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Home My WebLink About930354.tiff RESOLUTION RE: APPROVE WELD COUNTY 1993-94 ALTERNATIVE PLACEMENT 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 Placement Alternatives Commission has presented the Board with the Weld County 1993-94 Alternative Placement Plan, with the 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, that the Weld County 1993-94 Alternative Placement Plan 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 21st day of April, A.D. , 1993. 9 �� / // BOARD OF COUNTY COMMISSIONERS ATTEST: / ,( WEL COUNTY, COLORADO 11 At&Vett Weld County Clerk to the Board Constance L. H rbert, Chairman BY: �� Deputy Cl rk o the Board W. H. Webster, Pro-Tem APP AS TO FORM: j_t C'� orge EAaxter "1,11•••• I - et. iid County Atto ey Da e K. Hall n c:(7/ arbara J. Kirkmeyer g 930354 SSoolf7 2e : r WELD COUNTY FY 1993-94 ALTERNATIVE PLACEMENT PLAN The Weld County Plan has been developed by the Weld County Placement Alternatives Commission which includes the following members: Name ORGANIZATIONAL AFFILIATION Dan Dailey Mental Health Charlie Dalpra Human Resources Jon Eastin School District 6 Dr. Mary Braud Physician Judy Griego Social Services Bill Webster Weld County Commissioner W. Troy Hause Attorney Karena Malcom Foster Parent Leona Martens Citizen Kathleen Shannon Health Department • Norton Nelson Citizen Linda Tallman Probation Dennis Warnemunde Lay Community [Chairman] Patricia Whitcomb Centennial Developmental Services The period to be covered by this Plan is June 1, 1993 to May 31, 1994. The signatures below affirm that this Plan has been developed by the Placement Alternatives Commission and approved by the Director of Social Services and by the Board of County Commissioners. Ju y ctor o d County Department of Social Services Dennis rnemunde ^ Chairperson of Weld County Placement Alternatives 0),,,is ion Constance Harbert - Chairperson of the Board of County Commissioners 04/26/93 9.T ' WELD COUNTY FY 1993-94 ALTERNATIVE PLACEMENT PLAN TABLE OF CONTENTS PAGE PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #1 - THERAPEUTIC FOSTER CARE 2 1. PURCHASED PROVIDER SERVICES BUDGET WORKSHEET 4 2. PROVIDED SERVICES BUDGET WORK SHEET 5 3. PROGRAM PERFORMANCE 6 4. DIRECT SERVICES PROGRAM BUDGET PAGE 7 5. CWEST CODING SUMMARY PAGE 8 PROGRAM #2 - PARTNERS PLUS 9 1. PROVIDER SERVICES BUDGET WORK SHEET 11 2. COUNTY PROVIDED SERVICES BUDGET WORK SHEET 12 3. PROGRAM PERFORMANCE 13 4. DIRECT SERVICES PROGRAM BUDGET PAGE 14 5. CWEST CODING SUMMARY PAGE 15 PROGRAM #3 - PARENT ADVOCATE 16 1. PURCHASED PROVIDER SERVICES BUDGET WORKSHEET , 18 2. PROGRAM PERFORMANCE 19 3. DIRECT SERVICES PROGRAM BUDGET PAGE 20 4. CWEST CODING SUMMARY PAGE 21 PROGRAM #4 - DAY TREATMENT 22 1. PROVIDER SERVICES BUDGET WORK SHEET 24 2. PROGRAM PERFORMANCE 25 3. DIRECT SERVICES PROGRAM BUDGET PAGE 26 4. CWEST CODING SUMMARY PAGE 27 PROGRAM #5 - INTENSIVE SERVICES 28 1. PROVIDER SERVICES BUDGET WORK SHEET 30 2. PROGRAM PERFORMANCE 31 3. DIRECT SERVICES PROGRAM BUDGET PAGE 32 4. CWEST CODING SUMMARY PAGE 33 PROGRAM #6 - YOUTH PASSAGES 34 1. PROVIDER SERVICES BUDGET WORK SHEET 36 2. PROGRAM PERFORMANCE 37 3. DIRECT SERVICES PROGRAM BUDGET PAGE , 38 4. CWEST CODING SUMMARY PAGE 39 WELD COUNTY PLACEMENT ALTERNATIVES PLAN FINAL BUDGET PAGE 40 920154 The following statement applies to all children in this plan. "All families and children served in this PAC Plan who receive PAC funding will meet the PAC eligible populations as defined in Volume 7." DELETED PROGRAM PAGE Family Preservation Ace Code 50 Program Code 1750 The program was never used. Four families were referred and they were placed in another program or did not meet agency guidelines. 1 920254 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #1 THERAPEUTIC FOSTER CARE 1. Describe Services to be Provided. Children accepted into the Therapeutic Foster Care (T.F.C) Program will be served by a team of professionals including the caseworker, therapist, therapeutic foster parent, and school personnel. The T.F.C. foster parents receive special training conducted by the caseworkers and other outside professionals. This training consists of initial didactic teaching and the reading of literature on attachment and bonding. They are also shown how to chart behaviors and given parenting handbooks and notebooks. There is ongoing training consisting of meeting two times per month for two hours. Each foster parent is required to attend these meetings. Each child has one of two therapeutic foster care caseworkers as his/her caseworker. The caseworker has case management responsibilities. The caseworker works with the child, foster parents and the family of origin. The therapist meets with the child on a weekly or as needed basis and with the parents and child when that is indicated. The foster parents who receive an additional stipend, provide constant therapeutic intervention. A quarterly staffing is held on each child in the program. The staffing is coordinated by a professional other than a member of the treatment team to lend objectivity. The treatment team consists of the caseworker, therapeutic foster parent, therapist and the school personnel working with the child at school. In so far as possible the staffings allow for a uniform approach to the treatment of the child, as well as keeping each team member appraised of the progress in other areas. The money designated for psychological services is used for psychologicals for the children. It is also used for consultation on specific cases as well as for purchased training on specific areas of concern for specific children. The chairperson for the staffings is paid with these funds. 2. List Objectives: A permanency plan will be made for each child in Therapeutic Foster Care in excess of 180 days in 100% of the cases. This will be either 1) filing for termination of parental right or 2) plans for custody to a relative or alternate care provider or 3) plans to return the child to his parents. The parents will be able to improve in parenting skills and emotional development so they are capable of raising their own children in 50% of the cases. 2 930154 PROGRAM #1 THERAPEUTIC FOSTER CARE (Cont'd) To improve social, emotional and behavioral components of the child's life in 75% of the cases. 3. PAC Eligible Population: Require Residential Child Care Facility (RCCF) intensity of care but may be maintained at a least restrictive level of care with PAC services. The cost of the PAC and placement care shall not exceed the maximum RCCF rate. 4. Describe other Characteristics: Therapeutic Foster Care serves emotionally disturbed children between the ages of two and twelve. These children come from very dysfunctional families. Some of the behaviors they exhibit include sexual acting out, self-mutilation, encopresis, enuresis, feces smearing and a wide range of attachment problems. Their behaviors are too severe to be maintained in a traditional foster home. Twenty-two children can be served each month. The average stay in T.F.C. is 24 months. 5. Maximum number of children to be served per month 22 6. Average number of families to be served each month is 7. Average number of children to be served each month 18 8. Fees assessed Yes X No Fees are assessed the same as they are for any child in foster care. • 930354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME THERAPEUTIC FOSTER CARE Provider Name Foster Parent I Provider Name Ilil Provider CWEST Number Provider CWEST Number 1. rate from date 06-01-92 1. rate from date 2. rate to date 05-31-93 2. rate to date 3. *unit of service day 3. *unit of service 4. unit rate of payment 10.16 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 300 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 320 1. Unit rate 2. units per month 22 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program 4 930354 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME THERAPEUTIC FOSTER CARE ACCT CODE 35 PRGM CODE 1735 I. Personal Services A. DSS Staff Percent FTE Salary Fringe (monthly) 1. Elisabeth Braun CW IV 100 $2713 438 3151 2. Jacque Box CW IV 100 2655 429 3084 3. Rosi Anson CPS Sup. III 30 897 147 1044 4. 5. 6. 7. 8. TOTAL, ADMINISTRATIVE/SUPPORTIVE SERVICES DSS STAFF PER MONTH $ 7279 B. Contract Unit Cost Units per Mmth Psychological Services and Training 55 22 TOTAL CONTRACT STAFF PER MONTH $ 1210 II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x _ workers = Telephone: $/worker/month x _ workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x _ workers = B. Staff Development $/year/month x workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: - Items in capital letters are transferred to Program Budget Page. - All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. 5 9J0354 PROGRAM PERFORMANCE PROGRAM NAME THERAPEUTIC FOSTER CARE DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF 22 23.7 22 18 CHILDREN SERVED PER MONTH 2. AVERAGE NUMBER OF 24 28 20.9 24 MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 3. AVERAGE COST PER MONTH 912 941 909 1006 PER CHILD 4. % OF CHILDREN AT HOME 50 100 43 50 OR LESS RESTRICTIVE SETTING AT DISCHARGE 5. % OF CHILDREN AT HOME 50 100 43 NOT REQUIRED OR LESS RESTRICTIVE SETTING 6 MONTHS AFTER DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 6 930354 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME THERAPEUTIC FOSTER CARE CWEST ACCT CODE: 35 PAC FOSTER OTHER PRGM CODE: 1735 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ 7279 per month x 12 months = $87,348 B. Contract Staff $ 1210 per month x 12 months = $14,520 II. Direct Services Operating $ per month x months = III. Purchased Program Services $6600 per month x 12 months = $79,200 IV. Basic Foster Care $ 7040 per month x 12 months = $84,480 V. Other Source Funds $ per month x months = TOTAL DIRECT SERVICES * $181,068 $84,480 VI. TOTAL DISTRIBUTED OPERATING ** * These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORK SHEET 1. DSS staff, cost per month $ 7279 2. Contract staff, cost per month $ 7810 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and [distributed] cost per month $ 6. Total, Alternatives costs per month $ 15,089 7. Program capacity, number of children meeting target group definition to be served each month 22 8. Average number of children meeting target group served each month 18 9. Cost per month per child (#6/#7) 686 * * This number must match average number of children in other portions of your PAC program. 7 J'Qtpt4 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: THERAPEUTIC FOSTER CARE ACCOUNT NUMBER (CODE): 35 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT Anthony & Marie Alirez 70335 6/30/93 5/31/94 Day $10.16 Max 1200 Jerry & Carla Alexander 80063 6/30/93 5/31/94 Day $10.16 Max 900 Tom & Carol Blackwell 68871 6/30/93 5/31/94 Day $10.16 Max 1200 Norman & Evelyn Burkhart 72121 6/30/93 5/31/94 Day $10.16 Max 600 Angelina Colunga 78899 6/30/93 5/31/94 Day $10.16 Max 1200 Charles & Doris Cunningham 69019 6/30/93 5/31/94 Day $10.16 Max 1200 Ross & Janna DePorter 72730 6/30/93 5/31/94 Day $10.16 Max 1200 Kathy Gerbig 76415 6/30/93 5/31/94 Day $10.16 Max 600 Paul & Vickie Jaramillo 81203 6/30/93 5/31/94 Day $10.16 Max 1200 Don & June Kottwitz 72729 6/30/93 5/31/94 Day $10.16 Max 600 Bobby & Jolene Layton 66394 6/30/93 5/31/94 Day $10.16 Max 900 Douglas & Karena Malcom 71908 6/30/93 5/31/94 Day $10.16 Max 1200 Mark & Beth Reichert 77411 6/30/93 5/31/94 Day $10.16 Max 1200 Harvey & Sally Roth 54256 6/30/93 5/31/94 Day $10.16 Max 1200 Tim & Debbie Wojahn 83235 6/30/93 5/31/94 Day $10.16 Max 600 Joann Maes 80638 6/30/93 5/31/94 Day $10.16 Mas 900 8 930354 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM 412 PARTNERS PLUS 1. Describe Services to be Provided. Partners Plus serves Weld County youth, who are experiencing significant problems of adjustment in their parental homes. Youth who are determined by Social Services to meet the criteria for Placement Alternative Programs are referred to Partners Plus. The youth are assessed by the caseworker and Partner's staff as needing more than the standard Partners program of three hours per week of one-to-one contact, but still may be served without being moved into a more restrictive placement. The caseworker has case management responsibilities. The senior partner receives a stipend for spending time with his junior partner. The maximum rate is $300 per month for spending 40 hours together during the month. The rate is prorated if fewer hours are spent together. Partnerships stay in bi-weekly contact with the Partners Plus counselor, and take part in many of the recreational, educational, and therapeutic activities offered by Partners. Partnerships spend a great deal of their time sharing their lives on a one-on-one basis. The emphasis is on quality role-modeling, friendship, and advocacy for the Junior Partner. The Partners program provides the Partnership with ongoing life-skill training, crisis counseling intervention, self-esteem building courses, and social activities that promote positive alternatives. In addition, Partners offers the services of a volunteer Health Corps, a team of physicians and other medical personnel from the community, to provide low cost/no cost medical assistance to the Junior Partner. 2. List Objectives: The overall goal of the project is to prevent foster care placements (or allow for less restrictive placements) by carefully matching committed adults with the youth. Specific objectives for youth involved in the project include: 1) 60% of all children served will remain in own home at conclusion of PAC program; 2) 70% of all children involved will not be charged with a delinquent offense while in the Partners Plus program; 3) 70% of all children served will maintain a relationship with their Senior Partner after financial compensation has ended. Each Partnership also develops specifically tailored goals and objectives in order to assist with the child's development and coping skills, and to help avoid placement. 3. PAC Eligible Population: The children are in their own homes and meet the out-of-home placement criteria. 9 PROGRAM #2 PARTNERS PLUS (Cont'd) 4. Describe Other Characteristics: Youth ages 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. Most of the youth do not trust the adult population and do not have positive adult role models. (Their families are very dysfunctional and are extremely limited in providing for the emotional needs of an acting out youth) . These youth are in danger of being placed outside their home. 5. Maximum number of children to be served per month 15 6. Average number of families to be served each month ]5 7. Average number of children to be served each month 15* 8. Fees assessed Yes No X If yes, describe fee schedule * This number must match the average number of children served in other sections of your program. 10 930354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME: PARTNERS PLUS Provider Name Weld County Partners Provider Name Provider CWEST Number 62078 Provider CWEST Number 1. rate from date 06-01-93 1. rate from date 2. rate to date 05-31-94 2. rate to date 3. *unit of service hour 3. *unit of service 4. unit rate of payment 14.32 4. unit rate of payment 5. reserve units 8955 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program 11 930354 COUNTY PROVIDED SERVICES BUDGET WORK SHEET PROGRAM NAME PARNTERS PLUS ACCT CODE 29 PRIM CODE 1729 1. Personal Services A. DSS Staff Percent FTE Salary Fringe (monthly) 1. Youth Services Supervisor .1 299 54 2. 3. 4. 5. 6. 7. 8. TOTAL, ADMINISTRATIVE/SUPPORTIVE SERVICES DSS STAFF PER MONTH $ 353 B. Contract Unit Cost Units per Month TOTAL CONTRACT STAFF PER MONTH $ II. Direct Services Operating Travel: miles per month x $.20/mile x workers * Rent (if allowed) : $/worker/month x workers Supplies: $/worker/month x workers = Telephone: $/worker/month x workers = * Utilities (if allowed) : $/worker/month x workers = TOTAL, DIRECT SERVICES OPERATING, PER MONTH $ III. Distributed services operating A. Other Operating Costs - describe $ /worker/year x _ workers = B. Staff Development $/year/month x _ workers = C. Capital outlay: list items to be purchased Total, capital outlay = $ TOTAL, DISTRIBUTED SERVICES OPERATING, PER YEAR $ NOTES: Items in capital letters are transferred to Program Budget Page. All Alternatives funded positions not providing direct services are to be listed in Administrative/Supportive Services. * permitted only on facilities detached form the county department and which are for the appropriate and necessary use by an Alternatives program. 12 930354 PROGRAM PERFORMANCE PROGRAM NAME PARTNERS PLUS DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF CHILDREN SERVED PER 25 17 14 15 MONTH 2. AVERAGE NUMBER OF MONTHS IN PROGRAM FOR 12 10 8.6 12 CHILDREN DISCHARGED 3. AVERAGE COST PER MONTH PER CHILD 289.90 496.42 528.61 620.53 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE 60 91 95 60 SETTING AT DISCHARGE 5. % OF CHILDREN AT HOME NOT REQUIRED OR LESS RESTRICTIVE 60 90 SETTING 6 MONTHS AFTER DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 13 930354 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME PARTNERS PLUS CWEST ACCT CODE: 29 PAC FOSTER OTHER PRGM CODE: 1929 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $353 per month X 12 months = 4,236 B. Contract Staff $ per month X months = II. Direct Services Operating $8955 per month X 12 months = III. Purchased Program Services $ per month X _ months = 107,460 IV. Basic Foster Care $ per month X months = V. Other Source Funds $ per month X months = TOTAL DIRECT SERVICES * 111,696 VI. TOTAL INDIRECT OPERATION ** *These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORKSHEET 1. DSS staff, cost per month $ 353 2. Contract staff, cost per month $ 8955 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirect, cost per month $ 6. Total, Alternatives cost per month $ 9308 7. Program capacity, number of children meeting target group definition to be served each month $ 15 8. Average number of children meeting target group served each month $ 15 9. Cost per month per child (#6//f7) $620.53* *This number must match average number of children in other portions of your PAC program. 14 3603:i4 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: PARTNERS PLUS ACCOUNT NUMBER (CODE) : 29 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT Weld County Partners, Inc. 62078 6/1/93 5/31/94 Hour $14.32 NA 15 930354 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #3 PARENT ADVOCATE 1. Describe Services to be Provided. The Parent Advocate Program matches a family Advocate with a family referred by the Department of Social Services Child Protection Unit. (Approximately 10 advocates are matched with 10 families. The advocate spends up to 40 hours/month working with her family in the family home. The Advocate works with the parents on parenting skills, reparenting the parents, intrafamilial communication skills, as well as advocating for the family in the community, when indicated. The Advocate is a trained paid employee of Child Abuse Resource and Education. The Advocate uses the Nurturing Parent Program by Dr. Stephen Bavoleh as the spring board for the family/advocate interaction. The Advocate spends time with the parent alone, the children alone, and the parent and children together. The program places a heavy emphasis on the positive growth of self and the strengthening of the family relationships. The advocate works closely with the Department of Social Services child protection caseworker to ensure that everyone is working toward the goals of the treatment plan. The caseworker has case management responsibilities. 2. List Objectives: 1) 75% of the parents served will demonstrate an increased ability to display appropriate parent-child interaction as assessed by the caseworker's and advocate's observation. 2) 75% of the families will have no re-incidence of abuse or neglect while in the program. 3) 90% of the parents will improve on the AAP1 test scores by 2-3 points in 2 of the 4 areas. 4) 65% of the Children will remain safely in their home 6 months after completion of the program. 5) 75% of the children will be in their home at the conclusion of the program. 3. PAC Eligible Population: The children are in their own homes and meet the out-of-home placement criteria. 16 930354 PROGRAM #3 PARENT ADVOCATE (Cont'd) 4. Describe other Characteristics: The Parent Advocate Program serves families with from 1-5 children and who are ages birth to 12. The target population for this program are those children who have been identified by the Weld County Department of Social Services as having an open child protective case and as being at risk for out-of-home placement because of physical, emotional or sexual abuse or neglect; or his or her continued presence in the home is likely to result in physical or emotional injury if there is no intervention. It also includes those children already in placement, where intervention would enable the child to be returned home within 6 months. These dysfunctional families were originally referred to Department of Social Services because of severe abuse or neglect or sexual abuse issues. The parents have few parenting skills, low self esteem and few support systems. The parents are unable to meet their own needs and the needs of their children. The children evidence behavioral problems common to abused and neglected children. 5. Maximum number of children to be served per month 15 6. Average number of families to be served each month 7 7. Average number of children to be served each month 15 * 8. Fees assessed Yes No X If yes, describe fee schedule *This number must match the average number of children served in other sections of your program. 17 930354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME PARENT ADVOCATE Provider Name Child Adv. Resource Ed Provider Name Provider CWEST Number 62085 Provider CWEST Number 1. rate from date 06-01-93 1. rate from date 2. rate to date 05-31-94 2. rate to date 3. *unit of service Hourly 3. *unit of service 4. unit rate of payment 11.24 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 3146.25 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 18 9u03S4 PROGRAM PERFORMANCE PROGRAM NAME PARENT ADVOCATE DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF CHILDREN SERVED PER 20 17 26 15 MONTH 2. AVERAGE NUMBER OF MONTHS IN PROGRAM FOR 8 10 11.86 8 CHILDREN DISCHARGED 3. AVERAGE COST PER MONTH PER CHILD 144 116.73 90.40 209.75 4. 2 OF CHILDREN AT HOME OR LESS RESTRICTIVE 75 100 73 75 SETTING AT DISCHARGE 5. % OF CHILDREN AT HOME NOT REQUIRED OR LESS RESTRICTIVE 75 95 65 SETTING 6 MONTHS AFTER DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 19 930354 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME PARENT ADVOCATE CWEST ACCT CODE: 68 PAC FOSTER OTHER PRGM CODE: 1768 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month X _ months = B. Contract Staff $ per month X months = II. Direct Services Operating $_ per month X 12 months = III. Purchased Program Services $3146.25 per month X 12 months = 37, 755 IV. Basic Foster Care $ per month X months = V. Other Source Funds $ per month X months = TOTAL DIRECT SERVICES * 37, 755 VI. TOTAL INDIRECT OPERATION ** *These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORKSHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives cost per month $ 7. Program capacity, number of children meeting target group definition to be served each month $ 8. Average number of children meeting target group served each month $ 9. Cost per month per child (#6/117) $ *This number must match average number of children in other portions of your PAC program. 20 930354 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: PARENT ADVOCATE ACCOUNT NUMBER (CODE) : 68 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT Child Advocate Resource 62085 6/1/93 5/31/94 Hour $11.24 NA and Education 21 930354 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM 114 DAY TREATMENT 1. Describe Services to be Provided. Day Treatment was designed to meet the needs of children who are too disturbed to be educated in the public school system. Even with the assistance of a full complement of special education service, they can not be educated in the public schools. Although these children usually come from highly dysfunctional families, it is believed that some of these families, can be helped to enable the child to remain in their home. Those who cannot remain at home are placed in a residential child care facility (RCCF) with an on-ground school. The Day Treatment Program provides a highly structured program designed to integrate the child's experiences at home, school and in the community. Upon entry to the program, the child's behavior patterns in all environments is assessed. A team effort involving therapist, family and school personnel develops and implements an individualized treatment and education program for the child. Individual and group therapies provided by the counseling staff are utilized as an integral part of the regular school program. Family therapy and parenting instructions provided by the psychologist, counselors, and consulting staff, are scheduled on a regular basis. The families must be actively involved in the treatment of the child. Therapy is provided on an ongoing basis for the child during the school day. The family meets with the therapeutic staff at least once a week. In order for the program to be beneficial, the parents, child and treatment facility must work as a team to remediate the child's behavior and emotional problems. 2. List Objectives: 1) 75% of the children served by the Day Treatment will demonstrate an improved ability in his behavior and emotional growth. 2) 75% of the children discharged will return to regular classrooms at their own schools. 3) The families will attend 75% of the family sessions. 3. PAC Eligible Population: The child requires Residential Child Care Facility (RCCF) intensity of care but may be maintained at a least restrictive level of care with PAC services. 22 930354 PROGRAM #4 DAY TREATMENT (Cont'd) 4. Describe other Characteristics: Admission to Day Treatment is based upon the child whose behavior indicates that an RCCF placement is likely. Children with severe emotional problems and disturbed family relationships are appropriate candidates for admission. Also children who have been physically or sexually abused or neglected to the extent that they cannot function in a conventional school setting are candidates for Day Treatment. School age children 5-18 years of age who are also in need of specialized educational settings are considered for admission. 5. Maximum number of children to be served per month 3 6. Average number of families to be served each month 3 7. Average number of children to be served each month 3 * 8. Fees assessed Yes No X If yes, describe fee schedule * This number must match the average number of children served in other sections of your program. 23 900354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME DAY TREATMENT Provider Name Center for Therapeutic Provider Name Learning Center Provider CWEST Number Provider CWEST Number 45142 1. rate from date 1. rate from date 06-01-93 2. rate to date 2. rate to date 05-31-94 3. *unit of service 3. *unit of service Month 4. unit rate of payment 4. unit rate of payment 1,200 5. reserve units 5. reserve units 3,600 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program 24 930354 PROGRAM PERFORMANCE PROGRAM NAME DAY TREATMENT DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF CHILDREN SERVED PER 4.61 3.63 3.2 3* MONTH 2. AVERAGE NUMBER OF MONTHS IN PROGRAM FOR 24 11.5 NONE 24 CHILDREN DISCHARGED DISCHARGED 3. AVERAGE COST PER MONTH PER CHILD 1000 1013. 70 984 1200 4. % OF CHILDREN AT HOME OR LESS RESTRICTIVE 50 66 NONE 75 SETTING AT DISCHARGE DISCHARGED 5. 7 OF CHILDREN AT HOME OR LESS RESTRICTIVE 50 50 NONE NOT REQUIRED SETTING 6 MONTHS AFTER DISCHARGED DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 25 930354 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME DAY TREATMENT CWEST ACCT CODE: 23 PAC FOSTER OTHER PRGM CODE: 1723 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month X _ months = B. Contract Staff $ per month X months = II. Direct Services Operating $ per month X 12 months = III. Purchased Program Services 43,200 28,000 $3600.00 per month X 12 months = IV. Basic Foster Care $ per month X months = V. Other Source Funds $ per month X months = TOTAL DIRECT SERVICES * 43,200 28,000 VI. TOTAL INDIRECT OPERATION ** *These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORKSHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives cost per month $ 7. Program capacity, number of children meeting target group definition to be served each month $ 8. Average number of children meeting target group served each month $ 9. Cost per month per child (#6/117) $ *This number must match average number of children in other portions of your PAC program. 26 930354 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: DAY TREATMENT ACCOUNT NUMBER (CODE) : 23 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT Center for Therapeutic 45142 6/1/93 5/31/94 Month $1200 $3600 Learning Annex 27 930354 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #5 INTENSIVE SERVICES 1. Describe Services to be Provided. Following the Homebuilders model, the Intensive Services Team will employ two full-time staff of the Children and Family Services Program of the Weld Mental Health Center to provide in-home treatment, case management, educational, and related services to Weld County families who are in imminent risk of having a child removed to an out-of-home placement and to families who have already had a child placed out of the family home. These families are in need of mental health services to achieve sufficient stability to permit the child to be returned when such a return is in the child's best interests. The risk of placement will arise from a crisis in the family which severely threatens the family's ability to remain intact. Through immediate, brief, and intensive services focussing on problem identification, problem solving, and goal setting involving as many members of the family as possible, and through linking the client families with appropriate community resources, families will learn new and effective coping strategies to enable the establishment of new levels of stability, security and safety. In addition to remaining intact, families completing the project will report and demonstrate improved communication patterns and skills, marked reductions in the use of aggression and violence within and outside the family, and increased levels of reliance upon the family itself as a positive source of nurturance and support. Two mental health therapists will be assigned to the program. They will work with no more than two families per therapist at a time. Crisis services will be available 24 hours per day, seven days per week to provide screening, evaluation and assessment, intervention, and follow-up planning to clients between the ages of birth to 18 years and their families. Crisis services will be offered on a short-term basis, focussing on those issues and problems precipitating the crisis and on using the crisis to mobilize the youth and his or her family to develop new ways to cope and prevent further crisis. It is expected that the average period of involvement will be four to six weeks. Services will be delivered in clients' homes, at the Weld County Shelter Home, at the Weld County juvenile Detention Center, at the North Colorado Medical Center (to include it's psychiatric inpatient unit, PsychCare) , in foster and group homes, in the schools, or wherever necessary to optimize results. 2. List Objectives: 1) 85% of the families will remain in tact at the completion of service. 2) 90% of the families will report and demonstrate a marked reduction in the use of violence and aggression within and outside the family. 3) 75% of the families will remain intact 12 months after services are terminated. 4) 90% of discharged children will not enter another PAC Program after discharge. 5) 90% of children served will be in a less costly placement at discharge and 85% six months after discharge. 28 930354 PROGRAM #5 INTENSIVE SERVICES (Cont'd) 3. PAC Eligible Population: The children are in their own homes and meet the out-of-home placement criteria. 4. Describe other Characteristics: Families and children referred to this program will be at risk of out-of- home placements due to a family crisis. The crisis may be due to: acting out behaviors by members of the family against each other or against the community; significant psychiatric impairment of a family member; disclosure of sexual or physical abuse; suicidal ideation or attempts by the youth. The children and youth referred to the program will be from birth to 18 years of age. 5. Maximum number of children to be served per month 4 6. Average number of families to be served each month 3 7. Average number of children to be served each month 3 * 8. Fees assessed Yes No x If yes, describe fee schedule * This number must match the average number of children served in other sections of your program. 29 930354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME INTENSIVE SERVICES Provider Name Weld Mental Health Provider Name Provider CWEST Number 80103 Provider CWEST Number 1. rate from date 06-01-93 1. rate from date 2. rate to date 05-31-94 2. rate to date 3. *unit of service hour 3. *unit of service 4. unit rate of payment 25. 14 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6034.00 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 30 930354 PROGRAM PERFORMANCE PROGRAM NAME INTENSIVE SERVICES DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF 4 3.8 3* CHILDREN SERVED PER MONTH 2. AVERAGE NUMBER OF 1 1 1 MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 3. AVERAGE COST PER MONTH 1250 1483 2011.33 PER CHILD 4. % OF CHILDREN AT HOME 85 90 85 OR LESS RESTRICTIVE SETTING AT DISCHARGE 5. % OF CHILDREN AT HOME 75 73 NOT REQUIRED OR LESS RESTRICTIVE SETTING 6 MONTHS AFTER DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 31 9303S4 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME INTENSIVE SERVICES CWEST ACCT CODE: 51 PAC FOSTER OTHER PRGM CODE: 1751 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month X _ months = B. Contract Staff $ per month X months = II. Direct Services Operating $_ per month X 12 months = III. Purchased Program Services $6034.00 per month X 12 72, 408 months = IV. Basic Foster Care $ per month X months = V. Other Source Funds $ per month X months = TOTAL DIRECT SERVICES * 72,408 VI. TOTAL INDIRECT OPERATION ** *These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORKSHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives cost per month $ 7. Program capacity, number of children meeting target group definition to be served each month $ 8. Average number of children meeting target group served each month $ 9. Cost per month per child (#6//t7) $ *This number must match average number of children in other portions of your PAC program. 32 930354 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: INTENSIVE SERVICES ACCOUNT NUMBER (CODE) : 51 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT Weld Mental Health 80103 6/1/93 5/31/94 Hour $25.14 N/A 33 9:30354 PROPOSED CLIENT SERVICES PROGRAMS PROGRAM #6 YOUTH PASSAGES 1. Describe Services to be Provided. 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. Each client will receive individual, milieu, group, experiential and family therapy, as well as state certified education (via our BOCES school program) . Routine psychological evaluation, provided to all clients in the initial stage of treatment, includes a brief screening/assessment for psychopathology via standardized psychological tests such as the Minnesota Multiphasic Personality Inventory or the Millon Adolescent 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, relaxation training, etc. ) are offered. All clients are case managed by a Master's or Doctoral Level mental health professional and are seen routinely by a psychiatrist. The therapeutic community is strengthened by a 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 can be prevented. Youth Passages utilizes a medical model approach with a multidisciplinary staff. Currently, Youth Passages is staffed with a board certified child/adolescent psychiatrist, a Doctoral level psychologist (Program Coordinator) , a Master's level affective needs teacher, a Master's level mental health therapist, a Certified Therapeutic Recreation Specialist, and a Psychiatric Team Assistant. Program hours are 8:00 a.m. to 4:00 p.m. Monday through Friday with family therapy scheduled on an individual basis. A case management system is utilized. The Program Coordinator 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 and discharge planning. 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 the sole county provider of adolescent partial hospitalization programming. 2. List Objectives: 1) By the time of discharge 75% of clients will not be dangerous to themselves or others thereby enabling them to function within the community at large. 2) 75% of clients families will consistently and actively engage in treatment planning, family therapy and program activities. 3) 75% of clients will continue education in a state approved school after discharge. 34 9a0354 PROGRAM #6 YOUTH PASSAGES (Cont'd) 3. PAC Eligible Population: The children are in their own homes and meet the out-of-home placement criteria. 4. Describe other Characteristics: Youth between the ages of 12 - 18 will be served by this program. 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 and a fair number have criminal histories. 5. Maximum number of children to be served per month 2 6. Average number of families to be served each month 1.5 7. Average number of children to be served each month 1.5* 8. Fees assessed Yes No X If yes, describe fee schedule * This number must match the average number of children served in other sections of your program. 35 930354 ALTERNATIVE PLAN PURCHASED PROVIDER SERVICES BUDGET WORK SHEET PROGRAM NAME YOUTH PASSAGES Provider Name NCMC Provider Name Provider CWEST Number 63973 Provider CWEST Number 1. rate from date 6-1-93 1. rate from date 2. rate to date 5-31-94 2. rate to date 3. *unit of service Hour 3. *unit of service 4. unit rate of payment $16.56 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment $4297.63 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month Provider Name Provider Name Provider CWEST Number Provider CWEST Number 1. rate from date 1. rate from date 2. rate to date 2. rate to date 3. *unit of service 3. *unit of service 4. unit rate of payment 4. unit rate of payment 5. reserve units 5. reserve units 6. maximum payment 6. maximum payment 7. minimum payment 7. minimum payment 8. flat rate 8. flat rate 9. flat rate plus 9. flat rate plus Foster Care Foster Care 1. unit rate 1. Unit rate 2. units per month 2. units per month NOTE: If there are multiple providers with IDENTICAL rates, complete one provider rate box and list the other providers by name AND CWEST number. If the County is responsible for entering the provider rate record on CWEST, such as in foster homes, and the providers have identical rates, complete one rate record box. List the remaining providers. DEFINITIONS OF UNITS OF SERVICE: month, child, hour, or day. MONTH: partial month payment is prorated based on days in program; CHILD: full month payment is made for any partial month in the program; HOUR: payment is made based on hours of service provided each month; DAY: payment is made based on days of service each month. Reserve units: minimum number of units that will be paid regardless of usage. Maximum payment: maximum total payment monthly regardless of usage. Minimum payment: minimum total payment monthly regardless of usage. Flat rate: fixed rate paid each month not effected by usage. Flat rate plus: fixed rate paid each month. Foster care: use average basic foster care rate for children in program prchprvd 36 930354 PROGRAM PERFORMANCE PROGRAM NAME YOUTH PASSAGES DESCRIPTIVE STATISTICS TARGET ACTUAL ACTUAL TARGET PERFORMANCE PERFORMANCE PERFORMANCE PERFORMANCE 6/1/91 TO 6/1/92 TO 6/1/91 TO 6/1/93 TO 5/31/92 11/30/92 4/31/92 5/31/94 1. AVERAGE NUMBER OF NA 0 NA 1.5 CHILDREN SERVED PER MONTH 2. AVERAGE NUMBER OF 0 NA 1.5 MONTHS IN PROGRAM FOR CHILDREN DISCHARGED 3. AVERAGE COST PER MONTH NA 0 NA 2865.09 PER CHILD 4. % OF CHILDREN AT HOME NA 0 NA 75 OR LESS RESTRICTIVE SETTING AT DISCHARGE 5. 9 OF CHILDREN AT HOME NA 0 NA NOT REQUIRED OR LESS RESTRICTIVE SETTING 6 MONTHS AFTER DISCHARGE * This number must match the average cost per child or the average number of children served each month in other portions of your program. 37 930354 DIRECT SERVICES PROGRAM BUDGET PAGE PROGRAM NAME YOUTH PASSAGES CWEST ACCT CODE: 21 PAC FOSTER OTHER PRGM CODE: 1721 FUNDS CARE FUNDS I. Personal Services A. DSS Staff $ per month X _ months = B. Contract Staff $ per month X _ months = II. Direct Services Operating $ per month X 12 months = III. Purchased Program Services $4297.63 per month X 12 51,571.56 months = IV. Basic Foster Care $ per month X _ months = V. Other Source Funds $ per month X months = TOTAL DIRECT SERVICES * 51,571.56 VI. TOTAL INDIRECT OPERATION ** *These figures are transferred to Final Budget Page ** This figure is transferred to Administrative/Supportive Services Budget Page COUNTY PROVIDED PROGRAM UNIT RATE WORKSHEET 1. DSS staff, cost per month $ 2. Contract staff, cost per month $ 3. Direct services operating, cost per month $ 4. Space guarantees, cost per month $ 5. Prorated Administrative/Supportive and indirects, cost per month $ 6. Total, Alternatives cost per month $ 7. Program capacity, number of children meeting target group definition to be served each month $ 8. Average number of children meeting target group served each month $ 9. Cost per month per child (116/#7) $ *This number must match average number of children in other portions of your PAC program. 38 930354 CWEST CODING SUMMARY PAGE WELD COUNTY COUNTY'S PROGRAM NAME: YOUTH PASSAGES ACCOUNT NUMBER (CODE) : 21 CWEST PROVIDER FROM TO UNIT RATE RESERVE/ PROVIDER NUMBER OF OF MAX/MIN/ NAME SERVICE PAYMENT FLAT North Colorado Medical 63973 6/1/93 5/31/94 Hour $16.56 N/A Center 39 930354 WELD COUNTY PLACEMENT ALTERNATIVE PLAN FINAL BUDGET PAGE FY 1993-1994 ACCT PRGM PROGRAM NAME PAC FOSTER OTHER TOTAL CODE CODE FUNDS CARE FUNDS PROGRAM FUNDS 35 1735 Therapeutic Foster $181, 068 $ 84,480 $265,548 Care 29 1729 Partners Plus $111, 696 $111, 696 68 1768 Parent Advocate $ 37, 755 $ 37, 755 23 1723 Day Treatment $ 43,200 $28,000 $ 72,000 51 1751 Intensive Services $ 72,408 $ 72,408 21 1721 Youth Passages $ 51,571.56 $51,571.56 TOTALS DATE APPROVED DATE EFFECTIVE 40 9.3O354 jilt ' I ' ':) r DEPARTMENT OF SOCIAL SERVICES 4a MEMO P.O. BOX A �� GREELEY,COLORADO 80632 119 - " Administration and Public Assistance(303)352-1551 Child Support(303)3526933 C�. Protective and Youth Services(303)352-1923 C Food Stamps(303)356-3850 9 FAX(303)353-5215 COLORADO TO: Constance Harbert, Chairman Weld County Board of Commissioners .. / • FROM: Judy A. Griego, Director / i r Social Services DATE: April 19, 1993 SUBJECT: 1993 - 1994 Placement Alternatives Commission (PAC) Plan Enclosed for Board approval is the Placement Alternatives Commission's (PAC) Plan for the program year 1993 - 1994. The PAC recommends that the Weld County Board of Commissioners approve the plan for $496,712.53. This recommendation is in excess of the anticipated amount of funding of $482,431.00 which was the 1992 - 1993 allocation. The excess amount is $14,281.53. The PAC further recommends that if the State grants PAC funds based on the 1992 - 1993 funding level that the excess funds of $14,281.53 will be taken from the Youth Passages Program. The recommended individual program funding within the PAC for each project is as follows: C.A.R.E. -- Parent Advocate $ 37,755.00 In-Home Intensive Care 72,408.00 Therapeutic Foster Care 181,068.00 Youth Passages 51,581.53 Weld Partners Plus 111,700.00 Day Treatment 42,200.00 TOTAL $ 496,712.53 If you have any questions please call me at 6200. amA! � 741)_, t- _ + @t ) t'(J-Y`'?M`1 .< jknti 4 936354 Hello