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Home My WebLink About20192205.tiffPRIVILEGED D ag�faC+ G AN CONFIDENTIAL MEMORANDUM DATE: April 20, 2021 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Agreement Amendment with Savio House Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. # (ACO90 Request Board Approval of the Department's Agreement Amendment with Savio House. The Department entered into a Child Protection Agreement for Services with Savio House, identified as Tyler ID 2019-2205 on hme 12, 2019. The Agreement was amended on October 23, 2019 to amend the Scope of Services and Rate Schedule, and on May 18, 2020 to extend the term date through May 31, 2021. The Agreement is now being amended to renew for a third and final year, for the period of June 1, 2021 through May 31, 21)22, and to make changes to the Rate Schedule as noted below. The Human Services Advisory Commission (HSAC) has reviewed and approved this infonnation. inf'olined Supervision Rate Tsxfle Service Ttatnr ≥ 0 Hour Informed SapewRisien $500.00 HouF lnfot7ned Supervision the outside -30 miles -of -home office of ttss ned-stafg Life Skills Rate Type Service Name $75.00 Hourly Life Skills Supervised Visitation Hourly 30 within and outside miles of home office of assigned -staff: $82.00 Hourly Life Shills Speaking Supervised Visitation -Spanish - $120.00 Hourly Life Skills hourly from Main ---Therapeutic visitation rate and Downtown Denver offices (includes Main and Downtown Denver and Longmont offices) $132.00 Hourly Life Shills Therapeutic in Spanish hourly visitation -rate Pass -Around Memorandum; April 20,nn20221— ID 4690 n C �-6442e-0A-046'D) aonsen+ �� l91 Page 1 0019- aao5 4, 02 -e -c2-1 H R oo cio PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approval of this Agreement Amendment. Approve Recommendation Perry L. Buck Mike Freeman Scott K. James, Pro-Tem Steve Moreno, Chair Lori Saine Schedule Work Session Other/Comments; Pass -Around Memorandum; April 20, 2021 - ID 4690 Page 2 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HOUSE This Agreement Amendment, made and entered into day of Apr; I 2021 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Savio House, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Functional Family Therapy -Contingency Management, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment, (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2205, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement was set to end on May 31, 2020. • The Original Agreement was amended on: October 23, 2019 to amend the Scope of Services and Rate Schedule. May 18, 2020 to extend the term date through May 31, 2021. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2205. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a third and final year, for the period of June 1, 2021 through May 31, 2022. 2. Exhibit D, Rate Schedule, is hereby amended as attached. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST. ,+‘rAtA) C/ • Je.'0; &k, Weld •un , C_ rk t• a Board By: Deputy Cler f • the : oard BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Steve Moreno, Chair APR 2 8 2021 CONTRACTOR: Savio House 325 King Street Denver, Colorado 80219 By: Norma Aguilar -Dave, Executive Director Date: Apr 9, 2021 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2022. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Functional Fami y Therapy (FFT)/Functional Family Therapy -Contingency Management (FFT-CM): Rate Type Service Name $1,000.00 Month Functional Family Therapy $1,300.00 Month FFT-CM (pro -rate for partial month of service) Home Based Services: Intensive, 3-4 contact hours per week Rate Type Service Name $1,814.00 Month Community Based Services Program for Adolescents or Child Protection $1,600.00 Month Kinship Services Home Based Services: Moderate, minimum of 2 contact hours per week Rate Type Service Name $1,166.00 Month Community Based Services Program for Adolescents or Child Protection $1,029.00 Month Kinship Services Home Based Services: Low, minimum of 1 contact hours per week Rate Type Service Name $648.00 Month Community Based Services Program for Adolescents or Child Protection $571.00 Month Kinship Services Life Skills Rate Type Service Name $75.00 Hourly Supervised Visitation $82.00 Hourly Spanish Speaking - Supervised Visitation $120.00 Hourly Therapeutic visitation rate from Main and Downtown Denver offices (includes Main and Downtown Denver and Longmont offices) $132.00 Hourly Therapeutic visitation in Spanish rate $1,015.00 Month Mentoring, low — minimum of 1.5 contact hours per week $1,650.00 Month Mentoring, moderate — minimum of 3 contact hours per week $2,537.00 Month Mentoring, high — minimum of 5 contact hours per week Mental Health Services Rate Type Service Name $1,150.50 Month Aftercare services, minimum of 1.5 contact hour per week. $1,082.00 Month Trauma -Focused Cognitive Behavioral Therapy (pro -rate for partial month of service), minimum of 1 contact hour per week. Multisystemic Therapy (MST)/Multisystemic Therapy -Contingency Management (MST- CM)/Multisystemic Therapy -Problem Sexual Behavior (MST-PSB): Rate Type Service Name $1,894.00 Month Multisystemic Therapy $2,094.00 Month Multisystemic Therapy -Contingency Management (pro -rate for partial month of service) $2,737.00 Month Multisystemic Therapy -Problem Sexual Behavior (pro -rate for partial month of service Sexual Abuse Treatment Rate Type Service Name $1,933.00 Month Sexual Abuse Intervention -Child Protection or Adolescent base rate — Intensive, minimum of 4 contact hours per week $1,470.00 Month Sexual Abuse Intervention -Child Protection or Adolescent base rate — Moderate, minimum of 2 contact hours per week $1,000.00 Month Sexual Abuse Intervention -Child Protection or Adolescent base rate — Low, minimum of 1 contact hours per week Rate Modifiers for Monthly Packages Savio has two rate modifiers: 1. Services for families in Spanish: $100/per month per authorization. 2. Extended Area: cases outside of Savio's 30 -mile catchment area: a. $500iper month per authorization for service packages b. $2501per episode for Informed Supervision c. Savio's services are community/home-based. Savio's catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. d. Savio Office Address i. Main Campus 325 King Street Denver Colorado 80219 ii. Downtown 1530 West 13th Ave Denver, Colorado 80204 iii. Longmont 14478 East I25 Frontage Road, Longmont, Colorado 80504 The modifiers will be added to the base rate authorizations by Weld County Department of Human Services based on family need. All rates are fee for service monthly rates, prorated for partial months unless otherwise noted. 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7' day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Co rytract Farm New Contract Request Entity Information Entity Name, * SAVIO HOUSE Contract Name* SAVIO HOUSE (,AGREEMENT AMENDMENT) Contract Status CTe REVIEW Contract Description x € ID #61900025 TERM- 6 1 , 21-5,31 22 Entity ID* 7°00035730 Contract. ID 4690 Contract Lead* APEGG ❑ New Entity? Parent Contract ID 20192205 Requires Board Approval YES Contract Lead Email Department Project # apegggweldgov.com;cobbx xlk =weldgov.com Contract Description 2 CONSENT. PA IS BEING SENT THROUGH THE NORMAL. PROCESS. ETA TO CTB 4'22:'21 Contract Type* AMENDMENT Amount. S0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServnces` weldgov.co Cn Department Head Email CM-HumanServices - DeptHeathzweldg.ov.com County Attorney GENERAL COUNTY AI I ORNEYEMAIL County Attorney Email CM- CCOUNTY.A ` I ORNEY WELDG OV. COM Requested BUCC Agenda Date* 05,26;"2021 Due Date 05 22 202 Will a work session vuith BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter !ASA Contract ID Nate: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in On6ase Contract Date Effective Date. Review Date* 04/01,2022 Renewal Date Termination Notice Period Contact Information Contact In Contact Name Purchasing Purchasing Approver CONSENT Department Hears JAMIE ULRICH DH Approved Date t�4; 19,2021 Final Approval BOCC Approved BOCC Signed Gate BOCC Agenda Date 04 28,2021 Originator APEGG Contact Type Committed Delivery Date Contact Email Finance Approver CONSENT Expiration Date* 05:=31?2022 Contact Phone 1 Purchasing Approved Date 04 19, 2021 Legal Counsel CONSENT Contact Phone 2 Finance Approved Date Legal Counsel Approved Date 04,19 2021 04 19,2021 Tyler Ref ## AG 0€2521 dt ST2 PRIVILEGED AND CONFIDENTIAL MEMORANDUM DATE: April 2, 2020 TO: Board of County Commissioners — Pass -Around FR: Jamie Ulrich, Director, Human Services RE: Child Welfare 2020-21 Service Provider Agreement Amendments Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request Board Approval of the Departraent's Child Welfare 2020-21 Service Provider Agreement Amendments. The Department entered into agreements with various Child Welfare service providers through the 2019-20 Request for Proposal (RFP), identified as Tyler ID 2019-0707). These agreements were issued for a period of three years with the option to renew annually. The attached list reflects the providers, services and rates, including minor rate changes, the Department wishes to enter into for the period of June 1, 2020 through May 31, 2021. The Human Services Advisory Commission (HSAC) has reviewed and approved this information. Upon Board approval of this pass -around, signed agreement amendments will be obtained from providers and submitted to the Board for approval and Chair signature. I do not recommend a Work Session. I recommend approval of these Agreement Amendments. Mike Freeman, Chair Scott James Barbara Kirkmeyer Steve Moreno, Pro-Tem Kevin Ross Approve Schedule Recommendation Work Session Other/Comments: Pass -Around Memorandum; April 2, 2020 — Not in CMS og ` ,M,o 969 an ga-,5e- Aq Page I 41qat? 7* VENDOR RENEWALS Vendor Program Area Service Name Hair Testing Instant Swab Funding CV/ Block/Child Welfare Services =$ 100.00 CW Block/Child Welfare Services Rate Unit Type $ 20.00 $ 20.00 $ 20.00 $ 35.00 Test Test Multi -Panel -instant UA " CW Block/Child Welfare Services CW Block/Child Welfare Services CW Block/Child Welfare Services Test Oral Swab - 6 Panel Test Oral Sviab -,Sjirithetic Cannabinoids "Spice Oxycodone or Buprenorphine Add-on Test to 5 or 7 Panel Test CW Block/Child Welfare Services $ 2.00 $ 65:00 Test Patch Monitoring Single Panel EtG Add-on Test, Added to 5 or 7 Panel UA CW Block/Child Welfare Services Test CW Block/Child Welfare Services $ 2.00 $ 35.00 $ 1,800.00 Test UA-Synthetic Cannabin4fds "Spice" Multisystemic Therapy CW Block/Child Welfare Services Core Test. Multisystemic Therapy Mediation Month Oval Options for Conflict Management, LLC Intake Call Core 200.00 Hour. Hour Mediation Services Referral Fee Core $ 200.00 Core 50.00 Episode Paid In Full Child Mentoring and Family Support Best Day Ever Event -Last Session Level 1 - intrO to t FffRrt Level 1 - Intro to Camaraderie Core $ 250.00 $ 95.00 $ 195.00 $ 195:00 $ 195.00 $ 100.00 $ 100.00 Episode Episode Episode Episode Episode Core Core Level 1 - Intro to Work as.eTeam Level 1 - Prep and Test for Level 2 Level 2 - R.M.M. Family Club Level 3 - Pass On R.M.M. 12 Core Values Core Core Core Class Core Class Recovery Abuse°Program Monitored Sobriety Services 8 Panel UA with ETG; Color Line, 8 Panel UA with ETG, Walk -In BAC, One -Time V/alk-In CW Block/Child Welfare Services CW Block/Child Welfare Services $ 25.00 $ 30.00 Test Test CW Block/Child Welfare Services 10.00 Test . Test BAC, Random ETG Only ETG Only, Quick Test Extra, Adulteration Panels Intake Fee, One -Time UA Confirmation CW Block/Child Welfare Services $ 5.00 $ 25_.00 $ 30.00 $ 5:00 $ 25.00 $ 25.00 CW Block/Child Welfare Services CW Block/Child Welfare Services Test Test CW Block/Child Welfare Services CW Block/Child Welfare Services Test Episode CW Block/Child Welfare Services Tes Savio House Functional Family Therapy FFT-Inside Catchment Core $ 1,300.00 $ 1,800.00 Month FFT-Outside Catchment Community Based Services Adolescent -Inside Catchment Area Core Month Home Based Services Core $ 1,814.00 Month Community Based Services Adolescent -Outside core $ 2,314:00 Community Based Services Child Protection -Inside Catchment Core $ 1,814.00 Month Community Based Services Child: Protection -Outside Catchment Core $ 2,314.00 $ 1,600.00 $ 2,100.00 Month Month Kinship Services -Inside Catchment Kinship Services -Outside tat chMerit Life Skills Mentoring High Level (10hrs/wk), Inside Catchment Core Core Month, Life Skills Core $ 2,537.00 Month Life Skills Mentoring High Level (1Ohrs/wk), Outside Catchment Core $ 3,037.00 Month WELD COUNTY DEPT. OF HUMAN SERVICES CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 10 VENDOR RENEWALS Vendor Program Area Service Name Life Skills Mentoring Low Level (4hrs/wk), Inside Catchment Funding Core Rate Unit Type $ 1,015.00 Month Life SkilisMentoring Low Level (4hrs/wk-Outside Catchment `r = Life Skills Mentoring Moderate Level (6.5hrs/wk), Inside Catchment Core. $ 1,515.00 9nth Core $ 1,650.00 Month Life Skills Mentoring Moderate Level (6.5hrs/wk), Outside Catchment Supervised Visitation Therapeutic Visitation - Transportation Aftercare Services -Inside Catchment Aftercare Services -Outride Catchment Core .: $ 2,150.00+ $ 75.00 loath Core Hour Core 120.00 Fi Hour Core $ 40.00 $. 1,150.50 $ 1,650.50 Mental Health Services_ Core Month Month Aiternativesfor Farriilies: A Cognitive Behavioral Therapy (AF-CBT) Inside Catchment Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT)-Outside Catchment 1 µalfliia' used Cognitive BehaviararfherapY'(Tf CBT),Inside Catchment Core Trauma -Focused Cognitive Behavioral Therapy (TF- CBT)-Outside Catchment Multisystemic Therapy (MST) -Inside Catchment Multisystemic Therapy (MST) -Outside Catchment Informed Supervision -Inside Catchment . Informed Supervision -Outside Catchment MST :Problem Sexual Oehavior-Inside Catchment - Core $ 1,082.00 Month Core $ 1,582.00 Month $ 1,082.00 Month Core $ 1,582.00 $ 1;794.00 $ 2,294.00 Month Multisystemic Therapy Core Month - Month Core Sexual Abuse Treatment' Core 250.00' Core $ 500.00 $ 2,737:00" Hour Core Month' MST Problem Sexual Behavior -Outside Catchment Core $ 3,237.00 $ 1,933.00 $ 2,433.00 Month SAI Child Prottection-Inside Catchment SAI Child Protection -Outside Catchment Core Month' Core Month Sexual Abuse Intervention (SAI)-Inside Catchment Core $ 1,933.00 Month Sexual Abuse Intervention (SAI)-Outside Catchment FFT Contingency Management -Inside Catchment Core $ 2,433.00 $ 1,300.00 Month Substance Abuse Treatment FFT Contingency Management -Outside Catchment MST Contingency Management -inside Catchment Core Core $ 1,800.00 $ 2,094.00. Month Month MST Contingency Management -Outside Catchment Core Core $ 2,594.00 onth Month Shiloh Horne Day Treatment Services Foster Care/Adoption Support Day Treatment Services'. Foster Parent Consultation - Coaching Foster Parent Consultation - In, Home Therapy Foster Parent Consultation - In Office Therapy Fos *Troient•Education Foster Parent Education - 3 hour class Core $ 2,025:00 $ 75.00 $ 115.00 $ 90.00 $ 1,760.00 $ 480.00 $ 75:00 $ 115.00 $ 90.00 Month Core Hour Hour Core Core Hour Core Episode Episode Core kfnship"Services - Coaching Kinship Services - In Home Therapy Kinship Services - In Office Therapy Core Hour Core Hour Hour Core WELD COUNTY DEPT. OF HUMAN SERVICES - CHILD WELFARE DIVISION 2020-21 SERVICE VENDORS (CORE/NON-CORE) BID NO.: B2000037 11 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HOUSE This Agreement Amendment, made and entered into I 46/4.11 day of Catuo-- , 2020 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Savio House, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Functional Family Therapy, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy and Sexual Abuse Treatment (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2205, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: • The Original Agreement will end on May 31, 2020. • The Original Agreement was amended on October 23, 2019. The Amendments are identified by the Weld County Clerk to the Board of County Commissioners as document number 2019-2205. • These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Term This agreement is being renewed for a second full year term, for the period of June 1, 2020 through May 31, 2021. • All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld County Clerk to the Board a. By: dgroleti`�.•1C�.eo%.k Deputy Clerk to the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO Mike Freeman, Chair CONTRACTOR: Savio House 325 King Street Denver, CO 80219 By: Norma Aguilar -Dave, Executive Director Date: May 6, 2020 MAY 18 2020 o3Ag42 , cc: HS O OrN (0,9c os/ (a r 20? `'1— X0,3 Ai-�acpgo Contract Form New Contract Request Entity Information Entity Name* SAV1O HOUSE Entity ID* @00035730 Contract Name* SAVIO HOUSE (AGREEMENT AMENDMENT') Contract Status CTB REVIEW ❑ New Entity? Contract ID 3572 Contract Lead* CULLINTA Contract Lead Email cullinta@coweldco.us Parent Contract ID Requires Board Approval YES Department Project Contract Description* CONSENT. BID NO. B2000037. BOCC APPROVAL 04/15/20. CHILD PROTECTION AGREEMENT AMENDMENT TERMS. 06/01/20 THROUGH 05/31/21. FUNDING: CORE/OTHER. Contract Description 2 Contract Type* AGREEMENT Amount * $0.00 Renewable* NO Automatic Renewal Grant IGA Department HUMAN SERVICES Department Email CM- HumanServices@weldgov com Department Head Email CM-HumanSer✓ices- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WELD GOV. COM Requested BOCC Agenda Date* 04/15/2020 Due Date 04/1112020 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? tf this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Review Date* 04/01/2021 Renewal Date Committed Delivery Date Expiration Date* 05/31/2021 Contact Information Contact Info Contact Name Purchasing Purchasing Approver Approval Process Department Head JAMIE ULRICH DH Approved Date 05/12/2020 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 05/18/2020 Originator SNYDERKL Contact Type Contact Email Finance Approver BARB C©NN©LLY Contact Phone 1 Contact Phone 2 Purchasing Approved Date Hnance Approved Date 05/13/2020 Tyler Ref # AG 051820 Legal Counsel GABE KALUUSEK Legal Counsel Approved Date 05/1312020 Submit n trov c+ r0 4:P3 (O D PRIVILEGED AND CONFIDENTIAL DATE: August 27, 2019 TO: Board of County Commissioners — Pass -Around FR: Judy A. Griego, Director, Human Services RE: Department of Human Services' Agreement Amendment with Savio House lifT4NarnOPOI. Please review and indicate if you would like a work session prior to placing this item on the Board's agenda. Request " r oar°d Approval of the Department's Agreement Amendment with Savio House. The Department entered into an agreement with Savio House, with a term of June 1, 2019 through May 31, 2020, for Functional Family Therapy -Contingency Management, Horne Based Services, Inforrned Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment. This agreement is identified as 2019-2205, approved on June 12, 2019. At this thine the Department would like to add Functional Family Therapy and Life Skills Mentoring as available services under the agreement. The associated rates for this service are: 0 $1,000.00/Month (Functional Family Therapy within 30 miles of the home office of the assigned staff.) $1,500.00/Month (Functional Family Therapy outside 30 miles of the home office of the assigned staff.) $1,015.00/Month (Mentoring-Low, 4 hours/week within 30 miles of the home office of the assigned staff.) $1,515.00/Month (Mentoring-Low, 4 hours/week outside 30 miles of the home office of the assigned staff.) S 1,650,00/Month (Mentoring-Moderate, 6.5 hours/week within 30 rniles of the home office of the assigned staff.) $2,150.00/Month (Mentoring-Moderate, 6.5 hours/week outside 30 miles of the home office of the assigned staff.) $2,537.00/Month (Mentoring-High, 10 hours/week within 30 smiles of the home office of the assigned staff.) 0 $3,037.00/Month (Mentoring-High, 10 hours/week outside 30 miles of the home office of the assigned staff.) Pass -Around Memorandum; August 27, 2019 -- CMS 3102 i77,5 -19 (-6:02t (nap /0 g-a_c3 iq PRIVILEGED AND CONFIDENTIAL I do not recommend a Work Session. I recommend approval of this Amendment. Se .s , P. Conway Mike Freeman, Pro -Fern Scott James .Approve Schedule Recommendation Work Session ‘24:cseyor Barbara Kirkmeyer, Chair _ 11\ Steve Moreno _,�� j 1.1,44.4•01•••••••,, rairerri•F tiVAXVC!`.G;i1.'i1 _ aGbvs.a. 'iT°�' ,M I . �+i'� �'-��+�� t�+w c.�, 41%1Ci .... .� Other/Comments: Passaround Memorandum; August 279 2019 -- CMS 3102 Page 2 Karla Ford From: Sete To: Subject: Barbara Kirkmeyer Thursday, August 29, 2019 6:25 AM Karla Ford Re: PA FOR ROUTING: Savio Amendment (CMS 3102) Approve Sent from my iPhone On Aug 28, 2019, at 7:22 AM, Karla Ford <kford weld ov.corn> wrote: Please advise if you approve recommendation. Thank you! Karla Ford Office Manager, Board of Weld County Commissioners 1150 0 Street, P.O. Box 758, Greeley, Colorado 80632 : a 970.336-7204 : e k for ci Pweldc ov.com : a www.weldigov.com My working hours are Monday -Thursday 7:00a.m.-4:00 p.m. Friday 7:00a.m. a Noon <image002.jpg> Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressers and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Tobi Cullins <cullinta@weldapit.corn> Sent: Tuesday, August 27, 2019 4:59 PM To: Karla Ford <kford weld,gl_y,gam> Cc: Barb Connolly <bconnaIcy ov,c:on-i>; Bruce Barker < rker@w ldgov.corn>; Esther Gesick < gisick@wald oy.com>; HS Contract Management <HS-ContractManagernentpco.vveld.co.O>; Jamie Ulrich <ulrich" wweldgov.corn>; Judy Griego <griegoia weldgov.com>; Lennie Bottorff <bottorl l @we ldgov.co m> Subject: PA FOR ROUTING: Savio Amendment (CMS 3102) Good afternoon, Please see attached PA related to an amendment of the Department's existing agreement with Savio House. This item is in CMS OD 3102} and has been reviewed/initialed off by Commissioner James. Thank you. Regards, Tabi A. Cullins Contract Management and Compliance Coordinator Administration Support Unit (ASU) 1 AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HOUSE This Agreement Amendment made and entered into day of� 2019 by and between the Board of Weld County Commissioners, on behalf of the Weld County Department of Human Services, hereinafter referred to as the "Department", and Savio House hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Functional Family Therapy -Contingency Management, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment ("Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2019-2205, approved on June 12, 2019. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement and any previously adopted amendment, which is incorporated by reference herein, as well as the terms provided herein. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: ® The Original Agreement will end on May 31, 2020. ® These Amendments, together with the Original Agreement, constitutes the entire understanding between the parties. The following additional changes are hereby made to the current Agreement: 1. Exhibit C, Scope of Services, is hereby amended as attached. 2. Exhibit D, Rate Schedule, is hereby amended as attached. ® All other terms and conditions of the Original Agreement remain unchanged. IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. ATTEST: Weld By: Clerk to the Deputy Cler o the Board COUNTY: BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO .ORADO arbara Kirkmeyer, hair CONTRACTOR: Savio House 325 King Street Denver, CO 80219 (303) 225-4040 /144iva-vim By: Date: CT 2 3 2019 Norma Aguilar -Dave, Executive Director Aug 20, 2019 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Functional Family Therapy, Functional Family Therapy -Contingency Management, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, Multisystemic Therapy -Contingency Management and Sexual Abuse Treatment, as referred by the Department. 2. Functional Family Therapy (FFT): Functional Family Therapy (FFT) is a short-term, well -documented program which has been successfully applied to a wide range of problem youth and their families. The program involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. a. The FFT program draws on a multisystemic perspective in its family -based intervention and prevention efforts. It is a family therapy model that works with the family to: i. Improve family relationships and communication skills; ii. Assist families in adopting positive solutions to problematic areas; iii. Develop positive parenting skills; iv. Strengthen and preserve the family unit. b. Phases of Treatment: i. Engagement/Motivation Phase (Phase I) - Primary goals: 1. Building an alliance between the therapist and each family member and between all family members; 2. Reducing negativity and blame; 3. Developing a shared family perception of the presenting problems; and 4. Building hope and an expectation for change. ii. Behavior Change Phase (Phase II) — Contractor will develop and implement intermediate and long-term behavior change plans that are culturally appropriate, context sensitive, and tailored to the unique needs and characteristics of each family member. Primary goals: 1. Help families develop competencies that may facilitate changes in family risk patterns; 2. Identify targets of change; and 3. Identify "pathways" of change that fit the family. iii. Generalization Phase (Phase III) — Primary goals: 1. Generalize the changes made in the Behavior Change phase to other areas of the family relational system; 2. Maintain changes made through focused and specific relapse prevention plans; 3. Support and extend the changes made by the family by incorporating relevant community resources into treatment. c. Capacity for Services: Short-term intervention with an average of eight (8) to 12 sessions for mild cases and up to 30 hours of direct service for more difficult cases. In most cases, sessions are spread over a three-month period. d. Goals of Service: i. Reduce recidivism rates; ii. Reduce the number of youth being adjudicated or convicted of new legal violations; and iii. Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. e. Outcomes of Service — Outcome Discharge Definitions: i. Successful Youth - Remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals ii. Partially Successful Youth - Remains in the home but completed less than 85% of treatment goals 1 Unsuccessful Youth - Did not remain in the home or is awaiting out of home placement f. Target Population: Youth between the ages of 11 and 18 and includes treatment to the siblings of the referred adolescent when appropriate. g. Service Access: In the community, including in the client's home. Contractor is able to offer FFT throughout Weld County, including the southern region of the county. h. Language: English only. 3. Functional Family Therapy Contingency Management (FFT-CM): Functional Family Therapy (FFT) involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. FFT-CM is the integration of FFT with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. FFT-CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober and these drivers are leveraged to influence future behavior. a. The following are the five components of CM that are added to the tradition process of FFT. i. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers ii. Family Drug -Management Planning, including Drug -Refusal Skills Training iii. Point and Level Reward System 1. Identifying motivational rewards 2. Personalizing the contract 3. Signing the contract iv. Drug Testing Protocol to monitor the drug use v. Strong focus on engagement and sustainability: Contractor will assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the client's substance use or abuse. The therapist assesses the impact of the substance use on the family. The FFT supervisor and FFT expert consultant review the assessment results and determine whether the client is an appropriate fit for FFT/CM. b. Testing for Substance: The process of the collection and urine analysis (UA) in FFT sessions is done as a family — not the therapist and client alone — which mirrors the relational focus in FFT. The goal is to provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore, the specimen is not sent to a lab unless the multidisciplinary team has requested this. If this has been requested, the therapist will seal the specimen in a bag and return it to Savio House, where it will be then transported to a testing lab. All results will be shared with the treatment team. c. Capacity for Services: Average of 12-15 sessions over 3-5 months with meetings being held once a week. At the onset of treatment, the therapist may be in home more frequently. Families have access to an FFT therapist 24 hours a day through a crisis phone. d. Goals of Service: i. Reduce drug use; ii. Reduce recidivism rates; Reduce the number of youth being adjudicated or convicted of new legal violations; and iv. Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. e. Outcomes of Service: 2 i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement f. Target Population: i. Adolescents between the ages of 12-18, with negative behaviors that appear to be rooted in the relational dynamics of the family system ii. Substance abuse within family (caregiver or youth) in addition to the referral behaviors for FFT iii. Youth returning home from inpatient substance use treatment iv. Runaway behaviors v. Defiance and verbal aggression vi. Physical aggression with people and property vii. Delinquency and truancy charges viii. Poor school performance ix. Self -harming behaviors x. Most mental health/behavioral disorders g. Service Access: i. In the community, including in the client's home. ii. Throughout Weld County, including the southern region of the county. h. Language: English only. 4. Home Based Services a. Community Based Services (CBS) i. Services available under this agreement include: 1. Community Based Services (CBS) Child Protection 2. Community Based Services (CBS) Adolescent ii. Purpose 1. Community Based Services (CBS) Child Protection a. Assist families in solving their own problems through community resources. b. Assist the youth in problem solving independent living needs. c. Align with families and youth as their advocate. 2. Community Based Services (CBS) Adolescent a. Teach parents how to establish household structure and to monitor their children; b. Help parents develop consistent rules and consequences; c. Prevent abuse and neglect; d. Eliminate acts of violence; e. Create a support network to assist the client/family upon discharge f. Remain independent of public social services/welfare; g. Attend public school participate in a vocational or other educational program or become employed; h. Family members support youth in healthy behaviors, even when youth is emancipating to independent living; i. Engage in prosocial activities j. Maintain positive peer relationships and diminish negative peer contact. k. Have no further police contacts. iii. Components 1. Family Preservation Services to prevent out -of -home placement. 3 2. Family Reunification Services to transition children from out -of -home placement to the home. iv. Key Concepts 1. Family Engagement Meetings — Involvement of extended family and kin is a philosophical basis of the program, family ties are strengthened or re-established from the beginning of the program; formal family group conferences and/or TDM's are also held with the support of DHS; 2. Parenting Skills Development — Families receive individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards, knowledge of developmental milestones and nutrition. v. Assessment Tools: Colorado Safety and Risk Assessment and Plan. vi. Objectives: 1. Strengthen the family unit with in -home, family dictated services. 2. Reduce child abuse/neglect by teaching parenting skills, eliminating safety concerns and reducing risk factors. 3. Establish permanency for children within reasonable and mandated time frames. 4. Provide 24 -hour crisis intervention services by Savio staff. vii. Capacity for Services: Average of 6.5 hours per week. This include both direct and indirect services to the family. viii. Goals of Services 1. Community Based Services (CBS) Child Protection a. Maintain their children in their home b. Increase parental/caregiver protective capacity; c. Eliminate the need for Child Welfare and/or Juvenile Court involvement; and, d. Improve child wellbeing. 2. Community Based Services (CBS) Adolescent a. Prevent out -of -home placement, juvenile correctional incarceration or psychiatric hospitalization; b. Transition children, who have been previously placed out of the home, back into the community; c. Successfully emancipate youth to independent living when appropriate; and, d. Strengthen the family unit to decrease dependency on the public welfare and juvenile justice systems. ix. Outcomes of Service 1. Community Based Services (CBS) Child Protection a. Successful: Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. b. Unsuccessful: Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non- permanent settings. 2. Community Based Services (CBS) Adolescent a. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals b. Partially Successful Youth remains in the home but completed less than 85% of treatment goals c. Unsuccessful Youth did not remain in the home or is awaiting out of home placement x. Target Population: 1. Community Based Services (CBS) Child Protection: Families with children ages birth to 12 years of age 2. Community Based Services (CBS) Adolescent: Families with youth age 12 to 18 years of age. xi. Service Access: 1. In the community, including in the client's home. 2. Contractor offers CBS throughout Weld County, including the southern region of the county. xii. Language: English and Spanish (native/bilingual proficiency). b. Kinship Services i. Capacity for Services: 6.5 hours per week. ii. Goals of Service: 1. Successfully stabilize kinship placements at risk of disruption. S 2. Resolve issues and preserve the placement, preventing the child or youth from starting the unhealthy cycle of placement "hopping". Outcomes of Service: 1. Successful: Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. 2. Unsuccessful: Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non -permanent settings. iv. Target Population: Children and youth age birth to 18 years of age in kinship placements at risk of disruption. v. Service Access: Savio is able to offer Kinship Service throughout Weld County, including the southern region of the county. vi. Language: English and Spanish (native/bilingual proficiency). 5. Informed Supervision: Contractor offers service as a stand-alone service for parents, kinship and substitute care providers of youth with problem sexual behavior in need of training. 6. Life Skills: Contractor will work closely with parents to build on parenting strengths and develop skills in other areas with a specific emphasis on the safety concerns resulting in the placement of the children. Staff assist parents in the areas of structure, rules, discipline, bonding, nutrition and communication. A wrap-up session after each visit offers parents feedback on what went well and areas to work on next time. All families referred will begin in the Assessment Phase and progress through the continuum of services unless otherwise requested by the Department. Reunification plans will be developed and closely monitored through Family Engagement Meetings and/or staffings. When parents and children are no longer in need of the structure and close monitoring, visitation begins in the community, including but not limited to: parent's home, community centers, and parks. The next step is to begin the reunification process through unsupervised visitation with unscheduled drop -ins by Contractor, followed by unsupervised visitation with no drop -ins. Families should then be ready for overnight visits and reunification. Changes in the visitation plan follow court orders and are approved by DHS and the GAL. a. Services available under this agreement include: i. Parenting Services. ii. Basic Parenting Skills (burping, diapering, physical care, emotional care). iii. Understanding of Child Development. iv. Parent/Child Bonding. v. Discipline/Role Modeling. vi. Parent/Child Interactions (listening, communication, non-verbal contact). vii. Interaction Skills with Multiple Children. viii. Limit Setting/Alternatives to Physical Discipline. ix. Family Planning Information. x. Safety and Risk management/Increasing Protective Capacity. 5 xi. Teaching Healthy Boundaries & Appropriate Interactions (Physical, Sexual, and Verbal). xii. Health -Related Services. xiii. Health Issues (Parent, Child). xiv. Special Needs Child(ren) (Child with disabilities). xv. Mental Health Support Services (Parent, Child). xvi. Impulse Control (Parent, Child). xvii. Anger Management (Parent, Child). xviii. Conflict Resolution. xix. Stress Reduction Techniques. xx. Domestic Violence Information and Support. xxi. Drug/AlcoholInformation. xxii. Safety Planning for Parent and Child. xxiii. Nutritional/Dietary Planning. xxiv. Home Management Services. xxv. Child Proofing Skills/Home Safety Information. xxvi. Budgeting/Financial Planning. xxvii. Time Management. xxviii. Organization Skills (Personal skills and home management). xxix. Education Information (Parent, Child) xxx. Community Resources. xxxi. Personalized Services Needed. xxxii. Personal Hygiene. xxxiii. Self Esteem/Trust Building. xxxiv. Emancipation Skills. b. Capacity for Services: Based on case need. c. Goals of Service: i. Provide services to families whose children are in out -of -home care to improve parenting skills. ii. Increase parental protective capacity. iii. Shorten out -of -home placement stays. iv. Aggressively increase the visitation plan. v. Prepare parents, children and youth for reunification. d. Outcomes of Service: Visitation need completed. e. Target Population: Families with children age birth to 18 years of age in need of supervised visitation. f. Service Access: i. Throughout Weld County, including the southern region of the county. ii. Contractor has offices in the Colorado Springs for visitation with children placed in that area. g. Language: English and Spanish (native/bilingual proficiency). 7. Life Skills — Mentoring: Services are guided by the philosophy that the majority of youth experiencing school, family and behavioral problems are more likely to maintain behavioral changes by receiving in - home family -focused therapeutic services. Contractor utilizes a best practice model that is strengths -based and family friendly. Families and youth are taught concrete behavioral skills and are given responsibility for implementing them. Staff are accountable for engaging the youth and family. Contractor will evaluate the youth's environment and align with the parents to establish household structure, increase monitoring/supervision and set clear rules and consequences. Services will assist youth in becoming more responsible for developing and maintaining a pro -social lifestyle and to become accountable for themselves. Contractor will work with the parents includes 6 clarifying expectations and teaching them to assist their adolescents in becoming and remaining independent. Contractor also will encourage modifying the relationship between parents and youth to one of a support system that promotes responsibility and allows for mistakes. a. Capacity for Services: Based on need. Contractor offers three (3) levels of intensity. i. High: average of 10 hours per week; ii. Moderate: average of 6.5 hours per week; and, iii. Low: average of 3 hours per week. b. Goals of Service: i. Prevent placement ii. Provide support in accessing sustainable community resources iii. Enhance life skills and overall mental health iv. Enhance stability of the family system c. Outcomes of Service — Outcome Discharge Definitions: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement d. Target Population: Male and female adolescents, ages 12-20, who have displayed anti -social behavior or have been involved with the juvenile justice system. The youth served will have treatment needs in the following program areas: drug and alcohol services; tracking; mentoring; family intervention; educational support; employment/vocational support; restorative justice; independent living skills; crisis intervention; and aftercare. e. Services Access: Contractor will provide services throughout Weld County, including the southern region. Contractor has offices in the Colorado Springs for services needed in that area. f Language: English only. 8. Life Skills mentoring services begin with the Savio staff being the support system for the youth and their family. However, the goal is to increase the youth and their family's ability to access ecological networks of support outside of Savio. Establishing a strong network of support enables the youth and their family to maintain the skills learned and increases the likelihood of success after discharge. 9. Mental Health Services a. Services available under this agreement include: i. Trauma -Focused Cognitive Behavioral Therapy (TF CBT): Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 — 18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. TF-CBT can be delivered in a variety of setting including home, kinship, adoptive home, residential treatment facility, and group home. Examples of traumatic events addressed by TF-CBT: 1. Child Abuse: Sexual, Physical, Neglect, Emotional 2. Victim/Witness of Violence: Domestic, Community, School 3. Accidents: motor vehicle 4. Disasters 5. War/Terrorism and Refugee 6. Medical: e.g. diagnosis, invasive medical procedures 7. Traumatic Grief and Loss TF-CBT has proven to be effective in addressing posttraumatic stress disorder, depression, anxiety, externalizing behaviors, sexualized behaviors, feelings of shame, and mistrust. The parental component increases the positive effects for children by reducing 7 parents' own levels of depression and emotional distress about their children's abuse and improving parenting practices and support of their child. TF-CBT incorporates trauma sensitive interventions with cognitive behavioral, family and humanistic principles and techniques. Children and their parents or caregivers learn new skills to process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings and behaviors related to traumatic life events; and, enhance safety, growth, parenting skills and family communication. ii. Aftercare Services: Contractor help develop solid aftercare plans that lead to safety management and long-term success and low recidivism. Contractor utilizes a best practice model that is strengths -based and family friendly. The strategy is based on Cognitive Behavioral Therapy, Strategic and Structural Family Therapy, Solution Focused Brief Therapy and Signs of Safety. Families are taught concrete behavioral skills and are given responsibility for implementing them. Contractor is accountable for engaging the family. This model is a broadly based, social work intervention that offers a comprehensive array of services which include and extend beyond traditional therapeutic interventions: individual and family counseling; role modeling; educational assistance and support; parenting skills instruction; family group conferencing; team decision making; home structuring; child safety monitoring; pro - social skill building; use of community resources for assistance; transition planning; and 24 -hour crisis intervention. This model is characterized by a concern for all aspects of a family's functioning. Contractor will address therapeutic issues, and also assist the family in meeting basic needs of education, budgeting, food assistance, housing, furnishings, household maintenance, personal hygiene, clothing, employment, medical and dental services, and secondary needs such as communication, decision -making, and parenting skills. Contractor provides 24 -hour emergency support to families involved in the Aftercare program through a cell phone. Contractor will first work to stabilize the situation over the phone and will respond in person if needed. The goal is to prevent further escalation and ultimately teach families skills to reduce conflict for long term sustainability. b. Capacity for Services: i. TF-CBT is designed to be a relatively short intervention lasting 12 — 20 sessions; typically, one 90 -minute session is completed each week. Longer lengths of stay do occur with more complex trauma symptoms. ii. Aftercare: 5 hours per week on each individual case. c. Goals of Service: i. TF CBT: Improve overall functioning of the child/youth and reduce trauma symptoms. ii. Aftercare: 1. Successfully transition children, age birth to 21 years from out -of -home placement back into their home. 2. Eliminate child abuse and neglect by building protective capacity. 3. Provide comprehensive treatment services. 4. Involve extended family/kin members. 5. Develop support resources for long term family stabilization. d. Outcomes of Service: i. TF-CBT: 1. Reduced trauma symptoms. 2. Improved functioning. 3. Increase placement stabilization. 8 ii. Aftercare: 1. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. 2. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. 3. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. TF-CBT: Evidence -Based Treatment for children ages 3 — 18 years experiencing trauma - related difficulties as the result of one or multiple traumatic events and their non - offending parent/caretaker. 1. Specific Population Characteristics: TF-CBT is not appropriate if the parent is the perpetrator/cause of the traumatic event. Children can be served in this model if there is a non -offending parent or caretaker to participate. ii. Aftercare: Families with children and youth age birth to 18 years of age placed in foster or kinship care who are ready to begin reunification. Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. 1. Specific Population Characteristics: Reunification should be imminent, within the next two to four weeks. f. Service Access: i. TF-CBT: 1. Adoptive Home 2. Birth Family Home 3. Hospital 4. Outpatient Clinic 5. Residential Care Facility 6. School ii. Aftercare: In the community, including in the client's home, throughout Weld County, including the southern region of the county. g. Language: English only. 10. Multisystemic Therapy (MST): MST interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Contractor will aim to effect log - term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. a. The design and implementation of MST interventions is based on nine core principles. The nine core principles of MST are: i. The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). ii. Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. iii. Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. iv. Interventions are present -focused and action -oriented, targeting specific and well-defined problems. v. Interventions target sequences of behavior within and between multiple systems that maintain identified problems. vi. Interventions are developmentally appropriate and fit the developmental needs of the youth. 9 vii. Interventions are designed to require daily or weekly effort by family members. viii. Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. ix. Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. b. Capacity for Services: The intensity of MST is based on the clinical needs of the family and determined jointly with the MST expert consultant in weekly consultation based on the defined goals. The range from 6 to 15 hours per week, with an average of 8 hours per week; however, the MST moto is "whatever it takes" and the MST is on -call to the family 24 hours a day 7 days a week 365 days a year to intervene at the point of crisis when needed to help redirect the family and assist them in using new skills. c. Goals of Service: i. Reduce youth criminal activity. ii. Reduce other types of antisocial behavior such as drug use and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. iii. Addresses the risk factors in an individualized, comprehensive and integrated fashion that empowers families to enhance protective factors. d. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. Chronic, violent or substance abusing male and female juvenile offenders, ages 11 to 18 and their families. ii. Juveniles with a mental health diagnosis or who are emotionally disturbed. iii. Youth at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. f. Service Access: In -home service, throughout Weld County, including the southern region of the county. g. Language: English only. 11. Multisystemic Therapy Contingency Management (MST -CM): MST -CM is the integration of Multisystemic Therapy (MST) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines MST with the inclusion of CM. While its foundation is MST, MST -CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober. These drivers are then leveraged to influence future behavior. a. The following are the five components of CM that are added to the traditional process of MST. i. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers ii. Family Drug -Management Planning, including Drug -Refusal Skills Training iii. Point and Level Reward System iv. Identifying motivational rewards v. Personalizing the contract vi. Signing the contract vii. Drug Testing Protocol to monitor the drug use viii. Strong focus on engagement and sustainability b. Testing of substances: MST -CM clinicians are trained to train caregivers to implement substance use monitoring, such as urinalyses and breathalyzer testing. The goal here, in keeping with the 10 MST model, is to empower parents to hold their child accountable by implementing the testing when they see fit, regardless if the therapist is present. Caregivers will provide substance use testing randomly each week and when use is suspected. c. Capacity for Services: Varies in intensity based on the needs of the family. Typically, the family receives more intensive services at the beginning and less intensive towards termination. Average length of service is 4 — 6 months with an average of 8 hours per week. d. Goals of Service: i. Reduce youth criminal activity. ii. Reduce other types of antisocial behavior, such as drug use or gang membership. iii. Achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. e. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. f. Target Population: i. Those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). ii. Ideal candidates are those clients and caregivers who acknowledge the need for treatment. g. Service Access: In -home service, throughout Weld County, including the southern region of the county. h. Language: English only. 12. Sexual Abuse Treatment a. Services available under this agreement include: i. Sexual Abuse Interventions (SAI): Services for sexually abusive adolescents and their families to stop abusive behavior and prevent its recurrence through monitoring, education and therapeutic intervention. The program utilizes a high level of supervision and involvement and emphasizes community safety and client accountability at all times. The SAI program complies with all SOMB standards and guidelines and works with the youth to successfully complete offense specific treatment. SAI clients and families served receive intensive, home based services. In addition to providing Informed Supervision training and individual and family therapy, the assigned SAI Therapist assists with school safety plan meetings and attends other school meetings as appropriate, helps the family and client create safety plans and helps with registration if required. The SAI Program utilizes an offense -specific treatment approach. Offense -specific treatment is defined as a comprehensive set of planned therapeutic experiences and interventions targeted to change problem sexual behaviors and attitudes while also increasing prosocial and positive behaviors. Offense -specific programming focuses on the details and components of the sexual offense, including fantasies, arousal, planning, grooming, coercive and silencing behaviors, denial and rationalizations. Treatment also addresses assisting clients and families in identifying, challenging and changing abusive behavior patterns that may not be sexual in nature and replacing them with healthy alternatives. 11 The SAI Program holds clients accountable through the combined use of clients' internal controls and external control measures such as polygraphs, monitoring, safety contracts and plans and relapse prevention plans. This approach requires the integration of attitudes, expectations, policies, procedures and practices, and is implemented through intra-agency and multi -disciplinary teamwork. Contact between SAI clients and their victims is not allowed until approved by all parties, including the victim's therapist. If/when contact is deemed appropriate, Savio House will facilitate a clarification meeting with the victim and his or her therapist and/or family, during which the SAI client takes responsibility for his actions. Contact between the victim and the SAI client will be closely monitored and at no time will the SAI client be allowed to be alone with the victim. If clients disclose additional victims, the department of human services will be notified immediately, enabling newly reported victims to receive the necessary services. Victim safety is a top priority in this program and any concerns about this area of treatment will be immediately addressed and communicated to the probation officer. Whether the client is residing at home, in the community or in a residential setting, the focus of SAI is community safety and client accountability. While clients' risk -levels should always be monitored, juveniles with a history of sexual offending are capable of decreasing their risk to re -offend and increasing their pro -social and coping skills, enabling them to function safely in the community. Strong community ties and support are also viewed as protective factors, which promote adaptive functioning and can decrease client risk. Points of transition are carefully considered and involve detailed planning. ii. Multisystemic Therapy for Problem Sexual Behavior (MST-PSB): Savio offers a specialized MST program designed to meet the needs of juvenile sex offenders. MST for Problem Sexual Behaviors (MST-PSB) is an intensive, comprehensive, community- and family -based treatment modality aimed at decreasing juvenile sex offending and effectively reintegrating youth into the home and community. MST-PSB incorporates evidence -based intervention techniques and utilizes an intensive quality assurance system to support treatment fidelity. The MST-PSB model does not support or utilize any group counseling. This modality views caregivers as the key to achieving favorable clinical outcomes for their youth. To ensure their participation, caregivers are highly involved in the development and implementation of interventions. The MST-PSB model is a total behavioral health care modality that addresses all the needs of each family member. MST for youth with problem sexual behaviors (MST-PSB) is a family -and community - based treatment approach that is designed to promote victim safety and reduce the likelihood of future problem behaviors and criminal activity. MST-PSB focuses on the wide range of individual, family, peer, and academic problems that are commonly associated with juvenile sexual offending. The MST-PSB model is driven by the same treatment principles as standard MST (i.e., with non-PSB youths), utilizes a comprehensive and logically derived treatment planning and assessment process, and maintains an ecological and systemic perspective on treatment. However, MST-PSB moves beyond standard MST practice in that it specifically focuses on aspects of the youth's ecology that are functionally related to the youth's sexual delinquency. MST-PSB strongly emphasizes the development and implementation of comprehensive, ecologically -based safety plans to minimize the risk of youth reoffending. In addition, MST-PSB therapists receive extensive training and support in the application of structural and strategic family therapy interventions (above and beyond standard MST) to 12 address family variables and dynamics associated with sexual and nonsexual behavior problems. Family and youth denial about sexual offenses and their sequelae is addressed through a clarification process that emphasizes social -ecological drivers. An increased emphasis is also placed on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Parents are coached to provide clear guidance, support, and structure to facilitate the youth's development of requisite social skills for initiating and maintaining healthy peer relationships b. Capacity for Services: i. SAI: Ranges from 6 — 10 hours per week, services do become less intensive as families progress to ensure sustainability. ii. MST PSB: 10 hours per week; services do become less intensive as families progress to ensure sustainability. c. Goals of Service: i. SAI: 1. Halt acts of sexual abuse. 2. Prevent reoccurrence of sexual abuse through maximum allowable supervision and therapeutic interventions. 3. Treat the client in his/her environment in order to address all factors that lead to sex abuse. ii. MST PSB: 1. Engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. 2. Effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. d. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. SAI: 1. Adolescent males and females, up to twenty years of age, who have committed a sexual offense. 2. Both adjudicated and non -adjudicated sexually reactive youth. 3. Youth with boundary issues and/or harassment behaviors. 4. Youth who have identified caretakers who are willing to participate in the SAI CBS program and provide the necessary monitoring and supervision. 5. Emancipating youth with problem sexual behaviors. 6. Children under the age of 10 who are displaying concerning sexualized behaviors or boundary issues paired with Contractor's CBS-CP service. ii. MST PSB: 1. Juveniles, age 11 to 18, and their families who are struggling with problem sexual behaviors. 2. Adjudicated or non -adjudicated juveniles. 3. Juveniles with a mental health diagnosis or who are emotionally disturbed. 4. Youth at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. 13 f Service Access: In -home and the community, throughout Weld County, including the southern region of the county. g. Language: English only. 13. Contractor's catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Office locations are: a. 325 King Street Denver CO 80219. b. 1530 W. 13th Ave Denver, CO 80204. c. 14478 E. I25 Frontage Road, Longmont CO 80504. 14. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 15. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainlejd(a weldgov.com, 970-400-6210). 16. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainlejdAweldgov.com, 970-400-6210). 17. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team Supervisor (hainlejdAweldgov.com) immediately via email, to discuss service continuation. 18. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 19. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 20. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 21. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family 14 Team Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 22. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. 23. Contractor will notify the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 15 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Functional Family Therapy (FFT)/Functional Family Therapy -Contingency Management (FFT-CM): $1,000.00/Month (Functional Family Therapy within 30 miles of home office of the assigned staff.) $1,500.00/Month (Functional Family Therapy outside 30 miles of home office of the assigned staff.) $1,300.00/Month (FFT-Contingency Management (pro -rate for partial month of service) within 30 miles of home office of the assigned staff.) $1,800.00/Month (FFT-Contingency Management (pro -rate for partial month of service) outside 30 miles of home office of the assigned staff.) Home Based Services: $1,814.00/Month (Community Based Services Program for Adolescents or Child Protection rate within 30 miles of home office of the assigned staff.) $2,314.00/Month (Community Based Services Program -Child Protection (for younger children) outside 30 miles of home office of the assigned staff.) $1,600.00/Month (Kinship Services within 30 miles of home office of the assigned staff.) $2,100.00/Month (Kinship Services outside 30 miles of home office of the assigned staff.) Informed Supervision: $250.00/Hour (Informed Supervision within 30 miles of home office of the assigned staff.) $500.00/Hour (Informed Supervision outside 30 miles of home office of the assigned staff.) Life Skills: $75.00/Episode (Life Skills - Supervised Visitation Hourly within and outside 30 miles of home office of assigned staff.) $120.00/Episode (Life Skills - Therapeutic visitation hourly rate from Main and Downtown Denver offices (includes Main and Downtown Denver and Longmont offices) $1,015.00/Month (Mentoring-Low, 4 hours/week within 30 miles of the home office of the assigned staff.) $1,515.00/Month (Mentoring-Low, 4 hours/week outside 30 miles of the home office of the assigned staff.) $1,650.00/Month (Mentoring-Moderate, 6.5 hours/week within 30 miles of the home office of the assigned staff.) $2,150.00/Month (Mentoring-Moderate, 6.5 hours/week outside 30 miles of the home office of the assigned staff.) $2,537.00.00/Month (Mentoring-High, 10 hours/week within 30 miles of the home office of the assigned staff.) $3,037.00.00/Month (Mentoring-High, 10 hours/week outside 30 miles of the home office of the assigned staff.) Mental Health Services: $1,150.50/Month (Aftercare services within 30 miles of home office of the assigned staff.) $1,650.00/Month (Aftercare services outside 30 miles of home office of the assigned staff.) $1,082.00/Month (Trauma -Focused Cognitive Behavioral Therapy (pro -rate for partial month of service) within 30 miles of home office of the assigned staff.) $1,582.00/Month (Trauma -Focused Cognitive Behavioral Therapy (pro -rate for partial month of service) outside 30 miles of home office of the assigned staff.) Multisystemic Therapy (MST)/Multisystemic Therapy -Contingency Management (MST -CM): $1,794.00/Month (Multisystemic Therapy - within 30 miles of home office of the assigned staff.) $2,294.00/Month (Multisystemic Therapy - outside 30 miles of home office of the assigned staff.) $2,094.00/Month (Multisystemic Therapy -Contingency Management (pro -rate for partial month of service) within 30 miles of home office of the assigned staff.) $2,594.00/Month (Multisystemic Therapy -Contingency Management (pro -rate for partial month of service) outside 30 miles of home office of the assigned staff.) $2,737.00/Month (Multisystemic Therapy -Problem Sexual Behavior (pro -rate for partial month of service) within 30 miles of home office of the assigned staff.) $3,237.00/Month (Multisystemic Therapy -Problem Sexual Behavior (pro -rate for partial month of service) outside 30 miles of home office of the assigned staff.) Sexual Abuse Treatment: $1,933.00/Month (Sexual Abuse Intervention -Child Protection or Adolescent within 30 miles of home office of the assigned staff.) $2,433.00/Month (Sexual Abuse Intervention -Child Protection or Adolescent outside 30 miles of home office of the assigned staff.) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7th day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Contract Form New Contract Request Entity Information ty Name* TU HOUSE Entity ID* @00035730 Contract Name* SAVIO HOUSE (AGREEMENT AMENDMENT) Contract Status CTB REVIEW Contract lD 3102 Contract L CULLINTA Contract Lead Email cullinta@co weld.co.us New Entity? Parent Contract ID 2.0192205 Requires Board Approval YES Department Project # Contract Description* AGREEEMENT AMENDMENT TO EXISTING 2015-20 CHILD PROTECTION AGREEMENT FOR SERVICES. Contract Description 2 Contract Type* AGREEMENT Amount ° $0.00 Renewable* NO Automatic Renewal Grant ent HUMAN SERVICES nt Email CM- HumanSerAces@w'eldgov.com Department H ,.x: Email CM-HumanSer ices- DeptHeadOweldgov corn County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email tvt- COUNTYATTORNEY@WELD GOA/ COM Requested BQCC Agenda Date* 09104 2019 (Due Date 08/31 r`2019 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID (vote: the Previous Contract Number and Master Services Agreement Numbe OnBase Contract Elates Effective Date Termination Notice Period Review Date* 04i01/2020 Committed Delive l be left blank if those contracts are not in Renewal Date Date Expiration Date,"‘ 05/31;'2020 Contact Information Contact Info Contact Name Purchasing Purchasing Approver CONSENT Approval Process Department Head JUDY GRIEGO DH Approved Date 10/1712019 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 10,123; 2019 €)riginator CULL1NTA Contact Type Contact Email Finance Approver CONSENT Contact Phone 1 Purchasing Approved Date 10/17+2019 Finance Approved Date 10/1712019 Tyler Ref # AG 102319 Legal Counsel CONSENT Contact Phone 2 Legal Counsel Approved Date 10117r2019 Submit Contract =O oci, 9 c1 CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND SAVIO HORSE This Agreement, made and entered into the ay of 019, by and between the Board of Weld County Commissioners, on behalf of the Weld County Departme of Human Services, hereinafter referred to as the "Department' and Savio House, hereinafter referred to as the Contractor". The parties to this Agreement understand and agree that the provisions of this Agreement specifically include the following documents: Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule. Exhibit B, C, and D are attached hereto and incorporated herein by this reference. Exhibit A is Weld County's Request for Proposal Number B1900025, which is incorporated into this agreement by reference and will be provided upon request to the Department. WITNESSETH WHEREAS, required approval, clearance, and coordination have been accomplished from and with appropriate agencies; and WHEREAS, the Colorado Department of Human Services has provided Core Services or other funding to the Department for Functional Family Therapy -Contingency Management, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment. NOW THEREFORE, in consideration of the premises, the parties hereto covenant and agree as follows: 1. Term This agreement shall become effective on June 1, 2019, upon proper execution of this Agreement and shall expire May 31, 2020, unless sooner terminated as provided herein. The agreement is for a period of three years. However, the agreement must be renewed by both parties, in writing, on an annual basis. 2. Scope of Services Services shall be provided by the Contractor to any person(s) eligible for services in compliance with Exhibit B, Contractor's Response to Request for Proposal and Exhibit C, Scope of Services. 3. Referrals, Billing and Tracking a. Contractor understands and will comply with all aspects of the referral authorization, billing and tracking requirements as set forth by the Department. Failure to comply with all aspects may result in a forfeiture of payment. b. Contractor agrees to receive referrals for services through e-mail and will provide an identified e- mail address prior to the start of this Agreement. Contractor acknowledges that services are not authorized until the Contractor has received an authorized referral form from the Department. Contractor further acknowledges that services provided prior to the authorized start date or outside the scope of services on the referral form will not be eligible for reimbursement. Contractor acknowledges that any and all modifications to an existing referral must be approved through the Quality Assurance Team Supervisor (hainleid@weldgov.com, 970-400-6210). No other Department staff or other party to the case may authorize services or modifications to services. ax -P&(-) 2019-2205 .kkooqo c. Contractor agrees to submit a complete Request for Reimbursement and supporting documentation by the 7th of the month, following the month of service, utilizing billing forms required by the Department. Contractor agrees to utilize the Client Verification Form for all scheduled and unscheduled face-to-face services with the exception of home studies and monitored sobriety testing. Contractor agrees that original complete Client Verification Forms are to be submitted with the Request for Reimbursement. Requests for Reimbursement and Client Verification Forms received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet 60 -day deadline may result in termination of the Agreement. d. Contractor agrees to submit a monthly report by the Ph of the month, following the month of service, for each client receiving ongoing services. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. Monthly reports for ongoing services must include the following information, entered in the "Narrative" box for each date of service: a. Date and time of service b. Where the service took place c. Clinician/therapist name d. Clients participating e. What interventions were used, recommendations and/or goals discussed f. Any and all safety concerns One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation, home study). Verification of Monitored Sobriety Services will be the test result. A completed home study may be a full, partial or denied study, as determined by the Department. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under the Agreement. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately to the caseworker AND on the required monthly report. 4. Payment a. The Department and the Contractor agree that all benefits from private insurance and/or other funding sources such as Medicaid (if Contractor is a Medicaid eligible provider) or Victim's Compensation must be exhausted before Core Services or other Department funds can be accessed for services. Exceptions to this Paragraph may include, if approved by the Department, the following: i. The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; iii. The Court with jurisdiction over the case has ordered that a non -Medicaid provider or service be used; iv. A Medicaid provider is not available to provide the needed service; v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Response to Request for Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule, attached hereto and incorporated herein by reference, so long as services are rendered satisfactorily and in accordance with the Agreement. c. Payment pursuant to this Agreement, whether in whole or in part, is subject to, and contingent upon, the continuing availability of said funds for the purposes hereof. 2 d. The Department may withhold reimbursement if Contractor has failed to comply with any part of the Agreement, including the Financial Management requirements, program objectives, contractual terms, or reporting requirements. In the event of forfeiture of reimbursement, Contractor may appeal such circumstance in writing to the Director of Human Services. The decision of the Director of Human Services shall be final. 5. Financial Management At all times from the effective date of the Agreement until completion of the Agreement, Contractor shall comply with the administrative requirements, cost principles and other requirements set forth in the Financial Management Manual adopted by the State of Colorado. The required annual audit of all funds expended under this Agreement must conform to the Single Audit Act of 1984 and OMG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Rate Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an, which will be provided by the Department, with a voided check. Failure to complete and submit this form and voided check in a timely and accurate manner may result in a delay of payment. c. Contractor agrees to accept payment through county warrant when funding source does not allow for direct deposit. 7. Compliance with Applicable Laws a. At all times during the performance of this Agreement, Contractor will strictly adhere to all applicable Federal and State laws, order, and applicable standards, regulations, interpretations and/or guidelines issued pursuant thereto. This includes protection of the confidentiality of all applicant/recipient records, papers, documents, tapes and any other materials that have been or may hereafter be established which relate to the Agreement. Contractor shall abide by all applicable laws and regulations, including, but not limited to the following: - Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 Title VI of the Civil Rights Act of 1964, 42 U.S.C. Sections 2000d-1 et. seq. and its implementing regulation, 45 C.F.R. Part 80 et. seq.; and - all provisions of the Civil Rights Act of 1986 so that no person shall, on the grounds of race, creed, color, sex, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under the approved Agreement. - Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. Section 794, and its implementing regulations, 45 C.F.R. Part 84; and - the Age Discrimination Act of 1975, 42 U.S.C. Section 6101 et. seq. and its implementation regulations, 45 C.F.R. Part 91; and 3 Title VII of the Civil Rights Act of 1964; and - the Age Discrimination in Employment Act of 1967; and - the Equal Pay Act of 1963; and - the Education Amendments of 1972; and Immigration Reform and Control Act of 1986, P.L. 99-603, 42 C.F.R. Part 2; and - all regulations applicable to these laws prohibiting discrimination because of race, color, national origin, sex, religion, and handicap, including Acquired Immune Deficiency Syndrome (AIDS) or AIDS related conditions covered under Section 504 of the Rehabilitation Act of 1973, as amended, cited above. If necessary, Contractor and the Department will resist in judicial proceedings any efforts to obtain access to client records except as permitted by 42 C.F.R. Part 2. 45 C.F.R. Part 74, Appendix G 9, which requires that affirmative steps be taken to assure that small and minority businesses are utilized, when possible, as sources of supplies, equipment, construction and services. This assurance is given in consideration of and for the purpose of obtaining any all Federal and/or State financial assistance. - Colorado Revised Statute (C.R.S.) 26-6-104, requiring criminal background record checks for all employees, contractors and sub -contractors. b. Contractor is further charged with the knowledge that any person who feels that s/he has been discriminated against has the right to file a complaint either with the Colorado Department of Human Services or with the United States Department of Health and Human Services, Office for Civil Rights. c. Contractor assures that it will fully comply with all other applicable Federal and State laws which may govern the ability of the Department to comply with the relevant funding requirements. Contractor understands the source of funds to be accessed under the Agreement is determined by the Department. d. Contractor assures and certifies that it and its principals: - Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transaction by a Federal or State department or agency; and - have not, within a three-year period preceding this Agreement, been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or Local) transaction or contract under public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and - are not presently indicted for or otherwise criminally or civilly charged by a government entity (federal, state or local) with commission of any of the offenses enumerated in this certification; and - have not, within a three-year period preceding this Agreement, had one or more public transactions (federal, state, or local) terminated for cause or default. 4 e. Public Contracts for Services C.R.S. §8-17.5-101. Contractor certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contractor will confirm the employment eligibility of all employees who are newly hired for employment in the United States to perform work under this Agreement, through participation in the E -Verify program or the State of Colorado program established pursuant to C.R.S. §8-17.5- 102(5)(c). Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement or enter into a contract with a subcontractor that fails to certify with Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contractor shall not use E -Verify Program or State of Colorado program procedures to undertake pre -employment screening or job applicants while this Agreement is being performed. If Contractor obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contractor shall notify the subcontractor and the Department within three (3) days that Contractor has actual knowledge that a subcontractor is employing or contracting with an illegal alien and shall terminate the subcontract if a subcontractor does not stop employing or contracting with the illegal alien within three (3) days of receiving notice. Contractor shall not terminate the contract if within three days the subcontractor provides information to establish that the subcontractor has not knowingly employed or contracted with an illegal alien. shall comply with reasonable requests made in the course of an investigation, undertaken pursuant to C.R.S. §8-17.5-102(5), by the Colorado Department of Labor and Employment. If Contractor participates in the State of Colorado program, Contractor shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contractor has examined the legal work status of such employee, retained file copies of the documents, and not altered or falsified the identification documents for such employees. Contractor shall deliver to the Department, a written notarized affirmation that it has examined the legal work status of such employee and shall comply with all of the other requirements of the State of Colorado program. If Contractor fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., the Department, may terminate this Agreement for breach, and if so terminated, Contractor shall be liable for actual and consequential damages. f. Except where exempted by federal law and except as provided in C.R.S. § 24-76.5-103(3), if Contractor receives federal or state funds under the contract, Contractor must confirm that any individual natural person eighteen (18) years of age or older is lawfully present in the United States pursuant to C.R.S. § 24-76.5-103(4), if such individual applies for public benefits provided under the contract. If Contractor operates as a sole proprietor, it hereby swears or affirms under penalty of perjury that it: (a) is a citizen of the United States or is otherwise lawfully present in the United States pursuant to federal law, (b) shall produce one of the forms of identification required by C.R.S. § 24- 76.5-101, et seq., and (c) shall produce one of the forms of identification required by C.R.S. § 24-76.5- 103 prior to the effective date of the contract. 8. Compliance with Child and Family Services Review The Child and Family Services Review (CFSR) examines child welfare service outcomes in three areas; Safety, Permanency and Well Being of families. For each outcome, data and performance indicators measure each state's performance according to national standards and monitor progress over time. Following the review, a Program Improvement Plan (PIP) will be implemented for the state to enhance services to families. Contractor agrees to continually strive for positive outcomes in the areas of Safety, Permanency and Well Being. Contractor will ensure that any employee or subcontractor of Contractor providing services under this Agreement will work towards positive outcomes in the aforementioned three areas as outlined under the Child and Family Services Review (CFSR) and will address the aforementioned three areas when completing monthly reports as required by Paragraph 3(d) of this Agreement. 5 9. Insurance Requirements Contractor and the Department agree that Weld County, the Board of County Commissioners of Weld County, its officers and employees, shall not be held liable for injuries or damages caused by any negligent acts or omissions of the Contractor, it subcontractor, or their employees, volunteers, or agents while performing duties described in this Agreement. Contractor shall indemnify, defend and hold harmless Weld County, the Board of County Commissioners of Weld County, its employees, volunteers and agents. Contractor shall provide the liability insurances (including professional liability insurances where necessary) and worker's compensation insurances for all its employees, volunteers, and agents engaged in the performance of this Agreement which are required under Weld County's Request for Proposal, and required by the Colorado Worker's Compensation Act. Contractor shall provide the Department with the acceptable evidence that such coverage is in effect within seven (7) days of the date of this Agreement. At a minimum, Contractor shall procure, either personally or through its employer as applicable to the Contractor's business, at its own expense, and maintain for the duration of the work, the following insurance coverage. Weld County, State of Colorado, by and through the Board of County Commissioners of Weld County, its employees and agents, shall be named as additional named insured on the insurance, where permissible the insurance provider. a. General Requirements: Contractors must secure, at or before the time of execution of any agreement or commencement of any work, the following insurance covering all operations, goods or services provided pursuant to this request. Contractors shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, and during any warranty period. The required insurance shall be underwritten by an insurer licensed to do business in Colorado and rated by A.M. Best Company as "A"VIII or better. Each policy shall contain a valid provision or endorsement stating "Should any of the above -described policies by canceled or should any coverage be reduced before the expiration date thereof, the issuing company shall send written notice to the Weld County Director of General Services by certified mail, return receipt requested. Such written notice shall be sent thirty (30) days prior to such cancellation or reduction unless due to non-payment of premiums for which notice shall be sent ten (10) days prior. If any policy is in excess of a deductible or self -insured retention, the Department must be notified by the Contractor. Contractor shall be responsible for the payment of any deductible or self -insured retention. The Department reserves the right to require Contractor to provide a bond, at no cost to the Department, in the amount of the deductible or self -insured retention to guarantee payment of claims. The insurance coverages specified in this Agreement are the minimum requirements, and these requirements do not decrease or limit the liability of Contractor. Contractor shall maintain, at its own expense, any additional kinds or amounts of insurance that it may deem necessary to cover its obligations and liabilities under this Agreement. b. Types of Insurance: Contractor shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: i.Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's employees acting within the course and scope of their employment. If Contractor is an Independent Contractor, as defined by the Colorado Worker's Compensation Act, this requirement shall not apply. Contractor must submit to the Department a Declaration of Independent Contractor Status Form prior to the start of this agreement. ii.Commercial General Liability Insurance written on ISO occurrence form CG 00 0110/93 6 or equivalent, covering premises operations, fire damage, independent Contractors, products and completed operations, blanket contractual liability, personal injury, and advertising liability with minimum limits as follows: $1,000,000 each occurrence; $2,000,000 general aggregate; $50,000 any one fire; and $500,000 errors and omissions. iii.Automobile Liability: Contractor shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,000,000 for property damage applicable to all vehicles operating both on County property and elsewhere. iv.Additional Provisions: Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: If any aggregate limit is reduced by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify the Department within ten (10) days and reinstate the aggregates required; Unlimited defense costs in excess of policy limits; Contractual liability covering the indemnification provisions of this Agreement; A severability of interests provision; - Waiver of exclusion for lawsuits by one insured against another; - A provision that coverage is primary; and - A provision that coverage is non-contributory with other coverage or self-insurance provided by the Department. v.For all general liability, excess/umbrella liability, liquor liability, pollution liability and professional liability policies, if the policy is a claims -made policy, the retroactive date must be on or before the contract date or the first date when any goods or services were provided to the Department, whichever is earlier. c. Contractors shall secure and deliver to County's Risk Administrator ("Administrator") at or before the time of execution of this Agreement, and shall keep in force at all times during the term of the Agreement as the same may be extended as herein provided, a commercial general liability insurance policy, including public liability and property damage, in form and company acceptable to and approved by said Administrator, covering all operations hereunder set forth in the related Bid or Request for Proposal. d. Proof of Insurance: Contractor shall provide a copy of this information to its insurance agent or broker and shall have its agent or broker provide proof of Contractor's required insurance. The Department reserves the right to require Contractor to provide a certificate of insurance, a policy, or other proof of insurance as required by the County's Risk Administrator in his sole discretion. e. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor's insurer shall name County as an additional insured as follows f. Waiver of Subrogation: For all coverages, Contractor's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, independent contractors, sub -vendors, suppliers or other entities providing goods or services required by this Agreement shall be subject to all of the requirements herein and shall procure and maintain the same coverages required of Contractor. Contractor shall include all such subcontractors, independent contractors, sub -vendors, suppliers or other entities as insureds under its policies or shall ensure that all subcontractors maintain the required coverages. Contractor agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors, suppliers or other entities upon request by the Department. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contractor shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 10. Certification Contractor certifies that, at the time of entering into this Agreement, it has currently in effect all necessary licenses, approvals, insurance, etc., required to properly provide the services and/or supplies covered by this Agreement. Copies of all necessary licenses shall be provided to the Department by the Contractor prior to the start of any Agreement. 11. Training Contractor may be required to attend training at the request of the Department specific to services provided under this Agreement. The Department will not compensate the Contractor for said training in the form of registration fees, time spent traveling to and from training, attending the training or any other associated costs unless otherwise agreed to by the Department. 12. Subpoenas Contractor will, on behalf of its employees and/or officers, accept any subpoena for testimony from the Weld County Attorney's Office by e-mail and will return a waiver of services within 72 business hours. For this purpose, Contractor will designate an e-mail address prior to the start of this Agreement. If the Contractor receives a subpoena via e-mail but will only accept personal service, the Contractor will contact the Weld County Attorney's Office immediately at 970-400-6503 and advise that the subpoena must be personally served. 13. Monitoring and Evaluation Contractor and the Department agree that monitoring and evaluation of the performance of this Agreement shall be conducted by the Contractor and the Department. The results of the monitoring and evaluation shall be provided to the Board of Weld County Commissioners, the Department and the Contractor. Contractor will collaborate in a timely manner with the Department to resolve issues pertaining to service delivery, service quality, documentation, and invoicing during referral period and after services have concluded. The Contractor will require clients sign releases of information. Contractor understands that the Department will not reimburse for services rendered to Department clients until releases of information are obtained. Contractor shall permit the Department, and any other duly authorized agent or governmental agency, to monitor all activities conducted by the Contractor pursuant to the terms of this Agreement. The monitoring agency may, if in its sole discretion deems necessary or appropriate, have access to any 8 program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures for purposes of monitoring. All such monitoring shall be performed in a manner that will not unduly interfere with the work conducted under this Agreement. 14. Modification of Agreement All modifications to this Agreement shall be in writing and signed by both parties. 15. Remedies The Director of Human Services or designee may exercise the following remedial actions should s/he find the Contractor substantially failed to satisfy the scope of work found in this Agreement. Substantial failure to satisfy the scope of work shall be defined to mean incorrect or improper activities or inaction by the Contractor. These remedial actions are as follows: - Withhold payment to the Contractor until the necessary services or corrections in performance are satisfactorily completed. - Deny payment or recover reimbursement for those services or deliverables, which have not been performed and which due to circumstances caused by the Contractor cannot be performed or if performed would be of no value to the Department. Denial of the amount of payment shall be reasonably related to the amount of work or deliverables lost to the Department. - Incorrect payment to the Contractor due to omission, error, fraud, and/or defalcation shall be recovered from Contractor by deduction from subsequent payments under this Agreement or other agreements between the Department and Contractor, or by the Department as a debt due to the Department or otherwise as provided by law. 16. Representatives For the purpose of this Agreement, the individuals identified below are hereby designated representatives of the respective parties. Either party may from time to time designate in writing a new or substitute representative(s). For Department: For Contractor: Heather Walker, Child Welfare Division Head Norma Aquilar-Dave, Executive Director 17. Notice All notices required to be given by the parties hereunder shall be given by certified or registered mail to the individuals at the addresses set forth below. Either party may from time to time designate in writing a substitute person(s) or address to whom such notices shall be sent. For Department: Judy A. Griego, Director P.O. Box A Greeley, CO 80632 (970)400-6510 9 For Contractor: Norma Aguilar -Dave, Executive Director 325 King Street Denver, CO 80219 (303)225-4040 18. Litigation Contractor shall promptly notify the Department in the event that Contractor learns of any actual litigation in which it is a party defendant in a case that involves services provided under this Agreement. Contractor, within five (5) calendar days after being served with a summons, complaint, or other pleading which has been filed in any Federal or State court or administrative agency, shall deliver copies of such document(s) to the Director of Human Services. The term "litigation" includes an assignment for the benefit of creditors, and filings of bankruptcy, reorganization and/or foreclosure. 19. Termination This Agreement may be terminated at any time by either party giving thirty (30) days written notice to the individuals identified in paragraph 17. No portion of this Agreement shall be deemed to create an obligation on the part of the County of Weld, State of Colorado, to expend funds not otherwise appropriated in each succeeding year, as this Agreement is subject to the availability of funding. Therefore, the Department may terminate this Agreement at any time if the source of funding for the services made available to the Contractor is no longer available to the Department, or for any other reason. Contractor reserves the right to suspend services to clients if funding is no longer available. 20. No Third -Party Beneficiary Enforcement It is expressly understood and agreed that the enforcement of the terms and conditions of this Agreement, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in this Agreement shall give or allow any claim or right of action whatsoever by any other person not included in this Agreement. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under this Agreement shall be an incidental beneficiary only. 21. Governmentallmmunity No term or condition of this contract shall be construed or interpreted as a waiver, express or implied, of any of the immunities, rights, benefits, protections or other provisions, of the Colorado Governmental Immunity Act of §§24-10-101 et. seq., as applicable now or hereafter amended. 22. Partial Invalidity of Agreement If any section, subsection, paragraph, sentence, clause, or phrase of this Agreement is for any reason held or decided to be unconstitutional, such decision shall not affect the validity of the remaining portions. The parties hereto declare that they would have entered into this Agreement and each and every section, subsection, paragraph, sentence, clause, and phrase thereof irrespective of the fact that any one or more sections, subsections, paragraphs, sentences, clauses, or phrases might be declared to be unconstitutional or invalid. 23. Improprieties/Conflict of Interest No officer, member or employee of Weld County and no member of their governing bodies shall have any pecuniary interest, direct or indirect, in the approved Agreement or the proceeds thereof. The Appearance of Conflict of Interest applies to the relationship of a Contractor with the Department when the Contractor also maintains a relationship with a third party and the two relationships are in opposition. In order to create the appearance of a conflict of interest, it is not necessary for the Contractor to gain from knowledge of these opposing interests. It is only necessary that the Contractor know that the two relationships are in opposition. During the term of the Agreement, Contractor shall 10 not enter into any third -party relationship that gives the appearance of creating a conflict of interest. Upon learning of an existing appearance of a conflict of interest situation, Contractor shall submit to the Department, a full disclosure statement setting forth the details that create the appearance of a conflict of interest. Failure to promptly submit a disclosure statement required by this paragraph shall constitute grounds for the Department's termination, for cause, of its Agreement with the Contractor. A conflict of interest or appearance of a conflict of interest may also apply to personal relationships between providers and clients. If a provider has a personal relationship with a client to whom the Contractor may provide services for, the Contractor must disclose that relationship to the Department. Contractor certifies that Federal appropriated funds have not been paid or will be paid, by or on behalf of Contractor, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of an Federal contract, loan, grant, or cooperative agreement. 24. Storage, Availability and Retention of Records Contractor agrees that authorized local, Federal, and State auditors and representatives shall, during business hours, have access to inspect and copy records, and shall be allowed to monitor and review through on -site visits, all activities related to this Agreement, supported with funds under this Agreement, to ensure compliance with the terms of this Agreement. Contracting parties agree that monitoring and evaluation of the performance of the Agreement shall be conducted by appropriate funding sources. The results of the monitoring and evaluation activities shall be provided to the appropriate and interested parties. All such records, documents, communications, and other materials created pursuant or related to this Agreement shall be maintained by the Contractor in a central location and shall be made available to the Department upon its request, for a period of seven (7) years from the date of final payment under this Agreement, or for such further period as may be necessary to resolve any matters which may be pending, or until an audit has been completed with the following qualifications: If an audit by or on behalf of the Federal and/or State government has begun but is not completed at the end of the seven (7) year period, or if audit findings have not been resolved after a seven (7) period, the materials shall be retained until the resolution of the audit finding. 25. Confidentiality of Records Contractor shall protect the confidentiality of all applicant records and other materials that are maintained in accordance with this Agreement except for purposes directly connected with the administration of Child Protection. No information about or obtained from any applicant/recipient in possession of Contractor shall be disclosed in a form identifiable with the applicant/recipient or a minor's parent or guardian unless in accordance with the Contractor's written policy governing access to, duplication and dissemination of, all such information, in any form, including social networks. Contractor shall advise its employees, agents, and subcontractor, if any, that they are subject to these confidentiality requirements. Contractor shall provide its employees, agents, and subcontractors, if any, with a copy or written explanation of these confidentiality requirements before access to confidential data is permitted. Contractor shall have its employees, agents, and subcontractors, if any, sign a written confidentiality agreement and shall provide a copy of such agreement to the Department, if requested. 11 26. Proprietary Information Proprietary information for the purposes of this Agreement is information relating to a party's research, development, trade secrets, business affairs, internal operations and management procedures and those of its customers, clients or affiliates, but does not include information (1) lawfully obtained from third parties, (2) that which is in the public domain, or (3) that which is developed independently. Neither party shall use or disclose directly or indirectly without prior written authorization any proprietary information concerning the other party obtained as a result of this Agreement. Any proprietary information removed from the Department's site by the Contractor in the course of providing services under this Agreement will be accorded at least the same precautions as are employed by the Contractor for similar information in the course of its own business. 27. Independence of Contractor: Not an Employee of Weld County Contractor agrees that it is an independent Contractor and that Contractor's officers, agents or employees will not become employees of County, nor entitled to any employee benefits from County as a result of the execution of this Agreement. Contractor shall perform its duties hereunder as an independent Contractor. Contractor shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contractor, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise provide such coverage for Contractor or any of its agents or employees. Unemployment insurance benefits will be available to Contractor and its employees and agents only if such coverage is made available by Contractor or a third party. Contractor shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contractor shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contractor shall have the following responsibilities with regard to workers' compensation and unemployment compensation insurance matters: (a) provide and keep in force workers' compensation and unemployment compensation insurance in the amounts required by law, and as set forth in Exhibit A provide proof thereof when requested to do so by County. 28. Entire Agreement This Agreement, together with all attachments hereto, constitutes the entire understanding between the parties with respect to the subject matter hereof, and may not be changed or modified except as state in Paragraph 14 herein. This Agreement shall be binding upon the parties hereto, their successors, heirs, legal representatives, and assigns. The Contractor and the Department may not assign any of its rights or obligations hereunder without the prior consent of both parties. 29. Agreement Nonexclusive This Agreement does not guarantee any work, nor does it create an exclusive agreement for services. 30. Warranty The Contractor warrants that services performed under this Agreement will be performed in a manner consistent with the professional standards governing such services and the provisions of this Agreement. The Contractor shall faithfully perform the work in accordance with the standards of care, skill, training, diligence and judgment provided by highly competent individuals and entities that perform services of a similar nature to those described in this Agreement including Exhibits A, B, C, and D. 12 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to the Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by the Department of reports and incidental material(s) furnished under this Agreement shall not in any way relieve the Contractor of responsibility for the quality and accuracy of the services. In no event shall any action by the Department hereunder constitute or be construed to be a waiver by the Department of any breach of covenant or default which may then exist on the part of the Contractor, and the Department's action or inaction when any such breach or default shall exist shall not impair or prejudice any right or remedy available to the Department with respect to such breach or default; and no assent, expressed or implied, to any breach of any one or more covenants, provisions or conditions of the Agreement shall be deemed or taken to be a waiver of any other breach. Acceptance by the Department of, or payment for, any services performed under this Agreement shall not be construed as a waiver of any of the Department's rights under this Agreement or under the law generally. 32. Employee Financial Interest/Conflict of Interest. C.R.S. §§24-18-201 et seq. and §24-50-507 The signatories to this Agreement aver that to their knowledge, no employee of Weld County has any personal or beneficial interest whatsoever in the service or property which is the subject matter of this Agreement. The Contractor has no interest and shall not acquire any interest direct or indirect, which would in any manner or degree with the performance of the Contractor's services and the Contractor, shall not employ any person having such known interests. During the term of this Agreement, the Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflicts with or in any way appear to conflict with the full performance of its obligations under this Agreement. Failure by the Contractor to ensure compliance with this provision may result, in the Department's sole discretion, in immediate termination of this Agreement. No employee of the Contractor nor any member of the Contractor's family shall serve on a County Board, committee or hold any such position which either by rule, practice or action nominates, recommends, supervises Contractor's operations, or authorizes funding to the Contractor. 33. Board of County Commissioners of Weld County Approval This Agreement shall not be valid until it has been approved by the Board of County Commissioners of Weld County, Colorado. 34. Choice of Law/Jurisdiction Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of this Agreement. Any provision included or incorporated herein by reference which conflicts with said laws, rules and/or regulations shall be null and void. In the event of a legal dispute between the parties, Contractor agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contractor acknowledges that the Department has entered into this Agreement in reliance upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor agreements for the completion of this project without the Department's prior written consent, which may be withheld in the Department's sole discretion. 13 36. Attorney's Fees/Legal Costs In the event of a dispute between the Department and Contractor, concerning this Agreement, the parties agree that each party shall be responsible for the payment of attorney fees and/or legal costs incurred by or on its own behalf. 37. Ownership All work and information obtained by Contractor under this Agreement or individual work order shall become or remain (as applicable), the property of the Department. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contractor in relation to this Agreement and all reports, test results and all other tangible materials obtained and/or produced in connection with the performance of this Agreement, whether or not such materials are in completed form, shall at all times be considered the property of the Department. Contractor shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of the Department. 38. Interruptions Neither party to this Agreement shall be liable to the other for delays in delivery or failure to deliver or otherwise to perform any obligation under this Agreement, where such failure is due to any cause beyond its reasonable control, including but not limited to Acts of God, fires, strikes, war, flood, earthquakes or Governmental actions. 39. Severability If any term or condition of this Agreement shall be held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, this Agreement shall be construed and enforced without such provision, to the extent that this Agreement is then capable of execution within the original intent of the parties. 14 IN WITNESS WHEREOF, the parties hereto have duly executed the Agreement as of the day, month, and year first above written. COUNTY: ATTEST: Weld C By: Deputy Clerk to t ; Boar Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO rbara Kirkmeyer, Chai UN 12 20)9 CONTRACTOR: 15 Savio House 325 King Street Denver, CO 80219 (303)225-4040 By: it/eurec.. .Affu.ieu-Z7,,um., Norma Aguilar -Dave, Executive Director May 13, 2019 Date: ao 19 - QD05 EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL (Weld County's Request for Proposal is incorporated into this agreement by reference and will be provided upon request to the Department.) This page intentionally left blank. Savio TRUSTEES Ronald K. Abo President Robert J. McCormick Vice President Charles E. Anderson Secretary Troy R. Dumlao Treasurer William D. Adams Stuart C. Haskins Vonnie Hergett Dianne M. Pape LEGAL COUNSEL AND ASSISTANT SECRETARy Lance G. Eberhart EXECUTIVE DIRECTOR Norma Aguilar -Dave A nOn-pot.t orparu-anon of :nn t•AA CAA, of D.•rver chin' en. ay 41,1[,'2 and'vn,._< EXHIBIT B CONTRACTOR'S RESPONSES-Veilgtfied ns4 families since 1966 January 17, 2019 Human Services Advisory Commission Weld County Department of Human Services Dear Qualifications Review Committee: Thank you for the opportunity to submit the attached response to the Request for Proposals for Various Services — Child Welfare Bid No. 61900025. Savio has proudly served families throughout Colorado's Front Range since 1966. Savio's mission is to eliminate violence, crime, drug and alcohol abuse, child abuse and neglect, and other destructive behaviors in families through care, support and education. Savio is a leader in providing evidenced -based and promising programs and a leader among our peers in tracking and reporting case and program outcomes. Savio values partnerships and brings a business model of teamwork and customer service to every contracting relationship. Savio has four offices throughout the Front Range. Savio's main office located in Central Denver and the Longmont office provide access to families throughout Weld County; with easy access to the southern border of the county. Savio has the current staffing to provide the services outlined in the attached response to the solicitation. Savio's evaluation of outcomes, focus on goal -oriented treatment and service philosophy that values appropriate levels of intervention makes Savio a solid candidate to provide services to Child Welfare families. Thank you again for the opportunity to respond to this request for proposals. Respectfully Submitted, No ma Aguilarve, LCSW, CACIII Executive Director Savio - Main Office 325 King Street • Denver, CO 80219 • 303-2254100 • fax 303-225 4101 Savio of Northern Colorado • Savio of Colorado Springs • Savio Downtown Savio of Canon City • Savio Contracted Casework Services TTy: 711 or 800-659 2656 EXHIBIT B PROVIDER INFORMATION FORM Weld County Department of Human Services avin House AGENCY OR PRIVATE PRACTICE TRAILS PROVIDER 10 (If Known) Norma Aguilar•Dave Executive Director PRIMARY CONTACT — FULL NAME PRIMARY CONTACT • TITLE f 303 ) 225.4040 ( 303 1 935.1001 PHONE NUMBER naj ujlar•davefusavrohouse erg EXT. FAX NUMBER w svw lac ohurr.P ord PRIMARY CONTACT — E-MAIL ADDRESS AGENCY/PRACTICE WEB ADDRESS IIF APPLICABLE) 325 King Street AGENCY MAILING ADDRESS Denver, Co 80219 CITY ZIP REFERRAL CONTACT Julia RoRuski R EFF E RAL CONTACT —FULL NAME (303 1 225.42B0 REFERRAL CONTACT —PHONE NUMBER EXT. Associate Executive Director REFERRAL CONTACT - TITLE _ i_z i-.nki(tIIsavirh0us^ orF REFERRAL CONTACT — E-MAIL ADDRESS BILLING CONTACT Robin M:•her BILLING CONTACT — FULL NAME (303 S 225.4015 BILLING CONTACT —PHONE NUMBER EXT. Office Manager BILLING CONTACT • TITLE rmahergIsavio house. org BILLING CONTACT — E MAIL ADDRESS I certify that the services proposed for intended use by the Weld County Department of human Services will meet all the specifications it has so indicated in this bid form. I further affirm intention to enter into an agreement with Weld County, on behalf of the Weld County Department of I [Liman Services, and comply with all requirements of the contract, if awarded. The Board of Weld County Commissioners reserve the right to reject any or all bids, to waive any informality in the bids, and to accept the bid, or part of a bid, that, in the opinion of the Board, is in the best interests of the Board and of the County of Weld, State of Colorado. The Board of Weld County Commissioners shall give preference to resident Weld County bidders in all cases whereids are compe Live in price and quality. Signature of Authorized Representative: Date of Signature: Bid No.: B1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House After Care 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio brings an expertise in understanding and managing safety. This is particularly vital during the high - risk time of reunification. Many families and children experience ambivalence just prior to reunification. Savio has the expertise to identify, normalize and help the family manage these concerns. Savio will help develop solid aftercare plans that lead to safety management and long-term success and low recidivism. This expertise sets Savio apart from other providers. Savio utilizes a best practice model that is strengths -based and family friendly. The strategy is based on Cognitive Behavioral Therapy, Strategic and Structural Family Therapy, Solution Focused Brief Therapy and Signs of Safety. Families are taught concrete behavioral skills and are given responsibility for implementing them. Staff are accountable for engaging the family. This model is a broadly based, social work intervention that offers a comprehensive array of services which include and extend beyond traditional therapeutic interventions: individual and family counseling; role modeling; educational assistance and support; parenting skills instruction; family group conferencing; team decision making; home structuring; child safety monitoring; pro -social skill building; use of community resources for assistance; transition planning; and 24 -hour crisis intervention. This model is characterized by a concern for all aspects of a family's functioning. Not only do staff address therapeutic issues, they also assist the family in meeting basic needs of education, budgeting, food assistance, housing, furnishings, household maintenance, personal hygiene, clothing, employment, medical and dental services, and secondary needs such as communication, decision -making, and parenting skills. Savio is guided by the philosophy that most families experiencing problems in the areas of school, child abuse and neglect, mental health, domestic violence, substance abuse, or other areas of dysfunction that results in the out -of -home placement of children are more likely to exhibit sustained behavioral changes by receiving in -home family -focused therapeutic services. Savio provides 24 -hour emergency support to families involved in the Aftercare program through a cell phone. Staff will first work to stabilize the situation over the phone and will respond in person if needed. The goal is to prevent further escalation and ultimately teach families skills to reduce conflict for long term sustainability. 4. Capacity to Provide Services (ex. 4 hours/week). Services are delivered in the community. The Savio worker spends 5 hours per week on each individual case. Savio staff assist the family in identifying local resources. Families are taught to effectively use outside agencies during the service period and as part of the aftercare plan. Connecting families to their communities is a critical component of the Savio program. 5. Goals of the service. The goals of the Savio Aftercare program are to successfully transition children, age birth to 21 years from out -of -home placement back into their home, eliminate child abuse and neglect by building Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE protective capacity, provide comprehensive treatment services, involve extended family/kin members, and develop support resources for long term family stabilization. 6. Outcomes of service. Outcome Discharge Definitions for Families with Adolescents age birth to age 12: • Successful Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. • Unsuccessful Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non -permanent settings. Outcome Discharge Definitions for Families with Adolescents age 12 -18: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Families with children and youth age birth to 18 years of age placed in foster or kinship care who are ready to begin reunification. Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. Specific Population Characteristics Reunification should be imminent, within the next two to four weeks. 8. Service access. This service is offered in the community, including in the client's home. Savio is able to offer Aftercare services throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E. 125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure I Offices Offered ( Rate Within 30 Miles Rate Outside 30 Mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Catchment Area Catchment Area Aftercare Monthly Fee For Service Main and Downtown $1,150.50 $1,650.50 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Functional Family Therapy (FFT) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Functional Family Therapy (FFT) is a short-term, well -documented program which has been successfully applied to a wide range of problem youth and their families. The program involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. The FFT program draws on a multisystemic perspective in its family -based intervention and prevention efforts. It is a family therapy model that works with the family to: • Improve family relationships and communication skills; • Assist families in adopting positive solutions to problematic areas; • Develop positive parenting skills; • Strengthen and preserve the family unit. Phases of treatment The three phases of FFT (Engagement/Motivation, Behavior Change, and Generalization) are based on understanding families in a broad context and understanding client problems systemically. Each phase has distinct goals and objectives, addresses different risk and protective factors, and calls for particular skills from the therapist. Engagement/Motivation Phase (Phase I) The Engagement/Motivation phase has four primary goals: • Building an alliance between the therapist and each family member and between all family members; • Reducing negativity and blame; • Developing a shared family perception of the presenting problems; and • Building hope and an expectation for change. Behavior Change Phase (Phase II) During this phase, the FFT Therapist develops and implements intermediate and long-term behavior change plans that are culturally appropriate, context sensitive, and tailored to the unique needs and characteristics of each family member. The Behavior Change phase has three primary goals: • Help families develop competencies that may facilitate changes in family risk patterns; • Identify targets of change; and • Identify "pathways" of change that fit the family. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Generalization Phase (Phase III) Generalization Phase goals include the following: • Generalize the changes made in the Behavior Change phase to other areas of the family relational system; • Maintain changes made through focused and specific relapse prevention plans; • Support and extend the changes made by the family by incorporating relevant community resources into treatment. 4. Capacity to Provide Services (ex. 4 hours/week). FFT is a short-term intervention with an average of 8 to 12 sessions for mild cases and up to 30 hours of direct service for more difficult cases. In most cases, sessions are spread over a three-month period. 5. Goals of the service. Overall program goals for FFT are to: • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. 6. Outcomes of service. Outcome Discharge Definitions for FFT: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Functional Family Therapy (FFT) targets youth between the ages of 11 and 18 and includes treatment to the siblings of the referred adolescent when appropriate. 8. Service access. Function Family Therapy is offered in the community, including in the client's home. Savio is able to offer FFT throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Functional Family Therapy (FFT) Monthly Fee For Service Main and Downtown $1,000 $1,500 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Home -Based Interventions 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio offers two specialized Home -Based Interventions throughs Savio's Community Based Services (CBS) Department: • CBS Child Protection for families with children ages birth to 12 years of age; and, • CBS Adolescent Program for families with youth age 12 to 18 years of age. Community Based Services (CBS) Child Protection The Savio CBS Child Protection program strives to: • Prevent child abuse and neglect; and, • Strengthen families so they may remain a family intact. Components • Family Preservation Services to prevent out -of -home placement; or, • Family Reunification Services to transition children from out -of -home placement to the home. Key Concepts • Family Engagement Meetings — Involvement of extended family and kin is a philosophical basis of the program, family ties are strengthened or re-established from the beginning of the program; formal family group conferences and/or TDM's are also held with the support of DHS; • Parenting Skills Development — Families receive individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards, knowledge of developmental milestones and nutrition. Assessment Tools (Colorado Assessment Continuum) Colorado Safety and Risk Assessment and Plan. Objectives • Strengthen the family unit with in -home, family dictated services; • Reduce child abuse/neglect by teaching parenting skills, eliminating safety concerns and reducing risk factors; • Establish permanency for children within reasonable and mandated time frames; and, • Provide 24 -hour crisis intervention services by Savio staff. Community Based Services (CBS) Adolescent • Assist families in solving their own problems through community resources; • Assist the youth in problem solving independent living needs; • Align with families and youth as their advocate; • Teach parents how to establish household structure and to monitor their children; • Help parents develop consistent rules and consequences; Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Prevent abuse and neglect; • Eliminate acts of violence; • Create a support network to assist the client/family upon discharge • Remain independent of public social services/welfare; • Attend public school participate in a vocational or other educational program or become employed; • Family members support youth in healthy behaviors, even when youth is emancipating to independent living; • Engage in prosocial activities • Maintain positive peer relationships and diminish negative peer contact; • Have no further police contacts. 4. Capacity to Provide Services (ex. 4 hours/week). CBS Adolescent and Child Protection programs average 6.5 hours per week. This include both direct and indirect services to the family. 5. Goals of the service. CBS Child Protection • Maintain their children in their home • Increase parental/caregiver protective capacity; • Eliminate the need for Child Welfare and/or Juvenile Court involvement; and, • Improve child wellbeing. CBS Adolescent Services Goals • Prevent out -of -home placement, juvenile correctional incarceration or psychiatric hospitalization; • Transition children, who have been previously placed out of the home, back into the community; • Successfully emancipate youth to independent living when appropriate; and, • Strengthen the family unit to decrease dependency on the public welfare and juvenile justice systems. 6. Outcomes of service. CBS Child Protection Outcome Definitions Successful Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non - Relative Adoption. Unsuccessful Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non -permanent settings. CBS Adolescent Outcome Discharge Definitions: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Savio offers Home -Based Interventions through Savio's Community Based Services (CBS) Child Protection Program for families with children ages birth to 12 years of age and Adolescent Program for families with youth age 12 to 18 years of age. 8. Service access. Savio's Community Based Services Child Protection and Adolescent programs are offered in the community, including in the client's home. Savio is able to offer CBS throughout Weld County, including the southern region of the county. 9. Languages service is available in. Services are available in English and Spanish. All of the Spanish Speakers are Native/Bi-lingual Proficiency. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Home Based Services for Adolescent or Child Protection Monthly Fee For Service Main and Downtown $1,814.00 $2,314.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Kinship Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio began providing family in -home services in the mid 1980's. As an agency we have always looked to the research to guide our intervention strategies. Savio's home -based programs were initially developed based on the Homebuilder's model. In the mid 1990's the Savio Child Protection Division was founded on the principles of Family Group Conferencing (FGC) placing families at the center of problem solving and decision making. Over time services have evolved to include strategies from Solution - Focused Brief Therapy and Signs of Safety. Signs of Safety is an approach that builds partnerships with parents when there is suspected or substantiated child abuse and neglect. This strengths -based, family - centered approach enlists parents as partners, and the focus is on developing protective capacities through identifying what is or needs to be occurring in the family system to create safety for children. Employing these family centered approaches is one way in which services are culturally sensitive and trauma informed. By allowing the family to have an active voice and choice about services, the Treatment Team understands the uniqueness of each family including their culture. By honoring family members as full participants, a more comfortable and trauma sensitive stage is set for families to engage with the Treatment Team. The goal is to not overwhelm families with people from the system telling them what to do, but rather to have families talk about their needs, strengths, challenges and goals and for the Treatment Team to work with the family to build protective capacity and support a successful and safe reunification. Savio utilizes Treatment Support Meetings, Team Decision Making meetings and Family Engagement meetings to achieve these goals. Each member of the team participates with the family at the center to avoid duplication of services and support the family. 4. Capacity to Provide Services (ex. 4 hours/week). 6.5 hours per week. 5. Goals of the service. Savio Kinship Services can be used to successfully stabilize kinship placements at risk of disruption. Savio works with the substitute care provider to resolve issues and preserve the placement, preventing the child or youth from starting the unhealthy cycle of placement "hopping". 6. Outcomes of service. Discharge Status Outcomes are reported by child utilizing the following definitions: Successful Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. Unsuccessful Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non -permanent settings. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 7. Target population for service. Children and youth age birth to 18 years of age in kinship placements at risk of disruption. 8. Service access. Savio is able to offer Kinship Service throughout Weld County, including the southern region of the county. 9. Languages service is available in. Services are available in English and Spanish. All of the Spanish Speakers are Native/Bi-lingual Proficiency. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Kinship Monthly Fee For Service Main and Downtown $1,600.00 $2,100.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Life Skills 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. When children are in out -of -home placement, the most important focus is visitation between parents and children. All families referred to the Savio Visitation Program will begin in the Assessment Phase and progress through the continuum of services unless a different request is made by the county. Reunification plans will be developed and closely monitored through Family Engagement Meetings and/or Staffings. Savio staff work closely with parents to build on parenting strengths and develop skills in other areas with a specific emphasis on the safety concerns resulting in the placement of the children. Staff assist parents in the areas of structure, rules, discipline, bonding, nutrition and communication. A wrap-up session after each visit offers parents feedback on what went well and areas to work on next time. When parents and children are no longer in need of the structure and close monitoring, visitation begins in the community, including but not limited to: parent's home, community centers, parks, etc. The next step is to begin the reunification process through unsupervised visitation with unscheduled drop -ins by Savio staff, followed by unsupervised visitation with no drop -ins. Families should then be ready for overnight visits and reunification. Changes in the visitation plan follow court orders and are approved by DHS and the GAL. Menu of Services • Parenting Services • Basic Parenting Skills (burping, diapering, physical care, emotional care); • Understanding of Child Development; • Parent/Child Bonding; • Discipline/Role Modeling; • Parent/Child Interactions (listening, communication, non-verbal contact); • Interaction Skills with Multiple Children; • Limit Setting/Alternatives to Physical Discipline; • Family Planning Information; • Safety and Risk management/Increasing Protective Capacity; and, • Teaching Healthy Boundaries & Appropriate Interactions (Physical, Sexual, and Verbal). • Health -Related Services • Health Issues (Parent, Child); • Special Needs Child(ren) (Child with disabilities); • Mental Health Support Services (Parent, Child); • Impulse Control (Parent, Child); • Anger Management (Parent, Child); • Conflict Resolution; • Stress Reduction Techniques; • Domestic Violence Information and Support; • Drug/Alcohol Information; • Safety Planning for Parent and Child; and, • Nutritional/Dietary Planning. • Home Management Services Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Child Proofing Skills/Home Safety Information; • Budgeting/Financial Planning; • Time Management; • Organization Skills (Personal skills and home management); 4. Capacity to Provide Services (ex. 4 hours/week). Based on case need • Education Information (Parent, Child); and, • Community Resources. • Personalized Services Needed • Personal Hygiene; • Self Esteem/Trust Building; and, • Emancipation Skills. 5. Goals of the service. The Savio Life Skills/Visitation Program provides services to families whose children are in out -of -home care to improve parenting skills, increase parental protective capacity, shorten out -of -home placement stays, aggressively increase the visitation plan and prepare parents, children and youth for reunification. 6. Outcomes of service. Visitation need completed 7. Target population for service. Families with children age birth to 18 years of age in need of supervised visitation. 8. Service access. Savio is able to offer Lifeskills/Visitation services throughout Weld County, including the southern region of the county. Savio also has offices in the Colorado Springs for visitation with children placed in that area. 9. Languages service is available in. Services are available in English and Spanish. All of the Spanish Speakers are Native/Bi-lingual Proficiency. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area LifeSkills Supervised Visitation Hourly Main and Downtown $75.00 $75.00 Therapeutic Visitaiton Hourly Main and Downtown $120.00 $120.00 Travel Time All $40.00 $40.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Mental Health Services 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio offers two evidence -based trauma services, Trauma -Focused Cognitive Behavioral Therapy (TF CBT) and Alternatives for Families: A Cognitive -Behavioral Therapy (AF CBT). Trauma -Focused Cognitive Behavioral Therapy (TF CBT) Overview of Service Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 — 18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. TF-CBT can be delivered in a variety of setting including home, kinship, adoptive home, residential treatment facility, group home etc. Examples of traumatic events addressed by TF-CBT: • Child Abuse: Sexual, Physical, Neglect, Emotional • Victim/Witness of Violence: Domestic, Community, School • Accidents: motor vehicle • Disasters • War/Terrorism and Refugee • Medical: e.g. diagnosis, invasive medical procedures • Traumatic Grief and Loss TF-CBT has proven to be effective in addressing posttraumatic stress disorder, depression, anxiety, externalizing behaviors, sexualized behaviors, feelings of shame, and mistrust. The parental component increases the positive effects for children by reducing parents' own levels of depression and emotional distress about their children's abuse and improving parenting practices and support of their child. TF- CBT incorporates trauma sensitive interventions with cognitive behavioral, family and humanistic principles and techniques. Children and their parents or caregivers learn new skills to process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings and behaviors related to traumatic life events; and, enhance safety, growth, parenting skills and family communication. Alternatives for Families: A Cognitive -Behavioral Therapy (AF CBT) Alternatives for Families: A Cognitive -Behavioral Therapy is designed for families who are referred for problems related to the management of anger and/or aggression, which include several behaviors on a continuum reflecting the use of coercion and/or physical force. Specifically, AF-CBT seeks to improve the relationships between children and their parents/caregivers who experience any of the following clinical concerns: • Anger and verbal aggression, including emotional abuse • Ongoing family conflict • Child behavior problems, including physical aggression Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Threats or use of harsh/punitive/ineffective physical discipline or punishment; • Child physical abuse Any and all of these patterns may be demonstrated by an individual caregiver or a child/adolescent, but they also may characterize the interactions of the family. Accordingly, AF-CBT targets individual caregiver and child characteristics, as well as the larger family context. Capacity to Provide Services (ex. 4 hours/week). TF-CBT is designed to be a relatively short intervention lasting 12 — 20 sessions; typically one 90 minute session is completed each week. Longer lengths of stay do occur with more complex trauma symptoms. AF CBT Recommended Intensity: One- or two -hour-long sessions per week; sessions can be longer as needed. 4. Goals of the service. TF CBT Improve overall functioning of the child/youth and reduce trauma symptoms. The goals of Alternatives for Families: A Cognitive -Behavioral Therapy (AF-CBT) are to: • Improve caregiver -child relationships. • Strengthen healthy parenting practices. • Enhance children's coping and social skills. • Maintain family safety. • Reduce coercive processes (anger, verbal aggression, threats of force, emotional abuse) by caregivers and other family members. • Reduce use of physical force (aggressive behavior) by caregivers, child and, if relevant, other family members. • Reduce child physical abuse risk or recidivism (prevention of child welfare system involvement or repeated reports/allegations). • Improve child safety/welfare and family functioning. 5. Outcomes of service. Reduced trauma symptoms, improved functioning, increase placement stabilization 6. Target population for service. TF CBT Target Population Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 — 18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. Specific Population Characteristics TF-CBT is NOT an intervention for the offending parent; if the parent is the perpetrator/cause of the Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE traumatic event, TF-CBT is not the appropriate trauma treatment. However, these children can be served in this model if there is a non -offending parent or caretaker to participate. Savio is looking to expand the continuum of trauma related services offered and include interventions for offending parents and trauma treatment for adults. AF CBT Target Population Eligibility Criteria - The following general criteria have been developed to facilitate the identification of individuals or families who may benefit from this intervention: • Child age 5-17 • A caregiver (biological, foster, or kinship) who will participate in services • Child and caregiver appear appropriate for AF-CBT (i.e., can participate adequately, could benefit, may eventually be together/reunified) Partially Required Characteristics (one of the following must be valid to benefit from AF-CBT): • A caregiver has an allegation or report of suspected physical abuse. • A caregiver has done something that resulted or could have resulted in injury/harm to child. • A caregiver has likely used excessive or harsh physical discipline with the child. • A caregiver and the child/family have conflicts and/or heated arguments, which may include caregiver verbal aggression/abuse. • The child has a pattern of oppositional, argumentative, and/or explosive/angry behaviors. • The child has been verbally or physically aggressive, or exhibited other high -risk behaviors. • The child has trauma symptoms related to a history of physical discipline or abuse. Specific Population Characteristics Caretaker is willing to participate in treatment with the child/youth. 7. Service access. Delivery Settings This program is typically conducted in a(n): • Adoptive Home • Birth Family Home • Hospital • Outpatient Clinic • Residential Care Facility • School 8. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 9. Rates of service. All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Mental Health Services (TF or AF CBT) Monthly Fee For Service Main and Downtown $1,082.00 $1,582.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Multisystemic Therapy (MST) 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. The design and implementation of MST interventions is based on nine core principles. The nine core principles of MST are: • The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). • Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. • Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. • Interventions are present -focused and action -oriented, targeting specific and well-defined problems. • Interventions target sequences of behavior within and between multiple systems that maintain identified problems. • Interventions are developmentally appropriate and fit the developmental needs of the youth. • Interventions are designed to require daily or weekly effort by family members. • Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. • Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. MST interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. 4. Capacity to Provide Services (ex. 4 hours/week). The intensity of MST is based on the clinical needs of the family and determined jointly with the MST expert consultant in weekly consultation based on the defined goals. The range from 6 to 15 hours per week, with an average of S hours per week; however, the MST moto is "whatever it takes" and the MST is on -call to the family 24 hours a day 7 days a week 365 days a year to intervene at the point of crisis when needed to help redirect the family and assist them in using new skills. 5. Goals of the service. The primary goals of MST are to reduce youth criminal activity, reduce other types of antisocial behavior such as drug use and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. MST aims to achieve these goals through a treatment that addresses the risk factors in an individualized, comprehensive and integrated fashion; and that empowers families to enhance protective factors. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 6. Outcomes of service. Outcome Discharge Definitions: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. The targeted population for MST is chronic, violent or substance abusing male and female juvenile offenders, ages 11 to 18 and their families. In addition, MST works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. 8. Service access. Savio primarily offer's MST as an in -home service an is able to serve families throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Fee for Service All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area MST Monthly Fee For Service All $1,794.00 $2,294.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Sexual Abuse Treatment 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio House offers two specialized Sexual Abuse Treatment Interventions, Sexual Abuse Interventions (SAI) and an evidence -based treatment, MultiSystemic Therapy for Problem Sexual Behavior (MST PSB). Sexual Abuse Intervention (SAI): The Sexual Abuse Intervention Program works with sexually abusive adolescents and their families to stop abusive behavior and prevent its recurrence through monitoring, education and therapeutic intervention. The program utilizes a high level of supervision and involvement and emphasizes community safety and client accountability at all times. The SAI program complies with all SOMB standards and guidelines and works with the youth to successfully complete offense specific treatment. SAI clients and families served receive intensive, home based services. In addition to providing Informed Supervision training and individual and family therapy, the assigned SAI Therapist assists with school safety plan meetings and attends other school meetings as appropriate, helps the family and client create safety plans and helps with registration if required. The SAI Program utilizes an offense -specific treatment approach. Offense -specific treatment is defined as a comprehensive set of planned therapeutic experiences and interventions targeted to change problem sexual behaviors and attitudes while also increasing prosocial and positive behaviors. Offense -specific programming focuses on the details and components of the sexual offense, including fantasies, arousal, planning, grooming, coercive and silencing behaviors, denial and rationalizations. Treatment also addresses assisting clients and families in identifying, challenging and changing abusive behavior patterns that may not be sexual in nature and replacing them with healthy alternatives. The SAI Program holds clients accountable through the combined use of clients' internal controls and external control measures such as polygraphs, monitoring, safety contracts and plans and relapse prevention plans. This approach requires the integration of attitudes, expectations, policies, procedures and practices, and is implemented through intra-agency and multi -disciplinary teamwork. Contact between SAI clients and their victims is not allowed until approved by all parties, including the victim's therapist. If/when contact is deemed appropriate, Savio House will facilitate a clarification meeting with the victim and his or her therapist and/or family, during which the SAI client takes responsibility for his actions. Contact between the victim and the SAI client will be closely monitored and at no time will the SAI client be allowed to be alone with the victim. If clients disclose additional victims, the department of human services will be notified immediately, enabling newly reported victims to receive the necessary services. Victim safety is a top priority in this program and any concerns about this area of treatment will be immediately addressed and communicated to the probation officer. Whether the client is residing at home, in the community or in a residential setting, the focus of the Sexual Abuse Intervention Program is community safety and client accountability. While clients' risk -levels should always be monitored, juveniles with a history of sexual offending are capable of decreasing their risk to re -offend and increasing their pro -social and coping skills, enabling them to function safely in the community. Strong community ties and support are also viewed as protective factors, which promote Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE adaptive functioning and can decrease client risk. Points of transition are carefully considered and involve detailed planning. MST for Problem Sexual Behavior (MST PSB) Savio offers a specialized MST program designed to meet the needs of juvenile sex offenders. MST for Problem Sexual Behaviors (MST-PSB) is an intensive, comprehensive, community- and family -based treatment modality aimed at decreasing juvenile sex offending and effectively reintegrating youth into the home and community. MST-PSB incorporates evidence -based intervention techniques and utilizes an intensive quality assurance system to support treatment fidelity. The MST-PSB model does not support or utilize any group counseling. This modality views caregivers as the key to achieving favorable clinical outcomes for their youth. To ensure their participation, caregivers are highly involved in the development and implementation of interventions. The MST-PSB model is a total behavioral health care modality that addresses all the needs of each family member. MST for youth with problem sexual behaviors (MST-PSB) is a family -and community -based treatment approach that is designed to promote victim safety and reduce the likelihood of future problem behaviors and criminal activity. MST-PSB focuses on the wide range of individual, family, peer, and academic problems that are commonly associated with juvenile sexual offending. The MST-PSB model is driven by the same treatment principles as standard MST (i.e., with non-PSB youths), utilizes a comprehensive and logically derived treatment planning and assessment process, and maintains an ecological and systemic perspective on treatment. However, MST-PSB moves beyond standard MST practice in that it specifically focuses on aspects of the youth's ecology that are functionally related to the youth's sexual delinquency. MST-PSB strongly emphasizes the development and implementation of comprehensive, ecologically -based safety plans to minimize the risk of youth reoffending. In addition, MST-PSB therapists receive extensive training and support in the application of structural and strategic family therapy interventions (above and beyond standard MST) to address family variables and dynamics associated with sexual and nonsexual behavior problems. Family and youth denial about sexual offenses and their sequelae is addressed through a clarification process that emphasizes social -ecological drivers. An increased emphasis is also placed on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Parents are coached to provide clear guidance, support, and structure to facilitate the youth's development of requisite social skills for initiating and maintaining healthy peer relationships 4. Capacity to Provide Services (ex. 4 hours/week). SAI ranges from 6 — 10 hours per week, services do become less intensive as families progress to ensure sustainability. MST PSB is 10 hours per week; services do become less intensive as families progress to ensure sustainability. S. Goals of the service. SAI Goal is to halt acts of sexual abuse and to prevent reoccurrence of sexual abuse through maximum allowable supervision and therapeutic interventions. To treat the client in his/her environment in order to address all factors that lead to sex abuse. MST PSB interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. 6. Outcomes of service. Outcome Discharge Definitions: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. The Savio SAI program serves adolescent males and females, up to twenty years of age, who have committed a sexual offense, both adjudicated and non -adjudicated sexually reactive youth and youth with boundary issues and/or harassment behaviors. The program targets youth who have identified caretakers who are willing to participate in the SAI CBS program and provide the necessary monitoring and supervision. Additionally, Savio serves emancipating youth with problem sexual behaviors. Savio's SAI program can also serve children under the age of 10 who are displaying concerning sexualized behaviors or boundary issues. This service is paired with Savio's CP service. The targeted population for MST PSB is juvenile ages 11 to 18 and their families who are struggling with problem sexual behaviors. These juveniles could be adjudicated or non -adjudicated. In addition, MST PSB works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. Savio MST PSB is an SOMB approved treatment modality. 8. Service access. Both SAI and MST PSB are offered in the clients' home and community. Savio is able to offer both services throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi- lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure I Offices Offered I Rate Within 30 Miles Rate Outside 30 Mile Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Catchment Area Catchment Area MST PSB Monthly Fee For Service All $2,737.00 $3,237.00 Informed Supervision Per Session Main and Downtown $250.00 $500.00 Sexual Abuse Intervention and Sexual Abuse Intervention with Child Protection Monthly Fee For Service All $1,933.00 $2,433.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Substance Abuse Treatment 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio offers two evidence -based Substance abuse treatment services for adolescents: Multisystemic Therapy Contingency Management (MST CM) and Functional Family Therapy Contingency Management (FFT CM). Multisystemic Therapy- Contingency Management (MST -CM) MST -CM is the integration of Multisystemic Therapy (MST) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines MST with the inclusion of CM. While its foundation is MST, MST -CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober. These drivers are then leveraged to influence future behavior. The following are the five components of CM that are added to the traditional process of MST. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Testing of substances MST -CM clinicians are trained to train caregivers to implement substance use monitoring, such as urinalyses and breathalyzer testing. The goal here, in keeping with the MST model, is to empower parents to hold their child accountable by implementing the testing when they see fit, regardless if the therapist is present. Caregivers will provide substance use testing randomly each week and when use is suspected. Functional Family Therapy Contingency Management (FFT CM) FFT/CM is the integration of Functional Family Therapy (FFT) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines the basics of FFT with the inclusion of CM. FFT is designed to rapidly engage family members and provide insight, training, and skill development so that families can confidently and appropriately manage problem adolescent behaviors without further juvenile justice system involvement. Functional Family Therapy (FFT) is a short-term, well - documented program which has been successfully applied to a wide range of problem youth and their families. While its foundation is FFT, FFT/CM is highly focused on drug and alcohol use. Every session is Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober and these drivers are leveraged to influence future behavior. The following are the five components of CM that are added to the tradition process of FFT. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Therapists assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the clients substance use or abuse. The therapist assesses the impact of the substance use on the family. The FFT supervisor and FFT expert consultant review the assessment results and determine whether the client is an appropriate fit for FFT/CM. Testing of Substance The process of the collection and urine analysis (UA) in FFT sessions is done as a family— not the therapist and client alone — which mirrors the relational focus in FFT. The goal is to provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore, the specimen is not sent to a lab unless the multidisciplinary team has requested this. If this has been requested, the therapist will seal the specimen in a bag and return it to Savio House, where it will be then transported to a testing lab. All results will be shared with the treatment team. 4. Capacity to Provide Services (ex. 4 hours/week). MST -CM is a brief intervention that varies in intensity based on the needs of the family. Typically, the family receives more intensive services at the beginning and less intensive towards termination. Average length of service is 4 — 6 months with an average of 8 hours per week. FFT-CM is a brief intervention with an average of 12-15 sessions over 3-5 months with meetings being held once a week. At the onset of treatment, the therapist may be in home more frequently. Families have access to an FFT therapist 24 hours a day through a crisis phone. 5. Goals of the service. The primary goals of MST -CM are to reduce youth criminal activity, reduce other types of antisocial behavior, such as drug use or gang membership, and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Overall program goals for FFT CM are to: • Reduce drug use; • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. 6. Outcomes of service. Outcome Discharge Definitions for both MST CM and FFT CM: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Target Population and Specific Population Characteristics MST CM Clients that are appropriate for MST -CM are those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). Ideal candidates are those clients and caregivers who acknowledge the need for treatment. Target Population and Specific Population Characteristics FFT CM • Adolescents between the ages of 12-18, with negative behaviors that appear to be rooted in the relational dynamics of the family system • Substance abuse within family (caregiver or youth) in addition to the referral behaviors for FFT • Youth returning home from inpatient substance use treatment • Runaway behaviors • Defiance and verbal aggression • Physical aggression with people and property • Delinquency and truancy charges • Poor school performance • Self -harming behaviors • Most mental health/behavioral disorders 8. Service access. Savio delivers MST -CM and FFT-CM services in the family home and/or in community locations at times that are most convenient for family members' participation. All referrals from Weld County DHS will be served at locations within their home communities, including southern Weld County cities such as Fort Lupton, Frederick, Firestone, Dacono, Keensburg, Lochbuie, Erie and Longmont. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E. 125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area MST CM Monthly Fee For Service All $2,094.00 $2,594.00 FFT CM Monthly Fee For Service Main and Downtown $1,300.00 $1,800.00 Bid No.: 1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Aftercare BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERV SOR INFORMATION No. Last Name Fist Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORA # (if applicable) last Name First Ne, ,,: Work # Work Email 1 McFall Keelan 970-584-9740 kmcfall@savioho use.org MA Social Work LCSW 9925652 Doner Elizabeth 303-225-4167 edoner@savioho use.org 2 Pantaleo Michael 303-478-3113 mpantaleo@savi ohouse.org MA social work LCSW 9924205 Doner Elizabeth 303-225-4167 edoner@savioho use.org 3 Nelson Matt 720-530-6094 mnelson@savioh ouse.org MA counseling LPCC 15236 Doner Elizabeth 303-225-4167 edoner@savioho use.org 4 Spinello Jamie 720-788-2497 jspinello@savioh ouse.org MA social work LSW 9922335 Doner Elizabeth 303-225-4167 edoner@savioho use.org 5 Adams Ashlee 720-431-5073 aadams@savioho use.org MA social work LSP 1320 Doner Elizabeth 303-225-4167 edoner@savioho use.org 6 Bailey Ashley 303-562-5316 abailey@savioho use.org MA counseling LPCC 15980 Doner Elizabeth 303-225-4167 edoner@savioho use.org 7 Alper Shayna 720-530-2775 salper@saviohou se.org MA social work LSW 9922070 Doner Elizabeth 303-225-4167 edoner@savioho use.org 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 23 24 25 26 27 28 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Functional Family Therapy BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPS (INFORMATION No. Last Name First Name World Work Email Education Level Degree Focus Licensure/ Credentials DORA# (If applicable) Last Mame Firs N ;; Nark # ixk EmaB 1 DeHerrera Nicole 719-351-5712 ndeherrera@savi MA Counseling and Human Services LPC 12385 Doner Elizabeth 303-225-4167 edoner@savioho ohouse.org L. :)rg 2 Fitzpatrick Stacey 303-478-7386 sfitzpatrick@savi Social Work LSW 9922031 DeHerrera Nicole 719-351-5712 ndeherrera@savi ohouse.org ohouse.org 3 Cernuto Trelawney 720-708-7669 tcernuto@savioh Marriage and Family Therapy MFTC 13792 DeHerrera Nicole 719-351-5712 ndeherrera@savi ouse.org ohouse.org 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 25 26 27 28 Bid No.: 81900025 STAFF DATA SHEET • EXHIBIT D (=tier must ust an appucame start wno wm manage ant/or aammster me propose° service. une start uata meet per propasea service. ma°er snow° not comome services.) PROPOSED SERVICE OR SERVICE TYPE: Home -Based Interventions BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATI No. Last Name First Name World Work Email Education Level Degree Focus Licensure/ Credentials DORA # Of applicable) last NidiN! ,' �, : First Name � WorllM 1 Browne Mollie 970371-7837 mbrowne@saviohouse.org MA marriage and fa MFTC 13866 Shaver Janet 970-214-0577 2 Flier Jennifer 970-584-9745 jflier@saviohouse.org MSW social work Registered ps 108073 Shaver Janet 970-214-0577 3 Shaver Janet 970-214-0577 jshaver@saviohouse.org MA counseling LPC 12517 Fiedler Courtney 303.225.4112 4 McFall Keelan 970-584-9740 kmcfall@saviohouse.org MA Social Work LCSW 9925652 Doner Elizabeth 303-225-4167 5 Pantaleo Michael 303-478-3113 mpantaleo@saviohouse.org MA social work LCSW 9924205 Doner Elizabeth 303-225-4167 6 Nelson Matt 720-530-6094 mnelson@saviohouse.org MA counseling LPCC 15236 Doner Elizabeth 303-225-4167 7 Spinello Jamie 720-788-2497 jspinello@saviohouse.org MA social work LSW 9922335 Doner Elizabeth 303-225-4167 8 Adams Ashlee 720-431-5073 aadams@saviohouse.org MA social work LSP 1320 Doner Elizabeth 303-225-4167 9 Bailey Ashley 303-562-5316 abailey@saviohouse.org MA counseling LPCC 15980 Doner Elizabeth 303-225-4167 10 Alper Shayna 720-530-2775 salper@saviohouse.org MA social work LSW 9922070 Doner Elizabeth 303-225-4167 11 Beery Amy 303-225-4185 abeery@saviohouse.org MSW Social Work LCSW 9923798 Roguski Julia 303-225-4200 12 Johnson Dana 303-225-4166 djohnson@saviohouse.org MA Counseling LPC 5359 Beery Amy 303-225-4185 13 Kearsley Megan 303-225-4111 mkearsley@saviohouse.org MA Counseling LPC 14832 Beery Amy 303-225-4185 14 Stonner Nikkita 303-225-4188 nstonner@saviohouse.org MA Counseling LPC 13882 Beery Amy 303-225-4185 15 Rodrigues Desiree 303-225-4178 drodrigues@saviohouse.org MA Counseling LPC 13877 Beery Amy 303-225-4185 16 Whitelaw Britton 303-225-4100 bwhitelaw@saviohouse.org MSW Social Work LSW 9921403 Johnson Dana 303-225-4166 17 Scarlett Kelcie 303-225-4100 kscarlett@saviohouse.org MSW Social Work LSW 9921815 Johnson Dana 303-225-4166 18 Kronmiller Elena 303-225-4100 ekronmiller@saviohouse.org MA Counseling NLC 107569 Johnson Dana 303-225-4166 19 Onofrio Angelica 303-225-4100 aonofrio@saviohouse.org MSW Social Work NLC 106861 Johnson Dana 303-225-4166 20 Zamora Brittany 303-225-4100 bzamora@saviohouse.org MA Counseling LPC 14175 Johnson Dana 303-225-4166 21 Ramey Emma 303-225-4100 eramey@savihouse.org MSW Social Work NLC 107729 Johnson Dana 303-225-4166 22 Redwine Chari 303-225-4100 credwine@saviohouse.org MA Psychology NLC 108614 Johnson Dana 303-225-4166 23 Maas Kayleigh 303-225-4100 kmaas@saviohouse.org MA Counseling LPCC 15871 Johnson Dana 303-225-4166 24 Mason Katie 303-225-4100 kmason@saviohouse.org MSW Social Work NLC 108726 Johnson Dana 303-225-4166 25 Dyrud Jessica 303-225-4100 jdyrud@saviohouse.org MSW Social Work NLC 107422 Kearsley Megan 303-225-4111 26 Knott Kelli 303-225-4100 kknott@saviohouse.org MSW Social Work NLC 108564 Kearsley Megan 303-225-4111 27 Weber Margo 303-225-4100 mweber@saviohouse.org MSW Social Work NLC 108874 Kearsley Megan 303-225-4111 28 Brown Anne 303-225-4100 abrown@saviohouse.org MS Counseling NLC 108489 Kearsley Megan 303-225-4111 29 Colangelo Anastasia 303-225-4100 acolangelo@saviohouse.org MA Counseling M FT 1530 Kearsley Megan 303-225-4111 Bid No.: 01900025 STAFF DATA SHEET (Bidder must list all applicable staff who will manage and/or administer the proposed service. 30 Bhagat Smith Christa 303-225-4100 cbhagatsmith@saviohouse.org 31 Voigt svoigt@saviohouse.org 32 Runkles rrunkles@saviohouse.org 33 Shepard 34 Bylsma 35 Parry 36 Klene 37 Vargas 38 Edler 39 Perez 40 Garden 41 Anderson 42 Whitmore Bid No.: B1900025 Sierra Rebecca Ambrosia Margaret Jessica Kelly Erika Caroline Yvette Gioia Andrea Ashton 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 303-225-4100 ashepard@saviohouse.org mbylsma@saviohouse.org jparry@saviohouse.org kklene@saviohouse.org evargas@saviohouse.org cedler@saviohouse.org yperez@saviohouse.org ggarden@saviohouse.org aanderson@saviohouse.org awhitmore@saviohouse.org EXHIBIT D One Staff Data Sheet per proposed service. MA Counseling Pending Counseling Pending Counseling NLC Counseling LPC Counseling MFTC Social Work LSW Social Work LSW Sociology/CrimiNLC Social Work LSW Social Science NLC MA MA MA MA MSW MSW BS MSW BA MA MA MA Counseling Counseling Counseling NLC LPCC LPCC Bidder should not combine services.) Pending Kearsley Megan 303-225-4111 Pending Kearsley Megan 303-225-4111 109010 Kearsley Megan 303-225-4111 13739 Kearsley Megan 303-225-4111 13848 Rodrigues Desiree 303-225-4178 9921987 Kearsley Megan 303-225-4111 9921987 Kearsley Megan 303-225-4178 109185 Rodrigues Desiree 303-225-4178 9922282 Rodrigues Desiree 303-225-4178 105564 Rodrigues Desiree 303-225-4178 108784 Rodrigues Desiree 303-225-4178 16380 Rodrigues Desiree 303-225-4178 15988 Rodrigues Desiree 303-225-4178 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Kinship Services BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION $uPERyag,Ql' INFORMATH No. Last Name First Name Work* Work Email Education Level Degree Focus Ltcensure/ Credentials DORA * Of applicable) N last ett f[rstName Yi1Tcr* 1 Beery Amy 303-225-4185 abeery@saviohouse.org MSW Social Work LCSW 9923798 Roguski Julia 303-225-4200 2 Johnson Dana 303-225-4166 djohnson@saviohouse.org MA Counseling LPC 5359 Beery Amy 303-225-4185 3 Kearsley Megan 303-225-4111 mkearsley@saviohouse.org MA Counseling LPC 14832 Beery Amy 303-225-4185 4 Stonner Nikkita 303-225-4188 nstonner@saviohouse.org MA Counseling LPC 13882 Beery Amy 303-225-4185 5 Rodrigues Desiree 303-225-4178 drodrigues@saviohouse.org MA Counseling LPC 13877 Beery Amy 303-225-4185 6 Whitelaw Britton 303-225-4100 bwhitelaw@saviohouse.org MSW Social Work LSW 9921403 Johnson Dana 303-225-4166 7 Scarlett Kelcie 303-225-4100 kscarlett@saviohouse.org MSW Social Work LSW 9921815 Johnson Dana 303-225-4166 8 Kronmiller Elena 303-225-4100 ekronmiller@saviohouse.org MA Counseling NLC 107569 Johnson Dana 303-225-4166 9 Onofrio Angelica 303-225-4100 aonofrio@saviohouse.org MSW Social Work NLC 106861 Johnson Dana 303-225-4166 10 Zamora Brittany 303-225-4100 bzamora@saviohouse.org MA Counseling LPC 14175 Johnson Dana 303-225-4166 11 Ramey Emma 303-225-4100 eramey@savihouse.org MSW Social Work NLC 107729 Johnson Dana 303-225-4166 12 Redwine Cheri 303-225-4100 credwine@saviohouse.org MA Psychology NLC 108614 Johnson Dana 303-225-4166 13 Maas Kayleigh 303-225-4100 kmaas@saviohouse.org MA Counseling LPCC 15871 Johnson Dana 303-225-4166 14 Mason Katie 303-225-4100 kmason@saviohouse.org MSW Social Work NLC 108726 Johnson Dana 303-225-4166 15 Dyrud Jessica 303-225-4100 jdyrud@saviohouse.org MSW Social Work NLC 107422 Kearsley Megan 303-225-4111 16 Knott Kelli 303-225-4100 kknott@saviohouse.org MSW Social Work NLC 108564 Kearsley Megan 303-225-4111 17 Weber Margo 303-225-4100 mweber@saviohouse.org MSW Social Work NLC 108874 Kearsley Megan 303-225-4111 18 Brown Anne 303-225-4100 abrown@saviohouse.org MS Counseling NLC 108489 Kearsley Megan 303-225-4111 19 Colangelo Anastasia 303-225-4100 acolangelo@saviohouse.org MA Counseling MFT 1530 Kearsley Megan 303-225-4111 20 Bhagat Smith Christa 303-225-4100 cbhagatsmith@saviohouse.org MA Counseling Pending Pending Kearsley Megan 303-225-4111 21 Voigt Sierra 303-225-4107 svoigt@saviohouse.org MA Counseling Pending Pending Kearsley Megan 303-225-4111 22 Runkles Rebecca 303-225-4100 rrunkles@saviohouse.org MA Counseling NLC 109010 Kearsley Megan 303-225-4111 23 Shepard Ambrosia 303-225-4100 ashepard@saviohouse.org MA Counseling LPC 13739 Kearsley Megan 303-225-4111 24 Bylsma Margaret 303-225-4107 mbyisma@saviohouse.org MA Counseling MFTC 13848 Rodrigues Desiree 303-225-4178 25 Parry Jessica 303-225-4100 jparry@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 303-225-4111 26 Klene Kelly 303-225-4100 kklene@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 303-225-4178 27 Vargas Erika 303-225-4100 evargas@saviohouse.org BS Sociology/Crim NLC 109185 Rodrigues Desiree 303-225-4178 28 Edler Caroline 303-225-4100 cedler@saviohouse.org MSW Social Work LSW 9922282 Rodrigues Desiree 303-225-4178 29 Perez Yvette 303-225-4100 yperez@saviohouse.org BA Social Science NLC 105564 Rodrigues Desiree 303-225-4178 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 30 Garden Gioia 303-225-4100 ggarden@saviohouse.org MA Counseling NLC 108784 Rodrigues Desiree 303-225-4178 31 Anderson Andrea 303-225-4100 aanderson@saviohouse.org MA Counseling LPCC 16380 Rodrigues Desiree 303-225-4178 32 Whitmore Ashton 303-225-4100 ahitmore@saviohouse.org MA Counseling LPCC 15988 Rodrigues Desiree 303-225-4178 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Life Skills BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION ; ;?SUPERS No. Last Name First Name World* Work Email Education Level Degree Focus Licensure/ Credentials DORA • (If applicable) Neme FirsC IQan� 1 Beery Amy 303-225-4185 abeery@saviohouse.org MSW Social Work LCSW 9923798 Roguski Julia 2 Johnson Dana 303-225-4166 djohnson@saviohouse.org MA Counseling LPC 5359 Beery Amy 3 Kearsley Megan 303-225-4111 mkearsley@saviohouse.org MA Counseling LPC 14832 Beery Amy 4 Stonner Nikkita 303-225-4188 nstonner@saviohouse.org MA Counseling LPC 13882 Beery Amy 5 Rodrigues Desiree 303-225-4178 drodrigues@saviohouse.org MA Counseling LPC 13877 Beery Amy 6 Whitelaw Britton 303-225-4100 bwhitelaw@saviohouse.org MSW Social Work LSW 9921403 Johnson Dana 7 Scarlett Kelcie 303-225-4100 kscarlett@saviohouse.org MSW Social Work LSW 9921815 Johnson Dana 8 Kronmiller Elena 303-225-4100 ekronmiller@saviohouse.org MA Counseling NLC 107569 Johnson Dana 9 Onofrio Angelica 303-225-4100 aonofrio@saviohouse.org MSW Social Work NLC 106861 Johnson Dana 10 Zamora Brittany 303-225-4100 bzamora@saviohouse.org MA Counseling LPC 14175 Johnson Dana 11 Ramey Emma 303-225-4100 eramey@savihouse.org MSW Social Work NLC 107729 Johnson Dana 12 Redwine Chari 303-225-4100 credwine@saviohouse.org MA Psychology NLC 108614 Johnson Dana 13 Maas Kayleigh 303-225-4100 kmaas@saviohouse.org MA Counseling LPCC 15871 Johnson Dana 14 Mason Katie 303-225-4100 kmason@saviohouse.org MSW Social Work NLC 108726 Johnson Dana 15 Dyrud Jessica 303-225-4100 jdyrud@saviohouse.org MSW Social Work NLC 107422 Kearsley Megan 16 Knott Kelli 303-225-4100 kknott@saviohouse.org MSW Social Work NLC 108564 Kearsley Megan 17 Weber Margo 303-225-4107 mweber@saviohouse.org MSW Social Work NLC 108874 Kearsley Megan 18 Brown Anne 303-225-4100 abrown@saviohouse.org MS Counseling NLC 108489 Kearsley Megan 19 Colangelo Anastasia 303-225-4107 acolangelo@saviohouse.org MA Counseling MFT 1530 Kearsley Megan 20 Bhagat Smith Christa 303-225-4100 cbhagatsmith@saviohouse.org MA Counseling Pending Pending Kearsley Megan 21 Voigt Sierra 303-225-4100 svoigt@saviohouse.org MA Counseling Pending Pending Kearsley Megan 22 Flunkies Rebecca 303-225-4100 rrunkles@saviohouse.org MA Counseling NLC 109010 Kearsley Megan 23 Shepard Ambrosia 303-225-4107 ashepard@saviohouse.org MA Counseling LPC 13739 Kearsley Megan 24 Bylsma Margaret 303-225-4107 mbylsma@saviohouse.org MA Counseling MFTC 13848 Rodrigues Desiree 25 Parry Jessica 303-225-4100 jparry@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 26 Klene Kelly 303-225-4107 kklene@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 27 Vargas Erika 303-225-4100 evargas@saviohouse.org BS Sociology/Criminal Justice NLC 109185 Rodrigues Desiree 28 Edler Caroline 303-225-4100 cedler@saviohouse.org MSW Social Work LSW 9922282 Rodrigues Desiree 29 Perez Yvette 303-225-4100 yperez@saviohouse.org BA Social Science NLC 105564 Rodrigues Desiree Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 30 Garden Gioia 303-225-4100 ggarden@saviohouse.org MA Counseling NLC 108784 Rodrigues Desiree 31 Anderson Andrea 303-225-4100 aanderson@saviohouse.org MA Counseling LPCC 16380 Rodrigues Desiree 32 Whitmore Ashton 303-225-4100 awhitmore@saviohouse.org MA Counseling LPCC 15988 Rodrigues Desiree Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Mental Health Services BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERV4 tIlYFORMAT' No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORA It (1f applicable( e Lzst Nam=�lane 5 WtNS``- , 1 McFall Keelan 970-584-9740 kmcfall@saviohouse.org MA Social Work LCSW 9925652 Doner Elizabeth 303-225-4167 2 Pantaleo Michael 303-478-3113 mpantaleo@saviohouse.org MA social work LCSW 9924205 Doner Elizabeth 303-225-4167 3 Nelson Matt 720-530-6094 mnelson@saviohouse.org MA counseling LPCC 15236 Doner Elizabeth 303-225-4167 4 Spinello Jamie 720-788-2497 jspinello@saviohouse.org MA social work LSW 9922335 Doner Elizabeth 303-225-4167 5 Adams Ashlee 720-431-5073 aadams@saviohouse.org MA social work LSP 1320 Doner Elizabeth 303-225-4167 6 Bailey Ashley 303-562-5316 abailey@saviohouse.org MA counseling LPCC 15980 Doner Elizabeth 303-225-4167 7 Alper Shayna 720-530-2775 salper@saviohouse.org MA social work LSW 9922070 Doner Elizabeth 303-225-4167 8 Beery Amy 303-225-4185 abeery@saviohouse.org MSW Social Work LCSW 9923798 Roguski Julia 303-225-4200 9 Johnson Dana 303-225-4166 djohnson@saviohouse.org MA Counseling LPC 5359 Beery Amy 303-225-4185 10 Kearsley Megan 303-225-4111 mkearsley@saviohouse.org MA Counseling LPC 14832 Beery Amy 303-225-4185 11 Stonner Nikkita 303-225-4188 nstonner@saviohouse.org MA Counseling LPC 13882 Beery Amy 303-225-4185 12 Rodrigues Desiree 303-225-4178 drodrigues@saviohouse.org MA Counseling LPC 13877 Beery Amy 303-225-4185 13 Whitelaw Britton 303-225-4100 bwhitelaw@saviohouse.org MSW Social Work LSW 9921403 Johnson Dana 303-225-4166 18 Ramey Emma 303-225-4100 eramey@savihouse.org MSW Social Work NLC 107729 Johnson Dana 303-225-4166 20 Maas Kayleigh 303-225-4100 kmaas@saviohouse.org MA Counseling LPCC 15871 Johnson Dana 303-225-4166 21 Mason Katie 303-225-4100 kmason@saviohouse.org MSW Social Work NLC 108726 Johnson Dana 303-225-4166 22 Dyrud Jessica 303-225-4100 jdyrud@saviohouse.org MSW Social Work NLC 107422 Kearsley Megan 303-225-4111 23 Knott Kelli 303-225-4107 kknott@saviohouse.org MSW Social Work NLC 108564 Kearsley Megan 303-225-4111 25 Brown Anne 303-225-4100 abrown@saviohouse.org MS Counseling NLC 108489 Kearsley Megan 303-225-4111 26 Shepard Ambrosia 303-225-4100 ashepard@saviohouse.org MA Counseling LPC 13739 Kearsley Megan 303-225-4111 27 Bylsma Margaret 303-225-4100 mbylsma@saviohouse.org MA Counseling MFTC 13848 Rodrigues Desiree 303-225-4178 28 Parry Jessica 303-225-4100 jparry@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 303-225-4111 29 Klene Kelly 303-225-4107 kklene@saviohouse.org MSW Social Work LSW 9921987 Kearsley Megan 303-225-4178 30 Garden Gioia 303-225-4100 ggarden@saviohouse.org MA Counseling NLC 108784 Rodrigues Desiree 303-225-4178 Bid Na.: B1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Multisystemic Therapy BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION ' SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Measure/ Credentials DORA # (If applicable) tarit`Name i 'Name WorYtif 1 Browne Mollie 970371-7837 mbrowne@saviohouse. org MA marriage and fa MFTC 13866 Shaver Janet 970-214-0577 2 Flier Jennifer 970-584-9745 jflier@saviohouse.org MSW social work Registered psychothera pist 108073 Shaver Janet 970-214-0577 3 Shaver Janet 970-214-0577 jshaver@saviohouse.or g MA counseling LPC 12517 Fiedler Courtney 303.225.4112 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D (Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 26 27 28 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Sexual Abuse Treatment BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION .SUPERVISOR INFORMATION No. Last Name First Name Work# Work Email Education Level Degree Focus Licensure/ Credentials DORA # (If applicable{ La#k Name First Name Work* Work *mall 1 Browne Mollie 970371-7837 mbrowne@savio MA marriage and fa MFTC 13866 Shaver Janet 970-214-0577 jshaver@savioho house.org t. ora 2 Flier Jennifer 970-584-9745 jther@saviohous MSW social work Registered ps 108073 Shaver Janet 970-214-0577 jshaver@savioho e.org use.org 3 Shaver Janet 970-214-0577 jshaver@savioho MA counseling LPC 12517 Fiedler Courtney 303.225.4112 cfiedler@savioho use.ore t. Drg 4 McFall Keelan 970-584-9740 kmcfall@savioho MA Social Work LCSW 9925652 Doner Elizabeth 303-225-4167 edoner@savioho use.2Lg use.ore 5 Pantaleo Michael 303-478-3113 mpantaleo@savi MA social work LCSW 9924205 Doner Elizabeth 303-225-4167 edoner@savioho ohouse.org use.org 6 Nelson Matt 720-530-6094 mnelson@savioh MA counseling LPCC 15236 Doner Elizabeth 303-225-4167 edoner@savioho ouse.org t. org 7 Spinello Jamie 720-788-2497 jspinello@savioh MA social work LSW 9922335 Doner Elizabeth 303-225-4167 edoner@savioho oL. ,rg use. ag¢ 8 Adams Ashlee 720-431-5073 aadams@savioho MA social work LSP 1320 Doner Elizabeth 303-225-4167 edoner@savioho t.cirg use.org 9 Bailey Ashley 303-562-5316 abailev@savioho MA counseling LPCC 15980 Doner Elizabeth 303-225-4167 edoner@savioho use.ore t.. org 30 Alper Shayna 720-530-2775 salper@saviohou MA social work LSW 9922970 Doner Elizabeth 303-225-4167 edoner@savioho se.org use.org 11 Doner 12 13 14 15 16 17 18 19 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 20 21 22 23 24 25 26 27 28 Bid No.: 81900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) PROPOSED SERVICE OR SERVICE TYPE: Substance Abuse Treatment Services BIDDER LEGAL ENTITY NAME: Savio House APPLICABLE STAFF MEMBER OR CONTRACTOR INFORMATION SUPERVISOR INFORMATION No. Last Name First Name Works Work Email Education Level Degree Focus Ucensure/ Credentials DORA M )If applicable) Lag Name HIM Name - Work a Work Ema0 1 Browne Mollie 970371-7837 mbrowne@savio house.org MA marriage and fa MFTC 13866 Shaver Janet 970-214-0577 jshaver@savioho use.org 2 Flier Jennifer 970-584-9745 jflier@saviohous e.org MSW social work Registered ps 108073 Shaver Janet 970-214-0577 jshaver@savioho use.org 3 Shaver Janet 970-214-0577 jshaver@savioho use.org MA counseling LPC 12517 Fiedler Courtney 303.225.4112 cfiedler@savioho use.org 4 De Herrera Nicole 719-351-5712 ndeherrera@savi ohouse.org MA Counseling and LPC 12385 Doner Elizabeth 3032254167 edoner@savioho use.org 5 Fitzpatrick Stacey 303-478-7386 sfitzpatrick@savi ohouse.org Social Work LSW 9922031 De Herrera Nicole 719-351-5712 ndeherrera@savi ohouse.org 6 Cernuto Trelawney 720-708-7669 tcernuto@savioh ouse.org Marriage and F'MFTC 13792 De Herrera Nicole 719-351-5712 ndeherrera@savi ohouse.org 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Bid No.: B1900025 STAFF DATA SHEET EXHIBIT D Bidder must list all applicable staff who will manage and/or administer the proposed service. One Staff Data Sheet per proposed service. Bidder should not combine services.) 24 25 26 27 28 Bid No.: B1900025 Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E. 125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Aftercare Monthly Fee For Service Main and Downtown $1,150.50 $1,650.50 Functional Family Therapy (FFT) Monthly Fee For Service Main and Downtown $1,000 $1,500 Home Based Services for Adolescent or Child Protection Monthly Fee For Service Main and Downtown $1,814.00 $2,314.00 Kinship Monthly Fee For Service Main and Downtown $1,600.00 $2,100.00 LifeSkills Supervised Visitation Hourly Main and Downtown $75.00 Therapeutic Visitaiton Hourly Main and Downtown $120.00 Travel Time All $40.00 Mental Health Services (TF or AF CBT) Monthly Fee For Service Main and Downtown $1,082.00 $1,582.00 MST Monthly Fee For Service All $1,794.00 $2,294.00 MST PSB Monthly Fee For Service All $2,737.00 $3,237.00 Informed Supervision Per Session Main and Downtown $250.00 $500.00 Sexual Abuse Intervention and Sexual Abuse Intervention with Child Protection Monthly Fee For Service All $1,933.00 $2,433.00 MST CM Monthly Fee For Service All $2,094.00 $2,594.00 Monthly Fee For Main and FFT CM Service Downtown $1,300.00 $1,800.00 SAVIHOU-01 TSHE A�-C7/iL? �r- CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/14/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. ff SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lamb Insurance Services 145 W. 45th Street New York, NY 10036 INSURED Savio House 325 King Street Denver, CO 80219-1326 CONTACT NAME: PHONE (NC, No, Ext): (212) 375-3000 ADDRESS: service@lambis.com ADDRE raC, No): (888) 389-8061 INSURER(S) AFFORDING COVERAGE INSURER A: Alliance National Insurance Company _ INSURER B : INSURER C : INSURER D : NAIC A 15334 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR IADDLSUBR LTR TYPE OF INSURANCE INSD' WVD POLICY EFF POLICY EXP I POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYYI i LIMITS A X COMMERCIAL GENERAL LIABILITY _ X OCCUR ! 2018-54986 !', EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 05/01/2018 05/01/2019 DAMAGE TO RENTED PREMISES (Ea occunence) $ 1,000,000 ~] GENII_AGGREGATE '. MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $ 1,000,000 LIMIT APPLIES PER: r POLICY 1 JEPRO- LOC CT OTHER: ' GENERAL AGGREGATE ', $ 3'000'000 '', ' PRODUCTS - COMP/OP AGG $ 3,000,000 $ A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS NONWNED 2018-54986 SINGLE LIMIT (Ea (Ea accident) 1,000,000 $ 05/01/2018.05/01/2019 BODILY INJURY (Per person) , $ I BODILY INJURY (PeraccidenA) $ PROPERTY DAMAGE j . (Peracdderd) I $ I $ A X UMBRELLA LIAR X OCCUR EXCESS LIAB CLAIMS -MADE 2018-54986-UMB I EACH OCCURRENCE 10,000,000 $ 05/01/2016 05/01/2019 AGGREGATE $ 10,000,000 DED X I RETENTION $ 10,000', Retention $ 10,000 WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY Y / N '! ANY WMEMB EXPROPRIETOR/PARTNER/EXECUTIVECLUDED? �, '.. N /A' OFFICE (Mandatory in NH) '', If yes, describe under DESCRIPTION OF OPERATIONS below !.. PER 1OTH- STATUTE I ER _I I E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A jProf. A (Prof. Liab/Abuse Liab/Abuse 2018-54986 05/01/2018.05/01/2019 Aggreagte 2018-54986 05/01/2018 05/01/2019 ,Occurrence 3,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more apace Is required) Umbrella limit extends to general, auto, employers and professional liability coverage. A separate $10p limit is afforded to abuse & molestation liability and a separate S9M limit is afforded to directors & officers, employment practices and fiduciary liability. State of Colorado/Department of Human Services and Weld Adolescent Resources, Inc. are included as Additional Insured in accordance with the policy provisions of the General Liability policy and where required by written contract. CERTIFICATE HOLDER CANCELLATION Weld County De of Human Services tY Department 315 A N. 11th Avenue PO Box A Greeley, CO 80632 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i i.k i ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: Julia Roguski To: Tobi Cullins Subject: Udpated Exhibit C"s Date: Wednesday, May 8, 2019 3:32:57 PM Attachments: Outlook-gm2ecsaz. onq EXHIBIT C - Proposal Template Savio Substance Abuse Treatment Services Undated March 5 2019 (1).doa EXHIBIT C - Proposal Template Savio Multisystemic Therm, Updated March 5 2019 (1).docx EXHIBIT C - Proposal Template Savio FFT Updated March 5 2019 (1).docx Caution: This email originated from outside of Weld County Government. Do not click links or open attachments unless you recognize the sender and know the content is safe. Tobi I believe I have all the updates, please let me know if I missed something Thank you as always for the opportunity Julia Jl,ataL. Zogaiskv, MA, LPC, CACIII Savo Associate Executive Director Savio Cell: 720.530.6450 Office: 303.225.4200 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Functional Family Therapy (FFT) and FFT Contingency Management CM 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. FFT Functional Family Therapy (FFT) is a short-term, well -documented program which has been successfully applied to a wide range of problem youth and their families. The program involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. The FFT program draws on a multisystemic perspective in its family -based intervention and prevention efforts. It is a family therapy model that works with the family to: • Improve family relationships and communication skills; • Assist families in adopting positive solutions to problematic areas; • Develop positive parenting skills; • Strengthen and preserve the family unit. Phases of treatment The three phases of FFT (Engagement/Motivation, Behavior Change, and Generalization) are based on understanding families in a broad context and understanding client problems systemically. Each phase has distinct goals and objectives, addresses different risk and protective factors, and calls for particular skills from the therapist. Engagement/Motivation Phase (Phase I) The Engagement/Motivation phase has four primary goals: • Building an alliance between the therapist and each family member and between all family members; • Reducing negativity and blame; • Developing a shared family perception of the presenting problems; and • Building hope and an expectation for change. Behavior Change Phase (Phase II) During this phase, the FFT Therapist develops and implements intermediate and long-term behavior change plans that are culturally appropriate, context sensitive, and tailored to the unique needs and characteristics of each family member. The Behavior Change phase has three primary goals: • Help families develop competencies that may facilitate changes in family risk patterns; • Identify targets of change; and • Identify "pathways" of change that fit the family. Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Generalization Phase (Phase III) Generalization Phase goals include the following: • Generalize the changes made in the Behavior Change phase to other areas of the family relational system; • Maintain changes made through focused and specific relapse prevention plans; • Support and extend the changes made by the family by incorporating relevant community resources into treatment. Functional Family Therapy Contingency Management (FFT CM) FFT/CM is the integration of Functional Family Therapy (FFT) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines the basics of FFT with the inclusion of CM. FFT is designed to rapidly engage family members and provide insight, training, and skill development so that families can confidently and appropriately manage problem adolescent behaviors without further juvenile justice system involvement. Functional Family Therapy (FFT) is a short-term, well - documented program which has been successfully applied to a wide range of problem youth and their families. While its foundation is FFT, FFT/CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober and these drivers are leveraged to influence future behavior. The following are the five components of CM that are added to the tradition process of FFT. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Therapists assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the clients substance use or abuse. The therapist assesses the impact of the substance use on the family. The FFT supervisor and FFT expert consultant review the assessment results and determine whether the client is an appropriate fit for FFT/CM. Testing of Substance The process of the collection and urine analysis (UA) in FFT sessions is done as a family— not the therapist and client alone — which mirrors the relational focus in FFT. The goal is to provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore, the Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE specimen is not sent to a lab unless the multidisciplinary team has requested this. If this has been requested, the therapist will seal the specimen in a bag and return it to Savio House, where it will be then transported to a testing lab. All results will be shared with the treatment team. 4. Capacity to Provide Services (ex. 4 hours/week). FFT is a short-term intervention with an average of 8 to 12 sessions for mild cases and up to 30 hours of direct service for more difficult cases. In most cases, sessions are spread over a three-month period. FFT-CM is a brief intervention with an average of 12-15 sessions over 3-5 months with meetings being held once a week. At the onset of treatment, the therapist may be in home more frequently. Families have access to an FFT therapist 24 hours a day through a crisis phone. 5. Goals of the service. Overall program goals for FFT are to: • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. Overall program goals for FFT CM are to: • Reduce drug use; • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. 6. Outcomes of service. Outcome Discharge Definitions for FFT and FFT CM: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Functional Family Therapy (FFT) targets youth between the ages of 11 and 18 and includes treatment to the siblings of the referred adolescent when appropriate. Target Population and Specific Population Characteristics FFT CM • Adolescents between the ages of 12-18, with negative behaviors that appear to be rooted in the relational dynamics of the family system • Substance abuse within family (caregiver or youth) in addition to the referral behaviors for FFT • Youth returning home from inpatient substance use treatment • Runaway behaviors Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Defiance and verbal aggression • Physical aggression with people and property • Delinquency and truancy charges • Poor school performance • Self -harming behaviors • Most mental health/behavioral disorders 8. Service access. FFT and FFT CM Function Family Therapy and FFT CM is offered in the community, including in the client's home. Savio is able to offer FFT and FFT CM throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area Functional Family Therapy (FFT) Monthly Fee For Service Main and Downtown $1,000 $1,500 FFT CM Monthly Fee For Service Main and Downtown $1,300.00 $1,800.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Multisystemic Therapy (MST) and MST Contingency Management CM 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. MST The design and implementation of MST interventions is based on nine core principles. The nine core principles of MST are: • The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). • Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. • Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. • Interventions are present -focused and action -oriented, targeting specific and well-defined problems. • Interventions target sequences of behavior within and between multiple systems that maintain identified problems. • Interventions are developmentally appropriate and fit the developmental needs of the youth. • Interventions are designed to require daily or weekly effort by family members. • Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. • Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. MST interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. Multisystemic Therapy- Contingency Management (MST -CM) MST -CM is the integration of Multisystemic Therapy (MST) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines MST with the inclusion of CM. While its foundation is MST, MST -CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober. These drivers are then leveraged to influence future behavior. The following are the five components of CM that are added to the traditional process of MST. 1. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers 2. Family Drug -Management Planning, including Drug -Refusal Skills Training Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 3. Point and Level Reward System a. Identifying motivational rewards b. Personalizing the contract c. Signing the contract 4. Drug Testing Protocol to monitor the drug use 5. Strong focus on engagement and sustainability Testing of substances MST -CM clinicians are trained to train caregivers to implement substance use monitoring, such as urinalyses and breathalyzer testing. The goal here, in keeping with the MST model, is to empower parents to hold their child accountable by implementing the testing when they see fit, regardless if the therapist is present. Caregivers will provide substance use testing randomly each week and when use is suspected. 4. Capacity to Provide Services (ex. 4 hours/week). MST The intensity of MST is based on the clinical needs of the family and determined jointly with the MST expert consultant in weekly consultation based on the defined goals. The range from 6 to 15 hours per week, with an average of 8 hours per week; however, the MST moto is "whatever it takes" and the MST is on -call to the family 24 hours a day 7 days a week 365 days a year to intervene at the point of crisis when needed to help redirect the family and assist them in using new skills. MST CM MST -CM is a brief intervention that varies in intensity based on the needs of the family. Typically, the family receives more intensive services at the beginning and less intensive towards termination. Average length of service is 4 — 6 months with an average of 8 hours per week. 5. Goals of the service. MST The primary goals of MST are to reduce youth criminal activity, reduce other types of antisocial behavior such as drug use and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. MST aims to achieve these goals through a treatment that addresses the risk factors in an individualized, comprehensive and integrated fashion; and that empowers families to enhance protective factors. MST CM The primary goals of MST -CM are to reduce youth criminal activity, reduce other types of antisocial behavior, such as drug use or gang membership, and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. 6. Outcomes of service. Outcome Discharge Definitions for MST and MST CM: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. MST The targeted population for MST is chronic, violent or substance abusing male and female juvenile offenders, ages 11 to 18 and their families. In addition, MST works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. Target Population and Specific Population Characteristics MST CM Clients that are appropriate for MST -CM are those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). Ideal candidates are those clients and caregivers who acknowledge the need for treatment. 8. Service access. Savio primarily offer's MST and MST CM as an in -home service an is able to serve families throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Fee for Service All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area MST Monthly Fee For Service All $1,794.00 $2,294.00 MST CM Monthly Fee For Service All $2,094.00 $2,594.00 Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Substance Abuse Treatment 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio offers two evidence -based Substance abuse treatment services for adolescents: MultiSystemic Therapy Contingency Management (MST CM) and Functional Family Therapy Contingency Management (FFT CM). 4. Capacity to Provide Services (ex. 4 hours/week). 5. Goals of the service. Overall program goals for FFT CM are to: • Reduce drug use; • Reduce recidivism rates; • Reduce the number of youth being adjudicated or convicted of new legal violations; and • Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. 6. Outcomes of service. Outcome Discharge Definitions for both MST CM and FFT CM: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. Target Population and Specific Population Characteristics FFT CM • Adolescents between the ages of 12-18, with negative behaviors that appear to be rooted in the relational dynamics of the family system • Substance abuse within family (caregiver or youth) in addition to the referral behaviors for FFT • Youth returning home from inpatient substance use treatment • Runaway behaviors • Defiance and verbal aggression • Physical aggression with people and property • Delinquency and truancy charges • Poor school performance • Self -harming behaviors • Most mental health/behavioral disorders Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE 8. Service access. Savio delivers MST -CM and FFT-CM services in the family home and/or in community locations at times that are most convenient for family members' participation. All referrals from Weld County DHS will be served at locations within their home communities, including southern Weld County cities such as Fort Lupton, Frederick, Firestone, Dacono, Keensburg, Lochbuie, Erie and Longmont. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi-lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E.125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area FFT CM Monthly Fee For Service Main and Downtown $1,300.00 $1,800.00 Bid No.: 1900025 From: Julia Roguski To: Skve Thomas Cc: DOUQ Hainlev; Tobi 'ins; Tammy Maurer Subject: Re: Sexual Abuse Treatment Revised Bid Proposal Date: Thursday, May 9, 2019 9:56:04 AM Attachments: imaae003.onq Outlook -2d ico3o4. onq EXHIBIT C - Proposal Template Savio Sexual Abuse Treatment Services (1).docx Caution: This email originated from outside of Weld County Govemment. Do not click links or open attachments unless you recognize the sender and know the content is safe. Sorry, I missed that one, I had it done, just missed attaching it! here it is! j Jt tli: v L. 2ag4A4,-c i , MA, LPC, CACIII Savio Associate Executive Director Savio Cell: 720.530.6450 Office: 303.225.4200 From: Skye Thomas <sthomas@co.weld.co.us> Sent: Thursday, May 9, 2019 9:06 AM To: Julia Roguski Cc: Doug Hainley; Tobi Cullins; Tammy Maurer Subject: Sexual Abuse Treatment Revised Bid Proposal Hi Julia, I hope you are well this morning! Thank you so much for speaking with Doug, Tammy, Tobi and I yesterday. We really do appreciate your time and effort put into your bid proposals. We did receive the revised FFT, MST, and Substance Abuse Treatment proposals but the Sexual Abuse Treatment revised proposal was not attached to your email yesterday. I was hoping you could provide an ETA for that revised proposal. If there is something that needs to be further discussed, we can definitely make that happen. I am sure that if we get the revised proposal today, then Tobi can get out the drafted contract for signature. Thanks again and let us know if we can be of assistance. Kind regards, Skye Thomas Accounting Clerk IV Fiscal Office Weld County Department of Human Services Post Office Box A/315 B North 11 th Avenue Greeley, Colorado 80632 P: 970-400-6672 F:970-346-7683 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. EXHIBIT C PROPOSAL TEMPLATE 1. Bidder's legal entity name: 2. Program name or service type being proposed: Savio House Sexual Abuse Treatment 3. Modalities, curriculum or tools that will be utilized in the delivery of the service. Savio House offers two specialized Sexual Abuse Treatment Interventions, Sexual Abuse Interventions (SAI) and an evidence -based treatment, MultiSystemic Therapy for Problem Sexual Behavior (MST PSB). Sexual Abuse Intervention (SAI): The Sexual Abuse Intervention Program works with sexually abusive adolescents and their families to stop abusive behavior and prevent its recurrence through monitoring, education and therapeutic intervention. The program utilizes a high level of supervision and involvement and emphasizes community safety and client accountability at all times. The SAI program complies with all SOMB standards and guidelines and works with the youth to successfully complete offense specific treatment. SAI clients and families served receive intensive, home based services. In addition to providing Informed Supervision training and individual and family therapy, the assigned SAI Therapist assists with school safety plan meetings and attends other school meetings as appropriate, helps the family and client create safety plans and helps with registration if required. The SAI Program utilizes an offense -specific treatment approach. Offense -specific treatment is defined as a comprehensive set of planned therapeutic experiences and interventions targeted to change problem sexual behaviors and attitudes while also increasing prosocial and positive behaviors. Offense -specific programming focuses on the details and components of the sexual offense, including fantasies, arousal, planning, grooming, coercive and silencing behaviors, denial and rationalizations. Treatment also addresses assisting clients and families in identifying, challenging and changing abusive behavior patterns that may not be sexual in nature and replacing them with healthy alternatives. The SAI Program holds clients accountable through the combined use of clients' internal controls and external control measures such as polygraphs, monitoring, safety contracts and plans and relapse prevention plans. This approach requires the integration of attitudes, expectations, policies, procedures and practices, and is implemented through intra-agency and multi -disciplinary teamwork. Contact between SAI clients and their victims is not allowed until approved by all parties, including the victim's therapist. If/when contact is deemed appropriate, Savio House will facilitate a clarification meeting with the victim and his or her therapist and/or family, during which the SAI client takes responsibility for his actions. Contact between the victim and the SAI client will be closely monitored and at no time will the SAI client be allowed to be alone with the victim. If clients disclose additional victims, the department of human services will be notified immediately, enabling newly reported victims to receive the necessary services. Victim safety is a top priority in this program and any concerns about this area of treatment will be immediately addressed and communicated to the probation officer. Whether the client is residing at home, in the community or in a residential setting, the focus of the Sexual Abuse Intervention Program is community safety and client accountability. While clients' risk -levels should always be monitored, juveniles with a history of sexual offending are capable of decreasing their risk to re -offend and increasing their pro -social and coping skills, enabling them to function safely in the community. Strong community ties and support are also viewed as protective factors, which promote Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE adaptive functioning and can decrease client risk. Points of transition are carefully considered and involve detailed planning. SAI with Child Protection SAI CP The Sexual Abuse Intervention with Child Protection Program works with children with problem sexual behaviors and their families to stop sexually abusive behavior and prevent its recurrence through monitoring, education and trauma -based cognitive behavioral interventions. The program serves families with children four to twelve years of age. The service helps families with young children who are sexually acting out inside or outside the family system. These families typically have a history of non -protective patterns that have led to the exposure of their children to abuse, neglect and in many cases, sexual victimization. By combining both Sexual Abuse Intervention and Child Protection services we are able to address safety and protective issue while eliminating the sexually acting out behaviors. The program services described here can be individualized, depending on the needs of the client and family. Each family is assigned both a n Sex Abuse Intervention (SAI) worker and a Child Protection (CP) worker. One or the other service, SAI or CP, may close while the other service continues if assessed needs fall more clearly under one service. Estimated length of stay is agreed upon at intake and re-evaluated throughout the course of treatment. The length of service is dictated by the needs and safety of victims and children within the home, the needs of the family, client functioning, the objectives of the referral source and the recommendations of involved parties and the multi -disciplinary team. The philosophy of the Sexual Abuse Intervention and Child Protection Program is that children with problem sexual behaviors can be successfully treated in a home or community setting if their risk levels or behaviors do not raise safety concerns for themselves or others. The Sexual Abuse Intervention Program with Child Protection treatment team consists of a licensed, master - level consultant who is an SOMB Full Operating Level Provider, master -level supervisors, and master -level therapists with a background in child protection dynamics and sexual abuse dynamics. KEY CONCEPTS • Parenting Skills Development — Families receive instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards, knowledge of developmental milestones and nutrition; • Informed Supervision - adapted for families with younger children; • Victim dynamics and Problem Sexual Behavior dynamics and • Healthy Boundaries - for all family members COMPONENTS OF TREATMENT • Family therapy; • Child -focused skill building —boundaries, touching rules, personal safety, refusal skills; • In -home supervision and safety plans; • School containment plans; • Psycho -education regarding consistent and appropriate supervision of children and enforcement of safety plans; • Psscho-education regarding healthy sexual development and age -appropriate behaviors; • Case Management integrating all family, social systems and resources; Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE • Role modeling of team work to families through co -therapy; • Address parents' own trauma and identify appropriate resources and • Help parents repair harm their actions or inaction may have caused their children MST for Problem Sexual Behavior (MST PSB) Savio offers a specialized MST program designed to meet the needs of juvenile sex offenders. MST for Problem Sexual Behaviors (MST-PSB) is an intensive, comprehensive, community- and family -based treatment modality aimed at decreasing juvenile sex offending and effectively reintegrating youth into the home and community. MST-PSB incorporates evidence -based intervention techniques and utilizes an intensive quality assurance system to support treatment fidelity. The MST-PSB model does not support or utilize any group counseling. This modality views caregivers as the key to achieving favorable clinical outcomes for their youth. To ensure their participation, caregivers are highly involved in the development and implementation of interventions. The MST-PSB model is a total behavioral health care modality that addresses all the needs of each family member. MST for youth with problem sexual behaviors (MST-PSB) is a family -and community -based treatment approach that is designed to promote victim safety and reduce the likelihood of future problem behaviors and criminal activity. MST-PSB focuses on the wide range of individual, family, peer, and academic problems that are commonly associated with juvenile sexual offending. The MST-PSB model is driven by the same treatment principles as standard MST (i.e., with non-PSB youths), utilizes a comprehensive and logically derived treatment planning and assessment process, and maintains an ecological and systemic perspective on treatment. However, MST-PSB moves beyond standard MST practice in that it specifically focuses on aspects of the youth's ecology that are functionally related to the youth's sexual delinquency. MST-PSB strongly emphasizes the development and implementation of comprehensive, ecologically -based safety plans to minimize the risk of youth reoffending. In addition, MST-PSB therapists receive extensive training and support in the application of structural and strategic family therapy interventions (above and beyond standard MST) to address family variables and dynamics associated with sexual and nonsexual behavior problems. Family and youth denial about sexual offenses and their sequelae is addressed through a clarification process that emphasizes social -ecological drivers. An increased emphasis is also placed on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Parents are coached to provide clear guidance, support, and structure to facilitate the youth's development of requisite social skills for initiating and maintaining healthy peer relationships. Informed Supervision can be offered as a stand-alone service for parents, kinship and substitute care providers of youth with problem sexual behavior in need of training. 4. Capacity to Provide Services (ex. 4 hours/week). SAI and SAI CP ranges from 6 — 10 hours per week, services do become less intensive as families progress to ensure sustainability. MST PSB is 10 hours per week; services do become less intensive as families progress to ensure sustainability. 5. Goals of the service. SAI and SAI CP Goal is to halt acts of sexual abuse and to prevent reoccurrence of sexual abuse through maximum allowable supervision and therapeutic interventions. To treat the client in his/her environment Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE in order to address all factors that lead to sex abuse. MST PSB interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Staff aim to effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. 6. Outcomes of service. Outcome Discharge Definitions: • Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals • Partially Successful Youth remains in the home but completed less than 85% of treatment goals • Unsuccessful Youth did not remain in the home or is awaiting out of home placement 7. Target population for service. The Savio SAI program serves adolescent males and females, up to twenty years of age, who have committed a sexual offense, both adjudicated and non -adjudicated sexually reactive youth and youth with boundary issues and/or harassment behaviors. The program targets youth who have identified caretakers who are willing to participate in the SAI CBS program and provide the necessary monitoring and supervision. Additionally, Savio serves emancipating youth with problem sexual behaviors. Savio's SAI program can also serve children under the age of 10 who are displaying concerning sexualized behaviors or boundary issues. This service is paired with Savio's CP service. The targeted population for MST PSB is juvenile ages 11 to 18 and their families who are struggling with problem sexual behaviors. These juveniles could be adjudicated or non -adjudicated. In addition, MST PSB works with juveniles with a mental health diagnosis or who are emotionally disturbed. Youth served are at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. Savio MST PSB is an SOME approved treatment modality. 8. Service access. Both SAI and MST PSB are offered in the clients' home and community. Savio is able to offer both services throughout Weld County, including the southern region of the county. 9. Languages service is available in. Currently, Savio has services available in English. Savio understands the value and importance of having bi- lingual Spanish -English staff and is actively recruiting to meet the need. Please call for an updated availability. 10. Rates of service. Savio House Rates within and Outside Catchment Area All of Savio's services are community/home-based. Savio catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Savio Office Address Bid No.: 1900025 EXHIBIT C PROPOSAL TEMPLATE Main Campus 325 King Street Denver CO 80219 DownTown 1530 W. 13th Ave Denver, CO 80204 Longmont 14478 E. 125 Frontage Road, Longmont CO 80504 Savio Service Rate Structure Offices Offered Rate Within 30 Miles Catchment Area Rate Outside 30 Mile Catchment Area MST PSB Monthly Fee For Service All $2,737.00 $3,237.00 Informed Supervision Per Session Main and Downtown $250.00 $500.00 Sexual Abuse Intervention or Sexual Abuse Intervention with Child Protection Monthly Fee For Service All $1,933.00 $2,433.00 Bid No.: 1900025 EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide Functional Family Therapy -Contingency Management, Home Based Services, Informed Supervision, Life Skills, Mental Health Services, Multisystemic Therapy, and Sexual Abuse Treatment, as referred by the Department. 2. Functional Family Therapy Contingency Management (FFT-CM): Functional Family Therapy (FFT) involves specific phases and techniques designed to engage and motivate the youth and family to deal with the negative affect that prevents change. Later phases then work to improve communication, interactions and problem -solving patterns between the youth and family, and assist families to better access and utilize outside system resources. FFT-CM is the integration of FFT with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. FFT-CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober and these drivers are leveraged to influence future behavior. a. The following are the five components of CM that are added to the tradition process of FFT. i. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers ii. Family Drug -Management Planning, including Drug -Refusal Skills Training iii. Point and Level Reward System 1. Identifying motivational rewards 2. Personalizing the contract 3. Signing the contract iv. Drug Testing Protocol to monitor the drug use v. Strong focus on engagement and sustainability: Contractor will assess the substance use via screening tools (i.e., Therapist flow chart and checklist 2.1 for determining appropriateness for substance abuse treatment, Modified CAGE Questionnaire, client substance index, etc.), using the flow chart to help guide which screening tools are relevant and necessary depending on the client's substance use or abuse. The therapist assesses the impact of the substance use on the family. The FFT supervisor and FFT expert consultant review the assessment results and determine whether the client is an appropriate fit for FFT/CM. b. Testing for Substance: The process of the collection and urine analysis (UA) in FFT sessions is done as a family — not the therapist and client alone — which mirrors the relational focus in FFT. The goal is to provide immediate rewards or consequences to increase the effectiveness of the drug screening intervention. Therefore, the specimen is not sent to a lab unless the multidisciplinary team has requested this. If this has been requested, the therapist will seal the specimen in a bag and return it to Savio House, where it will be then transported to a testing lab. All results will be shared with the treatment team. c. Capacity for Services: Average of 12-15 sessions over 3-5 months with meetings being held once a week. At the onset of treatment, the therapist may be in home more frequently. Families have access to an FFT therapist 24 hours a day through a crisis phone. d. Goals of Service: i. Reduce drug use; ii. Reduce recidivism rates; iii. Reduce the number of youth being adjudicated or convicted of new legal violations; and 1 iv. Reduce the characteristics or traits of youth that contribute to inappropriate behavior, negative attitudes and recidivism. e. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement f. Target Population: i. Adolescents between the ages of 12-18, with negative behaviors that appear to be rooted in the relational dynamics of the family system ii. Substance abuse within family (caregiver or youth) in addition to the referral behaviors for FFT iii. Youth returning home from inpatient substance use treatment iv. Runaway behaviors v. Defiance and verbal aggression vi. Physical aggression with people and property vii. Delinquency and truancy charges viii. Poor school performance ix. Self -harming behaviors x. Most mental health/behavioral disorders g. Service Access: i. In the community, including in the client's home. ii. Throughout Weld County, including the southern region of the county. h. Language: English only. 3. Home Based Services a. Community Based Services (CBS) i. Services available under this agreement include: 1. Community Based Services (CBS) Child Protection 2. Community Based Services (CBS) Adolescent ii. Purpose 1. Community Based Services (CBS) Child Protection a. Assist families in solving their own problems through community resources. b. Assist the youth in problem solving independent living needs. c. Align with families and youth as their advocate. 2. Community Based Services (CBS) Adolescent a. Teach parents how to establish household structure and to monitor their children; b. Help parents develop consistent rules and consequences; c. Prevent abuse and neglect; d. Eliminate acts of violence; e. Create a support network to assist the client/family upon discharge f. Remain independent of public social services/welfare; g. Attend public school participate in a vocational or other educational program or become employed; h. Family members support youth in healthy behaviors, even when youth is emancipating to independent living; 2 i. Engage in prosocial activities j. Maintain positive peer relationships and diminish negative peer contact. k. Have no further police contacts. iii. Components 1. Family Preservation Services to prevent out -of -home placement. 2. Family Reunification Services to transition children from out -of -home placement to the home. iv. Key Concepts 1. Family Engagement Meetings — Involvement of extended family and kin is a philosophical basis of the program, family ties are strengthened or re- established from the beginning of the program; formal family group conferences and/or TDM's are also held with the support of DHS; 2. Parenting Skills Development— Families receive individual instruction with an emphasis on alternatives to physical discipline, household management, consistent delivery of rules, consequences and rewards, knowledge of developmental milestones and nutrition. v. Assessment Tools: Colorado Safety and Risk Assessment and Plan. vi. Objectives: 1. Strengthen the family unit with in -home, family dictated services. 2. Reduce child abuse/neglect by teaching parenting skills, eliminating safety concerns and reducing risk factors. 3. Establish permanency for children within reasonable and mandated time frames. 4. Provide 24 -hour crisis intervention services by Savio staff. vii. Capacity for Services: Average of 6.5 hours per week. This include both direct and indirect services to the family. viii. Goals of Services 1. Community Based Services (CBS) Child Protection a. Maintain their children in their home b. Increase parental/caregiver protective capacity; c. Eliminate the need for Child Welfare and/or Juvenile Court involvement; and, d. Improve child wellbeing. 2. Community Based Services (CBS) Adolescent a. Prevent out -of -home placement, juvenile correctional incarceration or psychiatric hospitalization; b. Transition children, who have been previously placed out of the home, back into the community; c. Successfully emancipate youth to independent living when appropriate; and, d. Strengthen the family unit to decrease dependency on the public welfare and juvenile justice systems. ix. Outcomes of Service 1. Community Based Services (CBS) Child Protection a. Successful: Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. b. Unsuccessful: Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non- permanent settings. 2. Community Based Services (CBS) Adolescent a. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals b. Partially Successful Youth remains in the home but completed less than 85% of treatment goals c. Unsuccessful Youth did not remain in the home or is awaiting out of home placement x. Target Population: 1. Community Based Services (CBS) Child Protection: Families with children ages birth to 12 years of age 2. Community Based Services (CBS) Adolescent: Families with youth age 12 to 18 years of age. xi. Service Access: 1. In the community, including in the client's home. 2. Contractor offers CBS throughout Weld County, including the southern region of the county. xii. Language: English and Spanish (native/bilingual proficiency). b. Kinship Services i. Capacity for Services: 6.5 hours per week. ii. Goals of Service: 1. Successfully stabilize kinship placements at risk of disruption. S 2. Resolve issues and preserve the placement, preventing the child or youth from starting the unhealthy cycle of placement "hopping". iii. Outcomes of Service: 1. Successful: Child is in a permanent safe home, including Home, Kinship Care, Relative Adoption, or Non -Relative Adoption. 2. Unsuccessful: Child is not in a permanent home; Foster Care, Residential Placement, psychiatric hospitalization or other non -permanent settings. iv. Target Population: Children and youth age birth to 18 years of age in kinship placements at risk of disruption. v. Service Access: Savio is able to offer Kinship Service throughout Weld County, including the southern region of the county. vi. Language: English and Spanish (native/bilingual proficiency). 4. Informed Supervision: Contractor offers service as a stand-alone service for parents, kinship and substitute care providers of youth with problem sexual behavior in need of training. 5. Life Skills: Contractor will work closely with parents to build on parenting strengths and develop skills in other areas with a specific emphasis on the safety concerns resulting in the placement of the children. Staff assist parents in the areas of structure, rules, discipline, bonding, nutrition and communication. A wrap-up session after each visit offers parents feedback on what went well and areas to work on next time. All families referred will begin in the Assessment Phase and progress through the continuum of services unless otherwise requested by the Department. Reunification plans will be developed and closely monitored through Family Engagement Meetings and/or staffings. When parents and children are no longer in need of the structure and close monitoring, visitation begins in the community, including but 4 not limited to: parent's home, community centers, and parks. The next step is to begin the reunification process through unsupervised visitation with unscheduled drop -ins by Contractor, followed by unsupervised visitation with no drop -ins. Families should then be ready for overnight visits and reunification. Changes in the visitation plan follow court orders and are approved by DHS and the GAL. a. Services available under this agreement include: i. Parenting Services. ii. Basic Parenting Skills (burping, diapering, physical care, emotional care). iii. Understanding of Child Development. iv. Parent/Child Bonding. v. Discipline/Role Modeling. vi. Parent/Child Interactions (listening, communication, non-verbal contact). vii. Interaction Skills with Multiple Children. viii. Limit Setting/Alternatives to Physical Discipline. ix. Family Planning Information. x. Safety and Risk management/Increasing Protective Capacity. xi. Teaching Healthy Boundaries & Appropriate Interactions (Physical, Sexual, and Verbal). xii. Health -Related Services. xiii. Health Issues (Parent, Child). xiv. Special Needs Child(ren) (Child with disabilities). xv. Mental Health Support Services (Parent, Child). xvi. Impulse Control (Parent, Child). xvii. Anger Management (Parent, Child). xviii. Conflict Resolution. xix. Stress Reduction Techniques. xx. Domestic Violence Information and Support. xxi. Drug/Alcohol Information. xxii. Safety Planning for Parent and Child. xxiii. Nutritional/Dietary Planning. xxiv. Home Management Services. xxv. Child Proofing Skills/Home Safety Information. xxvi. Budgeting/Financial Planning. xxvii. Time Management. xxviii. Organization Skills (Personal skills and home management). xxix. Education Information (Parent, Child) xxx. Community Resources. xxxi. Personalized Services Needed. xxxii. Personal Hygiene. xxxiii. Self Esteem/Trust Building. xxxiv. Emancipation Skills. b. Capacity for Services: Based on case need. c. Goals of Service: i. Provide services to families whose children are in out -of -home care to improve parenting skills. ii. Increase parental protective capacity. iii. Shorten out -of -home placement stays. iv. Aggressively increase the visitation plan. v. Prepare parents, children and youth for reunification. d. Outcomes of Service: Visitation need completed. 5 e. Target Population: Families with children age birth to 18 years of age in need of supervised visitation. f. Service Access: i. Throughout Weld County, including the southern region of the county. ii. Contractor has offices in the Colorado Springs for visitation with children placed in that area. Language: English and Spanish (native/bilingual proficiency). g• 6. Mental Health Services a. Services available under this agreement include: i. Trauma -Focused Cognitive Behavioral Therapy (TF CBT): Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is an Evidenced -Based Treatment for children ages 3 —18 years experiencing trauma -related difficulties as the result of one or multiple traumatic events and their non -offending parent/caretaker. TF-CBT can be delivered in a variety of setting including home, kinship, adoptive home, residential treatment facility, and group home. Examples of traumatic events addressed by TF-CBT: 1. Child Abuse: Sexual, Physical, Neglect, Emotional 2. Victim/Witness of Violence: Domestic, Community, School 3. Accidents: motor vehicle 4. Disasters 5. War/Terrorism and Refugee 6. Medical: e.g. diagnosis, invasive medical procedures 7. Traumatic Grief and Loss TF-CBT has proven to be effective in addressing posttraumatic stress disorder, depression, anxiety, externalizing behaviors, sexualized behaviors, feelings of shame, and mistrust. The parental component increases the positive effects for children by reducing parents' own levels of depression and emotional distress about their children's abuse and improving parenting practices and support of their child. TF-CBT incorporates trauma sensitive interventions with cognitive behavioral, family and humanistic principles and techniques. Children and their parents or caregivers learn new skills to process thoughts and feelings related to traumatic life events; manage and resolve distressing thoughts, feelings and behaviors related to traumatic life events; and, enhance safety, growth, parenting skills and family communication. ii. Aftercare Services: Contractor help develop solid aftercare plans that lead to safety management and long-term success and low recidivism. Contractor utilizes a best practice model that is strengths -based and family friendly. The strategy is based on Cognitive Behavioral Therapy, Strategic and Structural Family Therapy, Solution Focused Brief Therapy and Signs of Safety. Families are taught concrete behavioral skills and are given responsibility for implementing them. Contractor is accountable for engaging the family. This model is a broadly based, social work intervention that offers a comprehensive array of services which include and extend beyond traditional therapeutic interventions: individual and family counseling; role modeling; educational assistance and support; parenting skills instruction; family group conferencing; team decision making; home structuring; child safety monitoring; pro -social skill building; use of community resources for assistance; transition planning; and 24 -hour crisis intervention. This model is characterized by a concern for all aspects 6 of a family's functioning. Contractor will address therapeutic issues, and also assist the family in meeting basic needs of education, budgeting, food assistance, housing, furnishings, household maintenance, personal hygiene, clothing, employment, medical and dental services, and secondary needs such as communication, decision -making, and parenting skills. Contractor provides 24 -hour emergency support to families involved in the Aftercare program through a cell phone. Contractor will first work to stabilize the situation over the phone and will respond in person if needed. The goal is to prevent further escalation and ultimately teach families skills to reduce conflict for long term sustainability. b. Capacity for Services: i. TF-CBT is designed to be a relatively short intervention lasting 12 — 20 sessions; typically, one 90 -minute session is completed each week. Longer lengths of stay do occur with more complex trauma symptoms. ii. Aftercare: 5 hours per week on each individual case. c. Goals of Service: i. TF CBT: Improve overall functioning of the child/youth and reduce trauma symptoms. ii. Aftercare: 1. Successfully transition children, age birth to 21 years from out -of -home placement back into their home. 2. Eliminate child abuse and neglect by building protective capacity. 3. Provide comprehensive treatment services. 4. Involve extended family/kin members. 5. Develop support resources for long term family stabilization. d. Outcomes of Service: i. TF-CBT: 1. Reduced trauma symptoms. 2. Improved functioning. 3. Increase placement stabilization. ii. Aftercare: 1. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. 2. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. 3. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. TF-CBT: Evidence -Based Treatment for children ages 3 — 18 years experiencing trauma - related difficulties as the result of one or multiple traumatic events and their non - offending parent/caretaker. 1. Specific Population Characteristics: TF-CBT is not appropriate if the parent is the perpetrator/cause of the traumatic event. Children can be served in this model if there is a non -offending parent or caretaker to participate. ii. Aftercare: Families with children and youth age birth to 18 years of age placed in foster or kinship care who are ready to begin reunification. Services provided to prepare a child for reunification with his/her family or other permanent placement and to prevent future out- of -home placement of the child. 7 g• 1. Specific Population Characteristics: Reunification should be imminent, within the next two to four weeks. f. Service Access: i. TF-CBT: 1. Adoptive Home 2. Birth Family Home 3. Hospital 4. Outpatient Clinic 5. Residential Care Facility 6. School ii. Aftercare: In the community, including in the client's home, throughout Weld County, including the southern region of the county. Language: English only. 7. Multisystemic Therapy (MST): MST interventions engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. Contractor will aim to effect log - term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. a. The design and implementation of MST interventions is based on nine core principles. The nine core principles of MST are: i. The primary purpose of assessment is to understand the fit between the identified problems and their broader systemic context (how problems "make sense" in a given context). ii. Therapeutic contacts emphasize the positive and use systemic strengths as levers for change. iii. Interventions are designed to promote responsible behavior and decrease irresponsible behavior among family members. iv. Interventions are present -focused and action -oriented, targeting specific and well- defined problems. v. Interventions target sequences of behavior within and between multiple systems that maintain identified problems. vi. Interventions are developmentally appropriate and fit the developmental needs of the youth. vii. Interventions are designed to require daily or weekly effort by family members. viii. Intervention effectiveness is evaluated continuously from multiple perspectives, with providers assuming accountability for overcoming barriers to successful outcomes. ix. Interventions are designed to promote treatment generalization and long-term maintenance of therapeutic change by empowering caregivers to address family members' needs across multiple systemic contexts. b. Capacity for Services: The intensity of MST is based on the clinical needs of the family and determined jointly with the MST expert consultant in weekly consultation based on the defined goals. The range from 6 to 15 hours per week, with an average of 8 hours per week; however, the MST moto is "whatever it takes" and the MST is on -call to the family 24 hours a day 7 days a week 365 days a year to intervene at the point of crisis when needed to help redirect the family and assist them in using new skills. c. Goals of Service: i. Reduce youth criminal activity. 8 ii. Reduce other types of antisocial behavior such as drug use and achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. iii. Addresses the risk factors in an individualized, comprehensive and integrated fashion that empowers families to enhance protective factors. d. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. Chronic, violent or substance abusing male and female juvenile offenders, ages 11 to 18 and their families. ii. Juveniles with a mental health diagnosis or who are emotionally disturbed. iii. Youth at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. f. Service Access: In -home service, throughout Weld County, including the southern region of the county. g. Language: English only. 8. Multisystemic Therapy Contingency Management (MST -CM): MST -CM is the integration of Multisystemic Therapy (MST) with use of the behavioral and cognitive behavioral based tools of CM to specifically address substance use and abuse. The following outlines MST with the inclusion of CM. While its foundation is MST, MST -CM is highly focused on drug and alcohol use. Every session is based on whether the juvenile is currently using substances. If so, drivers of the substance use are explored and identified. If not, the focus is to understand what is driving the juvenile to stay sober. These drivers are then leveraged to influence future behavior. a. The following are the five components of CM that are added to the traditional process of MST. i. A tailored ABC Assessment of use/non-use conducted with the youth and caregivers ii. Family Drug -Management Planning, including Drug -Refusal Skills Training iii. Point and Level Reward System iv. Identifying motivational rewards v. Personalizing the contract vi. Signing the contract vii. Drug Testing Protocol to monitor the drug use viii. Strong focus on engagement and sustainability b. Testing of substances: MST -CM clinicians are trained to train caregivers to implement substance use monitoring, such as urinalyses and breathalyzer testing. The goal here, in keeping with the MST model, is to empower parents to hold their child accountable by implementing the testing when they see fit, regardless if the therapist is present. Caregivers will provide substance use testing randomly each week and when use is suspected. c. Capacity for Services: Varies in intensity based on the needs of the family. Typically, the family receives more intensive services at the beginning and less intensive towards termination. Average length of service is 4 — 6 months with an average of 8 hours per week. d. Goals of Service: i. Reduce youth criminal activity. ii. Reduce other types of antisocial behavior, such as drug use or gang membership. iii. Achieve these outcomes at cost savings by decreasing rates of incarceration and out of home placement. 9 e. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. f. Target Population: i. Those abusing substances and continue to do so despite risk for negative outcomes (such as arrest, probation, family conflict, etc.). ii. Ideal candidates are those clients and caregivers who acknowledge the need for treatment. g. Service Access: In -home service, throughout Weld County, including the southern region of the county. h. Language: English only. 9. Sexual Abuse Treatment a. Services available under this agreement include: i. Sexual Abuse Interventions (SAI): Services for sexually abusive adolescents and their families to stop abusive behavior and prevent its recurrence through monitoring, education and therapeutic intervention. The program utilizes a high level of supervision and involvement and emphasizes community safety and client accountability at all times. The SAI program complies with all SOMB standards and guidelines and works with the youth to successfully complete offense specific treatment. SAI clients and families served receive intensive, home based services. In addition to providing Informed Supervision training and individual and family therapy, the assigned SAI Therapist assists with school safety plan meetings and attends other school meetings as appropriate, helps the family and client create safety plans and helps with registration if required. The SAI Program utilizes an offense -specific treatment approach. Offense -specific treatment is defined as a comprehensive set of planned therapeutic experiences and interventions targeted to change problem sexual behaviors and attitudes while also increasing prosocial and positive behaviors. Offense -specific programming focuses on the details and components of the sexual offense, including fantasies, arousal, planning, grooming, coercive and silencing behaviors, denial and rationalizations. Treatment also addresses assisting clients and families in identifying, challenging and changing abusive behavior patterns that may not be sexual in nature and replacing them with healthy alternatives. The SAI Program holds clients accountable through the combined use of clients' internal controls and external control measures such as polygraphs, monitoring, safety contracts and plans and relapse prevention plans. This approach requires the integration of attitudes, expectations, policies, procedures and practices, and is implemented through intra-agency and multi -disciplinary teamwork. Contact between SAI clients and their victims is not allowed until approved by all parties, including the victim's therapist. If/when contact is deemed appropriate, Savio House will facilitate a clarification meeting with the victim and his or her therapist 10 and/or family, during which the SAI client takes responsibility for his actions. Contact between the victim and the SAI client will be closely monitored and at no time will the SAI client be allowed to be alone with the victim. If clients disclose additional victims, the department of human services will be notified immediately, enabling newly reported victims to receive the necessary services. Victim safety is a top priority in this program and any concerns about this area of treatment will be immediately addressed and communicated to the probation officer. Whether the client is residing at home, in the community or in a residential setting, the focus of SAI is community safety and client accountability. While clients' risk -levels should always be monitored, juveniles with a history of sexual offending are capable of decreasing their risk to re -offend and increasing their pro -social and coping skills, enabling them to function safely in the community. Strong community ties and support are also viewed as protective factors, which promote adaptive functioning and can decrease client risk. Points of transition are carefully considered and involve detailed planning. ii. Multisystemic Therapy for Problem Sexual Behavior (MST-PSB): Savio offers a specialized MST program designed to meet the needs of juvenile sex offenders. MST for Problem Sexual Behaviors (MST-PSB) is an intensive, comprehensive, community- and family -based treatment modality aimed at decreasing juvenile sex offending and effectively reintegrating youth into the home and community. MST-PSB incorporates evidence -based intervention techniques and utilizes an intensive quality assurance system to support treatment fidelity. The MST-PSB model does not support or utilize any group counseling. This modality views caregivers as the key to achieving favorable clinical outcomes for their youth. To ensure their participation, caregivers are highly involved in the development and implementation of interventions. The MST-PSB model is a total behavioral health care modality that addresses all the needs of each family member. MST for youth with problem sexual behaviors (MST-PSB) is a family -and community - based treatment approach that is designed to promote victim safety and reduce the likelihood of future problem behaviors and criminal activity. MST-PSB focuses on the wide range of individual, family, peer, and academic problems that are commonly associated with juvenile sexual offending. The MST-PSB model is driven by the same treatment principles as standard MST (i.e., with non-PSB youths), utilizes a comprehensive and logically derived treatment planning and assessment process, and maintains an ecological and systemic perspective on treatment. However, MST-PSB moves beyond standard MST practice in that it specifically focuses on aspects of the youth's ecology that are functionally related to the youth's sexual delinquency. MST-PSB strongly emphasizes the development and implementation of comprehensive, ecologically -based safety plans to minimize the risk of youth reoffending. In addition, MST-PSB therapists receive extensive training and support in the application of structural and strategic family therapy interventions (above and beyond standard MST) to address family variables and dynamics associated with sexual and nonsexual behavior problems. Family and youth denial about sexual offenses and their sequelae is addressed through a clarification process that emphasizes social -ecological drivers. An increased emphasis is also placed on the youth's peer relations so as to encourage age appropriate and normative sexual experiences. Parents are coached to provide clear 11 guidance, support, and structure to facilitate the youth's development of requisite social skills for initiating and maintaining healthy peer relationships b. Capacity for Services: i. SAI: Ranges from 6 —10 hours per week, services do become less intensive as families progress to ensure sustainability. ii. MST PSB: 10 hours per week; services do become less intensive as families progress to ensure sustainability. c. Goals of Service: i. SAI: 1. Halt acts of sexual abuse. 2. Prevent reoccurrence of sexual abuse through maximum allowable supervision and therapeutic interventions. 3. Treat the client in his/her environment in order to address all factors that lead to sex abuse. ii. MST PSB: 1. Engage and empower all family members to function as resources to successfully and safely maintain children in the home, through individualized family services, client supervision, family involvement and community collaboration. 2. Effect log -term change, maintaining reunification by preventing recidivism, strengthening parental involvement, stressing responsibility, and preparing the youth for a pro -social lifestyle. d. Outcomes of Service: i. Successful Youth remains in the home or home of kin, no charge that mandates higher level of care and has completed 85% of treatment goals. ii. Partially Successful Youth remains in the home but completed less than 85% of treatment goals. iii. Unsuccessful Youth did not remain in the home or is awaiting out of home placement. e. Target Population: i. SAI: 1. Adolescent males and females, up to twenty years of age, who have committed a sexual offense. 2. Both adjudicated and non -adjudicated sexually reactive youth. 3. Youth with boundary issues and/or harassment behaviors. 4. Youth who have identified caretakers who are willing to participate in the SAI CBS program and provide the necessary monitoring and supervision. 5. Emancipating youth with problem sexual behaviors. 6. Children under the age of 10 who are displaying concerning sexualized behaviors or boundary issues paired with Contractor's CBS-CP service. ii. MST PSB: 1. Juveniles, age 11 to 18, and their families who are struggling with problem sexual behaviors. 2. Adjudicated or non -adjudicated juveniles. 3. Juveniles with a mental health diagnosis or who are emotionally disturbed. 4. Youth at high risk of out -of -home placement or are transitioning home from residential treatment or correctional care. f. Service Access: In -home and the community, throughout Weld County, including the southern region of the county. g. Language: English only. 12 10. Contractor's catchment area is 30 miles from the home office of the assigned staff. This will be determined based on the address where the Department expects services to be delivered to the child and family. Office locations are: a. 325 King Street Denver CO 80219. b. 1530 W. 13th Ave Denver, CO 80204. c. 14478 E. 125 Frontage Road, Longmont CO 80504. 11. Contractor will respond to the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400- 6210) within three (3) business days regarding the ability to accept the received referral. 12. Upon acceptance of a referral, Contractor will offer an initial appointment within seven (7) days of receiving the referral. The first attempt to contact the client will occur within 24 hours of receiving the referral (excluding weekends and holidays). Contractor will document efforts to engage client in referred services. If the client does not respond after three (3) attempts in the first seven (7) days of the referral period, the Contractor will notify the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 13. Contractor understands that "no shows" are defined as unexcused and unplanned/uncommunicated absences for visitation services. If a rate for "no shows" is not specifically stated in Exhibit D, Rate Schedule, then Contractor understand that the Department will no reimburse for "no shows". Contractor understands that the Department will only reimburse Contractor for up to two (2) "no-shows" on the part of the client per month. After three (3) "no-shows, "Contractor will place client on a behavioral plan requiring attendance or discharged client from services. Contractor must inform the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210). 14. Contractor understands that the Department will not reimburse Contractor for cancelled appointments either on the part of the client or the Contractor. If the cancellation is generated from the Contractor, a "makeup" session/episode, to occur within 30 days of the cancellation, will be offered to the client (excluding session/episodes that fall on holidays). If the cancellation is generated from the client, the Contractor must request a makeup session from the Department prior to the makeup session occurring (excluding session/episodes that fall on holidays). After three (3) cancellations, Contractor will inform the caseworker and the Quality Assurance Team Supervisor (hainlejd@weldgov.com) immediately via email, to discuss service continuation. 15. Contractor will identify in detail areas of continued concern and make recommendations to the Department regarding continuation of services and/or the need for additional services. 16. Contractor will document in detail any and all observed or verbalized concerns regarding any child whom the Contractor is working with under an active referral. Areas of concern may include, but are not limited to, any physical, emotional, educational or behavioral issues. Areas of concern should be reported immediately AND on the required monthly report. 17. Contractor will submit reports on a monthly basis for each active referral for ongoing services. Reports will be submitted per the online format required by the Department, unless otherwise directed by the Department. 18. Contractor agrees any change to an existing referral must be pre -approved through the Child Welfare Contract and Services Coordinator, a Department -facilitated Team Decision Making (TDM) or Family Team 13 Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service on the initial authorized referral form. This may include an increase or decrease in services hours, change in frequency, change in location of services, transportation needs, or any change to the initial referral or subsequent authorizations. 19. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings include Court Facilitations, Court Staffings, Family Team Meetings and/or Team Decision Making meetings. Contractor may participate by phone, if approved by the Department. 20. Contractor will notify the Quality Assurance Team Supervisor (hainlejd@weldgov.com, 970-400-6210) of new staff who will manage and/or administer the services with the following information: a. Staff member name and contact information b. Education level/degree (if applicable) c. Licensure/credentials (if applicable) d. Department of Regulatory Authority (DORA) number (if applicable) e. Supervisor name and contact information The Department reserves the right to decline the new staff members managing and/or administering services to Department clients. 14 EXHIBIT D RATE SCHEDULE 1. Funding and Method of Payment The Department agrees to reimburse the Contractor in consideration of the work and services performed under this Agreement at the rate specific in Paragraph 2, below. The total amount to be paid to the Contractor during the term of this Agreement shall be reported by the Department after May 31, 2020. Expenses incurred by the Contractor prior to the term of this Agreement are not eligible Department expenditures and shall not be reimbursed by the Department. Payment pursuant to this Agreement, whether in whole or in part, is subject to and contingent upon the continuing availability of said funds for the purposes hereof. In the event that said funds, or any part thereof, become unavailable as determined by the Department, the Department may immediately terminate the Agreement or amend it accordingly. 2. Fees for Services Functional Family Therapy -Contingency Management (FFT-CM): $1,300.00/Month (FFT-Contingency Management (pro -rate for partial month of service) inside catchment area of 30 miles from the office of Main and Downtown Denver) $1,800.00/Month (FFT-Contingency Management (pro -rate for partial month of service) Outside catchment area of 30 miles from the office from Main and Downtown Denver) Home Based Services: $1,814.00/Month (Community Based Services Program for Adolescents or Child Protection rate within 30 Mile catchment area from Main or Downtown Denver offices) $2,314.00/Month (Community Based Services Program -Child Protection (for younger children) outside 30 mile catchment area from Main or downtown Denver offices) $2,100.00/Month (Kinship Services outside 30 mile catchment are from Main and Downtown Denver offices) $1,600.00/Month (Kinship Services within 30 mile catchment are from Main and Downtown Denver offices) Informed Supervision: $250.00/Hour (Informed Supervision inside 30 -mile catchment area from Main and Downtown Denver offices) $500.00/Hour (Informed Supervision outside 30 -mile catchment area from Main and Downtown Denver offices) Life Skills: $75.00/Episode (Life Skills - Supervised Visitation Hourly inside and outside 30 mile catchment area from Main and Downtown Denver offices) $120.00/Episode (Life Skills - Therapeutic visitation hourly rate from Main and Downtown Denver offices (includes Main and Downtown Denver and Longmont offices) Mental Health Services: $1,650.00/Month (Aftercare services Outside 30 mile catchment area from Main and Downtown Denver offices) $1,150.50/Month (Aftercare services Outside 30 mile catchment area from Main and Downtown Denver offices) $1,082.00/Month (Trauma -Focused Cognitive Behavioral Therapy (pro -rate for partial month of service) inside 30 mile catchment area from Main and Downtown offices) $1,582.00/Month (Trauma -Focused Cognitive Behavioral Therapy (pro -rate for partial month of service) outside 30 mile catchment area from Main and Downtown offices) Multisystemic Therapy: $2,294.00/Month (Multisystemic Therapy - Outside 30 mile catchment are from all offices) $1,794.00/Month (Multisystemic Therapy - inside 30 mile catchment area from all offices) $2,094.00/Month (Multisystemic Therapy -Contingency Management (pro -rate for partial month of service) inside 30 mile catchment area from all offices) $2,594.00/Month (Multisystemic Therapy -Contingency Management (pro -rate for partial month of service) outside 30 mile catchment area from all offices) $2,737.00/Month (Multisystemic Therapy -Problem Sexual Behavior (pro -rate for partial month of service) inside 30 mile catchment area from all offices) $3,237.00/Month (Multisystemic Therapy -Problem Sexual Behavior (pro -rate for partial month of service) Outside 30 mile catchment area from all offices Sexual Abuse Treatment: $2,433.00/Month (Sexual Abuse Intervention -Child Protection or Adolescent outside 30 mile catchment are from all offices) $1,933.00/Month (Sexual Abuse Intervention -Child Protection or Adolescent within 30 mile catchment are from all offices) 3. Submittal of Vouchers Contractor shall prepare and submit monthly a Request for Reimbursement, Client Verification Form, other supporting documentation, and monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges were made pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all Requests for Reimbursement and supporting documentation to the Department by the 7`h day of the month following the month of service, but no later than 60 days from the date of service. Requests for Reimbursement and/or supporting documentation received after 60 days from the date of service may result in delay or forfeiture of payment. Consistent failure to meet the 60 -day deadline may result in termination of the Agreement. For ongoing services, proof of services rendered shall be a Client Verification Form signed by the client and a monthly report submitted in accordance with Paragraph 3(d) of this Agreement. For one-time services, proof of services rendered shall be receipt of a Client Verification Form and the completed product. For Monitored Sobriety services, proof of services rendered shall be the test result. Hello