HomeMy WebLinkAbout20153728.tiff RESOLUTION
RE: APPROVE APPPLICATION FOR JAIL BASED BEHAVIORAL HEALTH SERVICES
GRANT AND AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with an Application for the Jail Based
Behavioral Health Services Grant from the County of Weld, State of Colorado, by and through the
Board of County Commissioners of Weld County, on behalf of the Sheriffs Office, to the Colorado
Department of Human Services, Office of Behavioral Health, commencing July 1, 2015, and
ending June 30, 2017, with further terms and conditions being as stated in said application, and
WHEREAS, after review, the Board deems it advisable to approve said application, a copy
of which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Application for the Jail Based Behavioral Health Services Grant to the
County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of the Sheriffs Office, and the Colorado Department of Human Services, Office
of Behavioral Health, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized
to sign said application.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 30th day of November, A.D., 2015.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: dletit,„,) fe_; 4 EXCUSED
`�.u� Barbara Kirkmeyer, Chair
Weld County Clerk to the Board
• Mike Freeman, Pro-Tem
BY: I. L.! ►_ l'
=� uty Clerk to th- Board
a an P. C•�►way
,r /1
AP O •RM: ism =��`�
,� .,;,,.• A. Cozad
C`ou y Attorney
\ Steve Moreno
Date of signature: /olio
So,Ca, 1'2/17 2015-3728
%1 SO0036
BOARD OF COUNTY COMMISSIONERS
PASS-AROUND REVIEW/WORK SESSION REQUEST
RE: APPLICATION FOR JAIL BASED BEHAVIORAL HEALTH SERVICES GRANT
DEPARTMENT: Sheriffs Office DATE: November 23, 2015
PERSON REQUESTING: Sheriff Reams/Frank Haug
Brief description of the problem/issue:
The BOCC entered into a contract with the state in 2013 to receive grant funding to provide behavioral health
services to inmates. This original contract was signed by the BOCC chair and former Sheriff Cooke. It was an
annual contract that could be renewed automatically for three years. See Tyler 20131643. After the initial
approval by the BOCC, former Sheriff Cooke signed the annual renewal option form provided by the state, and
the current term is set to expire in June of 2016. The Sheriffs office is seeking to re-apply for this grant for the
2016-2017 year, and the application is due Tuesday, December 1, 2015. The Sheriffs Office is seeking the
Board's permission to reapply for the grant, and will seek BOCC's written approval for the ongoing renewal
terms.
The grant has been for approximately $160,000 annually, and is structured so that the services will not exceed
the grant amount. The grant helps provide mental health and substance abuse professionals/case managers in
the jail to help prepare inmates for life out of custody. It is meant to help bridge that gap and reduce recidivism
rates. The program does not require matching funds from the county, and the service providers are employees
of North Range Behavioral Health and Behavioral Treatment Services. We do not take on additional employees.
For additional information please see the attached information.
What options exist for the Board? (Include consequences,impacts, costs, etc. of options)
Authorize the Sheriffs Office to submit the application for the grant to the state to attempt to get money to
provide these services.
Not authorize the grant application.
Recommendation:
Approve the Sheriffs Office to submit the application for the grant.
Approve Schedule
Recommendation Work Session Other/Comments:
Barbara Kirkmeyer,Chair
Mike Freeman
Sean P.Conway
Julie Cozad
Steve Moreno
2015-3728
1
Weld County JBBS Program
Jail Based Behavioral Health Services(JBBS)is a state funded program (HB 10-1352)that is intended to
"support County Sheriffs in providing screening, assessment and treatment for substance use disorders
and co-occurring substance use and mental health disorders to people who need such services while
they are in jails." (Colorado OBH website).The program aims to embed community mental health
agency staff in the jail to start working with offenders prior to release back to the community.With this
effort,the goal is to reduce the gap in services between the jail and the community and potentially
reduce recidivism by way of attempting to provide more seamless access to community services for
offenders. JBBS started in 2011 with twenty-three Colorado counties participating and expanded in
2012 with an additional thirteen counties starting JBBS programs.At last check,there are forty-four
counties participating in JBBS.
The Weld County Sheriff's Office (WCSO)was the recipient of JBBS funds starting July 15t, 2013.WCSO
oversees the contract with the state and the service providers. Currently, North Range Behavioral
Health (NRBH) provides two full time Mental Health Therapists and Behavioral Treatment Services(BTS)
provides two full time Case Managers.The Mental Health Therapists enroll JBBS participants as NRBH
clients and provide evidenced based psychotherapy services in both individual and group sessions.The
Case Managers work individually and in groups with JBBS clients providing life skills and transitional
services. Upon discharge,the JBBS team ensures that the clients have community based psychotherapy
appointments set up, any necessary medication appointments set up and ensure their basic needs are
going to be met(housing if possible, clothing vouchers,food vouchers, hygiene kits,food packs,etc.).
The Weld County JBBS program has been successful in efficiently transitioning clients to community
based services upon discharge from jail,greatly diminishing the gap in services that often plagues this
population. Historically,there has been a significant issue in effectively transitioning offenders to the
community due to the wait times for intake and medication appointments with community providers.
With JBBS,this struggle is not present as the participants are already enrolled as clients with community
providers and therefore have all of the necessary appointments set up prior to discharge and a
treatment plan in place to aid them in future success.The Weld County JBBS program affords for
continued opportunities to enhance partnerships with other community agencies to offer wrap around
services to this population that is vulnerable to recidivism.
It is recommended that the Weld County JBBS program continue due to the evidence of benefits for all
stakeholders.
RESOLUTION
RE: APPROVE CONTRACT FOR JAIL BASED BEHAVIORAL HEALTH SERVICES AND
AUTHORIZE CHAIR TO SIGN
WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to
Colorado statute and the Weld County Home Rule Charter, is vested with the authority of
administering the affairs of Weld County, Colorado, and
WHEREAS, the Board has been presented with a Contract for Jail Based Behavioral
Health Services between the County of Weld, State of Colorado, by and through the Board of
County Commissioners of Weld County, on behalf of the Sheriff's Office, and the Colorado
Department of Human Services, Office of Behavioral Health, commencing July 1, 2013, and
ending June 30, 2014, with further terms and conditions being as stated in said agreement, and
WHEREAS,after review, the Board deems it advisable to approve said contract, a copy of
which is attached hereto and incorporated herein by reference.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld
County, Colorado, that the Contract for Jail Based Behavioral Health Services between the
County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld
County, on behalf of the Sheriff's Office, and the Colorado Department of Human Services, Office
of Behavioral Health, be, and hereby is, approved.
BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to
sign said contract.
The above and foregoing Resolution was, on motion duly made and seconded, adopted
by the following vote on the 1st day of July, A.D., 2013.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST. EXCUSED
� Williaty '. Garcia, Chair
Weld County Clark to the -,?e,,.�t\w�,� ..Q...1«�
`v L
Douglas Rademacher, Pro-Tern
BY: 6..-,ZeA.,
Deputy Clerk to t • ` ': `�
Sean P. Conway
Mi Freeman
'e+�*' Attorney A_
Barbara Kirkmeyer
Date of signature: (O
z tic( =7 ED (cA114
C� 2013-1643
'T CV 1� �?��Z SO0034
B.Technical/Business Proposal
Sheriff's Department Requirements
1.1 Propose an organizational structure designed to facilitate and promote effective administration
of the program.
• Ideally, a staff person from the Sheriff's Department should be in the role of a Program
Manager to oversee the operations of the treatment subcontractors and should be well
versed in the program's contractual requirements and participate in the JBBS Quarterly
Meetings.
• Sheriff's Departments are encouraged to account for this administrative position in their
budgets.
The Weld County Sheriff's Office (WCSO) has approved the Director of Inmate Services to be in
the role of Program Manager for the Jail Based Behavioral Health Services(JBBS) program.This
is a position already accounted for in the WCSO's budget.The Director of Inmate Services has
been in the role of JBBS Program Manager since the WCSO was first awarded JBBS funds in
2013. With this previous experience,the Director has an effective working understanding of the
JBBS contract and processes and is able to guide and direct the program through a collaborative
approach with all stakeholders.The Director is committed to participate in the JBBS Quarterly
Meetings to gain additional insights and contribute to the other JBBS programs and overall
goals.
The Weld County JBBS program has an administrative steering committee comprised of
administrative staff from WCSO, North Range Behavioral Health (NRBH)and Behavioral
Treatment Services(BTS).This committee meets monthly to address concerns and provide
guidance to the JBBS program.This committee will also meet as needed to improve the program
and remove barriers to effective and efficient services.
1.2 Demonstrate financial resources and fiscal management skills to perform the work proposed.
• The Sheriff's Department is responsible for submitting budgets, budget modifications, and
invoices to the OBH in the template format provided by the OBH.
• In the event of a fiscal audit, the Sheriff's Department Accounting staff must be able to
provide documentation supporting the reimbursement to treatment subcontractors and
administrative costs incurred.
The WCSO will be the fiduciary agent for the JBBS funds and has a long standing history of
receiving and managing federal and state grants.Thus,the WCSO uses state of the art
information systems and are closely audited around their record keeping and accountability
methods.All accounting activities are guided by accounting policies and procedures that are
prepared using time tested accounting practices and guidelines. Monthly financial statements
are prepared and compared against the current budget and prior years for appropriateness.The
JBBS Program Manager works closely with the WCSO Budget Manager on this project and
others, having forged a solid and transparent relationship.
1.3 Demonstrate capacity of efforts to screen all individuals booked into the jail facility for mental
health, suicidality and substance use histories and needs. The screening date will be reported
annually to OBH.
page 1 of 20 pages
• OBH and many stakeholders are interested in the prevalence of mental illness and substance
use disorders in the jails.
• Each jail applying for these funds must demonstrate efforts or existing processes to screen
individuals for mental illness, suicidality and substance use histories at booking.
• OBH will provide an Annual Reporting Template that shall be used for this reporting
requirement.
The WCSO prides itself on its processes in place for screening inmates upon admission for
mental health,suicidality and substance use histories and needs.This process starts with WCSO
staff gathering information in these areas from the arresting officer through a questionnaire and
then conducting an interview themselves that focusses in part on inmates' suicidality, mental
health history, current symptoms, psychiatric medication needs,substance use history and
current level of intoxication. Within eight hours of incarceration, all inmates are screened by
nursing staff and are asked additional and more specific questions regarding their suicidality,
mental health history, current symptoms, psychiatric medication needs, substance use histories
and needs. Within forty-eight hours of incarceration, all inmates still in custody are classified.
Part of this process includes an in depth interview that again in large part focusses on suicidality,
mental health history, current symptoms, psychiatric medication needs, substance use histories
and needs.All of this information is gathered for the purpose of internal referral processes to
ensure inmate safety, security and intervention needs.The information is not gathered for
quantification and dissemination purposes.The WCSO does not currently have a system in place
to accommodate this and is unable to meet the recording and reporting requirement in this
area. With future potential systems the WCSO is looking into,this may be an area that could be
expanded if the capacity and technology is present.
1.4 Demonstrate capacity and resources to pay for psychotropic medications by the individuals in the
facility. These funds are not intended to offset for the jail's psychotropic medication costs.
The WCSO has a contracted medical provider to provide medication interventions for medical
and psychiatric diagnoses.These medication interventions will be provided out of the funds
associated with the standing medical provider contract with Weld County for all inmates,
including JBBS clients.The medical provider has a board certified psychiatrist conducting rounds
in the jail,to include rounds with JBBS clients when warranted, on a weekly or twice a week
basis depending on needs.JBBS staff are able to consult directly with the psychiatrist regarding
JBBS clients to afford for the most effective intervention strategies for the needs they may have.
1.5 Demonstrate the ability to offer medication assisted treatment(MAT)if indicated to the
individuals in the jail facility.
The WCSO does not provide methadone to the inmate population and will medically detoxify
inmates from this upon admission to the jail (special circumstances do exist with pregnant
inmates where it will be continued and monitored by a community health care provider during
prenatal visits).The WCSO does not have the capacity to safely monitor and administer
methadone in the facility or the capacity or funds to transport inmates to an approved
methadone clinic.There have been no inmates admitted to the Weld County jail since 2012 who
have reported the use of methadone.
1.6 Exhibit the ability to meet the needs of individuals who are physically challenged, deaf or hearing
impaired, or blind.
page 2 of 20 pages
The WCSO meets the needs of inmates who are physically challenged, deaf or hearing impaired,
or blind within state and national standards in accordance with the American with Disabilities
Act.All jail security, mental health and medical staff complete ADA training upon hiring and the
JBBS Program Manager has attended additional training in this area as well as many other
administrative staff within the agency.All housing areas have ADA compliant cells and
accommodations. Inmates identified with a disability are assigned to jail counseling staff for
case management services. Inmates with disabilities will be afforded the same access to services
as other inmates.
1.7 Demonstrate an ability to provide services in a manner that respects and protects client rights.
All employees with WCSO, NRBH and BTS who have direct contact with inmates treat them
respectfully and courteously. Employees are aware of and protect inmate rights, both civil and
legal, according to set standards that include:
• Freedom from discrimination based on race, religion, national origin, sex, disability, or
political beliefs.
• Equal access to program and work assignments and involvement in decisions based on their
classification level.
• Protection from personal abuse, corporal punishment, personal injury, disease, property
damage, and harassment.
• Freedom from reprisals or penalties as a result of seeking administrative or judicial redress.
1.8 The funds associated with this RFA may increase or decrease depending upon state
appropriations.As a result of this, the state may require the contractor to increase or decrease
services and budgets.
The WCSO, NRBH and BTS have been operating under this premise for the past few years and
are prepared to make modifications as needed to satisfy budgetary needs and requirements.
Licensed Substance Use Disorder Treatment Requirements
11.1 Provide the OBH-license information for substance use disorder treatment provider(s)to deliver
appropriate behavioral health care to inmates.
Through the Colorado Department of Human Services,Office of Behavioral Health, NRBH holds
one of multiple licenses. Both the Adult Outpatient and Behavioral Alternative Services in the
Community Program at 1260 H Street in Greeley, Colorado are license under the number 1386-
05.This document allows NRBH to provide substance abuse disorder treatment in accordance
with the rules and regulations in the State of Colorado. (See attachment).
BTS holds an outpatient license (#175009) and a residential license (#175003)through the State
of Colorado Department of Human Services, Office of Behavioral Health.
11.2 Exhibit ability to identify inmates with active duty or veteran military status.
• This information should be used in treatment and discharge planning.
NRBH uses a comprehensive intake process that includes questions that assist the clinician in
identifying veterans.This process helps to establish their military status.When appropriate,
page 3 of 20 pages
referrals can be made from this information into the Veteran's Administration.Additionally,this
background data also drives our treatment and discharge planning for veterans. Behavioral
Treatment Services(BTS) provides comprehensive clinical case management services to JBBS
clients, in collaboration with mental health and substance use services provided by North Range
Behavioral Health (NRBH). BTS ensures that client information, history, and demographics are
obtained to appropriately determine resources and support needed within the community upon
discharge from county jail.This includes veteran and military status;veterans and their families
can face unique challenges that should be met with integrity, respect, and assistance. For
purposes of both treatment planning and transition/discharge planning, BTS case managers are
required to identify veteran and military status, both of which are included as
exhibits/attachments.
11.3 Exhibit the ability to provide culturally competent and appropriate services.
NRBH requires ongoing training requirements for clinical staff around the provision of culturally
competent services.There are also standard aspects to our intake process that address and
identify cultural issues.This allows for the development of ongoing treatment planning with the
appropriate culturally-related services. BTS is committed to providing culturally responsive and
inclusive services at all levels of programming to support the changing needs of clients in
custody and in the community. BTS complies with all ADA requirements and ensures
accessibility and accommodation of services to all clients, regardless of identity or disability. In
addition to inclusive efforts for clients, BTS is committed to a workplace and workforce that is
culturally competent and diverse.This is reflected in recruitment and hiring of BTS staff and
administration, and benefits offered to employees and their partners/families.
11.4 Demonstrate the ability to provide treatment based on an individualized treatment and/or
transition plan based on an assessment completed for the client within the past 6 months. The
transition/treatment plan should incorporate the client's natural communities and pro-social
supports.
Individualized treatment planning at NRBH includes the following elements:
• It is a collaborative process which requires that the client has input in determining the
content of their treatment.Thus, it is a client-centered process with mutually-agreed upon
goals.
• It is medically necessary.
• It is individualized.
• It is culturally-sensitive.
• It is strength-based.
• It is incorporated into the concept of the golden thread,where the therapeutic content is
connected throughout the clinical assessment,the diagnosis, into the treatment plan,to the
progress notes, and finally,through the discharge plan.
• It identifies significant-other-systems that are already in play for the client; and,
• It develops the necessary level of care and course of treatment that supports structure and
activities that promote growth and development.
In addition to JBBS screening, BTS clinical case managers complete the Standardized Offender
Assessment Revised (SOA-R) assessments upon intake into the JBBS program.The SOA-R
provides initial conceptualization of client's risk and protective factors that will need to be
reflected in treatment and services provided both in custody and in the community. BTS clinical
page 4 of 20 pages
case managers work collaboratively with clients to develop individualized treatment and
transition plans,that are evidenced and recovery informed,to address re-entry needs,with
goals of decreasing recidivism and increasing/strengthening interpersonal support.This includes
referral to, and collaboration with, NRBH and mental health and substance use treatment
opportunities. BTS clinical case managers complete initial transition and treatment plans within
first three case management sessions.Treatment and transition plans are then reviewed at least
7 days within discharge from WCJ.
11.5 Demonstrate either available capacity for community based treatment through other funding
streams to continue with the same provider in the community following release; or demonstrate
an ability to interface with other agencies serving persons with substance use disorders or co-
occurring mental illnesses, i.e., community mental health centers,substance use disorder
treatment programs,service programs for Veterans and other community service agencies to
meet the client's treatment needs.
NRBH as the local community mental health center contracts to provide services in Weld County
through numerous funding sources.This includes:
• Private insurance
• Medicaid
• Medicare
• Employee Assistance Programs
• Third party contracts such as with Probation, Parole and/or Department of Human Services
• Indigent funding through the State of Colorado Office of Behavioral Health
• Priority population funding through the State of Colorado Division of Drug and Alcohol
• Sliding fee scale for self-pay clients based on income and the number of people supported
by that income.
Thus, inmates who are released from jail will be able to access care in a seamless and timely
manner via these different funding streams.Additionally, this planning is incorporated into the
case management activities that occur while the inmate is still incarcerated, so a plan can be
implemented upon their release without creating delays or barriers to care. NRBH case
managers are all trained and able to assist all of our clients around benefit acquisition.
BTS has demonstrated ability to provide community-based services to clients during transition
from jail to their communities.This includes strong partnerships with community providers such
as NRBH and Intervention Inc.,to ensure that all client needs are addressed and supported. BTS
currently collaborates with local community mental health centers to provide psychiatric and
medication management services. BTS also collaborates with community providers for state
approved SOMB and DVOMB services,ensuring continuity of care across all spectrums of need.
BTS is dedicated to offering equitable services to clients in need,especially those involved in the
criminal justice system. Clients are supported in respect to funding of services through
probation/parole and self-pay,to include sliding scale opportunities. BTS is in process of
Medicaid credentialing and expects to have all 15 of its locations Medicaid ready by Spring 2016.
BTS will assess indigent care on case-by-case basis,ensuring that client needs are met or
referred to appropriate opportunities.
11.6. Demonstrate the ability to transition individuals from jail based services to appropriate
page 5 of 20 pages
behavioral health and other needed community services upon release from incarceration.
• Performance Based Incentives will be paid out to programs meeting or outperforming
benchmarks for the number of clients engaging in treatment services upon release from the
jail in the contracts resulting from this RFA. (See Section D. Cost Proposal for more
information.)
• The benchmark for programs to earn their Performance Incentive is a total of 30%of the
clients released from the program will be "In Treatment"or"Treatment Completed"at the 1
month Transition Tracking interval. This data shall be pulled after the end of the fiscal year
from the Civicore JBBHS Database.
NRBH provides a comprehensive assessment to the inmate at the time of first contact in the jail.
This intake process allows NRBH to determine the appropriate level of care and the course of
treatment that dictates the services to be provided. In the community, NRBH has an array of
services available.Thus, as the inmate moves toward their release, a Transitional Meeting
occurs with community providers of NRBH to create an appropriate community-based plan.
NRBH has a continuum of care that can includes:
• Crisis Response
• Respite Care
• Residential Programming for mental health and/or substance abuse
• Acute Treatment Unit/Detox
• Traditional Outpatient Services
• Intensive Outpatient Services
• Case Management
• Peer Specialists
• Forensic Services
• Medication
• Integrated physical and behavioral health clinics
• Child and family services
• Accredited Clubhouse
• Recovery Services
• Vocational Services
• Assertive Community Team
BTS is qualified to provide effective intensive and clinical case management services to clients
involved in the criminal justice system. In collaboration with Intervention and Intervention
Community Correctional Services, BTS has established a strong network of community
partnerships and linkages. BTS clinical case managers begin assessing for re-entry needs
immediately upon admission to JBBS programming.Through creation of both an individualized
transition and treatment plan, clients collaboratively plan for effective community reintegration
and decreased risk of recidivism.
BTS case managers ensure that all bio-psycho-social factors are assessed and addressed:
identification/documentation, housing,financial,transportation,employment, education,
legal/civil, medical, mental health, substance use,vision, dental, and pro-social
page 6 of 20 pages
relationships/supports. BTS works collaboratively with NRBH both in the jail and in the
community.This includes specific partnership with their on site pharmacy and integrated care
clinic Sunrise/Genoa,where BTS has direct funding/invoicing capability to ensure clients have
necessary medications upon discharge.
BTS clinical case managers will support clients in determining mental health and substance use
treatment upon re-entry.This includes supporting clients upon admission to community
providers and ensuring continuity of care through appropriate follow up (to include Transition
Tracking in Civicore).
11.7. Demonstrate an ability to provide OBH with the required data submissions as defined below
under Section B—Monitoring and Data Collection.
BTS clinical case managers utilize the following screening tools to assess substance use, mental
health,trauma,TBI and criminogenic risk factors:SSI, CCJMHS-A, PTSD checklist, HELPS Brain
Injury Screen, LSI, and SOAR. Information from all intakes and assessments will be used to
successfully document all required information into the JBBS database for reporting purposes.
The Weld County JBBS program has a perfect track record of proving this information in years
past.
Technical Elements of the Application:
Sheriffs Department Requirements
111.1 Indicate the counties to be served.
Weld County, Colorado will be served with JBBS funds.
111.2 Indicate the amount of jail based behavioral health funds the organization is requesting.
• Funding is not guaranteed at the requested amount and shall be allocated based on the
number of applications received. OBH will request the offeror to revise the submitted budget
based on the actual award amount after review of all applications.
The Weld County JBBS program is requesting a funding amount of$352,807.40.This amount will
allow us to have the correct amount of staff to serve the inmate population that is interested in
JBBS, adequate Recovery Support Services Funds, and necessary funds for operating costs and
staff development.
111.3 The response will identify existing treatment resources available at the jail and resources the
Sheriff's Department is intending to develop or enhance with the JBBS funds.
• The application shall provide a list of treatment service options available at the jail facility.
The Weld County Sheriffs Office (WCSO) employs four Bachelor's level Registered
Psychotherapists and three Master's level licensed mental health staff(Licensed Professional
Counselor or Licensed Clinical Social Worker).Two of these staff members are also Certified
Addictions Counselor Ills (CACIII). The main objectives of these staff members are:
- Suicide Assessment, both initial and ongoing
page 7 of 20 pages
- Follow-up counseling services for those inmates currently or previously deemed to be a
suicide risk
- Mental health screenings for referral purposes
- Crisis intervention with the inmate population
- One on one counseling for inmates in segregation
- One on one counseling services with the inmate population who identify problems of a
mental health and/or substance abuse nature
- Group counseling services—mostly psychoeducational
- Consultation with psychiatrist for medication interventions
JBBS funds allow the WCSO to enhance the above services by targeting inmates who are
motivated to participate in treatment services while in jail and specifically, after release.JBBS
staff serves as the crucial link to the community providers for inmates wishing to pursue
treatment after their release; something that is not able to be mirrored as effectively by jail
counseling staff. Having JBBS staff embedded in the Weld County Jail for the last few years has
substantiated how the gap in services between the jail and the community can be greatly
diminished and provide community members with more immediate access to have their needs
addressed.
111.4 The response will identify how the Sheriff's Department at each jail in the application is
implementing the Affordable Care Act.
• The response must describe what efforts are in place to enroll individuals in Medicaid or
private insurance upon release from the jail. If there are no current efforts, what is the
county's plan to implement such benefits?
• For counties where there are existing efforts, how will the individuals served under the JBS
program be included in the efforts?
The WCSO is currently engaged with Colorado Access to develop the most effective and efficient
mode of working with the inmate population regarding the attainment of Medicaid and/or other
insurance options upon release from jail. Preliminarily,the general inmate population will be
provided with necessary materials to advise them how to register and where to go to complete
this process.The WCSO will be actively looking at other options to afford the inmate population
in this area which may potentially involve strengthening relationships with the Human Services
Department to assist in this endeavor.
JBBS clients will be provided with specific applications/paperwork close to their release from jail,
when deemed appropriate, and be assisted by Case Management staff in filling out the
necessary paperwork in an effort to be prepared for filing upon their release.
111.5 The response will provide the number of incarcerated consumers with substance use disorders or
co-occurring substance use disorders and mental health disorders, and how many individuals will
actually be enrolled in JBBS.
The number of incarcerated consumers with substance use disorders or co-occurring substance
use and mental health disorders is not quantified by the WCSO. If the Weld County JBBS
program is fully funded,the goal is to provide effective treatment for at least 200 clients in fiscal
year 2016-17.
111.6 The application should detail the jail's policies on Medication Assisted Treatment.
page 8 of 20 pages
• The response should include the jail's protocol for working with individuals who are on
methadone and how the jail will be able to continue to receive methadone for individuals
and distribute the prescribed dose.
• These funds may be used to purchase Naloxone kits to be provided to individuals who are
high risk of overdosing post release from the jail. The jail's Medical Team would be
responsible for determining the individual's need, training the individual to use the kit and
distributing the medication when released from the facility.
Note: OBH is able to provide assistance with training the Medical Team staff regarding the
Naloxone protocol if the Sheriff's Department has in interest in offering this service.
• Due to the heroin and opioid use prevalence in the state and across the country;programs
proposing to consider the Naloxone distribution services will be given priority when the
county has data supporting a higher prevalence of abuse in their region.
The WCSO does not continue methadone for the inmate population (special circumstances do
exist with pregnant inmates where it will be continued and monitored by a community health
care provider during prenatal visits). Inmates are medically detoxified from this upon admission
to the jail facility.The administration and monitoring of methadone is considered to be a
significantly specialized area that requires a certified methadone program that the jail does not
have access to. Naloxone kits will not be considered by the WCSO at this time.
Licensed Substance Use Disorder Treatment Requirements epidemic
IV.1. The applicant's response will explain how they will identify individuals to provide services in the
jail.
• The application must also state the program's admission criteria.
• The response must include how many clients will be admitted to the program and screened
each fiscal year.
Inmates are selected for the program on a voluntary basis.JBBS Case Managers meet initially
with all referrals.The admission criteria for entering the JBBS program includes:
• The inmate must have a substance use disorder or co-occurring substance use and mental
health disorder.
• The inmate must commit to have follow-up phone calls when in the community for
statistical purposes.
• Inmates must be considered for a non-DOC sentence by the sentencing court.
The number of clients to be admitted to the program over a year's time is contingent upon the
number of JBBS clinicians on staff. However,when fully staff,the number of admissions will be
at least 200 and the number to be screened is estimated at approximately the same number of
admissions as there is only a small percentage screened but not admitted.
IV.2. The application shall detail the screening process for all inmates referred to the program for
presence of substance use disorders, mental health disorders, trauma and traumatic brain injury.
• For clients admitted to the program, a risk assessment(Level of Supervision Inventory-
LSI/LSI-R)shall also be completed. The response shall provide details on how many clinicians
page 9 of 20 pages
and case managers are trained to administer the LSI/LSI-R. For staff not trained, what is the
provider's training plan?
• A list of the approved screening and assessment tool options is detailed under Section B-
Data and Monitoring. The response shall include which screening tools will be used by the
program.
• The response shall detail which positions from the program's organizational structure shall
be responsible for completing the screening.
• In cases where more than one treatment subcontractor is proposed, how will the client
caseloads be assigned amongst the providers?Programs in this scenario will require a
Business Associates Agreement or Confidentiality Agreements to share assessments and
screening. The response should provide details on the plan for making the agreements.
The screening process for entering the JBBS program includes the following tools:
• LSI (Completed by BTS Case Manager)
• SOAR (Completed by BTS Case Manager)
• SSI (Completed by BTS Case Manager)
• PTSD Checklist (Completed by BTS Case Manager)
• HELPS(Completed by BTS Case Manager)
• CCJMHSA(Completed by BTS Case Manager)
All JBBS clinicians and case managers can complete these instruments.As of spring 2015, it was
a requirement that all BTS staff be trained to administer and interpret the SOA-R through the
Colorado Division of Criminal Justice (DCJ). Per new assessment and state standards, all BTS case
managers and JBBS clinicians will continue to be trained in the SOA-R, specifically the LSI/LSI-R,
upon hire.This training need is supported in BTS onboarding and supervisory requirements.At
this time,there is no plan necessary for training staff in the LSI or any other instrument.
Weld County will have two entities providing services to JBBS clients. BTS staff will provide Case
management services and NRBH will provide psychotherapy services.There has been a Business
Associates Agreement in place between the Sheriff's Office, NRBH and BTS since 2013 and if
awarded JBBS funds for fiscal year 2016-17, another one will be signed and effective with the
new contract.
page 10 of 20 pages
IV.3. Services must be rendered by OBH licensed agencies; therefore the response shall include the
provider's OBH Substance Use Treatment Provider number for the agency location the JBBS
program will operate under.
• The response must document existing policies and procedures on how the treatment
provider manages and maintains clinical records for the clients served at the outpatient
community location. The provider must follow the same protocols and policies for record
management for services offered in the jail since the program is being authorized to operate
under the provider's OBH outpatient services license.
For NRBH, please see the attachment labeled under Section XXIII of the "Privacy and Procedures
Manual for North Range Behavioral Health" as the "Protected Health Information: Off-Site"from
9/23/13. NRBH holds license#1386-05 as a substance use disorder treatment provider.
BTS employs a Clinical Quality Assurance Manager responsible for maintaining compliance with
the Office of Behavioral Health, and all federal and state statutes and regulations. This includes
client records, documentation, reporting, auditing and improvement. The quality assurance
manager also participates within an agency compliance and outcomes subcommittee that
ensures best practices and implementation and review of ongoing quality improvement plan.
BTS utilizes a HIPAA compliant electronic management system to manage and maintain clinical
P g Y g
r for all clients,to include JBBS programs.This system and practice
and case management records o c i p g y
g
standards are the same for both JBBS inmate clients and those in outpatient services in the
community. BTS managers and staff ensure that documentation meets jail reporting standards
in their internal system, Spillman. BTS Case managers complete necessary documentation for
JBBS clients: disclosure statement, client rights and responsibilities, HIPAA Notice of Privacy
Practices, and ROls to appropriate parties(i.e.WCSO, North Range Behavioral Health,Correct
Care Solutions). In addition,they complete the HELPS Brain Injury Screening Tool, PTSD checklist
and SOA-Rs assessments along with a transition plan for successful re-entry.Additionally, BTS
case managers complete all required client tracking and data entry for agency,jail, and
JBBS/OBH compliance and outcomes. BTS quality assurance manager reviews and audits JBBS
programming, documentation, and compliance on a quarterly basis. Please see attachment for
policy.
BTS's licensing numbers are#175009 for outpatient services and#175003 for residential
services.
IV.4. Programs shall have clinician positions to offer screenings, assessment and treatment in the jail
and case manager positions dedicated to transitional care and a seamless re-entry to treatment
services in the community.
Note: Treatment services in the community will not be funded by JBBS. The program may design
the case manager position to partially offer services in the community.
• Applications should provide a detailed list of which specific services will be offered in the jail.
Priority will be given to agencies that look to implement effective treatment approaches that
are gender responsive and proven strategies for assuring continuity of care into the
community.
page 11 of 20 pages
Clinical JBBS staff offer screenings, assessments and treatment with the assistance of JBBS Case
Managers.The case managers set up transitional plans for re-entry into the community.The
goal is to create timely and seamless community services once the inmate is released from the
jail. Specific services offered in the jail include:
• Mental health and substance abuse treatment services
• Group Therapy: MRT; SSC;and Relapse Prevention
• Evidence-Based Practices: Motivational Interviewing; EMDR;CBT; and DBT
• Inmates are asked at intake for their preference around the gender of their provider.Thus,
we are able to be gender-responsive in our care as the inmate will be able to see either a
male or a female clinician.
• Transitional Planning Meetings occur before an inmate is released from jail.This assures
that the inmate and the community provider(s) are creating a smooth and effective "warm
hand-off'.
• Medication services are coordinated and set up in advance of release to assist all clients in
receiving their medication within a timely fashion.
• Referrals to the community may also include: housing; employment; other treatment
providers;TBI services; and/or DD services;etc.
Additionally, BTS provides clinical case management services in collaboration with mental health
and substance use services through NRBH. BTS leads MRT groups and co-facilitates MRT groups
with a North Range Behavioral Health therapist on a weekly basis. BTS case managers identify
needs and protective factors through the aforementioned screening and assessment tools.
During their third session in the jail,case managers develop a transition plan in collaboration
with the client to address the client's re-entry needs.Case managers also work to prepare
clients for re-entry by assisting clients with the completion of the following in the jail:
applications and referrals for community resources(i.e. identification/documentation, Medicaid,
housing resources, education programs, employment resources, etc.),employment applications,
resumes, and personalized budgets. In addition, prior to release case managers set-up
appointments for continued treatment(i.e. mental health, substance abuse, offense-specific,
medication evaluation,etc.) in the community depending on the client's needs. BTS case
managers also identify the client's local support system, client hobbies and interests, as well as
plans for pro-social activities in the community.
In order to provide a seamless transition to treatment services in the community,clients are
provided with a discharge instruction sheet detailing the date/time/location of their community
treatment appointments. In addition,they are provided with an extensive list of community
resources to address basic needs including food, clothing, housing, employment,transportation,
and medical concerns should they arise post-release.
IV.5. Describe how staff providing services to the target population will be sensitive to diversity issues.
Indicate the extent to which staff is representative of diversity and receive periodic training in
cultural competence.
• New Employee Orientation covers some aspects of cultural competency in their program.
• Additionally,staff are required to complete on-line training through a program called Relias.
• On-going clinical supervision emphasizes cultural issues, i.e., language barriers; gang-related
issues; religious background; sexual preference; etc.
page 12 of 20 pages
• Required training of NRBH staff includes culturally-oriented services.
BTS is committed to providing culturally responsive and inclusive services at all levels of
programming to support the changing needs of clients in custody and in the community. BTS
complies with all ADA requirements and ensures accessibility and accommodation of services to
all clients, regardless of identity or disability. In addition to inclusive efforts for clients, BTS is
committed to a workplace and workforce that is culturally competent and diverse.This is
reflected in recruitment and hiring of BTS staff and administration, and benefits offered to
employees and their partners/families.
At this time,JBBS staff includes both genders of a mixed cultural background.
IV.6. Describe the service array available within the community to program participants upon their
release from jail, including behavioral health services.
• The application must detail existing programs available to the clients upon release at the
provider's agency locations in the community. The agency's programs available should be
able to take on clients who are awaiting Medicaid approval or other funds to pay for initial
treatment services.
• For services that are not available through the treatment provider,for example, traumatic
brain injury array of services, the application must illustrate the provider's ability to partner
with required resources.
The Weld County JBBS program starts the transition to the community at the first contact.They
do so by developing individualized Transitional Plans and eventually set up a Transitional
Planning Meeting to hand off the inmate to community providers. Upon release from jail, NRBH
has the capacity to take on clients with pending Medicaid approval or other funding sources.
NRBH provides the following community-based services:
• Crisis Response
• Respite Care
• Residential Programming for mental health and/or substance abuse
• Acute Treatment Unit/Detox
• Traditional Outpatient Services
• Intensive Outpatient Services
• Case Management
• Forensic Services
• Medication
• Integrated physical and behavioral health clinics
• Child and family services
• Accredited Clubhouse
• Recovery Services
• Vocational Services
• Assertive Community Team
• Crisis Response
• Respite Care
• Residential Programming for mental health and/or substance abuse
page 13 of 20 pages
• Acute Treatment Unit/Detox
• Traditional Outpatient Services
• Intensive Outpatient Services
• Case Management
• Peer Specialists
• Forensic Services
• Medication
• Integrated physical and behavioral health clinics
• Child and family services
• Accredited Clubhouse
• Recovery Services
• Vocational Services
• Assertive Community Team
Clients who require services outside of NRBH service area, such as brain injured or
developmentally disabled clients, are referred to our community partners.This includes the
local National TBI Services and their support groups or to Envision,our DD provider.Also, NRBH
has a clinical staff member embedded at Envision for those clients that interface with both
systems.
IV.7. The response shall indicate how services needed upon release shall be identified and detail how
the offender shall be linked to the appropriate services in the community without a break in
services. Responses may attach sample Transition Worksheet as an attachment to the
application. Priority will be given to proposals that demonstrate an effort to combine planning
for treatment and transition.
Following admission into the JBBS program, BTS clinical case managers immediately begin to
assess and address the client's re-entry needs.Through the creation of an individualized
transition plan in their third case management session, clients collaboratively plan for effective
community reintegration,thereby reducing the risk of recidivism. BTS case managers work to
assess and address needs on an ongoing basis in the following areas:
identification/documentation, housing,financial,transportation,employment, education,
legal/civil, medical, mental health, substance use,vision, dental, and pro-social
relationships/supports.As needs are addressed and/or new needs arise,the transition plan is
reviewed and updated. Please see attached example Transition Plan Worksheet.
BTS also works collaboratively with NRBH in the jail and in the community to ensure continuity
of mental health, psychiatric and substance abuse services. For instance,the NRBH on site
pharmacy and integrated care clinic Sunrise/Genoa has the ability to directly invoice BTS for
JBBS clients to ensure that they have any necessary medications upon discharge from the jail. In
addition, case managers schedule initial community-based treatment appointments in
collaboration with the client prior to their release and provide detailed discharge instructions to
ensure a seamless transition to treatment in the community.
IV.8. The proposal should describe what Recovery Support Services(approved list is attached)are
most needed in the catchment area and how the provider or Sheriff's Department will use a
portion of their budget to meet these needs.
page 14 of 20 pages
The following need areas are identified through the collaborative development
of a transition plan and addressed through the use of recovery support funds:
• Identification/Documentation: If a client does not have a photo ID and social security card
BTS case managers assist with the application process and can cover the cost(if necessary)
using recovery support services(if they need their birth certificate BTS case managers also
try to obtain this)
• Housing: If a client requires emergency housing post-release, BTS case managers refer them
to NRBH housing or work on getting them a bed at a sober living house if there is a bed
available and cover the cost(if necessary)using recovery support services
• Transportation: If a client identifies transportation needs, BTS case managers provide them
with a bus pass purchased using recovery support services and also have the ability to
complete a referral to a bike donation program in Weld County.
• Education: if a client identifies educational needs, BTS case managers provide them with
information on an Adult Basic Education Program in Weld County and inform them BTS case
managers can help cover the cost of a GED program/testing using the recovery support
services
• Medical: If a client has medical concerns and they need help covering the cost of an
appointment, medication (either physical or mental health related),or testing post-release,
BTS case managers can cover that using recovery support services
• Mental Health: If a client has been prescribed psychotropic medications while incarcerated,
BTS case managers schedule a medication evaluation in the community and ensure that the
client can continue their current medications until that appointment post-release (cost
covered by the recovery support services).
• Vision: If the client identifies vision needs, BTS case managers will submit a referral to the
Lions Club so a low-cost vision exam and glasses.The cost of this appointment can be
covered with recovery support service funds.
• Dental: If a client identifies dental care needs, BTS case managers will set up an
appointment with their dentist or a community dental provider prior to their release.The
cost of this appointment can be covered with recovery support service funds.
Monitoring and Data Collection
The response shall be written with the intent to comply with the requirement to collect, maintain and
submit certain data to be reported on an ongoing basis throughout the contract. This information shall
include:
o Basic demographic information about the persons receiving services with these funds
o Numbers of clients served
o The types and quantities of services delivered
o Number and percentage who successfully transition to community based services upon release
o Program discharge outcomes
o Prevalence data gathered from administering mental health, substance use disorder, risk
assessment, trauma and traumatic brain injury screens
page 15 of 20 pages
In an effort to create similar requirements to meet program eligibility criteria across the state, one of the
following screening tools for should be used for the 5 areas listed below for all individuals referred to
JBBS.
OBH will require all programs to submit the above data on a web-based database. The data
must be submitted and maintained on an ongoing basis but must be current at least on a
quarterly basis. Detailed information regarding this requirement shall be provided upon contract
implementation.
o Licensed SUD treatment providers will submit DACODS and CCAR data to the Office of
Behavioral Health. Providers will have to submit DACODS and CCAR reports for services offered
in jails with these funds. When these clients engage in services after release from jail, the
provider who delivers services will need to submit either DACODS, CCAR, or both, depending on
what that provider typically would have to submit for the services being provided. The JBBS
Special Studies codes must be used to identify clients receiving services under this funding
source.
NRBH is a State licensed SUD and MH treatment provider.Therefore, NRBH submits to the State on a
regular basis all DACODS and CCARS reports required. Special Study codes on those reports indicate the
type of services being provided. NRBH also submits the admission and discharge reports as required by
the State. BTS clinical case managers utilize the following screening tools to assess substance use,
mental health,trauma,TBI and criminogenic risk factors: SSI-R, CCJMHS-A, PTSD checklist, HELPS Brain
Injury Screen, and the LSI-R. BTS case managers are responsible for inputting all the necessary data into
the JBBS database on a regular basis and have always been in compliance with this during the previous
contract period.
Substance Use Mental Health Trauma Traumatic Risk
Disorder Disorder Screening Brain Injury Assessment
Screening Screening Screening
Standardized Colorado PTSD HELPS Level of
Offender Criminal Justice Checklist Brain Injury Supervision
Assessment- Mental Health Screening Tool Inventory
Revised Screen —Adult
(CCJMHS-A)
Addiction Brief Behavioral Trauma OSU Traumatic
Severity Index Health Screen Symptom Brain Injury
Inventory Screening
Simple
Screening
Instrument
C. Demonstrated Experience and Capabilities
1. What is the name and mailing address of the legal entity submitting this proposal?
Steve Reams,Sheriff
Weld County Sheriff's Office
1950 O Street Greeley, CO 80631
page 16 of 20 pages
(970) 356-4015
2. Please provide the name of the individual who will be the Project Director(or equivalent title)and
his/her contact information.
Matt Elbe, MA, LPC-Clinical Supervisor and Interim Director of Inmate Services
Weld County Sheriffs Office
2110 O Street Greeley, CO 80631
(970) 356-4015 ext. 3817
3. Provide a description of the partner provider organization(s)receiving funds including name, type of
organization, services provided by the organization and region served. A letter of support from the
provider partnering with the Sheriff's Department shall be included in the application acknowledging
their commitment to comply with the program's requirements.
The WCSO is partnering with NRBH and BTS to provide JBBS services to prospective clients in Weld
County. NRBH was incorporated in 1971 and has been a non-profit provider of quality behavioral health
services that include mental health and substance use treatment.Services that NRBH offers are:
• Crisis Response
• Respite Care
• Residential Programming for mental health and/or substance abuse
• Acute Treatment Unit/Detox
• Traditional Outpatient Services
• Intensive Outpatient Services
• Case Management
• Forensic Services
• Medication
• Integrated physical and behavioral health clinics
• Child and family services
• Accredited Clubhouse
• Recovery Services
• Vocational Services
• Assertive Community Team
• Crisis Response
• Respite Care
• Residential Programming for mental health and/or substance abuse
• Acute Treatment Unit/Detox
• Traditional Outpatient Services
• Intensive Outpatient Services
• Case Management
• Peer Specialists
• Forensic Services
• Medication
• Integrated physical and behavioral health clinics
• Child and family services
• Accredited Clubhouse
page 17 of 20 pages
• Recovery Services
• Vocational Services
• Assertive Community Team
BTS, previously known as Intervention Clinical Services, is an OBH Licensed Non-Profit treatment
provider that has been serving clients in Weld County for approximately five years. BTS is dedicated to
offering equitable services to clients in need, especially those involved in the criminal justice system.
Clients are supported in respect to funding of services through probation/parole and self-pay,to include
sliding scale opportunities. BTS is in the process of Medicaid credentialing and expects to have all 15 of
its locations Medicaid ready by spring 2016. BTS will assess indigent care on case-by-case basis, ensuring
that client needs are met or referred to appropriate opportunities.
D. Cost Proposal
Offeror Name:Weld County Sherriff s Office
Budget Narrative:The 5.0 FTE described below is for 3 Behavioral Health Professionals (CJS) employed by NRBH.
These positions would be a State of Colorado licensed, master level clinicians with a CAC II. CACIII clinicians would
be considered based on experience and reviewed by the administrative team.The 2 Case Managers(CJCM)would
be employed by BTS.The positions would be a bachelor level position.
Operating expenses cover staff training,travel,therapeutic materials and curriculum, and operating supplies and
fees.
Recovery Support Services will include: Emergency housing, medications,applications for ID/Birth certificates, bus
passes, hygiene items, phone cards, GED program/testing, medical assistance, clothing vouchers, UA/BA's,
transportation to residential treatment,food assistance, backpacks.
Administrative costs are set at^'10%of the overall budget and are split in half between NRBH and BTS,the two
treatment providers.
The JBBS Program will have contact with 200 clients at a $1,764.04 per client cost.
Time Period:7/1/16 through 6/30/17
JBBS Program
Total
1352 Match Program
FTE* Dollars Dollars Costs
Direct Personnel Cost
Employee compensation:
page 18 of 20 pages
Behavioral Health Professional (CJS-master's level clinician or CAC III) NRBH 1.0 58,866
Benefits,Taxes, Unemployment 17,660
Behavioral Health Professional (CJS-master's level clinician or CACIII) NRBH 1.0 43,721
Benefits,Taxes, Unemployment 13,116
Behavioral Health Professional (CJS-master's level clinician or CACIII) NRBH 1.0 51,150
Benefits,Taxes, Unemployment 15,345
Case Manager Salary(CJCM-bachelor level) BTS 1.0 38,192
Benefits,Taxes, Unemployment 10,678
Case Manager Salary(CJCM-bachelor level) BTS 1.0 37,080
Benefits Taxes, Unemployment 10,526
(Specify Line Items and describe in narrative)
Subtotal 5.0 296,334 0 296,334
Client
One Time or Emergency Medications
Purchases From Other Providers
(Specify Line Items and describe in narrative)
Subtotal 0 0 0 0
Operating
Equipment Rental, Lease and Maintenance 0
Insurance 0
Supplies, Cognitive Based Materials 2,000
Postage, Printing, Photocopying, Office supplies 1,500
page 19 of 20 pages
Telephone Fees 1,100
Client Outreach Travel 1,800
Travel, Conferences and Staff Development 3,000
Vehicles- Fuel, Oil, Lease and Maintenance 0
(Specify Line Items and describe in narrative)
Subtotal 0 9,400 0 9,400
Recovery Support Services
Emergency housing, medications, applications for ID/Birth certificates, bus passes,
Hygiene items, phone cards, GED program/testing, medical assistance, clothing
vouchers, 15,000
UA/BA's,transportation to residential treatment, food assistance, backpacks.
Subtotal 0 15,000 0 15,000
Administration
Aggregate in one line item and describe in narrative ADM FEE 32,073.40
Subtotal 0 32,073.40 0 3,000
Total Cost 5.0 352,807.40 0 323,734
Performance Incentive 10%of Total Amount Requested 32,373.40
Estimated number of clients to be served 200 200
Estimated cost per client 1,764.04 0 1,764.04
page 20 of 20 pages
' E
Behaviral TeatmentSrvices
Behavioral Treatment Services
1333 W. 120th Ave. Suite 109
Westminster, CO 80234
November 18, 2015
To whom it may concern,
I am writing to express the support of Behavioral Treatment Services(BTS)for the continuation
of the Jail-Based Behavioral Health Services(JBBS)program in the Weld County Jail. The goal
of the JBBS program is to provide appropriate, evidence-based behavioral health services to
inmates with substance use disorders and/or co-occurring substance use and mental health
disorders while supporting continuity of care within the community following release. This
approach serves the needs of the offenders,the jails, and the public by resulting in the
identification and treatment of behavioral health needs,improved behavioral compliance in
correctional facilities,and increased public safety through reduced risk of recidivism. During the
fiscal year 2014-2015,the JBBS program served approximately 96 clients in Weld County.
BTS has provided case management services with the JBBS program in Weld County since its
implementation.in 2013 and is committed to providing these services on an ongoing basis.These
positions are designed to assist clients with identifying and addressing their re-entry needs(i.e.
housing,food,transportation,treatment needs,etc.),a crucial component to ensure successful
transition into the community.
Please join us in offering your support for the continuation of the JBBS program in partnership
with Weld County Jail.
Respectfully,
L,Cw, GAC
Brian Gonzale , CSW,LAC
Clinical Director
Behavioral Treatment Services
rIli
ANGE
VdN°BEHAVIORAL HEALTH
11/19/15
To Whom It May Concern:
North Range Behavioral Health(NRBH)is proud to partner with the Weld County Sherriff's Office to
submit the attached application for funding for Jail-Based Behavioral Health Services.We believe that
our collaboration to provide these services supports the ultimate goal of SB 12-163 which is to reduce
cost to the State by providing treatment to offenders.
NRBH has a long history of collaboration with the criminal justice community in Weld County.With our
multiple programs and services associated with the criminal justice system,we can ensure that a wide
variety of services and programming are available to individuals whose criminal behavior and history has
been impacted by a mental health and/or substance use disorder.Our programs have shown
demonstrated outcomes in reducing recidivism among our target populations.
I am confident that our Jail-Based Behavioral Health Services will continue to build upon the existing
relationships between NRBH and the county criminal justice providers. I offer my commitment to
ensuring the success of this programming,and to ensuring that NRBH will provide ongoing community-
based services to participants in the program as required.
If I can provide any further information, please do not hesitate to contact me at ,
michael.mccormick@northrange.orgor at970-347-2405.
Sincerely,
Michael McCormick,PhD, LCSW,CACIII
Adult Services Administrative Director
North Range Behavioral Health
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J665 Treatment Plan
Client: bate:
Program status:
T Screen for: MH, SU, PTSb, TBt
Military status: yes no
Contact number:
Ethnicity: _African American
Asian
T Caucasian
_Native American/Alaskan Native
Native American/Pacific Islander
Other
Unknown
Latino
_Hispanic
Create Transitional Plan
_ Additional ROI`s, if applicable
Reentry Group, if applicable
bispositional staffing
Comments:
JBBS Transition Plan
Name: DOB: Jail ID: Date:
Sentenced to: Release date:
Completed(Y or N)and Date
Documentation
Do you have the following documentation?Check all that apply to you:
❑ Valid State ID/Driver's License
O Social Security Card
O Birth Certificate
❑ Passport
❑ Veteran ID Card
❑ Other
Are any of these in your property? Yes No
If so,which ones?
CIRCLE EITHER YES or NO
Housing
Do you have a place to live when or someone to stay with? Yes No
Who and how long?
Have you ever stayed at a shelter? Yes No
Which one and when?
Financial
Have you ever had a checking or savings account? Yes No
Do you currently have a banking account? Yes No
Have you ever written a check? Yes No
Have you ever had to pay bills? Yes No
Are you interested in financial management guidance? Yes No
Transportation
Do you have a Colorado Driver's License? Yes No
if not,can you get one? Yes No
Do you have a vehicle? Yes No
Do you have a bicycle? Yes No
Do you have relatives who have transportation? Yes No
Would they be willing to assist you in getting around? Yes No
Employment
Do you have a job for when you are released? Yes No
Where?
Do you have a resume? Yes No
Have you ever filled out a job application? Yes No
Education
no you have your high school diploma? Yes No
Do you have your GED? Yes No
If not,are you interested in getting your GED? Yes No
Have you taken any college classes? Yes No
Would you like to go to college? Yes No
Legal/Civil
Do you have any legal Issues that need to be taken care of,besides what you are
incarcerated for? Yes No
If yes,what?
Do you have any civil matters that need to be taken care of? Yes No
❑ Divorce or Separation
❑ Child Custody
O Child Support
Medical
Do you have medical insurance? Yes No
What kind?
Do you have a doctor you go to? Yes No
Who?
Where?
Do you need assistance getting medical attention or medication for physical health
problems when you are released? Yes No
For what medical issues:
What medications:
Do you currently have any medical issues? Yes No
❑ If so,what?
Are you currently on any medication for physical health issues? Yes No
What:
Mental Health
Have you ever been diagnosed with mental health issues? Yes No
Who diagnosed you?
When were you diagnosed?
What were you diagnosed with?
Have you ever been prescribed medication for any mental health issue? Yes No
Are you currently taking these medications? Yes No
Pharmacy used in the community:
Are in interested in mental health treatment in the community? Yes No
Is treatment recommended? Yes No
Do you need assistance with mental health medications in the community? Yes No
Substance Abuse
Are you interested in substance abuse treatment in the community? Yes No
Is treatment recommended? Yes No
Vision
Do you wear glasses or contacts? Glasses Contacts None
When was your last eye exam?
Do you need glasses or contacts? Yes No
Den al
When was the last lime yuu went to the dentist?
Do you need dental work? Yes No
Children
Do you have children? Yes No
How many? What are their ages?
Do you have custody? Yes No
Social/Family
Do you have family locally? Yes No
Who?
Are you close to them? Yes No
Do you have friends who are a positive influence? Yes No
How are they positive?
Do you have a support system? Yes No
Tell me about your support system:
Leisure/Recreation
Do you have any positive clubs you are a member of? Yes No
Do you have a gym membership? Yes No
Do you have a church you attend? Yes No
Do you attend or have you ever attended a support group? Yes No
Do you plan to attend when you are released? Yes No
Do you have any hobbies you enjoy? Yes No
What?
What are other things you like to do?
Community Resources Planning
Recovery Support Services Used: Notes:
Backpack Yes No
Basic hygiene Yes No
Clothing Yes No
Education Yes No
Food Yes No
Housing Yes No
Identification Yes No
Medical/Dental/Vision Yes No
Medication Yes No
Phone card Yes No
Substance monitoring Yes No
Transportation Yes No
Vocational Training Yes No
Completion of Plan
Full plan completed and discussed with inmate? Yes No
If no,why: Inmate refused Released before plan completed_ Other
Notes:
Name of case manager:
Case Manager Signature Date
Inmate Signature Date
PRIVACY POLICY AND PROCEDURE MANUAL FOR NORTH RANGE
BEHAVIORAL HEALTH
SECTION XXIII
PAGES 71 - 72
PHI should not be removed from Center property except for work related purposes. Center staff
are responsible for maintaining the privacy and security of all PHI that they may be transporting,
storing or accessing off-site. This includes, but is not limited to, the protection of printed
documents, computers, mobile devices, and storage media such as diskettes, CD-ROM, DVDs,
digital memory card and flash drives.
All such printed documents, computers,mobile devices,and storage media such as diskettes,CD-
ROM, DVDs, digital memory cards and flash drives must be secured at all times when off-site.
possession member,such information must be sto
red in a safe
When not in the physical of the staff
pY
and locked environment. Though the actual risk will vary with the circumstances, the Center has
determined as a matter of policy that such information should not be left in an automobile.
Since the Center cannot monitor and control all of the aforementioned devices, it is the staff
member's responsibility to ensure that any device that cannot be centrally controlled is safe and
secure while accessing company information/data.
At a minimum,the staff member is must comply with the following requirements:
1. Ensure that a password is engaged on every portable device that contains Center information
or PHI;
2. Ensure that the password re-engages (i.e. is required) in a timely fashion. The Center
recommends that this time be no greater than 5 minutes;
3. Use a strong password(see Center password policy)whenever possible;
4. Ensure that any file containing PHI is deleted from the mobile device, once the file is no
longer being used;
5. Limit the amount of PHI that is released/discussed when using an unsecure public network
(e.g. cell phone or public wan or external e-mail);
6. Not use a client's full name or any direct identifiers when using an unsecure public network;
7. Not leave a portable device in an area where it could be easily stolen;
8. Apply the appropriate security controls to any home network that is used to access Center
data so that the network cannot be easily hacked into from an outside source;
9. Use security software(e.g.Norton anti-virus)installed on home network devices whenever
it is appropriate;
10. Keep the security software active and up to date;
11. Use caution in opening e-mail attachments from an unknown sender; and
12. Properly clean a portable device of data when disposing of the device at the end of its
useful life.
9/23/13
POLICY NUMBER: 785 POLICY CATEGORY: POLICY NAME:
Behavioral Treatment Services Clinical Services Clinical Records
(BTS)
DATE IMPLEMENTED: DATE UPDATED: STANDARDS:
March 24, 2014 November 12, 2015 OBH: 21.170.1; 21.190.2;
21.210.3; 21.210.2
POLICY: BTS will maintain proper documentation on all clients participating in OBH licensed
programs in compliance with state and federal standards per designated electronic
management system. Staff members will ensure appropriate and necessary
documentation, current and accurate client files, and reporting of all activities related to
each client.
PROCEDURES:
1. Facilities shall maintain an organized and legible, written and/or electronic current record on each
person receiving treatment, which can be conveniently accessed for compliance purposes. Such
records shall be permanent records not temporary records and shall be retained as stated:
a. Outpatient/Ambulatory Care Facilities:
i. Adults - Seven (7) Years After Discharge
ii. Minors [under age eighteen] — Until the individual is twenty five (25) years of
age
b. Inpatient/Hospital Care Facilities
i. Adults -Ten (10) Years after Discharge
ii. Minors [under age eighteen] — Until the individual is twenty eight (28) years of
age
c. Once the retention date has expired, client files will be shredded/destroyed per BTS
approval and designated electronic record provider.
2. Active client paper records shall be stored in a secure area, in a secure filing cabinet. Staff
members who work specifically in a clinical capacity with these clients shall have access to the
treatment records; other staff members shall not have access. Files will be maintained in
accordance with the Federal Confidentiality Law 42 CFR Part 2 and the Health Insurance
Portability and Accountability Act(HIPAA).
3. Client information that is stored on a computer shall comply with state and federal confidentiality
laws relating to electronic records. Electronic records are protected by passwords with access
authorized only to staff members who work specifically in a clinical capacity with the clients.
Additional security measures are taken to prevent unauthorized access. Backups of electronic
records are done on a weekly basis to prevent accidental or intentional destruction of client
records.
4. Clients enrolled in an OBH licensed program shall have the following documents in their file:
• 42 CFR Part 2 Federal Confidentiality Regulations
• HIPAA Notice of Privacy Practices
• Client rights and responsibilities
• Mandatory Staff disclosure statement;
• Chargeable fees and collection procedures;
• Out of State Offender Questionnaire;
• Communication with referral sources;
• Consent to treatment;
• Consent to release confidential information (ROI);
• Agency Emergency Procedures and Protocols;
• Assessments and screenings;
• Admission summary;
• Service plan;
• Re-assessment(s);
• Progress notes (clinical &case management);
• Transition plans;
• Medication administration or monitoring record;
• Physician's orders;
• Documentation of on-going services provided by external service providers;
• Advance directives;
• Acknowledgements and disclosures;
• Legal and court paperwork;
• Discharge summaries.
5. Clients shall sign a Release of Information (ROI), as is appropriate to their circumstances. Each
space on the ROI shall be completely filled out and they shall be addressed to a specific
individual, and specific purpose, where appropriate. ROIs to criminal justice agencies will be
designated to a specific office.
6. Therapists shall sign all documents with their first name, last name, and credentials. Signature
stamps are permitted, when accompanied by written initials. Electronic signatures shall be
permissible for computerized client records. Therapists who are not credentialed may sign
documents, in addition to being co-signed by the supervising, credentialed therapist.
7. Clients have the right to view and receive copies of their treatment records. The client's primary
therapist will review the record with the client in order to provide clarification and answer
questions that may arise. A client may be denied the right to view his treatment record if the
information may be damaging to the client. The client has a right to appeal this decision and,
with the client's written permission, an outside treatment professional will evaluate the potential
damage and mediate the appeal.
8. Clinical paper files are not permitted to leave the facility, unless required to move files to another
facility. When transporting files, all clinical documentation must still be within HIPAA compliance
and behind two locks. Electronic records may be accessed outside of work on a secure server
only. Clinician's are responsible for awareness of their surroundings and limits to confidentiality
outside of work.
a. If a breach or potential loss of individual identify and service information in accordance
with state and federal confidentiality statutes occurs, staff is required to report this
breach to the appropriate Clinical Manager and Clinical Director. Situation dependent, the
Clinical Director will determine the best course of action.
EXHIBIT A
STATE OF COLORADO
DEPARTMENT OF HUMAN SERVICES
REQUEST FOR APPLICATION
SIGNATURE PAGE
DATE: July 14,2011 RETURN RFA TO:
RFA NAME: Jailed Based Health DEPARTMENT OF HUMAN SERVICES
Services (JBBS) EMAIL:jagruti.shah(cb,state.co.us
DIRECT INQUIRIES TO: Jagruti Shah
E-Mail: jagruti.shah(a),state.co.tis
DATE DUE:December 1, 2015 AT 4:30 PM (LOCAL
TIME)
Applications properly marked as to RFA NAME., DATE and HOUR of opening, subject to the
conditions herein stipulated and in accordance with the specifications set forth and/or attached hereto,
will be accepted at the address listed above, prior to the date and time listed for the RFA opening. All
proposals shall be quoted F.O.B. destination, unless otherwise specified, to the delivery location or
iobsite listed herein.
REQUEST FOR APPLICATION
TITLE Jailed Based Health Services (JBBS)
AGENCY Department of Human Services
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND APPLICATION REQUIREMENTS.
IMPORTANT: Applications submitted in response to this RFA MUST be accompanied by this
"REQUEST FOR APPLICATION" Sigature Page.
Applicants should read the entire RFA document before submitting a proposal.
APPLICATIONS MUST BE SIGNED IN INK PAYMENT TERMS
Payment Terms of less than 30 days will not be considered.
_ Mike Freeman, Pro—Tem Pricing shall be effective for 180 days after award.
TYPED OR PRINTED SIGNATURE
VENDOR NAME: Weld County
Hand written Signature of Authorized Officer or ADDRESS: 1150 0 Street, PO Box 758
Agent of Vendor NOV 3 0 2015
CITY: Greeley ZIP 80632
PHONE: (970) 336-7204
EMAIL: mfreeman@weldgov.com
FEIN: 84-6000-813
Z9/5 37021
RE: JAIL BASED BEHAVIORAL HEALTH SERVICES GRANT
ATTEST: dO„Q / W4 BOARD OF COUNTY COMMISSIONERS
Weld u ty Clerk to the oard WELD COUNTY, COLORADO
BY:
Deputy CI rk to the B � Mike Freeman, Pro-Tem NOV 3 0 2015
APPROVED AS TO FUN `,tthA,,*;�PP ED A fUBST E:
Controller /' Ailected Offi 'al or Depa ent Head
APPR ED AS FORM: �"'' Kt I A_ -
Director of General Services
County Attorney
/6- 372k
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