social Services, announces that competing applications will be accepted for new grants
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 $482,431.00. 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
(After receipt of order) BID MUST BE SIGNED IN INK
Karl (;i 1 1q
TYPED OR PRINTED SIGNATURE
VENDOR North otlgraglo PsychCare (DBA Youth Passages)
ii-<-447:)/1 Handwritten Signature By Authorized
Officer or Agent of Vender
ADDRESS 92R 12 gtr„.E. TITLE Senior Vice President DATE 2/21/94
(-raalay, rn ZIP 80631 PHONE # (303) 352-1056
The above bid is subject to Terms and Conditions as attached hereto and incorporated.
1
940476
NYY-:AC:-94UU4 AC:.aCtlilent A
Page 1 of 2
COVER PAGE
ALTERNATIVES TO OOT OF PLACEMENT' PROGRAMS
Placement Alternatives Commission •
PROGRAM YEAR 1994
BID # RFP-PAC-94004
Client Group(s) to be Served: Children ages 12 to 18 at risk for out of home
placement
Name of Applicant Agency: North Colorado PsvchCare (DBA Youth Passages)
Address: 928 12 Street
City: Greeley, CO 80631
Phone: (303) 352-1056
Contact Person: Jeff Hauser , MSW/MAEd
Title: Manager of Psychiatric Services
Approximate Project Dates: Start June 1, 1994
End Mav 31. 1995
Title of Project: Youth Passages PAC Program
Amount Requested $51 , 571.53
Signatures:
Jeff J. Hauser 2/21/94
Name and Si ature of Person Prep i g T�$opp al Date
dX �. Karl Gills , Sr.. vVice Pres . 2/21/94
Name a 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
Sexual Abuse Treatment
X Day Treatment
Life Skills
Individualized/Innovative Services
21
940476
NORTH COLORADO PSYCHCARE
(DBA YOUTH PASSAGES)
TABLE OF CONTENTS
Statement of Need 1
Population to be Served 1
Program Requirements 2
Types of Services Provided 2
Provision of Services and
Administrative Capability 3
Past Performance 4
Evaluation Results 4
Budget 4
Program Evaluation and Continuation 5
ADDITIONAL FOLLOW-UP PLANS '94-95 5
Attachments
A
B1
B2
B3
Cl
C2
C3
D1
D2
D3
El
E2
Fl
F2
G
H
Sample Schedule
940476
PAC PROPOSAL
1. STATEMENT OF NEED
Youth Passages Adolescent Partial Hospitalization Program has
been designed to address the multifaceted needs of adolescents
experiencing significant emotional, behavioral, educational,
interpersonal, and familial problems. As such, it serves adolescents
suffering from a wide range of psychiatric disorders. As a
partial hospitalization program, Youth Passages can intensively treat
these adolescents while simultaneously minimizing the disruption
and stigma often associated with inpatient treatment or other
restrictive settings. Youth Passages offers "40 plus" hours per week
of treatment and utilizes milieu, individual, group, experiential,
behavioral, and family therapy. When indicated, psychotropic
medications are also administered. In addition, an accredited BOCES
classroom staffed by an affective needs teacher addresses academic and
behavioral issues in the classroom.
Until the opening of Youth Passages, adolescents needing a more
intensive treatment modality than outpatient therapy, were necessarily
treated outside of our community and/or separated from family.
Indeed, in order to assure the adolescent's safety, they were often
hospitalized because there were no intermediate levels of care
available. Youth Passages is currently the sole community provider of
medical model adolescent partial hospitalization services. Given the
level of utilization of our PAC program since June '93 - Jan '94 (10
children served) Youth Passages appears to be meeting a vital need
within our community. We believe that the therapeutic scope and
intensity of our program is well suited to successfully intervene with
children that are at risk for being placed outside of their home. By
utilizing a partial or day hospitalization model specific therapeutic
interventions can be implemented within the family system or with
the child's problem behavior while they continue to reside at
home.
2. POPULATION TO BE SERVED
Youth Passages serves clients aged 12-18 from diverse ethnic and
socioeconomic backgrounds. Both males and females are treated at
Youth Passages. A wide range of diagnostic categories, dysfunctions,
and problem behaviors are served. Many of our clients are
experiencing severe emotional, behavioral, interpersonal, educational,
and family problems. A large number are classified as special
education students, many are clients of Department of Social Services,
and a fair number have criminal histories. North Colorado PsychCare
is a 27-10, 101 designated facility. Program capacity is slated to be
14 clients once the program is fully implemented. Length of stay is
contingent upon severity of pathology and clinical progress. Thus,
while the mean stay has been approximately 21 treatment days, the .
940476
client's length of reatment- could vary from few weeks to several
months. Client re_ trrals begin with a phone ..all to Youth Passages'
Team Leader. A brief sketch of the client and presenting issues are
gathered. If the client appears to be an appropriate candidate for
Youth Passages an intake session is scheduled. An indepth assessment
occurs in the intake. If the client appears appropriate, an admission
date is set. In the event a client presents with a desire to harm
themselves or others, the individualized treatment plan will
contain specific interventions to assure safety. Psychiatric
hospitalization is available at Psychcare if less restrictive means
are inadequate. We propose using PAC funds for those clients with
insufficient resources who meet the following guidelines for out-of-
home placements:
CRITERIA #1 (at least one of the below)
a. The child is in need of protection
b. There is a finding of mental illness
c. The child's behavior constitutes danger to the community
CRITERIA #2 :
a. Appropriate community resources are absent/exhausted
CRITERIA #3 :
a. - Out-of-home placement is most likely to remedy the dysfunction.
CRITERIA #4:
a. Inability to participate in a public school setting.
CRITERIA #5:
a. Constitutes a manageable level of risk of harm.
3. PROGRAM REOOIREMENTS
The primary overall goals of Youth Passages include:
1. Stabilization and treatment of the presenting problems
2 . Improving family dynamics and level of functioning
3 . Preventing more restrictive treatment placements
4. Maintaining the patient in the community and within the family
system and home school district
5. Addressing and resolving educational problems
Each client is thoroughly assessed with regards to individual
and family systems dynamics as part of our intake process. An
individualized treatment plan based on this and other relevant
data will be implemented within 3 program days. Individual,
milieu, group, and experiential therapy will be implemented on the
first day of attendance. Family Therapy will be initiated within 5
program days from admission. See attachment B for specific measurable
outcome-based goals.
4. TYPES OF SERVICES PROVIDED
Each client will receive individual, milieu, group, experiential
and family therapy as well as state certified education (via our 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 Minnesota Multiphasic Personality Inventory.
Further psychological testing/evaluation and psychotropic medications
940476 2
will be administer I on an as needed basis. addition, psycho-
educational classes covering a wide variety o. 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
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. )
5. PROVISION OF SERVICES AND ADMINISTRATIVE CAPABILITY
Youth Passages utilizes a medical model approach with a multi-
disciplinary staff. Currently, Youth Passages is staffed with
two child/adolescent psychiatrists. (One serves as the program
Medical Director while the other is the Associate Medical Director) ,
a Master's level affective needs teacher, two Master's level mental
health therapists, a Recreation Specialist, and a Psychiatric Team
Assistant. Program hours are 8 am to 4 pm Monday through Friday
with family therapy scheduled on an individual basis. A case
management system is utilized. The team leader will be responsible
for all client tracking and reporting requirements. Clinical and
educational staffings are held at least once every two weeks to
coordinate treatment, discharge planning and to facilitate a smooth
transition back into the public school system. All agencies involved
in the adolescent's care are invited to attend and participate in
these staffings. There is no risk of duplication of services, given
that Youth Passages is currently the sole county provider of a medical
model adolescent partial hospitalization program.
The personnel staffing the Youth Passages meets and/or exceeds all
the standards described in the "Minimum Rules and Regulations for
Day Treatment Centers" policy #7. 706 (specifically, section
7 .706. 14 Personnel) .
940476 3
9. PROGRAM EVALDATIO'' AND CONTINUATION
The effectiveness f utilizing PAC funds to c.,,ver patients care
at Youth Passages will be evaluated by measuring compliance with
the following outlined objectives:
Objective #1:
80% of clients will actively engage and participate in Youth
Passages' on-site school and at time of discharge will
continue education in a state approved school
Objective #2 :
By the time of discharge 80% of clients will not be dangerous
to themselves or others thereby enabling them to function within
the community at large
Objective #3 :
90% of clients families/foster families will consistently and
actively engage in treatment planning, family therapy and
program activities.
Data for Objective #1 will be gathered from review of educational
section of medical record and from case manager's discharge summary.
Data for Objective #2 will be gathered from discharge summaries. Data
for Objective #3 will be gathered from patient's medical record. Data
for all the objectives will be collated into one report. Cost
effectiveness will be demonstrated via utilization of Attachment C
(Cost Saving Analysis) . Youth Passages will continue our commitment
to serve individual clients once these funds have been exhausted.
ADDITIONAL FOLLOW-UP PLANS FOR 1994-1995 PAC GRANT:
Follow-up of Youth Passages effectiveness for PAC participants
is evaluated as follows:
At one, three and six months post-discharge participants and/or
participants families/guardians are phoned and asked the following:
1. Have you continued your education in a state approved school?
If no, are you suspended: Y N
If no, are you expelled? Y N
If no, are you schooled at home? Y N
2 . Have you remained in your home? Y N
In not, have you been placed in
another home? Y N
Where? By whom?
3 . Have you attended outpatient
therapy? Y N
If yes, with whom? How often?
4 . How would you rate your relationship with your parents?
1 2 3 4 5
poor very good
940476 5
K: -eAL-9'UU4 ..L 7ac:.menc
Page 1 of 2
COVER PAGE
ALTERNATIVES TO OOT OF PLACEMENT PROGRAMS
Placement Alternatives Commission
PROGRAM YEAR 1994
BID 4k RFP-PAC-94004
Client Group(s) to be Served: Children aces 12 to 18 at risk for out of home
placement
Name of Applicant Agency: North Colorado PsychCare (DBA Youth Passages)
Address: 928 12 Street
City: Greeley, CO 80631
Phone: (303)352-1056
Contact Person: Jeff Hauser , MSW/MAEd
Title: Manager of Psychiatric Services
Approximate Project Dates: Start June 1, 1994
End May 31. 1995
Title of Project: Youth Passages PAC Program
Amount Requested $51 ,571 .53
Signatures:
Jeff J. Hauser 'i .. 2/71 /94
Name and Sjgnature of Person Prepay e dP $ 1 Date
/ l 44 Karl Gills , Sr . Vice Pres . 7/71/94
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
Sexual Abuse Treatment
X Day Treatment
Life Skills
Individualized/Innovative Services
21
940476
REP-PAC-94004 PagA�� of r.,
TYPE OE PROJECT
Continuing Project under Weld County PAC
How many years? 1 .4
New Project
X 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 will
MANDATORY PROPOSAL REQUIREMENTS
Please initial to indicate that the following required sections are included in this
propesal:
Statement of Need
- Population to be Served
Program Requirements
\\- Types of Services Provided
`'-....\S\-- Provision of Services & Administrative
Capability
\') \ Past Performance
N/A Letters of Support (New Programs Only)
Budget
Program Evaluation and Continuation
22
940476
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940476
PAC FUNDS Attachment
Hourly Unit Rate Cost Page 1 of 2
Computation Sheet
I. Program Name: Youth Passages
II. Agency Name: North rnloraAn Pcyncrare
III. The project' s unit of service definition is:
A. The project will provide what type of service to each client.
B. This device will be provided for a an (maximum)
hours per week for up to 6 (maximum stay in the program)
weeks .
IV. The hourly Unit Rate is based on:
Check one
X A. An individual client who is aged 12 through 18 •
B. A family unit as described as follows:
V. Program Statistics
Total number of clients to be served in the 12 month program is 32 .
The monthly maximum program capacity is 2
The monthly average capacity is 1 .5
Average stay in the program is 6 weeks.
Average hours per week in the program is 40 .
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 75% or $12 .42 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 25% or $ 4 .14 per hour.
C. Total hourly rate per unit of service based on average cost
(A+B+C) . $ 16.56
D. Total proposed yearly budget for services $ 51 . 571 .53
33
9404` A
RFP-PAC-94004
Attachment E
VII. Unit of service rate computation Page 2 of 2
1. Travel to & from client's home
totals an average of 0 hrs/week
2. Paper work required by Weld
County Department of Social
Services totals a average of not sure hrs/week
3 . Supervisor meetings totals
an average of 0 hrs/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 that the best interests of the client are served;
and
e. planning of services to best serve the client.
Totals an average of 8 hrs/week
5. Court testimony required by Social 0
Services totals an average of hrs/week
6. Administrative costs totals an
average of 2 hrs/week
Please describe below:
7. Other costs totals an average of 0 hrs/week
Please describe below:
8. Sub-total indirect costs 10 hrs/week
9. Direct services to clients
(Face to face contact) totals
an average of 30 hrs/week
Total average hours of service
to be provide per week 40
Weekly direct services to clients total an average of: $ 496 .80 75 %
Weekly indirect services to clients total an average of:$ 165 . 60 25 7
34 940476
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940476
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 REQUESTED PROVIDED
FUNDS FOR FOR
REQUESTED PROJECT PROJECT _
Youth Passages $51,571.53 $51, 571.73
PAC Program
TOTALS $51, 571.73
How will Family Preservation Program money be accounted for
separately from other agency money?
PAC funded youth are tracked on a separate ledger system. Their
attendance is documented on an attendance sheet designating them
as PAC recipients. This allows Youth Passages the ability to
generate their monthly invoice to Department of Social Services
for PAC funds. The income generated from these invoices are
recorded as PAC income in PsychCare's accounts receivable ledger.
940476
Attachment H
BUDGET FORMAT
A. DIRECT COSTS:
Example 1. Staff Salaries
2. Providers Payments
3. Program Coordination
4 . Total Direct Costs $177 ,658 .50 *3
B. INDIRECT COSTS:
Example 1. Director/Supervisor Salary
2. Secretary/Administrative Asst.
3. Operating Costs
Total Indirect. Costs $_ ,59 ,219 .50 *2
TOTAL ANNUAL COSTS S736 ,878 .00 *1
Annual Rate Per Child 91 795 7n
Monthly Rate Per Child 2 , 649 Fin
Hourly Rate Per Child 16 56
*1 This figure reflects the total expenses for operating Youth
Passages for the calendar year 1993 . Not all of these expenses
are directly devoted to serving PAC recipients .
*2 Youth Passages routinely estimates that 25% of total expenses
(see *1) are devoted to indirect costs . Thus this figure
represents 25% of *1.
*3 Youth Passages routinely estimates that 75% of total expenses
(see *1) are devoted to direct costs . Thus this figure represents
75% of *1.
37 940476
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' 40476
a
DEPARTMENT OF SOCIAL SERVICES
P.O. BOX
GREELEY,COLORADO 80 806322 Administration and Public Assistance(303)352-1551
Child Support(303)352-6933
C 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 North Colorado
Psychcare and the Weld County Department of Social Services
Enclosed for Board approval is a Notification of Financial Assistance Award
between North Colorado Psychcare 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 $51,571.73
2. The period of the award is June 1, 1994, through May 31, 1995.
3. The Pscychcare program would provide one hour of direct services to the
client by staff of Youth Passages for 40 hours per week up to 6 weeks.
If you have any questions, please telephone me at extension 6200.
JAG:aas
940476
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