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Home My WebLink About971084.tiffWeld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award _ Revision Contract Award Period Beginning 06/01/97 and Ending 05/31/98 Computation of Awards Unit of Service Services would be provided to families that have at least one child (ages 0-8) who has been scheduled for one supervised visit per week. It will serve up to a maximum of 18 families per year, for three hours per week, for 20 weeks. Parents would be required to participate in three programs: Supervised Visitation, Parent Support Group, and Adult Education/Life Skills. Cost Per Unit of Service Hourly Rate Per $ 29.64 Unit of Service Based on Approved Plan ncl re : Signed RFP; Exhibit A Addendum RFP Information; Exhibit B 1/Condition(s) of Approval Approvals: Contract Award No FY97-PAC-12000 (RFP-PAC-97005) Name and Address of Contractor Greeley Dream Team Life Skills Program 811 15th Street Greeley, CO 80631 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP), and Addendum RFP Information. The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NOFAA in which case the NOFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by client - signed verification form, and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be submitted to the Weld County Department of Social Services by the end of the third business day following the end of the month of service. Program Official: By Judy Weldl Date: kGrie4 D ect° ount eta a of S cial Services 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 INVITATION TO BID DATE: February 5, 1997 BID NO: RFP-PAC-97005 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-PAC-96005) for: Fami y Preservation Program --Life Skills Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 25, 1996, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that applications will be accepted for approved vendors 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 twelve month programs targeted to run from June 1, 1997, through May 31, 1998, at specific rates for different types of service, the county will authorize approved vendors and rates for services only. The Life Skills Program must provide services that focus on teaching life skills which are designed to improve household management competency, parental competency, family conflict management and effectively accessing community resources. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B. .Background, Overview and Goals PART C...Statement of Work Delivery Date (After receipt of order) VENDOR GREELEY DREAM TEAM, INC. ADDRESS (Name) 811 15TH STREET GREELEY, CO 80631 PHONE # 351-6410 PART D. Bidder Response Format PART E...Bid Evaluation Process BID MUST BE SIGNED IN INK SUSAN V. RUTH TYPED OR PRINTED SIGNATURE Handwritten Signature By Authorized Officer or Agent of Vender TITLE EXECUTIVE DIRECTOR DATE 3/25/97 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 971084 RFP-PAC-97005 Attached A LIFE SKILLS PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RFP-PAC-97005 NAME OF AGENCY: ADDRESS: PHONE: f 970) 351-6410 CONTACT PERSON: GREELEY DREAM TEAM, INC. 811 15th Street, Greeley, CO 80631 Susan V. Ruth TITLE: DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: ileaSkill Pro a_m air services that focus on teaching life skills trci to facilitate imnl m �—"ar—� m��`I r vi management c m r ase plan by i[noro_n h okj ---�R€�Sy�DarenL! comoetencv family car n g --3•o .flict manap�men ant eflee„t:, el y oPc in nun resources_ 12 -Month approximate Project Dates: Start June 1.1997 End May 31.1998 TITLE OF PROJECT: AMOUNT REQUESTED: Executive Director 12 -month contract with actual time lines of: Start End DREAM TEAM LIFE SKILLS PROJECT $29.64 per hour Name and Signature of Person Preparing Document Sus n V. Ruth J V 4 Name and Signature Chief Administrative Officer Applicant Agency Susan V. Ruth 3/25/97 Date 3/25/97 Date MANDATORY PROPOSAL REOUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Project Description '�Target/Eligibility Populations -Types of services Provided Certificate of Insurance ?se -Measurable Outcomes Service Objectives orkload Standards Date of Meeting(s) with Social Services Division Supervisor: Comments by SSD Supervisor: Date ,¶i-StaffQualifications nit of Service Rate Computation ¶≤tProgram Capacity per Month Name and Signature of SSD Supervisor 24 971084 I. PROJECT DESCRIPTION The Dream Team Life Skills Program will provide a multi -faceted approach to working with parents and their children in an effort to reunite the family. The Project would be available to parents referred by the Weld County Department of Social Services who have had their child / children removed from the home and are in the process of working toward reunification of their family. Services would be provided to families that have at least one child under the age of 8 years who have been scheduled for supervised visits and live within the Greeley - Evans community. The Project would contract to serve a total of 18 families with an average length of stay in the program of 4 months. Two bilingual Family Facilitators will provide the Project services as well as be available to provide court testimony on behalf of the participants. Both of the Family Facilitators have pagers which enables them to receive information regarding referrals and respond to those referrals in 24 - 48 hours. All participants will be required to sign a contract with the Dream Team, outlining the requirements for participation. Parents would be required to participate in each of the following program components: 1.) Supervised Visitation A bilingual Family Facilitator will be assigned to each family to arrange the time and location of the supervised visitation sessions. Each visitation would last for a minimum of 1 1/2 hours - 1 hour with the child and 1/2 hour with the Facilitator to discuss issues with the parent. Visitations would be held at one of our established sites - Rocky Mountain SER, United Presbyterian Church or Dos Rios Headstart. Visitations could be scheduled for the late afternoon or early evening to facilitate working parents. 2. Parent Education Group The Dream Team provides two parent education groups per week. A group facilitated in Spanish is held on Friday mornings from 9:30 to 11:00 and one in English is held on Tuesdays from 10:30 to 12:00. Both groups cover developmentally appropriate practices in parenting as well as issues such as health and nutrition. Transportation is offered by Dream Team staff to parents who have no other transportation available. II. TARGET / ELIGIBILITY POPULATIONS A. Total number of clients to be served in the 12 - month program Our project will provide services to 18 family units consisting of one or two parents and one or more children. B. Total individual clients and the children's ages At least 18 adults and 18 children under the age of 8 years C. Total family units The project will serve 18 family units 971084 D. Sub -total of individuals who will receive bicultural / bilingual services Our project can accommodate all 18 families with bicultural and bilingual services if necessary, as both Family Facilitators are Hispanic and bilingual. E. Sub -total of individuals who will receive services in South Weld County. Our project will only serve residents of the Greeley / Evans community F. The monthly maximum program capacity 6 families G. The monthly average capacity 6 families H. Average stay in the program (weeks) 20 weeks I. Average hours per week in the program 3 hours III. TYPE OF SERVICES TO BE PROVIDED A. Teaching, modeling, demonstrating, and coaching as an interactive process with the clients. Each of the project components offer opportunities for teaching and modeling with the parents. The weekly supervised visitation sessions will be designed to incorporate modeling with the parent regarding developmentally appropriate activities and interactions with their child. The Family Facilitator may model the use of different toys or materials that the parent may use with the child during the visitation session. These demonstrations help build the parents repertoire of things they can do with their child that are fun and help build positive bonds between the parent and the child. Teaching and modeling opportunities are also a main focus of the Parent Education Groups that meet each week. The facilitators of both groups provide new information to the parents at each session concerning appropriate parenting practices as well as life skills issues such as health and nutrition. B. Training in household management, including budgeting, cleaning, maintenance, purchasing, menu planning, food preparation. Training in household information will be facilitated with all parents through conversation during the 30 minute parent time that will be incorporated in the supervised visitation schedule. The Family Facilitator will be able to share information regarding household management and assign tasks such as developing a budget or planning a nutritious meal to the parent and then review it with them the next week. 971084 B. Improvement of parental competency as measured by pre and post assessment instruments. The Life Skills Project will utilize the Adult -Adolescent Parenting Inventory / AAPI by Stephen J. Bavolek as a pre and post instrument for parental competency. The inventory is designed to assess the parenting and childrearing attitudes of adults. The pretest would be administered to parents when they begin the group and the post- test would be administered at the end of the four month period or whenever the parent exits the program. The Family Facilitator will also use her observations during the visitation sessions to monitor the progress parents are making in assimilating what they are learning during the Parenting Group. Observations and other pertinent information will be documented in the family file. C. Parents can independently work with other sources in the community and within the local, state, and federal governments. Family Facilitators will use an agency developed pre and post survey to evaluate knowledge that families have gained concerning access and utilization of resources. The survey is a simple listing of agencies and organizations that parents may utilize. The parent simply checks off if they are familiar with the organization and what service it provides as well as if they have utilized the service. The survey is administered when a parent is admitted to the program and when they exit the program. The post -test survey will be administered when a family exits the program to determine the knowledge gained regarding local resources. In addition to the survey, the Family Facilitator documents referrals made to the parents as well as the follow- through on the part of the parent. The goal would be to introduce parents to a minimum of three new community resources that they could utilize. D. Families receiving life skills services will remain intact six months after discharge of the services. Families could participate in a follow-up program through the Dream Team's Even Start Program if they would desire. This program would provide similar services as the Life Skills Program, only on a less intensive basis. The Family Facilitators would provide bimonthly home visits to the families for up to six months to help bridge the support and assist at keeping the family intact. this would be a strictly voluntary program for parents which is funded through other resources than PAC money. Our goal would be that a minimum of 80% (14 families) be intact six months after discharge from the program. E. Families / participants who complete the Life Skills Services will have improved competency level or reduced risk on standardized assessment such as the risk assessment tool. We would implement a mid -point evaluation with the parents and the Family Facilitator to assess if the services provided are meeting the needs of the parents. A final written (oral if the parent is unable to write) assessment to assess the skills that the parent has mastered over the course of the program. 971084 The Family Facilitator may also schedule a separate meeting with a a parent to discuss a particular household management issue that has come to her attention or she may refer the parent to another community agency that deals with the problems. C. Teaching child rearing and discipline; parenting The Parent Support Group serves as the focal point for this source of information. We provide two parenting groups (one in Spanish and one in English) each week for parents in the project. A staff person from CARE facilitates the English speaking group and Isabel Rodriguez and Sherie Calvillo facilitate the Spanish group. Both groups are organized in an interactive style to allow parents an opportunity to ask questions as well as voice their own personal experiences. The Family Facilitator will have the opportunity to observe what the parent has learned during the visitation sessions. The Family Facilitator will document the extent the which the parent is modeling the information they have learned in their parenting group, with their own child. The parent will also have an opportunity to discuss parenting issues with the Family Facilitator during the 30 minute parent time that is held in conjunction with the supervised visitation. D. Teaching how to establish community linkages / advocacy and making use of services. The Family Facilitators will serve as the primary person responsible for assisting the participants with establishing community linkages and utilizing community services. The Facilitator will make appropriate referrals and follow up with the participants regarding their visits. All of the particpatng families will be assigned a Family Facilitator to work with for the duration of the program. E. Demonstrating nurturing / esteem role -modeling Each of the Family Facilitators are very nurturing individuals that exhibit high self esteem within themselves. Their positive self -concepts are modeled in each interaction with families, in an effort to boost the self esteem and confidence of the parents and children. IV. MEASURABLE OUTCOMES A. Improvement of household management competency as measured by pre and post assessment instruments. Our source of evaluation of household management competency is through the initial interview and observations of the Family Facilitator as compared with the exit interview. A simple rating scale will be utilized by the Family Facilitator to document the progress the parent has made in this area. the parent will also rate themselves. The Family Facilitator will be making weekly observations and documentation concerning this issue in the participants file to utilize in monthly progress reports. the rating scales will be made available to the caseworker for treatment planning and monitoring. 971084 C. Maximum caseload per worker Each of the 2 family facilitators would maintain a maximum caseload of 3 Project families. D. Modality of treatment Agency based groups and supervision of visitation between parent and child. E. Total Number of hours per day / week / month 10 hours / week - with a full caseload of 6 families F. Total number of individuals providing these services 3 staff G. The maximum caseload per supervisor Susan Ruth, Executive Director of the Greeley Dream Team will serve as the supervisor for the two Family Facilitators. Ms. Ruth will meet weekly with the staff to discuss the various components of the project as well as the progress of the families. Ms. Ruth will not carry a caseload or work directly with the families. VII. STAFF QUALIFICATIONS There will be 2 Dream Team staff directly assigned to the Project. Both of the Family Facilitators meet or exceed the minimum qualifications stated in the PAC guidelines for service in the Life Skills area. Susan Ruth, Project Director and staff supervisor will be an indirect staff person assigned to the Project. CARE will assign a staff person to teach the English speaking Parent Education Group. The staff persons and their qualifications are as follows: Sherie Calvillo - Family Facilitator Sherie has a Bachelor of Arts in speech communication with a minor in Spanish, from Colorado State University. she grew up in Greeley and graduated from Greeley Central High School. Sherie is fluent in both Spanish and English. she has worked for the Greeley Dream Team for 3 years as a Family Outreach Facilitator with the Even Start Family Literacy Program. During her tenure with the Dream Team, Sherie has attended numerous workshops and conferences dealing with parent and child issues. Isabel Rodriguez - Family Facilitator Isabel brings a vast amount of experience to this Project, having been a Migrant Recruiter - Parent Education Coordinator for district 6 for 20 years prior to joining the staff of the Dream Team. Isabel has also worked for the BOCES Migrant Summer School Program and the Parent Child Learning Center. She has worked for the Dream Team for 4 years as a Family Outreach Facilitator with the Even Start Family Literacy Program. Isabel received her GED from Aims community College in 1975 and has attended numerous conferences and workshops on family issues. Isabel is fluent in both English and Spanish. 971084 V. SERVICE OBJECTIVES A. Improve Household Management competency - capacity of parents to provide safe household environment for their children through competent household cleaning and maintenance, budgeting and purchasing. We will provide these services through a multifaceted approach that includes supervised visitation sessions and the Parent Education Group. Each of these components will teach and foster new household management techniques in the areas of safety, household cleaning and maintenance, food planning and purchasing. Progress will be monitored through the pre and post assessments as well as through monthly progress reports that will be sent to the caseworker. All participants will be involved in this service area. B. Improve Parental Competency - capacity of parents to maintain soundoelationships with their children and provide care, nutrition, hygiene, discipline, pro instructions and supervision. The Parent Education Group as well as individual sessions with the Family Facilitator will be utilized to enhance parenting skills and foster positive parent / child interactions. Progress will be monitored through the pre and post test data as well as during weekly visitation sessions when the Family Facilitator will observe and document the extent that the parent is utilizing the parenting information they learn in class. All project participants will be required to participate in parenting activities that will improve their parental competencies. C. Improve Ability to Access Resources - services shall assist parents to work with other sources in the community and the local, state and federal governments. The Family Facilitators will assist the families in gaining knowledge concerning community resources and how to access the resources. Information about community resources will be conveyed to the participants in the Parent Education Group as well as in individual sessions with the Family Facilitator. Progress will be monitored by the Family Facilitator utilizing the pre and post assessment and weekly visits with the parents concerning the awareness and usage of community resources. VI. WORKLOAD STANDARDS A. Number of hours per day, week or month Each of the Family Facilitators is employed full-time (40 hours per week) by the Greeley Dream Team. The Project would utilize up to 5 hours per week per Facilitator if a full caseload of 6 families were maintained. B. Number of individuals providing the services The two Family facilitators would be the individuals directly responsible to develop, implement and monitor the case plan for each family referral. In addition, a staff person from CARE would be assisting with one of the Parent Education Groups. A total of 3 staff. 971084 Susan V. Ruth - Project Director / Supervisor Susan has a M.A. in Special Education from the University of Northern Colorado, 8 years of teaching experience at the secondary and elementary levels, as well as 12 years of program coordination and management in the non-profit sector. She has served as Executive Director of the Greeley Dream Team for the past 6 1/2 years. As project Director / Supervisor, Susan will be responsible for fiscal management and reporting, project evaluation and reports, facilitation of staff meetings and supervision for the 2 Family Facilitators. 971084 RFP-PAC-97005 Attached A Will your staff who are providing direct services have the minimum qualifications in education and experience. Describe. Total number of staff available for the project. VIII. COMPUTATION OF DIRECT SERVICE RATE Estimate the following on a monthly basis. If you have more than one employee use this sheet to summarize their time usage. If you are having any difficulty in estimating time have the employee track their time for a week. For different services the provider can request different direct service rates. An average rate can be used or a separate rate can be used for each type of service. Service rates may also be stated as a fixed amount for an assessment, court appearance, etc. If so completing this section would not be necessary. Service rates can be stated on a daily basis, as opposed to an hourly amount. Direct Time (Per Month) Hours 1. Direct client contact 48.46 Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case management 8. Other 9. Subtotal 10. Total Time Available Per Month 11. Ratio of Direct to Total Time 27 7.0 8.2 2.0 2.0 3.4 1.6 24.2 72.66 (Sum of 1-8) 66.69% (1/10 = 11) 971084 IX. RATE COMPUTATION Service Costs Attached A Direct Costs Salaries Sherie & Isabel Benefits Care Indirect Costs Supervision (Sue) Benefits Support Staff Accountant Secretary Benefits Overhead Rent Utilities Supplies/Materials Postage Travel Telephone Equipment Data Processing Other Total Direct Total Direct Time Monthly Hourly Rate Hourly Rate % of Time Charge 3,750.00 811.91 40.19 Subtotal 4,602.10 3,500.00 700.00 2,301.00 993.00 716.12 Subtotal 8,210.12 150.00 412.05 42.00 254.00 150.37 203.08 853.50 Subtotal 2,065.00 # of Employees 9.50 Overhead per Employee 217.37 Overhead per Total Hours 1.26 Direct Service Rate Maximum Capacity: 6 families per month 28 10.84 1.81 3.84 16.49 16.25 2.72 5.76 24.73 100.00% 100.00% 100.00% 20.19 10.00% 4.05 10.00% 13.28 7.12 4.13 48.77 5.00% 5.00% 5.00% 16.25 2.72 5.76 24.73 2.02 0.41 0.66 0.36 0.21 3.65 1.26 29.64 971084 MASTER INSURANCE POLICY - COMMON POLICY DECLARATIONS Policy No. 1MP 300635082 04 Renewal of 1MP 300635082 03 USF&G® INSURANCE 1. NAMED INSURED AND MAILING ADDRESS: (No., Street, City, State, Zip Code) THE GREELEY DREAM TEAM, INC. 811 15TH STREET GREELEY, CO 80631 2. POLICY PERIOD: From 01/01/97 to 01/01/98 12:01 A.M. standard time at your mailing address shown above. ® United States Fidelity and Guaranty Company ❑ Fidelityand Guarantylnsurance Underwriters,Inc. ❑ Fidelity and Guaranty Insurance Company (Each a Stock Insurance Company) The issuing company is designated above by the letter X. Branch Office: WEST SBMC DENVER Agent: BARTELS & NOE AGCY INC Address: P 0 BOX B GREELEY, CO 80632 Agent's Code: 7147 Subproducer No.: 000 3. BUSINESS DESCRIPTION Countersigned By: COMMUNITY VOLUNTEER 4. In return for the payment of the premium, and subject to all the terms of this policy. we agree with you to provide the insurance as stated in this policy. This policy consists of the following Coverage Part(s) for which a premium is indicated. This premium may be subject to adjustment. The Policy Writing Minimum Premium is $500.00 Coverage Part(s) ERCIAL PROPERTY ERCIAL GENERAL LIABILITY NESS AUTO Premium $ 136.00 $ 227.00 $ 161.00 $ 250.00 $ Total Policy Premium $ 774.00 Um is payable: At Inception $ .RMS AND ENDORSEMENTS APPLICABLE TO ALL COVERAGE PARTS (See specific form or endorsement :applicability to each coverage part.): .IL 00 21 02 88 IL 129 01 94 L 154 07 90 0 17 11 85 610 89M IL 01 69 02 93 IL 02 28 10 89 CL/IL 102 10 89M Client No.: 0000029928 DIRECT BILL. AYM:NTPLAN '.'mthly DIRECT BILL 971084 12/011.9_. MAY 07 '97 09:55AM WELD COUNTY DIST 6 P.2/7 May 6, 1997 811 fffreenrh Street Greeley Colorado 80631 'Phone (9701 352.6410 Ms. Judy Griego Weld County Department of Social Services P.O. Box A Greeley, CO 80631 Dear Judy: The following information is in response to questions listed in your letter of April 17, concerning our PAC Bid. 1.) Further explain the proposed program evaluation, i.e. tools, pre and post-test instruments, data collection, used to monitor the effectiveness of your program. Our program effectiveness is measured from several different aspects. Interactions between the parent and child during supervised visitation sessions is charted using the Parenting Inventory that was developed based on Stephen Bavolek's 4 constructs. An inventory is completed during each visitation and discussed with the parent following the visitation. (Copy of Parenting Inventory attached.) The information from the inventory is used as a basis to report improvements in parenting skills with the caseworker. The Family Facilitators observations during visitation sessions are also a critical aspect of evaluation. Anecdotal notes in the files assist in evaluating if the parent is making progress. The facilitators also utilize the Adult - Adolescent Parenting Inventory (AAPI) as a pre / post test with parents. (copy of inventory is attached) This inventory covers a wide variety of questions relating to parental attitudes about children and the roles between parent and child. Improvement in household management competency is a difficult aspect for us to accurately evaluate, since the visitation sessions are not done in the home and the Family Facilitators rarely if ever visit the family home. It must also be noted that we deal directly with this issue when the caseworker tells us it is a major Issue, otherwise our time is spent more on parenting and child development issues. We evaluate this area based on the interview with the parent and their perceptions of the problems as well as the information received from the caseworker. The Family Facilitator uses materials / handouts on household management to help the parent set simple goals for improvement. The improvement is charted using a simple rating scale. Changes are noted in the family file. Parents knowledge of community / government resources is evaluated using a community survey of agencies. Parents check off agencies that they are familiar with 971084 MAY 07 '97 09:56AM WELD COUNTY DIST 6 P.3/7 or have utilized, The Facilitators goal is to introduce the parents to a minimum of 3 new resources. The survey is given when the family enters the program and when they exist. Our main criteria of success is that the parent and child get reunified and remain intact.. Hopefully, that reunification is due to the fact that the parents have shown significant progress in their parenting skills, as noted from visitation sessions, and ability to provide a safe environment for their child / children, The Family Facilitators communicate on a regular basis with the caseworkers in an effort to keep them appraised of parents progress and the goal of reunification. 2.) While not specifically addressed in the Invitation to Bid, it is the expectation of the Placement Alternatives Commission that all providers will initiate service interventions within five working days, i.e, commencement of direct services, other than assessment alone. Will you be able to meet this requirement? We will be able to meet the 5 day window to initiate service. Our only problem with meeting this requirement is when we can not reach the client to set an appointment to meet. If we are not able to reach them after several attempts, we contact the caseworker and initiate their assistance. We also do not initiate service until we have received paperwork in our office. Many times a caseworker contacts us by phone regarding a case, but does not get paperwork to us for several days. My rule is that the 5 day window for service begins when we have received the paperwork in our office. 3.) Further clarify services provided to South County clients. We do not service clients outside of the Greeley / Evans area unless they are able to come to Greeley for their visitation. Our staff are located in Greeley and do not have the ability to travel to other parts of the county for this service. We had considered sub- contracting with someone in the Fort Lupton area, but changes in the staffing at the Dream Team have made it too difficult to take on additional service areas at this time. 4.) Further clarify proposed provision for transportation, including South County. We will not provide transportation to individuals in South County. We can provide limited transportation to parents in the Greeley / Evans area for parenting groups. Other transportation needs would be dealt on a case by case basis with the Caseworker and myself. I hope this adequately answers your question. If you need further clarification, please contact me at my office, 351-6410. Sincerely, otri Susan V. Ruth Executive Director 971084 MAY 07 '97 09:57AM WELD COUNTY DIST 6 Form A P.7/7 Strongly Strongly Agree Agree Uncertain Disagree Disagree 16. Parents should expect their children to feed them- SA A selves by twelve months. 17. Parents should expect their children to grow SA A U D SD physically at about the same rate. 18. Young children who feel secure often grow up (9 A U D SD expecting too much. 19. Children should always "pay the price" for mis- SA A U D SD behaving. 20. Children under three years should be expected to SA A U 0 :(Sp feed, bathe, and clothe themselves. 21. Parents who are sensitive to their children's feel -t A U D SD ings and moods often spoil their children. 22. Children deserve more discipline than they get.?? A U D SD 23. Children whose needs are left unattended will ict A U I) SD often grow up to be more independent. 24. Parents who encourage communication with their SA A D SD . children only end up listening to complaints. 25. Children are more likely to learn appropriate be- l A U D SD bavior when they are spanked for misbehaving. 26. Children will quit crying faster if they are ignored. SA U D SD 27. Children five months of age ought to be capable sA A U. D SD of sensing what their parents expect. 28. Children who are given too much love by their SA A U 0 SD, parents often grow up to be stubborn and spoiled. 29. Children should be forced to respect parental ciji 'A U D ' SD authority. 30. Young children should try to make their parent's SA A U D life more pleasurable. nD 31. Young children who are hugged and kissed usually Sa A U D SD grow up to be "sissies." 32. Young children should be expected to comfort SA A U D rSDI their father when he is upset. suet Family Development itam.tcss, Inc. MI rights reserved. This test or pans chete& sty not be =produced le Any knit without permission Celle publisher. 971084 MAY 07 '97 09:57AM WELD COUNTY DIST 6 Form A P.6/7 I. Young children should be expected to comfort their mother when she is feeling blue. 2. Parents should teach their children right from wrong by sometimes using physical punishment. 3. Children should be the main source of comfort and care for their parents. 4. Young children should be expected to hug their mother when she is sad. 5. Parents will spoil their children by picking them up and comforting them when they cry. 6. Children should be expected to verbally express themselves before the age of one year. 7. A good child will comfort both of his/her parents after the parents have argued. 8. Children learn good behavior through the use of SA physical punishment. 4 �� 9. Children develop discipline.god, strong characters through very strict 2 10. Parents should expect their children who are under three years to begin taking care of them- selves. 11. Young children should be aware of ways to com- fort their parents after a hard clay's work. 12. Parents should slap their child when s/he has done something wrong. 13. Children should always be spanked when they / SA �) misbehave. 14. Young children should be responsible for much of the happiness of their parents. 15. Parents have a responsibility to spank their _ children when they misbehave. Strongly Agree. Ague Strongly Uncertain Disagree Disagree SA A U D gD t A U D SD SA A U D i:_.;1 SA A U D CIS) A U D SD �SA� A U D g) SA A U D SD) A U D SD A U D SD SA A U D iSD'> SA A U D tSD, r SA A U D A U D SD SA A U D gV\ 53) A U D SD Please go to next page. 0184 nag, Developnteet Resources, It All WOW Rammed This tun or Puts thereof myna be reproduced i. anyfotnt *Jihad perminioaor the publisher. 971084 MRY 07 '97 09:56RM WELD COUNTY DIST 6 P.4/7 Parenting Inventory Evaluation of 4 constructs Box 1: Empathy Box 2: Understanding of family roles Box 3: Belief in corporal punishment Use of other consequences for behavior Box 4: Behavior expectations for child Supervised visit# Family Name_ Child's Name Child's Age J 4 971084 MAY 07 '97 09:56RM WELD COUNTY DIST E. P.5/7 Adult -Adolescent Parenting Inventory AAPI Form A Stephen J. Batwlek, Ph.D. Name: Agc San (Circle one) Male Female Race: (Circle one) White Black Hispanic Asian Oriental American Indian Other: If Appropriate: School Name: Grade Level; INSTRUCTION& There are 32 statements in this booklet. They are statements about parentingand raising children. You decide the degree to which you agree or disagree with each statement by circling one of the responses. STRONGLY AGREE --Circle SA if you strongly support the statement, or feel the statement is true most or all the time, AGREE— Circle A if you support the statement, or reel this statement is true some of the time. STRONGLY DISAGREE— Circle SD if you feel strongly against the statement or feel the statement is not true most or all the lime. DISAGREE —Circle D if you feel you cannot support the statement or that the statement is not true some of the time. UNCERTAIN— Circle U only when it is impossible to decide on one of the other choices. When you are told to turn the page, begin with Number l and go on until you finish all the statements. In answering them, please keep these four points in mind: 1. Respond to the statements truthfully. There is no advantage in giving an untrue response because you think it is the right thing to say. There really is no right or wrong answer— only your opinion. 2, Respond to the statements as quickly as you can. Give the first natural response that comes to mind. 3. Circle only one response for each statement. 4. Although some statements may seem much like others, no two statements are exactly alike. Make sure you respond to every statement. If there is anything you don't understand, please ask your questions now. If you come across a word you don't know while responding to a statement, ask the examiner for help. When you finish, please feel free to write any comments you have on the back page. Turnahe Page and Begin O1994 Family Develepmeot Runvrc s. Inc. A0 tights reserved. This test or pans thereof may nal be reproduced lit say form without permission or the publisher. 3160 Pinebraok RD, Park City, UT 84060 AATA 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Revision Contract Award Period Beginning 06/01/97 and Ending 05/31/98 Computation of Awards Unit of Service A maximum of twelve children (ages 0-8) per year who screen positive with an attachment disorder will be served. For children who screen positive, a complete evaluation will be done by a therapist from the Attachment Center. Therapist will make specific recommendations for intervention by WCHD nurse in the family's home, three-four hours per week for six to eight months. Cost Per Unit of Service Hourly Rate Per $ 80.25 Unit of Service Based on Approved Plan Endo ures: /Signed RFP; Exhibit A dendum RFP Information; Exhibit B Condition(s) of Approval Approvals - By ,e f. deorge . Baxter Board of Weld County Date: Contract Award No. FY97-PAC-8000 (RFP-PAC-97005) Name and Address of Contractor Weld County Department of Health Life Skills - Attachment Program 1517 16th Avenue Court Greeley, CO 80631 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP) and the Addendum RFP Information. The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NOFAA in which case the NOFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by client - signed verification form, and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be submitted to the Weld County Department of Social Services by the end of the third business day following the end of the month of service. Program Official: By Judy ./Grie•o Director Weld aunt r -partment .f Social Services Date: �S�3/47 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 INVITATION TO BID DATE: February 5, 1997 BID NO: RFP-PAC-97005 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 Request for Proposal (RFP-PAC-96005) for: SUMMARY Family Preservation Program --Life Skills Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 26, 1996, Tuesday, 10:00 a.m. The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that applications will be accepted for approved vendors 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 twelve month programs targeted to run from June 1, 1997, through May 31, 1998, at specific rates for different types of service, the county will authorize approved vendors and rates for services only. The Life Skills Program must provide services that focus on teaching life skills which are designed to improve household management competency, parental competency, family conflict management and effectively accessing community resources. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work Delivery Date March 25. 1997 (After receipt of order) MUST BE SIGNED IN INK PART D...Bidder Response Format PART E...Bid Evaluation Process VENDOR ADDRESS Weld County Health Department (Name) 1517 16TH AVENUE COURT GREELEY CO 80631 PHONE # (970 353-0639 John Pickle TYPED OR PRINTED SIGNATURE Handwritten Signature By Authorized Officer or Agent of Vender TITLE DIRECTOR. WELD COUNTY HEALTH DEPARTMENT DATE The above bid is subject to Terms and Conditions as attached hereto and incorporated. 971084 Name and Signature of Person P paring Document Date ohn Pickle, R.S., M.S.E.H. 3/14/97 _ e and Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS Please initial to indicate that the following required sections are included in this proposal: 45 Project Description KS Target/Eligibility Populations KS Types of services Provided Certificate of Insurance CS Measurable Outcomes KS Service Objectives K5 Workload Standards RFP-PAC-97005 LIFE SKILLS PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RFP-PAC-97005 NAME OF AGENCY: Weld County Health Department ADDRESS: 1517 16th Avenue Court, Greeley, CO 80631 PHONE: j 970) 353-0586 CONTACT PERSON: Kathy Shannon, R.N., M.S.N. TITLE: Attached A Nursing Supervisor DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Life Skills Program Category must provide services that focus on teaching life skills designed to facilitate implementation of the case plan by improving household management competency,parental competency. family conflict management and effectively accessing community resources. 12 -Month approximate Project Dates: Start June 1, 1997 End May 31. 1998 12 -month contract with actual time lines of: Start End TITLE OF PROJECT: Identification and Case Management of Families with Attachment Problems AMOUNTREQUES ED Kar/hy'Shannon, R.N., M.S.N. 3/14/97 ICS Staff Qualifications 'L5 Unit of Service Rate Computation Ct Program Capacity per Month Date of Meeting(s) with Social Services Division Supervisor: Comments by SSD Supervisor: Name and Signature of SSD Supervisor Date 24 971084 Identification and Case Management for Families with Attachment Problems 1. PROJECT DESCRIPTION The Attachment Center at Evergreen, Inc. was founded by Dr. Foster Cline over 20 years ago, and continues today under the direction of Paula Pickle,L.C.S.W., M.S.W. It is served by specially trained therapists who work with the most severely affected children. They conduct two-week intensive care therapeutic sessions with children who are placed in therapeutic homes with foster parents who have been trained to meet their special needs. They also conduct quarterly workshops for parents and professionals struggling to work with children with Attachment Disorders. An Attachment Disorder (AD) is a condition in which individuals have difficulty forming loving, lasting, intimate relationships. In the most severe situations, the children fail to develop a conscience and do not learn how to trust others. The children are also at high risk for child abuse as caregivers struggle to deal with the children's behavior. The Weld County Health Department (WCHD) in conjunction with the Attachment Center at Evergreen, Inc. will screen children from zero to eight years of age for attachment disorders. All children seen will be referred from the Department of Social Services (DDS). A WCHD nurse has been trained by the Attachment Center in screening and day to day interventions for parents. The goal is to identify nine children who screen positive with an attachment disorder. For those children who's screen is positive, a complete evaluation will be completed by a therapist specializing in attachment disorders from the Attachment Center. This therapist would make specific recommendations for intervention to be done by the WCHD nurse in the family's home. All of the parents will be assisted with parenting skills, life management skills, conflict management and resource development. This assistance will help parents cope with children at greater risk for abuse due to the attachment problems. The Attachment Center also has therapeutic parents available for consults. Phone consults between the WCHD nurse and Attachment Center would be on -going. In the last year two of the children screened and evaluated needed the additional services of the specialists in AD therapy and specialized parenting education. These children were seven and eight years of age, and had been through all the systems available in Weld County and were ultimately placed in residential treatment homes. A new component 971084 of this year's grant will be to have therapists with the special attachment training available if it's needed through the contract with Evergreen. The Health Department also has two pediatric neurologists available to help with differential diagnoses when necessary. Each child who is diagnosed with an attachment disorder would start with intensive intervention as necessary in all life skill areas. These home visits would decrease in intensity gradually as the child and family progress. It is our hope that if these children are diagnosed early and receive appropriate intervention it will prevent the need for long term therapy and/or out -of -home placement or failed adoptions. Each family will be encouraged to join a parent support group which will help parents get the information and services they need. The current group has identified three areas of need: First, respite care and therapeutic foster care specific to the needs of attachment children. These are not within the scope of this grant, but are being pursued separately by Evergreen. Second, the group identified the need for the specific therapeutic parenting interventions mentioned above. New literary resources are constantly being found for the group and a small collection of books and tapes has been started for lending. Weld County Health Department Nurses have long done home visit case management and resource linkage for all children. They also administer the Health Care Program for Children with Special Needs(HCP) which helps pay for children to be seen by specialists such as neurologists who can help evaluate these kids. This Attachment Disorder grant adds another needed component to existing services. II. TARGET POPULATION / ELIGIBILITY REQUIREMENTS The number of families receiving intervention will be twelve. However, the number of children could be higher if there are several siblings in a family. The number of children screened could be many more with only a small percentage screening positive for AD. In our second year (1996-97) our referrals increased significantly to nine families involving thirteen children. We also completed interventions with six children in four families from the first year. 971084 All the clients billed to PAC will be referred from the Department of Social Services and should be between the ages of newborn and eight years of age. A total of twelve family units will be served. These family units would include all family members that have a relationship with the identified child and who are willing to invest in an ongoing relationship. If the children are in foster placement efforts will be made to work with foster parents and biological parents to assist in reunification of families. About 25% of Weld County's population is Hispanic so we would expect that two to three of our clients will be Hispanic. However, we have only had one monolingual Spanish family referred so far. All children regardless of families language or culture needing attachment assistance will be accepted. Between 30% and 40% of Weld County. Therefore, we would referred population will be from Social Services will location within the county. were provided services. county population is in south Weld estimate the that 30% to 40% of our from south Weld County. All referrals accepted regardless of the families In 1996-97 three south county families The maximum number of families receiving intervention in a month will be six to eight families. Additional families (one to two) could be screened at the same time. The average capacity will be four to six families undergoing intervention and one to two families receiving screening. The average number of hours of intervention per family will be around 3-4 hours per week. This also will vary depending on the family's need. The average stay in the program will be six to eight months depending on the nurses assessment. If further time is needed the families' length of intervention will be based on need and our child health program funding will pick up the case management. If the caseworker and AD home visitor agree that a different kind of intervention would be more beneficial after two to three months, that will happen. Frequently, members of these families need counseling in addition to or instead of life skills support and recommendations to that effect will be made. III. SERVICES TO BE PROVIDED This program facilitates each family to identify their own strengths and needs and then develop a plan to help with the needs. 971084 The home visit nurse will visit the home weekly or bi-weekly according to the families needs. This intensity may drop off once the home is stabilized. Anticipatory guidance for each developmental stage of the child will be shared with the parents. Changes bases on ages and stages of the children's development to promote environmental safety and improved hygiene will be recommended. Household management issues such as budgeting, cleaning, maintenance, purchasing menu planning and food preparation will be addressed as the need and interest of the family arises. Interaction with the children will be modeled and coached whether it be alternative positions for breastfeeding or how to hold a child for safety when he/she is raging. The biggest component of teaching parenting skills for this proposal will be assisting parents in interacting with their children in a way that promotes bonding and attachment. Assistance for re -parenting, child rearing and discipline will be included in this grant. The importance of eye contact, gentle touch, soothing movement, and smiles will be stressed. Demonstrations of how to play with a child such as, singing together, reading together, and playing games together will be given. Working with a child and the importance of such things as doing chores together or completing projects together will be stressed to encourage self-esteem, mutual reliance, and goal setting. Modeling the listening skills necessary to encourage verbal expression of feeling, acceptance of feelings, and exploring choices for handling feelings will be a major emphasis. The child's responsibility for his/her choices of behavior will be coached. Referrals to community resources and the facilitation of linkages will be another component of this grant. Follow-up on all referrals with the family and involved agencies will be done to assure linkage occurs. Reducing parental isolation through a parent support group will be offered to the community at large. This group focuses on providing information to all parents in the community interested and on giving support to those who are struggling with an AD child. All of these services will be offered to all families screened by the grant, as we currently do with all families for whom the Health Department provides case management. 1V. MEASURABLE OUTCOMES All of the children referred will be screened on the attachment 9'71.084 disorder behavior scale. This will be completed by the nurse and family initially and every three months during the time the family is participating in the grant. Each family completing the six to eight months program will be reviewed to see whether or not the family is still intact or maintaining at the same level of placement as when referred. Respite is often a need of parents of children with AD, and would be discussed with DSS case workers as the need arises. This one of those identified areas of need for this county. The combined efforts of the DSS case worker and the professional judgement of the nurse will determine the safety and emotional well-being of both the child and the family. To date, most families referred were exhibiting a considerable amount of stress(i.e. requesting out -of -home placement or verbalizing being totally immobilized in their ability to relate to these children, or fear of abuse) related to day to day demands of these children. Another screening tool that incorporates all the other aspects of the life skills services, such as household management, cleaning, budgeting, nutrition, etc.,and adds other areas, such as family isolation and environmental risks (paint chips), has been developed as part the Health Department's regular case management program. The tool will also be set up as a Likert Scale and indicate how families are doing in several aspects of child rearing and household management. See attachments A and B for examples. These tools will continue to be refined as time goes on. V. Service Objectives Based on these screening tools objectives will be developed with each family according to their highest areas of need, and will be monitored throughout intervention. As objectives are met new ones will be developed in conjunction with the families to teach goal setting and self-reliance. An additional support toward independence and self-reliance will be the parent's involvement in the community support group as one of their objectives. This group will be ongoing and facilitated by people from the Health Department, and parents who have raised children with AD. The support group has also decided to have educational presentations every other meeting to educate themselves and the community to the issues around AD. Continuing the support group and this education will be two of our service objectives. The group has been very well received this year with anywhere from five to fifteen people in attendance. It has met every other Monday evening from 6:30 to 971084 8:00, but it's not unusual to find dialogue going until 9:00 P.M. Many AD symptoms result from the main care giver's own emotional need and specific objectives will be developed as those are identified. This is especially true if the child is still with the biological parents but any care provider of these children need support and specific parenting help. Other possible objectives might be getting into parenting classes, receiving treatment for depression or substance abuse,etc. The Weld County nurse will help the family connect with all appropriate resources in government and non -government agencies, with objectives and action plans established and monitored for progress. VI. Workload Standards This grant will pay for .6 of an F.T.E. or a nurse working 24 hours per week on this project. It will also cover .3 F.T.E for an office technician(OT) who will assist with translating, scheduling, and chart work. The maximum caseload for these part-time persons as stated earlier will be five to six families per month depending on the level of intensity required for each family. The supervisor will be provided by the Health Department to handle administrative duties and provide support, but will not be charged to the grant. This will be Kathy Shannon,R.N.,M.S.,who supervises the Children's Services at the Health Department, which consists of about six and one half F.T.E.'s of nurses and four OT's. The nurse providing direct intervention with the families is Becky McMahan,R.N.,B.S. The Modalities for treatment have been addressed earlier in this proposal. All Health Department staff are insured by the County. VII. Staff Qualifications Becky McMahan meets the educational requirements for nurses at the W.C.H.D. with a Bachelor's degree in Nursing. She has fourteen years of experience working in pediatric nursing in the hospital setting, and two years working with AD families in public health. In addition, she has received individual on -site training at the Attachment at Evergreen. Kathy Shannon,R.N., M.S.N.,has nineteen years of experience working at W.C.H.D. in all the Children's Services areas, as well as additional years of experience in Public Health in Alamosa County and Jefferson County. She also has worked with Head Start Programs 971084 and in public school settings. The Office Technician working with this project will be Luanna Quiroz. She is being trained in developmental screenings for the W.C.H.D. for children and comes to us with a great deal of experience in the health care field. Her ability to translate for us in Spanish and the fact that she is bicultural will be a tremendous asset in working with our Hispanic families. In addition the consultants from the Evergreen Treatment Center will include Margaret Meinecke, L.C.S.W. and Lyn Miller, B.A. who is a therapeutic foster parent with 15 years in working specifically with AD children. The center will have at least two therapists trained in AD therapy to call on for therapeutic intervention, if no other source can be found. 971084 SIGNS OF ATTACHMENT DISORDER ATTACHMENT A ONE TO EIGHT YEARS OF AGE CHILD'S NAME: PERSON SCORING: BIRTH DATE: SIGNS PROBLEM SEVERITY NONE (never) MILD (25% of the time) MODERATE ' (50% of the time) SEVERE (75% or more) Lack of ability to give and receive affection. (demands affection in a controlling way; abrupt, neutral, unenthusiastic exchanges; absence of warm physical contact; demanding and dingy) Extreme control problems. (persistent, frequent tantrums: hyperactivity evident) Self-destructive behavior. High threshold of discomfort. (will not seek comfort if in pain) Cruelty to others or animals. (sadistic/ violent; bullies, threatens, or intimidates; initiates physical fights; has used a weapon) Counterfeit emotionality. (phoniness) Stealing, hoarding, or gorging. (has broken into someone else's home, care, etc.; has stolen items of non -trivial value; has stolen while confronting a person, i.e., mugging) Speech pathology. (problems of speech development) Lack of long-term childhood friends. Abnormalities in eye contact. Sexual obsession. (Has forced someone into sexual activity) Preoccupied with blood, fire, and gore. (deliberately engaged in fire setting) Superficial attractiveness and friendliness with strangers. (indiscriminate displays of affection) Destruction of property. Compulsive lying. (devious; manipulative) Defective conscience. (no remorse) Difficult to observe. Learning disorders Problems with motor coordination. (may appear accident prone) Oppositional, resistant. defiant, and controlling behavior pn� 9n0871 Parpnic von, fn icfralnr1 or anon/ WINGS Attachmentf $ HOME VISITING - RISKING TOOL Child's Name D.O.B. Score and date administered, please score on scale of 1-5 with 5 being the highest risk. I HEALTH A. NO PRIMARY PHYSICIAN B. UNINSURED C. UNDERINSURED D. NO. OF HOSPITALIZATION E . NO. OF DR. VISITS (over or under use) F. VISITS TO OTHER PROVIDERS (over or under use) G. E.R. VISITS (for acute care non emergency.) II ECONOMIC RISKS A. UNEMPLOYED B. HOMELESS C. INADEQUATE HOUSING (UNSAFE) D. LOW INCOME E. NUTRITION F. CLOTHING G. CHILD CARE III VIOLENCE RISK A. DOMESTIC VIOLENCE B. ELDER VIOLENCE C. CHILD ABUSE / NEGLECT D. SEXUAL ASSAULT F. GANG INVOLVEMENT IV MENTAL HEALTH CONCERNS A. GRIEF ASSISTANCE B. VICTIM ASSISTANCE C. ADDICTIONS D. SUICIDE (PREVENTION / POSTVENTION) E. DEPRESSION V ISOLATION -GEOGRAPHIC VI ENVIRONMENTAL RISKS A. POTTERY B. WATER C. LEAD D. RAW MILK E. AIR F. CLUTTER - UNSANITARY CONDITIONS VII TRANSPORTATION VII COMMUNICATION A. LITERACY B. PRIMARY LANGUAGE C. HEARING IMPAIRED D. HEARING IX ASSISSTANCE WITH ACTIVITIES OF OF DALIY LIVING A. RESPITE B. REHABILATION I. OCCUPATIONAL 2. PHYSICAL 3. SPEECH X MEDICATION REVIEW XI LEGAL ISSUES XII EDUCATIOAL LEVEL XII FAMILY STRUCRURE A. SINGLE PARENT B. RUNAWAYS C. LIVING WITH NO PARENTS D. TEEN PARENT XIV DIAGNOSTIC CODE 971084 RFP-PAC-97005 • • Attached A A. Will your staff who are providing direct services have the minimum qualifications in education and experience. Describe. B. Total number of staff available for the project. VIII. COMPUTATION OF DIRECT SERVICE RATE Estimate the following on a monthly basis. If you have more than one employee use this sheet to summarize their time usage. If you are having any difficulty in estimating time have the employee track their time for a week. For different services the provider can request different direct service rates. An average rate can be used or a separate rate can be used for each type of service. Service rates may also be stated as a fixed amount for an assessment, court appearance, etc. If so completing this section would not be necessary. Service rates can be stated on a daily basis, as opposed to an hourly amount. Direct Time (Per Month) 1. Direct client contact Interpreting Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case management 8. Other Interpreting 9. Subtotal 10. Total Time Available Per Month 11. Ratio of Direct to Total Time 27 Hours 12 40 52 (Sum of 1-8) .23 (1/10=11) 971084 RFP-PAC-97005 • • Attached A Will your staff who are providing direct services have the minimum qualifications in education and experience. Describe. Total number of staff available for the project. VIII. COMPUTATION OF DIRECT SERVICE RATE Estimate the following on a monthly basis. If you have more than one employee use this sheet to summarize their time usage. If you are having any difficulty in estimating time have the employee track their time for a week. For different services the provider can request different direct service rates. An average rate can be used or a separate rate can be used for each type of service. Service rates may also be stated as a fixed amount for an assessment, court appearance, etc. If so completing this section would not be necessary. Service rates can be stated on a daily basis, as opposed to an hourly amount. Direct Time (Per Month) I. Direct client contact Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case management 8. Other 9. Subtotal 10. Total Time Available Per Month 11. Ratio of Direct to Total Time 27 Hours 70 8 6 20 104 (Sum of 1-8) .67 (1/10 = 11) 971084 RFP-PAC-97005 Attached A A. Will your staff who are providing direct services have the minimum qualifications in education and experience. Describe. B. Total number of staff available for the project. VIII. COMPUTATION OF DIRECT SERVICE RATE Estimate the following on a monthly basis. If you have more than one employee use this sheet to summarize their time usage. If you are having any difficulty in estimating time have the employee track their time for a week. For different services the provider can request different direct service rates. An average rate can be used or a separate rate can be used for each type of service. Service rates may also be stated as a fixed amount for an assessment, court appearance, etc. If so completing this section would not be necessary. Service rates can be stated on a daily basis, as opposed to an hourly amount. Direct Time (Per Month) 1. Direct client contact Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case management 8. Other 9. Subtotal 10 Total Time Available Per Month 1 1 . Ratio of Direct to Total Time Hours 17.3 27 (Sum of 1-8) 0 (1/10 = 11) 9710Si REP -PAC -97005 Attached A IX. RATE COMPUTATION Direct Costs Salary Benefits Subtotal Indirect Costs Supervision Salary Benefits Clerical Salary Benefits Subtotal Agency Overhead Rent Utilities Supplies Postage Travel Telephone Equipment Data Processing Other Total # of Employees Overhead Per Employee Overhead Per Total Hours Total Monthly Hourly Rate 2,941.67 17.00 735.42 4.25 3,495.21 20.20 873.80 5.05 1,438.13 8.31 359.53 2.08 Service Costs Total Direct Hourly Rate 25.21 6.30 35.95 8.98 % of Time Direct Time Charge 25.21 6.30 31.51 35.95 8.98 44.93 $22,879.05 (Total Monthly WCND Nursing Division Overhead) 34.75 FTE 658.39 3.81 Direct Service Rate (Hourly) (Daily if appropriate) 3.81 80.25 Service Cost Definitions Direct Costs - Salary and benefits for employees providing direct services to clients. Indirect Costs - Salary and benefits for employees providing supervision or clerical support for staff providing direct services. Agency Overhead - Monthly cost for rent, supplies, postage, etc. If the agency building is owned use estimated market rent for the building. # of Employees - Total number of employees in the agency building. Overhead Per Employee - Divide the total agency overhead by the total number by 173 hours. Direct Service Rate - The rate is the hourly charge to provide service taking into consideration compensation and overhead. It can be used as a rough measure to compare services that are uniform in nature. It should not be used to compare services that are different with more expensive components of labor such as psychiatric consultation. Total Hourly Rate - Cost divided by total hours available. Total Direct Hourly Rate - Cost divided by total direct hours. 28 971084 Budget Proposal Total Amount Requested = $56,010 Budget Total Amount Requested Other Direct Costs Staff salaries $32,942 $32,942 Provider payments 11,000 11,000 Indirect Costs Program Coordinator Secretary Travel Overhead 4,194 4,986 1,500 6,047 Total $60,669 CHN 0.6 FTE Fringe OT 0.3 FTE Fringe Attachement Center $11,000 Justification $21,176 5,294 $26,470 $ 9,166 2,292 $11,458 4,986 1,500 5,582 4,194 465 $56,010 $4,659 Total number to be served = 12 Annual rate per child/family = $4,668 Monthly rate per child/family = $389 971.08,1 COLORADO April30, 1997 Ms. Judy Griego, Director Weld County Department of Social Services PO. Box A Greeley, CO 80632 Dear Ms. Griego, Included below is the additional information that you requested relative to the Weld County Health Department Placement Alternatives Commission bid. 1. The pre and post test instrument referred to is included as Attachment A (Signs of Attachment Disorder - One to Eight Years of Age). This instrument is used by the department in the initial assessment of the infant or child referred for screening and, if referred for intervention or therapy, used as an on going tool to assess progress of intervention or therapy. Re -assessment is completed in no less than three month intervals. Additionally, Attachment B (Home Visiting Risking Tool) is used to assess broader elements of the infant/child and family environment and reassessments are completed in no less than three month intervals to assess the progress of intervention modalities. The aforementioned tools are clinical evaluation instruments and will be summarized to assess the effectiveness of interventions and therapy the client population on a quarterly basis. Program evaluation processes are to include collection of data relative to source of referral, geographic distribution within the county, ethnic background of referrals, family structure (foster family, adoptive family, single parent family), the number of placements if in the foster care system, as well as clinical information about the client (health history, abuse, other disorders, etc.) The department will also track referrals to other agencies. The clinical information combined with the program evaluation tools described will continue our efforts to more accurately define the extent of the problem in the community and needs for additional resources in the future. 2. Direct intervention is initiated with the family within five working days upon referral during the first visit to the home by the health department's nurse assigned to this project. 971084 3. The department cannot predict the geographic area the referrals will reside in but since our department's services are provided are provided in the home environment hardship to the family because of geographic location should not be considered a factor in service delivery. 4. Weld County Health Department provides no transportation services directly. However, as described in paragraph # 3 above the department's services are provided in the clients home environment. I hope that the above responses provide sufficient explanation regarding the concerns of the committee. Please do not hesitate to contact me or Kathy Shannon if additional information is required. Sincerely, A.c_C Ron Adams, M.S., Director Division of Preventive Health Services 971084 WINGS Attachment;$ HOME VISITING - RISKING TOOL . 'Id's Name D.O.B. ;Li_ .,re and date administered, please score on scale of 1-5 with 5 being the highest risk. I HEALTH A. NO PRIMARY PHYSICIAN B. UNINSURED C. UNDERINSURED D. NO. OF HOSPITALIZATION E . NO. OF DR. VISITS (over or under use) F. VISITS TO OTHER PROVIDERS (over or under use) G. E.R. VISITS (for acute care non emergency.) II ECONOMIC RISKS A. UNEMPLOYED B. HOMELESS C. INADEQUATE HOUSING (UNSAFE) D. LOW INCOME E. NUTRITION F. CLOTHING G. CHILD CARE 1 'IOLENCE RISK A. DOMESTIC VIOLENCE B. ELDER VIOLENCE C. CHILD ABUSE/NEGLECT D. SEXUAL ASSAULT F. GANG INVOLVEMENT IV MENTAL HEALTH CONCERNS A. GRIEF ASSISTANCE B. VICTIM ASSISTANCE C. ADDICTIONS D. SUICIDE (PREVENTION / POSTVENTION) E. DEPRESSION V ISOLATION -GEOGRAPHIC VI ENVIRONMENTAL RISKS A. POTTERY B. WATER C. LEAD D RAW MILK .IR F. CLUTTER = UNSANITARY CONDITIONS VIl TRANSPORTATION VII COMMUNICATION A. LITERACY B. PRIMARY LANGUAGE C. HEARING IMPAIRED D. HEARING IX ASSISSTANCE WITH ACTIVITIES OF OF DALIY LIVING A. RESPITE B. REHABILATION 1. OCCUPATIONAL 2. PHYSICAL 3. SPEECH X MEDICATION REVIEW XI LEGAL ISSUES XII EDUCATIOAL LEVEL XII FAMILY STRUCRURE A. SINGLE PARENT B. RUNAWAYS C. LIVING WITH NO PARENTS D. TEEN PARENT XIV DIAGNOSTIC CODE 971084 'CHILD'S NAME SIGNS OF ATTACHMENT DISORDER ONE 1O EIGHT YEARS OF AGE ATTACIDIENT A BIRTH DATE PERSON SCORING. SIGNS PROBLEM SEVERITY NONE (never) MILD (25% of the time) MODERATE ' (50% of the time) SEVERE (75% or more) Lack of ability to give and receive affection. (demands affection in a controlling way; abrupt, neutral, unenthusiastic exchanges; absence of warm physical contact; demanding and dingy) Extreme control problems. (persistent. frequent tantrums; hyperactivity evident) Self-destructive behavior. High threshold of discomfort. (will not seek comfort if in pain) Cruelty to others or animals. (sadistic/ violent; bullies. threatens, or intimidates; initiates physical fights; has used a weapon) Counterfeit emotionality. (phoniness) Stealing, hoarding, or gorging. (has broken into someone else's home, care, etc.; has stolen items of non -trivial value; has stolen while confronting a person, i.e., mugging) Speech pathology. (problems of speech development) Lack of long-term childhood friends. Abnormalities in eye contact. Sexual obsession. (Has forced someone into sexual activity) Preoccupied with blood, fire, and gore. (deliberately engaged in rue setting) Superficial attractiveness and friendliness with strangers. (indiscriminate displays of affection) Destruction of property. Compulsive lying. (devious; manipulative) Defective conscience. (no remorse) Difficult to observe. Learning disorders. Problems with motor coordination (may appear accident prone) Oppositional, resistant. defiant, and controlling behavior ,. 97- Parents very frustrated or angry Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award FY97-PAC-15000 (RFP-PAC-97005) Revision Contract Award Period Name and Address of Contractor Beginning 06/01/97 and Weld County Youth Alternatives Partners Lifeskills Program 1202 8 Street Greeley, CO 80631 Ending 05/31/98 Computation of Awards Description of Financial Assistance Request for Proposal (RFP), and The RFP specifies the scope of award. Except where it is in in which case the NOFAA which this award is based is an the Unit of Services will be based child or per family. be paid for only direct face to face child and/or family, as evidenced by form, and as specified in the cannot exceed the hourly, and and/or family. be remitted on cases open with, and the Weld County Department of must be submitted to the Weld of Social Services by the end of day following the end of the month Unit of Service A maximum of 18 families will be served. Service provided includes six -eight weekly hours of mentor- advocate one-to-one activity and two weekly hours of counseling and mediation services over an average sixteen week period. Cost Per Unit of Service The issuance of the Notification Award is based upon your Addendum RFP Information. of services and conditions conflict with this NOFAA governs, the RFP upon integral part of the action. Special conditions 1) Reimbursement for on an hourly rate per 2) The hourly rate will contact with the client -signed verification unit of cost computation. 3) Unit of service costs yearly cost per child 4) Payment will only referrals made by Social Services. 5) Requests for payment County Department the third business of service. Hourly Rate Per $ 15.39 Unit of Service Based on Approved Plan Enclosures: t7Signed RFP; Exhibit A ✓Addendum RFP Information; Exhibit B V Condition(s) of Approval Approvals: By x / Program Official: By L° eorge . Baxter Board of Weld County Commissioners Date: Judy Wel Date: v . Grie,;�i, irector ounte rt en cif Soc Services a 7q 971054 INVITATION TO BID DATE: February 5, 1997 BID NO: RFP-PAC-97011 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-PAC-97011) for: Family Preservation Program --County Designed Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 25, 1997, 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 approved services 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 twelve month programs targeted to run from June 1, 1997, through May 31, 1998, at specific rates for different types of service. The county will authorize approved vendors and rates for services only. The County Designed Program is an optional service proposed by the bidder that is innovative or otherwise unavailable/inaccessible and which would enhance the PAC's ability to meet the goals of the Family Preservation Program. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work Delivery Date (After receipt of order) VENDOR PART D...Bidder Response Format PART E.. .Bid Evaluation Process Weld County Youth Alternatives, Inc dba/Weld County PARTNERS (Name) ADDRESS 1212 8th Street PHONE # Greeley, CO 80631 970-351-0700 BID MUST BE SIGNED IN INK Dawn Farrington TYPED OR PRINTED SIGNATURE andwritten gnature By I thorized Officer or A ent of Vender TITLE DATE Executive Director 102/x7 The above bid is subject to Terms and Conditions as attached hereto arttSsrporated. I 971084 RFP-PAC-97011 Attached A COUNTY DESIGNED PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RFP-PAC-97011 NAME OF AGENCY: Weld County Youth Alternatives, Inc. dba/Weld County PARTNERS ADDRESS: 1212 8th Street Greeley, CO 80631 PHONE: (970 ) 353-0700 CONTACT PERSON: Dawn Farrington TITLE: Executive Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The County Designed Program is an optional service proposed by the bidder that is innovative or othe*w se unavailable/inaccessihle and which wo uld enhanc the PACs ability to meet the goals of the Family Preservation Program. 12 -Month approximate Project Dates: Start June 1. 1997 End May 31. 1998 TITLE OF PROJECT: Dawn Farrington14.O -1„,c Name and Signature o k nA son Pre Dawn Farrington Name and Signature Chief Adminislr ive Officer,4plicant Agency 12 -month contract with actual time lines of Start End Date MANDATORY PROPOSAL REOUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Project Description Target/Eligibility Populations Types of services Provided Certificate of Insurance Measurable Outcomes Service Objectives orkload Standards 2 7 Staff Qualifications Unit of Service Rate Computation Program Capacity by Month Date of Meeting(s) with Social Services Division Supervisor: 2/24/97 Comments by SSD Supervisor: Name and Signature of SSD Supervisor Date 97 24 971084 Program Category: County Designed Program Rid r r Project Title: Mentor Advocate Pro ect M -AP Rrr rric, yr01 Vendor: Weld County Youth Alternatives Inc db /W ld Count V PARTNERS I. PROJECT DESCRIPTION The "Mentor -Advocate" Project (M -AP) is a community -based alternative for children or youth at imminent risk of out -of -home placement, which will: 0 Provide short-term, intensive intervention with youth and parents, based on a relational advocate model, which combines the effects of mentoring with the intent of crisis management and negotiation; 0 Provide a paid mentor -advocate to work one-on-one with a child or youth; D Conduct intake within 72 hours of referral, and provide match within 1 week of referral; 0 Provide direct, face-to-face skill building work and social, recreational and educational outlets for youth, with respite time for parents/guardians, 6 - 8 hours/week; 0 Provide direct problem -solving and communication development by mentor - advocate with youth and parent, 1 - 2 hours per week; 0 Encourage change in youth focus and improvement in parent/child communication and problem/solving skills; Provide crisis Counseling and/or Family Mediation by staff as needed; 0 Provide assistance as needed with implementation of case treatment plans; U Ideally provide services for a 3 to 6 month period. The relational advocate model has been used extensively in the juvenile justice arena to track pre -adjudicated youth to prevent detention placements, and to reduce recidivism for paroled youth. PARTNERS proposes that the same model will be effective in preventing other types of out -of -home placement, particularly for youth in conflict, or as a transitional support service in the case of pending reunification. The mentor -advocate relationship differs from a regular mentoring relationship as provided by PARTNERS in both intent and effect. The intent of the Mentor -Advocate Project is to initiate relatively short-term intervention with youth and families, he/ping them negotiate a crisis or transitional period of time through provision of a "respite" or "release valve," while also helping them develop lifeskills to avert crisis in the future. The project utilizes the encouragement, concern and caring associated with mentoring, in conjunction with advocacy's focus on meeting immediate needs and providing regular, short-term skills practice. PARTNERS will: 0 Recruit and screen the mentor -advocates; 0 Train the mentor -advocates in lifeskills development, and youth development curriculum such as "Character Counts," along with training in mentoring, advocacy, communication skills and problem solving facilitation. U Provide staff assistance as necessary, in Counseling or Family Mediation. U Provide regular group activities and Lifeskills Workshops for youth. 1 971.084 II. TARGET/ELIGIBILITY POPULATIONS O The Mentor -Advocate Project (M -AP) will address the "criteria for out -of -home placement" primarily by: Criteria #1 - Responding in those cases when the child/youth is: 1) beyond the control of parents; 2) adjudicated delinquent; 3) child/youth returning home from out -of -home placement or moving to a less restrictive LOC. Criteria #2 - Responding primarily when: 1) it is necessary to assist the parent/relative/caretaker and/or child/youth in accessing and utilizing identified services to address the presenting conditions. Criteria #3 - Responding when: 1) ement available options/alternatives while continuing rre or in FPP is the best reasonable a efforts oresolve thof the problems that led to imminent risk. a The M -AP meets the definitions pertaining to the Family Preservation Program by: 1) Directing its work toward families and family strengths, providing both respite/reprieve and skill building for youth and parents/guardians; 2) Protecting children/youth and preventing placement through those same strategies, providing "away time" and active problem -solving "together" time; 3) Being time limited, with a range of 3 - 6 months of service, depending on the case circumstances and need; 4) Using a "family friendly" model which encourages receptivity of services; 5) Intervening at critical points, when out of home placement is imminent due to crisis, or when transitional support is needed by families pending reunification. O The M -AP is capable of meeting the goals of the Core Services Program, by. 1) Providing intervention when imminent risk exists; 2) Providing transitional support when children or youth are being reunified with their families. 0 The M -AP is capable of meeting need throughout Weld County, with offices in both Greeley and Ft. Lupton. a No other service provider is currently providing the M -AP model in Weld County. a The M -AP projects the following service numbers: A. Total number of clients to be served: 36 B. Total individual clients and children's ages: 36 (based on 18 parents/18 youth) Children/Youth ages: 8 - 18 C. Total family units: 18 D. Sub -total of individuals who will receive bicultural/bilingual services: 50% E. Sub -total of individuals who will receive services in South Weld County: 4 F. Sub -total of individuals who will have access to 24 hour services: 36 G. Monthly maximum program capacity: 6 - 8 families H. Monthly average capacity: I. Average stay in the program (weeks): 16 J. Average hours week in the program: 9 2 9'71.9''1 III. TYPE OF SERVICES TO BE PROVIDED The Mentor -Advocate Project (M-AP)is designed to provide an innovative and previously unavailable service to the Weld County FPP plan, and is proposed to be incorporated as a "county designed"component of the plan. The M -AP would meet the needs of individual youth who: O are beyond the control of their parents or otherwise in a conflictual state with parents/guardians; a in need of transitional services pending and during family reunification. Youth and parents/guardians will be provided support during critical junctures, with the understanding that the relationship is key but only for the period of service provision. All youth in the M -AP would be eligible for subsequent referral to PARTNERS for the regular core services of the mentoring program. O CLIENT INTAKE: Referred families will be contacted within 72 hours of referral to the project. Staff will interview both the child/youth and the parent/guardian to determine willingness to participate, to describe the services and assess the needs of the family. After intake and assessment, the child will be matched with a mentor - advocate within 7 days. O MENTOR -ADVOCATE SCREENING and CLIENT ASSIGNMENT. The screening process for m/as will follow the same protocol as that used in PARTNERS' core programs, including application, Central Registry check, Motor Vehicle records, CCIC- NCIC screen, 4 references, and an intensive interview. The assignment of a client to an mentor -advocate will be on the basis of m/a availability, with an emphasis on compatibility, strengths and needs. I.e., the best match will be made from among available mentor -advocates. O MENTOR -ADVOCATE TRAINING: Elements from materials developed for parent education and for youth development training will be taught, including: PARTNERS mentor training Partners in Parenting - (CSU Cooperative Extension curriculum) Cara y Corazon - (Corporate Fund for Children, Austin, TX) Character Counts - (Josephson Institute of Ethics, So.Dak. State Univ.) PARTNERS Communication Workshop PARTNERS Problem Solving Workshop Facilitation skills (UNC Office of Dispute Resolution) O MENTOR -ADVOCATE ROLE. Combining the "relationship technology" (cite.Youth Advocate Program, Jacob Center West, Grand Junction, CO) of mentoring with advocacy, the mentor -advocate will be able to establish the trust of a friendship -based relationship with a child/youth, while at the same time purposefully working with that child/youth and the parent/guardian to teach new skills for communication and problem - solving. Mentor. As with PARTNERS' other programming, the M -AP places the greatest 3 971084 emphasis on the child/youth. "Relationship technology" recognizes that: 1) young people respond the most positively and effectively to significant caring adults who help them develop an internal locus of control; 2) youths' responses to external behavioral pressures without a caring relationship with an adult in place are most likely to be in favor of negative and risk -taking behaviors or against authority. First developing the relationship with the child or youth will make he or she more susceptible to the skill building process with the mentor -advocate. A similar response will hold true for the parent/guardian, though the relationship between the mentor -advocates. and parent/guardian will be less intense. Advocate: The advocate role is much more focused on making change happen quickly and meeting immediate need. It is in this role that the mentor -advocate will be able to gain family confidence and participation in identifying problems. The goal will be to teach children/youth and their parents/guardians the skills necessary to repeatedly walk through the problem -solving and decision -making processes, and to gain awareness of the effects of various communication styles and learn new ones. The parent/guardian will be supported in learning to maintain the adult role, and the child/youth will be supported in getting his or her needs met. The mentor -advocate may also identify additional family needs and/or be of assistance in facilitating compliance with the case treatment plan. D RESPITE EFFECT - one -one -one time: The time that the mentor -advocate spends with the youth in 6 - 8 weekly hours of one-to-one activity not only will provide the youth with new experiences, a change in focus, positive and successful behaviors and the "significant adult" relationship, but also will provide time apart for the child/youth and parent/guardian. This will function best for the parent/guardian by providing a respite from constant focus on the youth. It will simultaneously serve as a needed reprieve for the child/youth. In both cases, the opportunity is provided for family members to "step back" and re-evaluate any problematic situations which must be negotiated. U SKILL BUILDING: During 2 one hour sessions per week, and more frequently if needed, the mentor -advocate will meet with the child/youth and parent/guardian together, in their home if distractions are minimal, at the PARTNERS house if not, to identify problems and teach the skills to problem -solve step-by-step, to practice new communication techniques and to learn to engage in dispute without emotional eruption. O COUNSELING/FAMILY MEDIATION: If crisis points emerge for which the mentor - advocate feels his or her skills are inadequate, professional staff with PARTNERS will assist in resolution of issues. In such cases, either staff or the mentor -advocate will confer with the DDS caseworker regarding the next best course of action. Reports on outcomes of such sessions will be made to the caseworker. 0 ACTIVITY SUPPORT: The M -AP participants will have available to them all of the regular recreational, education, community service and mentor support services which are provided for Partnerships in the core programs. These supports include the 4 97108,4 assigning of a PARTNERS Counselor to the M -AP case, access to community recreational discounts, group activities and regularly scheduled Lifeskills Workshops. IV. MEASURABLE OUTCOMES The two outcomes for which the M -AP will be effective are: Preventing imminent placement of children/youth; D Reunifying children in placement with families. The objectives to be measured to assess the effectiveness of the program in achieving these outcomes are: D Outcome Objective #1: 75% of clients (including children/youth and parent/guardians) will demonstrate increase in skills associated with problem -solving, decision -making and effective communication. D Outcome Objective #2: 75% of clients (families) will be successful in remaining unified at the time of termination of services, either because the child/youth is no longer at imminent risk of placement or because the child/youth is reunified and is not at imminent risk of placement. It is not the intent of this project to develop long-term adult -youth relationships or the extended youth support and skill building found in long-term mentoring programming. Nor are the same effects anticipated, either in overall positive behavior change for youth or in the long-lasting effects of skill building and caring relationships over time. Rather, youth and parents/guardians will be provided support during critical junctures, with the understanding that the relationship is key but only for the period of service provision. All youth in the MAP would be eligible for subsequent referral to PARTNERS for the regular services of the mentoring program. Project evaluation will be conducted in its two necessary phases, process evaluation and outcome evaluation. 0 Process evaluation marks the progress of the project in terms of numbers associated with project -specific processes. For the M -AP this will include tracking of the: 1) # of referrals and # of accepted clients; 2) total # of hours of service provided per client per week; 3) types of services provided per week per client by hours of service; 4) average weekly and monthly project caseload; 5) stipends paid to mentor -advocates. D Outcome evaluation marks progress in terms of behavioral and attitudinal change in a program's participants. For the M -AP this will require two dimensions of evaluation of the project's effectiveness: 1) a finding reported as the % of all participants who demonstrate 5 971064 increased knowledge of problem -solving, decision making and communication processes, as measured by an assessment tool to be developed by PARTNERS staff as well as a scoring scale to be utilized by the mentor -advocate based on his/her observation of client performance in these processes. 2) a finding reported as the % of all families in which the child/youth is successfully remaining in the home, either after being at imminent risk of placement, or after having been reunified with his/her family, as measured by mentor -advocates and confirmed by DSS caseworkers. O The measurement for the second finding, supporting Objective #2, will be achieved by simple documentation in case notes by the M -AP workers and the DSS caseworker. practices; practices; 5) communication skills which minimize vs. maximize conflict. The latter will include a series of statements which will have a 1 - 5 score set, and will be focused on the mentor -advocate's assessment of competency in problem -solving, decision making and communication skills. Competency will be said to exist when individual participants receive mean scores of 3 or higher, calculated by combination of the scores within each of the skill -building categories. Examples of factors to be scored are statements such as: 1) "Client uses problem solving steps in appropriate sequence." 2) "Client is able to identify problem underlying own or another's undesired behavior." 3) "Client listens and restates other's statements during negotiations." 4) "Client is able to identify alternative choices and steps to reach a specific goal or outcome." 0 Measurement for the first finding, supporting Objective #1, will be more complex and will require development of an instrument to assess change in skills, as well as a scoring mechanism for observed skill levels. The former will be administered as a written pre -and -post "test," with agree/disagree statements, multiple choice answers, etc., which will be focused on such factors as: 1) the steps in problem -solving; 2) the positive and negative effects of "good" and "bad" problem -solving 3) the steps in decision making; 4) the positive and negative effects of "good" and "bad" decision making V. SERVICE OBJECTIVES As stated above, the two outcomes which the M -AP will address are: O Preventing imminent out of home placement of children/youth; O Reunifying children who are in out -of -home placement with families. To achieve those outcomes, the M -AP will target the following service objectives: 6 971094 O Service Objective #1: Provide M -AP services to 18 families over a twelve month period, June1, 1997 to May 31, 1997. Method: PARTNERS will accept referrals to the M -AP based on open slots, up to 6 at any given time. The projected total number of families to be served is calculated on the assumption that an average caseload of 6 is attainable. With 6 families at a time receiving services for an average of 4 months, over a 12 month period 18 slots would be available. O Service Objective #2: Maintain a pool of screened and trained mentor - advocates to serve an average caseload of 6 families. Method: PARTNERS projects that 3 to 6 mentor -advocates would be needed to provide services to the average caseload of 6 families. These individuals will be recruited, screened, trained and placed as stipended volunteers with the program, and will be allowed to work with a maximum of two families simultaneously. Human services graduate students at UNC are one potential target group for recruitment. O Service Objective #3: Provide an average of 9 hours of direct service per week to each client family, to include 6 -8 hours of one-to-one contact between the mentor/advocate and child/youth, and 1-2 hours of skill building contact of the mentor/advocate together with both the child/youth and the parent/guardian. Method: The mentor -advocate will spend time with the child/youth one- on-one for 6 to 8 hours per week, during which time the two will discuss concerns of the youth, role play problem solving and communication strategies, and participate in recreational activities, on their own or as provided by PARTNERS. For 1 to 2 hours per week, the mentor -advocate will meet at pre -scheduled times with the child/youth and his or her parent/guardian. During these sessions, the mentor -advocate will facilitate discussion of the status of the child/youth - parent/guardian relationship, including such things as conflictual incidents in the preceding week between them, encouraging, for example, description of the chain of events and participants' behavior, identification of different possible actions and outcomes, and role playing of the scenario with different behavior, communication styles, etc. O Service Objective #4: Provide an average 1.5 hours per week of staff support to the project. Method: Staff support will include weekly contact by the Counselor with the mentor -advocate, an expected average of 2 hours per month assisting the mentor - advocate with direct client servcies (e.g., counseling, family mediation), and includes 6 hours of screening and training time amortized over the average 16 weeks of service. VI. WORKLOAD STANDARDS Workload standards for the M -AP will include the following: A. The number of hours of service per week will be: an average of 9.5. 7 971084 B. The number of individuals providing the services will be: 1 mentor -advocate C. The maximum caseload per worker will be: 1 staff Counselor 2 for mentor -advocate 6 for staff Counselor D. The modalities of treatment will be: Mentorinq Advocacy Skill building Counseling Family Mediation E. The total hours per week will be: Average of 9.5 per family Avg. of 57 for full caseload F. Total number of individuals providing services: 4 - 7 (1 staff) G. The maximum caseload per supervisor 6 H. Insurance: Commercial general liability - All American Agency Facilities Van Gilder Insurance Corp. 700 Broadway, Ste 1000 Denver, CO 80203 (certificate attached) VII. STAFF QUALIFICATIONS The project will administered by Dawn Farrington, MA, Executive Director of the applicant agency, which previously provided services for the PAC for nearly 14 years. The project will be supervised by Nomie Ketterling, MA, Lead Counselor, with 14 years in mentor screening, training and support. She is a trained Agency Counselor and Mediator. Clerical and admin. support will be provided by Dave Helmer, Office Manager, with 8 years financial and office management experience with the agency. A minimum of 3 and a maximum of 6 mentor -advocates will be trained and supervised by the Lead Counselor. These individuals will have a minimum of a BA in a human service -related field and will have completed the screening and training processes described earlier. 8 971.084 VIII. COMPUTATION OF DIRECT SERVICE RATE O Direct time (hours per month) Mentor -advocate Counselor Admin 1. Direct client contact 36 2 0 38 O Indirect Time 2. Completion of paperwork 1 1 3. Travel 1 3 0 0 4. Court appointments 0 0 0 5. Vacation 0 1.1 0.3 6. Sick Leave 0 7. Case management 0.9 0.3 0 2 0 8. Screening/Training amortized 0 2.24 0 9. Subtotal 12.84 4 10. Total time available/mo 50.84 11. Ratio of direct to total time .75 9 7.24 1.6 9710194 RFP-PAC-97011 Attached A IX. RATE COMPUTATION Direct Costs Salary Benefits Subtotal Mentor —Advocates Indirect Costs Supervision Salary Benefits Clerical Salary Benefits Subtotal Agency Overhead Rent Utilities Supplies Postage Travel Telephone Equipment Data Processing Other —Insurance Total # of Employees Overhead Per Employee Overhead Per Total Hours Total Monthly Hourly Rate $2415 $15.09 505 3 15 $2920 $18.74 $324 $ 9.00 $2833 $17.71 595 3.72 $1800 $11.25 378 2 36 $5606 $13 61 $10,150 1,820 3 min 4.700 5,350 4,800 5,600 0 5 ,2nn $41 100 6.5 $ 6,323 $527/mo/employee Service Costs Total Direct Hourly Rate $11.32 2.36 $13 68 NA $13.28 2.79 $ 8.44 1 77 $26 28 Vo of Time 11% 11% 117 100% 2% 2% 2% 2% 77 Direct Time Charge $1.25 .26 $1.51 $9.00 $0.27 0.06 $0.17 0.04 $n 54 $0.50 Direct Service Rate (Hourly) $11.55 (Daily if appropriate) Service Cost Definitions Direct Costs - Salary and benefits for employees providing direct services to clients. Indirect Costs - Salary and benefits for employees providing supervision or clerical support for staff providing direct services. Agency Overhead - Monthly cost for rent, supplies, postage, etc. If the agency building is owned use estimated market rent for the building. # of Employees - Total number of employees in the agency building. Overhead Per Employee - Divide the total agency overhead by the total number by 173 hours. Direct Service Rate - The rate is the hourly charge to provide service taking into consideration compensation and overhead. It can be used as a rough measure to compare services that are uniform in nature. It should not be used to compare services that are different with more expensive components of labor such as psychiatric consultation. Total Hourly Rate - Cost divided by total hours available. Total Direct Hourly Rate - Cost divided by total direct hours. 28 971084 1 - ACOOI.u• CERTIFICATE All American Agency Facilities Van Gilder Insurance Corp. 700 Broadway, Suite 1000 Denver, CO 80203 PR 303-837-8500 'NSUREO OF INSURANCE - OATS (WNOryY) 1/17/97 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Carolina Casualty COMPANY Weld County Youth Alternatives Inc. dba Weld County Partners 1212 8th Street Greeley CO 80631 COVERAGES I-, ur s x .. _. :� � � � ,.,�»S. �Y ₹ atia THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCELISTED BELOW' HA VEBEEN ISSUED TO THEINSURED NAMED NAMEDABOVEFORUCY THEPOUCYPERIOD INDICATEDWOT W ITHSTAN0ING ANYREOUMEMENT, TERMOR CONOITIONOFANYCONTRACTOROTHERDOCUMENT W ITHRESPECTTO WHN:HTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRMED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. umrs SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. col LTA INSURANCE TYPE OF GENERAL LIABILITY A i )(d COMMERCIAL GENERAL LIABILITY I I I CLAIMS MADE X OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY IANY AUTO f ALL OWNED AUTOS 1 t I — SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS l CARACE LIABILITY ANY AUTO POLICY NUMBER NP0760588 COMPANY C COMPANY D POLICY EFFECTIVE DATE (MMJOIYY) 1/26/97 POLICY EXPIRATION DATE (MMNDIYY) 1/26/98 LIMITS GENERAL AGGREGATE PRODUCTS-COMP/OP AGO PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (My are We)/ $ MEO EXP (Any one person) f f 1000000 f 1000000 S 1000000 f COMBINED SINGLE LIMIT f BODILY INJURY (Per parson) BODILY INJURY (Per accident) PROPERTY DAMAGE S S f 1000000 50000 5000 I EXCESS LIABILITY IUMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL DESCRIPTION OF OPERATIONSLOCATIONSIVEHICLESISPECIAL ITEMS The County of of the County 19th Judicial Weld, of We Distr CERTIFICATE HOLDER AUTO ONLY - EA ACCIDENT OTHER THAN AUTO OM.Y: EACH ACCIDENT ARROFGATE EACH OCCURRENCE AGGREGATE I STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE • EACH EMPLOYEE f S f f 5 f f f S Colorado, By & Through the Board of County Commissioners o Id, including Officers & Employees, & the D.A. for the ict & His Employees are Additional Insured/Lessor of Prem. The County of Weld Colorado 915 - 10th St. Greeley, CO 80631 ACORD 25.5 (3193) CANCELLATION SHOULD ANY OP THE ABOVE DifC111aED POLICIES SE CANCELLED SCORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WLL ENDEAVOR TO MAL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO MAL SUCH NOTICE SHALL ^IMAPOSE NO OSUOATKIN OR LMSLITY OF ANY KI1�_.� PON THE CO ANY, 'Y� AGENTS OR RIMIESENTATIVES. AUTHORIZED REIrIE[N,TATIVE ,I 8 7009 .©ACORD CORPORAT)ON 1993 29 April 1997 11/`f7 lo 7,u TO: Judy Griego Weld DSS PO Box A Greeley, CO 80632 FROM: Dawn Farringto Weld County PARTNERS 1212 8th Street, Greeley, CO 80631 970-351-0700 FAX# 970-351-0562 dawnf@info2000.net RE: RFP-PAC Bid 97011 Mentor -Advocate Project ADDITIONAL INFORMATION • PROGRAM EVALUATION It would not be cost -or -time effective for PARTNERS staff to develop the pre -and -post test instruments to measure program outcomes prior to knowing whether or not the project will be implemented. However, we can reiterate the type of evaluation we will develop if selected as a service. We assume that the measurements for Outcome Objective #1 are those for which clarification is requested. Our proposal gives examples of the types of knowledge gain and skill development factors to be measured. The intent is to show that both parents/guardians and children/youth have gained knowledge and skills in problem - solving, decision making and communication which will allow them to avoid conflict in the future. To measure gain in knowledge and skills, a pre -and -post test would be structured so that the participants attempt to select the correct choice out of true -false comparisons, or a multiple set of possible choices, e.g.: 'The first step in positive problem -solving is: " a. b. c. or d. 1212 8th Street • Greeley, Colorado 80631 • (970) 351-0700 • FAX (970) 351-0562 321 Denver Ave. • Ft. Lupton, Colorado 80621 • (303) 857-1102 971'.084 Such an instrument could also be devised on an agree -disagree scale, so that the presence of gain and the degree of knowledge and skill gain could be measured. This type of instrument is most useful with large sample sizes, which would not be the case in the immediate future for the Mentor -Advocate Project. It might include such statements as: "Restating the other person's comments helps us be sure we understand his or her feelings." Strongly agree Agree Disagree Strongly Disagree Because knowing is not the same as doing, a scoring instrument would also be used by the Mentor -Advocate, and staff when applicable, to evaluate how a particular family is practicing new skills. This scoring process is adequately described on Page 6 of the proposal. I have enclosed copies of the PARTNERS Evaluation Instrument for our core mentoring program, and a copy of our monthly Operational Summary data collection and tracking system, to demonstrate the agency's capability to develop these types of tools for the Mentor -Advocate Project. • DIRECT SERVICE ONSET As stated in the proposal, the Mentor -Advocate Project would initiate intake within 72 hours of a referral, and would provide a match with a Mentor -Advocate within 1 week of referral (see Page 1). In the event that a match cannot be made within 5 days, professional staff will hold a session with the parent/guardian and child/youth to begin skill building and provide mediation if indicated. ■ SOUTH COUNTY SERVICE PROVISION PARTNERS has an office in Ft. Lupton, out of which core services and Juvenile Restitution services are now provided. The Mentor -Advocate Project would be included in the south Weld services. As Mentor -Advocates would be receiving stipends, they could theoretically be assigned cases in any location within Weld County. • TRANSPORTATION The cost of transportation is computed as part of the Mentor -Advocate's direct service time, and is included in the stipend amount. As the Mentor -Advocate will be picking the child/youth up for one-on-one time, or will be meeting with the child/youth and parent/guardian in their place of residence, there is no need for additional family transportation, whether in the Greeley area or in south Weld County. 97105,1 PARTNERS Evaluation Instrument - FACE SHEET (RESEARCH PHASE 11: August 1, 1996 -January 31, 1998) Case No. DOB: Junior Partner name: I: JP lives with: Both parents One parent _ One parent and one step-parent One parent and parent's significant other NA 2: JP is placed outside the home, in: _ RCCF Foster home Extended family home NA Ethnicity: Hispanic White Black A/P Native American Other Unknown Gender: Male / Female 3: JP's family lives at the poverty level. Yes No (e.g., mother receives AFDC, JP is on Medicaid, — Unknown JPs family is homeless) 4: JP's family is low-income. Yes No Unknown (e.g., family receives food stamps, housing assistance, general living conditions are poor.) 5: At least one of JP's parents is incarcerated. Yes 6: At least one of JP's parents has ever been incarcerated. — No Unknown Yes No Unknown 7: JP has at least one parent who abuses alcohol/drugs. _ Yes No 8: JP has at least one other family member who abuses alcohoVdrugs. — Yes Unknown No Unknown 9: JP experiences chronic school problems. 10: JP is enrolled in a Special Ed program. --- Yes No Unknown 11: JP has current) dro — Yes No Unknown y dropped out of school. Yes No Unknown 12: JP has been expelled from school. No 13: JP has been suspended from school. — Currently _ Once More than once No _ Currently Once More than once 14: JP is a victim of physical abuse/neglect. Yes 15: JP is a victim of sexual abuse. — No — Unknown Yes _ No _ Unknown 16: JP has run away from home. No 17: JP has been placed out -of -home. Once MoreO than once No Currently _ nce — More than once 18: JP has attempted suicide. Yes No Unknown 19: JP uses alcohol. Yes No 20: JP uses tobacco. Unknown Yes 21: JP uses other drugs. No Unknown Yes No Unknown 22: JP has used ATOD in the past but does not now. — wn — Yes No Unknown 23: JP is involved with gangs. No _ Currently In the past 24: JP is sexually active. No Currently Before the age of 16 25: JP has been adjudicated for, or has self -reported, a criminal offense. ("adjudicated" = the court has made a finding of "guilty") Yes No _ Unknown 26: JP is pregnant. No Currently In the past 27: JP is a parent (male or female). ) Yes No Unknown 971084 Y ea PARTNERS Evaluation Instrument - RESEARCH PHASE II (August 1,1996 - Jan. 31, 1998) z N U Pre-match/6 mo/12 mo (circle one) C4 0 h Y1VIIn a MMM M .... 0 0 0 0 In en' err M 55 0 s o 0 0 0 N o oo> un ananan 4 8 3O O 75 t ti y a 0q a p _8 >0 8 U 8 -0--) A 0 OU H 8 0 v A td 4 8 > N W x b A 8 N .. > o m 000 .C E C A CO (o R C -g >` N p. R 03 A N N E w w j ..a N L y N g� X Z a V °2 C C :4 " >, z o 0 a' ov •ti'o H O "'0AA�i> °=E .. W g m m A T 1 .0 T.5 5. 0 h. 0 O' Ai 4 .?i 10 Add a: N ^ OO O 0 N U 0 8 ^o N ? V 5 F 0 C 5y R >. 8 >, 'ri ¢C]vvi t d u u u u d v�¢wc)L1 w A. School bonding/attitude toward 0 0 0 C C 0 0 0 •S-5-5 0 0 0CC zzz 0 0 0 0. d i > E 0 set cah .0 ' 0 C a0.O R A O 0 E a cdtH O C o C 0 d ' 0 e3 ett . .0 M B. Risk-taking/Delinquency 'n V1 V1 N V1 EEEEE 0 0 0 0 0 a.o.a0.a XXXXX +++++ VI wnInInI EEEEE C4 CL CL CL CL 1-I- ` N N EEEE00000 0 0 0 0 0 aCI. c p. P. XXX X X 0 0 0 0 0 zzzzz MM 0 O 0 0 N T > a 0 2 �` O C5 O 0 .5 0 ti) C. pa 00 c 00 0 ggon °E W a) 0e E 8 a a 0 y• C 3 ; - 0 N R 0 H o r.. J. L _ > > 3 R 0 L vi tO o , 7 0 ca y CO > >, x LL d • E oA ,,, C. `6 L C A .$ C y 28 "i°' °� a 8ha o .0 ° vi A >. X as E o 0-0 00 0 0 0 00000 N � 0a aC.... CCC.. CA3 A A �i O >. -..- ... ^4 N M 7 In .-i N to N (n C. Risk-taking/ATOD D. Risk-taking/Gang involvement 57. Y Q Cs v to C C Cs h a 91108, N Y OD Or a T ti t7 C R ti Obi a ti y 7 d a O w a N E CA C H C 0 W w a O CC d EzraWET O 0 L a(1) sa UdO C4 O U ON ON al ON Ol Ol Ol ON to WI' V1 (C in h le h en" en ri en en err ri en _. .. .r .-. V V g c4 13Q tC i2 .C .C .64 cC7C7C7C7C7oo 0 0 N 'E 4 8 s ��0 a,4 ao�R4m-'�Ott .S N ;E V) .,v�UE0.FO Ccizi 4 c.i -0 ti l..i oh .4 cvs T I feel close to. v .. �kel 00 >2>2 �- 0 0 eeee U U U U eeee U U U U U d o eJ e N ' 7 E w � as o 0 by a 3 O .5 E G g 8 ti o i ni O ..'7 .-. C/1 Cl.) 'O 0 R 0 rt.) N a .•C III N .r N t.l 7 '64 t C 0 V L a 0O 0O ' 'J H H tl W.b ,D •e r0 c 0 1 y t g g d .. n,4 -G ^ N M [j .. N M V H. Self-confidence/Self esteem I. Future orientation J. Locus of control 'In Vl Vl Vl vvvv 971084 A = Strongly agree (Yes!) B = Agree (Yes) C = Disagree (No) D = Strongly disagree (No!) A = Strongly agree (Yes!) B = Agree (Yes) C = Disagree (No) D = Strongly disagree (No!) 971084 PARTNERS OPERATIONAL SUMMARY A. INTAKE WELD COUNTY 04/29/97 A.1 VOLUNTEER INQUIRY ANNUAL GOAL 660 MONTH GOAL 55 55 55 55 55 55 55 55 55 55 55 MONTH ACTUAL 10 33 31 CUMULATIVE TOTAL 10 43 74 74 74 74 74 74 74 74 74 74 CUM. % OF MONTHLY GOAL 18% 39% 45% 34% 27% 22% 19% 17% 15% 13% 12% 12% CUM % OF ANNUAL GOAL 2% 7% 11% 11% 11% 11% 11% 11% 11% 11% 11% 11% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC A.2 VOLUNTEER ORIENTATION ANNUAL GOAL 230 MONTH GOAL 19 19 19 19 19 19 19 20 20 19 19 ' 19 MONTH ACTUAL 6 9 8 CUMULATIVE TOTAL 6 15 23 23 23 23 23 23 23 23 23 23 CUM. %OF MONTHLY GOAL 32% 39% 40% 30% 24% 20% 17% 15% 13% 12% 11% 10% CUM %OF ANNUAL GOAL 3% 7% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% % OF INQUIRY 31% 31% 31% 31% # ORIENT/ALTERN. 3 CUM.% ORIENT/ALTERNATIVE 0% 20% 13% 13% 13% 13% 13% 13% 13% 13% 13% 13% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC Ai JUNIOR PARTNER INTAKE ANNUAL GOAL 130 MONTH GOAL 5 10 10 12 15 11 5 15 17 15 10 5 MONTH ACTUAL 5 7 10 CUMULATIVE TOTAL 5 12 22 22 22 22 22 22 22 22 22 22 CUM. % MONTHLY GOAL 100% 80% 88% 59% 42% 35% 32% 27% 22% 19% 18% 17% CUM % OF ANNUAL GOAL 4% 9% 17% 17% 17% 17% 17% 17% 17% 17% 17% 17% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC A.4 NEW MATCHES ANNUAL GOAL 80 MONTH GOAL 5 7 6 7 7 7 6 7 6 9 6 7 MONTH ACTUAL 5 8 1 CUMULATIVE TOTAL 5 13 14 14 14 14 14 14 14 14 14 14 CUM. % OF MONTHLY GOAL 100% 108% 78% 56% 44% 36% 31% 27% 24% 21% 19% 18% CUM %OF ANNUAL GOAL 6% 16% 18% 18% 18% 18% 18% 18% 18% 18% 18% 18% % OF ORIENTATION 61% 61% 61% 61% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC A.5 ACTIVE PARTNERSHIPS FIRST YEAR PSHIPS ANNUAL GOAL 60 ACTIVE ALUMNI ANNUAL GOAL 50 FIRST YEAR PARTNERSHIPS 43 45 46 ACTIVE ALUMNI 17 20 13 TOTAL ACTUAL PARTNERSHIPS 60 65 59 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC B. THREE MONTH COMPLETION YEAR CUMULATIVE GOAL 80% COMPLETIONS SCHEDULED 3 4 3 COMPLETIONS ACHIEVED 3 4 3 CUM. % COMPLETIONS 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC 9/1.08,1 C. PARTNERSHIP SUPPORT _ C.1 COUNSELOR WEEKLY CONTACTS MUNI HLY GOAL 90% REG. CONTACTS SCHEDULED 48 58 51 REG. CONTACTS MADE 48 58 40 MONTH % - REGULAR 100% 100% 78% ERR ERR ERR ERR ERR ERR ERR ERR ERR COL. CONTACTS SCHEDULED 19 26 23 COL. CONTACTS MADE 13 18 7 MONTH % - COLLATERAL 68% 69% 30% ERR ERR ERR ERR ERR ERR ERR ERR ERR JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC C.2 COUNSELOR SEMIMONTHLY CONTACTS MONTHLY GOAL 90% REG. CONTACTS SCHEDULED 50 48 50 REG. CONTACTS MADE 50 45 49 MONTH % - REGULAR COL CONTACTS SCHEDULED 100% 94% 98% ERR ERR ERR ERR ERR ERR ERR ERR ERR 32 28 70 COL. CONTACTS MADE 27 20 30 QUARTERLY % - COLLATERAL 59% 59% 59% 59% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC C.3 TOTAL COUNSELOR CONTACTS 1st YEAR 158 179 130 ALUMNI 23 24 13 TOTAL CONTACTS 181 203 143 0 0 0 0 0 0 0 0 0 CA PARTNERS SPONSORED RECREATIONAL ACTIVITIES ACTIVE PARTNERSHIPS 60 65 59 0 0 0 0 ACTIVITY PARTICIPATION 12 21 150 0 0 0 0 MONTH % 20% 32% 25% ERR ERR ERR ERR ERR ERR ERR ERR ERR TOTAL # IN ATTENDANCE 26 46 32 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC C.5 LIFE SKILLS PARTICIPATION ACTIVE PARTNERSHIPS 60 65 59 0 0 0 LIFESKILLS PARTICIPATION 6 7 NA 0 0 0 0 0 0 MONTH % 10% 11% 0% ERR ERR ERR ERR ERR ERR ERR ERR ERR TOTAL #IN ATTENDANCE 12 15 NA JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC C.6 SPO PARTICIPATION TOTAL#IN ATTENDANCE NA 2 NA JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC D. OUTCOME D.1 PARTNERSHIP HOURS 5994 TOTAL 0 0 0 SB94 WEEKS AVAIL. 0 0 0 SB94 AVERAGE ERR ERR ERR ERR ERR ERR ERR ERR ERR ERR ERR ERR REG. TOTAL HOURS 619.5 618.5 727.75 REG. WEEKS AVAIL. 124.5 122.5 131 REG. AVERAGE HOURS 5.0 5.0 5.6 ERR ERR ERR ERR ERR ERR ERR ERR ERR TOTAL ALUMNI HOURS 2 44.5 106.5 TOTAL ALL HOURS 621.5 663 834.25 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC D.2 TERMINATIONS AND POSITIVE EARLY ENDINGS (3 MONTHS) TERMINATIONS 0 0 0 POSITIVE EARLY ENDINGS 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC 9/1.os,t D.3 TERMINATIONS AND POSITIVE EARLY ENDINGS (LAST 9 MONTHS) TERMINATIONS POSITIVE EARLY ENDINGS D.4 COMPLETION OF YEAR 0 0 0 0 1 1 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC YEAR CUMULATIVE GOAL: 50% COMPLETIONS SCHD 8 2 3 COMPLETIONS ACH 6 1 1 YEAR CUMULATIVE % 75% 70% 62% 62% 62% 62% 62% 62% 62% 62% 62% 62% JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC D.5 1ST YEAR REQUIREMENTS # OF COMPLETIONS 6 4 1 WORK VISIT 6 3 1 AGENCY CONTACT 5 2 1 SCHOOL VISIT 6 3 1 HEALTH ASSESSMENT 5 4 1 PARTNERS ACTIVITY 4 3 1 LIFE SKILLS ACTIVITY 2 1 1 COMMUNITY SERVICE 4 3 1 3-6 MONTH REVIEW 5 4 1 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC D.6 ANNUAL TOTALS TOTAL # OF PARTNERSHIPS COMPLETING YEAR: 11 AGENCY SCHOOL HEALTH PARTNERS LIFESKILLS COMMUNITY CONTACT VISIT ASSESSMENT ACTIVITY ACTIVITY SERVICE REQUIREMENTS COMPLETED 8 10 10 8 4 8 COMPLETION PERCENTAGES 73% 91% 91% 73% 36% 73% E. SUPPORTING INFORMATION E.1 WAITING PERIOD BEFORE MATCH MALE JP's MATCHED THIS MONTH 4 5 0 TOTAL DAYS WAITING 887 687 0 AVERAGE DAYS WAITING 222 137 ERR ERR ERR ERR ERR ERR ERR ERR ERR ERR CUMULATIVE AVERAGE 175 175 175 175 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC FEMALE JPs MATCHED THIS MONTH 1 3 1 TOTAL DAYS WAITING 67 276 25 AVERAGE DAYS WAITING 67 92 25 ERR ERR ERR ERR ERR ERR ERR ERR ERR CUMULATIVE AVERAGE 74 74 74 74 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC MALE SP's MATCHED THIS MONTH 2 1 0 TOTAL DAYS WAITING 42 23 0 AVG DAYS WAITING 21 23 ERR ERR ERR ERR ERR ERR ERR ERR ERR ERR CUMULATIVE AVERAGE 22 22 22 22 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC FEMALE SP's MATCHED THIS MONTH 3 7 1 TOTAL DAYS WAITING 125 125 19 AVG DAYS WAITING 42 18 19 ERR ERR ERR ERR ERR ERR ERR ERR ERR CUMULATIVE AVERAGE 24 24 24 24 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC 971.98' E.2 NUMBER OF PEOPLE WAITING FEMALE JUNIOR PARTNERS 9 8 5 MALE JUNIOR PARTNERS 58 55 57 TOTAL JUNIOR PARTNERS 67 63 62 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC FEMALE SENIOR PARTNERS 8 2 1 MALE SENIOR PARTNERS 1 2 0 TOTAL SENIOR PARTNERS 9 4 1 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC E3. JUNIOR PARTNER REFERRAL SOURCES JUVENILE PROBATION REFERRED THIS MONTH 0 0 0 CUMULATIVE REFERRALS 0 0 0 0 0 0 0 0 0 0 0 0 MATCHED THIS MONTH 0 0 0 CUMULATIVE MATCHES 0 0 0 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC DISTRICT ATTORNEY REFERRED THIS MONTH 0 1 4 CUMULATIVE REFERRALS 0 1 5 5 5 5 5 5 5 5 5 5 MATCHED THIS MONTH 0 0 0 CUMULATIVE MATCHES 0 0 0 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC SOCIAL SERVICES REFERRED THIS MONTH 0 0 0 CUMULATIVE REFERRALS 0 0 0 0 0 0 0 0 0 0 0 0 MATCHED THIS MONTH 0 0 0 CUMULATIVE MATCHES 0 0 0 0 0 0 0 0 0 0 0 0 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC WELD MENTAL HEALTH REFERRED THIS MONTH 0 0 0 CUMULATIVE REFERRALS 0 0 0 0 0 0 0 0 0 0 0 0 MATCHED THIS MONTH 1 0 0 CUMULATIVE MATCHES 1 1 1 1 1 1 1 1 1 1 1 i JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC SCHOOL DISTRICT *6 REFERRED THIS MONTH 4 6 3 CUMULATIVE REFERRALS 4 10 13 13 13 13 13 13 13 13 13 13 MATCHED THIS MONTH 3 6 1 CUMULATIVE MATCHES 3 9 10 10 10 10 10 10 10 10 10 10 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT N0V DEC OTHER SCHOOLS REFERRED THIS MONTH 1 0 2 CUMULATIVE REFERRALS 1 1 3 3 3 3 3 3 3 3 3 3 MATCHED THIS MONTH 0 1 0 CUMULATIVE MATCHES 0 1 1 1 1 1 1 1 1 1 1 1 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC OTHER REFERRED THIS MONTH 0 0 1 CUMULATIVE REFERRALS 0 0 1 1 1 1 1 1 1 1 1 1 MATCHED THIS MONTH 1 1 0 CUMULATIVE MATCHES 1 2 2 2 2 2 2 2 2 2 2 2 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT N0V DEC 971084 F1. PROGRAM SUPPORT HOURS SPECIAL VOLUNTEERS 31 31 24 HOURS 41.5 43.5 32.5 CUMULATIVE HOURS 41.5 85 117.5 117.5 117.5 117.5 117.5 117.5 117.5 117.5 117.5 117.5 HEALTH/LEGAL SERVICE 0 0 0 HOURS 0 0 0 CUMULATIVE HOURS 0 0 0 0 0 0 0 0 0 0 0 0 SENIOR PARTNER/ALUMNI 60 65 59 0 0 0 0 0 0 0 0 HOURS 621.5 663 834.25 0 0 0 0 0 0 0 0 0 CUMULATIVE HOURS 621.5 1284.5 2118.75 2118.75 2118.75 2118.75 2118.75 2118.75 2118.75 2118.75 2118.75 2118.75 BOARD/COMMITTEE 11 27 23 HOURS 17 33.5 28.5 CUMULATIVE HOURS 17 50.5 79 79 79 79 79 79 79 79 79 79 SPECIAL EVENTS HOURS CUMULATIVE HOURS TOTAL PEOPLE TOTAL HOURS CUMULATIVE HOURS 16 8 232 24 9.5 1862 24 33.5 1895.5 1895.5 1895.5 1895.5 1895.5 1895.5 1895.5 1895.5 1895.5 1895.5 118 131 338 0 0 0 0 0 0 0 0 0 704 749.5 2757.25 0 0 0 0 0 0 0 0 0 704 1453.5 4210.75 4210.75 4210.75 4210.75 4210.75 4210.75 4210.75 4210.75 421075 421075 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC F3. INQUIRY SOURCE NEWSPAPER 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 BROCHURE/DISPLAY 0 4 1 O 4 5 5 5 5 5 5 5 5 5 5 STAFFNOLUNTEER 1 0 4 1 1 5 5 5 5 5 5 5 5 5 5 AGENCY 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 TV 0 0 0 O 0 0 RADIO 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 CORPORATE SPONSOR 0 0 0 O 0 0 PROMOTIONS 0 0 0 0 0 0 0 0 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 SPECIAL EVENTS 0 1 0 O 1 1 1 1 1 1 1 1 1 1 1 PRESENTATION 5 26 23 5 31 54 54 54 54 54 54 54 54 54 54 OTHER 2 2 3 2 4 7 7 7 7 7 7 7 7 7 7 JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC 971.08^1 On 010 OS a aO N N V' es" U v v (4d Vl vi vi vi in in in in in in in in in 7 R R 7 ' N 7 V N N V" 7 (V a N N N N N N e{ N N 4 N? N N 4 N .-. .. .-. .-. .-.. Vl .-. r .4.;"_ '4_I -. .-.: tan .-. a W Q Q QQ Q SS e e e SS e e SS 0 0 00 0 UU U U U U U U U UU 0,3 d cai ei .5 n 0 a a E es —e �p E . 0 as OD ,� ti N O T 8 O 3 SJ. O '. -"•. 1 .,a O 0 5 0 y 3 a, s .. h W .0 of C ❑O .. O ; 4r .G O . 00 ' 7 a O a U Y y W O4 P. en 1' 1 oa N-0 g v Nra ° an c �x O O 'JHL.d o Dx O.5 N .p ' v 5 bS..v�L5 No 8y S 5c�.5 a a°�ov 02' A ..' N O SC w [ N O g A N A 0 .0.. w., I.0 - r' w EJ N TiCi INC O g 00 bp a S '1' U 3 a v a� '' o �'et d w a0i m .G v .° 5 a o 0 W V] o A Y MI N :rJ 'y .`J g s 7 �` r N .� 'C "JY W ,tl CY -, N M 7 •--• N in V .- N M 7 .-, ei M 4 C O I O 0 C W - y u V E c sa 0 te e E ril c C U Co C N N N es C. 1 O a0 O w 11 > W u o y N C a w) aWJ a n.o t.ti FO u ,dn' �`O,0 w a dL .a N. Conflict resolution practices eee Q000 0 C. a 0 0 > O •p O C.O. a es O 8 t, 5 a1° .-":".= -0;1'41 d 0 0 0 O a N 0 o g N a m 3 03 o 0 o (.2 F N M 4 C 0 971084 s U B. Risk-Iak1ng/Dell.gesecy VI C. RIsk-likles/ATOD VI el 3 n a eft E Risk-takl A F. Existing adult relationships el ei C. Peer reiatloegip. .71 L Future orteelatioe VI A el Gn el & Accepa.ce of personal rerpoasibl el e S el I z9 1Osj toward .dullsf.tforl Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingualbicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Revision Contract Award Period Beginning 06/01/97 and Ending 05/31/98 Computation of Awarri Unit of Service A maximum of sixteen client families will be served. Services provided include at least two hours weekly of home- and clinic -based mental health services for up to 52 weeks. Cost Per Unit of Service Hourly Rate Per $ 42.25 Unit of Service Based on Approved Plan Enclosures: '� Signed RFP; Exhibit A u"Addyndum RFP Information; Exhibit B Condition(s) of Approval Approval By eorge E. iaxter Board of V� County C Date: �� 1 Contra t Award No FY97-PAC-14000 (RFP-PAC-97007) Weld Mental Health Center, Inc. Sexual Abuse Treatment 1306 11 Avenue Greeley, CO 80631 Descri tion The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP), and Addendum RFP Information. The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NOFAA in which case the NOFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by client -signed verification form, and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly, and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be submitted to the Weld County Department of Social Services by the end of the third business day following the end of the month of service. Program Official: By Jud • . Gri+go, Direc A I We i Count Departm-t of ocial Services Date: 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971084 INVITATION TO BID DATE: February 5, 1997 BID NO: RFP-PAC-97007 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-PAC-97007) for: F. y Preservation Program --Sexual Abuse Treatment Program Family Issues Cash Fund or Family Preservation Program Funds Deadline: March 25, 1997, 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 approved vendors 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 services targeted to run from June 1, 1997, through May 31, 1998, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. This program announcement consists of five parts, as follows: PART A..Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work Delivery Date VENDOR PART D...Bidder Response Format PART E.. .Bid Evaluation Process (After receipt of order) BID MUST BE SIGNED IN INK Dale F. Peterson TYPED OR PRINTED SIGNATURE Weld Mental Health Center, Inc. (Name) Handwritten Signature By Authorized Officer or Agent of Vender ADDRESS 1306 11th Avenue TITLE Executive Director Greeley, CO 80631 DATE 3/12/97 PHONE # (970) 353-3686 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 971094 RFP-PAC-97007 Attached A SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RFP-PAC-97007 NAME OF AGENCY: Weld Mental Health Center, Inc. ADDRESS: 1306 11th Avenue Greeley, CO 80631 PHONE: 1 970) 353-3686 CONTACT PERSON: Dan E. Dailey TITLE: Program Director DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization 12 -Month approximate Project Dates: Start June I. 1997 End M:y31.1998 TITLE OF PROJECT: Sexual Abuse Treatment AMOUNT REQUESTED: Dan E. Daile 12 -month contract with actual time lines of: Start End Name and Signature of Person Prep �3/12/97 • g g Document Date Dale F. Peterson aitarctAan Name and Signature Chief Administrative Officer Applicant Agency 3/12/97 Date MANDATORY PROPOSAL REOUIREMENTS Please initial to indicate that the following required sections are included in this proposal: Project Description Target/Eligibility Populations Types of services Provided Certificate of Insurance Measurable Outcomes Service Objectives Workload Standards Staff Qualifications Unit of Service Rate Computation Program Capacity per Month Date of Meeting(s) with Social Services Division Supervisor: 2/27/97 Comments by SSD Supervisor: Name and Signature of S D Supervisor 25 Date 971084 I. PROJECT DESCRIPTION The Sexual Abuse Treatment (SAT) project of the Weld Mental Health Center (WMHC) serves child and adolescent victims and perpetrators of sexual assault as well as, when appropriate, the adult family members who are perpetrators of sexual assault. It is the most intensive outpatient offering of the WMHC dealing with sexual abuse of children and the only one of the Family Preservation Team's (FPT) services designed specifically to do so. Its services focus on family strengths and include work in the areas of problem solving techniques, child management practices, stress management techniques, and the appropriate use of available resources and support systems. The therapy provided by the SAT is designed to address issues and behaviors related to sexual abuse victimization, sexual dysfunction, and sexual abuse perpetration. Its quest is to prevent additional episodes of sexual abuse. We seek to be able to offer this service to at least 16 families at any given time who need, in the assessment of their Weld County Department of Social Services (WCDSS) caseworker, this type of mental health intervention. We will accept as many families into the SAT services as the community needs served. The SAT offers an average of at least three hours weekly of home- and clinic -based mental health services for up to 52 weeks to each client family. If a family needs an extended period of similar services to reach its objectives, a 26 week extension, if approved, may be provided at the same level of care. The actual extension will be jointly agreed upon by the family, the SAT therapist, and the WCDSS caseworker pending approval of the plan by a WCDSS internal agency review and by WCDSS administration. The WCDSS caseworker will document the reason for extension in the family's case record. Four primary types of treatment services are provided to recipients of SAT services: therapeutic, concrete, collateral, and crisis intervention. Each family admitted to the project will have a service plan developed for it that spells out the specific services to be delivered in each of these four categories. The plan describes how a child and his or her family will be treated in order to rapidly respond to and remedy the sexually abusive situation in the family that presents the risk of an out -of -home placement of a child occurring or that precludes the safe return of a child already in placement. The SAT services will concentrate on a series of service objectives in our efforts to achieve the goal of safely maintaining a child in her or his home or of safely returning the child home. These objectives are to improve the family's ability to resolve and manage conflicts within the family, to improve parental competency, to improve the household's management competency, and to improve the family's ability to gain access to needed resources. SAT services will take on different configurations based on the needs of each of the client families. Extensive family work will be at the core of each configuration. Group therapies will figure extensively into the design, depending on the issues each client family brings to their treatment. Plethysmographic and polygraphic assessments are available as a part of the offense specific sexual offender aspect of this service. 971084 II. TARGET ELIGIBILITY POPULATIONS The design of SAT services is to serve at least 16 families with an average monthly capacity of 12 families. The WMHC will, however, accept an unlimited number of families into this project. The average length of stay will be 52 weeks for families not needing extensions of the initial treatment period and 78 weeks for those who do need extensions. Families will be provided a minimum of three hours of care weekly, the actual composition of which will be determined on a family by family basis. All families will have access to emergency services 24 hours a day, seven days a week. Referred children may range in age from birth through 17 years. Offense specific, sexual offender treatment can be an integral part of the services when indicated. Adult sexual assault perpetrators who do not receive offense specific treatment services within this project will be provided family services upon being deemed appropriate to be included by the therapist(s)treating them and upon consultation between the SAT therapist and WCDSS caseworker. Nuclear family members of the referred child and members of the extended family deemed necessary will be included in the treatment process. At least one parent/guardian must consent to work with SAT toward the goal of maintaining or reunifying the family. At least 25% of the client families will receive bicultural and/or bilingual services. Care will be available throughout Weld County with at least 25% of the client families residing in southern Weld County. Families will have demonstrated a reasonable possibility that services will bring about sufficient improvement in child and family functioning to allow a child to safely reside in or return to her or his home. A manageable level of risk that further sexual abuse perpetration or victimization in the family and in the community will not occur must be present. A child in placement must be able to be returned home within six months of the start of SAT services. Children referred to the project will have met or be at high risk to meet the following out -of -home placement criteria: "Criteria 1. Dysfunction of the child and/or the family is within at least one of the following conditions that bring about the issue of out - of -home placement: a. The child has no parent or guardian, and the child has no appropriate and willing relatives with whom he or she may live; or, b. The child is in need of protection. The child is in need of protection when there has been actual abuse or neglect as defined in C.R.S. 19-3-102, or the child's continued presence in the home is likely to result imminently in physical or emotional injury; or, c. The child has medical, physical, or nursing care needs to the degree that 24 hour out -of -home care is required; or, d. There is a finding of mental illness as provided in C.R.S. 1973, 27-10-101 or the child has severe psychological problems of such a nature that requires 24 hour out -of -home care as documented by a certified psychologist or licensed psychiatrist, or preferably by a certified mental health center; or, e. The child's behavior constitutes a danger to the community as demonstrated by commission of an act which would have a Class I, II, or III Felony if committed by an adult or by other repeated felonious acts; and Criteria 2. Community resources which are appropriate and necessary to maintain the child in his/her own home must be absent or exhausted; and, Criteria 3. Out -of -home placement is likely to remedy the dysfunction that is raising the issue of placement out of the child's own home." 971094 III. TYPE OF SERVICES TO BE PROVIDED All families referred and accepted into the SAT project will receive home- and/or clinic -based services for not less than three hours weekly for up to 5.2._ weeks.- _Those families_deemed be in nead_of_snnr;nuing SAT services beyond the initial 52 weeks and approved for such as outlined above will receive services for an additional 26 weeks. SAT offerings, consisting of therapeutic, concrete, collateral, and crisis intervention services, may include services provided by staff members of Alternative Homes for Youth and the Individual and Group Therapy Services (IGTS) in addition to those provided directly by the WMHC. All services will be delineated in a comprehensive service plan tailored to the specific needs of each client family and designed with the collaboration of the client family and its WCDSS caseworker. This plan will be a dynamic document, changing to fit the needs of the family and its individual members. The therapeutic services will include, when appropriate, -individual, group, and family therapy, support groups, education in problem solving, lessons in communication skills, and training in parent -child and parent -parent conflict management. Group treatment for parents of abused children, for the abused children themselves, for child, adolescent, and adult perpetrators of sexual violence, for parents of those sexually violent members of the family, and for the not abused siblings of an abused child will be available as needed in the course of SAT services as will be mixed family therapy groups for youthful perpetrators and their parents. For perpetrators of sexual violence, recidivism prevention treatment will be in place as well. Access to polygraphic and penile plethysmographic assessments is built into this service. These are highly specialized, state of the art tools to ensure that sexual offenders are benefitting from the treatment offered them. Joint agreement between the WCDSS and WMHC workers will precede the use of these assessments. Psychiatric services including evaluation and the prescribing and monitoring of psychotropic medications are available to each of the client families as are psychological services such as psychological testing and evaluation. Access to such services will be based on the family's needs and on an agreement between the WCDSS caseworker and the SAT mental health worker that the services are necessary to fulfill the treatment plans that are in effect. Concrete services will include, but notbelimited to, training in the development and enhancement of parenting skills, stress management and reduction, problem solving, anger and impulse control, budget and general household management, and the planning of family activities and recreation. Collateral services will focus on preparing and teaching families to gain access to and work constructively with other community agencies whose services would benefit them. Crisis intervention services, whether provided in the family's home, in the child's school, in the mental health or other clinic, in other settings, or over the phone, will be available on a continual, 24 hour basis. Up to 1.5 hours of case management services will be provided weekly to each family. Upon receipt of a referral, the SAT staff will contact the referring 97109.E III. TYPES OF SERVICES TO BE PROVIDED, continued WCDSS caseworker to begin the service planning process including the study of all pertinent information about the family. Together, they will establish a plan to introduce the assigned therapist to the family and ensure that the family understands the nature and intent of the SAT service and agrees to participate in it. Family members will be advised of their rights in receiving mental health services, of the obligations the assigned therapist has in regard to them, and of the credentials of the assigned therapist. The services to the family will start at the first opportunity. Initially, the SAT therapist works with the family to assess its strengths and weaknesses. Of focal concern in this process is the establishment of a system to ensure the safety from abuse of client children. Based on this assessment, the service plan, emphasizing the family's strengths, will be further developed and initially implemented. Appropriate releases of information will be obtained to permit the flow of information between those agencies and individuals with whom the family already interacts and with those whose services the family will need. Delivery of the core services outlined above will maintain the emphasis on the strengths of the family while closely monitoring the safety of the at risk child(ren). Each member of the family is engaged at an appropriate level given her or his position in the family. Not only are the collective strengths of the family shored up div dual l strengths of each family member are studied, enhanced, and ut such a manner as to improve the life situation of each member and the family as a whole. As the ability of the family to provide safety and security for its members is enhanced, the service plan is updated to secure the gains made to date, evaluate what is working and what is not working, and to generally improve the family's capacity to effectively handle the crisis that lead to the initial referral and to generalize that improvement in the family's general level of functioning. Case management services consisting of referral, linkage, monitoring, advocacy, and service planning will be utilized to maximize each client ffrom ent and o ure ability vestappropriatemservicestfromsthat other agencies. The SAT services are culturally sensitive and competent. They are designed to be consistent with the culture and belief systems of the client families. Training to educate and sensitize our staff to the needs and cultural differences of the residents of Weld County occurs on a regular basis. 971084 IV. MEASURABLE OUTCOMES Each family member admitted to outpatient services of the WMHC will be evaluated at admission and at discharge from SAT services Assessment and Discharge Form developed by the Colorado Office of Mental Health Services. This form using the ealduary levels of s functioning.rmvides a wide range of inquiry Preservation dProgram Also to be used are Y into an g Admission and Termination Evaluation Forms. the Family e look specifically at the effects of the FPT forms are attached at the end of this These program. Copies of these samples (not of data from FPT services but p of data from Alsthe o aAdu to Acute Treatment Unit, an adult residential treatment program of the WMHC) of data reporting and analyzing that will be performed for FPT in the upcoming fiscal year by the WMHC Program Evaluation Office. Through the SAT project, the WMHC will work to enable families with children at risk of out -of -home placement or who already have children placed out of their homes to care for those children in a healthful, safe, and nurturing manner in the home environment. Specific objectives are to: Goal A. goals and Rapidly improve and stabilize family functioning the family to care for the children in the home setting. Objective,e to enable days of referral to cflient fa milies ation ti either services starting three emdays of within children and adolescents in foster prevent nout-of-home residential child care facilities, juvenile detention facilities, psychiatric hospitals group homes, (family preservation services) or to return and in youths from such facilities to their family homes within three weeks of referral (family reunification services.) Goal B. Improve the overall functioning of the client families via improved family conflict management, improved parental competency, improved household management competency, and an improved ability to gain access to and use appropriate resources in the community the families to appropriately care for the children in their own homes on a long to enable term basis. Objective a. Eighty-five percent of the families that successfully complete either family preservation or reunification services through the SAT project will measure significantly lower on the risk assessment scales at time of termination of services. Objective b. At discharge, six, and 12 months after the successful termination of services, 90% of the families will remain intact. Objective c. Seventy-five percent of children currently in long term placement who are provided reunification services will return to their own homes and not reenter out -of -home placement within 12 months of completion of services. Objective d. Fewer than 10% of the discharged children will enter another family preservation service unless such transfer is deemed to be in the best interest of the children. Objective e. Fewer than 10% of the children served will be in a more costly placement at discharge and fewer than 15% will be in such a placement six months after discharge. Objective f. Eighty percent of the families receiving either family incident tof abusereunification or (neglect fi led against them ces will not have substantiated during the course of treatment nor within 12 months of successful completion of services 971084 IV. MEASURABLE OUTCOMES, continued Goal C. To significantly reduce instances of recidivism and re - victimization in the client families. Objective a. To reduce the rate of recidivism of sexual assault to zero in families successfully completing treatment in which the perpetrator of such assaults is a child, adolescent, or adult family member. Objective b. To reduce the rate of re -victimization of any abused member of the client family by anyone in or outside the family to zero in families successfully completing SAT services. Objective c. To prevent the transition of a child or adolescent who has been sexually abused into a perpetrator of sexual assault for all such individuals successfully completing SAT services. 971084 V. SERVICE OBJECTIVES In working with families to achieve the goal of improving their abilities to manage family conflict in a safe, constructive manner, the SAT worker will strive to accomplish objective of resolving conflicts between the parents, the children, and the parents and children so that no maltreatment of the children occurs, no domestic violence occurs, no children run away from home, and no children commit status or legal offenses. Success in meeting this goal will be* measured by family, caseworker, and therapist reports that the objectives were met. The family will also be asked to report on their subjective improvements in this area. To meet the goal of improving overall parental competency, the objective of increasing the parents' abilities to develop and maintain sound, caring, effective relationships characterized by clear, appropriate physical and emotional boundaries with each other and with their children. Furthermore, power discrepancies within the family will be corrected with the empowerment of the non -abusing parents and the victims of the sexual abuse. An additional objective will be to enhance the abilities of the parents to provide as well as possible for their family's care, nutrition, hygiene, discipline, protection, education, and supervision. Again, the parents and children will be polled as to -their -- subjective opinions about the improvements they have made as will the therapist and caseworker. Additionally, the SAT services will focus on the goal of improving personal and individual competencies within the family. Objectives are established to develop and maintain functional levels of self esteem, victim awareness, awareness and management of one's personal history of victimization, sexual education, peer relationship enhancements, appropriate emotional and physical boundaries, the use of assertion in lieu of aggression, and in assumption of responsibility for one's own behaviors. The fourth service goal of the project is to improve household management competency. The objective here is to enhance the capacity of the parents to provide a safe household environment for the children through competently managing the home to include cleaning, repairing, and maintaining the home, budgeting, and purchasing. Families who do not have a working financial budget will develop and adhere to one with the assistance of the therapist. The family, therapist, and caseworker will document the improvements made in this area. The fifth service goal of SAT is to improve the family's ability, individually and collectively, to find and use appropriate resources. Treatment and case management services will assist the family to learn more effective means to obtain needed help from other sources in the community and from local, state, and federal governments. The families will report, and their caseworker and therapist will confirm gains in this goal and objective. 971084 VI. WORKLOAD STANDARDS A worker in the Family Preservation Team (FPT) of the WMHC will have a caseload of not more than eight SAT families at any one time. The equivalent, at a minimum, of two full time workers will provide SAT services at any given time. Each will provide an average minimum of three hours of direct, outpatient family preservation or reunification services per family per week. The minimum of two hours suggested in The Colorado Department of Social Services Staff Manual volume 7 is too bare a minimum, not sufficient to the task set out for SAT workers at the WMHC. The three hours does not include the time required to be spent receiving clinical supervision, participating in in-service training, or in traveling to reach the client families served. Also not included in the three hours are the case management hours required to assist the family achieve its goals and objectives that is done in the family members' absence. Direct supervision of the SAT project occurs within the context of the larger FPT. This team, as designed and as presently proposed in this document and others, is comprised of seven individuals: the full time equivalent of six mental health workers and one supervisor. The supervisor, who currently is Sonja Faris, MA, reports directly to the director, who is currently Dan Dailey, BA, of the Children and Family Services Program (CFSP) of the WMHC. The supervisor provides clinical oversight and administration directly to the project as well as clinical supervision to newly employed members of the team for at least the first six months of their employment. After the initial six months, an employee may be permitted to choose a clinical supervisor from among the other qualified staff of the WMHC. Also in the clinical and administrative chains of command, and available for consultation with staff, are the WMHC's Medical Director, Theron G. Sills, MD and Clinical Director, William Crabbe, PhD, MHA. A board certified child psychiatrist Russ Johnson, MD and two board certified general psychiatrists, James Medelman, MD and Jeff Huff, MD, are also available to consult with the FPT staff and to psychiatrically evaluate family members in need of such services. The present treatment staff fully assigned to the FPT are Josephine Lucero, MA, Holly Moore, MSW, Rich Hedlund, MA, and Sonja Faris, MA. Their efforts are augmented by other staff, including Meg Baker, LCSW, Greg Bjork, MA, Bob Lenhart, BA, Lin Moersen, MSW, and Pat Orleans, LCSW from the WMHC when necessary to carry out the service plan of a client family. Additionally, staff of Alternative Homes for Youth and Individual, Group, and Family Treatment will be an integral part of the treatment staff for some of the referred families. 971094 VII. STAFF QUALIFICATIONS All staff of the WMHC's Family Preservation Team (FPT) will, as a minimum, meet the qualifications necessary to be a Caseworker III within the state social services system. That is, each is required to have at least a bachelor's degree in one of the human behavioral science fields and at least the equivalent of two years of professional mental health or social services experience performed after completion of the degree. All current members of the team, except for one, have masters degrees in the human services area from accredited universities and at least two years experience working with children and families. One team member does not have a masters degree but has been working in the field for over 25 years. Due to the use of the team approach, the members of the team, while specializing in the provision of family preservation services, carry a diverse caseload in that each may provide a combination of the four different types of family preservation services offered by the WMHC. This aspect of the FTP will be staffed according to demand for services from WCDSS. The equivalent of two full time employees, at a minimum, will be continually available to provide SAT services at any given time. Additional staff will be hired to handle whatever number of referrals may be made. Each member of the FPT will be knowledgeable in family and individual dynamics and in the treatment of sexual abuse as demonstrated by specialized training, workshops, and experience in the area. Each FPT member working with a family within the SAT will receive a monthly minimum of four hours of clinical supervision from a WMHC staff member with advanced skills in sexual abuse treatment or family therapy. This supervision will address such things as diagnostics, treatment planning, use of the self in the treatment relationship, strategies of intervention, dealing with resistance, and obstacles to the treatment process. All members of the team and involved clinical supervisors will complete not less than 12 hours annually of continuing education in the area of sexual abuse treatment and prevention. Those clinical staff providing offense specific sexual offender treatment will meet all state requirements for such workers. At present, all members of the FPT have attended and completed the State Home Based Intensive Family Services training program, or its equivalent. Any new members hired will be sent to this training as soon as possible after they begin their employment with us. Those staff providing the highly specialized assessments required in the treatment of sexual offenders such as penile plethysmographs and polygraphs will meet state standards as examiners in these areas. Psychiatrists and psychologists whose services are used will be licensed practitioners in Colorado. 97108' VIII. COMPUTATION OF DIRECT SERVICE RATE Direct Time (Per Month Per FTE) Hours 1. Direct client contact 102.33 Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case Management 8. Other 12.00 8.00 1.00 14.00 8.00 20.00 8.00 9. Subtotal 71,00 10. Total Time Available Per Month 173.33 (Sum of 1-8) 11. Ratio of Direct to Total Time .59 (1/10 = 11) The SAT services are heavily personnel intensive. The above computation based on one full-time staff members reflects this. Every effort is made to minimize the non -service aspect of this project although clearly it is in the clients' best interests to have their care well documented. Thus, paperwork time is calculated approximately one and one-half hours per month per client family. Travel to and from client families' homes is based on past experience and also the design of the project involves more clinic based services and that encourages increasing use of the clinic as the treatment setting particularly as therapy progresses and more responsibility is transferred to the families. Court time is minimized as much as possible through close contact with WCDSS and probation workers. Again, this figure is based on our past experience with this project. Staff of the WMHC who have been employed for at least two years accrue 1.75 days, or 14 hours, of vacation and 1.00 days, eight hours, of sick leave per month. That portion of the case management services performed when the client is present will be recorded as direct service time, the remainder as indirect service time. The "Other" category above primarily reflects time spent in supervision and in training to maintain and enhance therapeutic knowledge and skills. 971084 RFP-PAC-97007 RATE COMPUTATION Service Costs Attached A Direct Costs Salary Benefits Subtotal Indirect Costs Supervision Salary Benefits Clerical Salary Benefits Subtotal Agency Overhead Rent Utilities Supplies Postage Travel Telephone Equipment Data Processing Other Total If of Employees Overhead Per Employee Overhead Per Total Hours Direct Service Rate Monthly $ 5000.00 1200.00 6200.00 $ 6500.00 1560.00 1700.00 408.00 $10168.00 $17727 5100 4781 1850 4200 3217 3100 4000 20049 $64024 141.9 $ 451.19 2.61 Total Total Direct Hourly Rate Hourly Rate $ 14.45 3.47 17.92 $ 24.39 5.85 30.24 $ 18.79 $ 31.71 4.51 7.61 4.91 8.29 1.18 1.99 $ 29.39 $ 49.60 (Hourly) (Daily if appropriate) Direct Time % of Time Charge 100.00 $ 24.39 100.00 5.85 100.00 30.24 20.00 $ 6.34 20.00 1.52 15.00 1.24 15.00 .30 $ 9.40 $ 2.61 $ 42.25 Service Cost Defmitions Direct Costs - Salary and benefits for employees providing direct services to clients. Indirect Costs - Salary and benefits for employees providing supervision or clerical support for staff providing direct services. Agency Overhead - Monthly cost for rent, supplies, postage, etc. If the agency building is owned use estimated market rent for the building. # of Employees - Total number of employees in the agency building. Overhead Per Employee - Divide the total agency overhead by the total number by 173 hours. Direct Service Rate - The rate is the hourly charge to provide service taking into consideration compensation and overhead. It can be used as a rough measure to compare services that are uniform in nature. It should not be used to compare services that are different with more expensive components of labor such as psychiatric consultation. Total Hourly Rate - Cost divided by total hours available. Total Direct Hourly Rate - Cost divided by total direct hours. 28 971084 IX. RATE COMPUTATION: BUDGET DESCRIPTION Personnel costs are predominant in this budget. The figures represent the equivalent of two full-time clinical staff members of the WMHC working in the Sexual Abuse Treatment services and the necessary level of additional services called for by service plans and the requirements set forth in proposal, including clinical, case management, support, and supervisory services. Direct services personnel costs $30.24 per direct service hour, or 72% of the total of $42.25. Supervisory costs are $7.86, or 18%, of the total direct time cost. The clerical support services cost $1.54 or 3%, of the total. The agency overhead of $2.61 amounts to only 6% of the total cost per hour. Psychiatric and psychological services are available at an hourly rate of $76.00 to those clients needing them and will be billed separately from other clinical costs. Plethysmographic evaluations are available at a cost of $210.00 including a written report and $150.00 without such a report. Polygraphic evaluations are available at a cost of $180.00 including a report. Charges for psychiatric, psychological, plethysmographic, and polygraphic services will be made separate from the rate set forth above. All PAC funds will be accounted for separately within the overall budget of the WMHC. Each project is regarded as a distinct cost center. The WMHC is independently audited annually, including its use of PAC funds. PROGRAM CAPACITY BY MONTH The SAT is designed to function with a minimum staff contingent of 2.00FTE, serving up to 16 children and their families at any given time throughout the upcoming fiscal year. The WMHC will be pleased to accept as many additional families as are determined to need this level and type of care. We will develop sufficient staffing patterns to accommodate any and all families needing the SAT service. 971084 FAMILY PRESERVATION PROGRAM ADMISSION EVALUATION FORM Client Idi1 Client Name Secondary B Diagnosis: Primary School Grade City Date of Birth Admit Date CenterNo (Check One) Sex Ethnicity Medicaid _ Yes Who had custody of youth at time of referral to FPP Where was youth residing at time of admission to FPP (Be specific) Date of initial referral for FPP services Date of first contact by FPP therapist FPP Therapist Previous mental health services (explain) Special Behaviors or Circumstances/Reasons for referral PAST raSENT Yes No Yes No Suicidal Violence toward others Runaway Behavior Social Isolation Legal Charges Domestic Violence On Probation Victim Physical Abuse Victim Sexual Abuse Alcohol Use Use of Inhalants Other Drug Use Learning Disabilities Special Education Bed Wetting Encorpresis Others (specify GAF SCORE AT ADMISSION TO FPP OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNCTIONING SCORES AT ADMISSION TO FAMILY PRESERVATION PROGRAM Very Moder Aver. Moder. High Low Low High Func. 1 2 3 4 5 6 7 8 9 (RATE ALL SIX AREAS) SOCIETAL FUNCTIONING INTERPERSONAL FUNCTIONING DAILY LIVING PERSONAL CARE PHYSICAL FUNCTIONING COGNITIVE INTELLECTUAL OVERALL LEVEL OF FUNCTIONING 971084 FAMILY PRESERVATION PROGRAM TERMINATION EVALUATION FORM Client Name Discharge date from FPP Client Id>F List all different types of FPP services used Discharge Diagnoses: Primary Secondary Who has custody of child at time of termination from FPP? Where was child living immediately after termination from FPP? Who will follow youth after discharge? Special Behaviors or Circumstances PRESENT Yes No Suicidal Violence toward others Runaway Behavior Social Isolation Legal Charges On Probation Victim Physical Abuse Victim Sexual Abuse Alcohol Use Use of Inhalants Other drug use Learning Disabilities Special Education Bed Wetting Encorpresis Domestic Violence Others (specify) GAF SCORE AT DISCHARGE OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNCTIONING SCORES AT DISCHARGE FROM FAMILY PRESERVATION PROGRAM (RATE ALL SIX AREAS) Very Moder Aver. Moder. High Low Low High Func. 1 2 3 4 5 6 7 8 9 cnrIETAL FUNCTIONING INTERPERSONAL FUNCTIONING DAILY LIVING PERSONAL CARE PHYSICAL FUNCTIONING COGNITIVE INTELLECTUAL OVERALL LEVEL OF FUNCTIONING 97108/1 ASSESSMENT/DISCHARGE Shed I AGENCY GAF SCORE I I ] I CLIENT ID MEDICAID ID ADMISSION DATE: num/dd/yy VICTIM PROBLEMS Check ALL that Apply Ever Sexual Abuse Victim Ever Physical Abuse Victim Ever Verbal Abuse Victim _Neglect PROBLEM SEVERITY RATE the CURRENT P-SEV (PROBLEM SEVERITY) for each area using the following scale: None Slight Moderate 1 - 7 - 3 - 4- 5 - 6 Severe Extreme 7 - 8 - 9 CURRENT PSEV Check ALL Problems that Apply EMOTIONAL WITHDRAWAL Blunted Affect Reticent Distant DEPRESSION Depressed Bored Sad ANXIETY Anxious Tense Obsessive HYPER AFFECT Mania Sleep Deficit _Pressured Speech Undaactive Passive Reserved Worthless Hopeless Desolate Fearful Panic Restless Agitated Mood Swings Accelerated Speech SUICIDE / DANGER TO SELF Suicide -Ideation Suicide Plan _Pas Suicide Atles9. - _Self Injury _Danger to Self (. x.'0714) Vacant Subdued Detached _lonely Dejected Sleep Problem Nervous Phobic Guilt Overactive Elevated Mood _Suicide Attempt Self Mutilation THOUGHT PROCESSES Bizarre _Suspicious Disorganized _Illogical Delusions Paranoid Derailed Magical Thought COGNITIVE PROBLEMS Memory Concrete _Attention Span Hallucinations _Repeated Thought Loose Associations _Unwanted Thought Confused Intellect _Impaired Judgment _Disoriented Lacks Self -Awareness SELF -CARE / BASIC NEEDS (Doesn't) _Care for Self _Manage Money Provide Food _Provide Housing Manage Personal Environment _Make Use of Available Resources _Hygiene _Gravely Disabled (O2740): RESISTIVENESS _Uncooperative Guarded _Antagonistic 7/95 Evasive _Wary Denies Problems Resistive _Oppositional _Refuses Treatment CURRENT P-SEV AGGRESSIVENESS _Aggressive Belligerent Defiant Check ALL that Apply Hostile Threatening Intimidating SOCIO-LEGAL PROBLEMS _Disregards Rules _Legal Problems Fire Setter Probation Dishonest Offenses / Prop. Destroy Property Parole Angry "Notorious" Uses/Cons Others Offenses/Persons _Pending Charges VIOLENCE / DANGER TO OTHERS (Client to Others) Violent Sexual Abuser Homicide Attempt Danger to Others Assaultive Homicidal Idea Physical Abuser Homicidal Threats ROLE PERFORMANCE (Work / School) _Absenteeism _Performance _Behavior _Termvutions Learning Disabilities _Not Employable _Doesn't Read/Write _Doesn't Earn Unstable Work/School Hist FAMILY PROBLEMS (Client Problems in Family) No Family w/Relative _w/Parenting No Contact w/Family w/Partner _w/Child _w/Parent _Acting Out FAMILY ENVIRONMENT (Environment Causes Problems for Client) Family Instability Separation _Custody _Family Legal Unstable Home Environment _Family History of Mental Illness FAMILY VIOLENCE (Toward Client or Family Member) _Sexual Assault _Verbal Assault Physical Assault INTERPERSONAL PROBLEMS w/Friend Social Skills Establishing Relationships _Maintaining Relationships SUBSTANCE ABUSE PROBLEMS Alcohol Addicted DUI/DUID Drug(s) Dependent _Interferes with Responsibilities Family History of Substance Abuse MEDICAL/PHYSICAL Acute Illness Nutrition _Chromic Illness CNS Disorder Eating Disorder _Physical Handicap _Enuretic _Encopretic Medical Care Needed _Developmental Disability Penn. Disability _Attention Deficit Disorder Injury by Abuse/Assault SECURITY / MANAGEMENT ISSUES Restraint Seclusion _Security _Wallcaway/Fw•p• Surveillance Locked Unit _ Time Out _ Medication Compliance Close Supervision Behavior Management Suicide Watch OVERALL DEGREE OF PROBLEM SEVERITY CHANGE IN OVERALL PROBLEM SEVERITY IsMueh Worse 2=Worse 3=Somewhat Worse 4 -No Change 5=Somewhat Better 6=Better 7 -Much Better 971.0 WMHC FORM 7b0 CLIENT I.D. # DATE OF ADMISSION ASSESSMENT/DISCHARGE Sheet 2 STRENGTHS / RESOURCES Check ALL CURRENT STRENGTHS / RESOURCES individual has yl ECONOMIC RESOURCES Employment Transportation Medicaid/Medicare EDUCATION / SKILL RESOURCES Education Job Skills PERSON RESOURCES Spouse Parent (s) Other Family Friend (s) PERSONAL STRENGTHS Insight _Emotional Stability Tolerance _Thought Clarity Housing SSUSSDI Intelligence _Interpersonal Skills Judgment _Adaptability _Appearance _Empathy Financial Medical Insurance Language Skills e Child (ren) Others Responsibility Resourcefulness Health LEVEL -OF -FUNCTIONING (LOF) Check ONE Response for Each LOF Area SOCIETAL / ROLE FUNCTIONING Very Low Moder Low Function Function Average Function Moder High Very High Function Function 1 2 3 4 5 8 ] 8 INTERPERSONAL FUNCTIONING Very Low Moder Low Function Function Average Function 1 2 3 4 5 DAILY LIVING / PERSONAL CARE FUNCTIONING 9 Moder High Very High Function Function Very Low Moder Low Function Function Very Low Function Average Function e 7 8 2 3 4 5 g Very Low Function 9 Moder High Very High Function Function PHYSICAL FUNCTIONING Moder Low Function 7 9 9 Average Moder High Very High Function Function Function 2 3 4 5 6 7 8 COGNITIVE / INTELLECTUAL FUNCTIONING Moder Low Average Moder High Function Function Function 1 2 3 5 5 7 8 9 Very High Function 9 OVERALL LEVEL OF FUNCTIONING Very Low Moder Low Function Function Average Function 2 d 4 5 Moder High Very High Function Function 6 7 8 9 CHANGE IN LEVEL OF FUNCTIONING I=Much Worse 2 -Worse 3 -Somewhat Worse 4=No Change 5=Somewhat Better 6 -Better 7=Much Helier 111 PROGRAM 1111111111 nDISCIPLINE: 1=none 2mlh worker 3 nursing 4 -social work ACTION TYPE 01 =Admission 02=Activate 03=Update 04 -Inactivate 05=Discharge (Manual Input Only) 1.1 =Correction to Admission I2=Correction to Activation 13=Correction to Update I4=Correction to Inactivation 15 -Correction to Discharge EFFECTIVE DATE: nun/dd/yy DATE FORM COMPLETED:mm/dd/y LAST CONTACT DATE: mm/dd/yy CURRENT DIAGNOSIS CURRENT / EXPECTED RESIDENCE I=Corrections/Jail 2 -Inpatient 3=Nursing Home 4 -Residential - Mental l lealth 5 -Residential Non- Mental 6 -Boarding Home 7 -Homeless -in Shelter 8 -Homeless -on Street 9 -Other Independent Living Arrangements CURRENT/ EXPECTED LIVING ARRANGEMENT. I=Lives w/Both Parents 2=Lives w/One Parent 3=lives w/Spouse and/or Other Relative(s) CURRENT / EXPECTED EMPLOYMENT. I=Employed-Full Time 2=Employed-Pan Time 3=Homemaker not Otherwise Employed 4 -Sheltered Employment 4=Lives Alone 5=Lives w/Unrelatcd Person(s) 5=Not in Labor Force 6 -Unemployed less than 3 Months 7=Unemployed 3 Months or More 8 -Armed Forces Active Military Duty INACTIVE / DISCHARGE TYPE OF TERMINATION. STAFF/AGENCY INITIATED CLIENT INITIATED I=Discharged/Fransferred 2=TX Completed/No Referral 3=TX Completed/Follow-up 4=Evaluation Only 5 -Inactive for I Year 6-Patient/Client Died 7=PatienVClient Terminated TERMINATION REFERRAL: NOTE: Use 61 "Self' if no Referral This field will contain one of the following codes if uunn type v 05 or 15: Personal referrals - 61 - Self; 62- Firmly/Mauve, 63- Friend/Employer/Clergy; MedkabPaychistrfc referrals - 68 - Outpatient psychiatric; 69 - Private psychiatrist, 70 - Other private MN practitioner; 71-Ch99UP; 72-QA9/Fl,; 73 -Colorado Mental Health Centers/Clinics, 74 - Nursing Mme: 75 - Community residential organization; 76 - AMcoholDnig treatment facility; 77 - Medical practitioner, 71 -General hospital inpatient psychiatric program. 79 - Other inpatient psychiatric program; Social aervlee/tdueatioa referrals - 81- Soval service agency; 12 - Agency for the Developmental disabled. 83 - Vocational rehabilitation facility: 84 - Educational syste.m/school; 85- Shelter for homeless/abused legal referrals - 91 - Law enforcement; 92 - Courtduding juvuulc ); 93- Correctional facility; 94- Probation/parole; All other referral unman - 98 - Other. - Referral source ma known. STAFF ID/ STAFF SIGNATURE 5 psychology 6=psychiatry 7bther nDEGREE: I =none 2 -associate 3=bachelors 4 -masters 5=PhD/PsyD/EdD 7/95 6 -MD 7 -other 971084 WMHC FORM 270 FAMILY PRESERVATION PROGRAM ADMISSION EVALUATION FORM Client Name Client Id# Diagnosis: Primary Secondary Date of Birth School Grade City Admit Date Center Medicaid Yes No (Check One) Sex Ethnicity Who had custody of youth at time of referral to FPP Where was youth residing at time of admission to FPP (Be specific) Date of initial referral for FPP services Date of first contact by FPP therapist FPP Therapist Previous mental health services (explain) Special Behaviors or Circumstances/Reasons for referral PAST PRESENT Yes No Yes No Suicidal Violence toward others Runaway Behavior Social Isolation Legal Charges Domestic Violence On Probation Victim Physical Abuse Victim Sexual Abuse Alcohol Use Use of Inhalants Other Drug Use Learning Disabilities Special Education Bed Wetting Encorpresis Others (specify GAF SCORE AT ADMISSION TO FPP OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNCTIONING SCORES AT ADMISSION TO FAMILY PRESERVATION PROGRAM (RATE ALL SIX AREAS) Very Moder Aver. Moder. High Low Low High Func. 1 2 3 4 5 6 7 8 9 SOCIETAL FUNCTIONING INTERPERSONAL FUNCTIONING DAILY LIVING PERSONAL CARE PHYSICAL FUNCTIONING COGNITIVE INTELLECTUAL OVERALL LEVEL OF FUNCTIONING 971084 3-12-1997 8:344M FROM P. 2 Meat. • CERTIFICATE HaouciR OF INSURANCE: .. ...... .. . DATE 0.111/00/W) 03/12/97 Flood & Peterson Ins. Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND COMERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE P. O. Box 578 4687 W. 18th Street DOES NOT AMEND, EXTEND OR ALA THECOVERAGE AFFORDED BY THE POLICIES BELOW. Greeley, CO 80632 COMPANIES AFFORDING COVERAGE COMPANY ASt. Paul Ins. Co. INSURED Weld Mental Health Center 1306 11th Avenue COMPANY B Greeley, CO 80631 COMPANY C I COMPANY D MIS IS TO CERTFY THAT THE P[XtEC OF INSURANCE LISTED BELOW HAVE BEEN IBSLED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NDCATED. NOTWITHSTANDNG ANY REQUO¢MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH TI -US CSRTFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS. OCCLUSIONS AND CONDITIONS OF SUCH POLJGES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LiR co TYPE OF INSURANCE POLICY NUMBER IOLIDYEFFECTIVE PAW M/DD M /nT LILY EXPIRATION DATE DM) LIMITS A GENERALLIASILm X COMMERCUILOENERALLIABA.T FK06002791 01/01/97 01/01/98 BENERALAOOREUATE :1000,000 PRODUCTS •COMP,OPAGO :1 000, 000 'CLAIMS MADE X OCCUR PERSONAL AADV INJURY 11, 000, 000 OWNERS A CONTRACTOR'SPROT EACH OCCURRENCE a,000,000 FIRE DAMAGE (My on. }10 0 , 0 00 MEDEXP(Any ono person) 55, 000 AUTOMOBILE LIABILITY COMBI NE is CINGLE LIMIT $ BODILY INJURY = BODILY (Powing M T PROPERTY DAMAGE } BARAGE 1 LIABILITYAVTOONLY.EAACCIDENT I S OTHER THAN AUTO ONLY: .. EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE _ $ WORNERBCOMPENSATION EM►COYER! LIABILITY THE PROPRETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: ANDI -_-- INCL EXCL SL IMf,5 CCIDENT EACH ACCIDENT l DISEASE-POLICYLIMIT } DISEASE -EACH EMPLOYEE I A OTMER Prof. Liab. Claims Made FKO6002791 01/01/97 01/01/98 $1,000,000 ea. pers. $3,000,000 total lim. DESCRIPTION OF OPERATIONWLOCATIQN&/YEHICLESISPECIAL rims Retro date 7/1/86 aanirt a.. Hoiden Weld County Placement Alternatives Committee c/o Weld County Department of Social Security CANCELLATION ,. SHOULD ANT OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1ll_OAYSWWTTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THELEFT, BUT FAIL TO - CH Id LIMPOSE NO BLIGATION OR LUBILT ANT N• -•N THE MPANY, 'I• OR ESENTATIVES. 800 8th Avenue Greeley, CO 80631 'ADORDss-s410M DR 1 #S810491M81047 \t .. Y -P esAamti GOR DBS' 971081 Weld Mental Health Center Adult Acute Treatment Unit Client Admission and Termination Data August 1, 1995 - June 30, 1996 Global Assessment Functioning Scores ATU - Data for all clients ATU - Data for all Medicaid clients --j Mean ATU - Data for non -Medicaid clients I Admissions: n = 131 Mean 40 Mean OM Admissions: n = 247 WM Terminations: n = 245 ® Terminations: n = 131 um Admissions: n = 116 ® Terminations: n = 114 97108, Weld Mental Health Center Adult Acute Treatment Unit Client Admission and Termination Data August 1, 1995 - June 30, 1996 ATU - Data for all clients Societal Role Functioning Interpersonal Functioning Daily Living/Personal Care Functioning Physical Functioning Cognitive Intellectial Functioning Overall Level of Functioning Problem Seventy Score 0 2 Mean 4 ATU - Data for non -Medicaid clients MI Admissions = 247 MA Terminations = 245 Societal Role Functioning Interpersonal Functioning Daily Living/Personal Care Functioning Physical Functioning Cognitive Intellectial Functioning Overall Level of Functioning Problem Severity Score Societal Role Functioning Interpersonal Functioning Daily Living/Personal Care Functioning Physical Functioning Cognitive Intellectial Functioning Overall Level of Functioning Problem Severity Score Mean 2 4 6 Pee Wint 0 ATU - Data for Medicaid clients 2 8 Mean 4 6 8 I_= J Admissions = 131 ® Terminations= 131 PM Admissions = 116 Terminations = 114 971084 Weld Mental Health Center co Y Co a C 0 Co C E a) O C co C 0 U) E -O .f+ N 4.0 C r co 4.c rn C• o a CD C2 a� ") o) Q < Medicaid Clients Non -Medicaid Clients N C 4) U C O co C E a) F - C O co N E -o Q C O Y co C E a) I- c O N in E 0 Q O as C •E a) a) f-' C O N Cl) E Q O V M in • O ✓ r CD r N: CO LO r r r CO co co V N l!7 • r a r c 0 ru 2 Global Assessment Functioning a r 10 c0 CO r c0 ,- 7 co vr CO co CO r 10 10 O V V N CO N_ N .1- 0-j O ri co r) O rir M r r co cr 0 r N co r N in O .4- .4 N r (NI M O V M vr ,- co (0 co r re; LC) ‘— t-- co v N r O M • r coup � N co r- ap .4 - cc; N N r LO V r LO r CO M r V yr r in V N rr N V � N CO '- O Cr) `" D CO r CO r N r L V V r r Cn C0N- CO cf.; N CO r CO co CO r CO r LO CO co V (D CO r vcq �.j N '71" r CO co r r co r N r r CO n to r d- o N c Ia) c a) c Zr) c Q C'03 c a c co o E co E Co E Con E w E 2 E w E z z z z z z z Societal Role Functioning Interpersonal Functioning Daily Living/Personal Care Functioning Physical Functioning Cognitive Intellectual Functioning Overall Level of Functioning Problem Severity Score 971094 FAMILY PRESERVATION PROGRAM TERMINATION EVALUATION FORM Client Name Client Idtt Discharge date from FPP List all different types of FPP services used Discharge Diagnoses: Primary Secondary Who has custody of child at time of termination from FPP? Where was child living immediately after termination from FPP? Who will follow youth after discharge? Special Behaviors or Circumstances Suicidal Violence toward others Runaway Behavior Social Isolation Legal Charges On Probation Victim Physical Abuse Victim Sexual Abuse Alcohol Use Use of Inhalants Other drug use Learning Disabilities Special Education Bed Wetting Encorpresis Domestic Violence Others (specify) GAF SCORE AT DISCHARGE PRESENT Yes No OVERALL PROBLEM SEVERITY SCORE LEVEL OF FUNCTIONING SCORES AT DISCHARGE FROM FAMILY PRESERVATION PROGRAM (RATE ALL SIX AREAS) Very Moder Aver. Moder. High Low Low High Func. 1 2 3 4 5 6 7 8 9 cOrIETAL FUNCTIONING INTERPERSONAL FUNCTIONING DAILY LIVING PERSONAL CARE PHYSICAL FUNCTIONING COGNITIVE INTELLECTUAL OVERALL LEVEL OF FUNCTIONING 971084 5-08-1997 9:38AM FROM WELD MENTAL HEALTH 970 353 390G P. 1 Weld Mental Health Center, Inc. 1306 11th Avenue, Greeley, Colorado 80631 (970) 353-3686 Fax: (970) 353-3906 FACSIMILE TRANSMISSION COVER SHEET Date: s16(i1-- Time: to — To: - Illy From: Number of pages: Cor: Weld Mental Health Center, Inc. (including cover sheet) If you did not receive the total number of pages indicated above or have questions about this transmission, please call the center at (970) 353-3686 or fax at (970) 353-3906. NOTICE: This facsimile transmiccion and any accompanying documents contain information belonging to the reader which may be confidential and legally privileged. This information is intended only for the use of the individual or entity to whom this facsimile transmission was sent as indicated above. If you are not the intended recipient, any disclosure, copying, distribution or action taken in reliance on the contents on the information contained in this facsimile transmission is strictly prohibited. If you have received this transmission in error, please immediately notify us by telephone and return the original message to use at the address above via the U.S_ Postal Service. Thank You. 971084 5-06-1997 9:39AM FROM WELD MENTAL HEALTH 970 353 3906 P. 2 WMHC response to PAC concerns Page 5 of 15 With regard to RFP-PAC 97007 concerning the provision of Sexual Abuse Treatment, the following is submitted: At the time the response to the request for proposals was submitted, the details of the treatment program for offense specific sex offender treatment and other aspects of this set of services were being developed and, hence, were not submitted with the proposal. The treatment of sexual offenders will represent a collaboration between Alternative Homes for Youth (AHY,) Individual and Group Therapy Services (IGTS,) and the Weld Mental Health Center (WM IC.) TOTS is the only currently approved treatment program in this region for adjudicated sex offenders and has been involved in this specialty service for several years. They are generally recognized as the leading sex offender treatment resource in this region and typically provide some subcontracted services to all other providers in this area. The head of that agency, A. Mervyn Davies, M.A., CACIII, is a consultant to the Colorado Division of Criminal Justice and is also responsible (in conjunction with a representative of the Probation Department) for performing statewide training to providers and other individuals involved with this population. The plan calls for two therapists from each of the three organizations to become and remain formally qualified in this area of treatment. AHY staff are already in this process and WMHC staff will be beginning in June, 1997. Upon achieving qualified status, this pool of therapists will be drawn upon to function as co -therapists for groups, thus ensuring that there will always be an adequate number of approved staff. Until that occurs, the currently qualified staff of IGTS will be responsible for the provision of offense specific sex offender treatment on a subcontracted basis. This program design is intended to represent a unique collaboration between private and public entities, utilizing the strengths of each. This treatment program will meet all standards, whether they be the current national and State standards for adult sexual offenders or the emerging State standards for the treatment of juvenile sexual offenders. • ' Program evaluation of this project is an intriguing proposition due to the complexity of its design. As you are aware, this project is designed to meet a widely varied set of populations who have had their lives effected by sexual abuse_ In some families, we may be treating victims and co -victims only. In others, the perpetrator of the sexual violence will be treated as well. Whatever the service needs are of each client family, however, a unified approach will be made to study the effectiveness of what we are doing. The Assessment & Discharge Forms as well as the Family Preservation Program Admission and Termination Evaluation Forms (Appendix A) will be used to monitor each family's progress as well as the effectiveness of the overall program. As you can see, these assessments, made on each client, include the Global Assessment of Functioning (GAF) from Axis V of the DSM-IV, a variety of level of functioning scales, overall level of functioning scores, the overall problem severity score, as well as specific pre- and post- test treatment measures on a variety of special behaviors or circumstances. Appropriate statistical analyses of this information will be utilized to assess the results of the 971094 5-0G-1997 9.40AM FROM WELD MENTAL HEALTH 970 353 3906 P. 3 WMHC response to PAC concerns Page 6 of 15 treatment services provided. These analyses will focus both on the treatment results for each child and also on overall program effectiveness. The specialized assessments of sexual offenders referred to this project will be similarly used. Again, the WMHC Program Evaluation Plan (Appendix B) will guide the overall monitoring and evaluating of the project. The majority of the components of our Sexual Abuse Treatment services will be available to all clients within five working days of the receipt of the referral by the WMHC Children and Family Services Program Director. This is stated, again, with the caveat of the WMHC needing to have access to the referring WCDSS caseworker and to the members of the family being referred to accomplish this fairly rapid turnaround. Why an initial assessment is not considered by you to be an integral part of the provision of direct services eludes us. This is something we can, perhaps, discuss at a later time. When offense specific sexual offender treatment is sought, one of the initial points of contact will be to provide the assessment of the offender which is routinely a four or more week process. Clearly, more than five days will elapse between referral and completion of that assessment. The extensive range of sexual abuse treatment services proposed to you will be available to all clients in need of such services in Weld County. The home -based aspects of the program will be delivered, as the name implies, in the homes of our clients. This includes a majority of our proposed work to maintain the physical integrity of families whenever possible and our work to hasten the safe return of children from out -of -home placements to their homes. At present, we have no plans to offer offense specific sexual offender treatment in the South County area. This is primarily a numbers consideration. The groups for both adult and adolescent sexual offenders will be offered at the offices of IGTS in downtown Greeley. If a sufficient number of individuals requiring such treatment are referred by the WCDSS and other referral sources, a group will be offered in Ft. Lupton. When group therapy is indicated for referred victims of sexual abuse, the families will be asked to choose between Ft. Lupton and Greeley sites of the WMHC. Our past experience with this population suggests that some families prefer to travel to Greeley for such services rather than he treated closer to their homes. This again assumes that a sufficient number of referred victims of sexual abuse will be made concerning South County residents to populate such groups there. At present, there are three groups in the Greeley office of the WMHC for child and adolescent victims of sexual abuse. In summary, home- and clinic -based services for individual and family therapy will be available in South County as needed to meet client demand. Offense specific treatment for adults and adolescents will always be available in Greeley and will be developed in Ft. Lupton if sufficient clients are referred who need this aspect of our services. 971054 5-06_1997 9:40AM FROM WELD MENTAL HEALTH 970 353 390G P. 4 WMHC response to PAC concerns Page 7 of 15 We do not intend to provide transportation of clients on a regular basis as part of this project. The travel portion of the requested budget will largely be spent getting therapists to the homes of clients for home -based aspects of the services. When necessary and when clinically appropriate,sclienill occur only in napo transported profor portion treatmentf and/or case management purposes. A complete assessment of those individuals referred for offense specific sexual offender treatment will be performed. This assessment and others are currently available and, thus, do not need to be developed prior to implementation of this service. The adult and juvenile clients will come in for the first appointment after all the demographic information has been gathered. Necessary forms are completed at this first appointment such as Mandatory Disclosure. Contact of Agreement, Release of Confidential Information. The evaluation procedure is explained to the client in detail and all questions are answered The first meeting typically lasts approximately two hours and involves clinical interviews. An additional meeting is held where the clinical interview is completed and further psychological testing accomplished. It is important to keep in mind that the client will be at our offrcesgenerallyvi at least two or three different occasions to complete all the necessary testing and interviews. Clients are generally involved with us each week during the four week assessment period. During the psychological testing, a variety of tests can be used. The choice of the actual tests to be used in each referral is dependent on individual aspects of the case. The primary tests used, given reading and comprehension above a sixth grade level, are: Minnesota Multiphasic Personality Inventory -II (MMPI-Ii); Multiphasic Sexual Inventory (MSI); Hare Psychopathy Checklist - Revised (PCLR); Beck Depression Inventory; Wilson Sexual Fantasy Questionnaire; Sone Sexual History; Child Molester Scale (CHI -MO); Sexual Social Desirability Scale (SSDS); Empathy Scale (Empat); Abel and Becker Cognition Scale; Attitudes Toward Women Scale; JOTS Offender History Questionnaire; IGTS Forensic Interview; Expulsion/Regression Scale; Domestic Violence Inventory; Penile Plethysmograph; and Sex Offender Specific Polygraph. 971081 5_0G_1997 9_41AM FROM WELD MENTAL HEALTH 970 353 3906 P.5 WMHC response to PAC concerns Page 8 of 15 These tests are used in conjunction with the clinical interview and any collateral information that is received. Most reports will have between four and six different tests used to support each recommendation. Once all the clinical information has been collected, tests given and results interpreted, and collateral information read, the report is written. At a weekly staff meeting typically held on Mondays, each case is staffed and reviewed. No client will be formally accepted into our treatment program until the case is discussed at this meeting and all staff members agree on the recommendations. The report is then finished and is proofread by another staff member before being sent to the referral source and others who may have an interest in it, provided sufficient releases have been signed. Similar procedures for assessment are used in evaluating juveniles although many of the sex offender specific tools are not developed for use with or validated on them. As a result, the number of appropriate tests for juveniles is reduced. All juveniles above the age of 15 will have administered to them the: Minnesota Multiphasic Personality Inventory -A (MMPT-A); Juvenile Multiphasic Sexual Inventory; Juvenile Culpability Scale; High School Preference Questionnaire (HSPQ); Wilson Sex Fantasy Questionnaire; 1GTS Forensic Interview; and TOTS Offender History Questionnaire_ If necessary, a Penile Plethysmograph and a Sex Offender Specific Polygraph can be given in addition to the above. For clients under the age of 15 years, the number of sex offense specific tools is reduced even further. Therefore,— the clinical interview; the-Javenile-CulpabilityScale; and the High School Preference Questionnaire (if the youth is above the age of 13) are used. For youthful clients that are developmentally disabled, the clinical interview is used as well as the Juvenile Culpability Scale. In all cases, the clinical interview is maintained as a vital source of information. A strong relationship with the referral source is sought as well. In addition, for the juvenile, releases of information are sent to his or her school to obtain information about the client's behavior, academic performance, and other information such as the results of intelligence testing as well as any other testing that may have been completed by the school. We also involve ourselves with the school counselor to increase the flow of information that is crucial in providing a good assessment. If an offender is accepted into our program, polygraphs will be a required condition of his or her participation in the program. The polygraphers utilized in our program are 971.084 5-06-1997 9:41AM FROM WELD MENTAL HEALTH 970 353 3906 P. 6 WMHC response to PAC concerns Page 9 of 15 Lawson Hagler of Accountability Services and Glenn Knipscheer of Alverson and and Associates, both of whom are skilled in the use of sexoffene derpolygraph oarh andmore basis approved by the State Sex Offender Board. Polygraphs at the LOTS offices. This assists the client by not necessitating travel to Denver. Penile Plethysmography (PPG) is utilized to measure the sexual interests and arousal patterns of an individual, in this case a sex offender. This is critical to the treatment of sex offenders as we and others have found that often many of them are aroused by more than three paraphilias at any one time (Abel, 1985, National Institute of Corrections ). PPG is a tool that has been utilized since the 1960's to accurately assess whether or not an individual is sexually aroused by a particular stimulus or set of stimuli. The tests involve the client being subjected to a variety of sexual scenarios in which they may or may not be interested. Measurements of penile tumescence are then taken from the client to determine in which of these scenarios they are and are not sexually interested. This is performed on adults at the assessment stage. With juveniles, it is usually done as a condition of their treatment and not necessarily at the time of initial assessment. PPG will not be done on individuals below the age of 15. Juvenile PPG utilizes a different set of stimulus cues than are used for adults. 1GTS has the only approved PPG lab in Weld County. This lab, which uses state of the art techniques, is currently the most extensive such lab on Colorado's Eastern Slope, In addition, PPG is utilized to verify whether or not behavioral techniques taught to each client are in effect. Clients will often report that the tools being taught to them to manage their fantasies or to control urges are functioning but in PPG testing it may be found, however, that the client is utilizing the tool incorrectly or that the tool is not, in fact, working. PPG is the only way to specifically identify which tools are functioning well for each client. It may be used similarly as a bio-feedback tool to enable clients to show their physiological responses to using a behavioral technique. It can also be used to show under what circumstances a client might be able to improve a technique's effectiveness. The WCDSS caseworker referring a sexual offender to this service will receive a copy of the offense specific assessment done concerning that individual to include whatever recommendations are being made providing an appropriate release of information is signed by the offender. We anticipate the vast majority of offenders being evaluated will agree to such a release. At the same time, we do anticipate some reluctance from some offenders, particularly those whose criminal or civil cases are still pending. An offender who is unwilling to have his or her assessment released will be considered for expulsion from the project with the final decision in this regard resting with the WCDSS caseworker and the mental health therapist. The offense specific sexual offender treatment aspect of this service will be provided by staff from AHY, IGTS, and the WMHC as staff members from each of those 971084 '5-06-1997 9:42AM FROM WELD MENTAL HEALTH 970 353 3906 P. 7 WMHC response to PAC concerns Page 10 of 15 organizations become approved to provide such services. As noted above, such services will be provided on IGTS premises until such time as there are enough South County referrals to justify a group being conducted in Ft. Lupton. As mentioned above, the only currently approved providers of this type of treatment are on the staff of the TOTS. Staff of AI-lY and WMHC will complete the necessary training to become approved providers as rapidly as possible. Complementary training to add the knowledge necessary to respond appropriately to the treatment needs of these individuals will be accomplished via inservice training and attendance at workshops. There was no formalized offense specific sexual offender treatment included in our proposal last year. Our offer was to provide family therapy and other services to those families in which a parent was the perpetrator of sexual abuse once that offending parent was cleared by his or her therapist who was providing offense specific treatment to participate in such treatment. The offer this year expands last year's by including offense specific treatment that meets the agreed upon state guidelines as now established for adult offenders and as anticipated for adolescent offenders. This is one of the purposes for our collaboration with AHY and TOTS. We will agree to a $25.00 rate (i.e. $25.00 per individual per group session) for offense specific sexual offender treatment. Similarly, we will offer that same rate setup for any group treatment (e.g. group therapy for victimized children, for non -abused siblings, for non -perpetrating parents, etc) provided to anyone referred in conjunction with the overall Sexual Abuse Treatment service. Other aspects of the program will be billed at the $42.25 rate stipulated in our bid, except for plethysmographs and polygraphs at the respective rates quoted in our proposal. 971084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971.08, Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action X Initial Award Revision Contract Award No. FY97-PAC-3002 (RFP-PAC-97007) Contract Award Period Beginning 06/01/97 and Ending 05/31/98 Computation of Awards Unit of Service This program is to develop a sexual abuse treatment program that will address and treat the individual needs of the entire family. Initial assessment to determine specific treatment needs of the family. Subcontract with professionals in the field who have already established their specialty in dealing with victims, non -offending parents, and siblings, or adolescent and adult perpetrators. A maximum of 22 families per year will be served. cost Per Unit of Service Hourly Rate Per Unit of Service Based on Approved Plan See rate chart Enclosures: Signed RFP; Exhibit A Addendum RFP Information; Exhibit B Condition(s) of Approval Name and Address of Contractor Island Grove Regional Treatment Center, Inc. Individualized Family Systems Sexual Abuse Treatment 1140 M Street Greeley, CO 80631 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP), and Addendum RFP Information. The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NOFAA in which case the NOFAA governs, the RFP upon which this award is based is an integral part of the action. Special conditions 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by client - signed verification form, and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be submitted to the Weld County Department of Social Services by the end of the third business day following the end of the month of service Approvals: eorge . Baxter Board of Wel Co(�my Co Date: 65DS 7 Program Official: By Judy Wel Date: Grie o, Direc T County Department o Social Services 971084 I I I I I I I I I I I I 1 I I I I I i SEXUAL ABUSE TREATMENT PROGRAM FAMILY PRESERVATION PROGRAM DEPARTMENT OF SOCIAL SERVICES WELD COUNTY 1997/1998 BID PROPOSAL RFP-PAC # 97007 Island Grove Regional Treatment Center, Inc. 1140 'M' Street Greeley, Colorado 80631 971084 INVITATION TO BID DATE: February 5, 1997 BID NO: RFP-PAC-97007 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RFP-PAC-97007) for: Family Preservation Program --Sexual Abuse Treatment Program Family Issues Cash Fund or Family Preservation Pro_aram Funds Deadline: March 25, 1997, 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 approved vendors 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 services targeted to run from June I, 1997, through May 31, 1998, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C...Statement of Work Delivery Date (After receipt of order) VENDOR ADDRESS PHONE # PART D...Bidder Response Format PART E...Bid Evaluation Process Island Grove Regional Treatment (Name) Center P.O. Box 5100 Greeley, CO 80631 (970) 356-6664 BID MUST BE SIGNED IN INK Esther McDowell TYPED OR PRINTED SIGNATURE Handwritten Signature By Authorized Officer or Agent of Vender TITLE DATE Coordinator, Special Programs March 21, 1997 the above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 971084 RFP-PAC-97007 SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RFP-PAC-97007 NAME OF AGENCY: Island Grove Regional Treatment Center, Inc. ADDRESS: 1140 'M' Street, Box 5100, Greeley, CO 80631-0100 PHONE: (970) 356-6664 CONTACT PERSON: Esther McDowell TITLE: Coordinator of Special Programs DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. 12 -Month approximate Project Dates: Start June 1, 1997 End: May 31, 1998 X 12 -month contract with actual time lines of: Start June 1, 1997 End: May 31, 1998 TITLE OF PROJECT: Sexual Abuse Family Therapeutic Interventions (SAFTI) Program Esther McDowell. M.A., CAC III Name and Signature of Person Preparing Document Date B.J. Dean, M.A., CAC III 3 -(1-`17 Name a Signature Chief Administrative Officer Applicant Agency Date MANDATORY PROPOSAL REQUIREMENTS Please initial to indicate that the following required sections are included in this proposal: ktNeroject Description Target/Eliglbllfty Populations Types of Services Provided ertif sate of Insurance Measurable Outcomes Service Objectives flit Workload Standards Staff Qualifications intiN Unit of Service Rate Computation ever\Program Capacity per Month Date of Meeting(s) with Social Services Division Supervisor: 3 /D ( /9 7 Comments by SSD Supervisor: cre-p`r_e- c --/f7 Gf — .r7 /iN /L!.//ivf.:.�G I ,7-4 -wen L C%1 -1,21q C77 a Name and Signature o SSD Supervisor YY Date 971084 I I I I I I I I I I I I I I I I 1 I RFP- PAC -97707 Program Category: Sexual Abuse Treatment Program Bid Category Project Title: Sexual Abuse Family Therapeutic Interventions Vendor Island Grove Regional Treatment Center, Inc. I. PROJECT DESCRIPTION Island Grove Regional Treatment Center, Inc. has designed and implemented a comprehensive, individualized sexual abuse treatment program to address the needs of all family members. Since the family compositions and the sexual abuse situations are so diverse, this program seeks to individualize the components based on the presenting and developing issues of each case. Based on the initial family assessment and collateral information gathered, the subsequent steps will be determined to acquire additional specialized assessments, as needed, and to engage the family members in the beginning of the treatment process. We have subcontracts with community professionals who specialize in treating adolescent and adult offenders, victims, and other involved family members. During our pilot year, FY 96-97, it was frequently validated that all family members in the home must participate for significant change to occur. As a result, we will coordinate more frequent staffings with case workers, the guardian ad litem, probation officers, and professionals involved with the family. Our clinical team members could also be available for requested trainings to the DSS staff. This program will include initial family assessments, offense specific perpetrator assessments, an evaluation of the parents' or non -offending parent's ability to insure the safety of the victim child, and the effects of the sexual abuse on the victim and the rest of the family system. Following the initial assessments, the family members will be enrolled with the assigned therapist for the appropriate program component. It is our hope, that as the family member's individual needs and competencies are addressed, a reunification plan will be developed, if appropriate, and integrated family therapy will begin. A schematic outlining the program design follows. 3 971084 SEXUAL ABUSE FAMILY THERAPEUTIC INTERVENTIONS (5AFTI) An Individualized Family Systems Model 1 I I 1 I I I 1 d I 1 i 1 1 Island Grove Regional Treatment Center. Inc. Program Designed by B.J. Dean, M.A., CAC III/ Jack Gardner, Psy.DJ Esther McDowell, M.A., CAC Ill FAMILY ASSESSMENT Non -offending Parent(e) Assessment Non -targeted Victim(s) Assessment 4 97108,1 II. TARGET/ELIGIBILITY POPULATIONS Island Grove Center will provide services to all constellations of families that may present for the Sexual Abuse Family Therapeutic Interventions (SAFTI) program, estimating 82 total clients to be served. If we approximate serving 22 total family units, we predict, given our trends from last year, that this will encompass the following sub -categories: a. Victims under age 18: 25 b. Perpetrators under age 18: 14 c. Adult incest perpetrators: 8 d. Non -abusing spouse/parents: 25 e. Relatives (under 18) in the household of victims or perpetrators: 10 We found a significant trend among the adolescent perpetrators, in that many of them also displayed or were diagnosed with neurological or developmental difficulties. This overlay will certainly underscore the necessity of the treatment strategies to be behavioral in focus. There may be sexual misconduct cases, therefore, that are more a feature of the impulsivity of these developmental problems, rather than a deviant arousal pattern as seen within adults. Among the adult perpetrators that we have encountered, we are now more prepared to deal with the perpetrator being female. We are not convinced that the treatment strategies per se, are different, but the accompanying problems appear to be. We have found, and seen it verified in the literature that the mental health overlays are more profound among these females, exhibiting symptoms of borderline personality disorder, depression, suicidal ideation, and in some, sociopathic features. There seems to be significant abuse in their childhood backgrounds. The other dynamic we have observed is the coercion by their adult male partners to participate in the sexual abuse of the child. Consequently, another component we may have to access is psychiatric assistance in some cases. In all cases where psychiatric help is necessary, including medications, we will attempt to access Weld Mental Health Center services for Medicaid clients. In urgent or emergency circumstances, we may have to engage the aid of another local psychiatrist outside of the mental health center for non -Medicaid cases. We have added this fee to our menu of services to subcontract for in extreme cases. Because of the specialty and recommended intensity of the sexual abuse program, we are not prepared to target South Weld County or offer extensive bilingual programming. We know that much work has yet to be done, in terms of working effectively within the involved systems in providing these services to the Greeley area. This is clearly a programmatic area that cannot operate in a self-contained fashion by the provider. The collaboration, cooperation, and consistency by all 5 971084 involved agencies must be coordinated more efficiently than in the past. That will continue to be our focus until we are satisfied we have some critical community links and protocols in place before we broaden that scope. Consequently, the sub -total of individuals receiving bilingual services will be limited to the assessment phase only, with the assistance of a Spanish-speaking interpreter. This may involve only 3 individuals. Service to South Weld County will be limited to individuals, estimated at 5, who can arrange to access the core of services in Greeley or reasonably be transported by our case aide. All individuals enrolled can have access to 24 -hour services through our detoxification unit. If appropriate and necessary, an outpatient counselor can be reached. Our maximum monthly program capacity is 12 families, with the average at 8. We know that engaging and maintaining these families in treatment is difficult without effective leverage or consequences. Although we would recommend at least one year's involvement, we estimate that families will be involved on an average of four hours/week for seven months. 6 97108,1 4 lI I LI Ii M 4 4 I I 1 1 1 1 III. TYPES OF SERVICES TO BE PROVIDED The SAFTI program will lean heavily on the front-end assessments to determine the initial course of treatment for all involved family members. The first contact will be made by one of the Island Grove Center's family therapists in the SAFTI program. This first assessment session will determine eligibility, workableness of the referral, determine further specialized assessments, have disclosures signed, and orient the family to the program offerings. This will also be the time period where collateral information from the case worker is gathered that must include the police report of the referring incidents. The most comprehensive assessments involve the perpetrator, whether adult or adolescent. Extensive history -taking and psychometric testing comprise the first several sessions to gather the necessary information regarding the sex offender. We have found it therapeutically useful to include polygraph testing periodically, for offenders over age sixteen. In some cases, this is done at the beginning, and every three months following. Due to the special nature of this type of testing, we use Amenk and Jenks, certified polygraphers in Denver, to administer and interpret the examination results. This has the potential of being somewhat investigative in its content. Any new information will be included and forwarded in the assessment report to the case worker. It is by far, the most costly component of the program. Without this level of thoroughness, for perhaps the pivotal member of the family, however, effective treatment is not likely. See the Assessment Matrix on page 11, for possible assessment instruments needed for the offender. Each involved family member will be assessed either by the assigned therapist or specialist, depending on the type of evaluation necessary. We have found it use- ful to have available resources to assess for substance abuse involvement, domestic violence, mental health problems, vocational planning, and neuro- psychological issues. Family members will be seen individually or in groups. The victim and non -offending parent(s) will be seen separately at first, and then grouped together as appropriate. Other siblings will be seen also, to determine the level of trauma present. This will be measured through the addition of the Trauma Symptom Inventory to our repertoire, that can be administered to children and adults. We have assigned or contracted specific clinicians for certain program functions. See Personnel Chart on page 16. Once the individual and group sessions have progressed so that it is appropriate and safe to bring the family together as a unit, they will begin family therapy with- out the perpetrator. The offending family member will be integrated in the process, if they have progressed sufficiently in their own therapy, so that the victim is not further traumatized. If referrals continue to rise among the adolescent perpetrators, we will add a support and educational group component for parents of these youth. 7 971081 1 1 I I I 1 I 1 I 1 1 1 1 I Throughout the family's involvement, we will have a case aide available to assist the family members in accessing the SAFTI program by providing transportation. He/she will also assist in home visits to support certain elements of the treatment plan, gather outcome data, deliver necessary documents regarding the case, and assist the family in linking with significant community resources. To insure a coordinated therapeutic effort, the clinical team will arrange at least monthly clinical supervision/staffing and additional conferences with the case worker, the guardian ad litem, attorneys, probation officers, and DSS unit super- visors involved with the family. Larger efforts will encompass other community professionals and agencies regarding the sexual abuse issue as addressed in northern Colorado in a quarterly luncheon, sponsored by Island Grove Regional Treatment Center, Inc. Through these opportunities, we will stay current on resources and providers, and insure there is no duplication of existing community services. The assessment matrix and outcome instruments chart, involving the described program components, are included on pages 11 and 12. 8 971084 I I I I I I I I I I I I I IV. MEASURABLE OUTCOMES A. Reduced rate of recidivism of sexual abuse perpetration: With a family actively engaged in all recommended program components for a period of at least seven months, our objective is to track the percent of re -offending at no more than 15%. This will include targeting any victim, in the community or within the home. The scope of victimization also includes any incident reported or arrests that are of a "hands off" nature, such as indecent exposure or voyeurism where no physical contact occurred, but would still indicate sexual misconduct. We will use all available information, including therapists' reports, DSS reports, polygraphs, and arrest records. B. Decrease in re -victimization: Similar to the above, yet focusing on the skill - building efforts within the victim and other non -offending family members, our objective is to track any further incidents with the identified victim throughout the family's involvement in the program, however lengthy. We propose to limit re -offending to a maximum of 10%. C. Prevent victim perpetration: By providing a range of services to the targeted victim, our objective is to assist, in a measurable way, in reducing the number of trauma symptoms and decreasing any conduct problems. We can only project that aiding in the resolution of the trauma, that the victim's responses will not include perpetration in the future. Current research indicates that less than one-third of the perpetrators were themselves, victims of childhood sexual abuse. Particularly in female victims, they are more likely to harm themselves, rather than to victimize others. Our data will include pre and post assessment results using the Trauma Symptom Inventory, and any other indicators, such as self -harming incidents, general misconduct, and sexual acting -out with no targeted victims. D. A percentage of child abuse incest victims receiving services do not go into placement: Considering all factors, to include the perpetrator's behavior, the non -offending parent's (s') ability to insure safety, and the victims responses that may effect out -of -home placement, our objective is to retain 75% of these children safely in the home. E. Improvement in parental competency as measured by pre and post placement functional test: Our team will use the Family Adaptability and Cohesion Scale (FACES) as well as the Browning Observational Survey Scale (BOSS) upon enrollment and at discharge that gives overall measures of family functioning. We are currently researching additional parenting measures, yet have discovered that the various ages of the children determine the test to be administered. We are still exploring the existence of an "all in one" measure 9 971094 I ii I J I 1 1 1 that would effectively measure specific parental functioning. We are currently awaiting information on an instrument called the Parent -Child Relationship Inventory, and will determine if it can be used as a pre and post test. ' F. More rapid reunification of children with families: Each family will be the subject of our internal clinical staffing, as well as the multi -disciplinary team meetings held to address the progress and difficulties within the course of treatment. This subjective clinical information, combined with the Gardner Sex Offender Discharge Criteria, will provide indicators as to the appropriateness of approaching reunification. If safely feasible, our objective is to attempt reunification between seven and twelve months. See attached Assessment and Outcome Matrixes, pages 11 and 12, that list a full range of instruments and measurable components. We need the option of adding or deleting instruments in attempts to provide more useful information regarding the measurable constructs we are tracking. 10 971094 .i.s.i imommommo 1 co W �� a�E -...ti. � x x x IMMx x N��:2' i x ! x x x x x x 1 1 x b x x x x CO V• IZ o n z x x x x x x x x x x x 1111111111111111111111111 co 1111111111111111 9'71.0®4 Zl X X X Legal Involvement •K • X X X X a a co a E E C 2 Attendance at Treatment Sessions m ca 03 t u a a m u >a T m U, A C O ea A N .O 0 m C C 0 X X Famly functioning N W U LL 2 u N C O S r O U C C W a as a vo Q m LL X X Surrecvfui program completion a U av r u 0 m 0 C x m y d C a A 0 X Treatment progress-2months/6months I- m C c 0 m W I- O E C C C C O U an I- a O `m N J X 8 To ytV co 2 a ea a O N 9 O` u m K 0 O t U CO X m m IS a E O U O M C m e E m r N W m y X X X X Indicators of trauma Ins a N O a O '5 m C E a a T N E J itc X Program cost/benefit analysis Length of time/number families reunited Island Grove Center Case Files 971084 El I U I I I 11 V I I 11 tl I 1 V. SERVICE OBJECTIVES A. Improve Parental Competency: In addition to the instruments mentioned under "Measurable Objectives", our aim is to also increase the participants' ability to be assertive, improve self-esteem, identify and maintain appropriate boundaries, and build safety. Our belief is that healthier people make healthier parents. Many of these objectives will intersect and parallel the objectives under "Improve Personal and Individual Competencies". The offender's sexual behavior and related thinking will be the focus of much of his/her treatment within a relapse prevention model. This can be documented within the therapy sessions and underscored through the use of periodic polygraph examinations. B. Improve Family Conflict Management: The Browning Observational Survey Scale (BOSS) will allow us to measure degrees of family functioning at three intervals; admission, discharge, and follow-up. Many of the individual improvements made will carry over into more positive family communication and resolution strategies. When all participants have been evaluated by their respective therapists as to the appropriateness of family therapy with the offender, integrated sessions will begin. These sessions will continue to address the dynamics in the "system", co -create safety plans, identify and plan intervention strategies as the offender's "relapse warning signs" emerge, and practice healthy communication and boundaries. C. Improve Personal and Individual Competencies: Increased self-esteem, assertiveness, appropriate feeling expression, and boundary -building will be goals for all participants. For the children, we will also monitor school functioning, a reduction of any trauma symptoms present upon admission, and any acting -out or misconduct in response to the abuse. D. Improve Ability to Access Resources: Much of Island Grove's services have included case management and community resource -building specific to substance abuse as an integral part of treatment service delivery. This will be particularly underscored with this high -risk group of families and will include a broad base of needed community links. Our case aide will be accessible and knowledgeable in assisting these families in making their own "net" within the community; identifying people and places who will continue to support and reinforce their changes. In practice, this will occur by actually transporting them when needed, assist and advocate in setting up appointments for auxiliary services, and providing community information. 13 971084 q 1 4 I I 4 I II I I 'J I 0 7 1 FOLLOW-UP EVALUATION At six months post -discharge, our case aide will assist in contacting these families in person, or by phone, to administer the final phase of the Browning Observational Survey Scale. We will collect data on other life situation demographics, such as placement of the children, parental employment, housing, and arrests. We will also provide the agency's Client Satisfaction Survey for feedback on their treatment experiences at Island Grove Regional Treatment Center. VI. WORKLOAD STANDARDS The staff flowchart, on page 16, identifies the staff involved in the program, as well as the available weekly time commitment per staff member. All of the services are on an outpatient basis. The perpetrator treatment, adult and adolescent will be provided in group and/or individual sessions at the contractor's site. Family therapy will be provided at Island Grove Treatment Center. The maximum caseload per staff will depend on the combinations of family members that are referred, but we are estimating that each contracted staff could take on 5-7 clients, and Island Grove family therapists, Bob Keenan and Kristen Arnold, could service at least five families each. We could add another contract therapist if needed. We expect that the case aide can address the needs of all enrolled families up to our maximum capacity of 12 families at any given time. They will assist the staff and families in participating in treatment, accessing community resources, and collecting family data. The Clinical Supervisor, Dr. Jack Gardner, will meet at least once each month with the team of contractors and Island Grove staff involved in the SAFTI program. He will be directly supervising these seven staff members providing services, as well as providing adult sex offender assessments and treatment. The Project Supervisor, Esther McDowell, will oversee the operations of the program, coordinate the participation of community professionals in the case staffings of our families, monitor the budget and billing information, and submit required reports as outlined in the RFP agreement. All contractors have submitted their required insurance to Island Grove Center. The requested verification for Island Grove Regional Treatment Center's coverage is attached at the end of this document. 14 9'71094 I I VII. STAFF QUALIFICATIONS The staff qualifications are identified on the personnel structure flow chart on page 16. All counseling and administrative staff operating independently have at a minimum, a master's degree and numerous years counseling experience. Our subcontractors, Jack Gardner, Cheri Fisher, and Hannah Staub, have all been specially trained in the treatment of sex offenders or their victims. Cheri Fisher, of ChildSafe in Fort Collins, is the only provider we are comfortable in using for the treatment of adolescent sex offender population. She is, by far, one of the most knowledgeable and clinically astute professionals in this geographic area. It presents a distance problem, but we will continue to transport our clients to her. If referrals permit, we will negotiate with her to provide a weekly group for adolescents and another for their parents at Island Grove Center in Greeley. She can also be available to contract for specialized training to professionals at DSS or in the community. The staff person in the case aide position will possess the minimum requirements of at least a high school diploma or its equivalency, and one year of human service employment. VIII. COMPUTATION OF DIRECT SERVICE RATE Island Grove Treatment Center will again propose the fixed cost rates, as shown on page 17. Many of these costs are the current market price for such services as polygraphs, assessments, etc. Some overhead costs have been added to some items due to the coordination, facility use, and additional staff time required. In many cases, we are billing straight across what the contractor is charging us, such as Clinical Supervision time, court appearances, etc. We need to reserve the right to increase the costs of services utilized that are outside the scope of our contract arrangements. Our program budget is outlined on page 18. 15 971084 9l C C C C L f r r r r U II I Ii I I 7! I l�J I I Lw I I I I SEXUAL ABUSE FAMILY THERAPEUTIC INTERVENTIONS Island Grove Regional Treatment Center, Inc. FEE SCHEDULE AND DIRECT SERVICE RATES Initial Family Assessment Adult Sex Offender Adolescent Sex Offender Alcohol and Drug Evaluation Domestic Violence General Psychological Evaluation Vocational Assessment Individual Session Family Session Group Session Adolescent Perpetrator Group Adult Perpetrator Group Case Aide Services ADDITIONAL PROGRAM FEES Polygraph Court Appearance Psychiatric Services, if contracted Training Stipend Provide DSS Training Clinical Supervisor (Dr. Jack Gardner) Clinical Supervision/Staffing (Line Staff) $ 135.00 500.00 500.00 135.00 135.00 280.00 175.00 $ 75.00/hour 80.00/hour 45.00/person 55.00/person 55.00/person 35.00/person/hour $ 195.00/person 150.00/staff/day 105.00/hour 300.00/staff 50.00/hour/staff 85.00/hour 30.00/hour/staff All charges include Island Grove Center's overhead expense of $2.50/hour or less. Fees outside of Island Grove Center's contractual arrangements may be subject to change. 17 971084 FPP - SEXUAL ABUSE (SAFTQ GRANT PROJECTED CCGTS-3/19/97 BUDGET DESCRIPTION TOTAL TOTAL DIRECT MONTHLY MONTHLY HRLY RATE HRLY RATE % OF TIME TIME CHARGE DIRECT STAFF COSTS BOB KEENAN (50 HAS/MO) 82,079.57 81200 $12.00 KRISTEN ARNOLD (50 HRS/M0) $1,931.6] 28.8% $599.88 $11.14 £11.57 24.8% $557.21 REl RHONOA COTTl (8 HRS/540) S;1J8.]3 $12.57 CASE AIDE (75 HFSBAO) $1,316.67£125] a.3% $100.58 $7.60 $7.60 V.3% $569.71 BENEFITS t1,B51.J3 $2.81 52.811 55115.1! DIRECT STAFF COST SUBTOTAL $9,458.39 $46.12 INDIRECT PROGRAM COSTS $48.12 $2,342.50 PROJECT MANAGEMENTSUPERVISION Esther McDowell (32 HAS,/MO) $3,335.20 $19.24 $19.24 B.J. Dean (2 HRS/MO) $4,49218 $25.92 $25.92 Benefits $2,035.12 $5.87 45.97 CLERICAL Accounting/Secretarial (12 HRS/M0) Benefits CLINICAL SUPERVISION Jack Gardner (4 HFG/1.10) TRAINING $300/stall X 6 stall CASE CONSULTATION Jack Gardner (1 HRS/1.40) Cheri Fisher (80 groups ® $300 P) Hannah Staub (8 groups ® $45/gT) CUENT TESTING INSTRUMENTS BOSS, FACES, other (2 TESTS/FAMILY) COUNSELOR SERVICE MILEAGE 500 miles/month ® .25/mile VEHICLE OCSTS 25% of monthly agency vehicle cost MEETING COSTS/INSEFMCES 15 me<Sn9s/year ® $75/meetng INDIRECT COSTS SUBTOTAL AGENCY OVFRTTPAT3 PayrolVBenefrts Business/Travel Expense Training/Education Prof Fees/Advertising Rent/Buildings/Equipment Data Processing Office Equipment/Supply Utilities Other Total • OF EMPLOYEE FTE'S 18.5% 1.2% $615.73 $51.83 $199.60 $6,019.88 $13.89 $13.89 2.8% $166.70 $1,565.18 $3.61 $3.81 $43.34 $19,558.23 $630.00 $1,680.42 $1,362.50 $455.27 $1,127.09 $968.10 $656.17 $201.25 $26,63100 63.5 MONTHLY OVERHEAD PER EMPLOYEE FTE $41942 OVERHEAD PER TOTAL HOURS 52t2 DIRECT SERVICE RATE (HOURLY) ii $8500 $85.00 £340.00 $1,800.00 $1,800.00 $150.00 $85.00 $,800.00 $39.03 $85.00 $2,800.03 $360.00 $85.00 $233.33 $30.03 $1,760 CO $1,79.00 $146.67 $125.00 $125.00 $125.0) $91.77 51,125.00 $91.77 $91.77 $1,125.00 $93.75 $2,372.73 $555.18 (SEE ATTACHED SCHEDULE OF FEES) N/A 18 971E,0S I f I INSURED A OIW. CERTIFICATE OF INSURANCE PRODUCER Boulder Insurance 1601 28th Street Boulder CO 80301 Assoc., Inc. hon.No. 303-444-4443 Fa A No. Island Grove Regional Treatment Center P.O. Box 5100 Greeley CO 80631 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CSR LI _. DATE IMM/DO/TYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 03/18/97 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A American Compensation Ins. Co. COMPANY B COMPANY C GENERAL UABILTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE UABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM A WORKERS COMPENSATION AND EMPLOYERS' LIABILFTY THE PROPRIETOR/ ■ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL POLICY NUMBER ACC0004791 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SP ECIAL ITEMS Certificate holder: Weld County Colorado, Board of County Commissioners Weld County its Employees & Agents COMPANY D POUCY EFFECTIVE DATE (MM/DO/YYI POLICY EXPIRATION DATE (MM/DO/YY) 10/01/96 10/01/97 PRODUCTS - COMP/OP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one tire) MED EXP (Any one Person) COMBINED SINGLE LIMIT BODILY INJURY (Per Person) BODILY INJURY (Per accident) PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE CERTIFICATE HOLDER. Weld County Colorado and Board of County Commissioners of Weld County Greeley CO 80631 ACORD 25-S (3/93) WELDC-1 CANCELLATION $100,000 $100,000 $500,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL *60 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE EXCEPT FOR �NONPAYMMENNyT� OO�F(�PREMI 3acf "'ACOR0 COaRt(9'It 93 ACORD• CERTIFICATE OF INSURANCE DATENM/DO/Ty) PRODUCER 03/20/97 Flood & Peterson Insurance Inc THIS CERTIFICATE ISSUED AE INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE 211 First Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Eaton, CO 80615 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE al INSURED ISLAND GROVE REGIONAL TREATMENT CENTER INC P 0 BOX 5100 GREELEY, CO 80632 COMPANY AFrontier Insurance Company, Inc. COMPANY BSt. Paul Ins. Co. COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH This CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OFINSURANCE LTR II POLICY NUMBER I POLICY EFFECTIVE�OLICY EXPIRATIONI DATE(MLIMITS M/DD/YY) DATE(MM/D DM) A GENERAL LIABILITY B A MMERCIAL GENERAL LIABILI CLAIMS MADE X OCCUR WNER'S & CONTRACTOR'S PRO AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS A 'NON -OWNED AUTOS GLSCO1013804 104/01/97 04/01/98 FK06602680 04/01/9704/01/98 GENERAL AGGREGATE PRODUCTS-COMP/OPAGG $3, 000, 000 PERSONAL&ADV INJURY C,000,000 EACH OCCURRENCE a,000,000 FIRE DAMAGE (Any one He) 60,000 MED EXP (Any one person) f$3, 000,000 s5, 000 OMBINED SINGLE LIMIT $1,000,000 ODILY INJURY er person) BODILY INJURY (Per accidenl) GARAGE LIABILITY ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FOR WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: OTHER PROF LIAB INCL EXCL 0200001362 04/01/97 04/01/98 PROPERTY DAMAGE AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY $ EACH ACCT DENT IS AGGREGATE IS EACH OCCURRENCE AGGREGATE STATUTORY LIMITS EACH ACCIDENT DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE S $1,000,000 PER OCC. $3,000,000 AGGREGATE IS Is S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 'EWELD COUNTY, COLORADO, BOARD OF COUNTY COMMISSIONERS OF WELD COUNTY, ITS MPLOYEES AND AGENTS , AND THE STATE OF COLORADO ARE NAMED AS ADDITIONAL (See Attached Schedule.) CERTIFICATE HOLDER WELD COUNTY, COLORADO 915 10 STREET GREELEY, CO 80631 ACORD 25-S 3/93 � )1 Of 2 :581622 M81621 CANCELLATION :. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT =SI RE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF 15" KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUT 7 - IZED REPRESENTA O 0 ACO P6 RT70N'IalCORD COR R DESCRIPTIONS (Continued from page 1.) INSUREDS AS THEIR INTEREST MAY APPEAR IN REGARDS TO THE OPERATIONS OF THE NAMED INSURED. CISGEM 252(3!93)2 Of. 2 #581522 M81621. - ISLAND GROVE Est. 1974 cart April 29, 1997 Judy Griego, Director Weld County Department of Social Services P.O. Box A Greeley, CO 80632 RE: RFP-PAC Bid #97007 (Sexual Abuse Family Program) Dear Ms. Griego: I am responding, as requested by the Placement Alternatives Commission's Evaluation Committee, in order to provide additional clarification to the following areas regarding Island Grove's Sexual Abuse Family Program proposal. 1. Further explain the proposed program evaluation, i.e., tools, pre and post-test instruments, data collection, used to monitor the effectiveness of your program. The Browning Outcomes Survey Scale (B.O.S.S.) is a three-part instrument administered to the family at admission, discharge from the program, and at a post - discharge follow-up at six months. This self -report questionnaire provides several benefits to the therapist In obtaining a picture of the client's needs and problems in order to form a treatment plan. The client reports how life is perceived from their "world," as well as providing subscale values that are plotted on profile sheets. Each respondent is able to complete the survey in 10-15 minutes. The subscales are as follows: 1. Perception of severity of the problem 2. Awareness of what causes the problem 3. Physical or medical impact 4. Work or school impact 5. Interpersonal relations impact 6. How others see the problem 7. How problem impacts self-esteem 8. Awareness and use of resources 9. Present competence of handling the problem 10. Perception of the future A Behavioral Health Agency Specializing In AlcohoUDrug Abuse P.O. Box 5100 • Greeley, Co 80631-0100 • FAX (970) 356-1349 Detox/Special Programs/Administration • (970) 356-6664 Community Counseling Center • (970) 351-6678 Fort Lupton Branch • (970) 857-6365 971084 11. Self-destructive habits and patterns 12. Effectiveness in finding solutions It's major weakness is that it scales only the family's perceptions, not the therapist's. Consequently, we have added an additional component, The Family Adaptability and Cohesion Scale (FACES). Although this too, is a self -report scale, it lends itself to allowing the counselor to complete the items in evaluation the family as you would a behavioral checklist. This too, will be administered as a pre and post-test. We are now in the process of creating a database of family demographics, as well as assessment scores, and out -of -home placement outcomes on Microsoft Access software. This will enable us to more readily pull out relevant data throughout the next funding year, such as re -offending and out -of -home placements. This will be included in the quarterly reports and the annual summary to be submitted to the PAC committee. Trauma symptom reduction is another area we will track, using the Trauma Symptom Inventory for Adults, and another version for children, administered on a pre and post-test basis. For parental competency and attitudes, we did decide to purchase the Parent -Child Relationship Inventory to be used as a pre and post-test. 2. While not specifically addressed in the Invitation to Bid, it is the expectation of the Placement Alternative Commission that all providers will initiate service interventions within five working days, i.e., commencement of direct services, other than assessment alone. Will you be able to meet this requirement? We make attempts to contact the family on the same day we get the referral faxed from the caseworker. For sure, it happens within 48 hours, if the family has a phone. Our first assessment visit has usually occurred in the home as soon as the family can schedule time with our counselors within the first week. Additional sessions and offense -specific assessments are immediately scheduled to follow within the week, if the client complies. Direct services cannot begin without first multiple assessment sessions with the offender. The testing and interviewing is extensive for this component. Regular sessions or home visits are scheduled immediately with other family members to include the victim. "Direct services", if not counting assessment, may not begin within 5 days, but most probably 10 working days from the point of referral. We have no waiting list, and services are provided in an expedient manner. 3. Further clarify services provided to South County clients. Services to south Weld County residents will happen by Island Grove providing transportation when feasible, by our case aide, if clients are not able to arrange their own transportation to Greeley. All the contractors that we use for this program, are in Greeley or Ft. Collins. Due to the specialized nature of the 971084 assessments, groups, and individual sessions, we do not anticipate having the referral base nor qualified professionals, to re-create these services out of the Ft. Lupton office at this time. 4. Further clarify proposed provision for transportation, including South County. We do have a case aide who is available to transport, as well as an ongoing account with Shamrock Taxi, with whom we can arrange pick-ups for our clients. 5. Would Island Grove consider charging $35 an hour for Adolescent Sex Offender Group versus $55? (Cheri Fisher only receives $35 per person per group.) We would be willing to reduce our fee to $50.00/person/group that covers the cost of our staff's additional time and resources in coordinating these services. 6. Could you submit written assessment to the Department of Social Services caseworker with clear and concise recommendations on the assessment? Absolutely, beginning immediately. 7. Has the amount of money for the Juvenile Sex Offender gone up this year in the Bid compared to last year? Yes. We cannot continue to operate this program at a loss. 8. Please give an estimation of how much you are charging to transport children for group? We charge $35/hour/household served. If we transport two boys from two different households to the adolescent sex offender program in Ft. Collins, it computes as follows: 2 boys X 1.5 hour (round trip) X 35.00 = $105.00 To provide this service involves approximately 6 hours of staff time, mileage reimbursement or vehicle costs. No billing is submitted for time to initially pick-up the boys, nor is the waiting time billable while the boys are in session before the return trip. 9. Please clarify how many polygraphs and plethysmographs did you do for children under the age of 18, and for adults? We did no plethysmographs on adolescents or adults. We billed DSS for one adult polygraph, and anticipate three more by the end of the 96-97 fiscal year. 972.084 10. Is there another polygrapher in the Greeley area who is accessible? Yes, but not considered to be the best. 11. Could you provide to the Department of Social Services caseworker a comprehensive treatment plan that includes the perpetrator's factual and family components, including the time frame for goals and objectives? Yes. We could formulate that in writing as soon as the assessment component is completed. I hope this response has been adequate in clarifying the expressed concerns. Our staff certainly desires to be of utmost service to DSS caseworkers and Weld County families. Please contact me at (970) 356-6664 or by fax at 356-1349 if additional questions or concerns arise. Sincerely, Esther McDowell, M.A., CAC III Coordinator of Special Programs 9710844 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilinguaUbicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971094 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) for Placement Alternatives Commission (PAC) Funds Type of Action Contract Award No. X Initial Award FY97-PAC-11001 (RFP-PAC-97007) Revision Contract Award Period Name and Address of Contractor Beginning 06/01/97 and Weld County Department of Social Services Generic Sexual Abuse Treatment 315 North I lth Avenue, P.O. Box A G Computation of Awards Unit of Service A maximim of ten clients will be served. The primary focus of the account would be adolescent offenders and their families. Depending on the gravity of the presenting issues, there will be variability as to how much contact is required on a weekly basis. This program can also be used for adult offenders or families needing specialized services. Cost Per Unit of Service Hourly Rate Per Unit of Service Based on Approved Plan Provider Rate Enclosures: Signed RFP; Exhibit A Addendum RFP Information; Exhibit B t7Condition(s) of Approval Approvals; 9?1.05,4 Description The issuance of the Notification of Financial Assistance Award is based upon your Request for Proposal (RFP), and Addendum RFP Information. The RFP specifies the scope of services and conditions of award. Except where it is in conflict with this NOFAA in which case the NOFAA governs, the RFP upon which this award is based is an integral part of the action. anecial conditions 1) Reimbursement for the Unit of Services will be based on an hourly rate per child or per family. 2) The hourly rate will be paid for only direct face to face contact with the child and/or family, as evidenced by client - signed verification form, and as specified in the unit of cost computation. 3) Unit of service costs cannot exceed the hourly and yearly cost per child and/or family. 4) Payment will only be remitted on cases open with, and referrals made by the Weld County Department of Social Services. 5) Requests for payment must be submitted to the Weld County Department of Social Services by the end of the third business day following the end of the month of service Program Official: By, Judy W d Date: Grye4Y Direc oun epartm t of ocial Services Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilingual/bicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 971.x" INVITATION TO BID DATE: February 5, 1997 BID NO: RAP -PAC -97007 RETURN BID TO: Pat Persichino, Director of General Services 915 10th Street, P.O. Box 758, Greeley, CO 80632 SUMMARY Request for Proposal (RAP -PAC -97007) for: Deadline: March 25, 1997, Tuesday, 10:00 a.m. Family Preservation Program --Sexual Abuse Treatment Program Family Issues Cash Fund or Family Preservation Program Funds The Placement Alternatives Commission, an advisory commission to the Weld County Department of Social Services, announces that competing applications will be accepted for approved vendors 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 services targeted to run from June 1, 1997, through May 31, 1998, at specific rates for different types of service, the County will authorize approved vendors and rates for services only. The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. This program announcement consists of five parts, as follows: PART A...Administrative Information PART B...Background, Overview and Goals PART C. .Statement of Work Delivery Date (After receipt of order) PART D...Bidder Response Format PART E...Bid Evaluation Process VENDOR Weld County Department of Social Services (Name) Hwritt or BID MUST BE SIGNED IN INK C TYPED OR PRIN'T'ED SIGNATURE ADDRESS 315 N 11 Avenue. P.O. Box A Greeley. CO 80632 PHONE # 970 352.1551 TITLE DATE ti00 Signatur Apthorized gent of der ✓o "-12L /j c -.I .*-y' 7? 7 The above bid is subject to Terms and Conditions as attached hereto and incorporated. 1 971.054 RAP -PAC -97007 Attached A SEXUAL ABUSE TREATMENT PROGRAM BID PROPOSAL FAMILY PRESERVATION PROGRAM 1997/1998 BID PROPOSAL APPLICATION PROGRAM FUNDS YEAR 1997-1998 BID #RAP -PAC -97007 NAME OF AGENCY: Weld County Deuartment of Social Services ADDRESS: 315 N 11 Avenue. Post Office Box A. Greeley. CO. 80632 PHONE: (970) 352.1551 CONTACT PERSON: Chris Karl TITLE: Child Protection Supervisor HI DESCRIPTION OF FAMILY PRESERVATION PROGRAM CATEGORY: The Sexual Abuse Treatment Program must provide for therapeutic intervention through one or more modalities to prevent further sexual abuse perpetration or victimization. 12 -Month approximate Project Dates: Start June 1. 1997 End May 31. 1998 TITLE OF PROJECT: Generic Sex Abuse X 12 -month contract with actual time lines of: Start June 1. 1997 End May 31. 1998 Chris Karl Name and Signature of Person Preparing Document amp ALI Judy A. Griego five Officer Applicant Agency Date MANDATORY PROPOSAL REOUIREMENTS Date 5/21797 /Please initial to indicate that the following required sections are included in this proposal: di/YES YES Project Description %�� Service Objectives Unit of Service Rate Computation YMeasurable Outcomes ��/,,�Y YES Staff Qualifications E Target/Eligibility Populations y/N' E YE Types of services Provided / S Workload Standards Program Capacity per Month YES Certificate of Insurance Date of Meeting(s) with Social Services Division Supervisor: NOT APPLICABLE Comments by SSD Supervisor: Name and Signature of SSD Supervisor 24 Date 971.n.SA Program Category Project Title Vendor RAP -PAC -97007 Sexual Abuse Treatment Program Bid Category Generic Sex Abuse Treatment Weld County Department of Social Services I. PROJECT DESCRIPTION Attached A Weld County is requesting the continuance of the generic sexual abuse fund. This fund has been effective in providing offense specific therapy, victim therapy, and related services for families on an outpatient basis in a number of locations. It allows caseworkers to specifically tailor interventions to the needs of families and provides a continuum of care and access to the specialized treatment needed by offenders and victims of sex abuse. It affords the Department flexibility in assuming the court - ordered responsibility to arrange offense specific therapy, and to arrange offense specific therapy, and to can keep children from needing placement or more restrictive and expensive levels of care. The fund is managed by a supervisor and accessed by caseworkers through the standard FPP referral process. Care is taken to assure that only those who can clinically benefit from outpatient treatment are accepted. Those with insurance or teens in residential programs with offender services are excluded. Clear expectations on length of treatment, therapeutic goals, and types of service will be specified before the approval of funding. This program has fulfilled a significant gap in services for the Department in its initial year. Referrals have been constant, and caseworkers have reported satisfaction with the progress demonstrated by their clients. The ability to ar.rPss qualified providers who often specialize in sex offense dynamics has added greatly to the Department's treatment arsenal, particularly for families outside the Greeley area. The continuation of the generic account is important for the families needing these specialized services, and for the Department's ability to demonstrate reasonable efforts in preventing placements and addressing the safety needs of children. II. TARGET/ELIGIBILITY POPULATIONS The primary focus of the generic account will be adolescent offenders and their families. These children can be as young as ten years old to 18 years old. They will have to meet the out -of -home placement criteria, and services will have the purpose of preventing imminent placement or of reunifying the family. Family participation and a systems approach is important in sex offense therapy, so involving the entire family will be a priority. When abuse is within the family, services for the victim will also qualify for this fund, regardless of their age. Clients with developmental disabilities may also qualify, if other programs are unable to address their needs. South County residents and those needing bilingual/bicultural services will also merit consideration for this fund. Offender behavior can be compulsive and chronic, so treatment programs for this population can be intensive and enuring. Depending on the gravity of presenting issues, there will be variability as to the intensity of services on a weekly basis. The need for assessment, group therapy, family and individual counseling, and polygraph testing will be determined on a case by case basis. Treatment can last for one year, though some clients may need more than a year of treatment. Only those clients showing consistent compliance and clinical benefit will continue to qualify for funding. 25 971.0S1 RAP -PAC -97007 Attached A As this fund would not be dependent on one provider, capacity is not a concern. We have had over 17 children and 11 families utilizing the fund this winter. This was due in part to using this fund to pay Weld Mental Health for ongoing abuse victims from fiscal year 1995-1996. Anticipated need would be likely to be seven to ten families with provision for siblings. III. TYPE OF SERVICES TO BE PROVIDED The Department will use providers with expertise in treating offender behavior, or sexual abuse trauma. Treatment modalities will vary depending on the individual needs in each case. Group therapy is important for most offenders, as well, as individual therapy. Polygraph testing and family therapy are also applicable. The Department needs to find qualified providers who can identify the precursors and cognitive distortions that accompany offense behavior. These providers also need to be skilled in the confrontive techniques needed to assure safety and progress in the offender. Caseworkers will make clear to providers the treatment priorities that need addressing to achieve reunification or prevent placement. Specific modalities can be accessed as needed, from diagnostic assessments to perpetrator or victim groups as determined by the case. IV. MEASURABLE OUTCOMES The caseworker, in collaboration with the therapist, will be responsible for monitoring the progress of their clients utilizing this fund. As safety issues are of primary importance, clients who reoffend will be evaluated for a more restrictive level of care, and likely be disqualified from outpatient care. Each provider who the Department contracts with will have their own means of measuring outcomes. Some general guidelines for caseworkers to use will include the following parameters: A. Behavioral parameters 1) Satisfactory completion of assignments; 2) Consistent use of treatment tools; 3) Demonstrated ability and desire to minimize contact with children and/or stimulus that perpetuates the cycle of abuse; 4) Appropriate social and recreational activities; 5) Financial responsibility; 6) Well functioning in work or school; 7) Give up denial -four levels: Admit the abuse occurred and discuss details, recognize the impact, take responsibility, accept the extent to which sex abuse is part of the fabric of their lives, and that they can reoffend at any pont; 8) Successful completion of the clarification process; 9) Pass a polygraph. B. Attitudinal parameters 1) Understand the need for, and seeks out confrontation (consistent lack of defensiveness and openness); 26 RAP -PAC -97007 Attached A 2) Be more concerned about what he is doing wrong vs. underscoring in the eyes of others what he is doing right; 3) Understand and live the no cure philosophy; 4) No longer intimidating group members and other individuals; 5) Decisions of making other members of the program (therapists and clients) centrally important in his life; 6) Must be in touch with and focused on his own personal inadequacies; 7) Must make appropriate lifestyle changes; 8) Be attentive and begin working on relationships with family, friends, work; 9) He must treat therapists and clients as allies versus people to be placated and put up with; 10) Display an ability to be self-limiting in lifestyle and personal liberties in the service of erring on the side of being overly cautious to insure he does not engage in minimization that could lead to reoffending; 11) Be responsible for anticipating the concerns that others may have about them being sex offenders. C. Family Parameters 1) The family's capacity to place responsibility solely on the offender (not to blame the victim's behavior or characteristics for the abuse); 2) Capacity to confront the offender, 3) Believing the victim's self report of abuse; 4) Having accurate knowledge of the extent of the offender's abusive behaviors; 5) No longer denying, minimizing, rationalizing, or justifying the offender's behavior; 6) More concerned with victim impact than consequences or offender's discomfort; 7) Openly discussing attitudes, thinking, and behavior patterns in the offender that are associated with his abusive behavior; 8) Concerned with issues of protection, supervision, and the possibility of reoffense; 9) Harmonious and supportive relationships within the family. V. SERVICE OBJECTIVES The essential goals of treatment for the perpetrator are: 1. Owning and accepting responsibility for sexually inappropriate behavior. 2. Reduction in deviant sexual arousal patterns and impulses, and development of appropriate patterns. 3. Identification and elimination of the cognitive distortion utilized to rationalize, justify, and excuse perpetration. 4. Identification of the sexual abuse/assault cycle and development of cycle management ability. 5. Development of an awareness of the impact of sexual abuse on the victim. 6. Development of techniques to manage anger, as well as power and control issues, more effectively. 27 971084 RAP -PAC -97007 Attached A 7. Resolution of the issues related to abandonment and the offender's own victimization issues. 8. Development of skills requisite to healthy and age appropriate social and sexual relations. For the family system, it is important that they demonstrate the capacity to recognize and confront the offender's abusive patterned behaviors, prior to any unsupervised contact with the offender. Parental competency will be increased by an understanding of the following: 1. How the offender controlled, manipulated, and arranged for time alone with the victim. 2. How the offender controlled and manipulated the family to avoid detection. 3. Understanding of offenders' specific cycle of abuse and relapse chain of events. 4. Complete apprehension of no -cure and containment principles as related to recovery. 5. Review of a safety plan with practices behavioral response on the part of the family if the safety plan is not followed by the offender. 6. Understand the scope of deviant behaviors. 7. Information and supervision for non -abused potential victims. For the Department, the objective will be to provide for the manifold needs of these families in the least restrictive setting, and at the most cost effective rate. By using experts int he field, we will also aspire to increase the quality of services available. Therapy can address conflict management, and the ability to access other resources. Service objectives will be measured and evaluated by the treatment providers and DDS caseworkers will monitor the progress. WORKLOAD STANDARDS As Weld County is not the provider of these services, an exact description of workload standards is not possible. By consulting with the following quality programs, an estimation of caseload practice can be derived. The programs consulted include Child Safe, RSA (Redirecting Sexual Aggression), and SORS (Sexual Offense Resource Services). These programs have from four to nine therapists directly working with clients. The average number of clients per therapist is 20-25. The therapist is responsible for individual and family therapy, as well as case management for these clients. Additionally, the therapists conduct approximately four groups per week. Each program has a designated supervisor, and staffings are standard practice. Treatment modality is dependent on clients' needs. VII. STAFF QUALIFICATIONS The whole ideal behind the request for this fund involves obtaining expertise and experience to treatment offenders. Literally every considered program can boast of extensive experience in this field, either therapeutically or systemically. Though each program is unique in their structure and composition, they are all used to dealing with the justice system and other agencies that may be involved. All treatment personnel have advance d degrees and significant training in treating either offenders or victims. Supervision on weekly basis is an important component, and continuing education expected. The responsibility of the caseworker and supervisor of this fund will be to only use programs that meet these qualifications. Availability of staff will depend on which program is utilized. 28 971.0 RAP -PAC -97007 Attached A VIII. COMPUTATION OF DIRECT SERVICE RATE Program providers consulted estimated their time spent with clients equal to half of their work time up to 8- percent of their time. On a monthly basis, one-half of their time would equal 87 hours of direct hours per therapist. Remaining time is spent on reports, staffings, travel, court, and collateral contacts associated with case management. As the County would be paying for direct client care at rates listed in the next section, the issue of the proportion of direct cost to indirect cost is not crucial. Direct Time (Per Month) 1. Direct client contact Indirect Time 2. Completion of Paperwork 3. Travel 4. Court Appointments 5. Vacation 6. Sick Leave 7. Case management 8. Other 9. Subtotal 10. Total Time Available Per Month 11. Ratio of Direct to Total Time 29 Hours (Sum of 1-8) (1/10 = 11) Mosi RAP -PAC -97007 Attached A IX. RATE COMPUTATION Each program the Department hopes to contract with is financially viable, having varying overheads and indirect costs, and it is not feasible to describe their budgets. Though there is some variability in fee structures across programs, most adhere to the following fee structure, Individual and family therapy sessions range from $60 tp $70 per hour. Assessments are usually billed at this rate, though they can take many hours to complete. Polygraph testing is usually $150 per test. Offense specific group therapy costs $35 to $45 per hour. Parent education, spouse support groups, after care, etc. will usually run at $20 per session. The Department hopes to be able to have slots for seven to ten families. The cost for each individual involved in treatment is approximately $320 per month in intensive care .There will be clients with less expensive needs, and those who can cost more in a month due to assessments or polygraphs. It is believed these rates are standard and comparable to other prospective providers of sex abuse treatment. Service Costs Further rate computations/cost breakdown will not be possible until individual providers are engaged. Total Total Direct Direct Time Monthly Hourly Rate Hourly Rate % of Time Charge Direct Costs Salary Benefits Subtotal Indirect Costs Supervision Salary Benefits Clerical Salary Benefits Subtotal Agency Overhead Rent Utilities Supplies Postage Travel Telephone Equipment Data Processing Other Total # of Employees Overhead Per Employee 30 971.o531t RAP -PAC -97007 Attached A Direct Service Rate (Hourly) (Daily if appropriate) Service Cost Definitions Direct Costs - Salary and benefits for employees providing direct services to clients. Indirect Costs - Salary and benefits for employees providing supervision or clerical support for staff providing direct services. Agency Overhead - Monthly cost for rent, supplies, postage, etc. If the agency building is owned use estimated market rent for the building. # of Employees - Total number of employees in the agency building. Overhead Per Employee - Divide the total agency overhead by the total number by 173 hours. Direct Service Rate - The rate is the hourly charge to provide service taking into consideration compensation and overhead. It can be used as a rough measure to compare services that are uniform in nature. It should not be used to compare services that are different with more expensive components of labor such as psychiatric consultation. Total Hourly Rate - Cost divided by total hours available. Total Direct Hourly Rate - Cost divided by total direct hours. 31 371.084 ‘1t c*, W1�Yc. April 25,1997 Judy Griego, Director Weld County Department of Social Services Post Office Box A Greeley, CO 80632 Dear Ms. Griego: Re: RFP-PAC Bid 97007 (Sex Abuse Treatment) DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Protective and Youth Services (970) 352-1923 Food Stamps (970) 356-3850 Fax (970) 353-5215 In response to the Evaluation Commitee's request for further information on the generic account, I submit the following: 1. Clarification of the proposed program evaluation. The purpose of the generic account is to be able to access different providers, and they will not have a uniform manner of measuring outcomes. The behavioral, attitudinal, and family parameters outlined in the bid will be used by the caseworkers in assessing their clients in collaboration with the providers. I believe that progress in therapy is largely qualitative, and the subjective appraisal of the therapist, caseworker, family, and others (school personnel, probation, etc.) will indicate whether or not progress is being made. The generic account is important in that we can tailor treatment to the presenting need. You could not measure the progress of a developmentally disabled perpetrator with the same tool as you would measure the progress of an adolescent incest victim. The caseworker will require quarterly reports from all providers, and it will be their responsibility to monitor progress. Though this evaluative process may seem vague, it is the flexibility of the generic account that is needed. Some programs do use quantitative measures in treatment, and some require polygraphs. As the supervisor of the account, I can keep track of how many children are allowed to stay home (or least restrictive setting) versus how many failed to benefit from outpatient treatment and were forced to be placed in a more restrictive setting. 2. The initiation of service intervention within five working days. Before accessing this account, caseworkers will have contacted a specific provider and made sure that treatment could start in a timely manner. In an improvement over last year, caseworkers will give providers written instructions on billing, the need to preauthorize services, and the right of the Department 972.084' lair to stop services at any time. 3. Clarify services to South County clients. South County clients may be the major beneficiaries of this account. The Greeley area has providers of sex abuse treatment, and the majority of our cases are referred to them. Sometimes South County residents cannot make it to Greeley consistently for treatment due to transportation, work schedules, etc.. The generic account gives us the geographic flexibility for them. 4. Clarify provisions for transportation. As the majority of these cases are in -home cases, the clients will be responsible for their own transportation. Please contact me if you need any further information. Sincere C . 'stopher K. I Child Protection Supervisor Weld County DSS 371.084 Weld County Department of Social Services Notification of Financial Assistance Award (NOFAA) For Placement Alternatives Commission (PAC) Funds Condition(s) of Approval Weld County Placement Alternatives Commission will monitor, on a priority basis, the Contractor, by family or individual served, as follows: 1. Response time by the Contractor to provide direct services to the family or individual in response to the referral by the Weld County Department of Social Services. 2. The level of bilinguaUbicultural services provided under this NOFAA. 3. The level of services to South Weld County families and individuals provided under this NOFAA. 9 l 1.08,1 DEPARTMENT OF SOCIAL SERVICES P.O. BOX A GREELEY, COLORADO 80632 Administration and Public Assistance (970) 352-1551 Child Support (970) 352-6933 Protective and Youth Services (970) 352-1923 Food Stamps (970) 356-3850 MEMORANDUM Fax (970) 353-5215 TO: George E. Baxter, Chair Date: May 23, 1997 Board of Weld County Commissioners j� FR: Judy A. Griego, Director, Social Services /%(, a RE: Nineteen Notifications of Financial Assistance Awards (NOFAAs) Under the Weld County Family Preservation Program Enclosed for Board approval are nineteen (19) Notifications of Financial Assistance Awards (NOFAAs) under the Weld County Family Preservation Program and the Board approved plan for the program. A Bid Evaluation Committee is recommending approval of bids submitted by Contractors. These NOFAAs complete the bid process authorized under the Board of Weld County Commissioners. The major provisions of the NOFAAs are as follows: 1. The performance period is June 1, 1997 through May 31, 1998. 2. NOFAAs authorize contractors as vendors for specific services and at hourly or monthly rates. We do not provide program funding for the year 3. Recommended approval of vendors is as follows: A. Day Treatment 1. Alternative Homes for Youth 2. Weld County Department of Social Services 3. NCMC PyschCare 4. NCMC PyschCare OutPatient 5. Weld Mental Health B. Home Based Option B 1. Ackerman and Associates 2. Weld Mental Health Hourly Monthly $54.17 $41.69 $1365 $1300 $3120 $ 936 $1435 971084 971083 971042 Page 2 Memorandum May 23, 1997 C. Intensive Family Therapy 1. Ackerman and Associates - Short Term $93.99 2. Ackerman and Associates - Mediation $93.99 3. Island Grover Regional Treatment Center $90.00 4. Weld Mental Health $43.98 D. Life Skills 1. A Woman's Place $35.71 2. C.A.R.E. $28.19 3. First Steps - Greeley $45.47 First Steps - Outside Greeley $55.67 4. Greeley Dream Team $29.64 5. Weld County Health Department $80.25 6. Partners, Inc. $15.39 E. Sexual Abuse Treatment Program 1. Weld Mental Health $42.25 2. Island Grove Regional Treatment Center See Rate Chart 3. Weld County Department of Social Services Provider Rates 4. Each vendor provided a maximum capacity number of families and/or individuals that they may serve during the year. We outline these maximum capacity numbers in each NOFAA; however, the Weld County Department of Social Services does not commit to funding at these maximum capacity numbers. If you have any questions, please telephone me at extension 6200. Hello