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Home My WebLink About20174186.tiff&-71,&.0 04'ga AGREEMENT AMENDMENT BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT T� This Agreement Amendment, made and entered into /� day of , 2018 by and between the Board of Weld County Commissioners, on behalf of the Weld Coty Department of Human Services, hereinafter referred to as the "Department", and Turning Point Center for Youth and Family Development, hereinafter referred to as the "Contractor". WHEREAS the parties entered into an Agreement for Day Treatment Services, Home -Based Intensive Services, and Mental Health Services (the "Original Agreement") identified by the Weld County Clerk to the Board of County Commissioners as document No. 2017-4186 approved on December 13, 2017. WHEREAS the parties hereby agree to amend the term of the Original Agreement in accordance with the terms of the Original Agreement, 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, 2018. • The Amendment, together with the Original Agreement, constitutes the entire understanding between the parties. The following change is hereby made to the Agreement: 1. WHEREAS, the Colorado Department of Human Services has provided Core Services or other funds to the Department for Day Treatment Services, Home -Based Intensive Services, and Mental Health Services. 2. Paragraph 1, Term This agreement shall become effective on June 1, 2017, upon proper execution of this Agreement and shall expire May 31, 2019, unless sooner terminated as provided herein. 3. Payment 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: The service being provided by the contractor is not a Medicaid eligible service; ii. The service is not deemed medically necessary; The Court with jurisdiction over the case has ordered that a no Medica d provider or servce be used; A red cai,ti or,i0. ;r I. Ih r :1 e.cied �• �� i6. -/g bot,,a) 2/7- IN8 tle_Dog" v. Medicaid is exhausted for the needed service; or vi. Medicaid denied service. vii. The client is not eligible for Medicaid. 4. Exhibit C, Scope of Services, amended as attached. 5. Exhibit D, Payment Schedule, 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: ATTES Wel B Deputy Clerk the Board ISteve Moreno, Chair JUL 16 2D16 � � �� ; � ` / Cle k to the : • and BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO CONTRACTOR: Turning Point Center for Youth and Family Development 1644 South College Avenue Fort Collins, Colorado 80525 (970) 567-0937 By: anie Bro , Executive Director Date: J -29-x'' °to / 7- "/P, EXHIBIT C SCOPE OF SERVICES 1. Contractor will provide DayTreatment Services,Home-Based Intensive Services (Coaching, Family Preservation Parent Coaching, Family Care Coordination, Family Care Coordination Light, and Trauma Treatment Coordinator) and Mental Health Services (Trauma Assessments)to maleand female youth, and their families, as referred by the Department. 2. Day Treatment: a. Service Objectives Contractor's Day Resource Program is designed to provide therapeutic support to clients and their families in the least restrictive, most appropriate setting and achieve the following: • Children are secure and protected from harm • Children will progress toward stable, nurturing, and permanent living environments • Protecting the youth and the community • Re-establishing family stability, if appropriate • Minimizing out -of -home placements • Successful transition back into the public school setting The service is designed to address the individual needs of clients and to reduce recidivism or the likelihood of future placement. Contractor is licensed by the Colorado Department of Human Services as a Day Treatment Facility for both male and female clients ages 10-18 and by the Division of Behavioral Health to provide intensive substance abuse treatment. Additionally, Contractor's program is accredited by the Council on Accreditation of Rehabilitation Facilities (CARF). Youth appropriate for this program have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, substance abuse issues, and often are involved in the legal system. Referred youth learn tools with the goal of remaining in the home and making a successful transition back into the public school setting. b. Targeted Population • Male and female adolescents between the ages of 10 and 18. • Needs cannot be met in a less restrictive environment due to emotional, family, behavioral, mental health, gang, legal and/or substance abuse difficulties. • Willingness/motivation to participate in the program. • Low to normal range of cognitive functioning. • History of school failure and/or truancy. • Family is willing to participate in treatment. c. Types of Services to be Provided • 30 hours per week of education approved by the Colorado Department of Education (see description below) • Weekly Individual Therapy • Weekly In -home Family Therapy • Weekly Drug and Alcohol Groups (Pathways Curriculum — see description below) • Weekly Skills Group (based on DBT Model — see description model) • Daily Recreation Activities • Vocational Programming • Affective Education • Transitional Services • Door to door transportation to and from the program if within reason 1 d. Treatment Services A comprehensive service plan will be developed for each referred youth by a multi -disciplinary team of professionals, the client and the youth's parents. The Family Service Plan (FSP) is reviewed and issues identified by the Department, including strategies developed in prior placements for the reintegration of the youth into the community, are incorporated into the youth's services. The youth's progress and service plan are then reviewed minimally monthly though monthly service review sessions and staffings which include input from the youth's Case Manager, Therapist, Teacher, Specialists, parents and any other individual working with the youth. Changes are made to the service plan and the team focuses on the goals and interventions they will use with the client during the following month. Following are a list of the therapeutic services offered: • Milieu Therapy: Described as the "life space" where a youth experiences therapy through daily living experiences. The principals and skill development of DBT (see description below) are integrated into the daily milieu as well. • Individual Therapy: Each referred youth will participate in this modality weekly. Contractor's Therapists are trained in Trauma Informed Care and utilize that approach when working with youth. The therapeutic goal is to provide more insight and depth into a youth's problems and strengths as it applies to his/her specific service plan and living experience. • Group Therapy: All referred youth participate in two (2) hours per week of group therapy and receive one (1) hour of a DBT skills group to teach and develop their skills. Youth are also placed into two tracks: substance abuse or social skill development. Upon entrance into the program, youth are given a substance abuse assessment to determine which track they will be placed in. • Dialectical Behavioral Therapy (DBT): The goals of treatment include reducing para- suicidal (self -injuring) and life -threatening behavior, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that negatively impact the client's quality of life. DBT is a method of teaching skills. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT treats those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. • Pathways to Self -Discovery and Change (Pathways): This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcome based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). • Trauma Informed Care: An evidence -based organizational structure and treatment framework that realizes the widespread impact of trauma on the youth and family served, the recognition of signs and symptoms of trauma amongst all those involved in the system, and seeks to actively prevent re -traumatization while integrating trauma informed practices within policy, procedures, and treatment practices. Trauma -specific interventions recognize the interrelation between trauma and symptoms of trauma such as substance use, mental health and behavioral issues, interpersonal relationships, and juvenile justice involvement. SAMHSA identifies six key principles in a trauma -informed approach: Safety, Trustworthiness and Transparency, Peer Support, Collaboration and mutuality, Empowerment, voice and choice, and Cultural, Historical, and Gender Issues. • Social Skills Group: Developed for those youths that do not need the intensive drug and alcohol services. These youths participate in a social skills curriculum that enhances character development as well teaches skills to develop healthy relationships. • In Home Family Therapy: Contractor offers family therapy for all youth and families within their home on a weekly basis depending on the family's needs. Contractor incorporates elements of best practices of the Functional Family Therapy (FFT) Model. FFT draws on a multi -systemic perspective in its family -based prevention and intervention efforts. The program applies a comprehensive model, proven theory, empirically tested principles, and significant experience to the treatment of at -risk and delinquent youth. • Recreation Therapy: Each youth will participate in daily therapeutic recreation activities. The goals of the program are to increase clients' skills and knowledge of recreation and leisure activities, increase awareness of community recreation resources, increase participation and involvement in recreation and leisure activities, increase satisfaction of recreation and leisure activities, increase client's fitness level, foster good sportsmanship, increase appropriate social interactions and improve cooperation during recreation and leisure activities. • Psychiatric Services: Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on -site each week. This individual has extensive experience and knowledge of adolescents who are dually diagnosed. Youth and families are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. • Education: Contractor's educational programs are approved by the Colorado Department of Education and are designed to accommodate youths with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Contractor has a 1 to 12 teacher/youth ratio. Along with teachers, Educational Counselors, and volunteers from the community staff the classrooms. All curriculum is aligned with the youth's home school and they earn seat hours that transfer into required credits. Contractor's education staff strives to help facilitate successful transitions for our youth's back to the public school system. Transition planning begins early in the youth's stay at Contractor through a coordinated effort between the youth's treatment team during monthly staffings. For youth completing their GED or high school diploma, Contractor offers assistance to youth through vocational education and/or post -secondary education options. • Drug and Alcohol: Contractor is licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider by the Office of Behavioral Health. Contractor offers clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and — where problems have already developed — to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12 -Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. The desired outcomes for the Drug and Alcohol Program are: o To provide Drug and Alcohol services consistent with assessment needs. o To utilize community services in a continuum of treatment and successful recovery. o To transition the clients successfully into their home communities. o To support clients in developing a recovery plan and experiencing recovery 3. Home -Based Intensive Services: a. Service Descriptions Contractor is offering Home Based Intensive Services to youth and families of Weld County receiving services through the Department of Human Services. Home -based service philosophy promotes delivery of services to families in their homes in order to achieve permanence for children, while maintaining and strengthening the family integrity. The goal of Contractor's Home Based Intensive Services programs is to help keep high -risk children and families together; to empower children and their families to achieve lasting stability and recovery for the family and the child. This program serves youth ages 3-23 and their families within the Weld County area. Services include the following: • Coaching Coaching fills a gap in treatment services and is designed to provide support, structure, positive role modeling, mentoring, and life skills to youth residing in the community. This service is designed to be very flexible in meeting the individual needs of the youth and family and can include pro -social recreation and leisure activities, transportation, teaching in- home skills such as cleaning and organization, employment support and education, attendance at professional meetings or appointments, etc. A broader goal of Coaching is to maintain clients in the community and reduce costlier residential options such as residential. Coaches can provide a multitude of services and roles. Some examples of services Coaches have and can provide include but are not limited to: o Provide in -home parenting support and education o Provide transportation to appointments and school o Take clients to participate in recreation and leisure activities in the community n Provide supervision when parents or custodians cannot o Help clients job search c Be a mentor and positive role model e Help connect youth and families with other services in the community Help with housing issues Homework assistance and tutoring Life skills Coaching and education • Family Preservation Parent Coaching Coaches will provide intensive home -based services to children and parents. The coaching service is intended to be flexible and adapt to the individual family needs. Regardless of the specific family need, all coaches will be required to provide clients with strategies to improve current level of functioning and increase positive social, mental health, or personal functioning. Coaches will be utilized to stabilize placement, assist in reunification or step-down services, and/or to prevent removal from the home into out of home placement. The service will be interfaced with social caseworkers, juvenile probation offices, school counselors, and various community based agencies. Family Preservation Parent Coaching will provide all of the services our standard Coaches provide in addition to the following support services to families: o Emotional and Social Support for families o Provide parents with the skills to improve parenting and family functioning. o Life skills (budgeting, household management, recruitment and retention of employment). o Provide behavioral interventions for children o Assist families to establishing services within the community and development of community connections o Skill development for housekeeping with the focus on safety for the child c Family Advocacy o Assist in establishment of routine and structure within the household o Development of positive social activities • Family Care Coordination (FCC) The Family Care Coordinator(s) will serve high needs families. The FCC's will be available to families for an average of 3-4 visits per week up to 10 hours per week; more visits are expected at the start of services and fewer visits may occur toward the end of services. Services will be provided in the home and/or community and on -call support will be available 24/7 as the family works to stabilize their situation. The FCC will begin by performing a thorough assessment of all family members, utilizing any other assessments that have been completed previously. Based on these assessments the FCC will then work on building skills with the parents and either provide individual support to the children as necessary or make referrals to outpatient individual services (for example in the case of the need for victim's work). Simultaneously, the FCC will work with other providers involved (schools, coaches, mentors, respite providers, etc.) to ensure a common foundation. Often, families with serious situations may have multiple providers working with the family. It is the FCC's role to correspond with all providers and caseworkers so there is continuity of care. The FCC's focus will always be on stabilizing the family situation and creating independence within the family by using community and their natural supports. Family Care Coordination is an intensive service and is designed as a short-term service to stabilize the current family situation and keep the family intact. Once the family situation is more stable, the FCC will work with the caseworker to transition the case to a lower level of service as soon as it is appropriate. Since starting the program, the average length of FCC service is three months. The FCC will work with any new providers to provide a good transition or may stay on the case at a lower level if that is desired. • Family Care Coordination(FCC) - Light FCC Light offers the exact same services as FCC (including 24/7 on -call support) but with a lower frequency of visits and direct contact. The FCC Light Therapist will be available to 5 families for an average of 1-2 visit per week up to 5 hours total; more visits are expected at the start of services and fewer visits may occur toward the end of services. FCC Light is typically utilized as a step-down service from FCC. This allows the Therapist to continue working with the family as they move toward independence, but still need some intensive support to achieve it. • Trauma Treatment Coordinator Contractor's staff have a wide variety of experiences in the field; including intensive in - home services, crises management, equine therapy, case management and community resources, therapeutic coaching and individual and family therapy. Contractor recognizes that the standard practice of one hour, once per week therapy is not adequately addressing the complex emotional, social, behavioral, relationship, and mastery needs of highly traumatized children. Children need treatment in a variety of settings and specialties to address their needs. Contractor's Trauma Treatment Coordinators will work to developing a 'menu' of local service providers with expertise in different domains — physical activity, play and art therapy services, animal -assisted therapy, and caregiver interventions. Contractor's Trauma Treatment Coordinators (TTC) will review the Trauma Assessment, attend the Post -Assessment meeting, and work with the treatment team to develop a trauma -specific treatment plan for the child; focusing on building resiliency along with relatedness, mastery, and affect regulation. o Seven Domains: I) Attachment — The TTC will develop relationship activities with caregivers to build on child's ability to develop healthy attachment. II) The TTC will assist the family in coordinating any needed medical, psychiatric, and other appointments for physical needs as necessary. III) Affect regulation — The TTC will work with child and treatment team on identifying areas of strength and ongoing barriers regarding emotional regulation. The TTC will develop skills for child to practice and interventions for child's environment — home, school, pro -social activities, etc. IV) Dissociation — The TTC will work with the Trauma Therapist and treatment team to recognize areas of dissociation and develop skills with child to keep them 'present' during triggering moments. The TTC will train caregivers, teachers, etc. regarding triggers for dissociation and how to keep the child 'present' during these events. V) Behavioral regulation — The TTC will work with child and treatment team to recognize areas of strength and barriers in the child's daily behavior. The TTC will work with the child on developing skills to process emotions/thoughts to keep negative behaviors down. The TTC will work with caregivers, teachers, etc. regarding triggers for behavior and interventions to be 'in front' of the behaviors. VI) Cognition — The TTC will work with child on improving their cognitive processing skills to enhance child's ability to think through and talk about their trauma. VII) Self-concept - Contractor recognizes the importance of all children feeling some level of mastery and pride in themselves and their activities. The TTC will work with caregivers, teacher, and treatment team on how to identify, enhance, and grow child's strengths and give them higher self concept. The approach for the child through treatment coordination will not exclusively phased based, recognizing the need for treatment and interactions to flow wth the child's need However — some areas will be focused on initially and throughout treatment, such as safety. Four Goals: 1) Safety in one's environment — of paramount importance and a focus initially and throughout treatment. The TTC will assess safety of child and family every time a visit/contact is made. The TTC will work with caregivers and teachers on how child can feel safer in their home, school and community environments. 2) Skill development in emotional regulation and interpersonal functional — The TTC will work with child, caregiver, teacher, and treatment team on identifying where child/family need assistance in developing new skills / coping strategies. The TTC will provide education to caregiver regarding areas where child has more and less success in emotional regulation. Areas of strength will be examined. Areas of weakness will be shored up with additional intervention and practice. 3) Meaning -making about past traumatic events — The TTC will maintain consistent communication with Trauma Therapist and work together on how the TTC can support child, caregiver, teacher and therapist in development of child's narrative. The TTC will increase/enhance supportive services during this critical time and will assist in preparing caregivers for the presentation of the narrative. 4) Enhancing resiliency and integration into social network— The TTC will work with primarily child and caregiver on areas to enhance child's skills and strategies. Areas where child is doing well will be highlighted. The TTC will work with child's environment, and encourage caregiver to do the same, on how child can be successful in numerous situations with the right support. Contractor's Trauma Treatment Coordinator will maintain weekly communication with DHS Caseworker and Trauma Therapist regarding goals of treatment, areas of needed focus, and reporting on progress. The TTC and treatment team will participate in monthly meetings to highlight areas of progress and develop goals for the next month. The TTC will also maintain communication with teachers, coaches, and others on at least a bi-weekly basis. Contractor has team of Community Centered Services clinical staff that provide 24/7 on call, therefore can offer this service as part of our Treatment Coordination. The Trauma Systems Therapy model recommends that service intervention follow this path: • Emotion Regulation Skills — help the child regulate emotional stress • Cognitive Processing Skills — help the child think and talk about their traumatic experiences • Meaning Making Skills — help the child make meaning out of their traumatic experiences and move on with their lives Activities that will be utilized in order to move through the above phases include: Treatment coordination with skill integration of the clinical components across systems with a trauma informed lens In home/community behavioral services Providing multi -system education about trauma Keeping the 'team' moving in the same direction - Advocate for the child/family Consultation with any member of the team or the child's system 7 Development of supports for the family/child Participation in family meetings/team meetings System navigation Provide monthly written reports Provide 24/7 on -call support for the child and caregiver Help all members of the child's system understand the child' individual needs, trauma response, and intervention Model interventions — hands on Identify and train respite supports for the child Many of the activities are practices, which are already a normal part of what Contractor focuses on when working with youth and families. Our in -home therapists are often talking to teachers, consulting with DHS caseworker and other treatment providers, advocating for a child's particular needs, participating in meetings. The integration of all areas of a child's social environment is integral in the child experiencing a safe and supportive day. Contractor's Trauma Treatment Coordinators will work with treatment team on the identified activities and other interventions as needed to make sure the child is receiving support across all domains and that interactions with others are informed and supportive. b. Engagement of Caregivers & Collaterals Contractor's Trauma Treatment Coordinator will meet with the caregivers, teachers and whoever else is key to the youth's success wherever they are most comfortable, including doing home and school visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The TTC will contact collaterals in the format they prefer — by phone, email, person, etc. Contractor's staff are trained in strength -based interactions and language. Special attention will be given during interactions and meetings with collaterals to resiliency in the child/youth and for this to be addressed in the moment. The TTC will focus on talking with the caregiver, teacher, treatment team, and child and when things are going "well" — when the child is emotionally regulated and connected to others. Contractor is offering to provide services youth ages 3 and older. We have a pool of trained and experienced staff able to work effectively with young children, adolescents, young adults and parents. Contractor is a well-known local agency that has been in the community for over 40 years. Oftentimes families that we work with know someone else who has had a positive experience with us. We are willing to meet the family and child wherever is most convenient for them in order to decrease any obstacles to services, including in their home or in our office centrally located on College Avenue in Fort Collins. Potential barriers could include the caregiver's willingness to participate in the meetings and interventions, Contractor's Trauma Treatment Coordinators will be trained in this area of resistance and will work consistently on education and engagement with caregivers. 4. Mental Health Services (Trauma Assessments) a. Target Population Contractor will provide Trauma Assessments for children/youth ages three and higher. b. Types of Services to be Provided Upon receiving a referral to provide a Trauma Assessment, the Trauma Assessment Therapist will begin the Pre -Assessment / Assessment Preparation. This wilt begin with a paper review of the Department of Human Services, aouse/neglect history, Educational Records/IEP, prior assessment and medical/health Information Additionally, they will conduct an initial round of phone calls to schedule a pre -assessment meeting (within 2 business days of the referral being received). Contractor will contact the custodial caregiver to obtain a release of information to the treatment team. Contractor's Trauma Assessment Therapist will conduct phone or face-to-face interviews with the child's caseworker, primary caregiver, and birth parent when appropriate — within one week of referral. Assessment forms will be explained at this time and mailed or handed out upon completion of the interview. Contractor's Trauma Assessment Therapist will work as part of the child's identified multi- disciplinary team, which would include anyone involved with that particular child such as the school, DHS worker, trauma case manager, family/guardian as well as anyone from an area identified as needed for a comprehensive assessment of the child. The standardized measures that Contractor will utilize throughout the assessment include: Child Measures: • Kaufman Brief Intelligence Test, 2nd Edition (KBIT-2). This test allows for a quick estimate of intelligence. It contains both verbal and nonverbal scales. • Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Ages 8 and up. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. • Resiliency Scales for Children and Adolescents. Ages 8 and up. These are self -report measures where children/adolescents rate their Sense of Mastery, Sense of Relatedness, and Emotion Reactivity. Caregiver/Teacher Measures: • Sensory Profile — Infant, Toddler, Child and Adolescent. This is a caregiver scale regarding a child's response to sensory experiences. • ADHD Symptom Rating Scale. A caregiver and teacher scale that reports on frequency of behaviors consistent with inattention. • Child Dissociative Checklist (CDC). This is a caregiver scale that reports on a child's dissociative behavior — from daydreaming to significant changes in behavior/personality. • Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Under the age of 8. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. Throughout the assessment the Trauma Assessment Therapist will be recognizing and flagging areas of strengths and opportunities for growth: Relatedness — How does the child view his relationship with others? How does the child and caregiver describe their interactions? What is observed when the child and caregiver are together? How can the treatment team support ongoing development of nurturing and supportive relationships for this child? Mastery — Where does the child feel "successful"? What about themselves makes the child proud? What do teachers and caregivers flag as areas of strength for the child? How can the 9 treatment team build on these strengths and also develop additional areas of success for the child? Affect Regulation — When is the child most/least regulated? What skills/tools does the child and caregivers currently use to assist the child in regulating? Where do they need help? Recommendations will follow from these observations and measurement results. Resiliency will be discussed as ways to build on already successful behaviors and interventions, plus ideas for additional support, intervention tools, and treatment to shore up the areas of need. c. Engagement of Caregivers & Collaterals The Trauma Assessment Therapist will be willing to meet with the caregivers wherever they are most comfortable, including doing home visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The Trauma Assessment Therapist will contact collaterals in the format they prefer — by phone, email, person, etc. Contractor's clinicians are trained in strength -based interactions and language. Special attention will be given during assessments to resiliency in the child/youth and for this to be addressed in the moment. The Trauma Assessment Therapist will focus assessment time by talking with the caregiver, treatment team, and child and when things are going "well" — when the child is emotionally regulated and connected to others. A written report will be provided to the treatment team within two weeks of completion of the assessment and a few days prior to the post -assessment debriefing. This will allow individuals to read the document and come prepared with questions. If appropriate, biological parents will be given priority in receiving the report and having the opportunity to ask questions prior to the treatment team meeting. The Trauma Assessment Therapist will also complete the Treatment Outcome Package (TOP) Assessment. The debriefing meeting and the written recommendations will be primarily strengths based and focus on building skills for the child/youth. Recommendations will highlight ways to enhance what is going well for the child — including how the child develops relationships, areas the child sees as their own successes, and situations where the child maintains emotions. One of the goals of the pre -assessment meeting will be a discussion amongst the professionals and caregivers about how this information will be shared with the child. These discussions will be case -by -case depending on age, cognitive functioning level, and current level of stability. Options for presentation to the child may include a private conversation (with or without the caregiver) with the therapist prior to the post -assessment meeting, a conversation with the child in their location of comfort after the post -assessment meeting, or the child's inclusion in the post - assessment meeting. The child's past and / or current traumatic experiences have led to a complex, interwoven set of emotions, behaviors, cognitions, and relatedness. The amelioration of the child's traumatic stress must include treatment of all of these components. The Trauma Assessment Therapist will include recommendations that specifically address concerns in these areas. The recommendations will also focus on how caregivers and treatment team professionals can assist in helping the child develop safe and supportive relationships, how the child can improve their sense of mastery through positive activities, and how the child can improve emotional regulations through skill building and processing of vie trauma. Contracto- wil' offer an .nit!al appointment within seven (7) days of receiving the referral and will make at least three (3) attempts to contact the client and set up services. The first attempt will occur w,th'n 24 hours of receiving the referral (cxcrujinp weekends and holidays) Contractor will document effn, s to, _•naag'_ clitcnt i'a ete'red .erv'ce i' ,a4ter three (3) attc r tits the client glees not respond the Tit,„ _. tiro it 6. 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. 7. 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. 8. 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. 9. 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 Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented serviceontheinitial authorized referral form. Thismay includean increaseordecreasein services hours, change in frequency, change in location of services, transportation needs, orany change tothe initial referral or subsequent authorizations. 10. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or theContractor. 11. 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. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract 1 EXHIBIT D PAYMENT 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 specified 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 in Trails after May 31, 2019. 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 Day Treatment Services $113.00/Day (Day Treatment without In -home Family Therapy) $129.00/Day (Day Treatment with In -Home Family Therapy) Home Based Intensive Services $33.50/Hour (Coaching inside Greeley/Evans) $50.25/Hour (Coaching outside Greeley/Evans) $1,235.00/Month (Family Care Coordination) $825.00/Month (Family Care Coordination Light) $3,090.00/Month (Trauma Treatment Coordinator, High Level) $1,545.00/Month (Trauma Treatment Coordinator, Low Level) Mental Health Services $925.00/Episode (Trauma Assessment) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ACORO� CERTIFICATE OF LIABILITY INSURANCE `a..---- DATE(M4VDOVYYYY) 10/31/2017 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 be endorsed. If 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 Ewing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway Suite 101 Loveland CO 80538 INSURED Turning Point Center for Youth and Family Development Inc. 1644 S. College Fort Collins CO 80525 CONTACT NAME: Karole Peters PHO..NNNE (970)679-7355 NO): (866)237-2178 ADDRESS:karole-peters@leavitt.com INSURER(S) AFFORDING COVERAGE INSURER A :Hanover Insurance Company INSURER a:Pinnacol Assurance NAIC a 22292 41190 INSURER C : INSURER D: INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER:17-18 REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS tNSR LTRI IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r-- IADOL[SUBq' - ....._..__ ... POLICY EFF POLICY EXP TYPE OF INSURANCE LINSD, WVD POLICY NUMBER tMWDO/YYTY) (PAWN:VYYYYI UMITS A X " COMMERCIAL GENERAL LABILITY - 554-A467318-03 ''. 11/1/2017 11/1/2018 EACH OCCURRENCE r$ 1,000,000 ,.... ' CLAIMS -MADE X I OCCUR ..DAMAGE TO RENTED PREMISES (Ea occurrence) 5 100,000 X Blkt Additional Insured MED ExP (Any one person) $ 20,000 '.., X, Blkt Waiver of Subro ! PERSONAL BADV INJURY $ 1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 3,000,000 X POLICY PRO-JECT LOC PRODUCTS - COMP/OP AGG $ included OTHER. i S A AUTOMOBILEUABIUTY AN4A467335-03 11/1/2017 11/1/2018 COMBINED SINGLE LIMIT $ 1,000,000 La accident) X ANY AUTO BODILY INJURY i Per person) $ --' ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY 'Per accident) $ NON -OWNED X HIRED AUTOS X,_. AUTOS _.,. PROPERTY DAMAGE c accident $ _ $ A X UMBRELLA UAB X OCCUR UH4-A467319-03 11/1/2017 11/1/2018 EACH OCCURRENCE '. $ 2,000,000 { EXCESS LIAR CLAIMS -MADE AGGREGATE $ 2,000,000 DED X RETENTION $ 0 ' 5 B WORKERS COMPENSATION' - 4044167 10/1/2017 10/1/2018 AND EMPLOYERS' LIABILITY Y/N,... ' X SEATUTE OTH- ER AOIEOR RTNER/PA/ i ECUTIVE N/A._ OFFICER/MEMBER EL. EACH ACCIDENT S 500a 000 _._. _.. (Mandatory In NH) -- ',� E . DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E . DISEASE - POLICY LIMIT , S 500,000 A ':Professional Liability 524-A467318-03 11/1/2017 11/1/2018 Aggregate $3,000,000 Occurrence $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION Weld County DSS 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 Karole Peters/KAPETEIIIa"440ege ACORD 25 (2014/01) INS025 201401 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CHILD PROTECTION AGREEMENT FOR SERVICES BETWEEN THE WELD COUNTY DEPARTMENT OF HUMAN SERVICES AND TURNING POINT CENTER FOR YOUTH AND FAMILY DEVELOPMENT This Agreement, made and entered into theA, day of C/, 2017, 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 Turning Point Center for Youth and Family Development, 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 Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule. Each of these documents is attached hereto and incorporated herein by this reference. 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 funding to the Department for Day Treatment Services, Home -Based Intensive Services, and Mental Health Services. 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, 2017, upon proper execution of this Agreement and shall expire May 31, 2018, 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 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 a -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 Department's Resource Manager, Child Welfare Contract and Services Coordinator, or through a Team Decision Making (TDM) meeting or Family Team Meeting (FTM). No other Department staff or other party to the case may authorize services or modifications to services. 2017-4186 gebogr l4-43-17 c. Contractor agrees to submit an itemized complete billing statement by the 7th of the month, following the month of service, utilizing billing forms required by the Department. d. Contractor agrees to submit a monthly report with the billing statement by the 7th of the month following the month of service for each client receiving ongoing services. One-time services will be verified through receipt of the completed product (ex. psychological evaluation, substance abuse evaluation). Verification of Monitored Sobriety Services will be the test result. 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. Monthly reports will be submitted through the Department's online reporting system, unless otherwise directed or agreed to by the Department. 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. b. Payment shall be made in accordance with Exhibit A, Weld County's Request for Proposal, Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment 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. 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 0MG Circular A-133. 6. Payment Method Unless otherwise provided in Exhibit B, Contractor's Proposal, Exhibit C, Scope of Services, and Exhibit D, Payment Schedule: a. If services are funded through Core Services, Contractor agrees to accept reimbursement through ACH direct deposit one time per month. 2 b. If Contractor is not currently set up with the State of Colorado to accept direct deposit, Contractor agrees to complete and submit an ACH Form for Colorado Providers, which will be provided by the Department. Contractor is solely responsible to submit the ACH Form to the State of Colorado per the directions on the form. Failure to complete and submit this form 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 - 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. 3 - 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 Core Services. 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. e. Public Contracts for Services C.R.S. §8-17.5-101. Contract Professional certifies, warrants, and agrees that it does not knowingly employ or contract with an illegal alien who will perform work under this contract. Contract Professional 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). Contract Professional 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 Contract Professional that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Agreement. Contract Professional 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 Contract Professional obtains actual knowledge that a subcontractor performing work under the public contract for services knowingly employs or contracts with an illegal alien Contract Professional shall notify the subcontractor and County within three (3) days that Contract Professional 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. Contract Professional 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. Contract Professional 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 Contract Professional participates in the State of Colorado program, Contract Professional shall, within twenty days after hiring a new employee to perform work under the contract, affirm that Contract Professional 4 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. Contract Professional shall deliver to County, 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 Contract Professional fails to comply with any requirement of this provision or of C.R.S. §8-17.5-101 et seq., County, may terminate this Agreement for breach, and if so terminated, Contract Professional 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 Contract Professional receives federal or state funds under the contract, Contract Professional 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 Contract Professional 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. 9. Insurance Requirements Contractor and 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/Contract Professionals must secure, at or before the 5 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/Contract Professionals 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional 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 Contract Professional'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 01 10/93 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/Contract Professional 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 reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County within ten (10) days and reinstate the aggregates required; 6 - 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 County. 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 County, whichever is earlier. c. Contractors/Contract Professionals 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/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance. County reserves the right to require Contractor/Contract Professional 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/Contract Professional's insurer shall name County as an additional insured as follows: County of Weld 1150 '0' Street Greeley, Colorado 80631 f. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. g. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. 7 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 that 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 970-352-1551, x6503, 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 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. As the monitoring agency may in its sole discretion deem necessary or appropriate, such program data, special analyses, on -site checking, formal audit examinations, or any other reasonable procedures. 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: 8 - 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, Administrator Stephanie Brown, 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) 352-1551 18. Litigation For Contractor: Stephanie Brown, Executive Director 1644 South College Avenue Fort Collins, CO 80525 (970) 567-0937 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 9 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 daim 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. Governmental Immunity 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 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. 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 10 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. 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 Contract Professional agrees that it is an independent Contract Professional and that Contract Professional'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. Contract Professional shall perform its duties hereunder as an independent Contract Professional. Contract Professional shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to this Agreement. Contract Professional, its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through County and County shall not pay for or otherwise 11 provide such coverage for Contract Professional or any of its agents or employees. Unemployment insurance benefits will be available to Contract Professional and its employees and agents only if such coverage is made available by Contract Professional or a third party. Contract Professional shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to this Agreement. Contract Professional shall not have authorization, express or implied, to bind County to any agreement, liability or understanding, except as expressly set forth in this Agreement. Contract Professional 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, and 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. 31. Acceptance of Services Not a Waiver Upon completion of the work, the Contractor shall submit to Department originals of all tests and results, reports, etc., generated during completion of this work. Acceptance by 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 12 Contractor shall not engage in any in any business or personal activities or practices or maintain any relationships which actually conflict 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 Contract Professional'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, Contract Professional agrees that the Weld County District Court shall have exclusive jurisdiction to resolve said dispute. 35. Subcontractors Contract Professional acknowledges that County has entered into this Agreement in reliance upon the particular reputation and expertise of Contract Professional. Contract Professional shall not enter into any subcontractor agreements for the completion of this project without County's prior written consent, which may be withheld in County's sole discretion. 36. Attorneys Fees/Legal Costs In the event of a dispute between County and Contract Professional, 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 Contract Professional under this Agreement or individual work order shall become or remain (as applicable), the property of County. In addition, all reports, documents, data, plans, drawings, records and computer files generated by Contract Professional 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 County. Contract Professional shall not make use of such material for purposes other than in connection with this Agreement without prior written approval of County. 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. 13 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 Co Clerk to the Board BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO By: . ..��,_f/i/` �I t.�i ►"* GAL Deputy Clerk to the • and u ie Cozad, Chair EC 13 2017 CONTRACTOR: Turning Point Center for Youth and Family Development 1644 South College Avenue Fort Collins, Colorado 80525 (970) 567-0937 B 15 hanie Brown, E utive Director 11-2-l1 ao►�- IgCo EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: April 3, 2 17 BID NUMBER: 81700' ?80 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE: N/A BID OPENING DATE: APRIL 24, 2017 PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. I. NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL (ENGLISH/SPANISH) SERVICES (SERVICE AREA'S INCLUDED IN THIS PF'OPOSAL INCLUDE, BUT ARE NOT LIMITED TO THE BEL" W LIST. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SU EMIT FOR UNIUE AND CREATIVE SERVICES.) ' Program Area Definition Aftercare Services Services other of the permanent child. provided to placement prepare a child and to prevent for reunification future with out- of -home his/her placement family or Anger Management/Domestic Violence Diagnostic family functioning services and/or and plan, therapeutic to assess relationships, services and/or and to to assist improve prevent further hn the familycommunication, development domesticviolence. of the Program Area Definition Crisis Stabilization Intervention and Services Services families, *crisis, *A (recent) individual family "crisis" to that youth 24 in hours is further nature, and/or resolve provide and a family, the children, day, which an defined crisis imrnediate,, seven and breaks through in (7) as results days a down in- a situation the in the normal person/in- week. or normal inability coping circumstance, home functioning of behaviors, the response usually individual of orwithout an to acute and/or Day Treatment Comprehensive, and therapy to children highly structured and services that theirfamilies. provide education to children Foster ParentConsultation Services County quality children of provided care and being to foster youth provided. in and their group homes home families to enhance caring and improve for Weld the Foster ParentTraining Core training for new Weld County foster parents. Functional FamilyTherapy Intensive relational acting out, family dysfunction and -based substance treatment known abuse to be among that addresses determinants youth 10-18 the pervasive of conduct yearsold. disorder, patterns of violent Home -Based Intervention Services services services family. *Crisis counseling.4 Intervention provided which and *crisis can primarily include intervention is defined therapeutic in the as directed 24/7 home of services, to phone the client meet access concrete the that needs and in include services, -home of a variety collateral the child of and (Therapeutic) Kinship Services Kinship specific to to maintained of -home a a child child services to placed placed placement a child in the in in in placed tie lowest a a is areas kinship kinship necessary. in level a of kinship home, home. (1) of consultation care home, and Children (3) and (2) critical least placed and corrective restrictive care kinship consultation consultation in kinship setting parent care support specific are when specific out - Life Skills Visitation home resources, that (both teach parenting in -home household techniques and in -office) management, and family services effective conflict provided accessto management. primarily community in the and Mediation/Intensive Therapy Family Therapeutic familycommunication, intervention functioning typically with and all relationships? family members to improve Program Area Definition Mental Health Services Diagnostic and/or family services functioning and plan, relationships. therapeutic to assess services to and/or improve assist in the family development communication, of intensive positive relations) adolescents changes family- that and in the contribute who are community at various to risk for the -based social serious out -of systems -home treatment antisocial (home, placement. behaviors program school, designed community/ of children to make and peer Multi-systemicTherapy Relinquishment Counseling Relinquishment children counseling for Is parents considering relinquishment of ■ their Substance Services Abuse Treatment Diagnostic Family functioning alcohol. and/or Service and Plan relationships, therapeutic (FSP), to services assess and/or and to prevent to assist in the development improve family further abuse of drugs of or the communication, Other Creative and youth and prevention families or unique traditional services interacting case. designed with the to Child meet the needs Welfare system of children/ through a B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24, 2017, AT 5800 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNIT TIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealed envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Iherebywaive my right to a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, CO 80632. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgovecom if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 7th Street, Suite 150, Greeley, Co 80631. Please call or email Tobi Vegter at 970-400-6392 or vegterta@weldgovecom if you have any questions. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 f G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 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 this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder 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 this 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 a Contract. M.All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and 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. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the 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 §§24- 10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder 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 (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals 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 tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional'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. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 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: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional 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. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County 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 County. (e). 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 County, whichever is earlier. iii. Contractors/Contract Professionals 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 Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional 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. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge forthe provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication tothe referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. EXHIBIT A WELD COUNTY'S REQUEST FOR PROPOSAL REQUEST FOR BIDS AND PROPOSALS WELD COUNTY, COLORADO 1150 O STREET GREELEY, CO 80634 DATE: April 3, 2017 BID NUMBER: B1700080 DESCRIPTION: Annual Request for Various Services DEPARTMENT: Human Services MANDATORY PRE -BID CONFERENCE DATE N/A ID OPENING DATE: APRIL 24, 2017 PAGES 1-9 OF THIS DOCUMENT CONTAINS GENERAL INFORMATION. NOT ALL OF THE INFORMATION CONTAINED IN PAGES 1-9 MAY BE APPLICABLE. THE SCOPE OF WORK AND SPECIFICATIONS UNIQUE TO THIS REQUEST FOR BID FOLLOW PAGE 9. to NOTICE TO BIDDERS A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the Board of Weld County Commissioners, wishes to purchase the following: VARIOUS ENGLISH AND BILINGUAL (E GLISH/SPANISH) SERVICES (SERVICE AREAS INCLUDED IN THIS P'"'OPOSAL CLUDE, BUT ARE NOT LIMITED TO THE BELOW LIST. OTHER SERVICES WILL BE CONSIDERED AND I ERS ARE ENCOURAGED TO SU WIT FOR UNIQUE AND CREATIVE SERVICES.) Se i s „ icie' to prepare chi I for re ifi atic F �y other - �r &ne iac e a d e vent.f. ure o n 3 � a 9 Grp% i gn nosti and O ` th r pe Jtic ser ire to assist in to fgan i y s 3 Lg��jce plan to assess a 0I it pr v far � 3 tl � nil � C a ��d 5 W Y tea+ �w�r .,..� plan, T,.� k ..a 4; k' .,,e,• ego s^;te + Bey /' Y ✓ f . ncZvion iug 0 s n»3 `: € h; �� ar eventur,sher cw 1 Program Area _ Definition ova air . Crisis intervention Stabilization Services and Services families, *crisis, *A "crisis" (recent) individual family to 24 in that youth resolve hours is nature, and/or further provide and a day, family, the children, which an defined crisis immediate, seven breaks and through in (7) as results days a down in- situation in normal a the the person/ week. or normal inability coping n- circumstance, home functioning of behaviors, the response usually of individual orwithout an to acute and/or Day T Treatment Comprehensive, p and therapy to children highly g y structured and theirfamilies. services education to children that provide Foster ParentConsultation Services County quality children of provided care and being to foster youth provided. in and their group homes home to families enhance caring and for improve Weld the Foster ParentTraining Core as training for new Weld County foster parents. Functional IL Family Therapy intensive relational acting out, family dysfunction and -based substance treatment known abuse to that be determinants among addresses youth the 10-18 of conduct pervasive years disorder, old. patterns of violent Home -Based Intervention Services services services family. *Crisis Intervention counseling. and provided which *crisis can primarily include intervention is defined in the therapeutic as home directed 24/7 phone of services, to the client meet access concrete the that and needs in include services, -home of the a variety collateral child of and ii ill (Therapeutic) Kinship Services to to Kinship specific maintained of child child services to placement placed placed a in child the in in the placed in lowest a a is areas kinship kinship necessary. in level a of kinship home, homey (1) consultation of care and Children home, (3) and least (2) critical placed and corrective restrictive kinship care in kinship consultation consultation parent setting care support are when specific specific out - a a -home Life Skills • resources, familycommunication, Visitation home that (both teach parenting in -home household techniques and in -office) and management, and family services conflict. provided accessto management. primarily community in the effective Mediation/Intensive Therapy ill Family Therapeutic intervention —mar_.ice typically functioning ar with and all relationships. family members to improve. Program Area 4 Mental HealthServices 1,111rr Multi -systemic -Therapy Relinquish.mentC unseling Substance Abuse Treatment Services €ther Definition, Diagnostic and/or therapeutic services to assist in the development of family services plan, to assess and/or improve family communication, .functioning and relationships. r 116. 111a1 an a intensive family- and community -based treatment program designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and -a olescents who are at risk for out -of -home placement Relinquishment counseling for parents considering relinquishment of their children Diagnostic andor therapeutic services to assist in the development of the Family Service Plan (FSP), to assess and/or improve family communication, functioning aid relationships, and to prevent further abuse of drugs br al_cohola Creative and unique services designed to meet the needs of children,. youth and families interacting with the Child Welfare system through a prevention or traditional case. "mmiPs B. Bids for the stated services will be received by the Weld County Department of Human Services, Resource Unit, Attn: Tobi Vegter, through: MONDAY, APRIL 24e 2017, AT 5:00 P.M. (WELD COUNTY DEPARTMENT OF HUMAN SERVICES, RESOURCE UNITTIME CLOCK). Acceptable bid delivery methods are as follows: Email. Emailed bids are preferred. Bids should be emailed to: vegterta@weldgov.com. Emailed bids must include the following statement on the email: "I hereby waive my right to a sealed bid". An email confirmation will be sent when we receive your bid/proposal. Mail. Mailed bids should be sent in a sealec envelope with the bid title and bid number on it. Bids must include the following statement on the email: "Iherebywaive my rightto a sealed bid". Mailed bids should be addressed to: Weld County Department of Human Services, Attn: Tobi Vegter, Division of Child Welfare, Financial Unit, P.O. Box A, Greeley, Co 80632. Please call or email Tobi Vegter at 970®400®6392 or vegterta@weldgovocom if you have any questions. Hand Delivery. Hand -delivered bids should be submitted in a sealed envelopewith the bid title and bid number on it. Bids must include the following statement on the email: "I hereby waive my right to a sealed bid". Hand - delivered bids can be dropped off at: Weld County Department of Human Services, Attn: Tobi Vegter, Financial Unit, 822 7th Street, Suite 150, Greeley, Co 80631. Please call or email Tobi Vegter at 970-400®6392 or vegt"rta @weldgovecom if you have any questions. II. INVITATION TO BID A. The Families, Youth and Children's Commission, on behalf of the Weld County Department of Human Services, by and through the board of Weld County Commissioners requests bids for the purchase of Various Services (as described above). B. Bids shall include any and all charges for service(s) applied for by the bidder, and shall, in every way, be the total net price which the bidder will expect the Board of County Commissioners of Weld County to pay if awarded the bid. C. Emailed Bids Are Preferred. Emailed (fully typed) bids are preferred. However, if the bidder is unable to submit an emailed bid, the bidder must comply with the requirements set forth in Paragraph I, B. An emailed bid must contain the following statement: "I hereby waive my right to a sealed bid." D. Unless the Bid is emailed, one original and one copy of the Bid must be submitted. One complete bid document, which will be the only official copy of the bid, shall be filed at the Weld County Department of Human Services, Resource Unit. After certification of the bid, the other copy will be routed for applicable review. An e-mail confirmation will be sent when we receive your bid/proposal. III.INSTRUCTIONS TO BIDDERS A. Bids shall be typewritten. Each bid must give the full business address of the bidder and be signed by him with his usual signature. Bids by partnerships must furnish the full names of all partners and must be signed with the partnership name by one of the partners of the partnership or by an authorized representative, followed by the signature and title of the person signing. Bids by corporations must be signed with the legal name of the corporation, followed by the name of the state of the incorporation and by the signature and title of the president, secretary, or other person authorized to bind it in this matter. Bids submitted by limited liability companies must furnish the full names of all members and managers and must be signed by a manager or by an authorized representative, followed by the signature and title of the person signing. The name of each person signing shall also be typed or printed below the signature. A bid by a person who affixes to his signature the word "president," "secretary," "agent," or other title without disclosing his principal, may be held to be the bid of the individual signing. When requested, satisfactory evidence of the authority of the officer signing in behalf of a corporation shall be furnished. All corrections or erasures shall be initialed by the person signing the bid. All bidders shall agree to comply with all of the conditions, requirements, specifications, and/or instructions of this bid as stated or implied herein. All designations and prices shall be fully and clearly set forth. B. Bids may be withdrawn upon written request to the Weld County Department of Human Services received from bidders prior to the submission deadline. Negligence on the part of bidder in preparing the bid confers no right for the withdrawal of the bid after it has been opened. C. Bidders are expected to examine the conditions, specifications, and all instructions contained herein. Failure to do so will be at the bidder's risk. D. Bidders shall not stipulate in their proposals any conditions not contained in the instructions and specifications herein unless specifically requested by the special instructions attached hereto. Any proposal which fails to comply with the letter of the instructions and specifications herein may be rejected. E. Late or unsigned bids shall not be accepted or considered. It is the responsibility of the bidder to ensure that the bid arrives in the Weld County Department of Human Services, Service Utilization Unit, on or prior to the time indicated in Section I., entitled "Notice to Bidders." F. When approximate quantities are stated, Weld County reserves the right to increase or decrease quantity as best fits its needs. 4 G. Whenever requested, samples or descriptive matter shall be filed prior to the opening of bids. H. In accordance with Section 14-9(3) of the Weld County Home Rule Charter, the Board of County Commissioners of Weld County will give preference to resident Weld County bidders in all cases where said bids are competitive in price and quality. It is also understood that the Board of County Commissioners of Weld County will give preference to suppliers from the State of Colorado, in accordance with Section 30-11-110, CRS, when it is accepting bids for the purchase of any books, stationery, records, printing, lithographing or other supplies for any officer of Weld County. I. All discounts shall be figured from the date of delivery and acceptance of the articles, or in the case of an incorrect invoice, from the date of receipt of corrected invoice, if this be subsequent to delivery and acceptance. J. Substitutions or modifications to any of the terms, conditions, or specifications of this bid package which are made by Weld County, Colorado, after the bids have been distributed to prospective bidders, and prior to the date and time of bid opening, will be made in writing and signed by the Families, Youth and Children's Commission. No employee of Weld County, Colorado, is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of Families, Youth and Children's Commission. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. K. The successful bidder shall indemnify and hold harmless Weld County, Colorado, against all claims for royalties, for patents or suit for infringement thereon, which may be involved in the manufacture or use of the material to be furnished. L. Contractor certifies that it shall comply with the provisions of Colorado Revised Statutes (C.R.S.) 8-17.5- 101, et seq. Contractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract or enter into a contract with a subcontractor that fails to certify to Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this Contract. Contractor represents, warrants, and agrees that it (a) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (b) otherwise will comply with the requirements of C.R.S. 8-17.5-102(2)(b). Contractor shall comply with all reasonable requests made in the course of an investigation under C.R.S. 8-17.5-102 by the Colorado Department of Labor and Employment. If Contractor fails to comply with any requirement of this provision or C.R.S. 8-17.5-101, et seq., Weld County may terminate this Contract for breach and Contractor shall be liable for actual and consequential damages to Contractor. 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 this Contract, Contractor must confirm that any individual natural person eighteen (18) years of age orolder 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 this 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. 24-763-103 prior to the effective date of a Contract. M.All goods shall remain the property of the seller until delivered to and accepted by Weld County, Colorado. N. Bids received prior to the time of opening will be kept unopened in a secure place. No responsibility will attach to the Families, Youth and Children Commission, the Weld County Department of Human Services, or the Board of Weld County Commissioners, for the premature opening of a bid not properly addressed and identified. 5 O. In submitting the bid, the bidder agrees that the acceptance of any and all bids by the Board of County Commissioners of Weld County within a reasonable time or period does not constitute a contract. The Board of County Commissioners of Weld County, Colorado, reserves the right to reject any and 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. P. These instructions, the proposal forms, and specifications have been developed with the hope of raising the standard of purchasing negotiations to a level wherein all transactions will be mutually satisfactory. Your cooperation is invited. Q. Substitutions or modifications to any of the terms, conditions, or specifications of this which are made by Weld County after the bids have been distributed to prospective bidders and prior to the date and time of bid opening, will be made in writing. No employee of Weld County is authorized in any way to modify any of the terms, conditions, or specifications of this bid without written approval of said Director of the Weld County Department of Human Services. This is not to imply that bids will not be accepted or considered with specifications which are different from those herein. Any item which does not meet all the terms, conditions, or specifications of this bid, must be clearly indicated on a separate sheet of paper, attached to the bid specification and proposal sheets and returned with the bid. IV.GENERAL SPECIFICATIONS A. Fund Availability: Financial obligations of the Weld County payable after the current fiscal year are contingent upon funds for that purpose being appropriated, budgeted and otherwise made available. By acceptance of the bid, Weld County does not warrant that funds will be available to fund the contract beyond the current fiscal year. B. Governmental Immunity: No term or condition of the 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 §§24- 10-101 et seq., as applicable now or hereafter amended. C. Independent Contractor: The successful bidder shall perform its duties hereunder as an independent contractor and not as an employee. He or she shall be solely responsible for its acts and those of its agents and employees for all acts performed pursuant to the contract. Neither the successful bidder nor any agent or employee thereof shall be deemed to be an agent or employee of Weld County. The successful bidder and its employees and agents are not entitled to unemployment insurance or workers' compensation benefits through Weld County and Weld County shall not pay for or otherwise provide such coverage for the successful bidder or any of its agents or employees. Unemployment insurance benefits will be available to the successful bidder and its employees and agents only if such coverage is made available by the successful bidder or a third party. The successful bidder shall pay when due all applicable employment taxes and income taxes and local head taxes (if applicable) incurred pursuant to the contract. The successful bidder shall not have authorization, express or implied, to bind Weld County to any agreement, liability or understanding, except as expressly set forth in the contract. The successful bidder 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 (b) provide proof thereof when requested to do so by Weld County. D. Compliance with Law: The successful bidder shall strictly comply with all applicable federal and State laws, rules and regulations in effect or hereafter established, including without limitation, laws applicable to discrimination and unfair employment practices. E. Choice of Law: Colorado law, and rules and regulations established pursuant thereto, shall be applied in the interpretation, execution, and enforcement of the contract. Any provision included or incorporated herein by 6 reference which conflicts with said laws, rules and/or regulations shall be null and void. F. Binding Arbitration Prohibited: Weld County does not agree to binding arbitration by any extra -judicial body or person. Any provision to the contrary in the contract or incorporated herein by reference shall be null and void. G. No Third Party Beneficiary Enforcement: It is expressly understood and agreed that the enforcement of the terms and conditions of the contract, and all rights of action relating to such enforcement, shall be strictly reserved to the undersigned parties and nothing in the contract shall give or allow any claim or right of action whatsoever by any other person not included in the contract. It is the express intention of the undersigned parties that any entity other than the undersigned parties receiving services or benefits under the contract shall be an incidental beneficiary only. H. Attorney Fees/Legal Costs: In the event of a dispute between Weld County and the successful bidder, concerning the contract, the parties agree that Weld County shall not be liable to or responsible for the payment of attorney fees and/or legal costs incurred by or on behalf of the successful bidder. V. Insurance Requirements i. General Requirements: Contractors/Contract Professionals 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 tothis request. Contractors/Contract Professionals shall keep the required insurance coverage in force at all times during the term of the Agreement, or any extension thereof, during any warranty period, and for three (3) years after termination of the Agreement. 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, County must be notified by the Contractor/Contract Professional. Contractor/Contract Professional shall be responsible for the payment of any deductible or self -insured retention. County reserves the right to require Contractor/Contract Professional to provide a bond, at no cost to County, 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/Contract Professional. Contractor/Contract Professional 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. ii. Types of Insurance: Contractor/Contract Professional shall obtain, and maintain at all times during the term of any Agreement, insurance in the following kinds and amounts: (a). Workers' Compensation Insurance as required by state statute, and Employer's Liability Insurance covering all of Contractor's Contract Professional'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. (b). Commercial General Liability Insurance written on ISO occurrence form CG 00 01 10/93 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: 7 • $1,000,000 each occurrence; • $2,000,000 general aggregate; • $50,000 any one fire; and • $500,000 errors and omissions. (c). Automobile Liability: Contractor/Contract Professional shall maintain limits of $1,000,000 for bodily injury per person, $1,000,000 for bodily injury for each accident, and $1,0O0,000 for property damage applicable to all vehicles operating both on County property and elsewhere. (d). Additional Provisions: • Policies for all general liability, excess/umbrella liability, liquor liability and pollution liability must provide the following: • If any aggregate limit is reduce by twenty-five percent (25%) or more by paid or reserved claims, Contractor shall notify County 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 County. (e). 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 County, whichever is earlier. iii. Contractors/Contract Professionals 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 Bid. iv. Proof of Insurance: Contractor/Contract Professional shall provide a copy of this information to its insurance agent or broker, and shall have its agent or broker provide proof of Contractor/Contract Professional's required insurance to the County. County reserves the right to require Contractor/Contract Professional 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. v. Additional Insureds: For general liability, excess/umbrella liability, pollution legal liability, liquor liability, and inland marine, Contractor/Contract Professional's insurer shall name County as an additional insured. vi. Waiver of Subrogation: For all coverages, Contractor/Contract Professional's insurer shall waive subrogation rights against County. vii. Subcontractors: All subcontractors, 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/Contract Professional. Contractor/Contract Professional 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. 8 Contractor/Contract Professional agrees to provide proof of insurance for all such subcontractors, independent contractors, sub -vendors suppliers or other entities upon request by the County. A provider of Professional Services (as defined in the Bid or RFP) shall provide the following coverage: Professional Liability: Contract Professional shall maintain limits of $1,000,000 for each claim, and $2,000,000 aggregate limit for all claims. VI.Warranty. The successful bidder shall warrant that: A. The services to be supplied pursuant to this bid are fit and sufficient for the purpose intended; B. The services sold to Weld County, Colorado pursuant to this bid conform to the minimum Weld County specifications as established herein. VI. CONFIDENTIAL INFORMATION Confidential financial information of the bidder should be transmitted separately from the main bid submittal, clearly denoting in red on the financial information at the top the word, "CONFIDENTIAL." However, the successful bidder is advised that as a public entity, Weld County must comply with the provisions of C.R.S. 24-72-201, et seq., the Colorado Open Records Act (CORA), with regard to public records, and cannot guarantee the confidentiality of all documents. If Weld County receives a CORA request for bid information marked "CONFIDENTIAL", staff will attempt to contact the bidder in order to allow the bidder to seek an appropriate court order preventing disclosure. Without such an order, Weld County will release the requested information in accordance with CORA. 9 SCOPE OF SERVICES PURPOSE: The Weld County Department of Human Services (WCDHS) is seeking qualified English- speaking and bilingual (English/Spanish) providers in various service areas under various funding sources. Service areas include, but are not limited to, Anger Management/Domestic Violence, Day Treatment, Foster Parent Consultation, Foster Parent Training, Functional Family Therapy, Kinship Services (Therapeutic), Home Studies/Relinquishment Counseling, Life Skills, Mediation, Mental Health, Monitored Sobriety, Multi -Systemic Therapy, Home Based Intervention including 24/7 Crisis Intervention, Sexual Abuse Treatment, and Substance Abuse Treatment Services and Aftercare Services. SERVICE AREAS ARE NOTED BEGINNING ON PAGE 1 OFTHIS REQUEST FOR BID, BUT ARE NOT LIMITED TO THOSE LISTED. OTHER SERVICES WILL BE CONSIDERED AND BIDDERS ARE ENCOURAGED TO SUBMIT FOR UNIQUE AND CREATIVESERVICES. Qualifications: To be considered, a bidder must meet the following minimum qualifications: 1) Complete a Provider Information Form (PIF). 2) If submitting to provide bilingual services, a bidder must demonstrate language proficiency at Full Professional Proficiency or higher, as defined by the U.S. Department of State, and as noted below. • Full Professional Proficiency: Able to use and read the language fluently and accurately on all levels pertinent to professional needs • Native or Bilingual Proficiency: Equivalent to that of an educated native speaker (both speaking and reading). 3) A bidder must agree to language proficiency testing that may include assessment of reading, writing and comprehension of Spanish, as well as a face-to-face conversation with a known native or proficient Spanish speaker selected by Weld County. 4) A bidder must submit a one page or less cover letter that introduces the bidder, the bidder's location(s) of practice and target area, his or her experience and qualifications, and staff, if applicable. A bidder must include current contact information including physical address, mailing address, phone number, email address and website, if applicable. 5) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets "minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 6) A bidder should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 7) A bidder must demonstrate the knowledge, training and expertise to conduct the proposed service(s). 8) A bidder must provide a current resume, as well as proof of licensure, for self, staff members and contractors of the bidder. Additionally, a bidder must include proof of inclusion on State vendor lists if applicable to the proposed service (ex. Home Study Providers, Sex Offender Management Board Providers). 9) A bidder should clearly outline the supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staffand/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 10) A bidder should clearly outline the bidder's internal referral acceptance and assignment protocol, including communication to the referring agency. 11) A bidder must demonstrate familiarity with Trauma Informed Care. Bidder must provide copies of applicable training certificates, or proof of registration for training, for all staff members who manage and/or administer services under this proposal. 12) A bidder must demonstrate prior and current capacity to be organized, responsive and to quickly and successfully schedule services as requested. 13) A bidder must agree to track outcome data related to services proposed if awarded a contract and report outcomes upon request. 14) A bidder must agree to enter into an agreement, attached as Exhibit A, with the Weld County Department of Human Services and comply with all requirements of the agreement. Contract Period and Pricing: 1) The initial contract period is to be determined and shall continue as allowable by the funding source, so long as both parties are satisfied. The selected vendor(s) will have the opportunity to resubmit annually. 2) The initial contract will be funded through Core Services Program or other funding, so long as funding is made available. 3) The selected vendor will bill the Weld County Department of Human Services monthly according to billing requirements set forth by the Weld County Department of Human Services. Submittal Requirements for All Proposals: A bidder must submit according to requirements set forth in this Request for Bid - Qualifications. All proposals must contain the following specific information: 1) Provider Information Form (PIF). 2) Identification of language(s) and proficiency level, if applying to provide bilingual (English/Spanish) services. 3) One page or less cover letter that introduces the bidder, the bidder's location(s) of practice, his or her experience and qualifications, and staff, if applicable. 4) A bidder must submit sufficient information concerning each proposed service for Weld County to evaluate whether or not the bidder meets"minimum qualifications" for all bidders. Each service must be submitted as its own proposal, inclusive of scope of services and rate information. The scope of service should include at a minimum the following information for each service proposed: • Detailed description of service components, modalities used, appropriate use of service, etc. • Target population including age range, specific population characteristics, area of service, etc. • Whether or not the service is billable to Medicaid and if bidder is currently able to bill Medicaid. Bidders are strongly encouraged to become Medicaid certified. Medicaid -billable services are preferred. • Clear rate schedule inclusive of all costs bidder wishes to charge for the provision of the service. 5) Bidders should avoid elaborate artwork, graphics, binding, presentation or other artifice that does not directly address the requirements set forth in this Request for Bid. 6) Current resume, proof of licensure and copies of applicable training certificates for all staff members who will manage and/or administer services under this proposal. 7) Supervisory structure of staff members and/or contractors of the bidder. This should include the ratio of supervisor to staff and/or contractors, frequency and duration of supervision, credentials of supervisor and length of time as a supervisor. 8) Internal referral acceptance and assignment protocol, including communication to the referring agency. 9) All proposals must demonstrate the bidder has the ability to deliver the services as proposed, and comply with the specific requirements set forth by the Weld County Department of Human Services. 10) All proposals must include a clear and concise rate schedule that accurately correlates to the proposed services and is inclusive of all possible charges related to the proposed service(s). The rate schedule must demonstrate an exact fee for the described service (s). Approximate rates or a range of rates for a service will not be accepted. 11) Each bidder must submit a Standard Certificate of Insurance, or letter of intent from an insurance company authorized to do business in the State of Colorado stating its willingness to insure the bidder pursuant to the terms of this Request for Bid. Evaluation of Proposals: All proposals that meet the basic proposal, service and qualification requirements will be reviewed by the Families, Youth and Children (FYC) Commission. Criteria for review, include but are not limited to the following: • Qualifications, appropriate licensure, and experience. • Cost structure. • Relationships and collaboration. • Organizational experience and past performance. The FYC Commission will make recommendations to the Board of Weld County Commissioners by and through the Weld County Department of Human Services. The Weld County Department of Human Services will make its award of contract to the successful bidders upon final approval of the Board of Weld County Commissioners. EXHIBIT B CONTRACTOR'S PROPOSAL PROVIDER INFORMATION FORM (Bid Cover Sheet) Weld County Department of Human Services Turning Point Center for Youth and Family Developnli 1553624 AGENCY OR PRIVATE PRACTICE - TRAILS PROVIDER ID (If Known) Stephanie Brown Executive Director PRIMARY CONTACT- FULL NAME PRIMARY CONTACT- TITLE 970 ) 567-0937 L 970 ) 221-2727 PHONE NUMBER EXT. FAX NUMBER sbrownftturningpnt.orq www.turningpnt.org PRIMARY CONTACT- E-MAIL ADDRESS 1644 South College Avenue AGENCY MAILING ADDRESS refe rra l sla'),tu m i ng p nt. o rg REFFERAL CONTACT- FULL NAME (IF DIFFERENT THAN PRIMARY CONTACT) 1970 ) 221-0999 REFERRAL CONTACT -PHONE NUMBER AGENCY/PRACTICE WEB ADDRESS (IF APPLICABLE) Fort Collins 80525 CITY ZIP Vary depending on service REFERRAL CONTACT - TITLE referrals (btu rn i ng p n t. o rq EXT. REFERRAL CONTACT - E-MAIL ADDRESS 1 certify that the services offered for intended use by Weld County will meet all the specifications it has so indicated in this bid form. The Board of Weld County Commissioners reserves 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 it ca ±; ) whpthe bids are competitive in price and quality. Signature of Authorize4 Repr entative: Date of Signature: - 2 - 7 ia�ce�z��2. tehanie Brrn, LCSW point AUL Cover Letter April 24, 2017 Please accept the enclosed proposal in response to Weld County Department of Human Services RFP B1700080 - Family Youth Children Commission, issued for services to be provided in fiscal year 2017-2018. Turning Point Center for Youth and Family Development, Inc. (Turning Point), a non-profit 501 (c)(3) organization is submitting to provide Day Treatment, Mental Health, Home Based Intensive Services and Substance Abuse Treatment Services. In response to this proposal, Turning Point agrees to comply with all work requirements and other terms and conditions specified. Turning Point Center for Youth and Family Development, Inc. has provided mental health treatment and substance abuse services to Colorado youth and their families since 1967. In the past fifty years, Turing Point has developed into a multi -faceted human service agency offering a variety of programs for children and families unmatched in Northern Colorado. Our services span Larimer and Weld Counties and continue to grow. We have an extensive continuum of care which include residential programs for males and females in separate facilities, a free standing State approved school, Day Treatment, home based services and DUI classses. The services offered in this proposal will be primarily offered in the families' homes, as we strongly believe that is where the most impact can be made along with the best outcomes. Our Day Treatment program is located at 913 11th Avenue in Greeley and also offers a meeting space for the additional services offered in the attached programs. Staff credentials are found along with the attached resumes and meet the standards outlined in each proposal. Additional training documentation is available for our staff on -site. Turning Point's programs are reviewed on an ongoing basis for satisfactory performance and integrity. Reviews conducted by the Division of Youth Corrections, Department of Human Services licensing division and the Commission for Accreditation of Rehabilitation Facilities (CARF) have always been positive. The programs have never had any judgments or liens. If you have any questions or areas that need clarification, please do not hesitate to contact me. iall Executive Director Turning Point Center for Youth and Family Development, Inc. WELD DAY RESOURCE PROGRAM Service Objectives Turning Point's Day Resource Program is designed to provide therapeutic support to clients and their families in the least restrictive, most appropriate setting and achieve the following: • Children are secure and protected from harm • Children will progress toward stable, nurturing, and permanent living environments • Protecting the youth and the community • Re-establishing family stability, if appropriate • Minimizing out -of -home placements • Successful transition back into the public school setting The service is designed to address the individual needs of clients and to reduce recidivism or the likelihood of future placement. Turning Point is licensed by the Colorado Department of Human Services as a Day Treatment Facility for both male and female clients ages 10-21 and by the Division of Behavioral Health to provide intensive substance abuse treatment. Additionally, Turing Point's Day Resource Program is accredited by the Council on Accreditation of Rehabilitation Facilities (CARF). Youth at Turning Point have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, substance abuse issues, and often are involved in the legal system. At Turning Point, youth learn tools with the goal of remaining in the home and making a successful transition back into the public school setting. Targeted Population ➢ Male and female adolescents between the ages of 10 and 18. ➢ Needs cannot be met in a less restrictive environment due to emotional, family, behavioral, mental health, gang, legal and/or substance abuse difficulties. ➢ Willingness/motivation to participate in the program. ➢ Low to normal range of cognitive functioning. ➢ History of school failure and/or truancy. ➢ Family is willing to participate in treatment. Types of Services to be Provided ➢ 30 hours per week of education approved by the Colorado Department of Education (see description below) ➢ Weekly Individual Therapy I Page ➢ Weekly In -home Family Therapy ➢ Weekly Drug and Alcohol Groups (Pathways Curriculum - see description below) ➢ Weekly Skills Group (based on DBT Model - see description model) ➢ Daily Recreation Activities ➢ Vocational Programming ➢ Affective Education ➢ Transitional Services ➢ Door to door transportation to and from the program if within reason Treatment Services When a youth is admitted to Turning Point's program, a comprehensive service plan is developed by a multi -disciplinary team of professionals, the client and the youth's parents. At this time, the Family Service Plan (FSP) is reviewed and issues identified by the Case Worker, including strategies developed in prior placements for the reintegration of the youth into the community, are incorporated into the youth's services. The youth's progress and service plan are then reviewed minimally monthly though monthly service review sessions and staffings which include input from the youth's Case Manager, Therapist, Teacher, Specialists, parents and any other individual working with the youth. Changes are made to the service plan and the team focuses on the goals and interventions they will use with the client during the following month. Following are a list of the therapeutic services offered: • Milieu Therapy: Described as the "life space" where a youth experiences therapy through daily living experiences. Our approach with clients in the milieu is particularly influenced by the work of Daniel Hughes. His approach is based on 'parenting principles': Eye contact, voice tone, touch (including nurturing -holding), movement, and gestures are actively employed to communicate safety, acceptance, curiosity, playfulness, and empathy, and never threat or coercion. The principals and skill development of DBT (see description below) are integrated into the daily milieu as well. • Individual Therapy: Each client will participate in this modality weekly. Our Therapists are trained in Trauma Informed Care and utilize that approach when working with youth. The therapeutic goal is provide more insight and depth into a youth's problems and strengths as it applies to his/her specific service plan and living experience. • Group Therapy: All students participate in two hours per week of group therapy. All students receive an hour of a DBT skills group to teach and develop their skills. Students are also placed into two tracks: substance abuse or social skill development. Upon entrance into the program, students are given a substance abuse assessment to determine which track they will be placed in. (Below are descriptions of our group therapies). 2JPage • Dialectical Behavioral Therapy (DBT): Turning Point's residential and day resource programs utilize the theory and approach to treatment, which was developed by Marsha Linehan in 1991. The goals of treatment include reducing para-suicidal (self injuring) and life threatening behavior, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that negatively impact the client's quality of life. The DBT philosophy is that some people, due to negative environments during childhood and due to biological factors not yet known, react abnormally to emotional stimuli. Their arousal level goes up higher and much more quickly, peaks at a higher level than others, and takes more time to return to a normal level. Because of the negative environment they grew up in, they don't have the methods of coping with sudden and intense surges of emotion. DBT is a method of teaching skills that will help. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT treats those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. • Pathways to Self -Discovery and Change (Pathways) was developed to respond to the need for a developmentally appropriate model designed to address substance abuse, mental disorder and/or criminal conduct. Pathways is now recognized as the standard of care for juvenile substance abusing offenders by the Colorado Alcohol and Drug Abuse Division. This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcomes based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). • Trauma Informed Care: An evidence -based organizational structure and treatment framework that realizes the widespread impact of trauma on the youth and family served, the recognition of signs and symptoms of trauma amongst all those involved in the system, and seeks to actively prevent re - traumatization while integrating trauma informed practices within policy, procedures, and treatment practices. Trauma -specific interventions recognize 3IPage the interrelation between trauma and symptoms of trauma such as substance use, mental health and behavioral issues, interpersonal relationships, and juvenile justice involvement. SAMHSA identifies six key principles in a trauma - informed approach: Safety, Trustworthiness and Transparency, Peer Support, Collaboration and mutuality, Empowerment, voice and choice, and Cultural, Historical, and Gender Issues. • Social Skills Group was developed for those students that do not need the intensive drug and alcohol services. These students participate in a social skills curriculum that enhances character development as well teaches skills to develop healthy relationships. • In Home Family Therapy: Turning Point offers family therapy for all youth and families within their home on a weekly basis depending on the family's needs. We have incorporated elements of best practices of the Functional Family Therapy (FFT) Model, however do not utilize the model strictly in order to keep the costs down for the referral agents and allow us the ability to individualize the services to the needs of each family. FFT draws on a multi -systemic perspective in its family -based prevention and intervention efforts. The program applies a comprehensive model, proven theory, empirically tested principles, and significant experience to the treatment of at -risk and delinquent youth. "Thirty years of research indicates that FFT can prevent the onset of delinquency and reduce recidivism at a financial and human cost well below exacted by the punitive approaches" (John J Wilson, Acting Administrator OJJDP, Dec 2000). Through going into the homes, the therapist is able to have a more hands on understanding of the family dynamics and relationships. The therapist also works with the youth individually, therefore this enhances the work we are able to do in that setting as well. • Recreation Therapy: Each client will participate in daily therapeutic recreation activities. The goals of the program are to increase clients' skills and knowledge of recreation and leisure activities, increase awareness of community recreation resources, increase participation and involvement in recreation and leisure activities, increase satisfaction of recreation and leisure activities, increase clients fitness level, foster good sportsmanship, increase appropriate social interactions and improve cooperation during recreation and leisure activities. • Psychiatric Services: Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on -sight each week. This individual has extensive experience and knowledge of adolescents who are dually diagnosed. Youth and families are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. 4IPage Turning Point currently contracts with local psychiatrists to provide these services in Weld and Larimer Counties. • Education : Turning Point's educational programs are approved by the Colorado Department of Education and are designed to accommodate students with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Turning Point has a 1 to 12 teacher/student ratio. Along with teachers, Educational Counselors, and volunteers from the community staff the classrooms. All curriculum is aligned with the client's home school and they earn seat hours that transfer into required credits. Turning Point education staff strives to help facilitate successful transitions for our student's back to the public school system. Transition planning begins early in the student's stay at Turning Point through a coordinated effort between the student's treatment team during monthly staffings. For students completing their GED or high school diploma, Turning Point offers assistance to students through vocational education and/or post secondary education options. • Drug and Alcohol: Turning Point is licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider by the Office of Behavioral Health. Nearly 90% of the youth accepted to Turning Point have issues with substance abuse. Turning Point offers clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and - where problems have already developed - to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12 -Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. The desired outcomes for the Drug and Alcohol Program are: • To provide Drug and Alcohol services consistent with assessment needs. • To utilize community services in a continuum of treatment and successful recovery. • To transition the clients successfully into their home communities. • To support clients in developing a recovery plan and experiencing recovery Fees for Service Day Treatment without in -home family therapy $113 per day Day Treatment with in -home family therapy $129 per day 5IPage Turning Point is requesting a 3% cost -of -living increase to allow us to continue providing quality services to Weld County youth. The increase enables us to give slight increases to our staff to reduce turnover, which has a direct impact on the service delivery and youth. Wage Turning Point Center for Youth and Family Development, Inc. HOME BASED INTENSIVE SERVICES Service Description Turning Point is offering Home Based Intensive Services to youth and families of Weld County receiving services through the Department of Human Services. Home -based service philosophy promotes delivery of services to families in their homes in order to achieve permanence for children, while maintaining and strengthening the family integrity. The goal of Turning Point's Home Based Intensive Services programs is to help keep high -risk children and families together; to empower children and their families to achieve lasting stability and recovery for the family and the child. This program serves youth ages 3-23 and their families within the Weld County area. Services include the following: • Coaching • Family Care Coordination (FCC) • Family Care Coordination Light (FCC Light) • Trauma Treatment Coordinator Coaching Turning Point has been providing Coaching services to Larimer County youth and families since the Spring of 2009 and Weld County youth and families since the Summer of 2010. Coaching fills a gap in treatment services and is designed to provide support, structure, positive role modeling, mentoring, and life skills to youth residing in the community. This service is designed to be very flexible in meeting the individual needs of the youth and family and can include pro -social recreation and leisure activities, transportation, teaching in- home skills such as cleaning and organization, employment support and education, attendance at professional meetings or appointments, etc. A broader goal of Coaching is to maintain clients in the community and reduce costlier residential options such as residential. Coaches can provide a multitude of services and roles. Some examples of services Coaches have and can provide include but are not limited to: • Provide in -home parenting support and education • Provide transportation to appointments and school • Take clients to participate in recreation and leisure activities in the community • Provide supervision when parents or custodians cannot • Help clients job search • Be a mentor and positive role model • Help connect youth and families with other services in the community llPage • Help with housing issues • Homework assistance and tutoring • Lifeskills Coaching and education Since starting Coaching in the Spring of 2009, Turning Point has learned a great deal about implementing these services. The lessons learned over this period have been used to improve Coaching services. The experience of helping to develop the program in addition to two years of experience make Turning Point uniquely qualified to provide these services in Weld County. Turning Point already provides Day Treatment, Foster family support and Therapy services to youth and families in Weld County. These existing programs and staff provide a backbone in the provision of Coaching services. In addition, when appropriate, Coaches utilize the Turning Point Therapists and other staff to provide support, guidance and supervision. Family Preservation Parent Coaching Coaches will provide intensive home based services to children and parents. The coaching service is intended to be flexible and adapt to the individual family needs. Regardless of the specific family need, all coaches will be required to provide clients with strategies to improve current level of functioning and increase positive social, mental health, or personal functioning. Coaches will be utilized to stabilize placement, assist in reunification or step down services, and/or to prevent removal from the home into out of home placement. The service will be interfaced with social caseworkers, juvenile probation offices, school counselors, and various community based agencies. Family Preservation Parent Coaching will provide all of the services our standard Coaches provide in addition to the following support services to families: • Emotional and Social Support for families • Provide parents with the skills to improve parenting and family functioning. • Life skills (budgeting, household management, recruitment and retention of employment). • Provide behavioral interventions for children • Assist families to establishing services within the community and development of community connections • Skill development for housekeeping with the focus on safety for the child • Family Advocacy • Assist in establishment of routine and structure within the household • Development of positive social activities Family Care Coordination (FCC) 2IPage FCC is a unique service designed in 2009 in collaboration with Turning Point, Larimer County DHS, The Matthews House, and Larimer Center for Mental Health. This is a hybrid service meshing Intensive Family Therapy, Case Management and overarching family support. It is designed for families where out -of -home placement of children is a serious concern and the goal is to keep families intact and reduce the use of out - of -home placement. The Family Care Coordinator(s) will serve high needs families referred by Weld County DHS. The FCC's will be available to families for an average of 3-4 visits per week up to 10 hours per week; more visits are expected at the start of services and fewer visits may occur toward the end of services. Services will be provided in the home and/or community and on -call support will be available 24/7 as the family works to stabilize their situation. The FCC will begin by performing a thorough assessment of all family members, utilizing any other assessments that have been completed previously. Based on these assessments the FCC will then work on building skills with the parents and either provide individual support to the children as necessary or make referrals to outpatient individual services (for example in the case of the need for victim's work). Simultaneously, the FCC will work with other providers involved (schools, coaches, mentors, respite providers, etc.) to ensure a common foundation. Often, families with serious situations may have multiple providers working with the family. It is the FCC's role to correspond with all providers and caseworkers so there is continuity of care. The FCC's focus will always be on stabilizing the family situation and creating independence within the family by using community and their natural supports. Family Care Coordination is an intensive service and is designed as a short term service to stabilize the current family situation and keep the family intact. Once the family situation is more stable, the FCC will work with the caseworker to transition the case to a lower level of service as soon as it is appropriate. Since starting the program, the average length of FCC service is three months. The FCC will work with any new providers to provide a good transition or may stay on the case at a lower level if that is desired. This has been a very successful program in reducing out -of - home placements and recurrence of abuse. In FY 2012/2013, Larimer County rated all services to clients of DHS and FCC was among the top rated programs. Family Care Coordination(FCC) - Light FCC Light offers the exact same services as FCC (including 24/7 on -call support) but with a lower frequency of visits and direct contact. The FCC Light Therapist will be available to families for an average of 1-2 visit per week up to 5 hours total; more visits are expected at the start of services and fewer visits may occur toward the end of services. FCC Light is typically utilized as a step-down service from FCC. This allows the Therapist to continue working with the family as they move toward independence, but still need some intensive support to achieve it. TRAUMA TREATMENT COORDINATOR 3IPage Turning Point's staff have a wide variety of experiences in the field; including intensive in -home services, crises management, equine therapy, case management and community resources, therapeutic coaching and individual and family therapy. Turning Point recognizes that the standard practice of one hour, once per week therapy is not adequately addressing the complex emotional, social, behavioral, relationship, and mastery needs of highly traumatized children. Children need treatment in a variety of settings and specialties to address their needs. Turning Point's Trauma Treatment Coordinators will work to developing a 'menu' of local service providers with expertise in different domains - physical activity, play and art therapy services, animal -assisted therapy, and caregiver interventions. Turning Point's Trauma Treatment Coordinators (TTC) will review the Trauma Assessment, attend the Post -Assessment meeting, and work with the treatment team to develop a trauma -specific treatment plan for the child; focusing on building resiliency along with relatedness, mastery, and affect regulation. Seven Domains: I) Attachment - The TTC will develop relationship activities with caregivers to build on child's ability to develop healthy attachment. II) The TTC will assist the family in coordinating any needed medical, psychiatric, and other appointments for physical needs as necessary. III) Affect regulation - The TTC will work with child and treatment team on identifying areas of strength and ongoing barriers regarding emotional regulation. The TTC will develop skills for child to practice and interventions for child's environment - home, school, pro -social activities, etc. IV) Dissociation - The TTC will work with the Trauma Therapist and treatment team to recognize areas of dissociation and develop skills with child to keep them 'present' during triggering moments. The TTC will train caregivers, teachers, etc. regarding triggers for dissociation and how to keep the child 'present' during these events. V) Behavioral regulation - The TTC will work with child and treatment team to recognize areas of strength and barriers in the child's daily behavior. The TTC will work with the child on developing skills to process emotions/thoughts to keep negative behaviors down. The TTC will work with caregivers, teachers, etc. regarding triggers for behavior and interventions to be 'in front' of the behaviors. VI) Cognition - The TTC will work with child on improving their cognitive processing skills to enhance child's ability to think through and talk about their trauma. VII) Self-concept - Turning Point recognizes the importance of all children feeling some level of mastery and pride in themselves and their activities. The TTC will work with caregivers, teacher, and treatment team on how to identify, enhance, and grow child's strengths and give them higher self- concept. 4IPage The approach for the child through treatment coordination will not exclusively phased based, recognizing the need for treatment and interactions to flow with the child's need. However - some areas will be focused on initially and throughout treatment, such as safety. Four Goals: 1) Safety in one's environment - of paramount importance and a focus initially and throughout treatment. The TTC will assess safety of child and family every time a visit/contact is made. The TTC will work with caregivers and teachers on how child can feel safer in their home, school and community environments. 2) Skill development in emotional regulation and interpersonal functional - The TTC will work with child, caregiver, teacher, and treatment team on identifying where child/family need assistance in developing new skills / coping strategies. The TTC will provide education to caregiver regarding areas where child has more and less success in emotional regulation. Areas of strength will be examined. Areas of weakness will be shored up with additional intervention and practice. 3) Meaning -making about past traumatic events - The TTC will maintain consistent communication with Trauma Therapist and work together on how the TTC can support child, caregiver, teacher and therapist in development of child's narrative. The TTC will increase/enhance supportive services during this critical time and will assist in preparing caregivers for the presentation of the narrative. 4) Enhancing resiliency and integration into social network - The TTC will work with primarily child and caregiver on areas to enhance child's skills and strategies. Areas where child is doing well will be highlighted. The TTC will work with child's environment, and encourage caregiver to do the same, on how child can be successful in numerous situations with the right support. Turning Point's Trauma Treatment Coordinator will maintain weekly communication with DHS Caseworker and Trauma Therapist regarding goals of treatment, areas of needed focus, and reporting on progress. The TTC and treatment team will participate in monthly meetings to highlight areas of progress and develop goals for the next month. The TTC will also maintain communication with teachers, coaches, and others on at least a bi-weekly basis. Turning Point has team of Community Centered Services clinical staff that provide 24/7 on call, therefore we are able to offer this service as part of our Treatment Coordination. The Trauma Systems Therapy model recommends that service intervention follow this path: • Emotion Regulation Skills - help the child regulate emotional stress 5IPage • Cognitive Processing Skills - help the child think and talk about their traumatic experiences • Meaning Making Skills - help the child make meaning out of their traumatic experiences and move on with their lives Activities that will be utilized in order to move through the above phases include: - Treatment coordination with skill integration of the clinical components across systems with a trauma informed lens - In home/community behavioral services Providing multi -system education about trauma Keeping the 'team' moving in the same direction - Advocate for the child/family Consultation with any member of the team or the child's system Development of supports for the family/child Participation in family meetings/team meetings System navigation Provide monthly written reports Provide 24/7 on -call support for the child and caregiver Help all members of the child's system understand the child' individual needs, trauma response, and intervention Model interventions - hands on Identify and train respite supports for the child Many of the activities are practices, which are already a normal part of what Turning Point focuses on when working with youth and families. Our in -home therapists are often talking to teachers, consulting with DHS caseworker and other treatment providers, advocating for a child's particular needs, participating in meetings. The integration of all areas of a child's social environment is integral in the child experiencing a safe and supportive day. Turning Point's Trauma Treatment Coordinators will work with treatment team on the identified activities and other interventions as needed to make sure the child is receiving support across all domains and that interactions with others are informed and supportive. Engagement of Caregivers & Collaterals Turning Point's Trauma Treatment Coordinator will meet with the caregivers, teachers and whoever else is key to the youth's success wherever they are most comfortable, including doing home and school visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The TTC will contact collaterals in the format they prefer - by phone, email, person, etc. Turning Point's staff are trained in strength -based interactions and language. Special attention will be given during interactions and meetings with collaterals to resiliency in the child/youth and for this to be addressed in the moment. The TTC Wage will focus on talking with the caregiver, teacher, treatment team, and child and when things are going "well" - when the child is emotionally regulated and connected to others. Turning Point is offering to provide services youth ages 3 and older. We have a pool of trained and experienced staff able to work effectively with young children, adolescents, young adults and parents. Turning Point is a well-known local agency that has been in the community for over 40 years. Oftentimes families that we work with know someone else who has had a positive experience with us. We are willing to meet the family and child wherever is most convenient for them in order to decrease any obstacles to services, including in their home or in our office centrally located on College Avenue in Fort Collins. Potential barriers could include the caregiver's willingness to participate in the meetings and interventions. Turning Point's Trauma Treatment Coordinators will be trained in this area of resistance and will work consistently on education and engagement with caregivers. Fees for Service Service Coaching (Inside Greeley/Evans City Limits) [-Coaching (Outside city limits) I Family Care Coordination (FCC) Fee $33.50/per hour Ir$50.25/per hour r$1235/month Family Care Coordination Light (FCC Light) Trauma Treatment Coordinator (High Level) Trauma Treatment Coordinator (Low Level) $825/month r $3090/month $1545/month Turning Point is requesting a 3% cost -of -living increase to allow us to continue providing quality services to Weld County youth. The increase enables us to give slight increases to our staff to reduce turnover, which has a direct impact on the service delivery and youth. 7IPage Turning Point Center for Youth and Family Development, Inc. SUBSTANCE ABUSE TREATMENT IN -HOME ADDICTIONS TREATMENT PROGRAM Service Objectives: The In -Home Addictions Treatment Program (IHAT) is an intensive in -home therapy program designed to serve at -risk families that have come to the attention of the Department due to drug/alcohol concerns. Clients referred to the IHAT program typically have mental health and/or substance abuse disorder, and are continuing to struggle despite having been treated at lower levels of care such as outpatient therapy. Families served in the program often have a history that may include inpatient substance use treatment, trauma, criminal and/or delinquent behaviors, verbal or physical aggression, or attachment difficulties. Features of the program include: • Intensive short-term treatment, averaging 4-5 months duration • Two sessions per week in -home (or one session and phone consultation, dependent on client need) • Availability of on -call services 24/7 • Case consultation with collaterals such as treatment providers (SA & MH), school personnel, probation, DHS, etc. • Flexibility in terms of drawing from a variety of evidence -informed treatment models including Motivational Interviewing, Dialectical Behavioral Therapy, Trauma Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, Solution Focused Therapy, and behavior management techniques. • Drug testing of clients as therapeutically necessary. • Therapist flexibility in terms of modality of treatment used (parents -only sessions, family therapy, individual therapy, or some of each) • Focus of treatment that is highly parent/family oriented, and interventions designed to be sustainable for the family. • Support in linking to other therapeutic services as appropriate including coaching, medication evaluation and management, substance abuse treatment, DBT programming, trauma focused services, etc. Wage • Integrating social supports into family treatment planning. Establishing positive daily life routines. Develop stable family patterns: Rules, Roles, Rituals, Routines, Relationships (Barnes, 1995). • Additional interventions for parents/caregivers of delinquent adolescents around monitoring/supervision, holding youth accountable for behavior and choices, and therapist will collaborate closely with the juvenile justice system. Fees for Service Service Fee High Level: $2060/month per family • 4-6 hours per week of Therapist intervention • 2-3 hours per week of Case Manager Low Level: $1030/month per family • 2-3 hours per week of Therapist intervention • 1-2 hours per week of Case Manager *Prorated for partial months of services Turning Point is requesting a 3% cost -of -living increase to allow us to continue providing quality services to Weld County youth and families. The increase enables us to give slight increases to our staff to reduce turnover, which has a direct impact on the service delivery and youth. Wage Turning Point Center for Youth and Family Development, Inc. MENTAL HEALTH PROGRAM Service Objectives Turning Point has begun integrating Trauma Informed Practice into all areas of our programming and has systematically begun training each Therapist and direct service staff member along with supervisors in this area. The Adverse Childhood Experiences (ACE) Study conducted with over 17,000 Kaiser Permanente members showed that 63% of the people who participated in the study experienced at least one category of childhood trauma and over 20% experienced 3 or more categories of trauma. These included areas such as emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, grew up with a mentally ill person in the home, loss of parent due to separation or divorce, grew up with a household member in jail or prison, among others. Turning Point sees these children throughout the life span - as young children with trauma, adolescents with conduct and substance abuse problems, and again as adults with substance use problems. Our agency recently looked at our DUI class population and close to 75% of those clients report on childhood trauma in their intakes, most of them never received treatment. Turning Point recognizes the need to treat the traumatic stress and connected emotional/behavioral issues as early on as possible. Often the system labels these children as "behavior problems" and they never get the help they need - even into adulthood. We recognize the importance of integrating a trauma focus in all of our interactions and therapeutic modalities with the clients we serve. We have continued to focus our Clinical Team meetings and training on the revamping of our service package and how to integrate this approach seamlessly into our treatment with youth and families. We have found this to be a natural fit for our agency and an extension of the Dialectical Behavioral Model we already utilize with our youth. Targeted Population Turning Point will provide Trauma Assessments for children/youth ages three and higher. Types of Services to be Provided Upon receiving a referral to provide a Trauma Assessment, the Trauma Assessment Therapist will begin the Pre Assessment / Assessment Preparation. This will begin with a paper review of the Department of Human Services, abuse/neglect history, Educational Records/IEP, prior assessment and medical/health information. Additionally, they will conduct an initial round of phone calls to schedule a pre - assessment meeting (within 2 business days of the referral being received). Turning Point will contact the custodial caregiver to obtain a release of information to the treatment team. l Page Turning Point's Trauma Assessment Therapist will conduct phone or face-to-face interviews with the child's caseworker, primary caregiver, and birth parent when appropriate - within one week of referral. Assessment forms will be explained at this time and mailed or handed out upon completion of the interview. Turning Point's Trauma Assessment Therapist will work as part of the child's identified multi -disciplinary team, which would include anyone involved with that particular child such as the school, DHS worker, trauma case manager, family/guardian as well as anyone from an area identified as needed for a comprehensive assessment of the child. The standardized measures that Turning Point will utilize throughout the assessment include: Child Measures: Kaufman Brief Intelligence Test, 2nd Edition (KBIT-2) This test allows for a quick estimate of intelligence. It contains both verbal and nonverbal scales. Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Ages 8 and up. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. Resiliency Scales for Children and Adolescents. Ages 8 and up. These are self -report measures where children/adolescents rate their Sense of Mastery, Sense of Relatedness, and Emotion Reactivity. Caregiver/Teacher Measures: Sensory Profile - Infant, Toddler, Child and Adolescent This is a caregiver scale regarding a child's response to sensory experiences. ADHD Symptom Rating Scale A caregiver and teacher scale that reports on frequency of behaviors consistent with inattention. Child Dissociative Checklist (CDC) This is a caregiver scale that reports on a child's dissociative behavior - from daydreaming to significant changes in behavior/personality. Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Under the age of 8. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. 2IPage Throughout the assessment the Trauma Assessment Therapist will be recognizing and flagging areas of strengths and opportunities for growth: Relatedness - How does the child view his relationship with others? How does the child and caregiver describe their interactions? What is observed when the child and caregiver are together? How can the treatment team support ongoing development of nurturing and supportive relationships for this child? Mastery - Where does the child feel "successful"? What about themselves makes the child proud? What do teachers and caregivers flag as areas of strength for the child? How can the treatment team build on these strengths and also develop additional areas of success for the child? Affect Regulation - When is the child most/least regulated? What skills/tools does the child and caregivers currently use to assist the child in regulating? Where do they need help? Recommendations will follow from these observations and measurement results. Resiliency will be discussed as ways to build on already successful behaviors and interventions, plus ideas for additional support, intervention tools, and treatment to shore up the areas of need. Engagement of Caregivers & Collaterals The Trauma Assessment Therapist will be willing to meet with the caregivers wherever they are most comfortable, including doing home visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The Trauma Assessment Therapist will contact collaterals in the format they prefer - by phone, email, person, etc. Turning Point's clinicians are trained in strength -based interactions and language. Special attention will be given during assessments to resiliency in the child/youth and for this to be addressed in the moment. The Trauma Assessment Therapist will focus assessment time by talking with the caregiver, treatment team, and child and when things are going "well" - when the child is emotionally regulated and connected to others. A written report will be provided to the treatment team within two weeks of completion of the assessment and a few days prior to the post -assessment debriefing. This will allow individuals to read the document and come prepared with questions. If appropriate, biological parents will be given priority in receiving the report and having the opportunity to ask questions prior to the treatment team meeting. The Trauma Assessment Therapist will also complete the Treatment Outcome Package (TOP) Assessment as requested by the Larimer County Department of Human Services, CYF Division. 3IPage The debriefing meeting and the written recommendations will be primarily strengths based and focus on building skills for the child/youth. Recommendations will highlight ways to enhance what is going well for the child - including how the child develops relationships, areas the child sees as their own successes, and situations where the child maintains emotions. One of the goals of the pre -assessment meeting will be a discussion amongst the professionals and caregivers about how this information will be shared with the child. These discussions will be case -by -case depending on age, cognitive functioning level, and current level of stability. Options for presentation to the child may include a private conversation (with or without the caregiver) with the therapist prior to the post -assessment meeting, a conversation with the child in their location of comfort after the post -assessment meeting, or the child's inclusion in the post -assessment meeting. The child's past and / or current traumatic experiences have led to a complex, interwoven set of emotions, behaviors, cognitions, and relatedness. The amelioration of the child's traumatic stress must include treatment of all of these components. The Trauma Assessment Therapist will include recommendations that specifically address concerns in these areas. The recommendations will also focus on how caregivers and treatment team professionals can assist in helping the child develop safe and supportive relationships, how the child can improve their sense of mastery through positive activities, and how the child can improve emotional regulations through skill building and processing of the trauma. Fees for Service Service Trauma Assessment Fee $925.00 per assessment The Turning Point team strives to meet the unique needs of each young person and his or her family. Our services will address and respect the culture and ethnicity of the clients we serve. We are aware of the importance of the values, beliefs, traditions, customs, and parenting styles of the families we serve. Whenever possible, Turning Point will strive to ensure all programs are culturally competent and sensitive; this includes the hiring of multi-lingual and multi -cultural staff. All Turning Point staff is required to attend regular cultural competency training. Additionally, Turning Point makes every effort to promote programs that respect and incorporate cultural differences. 4IPage Christopher M. Amerman 1625 W. Elizabeth St. I Fort Collins, Co 80521 t 719-235-1067 amermcm@rams.colostate.edu EDUCATION Bachelor of Science: Psychology Concentration: Mind, Brain and Behavior Graduated Cum Laude in the College of Natural Sciences Bachelor of Arts: Anthropology Concentration: Biological Anthropology Graduated Magna Cum Laude in the College of Liberal Arts Colorado State University, Fort Collins, CO GPA: 3.917 Cumulative August 2012 — May 2016 WORK AND VOLUNTEER EXPERIENCE Development Assistant May 2015 — May 2016 Colorado State University's College of Liberal Arts Development Office, Fort Collins, CO Worked 10-20 Hrs/Week. Provided event support and promoted positive interactions between donors. Aided in general office support such as the proofing and mailing scholarship thank you letters, updating the information on the College of Liberal Art's Development Website, and creating and mailing weekly acknowledgment letters to donors on behalf of the College. Also assisted with gift processing for the College as well as the processing of receipts and travel related documents for the Development Team. Customer Service Representative August 2013 — August 2015 Colorado State University's Registrars Office, Fort Collins, CO Worked 10-20 Hrs/Week. Provided helpful and friendly customer service and support for Ramweb systems as part of a call center. Assisted in general office work such as sorting pending transcript requests, managing personal records from former Colorado State students, processing change of major forms, generating CSUID numbers for alumni and tracking the call logs of the Registrar's office student call center. Mentor/Mentor Coach August 2013 — July 2014 Colorado State University Campus Connections, Fort Collins, CO Volunteered for 300 Hr. service term through AmeriCorps program with at -risk youth from the ages of ten to eighteen in the Fort Collins and Loveland Communities. Mentored three youth personally as well as interacted with other youth in the Campus Connections program. Also provided Leadership and advice for other mentors as a mentor coach in addition to being a mentor for the youth. Provided life stability for the at -risk youth in the program as well as helping them with school work while encouraging them to engage in social activities. Volunteer Fire Fighter June 2012 —June 2014 Mountain Communities Volunteer Fire Department, Woodland Pork, CO Volunteered 10-40+ Hrs/Week depending on training and fire conditions in the area. First Responder and Basic Life support certified as well as Red Card certified to fight wild land fires. Activities included communicating fire details to superiors, maintaining; fire suppression equipment, medical equipment and vehicles, administering first aid treatment or life support in a prehospital setting as well as providing comfort and reassurance to patients. EXTRACURRICULAR ACTIVITIES Fossil Prepping Assistant- Colorado State University June 2014 — August 2014 5-15 Hrs/Week Helped in processing, examining and carefully cleaning fossils using a dremal tool and tooth brush. AWARDS / CERTIFICATES Dean's List 2012, 2013, 2014, 2015 & 2016 Colorado State University References available upon request. COMMIT ED TO EXCfLLEI\ICE LARIM ER COUNTY LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Certificate of Accomplishment for Attending Training Name: Christopher Amerman Creating A Trauma Lens: "How to Explain Trauma to Families" Description: Training for in home coaches, and other support staff of foster, kinship and birth families on how to explain trauma in a family's words. The second hour consists of case consultation and training. Presented by: CK Kemp and Andrea Fotsch August 23, 2016— 11:30 — 1:30 (2 hour of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services COMMITTED TO EXCELLENCE LARIMER COUNTY LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Cert?ficate of Accomplishment for AttendingTraining `raining Name: Christopher Amerman Creating a Trauma Lens: "Trauma Informed Schools" Description: Training for in home coaches, and other support staff of foster, kinship and birth families on how to engage schools around discussions and planning for trauma treatment for children. Presented by: Shana Ketteridge, Erin Schry and Andrea Fotsch December 29, 2016- 11:30 - 1:30 (2 hour of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services COMMI 'TED TO,EXCmmLENCE LARUMER COUNTY LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Cert f cate of Accomplishment f or Attending Training Name: Christopher Amerman Creating A Trauma Lens: "What is Trauma?" Description: Training for In home coaches, and other support staff of foster, kinship and birth families on understanding what Trauma is and what it looks like in children and families. The second hour consists of case consultation and training. Presented by: Lori Lund and Andrea Fotsch August 9, 2016-11:30 — 1:30 (2 hour of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the I.arimer County Department of Human Services ELA ARCHINGER 18636 Weld County Rd. 3 Berthoud CO 80513 email: elaarchinger@hotmail.com Cell phone: 303 847 9683 EDUCATION Equine Specialist for Mental Health and Learning — October 2012 Masters of Social Work — May 2012 Certificate in Gerontology — May 2012 Bachelor of Social Work -- May 2011 cum laude North American Riding for the Handicapped Association (NARHA) Instructor — Oct. 2008 Certificate in Classical Homeopathy (Chom) — June 2006 Trained in Bert Hellinger Family Constellation Work —November 2005 Certificate in. Therapy for Social Trauma - 2005 Certified Rolfer -1993 Certified Occupational Therapist (Germany) -- July 1990 Minor in Business —1975 PROFESSIONAL EXPERIENCE May 2012 to present May 2011 May 2012 May 2011 May 2012 May 2010 August 2010 February 2010 September 2010 August 2009 to Mai 2011 January 2008 to 2011 Volunteer: Hearts & Horses, Loveland. Assisting groups for Veterans with PTSD, groups for families of sexual abused children and groups for hospice. Graduate School of Social Work, Colorado State University, Fort Collins Hartford Fellowship in Gerontology Social Work, Colorado State University, Fort Collins Volunteer: Hearts & Horses, Loveland. Assisting with riding instruction for the disabled, assisting groups for youth at risk, assisting groups for women with trauma. Dog training for therapy dogs with Human Animal Bond in Colorado (HABIC), Colorado State University, Undergraduate School of Social Work, Colorado State University, Fort Collins Volunteer: Equine facilitated therapy with traumatized women at Colorado Horse Rescue, Longmont November 2004 to present Self-employed trauma work and Rolling. June 2006 began practicing as a homeopath. January 2007 - Volunteer: Hearts & Horses, Loveland. Assisted with riding September 2007 instruction for the disabled. NARHA instructor training July 2006 - October 2007 Volunteer: Colorado Therapeutic Riding Center, Longmont. Assisted with riding instruction for the disabled. NARHA instructor training. October 1994 - Self-employed as OT, Rolfer and Social Trauma Therapist, November 2004 Nuernberg, Germany. Ran practice with three full-time employees. February 1992 - OT, Werkstatt fuer Behinderte, Nuernberg, Germany. Individual and September 1994 small group occupational therapy with physically and mentally disabled youth and adults. January 1991 - OT, nnentoring, second language instruction, and vocational training February 1992 for teenage immigrants, Deutsches Erwachsenen Bildungswerk, Nuernberg, Germany. September 1987- Vocational Training College for Occupational Therapy, Center for July 1990 Educaton and Learning, Bayreuth, Germany 1975 —1987 Worked for a variety of companies (mostly in the field of photography): started as assistant to the secretary, moved to project manager and finally signatory for the owner. Managed and trained employees, provided technical support, developed advertising, purchased technical materials, and organized special events. Certificate of Successful Completion ME: xr.isj Ed4Neraes This certificate verifies that: Edeltraud Archinger License #: has successfully completed the following Independent self -study: Child & Adolescent Trauma Treatment: Real World, Evidence -Based Solutions Speaker: CARRYL NAVALTA, PH.D. Date Completed: 6/15/2016 This certificate provides sponsor verification of individual successful completion and may be used for your records or for any licensing not listed below. PESI, Inc. maintains attendance records for 7 years. PEST, Inc. offers continuing education programs and products under the brand names, PESI, PESI HealthCare, PESI Rehab, Meds-PDN, HealthEd and Ed4Nurses. Counselors: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. Educators/Teachers: This course consists of 6.25 self -study clock hours. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self -study activity and contact your state board or organization to determine specific filing requirements. Illinois Educators; 6.0 Professional Development (PD) Clock Hours have been made available through Rockford University. This certificate does not verify that PD Clock Hours have been awarded to the participant named above. If you need to report your hours to ISBE, please send an email to cepesi@pesi.com for further instructions. The email should include your name, the full title of the product, speaker name, and the date you submitted/completed the post-test/evaluation form(s). Indiana Educators: 6.0 Professional Growth Points are available for full attendance of this self -study package per the Indiana Department of Education standards. Montana Educators: This self -study package is offered for 6.0 Renewal Units. PESI, inc, is an Approved Renewal Unit Provider with the Montana Office of Public Instruction. New Jersey Educators, Administrators & Education Services Personnel: 6.0 Actual Professional Development Hours (self - study). MEDS-PDN, powered by PESI, Inc., is a registered New Jersey Professional Development Provider with the NJ Dept of Education. Texas Educators: PESI, Inc., has been approved as a CPE Provider #500981 for Texas Educators by the Texas State Board for Educator Certification (SEED). This self -study package qualifies for 6.0 GPE clock hours. Marriage & Family Therapists: This self -study activity consists of 6.25 clock hours of continuing education Instruction. Credit requirements and approvals vary per state board regulations. Please save this course outline, the certificate of completion you receive from this self -study activity and contact your slate board or organization to determine specific filing requirements. Iginois Marriage & Family Therapists: PESI, Inc. is a Marriage and Family Therapists Continuing Education Sponsor, License No. 168-000156. This self -study package qualifies for 6.0 contact hours. Texas Marriage & Family Therapists: PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Marriage and Family Therapists. Provider # 503. This self -study package qualifies for 6.0 continuing education credits. fLCT ,li (.e Kristine Mashy, Senior Continuing Education Administrator PESI, inc., 3839 White Ave., Eau Claire, WI 54703 1.800.844.8260 Nurses/Nurse Practitioners/Clinical Nurse Specialists: This activity meets the criteria for an American Nurses Credentialing Center (ANCC) Activity. PEST, Inc. Is an approved provider by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities. This self -study material qualifies for 6.0 contact hours. California Nurses: PESI, Inc. Is a provider approved by the California Board of Registered Nursing, Provider Number 13305 for 8.0 self -study contact hours. This certificate must be retained by the licensee for a period of four years from the course date. Florida Nurses: PEST, Inc. is an approved provider with the Florida Board of Nursing, Provider # FBN2858. This self -study package qualifies for 6.0 contact hours. 'FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post- test/evaluation, please contact cepesi@pesi.com. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email. Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Successful completion of this self - study package qualifies for 7.2 self -study contact hours. These contact hours are used for your license renewal. Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an AOTA Approved Provider of continuing education. Provider #: 3322. This self -study course qualifies for 6.25 self -study contact hours or .625 CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. Course Level; Intermediate. Expires: 1/14/2018. Florida Occupational Therapists & Occupational Therapy Assistant: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number BAP #77. This sell -study course qualifies for 6.0 continuing education credits. *FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post- test/evaluation, please contact cepesl@pesl.com. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email. Psychologists: PEST, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PESI, Inc. maintains responsibility for these materials and their content. PESI, inc. is offering these self -study materials for 6.0 hours of continuing education credit. Canadian Psychologists: PEST, Inc. is approved by the Canadian Psychological Association to offer continuing education for psychologists. PESI, Inc. maintains responsibility for the program. This program is approved for 6.0 self -study continuing education hours. Florida Board of Psychology: PESI, Inc., is an approved provider with the Florida Board of Psychology. Provider Number BAP #77. This product qualifies for 6.3 self -study continuing education credits. 'FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post- test/evaluation, please contact cepesi@pesl.com. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number In the email. Speech -Language Pathologists/AudIologlsts: This course contains 6.0 hours of continuing education and may qualfy for credit. Please retain your certificate of completion and contact your accrediting board or organization to determine if credit is available and your reporting responsibilities and requirements. California Speech -Language Pathologists/Audlologists: PESI, Inc. is an approved provider with the California Speech - Language Pathology and Audiology Board, #PDP 319, This course meets the qualifications for 6.0 hours of continuing professional development credit for Speech -Language Pathologists or Audiologists, as required by the California Speech - Language Pathology and Audiology Board. Social Workers: PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. Ucensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 6.25 (Clinical) continuing education clock hours for completing this self -study package. Course Level: Ail Levels. ,42:€d" ("4-44 Kristine Cleasby, Senior Continuing Education Administrator PESI, Inc., 3839 White Ave., Eau Claire, WI 54703 1.800.844.8260 California Social Workers/ Counselors/Marriage & Family Therapists/Llcensed Educational Psychologists. PESI, Inc. Is an approved provider with the State of California, Board of Behavioral Sciences, Provider #: 2087. Successful completion of this self - study course meets the qualifications for 6.0 hours of continuing education credit as required by the California Board of Behavioral Sciences Canadian Social Workers:. PESI, Inc., #1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. Licensed Social Workers should contact their regulatory board to determine course approval. Social Workers will receive 6.25 (Clinical) continuing education clock hours for completing this self -study package. Course Level: All Levels. Canadian provinces may accept activities approved by the ASWB for ongoing professional development. Florida Social Workers/Marriage & Family Therapists/Mental HeaRh Counselors: PESI, Inc. Is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number BAP #77. This -self -study course qualifies for 6.0 continuing education credits. `FLORIDA PARTICIPANTS ONLY: To automatically be reported to CE Broker, after completing and passing the online post- test/evaluation, please contact cspesi@pesi.00m. You will need to provide the full title of the webcast, speaker name, date of live broadcast, your name and your license number in the email. Illinois Social Workers: PESI, Inc. Is an approved provider with the State of Illinois, Department of Professional Regulation. License #:158-000154. Successful completion of this self -study activity qualifies for 6.0 contact hours. Minnesota Social Workers: PESI, Inc. Is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP -140. This self -study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test. Ohio Social WorkersfCounseiors/Marriage & Family Therapists: PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self -study course meets the qualifications for 6.25 clock hours of continuing education credit. Pennsylvania Social Workers/Counselors/Marriage & Family Therapists: The Pennsylvania State Board of Social Workers, Marriage and Family Therapists and Professional Counselors will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. This course will qualify for 6.0 self -study credits. Full attendance is required, variable credits may not be awarded per the Pennsylvania State Board, Other Professions: This self -study activity qualifies for 6.25 hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements. . 711lt Kristine Mashy, Senior Continuing Education Administrator PESI, Inc., 3839 White Ave, Eau Claire, WI 54703 1.800.844.8260 CERTIFICATE OF COMPLETION THIS CERTIFICATE IS AWARDED TO FOR PARTICIPATION IN A 6.5 HOUR TRAINING DOMESTIC VIOLENCE AND ITS IMPACT ON CHILDREN PRESENTED BY A. 1VI E R VYN DAV I E S, MA, LPC, CA.CIII, FAPA DOMESTIC LABOR AND SEX TRAFFICKING to f PRESENTED By SERGEANT DAN STEELE AND UCOUNT SEPTEMBER 24, 2015 912412015 M'e AO DATE • r_.6.14"5414110-tr- rege :ow Alarm tee. ftlYste 401111C VETERANS HEALTH ADMINISTRATION AlOf EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Ela Archinger has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Treatment Resources and Tools VA Employee Education System. Provider Number 1040, is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), wwwaswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -Interactive This program was held at on Friday, June 10, 2016 8:07:42 PM ney J. Warner VHA Chief Learning Officer IZI" VETERANS HEALTH ADMINISTRATION EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Ela Archinger has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Stressors and Resources VA Employee Education System, Provider Number 1040. is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), wwwaswb org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -interactive This program was held at on Wednesday, June 08, 2016 8:56:42 PM ney J. Warner VHA Chief Learning Officer VETERANS HEALTH ADMINISTRATION VETERANS HEALTH ADMINISTRATION EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Ela Archinger has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Self -Assessment and Introduction to Military Ethos VA Employee Education System. Provider Number 1040, is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), www.aswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. . Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education dock hours. Delivery Format: Online, Non -Interactive This program was held at on Tuesday, December 15, 2015 1:51:17 PM ney J. Warner VHA Chief Learning Officer odiz VETERANS HEALTH, ADMINISTRATION' EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Ela Archinger has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Military Organization and Roles VA Employee Education System, Provider Number 1040, is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), www.aswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 -4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education dock hours. Delivery Format Online, Non -Interactive This program was held at on Wednesday, June 08, 2016 7:41:15 PM ney J. Warner VHA Chief Learning Officer Certificate of Successful Completion *tea *motheoletCcre Rehab of LTll Ed4Nurses N The 10 Core Competencies of Trauma, PTSD, Grief & Loss Speaker(s): MICHAEL DUBI, ED_D., LMHC November 18, 2015 Denver. CO The following participant Edeltraud Archinger CMIFnig'ir (License fJ, if applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used for your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS: This intermediate activity consists of 5.25 dock hours of continuing education instruction. Credit requirements and approvals vary per slate board regulations. Please save the course outline, the certificate or completion you receive from the activity and contact your state board or organization to determine specific Sling requirements. SOCIAL WORKERS: PESI. Inc. Provider 0:1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), w*rw.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2014 -January 27. 2017. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this Course will receive 6.25 (Clinical) continuing education clock hours in participating in this intermediate course. MARRIAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations Please save the course outline, this certificate of completion and contact your state board or organization to determine specific filing requirements. PSYCHOLOGISTS' PESI, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PEST maintains responsibility for this program and its content. This seminar awards 6.25 credits to participating professionals. Full attendance is required. No partial credit will be offered for partial attendance. ADDICTION COUNSELORS: PESI, Inc. is an approved provider of continuing education by the National Association of Alcoholism 8 Drug Abuse Counselors (NAADAC), provider 0: 00131. Full attendance is required; no partial credit will be awarded for partial attendance This course qualifies for 7.5 contact hours. NURSESINURSE PRACTTT1ONERS/CUNICAL NURSE SPECIALISTS: This activity meets the criteria for an American Noses Credentiating Center (ANCC) Activity. PEST, Inc, is an approved sponsor by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities Full attendance is required; no partial credit will be awarded for partial attendance. This activity qualifies for 6 25 contact hours. CASE MANAGERS. This program has been pre -approved by The Commission for Case Manager Certification to provide continuing education credit to CCM board cettifred case managers. The course is approved for 6.25 CE contact hour(s) Activity code: S00017491 Approval Number 150003414 To claim these CEs, log into your CE Center account at www.ccmcertihration.org. COLORADO SOCIAL WORKERS: PESI, Inc is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider 01413. This course has been approved for 6.3 continuing education hours OTHER PROFESSIONS: This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific sling requirements. DISCLAIMERS: Information obtained in this course should be used within your scope of practice. *It is your ethical responsibility to report accurate hours to your licensing board. It you are in partial attendance a revised certificate wit be sent to you, upon your request, after the activity. Please allow 30-45 days "Even though you have received this Certificate of Attendance, if you have a balance due, the balance must be paid in full within 30 days, or your hours may be retracted. "An participants are provided a post.testfevaluation form that is to be completed and turned in at the conclusion of the seminar- If you require a copy of the test/evaluation, please have a copy made at the seminar. Or you may cat our customer service department and a copy of your test/evaluation wit be emaiied to you. Please allow 30.45 days. PESI, Inc. offers continuing education programs and products under the brand names PESI, PEST HealthCare. PESI Rehab. HealthEd, MEDS•PON, Psychotherapy Networker and Ed4Nurses. The back of this certificate may contain additional information Kristine Cleasby, Senior Continuing Education Administrator PESt, Inc. 1-800844-8260 P.O. Box 1000, Eau Claire. Wl 54702-1000 Certificate of Successful Completion .PES' *PESI' ileallhCcre Aet+cb I IL:11: i II Ff1.— Ed4Nurses Evidence -Based Trauma Treatments & Interventions Speaker(s): MICHAEL DUB), ED.D., LMHC November 19, 2015 Denver. CO The following participant Edeltraud Archinger if Ci 3 (Licensed, if applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used for your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS: This Intermediate activity consists of 6.25 dock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. SOCIAL WORKERS PEST, Inc. Provider #:1062. is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc maintains responsibility for the program. ASWB Approval Period: January 27, 2014 -January 27, 2017. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 6.25 (Clinical) continuing education clock hours in participating in this intermediate course. MARRIAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, this certificate of completion and contact your state board or organization to determine specific filing requirements. PSYCHOLOGISTS: PESt, Inc. is approved by tie American Psychological Association to sponsor continuing education for psychologists. PESt maintains responsibility for this program and its content. This seminar awards 6.25 credits to participating professionals. Full attendance is required. No partial credit win be offered for partial attendance. ADDICTION COUNSELORS: PESI, Inc. is an approved provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC). provider #: 00131. Full attendance is required; no partial credit will be awarded for partial attendance This course qualifies for 7.5 contact hours. NURSES/NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS. This activity meets the criteria for an American Nurses Credentialing Center (MCC) Activity. PESt, Inc, is an approved sponsor by the American Psychological Association. which is recognized by the ANCC for behavioral health related activities. Full attendance is required; no partial credit will be awarded for partial attendance. This activity qualifies for 6.25 contact hours. CASE MANAGERS: This program has been pre -approved by The Commission for Case Manager Certification to provide continuing education credit to CCM 9 board certified case managers. The course is approved for 5.25 CE contact hour(s). Activity code: So0017487 Approval Number: 150003420. To claim these CEs, log into your CE Center account at www.ccmcertification.org COLORADO SOCIAL WORKERS: PESI, Inc. is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 6.3 continuing education hours. OTHER PROFESSIONS: This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements DISCLAIMERS: " Information obtained in this course should be used within your scope of practice. "It is your ethical responsibility to report accurate hours to your licensing board. If you are in partial attendance a revised certificate wit be sent to you, upon your request, after the activity. Please allow 30-45 days. "Even though you have received this Certificate of Attendance, if you have a balance due. the balance must be paid in full within 30 days, or your hours may be retracted. "All participants are provided a post-tesllevaluation form that is to be completed and turned in at the conclusion of the seminar If you require a copy of the tesvevaluation, please have a copy made at the seminar. Or you may call our cuslomer service department and a copy of your test/evaluation well be emailed to you Please allow 30-45 days_ PESt, Inc offers continuing education programs and products under the brand names PESI. PESI hiealtheare, PESI Rehab, HeafthEd, MEOS•PON, Psychotherapy Networterand Ed4Nurses The back of this certificate may contain additional information Kristine Cleasby. Senior Continuing Education Administrator PESI, Inc. 1-800-844.8260 P.O. Box 1000, Eau Claire, WI 54702-1000 • CERTIFICATE Or COMPLETION TH I$ CERTIFICATE I$ AWARDED TO FOR PARTICIPATION IN A 6.5 HOUR TRAINING DOMESTIC VIOLENCE AND ITS IMPACT ON CHILDREN PRESENTED BY A. MERVYN DAVIES,MA, LPC, CACIII, FAPA DOMESTIC LABOR AND SEX TRAFFICKING 1O1 PRESENTED BY SERGEANT DAN STEELE AND UCOUNT SEPTEMBER 24, 2015 9,2472013 *IMMATURE OR ALA4 .3;1,4%2- • -P. DATE 0 Alayna Baker (435) 890-9797 Lyna.baker@gmail.com Education Colorado State University Masters of Social Work (current graduate student) Utah State University Bachelors of Science, Social Work • Degree GPA 3A7 Work Experience May 2017 (expected) May 2015 Community Coordinator Colorado State University Apartment Life June 2016 — Present • (970) 491-3163 Karina Brum (Resident Manager) • Developed and maintained a positive and supportive working relationship with residents living on campus at Colorado State University and other with other staff members • Approached residents on policy violations and make reports to management and/or CSU police when necessary • Created a positive and safe environment for students to succeed • Planned and implemented a variety of programs for residents to participate in • Acted as a resource for residents to identify community resources and build an alliance between campus and the greater Fort Collins area. Staff Assistant II Utah State University Housing May 2012 - May 2016 • (435) 797-3266 Anne Spackman (Housing Coordinator) • Processed payments and housing applications • Maintained a high level of customer service while answering phones, assisting visitors, scheduling meetings, answering emails, scan, file, and processing incoming mail • Reconciled university purchasing cards for all facility employees • Managed and tracked all USU utility bills and accounts • Assisted with day to day office functions as necessary • Completed move in packets with all new family housing residents • Assisted residents with work orders and dispatched maintenance staff as needed • Helped customers troubleshoot website and application template • Continually worked with the housing coordinator to update website and all technology as needed Ski and Snowboard Technician Beaver Mountain Ski Resort • (435) 760-0846 Dave Eames (Manager) • Serviced skis and snowboards including waxing and basic tuning • Promoted a positive and fun environment in the rental shop for daily renters • Managed the payment system in the rental shop • Completed the daily cash deposit • Assisted sales team in promoting equipment purchases November 2014 - April 2016 Alayna Baker (435) 890-9797 Layna.baker@gmail.com References Anne Spackman-Previous Supervisor at Utah State University Housing and Residence Life • (435) 797-3266 or anne.packman@usu.edu Julie Wickham- Supervisor/co-worker at Utah State University Housing and Residence Life • (435) 797-3314 or Julie.wickham@usu.edu Hosam Ahmad- Current Supervisor at Colorado State University Apartment Life • (970) 491-5521 or I-losam.ahmad@colostate.edu Adrianne n ne Beers 2200 Ouray Court, Fort Collins, CO 80525 1970-459-7272 I asbeers4@outlook.com Objective • To obtain a position in a stable and established organization that will enable me to further my knowledge of leadership roles and responsibilities, improve on my organizational ability, and continue to develop my passion for working with people within the human services field. Education METROPOLITAN STATE COLLEGE OF DENVER, DENVER, CO • B.S. in Human Services; emphasis in Mental Health Counseling • Graduated: 2009 STEPPING STONES HIGH SCHOOL, LOVELAND, CO • Graduated 2002 Work Experience QUALFON — BARE ESCENTUALS HELPDESK ASSOCIATE • Monitoring call flow and call queue management. • Elected as a mentor for the Live Training Program for new hires. • Coaching and development with the use of the GROWTH model. • Assisting in de-escalation in delicate situations. • Furthering the success of the client company through sales and retention. MOUNTAIN CREST —MENTAL HEALTH COUNSELOR • Direct care for clients with emotional/behavioral issues. • Milieu and crisis management. • Trained in CPR and First Aid. LITTLER CENTER — MENTAL HEALTH WORKER • Working directly with children suffering from behavioral issues. • Medication administration. MARCH 2015 -PRESENT NOVEMBER 2009 -FEBRUARY 2014 FEBRUARY 2009 -JULY 2009 MOUNT SAINT VINCENT HOME— MENTAL HEALTH WORKER FEBRUARY 2006 -DECEMBER 2008 • Working on a milieu with clients sufferirg from emotional and behavioral crisis. • Quarterly reporting, client documentation, and implementation of individual service plans. References AVAILABLE UPON REQUEST Evan Bland 620 Mathews St. Unit 109 ■ Fort Collins, CO 80524 (970) 377-2973 home • (610) 322-0471 cell a evanbland c yahoo.com Ob ective: Seeking a career opportunity that allows me to utilize and grow my skills while contributing as a team member to the success of a youth development organization. Summary of Skills Coaching/Mentoring • Coordinates and engages youth in pro -social and recreational activities • Provides one on one teaching and advocacy to youth to help develop life skills and promote independence • Non judgmental listening when working with at -risk youth • Advocating on behalf of clients at Team Meetings such as FSRT, FAPT, Wrap Around and other agency specific support meetings. Knowledge of Local Resources • Worked with Larimer County Workforce during career transition and learned to utilize local resources in career options, job searching, schooling, training and networking • Have developed a professional network of youth service providers through workshops, informational interviews, working and volunteering • Strong commitment to research and developing connections for youth related services through government, non-profit, independent and social networks Communication • Excellent written and oral communication skills when interfacing with staff, clients and referral agents • Experience in creating activities that engages youth to learn real life skills along with teamwork • Demonstrates professional representation of non-profit organizations while dealing with staff, clients, partner agencies and the general public • Computer skills: Word Processing, Microsoft Office, Open Office, database creation and management, Internet Search Programs Experience & Work History Turning Point, Fort Collins/Greely, CO. July 2010 to Current Coach/Mentor Develop and maintain a positive working relationship with youth and families to help set and accomplish goals for the Community Centered Services Program. Plan, coordinate, and facilitate activities with clients. Work collaboratively with the community, program staff, referral agents and family to implement services for clients. The Matthews House. Fort Collins, CO. April 2010 to Current Mentor, Coach, House Volunteer Help at -risk youth ages 16-21 on a one on one basis to help build meaningful relationships with adults socially and professionally. Aids youth in job hunting, resume building, professional networking, college choices, career options and career development. Co -lead in running the "guys group" which focuses on team building skills and positive social interaction. ReDirect Guide Inc. Fort Collins, CO. July 2008 to Current Distribution and Outreach Associate Distribute ReDirect Guide to Businesses, Government agencies, Community Organizations and other entities that want to help promote sustainability. Researches organizations that qualify to promote their business in the ReDirect Guide. Work events, festivals and meetings handing out guides, while informing the public about sustainable living and green resources. Evan Bland 620 Mathews St. Unit 109 w Fort Collins, CO 80524 (970) 377-2973 home ■ (610) 322-0471 cell ■ evanblandvahoo.com Experience & Work History (*Don't) Discover Ft. Collins. Fort Collins, CO. October 2009 to Current Distribution Manager Full responsibility for managing and distributing 80,000 copies a year of the Discover Ft. Collins Magazine. Identify local businesses and residential neighborhoods that reach the target demographic. Created and maintained a detailed database of all distribution locales. Co- Owner, Marketing/Production - Peak Sound Productions, LLC, Fort. Collins CO. 2008 - 2009 Natural Resource Technician - Fort Collins Natural Areas Department. Fort Collins, CO. 2007 - 2008 Crew Chief / GPS Technician - Saxinger and Black Incorporated. Lancaster, PA. 2005 - 2007 Mapper / Field Technician - Southern Mapping Technology. Naples, FL. 2003 - 2005 GPS/GIS Technician - Chester County Dept. of Parks and Recreation. West Chester, PA. 2001-2003 Education & Certification West Chester University; West Chester, PA (June 1998 -May 2001) BA in Geography and Planning, School of Business and Public Affairs Graduated Cum Laude Certification in First Aid Certification in CPR - Adult, Child and Infant Honors and Activities • Boys and Girls Club of Larimer County, Volunteer • Ft. Collins Sustainable Living Fair Steering Committee • Habitat For Humanity of Collier County Florida, Volunteer • CHESCO POPS, Volunteer • URISA (Urban and Regional Information Systems Association) • Geography Honors Organization (Gamma Theta Epsilon) • Dean's List References 1. Gwen Koenig, LCSW, The Mathews House - Community -Based Program Director 970-217-7273 gkoenig@thematthewshouse.org 2. Dylan Walker, Turning Point — Tracker/Community Specialist 970-566-4870 dwalker@turningpnt.org 3. Damond Dotson, Ph.D., LMFT, Mountain Crest Hospital — Wraparound Supervisor 970-207-4891 office, 970-576-1717 cell drd6@pvhs.org Candice M. Chavez 2510 Baxter Place, Fort Collins CO (970) 391-8817 candicechavez@hotmail.com EDUCATION 2015 M.S. Candidate, Human Development and Family Studies Concentration: Marriage and Family Therapy Colorado State University, Fort Collins, CO Graduating Surnmmer 2015 2008 B.A., Psychology and Social Behavior, Cum Laude Minor: Education University of California, Irvine, CA CLINICAL WORK EXPERIENCE Upon graduation, will have completed 500 hours of supervised clinical experience: 2014 -present Marriage and Family Therapist intern Center for Family and Couple Therapy Colorado State University, Fort Collins, CO • Provide psychotherapy services for individuals (adults, adolescents, and children), couples, and families • Maintain accurate records and detailed case notes for all clients • Provide peer supervision to other therapist interns while being supervised by AAMFT-approved supervisors • Present treatment plans in written and oral form to AAMFT-approved supervisors and work collaboratively with therapists • Integrate MFT theories and techniques into the practice of individual, family, and couple therapy • Communicate with community providers such as Department of Human Services and Child Protective Services • Market services of the CFCT to the community by cold calling local business and healthcare professionals Spring 2015 Clinical Backup/Therapist Intern Campus Corps: Therapeutic Mentoring Colorado State University, Fort Collins, CO • Provide therapeutic interventions for at -risk youth in a milieu setting • Conduct early interventions, assessments for safety to self and others, and assessments for drug/alcohol use with adolescents as needed • Facilitate BREATHE program (i.e. mindfulness) to children and adolescents ages 10-18 • Prioritize crisis issues and correspond with family members, child Protective Services, caseworkers, and probation officers as needed TRAININGS & CERTIFICATIONS Graduate degree training included Family Systems Theory, Experiential Family Therapy, Emotion Focused Therapy, Solution -Focused Brief Therapy, Play Therapy, Cognitive - Behavioral Therapy, and Motivational Interviewing. 2014 Adult and Pediatric Red Cross First Aid/CPR/AED Certified 2014 High Conflict Couples Therapy Training 2014 Informed supervision and Therapeutic Care of Juveniles who have Committed Sexual Offenses 2014 Gottman Couple Therapy Level 1 Training: Bridging the Couple Chasm RESEARCH & TEACHING EXPERIENCE Feb. 2015 Guest Presenter, Healthy Relationships Seminar V.A.W.A. Series, Front Range Community College, Fort Collins, CO Spring 2015 Teaching Assistant, Marriage & Family Relationships Department of Human Development & Family Studies Colorado State University, Fort CoMins, CO Fall 2014 Teaching Assistant, Programming for Children and Families Department of Human Development & Family Studies Colorado State University, Fort Collins, CO 2013- 2014 Research Assistant for Dr, Karen Barrett Department of Human Development & Family Studies Colorado State University, Fort Collins, CO Summer 2007 Research Assistant for Dr. Carol Whalen Department of Psychology & Social Behavior University of California, Irvine, CA PROFESSIONAL AFFILIATIONS 2013 -present American Association of Marriage & Family Therapy, Student Member 2013 -present Colorado Department of Regulatory Agencies, Registered Psychotherapist REFERENCES Stephanie Sang, MS, LMFT Director, Center for Family and Couple Therapy Colorado State University 502 W. Lake Street, Fort Collins, CO 80526 Phone: 970-491-5991 Email: Stephanie.Seng@c,olostate.edu Toni Zimmerman, PhD, LMFT Director, Marriage and Family Therapy Graduate Program Professor, University Distinguished Teacher Department of Human Development & Family Studies Colorado State University, Fort Collins, CO Phone: 970-491-6922 Email: Toni.Zimmerman@colostate.edu Jenn Matheson, PhD, LMFT President -Elect, Colorado Division of AAMFT Clinical Director, Aspen Trauma Therapy Institute 709 3rd Ave, Suite 201, Longmont, CO 80501 Phone: 720-943-7593 Shawn Whitney, MS, LMFT, S-PSB Supervisor, Center for Family and Couple Therapy \1c'1 ' Colorado State University 502 W. Lake Street, Fort Collins, CO 80526 Phone: 970-873-4165 Veronica J Chulata MA, LMHP vron326©gmail.com 724 Bramblebush St. Fort Coffins, CO. 80524 (402) 641-0681 Education Grace University, Omaha, Nebraska Bachelor of Science in Christian Education/Youth Ministry Area of Concentration: Counseling Graduation Date: December 1999 Grace University, Omaha, Nebraska Master of Arts In Counseling/State Licensure Graduation Date: May 2009 Licensure Mental Health Practitioner/State of Nebraska License No. 4151 (Inactive Status) Related Experience Paraprofessional (August 2014 -May 2015) Scottsbluff Public Schools, Scottsbluff, Nebraska *paraprofessional in a behavioral program Substitute Teacher (February 2014 -June 2014) Scottsbluff Public Schools, Scottsbluff, Nebraska * Substitute teacher district wide Unification Specialist (May 2013 -October 2013) Christian Heritage, Walton, Nebraska * Intensive In -home Support * Maintain family safety, increase family engagement * Parent Education and Skill Building * Enhancing Family Stability * Linking Families to Formal and Informal Supports * Building on Strengths PC•c7 Psychotherapist (February 2009 -December 2010) Epworth Village, York, Nebraska * Provide individual, group and family therapy to at risk youth * Participate as a member on an interdisciplinary team * Treatment planning, assessments, proper and timely documentation * Networking, community relations, and professional development Psychotherapist/Intern (August 2008 -February 2009) Epworth Village, York Nebraska * Provide individual, group, and family therapy to at risk youth * Participate as a member on an interdisciplinary team * Treatment planning, assessments, proper and timely documentation * Networking, community relations, and professional development Middle School intern (August 2001 -October 2003) Young Life, Shawnee Mission, Kansas * Plan and organize recreational activities, music, and group meetings * Youth outreach, mentoring and relationship building with parents, community, and schools. * Volunteer recruitment and training Youth Worker i (August 1999 -August 2000; January 1998 -May 1998) Children's Square U.S.A., Council Bluffs, Iowa • Provide a safe and therapeutic environment • Lead and guide group therapy, recreational therapy, and individual therapy * Documentation and dispensing of medication Middle School Volunteer (August 1995 -August 2000) Young Life, Norfolk and Omaha, Nebraska * Plan and Organize recreational activities, music, and group meetings * Youth outreach, mentoring and relationship building with parents, community, and school. * Volunteer recruitment and training Education Director (September 1997 -February 1998) Boys and Girls Club, Carter Lake, Iowa * Plan, organize, and instruct educational activities such as computer games, arts and crafts, study time, and various clubs * Clubs include such topics as photography, academic achievement, and cross-cultural experiences Paraprofessional (August 1995 -May 1997) Norfolk Public Schools, Norfolk, Nebraska * Provide one on one aid to a handicap student * Aid in special education classroom in teaching and helping student with assignments Professional References t/ Dr. Justin Brogan, Ph.D Chair, Counseling and Marriage and Family Program Argosy University, Denver Campus (303)923-4161 jbroganc argosy.edu Eunice Williams, MS.Ed Marriage and Family Therapist PO Box 312 Henderson, NE 68371 (402) 723-4348 Dawn Gregory MS.Ed, LIMHP, LPC 216 W6th St., Suite 4 York, NE 68467 (402) 410-0156 dawng77999yahoo.com Leslie Deal MSMFT, LMHP 216 W6th St., Suite 4 York, NE 68467 (402)942-2918 lesii jdealtyahoo.com Certificate of Completion This certificate is awarded 6y Boulder County Department of Lousing and'Ouman Ser=vices (klav7 Lieuli(-"—e. Eor attending 9 hours of Or. James.7fenry — 2Tiink7rauma: Creating Trauma -Informed ResidentiaC7reatment Settings Melisa Maling Tanury aZ Children's.Services cDivision %Imager March 21, 2017 Date TRAIN Transcript: Candice Chavez Train UseriD: 1136026 Course Registered Completed Format Pre -Assessment Final Score Credit Score Verified Withdrawn Military Culture: Core Competencies for Health Care Professionals Self -Assessment and Introduction to Military Ethos 6/2/2015 8/29/2015 Web -based Training - N/A 5:23:36 PM 6:44:24 PM Self -study 100.00% APA: Continuing Education Credit: 2 No No Christopher Eastman 6708 Autumn Ridge Drive Fort Collins, CO 80525 (970)980-7777 ceastman17@gmail.com CAREER OBJECTIVE As a full-time student to obtain a degree in psychology with a concentration in addictions counseling EDUCATION August 2013 -Present August 2009 -May 2013 WORK EXPERIENCE October 2014 -Present June 2014 -Present June 2012 -August 2014 August 2011 -January 2012 Amber Johnson (719)-31.0-8821 Wendy Lee (970)-567-0939 Jewel Manzay (214)-923-3374 Bess Moodie (970)-491-6301 Colorado State University Fort Collins, Colorado Psychology -Addictions Counseling Sierra High School Colorado Springs, Colorado General Studies Panda Express Greely, Colorado *Assistant Manager All Ways Up Foundation Los Angeles, California *counselor/scholarship recipient Rainbow Clothing Shops Colorado Springs, Colorado Sales associate *customer service Volunteer Work Youth Mentor Colorado Springs, Colorado Wasson High School Mentors *mentorship with troubled youth/life skills OLIVIA R. GEORGIA ogeorgia@rams.colostate.edu (303) 915-816 Education: B.S. Psychology, Colorado State University, Fort Collins, CO GPA: 3.8 08/12-05/16 Relevant Experience: Intern, Campus Connections (Corps) at Colorado State University, Fort Collins, CO 01/16-05/16 • Served as an experienced Mentor Coach on the Leadership Team and supported logistical operations in preparation for and during mentoring sessions. • Assisted with administrative operations including tasks related to youth case management and recruitment, and mentor management. • Completed teaching assistant responsibilities including grading/screening mentors' reflection journals and communicating clinical concerns to Family Therapist Instructors (FTI). • Assisted with mentor and youth recruitment by communicating information about the program to prospective participants. • Communicated and handled conflict/crisis situations with youths' parents/guardians over the phone on a weekly basis. • Facilitated Informational Meetings with prospective mentors and processed applications. • Organized and monitored meals and snacks for all participants through weekly correspondence with the Food Bank of Larimer County. Mentor Coach, Campus Connections at Colorado State University, Fort Collins, CO 01/15-05/16 • Assisted FTIs and Program Manager monitor mentor/youth interactions throughout all aspects of weekly mentoring sessions (3pm-9pm). • Assessed for issues related to youth safety and immediately communicated clinical concerns to FTIs. • Approved mentors' Youth Weekly Progress Reports and authorized their release to referring agencies (e.g., DHS). • Provided leadership, feedback, and opportunities to debrief issues related to mentor/youth relationships among student mentors. Lead Summer Camp Instructor, City of Fort Collins Recreation, Fort Collins, CO 05/14 -Present • Planned and facilitated activities for groups of children 5-12 years old. • Problem -solved and strategized with inclusion aids on how to meet the needs of children with special needs. • Supervised groups of children during various activities, including field trips, hiking, and swimming. • Monitored children demonstrating escalated behavior and facilitated conflict resolution among campers. • Monitored interactions and maintained a safe and fun environment for all camp participants. Assistant Preschool Teacher, City of Fort Collins Recreation, Fort Collins, CO 08/15-05/16 • Planned activities for children ages 3-5. • Acquired a deeper understanding of child development and applied knowledge in order to support social and emotional development. Mentor, Campus Connections at Colorado State University, Fort Collins, CO 08/14-12/14 • Mentored a community -referred youth for 12 weeks by providing emotional support, encouraging goal setting, and supporting the development of prosocial skills. • Demonstrated active and reflective listening as well as motivational interviewing techniques to express affirmations and support intrinsic motivation to change. • Assessed and documented mentee progress and challenges through the uses of written Progress Reports and Reflection Journals. • Communicated regularly with mentee's guardians/caseworker and submitted weekly documentation in accordance with professional documentation protocol/format. Front Line/Cashier, Garbanzos Mediterranean Grill, Denver and Fort Collins, CO 05/10-03/13 • Implemented Garbanzo marketing and sales strategies, product knowledge, and customer service to sell products, meet sale goals, and ensure customer satisfaction. Collegiate/Community Experience and Certifications • Dean's list for College of Natural Sciences • Research Assistant for undergraduate social psychology • Presented at the 2015 Rocky Mountain Psychological Association conference • Member of Colleges Against Cancer, Activities Chair and Lead • Member, CSU Women's Club Ultimate Frisbee Team (Regional Qualifiers) • Teaching Assistant for Basic Counseling Skills • CPR Certified and First Aid 01/13-05/16 08/13-05/15 04/15 08/13-05/16 08/12- 04/16 08/15-12/15 05/16 O L T Experienced in a wide range of industries; skilled in customer service, communication, and organization. • Passionate about helping others and tirelessly working to do what is right by being active in the community. Detail -oriented and able to pay dose attention in high -stressed situations, RK RI J Direct Support Provider Jul. '15 - Present Support Incorporated Denver, CO • Working with disabled individuals that are becoming acclimated in the community. • Caring for individuals with autism; cooking, caring and ensuring cornfortability. • Entering observant data for each individual; overseeing at least 5 different clients at one time Social Work Intern/Assistant Jul. '13 - Present Human Services Consultants Denver, CO Visit clients on a daily basis and ensure needs are being met. • Provide assistance on insurance and financial statements. • Maintain company records and develop action plans. Waitress Jun. '06 - Dec. '15 Old Chicago, Cattleman's Steak House, Athertos, Rumi's Fort Collins, CO and Greeley, CO • Upholding exceptional service in fast -paced environments. • Effortlessly suggesting knowledge and input about menus. • Positively representing the brand through outgoing personality. Student Aid Sept. '09 - May '12 Asian Pacific American Student Services Greeley, CO • Ensured out-of-state students were comfortable around campus. • Coordinated weekly events to boost morale and recruit members. • Redesigned office by implementing an organized filing system. Admin. Intern/File Clerk Jun. '06 - Aug. '11 Galloway and Company Greenwood Village, CO Administered mail, projects, and plans to necessary outlets. • Consolidated paperwork to be scanned, destroyed, or archived. • Answered phones, greeted clients, and researched prospectives. E. Hovivian Loveland, CO greghoviviancounseling@hotmail.com - 909-754-1681 WORK EXPERIENCE Inland Psychiatric Medical Group - January 2009 to May 2012 Providing individual therapy to children, adolescents, adults and families. • Working collaboratively with psychiatrist Therapist Loma Linda Behavioral Medicine Center - April 2007 to December 2008 Adolescent Partial Hospitalization program Clinical Therapy II • Responsible for conducting psychosocial assessments, developing treatment plans to meet the behavioral and mental health needs of patients and families, the provision of scheduled program activities in an acute psychiatric setting for adolescents, crisis intervention, assessing suicidal ideation, certified to 5150, facilitate individual, family, and group therapy, chart documentation, participate in multidisciplinary team and DBT consultation team meetings. Supervision of MFT interns and MSW associates. County of Center Clinical Therapist Central Valley Juvenile Detention & Assessment - June 2005 to January 2007 1 • Duties include, but not limited to: clinical interviewing, diagnoses and risk assessments; suicide assessments and the responsibility for placing the suicidal client on a "constant, 10 minute or 5 minute" suicide watch and for removal from this level of supervision; chart documentation, assessment and referral to psychiatrist and DBH therapist; crisis management and interventions, treatment planning, family therapy; training and educating probation staff on mental health issues. Participated in and also chaired several work groups to develop policy and procedures, protocols, job descriptions, and gender specific therapy for girls as dictated by the John Doe II lawsuit. Social worker Walden Family Service, Foster care Agency - May 2000 to December 2005 Duties include: weekly face-to-face visits with child and foster family, crisis management, treatment planning and development of goals, case management, collaborative treatment with county social worker/parents/foster parents/teachers/therapists; completion of quarterly reports, training foster parents, positive role modeling to children and foster parents. Health Clinical Therapist County of San Bernardino - May 2001 to June 2005 Assigned to Central Juvenile Detention & Assessment Center where my duties included, but not limited to: providing clinical therapy, completion of clinical assessments and interviewing, diagnoses, chart documentation, needs assessment for possible med regime, psychological evaluation, case management; crisis intervention, assisting with D/C planning and aftercare. • Previously assigned to Behavioral Health Resource Center in Rialto. Duties were the same as above in addition to working with Home and Hospital program. • Assigned also to the Wilderness Program. This program was designed for at -risk children and pre- adolescents. Duties included weekly contact with clients to increase social skills, peer interaction, wilderness appreciation, hiking, camping, living skills and teamwork. Social Service Practitioner County of San Bernardino - November 2000 to May 2001 The investigation of allegations of child abuse, crisis intervention with families, maintaining and/or the removal of children from the home, reunification services, long term placement, allegation and court reports as well as interactions with the court regarding the children's cases, collaborative work with the foster care families, weekly and monthly visits, quarterly reports Social Worker/Home Director Inland Empire Residential Centers - September 1998 to November 2000 Responsibilities included maintaining daily group home structure which included close monitoring and management of routines; milieu therapy, group and individual therapy with 7-14 boys, crisis intervention, planned, organized and staffed off -site activities; chart documentation, quarterly reports, passed medications; hiring/firing/training/scheduling of staff and leading weekly staff meetings; staff building activities Bereavement Coordinator Hospice of the Valleys - May 1995 to October 1998 Responsibilities included overseeing the Bereavement Program, coordination of volunteers and their job duties, facilitated bereavement groups (adult, child, adolescent), facilitated weekly school bereavement programs in Lake Ellsinore and Murrieta School Districts, member of crisis team, crisis interventions, individual counseling, working with families before and after the death of a loved one; facilitated annual staff/volunteer appreciation luncheon, community outreach and trainings. EDUCATION Masters in Clinical Psychology Azusa Pacific University September 1995 to May 1998 Bachelors in Psychology California State University in San Bernardino September 1993 to May 1995 ARIANA IACOBUCCI 5144 Southern Cross Lane 970-215-8903 Fort Collins, CO 80528 aiacobucci@mac.com OBJECTIVE: To work as a mental and/or behavioral health counselor within a health care organization. SUMMARY • LPCC permit number: LPCC.00 14238 (Colorado) • Extensive experience working with 60-100 clients per month to improve health & wellness through behavioral change • Skilled in providing health screenings, 'bio-psycho-social' intakes and assessments • Wide knowledge of principles of health -behavior change, including motivational interviewing and person -centered theory • CAC -III certification (Certified Addiction Counselor) in progress EDUCATION AND TRAINING Master of Arts in Counseling, REGIS UNIVERSITY, DENVER, CO, GRADUATION 8/2014, CUMULATIVE GPA 3.95 Bachelor of Arts, International Affairs, THE GEORGE WASHINGTON UNIVERSITY, Washington, DC, 1997 WORK HISTORY Health Specialist UNITEDHEALTH CARE / OPTUM, Fort Collins, CO 2013 -present • Assesses biometric data and coaches dients following established protocols Manages case load of 60+ clients per month Conducts coaching sessions with clients to set and achieve health goals Documents client progress and maintains data base Develops strategies for increasing compliance and assisting clients to reach their goals Mental Health Counselor, INNER BALANCE HEALTH CENTER, Loveland, CO 2013 -present • Works with clients process mental health issues related to substance abuse and addiction • Facilitates psycho -educational groups on various mental health topics • Completes assessments of patients into the 28 -day residential treatment program Wellness Coach WYOMING HEALTH SOLUTIONS, Cheyenne, WY 2011-2013 • Assessed biometric data and stratified new clients Managed case load of 200+ clients per month Scheduled and met with clients at their places of employment and telephonically • Presented monthly educational workshops to groups of 50* participants • Maintained independent coaching schedule including communication with clients and documentation of sessions VOLUNTEER EXPERIENCE - Pathways Hospice, Fort Collins, CO - Autism Society, Fort Collins, CO 2010- 2013 2008- 2010 :..\ :. ••�� \. .� '.•n� �... �.� •• .y .. .: �.:'.��\y�. 5 \ \• y vary :u1n,.,. �.1•. .�1...� 1 aly. p,. 1o..a 1. e.,nn..., ;, 4,g:s, \, ty11 .t-, l't n1 .lsn is•,. V 1, •t.-Ir,14i. `{.\11 -�. ,,, 1;;� N l:' T ^1 w; �: .4. a: T !`ez a 1 :�\...:!:111: •:T a 'T 14 X11\ a i y S ; � ,1.�., \ l l 1,,, r,,.1�,1 1 n \ . r .u. it 1 Noter- f` ••,Sa C �,��, `,, �1 i � � ,:�.. !, \a\ 1 � � ` \�'�a\ >.,�. ; !s . T 1 �i1 '•,' � 1. ' :ti"\\ \t1�`141\�\\ tea 44 1 l�..,1�. !\q� �y;� S41,� �1≤. Tlt �'�` \T 1 , 1•! t �1. �1 �� ! u1` i µ T s�•l, ''1� \ ` ,t !..\i \t �' _!� ` :.�\ �4 } _ c t it! 5 1.,.`. i`1li Ioiwo M&IRga:w1 ARM 4C1F11S1S . i T s. 1,A+:A, G \ MA:A1+ K1 \ i 11 1 • \00 AV :s"0n a!w; ,1 TY .4'i 1V\.', v`11`n'. d1>•r\5:1 t: CERTIFICATE OF TRAINING COMPLETION THIS DOCUMENT CERTIFIES THAT HAS SUCCESSFULLY COMPLETED 3 HOURS OF TRAUMA 101 WITH DR. JAMES HENRY DESCRIPTION: TRAUMA 1 0 1 , UNDERSTANDING THE IMPACT OF TRAUMA ON CHILDREN AND INDIVIDUALS AND IMPLICATIONS FOR PRACTICE AND RE- SILIENCY BASED INTERVENTIONS 3 HOURS OF TRAUMA FOCUSED TRAINING 1/8/16 ISSUED BY: ANDREA FOTSCH, MSW TRAUMA CARE COORDINATOR LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES 1�1 REGIS UNIVERSITY Division of Counseling and Family Therapy Continuing Professional Development Certificate of Participation RHCHP 3rd Annual Summit for Healthcare Professionals October 17, 2015 Awarded to Ariana Iacobucci For attendance at Keynote Presentation: Patient Wellness through Daily Victories, John F. Nichols, MSM, CLU Go With Your Gut: A Depth Exploration of Body Wisdom in the Counseling Room, Rachel Smith, LPC, CAC H How to Work with Autoimmune illness: The Power of an Integrative Approach, Katie Mason, LPC This certificate confirms that the participant has completed 3.5 professional development hours of a clinical training seminar at the RHCHP 3rd Annual Summit for Healthcare Professionals. These are among the professional development activities required for Colorado re- licensure for LPCs, Social Workers, Marriage and Family Therapists, and Addiction Counselors. Regis University is accredited by the Higher Learning Commission and is a member of the North Central Association of Colleges and Schools. J3etov 3faP+o, AD..Ce'S2U Betsy [hill. PhD. LCSW Assistant Dean Division of Counseling X Family Therapy Regis University r ' Para Kipp G 9704664727 671.5 Rose Creek Way Fort Coitivns CO dkipp@turvtivtgpvkt.org EDUCATION University of Northern Colorado- Greeley, Colorado Graduated December [2013] Bachelor in Human Services 3.63/ 4.0 GPA Northeastern Junior College- Sterling, Colorado Graduated May 2011 Associate of Science 3.83/4.0 GPA AWARDS AND HONORS Presidential Transfer Scholarships [Fall 2012] GPA of 3.0 or higher Phi Theta Kappa [Spring 2012] GPA of 3.5 or higher TRAINING AND CERTIFICATION CPR and First Aid Valid through (September 20151 Qualified Medication Administration Person Valid through [April 2019j SKILLS Software Microsoft Office Google Applications Keyboard 87 Words Per Minute -WORK EXPERIENCE - Turning Point Center for Youth and Family Development- Fort Collins, Colorado (September 2013 — March 2014] Intern [March 2014- Present] Education Counselor Work with adolescents to problem solve and provide assistance with substance abuse and behavior health treatment Maintain written and oral communication with other staff Track and analyze the clients behavior Integrate plans for community transition and life skills development of clients On The Border Mexican Grill and Cantina- Loveland, Colorado [September 2013 — Present] Server • Utilize problem solving skills when working with customers Utilize teamwork and communication with other staff Integrate multitasking skills in order to maintain and prioritize tasks Cancer Institute at Northern Colorado Medical Center- Greeley, Colorado [August 2012] Professional Interview -Oncology Patient Navigator Sue Faggerlund • Discussed responsibilities, duties, and challenges of a career in Oncology Navigation MARY JENNIFER LEWIS 1473 Moraine Valley Dr., Severance, CO 80550 mlewisl@students.naropa.edu (503) 705-2338 EDUCATION Naropa University, Boulder, CO M.A., Transpersonal Counseling Psychology Concentration: professional counseling, mindfulness -based therapy Portland State University, Portland, OR B.S., Psychology Concentration: psychology 2016 2011 CLINICAL WORK EXPERIENCE Mental Health Counselor Intern Turning Point Center for Youth and Family Development, Inc. 2015-2016 Weld Day Resource Program, Greeley, CO • Provided milieu, group, family, and individual psychotherapy • Provided behavior coaching within the milieu • Provide psychotherapy to adolescents struggling with substance use, anxiety, depression, poor academic motivation, interpersonal and trauma -related issues • Created and implemented curriculum for weekly social skills group sessions design to teach adolescents helpful skills to utilize within society • Co -created and co -facilitated curriculum for weekly Dialectical Behavior Therapy group sessions designed with a DBT core to help adolescents cope with everyday issues • Collaborate with outside treatment team members to ensure clients are receiving the recommended level of treatment and are making progress on treatment goals • Maintain accurate records and detailed case notes for all clients Mental Health Practicum Student Turning Point Center for Youth and Family Development, Inc. • Observed and assisted outpatient therapists • Observed and assisted day treatment therapist • Observed and assisted addiction's group therapist RELATED EXPERIENCE Academic Tutor A Tree of Knowledge Tutoring Services, CO • Provided as needed educational support in math, reading, and language arts for K -8`h grade Teacher's Assistant WeeCare Child Development Center, Providence Hospital, Portland, OR • Provided child care and developmental guidance for children aged birth to five years 2014 2012-2014 2009-2011 1 MARY JENNIFER LEWIS 1473 Moraine Valley Dr., Severance, CO 80550 rniewis1@students.naropa.edu (503) 705-2338 NOTABLE MENTIONS Creator and Moderator of a social media codependency support group Group focuses on healing codependent thoughts and behaviors through psychology based methods and promotion of self -empowerment. 2011 -Present Creator and Presenter of self -developed psychological healing concept - AKAA 2016 AKAA (Awareness -Knowledge -Acceptance -Action) is a concept that cultivates integrated healing. It encourages a healing process that decreases the likelihood for redevelopment and recycling of the core issues a client is working through. AKAA explores the depths of the whole person, promoting self -empowerment and a balanced awakening of authentic self. TRAININGS a CERTIFICATIONS 2015 Jim Henry Trauma Training 2015 Crisis Prevention institute: Nonviolent Crisis Intervention 2015 Trauma Informed Care PROFESSIONAL AFFILIATIONS Colorado Department of Regulatory Agencies, Registered Psychotherapist 2015 -Present REFERENCES Francis Kaklauskas, PsyD, LPC, CACIII Core Faculty, Mindfulness -Based Transpersonal Counseling Assistant Professor at Naropa University 2130 Arapahoe Ave, Boulder, CO 80302 Phone: 303-545-9393 Email: fkaklauskas@naropa.edu Laurie Rugenstein, Ed.D., MT -BC, LPC Core Faculty, Mindfulness -Based Transpersonal Counseling Professor 8 Counseling Concentration Coordinator at Naropa University 2130 Arapahoe Ave, Boulder, CO 80302 Phone: 303-546-3590 Email: laurier@naropa.edu Lisa Dion, LPC, RPT-S Synergetic Play Therapy creator Adjunct Faculty at Naropa University 2845 Wilderness Place, Suite 208, Boulder, CO 80301 Phone: 720-458-9597 x2 Email: lisa@lisa-dion.com 2 Certificate of Training This is to certtfy that has successfully competed 6.5 Flours of training: Sim Henry Training presented by: Sim Henry awarded on 8/21/2015 Lori Oswald, Client Services Administrator Arapahoe County Department of Human Services ay7 40, 4,70 .47 h This is to antfy that Mary Lewes was attended the 2.3ri., nnua(C M'Con. Terence enti 1e6 7(eynote Spea e Yeff Ashby, Pk AB,Vor- T'e6rualy`24 r tsZ 29E, 2017 Val aeoul (Dustin Copcnfrefer, CAPTTresident Valruno, C TTSecrctary Continuing Education The Colorado Association for Play Therapy is approved by the Association for Play Therapy to offer continuing education specific to Play Therapy. APT Approved Provider 99.049.:CArr maintainstesponsihility for this program. See back ofthis certificate for attendees number ofhnurc completed. Denver, Colorado February 24th 8625th 2017 LOG of Training Activities rnoay, t-eoruary �a, tu1 i Keynote Speaker (AM -3 Contact Hours) Play Therapy for Traumatized Clients —Using Play to Heal While Taking Care of Yourself with Jeff Ashby, Ph.D, ABPP, RPT-S i-riday, l-ebruary"24, 2017 Keynote Speaker (PM -3 Contact Hours) Play Therapy for Traumatized Clients —Using Play to Heal While Taking Care of Yourself with Jeff Ashby, Ph.D, ABPP, RPT-S S-1: Tracking Trauma Responses in Experiential Play Therapy®- Byron Norton, Ed.D, Licensed Psychologist, RPT-S, EPT/D Saturday, February 25, 2017 (AM -3 Contact Hours) Saturday, February 25, 2017 S-6: Expanding Play Therapy: How to Therapeutically Speak the in a Digital Era- Jessica Stone, Ph.D, RPT- e Saturday, February 25, 2017 i Contact Hours) Farai Tengai Makombe 1021 Rolland Moore Drive, Fort Collins, CO (970) 482-2912 (Home) faraimakombe@yahoo•com (970) 221-0999 ext 33 (Day time) (970)567-0849 (cell) OBJECTIVE EDUCATION To grow professionally in the human resources development field with a focus on education and training, staff development, leadership development, diversity, cultural competency skills, cross-cultural training, nonprofit leadership, women advancement, youth development, research and development, outcome measurement and resource development. *Currently enrolled in a Masters in Nonprofit Management program at Regis University. *PhD. Education and Human Resource Studies (Organizational Performance & Change) at Colorado State University, August 2006. Dissertation topic: Seeking culturally attentive career advancement strategies for women: Perspectives from Zimbabwean women. *Masters in Education, Specializing in Human Resources Development, Colorado State University, May 2000. The program focuses on continuous workplace performance and improvement, workforce quality improvement, leadership and management and other HRD processes. *BA Honors in African Languages and Literature, University of Zimbabwe, June 1988. PROFESSIONAL QUALIFICATIONS Teaching *Taught high school for 7 years and improved Shona and Geography results at Hartfield Girls High school. *Developed and taught an employment curriculum to clients at Turning Point. *Co- taught a 200 level class at Colorado State University the , Spring of 2008 (The Sociology of Race and Ethnicity). Supervision *Supervised 8 language teachers at Hartfield Girls High School and improved the final examination results for the department. *Supervised 10 language and literature teachers and managed the Shona department at Kambuzuma High School. Reorganized the languages department that had been chaotic for years. *House prefect for a dorm of 10 girls when I was in boarding school during my 6 years of high school. *Lead counselor for the Structured Transition and Emancipation Program at Turning Point Center for Youth and Family Development. -Instrumental in restructuring the program and writing a new handbook for the program. -Responsible for: supervision of 6 staff members, quality assurances with personnel file regulations, staffing patterns, supervision for a 24 hour facility, employee evaluations, disciplinary actions and interviewing, processing employment paperwork with new employees, meeting with new employees to explain benefits, reviewing employee handbook, and plan orientation, maintaining the facility including office equipment: copies, fax machines, printers, phones etc and maintaining office supplies inventory for the facility, including ordering supplies as needed. Presentations *Presented at various teacher development workshops in the Harare region of Zimbabwe. The workshops were to educate teachers on language and literature teaching skills. *Spoke at several high schools and elementary schools and churches in Fort Collins about various issues pertaining to Africa and Zimbabwe in particular. *Organized and ran training on working with diverse population at Turning Point Center for Youth and Family Development. Group facilitation * Facilitated Life skills, Victim Empathy and Quick skills (cognitive behavioral intervention) groups to youths with criminal and drug and alcohol problems at Turning Point. Case Management *Works closely with Division of Youth Corrections (DYC) parole" officers to coordinate services to new parolees in the juvenile justice system and help them transition back into the community. *Case management of client finances, education, employment, restitution, community service, substance use, mental health needs and medical needs. *Conducts home visits. *Coordinates with Independent Living Coordinator to complete intake paperwork and discuss program expectations with all clients. *Complete on -call duties as scheduled. Transition Services *Works collaboratively with the Treatment Team to identify on- going transition needs of each client to ensure a smooth and successful community transition. *Accesses transition database to obtain transition resources for each client on an individualized basis. *Prepares clients for job search, interviews and maintaining employment. *Develops and maintains employer and community relations relationships, to build a pool of employers and resources for our clients. Research *Worked as a Research assistant for the department of Research and Specialist Services in Zimbabwe. * Research assistant for a UNICEF project focusing on child mortality in Chivi district of Zimbabwe under supervision of Dr. Mloyi of the University of Zimbabwe_ *Conducted a phenomenological study of Zimbabwean women managers for my Ph.D. dissertation. *Currently works as the program development and evaluation coordinator of the Community Centered Program at Turning Point. This involves: • Assessing the strengths and weaknesses of the program, services, and personnel, to improve their effectiveness. • Establishing program objectives and deciding the particular indicators that will demonstrate that the objectives have been met. • Methodology design • Collection and analysis of data • Report writing Training and Workshops * Attended 2 four -day workshops on "Building Cultural Capacity: Intercultural Competence Skills" and "Creating an Inclusive, Equitable Workplace Environment" by Dr. F.C. Luna of Rocky Mountain Intercultural Institute. Attended the following training for Certified Addiction Counselor (CAC I and II): Principals of Addiction (14 hours), Addictions Counseling Skills (21 hours), Motivational Interviewing (14 hours), Cognitive Behavior (14 hours), Pathways to Self Discovery and Change (14hours), Client Record Management (14 hours), Infectious Diseases (14 hours), Ethics in Counseling (14 hours), Diversity Issues (14 hours), Group Counseling Skills (21 hours), Pharmacology 1 (14 hours), Pharmacology II (14 hours) and Differential Assessment (14 hours). Attended a workshop on Juvenile Standards and Informed Supervision training (8hours). Events planning *Assisted in planning programs for residents in Aggie Village married student apartment at Colorado State University when my husband was the assistant manager of Aggie Village. *Organized a diversity training workshop at Turning Point. Counseling *Has been working as a youth counselor for the past eight years. *About to complete Certified Addiction Counselor II (CAC II). WORK EXPERIENCE Employment *Program development and evaluation coordinator, September 2007 to current. *Independent Living Specialist at Turning Point, August 2004 to September 2007. *Lead counselor at Turning Point for the Structured Transition and Emancipation Program, 2001 to 2004. *Youth Counselor at Turning Point Center for Youth and Family Development, July 2000 to September 2001. *Teaching Languages, Literature and Drama in High Schools. Taught at 4 High Schools between Japw'ry 1989 and December 1995. Was head of the languages and literature department during that period. *Research Assistant for the Department of Research and Specialist Services, the agricultural research department for the Government of Zimbabwe, December 1988 to March 1989. *Research Assistant for a UNICEF/University of Zimbabwe child mortality research project in Chivi-Zimbabwe, December 1986 to March 1987. AWARDS *Youth Worker of the Year 2006 at Turning Point *Book price for being the best Geography student in my 5a' year in high school. *Received a book award for good performance at the end of my second year at the University of Zimbabwe. *Employee of the month of March 2001 at Turning Point Center for Youth and Family Development. *Nominated youth worker of the year for 4 years at Turning Point. *Nominated youth worker of the year at the Colorado Juvenile Council awards ceremony. REFERENCES Dr Jerry Eckert (Emeritus Professor) 3294 Wild West Lane Wellington, CO 80549 Jerry.eckert@colostate.edu 970-568-3329 Dr G. Geroy (Professor) Colorado State University Education Department Fort Collins, Colorado geroyQlaInar.colostate.edu (970) 491-5097 Wendy Lee (Program Director) Turning Point Center for Youth and Family Development 802 S. Shields Fort Collins, CO. 80521 (970)221-0550 ext 105 Fawn Leaf (parole officer) Division Of Youth Corrections 2629 Redwing Road, Fort Collins, CO.80526 (970)420-1473 John Gray (Therapist) Department of Corrections j.john.gray@gmail.com COMMITTED TO EXCELLENCE': LARIMER COUNTY LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Certificate of Accomplishment for AttendingTraining Name: Farai Makombe Creating a Trauma Lens: "Trauma Informed Schools" Description: Training for in home coaches, and other support staff of foster, kinship and birth families on how to engage schools around discussions and planning for trauma treatment for children. Presented by: Shana Ketteridge, Erin Schry and Andrea Fotsch December 29, 2016— 11:30 — 1:30 (2 hour of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services LARIMER COUNTY ,•-,..„'„COMMITTED TO EXCELLENCE LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Certificate of Accomplishment for Attending Training Name: Farai Makombe Creating A Trauma Lens: "What is Trauma?" Description: Training for In home coaches, and other support staff of foster, kinship and birth families on understanding what Trauma is and what it looks like in children and families. The second hour consists of case consultation and training. Presented by: Lori Lund and Andrea Fotsch August 9, 2016— 11:30 — 1:30 (2 hour of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services Chantal McCarthy 719 Cherry St. Fort Collins Colorado 80521 Cell Phone: 970-302-6624 Chantal.j.mccarthy(a),my.densem.edu EDUCATION: Master of Arts in Clinical Mental Health Counseling Graduation CACREP Accredited Program December 2015 Denver Seminary Bachelor of Science in Psychology Deans List Colorado State University May 2009 COUNSELING AND RELATED EXPERIENCE: Counseling Internship August 2014- August 2015 Jefferson Center for Mental Health Wheatridge, Colorado • Counseled parents and their children with emotional and behavioral problems in outpatient services. • Co -counseled families through in -home services. • Developed curriculums and lead social skills groups for children 3-8yrs of age. • Utilized play therapy, sand tray therapy, behavioral therapy, family systems and basic parent education in sessions. • Developed and implemented treatment plans and goals. • Conducted intakes with diagnosis for children 0-8yrs. Counseling Practicum Fall 2012 Shepherd's Gate Counseling Center Littleton, Colorado • Counseled women who suffered from anxiety under direct supervision of an LPC. • Counseled children using play therapy under direct supervision of an LPC. • Developed and implemented treatment plans and goals for clients. Supervised College Teaching Summer 2009 Colorado State University Fort Collins, Colorado • Helped students learn basic counseling skills for CACI certification. • Supervised practice of basic counseling skills. • Helped maintain a learning atmosphere. Mentoring Boys and Girls Club of Larimer County Fort Collins, Colorado Fall 2014 • Mentored school aged Children with a focus on school, family issues, and developing social skills. • Helped with academic growth through homework and reading. • Developed creative projects for interpersonal growth. Moore Elementary School Spring 2008 Fort Collins, Colorado • Mentored 5th grade students with a focus on school, family, and friends. • Helped with homework and other school related activities. • Created hands-on activities for interpersonal growth. V OLUNTEER/LEADERSHIP: Youth Coach Fall 2005 -Spring 2012 Timberline Church Fort Collins, Colorado • Coached 6th grade -12th grade students in a theological based program. • Co -supervised small study groups over theological material. • Developed close relationships with students and served as a mentor to them. WORK EXPERIENCE: Macy's Department Store Spring 2014 -Present Foothills Fashion Mall Fort Collins, Colorado • Work diligently to set sales for promotional days. • Help customers find merchandise and celebrate purchase. • Work closely with other support team members to set sales, merchandise product, and price change. Macy's Department Store Fall 2012 -Spring 2014 Cherry Creek Mall Denver, Colorado • Work diligently to set sales for promotional days. • Help customers find merchandise and celebrate purchase. • Work closely with other support team members to set sales, merchandise product, and price change. Abbe' Nix",ez C./ 720.234.205 Ahby riunez( ) vt.com PROFILE Linkodiri.com/AbbyNiuric.,zR Driven individual with 3+ years working in the customer service industry and 4+ years working with non-profit and advocacy centers for women and children in impoverished and victimized circumstances including human trafficking and violence. Bilingual professional with 1+ year overseeing as Department Supervisor with ability to obtaining and maintain rapport with various individuals across language, cultural, or social experiences. As a third year empathetic student at an accredited four year university acquisitioned skills such as cognitive and social behavior, social institutions, perpetrator behavior, and victimology. SKILLS Customer Service Rapport Team Leadership Accountability Problem Solving Creativity Improving Efficiency Project Planning Attention to Detail EDUCATION C UNIVERSITY OF i NOR HERN COLORADO 201 presorii School of the Arts and Humanities Most recent semester GPA: 3.13 TI-IORNTON HIGH SCHOOL lniernationai c;cale-.irea e Procirarn Graduated with over 25 university acknowledged and accepted credit hours PROFESSIONAL EXPERIENCE DEPARTMENT SUPERVISOR Kohl's Department Stores Corp. 2013 -Present Builds strong customer relationships through delivering excellent Customer Service • Takes ownership of the customer experience • Adapts service approach to meet customers unique needs • Strengthens customer commitment through delivering positive outcomes • Builds team efforts for cohesive and collective store and corporate goals Actively listens to customers' needs to provide appropriate and timely resolution • Assess customer issues through asking probing questions • Listen for cues to tailor the interaction and better serve our customer Builds customer confidence through creative problem solving • Recommends appropriate solutions for the situation • Applies available resources to satisfy customer needs • Negotiates win -win resolutions on the first contact • Evaluates talent of associates and drives actions to address performance issues and/or behavioral concerns. • Enhances employee morale by driving engagement and establishing an environment of trust and respect Delivers consistent customer experience through attention to detail • Applies policy and procedure accurately • Performs job duties with high degree of accuracy • Consistently follows compliance guidelines • Documents customer interactions for efficient resolution PRODUCTION .SPECIALIST Marcos Inc. 12012-2012 Confers with management personnel to establish production and quality control standards • Develop budget and cost controls • Obtain data regarding types, quantities, specifications, and delivery dates of products ordered. • Reviews and analyzes production, quality control, maintenance, and operational reports • Determine causes of nonconformity with product specifications, and operating or production problems. Abbci N u1A.ez Link€din.com A.bbyNunezR 720.234.2051 TECHNICAL SKILLS IBM SPSS Analytics Microsoft Word Microsoft Excel Microsoft Access & 365 Email PeopleSoft EXPERTISE Social Media Project Management Problem Solving Speech & Behavior Recognition Team Work Problem Sensitivity Award & Recognition TOP 5 DISTRICT DEPARTMENT SALES! 2015 • Increase by 310 percent via YTD OUTSTANDING; lB SENIOR TENACITY AWARD FOR PERFORMANCE y 2013 • Award and scholarship • Thornton High School for outstanding performance in the International Baccalaureate Program Abby.flunez@live,corri NONPROFIT AND ADVOCACY EXPERIENCE COLORADO BOARD MEMBER Shimmer Sparkle Shine Project j 2012-2016 A local non-profit organization aimed at promoting and aiding victimized girls discover and enhance their self- worth is through workshops. Through various workshops we plan and prepare different stations and activities to guide the girls to discover their self-worth and potential. • Organized summer fundraisers in various locations such as YMCA, Boys and Girls Club of Commerce City, Anythink Library, and the Girls Scouts of America • Promoted yearly announcements of upcoming events and fundraising at local and regional levels. • Aided in the development of the "Five Keys to Self -Esteem` • United with CEO's, commissioners, other regional board members, and sponsors COLLABORATOR Cans for Hope 12013 2015 Local two-part organization specializing in support and education about the effects of sexual violence. As part of a mufti -dimensional process including but not limited to offering resources, survivor sponsorships, guest speaking services, educational platforms, and fundraising. • Collaborated in the Shimmer Sparkle Shine x Cans for Hope recycling drives and donation event • Operated with team to raise over 2100 cans during four hour interval fundraising events • Creatively used immediate marketing strategies to deliver effective resources IN I ER'.NAL 1 IONAL VIC ( !ME SPEAKER AND TRANSLA I OR CommLiradad 120 15-2015 An institute taking a firm stance against human sex trafficking locally and across international borders. Innovatively and confidentially housing survivors in extreme or unique cases, advocating for changed laws on regulations on predators, fundraising for survivors and current victims, educating across dyadic languages about the effects and consequences of human trafficking. • Publically speaking about the legal, political, and social conditions associated to human trafficking • Planning with teams about economic alternatives and victims' • Intake processes associated with non-native speakers and resource distribution • Facilitating team fundraising efforts for over $30,000 during fourth quarter of 2015 ACHIEVEMENTS PRESENTOR OR FOR 5 I UDEN I S AGAINST TRAFFIC -KING j University of I exas El Paso j 2015 ELECTED FOR COMPANY NATIONWIDE TRAINING PROGRAM 1 2015 • Traveled with store manager to Orlando, Florida for Kohl's Training Program in order to increase hands- on sales goals and develop advance product knowledge. • Demonstrated ability to cognitively and actively work with third party CEO's, product speciahsl, and vendors. • Participated in Kohl's Leadership Programs in multiple Product Knowledge and Demonstration Sessions. MIRANDA F. OCHOA ADDRESS: 233 Bishop St. Fort Collins, CO 80521 PHONE 970-534-5683 OBJECTIVE: My objective is to gain experience while also contributing to working team. I am looking for a challenging position that will compliment my degree in Human Services. I am highly motivated, a fast learner and can adapt to various occupational settings. WORK EXPERIENCE Turning Point Center for Youth and Family Development October 2013 -Present Weld Day Resource Program Fill -In Counselor • Supervise youth • Document observations • Contribute to client paperwork and treatment plans • Urine analysis evaluations • Transport clients • Administer medication The Human Bean August 2013 -Present • Barista • Customer Service • Invoices and inventory • Cashier CIRA- Retail Sales Seasonal 2010- July 2013 • Customer Service • Cashier • Clothing Sales • Clean/Organize • Inventory • Shipment Technical Assistance and Continuing Education T.A.C.E Region 8 August 2011 -December 2012 • Filing • Shredding • Copies • Research and data entry • Brochures • Mailing and labels • Miscellaneous projects Dairy Queen/Orange Julius — Shift Leader November 2007 - 2012 • Customer Service • Cashier • Morning Paperwork • Cleaning/Sanitizing • Food Preparation • Stocking • Temping/Reporting: Making sure all food is at correct temperature frequently EDUCATION • University of Northern Colorado Human Services B.S • Greeley West High School High School Diploma HONORS AND ACTIVITIES • Scholar, Ronald E. McNair Post Baccalaureate Achievement Program (Fall 2011 -present) • Member, Sigma Lambda Gamma National Sorority Inc. (Fall 2009 -present) • Dean's List 2010-2011 SKILLS CPR and First Aid Certified QMAP Proficient in: • Microsoft Word • Excel • Power Point • Publisher • 10 -Key • Copy Machine • Fax, Phone/Clerical REFERENCES: available upon request Michelle Rohs 2701 Raintree Dr. Apt. X12, Fort Collins, CO 970-593.8326 rohsme@gmail.com Objective To utilize individual skills, education, and professional experiences serving children and youth as a service -focused program coordinator while leveraging interactive hands-on programming techniques and organizational planning capabilities. Professional Experience Champions Before and After School Care Site Director for School Age and Middle School Program at T.R. Paul Charter School • Daily responsibilities included planning age appropriate activities, safe environment, and maintaining personal relationship with children and their families. • Supervised and implemented lesson plans and daily activities • Communicated positively with children, families, and school staff on a daily basis • Designed, planned, and implemented age appropriate activities adhering to child development standards youth • Modeled and influenced positive behavior through positive reinforcement. Camp Adventure Youth Services May 2011 -May 2015 University of Northern Iowa in conjunction with the Department of Defense, child development centers located around the globe, Program Coordinator in Rota. Spain • Proxy manager responsible for daily status and communication activities to site Director, Assistant Director, and center staff members. • Supervised and implemented lesson plans and daily activities • Directed interns working with military children at school aged center • Designed, planned, and implemented age appropriate activities adhering to child development standards youth five to twelve Site Lead in Garmisch- Partenkirchen. Germa y • Managed and supervised five interns daily schedules, performance, and after hours point of contact for site coordination • Under limited direction and minimal supervision designed, planned, and implemented indoor and outdoor age appropriate activities for school aged center. • Developed and maintained daily staffing schedules • Supervised children six weeks to five years old, and daily interactions and communicated with families Intern in Supreme Headquarter for the Allied Powers of Europe in Mons. Belgium • Supervised, lead, and engaged with children five years to fourteen years old in their daily activities. • Assisted team members to prepare, arrange, and maintain indoor and outdoor activity areas. • Adhered to organization protocols to ensure proper interaction with staff and children. • Developed and planned daily activities, holiday events, and summer plans for school aged children. Intern in Pearl Harbor-Hickam. Hawaii • Modeled and influenced positive behavior through positive reinforcement. • Adhered to organizational protocols for proper interaction with children. • Independently managed and accountable to coordinate, schedule, and plan time for CDC needs. • Establish program settings that promote positive child interactions with other children. Lead Varsity Club Teacher at Rainbow Child Care Center September 2013- August 2014 Childcare Center, Grand Rapids, MI • Communicated and presented program guidance, procedures, policies and directives to team members • Under minimal supervision, work with team members to prepare, arrange, and maintain indoor and outdoor activity areas. • Developed and planned daily activities and utilized developmentally appropriate practice methods at all times. • Developed schedules to accommodate varying staffing, attendance levels, and daily schedule. • Adhere to organizational and regulatory protocols for proper interaction. September 2015- present Lead Child Youth and Program Assistant at School Age Center May 2013- August 2013 School Age Center, Fort Riley, KS • Supervised and managed regulatory requirements for staff/child ratios within the center. • Implemented developmentally appropriate 2013 summer program for the school -aged center. • Communicated and presented program guidance, procedures, policies and directives to staff • Independently prepare, arrange, and maintain indoor and outdoor activity areas. • Developed and planned daily activities for youth. • Developed daily schedules to accommodate varying staffing and attendance levels. • Adhere to civilian and military regulatory protocols. Child/ Youth Program Intern January 2013 - April 2013 School Age Center, Fort Riley, KS • Coordinated, planned and interacted with organizational trainers and supervisors to implement activities and special events to meet the physical, social, emotional and cognitive needs of children and youth. • Independently planned, coordinated, and designed developmentally appropriate summer day-to-day programs for youth. • Interacted with children and youth, using approved child guidance and youth development techniques. • Communicate and present program guidance, procedures, policies and directives to team members Child Development Laboratory January 2012 -January 2013 Iowa State University Child Development center, Ames, IA • Supervised children three months of age through six years old. • Coordinated age appropriate activities supporting physical, social, emotional and cognitive needs. • Maintained positive relationships with children, parents, and staff members. Residential Assistant June 2012- August 2012 Office of Pre -collegiate Programs for Talented and Gifted (OPPTAG), Ames, IA • Supervised students twelve to seventeen years old. • Established daily activities promoted positive youth interaction. • Prepared, arranged, and implemented activities with minimal assistance from other staff members. • Mentored and assisted youth with daily homework and life skills. Adventure Aid Office of Pre -collegiate Programs for Talented and Gifted (OPPTAG), Ames, IA • Supervise children ages seven to twelve years old. • Provide safe and developmentally stimulating activities for children. • Maintain confidentiality. June 2012- July 2012 Education: BS., Child, Adult and Family Services, Emphasis on Child and Youth, Iowa State University, Ames, IA Graduation Date: May 2013 Cumulative GPA: 3.39/4.0 Major GPA: 3.4/4.0 Awards /Recognition/Certifications Certifications: • CPR, First Aid, and AED certified until March 2018 Emily Kate Thatcher Career Objectives Emi Iythatch er89@gmai 1. corn 1017 23rd Street Road Greeley, Colorado, 80631 Mobile: 303-656-8122 I am a hardworking University of Northern Colorado graduate with ten years of experience working with people. I am constantly striving to learn new skills and increase my knowledge. I hold myself to high ethical standards. I believe in treating all people with respect. I take pride in thoroughly and promptly completing assigned tasks. If chosen for the position, I can guarantee that I will work hard to provide the best service to the community, as well as, uphold the high standards of this organization. Education • B.A. Psychology [2015] with GPA of 3.77 from University of Northern Colorado • B.A. Criminal Justice [2015] with GPA of 3.77 from University of Northern Colorado Work Experience • Worked as ASA Psychology Tutor in University of Northern Colorado from Sep 2014 to Dec 2015 Assisted students in studying thought of new ways to explain complex topics in psychology, provide a safe place for students to share concerns, worked with teachers to ensure I was up to date on new material, gave students tips to improve on their academic habits by themselves. Temporary job tutoring center only open during school. • Worked as Casework (Internship) in Global Refugee Center from Jan 2015 to May 2015 Worked with the refugee population assisted with filling out job applications, assisted in filling out medical forms, assisted in filling out insurance claims, participated in ESL classes, organized papers and files, updated individual cases in electronic tracking system, learned about cultural differences, learned about the needs of refugee population. • Worked as Caregiver in Morning Star Senior Living from Dec 2012 to Mar 2013 Worked in memory care unit, helped with daily living, passed out medication, took vitals, contacted EMS in emergency situations, contacted families in emergency situations, in event of death contacted families and coroner, facilitated conflict resolution between residents, communicated effectively with residents with severe dementia. • Worked as a Caregiver in Caring Senior Service from May 2015 to till date January 2016 Provided one on one care, prepared meals, helped with daily living (dressing, using the bathroom, hygiene, provided bed baths), kept track of appointments, filled medication boxes, passed out medication, communicated to family about client needs, communicated to company about client needs, encouraged client to stay on track with regiment, did minor housekeeping, self -managed my time with little help from main company. • Working as a Mental Health Technician February 2016 to October 2016 Lead groups, ensure dietary needs are met, deescalate aggressive situations, perform environmental safety checks, complete 15 minute client safety checks, listen and respond to clients concerns, inventory client belongings, answer phone calls, facilitate visitation, and facilitate communication between clients and treatment team (Doctors, Therapists, Nurses, & Case Managers). Skills & Strengths Proficient in Word, Excel, SPSS, and PowerPoint (Can learn other programs easily) • CPR and First Aide • Strong communication skills • Public speaking • Handle with care/ De-escalation techniques • Dementia training • Hardworking • Dependable • Detail Oriented • Respectful • Honest • Problem solver • Culturally sensitive • Team player • Outgoing • Work well under stress Achievements • Academic Latin Honors GPA 3.7-4.0 • Dean's List • Columbine High School Mauser-Scott Forensics Award October 2007 -Awarded for sportsmanship, teamwork, character, integrity, and personal excellence in memory of Daniel Mauser and Rachel Scott. References • Simone Bailey (Former co-worker)- 303.819.7768 • Emily Odiwuor (Casework Supervisor, Global Refugee Center)- 970.371.0161 • Trudy O'Conner (Saint Francis Cabrini Church) -303.953.7769 • Linda Mender ( RN Clearview Behavioral Health)- 303.513.2546; mendert andco(a msn.com • Julia Yoffie (Supervisor Caring Senior Service)- 970.691.6177: jgliavo fic(ir:live.com Liska Fraser -Williams 2325 School House Dr. Milliken, CO 80543 Phone; 970-978-8497 E -Mail: willfam3Ozoho.com Objective • Continue to expand my knowledge and experience working with youth and families. • Work directly with youth and families in a clinical setting to support their stability and success. Experience Weld County Department of Human Services - Mental Health Professional Jan. 2007 - Nov. 2013 • Provide clinical assessment and treatment recommendations for youth involved in the mental health or delinquency systems. • Provide clinical assessment and treatment planning/approval for families involves with Child Welfare. • Collaborate with service providers to ensure that client needs are being met. • Participate in meetings to address treatment needs of families. • Provide oversight of treatment and progress for youth in residential care or hospitalization. Assist in discharge planning. Broomfield Health and Human Services - Caseworker Oct. 2003 - Jan. 2007 • Conduct child welfare investigations. • Assess families for safety and treatment needs. • Develop treatment plans and broker services for families. • Provide oversight for services. • Document case progress and report to court professionals. Savio House - Supervisor/ MST Therapist April 1999 - Oct. 2003 • Supervise a team of therapist conducting Multisystemic Therapy with families. • Supervise a team of Emancipation Counselors providing services to older youth. ■ Oversee and manage referrals, treatment progress, and discharges. ■ Collaborate with referrals agencies to sure high-level services are being provided. i Conduct Multisystemic Therapy with assigned caseload. • Participate in supervision regarding intervention and adherence to MST model. Page 2 Education University of Denver - Denver, CO Master of Social Work University of Minnesota - Minneapolis, MN Bachelor of Science - Child Psychology Licensure March 1999 March 1995 Licensed Clinical Social Worker, Colorado CSW-118 Current Expiration 8/13/15 Skills • Certified in use of Child and Adolescent Needs and Strengths Assessment. • Trained as Multisystemic Therapist. • Certified to conduct Juvenile Firesetter Evaluations. • Extensive familiarity and collaboration with local treatment providers. • Understanding of the strengths and barriers of working within various funding systems. • Extensive computer skills on Microsoft Office, Outlook, internal reporting systems. References Julia L. Roguski, MA, LPC, CACIII Director of Child Protection Services Savio House iroguski@saviohouseorg Direct: 303-225-4200 Cell: 720-530-6450 Carol Flowers Guardian ad litem cflowers21@hotmail.com Cell: 303-514-2275 Elizabeth Freys lizfreys42@gmail.com Cell: 970-218-5455 Certificate of Successful Completion x•p�� t • �. li��i:tit a 'i de �� •• a kD . Ed4Nurses � CMI , Evidence -Based Trauma Treatments & Interventions Speaker(s): MICHAEL DUBI, ED.D., LMHC November 19, 2015 Denver, CO The following participant Liska Williams (License #, if -applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used for your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS: This intermediate activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals very per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. SOCIAL WORKERS: PESI, Inc. Provider *:1062, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESI, Inc. maintains responsibility for the program. ASWB Approval Period: January 27. 2014 -January 27. 2017. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 6.25 (Clinical) continuing education clock hours in participating in this intermediate course. MARRIAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, this certificate of completion and contact your state board or organization to determine specific fling requirements. PSYCHOLOGISTS: PESI, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PESI maintains responsibility for this program and its content This seminar awards 6.25 credits to participating professionals. Futi attendance is required. No partial credit will be offered for partial attendance. ADDICTION COUNSELORS: PEST, inc. is an approved provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC). provider #: 00131. Full attendance is required: no partial credit will be awarded for partial attendance. This course qualifies for 7.5 contact hours. NURSES!NURSE PRACTITIONERS/CLINICAL NURSE SPECIALISTS: This activity meets the criteria for an American Nurses Credentiaing Center (ANCC) Activity. PESt, Inc, is an approved sponsor by the American Psychological Association, which is recognized by the ANCC for behavioral heahh related activities. Full attendance is required, no panel credit will be awarded for partial attendance. This aciviy qualifies for 6.25 contact hours. CASE MANAGERS: Ths program has been pre -approved by The Commission for Case Manager Certification to provide continuing education credit to CCM6I board certified case managers. The course is approved for 6.25 CE contact hour(s). Activity code: 500017497 Approval Number: 150003420. To claim these CEs. log into your CE Center account at www.ocmcertification.org. COLORADO SOCIAL WORKERS: PESI, Inc is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 6,3 continuing education hours. OTHER PROFESSIONS: This activity qualifies for 380 minutes of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific Ring requirements. DISCLAIMERS: Information obtained in this course should be used within yens scope of practice. Rh is your ethical responsibility to report accurate hours to your licensing board. If you are in partial attendance a revised certificate will be sent to you, upon your request, after the activity. Please allow 30.45 days. "Even though you have received this Certificate of Attendance, if you have a balance due, the balance must be paid in full within 30 days, or your hours may be retracted. "All participants are provided a post-test/evaluation form that is to be competed and turned in at the condusion of the seminar. If you require a copy of the test/evaluation, please have a copy made at the seminar. Or you may call our customer service department arid a copy of your test/evaluatlon will be entailed to you. Please allow 30-45 days PESt. inc. offers continuing education programs and products under the brand names PEST. PESI HeatthCare, PESt Rehab. HeahhEd, MEOS-PON, Psychotherapy Networlcer and Ed4Nurses. Kristine Cleasby, Senior Continuing Education Administrator PEST, Inc. 1.800.844-8260 P.O. Box 1000, Eau Claire. WI 54702-1000 LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES Certificate of Accomplishment for Attendin Trainin ..J g g Name: Paper Tigers Documentary Showing and Discussion Description: Discussion and showing of "Paper Tigers": a documentary about Lincoln High School in Walla Walla Washington who took a trauma informed approach to working with troubled teens and the following outcomes of test scores, graduation rates and discipline. Facilitated by: Andrea Fotsch September 19, 2016 — 12:00 — 2:00 (2 hours of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services Certificate of Successful Completion *, y ` Ed4Pvurses N Evidence -Based Trauma Treatments & Interventions Speaker(s): MICHAEL DUBI, ED.D., LMHC November 19, 2015 Denver, CO The following participant Liska Williams ism (License #, if applicable) has completed the above -referenced educational activity in its entirety or as indicated below. This certificate provides sponsor verification of individual attendance and may be used for your records or for any licensing not listed below. We maintain attendance records for 7 years. COUNSELORS This intermediate activity consists of 6.25 dock hours of continuing education instruction. Credit requirements and approvals very per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements. SOCIAL WORKERS: PESI, Inc. Provider #:1062, is approved as a provider for social wont continuing education by the Association of Social Work Boards (ASWB), www.aswb.org through the Approved Continuing Education (ACE) Program. PESt, Inc. maintains responsibility for the program. ASWB Approval Period: January 27, 2014 -January 27. 2017. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 8.25 (Clinical) continuing education clock hours in participating in this intermediate course. MARRCAGE AND FAMILY THERAPISTS: This activity consisted of 380 minutes of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, this certificate of completion and contact your state board or organization to determine specific filing requirements. PSYCHOLOGISTS: PEST, Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. PEST maintains responsibility for this program and its content. This seminar awards 6.25 credits to participating professionals. Full attendance is required. NO partial credit will be offered for partial attendance. ADDICTION COUNSELORS: PEST, Inc is an approved provider of continuing education by the National Association of Alcoholism & Drug Abuse Counselors (NAADAC), provider It: 00131. Full attendance is required; no partial credit will be awarded for partial attendance. This course qualifies for 7.5 contact hours. NURSES/NURSE PRACTITIONERS/CUNICAL NURSE SPECIALISTS' This activity meets the aeons for an American Nurses Credentialing Center (ANCC) Activity PESI, Inc. is an approved sponsor by the American Psychological Association, which is recognized by the ANCC for behavioral health related activities. Full attendance is required, no partial credit wilt be awarded for partial attendance. This activity qualifies for 6.25 contact hours. CASE MANAGERS: This program has been pre -approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 6.25 CE contact hour(s). Activity code: S00017497 Approval Number: 150003420. To claim these CEs. log into your CE Center account at www.anxertification,org, COLORADO SOCIAL WORKERS: PEST, Inc is an approved provider with the Colorado Chapter of the National Association of Social Workers. Provider #1413. This course has been approved for 8.3 continuing education hours. OTHER PROFESSIONS: This activity qualifies for 380 minutes of instructional content as required by many national, slate and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements. DISCLAIMERS: Information obtained in this course should be used within your scope of practice. 'It is your ethical responsibility to report accurate hours to your licensing board. if you are in partial attendance a revised certificate will be sent to you, upon your request, after the activity. Please allow 30.45 days_ "Even though you have received this Certificate of Attendance, tf you have a balance due, the balance must be paid in full within 30 days, or your hours may be retracted. "All participants are provided a post-test/evaluation form that is to be completed and turned in at the conclusion of the seminar. tr you require a copy of the test/evaluation, please have a copy made at the seminar. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days. PESI. Inc. offers continuing education programs and products ander the brand names PESI. PESI HealthCare, PESI Rehab. HeatthEd, MEDS-PDN, Psychotherapy Networker and Ed4Nurses. Kristine Cleasby, Senior Continuing Education Administrator PESt, Inc. 1-800-844-8260 P.O. Box 1000, Eau Claim. WI 54702-1000 Iii; VETERANS HEALTH ADMINISTRATION EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Liska Fraser -Williams has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Self -Assessment and Introduction to Mlitary Ethos VA Employee Education System, Provider Number x 1040. is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), www aswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -Interactive This program was held at on Wednesday, September 30, 2015 4:22:24 PM ney 1. Warner VHA Chief Learning Officer Evri 43.nr,1 r 1? 810 �!`Fffi1: Iii -ib _. N.W. `.hl,.7.)s fri _ ...)4 ,,Zor VETERANS HEALTH ADMINISTRATION EMPLOYEE EDUCATION SYSTEM Certificate icate of Completion This is to certify that: Liska Fraser -Williams has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Military Organization and Roles VA Employee Education System, Provider Number 1040, is approved as a provider for continuing education by the Association of Social Work Boards (ASWI3), wwwaswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -Interactive This program was held at on Saturday, October 03, 2015 4:30:52 PM .';'.__ Wt.:...jf ,..;t ..,yS..:HT! ney J. Warner VHA Chief Learning Officer 1:.}'. (2 (Tt;.);iI \v:: N ;,',b h II . _ ;ii qr, .:•nL)(. ,; s, .t:•T!r ii ..�{ fe ANKW_, VETERANS HEALTH ADMINISTRATION alif EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Liska Fraser -Williams has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Stressors and Resources VA Employee Education System, Provider Number 1040, Is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), www.aswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -interactive This program was held at on Wednesday, October 21, 2015 1:31:29 PM ney J. Warner VHA Chief Learning Officer AMC VETERANS HEALTH ADMINISTRATION EMPLOYEE EDUCATION SYSTEM Certificate of Completion This is to certify that: Liska Fraser -Williams has completed a course entitled Military Culture: Core Competencies for Health Care Professionals Treatment Resources and Tools VA Employee Education System. Provider Number 1040, is approved as a provider for continuing education by the Association of Social Work Boards (ASWB), wwwaswb.org, through the Approved "Continuing Education (ACE) program. The VA Employee Education System maintains responsibility for this program. ASWB Approval Period: 4/7/13 - 4/7/16. Social workers should contact their regulatory board to determine course approval for continuing education credits. Social workers participating in this course will receive 2 Clinical continuing education clock hours. Delivery Format: Online, Non -interactive This program was held at on Wednesday, October 21, 2015 4:02:35 PM ney J. Warner VHA Chief Learning Officer LARIMER COUNTY DEPARTMENT OF Certificate of Attending Training Name: t :1 LARIMER COUNTY HUMAN SERVICES Accomplishment for -ci:).r---k;1/1;airs Promoting Safety Culture for Child Welfare Workers Description: Training on what is safety culture. Discussion and real life examples of how high stress impacts decision making. A presentation and discussion about Larimer County CYF Survey results on safety culture. Presented by: Michael Cull — Tennessee Child Welfare Richard Epstien — Chapin Hall April 20, 2016 — 9:00 — 11:00 (2 hours of trauma training) Issued By: Andrea Fotsch Child Welfare Trainer/Trauma Care Coordinator for the Larimer County Department of Human Services IARtMER COUNTY GovMITTFD T,:) EXCELLENCE. Usen.readayl WINIffcatmumarwees OBARBL Y0DIN & FAIIIW BUGSI0N CERTIFICATE OF ACHIEVEME THIS DOCUMENT CERTIFIES THAT HAS SUCCESSFULLY COMPLETED THE TRAUMA ASSESSMENT 2 DAY TRAINING WITH DR. JAMES HENRY DESCRIPTION: TRAINING ON HOW TO CONDUCT TRAUMA ASSESS ENTS. ONE DAY OF TRAINING IN A CLASSROOM SETTING, ONE DAY OF OBSERVING AND PROCESSING LIVE TRAUMA ASSESSMENTS 14 HOURS OF TRAUMA FOCUSED TRAINING ISSUED BY: ANDREA FOTS H, MSW TRAUMA CARE COO ,DINATOR LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES LARIMER COUNTY CERTIFICATE OF ACHIEVEMENT THIS DOCUMENT CERTIFIES THAT HAS SUCCESSFULLY COMPLETED THE TRAUMA ASSESSMENT TRAINING It DESCRIPTION: FOLLOW UP TRAINING ON CONDUCTING TRAUMA ASSESS- MENTS WITH DR. JAMES HENRY FROM THE NCTSN AND MICHIGAN'S TRAUMA ASSESSMENT CENTER. TRAINING WAS HELD ON MARCH 2 AND 3, 2015 12 HOURS OF TRAUMA FOCUSED TRAINING ISSUED BY: ANDREA FOTSCH, MSW TRAUMA CARE COORDINATOR LARIMER COUNTY DEPARTMENT OF HUMAN SERVICES EXHIBIT C SCOPE OF SERVICES 1. ContractorwillprovideDayTreatmentServices,Hcr Based Intensive Services (Coaching, Family Preservation Parent Coaching, Family Care Coordination, Family Care Coordination Light, and Trauma Treatment Coordinator) and Mental Health Services (Trauma Assessments)to maleand female youth, and their families, as referred by the Department. 2. Day Treatment: a. Service Objectives Contractor's Day Resource Program is designed to provide therapeutic support to clients and their families in the least restrictive, most appropriate setting and achieve the following: • Children are secure and protected from harm • Children will progress toward stable, nurturing, and permanent living environments • Protecting the youth and the community • Re-establishing family stability, if appropriate • Minimizing out -of -home placements • Successful transition back into the public school setting The service is designed to address the individual needs of clients and to reduce recidivism or the likelihood of future placement. Contractor is licensed by the Colorado Department of Human Services as a Day Treatment Facility for both male and female clients ages 10-18 and by the Division of Behavioral Health to provide intensive substance abuse treatment. Additionally, Contractor's program is accredited by the Council on Accreditation of Rehabilitation Facilities (CARF). Youth appropriate for this program have moderate to high mental health needs including behavioral and legal problems, educational and life skills deficits, substance abuse issues, and often are involved in the legal system. Referred youth learn tools with the goal of remaining in the home and making a successful transition back into the public school setting. b. Targeted Population • Male and female adolescents between the ages of 10 and 18. • Needs cannot be met in a less restrictive environment due to emotional, family, behavioral, mental health, gang, legal and/or substance abuse difficulties. • Willingness/motivation to participate in the program. • Low to normal range of cognitive functioning. • History of school failure and/or truancy. • Family is willing to participate in treatment. c. Types of Services to be Provided • 30 hours per week of education approved by the Colorado Department of Education (see description below) • Weekly Individual Therapy • Weekly In -home Family Therapy • Weekly Drug and Alcohol Groups (Pathways Curriculum — see description below) • Weekly Skills Group (based on DBT Model — see description model) • Daily Recreation Activities • Vocational Programming • Affective Education • Transitional Services • Door to door transportation to and from the program if within reason 1 d. Treatment Services A comprehensive service plan will be developed for each referred youth by a multi -disciplinary team of professionals, the client and the youth's parents. The Family Service Plan (FSP) is reviewed and issues identified by the Department, including strategies developed in prior placements for the reintegration of the youth into the community, are incorporated into the youth's services. The youth's progress and service plan are then reviewed minimally monthly though monthly service review sessions and staffings which include input from the youth's Case Manager, Therapist, Teacher, Specialists, parents and any other individual working with the youth. Changes are made to the service plan and the team focuses on the goals and interventions they will use with the client during the following month. Following are a list of the therapeutic services offered: • Milieu Therapy: Described as the "life space" where a youth experiences therapy through daily living experiences. The principals and skill development of DBT (see description below) are integrated into the daily milieu as well. • Individual Therapy: Each referred youth will participate in this modality weekly. Contractor's Therapists are trained in Trauma Informed Care and utilize that approach when working with youth. The therapeutic goal is to provide more insight and depth into a youth's problems and strengths as it applies to his/her specific service plan and living experience. • Group Therapy: All referred youth participate in two (2) hours per week of group therapy and receive one (1) hour of a DBT skills group to teach and develop their skills. Youth are also placed into two tracks: substance abuse or social skill development. Upon entrance into the program, youth are given a substance abuse assessment to determine which track they will be placed in. • Dialectical Behavioral Therapy (DBT): The goals of treatment include reducing para- suicidal (self -injuring) and life -threatening behavior, reducing behaviors that interfere with the therapeutic process, and reducing behaviors that negatively impact the client's quality of life. DBT is a method of teaching skills. The following skills are taught: Interpersonal Effectiveness; Distress Tolerance; Reality Acceptance; Emotion Regulation; and Mindfulness. DBT treats those who have personal and environmental factors that often block and/or inhibit the use of behavioral skills that clients do have and reinforce dysfunctional behaviors. • Pathways to Self -Discovery and Change (Pathways): This curriculum provides the basis for implementing a cognitive restructuring and social skills laboratory for practice, rehearsal and integration of various CBT models. Pathways is an outcome based program for delivering cognitive restructuring and social skills training to adolescent substance abusing offenders ages 14 to 18. This curriculum can be utilized as group treatment in a residential or outpatient setting. The program is 32 sessions, approximately 90-120 minutes in length. The sessions are divided into three phases: Challenge to Change (trust building, open sharing, thoughts and relation to substance abuse and criminal activity, triggers); Commitment to Change (improve communication, play fair, avoid trouble, develop sense of responsibility and concern for others, change negative thinking, handle anger, guilt and depression); Ownership for Change (apply knowledge into own life, overcome prejudice, understand intimacy, problem solving, decision making, lifestyle balance, build family and community support, healthy leisure). • Trauma Informed Care: An evidence -based organizational structure and treatment framework that realizes the widespread impact of trauma on the youth and family served, the recognition of signs and symptoms of trauma amongst all those involved in the system, and seeks to actively prevent re -traumatization while integrating trauma informed practices within policy, procedures, and treatment practices. Trauma -specific interventions recognize the interrelation between trauma and symptoms of trauma such as substance use, mental health and behavioral issues, interpersonal relationships, and juvenile justice involvement. SAMHSA identifies six key principles in a trauma -informed approach: Safety, Trustworthiness and Transparency, Peer Support, Collaboration and mutuality, Empowerment, voice and choice, and Cultural, Historical, and Gender Issues. • Social Skills Group: Developed for those youths that do not need the intensive drug and alcohol services. These youths participate in a social skills curriculum that enhances character development as well teaches skills to develop healthy relationships. • In Home Family Therapy: Contractor offers family therapy for all youth and families within their home on a weekly basis depending on the family's needs. Contractor incorporates elements of best practices of the Functional Family Therapy (FFT) Model. FFT draws on a multi -systemic perspective in its family -based prevention and intervention efforts. The program applies a comprehensive model, proven theory, empirically tested principles, and significant experience to the treatment of at -risk and delinquent youth. • Recreation Therapy: Each youth will participate in daily therapeutic recreation activities. The goals of the program are to increase clients' skills and knowledge of recreation and leisure activities, increase awareness of community recreation resources, increase participation and involvement in recreation and leisure activities, increase satisfaction of recreation and leisure activities, increase client's fitness level, foster good sportsmanship, increase appropriate social interactions and improve cooperation during recreation and leisure activities. • Psychiatric Services: Any client in need of a medication evaluation is seen by a licensed Psychiatrist available on -site each week. This individual has extensive experience and knowledge of adolescents who are dually diagnosed. Youth and families are informed about the medication recommendations, afforded education regarding the necessity of medication and medication interaction hazards. Medication therapy is administered daily for those youth with specific diagnosis and is dispensed only by staff trained in Medication Administration. • Education: Contractor's educational programs are approved by the Colorado Department of Education and are designed to accommodate youths with varying needs and who are learning at varying educational levels. Licensed Special Education Teachers, staff each school program. Contractor has a 1 to 12 teacher/youth ratio. Along with teachers, Educational Counselors, and volunteers from the community staff the classrooms. All curriculum is aligned with the youth's home school and they earn seat hours that transfer into required credits. Contractor's education staff strives to help facilitate successful transitions for our youth's back to the public school system. Transition planning begins early in the youth's stay at Contractor through a coordinated effort between the youth's treatment team during monthly staffings. For youth completing their GED or high school diploma, Contractor offers assistance to youth through vocational education and/or post -secondary education options. • Drug and Alcohol: Contractor is licensed as an Alcohol and Drug Abuse/Dependence Treatment Provider by the Office of Behavioral Health. Contractor offers clients in all locations and programming substance abuse education, intervention and/or treatment in each of its programs. The goal is to educate youth to prevent substance abuse and — where problems have already developed — to provide treatment and prevent relapse. Clients take part in the appropriate mix of education and prevention activities, 12 -Step recovery groups, individual and group therapy, urinalysis and breathalyzer screening, and development of a relapse prevention plan. The desired outcomes for the Drug and Alcohol Program are: o To provide Drug and Alcohol services consistent with assessment needs. o To utilize community services in a continuum of treatment and successful recovery. o To transition the clients successfully into their home communities. o To support clients in developing a recovery plan and experiencing recovery 3. Home -Based Intensive Services: a. Service Descriptions Contractor is offering Home Based Intensive Services to youth and families of Weld County receiving services through the Department of Human Services. Home -based service philosophy promotes delivery of services to families in their homes in order to achieve permanence for children, while maintaining and strengthening the family integrity. The goal of Contractor's Home Based Intensive Services programs is to help keep high -risk children and families together; to empower children and their families to achieve lasting stability and recovery for the family and the child. This program serves youth ages 3-23 and their families within the Weld County area. Services include the following: • Coaching Coaching fills a gap in treatment services and is designed to provide support, structure, positive role modeling, mentoring, and life skills to youth residing in the community. This service is designed to be very flexible in meeting the individual needs of the youth and family and can include pro -social recreation and leisure activities, transportation, teaching in- home skills such as cleaning and organization, employment support and education, attendance at professional meetings or appointments, etc. A broader goal of Coaching is to maintain clients in the community and reduce costlier residential options such as residential. Coaches can provide a multitude of services and roles. Some examples of services Coaches have and can provide include but are not limited to: o Provide in -home parenting support and education o Provide transportation to appointments and school o Take clients to participate in recreation and leisure activities in the community o Provide supervision when parents or custodians cannot o Help clients job search o Be a mentor and positive role model o Help connect youth and families with other services in the community o Help with housing issues o Homework assistance and tutoring o Life skills Coaching and education 4 • Family Preservation Parent Coaching Coaches will provide intensive home -based services to children and parents. The coaching service is intended to be flexible and adapt to the individual family needs. Regardless of the specific family need, all coaches will be required to provide clients with strategies to improve current level of functioning and increase positive social, mental health, or personal functioning. Coaches will be utilized to stabilize placement, assist in reunification or step-down services, and/or to prevent removal from the home into out of home placement. The service will be interfaced with social caseworkers, juvenile probation offices, school counselors, and various community based agencies. Family Preservation Parent Coaching will provide all of the services our standard Coaches provide in addition to the following support services to families: o Emotional and Social Support for families o Provide parents with the skills to improve parenting and family functioning. o Life skills (budgeting, household management, recruitment and retention of employment). o Provide behavioral interventions for children o Assist families to establishing services within the community and development of community connections o Skill development for housekeeping with the focus on safety for the child o Family Advocacy o Assist in establishment of routine and structure within the household o Development of positive social activities • Family Care Coordination (FCC) The Family Care Coordinator(s) will serve high needs families. The FCC's will be available to families for an average of 3-4 visits per week up to 10 hours per week; more visits are expected at the start of services and fewer visits may occur toward the end of services. Services will be provided in the home and/or community and on -call support will be available 24/7 as the family works to stabilize their situation. The FCC will begin by performing a thorough assessment of all family members, utilizing any other assessments that have been completed previously. Based on these assessments the FCC will then work on building skills with the parents and either provide individual support to the children as necessary or make referrals to outpatient individual services (for example in the case of the need for victim's work). Simultaneously, the FCC will work with other providers involved (schools, coaches, mentors, respite providers, etc.) to ensure a common foundation. Often, families with serious situations may have multiple providers working with the family. it is the FCC's role to correspond with all providers and caseworkers so there is continuity of care. The FCC's focus will always be on stabilizing the family situation and creating independence within the family by using community and their natural supports. Family Care Coordination is an intensive service and is designed as a short-term service to stabilize the current family situation and keep the family intact. Once the family situation is more stable, the FCC will work with the caseworker to transition the case to a lower level of service as soon as it is appropriate. Since starting the program, the average length of FCC service is three months. The FCC will work with any new providers to provide a good transition or may stay on the case at a lower level if that is desired. • Family Care Coordination(FCC) - Light FCC Light offers the exact same services as FCC (including 24/7 on -call support) but with a lower frequency of visits and direct contact. The FCC Light Therapist will be available to 5 families for an average of 1-2 visit per week up to 5 hours total; more visits are expected at the start of services and fewer visits may occur toward the end of services. FCC Light is typically utilized as a step-down service from FCC. This allows the Therapist to continue working with the family as they move toward independence, but still need some intensive support to achieve it. • Trauma Treatment Coordinator Contractor's staff have a wide variety of experiences in the field; including intensive in - home services, crises management, equine therapy, case management and community resources, therapeutic coaching and individual and family therapy. Contractor recognizes that the standard practice of one hour, once per week therapy is not adequately addressing the complex emotional, social, behavioral, relationship, and mastery needs of highly traumatized children. Children need treatment in a variety of settings and specialties to address their needs. Contractor's Trauma Treatment Coordinators will work to developing a 'menu' of local service providers with expertise in different domains — physical activity, play and art therapy services, animal -assisted therapy, and caregiver interventions. Contractor's Trauma Treatment Coordinators (TTC) will review the Trauma Assessment, attend the Post -Assessment meeting, and work with the treatment team to develop a trauma -specific treatment plan for the child; focusing on building resiliency along with relatedness, mastery, and affect regulation. o Seven Domains: I) Attachment — The TTC will develop relationship activities with caregivers to build on child's ability to develop healthy attachment. II) The TTC will assist the family in coordinating any needed medical, psychiatric, and other appointments for physical needs as necessary. III) Affect regulation —The TTC will work with child and treatment team on identifying areas of strength and ongoing barriers regarding emotional regulation. The TTC will develop skills for child to practice and interventions for child's environment — home, school, pro -social activities, etc. IV) Dissociation — The TTC will work with the Trauma Therapist and treatment team to recognize areas of dissociation and develop skills with child to keep them 'present' during triggering moments. The TTC will train caregivers, teachers, etc. regarding triggers for dissociation and how to keep the child 'present' during these events. V) Behavioral regulation —The TTC will work with child and treatment team to recognize areas of strength and barriers in the child's daily behavior. The TTC will work with the child on developing skills to process emotions/thoughts to keep negative behaviors down. The TTC will work with caregivers, teachers, etc. regarding triggers for behavior and interventions to be 'in front' of the behaviors. VI) Cognition —The TTC will work with child on improving their cognitive processing skills to enhance child's ability to think through and talk about their trauma. VII) Self-concept - Contractor recognizes the importance of all children feeling some level of mastery and pride in themselves and their activities. The TTC will work with caregivers, teacher, and treatment team on how to identify, enhance, and grow child's strengths and give them higher self-concept. The approach for the child through treatment coordination will not exclusively phased based, recognizing the need for treatment and interactions to flow with the child's need. 6 However — some areas will be focused on initially and throughout treatment, such as safety. o Four Goals: 1) Safety in one's environment — of paramount importance and a focus initially and throughout treatment. The TTC will assess safety of child and family every time a visit/contact is made. The TTC will work with caregivers and teachers on how child can feel safer in their home, school and community environments. 2) Skill development in emotional regulation and interpersonal functional —The TTC will work with child, caregiver, teacher, and treatment team on identifying where child/family need assistance in developing new skills / coping strategies. The TIC will provide education to caregiver regarding areas where child has more and less success in emotional regulation. Areas of strength will be examined. Areas of weakness will be shored up with additional intervention and practice. 3) Meaning -making about past traumatic events —The TTC will maintain consistent communication with Trauma Therapist and work together on how the TTC can support child, caregiver, teacher and therapist in development of child's narrative. The TTC will increase/enhance supportive services during this critical time and will assist in preparing caregivers for the presentation of the narrative. 4) Enhancing resiliency and integration into social network —The TTC will work with primarily child and caregiver on areas to enhance child's skills and strategies. Areas where child is doing well will be highlighted. The TTC will work with child's environment, and encourage caregiver to do the same, on how child can be successful in numerous situations with the right support. Contractor's Trauma Treatment Coordinator will maintain weekly communication with DHS Caseworker and Trauma Therapist regarding goals of treatment, areas of needed focus, and reporting on progress. The TIC and treatment team will participate in monthly meetings to highlight areas of progress and develop goals for the next month. The TTC will also maintain communication with teachers, coaches, and others on at least a bi-weekly basis. Contractor has team of Community Centered Services clinical staff that provide 24/7 on call, therefore can offer this service as part of our Treatment Coordination. The Trauma Systems Therapy model recommends that service intervention follow this path: • Emotion Regulation Skills — help the child regulate emotional stress • Cognitive Processing Skills — help the child think and talk about their traumatic experiences • Meaning Making Skills — help the child make meaning out of their traumatic experiences and move on with their lives Activities that will be utilized in order to move through the above phases include: Treatment coordination with skill integration of the clinical components across systems with a trauma informed lens In home/community behavioral services Providing multi -system education about trauma Keeping the `team' moving in the same direction Advocate for the child/family Consultation with any member of the team or the child's system 7 Development of supports for the family/child Participation in family meetings/team meetings System navigation Provide monthly written reports Provide 24/7 on -call support for the child and caregiver Help all members of the child's system understand the child' individual needs, trauma response, and intervention Model interventions — hands on Identify and train respite supports for the child Many of the activities are practices, which are already a normal part of what Contractor focuses on when working with youth and families. Our in -home therapists are often talking to teachers, consulting with DHS caseworker and other treatment providers, advocating for a child's particular needs, participating in meetings. The integration of all areas of a child's social environment is integral in the child experiencing a safe and supportive day. Contractor's Trauma Treatment Coordinators will work with treatment team on the identified activities and other interventions as needed to make sure the child is receiving support across all domains and that interactions with others are informed and supportive. b. Engagement of Caregivers & Collaterals Contractor's Trauma Treatment Coordinator will meet with the caregivers, teachers and whoever else is key to the youth's success wherever they are most comfortable, including doing home and school visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The TTC will contact collaterals in the format they prefer— by phone, email, person, etc. Contractor's staff are trained in strength -based interactions and language. Special attention will be given during interactions and meetings with collaterals to resiliency in the child/youth and for this to be addressed in the moment. The TTC will focus on talking with the caregiver, teacher, treatment team, and child and when things are going "well" — when the child is emotionally regulated and connected to others. Contractor is offering to provide services youth ages 3 and older. We have a pool of trained and experienced staff able to work effectively with young children, adolescents, young adults and parents. Contractor is a well-known local agency that has been in the community for over 40 years. Oftentimes families that we work with know someone else who has had a positive experience with us. We are willing to meet the family and child wherever is most convenient for them in order to decrease any obstacles to services, including in their home or in our office centrally located on College Avenue in Fort Collins. Potential barriers could include the caregiver's willingness to participate in the meetings and interventions. Contractor's Trauma Treatment Coordinators will be trained in this area of resistance and will work consistently on education and engagement with caregivers. 4. Mental Health Services (Trauma Assessments) a. Target Population Contractor will provide Trauma Assessments for children/youth ages three and higher. b. Types of Services to be Provided Upon receiving a referral to provide a Trauma Assessment, the Trauma Assessment Therapist will begin the Pre -Assessment / Assessment Preparation. This will begin with a paper review of the Department of Human Services, abuse/neglect history, Educational Records/IEP, prior assessment and medical/health information. Additionally, they will conduct an initial round of phone calls to 8 schedule a pre -assessment meeting (within 2 business days of the referral being received). Contractor will contact the custodial caregiver to obtain a release of information to the treatment team. Contractor's Trauma Assessment Therapist will conduct phone or face-to-face interviews with the child's caseworker, primary caregiver, and birth parent when appropriate — within one week of referral. Assessment forms will be explained at this time and mailed or handed out upon completion of the interview. Contractor's Trauma Assessment Therapist will work as part of the child's identified multi- disciplinary team, which would include anyone involved with that particular child such as the school, DHS worker, trauma case manager, family/guardian as well as anyone from an area identified as needed fora comprehensive assessment of the child. The standardized measures that Contractor will utilize throughout the assessment include: Child Measures: • Kaufman Brief Intelligence Test, 2nd Edition (KBIT-2). This test allows for a quick estimate of intelligence. It contains both verbal and nonverbal scales. • Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Ages 8 and up. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. • Resiliency Scales for Children and Adolescents. Ages 8 and up. These are self -report measures where children/adolescents rate their Sense of Mastery, Sense of Relatedness, and Emotion Reactivity. Caregiver/Teacher Measures: • Sensory Profile —Infant, Toddler, Child and Adolescent. This is a caregiver scale regarding a child's response to sensory experiences. • ADHD Symptom Rating Scale. A caregiver and teacher scale that reports on frequency of behaviors consistent with inattention. • Child Dissociative Checklist (CDC). This is a caregiver scale that reports on a child's dissociative behavior —from daydreaming to significant changes in behavior/personality. • Trauma Symptoms Checklist for Children/Young Children (TSCC/TSCYC) Under the age of 8. This is a caregiver report of behavior, distress, and psychological symptoms of trauma in children. Throughout the assessment the Trauma Assessment Therapist will be recognizing and flagging areas of strengths and opportunities for growth: Relatedness — How does the child view his relationship with others? How does the child and caregiver describe their interactions? What is observed when the child and caregiver are together? How can the treatment team support ongoing development of nurturing and supportive relationships for this child? Mastery— Where does the child feel "successful"? What about themselves makes the child proud? What do teachers and caregivers flag as areas of strength for the child? How can the 9 treatment team build on these strengths and also develop additional areas of success for the child? Affect Regulation — When is the child most/least regulated? What skills/tools does the child and caregivers currently use to assist the child in regulating? Where do they need help? Recommendations will follow from these observations and measurement results. Resiliency will be discussed as ways to build on already successful behaviors and interventions, plus ideas for additional support, intervention tools, and treatment to shore up the areas of need. c. Engagement of Caregivers & Collaterals The Trauma Assessment Therapist will be willing to meet with the caregivers wherever they are most comfortable, including doing home visits after typical business hours. To keep collaterals engaged, education on the benefits of the assessment and their participation will be key. The Trauma Assessment Therapist will contact collaterals in the format they prefer — by phone, email, person, etc. Contractor's clinicians are trained in strength -based interactions and language. Special attention will be given during assessments to resiliency in the child/youth and for this to be addressed in the moment. The Trauma Assessment Therapist will focus assessment time by talking with the caregiver, treatment team, and child and when things are going "well" — when the child is emotionally regulated and connected to others. A written report will be provided to the treatment team within two weeks of completion of the assessment and a few days prior to the post -assessment debriefing. This will allow individuals to read the document and come prepared with questions. If appropriate, biological parents will be given priority in receiving the report and having the opportunity to ask questions prior to the treatment team meeting. The Trauma Assessment Therapist will also complete the Treatment Outcome Package (TOP) Assessment. The debriefing meeting and the written recommendations will be primarily strengths based and focus on building skills for the child/youth. Recommendations will highlight ways to enhance what is going well for the child — including how the child develops relationships, areas the child sees as their own successes, and situations where the child maintains emotions. One of the goals of the pre -assessment meeting will be a discussion amongst the professionals and caregivers about how this information will be shared with the child. These discussions will be case -by -case depending on age, cognitive functioning level, and current level of stability. Options for presentation to the child may include a private conversation (with or without the caregiver) with the therapist prior to the post -assessment meeting, a conversation with the child in their location of comfort after the post -assessment meeting, or the child's inclusion in the post - assessment meeting. The child's past and / or current traumatic experiences have led to a complex, interwoven set of emotions, behaviors, cognitions, and relatedness. The amelioration of the child's traumatic stress must include treatment of all of these components. The Trauma Assessment Therapist will include recommendations that specifically address concerns in these areas. The recommendations will also focus on how caregivers and treatment team professionals can assist in helping the child develop safe and supportive relationships, how the child can improve their sense of mastery through positive activities, and how the child can improve emotional regulations through skill building and processing of the trauma. 5. Contractor will make at least three (3) attempts to contact the client and set up services. The first attempt will occur within 24 hours of receiving the referral (excluding weekends and 1 holidays). Contractor will document efforts to engage client in referred services. If after three (3) attempts the client does not respond the Contractor will notify the caseworker and the Child Welfare Contract and Services Coordinator immediately. 6. 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. 7. Contractor will document in detail any and all observed or verbalized concerns regarding anychild 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. 8. 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. 9. 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 Meeting (FTM), or by court order. A change is defined as anything outside of the approved documented service ontheinitial authorized referral form.Thismayinclude an increaseordecrease in services hours, change in frequency, change in location of services, transportation needs, orany change tothe initial referral or subsequent authorizations. 10. Contractor understands that the Department will not reimburse Contractor for "no shows" or cancelled appointments, either on the part of the client or theContractor. 11. Contractor agrees to attend meetings when available and as requested by the Department. Such meetings includeCourt Facilitations, CourtStaffings, FamilyTeam Meetings and/orTeam Decision Making meetings. The Department will reimburse for actual participation in the meeting only so long as the meeting is at least one hour in length, the Contractor obtains the Facilitator's signature on the Client Verification Form at the time of the meeting and participation in the meeting is deemed appropriate and necessary by the Department. Staffings and/or meetings other than those listed above are not considered reimbursable unless otherwise approved by the Child Welfare Contract 1 EXHIBIT D PAYMENT 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 specified 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 in Trails after May 31, 2018. 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 Day Treatment Services $113.00/Day (Day Treatment without In -home Family Therapy) $129.00/Day (Day Treatment with In -Home Family Therapy) Home Based Intensive Services $33.50/Hour (Coaching inside Greeley/Evans) $50.25/Hour (Coaching outside Greeley/Evans) $1,235.00/Month (Family Care Coordination) $825.00/Month (Family Care Coordination Light) $3,090.00/Month (Trauma Treatment Coordinator, High Level) $1,545.00/Month (Trauma Treatment Coordinator, Low Level) Mental Health Services $925.00/Episode (Trauma Assessment) Contractor may not attempt to collect co -pays and/or fees for services for which a Department client is responsible, but which a particular client refuses or fails to pay. Contractor will collect any applicable sliding scale co -pays and credit the Department for any payment received on the monthly billing. 3. Submittal of Vouchers Contractor shall prepare and submit monthly an itemized voucher, and signed monthly report if applicable, certifying that services authorized were provided on the date(s) indicated and the charges 1 made were pursuant to the terms and conditions of Paragraph 3 and Exhibit A. Contractor shall submit all monthly billings and applicable reports to the Department by the 7th day of the month following the month the cost was incurred. Failure to submit by the aforementioned deadline may result in forfeiture of payment. a. 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. b. For one-time services, proof of services rendered shall be receipt of the completed product. c. For Monitored Sobriety services, proof of services rendered shall be the test result. 2 ACORD 25 (2014101) INCnurC/1mA rr A RL31' CERTIFICATE OF LIABILITY INSURANCE °"'E` "'D"""' 10/31/2017 TIC CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES TM ME CKATE E OFF INSURANCEANE CERTIFICATE HOLDER. CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RepoesomovIMPORTANT; If the SertIfieste holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to t . terms and Conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the CertIlicate holder in lieu of such endorsement(s). PRODUCER axing -Leavitt Insurance Agency, Inc. 4090 Clydesdale Parkway Suite 101 Loveland CO 80538 tearCT Ramie Peters PHONE ENS (970) 679-7355 IFAi wc. No, (666)237-217e remAit Amempkarole-peters@leavitt.com INSURER(8) AFFORDING g0VERAOOE NAIC I INRA:Hanover Insurance Company 22292 Wimp Turning Point Center for Youth and Family Development Inc. 1644 S. College Tort 4 o ns , CO 80525 INSURERS :Pinnacol Assurance 41190 INSURERC: INSURERD: INSURER E : INSURER F : RTIFICATE NUMBER:17-18 REVISION.N THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL% V`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. INOR LTR TYPE OF INSURANCE ADDL. wan POLICY MEAIER nWspi'yEAF1 11/1/2017 LIMITS A X COMMERCIAL GENERAL LIABILRY I CLANS -MADE X OCCUR X Blkt Additional Insured X_ Blkt Waiver of Subro GEML AGGREGATE UNIT APPLES PER: X POLICY PRO- JECT LOC OTHER: Au islosILBLa aury x ZZ4-A467318-03 11/1/2018 EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one Imo) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG S 1,000,000 $ $ 100,000 20,000 $ 1,000,000 S 3,000,000 = included $ A. X ANY A>rO X AIRED AUT0S AW4A467335-03 AUTOS AUTOS VANED 11/1/2017 11/1/2018 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per occident) PROPERTY DAMAGE f $ OCCUR CLAMS -MADE XRETENTIONS 0 B malmisteCliatoG IRA ION ANY PROPRIETORIPARTNER/EXECUTIVE Ma EXCLUDED? YIN NIA Oa4-A467319-03 4044167 11/1/2017 10/1/2017 11/1/2018 10/1/2018 EACH OCCURRENCE AGGREGATE X F SSTATUTE _ I 1 E.L EACH ACCIDENT EL DISEASE - EA EMPLO.Y,EE 624-A467318-03 11/1/2017 11/1/2018 L6 rA $ $ 2,000,000 $ 2,000,000 t $ 500,000 -5099000 Aggregate Occurrence n1000, 000 $1,000,000 I i Il ROIlk$FOORNATIONB I LOCATIONIN I VEHICLES (ACORD 101, Additional Remarks Sdoeduls, may 6e alloched 0 noon spew Is requited) Ifs d Cew*ty Department of Human Services in named Additional Insured on the General Liability policy per written Contract. A waiver of Subrogation applies in favor of Weld County Department of Ruman Service as regards the General Liaiility. CERTIFICATE HOLDER. Weld County Department of Human Services 315 W. 11th. Avasnle CO40631 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Karole Peters/KAPETE 0) 1985-2014 ACORD CORPORATION. AO rights reserved. The ACORD name and logo are registered marks of ACORD Hello