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Home My WebLink About20151700.tiff RESOLUTION RE: APPROVE MEMORANDUM OF UNDERSTANDING PURSUANT TO HOUSE BILL 04-1451 WITH VARIOUS AGENCIES 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 Memorandum of Understanding Pursuant to House Bill 04-1451 among the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and various agencies, commencing July 1, 2015, and ending June 30, 2016, with further terms and conditions being as stated in said amendment, and WHEREAS, after review, the Board deems it advisable to approve said Memorandum of Understanding, 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 Memorandum of Understanding Pursuant to House Bill 04-1451 among the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Human Services, and various agencies, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said memorandum of understanding. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 10th day of June, A.D., 2015. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, CO ORADO ATTEST:G/.4Qt.t , CC �! arbara Kirkmeye , Chair Weld County Clerk to the Board Mike Freeman, Pro-Tern BY: X61 ) &2 °Coitkillfij De u Clerk to the Bo d EXCUSED Sean P. Conway APPROVED AS TO FOR ,�'� IE gyp; Julie A. C zad C� County Attorney *�: EXCUSED / Steve Moreno Date of signature: C C 4NSNFC Y\ Va n'J, (K. .►hra,ni 20H -1700 Co -30-mool5 MEMORANDUM r ' r DATE: June 4, 2015 3 AUNTY TO: Barbara Kirkmeyer, Chair, Board of County Commissioners FROM: Judy A. Griego, Director, Human Services Department RE: Department of Human Services' Memorandum of Understanding(MOU) for Youth& Family Connections 1451 Collaborative Management Program and Various Partners for SFY15-16 Enclosed for Board approval is a Memorandum of Understanding(MOU) for Youth&Family Connections 1451 Collaborative Management Program with 10 mandated partners and 8 non- mandated partners for SFY15-16. It was communicated to the Department on June 2, 2015,that a work session was not required and this was approved for placement on the Board's Agenda. The Colorado General Assembly has determined that a collaborative approach to the delivery of services to children and families may lead to the provision of more appropriate and effective delivery of services. 10 mandated and 8 non-mandated partners are agreeing to enter into this MOU which shall be effective beginning July 1, 2015 and shall expire June 30, 2016. County total in-kind services/contributions under the MOU are $6,976.00. The County consists of Weld County Department of Human/Social Services (WCDHS), Weld County Department of Public Health & Environment("Health"), Weld County Board of County Commissioners ("Commissioners") and the Weld County Sheriffs Office ("Sheriff's Office"). If you have questions,please give me a call at extension 6510. 2015-1700 WOO g(11 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING . This Agreement is made between the following Mandated Partners and Non-Mandated Partners, each of which may herein be referred to individually as a"Party"or collectively as the "Parties": MANDATED PARTNERS I. WELD COUNTY DEPARTMENT OF HUMAN/SOCIAL SERVICES (WCDHS) ("Social Services"), located at 315 N. 11th Avenue,Greeley, CO, 80631; 2. 19TH JUDICIAL DISTRICT PROBATION DEPARTMENT ("Probation"), located at 934 9th Avenue, Greeley, CO 80631; 3. 19TH JUDICIAL DISTRICT ("Judicial"), located at 915 10th Street, Greeley, CO 80631; 4. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT ("Health"), located at 1555 N. 17th Avenue, Greeley, CO, 80631; 5. WELD COUNTY SCHOOL DISTRICT #6 ("School District"), located at 1025 9th Avenue, Greeley, CO, 80631; • 6. NORTH RANGE BEHAVIORAL HEALTH MENTAL HEALTH CENTER (NRBH) ("Mental Health"),a non-profit corporation whose principal place of business is located at 1300 N. 17th Avenue, Greeley, CO; 7. BEHAVIORAL HEALTH ORGANIZATION ("BHO"), called Colorado Access dba Access Behavioral Care located at 10065 E. Harvard Ave, Suite 600 Denver, Colorado 80231; 8. DIVISION OF YOUTH CORRECTIONS ("DYC"), located at 3997 S. Valley Drive, Suite 200, Longmont, Colorado 80504; 9. DESIGNATED MANAGED SERVICE ORGANIZATION FOR THE PROVISION OF TREATMENT SERVICES FOR ALCOHOL AND DRUG ABUSE PURSUANT TO SECTION 27-80-107, C.R.S. ("MSO"), called Signal Behavioral Health Network located at 455 Sherman Street, Suite 455, Denver, Colorado 80203; 10. COMMUNITY DOMESTIC ABUSE PROGRAM PURSUANT TO 26-7.5 C.R.S. IF REPRESENTATION FROM SUCH PROGRAM IS AVAILABLE, called A Woman's Place located at P.O. Box 71, Greeley, CO, 80632. MOU / 1 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM QF UNDERSTANDING NON-MANDATED PARTNERS Each non-mandatory partner signatory to this agreement is referred to as a"Party"or collectively as"Parties". 11. BARTELS & COMPANY CPA's, located at 7251 West 20th Street, Greeley, CO, 80631; 12. WELD COUNTY BOARD OF COUNTY COMMISSIONERS ("Commissioners"), located at 1150 O Street, Greeley, CO, 80631; 13. THE WELD COUNTY CHIEFS OF POLICE ASSOCIATION, located at the Greeley Police Department, 2875 W 10th Street, Greeley, CO, 80634; 14. FORT LUPTON POLICE DEPARTMENT, located at 130 S. McKinley Ave, Fort Lupton, CO, 80621; 15. 196 JUDICIAL DISTRICT ATTORNEY ("District Attorney"), located at 915 10th Street, Greeley, CO 80631; 16. WELD COUNTY SHERIFF'S OFFICE ("Sheriff's Office"), located at 1950 O Street, Greeley, CO, 80631; 17. COMMUNITY MEMBER& FAMILY ADVOCATE, Margie Gomez, located at 2835 10th Street, Greeley CO 80634; 18. UNITED WAY OF WELD COUNTY ("United Way"), located at 814 9th Street, Greeley, CO 80632; WHEREAS, the Colorado General Assembly has determined that a collaborative approach to the delivery of services to children and families may lead to the provision of more appropriate and effective delivery of services;and WHEREAS, the Colorado General Assembly has determined that such collaboration may ultimately allow the agencies providing treatment and services to provide appropriate services to children and families within existing consolidated resources; and WHEREAS, the Colorado General Assembly has determined that it is in the best interests of the State of Colorado to establish a collaborative management of multi-agency services provided to children and families; and WHEREAS, Colorado Revised Statutes (C.R.S.), Section 24-1.9-101, et.seq. authorizes the county department of social services to enter memorandums of understanding with specific MOU/2of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING agencies for the purpose of promoting a collaborative system of local-level interagency oversight groups and individualized service and support teams to coordinate and manage the provision of services to children and families who would benefit from integrated multi-agency services; and WHEREAS, the undersigned desire to enter into an agreement for the collaboration of services to families and children who would benefit from integrated multi-agency services; and WHEREAS, the undersigned agencies include all of the agencies required by statute. NOW THEREFORE, in consideration of the premises and mutual promises and covenants herein contained, and for their mutual benefit, the Parties agree as follows: The Agreement. This Memorandum of Understanding ("MOU" or "Agreement") is contained in this writing, which consists of 30 pages and 4 Attachments. Term of the Agreement. This MOU shall be effective beginning July 1, 2015 and shall expire June 30, 2016. I. Renewal of MOU. The Parties may renew this MOU annually subject to mutual agreement. Each Party reserves the right to elect not to renew the MOU after expiration of the current term. If any Party intends not to renew the MOU, it should give notice of such intent at least thirty(30) days prior to expiration of the Agreement. II. Oversight Group. The Parties agree that there is hereby created an interagency oversight group (LOG) as mandated by C.R.S 24-1.9-102(1)(a), that is identified as Youth & Family Connections 1451 Collaborative Management Program (1451 CMP), whose membership shall be comprised of a local representative of each Party to this MOU. Membership requirements, the status of each Party as a voting member or advisory member, procedures for election of officers, procedures for resolving disputes by a majority vote of voting members, and procedures for the development of subcommittee groups can be found in the By-Laws/Procedure Guide ("By- Laws" or "Guide") for the 1451 CMP, attached hereto as Appendix A, 1451 CMP Operating Agreement, as more specifically identified below: • Membership requirements: 1. Designate a policy and decision-making representative or designee; 2. Attend and actively participate in regularly scheduled meetings; 3. Assume personal responsibility in oversight of the project by reading reports, making recommendations and managing conflict in a professional, problem- solving manner; 4. Assume solution focused responsibility for oversight of the financial status of the project; 5. Participate in both short and long-term planning and goal setting; 6. Provide input and recommendations; and 7. Assume personal responsibility to help assure the project remains mission-driven. MOU / 3of31 __________IEMICOLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING • Voting or Advisory Status: All Mandated and Non-Mandated partners listed on pages 1 and 2 of this MOU are considered to be full voting members of the 1451 CMP. Additional voting and advisory members may be added to the 1451 CMP membership by a majority vote of the current slate of voting members. • Election of Officers: The members of the 1451 CMP will elect the following officers: a President, a Vice-President, a Treasurer and a Secretary. The officers shall serve as the Executive Committee of the 1451 CMP, shall develop the agenda for each meeting and shall perform such other tasks as are appropriate or requested by the 1451 CMP. Appointment, Term of Office and Qualifications according to the Youth and Family Connections By-Laws as follows: The Board shall choose annually the President and the Vice President of the Board, who shall be Directors and also a Secretary, a Treasurer, and such other officers as the Board may deem necessary or advisable. Each of such officers shall hold office until the next annual election and until his successor is elected and qualified. One person may hold more than two of said offices. No instrument required to be signed by more than one officer shall be signed by the same individual in more than one capacity. • Dispute Resolution: Procedures for resolving disputes by a majority vote of those members authorized to vote are: 1. The dispute must be submitted in writing to the President; 2. The President will attempt to resolve the conflict by facilitating discussion and seeking solution through consensus agreement; 3. If consensus agreement is not achieved, the membership will vote on the issue and recommendations will be made to the executive director or department head of each Party to this MOU; 4. The executive director or department head of each Party will have final authority concerning personnel and fiscal matters related to their contribution and participation on the project. • Subcommittee Groups: I. Executive: Sets Agenda for regular board meetings, conducts performance evaluations of Directors, Acts on behalf of the YFC Board, subject to the authority of the whole board. The executive board also develops and presents annual budget, 1451 Incentive Fund investment and utilization. 2. Evaluation: To make recommendations concerning data sharing, including identification, collection, analysis and use of various types of data to further collaboration. To make recommendations regarding the establishment of outcomes and outcome monitoring. MOU/4 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 3. Resource: Creates a fund development plan, engages in fund raising activities & evaluates revenue streams. The fund development committee also develops community relations to promote community involvement and support. 4. Truancy Reduction Planning Committee: A committee made up of multiple Weld County School Districts (in addition to the voting members of this MOU), the 19th Judicial District, and other community partners to identify and create protocols that can be adopted and conformed to Weld County for the reduction of truant behavior in Weld County's youth. Planning is needed to integrate and build on previous work for the Truancy Response Workgroup and the School District's dropout prevention efforts. The partners and existing resources are in place for this to be a successful model for other districts in the county as well as districts in other communities. 5. Trauma Informed Systems of Care (TISOC) Oversight: is made up of representatives from NRBH, Youth and Family Connections, Weld County DHS an Senate Bill 94 — Pre-Trial Services and works to manage the Weld County Trauma Informed Systems of Care Implementation project, funded through Office of Behavioral Health's Communities of Excellence Grant. The target audience for the TISOC includes youth who are or have the following: • Nine to fifteen years old • SED diagnosis or symptoms which would meet the criteria for DSM diagnosis if proper mental or behavioral health evaluation were provided; • Global Assessment of Functioning(GAF) score of forty or less; and • Involvement in three or more of the four major systems: Mental/Behavioral Health, Human Services, Education, Juvenile Justice, OR • Significant impairment in at least three major domains of life: Activities of Daily Living, Education/Occupational, Life in Community, Socio- Emotional, Communication, Health and Safety, Age-Appropriate tasks. In the event that the 1451 CMP identifies a need for a different committee structure, the following process shall be followed for creation of such committee structure: 1. 1451 CMP members will be asked to voluntarily participate on committees. 2. Nonvoting members from other community representatives will be included in the committee for purposes of input, evaluation and recommendations to the 1451 CMP. MOU / 5of31 COLMe LABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING III. Target Population. In recognition of the goals of the Collaborative Management Program (CMP), children, youth and families across systems are identified and served according to their contact with collaborative programs, not limited to the system that generates the referral or has initial contact, inclusive of prevention, intervention and treatment services. The CMP target population consists of at-risk children and youth ages birth through 21 years of age and their families who would benefit from a multi-system integrated service plan or multisystem approach. The 1451 CMP serves the target population directly through an Integrated Service and Support Team; (ISST) when appropriate, and may provide a multisystem approach prevention programs and/or community and partner training programs. Reference Appendix C, Services, Section I for more information regarding [SST. An ISST includes two or more system representative that are present to assist a child/youth/family with developing an integrated service plan directed by family need. The ISST identifies goals and facilitates collaboration to fund services in the community, and defines response. It follows a family-driven model for service planning, with the child/youth/family member present at and participating in the development of the plan. The population(s)to be served(actual number) is/are(check all that apply): A) 415 Children and/or youth served through designated ISST or multi-system involved team. B) 1070 Children and/or youth served through multisystem approach collaborative management prevention programs. C) N/A Children, youth and families served through community trainings. IV. Services. The 1451 CMP is authorized to create and develop a service and support plan and provide services to children and families who would benefit from integrated multi-agency services. The Parties agree to provide the following specific services, subject to the availability of funds for which the collaborative has authority as specified below. Services Defined: • Our (SSTs are called Family Team Meetings, Team Decision Making, COMPASS: Weld County Family Support Team Program (operated through WCDHS), and Trauma Informed Systems of Care (TISOC) (operated through NRBH). They function as integrated service planning models with specific policies and procedures. Reference Appendix C, Services, Section I for more information. • We provide a multisystem approach to prevention by collaboratively funding/staffing/supporting the following programming. These programs target multi- system involved youth in multiple Weld County systems by partner agencies providing the following services and prevention programming. Reference Appendix C, Services, Section II for more information. o Multi-Systemic Therapy(MST)(NRBH), MOU /6of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 o Functional Family Therapy(FFT)(NRBH) o Assessment& Referral Program (YFC) o Weld County Restorative Justice Program (YFC) o Truancy Response and Intervention Program (TRIP) (YFC) • The following multi-system methods serve children, youth and families (as defined in Section III: Target Population) through a multisystem approach that benefits children, youth and families in a way that if the 1451 CMP did not exist the results would be a bifurcated system and a burden would be placed on multiple systems. Reference Appendix C, Services,Section IV for more information. o Teamwork Innovation, Growth, Hope and Training(TIGHT) Program (WCDHS) o Juvenile Probation (19th Judicial District Probation) V. Authorization to Contribute Resources and Funding. Each Party represents that it has the authority to approve the contribution of time, resources, and funding to solve problems identified by the 1451 CMP in order to create a seamless, collaborative system of delivering multi-agency services to children and families. The resources and funding to be contributed are identified in Section VI: Funding Sources. VI. Funding Sources. Funding identified in this MOU can be a carryover from incentive funding or savings, additional funding provided to the CMP program or any funds directed towards CMP. Additional funding may become available during the term of this MOU but is not specifically dedicated to the work outlined herein. The financial risk defaults to the fiscal agent unless otherwise state here. The fiscal agent for The Weld County county/region Collaborative Management Program is th W Id County Government, however, as an independent 501c3 and by signing here: y� Executive Director ; the Weld County Juvenile Assessment Center, . .A. Youth & Family Connections assumes the financial risk associated with this MOU. For this reason, the Weld County lOG projects a conservative budget based on currently available resources. Table of Resource Pooling SFY 2015-2016 Estimated Figures PARTY IN-KIND CASH 1. WELD COUNTY DEPARTMENT OF HUMAN/SOCIAL $4,057 $0 SERVICES(WCDHS)("Social Services") 2. 19TH JUDICIAL DISTRICT PROBATION DEPARTMENT ("Probation") $1,233 $0 3. 19TH JUDICIAL DISTRICT("Judicial") $5,089 $0 MOW 7of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING . 4. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH& $603 $0 ENVIRONMENT ("Health") 5. WELD COUNTY SCHOOL DISTRICT#6 ("School $5,330 $0 District") 6. NORTH RANGE BEHAVIORAL HEALTH MENTAL $3,000 $10,000 HEALTH CENTER("Mental Health") 7. BEHAVIORAL HEALTH ORGANIZATION("BHO")called $1,571 $10,000 COLORADO ACCESS 8. DIVISION OF YOUTH CORRECTIONS ("DYC") $1,606 $0 9. DESIGNATED MANAGED SERVICE ORGANIZATION FOR THE PROVISION OF TREATMENT SERVICES FOR ALCOHOL AND DRUG ABUSE PURSUANT TO SECTION 25- $1 722 $10,000 1-206.5, C.R.S. ("MSO") called SIGNAL BEHAVIORAL HEALTH NETWORK 10. COMMUNITY DOMESTIC ABUSE PROGRAM PURSUANT TO 26-7.5 C.R.S. IF REPRESENTATION FROM SUCH PROGRAM IS AVAILABLE, called A WOMAN'S $603 $0 PLACE I I. BARTELS & COMPANY CPA's $3,361 $0 12. WELD COUNTY BOARD OF COUNTY COMMISSIONERS ("Commissioners") $1,211 $0 13. THE WELD COUNTY CHIEFS OF POLICE ASSOCIATION $1,801 $0 14. FORT LUPTON POLICE DEPARTMENT $1,102 $0 15. 19th JUDICIAL DISTRICT ATTORNEY("District Attorney") $ 803 $0 16. WELD COUNTY SHERIFF'S OFFICE ("Sheriff's Office") $1,105 $0 17. COMMUNITY MEMBER&FAMILY ADVOCATE $2,434 $0 18. UNITED WAY OF WELD COUNTY ("United Way") $603 $0 MOU / 8of31 of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING Approximate total cash contribution for staff and operational expenses=$30,000 Approximate total in-kind services/contributions=$37,234 VII. Reinvestment of Moneys Saved. The procedure to allow any moneys resulting from waivers granted by the federal government and any state general fund savings realized as a result of the implementation of services provided to children, youth and families who would benefit from multi-agency services has been approved by the head or director of each Mandated Partner, as documented in Appendix A,Section VII. County Department of Human/Social Services(DHS)elects to(select one): ❑ Retain the state general fund portion of the county under-expenditure of the child welfare block allocation, or ✓ Participate in surplus distribution for SFY 2015-2016. Pursuant to this MOU,savings realized are(select one): ✓ Reinvested by the Parties to this agreement in order to provide appropriate services to children, youth and families who would benefit from integrated multi-agency services, or ❑ Not to be reinvested by the Parties to this agreement. The procedure to allow incentive funds received by the DHS, and allocated pursuant to CRS 24- 1.9-104, to be reinvested by the Parties to provide appropriate services to children and families who would benefit from multi-agency services has been approved by the head or director of each Mandated Partner,as documented in Appendix A,Section VII. Pursuant to this MOU, incentive funds are(select one): ✓ Reinvested by the Parties to this agreement in order to provide appropriate services to children, youth and families who would benefit from integrated multi-agency services or ❑ Not to be reinvested by the Parties to this agreement. VIII. Collaborative Management Processes. Pursuant to section 24-1_9-102(1)(e) the 1451 CMP has established a collaborative management process addressing risk sharing (legal and financial), resource pooling, performance expectations, outcome monitoring, and staff training as further described in Appendix A, Section IV. IX. Performance-Based Measures. Pursuant to section 24-I.9-I02(2)(i) the Parties hereby determine that they will attempt to meet performance measures specified by the Department of Human Services in conjunction with the Collaborative Management State Steering Committee and elements of collaborative management in order to: A. Reduce duplication and eliminate fragmentation of services provided to children, youth and families who would benefit from integrated multi-agency services. The Parties will reduce duplication and fragmentation of services by: MOU/ 9of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING • Supporting collaborative management processes and team decision making processes within Weld County; • Providing support to projects and services throughout Weld County; • Coordination and oversight of programs and services; and • Conducting and coordinating assessments of community needs. B. Increase the quality, appropriateness, and effectiveness of services delivered to children and families who would benefit from multi-agency services, to achieve better outcomes; Parties will increase the quality, appropriateness, and effectiveness of services delivered through: • Supporting collaborative management processes and team decision making processes within Weld County; • Providing support to projects and services throughout Weld County; • Coordination and oversight of programs and services; and • Sharing and establishing best practices and continuous quality improvement. C. Encourage cost sharing among service providers. Parties will encourage cost sharing through: • Supporting collaborative management processes and team decision making processes within Weld County; • Providing support to projects and services throughout Weld County; • Arranging for and/or providing technical assistance and cross systems training; and • Funding support and coordination. The 1451 CMP has determined performance measures and selected three measures which will determine incentive funding as determined by the incentive funding formula (see Appendix B, 1451 CMP Outcomes). X. Confidentiality Compliance. The Parties agree that State and Federal law concerning confidentiality shall be followed by the Parties and the 1451 CMP. Any records used or developed by the 1451 CMP or its members or by the ISST that relate to a particular person are to be kept confidential and may not be released to any other person or agency, except as provided by law. Each 1451 CMP member agrees to fully participate in the 1451 CMP Evaluation Process by using a Common Informed Consent to Release Confidential Information Form and process and/or by entering into an individual Agreement with the 1451 CMP Evaluator, who has been contracted and approved by the 1451 CMP, so a meaningful evaluation may be conducted. In addition, Human Services, Judicial, Weld County School Districts and Law Enforcement have agreed to and will formally execute an Interagency Agreement for Juvenile Information Exchange which will enable agencies to share valuable information needed to adequately address MOU / I 0 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 the safety and needs of the child and family, while protecting and honoring their right to privacy and confidentiality attached hereto as Appendix D, Confidentiality. XI. Termination of MOU. The Parties acknowledge that withdrawal from this MOU of any Mandated Party will result in the automatic termination of this Agreement and termination of the collaborative system of delivery of services developed hereunder. The withdrawing Party shall assist the other Parties to achieve an orderly dissolution of the collaborative system with as little disruption as possible in the delivery of services provided to children and families who would benefit from multi-agency services. A. Withdrawal/Termination. Any Party may withdraw from this Agreement at any time by providing 30 days written notice to all other Parties. B. For Loss of Funds. Any Party may withdraw from this Agreement, or modify the level of its commitment of services and resources hereunder, effective immediately, in the event of loss or reduction of resources from its funding source identified herein. Any Party withdrawing due to loss of funds will provide notice of withdrawal, in writing within 30 days. MOU / I I of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 IN WITNESS WHEREOF,the Parties hereto,through their authorized representatives have executed this Memorandum of Understanding effective for the dates written above. (Please note electronic signatures are not acceptable) MANDATED PARTNERS Name and Title: Judy Giego, Directilividluman Services Address:315 N. 11th Avenue, City/State/Zip:Greeley,CO,80631 Phone: 970-3 2-1 51 5 Email: jgiego@weldgov.com Signature: Name and Title: Jerry Green,Chief Probation Officer Address:934 9th Avenue, City/State/Zip: Greeley,CO 80631 Phone:970.475-2800 Email:jerry.green@judicial.state.co.us Signature: . t..,, Name and Title:James F.Hartmann,Chief Judge Agency:District Court Address:915 10th Street, City/State/Zip: Greeley,CO 80631 Phone:970475-2510�� Email:james.hartmann@judicial.state.co.us Signature: tick "L� " S-Zy-s Name and Title:Dr.Mark E.Wallace,MD,MPH,Executive Director Address: 1555 N. 17th Avenue, City/State/Zip:Greeley,CO,80631 Contact Person: Phone: 970-304-6410 1 Email:mwallace@weldgov.com Signature: fal.t 'k `�tG Q IT 3 MOU / 12of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 Name and Title: John Gates, Director of School Safety&Security Address: 1025 9th Avenue, City/State/Zip:Greeley,CO,80631 Phone: Email: Aar Signature: t:-- Name and Title: Larry Pottorff,Executive Director Address: 1300 N. 17th Avenue, City/State/Zip:Greeley,CO 80631 Phone:970-347-22337773�/,3 Email: larry.pottorff@northrange.org Signature: L:� U Name and Title: Karl Cline,NE Region Director Address: 10065 E.Harvard Ave,Suite 600 City/State/Zip:Denver,Colorado 80231 Phone:720-744-5290 Email:Karl.Cline@coaccess.com Signature: COLO D/B/ ACCESS BEH ORAL CARE l B Date: c i15— Its: Executive Director /!( % Name and Title: Tyler Fittz,NE Region Program Manager Address:3997 S.Valley Drive,Suite 200, City/State/Zip:Longmont,Colorado 80504 Phone:970-518-2605 Email:tyler.fittz@state.co.us Signature: 7 a^ CIOU / 13of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 Name and Title: Larry Pottorff,Executive Director NRBH—Appointed Signal BHO Representative Address:455 Sherman Street,Suite 455, City/State/Zip: Denver,Colorado 80203 Phone:970-347-2373 Email:larry.pottorff@northrange.org Siy .ture: C' Name and Title:Karol Patch,Executive Director Address: P.O.Box 71, City/State/Zip: Greeley,CO,80632 Phone: 970-351-0476 Email: director@awpdv.org Signature: NON-MANDATED PARTNERS Name and Title:Rich Bartels,CPA Address:7251 West 20th Street, City/State/Zip:Greeley,CO,80631 Phone: 970-352-7500 Email:rich@bartelscpa.com 75 Signature: __ e //�y Name and Title: Barbara Kirkmeyer, Chair Address: 1150 O Street, City/State/Zip: Greeley,CO,80631 Phone: 970-336-7204 Email: bkirkmeyer@weldgov.com Signature: 7:41414tCfL3/4—/re 020/5" /7t& MOU / 14of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 Name and Title:Jerry Gamer,Chief of Police Agency:Greeley Police Department Address:2875 W 10th Street, City/State/Zip:Greeley,CO,80634 Phone:970-350-9665 Email:jerry.gamer@greeleypd.com Signature: , ,_ 1 ' 4%. Name and Title:Ken Poncelow,Chief of Police Address: 130 S. McKinley Ave, City/State/Zip:Fort Lupton,CO,80621 Phone:303-857-4011 Email:kponcelow@fortlupton.org Signature: /ttC� Name and Title:Michael J.Rourke,District Attorney Address:915 10th Street, City/State/Zip:Greeley,CO 80631 Phone:970-356-4010 Email: mrourke@co.weld.co.us Signature: '/, Il�j�/��1�'�t' Name and Title:Steve Reams, Weld County Sheriff Address: 1950 O Street, City/State/Zip:Greeley,CO,80631 Phone:970-397 534 Email:sreams@co.weld.co.us Signature: MOU / 15 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 Name and Title: Margie Gomez Address:2835 W. 10th Street, City/State/Zip:Greeley CO 80634 Phone:970-351-5472 Email:coordinator@sb94-19.org aSignature: lLu� tom` . v Name and Title:Jeannine Truswell,Executive Director Address:814 9th Street, City/State/Zip:Greeley,CO 80632 Phone:970-304-6161 Email:jeannine@unitedway-weld.org [\\ Signature: 7 • MOU / 16 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 Appendix A YOUTH&FAMILY CONNECTIONS 1451 COLLABORATIVE MANAGEMENT PROGRAM 1451 CMP OPERATING AGREEMENT This Operating Agreement is adopted by the Members of the Youth & Family Connections 1451 Collaborative Management Program (1451 CMP) to set forth the expectations and guidelines of the Members for working together in a collaborative effort. I. Purpose. The 1451 CMP exists pursuant to state law to implement collaborative management processes with respect to services to children and families who would benefit from integrated multi-agency services. The collaborative management processes are intended to reduce duplication, eliminate fragmentation of services, increase the quality, appropriateness and effectiveness of services, achieve better outcomes and encourage cost-sharing among service providers. 11. Planning Goal. The 1451 CMP's planning goal is to intervene successfully with families before they enter the judicial system through the child welfare and/or juvenile justice systems; and upon their entry into these systems, to expedite the positive resolution of their treatment or case plans. The 1451 CMP agrees to attain this goal through collaborative processes which address: (i) risk sharing; (ii) resource pooling; (iii) development of performance expectations; (iv) outcome monitoring; and (v) staff training and development. III. Membership. The Members of the 1451 CMP are the designees of the agencies who: (i) serve or have an interest in children and youth and their families who are in or at risk of being involved with the Juvenile Justice, Child Welfare, Education and/or Mental Health systems; and (ii) have entered into a Memorandum of Understanding (MOU) to engage in collaborative management processes. The MOU provides that the designees shall be policy and decision-making representatives of the agency who have the authority to approve contributions of time, resources and funding to solve problems identified by the 1451 CMP. Members should demonstrate the ability and commitment to: (i) regularly attend and participate in the 1451 CMP meetings; (ii) represent the interests and needs of their agencies and MOU / 17of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING the populations they serve; (iii) view services to children, youth and their families on a global level; and(iv)understand the mandates and needs of other 1451 CMP agencies. The 1451 CMP will meet at least monthly. Members who miss a meeting are responsible for taking necessary steps to apprise themselves of the content of the meeting. IV. Collaborative Management Process. The 1451 CMP shall establish a collaborative management process to be utilized by individualized service and support teams described below. The collaborative management process shall address the following in order to meet our Performance-Based Measures. A. Risk-Sharing The Weld County Juvenile Assessment Center D.B.A. Youth & Family Connections has established a Board of Directors which is comprised of the Directors (or their designees) of each member agency. This Board acts as the Weld County 1451 CMP and provides oversight and direction for that program, including the reinvestment of savings and/or earned incentive dollars. The Weld County IOG has agreed on the process for addressing risk sharing to include understanding and identifying risks, exercising due diligence, encouraging open and honest communication, welcoming requests for support, proposing recommendations, determining appropriate actions (as feasible or required by statute), and monitoring outcomes. The above mentioned Directors are covered under the organization's general comprehensive and professional liability insurance. B. Resource-Pooling CMP organizations that receive 1451 funding, or that provide services to youth and/or families through this MOU, will determine any in-kind or matching dollars in each annual proposal to the 1451 CMP. Any 1451 CMP organization can allocate funds toward any 1451 program, service or activity. The 1451 CMP organizations can select to share and/or contribute any financial or non-financial resources (office space, volunteers etc...) toward any CMP program, service or activity. All CMP organizations indicated in the MOU are encouraged to work together to improve outcomes for children, youth and families through resource pooling. C. Performance Expectations Any 1451 partner organization providing services, as indicated in this MOU, is expected to work towards meeting performance measures (see Appendix B 1451 CMP Outcomes.) MOU / 18 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 All 1451 partner organizations are expected to keep data on the number of children, youth, and families served starting July 1st, 2015 and enter data required into a common database as determined by the State. All 1451 partner organizations are expected to provide quarterly data and report to the Evaluation Committee, as requested, throughout the year in order to complete necessary State reporting. Any challenges and/or barriers to meeting any performance expectations by 1451 partner organizations are to be addressed by the respective organization to the Evaluation Committee and/or the 1451 CMP Board of Directors. D. Outcome-Monitoring Outcomes are monitored by the Executive Director and are reported to the 1451 CMP members on a regular basis. Outcome reports are supplied to the 1451 CMP Board of Directors as needed by the Executive Director. The Executive Director regularly reviews Performance Measures and Outcomes with CMP funded organizations throughout the year. E. Staff Training When new 1451 CMP members are added to the Board of Directors, the Executive Director and/or staff provides 1451 information on bylaws, MOU, legislative declaration, roles and responsibilities of a 1451 CMP member. 1451 CMP members who have secondary representatives from their organization attend 1451 CMP meetings are responsible for ensuring that their representatives understand the responsibilities, roles, expectations,and have read the bylaws. These representatives may contact the Executive Director for help with staff training and orientation. 1451 CMP partner organizations are encouraged to share available staff trainings to other partner organization staff when appropriate and beneficial to the community. As part of the collaborative management process, all members recognize the following system of care values and philosophy and are committed to improving access and integration of care for the population to be served, as identified in section III of the 1451 CMP MOU. The core values of the system of care philosophy specify that systems of care are: 1. Family driven and youth guided, with the strengths and needs of the child and family determining the types and mix of services and supports provided. MOU / 19 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 2. Community based, with the locus of services as well as system management resting within a supportive, adaptive infrastructure of structures, processes, and relationships at the community level. 3. Culturally and linguistically competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of the populations they serve to facilitate access to and utilization of appropriate services and supports and to eliminate disparities in care. V. Decision-Making Process. The 1451 CMP will use a consensus decision-making process by identifying and exploring the interests of all Members and reaching decisions that satisfy these interests to the greatest extent possible. In the event consensus cannot be reached, the decision will be made by a majority vote of the Members. However, no vote shall compel the specific action or expenditure of monies by any agency if that agency determines that it is contrary to its mandates, contract provisions, applicable statute or regulation, availability of finds or best interest. VI. Guidelines for Member Communications. The Members of the 1451 CMP shall strive to comply with the following guidelines for their communications with one another: 1. Speak candidly, but respectfully. 2. Listen as an ally, not an adversary. 3. Share all relevant information. 4. Participate fully, but encourage and allow others to do so also. 5. Not interrupt or engage in side conversations. 6. Avoid personalizing issues. 7. Check for understanding; ask questions. 8. Not dwell on things that did not work in the past. 9. Confine comments to the topic under discussion. 10. Show a willingness to think about new ideas. VII. Reinvestment of Moneys Saved and Earned Incentive Funds The 1451 CMP has created the following procedure to allow any moneys resulting from waivers granted by the federal government and any state general fund savings realized as a result of the implementation of services provided to Recipients pursuant to this MOU to be reinvested by the Parties to this agreement in order to provide appropriate services to Recipients. A. Weld County Department of Human Services chooses to participate in surplus distribution for general fund allocations. MOU /20 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING SFY15-16 B. The 1451 CMP's evaluator will assist the 1451 CMP in the development of a definition of savings that would be incorporated into this Agreement as agreed to and approved by the 1451 CMP. C. Weld County elects to have any realized savings from the implementation and continuation of its 1451 Collaborative Management process to be reinvested back into the 1451 program. It is the intent of the 1451 CMP to use any savings to further expand and build upon the principles of the 1451 process. Individualized agency savings will be kept by the individual agency and used to support staff participation and in-kind contributions to the 1451 process. The 1451 CMP agrees to reinvest earned incentive monies, first for the development and continuation of integrated staffing processes and secondly, depending on the payout amount, for promoting program development for meeting gaps in services as identified through valid needs assessment and planning processes. Earned incentive monies will be housed at Youth & Family Connections, acting as the Interagency Oversight Group for the Weld County Collaborative Management Program and will be utilized to fund and support the development of infrastructure, programs and services, with priority given to: 1. One-time, rather than ongoing, expenditures, 2. Consultation and training, 3. Providing start-up funds to programs and/or services that will become self-sustaining, 4. Programs, services or infrastructure that: a. Positively impact one or more 1451 MOU target populations or outcomes. b. Involve two or more 1451 member organizations or community groups. c. Leads to improved outcomes for the target populations. d. Leads to a reduction in dependency on services. e. Increases process or cross system efficiencies. f. Leads to a reduction in the costs of providing services, or reduces the amount of dollars being spent outside of Weld County for the provision of comparable services. g. Priority will also be given to programs that meet the criteria of being Evidence Based, Best Practice, or Promising Practice programs. 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OM [� O cn � F-' >•„ �, V :� cnv] v^ E—' Q >, O. >, F Q ,.C g V >I 'O O .••0 „ O O tr, O • O " C, 0 tn -O cw0 cu -aa � � cuc ulco cu au O c� p a) 0 ��., > cn y 0 a .,0-, y : v o AO o >, AO a. .� 3 .� AO MI AO .� y COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING Appendix C YOUTH& FAMILY CONNECTIONS 1451 COLLABORATIVE MANAGEMENT PROGRAM SERVICES This Services Agreement is adopted by the Members of the Youth & Family Connections 1451 Collaborative Management Program (1451 CMP)to set forth the specific services provided by the parties, subject to available funds, hereby identify the following funding sources for the provision of such services. (Services provided may include but are not limited to prevention, intervention, treatment,family preservation,family stabilization, out-of-home-placement, services for children at imminent risk of out-of- home placement, probation services, services for children with mental illness, public assistance, medical assistance, child welfare) I. INDIVIDUALIZED SERVICE AND SUPPORT TEAMS The following collaborative team meetings shall be reviewed to determine if it would be appropriate to include them as collaborative ISSTs under this MOU: COMPASS: Weld County Family Support Team Meetings, Family Team Meetings, Team Decision Making, and Trauma Informed System of Care-Wraparound Team Meetings. Only team meetings with multi-systems involvement(defined as involvement of 2 or more agencies)will be counted towards the ISST outcomes for this MOU. 1. WCDHS—Family Team Meetings and Team Decision Making The Weld County Department of Human Services(DHS)operates two different ISSTs, or family engagement processes: Family Team Meetings(FTM)and Team Decision Making(TDM). The purpose of FTM/TDM's is to bring the family together with the Department to discuss strengths, worries/needs, ideas and suggestions as equal members of the decision making team in order to develop a clear and concise plan of action for all participants in the meeting. FTM/TDM's are requested when a new case is open, when a placement evaluation is requested by the court, or when there is a placement change, or reunification. A caseworker can also request a FTM/TDM at any time they feel it is needed in a case. The following people are always invited to the FTM/TDM meeting: the family, special respondents, DHS caseworker(s), DHS supervisor, family supports, Guardian ad Litem, facilitator, and co-facilitator. Often times service providers, foster parents and foster care coordinators also attend. It is anticipated that these family engagement processes will impact 250 families through multi- systems involvement. Funding is from Core services and Child Welfare funding. 2. WCDHS—COMPASS: Weld County Family Support Team Program Compass: Weld County Family Support Team Program works with families and their youth, ages 5-18 who are experiencing family conflict. Compass case managers work closely with families to build an alliance in order to develop goals and tasks that will help change unwanted behaviors by addressing unresolved trauma issues. Family Service Planning is individualized to the needs of MOU / 23of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING each youth and their parents and each case is staffed by the entire Compass team to provide a continuum of services and expertise. Compass is a collaborative effort comprised of professionals from many community agencies who have expertise in: mental health/substance abuse, public health, public education, social services, and faith-based programs. The following agencies contribute resources to the Compass Program: North Range Behavioral Health, Weld County Department of Public Health, Ft, Lupton RE-8 School District, Life Bridge Church,and Weld County Department of Human Services. The overarching goals of the program are to develop autonomous families who know how to access community resources and to prevent youth from entering the juvenile justice or child welfare systems. It is anticipated that this collaboration will empower youth from 150 families through contacts, follow-up and case management services. Total federal, state and county funding is provided through Core Services funding. 3. NRBH Mental Health Center—Trauma Informed Systems of Care (TISOC) The Trauma Informed System of Care(TISOC) model is an approach that improves and integrates services and supports for children with serious behavioral health challenges and their families. The TISOC program focuses on children with serious behavioral health issues from ages nine through seventeen, who are in, or at imminent risk of, out of home placement. These children and adolescents are frequently involved in multiple systems such as child welfare, education, behavioral health, and juvenile justice. The system of care framework encompasses all child- serving agencies and approaches the service and support needs of families and youth holistically. Each family that works with System of Care has an individualized team that they choose. This is where there is a divergence between the current collaboration efforts(TDMs, staffings, etc.)and System of Care. System of Care staff will encourage family members to identify various providers they work with and invite them to be a part of the process but the ultimate team composition is up to the family. The Trauma Informed Systems of Care Oversight Group is made up of representatives from NRBH, Youth and Family Connections, Weld County DHS and Senate Bill 94—Pre-trial Services who work together to manage the Weld County Trauma Informed Systems of Care Implementation project, funded through Office of Behavioral Health's Communities of Excellence Grant. The number of youth and families to be served through TISOC is 15, annually, due to the program's intensive nature. Total program funding is approximately S96,000. II. MULTISYSTEM APPROACH PREVENTION PROGRAMMING The following prevention programming provides a multisystem approach and targets multi-system involved youth in multiple Weld County systems by partner agencies providing the following services and prevention programming. MOU /24of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING 1. NRBH Mental Health Center-Multisystemic Therapy(MST) MST is an in-home and community-based family treatment model that addresses the multiple determinants of serious antisocial behavior in juvenile offenders. MST strives to enhance both the safety of the individual and family,as well as the safety of the community in which the youth resides. MST therapists deliver intensive services and carry small caseloads in order to provide 24/7 on-call care. The average length of treatment by MST is four months. MST targets eleven to eighteen year-old chronic offenders who are involved with delinquent peers, experience problems at school or home, and abuse substances. MST"empowers parents with the skills and resources needed to effectively address the challenges of raising teenagers." Within a context of support and skill building,developmentally appropriate demands for responsible behavior are placed on the adolescent and family. MST assists youth to avoid or reduce lengthy placement in residential treatment centers and juvenile justice settings. The number of youth and families served in MST is approximately 75, annually. Total State general fund and Medicaid funding is$580,000. 2. NRBH Mental Health Center-Functional Family Therapy(FFT) FFT is an intensive in-home, family-focused treatment model that addresses the pervasive relational dysfunction known to be a determinant of conduct disorder, violent acting out, and substance abuse among youth aged nine to eighteen years. FFT strives to enhance the safety of the individual and family, as well as the safety of the community in which the youth resides. FFT therapists carry small caseloads of twelve to fifteen families in order to provide an intensive level of care. Treatment duration averages four months. The model targets chronic offenders whose family relationships are characterized by pervasive resentment, disrespect, anger,and hopelessness. In addition, these youth are often involved with delinquent peers,abuse substances, and experience difficulty in their school environment. FFT strives to empower parents with the skills and resources needed to increase their effective management of family conflict and problematic behavior. The FFT program helps to avoid or reduce lengthy placement in residential treatment centers and juvenile justice settings. Using a multi-systems and community based approach, FFT has proven to reduce adolescent re-arrests, save families, and reduce community costs in working with distressed families. The number of youth and families to be served in FFT is 125, annually. Total State general fund and Medicaid funding is approximately$250,000. 3. YFC—Assessment& Referral Program YFC's mission is to provide youth and families resources and alternatives that lead to a successful life. YFC, as a 501(c)(3)organization, is a coordinated, multi-agency site, offering solutions to low risk high needs youth engaged in at-risk behavior,which may include criminal conduct, substance abuse, chronic run away, truancy and defiant youth or youth who are out of parental control. Services are designed around the best practice model of Assess& Refer and include comprehensive assessments, connection to appropriate community based services, case management support and group education classes- Anger Management, Life Skills and others as MOU /25 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING needed. Police "drop off' service is available to all 16 Weld County law enforcement agencies. Our goals are to help youth remain in school and graduate with a high school education or equivalent; and, keep youth from entering or further penetrating the Juvenile Justice system. Collaborative partners include 16 Weld County law enforcement agencies, 12 Weld County School Districts, and many other community partners. There is no cost to youth/families accessing YFC services. The number of at-risk youth anticipated to be served through the Assessment& Referral process in 2016 is 600. This number includes 400 TRIP youth. Funding for this program is provided through YFC Operational funds. These funds consist of local and county contributions and grant awards. 4. YFC—Truancy Response and Intervention Program (TRIP) The TRIP Program provides an assessment of needs, focusing on the causes for truant behavior, individualized intervention plans, structured access to appropriate community based resources and case management services. TRIP evolved out of a partnership between Youth & Family Connections (YFC)and the 19th Judicial District Attorney's Office Truancy Diversion program in January 2007 to provide access to services, case management and support for truant youth ordered to participate in the program by the Truancy Court. In July 2008, YFC assumed responsibility for TRIP, which was modified into a multi-tiered intervention program designed to facilitate open communication with relevant community partners and increase youth success with the program. Case managers work closely with the Truancy Court and school districts in Weld County to help youth stay in school and remain engaged in the education process. Individual intervention plans with TRIP, if court ordered, carry the weight of the Truancy Court to enhance participation and compliance with program protocols. This program is a valuable component of the truancy intervention efforts currently in place for Weld County. It is anticipated that YFC will serve 400 youth referred from Weld County school districts and the truancy court for Truancy assessment and intervention services for FY 2015-2016. Funding for the TRIP Program is provided through YFC Operational Funds. These funds consist of local and county contributions and grant awards. 5. YFC—Weld County Restorative Justice Program Weld County Restorative Justice(RJ) is a project that was developed out of a partnership among the 19th Judicial District Attorney's office, Youth & Family Connections, 16 municipal police agencies, the Weld County Sheriff's Office, and concerned community volunteers. It is designed to resolve conflicts and restore relationships. This program is based on a strong foundation of integrity, honor and respect for all participants. The 19`h Judicial District Attorney's Office's Juvenile Diversion program collaborates with the 1451 CMP by sharing information through the Weld County Informed Consent to Release form and the YFC Records Management System. They also provide important outcomes data regarding MOU /26 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING youth served through the Juvenile Diversion program and support many collaborative management processes and team decision making processes within Weld County. The overall purpose of the Weld County Restorative Justice Program is to develop an effective process and referral network that is specific and responds to the needs of the victims and offenders in Weld County; Facilitate Restorative Justice Practices;and Provide data to assess the efficacy of Restorative Justice to: Reduce recidivism (an anticipated 80-90% non-recidivism rate); Repair the harm caused to victims in the community; Increase victim satisfaction with the process and perception of safety; Reduce costs associated with juvenile justice processes; and Ensure accountability while allowing juveniles to avoid the collateral consequences associated with criminal charges and convictions. It is anticipated that the Weld County Restorative Justice Program will serve 100 youth in FY 2015-2016. Total funding for the Weld County Restorative Justice Program is$198,000 provided through State Funds authorized through Colorado HB 13-1254 and YFC Operational funds. III. OTHER MULTI-SYSTEM PROGRAM(S) The following multi-system methods serve children, youth and families(as defined in Section III: Target Population) through a multisystem approach that benefits children, youth and families in a way that if the 1451 CMP did not exist the results would be a bifurcated system and a burden would be placed on multiple systems. 1. WCDHS—Teamwork Innovation,Growth,Hope and Training(TIGHT)Program The TIGHT Youth Corps Program engages adjudicated at risk youth in valuable service projects that benefit the community; educational components designed to improve the members' functioning levels in reading and math and prepare them to re-enter school or obtain their GED; and life skill development activities to prepare them for life after their Corps experience. The goal of the TIGHT Program is to eliminate or delay the need for confinement or out of home placement by exposing participating youth to a variety of worthwhile projects within their communities. A therapeutic treatment model provides the necessary family based services, treatment, and support that the youth need to remain at home. Partners include: Weld County Department of Human/Social Services, Youth in Conflict Program; and Probation, 19th Judicial District. Participating youth and their families will average 30. Total federal, state and county funding is $244,893 from Core Service Funding, $68,400 from Temporary Assistance for Needy Families (TANF), and North Range Behavioral Health will provide Functional Family Therapy for those youth/families in need, at an estimated amount of$25,000 through Medicaid dollars. 2. 19th Judicial District Probation—Juvenile Probation Probation Department has legal responsibility to provide court ordered supervision and/or investigation for juveniles in order to make them more successful while also providing community safety. Services include coordination of services for juveniles placed on probation, case plans outlining risks and needs, referrals to outside treatment agencies, and monitoring progress in education, employment and treatment. The juvenile team supervises juveniles placed on probation and work with juveniles and their family and/or support systems to help them adhere to court MOU /27of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING requirements. The probation officers work closely with the schools, Weld County Human Services and local treatment agencies in a multi-systems, collaborative approach to achieve positive behavior change in youth. It is anticipated that approximately 140 youth will successfully complete services through a multi- systems approach with the 19th Judicial District Juvenile Probation Department in FY 2015-16. Sources of funding are appropriated funds from the State of Colorado. MOU /28 of 31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING Appendix D CONFIDENTIALITY WELD COUNTY INFORMED CONSENT TO RELEASE FORM AUTHORIZING RELEASE OF CONFIDENTIAL INFORMATION (Name) (Relationship to the child) on behalf of myself and/or my children and/or wards, (Name of child/ward) (date of birth) (Last 4 Digits of Soc. Sec. No.) (Name of child/ward) (date of birth) (Last 4 Digits of Soc. Sec. No.) (Name of child/ward) (date of birth) (Last 4 Digits of Soc. Sec. No.) (Name of child/ward) (date of birth) (Last 4 Digits of Soc. Sec. No.) authorize(s) the agencies listed below to release and share among themselves the following confidential information: Child Welfare Information, e.g., social worker case file; medical, psychological and education consultation reports, court reports, relinquishment and adoption records. Juvenile Justice Information, e.g., arrest and criminal records, probation records, social and clinical studies, court reports, law enforcement records in general. Mental Health Information`—place check mark in box next to type(s) and format(s) of information to be released: O enrollment status; O treatment goals; O brief report outlining progress in treatment; ❑ current NRBH medical staff prescribed medications; O psychological testing results Information may be shared: OVerbally O Written Education Information, e.g., to include standardized test scores, grades, report cards, attendance, IEP's, counseling, special education, learning disability and diagnoses related thereto, disciplinary, health, and social work records and reports. Medical Information, e.g., records and reports of patient history, diagnoses, evaluations, treatment, including those related to developmental disability (with the exception of HIV and AIDS- related information). Vocational Rehabilitation Information,e.g., records and reports of disabilities, evaluations, and recommendations. Other: with exception of the following: MOU / 29of31 COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING Confidential information authorized for release above may be shared by way of email. The Consent to Release includes any health Information or medical records which may be a part of the above- stated records, protected under the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"),45 C.F.R. Pts. 160& 164. I understand such records cannot be disclosed without my written consent, unless otherwise provided for in the regulations. I understand that none of the agencies listed herein may condition my treatment on whether or not I sign this form. Purpose of Consent to Release: This Consent to Release is intended for the purpose of allowing the release of information critical to allow certain agencies, part of the committee formed pursuant to 04 H.B. 1451 ("1451 Committee"), and pursuant to memorandums of understanding between those agencies and the Weld County Department of Social Services, to coordinate and manage the provision of services to children and families who would benefit from integrated multi-agency services. This Consent to Release authorizes the sharing of information among the listed entities, many or all of which are authorized to view such information pursuant to applicable state or federal law. This Consent to Release automatically ends one year from the date I sign this form, or when the sharing of information is no longer needed to manage or provide services to me, my child(ren), or wards, or when I revoke my consent, whichever is sooner, except to the extent that the program or person authorized to make the disclosure has already acted in reliance on this consent. I understand I may revoke this authorization at any time by signing the revocation statement below and providing this document to the agencies listed in this Consent to Release. Agencies and providers who are listed in this Consent to Release and request information under this release may use a copy or facsimile (FAX) of this form in place of the original signed consent form. I agree that this information may be re-disclosed to all agencies listed if necessary to fulfill the purpose of the Consent to Release. This Consent to Release has been explained to me. I have read it (or it was read to me) and understand its provisions. I have been given a reasonable amount of time to ask questions and consider whether to permit sharing of this information. I hereby willingly agree to share of information as described above. I have received a copy of this Consent to Release. Dated: Dated: Signature of Parent, Guardian or Signature of Youth or Adolescent ('Also need Authorized Representative signature of parent,Guardian or Authorized Also known as: Representative if under 15 years of age) Last 4 Digits of Soc. Sec. No.: Last 4 Digits of Soc. Sec. No. Date of Birth: Date of Birth: (Staff person facilitating this authorization) Title/Agency NOTE: If you choose to modify or revoke this Consent to Release,you must sign below and provide to the appropriate agency(ies). I hereby revoke this Consent to Release. I hereby modify this Consent to Release as shown. Signed: Signed: Date: Date: Authorization of Additional Releases for Agencies: , authorize the addition of the following agency(ies)to this consent form. Agency Name(s): Effective Date: Date of Signature: Signature of Parent,Guardian or Authorized Representative: MOU / 30 of 31 STAFF APPROVALS FOR MOU -YFC APPR1�AVAEEDD AST SU TANCE: Ele a Officia o Dep nt Hea N/A Director of General Services TVED AS T F DING: Controller APP D S T C unty ey COLLABORATIVE MANAGEMENT MEMORANDUM OF UNDERSTANDING Signature of Youth or Adolescent Witness to signature: Representing: WELD COUNTY INFORMED CONSENT TO RELEASE FORM AUTHORIZING RELEASE OF CONFIDENTIAL INFORMATION Participating Agencies Effective Date: January 1, 2005 List Revised: Sept 14, 2010 School District RE-1 School District RE-7 School District RE-1J School District RE-8 School District RE-2 School District RE-9 School District R2-J School District RE-10J School District RE-3J School District RE-11J School District RE-4 School District RE-I2 School District RE-5J School District 27J School District RE-20J School District 50J School District 6 Court Appointed GAL Div.of Youth Corrections 19`h Judicial District,District Attorney Centennial BOCES North Range Behavioral Health Northeast Behavioral Health,LLC Weld County DPHE Weld County Dept.of Human Services I9`h Judicial Dist.Courts,including Probation Dacono Police Department Ault Police Department Colorado State Patrol Evans Police Department Eaton Police Department Erie Police Department Ft Lupton Police Department Firestone Police Department Frederick Police Department LaSalle Police Department Greeley Police Department Kersey Police Department Platteville Police Department Lochbuie Police Department Milliken Police Department Gilcrest Police Department UNC Police Department Windsor Police Department Youth&Family Connections Johnstown Police Department Weld County Sheriff MOU / 31 of 31 Hello